Tulane University School of Medicine - T Wave Yearbook (New Orleans, LA)

 - Class of 1988

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Tulane University School of Medicine - T Wave Yearbook (New Orleans, LA) online yearbook collection, 1988 Edition, Cover
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Text from Pages 1 - 136 of the 1988 volume:

■; ' ' , ■ ' .•■sy ' " t: " ' -. ti ■)! r:.j :wm ' - .: Vie?S.i j Jiigj T-Wave 1988 Volume VII Tulane University School of Medicine New Orleans, Louisiana T-Wave Staff Editors Gordon D. Honda Photography Craig H. Kliger Copy Layout Advertising Jonathan K. Leung Business Manager Barbara E. Bean Kim M. Callwood Deborah S. Fleischhacker Laura A. Johnson Writers Erich W. Bruhn Kenneth D. Gordon Susan E. Heverling Robert J. Hopkins Laura A. Johnson Brian D. Kavanagh Daniel A. Kahn Craig H. Kliger Monica M. O ' Brien Sheryl L Young Beth C. Windsor Photographers Barbara A. Carroll Cynthia J. Cantreli Paul H. Feinberg Amy S. Friedman Susan E. Heverling Craig J. Helm Gordon D. Honda Craig H. Kliger Jonathan K. Leung Paul A. Levy Kathy IVI. Macaulay Susan L F. McLeilan David E. Post Evan S. Ratner Jorge A. Rodruguez, Jr. Ruri Takizavi a-Honda Cartoonist Design Concept and Cover Models Randall G. Fisher Craig H. Kliger T1 Jeffery D, Allen T2 Beth C. Windsor T3 Mark A. Huun T4 Laura A. Johnson Special Assistance C. Anne Brown Mehran Majidian Eric A. Schoenberg Faculty Sponsors Nina Dhurandhar, MD Gerald Domingue, PhD William D. Hardin, MD Friedrichs H. Harris, MD Eduardo A. Herrera, MD Newton E. Hyslop, Jr., MD Pathology Morris D. Kerstein, MD Surgery Lewis 1. Post, MD OB Gyn Urology John E. Lewy, MD Pediatrics Arvin E. Robinson, MD Radiology Surgery Peter V. Moulder, MD Surgery Rune L Stjernholm, PhD Biochemistry Pathology Kevin P. Newman, MD Medicine M. Robert Vaupei, PhD Anatomy OB Gyn Ronald L Nichols, MD Surgery Watts R. Webb, MD Surgery Medicine Joseph Nigllazzo, Jr., RN Surgery Acknowledgements John E. Salvaggio, MD Mr. Al Dufore, Tulane Medical Center Photography Studio The Tulane Hullabaloo Tulane Medical Center Office of Public Relations and Information Bill Hopkins and Kathy Brooks, Jostens Printing and Publishing In Memoriam Judith J. Temple. MD 1954-1987 Lewis I. Post, MD 1918-1987 Dr. Judith Temple lost her life in a tragic auto accident last year. A staff physician in the Hematology and Oncology Section of the Department of Medicine and a member of AOA, Judy was highly regarded for her excellence in many areas. Students recognized her as a dedicated instructor and role model. Colleagues admired her clinical judgement and rapport with patients. Her absence will be sorely felt, not only by those who have worked with her, but by future students who will not know the joy of her inspiration and counsel. By only listening to him it became obvious that Dr. Lewis Post enjoyed his work. During his long tenure with the Department of Obstetrics and Gynecology at Tulane, he shared the knowledge derived from his many years of medical experience with thousands of residents and students, who knew him as a practical man, a patient teacher, and a caring physician. His humor, philosophy, and encouragement will be missed by those who reaped the benefits of his teaching and wisdom. We Came from Across the Land. One of Tulane ' s most valuable assets is the diverse group of people it draws to New Orleans for medical training from around the United States and other parts of the world. Students from as close as Missis- sippi and Arkansas, and as far away as Panama and Puerto Rico bring a variety of geographical, socioeconomical, political, and religious backgrounds that help enrich our understanding of and give us insight into the needs and problems of different peoples. Pictured clockwise from above: Bret Hugties, Rama Thiiruvengadam, Tom Halvorson, Kirl Murdock, Debbie Bardugon, Andy Morris, Ann Cowgill, Paul Feinberg, Pam Barthiolomew, Anthony Masone, Scott Tweten, and Joseph Chi. f I ■v av e i(iff ' A ij !!tt6S P £ z=s i -i g j k . s=s= In our class alone there are jazz musicians, instrumentalists, cartoonists, poets, artists, and songwriters. Athletes from almost every sport also abound — runners, swimmers, cyclists, skiers, divers, hikers, canoeists, windsurfers, and (of course) Ultimate Frisbee fanatics. We have gourmet cooks who have introduced some of us to Brazilian codfish pie, Cuban black beans, Indonesian rice dishes, Spanish flans, Swedish herring, grilled salmon from the Northwest, enchiladas. New England chowders, as well as boiled crawfish and blackened redfish, not to mention a cake decorator who made many a birthday special. There is even amongst us a relative of the inventor of the " Homan ' s Sign. " Through our discussions of politics, social issues, music, and art, we have helped each other to open our minds, or to confirm within us previously established opinions. The spectrum of thoughts, ideas, and creativity among our class is often surprisingly broad — perhaps broader than we are willing to admit. ..or put up with. This diversity has exposed us to new concepts and experiences, enriched our lives, piqued our interests, and helped us to accept and enjoy the differences in others. It is something that makes Tulane unique from many other medical schools. We will continue to enrich the hves of each other in the years to come as we continue and renew friendships formed while acquiring our medical educations. 21 Our Home States —. I 2 1 J 5 I L Alaska 1 Guam Puerto Rico Virgin Isionds 1 ! 2!!ZSZ i ■ zssz WMMpBHMHM .to axJu i o4 — i-waft e: To Learn the Art of Medicine... The real practice of Medicine — the " art " of Medicine — involves a great deal more than the simple act of prescribing medic- ation or performing a surgical procedure. Rather, it requires a soothing touch, a sincere interest in and dedication to a patient ' s recovery and future health, just the right number of compassionate and caring words, and the ability to realize when one can help, and when one cannot. Over the past four years we, as students of this art, have come to know the importance of a well mind to the ailing body as it heals. The influences of lifestyle on health are becoming increasingly more apparent, and we have come to appreciate the necessity of educating our patients about themselves and their illnesses. The difference a phy- sician can make in a human life by sharing with that person the responsibility for man- aging his or her problems is enormous. Our goal should always be to try to improve the overall quality of life of those we help as we strive to improve our own. Through these efforts we, as physicians, can better the world around us. Our professors and instructors have shared with us their knowledge and skills so that we may, in turn, use the current and future technology, medications, and techniques to better and prolong the lives of others. They have also worked to instill within us a love and desire for further education. The inter- actions with our peers these past few years have taught us to support, care, and accept each other as well as those we care for. We ' ve each witnessed the miracle of birth, and the rewards of recovery from a debi- litating illness. We ' ve also felt the sadness and frustration as those we have cared for have passed away, and these experiences tug at our hearts, making us strive that much harder for the sometimes elusive " cure " — that little something extra that might prolong a special individual ' s life. ATTEWTIQH The Oath of Hippocrates I do solemnly swear, by whatever I hold most sacred, that I will be loyal to the profession of medicine, and just and generous to its members. That I will lead my life and practice my Art in uprightness and honor. That into whatever home I shall enter, it shall be for the good of the sick and the well to the utmost of my power, and that I will hold myself aloof from wrong and corruption, and from the tempting of others to vice. That I will exercise my Art solely for the cure of my patients and the prevention of disease, and will give no drug and perform no operation for a criminal purpose, and far less suggest such thing. That whatever I shall see or hear of the lives of men and women that is not fit to be spoken, I will keep inviolably secret. These things I do promise, and in proportion as I am faithful to this oath may happiness and good repute be ever mine — the opposite if I shall be forsworn. ...Where " Life Begins and Ends " Charity Hospital of New Orleans, " The Big Free, " has for centuries served the people of the Crescent City. Its doors never close and no person in need is ever turned away. For many, life begins and ends here, much the way the seal embedded in the floor of the front lobby proclaims to all who enter. It is the only source of medical care for much of the population — a dumping ground and place of last hope for the indi- gent and those without medical insurancCj be it an emergency or a visit to continue long-term treatment. Yet it is also the " hospital of choice " for a crash or gunshot victim, or a wounded dignitary. As a result of the " rollercoaster " Louisiana budget, the hospital has, in recent times, fallen prey to shortages of both supplies and hospital staff, stretching them literally to their limits in the face of an ever- increasing patient load. For this reason, medical students have become almost ' M i i - .f M i Iplpalifr 1 1 1 p .: S i s, ijllilli i illlllli i g I i piiiii i I, I p 1 1 1 1 I 1 1 1 1 M V I,, 1 1? ' n I i I essential for the timely care of patients. From performing a simple blood draw or various other " scut, " to doing library research on a difficult case, students play an important role in the functioning of the Hospital, which has been a training ground for generations of physicians. As a referral center from clinics all over Louisiana, Charity has been the source of many of the most vexing and unusual cases seen during our medical training. In |l ' iii ' iiii iiii IIII nil III addition, the gross inefficiencies inherent in the operation of a public hospital have also made it the source of endless talcs told by medical students, residents, and staff alike. We will all carry memories of Charity, perhaps the smile of a mother after a dif- ficult delivery, or the pained look of a loved one informed of a patient ' s untimely death. But probably most important will be the feeling that we can make a difference in the sometimes insensitive world of Medicine. ZT ' v jcmn T-Wave The Crescent City: New Orleans - I. ■ ■:.- ■ ■::: fj;;;j;i;i;I!:U ri ' inilliiiil— " ■ iiiiiMiiii:: ••■•■iiiiiiiia •■•lllllllli;3 •■iiiiiiiiiil ■■iiiiitiiiiV ••■■IIIIIMI •■■•iiiiiiii j iiiiiii «- i 1 1 1 ■ I — itiA. • I III III III III III III For those of us who were not natives, New Orleans became our home for four years. During that time, we participated in her customs and traditions, learned about her unique politics, ate her hot and spicy foods, and became part of her diverse population. Some arrived with the notion that the French Quarter was the only thing the city had to recommend her. But it did not take long to discover the variety of things that was available to the curious. You could IIIIIIII • I ' IMMII " • ' iiiiiini Pictured clockwise in the box from above: Neigtiborhood shops on Magazine Street, Original city site on the Mississippi River, Above-ground cemeteries (a necessity). Vendor of an old-time favorite, Westfeldt House in the Garden District, Oal Alley Plantation, Familiar pastime in Audubon Park, and the world-famous St. Charles Streetcar. browse on Magazine Street in search of that special poster or antique, wander through the Garden District admiring its many architectural treasurers, relax and enjoy a lazy afternoon in Audubon Park, or take a peaceful ride on the streetcar under a canopy of majestic oak branches, to name only a few. Of course many would regard eating as the most popular pastime of the Crescent City, and an abundance of restaurants, each with its own specialties and character, stood ready to satisfy just about any appetite. Whether it was Cajun blackened redfish, a shrimp po ' boy (dressed of course), or traditional Monday Red Beans and Rice, everyone had ample opportunity to discover his or her favorites. But the true flavor of the city was esta- blished by the people who call this place home. The " laid-back " attitude of the South that permeated daily life was slowly integrated into all of our routines until we learned to accept occasional inconveniences fsuch as the rather leisurely service at most " fast " food places, or someone making a left turn from the right lane, in front of, and just missing, your car; since little could be done about them. Still, our experiences here have inspired many memories. Yet, perhaps the fondest of these will be the ones that make us shake our heads (in delight or disbelief) and think quietly to ourselves, " Only in New Orleans! " Vieux Carre The French Quarter remains the essence of the chararter of New Orleans, echoing with the sounds of Jazz and billowing with the aroma of Cajun and Creole foods. Here can be found many local favorites, such as beignets, cafe au lait, pralines, oysters, and sweet (and hard-hitting) Hurricanes. As night falls few notice. The streets remain alive with tourists, gawkers, and hustlers who form a human blanket that envelops Bourbon Street. Many visitors marvel at the gardens and fountains, and browse in small shops. One comes to realize that few places offer the atmosphere and ambience that are the Vieux Carre. A ride through the Quarter. ■:: : -:wm " - - ' mwUfmans " s M • Preservation Hall trumpeter (No, ifs not Dr. Voupel!) Tulane University Scliool of Medicine: An Historical Perspective The Tulane University School of Medicine had its beginning as the Medical College of Louisiana in September 1834, as three brash young physicians, all less than 26 years of age, initiated medical education in Louisiana. They were Thomas Hunt, who was to become the first Dean of the medical school, Warren Stone and John Harrison. In addition to these three founders, the faculty of the school consisted of four other local physicians: Augustus Cenas, Charles Luzenberg, T. R. Ingalls, and E. B. Smith. Establishment of the school was met with considerable opposition from the Creoles, whose ideas concerning medical education were based on the European system that stressed academics well-grounded in the Latin and Greek classics. To them, the idea ♦ I ' ttLfrtBD J n PtntUSHRD dmly.bv TllB UMOS— tT r i»TBE »rii !»»o. " ItlONBAV MOftMtNG,«l£I T. 29, 1834. sems o » jiice rhceatabliahmpnt in this siontlomen wjio fit) ihe chairs lill ami experience, anj we-hiipa :!.r,t nv nnj noti e th %xht iOTuiiuu5, when we pilint in uiiriicel ' ir to Mp38n .,Hirrr, Imoalls an ' l Luzrmoe g, with t . % «C apqiiiiiuanc 18 more extended. The two former ifStfo-D ' rfore o ciflfed in o like capacity in similar ina ' itu- . lits, ant ihe Imter baa edtabhilietl a r :pula!ion in uur cily f 10 llie ' ii jliesil grade as a surgeon. Thfi Tf pr Friend, was run into hy ihcTum Jt trsim, ciT ' iJilc Lafajetu; on Saiurdciy, and suuiii waicrupig ilie of providing such education without this foundation was incomprehensible. Further- more, they regarded American universities with disdain, and considered them grossly inferior to their European counterparts. Nonetheless, the Medical College first opened its doors in January 1835. In doing so, it became the first medical school in the Deep South, and the fifteenth in the country. The inaugural address was given by Dean Hunt at the First Presbyterian Church. This church and various other borrowed quarters were used for the first lecture presentations. A lecture room in the State House and several wards in Charity Hospital also served as classrooms. These temporary facilities were the only ones available during the next several years, while the faculty worked to secure the funds necessary to construct a permanent structure to house the fledgling school. In 1836, the governor of the state attempted to help the medical faculty with their cause. A measure appropriating 160,000 for this purpose was proposed and passed by the Senate. Unfortunately, the bill was defeated by the house. It was not until 1843 that any definitive action was taken. On March 22nd of that Newspaper clipping announcing the establishment of the Medical College of Louisiana. Thomas Hunt, MD, first Dean ► of the Medical College. year, a law was passed permitting the medical faculty to erect a building on a state-owned lot located on Common Street between Baronne and Dryades. As with most legislative " God-sends, " conditions were placed on the appropriation. First, the faculty members were required to donate their services to Charity Hospital for ten years, and, second, one student from each parish, to be named by the senator and representatives from that parish, were to be guaranteed admission to the College each year for the same period. In addition, the state reserved the right to reclaim all properties at the end of the term. The fact that this bill gave professional privileges at Charity Hospital to the faculty of the College created an uproar among the New Orleans ' medical practitioners. This opposition was based on the false belief that the College would be given sole authority over medicine and surgery at Charity. When it was made clear that this was not the case, the medical community was able to work together, resulting in the best medical care that the city had ever seen, as well as providing the College with a clinical teaching hospital that was gradually evol- ving into one of the top such facilities in the country. ■4 Tulane University School of Medicine circa 1970. Tl e original Constitution of thie Medical College of Louisiana. JAa 4 t iA4, o. 4 students remained enrolled. Federal occupation of New Orleans forced the closure of the University later that year. In the fall of 1865, the school reopened its doors, enrolling 185 students. But the devastation left by the Civil War and the subsequent Reconstruction, placed the medical school in its most trying times, struggling financially for its very existence until 1884, when a wealthy New Orleans Having obtained legislative approval and financial funding to erect a building, the faculty immediately set about drawing up plans for a structure to house the Medical College. This building was estimated to cost $6,000 and was not completed until the end of 1843. In 1845, a Constitutional Con- vention directed that the Medical College of Louisiana become the Medical Depart- ment of the University of Louisiana. Two years later, additional funds were appro- priated to erect buildings for the new University, and the original building was returned to the state to be used by the ■newly established Law Department. A much larger building was constructed adja- cent to the original medical building for use by the Medical Department. At the time of its founding, the number of students attending the Medical College was a grand total of 11. From 1834 to 1859, this number grew to an impressive 276. This rocketed to 404, however, just prior to the War Between the States (or " Civil " War to those not from the South) that began in 1861, as political and sectional hostility prompted Southern students to abandon Northern colleges. Yet, when the conflict ensued, students joined the war effort in such numbers that, by 1862, only 94 ▲ The Class of 1910. SZSZ " • Mofyjofjhe School of M dk:ln - ' I -Wave I C3 The Richardson Memorial ► Building on the Uptown Campus merchant by the name of Paul Tulane bequeathed $ 1 .25 million for the endow- ment of a university. The state legislature then placed all the departments of the University of Louisiana under the newly named Tulane University of Louisiana. This donation enabled the school to once again assume front rank among American medical schools. By the early 1890s, rapid growth had established the need for new facilities. In 1893, a new building, the Richardson Memorial Building, was built on Canal Street. Although this was heralded as one of the best equipped medical buildings of its day, by 1907, further expansion was again needed. At that time Alexander Hutchinson bequeathed a large sum in memory of his wife Josephine. This fund was used to construct a new Richardson Building on land that was to become part of the Uptown Campus. This building was designed to house all the preclinical depart- ments. Facilities of the old Richardson Building were enlarged for clinical teaching purposes and renamed the Josephine Hutchinson Memorial Building. Meanwhile, the school was continually attempting to raise its standards. When it was initially founded, the school year lasted four months, and two full courses of lec- tures were required for graduation. Since only one set of courses existed, the students were expected to take the same ones twice. Admission to these lectures was gained with a " ticket " purchased for the price of $20. At that time, this was the sole means by which the professors were paid. Additional fees included a matriculation fee of $5, and a diploma fee of $30. Incidental expenses included the purchase of two arms for dissection at 25 cents each. The require- ment for admission was also rather simple, being only the ability to finance one ' s education. Gradually, the annual sessions were expan- ded from the original four months to four and one-half months in 1879, then to six months in 1893. It was also in that year that an educational qualification for admission Anatomy class in the Josephine ► Hutchinson Memorial Building. was first required of all students, namely a second grade teacher ' s certificate of a superintendent of education. Also, to fur- ther strengthen educational standards, attendance in three instead of two annual sessions was required. In 1899, this was lengthened to four obligatory sessions, and in later years, the length of these sessions was further increased until the curriculum evolved into what it is today. By the early 1 900s, it became apparent that a high degree of difference existed between the various medical schools in the country. In 1908, Abraham Flexner was selected by the Carnegie Foundation to undertake an analysis of the state of medical education. Flexner made a study of 155 American and Canadian medical schools, beginning at Tulane in the winter of 1908. He published his report in 1910, describing shocking and deplorable conditions in many places of medical education. This opened the eyes of the public and the medical community such that Flexner ' s report was, in effect, an obi- 16 T-Wave tuary for a great many medical colleges. Within a few years, almost half of the them had disappeared, for the most part because of the adverse publicity. Although Flexner found medical education at Tulane far from ideal, he ranked the school among the top three medical schools in the South. Tulane ' s high ranking was based on new and excellent laboratory facilities, the teaching faculty, the clinical availability of Charity Hospital, and the post-graduate instruction provided by the New Orleans Polyclinic. In 1913, Tulane reorganized the Medical Department to include the School of Pharmacy, the School of Dentistry, the School of Medicine, and the Graduate School of Medicine. Today, only the latter two remain, the latter within the Graduate School. In 1958, the Division of Hygiene and Tropical Medicine was established, which has since evolved into the School of Public Health and Tropical Medicine. The Josephine Hutchinson Memorial Building continued to house the clinical facilities of the School for nearly forty years. However, by the late 1920s, it had become crowded and obsolete. Funds were provided for a new medical unit, called the Hutchinson Memorial Building, to be built contiguous with Charity Hospital at what is now the present location of the School of Medicine. When it opened in December 1 930, the building was acclaimed as the " best medical training unit in the South. " The preclinical departments, unfortunately, were still located on the Uptown Campus. In order to to provide the most enriching medical environment possible, it was re- JL i M» m!SnM cognized that all four years of education needed to be consolidated on one campus. It was not, however, until October 1955 that a ten-story addition to the Hutchinson Memorial Building enabled the Second- Year departments to be moved downtown. In 1963, further additions to the downtown facility were built to house the First- Year departments, allowing the School to reunify its four classes in one building for the first time since the early 1900s. The Tulane Medical Center was organized in 1969 to broaden Tulane ' s commitment to medical education, research, and patient care. The Tulane Medical Center Hospital and Clinic, the first such university hospital in Louisiana, was dedicated in October of 1976. This 300-bed hospital has enabled Tulane to consolidate a wide range of ser- vices in a tertiary-care environment. In the short period since its opening, it has be- come a major referral center for the region. ■4 Tulane Medical Center Hospital and Clinic. Hutctiinson Memorial Building circa 1930. Since its founding 154 years ago as the Medical College of Louisiana, the Tulane University School of Medicine has under- gone many changes, and not simply in name. Several buildings have come and gone, and while many different students and faculty members have occupied these buildings, so have federal troops during the Civil War. Though Tulane originally ca- tered to those mainly from the South, it now attracts students from all parts of the United States. From its meager beginnings in 1834 with 11 students, the Tulane Uni- versity School of Medicine has gone on to confer over 12,000 medical degrees, 160 of which are to be conferred on the Class of 1988. Throughout the years Tulane has always strived to improve its medical edu- cation, and is now ranked among the top medical schools in the country, and perhaps the world. ..something of which we can all be proud. M Former Entrance to Hutctiinson Clinic History of the Scfiool of Medicine l- CWe Charity Hospital of New Orleans: A Rich History a Poor State of Affairs by John E. Salvaggio, MD Henderson Professor of Medicine Charity Hospital embraces an intriguing and colorful past, and has served a real pur- pose. It is steeped in Louisiana history, and has survived difficult times and some of the worst political squabbles and patronage problems in the country, enduring for over 250 years primarily because it was needed. Its charter dates to January 1736, when Jean Louis, a French sailor formerly employed by the Company of the Indies who worked in New Orleans as a boat builder, bequeathed his estate of approxi- mately 10,000 livres (about $2,500 today) to the founding and furnishing of Charity Hospital in early French colonial Louisiana. This makes it the oldest continually operat- ing hospital in what is now United States territory. (Bellevue Hospital in New York City is also the same age, but was estab- lished two months after Charity.) Perhaps it was the abandonment of the poor, who could not be cared for at the French military or " Royal " Hospital, that induced Jean Louis to be so generous. Ini- tially called the Hospital of St. John or Le Hopital des Pauvres de la Charite (Hospital for the Poor), its charter came into effect upon Louis ' death. In his wisdom, Louis appointed the Reve- rend Father Philippe, Parish Cure and pas- tor of St. Louis Cathedral, to work with Councilman Raguet in disbursing his legacy and running the Hospital. Sunday collec- tions were taken in the cathedral to support Don Andres Almonester y Roxas, Early ► Charity Hospital Benefactor. it. In addition, several local individuals made donations of property in their wills. On March 10, 1736, a house at Chartres and Bienville Streets became the first quar- ters for the Hospital. Patients must have been admitted immediately, because only a month after its opening the house proved to be too small and by 1743 it became neces- sary to replace it. A governmental land grant at the ship-turn at the end of a canal and fronting on the cemetery was provided to build the new Hospital. This location was advantageous since supplies could be unloaded from the ships as well as patients transferred to or received at the Hospital. Its proximity to a cemetery was also of obvious advantage. After Louisiana was ceded to Spain in 1763, the French were allowed to admin- ister Charity for six more years. With the arrival of Governor O ' Reilly in late 1769, however, Charity came under control of church authorities and the Spanish govern- ment, as was the custom of such hospitals in Madrid and other Spanish cities. In 1779, a great hurricane wreaked havoc upon New Orleans, reducing Charity Hos- pital to ruins. Only the kitchen and store- house escaped its fury. This destruction resulted in much consternation and suffer- ing, leaving homeless patients to " perish upon the streets or in some obscure cor- ner. " Nonetheless, the Hospital survived. During this terrible time, Don Andres Almonester y Roxas, a former war clerk, civil notary, and noble gentleman born in Andalusa, Spain, came to Louisiana and rescued the Hospital. He was a leading citi- zen of the colony and made a modest for- tune as an owner of retail stores adjacent to Jackson Barracks. He was described by some as a " selfless benefactor " and by oth- ers as an " opportunistic land speculator. " Almonester offered the huge amount of $114,000 to rebuild the hurricane-ravaged Hospital. It was completed in October 1785, and named the Charity Hospital of St. Charles (the San Carlos Hospital) in Charity Hospital circa 1835. ularly Germany and Ireland, were treated at Charity, and by 1858 foreigners outnum- bered US natives by a ratio of six to one. To provide additional financial aid to Char- ity, taxes were placed on all concerts and Carnival Balls. In addition, all theatres in New Orleans were required to give four benefit performances annually. Although an official gambling act would not go into effect until 1923, a tax on gaming halls was instituted for the benefit of the hospital as early as 1815. Further amended in 1832, this law increased the number of gaming halls and raised the tax to S7,500, three- quarters of which was designated for Char- ity Hospital. However, it was the 1842 Passenger Tax paid by all persons arriving in New Orleans from foreign ports that ensured the hospital ' s financial stability during this period. Five years after the great fire, the square roughly corresponding to the location of the current Fairmont Hotel on Canal Street, was sold by the city to the Administrators of Charity to build a new hospital. Work was begun in 1815, and when completed in the same year, the new facilities were described as " vast and commodious, capable of caring for 120 patients. " honor of King Charles III of Spain. Almonester died in 1798, probably feeling that most of Charity ' s administrative prob- lems had been solved. Yet the problems only worsened later! In the early 1800s, the mayor of New Orleans pleaded before the Louisiana legis- lature to " Look at the Charity Hospital and examine the state of abandonment and dep- rivation to which this institution is reduced. The poor man preyed upon by maladies seeks asylum and finds only a grave. " Another catastrophic event occurrred Fri- day, September 23, 1809, when a kitchen fire quickly spread to the wooden shingled roof and burned the entire hospital to the ground. The indigent sick suffered intense hardship after this fire, and many were housed on the upper gallery of the Cabildo, which served as City Hall. Louisiana became a state on April 30, 1812, and assumed full responsibility for Charity Hospital on March 17, 1813. Immigrants from dozens of European countries, partic- An open word of the early 1800 ' s. M Mh i sz r ' " ' S jL«W» History of Charity Hospital T-WavS=JSC Charity Hospital circa 1900. ► Note the addition of satellite buildings around the main structure pictured on the previous page. A great flood inundated the city the next year and led to the creation of a medical licensing board (The Committee-Medical) to deal with the subsequent terrible sanitary conditions and medical problems. Indeed, the narrative of a young Boston minister who had visited New Orleans in that year described the hospital as " a deep disgrace to any civilized or Christian country. " A group of citizens visiting Charity in 1818 were horrified by the condition of patients, and complained to the governor and Hos- pital administrators. They noted the Hospital ' s filthy condition, and the total inadequacy of attendants. They also stated that patients had to sleep on mattresses upon which were " visible marks of the putrid discharges of those who had died on them of the most pestilential diseases. " Chickens roosted in the hospital rooms, and " their offal covered the furniture in every direction. " They further reported that brick dust was used to absorb the filth on the hospital floors, and that it arose in clouds and choked patients on the few occasions when the floors were swept! It is important to note here that many epidemics struck the city and killed thousands from early French colonial days through the 20th Century. The deterioration of the San Carlos Hospital combined with a marked increase in the local population made it apparent that new facilities were again needed. Completed in 1833 at a cost of $149,570, the fourth version of Charity undoubtedly marked a milestone in its history. Records show the lower story was occupied in part by " the Medical College, " indicating that when formed in 1834, the new Medical College of Louisiana (now Tulane Univer- sity School of Medicine) was located within the hospital. During busy times in the early 1900 ' s, two (or even three) patients were forced to share a bed. With the arrival of the Daughters of Charity, in combination with the above- mentioned items, the overall medical atmosphere in New Orleans was excellent, and the entire medical complex was, at that time, very likely one of the best of its kind in the world. After the Civil War commenced in April 1861, its chaos made little difference to Charity Hospital. Following a series of re- signations in February 1862, Ernest Lewis, a young student intern, was appointed of 21. Lewis refused to treat General Benjamin Butler ' s soldiers when Butler captured New Orleans with his flotilla and 15,000 man garrison. The General was extremely lenient with young Lewis even though Butler later learned that Charity was housing Confederate soldiers trans- ferred from the old marine hospital when its supplies were cut off following the city ' s surrender. Lewis finally agreed to accept the federal soldiers, and actually convinced Butler that additional physicians were needed to care for them. During the post-war period, lottery tickets were again sold to support the Hospital through the Louisiana State Lottery Com- pany formed in 1868. The government finally outlawed this company around 1900, but until then, it provided — at least on paper — major support for Charity. The old Ship Passenger Tax that had helped greatly in the late 1840s and 50s, was di- verted to the Bureau of Agriculture and Immigration. Thus the Hospital ' s debts rose markedly. At this time, large numbers of blacks were admitted to the hospital. Prior to the War, most blacks had been treated by private physicians on the plantations where they had worked as slaves. When they became emancipated, more and more of them re- quired the services of Charity. The Charity Board enacted a policy forbidding discrimi- nation founded on race, color, or previous ;;T Wave History of Charity Hospitai W0( lm L condition. However, this was interpreted to mean only that care would be provided on an equal basis, and did not prevent the de- velopment of separate wards for whites and blacks later in Charity ' s history. Another important advance occurred at Charity in 1885 when the first ambulance service was inaugurated. Until that time, the sick travelled to Charity in horse-drawn wagons or similar bumpy transportation that hardly benefited the patient. The tradi- tion of Charity interns riding in ambulances lasted for almost 100 years, and was only discontinued in the 1960s. Many new additions were made to the Charity complex around the turn of the century, and the hospital probably con- tained almost 2,000 patient beds. Other hospitals in the city had perhaps only 150 beds combined, including even the larger ones such as Touro Infirmary and Hotel Dieu with 50 to 60 beds each. The population of New Orleans increased almost 30-fold between 1832 and 1926, while Charity ' s bed capacity had less than doubled. It was during this period that the Hospital was forced to place two patients to a bed, and sometimes even a third patient on a lower mattress near the floor. The conclusion of World War I in 1918 signaled the arrival of another war — that between School of Medicine and Charity Administrators, as increasing hostilities came to the fore. But the worst was to come as Huey P. Long ' s and subsequent admini- strations came to power. After Long was elected in 1928, he immediately introduced a bill in the legislature allowing the gov- ernor to reorganize and apppoint a new Charity Hospital Board of Administrators. He removed Charity ' s Superintendent, and replaced him with Dr. Arthur Vidrine, a 29 year-old Rhodes Scholar who was engaged in rural general practice. Medical education had became more complex, leading to the establishment of Dueling Doctors The mid- 1800s was the age of dueling, and many encounters between physi- cians and even professors at the Medical College took place, each of which repre- sents a story in itself. As an example, one acrimonious duel involving Charity Hospital physicians was fought in 1856 between bitter professional rivals, Drs. John Foster and Samuel Choppin, es- sentially stemming from the proper treatment of a medical student who had been shot by a law student in a Carnival ball fracas. Luckily, both Choppin and Foster missed each other when firing their shotguns, and the entire matter was settled without further ado. Three years later, however, Ch oppin and Foster were at it again. For this duel Foster armed himself with a self-cocking five-valve revolver and Choppin with a single-valve Derringer in each of his pants pockets, as well as a Bowie knife in a coattail pocket. Before Choppin could cock his pistol, Foster shot him through the neck, injuring the jugular vein. Dri- ven back several feet, Choppin ' s right pistol discharged, wounding his own left hand. Foster shot again, penetrating Choppin ' s upper thigh. Choppin then drew his other Derringer and fired at Foster who had turned to fire at him. Fortunately both missed. With his guns empty, Choppin drew his Bowie knife, and with blood streaming from his neck, charged at Foster. Foster was reluctant to kill his wounded opponent, and simply waved his revolver, imploring Choppin to stop. Luckily for Choppin, medical students at the scene rushed to his defense and separated the two men. C hoppin ' s lacerated jugular vein was promptly repaired and his other injuries treated. Foster was arrested, jailed over- night, and released the next day as Choppin, who made a fuU and speedy recovery, refused to press any charges against his opponent. First ambulance service in New Orleans. — pm W miW spttal T -W V 2 1 Charity Hospital Complex circa 1940. The old Information wing has y been converted to the " Cloaca Caf6 " -J ji T - r- " -I-- — many new clinical departments at Tulane. A special Tulane service was also initiated at Charity. Long made no attempt to block this move, yet in 1930 he abruptly dis- missed Dr. Alton Ochsner, then Chairman of Surgery at Tulane, from Charity, alle- gedly because of Ochsner ' s complaints about political constraints placed on his attempts to build a first-rate Surgery De- partment at Tulane. The Long-Ochsner- Vidrine affair, together with Tulane ' s fail- ure to award Long a law degree that he desired, quite possibly played a role in the establishment of the Louisiana State Uni- versity Medical School at that time. In addition, Long enriched his campaign funds by a systematic five-percent de- duction from the salaries of all Charity employees, the so-called " deduct box. " It had been clear for many years that the Charity Hospital building, then 100 years- old, again needed to be replaced. Following Long ' s assasination on September 9, 1935, Sister Stanislaus (1865-1949), a former Mother Superior for the Daughters of Charity who ser ed the sick faithfully. federal funds became available to build the current Charity Hospital, completed on June 27, 1939. During the World War II years at Charity, a reorganization act was passed in the state legislature to create the Department of Institutions. This administrative branch was to manage all state hospitals, causing a great deal of political bickering. Governor Sam Jones threatened to close the Hospital in 1942, and parts of it were actually closed for a while. By 1943, 400 Charity physi- cians entered the armed services, and in 1944 there were only 131 interns and residents to staff the entire hospital. Cha- rity ' s Anesthesiology Department and Blood Bank were also organized during these years by Dr. John Adriani. ' -22 --TW W .. At war ' s end in 1945, problems involving interrelationships developed not only for Charity, but also for the medical schools. The Ochsner Clinic had emerged as a large medical institution employing many of Tulane ' s faculty and developing its own residency training programs. The Veterans Administration Hospital also developed a residency program that further competed with Charity. With the rise of LSU Medi- cal School, the old controversies between Tulane and Charity were now simply extended to it as well. In the late 1950s many sweeping changes were considered for Charity and its asso- ciated schools. In the 1960s the ugly matter of segregation was faced and the " colored and white " wards that were on separate sides of the hospital were eliminated. By the late 1960s financial problems for the Hospital and both schools were paramount, particularly as Tulane was increasing its residency affiliation with hospitals other than Charity, likely for political and finan- cial reasons. The crucial nature of the • situation prompted the governor to visit Charity, and the hospital ' s director de- scribed it as having slipped from a position of national leadership as a teaching center and medical institution for the poor, to a position of inferiority. He warned that the tight money situation a Charity had begun to have an adverse impact on the " life blood " of the institution, namely its intern and residency programs. The director stated that if the numbers of residents continued to decrease, the hospital would soon be in serious trouble. Attempts were therefore made to improve the situation. The Health Education Authority of Louisiana was established to revive the entire Tulane-LSU-Charity Hospital complex; some progress was made, but Charity remained essentially unaffected. The Department of Health Human Resources, was also developed during the 1970s and control of Charity Hospital was moved to this large umbrella agency in Baton Rouge. . In 1974 LSU and Tulane signed an affi- liation agreement with Charity providing that at three-year intervals the schools M Dr. Alton Ochsner leads a " Bullpen " session in the 1950s. would alternate naming a medical direaor with an associate director being appointed by the other school. Under the new plan, a lay administrator was named as well. Other important contracts were signed with Charity at this time whereby the deans of the schools were reimbursed to pay faculty members for performing hospital funaions. Woefully inadequate financing continued at Charity, however, and the hospital has lost its accreditation on several occasions since 1975. This was threatening, not only for Charity, but for both schools and the entire medical education process. At present the Hospital ' s grossly inade- quate financing appears to be worse than ever despite a consistently high inpatient census and an outpatient clinic load that borders on intolerable. During the last year alone there have been several severe cuts in the hospital ' s budget. The situation at Charity has led to alleged poor working conditions for physician and student alike, and to reprimands by national residency review and accreditation comminees. And while many plans for problem solving are currently being developed, but the question remains, " Is this grand old insti- tution a nineteenth century anachronism or can it be properly financed, funded, and equipped to provide the excellent care for patients and teaching opportunities for medical students that it has in the past? " Although the future cannot be predicted with any accuracy, one can only hope that future administrations will act favorably on initiatives to improve the relatively poor state of affairs that currently exists. Times-Picayune editorial cartoon that acknowledged Charit s current tunding crisis. mtory of Choflfy Nospifal T-Wove 23 " Administration Eamon M. Kelly, PhD President Tulane University of Louisiana John J. Walsh. MD Chancelior Tulane Medicai Center James T. Hamlin, III, MO Dean Schooi of iVIedicine Clyde G. Hugglns, PhD Associate Dean for Curricular Affairs Morris D. Kerstein, MD Associate Dean of Graduate Medical Education Martin S. Litwin, MD Associate Dean Director, Faculty Practice Plan James S. Storer, MD Associate Dean of Clinical Affairs Mary S.Baker Administrative Assistant to I3ean Hamlin Nita Breclcenridge Julia C. Heine Administrative Administrative Assistant Assistant Jean White AdminlstratN e Assistant for Financial Aid 3Zl=r:T-WaVG Admtnisfrafion .J " " ' ' %. fT ,j - v W. Clifford Newman, PhD Associate Dean and Director of Admissions Goyte A. Soyas Administrative Assistant to Dean Newman Elizabeth M. Garon Admissions Coordinator Joseph C. Pisono, PhD Assistant Director of Admissions Ctioirman, Financial Aid Committee Roselyn M. Marshall Secretary Wallace K. Tomlinson, MD Associate Dean of Student Affairs Jr ' ' 4 Carol A. Goudet Administrative Assistant to Dean Tomlinson Mellnda Smiley Records Coordinator Dionne M. Weber Secretary Anno C. Epps, PhD Associate Dean Director, Student Services and MEdl EP Office of Student Sen ices and MEdREP From left to right. Front Row: Deidre Allen, Clothilde Johnson, and Laura Rivera. Back Row: Louise Rachal, Justine Parker, Jeanne Burke, Lois Cherrie, Pam Luman, Yolanda Chaisson, and Ruth Post, Faculty Anatomy RotWft 0. Yortn, niD lytaiy B. Andanon, PliD Ul Chan, PhD JamM R. Jeter, PhD Gerald S. Hrby, PhD Joseph A. Motcorro, BS Michael Miller, PhD Chaiman Cytochemistiv Endocrinology Immunocytochemistry Cell Biology Biomechanics Neurocytology Neuroscience W • " W, Pamela J. Moore, PhD Edward M. Peebles, PhD Richard W. RIeck, PhD M. Robert Vaupet, PhD Leon B. Walker, PhD Joseph T. Weber, PhD Reproductive Anatomy Embryology Teratology Neuroanatomy Embryology Teratology Kinesiology Neuroanatomy Dr. Kirby with a wide tie. Dr. Walker with a bow tie. Dr. Moore didn ' t tie one on. ■Wave Faculty ' Dr. Hamori prepares his friend for the " command performance. " Community Medicine Biochemistry Rune L $t|ernholm, PhD William H. Barlcos, PtiD Melanle Ehrllch, PhD Eugene Hamoil, PhD Chaicman Chemotherapeutics Enzymology Molecular Biology Physical Biochemistry Yu-TehLI, PhD Manle K. Stanlleld, PhD Richard H. Steele, PhD JeivSle H. Tou, PhD Chemical Pathology Bioorgonic Chemistry Cellular Energetics Phospholipid Metabolism Epidemiology Biostatistics IrwInP.Cotten.MD.MPHlIM Joseph T. Hamrick, MD, MPH George B. MltcMI, MD, MPH . Infectious Disease Pediatrics Health Core Administration Health Care Systems Robert e. FfonMIn, MD. MPH Elizabeth Holt, DrPH Epidemiology Epidemiology Human Genetics Emmanuel Slnplra, MD. PhD Miriam G. Blltzet, PhD Hoyward Center Director Biochemistry Maria Varela. MD Cytogenetics Editors ' Note: Some members of the faculty were not available to be photographed, and regretably do not appear here. In several instances, those pictured are representative of the departments when the Class of 1988 was enrolled in their courses. .JU-. _facij y 1-Wave 27 Medicine C. Thcxpe Ray. MD John E. Salvagglo. MD Kevin P. Newman, MD Mary R. Genralt Deborah Abemamy, MO Nourang M. Agiowal, MD W. Abe Andes, MO Acting Chairman Coidiologv Post Ctioirman lmmunotogy Student Directoi Cardiology Program Coordinator Hematology Oncology Gastroenterology Hemotoiogy Oncology Daniel E. Banks, MD H. William Bartanon, , MD German Moro-BeHtan, MD Suzanne Befgman, MD Dennis W.Bouiware.MD Robert L Buich, MD William T. Ce(alu, MD Pulmonary Reset -ch Clinical Pulmonology Hematology Oncology Neptirology Rtieumatology Clinical Nutrition Endocrinology II Emmett B. Chapltal, MD Femondo P. Chltlno, MD Eileen M. Cook, MD Robert L Dlllenkotter, MD Dean B. EUHhorpe, MD Alllla Eitan, MD Thomas D. Giles, MD Internal Medicine Professor Emeritus Neptirology VA-Cordiology Clinical Pulmonology Gastroenterology VA-Ctiief CV LalDoratory Tejas Godlwala, MD Oien B. Gum, MD Gastroenterology Rheumatology Charles G.Haddad,MD Robert A. Hammer, MD Newlon E. Hyslop, MD Robert N. Jones, MD Guler Karcloglu, MD Internal Medicine Gastroenterology Infectious Disease Pulmonary Researcti Internal Medicine ' y. Abba J. Kostln, MD Peter F. Kohler. MD N. Kevin Kiane, MD William J. LoCorte, MD Juan J. L Lertoro, MD, PhD Manuel Lopez, MD John H. Phillips Jr., MD VA Neuroendocrine Inborotoiv Clinical Immunology Neptirology Primary Care Clinical Pfiarmacology Immunology Laboratory Cardiology Antonio C. Qulroz, MD Carlos M. RomlFez, MD Kathleen L Rives, MD Aimondo E. Ruiz, MD Bclan C. Rydwin, MD Cardiology Pulmonology Endocrinology VA-Endocrinology Cardiology Gary E. Sander, MD, PtiD Sudhir V. Stiah, MD Cardiology Nephrology Walter J. Stuckey, MD Karen A. Sullivan, PhD Judith J. Temple, MD Karl Tornyos, MD John D. WolMn, MD Hans Weill, MD Jonathan Wise, MD Hematology Oncology HLA-Laboratory Hematology Oncology VA-Hemotoiogy Oncology Nephrology Pulmonary Research Endocrinology Microbiology and Immunology A. Aithur Gottlieb, MD John D. Clements, PhD Judith K. Donrnr, PhD Gerald J. Domlngue, PhD Robert F. Garry, Jr, PhD Chairman Immunology Enteric Pathogens Mycology Renal Bacteriology Virology Dr. Johnson recounts the saga of Lee a. Henderson, PhD EmmeH J. Johnson, PhD Mary K. Johnson, PhD Laura S. Levy, PhD " MicrObiUS the Marvelous Microbe. " " " " O ' OQV Microbiol Genetics Boctenal Toxins Virology Patricia A. Moyeux. MS Laboratory Instructor Faculfy T-Wove " ' " " 29 " Obstetrics Gynecology Martin L Pemoll, MD Manoj K. Biswas, MD SImIe Degelu, MD Rotwrto Gollln, MD Chaifmon Hgh-RiskPlegnancy Maternal-Fetal Studies Gynecological Oncology Obstetrics Gynecology Eduardo Herrera, MD Pannela J. Moore, PhD April G. O ' OuInn, MD Lewis I. Post, MD Gynecology Course Director Gynecological Oncology Gynecology yg Paul R Summers, MD Dr. Summers and Resident Mauricio Bitran infectious Disease review a Slide. Dr. Biswas supervises Resident Lori Fulton in o C-Section. lan Thorneycton, PhD, md John c. weed, md Coroi wheeiei, md Endocrinology Gynecology Endocnnology Parasitology Jock H. Essllnget, PhD Emile A. Malek. PhD Robert G. Yaeger, PhD Falarial Systems Molocology Protozoology 5Afave__ focu fy 3Z Pathology Michael A. Getbei, MD Sieve M. Covington, MD Philip J. Daioca, Jr, MD H. Nina DHutandhar, MUS, DCP Kenneth B. Farrit, MD Lynn Bernal-Gieen, MD James C. Hartdn, MD Chairman Hepatic Pattiology Clinical Surgical Pathology Surgical Pulmonaiy Pottiology Sufglcal Cytopathology Clinical Pathology Mlcroblology Hemotology 4eu opatt1ology Ffledrlchs H. Harris. MD George L Leonard, MD William H. luer, MD Pamela C. Martin, MD Horry T. PIgman, MD Donald R. Pulllier, MD Surgical Pathology Blood Bank Surgical Pathology Surgical Pathology Clinical Pottioiogy Autopsy Surgicai Deirnotopathology Richard J. Reed, MD Norberto A. Schor, MD Patrick D. Walker, MD Sutgical Deimatopottioiogy Surg, Pattidogy Carcinogenesis Surgical Renal Pathology Drs. Reed, Pulitzer, and Daroca are happy with their selection of " Retinal Sarcoidosis " for the Slide Practical. — - " " .Jv,— KilffS Nl Bi v W ' Focu JV — :g4A; av 31 Pediatrics Richard D. deShozo. MD w. Michael DeVo©, MD Johnette M. Freniz, MD Dr. Pickoff and Q TMC Nurse entertain G (very) new patient. Allergy Immunology Neonatology Endocrinology iff% JB|| i ' " J 1 ■, s 1 , William L Gill, MD Neonatology Jeiome S. Holler, MD Robert L Hopkins, MD Dahlia Klrkpotrlck, MD Kometlne M. Knight, MD Arthui S. PIckolf. MD Jane E. Reynolds, MD Child Neurologv Pulmonology Hemotology Oncology Ambulatory Pediatrics Pediatric Cardiology Neonatology ¥ Margaret H. D. Smith, MD Thomas G. Storch. MD Jean N. Takenoko, MD, MPH Russell B. Von Dyke, MD Nell Pope W. Waring, MD William W. Waring, MD James A. Wright, MD Infectious Disease Neonatology Neonatology Public Health Infectious Disease Allergy Immunology Pulmonology Pediatric Gastroenterology Pharmacology James W.FiJhef, PhD Krlthno C. Agienwl, PhD Bofbaio Beckman, PhD Craig W. Clarkson. PhD Hoyd R. Domer, PhD William J. G«oige, PhD Paul S. Guth, PhD Chairman HematoptHinKKOIogv Cancer Chemotherapy Hematophafmocoiooy Cardiac Pharmacology Anesttiesia Pharmocodynomlcs Toxicology Neuropharmacology Philip J. Kodowltz, PhD Juan J. L LwtOfO, MD, PhD D«mliB.McNamara,Jr,PtiD Theodore Wang, MD Cardiovascular Pharrrracologv Clinical Pharmacology Subcellular Pharmacology Clinical Pharmacology Physiology Drs. Domer and Agrawal wonder if " Barq ' s " would make a good unknown for the lob exercise. F. Edward Dudek, PhD Nicholas R. DILuzIo, PhD Larry P. Felgen, PhD John Fox, PhD Richard M. Harrison, PhD Norman R. Krelsman, PhD Robert F. Lowe, PhD Acting CtBlrrmn Neuroptiysiology Post Chairmon Hepotic Physiology Cardio-Renal Physiology Calcium Metabolism Reproductive Physiology Neurophysiology Cardiovascular Physiology MoryV. Nekola, PhD Joseph C. PIsono, PhD BenJImen R Walker, PhD Marlon R. Walters, PhD Endocrinology Cell Physiology Cardiopulmonoiy Physiology Endocrinology Psychiatry Neurology Daniel K. WInstead, MD Marc A. Forman, MD Joseph B. Green, MD Teal F. Bennett, DrPH mchord F. Dalton, Jr, MD Jorge H. Daiuna, PhD Edvrard M. Duncan, PhD Acting CtMimon AdultPsychntiv Vk»Cliaiiman Child Psychkitiy Past Cholmnan Neurology Adult Psychology Ctilld Psyctiiatiy Ctilld Psychology Adult Psychology Arthur W. Epitein, MD Edward F. Foulks, MD, PhD Donald M. Gallant, MD James R. Gay, PhD Adult Psychlafry Adult Psychiatry Adu»ftycN iliy Substance Abuse Child Psychology Phillip T. Griffin, PhD Jerome S. Holler, MD Robert G. Heath, MD Adult Psychology Child Neurology Professor Emeritus Carol A. Leal, MD Child Psychiatry David H. MIeIke, MD Betty Ann J. Muller, MD Sonia M. Nunez, MD Patrick O ' Nell, MD Adult Psychiatry Child Psychiatry Neurology Adult Psychiatiy Jose M. Pena, MD Adult Psychiatry Pallyoth Sorala, MD VA-Neurology Barry D. Schwartz, PhD Morteza Shamsnia, MD Antonio Stozlo, MD Adult Psychology Neurology VA-Neurology Samuel A. Trufant. MD Michael Wall, MD VA-Neurology Neurology Leon A. weisberg, MD Using " Reverse Plant Psychology, " Dr. Muller tries to convince her Neurology " patient " that the fluorescent lighting Is really sunshine. Surgery Watts R. Webb, MD I. William Browder, MD Ctwiman CatdioThoracic Surgav General Surgery R. Dovllene Carter, MD Edward E. Etiieredge, MD Oncological Surgery Transplantation Lawrence S. Fox, MD William D. Hardir), MD Cardio-Thorocic Surgery Pediatric Surgery James W. C. Holmes, MD Morris D. Kerstein, MD Colo-Rectal Surgery Vascular Surgery Dr. Browder chews out his Resident for giving the students " too much " time off to study. Edward T. Kremenlz, MD Martin S. LItwIn, MD Oncological Surgery General Surgery Norman E. McSwaIn, Jr, MD Peter V. Moulder, MD Emergency Trauma Surgery Cardio-ThoracicA ' ascular Surgery Patricia C. Moynltion, MD James H. Muclimore, MD Ronald L Nichols, MD Pediatric Surgery Oncological Surgery Infectious Disease Samuel Perry, MD Daniel S. Rusti, MD Rastic Micro-Vascutar Surgery Vascular Surgery Relaxing comfortably in the Lounge, Dr. Roy Haddod cori m. Suttieriand, md awaits the next case. oncological surgery William M. Swartz, MD Rostic Mlao-Vascutar Surgery Faculty T-Wove 3S T-Wove 37 J Freshman Year " Abandon hope, all ye who enter here. " — Dante, Inferno 1984-85 Officers student Executive Committee Freshman Ciass President Vice President Treasurer Secretary Creed Momikunian Gregory Gex Peter S imoneoux Scott Morreil President Vice President Secretary Treasurer James IVIoyer Rakesh Mangal Stieryi Young Cynttiia Stewart Honor Board Gary Simmonds and Jonathan Uri Medical Milestones First baby born from frozen embryo in Australia " Agent Orange " makers create $180 miilion fund for Vietnam vets Inarmed by tierbicide French court ruies widow has right to husband ' s sperm Congress endorses stiffer cigarette warnings for packages and advertising Baboon heart transplanted to " Baby Fae " Henry Heimlich, MD, receives public service award for his life-saving maneuver Gene therapy guidelines issued by NIH First US septuplets born in Orange, California Karen Ann Quinlin dies after 10 years in a coma Other Noteworttiy Events Geraldine Ferraro becomes first woman candidate for Vice President Bhopal, India is site of chemical accident that kills thousands USSR Boycotts Summer Olympics in Los Angeles Ronald Reagan and George Bush elected to second terms by a landslide Nation ' s first compulsory seat belt law enacted in New York Trivial Pursuit becomes a national fad New Orleans ' World ' s Fair closes after losing millions Tulane University of Louisiana celebrates its Sesquicentenial Drought in Ethiopia leads to starvation and death of one million people Remember the first day? Looking around at all those people you didn ' t know. Finding out you were already 1 15 pages behind in reading something called " Bloom and Fawcett. " The discovery of the need for organization. Little did we know that a pattern was being established — there would always be work to do and (despite good intentions) not enough time to do it. There was the half-anticipation half-dread involved in facing your cadaver for the first time. Having five other people around, all in exactly the same situation, made things a little easier, but after only a half-hour went by someone wondered, " OK — who forgot it ' s human? " You laughed nervously with everyone else, trying not to let on that you might easily have been guilty of such a travesty. Yet undaunted, you forged ahead into uncharted territory. Using the microscope became a daily chore that eventually led to the infamous half- day " practical " exams. Whether a slide contained a single muscle cell or absolutely nothing used to worry us. Now those " rectal rockets " are (for most of us anyway) just funny stories you found yourself relaying to incoming freshmen throughout the remaining years of medical school, laughing them off as part of " the game. " Personalities played a major role during first year, not just those of members of lab groups, but those of the faculty as well. Dr. Leon Walker was always quick with a fishing story or a double entendre — his UG triangle lecture became legendary. The erudite Dr. Peebles mentioned structures only to point out their " complete lack of importance. " Dr. Kirby, who liked to build unusual (but usually informative) visual aids with which to teach, was also a great teacher of forbearence. " You can do anything in a week! " We needed such encouragement at times. The somewhat inconceivable number of hours spent " learning " during that period may have given us reason to reflect on the significance of the graffiti " Stand or Fall " found on the cold bottom level of the library. Yet the semester finally did end, and most found the second one to be somewhat less taxing. With a little more free time, beaches became a welcome haven, and a simple ride through Audubon Park was no longer a major hardship. We also had more than the " few hours " Dr. Vaupel once suggested we " take off during first semester to " see the town. " As we were able to become more human again, it became evident that medical school might not be all that Dante may have envisioned had he attended. V Hni££!iaMamKXKi«ner ■■ ii-» ' : ' Are You a T1 ? Brain (Like a dry sponge) Glasses (Thicker ienses required since Histo) Bags Under Eyes (In Gross Lab oil night) Nasal Mucosa (Sloughed 2° to formaldehyde) Gunner " Pen ' (Writes in four colors and comes with secret decoder ring — not shown) Multicolored Highlighters (Colors chosen to compliment Cranial Nerve Handouts) Books (Plans to read all of these) Smile (Doesn ' t know what he ' s gotten himself into) Tie (Optional) T1 Morning " Eyeopener " Liver (Normal) Digital Watch (Has hourly beeper and alarm) Snack (Still health conscious) Class Notes (Took his own) Toy (Femur or " that big thigh bone " ) JW ' dl II , Typical T1 Timeline 7:24a Tires screeching outside wal es T1 suddeniy. Giances at clocl , notes time ( " Oh, hecl ! " ), and jumps out of bed. (Originoliy intended to review embyroiogy of the heart at 6 am, but siept through oiarm,) 12:32p (Lunch break) Trys to catch up on some slides from yesterday ' s Histo lab: " Whaf s that red blob near the purple streok-iike thing,,, no not that,,, closer to the stuff that looks like blue Spaghettios,,. " 7:26a Tries to brush teeth and study Moore at the same time. Finds it somehow makes more sense this way, (Maybe it ' s the fluoride,) 12:56p " No, I haven ' t hod time to read a paper in weeks. But I doubt NutraSweet " ' is that dangerous ..considering the amount of diet soda I ' ve seen people in the class drink, if it were really bad. half of us would be in the hospital... " 7:32a Gets dressed in record time, downs a bowl of Cheerios, and heads for school, texts and atlases in hand. 3:1 Op Wakes long enough to hear " I take issue with Moore on that point, for you see ' splanchnic ' is Greek for ' viscera, ' which of course is Latin for ' gut, ' and one cannot possibly,.. " but falls under the Sandman ' s spell once again, and thus asleep. 7:55a Arrives in the lecture hall adorned in the familiar K B Purple in time to get his favorite seat in the front row where the formica has worn off. Goes over handout for lecture. 6:11p T1 arrives home, somehow with more books than he left with that morning. (Probably picked up two or three of his lab partner ' s without noticing). Wasting no time, walks straight to his desk and begins to read. 8:22a " ...Well I ' ll be ? i5) ! said Wharton ' s Duct, the bugger double-crossed us. " Thinks to himself, " Where would we be without mnemonics? " 7;32p 11 takes time out to eat dinner. Has learned to eat and study at the same time (although he is more careful since he ate a spoonful of soil from a nearby potted plant some time last month). 10:47a " ...then with the scissors spreading technique carefully dissect along the medial aspect of the most superior portion of the inferior belly of the omohyoid muscle and reveal the subtle, often aberrant structure of the... " 7.77a Having lost track of the days and the fact tommorrow is Saturday, the T1 reviews " tommorrow ' s " dissection " one (yawn) last.„zzzz, " Around the Bod in 80 Days Yes, there were " only " 5000 or so named parts of the body, and yes, in the 17 weeks available we managed to learn just about all of them — or at least 70% of the ones that appeared on the practical exams. But not to worry... with specialization the way it is in medicine today, we might actually encounter only 10% or so in our practices. So in a sense, we ' re 60% ahead! (Right?) Unfortunately, getting to the stage where we could pass those exams was, to put it mildly, no easy task. The combination of late nights, bleary eyes, greasy door handles, frequent emptying of " the bucket, " and slimy instru- ments hardly put one in the mood to actually learn anything. But learn we did. Every nook and cranny, not to mention every space, foramen, canal, trian- gle, cavity, fossa, chamber, os, pouch, ring, window, and meatus of the human form was explored at one time or another, and a feeling of relief came when it was all finally over. Still, some have occasional nightmares involv- ing yellow string or the like, but they soon awaken and revel in the knowledge that they emerged victorious. A feat even Phileas Fogg might have been proud of. Above: Lab A. Below: Amy Friedman and Paul Levy somehovi look like they ' re enjoying all of this. Gary Simmonds works intently on a fine dissection. Brian Kavonagh and Bruce Rogen watch Dr. Kirby demonstrate how not to preserve a small structure. Left: Ken Gordon, Kathy Macaulay and Raquel Steele get to the root(s) of the Brachial Plexus. Right: Mimi Toft works late in the lab. A Barton George gloves up. Pete Waller does some fine dissection. T Cullen Hardy and his wife Martha. A Night to Remember, A Time to Forget The Cadaver Ball provided us the oppor- tunity to shed, at least for a night, the burdens of medical school, and celebrate the end of one of the most exhausting and aggravating series of courses many of us had ever faced. It was a special and memorable night — a time to trade our lab coats for tuxedos or evening gowns, and purge the smell of formaldehyde from our persons. Some started the evening with dinner at one of New Orleans ' first class restaurants; others with an informal gathering at a friend ' s apartment. We all later converged on the Royal Sonesta Hotel on Bourbon Street, ready to prove to the classes that had gone before us that we were not the " hermits " we had appeared to be throughout the previous five months. Spirits were high (and to a large degree flowing) as we mingled and actually met many of the members of our class we had not yet encountered. The creative talents of the various Anatomy Labs were put on display as we made light of a time that many of us would rather forget. The presentations provided a much needed outlet for pent up frustrations, and were, for the most part, a source of entertainment for all. After the skits were over, champagne corks were popped, toasts were made, the band started up, and the class settled down to the real business of the evening — dancing the night away. The evening was a welcome break from the day-to-day grind of the First Year. Jon Uri and Will Kopfler. Lynn Andrews, Etienne Mejia, ► and Kathy Macaulay. 4g: " Tt fti ' Giy© ' ' ' Ff ! fnanTear " • The class hits the dance floor. Puttin ' on the Skits The long weeks of preparation finally paid off as each lab group presented its segment of the night ' s entertainment designed to satirize the insanity of the first semester. It was finally Showtime! Creative songs, skits, and even videos made light of our trials and tribulations in the guise of parodies of The Wizard of Oz, Revenge of the Nerds, Monty Python and the Holy Grail, a faculty meeting, an anatomy practical, the movie Gremlins ( " Stemlins " ), and even the TV series Star Trek. Few holds were barred as professors became the targets of the puns, quips, and impersona- tions that capitalized on their personality traits, idiosyncracies, and physical characteristics. But it was all in jest.. .for the most part anyway. Once we had had our " say, " Dr. Walker handed out his annual " ball and chain " award to the top student in Gross Ana- tomy... and then gave the key to his wife (who had probably not seen very much of her husband for a while.) It was refreshing to be able to look back and laugh at what we had endured — our teachers and ourselves. Left: Anthony Masone tries a new mettiod of dissection. Center: Metiran Majidian and Stiactiar Tauber as the " Nerds. " Right: Lynn Andrevs s and Laura Johnson provide music for the occasion. Anne Brov n, Evan Ratner, ► and Monica O ' Brien sing " If I only had a Date... " Joseph Chi and Ken Gordon poke ► fun at Drs. Chen and Rieck. Kim Schnurpfell portrays Dr. Anderson ' s alter-ego. ► (Would you moonv alk v ith this v oman?) fe ' - 48 T-Wave Freshman Year .. " " -nJ—I- - 3= M John Uri does some leg work, ■ Randy Fisher and Debbie Doyle try some Monty Python humor. Leff: Monica and the Munchkins, Right: Top Anatomy Student Jim Volgtiander displays the secret of his Cuttin ' Up Even a small whiff of formaldehyde somehow brings on a rush of memories. (Who can forget the " elevator-clearing " scent that followed us around, day in and day out, for an entire semester?) Looking back, it ' s hard to- believe our medical education started only four short years ago as we were handed a disposable safety razor and told to " begin. " We labored over our cadavers, meticulously tracing nerves and searching for anomalous vessels, and agonized over endless lists of origins, insertions, actions, and innervations. Lab groups probably spent more time and shared more experiences together than in any other learning activity. Close friendships within these groups formed quickly, and we all became each other ' s sources of encouragement and support. The endless hours spent learning as a class and in small groups produced a constant anxiety, and the ever-present gnawing feeling of " how am I going to remember all of this? " An uneasiness filled the air as each of the tests and practicals approached — another hurdle to vault (or at least step) over. Through all of this we somehow felt a sense of awe as the beauty and complexity of the human body unfolded before our eyes. After the last exam s were handed in, the corks popped and champagne flowed as we celebrated the end of our initiation into Medicine. It was the end of perhaps the most demanding course of our lives, and the beginning of an endless process of learning. Left: Lab F. Right: Lab C. Ken Sumner has a ► midnight snack. X k rf__ fe_jr ' rJV g 50 T-WavG Freshman Year tmm • LabE Stuart Meyers, Lynn Andrews, and Jay French unravel thie mysteries of the Gl tract. Dr Walker and Mike Chun celebrate the end of Gross Anatomy. • Left: Laura Johnson, Rick Roth, and Brad Butler are all smiles after the , Gross final. Right: Cliff Selsky blows his own horn. Freshman Year T-Wove 61 3 Physio Lab The laboratory exercises in Physiology were a welcome break from the grueling hours spent dissecting cadavers in Gross Anatomy, and the countless ones sitting in front of our microscopes looking at slides in Histology. We became our own Guinea Pigs as we learned about EKGs, PFTs, and even semen analysis. The animal experiments were, for many, a sore point, but also our first true exposure to " Surgery, " and, if used to their full potential, good learning experiences. Lines were carefully placed, and chest cavities entered, providing access to the mysteries of the living heart and lungs — somewhat different looking than the formaldehyde- soaked versions we had studied in Gross. As with any " real " experiments, these exercises produced yards of tracings or other data that we scrutinized carefully, trying to determine (rationally?) what parts were actually meaningful. They offered our first real opportunity in medical school to think about what we were doing, and became an essential part of the foundation for the remainder of our courses here at Tulane. ■ John Kelley learns from Dr. Pisano that a " T-Wave " is more than the yearbook he just paid for. Kent Heck and Chuck Menendez wonder if Wiil Kopfler might need CPR. Ifs Party Time! Most of the time, medical students are best described by the classical " Type A " personality profile — intense, hard working, and usually worried about (and living for) the next exam. When breaks do arrive, though few and far between, a miraculous transformation occurs, and a Type " PA " personality ( " Party Animal " ) becomes unleashed, almost as an instinctive response to a rather painful stimulus. The Phi Chi Fall Luau kicked off each year with a wild " beachless " beach party. Although casualties included pineapple otitis externa, assorted bruises (many from the use of the now famous two-story Polynesian Water Slide), and acute hepatic toxicity, few were capable of remembering just how much of what happened really did (and even fewer actually cared). By popular demand, a Halloween Party was held at Jay French ' s Uptown home on an annual basis, complete with dancing, jack- o ' lanterns, and a multitude of medical students and their guests displaying their alter-egos with a variety of imaginative costumes. Throughout the years there were numerous spontaneous " end of the course, " " post- exam, " and " why-do-we-need-an-excuse- to-have-a-party? " parties, many with themes ( " Red, White, and Black, " " Let ' s Solve a Murder, " " King Cake, " and " Pumpkin Carving. " ) All in all, the bottom line was " Work hard and play hard! " Halloween Rogues ' Gallery: John Wiener, Denise Nigra, Amy Friedman, Debbie Doyle, John Melton, Brad Butler, Gary Simmonds, Steve Hopkins, Barbara Garroll, Erich Bruhn, Kirk Murdock, Maria Rodriguez, and Bob Hopkins. Red, White Black Poitiers: Martha Schenk, Kirk Murdock, Sue ► Heverling, Brad Butler, Dan Kahn, Jeff Tan, and Maria Rodriguez. 54 T-WaVG It ' s Party TimeT— -- ' 4 Already been " leied " : Top Row: Pete Waller, Beth Windsor, Steve Jones, Erich Bruhn, and John Leung. Bottom Row: Sue Heverling, Susan McLellan, and Paul Gott. jrs PmyTimel T-Wove 65 Halloween Mardi Gras " Let ' s all go to the Mardi Gras! " Only twelve short days after Christmas a season steeped in tradition and pageantry begins in New Orleans. Kings and Queens and their royal courts reign over parades and festive balls. Purple, green, and gold are the colors of the season, symbolizing the virtues of Justice, Faith, and Power. Excitement fills the air as the many Krewes parade through Uptown, and down St. Charles and Canal Streets to the delight of tourists and natives alike. Maskers on floats in elaborate garb fill the streets with trinkets where a sea of hands eagerly awaits the cups, beads, doubloons, panties, and flowers that are the treasures of the day. The crowds make their contributions as well, donning bright costumes and painted faces. Fat Tuesday arrives, and everyone descends on the French Quarter where men and women bare their souls (not to mention various parts of their anatomy), and otherwise indulge in the merriment that is Carnival. After acquiring a prized coconut or two, you push through the crowd, and at last, over all the noise, you hear someone shout that now familiar line, " Throw me somethin ' Mister! " Left; Mardi Gras Masker. Center: John Wiener gives Monica O ' Brien a lift. Riglit: Rex proclaims a day of merriment. Rex arrives. ► Chris Gay asks if anyone has ► seen his harem. 58 T-Wave T smn r ! • Is it a He or a She? Nobody cares on Bourbon Street! i ■■•fH -Odds Si Eo s TnWaVii 61 r-Wave Candid Camera d Bl H P Hwh 1 Candid Camera T-Wave 63 Mudbug Mania Each spring as the " mudbugs " came out of hibernation, the class converged on " Haphazard, " Susan McLellan ' s home- away-from-home, for a traditional Louisiana Crawfish Boil. Hundreds of pounds of these hotly in demand little crustaceans were boiled by " skilled professionals " in a mixture of salt, spices, and peppers to achieve that special flavor many of us have come to know and love since arriving in Louisiana to undertake medical training. The crawfish were devoured, almost a quickly as they were prepared, as the class indulged in an orgy of " suckin ' heads " and " pinchin ' tails, " along with potatoes, com, and Dixie Beer. Many spent the afternoons playing football or volleyball, or swimming in the mysterious amber water that was in the pool. Others simply took the rare opportunity to relax in the quiet bayou surroundings. The sunshine and moss-covered cypresses provided the perfect setting for these days of fellowship that were welcome distractions from the hectic pace of medical school. It was a unique slice of Louisiana tradition we will always remember. The class digs into a pile of steaming mudbugs Left: John Turner shows his gridiron ► flair. Right: Jonathan Lesser and Jimmy Mayer strain a bushel of freshly-boiled bugs. ' 64 T-Wave Mudbug Mania Andre6 Young, Myrna Kleinpeter, and Debra Moore relax over the bayou. Cindy Stewart and Rod Gex make a new friend. Bob Hopkins only likes the tails. Dave Post downs another plateful. •4 Dave Schenk and Debbie Doyle are queried about the progress of another pot of crawfish. Sophomore Year " The more we study, the more we discover our ignorance " — Percy Bysshe Shelley 1985-86 Officers student Executive Committee Sopttomore Class Presi dent Shelby Wilbourn President James (Mayer Vice President Catherine Wheeler Vice President Bret Hughes Treasurer Anno Lou Secretary Michele Molnar Secretary Michele Lajaunie Treasurer Sher l Young Honor Board Cary Simmonds and Beth Windsor Medical Milestones President Ronald Reagan undergoes surgery to remove intestinal polyp " Magic Bullef treatment for Liver Cancer developed at Johns Hopkins CBS Television poll ranks AIDS as number two US health problem First Vi oman recieves an artificial heart Medical licenses ruled " marital property " in court case Sale of intrauterine devices halted Two teams report having isolated the AIDS virus US Army restricts smoking Skeletal muscle implant aids in cardiac function Other Noteworttiy Events Soviet Leader Mikhail Gorbachev succeeds Konstantin Chernenko Columbian volcanic eruption kills 25,000 people; earthquake in Mexico City 7,000 Corazon Aquino challenges Ferdinand Marcos in Philippines Presidential Election Reagan and Gorbachev hold summit in Geneva Apartheid in South Africa leads to violence, corporate divestment Gramm-Rudman-Holiings bill calls for automatic spending cuts to help reduce deficit United Nations celebrates its 40th Anniversary Titanic located after 73 years on Atlantic Ocean floor " The Cosby Show " becomes number one rated TV program according to AC Nielson Second year offered a significant amount of time for relaxation and partying. But it was also our opportunity to find out how many tests could be crammed into a fixed period without the use of a crowbar. By this time we had all gotten to know who was quick on the uptake, who got worried before tests, who was candid, who was an activist, and who was a Frat brother. We had made some good friends and had everybody " pegged " just a httle. The note service became more reliable — perhaps too reliable — and a sizable portion of the class found it unneces sary to make an appearance save to check mailboxes, take tests, and participate in other " required " experiences such as Micro Lab and Quiz Bowl. Those who opted to attend lectures found the topics being presented often took a back seat to making plans for the evening. Nonetheless, Pathology and Microbiology introduced us to the world of disease pro- cesses, and gave us reason to know the stream of incoherent facts we had (or had not) learned during Freshman Year. As we tried to discern the difference between an " -itis " and an " -osis, " many found it difficult to cover enough just to pass the tests, let alone learn what you might need to know to actually practice medicine at some (possibly unforseeable) future point. As time went on, the wisdom of Shelley became more and more apparent. But as November arrived so did our diag- nostic equipment, along with renewed hopes that we might get to work with the patients to whom we had pledged our dedi- cation only two years before during inter- views. As we ventured out in fresh white coats to test our instruments on unsuspect- ing victims, some had the opportunity to poke and palpate for hours on end, while others were lucky to get in a simple " take a deep breath " before being chased away. Having begun to learn what we might be trying to diagnose. Pharmacology gave us the chance to find out how some of these conditions were treated. Drug therapies and interactions were covered and generic names memorized as we added to the knowledge base we needed for next year ' s challenges. As the class settled down in the familiar orange seats for the last time, the fact that we would not really meet together as a group for the remainder of our education here at Tulane inspired a certain sense of sadness, for we had drawn much strength from the knowledge that we were " all in this together. " Yet a feeling of excitement took its place as we handed in the last test and headed for the wards. Are You a T2? Smile (HP in Epidemiology — used Gordon Honda ' s notes) Books (Plans to read most of these — except Micro) Liver (Fatty change) MEdREP Notes (Worth their weight in paper) T2 Morning " Eyeopener " Brain (Saturated sponge) — Contact Lenses (Able to wear again) Jumped off garage roof at Ptii Ct ' Luau Bags Under Eyes (In Pathology Lab all night) Stettioscope (Today heard S4 in patient with atrial fibrillation) Crasti Scissors (RealJy useful in PD) Lab Coat (So fresh it stands by Itself) Reflex Hammer (Poised and ready) Optittialmoscope (Blinded herself looking for patient ' s " red reflex " ) " Black Bag " (Must be on military scholarship) T2 Toys (Inside — haven ' t been stolen yet) Dresses " sober like the clerk " I 70 T-Wave Sophomore Year Typical T2 Timeline 7:52a T2 arrives at school. Picks up a cup of coffee to keep her awake iong enough to get through the exam she is about to take (the third one this week). 1:10- ...meanwhile, does the H P 1 :27p she was supposed to do two days ago for Physical Diagnosis. 9:55a " 42-50. Match the foilowing Pathological Conditions with the lecturer who presented them... " (Its going to be anot her one of those tests.) Has a date with " Man in the Pan. " Begins to wonder when she finds both a prostate and a uterus in the bucket, (Wait until she finds out the cause of death!) T 10:55a Grabs a can of Diet Ccke to keep her awake while she takes notes for Micro. Then remembers the lecturer is Emmett Johnson and decides to get two. 4:32p Passing by the key on her way to the elevators, T2 decides not to ovoid the inevitable and starts to check her answers, but chickens out after missing a " sizable " number on the first two pages. 1 1 :25a Already on Diet Coke number two, hopes she can make some sense of this lecture from the tape since she realizes everything she has written for the past 25 minutes is meaningless. 5:19p Goes jogging in Audubon Park before heading over to the Uptown Librar to begin cramming for yet another test next week. m . 12:11- Enjoys lunch and listens to a 12:54p concert in the park near City Hall. 8:50p Has changed seats three times but can ' t seem to get away from gossiping undergraduates. " Attends " Biostats, as does her classmates, via " Gordon Honda ' s Correspondence Course in Medical Statistical Analysis... " 9:47- Having given up on studying, ??:??a she calls it an evening and meets a group of friends for pitcher night at " Cooter ' s... " Of Mice and Meningitis Practical experience has been heralded as essential to any learning process. Perhaps that explains why we have had so many labs throughout our medical education. Diluting bacteria for plating may not be on most people ' s list of " top ten things they like to do, " but doing it helped us to understand what lab technicians have to go through, and why the result of a culture sent to the lab marked " STAT " won ' t appear in three hours. Similarly, the phar- macology experiments pointed out the danger of giving " just a little too much. " Some (unlike Lenny) did not like " playing with the rabbits, " — or the mice for that matter. Fortunately for us, most patients will not be as uncooperative as they were, and (unless you are going into Psychiatry) will not be likely to bite either. Of course knowing crystal violet from safranin will be very valuable when called to evaluate a patient with meningeal signs at 3:00 am, as will knowing the effects of ai overdose of a drug such as atropine. One would therefore likely agree our hours in the lab were, although tedious, well spent. Left: Barbara Carroll captures o fleeing " subject. " Rigtit: Joe Beck, James Baker, and Brian Kavanaghi try to remember enough of the " pre-lab " to answer the question on the " pop quiz. " Dr. Domer puts to sleep ► more than just the subject on the videotape as he lectures about anesthetics. Joseph Chi and Kenny Sumner ponder the realm of Microblus the Marvelous Microbe. I j , " T-Wave Sophomore Year ■M Knight Worley appears less than impressed by the tortilla " aroma " of Pseudomonas. Dave Post avoids the " sharp surprises " awaiting him at the other end of the tail. Playing Doctor Physical Diagnosis was our introduction to the practical applications of the things we had been lectured to about for what seemed like an eternity. We w ere taught by some of the best, who offered us the benefits of their many years of clinical experience and acumen. Yet as we gained more and more experience of our own, our touch became better, our ears a little keener, our eyes a little sharper, our confidence a little stronger, and our fingers numb from writing down pages and pages about what we had found — or thought we had. . Sure, we " blinded " countless patients in search of that elusive " red reflex " (and ultimately that sharp disc margin), caused them to writhe in pain trying to locate the spleen tip of those with acute abdominal pain, or made them wonder if they were deathly ill when we made funny faces as we spent three minutes or longer listening intently to one area of the chest, all in the name of " education. " But these were just milestones — markers of our determination — as we progressed down the long road to perfecting our clinical skills. n M Clinician par excellence Dr. C, Thorpe Ray ploys his heart out over the infamous Stethophones. Dr. Ray in Various Situations Riding a Roller Coaster. A ! wij iTv Ready for basketball. In the shower. Gregor Hoffman goes over his write-up just one last time over lunch. 2;.,:: Sdpmm v f T-Wav© 75 On With The Show Continuing the tradition of entertaining the freshmen just before they took their block exams drew on the creative talents of many of those in our class. Several presentations, including old favorites " Omohyoid " and the videotape " Stemlins, " were revived and received standing ovations from admiring crowds. But perhaps the most memorable was one featuring " Madonna- Wanna-Be " Monica O ' Brien and twelve or so others costumed in some of the wildest outfits this side of Mardi Gras. Makes you wonder whether a few of them might have been better off with a career in show business. (Or maybe not...) % , eVs 30 -) ,VJ0 ' S) time ' ;UP 5 .doO " t eQ ' ' ' f-nin L 76 T-WaVG SophomorS ' Ysof ,o o ' )VoS aM0 3A i ■ i?S- ' ■ : ' Sophomore Year T-WOV ' " 77 " The Gang ' s All Here Left: " Best Notetakers " of tfie Sophomore Year: Rama ► Thiiruvengadam, Paula Brinkley, Tommy Cross, Monica O ' Brien, and Gordon Honda. (Not Pictured: Susan McLellan.) Center: Even Jim Homans smiled after the last exam. Right: Clayton Wagner and Craig Helm relax between lectures. Left: Steve Gillespie listens as a question is asked. Right: Jay Frencti and Lisa Diard display various levels of interest in the material. Bret Hughes gives the class some lost-minute messages before the PD Final. ▼ Junior Year ' You have Just crossed over into the TwiUght Zone. " — Rod Serling i 986-87 Officers student Executive Committee President Catherine Wheeler President Vice President James Mayer Vice President Treasurer Cliff Seisky Secretary Secretary Frederick Azar Treasurer Junior Class Bret Hughes Deborah Doyle Michele Moinar Cynthia Stewart Honor Board Lynn Andrews, Thomas Cross, Paul Gott, and Beth Windsor Medical Milestones First vaccine made with recombinant DNA techniques approved for human use Jarvic-7 artificial heart recipient William Schroeder dies after multiple strokes " Crack " addiction becomes widespread. Congress considers stronger drug legislation New test allows prediction of Huntingon ' s Chorea victims and debate over use ensues French investigators develop " Month After " pill AZT approved for treatment of AIDS patients; scientist tests AIDS vaccine on himself Chromosome 11 linked to Manic-Depression Surrogate motherhood goes on trial in landmark " Baby M " case Adrenal implant in brain aids four patients with Parkinson ' s Disease in Mexico Other Noteworttiy Events Honey ' s Comet approaches earth Chernobyl nuclear power plant leaks radiation; thousands evacuated Martin Luther King Holiday observed for first time Space Shuttle Challenger explodes, killing seven astronauts; holts shuttle program Philippine President Marcos flees that country amidst election controversy US bombs Libya in retalliation to terrorism Statue of Liberty celebrates her centeniol with spectacular birthday party Prince Andrew of England marries Sarah Ferguson As the long-awaited Third Year began, we immediately found ourselves having to learn how to read chart abbreviations, write a note, get labs, draw blood, present a patient, and get around in a hospital. In time, of course, we mastered these things and more. We also learned the word " Scut, " and what it meant. As had been anticipated, the hours tended to be incredibly long. On certain services 100- 120 hour workweeks were not unheard of. As the time became a blur, and exhaustion made reality begin to blend with imagination, you could not help feeling as if a part of one of Rod Serling ' s classic episodes on television. This was especially true when you entered that part of the " Zone " known as the " call " room. If you were at Charity, the furniture dated to the 1930 ' s and you might idly won- der how many patients had expired in your bed. Outside the male and female talking ele- vators " hinged " and announced their direc- tion. When you became vastly amused by this, you knew you had been in house too long. The year was divided into five blocks, three short and two long. Neuro Psych offered the chance to play the game " Find the Infarct, " and perhaps do a few LPs. Dealing with prob- lem patients such as " Superman " gave one great respect for the beneficial aspects of psy- chotropic medications. Delivering babies while on OB Gyn could be great fun, but unfortunately the fun always seemed to start around 3 am. Gynecology was more sedate, but rushing a woman with a ruptured TOA to surgery provided enough excitement to keep things interesting. The last of the seven-week blocks was Pediatrics, the study of wheezes, sneezes, and infectious diseases. Of course in that short period nearly everyone fell victim to what we were supposed to just be studying. We were continuously reminded that children are not simply " little adults. " When did anyone think otherwise? Medicine brought new emphasis to the EKG, CXR and heart sounds as diagnostic tools. Some patients had histories classic for their diseases, while others had non-contributory chief complaints! Write-ups, viewed by many as superfluous, often seemed to be " evalu- ated " based on the number of trees sacrificed for the effort. Meanwhile, Surgery ranged from boring to grueling, depending on the service you were " lucky " enough to be placed on. Many spent hours playing " human retrac- tor, " but if you were interested (and asser- tive), you got to do a few minor procedures. We ended the year with an understanding of the general areas of the field, upon which those who had not chosen a specialty in utero began to formulate plans. Of course those who were still " undecided, " still had " plenty of time " as Fourth Year became a reality. ,. ■ ' rti;r M 1 1 i imijiiii ' l :3 Vi — " After 250 years. Charity finds r»w strer)gth8, c »a tef»ges NJ, Jg ' ' . KODAK TMV 5053 KODAK TMV 5053 a DOCTOR-S LOCKER RM. MILES O.R. 15-18 IILES O.R. 19-25 S -fr I.R. SUPERVISOR ' £ = =a MILES AMPHITHEATER ATTENTION r f im-t Are You a T3? " Surgical Cap " Head 5.00 (am) Shadow Drooping Shoulders (Lab Coat Equipment - Net Weight 30 lbs.) Liver (Alcoholic hepatitis) Harrison ' s ' Textbook of Internal Medicine (Cellophane wrapper still intact) Torn Pocket (Through which ophthalmoscope attachment recently fell into 24 hour urine collection) Scut List (On clipboard) Switched schedule to be " on call " during Phi Chi Luau " 82 ■ ' " " ' T- ' WnvS— JijniofT cM NG Output Brain (Potato salad) Glasses (Missing — Lost in coil room) Bogs Under Eyes (Up all night " on call " ) Srriile (Fading — Now knows what he ' s gotten himself into) Stethoscope (Hears RRR s (m) (g) (r) ALWAYS) Charity Key Lab Coat (So dirty it stands by itself) Reflex Hammer (Ballast) T3Toy (Uncharged — just for show) Unknown Bodily Secretion Tourniquet (Holds up scrubs) T3 Morning " Eyeopener " (Once confused with specimen cup) Scrubs (Permanently wrinkled) " Placenta " Feet Dresses " if he can find the time " Typical T3 Timeline 4:58a Wakes to sound of T4 Room- mate arriving from " Le Bon Temps Rouli . " Fell asleep reading for rounds. Hears alarm in ttie next room (5:00a), and reluctantly gets up. Decides to wear ttie scrubs he slept in. 11:42a Staff Rounds " end " (beeper goes off and tie is called away). Takes blood sample of an IVDA to specimen receiving and, as this was very difficult to get, hand- carries it to appropriate lob. hj: 6:05a Arrives on wards and makes Scut List, Two of his patients have spiked fevers overnight and need septic work-ups before staff rounds. 12:22p Grabs a quick bite in the school cafeteria and then tries to read in Student Lounge, Within minutes he is fast asleep. 6:20- Writes five identical notes: 7:22a S: Pt s c o, ®BM, ©flatus O: VSS, Chest: CTA, Heart: RRR, Abd: eBS. soft A: HD X, stable P: Labs pending; NH Placement 3:10p Awakens to find he has slept through lecture ( " oh, s— I " ), and then returns to Charit to check labs before meeting with his group. Discovers sample he submitted this morning marked " QNS " ( " d- it! " ) 7:45- Attends Morning Report. Has 9:19a a donut (jelly) and some coffee. Seems to remember hearing Dr. Ray describe what a patient hod for breakfast just by looking at his EKG and CXR, but for the most part slept through it. After driving out to pick up dinner for his residents, T3 does H P of first hit. Finishes just in time for 2nd hit, a Gl bleeder who was mistakenly given heparin. 0 9:25a T3 informed of new patient for him to pick up that has Lupus, occult malignancy, and FUG, and is offered the chance to present her on Staff Rounds (in 5 minutes). " Respectfully " declines. 1:10a Heads for call room. Gets more sleep in elevator between floors 2 and 15 than he probably will all night. Finds his room occupied. One tvi o doors down is empty and he decides to sleep there. 9:38a Staff Rounds (aka the " Spanish Inquisition " ). Is asked to read chest film of above-mentioned patient. Findings change topic to Sarcoid, rather than the Lupus he just spent 10 minutes reviewing. ..oh well... 6:05a Sleeping T3 is wakened by Operator. Has (wow!) not been called. Then finds beeper dead and remembers he never called resident with new room number ( " 1—1 " ) So begins another day... Round and Round The wards became our home Third Year, as we substituted sore feet for the sore back side that came from sitting in lectures all day. Rising before the sun became com- monplace, and even seeing that celestial body became a rarer occurrence. Rounds were a new experience and chal- lenge — a complex combination of trying to hear over the air conditioner or " The Three Stooges, " trying not to demonstrate a Rom- berg Sign secondary to a lack of sleep while on call the night before, and trying to jug- gle your index cards preparing to present your next patient, Of course there was the constant feeling the attendings were after what you didn ' t know rather than what you did — the staging sys- tem for a tumor your patient didn ' t have or a lab value from an admission three years ago — sort of " learn by intimidation. " But we didn ' t let the intimidation get the best of us, and by the end we could con- dense a complex history into a one breath presentation for Surgery (or a novella for Medicine), avoiding loose details that might lead to an unexpected line of questioning. Something for which we all might deserve a " round " of applause. Left: A bright-eyed Sheryl Young is ready for rounds at 7:00 am. Right: Privacy is a scarce commodit on the Vi ards of Charity. Dan Wilkerson ► on coll. Paul Pflueger models the latest in ► fashions for the active T3. Wade Young hands a patient a I prescription in clinic. ■4 Operating Room personnel in action. Ron Kotfila feigns interest in a journal as he watches TV in the Student Lounge. Rokesh fVlangal listens on rounds. ▼ - - ' HI i :. ■ An intricate sculpture greets all who visit Charity Hospital. • Familiar Forms, Left: Brian Hughey does some Vegas-style shuffling so he can " deal " with his patients. Right: Famished, Jeff Tan wasn ' t brave enough to tr the daily Special in the cafeteria, T Reflecting the Skin ' egor Hoffman, Jim Voigtiander, and Brad Butler prepare to get plastered 1 the Orthopaedics service. Pat Reynolds somehow manages to stay awake during morning report. Left: Gordon Honda waits patiently for rounds to end. (Elapsed Time 02:48:06) Right:Jimmy Mayer mal es a point to Michele Molnar as ttiey traverse tfie bridge between TMC Hospital and the School of IVledlcine. Inset: Greg Ochsner catches up on the news. Maria Rodriguez updates her social calendar ► between seeing patients. plr " T-Wav© Junior Year ■ Clockwise from left: Room 4 stands ready for oil who need its special services. Cliff Selsky palpates a PMI on a one-year old chiild. Bobby Anderson makes an appearance. One of Ctiarity ' s well nurseries. Katfiy Macauloy smiles as Tommy Cross finds out wtiat tie " may tiave already won, ' The New Orleans Journal of Medicine Established in 1834 as The New Orleans Journal of Medicine VOLUME 153 April 1, 1987 Number 17 Original Articles Surgical Rotation of the Right Leg in Persons Bom with Two Left Feet Emmanuel Shapira AND Ray J. Haddad.Jr The Effect of Saltpeter in Food Served to First-Year Medical Students: The Tulane Cafeteria Experience, 1984-85 Leon B. Walker and the Caeeterl Ladies I •EsnGATIONAL NLmunoN Group (CLING) The Rising Popularity of Medical Subspecialties with ReaUy " Cushy " Residencies and Very Little On-Call Responsibilities... Wallace K. Tomlinson, W, Cufford Newman, AND James T. Hamlin. Ill 453 455 STDs Among Fourth-Year Medical Students Doing Out-of-Town Rotations Ronald L Nichols and the Sexually Transmitted Innoculation of Neisseria Group (STING) Medical Progress Causes and Control of Umbilical Extroversion ( " Duties " ) Martin L Pernoll 458 461 472 Case Records of the Charity Hospital of New Orleans A 29-Year-Old Man with Multiple Gunshot Wounds to the Abdomen, No Other History Available, Brought in by the PoUce 476 Norman E. McSwain, Patrick D. Walker, Donald M, Gallant, and Michael Wall Editorial Is Surgery Appropriate Therapy for People Who Cannot Dance?... Probably Not 482 Leon A. Weisberg Correspondence ATOS Transmitted Through the US Postal Service 491 Guidelines for Mailmen 491 A Homosexual IV-Drug-Abusing Hemophiliac Who Works for a Mail-order Catalog Service 492 Book Reviews 495 Notices 498 l —rm ' CN ' —JiffmfTSaf " " ' : MEDICAL PROGRESS Causes and Control of Umbilical Extroversion ( " Outies " ) Martin L. Pernoll, MD Umbilical extroversion ( " outies " ) is a cosmet- ically unappealing condition affecting millions of people in this country. Precise figures regarding incidence are difficult to accumulate; however, it ' s probably safe to say that there are at least as many people with this condition as there are sheep in Kansas. Until recently, the precise cause of this affliction has remained as mysterious as the little bar code printed on items sold in the supermarket. A few workers have claimed to have proven explanations mal of Medicine Apr, I, 1987 for it, but you practically had to have a computer in order to really understand what they were talking about. Yet, we ' ve now come to realize that the condition can begin to manifest itself as early as three or four hours after birth. Indeed, some have even suggested that the condition exists in the fetus itself, but these people are mostly strung- out, ex hippie, sixties leftovers. Personally, I used to listen to the Beatles, but I never did any drugs as a teenager. And I still do have a significant amount of my own hair left, which is more than most of those guys can say. But back to the scientific issues. The true cause of umbilical extroversion is probably related to placement of the clamp on the cord after birth. While this might seem obvious to some, it has been an especially elusive concept for obstetri- cian gynecologists to grasp. There are so many other possible infectious, neoplastic, hereditary, autoimmune, and hormonal causes, that OB Gyns had been waiting for someone else to figure out the true cause. It ' s a situation not unlike something I remember from my days back in Oregon, Folks do a lot of cattle breeding up there, and you can see a two- headed calf once in a while. Sometimes a proprietor of a local tavern will obtain one of these and have a taxidermist stuff it, and then put it in the window of his barroom. Well, let me tell you something about this kind of bar. It is not jS 478 The New Orleans Journal of Medicine Apr. I, 1987 was not the case. Dr. McSwain: Dr. Wall, Would you care to comment on the CT of the Head? Dr. Michael Wall: The CT of the head is entirely negative. There is essentially nothing in this man ' s brain. Dr. McSwain: Thank you, Dr. Wall. And now. Dr. Gallant, would you care to interpret the abdominal x-ray film? Dr. Donald Gallant: Well, as you probably know, I ' m a psychiatrist, not a radiologist. However, from what little 1 remember from medical school, it would appear that this young man has several bullets lodged somewhere in the gastrointestinal tract. What do you call that first part? The jejunum? No, that ' s not right. But you know what I mean. By the way, is the spleen usually on the right or the left side? Dr. McSwain: WeU, the spleen is usually on the left side. But I ' ve seen three cases of extopic spleen where at laparatomy the patients were noted to have a leather change purse where the spleen should be. That ' s why it ' s always a good idea, taking into consideration the population of patients we see at Charity, to have a metal detector in the OR. That way, you know just what you ' re dealing with. It also helps to locate the bullets or fragments of knives, like those projectiles which you have astutely pointed out to us on the x-ray film (see Figure 2). Moving right along, what might be the next appropriate step in the management of this patient. Dr. WaU? Dr. Wall: Well, there ' s no substitute for a good ophthalmoscopic exam. In this particular patient, I recall seeing vdiat might have been the " bowtie " sign, but one of the nurses bumped me as I was leaning over, so I can ' t be absolutely certain. Also, in testing the extra-occular muscle integrity, I thought the patient might have had a mild left fourth nerve palsy. There ' s an easy test for this, and it only involves drawing a few lines on paper. Remind me to show you some time. In any case, the patient was wheeled to surgery before I could complete the examination of the right eye. Dr. McSwain: Those certainly arc very interest- ing findings, but if you have a patient bleeding out from the abdomen on the table, it ' s probably not a good idea to spend too much time testing his eyeballs. I think at this point I ' d do what the residents did and take him upstairs and open him up. Before we consult the pathologist to describe what was found, would you care to venture a diagnosis. Dr. Gallant? Dr. Gallant: In a series of large Scandinavian adoption studies, it was shown that the son of an alcoholic father has roughly an 80-85% chance of becoming an alcoholic. The other problem in this case is probably the related issue of denial. True, the patient was brought in only semi- conscious, and thus no history was obtainable, but I would think that even if this man could talk, he would probably deny the true extent of his problem. Dr. McSwain: Dr. Wall, what are your thoughts on this matter? Dr. Wall: In this population, the ocular manifestations of sarcoid must always be included in the differential, although idiopathic optic neuritis cannot be ruled out. However, I would venture that judging from the bizarre behavioral pattern suggested in this case, tertiary syphilis would be my number one choice — perhaps revelations regarding a tainted amourous relation- ship initially sparked the altercation. Dr. McSwain: Well, I certainly agree that alcoholism and syphilis are quite possibly key elements in the final diagnosis, but its been my personal experience that quite often harder drugs are frequently involved. My best guess is that the reason for the gunfight had to do with some drug deal that went bad. Of course, the type of weapon involved sometimes clues you in to the back- ground circumstances. s:: ••Ok Clinical Diagnosis Young urban warrior shot several times in the abdomen. Dr. Donald M. Gallant ' s Diagnosis Alcoholism. Dr. Michael Wall ' s Diagnosis Dementia secondary to neurosyphilis. Dr. Norman E. McSwain ' s Diagnosis Wired on cheap cocaine. Medical Students ' Diagnosis The dude went nuts after he got Syphilis from some hooker. He got drunk one night, and somebody oflfered him some crack. He didn ' t have any cash to pay for it after he used it, so the other dude shot him. Hospital of New Orleans 479 Figure 2 — Abdominal Film of patient under discussion. Pathologic Discussion Dr. Patrick Walker: It was difiicult to tell fi-om the gross appearance exactly what the bullets were made of It was probably lead, or ma t)e some type of harder metal. They might even have been one of those newer alloy ' s. I really don ' t know, since I never use a gun. One thing is for certain: they were not those scary teflon-coated numbers that the guy on 60Minutes said could slice through six cops in a row all wearing protecthe vests. Renal parenchymal disorders are not common, but they should always be considered. Unfortu- nately, in this case, there was no tissue from the kidney submitted. In fact, what I had originally hoped was a snippet of Gerota ' s Fascia clinging to one of the slugs was probably onh- some fragment of peritoneum from •ho knows wtiere. It is significant that the ART and TPHA were both positive. The patient ' s senrni alcohol le el of -32 is probably also relevant to the issue at hand. At the present time we ' re still awaiting the final toxicology report, but all indications are that Senior Year ' Nothing endures but change. " — Heraclitus 1987-88 Officers student Executive Committee President James Mayer Vice President Frederick Azar Treasurer Gordon Cotien Secretary Jocquieen Dano Senior Cioss President Deborah Doyle Vice President John Turner Secretary David Schenl Treasurer Cynthia Stewart Honor Board Lynn Andrews, Erich Bruhn, Thomas Cross, and Constance Fry Medical Milestones state of New York moves to shorten residenf s hours " Hole " in ozone layer reported to be increasing incidence of skin cancers First case of AIDS traced to 1969 — much earlier than previously thought FDA approves Tissue Plasminogen Activator for human use Other Noteworthy Events Reagan and Gorbachev sign treaty eliminating an entire class of missies " Block Monday " marks plunge in Dow Jones Average: Down 508 points US Constitution celebrates 200th anniversary; Golden Gate Bridge its 50th Pope visits US; celebrates mass in New Orleans New Orleans Saints have first winning season in history Elected to Memberstiip in Alpha Omega Alpha Honor Medical Society Jeffrey Duane Allen James Keith Baker Robert John Bischoff Jonathan Charles Boraski Deborah Joan Doyle Ronald James French, Jr Paul Frio Gott John Cullen Hardy Craig Joseph Helm Dormakusuma le Craig Howard Kliger Jonathan Baird Lesser Margaret Brown Liseckl Richard Frederick Norem II Paul Christian Pflueger Kevin Joseph Renfree James Michael Robbins Bruce Ion Rogen Richard Stat Roth Clifford Allen Selsky Richard Newman Sherman Jeffer Tiong Guan Tan Scott Douglas Tweten James Patrick Voigtiander John Samuel Wiener Wayne Anthony Wilbright Newland Knight Worley Senior year brought with it uncertainty. For, as far away as it seemed as we entered Tulane just four short years before, we were again faced with the task of finding yet another place to continue our seemingly never-ending education. Change became the watchword as electives, vacation months, and even specialty choices emerged as chal- lenging decisions subject to revision with each day and phone call. As members of our class became scattered like seeds in the wind, off to establish themselves in the hearts and minds of pro- gram directors around the country, there was a new excitement: We had been given a reprieve from the previous years of tedium — a chance to set out at last to explore that world of medicine that, until then, seemed confined to Tulane Avenue. Extramural Rotations varied from the tense, audition-like clerkships alluded to earlier, to adventures in remote Third World outposts. Many of us ventured to Jamaica, taking places on the front line to fight disease in clinics at the seashore and in the rain forests. Ackee and sal ' fish, reg- gae and ganja, raw conch at Cornwall Beach, and the magnificent Reach Falls near Port Antonio were just a few of the delights available in an island country whose national motto is " No problem! " and whose inhabitants long ago realized the sheer lunacy of Americans enslaved by the hands of a clock. On the home front, the core curriculum included a month of Community Medicine, two months of outpatient clinic work, and a one-month subinternship in the specialty of your choice. The allotted two months of vaca- tion permitted most of us time to jet around to interviews and still have a chance to cool off on the slopes or warm up on the beach. Changes also permeated the more personal aspects of our lives as well. Marriages were announced, and for many already married, the stork had scheduled an (unexpected?) arrival. Those who choose to remain a bit more footloose found themselves entering new and different circles of friends and soon-to-be professional associates. During the second half of the year most of us returned to our New Orleans headquar- ters in anticipation of finding out how suc- cessful all the changes we had made had been at securing our futures on Match Day. But regardless, graduation was around the corner, and just about everyone was ready to " make the turn. " We would soon be going our separate ways, but we would always carry with us the memories of our times here at Tulane. (;i:xi:i{ALXi: vs j Are You a T4? Swimmer ' s Ear Stethoscope (Forgot how to use orders echo) Sunglasses on ID (No particular reason) Liver. (Cirrhosis) New England Journal of Medicine (Reads abstracts for rounds) FLEX Preparation Book (Borrowed — too lazy to take National Boards as a sophomore) Shorts (Currently on Community Medicine or Subinternship) T4 Morning " Eyeopener " Went to a REAL Luau 94 " ' T-WOVg Senkyr Year Brain (Pickled) Glasses (Vuarnet) Bags Under Eyes (Up all night partying) Smile (Has obviously finished her Personal Statement) Airplane Ticlcet (To Hawaii — Doing block of Radiology) Tennis Elbow Reflex Hammer (Lost — Waiting for " freebie " next year) Suntan Lotion Dresses " gay like the minstrel " -I ■ Typical T4 Timeline 9:15a (Alarm) T4 awakens long enough to hit the " snooze " button on her alarm clock. 9:24a (Alarm) T4 can ' t quite commit herself to getting out of bed. Shuts alarm off completely and dozes off. 9:33a Phone rings. T4 answers after three rings, but not before answering machine has begun with " Hello. Sorry I can ' t come to the phone right now, but I ' m either laying in the sun, out at Cooter ' s, asleep, or sailing with Dr. Grogono... " When she finally gets the machine to stop, she learns it ' s the chairman of o program interested in setting up an interview. Having already decided to " blow that place off, " she (politely) declines. 9;45a Still " feeling the effects " of overindulging at the party she went to last night, she self- prescribes one or two Naprosyn Capsules, 375mg, " acquired " from clinic. 10:00- In a whirlwind, the T4 takes a 10:20a shower, does her hair, brushes her teeth, gets dressed, eats breakfast (leftover slice of Domino ' s Pizza), and heads for downtown. 10:45a Arrives at Hutchinson Clinic in time to see first patient. 11:00a Completes clinic visit H P; sends patient home. 11:25a In Cafeteria. (Catches up on the latest gossip, discusses residency applications, compares notes with others on how much the ve blown off their personal statements and CVs, makes plans for evening out, etc.) 12:00n T4 Remembers Drug Rep presentation being given on the 7th floor. Sleeps through lecture in order to get free lunch. Picks up EKG calipers as a bonus. 1:30- Talks on phone with travel 2:25p agent, residency programs, and various creditors, trying to keep abreast of her " demanding " schedule. 3:05- T4 Has returned home. Takes 4:45p advantageofPTIH (Prime Tanning Index Hours). 5:05p Goes to Qu6 Sera ' s " 27 for 9 " Happy Hour 7:30- Attends Bar-B-Que at friend ' s 10:45p house. Conversation (again) degenerates into bitching about the Match and all the work that needs to iDe done to acquire " just the right residency. " Becomes frustra- ted and says good night. 11:15a Realizes that today is the beginning of a new block, and that she is supposed to have started a selective in Out-Patient Pediatric Allergic Dermatology. Decides its too late to begin today — will show up first thing next morning. 1 1:30p Watches " Late Night with David Letterman. " 1 1:56p Falls asleep during " Stupid Pet Tricks " (Thie re even more stupid than usual.) 11:57p 717221... 3k: • obr V oof T -W O Tulane University Scliool Judith Karen Alexander New Orleans, Louisiana Jeffery Duane Allen Ocala, Florida Robert Michael Anderson Lynn Ann Andrews Metairie, Louisiana Lo Joila, California Judy Alexander prepares to exannine another surgical specinnen in the pathology lab. James Keith Baker Metairie, Louisiana David Moore Barclay III Pt-iiladelphia, Pennsylvania ' ■ Medicine Class of IPSS ™ " h: Debra Ann Bardugon Malverne, New York Pamela Margaret Bartholomew Cecil Emerson Bassett III Metairie, Louisiana Wayne, Nebraska Barbara Ellen Bean New Orleans, Louisiana Charles Joseph Beck Metairie, Louisiana Erech Orlando Bell Greenville, Mississippi Between admits, Cecil Bassett settles down catch up on world events, but reads the comics instead. J 3 1 3 J - Robert John Bischoff Chatham, New Jersey Jonathan Charles Boraski Hinsdale, Massachusetts John Boraski " drop-kicks " his Neurology Case Studies. Paula Brlnkley Agana, Guam Claire Anne Brown Ruston, Louisiana Erich William Bruhn New Canaan, Connecticut Andr Avalon Burnett Ocean Springs, Mississippi Anne Brown thinks to herself, " ...Adenoidcystic Corcinonna.. I was JUST going to say that.. .sure... " T-WaVO Iho Glace o f 196$ l m» i fcMI» IniMMii ! ' ' " ' INiWi wn SSS hi P " Si - M K 1 . ■f 8rr- %_ L H H H E Mary Caroline Burton Little Rock, Arkansas Jay Brad Butler V Portland, Oregon Barbara Carroll and Monica O ' Brien look " too Inappy " to be on Neurosurgery. Kim Maria Callwood St. Thomas, Virgin Islands Cynthia Joan Cantrell Gadsden, Alabama Caroline Burton doesn ' t look too pleased with the photographer. Barbara Ann Carroll Baldwin, New York Margaret Kalai Cheung New York, New York E i.s . Iho Lilaec of ma I ■WOVO W MMaMpHuamn Joseph Isaac Chi Santiago, Panama George Michael Gerard Chun Huntington Beach, California Martin Arthur Cogburn Jr. Lafayette, California Charles Louis Collins New Orleans, Louisiana ■H Lisa Diard prepares a few journal articles for conference. Marty Cogburn selects a treat from the FIFH basic food group: Fast Food. Ann Marian Cowgill Winchester, Massachusetts Jacob Thomas Cross Jr. Baton Rouge, Louisiana I 100 TW uMJi IhoaacsoNlM —— NMpn BHM H I «m S Terry Lu Cummings Winterport, Maine Michael Jamil Dalall Los Angeles, California Joanie Duff and Rob Rosenberg count the minutes till the end of Surgery. " _ 1 o 1 " ' ■J l 2 Lisa Elizabeth Diard Phoenix, Arizona Deborah Joan Doyle San Francisco, California Joan Frances Duff Phoenix, Arizona Melonie Anne Ellison Albany, Oregon Paul Harris Feinberg Spring Valley, New York Joseph Ignacio Fernandez Randall Garth Fisher Miami, Florida Provo, Utah Deborah Sue Fieischhocker Memphis, Tennessee I 1. .a.. .— j o L1ac€ of I i IJ J T-Wg V4 — m — | M!ES» 3)H i ALapHaa)!!SSe««»iK !lRlai ■l8K«»!i!ll jAMiM t8i WM«.jt!?SliM = -ik Ronald James French Jr. New Orleans, Louisiana Amy Sara Friedman Parsippany, New Jersey Wendy Gaines and Claude Smith learn to " never let a mechanical device knov you ' re in a hurry. " Constance Louise Fry South Miami, Florida Wendy Robin Gaines New Rochelle, New York Bruce Gandle Fair Lawn, New Jersey Christopher Allan Gay The Dalles, Oregon Over lunch on the hospital balcony, Terry Cummings makes a point to Chris Gay. Barton K. George Phoenix, Arizona I to: 2 -pWn7g- 77ie C lass o I Q 88 Roderick Arthur Gex New Orleans, Louisiana ;:» Steven Anthony Gillespie Carol Ann Glaser Marsl-ifield, Massachusetts Citajs Heights, California Kenneth Damian Gordon New Orleans, Louisiana Paul Eric Gott Kinder, Louisiana Thomas Lee Holvorson Malta, Montana John Cullen Hardy Warren, Arkansas Emmanuel Elmo Harrison New Orleans, Louisiana Gregory Paul Hebert Lake Charles, Louisiana Kent Alan Heck Findlay, Ohio Greg Hebert and Elizabeth Koch discuss o new patient over coffee. Craig Joseph Helm Pico Rivera, California Susan Eileen Heverling Anchorage, Alaska Gregor James Hoffman New Orleans, Louisiana Joseph Daniel Hollingsworth III Ruston, Louisiana James Durston Homans Sherborn, Massachusetts Gordon Dwight Honda Fresno, California Joe Hollingsworth catches his breath between catching babies. Robert Jay Hopkins Sacramento, California Bret Alan Hughes Carson, California I 10 TJQVagg " m Class of 1 98S MNlK»H«SllMi ! iMilAiii IHiiiili I IMH I nil i nniR i i mo L — ifilSriiM J! iri M ■lllifllllHHMIillHiil John Leung and Mark Huun find few things " black and white " as they go over chest films. Mark Albert Huun Stockton, California Darmakusuma le Plantation, Fiorida i k v W , lijv I - jl J; ' ' Hh David Dunbar Ivy Vicksburg, Mississippi Laura Akers Johnson Tucson, Arizona Daniel Aaron Kahn West Hartford, Connecticut Brian Dennis Kavanagh New Orleans, Louisiano i « M Ml 1 1 » i m I| b If B f tB MMMMMWMM—MylWia k- zsrrsz I HHHI z s: 5SsS:eUtM Ti-wcava 105 I Jonathan Scott Katz Scarsdale, New York Jotin George Kelley Hayward, California Melissa Dee Kern Sliort Hilis, New Jersey John Katz and Bruce Gandle ask you to guess which one of them was on call last night? Elizabett) Marie Kocti Columbus, Otiio i ki Craig Howard Kliger Huntington Beach, California William Peter Kopfler II Hammond, Louisiana Ronald Peter Kotfila Jr. Paradise Valley, Arizona William Alfred Kutctiera New Orleans, Louisiana Michele Marie Lajaunie New Orleans, Louisiana Jonathan Baird Lesser Teaneck, New Jersey 106 T-WaVS IhoClacGofUm MMMaSSki - " ■ r i zzsz Jimmy Mayer takes time out from h s busy day to actually Jonathan Keetsun Leung study some medicine. Sa " Francisco. California Michael Lewis Levin Skokie, Illinois Paul Arthur Levy Bronx, New York Margaret Brown Lisecki Denver, Colorado i Kathryn Elizabeth Macaulay Mehran Majidian La Habra Heights, California Calabasas, California Rakesh Kumar Mongol Pascagoula, Mississippi Jomes Calhoun Moyer Jr. Metairie, Louisiana Susan Leslie Fovrot McLellan New Orleans, Louisiana i z z Debbie Moore tries to convince herself sfie lieard that mid- systolic clicl . Stuart Joseph) Meyers New Orleans, Louisiana Marguerite Frances Miranne New Orleans, Louisiana Horace Lee Mitctiell Albany, Georgia Rose Mictiele Molnar Doytona Beach, Florida Debro Dannette Moore New Orleans, Louisiana Andrew Bevan Morris Swarthnnore, Pennsylvania I 106 T..W(JV J IhoUaceoi- jjpg 1[ -w- 2=5= Kirk Albert Murdock Hayward, California Denise Ann NIgro Oal Broolc, Illinois Rick Norem finds out the 24 hiour urine he ordered was done on the wrong patient. liT - « . ■ , JffTr. If? ' nTTf! I Back from two extramurals, John Norwood nnay need a forklift to get the mail that won ' t fit in his box. Richard Frederick Norem II John Morroh Norwood Baton Rouge, Louisiana Memphis, Tennessee Monica Mary O ' Brien St. Louis, Missouri Greg John Ochsner Sioux Falls, South Dakota MGMlta I mmmn am uai I m. IhoUaeconiM T WaVS ]W Mark Joseph Porta Fort Smith, Arkansas Morilyn Evelyn Pelios Metairie, Louisiana Paul Christian Pflueger Coral Gables, Florida Vincent Gregory Pirri White Plains, New York David Edward Post Gretna, Louisiana George Richard Puente Miami, Florida Evan Seth Rotner Brookline, Massachusetts Anne Redelfs Beaver, Pennsylvania A post-call Marilyn Pelias dreads the thought of going over Kevin Joseph Renfree to GYN clinic. Santa Rosa, California Patrick Taylor Reynolds Coral Gables, Florida |=pgr T W O V S IH U hss WTVW James Michael Robbins Troy, Michigan Richard Gregg Robbins Nortli Miami Beach, Fiorida ■A if t M Jorge Antonio Rodriguez Jr. Maria Margarita Rodriguez Father-to-be Jim Robbins looks for good buys on Items for New Orleans, Louisiana Miami, Fiorida the nev arrival. Bruce Ian Rogen Beachwood, Ohio Robert Edward Rosenberg Richard Stat Roth Glen Cove, New York Convent Station, New Jersey Jonathan Arlen Roundtree Denham Springs, Louisiana i E -i " " IhoClaecofUM UV aVQ I I I David Eric Schenk Brookfield, Connecticut Kimberly Marie Schnurpfeil Eric Alan Schoenberg San Mateo, California Dunwoody, Georgia Mindy Claire Schwartz Potomac, Maryland Clifford Allen Selsky Miami, Florida Richard Newman Sherman Albert Carleton Simmonds IV happy Richard Sherman finishes Dermatology Clinic Clarksdale. Mississippi Chevy Chose, Maryland y) -Iq-qo am. 1 2 T-WaUft IhoClacs o nm s Richard Mark Slataper Franklin, Louisiana Claude Brand Smith Jacl son, Mississippi Raquel Steele gets some private tutoring in Biochemistry from someone wtio oughit to know. Marie Jung Staiiworth Knoxville, Tennessee Raquei Ayn Steele Metoirie, Louisiana Cynthia Marie Stewart Bettendorf, Iowa Gilbert Gordon Stock Jr. Metoirie, Louisiana Kenneth Boyd Sumner Mayfield, Kentucky Kim Bowden Sutker New Orleans, Louisiana Jeffrey Tiong Guan Tan Metoirie, Louisiana Shachar Tauber Forest Hills, New York =2rs: I -c-S— The Class of ? 9S8 T-Wav =n Rama T. Thiruvengadam Ellicott City, Mar land Mark Harold Townsend Baton Rouge, Louisiana John Leander Turner IV Greenvilie, Mississippi Scott Douglas Tweten IVIinot, North Dakota Jon Uri locates a fetal heartbeat using ultrasound in labor and delivery. Clayton William Wagner Silver Spring, Maryland Peter Ttiomas Weller Clarksville, New York 1 ] 4 T- Wa V© m Class Of J 988 I ■■■■■■ f ' -?!: : ' Bznai Andrew Daniel Wilkerson W. Hamilton Williams I Alexandria, Louisiana Metairie, Louisiana Wayne Wilbright changes his reservations (for the third time this week) to accomodate residency interviews. Beth Curtis Windsor Cordova, Tennessee Newtand Knigtit Worley New Orleans, Louisiana Stieryl Leigh Young Baton Rouge, Louisiana Wade Anderson Young Tupelo, Mississippi Getting Personal Gratulasjon En S0nn God Jobb. Art, Donna, and Teresa Halvorson Congratulations and Good Luck " Skip " We all love you and are very proud. Dr. and Mrs. Ellis Wilkerson congratulate Danny on his becoming a physician. Congratulations, Gordon. Mom and Dad Honda Congratulations Martin Cogburn Jr. on becoming an MD. Love and best vs ishes from your PROUD parents and brother Tom. Congratulations, Etienne Mejia. We are proud of you. Mom, Dad, Grandma, and Karen. Congratulations Richardl So proud of you. Love, Mom, Jim, and Missy. Congratulations Richardl Uncle Raymond, Aunt Yvonne Family. Congratulations Richard! Aunt Dee, Uncle Paul Sons. Congratulations Richard! Uncle Richard, Vickey, Nevi man, Claire. Congratulations Richardl Uncle Phil, Aunt Shir! Rose Phil. Love and congratulations. Bob, the first si)cth-generation Hopkins physician. Dr. and Mrs. Donald M. Hopkins A dream fulfilled, Darma le, Congratulations and love. Your parents and sisters. Dad Mom Wagner proudly say " Great job, Clayton! " Congratulations and love, Mark. You have reached the beginning. Now the pinnacle is where you would have it to be. It is within you. Your loving mother and dad. Dr. and Mrs. Porta. We lovingly congratulate you, Caroiine. Mary Burton, Bruce Jr., and Ruth McCoy A mark of excellence, Terry. We love you hold you in the highest esteem. Knock ' em dead. Love Mom, Dad, Kids, and Brandy. Greg PirrI, we love you and we are proud of you. Mom and Dad. Congratulations on a job well done, Jonathan Leung. Your family and friends back home. Congratulations, Micheie! God bless you! Psalm 118:24. Love Mom, Dad, Tim, and Frank. The Rosenberg Family congratulates Rolsert on a job well done. Dr. Mark Huun, Congratulations! You did it! We love you! Mom, Dad, and your brothers. Mark Huun — Gramps I are proud of you. Love, Grandma. Congratulations and success to Kirk Murdock! Mom and Dad. Congratulations, Joe Fernandez! You made us proud and happy. Love, your parents and sisters. Champions are made of steel dreams. Joe Fernandez: you are our champion. Love, Bug Hall ' s. Congratulations, Bret Alan, the Hughes Family ' s MD 3. To God be the glory, a dream fulfilled. Congratulations Dr. Amy Friedman from your proud Mom and Dad. A dream fulfilled, Wayne! Congratulations and love! Mr. Mrs. Harvey Wilbright. Congratulations, Brian hlughey, and much love from your Mom. Congratulations, Bob and Cindy. Mr. and Mrs. Walter J. Bischoff. Yesterday it was just a dream that today comes true. Love congratulations, Anne Brown. Mother and Daddy et. al. Thanks for everything. Mom Dad. Love always, Jeff Tan. With great pride, joy and admiration we congratulate you Bobby. You have fulfilled the dreams of those who iove you. Mrs. Ann Anderson and Family. A dream fulfilled, Kim. Congratulations and love with the first doctor in the family. We are proud of you. Mother and Dad, your brothers Kevin Kendal. Lynn — Congratulations, Doctor! I always knew you would do it. Your love, humor understanding helped me through it all. With love and gratitude, John. Congratulations Best Wishes, Kim Cailwood, for your continued success. From Gov. Mrs. Ralph M. Paiewonsky, your Aunt Ethel Uncle Ralph. Shachar, congratulations on becoming an MD. Love best wishes. Your parents and sisters. To George Nellie Roundtree with love and admiration, your loving son, Jonathan. Thank Mom Dad for S love, Andle for your patience love. And thank God If s over. Jonathan Leung We are proud of you Dr. Judith K. Alexander!!! Your parents, brother, and sisters. Dr. Lynn Andrews — The whole clan salutes you. Congratulations on a job well done! Dad, Mom, Beth, Larry Will. Thank you to everyone who contributed and worked on this year ' s T-Wave. Gordon Honda Mr. ond Mrs. William R. Wallace proudly congratulate their granddaughter Kim Cailwood on her becoming an MD. For Daniel Sue: This one ' s for you. You ' ve made all my dreams come true. It couldn ' t have been done without you. All my Love, your mucka mucka man Cliff. Congratulations Brad: We are very proud of you. Dr. and Mrs. Jay B.V. Butler, Mike and Kit and Jake, Our dream comes true June 1988! Congratulations, Debra Bardugon. Love Mom, Dad, John and Family. Thanks to ail who contributed to T-Wave 1988. John Leung 116 T » Wqve Aavonieomontc a sasm jg ; s= = dSiiz MM«pM«gm Congratulations and Best Wishes to the Tulane University School of Medicine Class of 1988 from your colleagues and friends at the Ochsner Medical Institutions a m Health care like no other in ihe world. 3:zr - A3 n n T=yTOy ™TT7 " Congratulations To The School of Medicine Class of 1988 From The Staff And Administration of Tulane University Hospital And Tulane University Medical Group TULANE — UN VERSITY MEDICAL CENTER « " HMMMNMnwIV ' V ' WVVVVKP f ' ' -WOVO Adverf ' isem nh Tulane School of Medicine Department of Medicine The Department Congratulates the Class of 1988 on its Achievements, and Wishes its Members Success in their Future Endeavors. Congratulations to The Class of 1988! The Faculty and Staff of the Tulane University School of Medicine Department of Obstetrics and Gynecology wishes you " A Bundle of Joy! " - c " " Louisiana Physicians Insurance Agency, A Whollv Owned Subsidiary of LAMMICO INC. SPECIALLY PRICED PRODUCTS OFFERED: • Exclusive Physicians Office Package • Dividend Potential • Disability Income Protec tion • YOU define YOUR medical specialty under definition of disability • Additional 15% annual discount to LAMMICO insureds • Prestige Homeowners Program • Personal Umbrella • 433 Metairie Road, Suite 602 • • Metairie, Louisiana 70005 • • (504) 837-3257 • 1-800-331-5777 • A COMMITMENT TO SERVE THE LOUISIANA PHYSICIAN r 120 T-WdV© Adverfisem nfs We Can Be A Positive Reflection On Your Practice. At Diagnostic Imaging Services, we i now the importance of providing your patients with caring, quality radiology services. And we strive to do so in a manner which enhances your relationships with your patients. Our offices are conveniently located in Metairie and Kenner, open weekdays and Saturda ;s to serve you and your patients. Our practice offers: • Immediate telephone consultation witti our board-certified radiologists • Same-day reports • Immediate appointments • Insurance staff to assist your patients • Ample parking • EKG and laboratory facilities on-site We welcome the opportunity to serve you and your patients. Give us a call at 888-7921 in Metairie or 464-5711 in Kenner. RADIOLOGISTS AND DIRECTORS DOCTORS SIMS. SOLL, VOTH AND ASSOCIATES 3625 HOUMA BOULEVARD 325 W ESPLANADE AVENUE (VIETAIRIE. LOUISIANA 70006-9990 KENNER, LOUISIANA 70065 2541 (504)888-7921 (5041464-5711 • X-rays and CT Scanning • Mammography patient education • Ultrasound and amniocentesis • Nuclear imaging • Office myelograpfiy • Outpatient angiograpfiy QAGNOSTIC IMAGING SERVICES INC iT raEPAKFORBil NATIONAL MEDICAL BOARDS (NMB 1,11,111) TOEFL MSKP FMGEMS-FLEX NCLEX-RN-CGFNS NDBNPB-INCB-I • Teactiinp tests accompanied by comprehensive leactiing tapes to tw used at any ol our tape centers • Extensive ( ome study notes on all areas of liasic science • Materials constantly updated, • Over 45 yeare of f „ , expenenceand WtStMilU-n suixessmttie V MpDIN field of test ,M mxtnixtL preparation 2 ™ =_ lnl( «»nSaii SOrteyM KJWn t4«IlW« Onttt LB Uptown Square, Suite 309 New Orleans, LA 70118 (504) 866-TEST For information about other centers call toll-free 1-800-223-1782 (except in New York State). Permanent Centers in More than 120 Major US Cities, Puerto Rico, and Toronto, Canada Congratulations to the Class of 1988 Standard Crescent City Surgical Supplies, Inc. 2917 Lime Street (504) 885-0600 Metairie, LA 70006 1-800-821-1196 Adverf!$em nfs T-WCJ V© 1 21 Call for a free examination. In medicine, you can ' t evade the tough choices. One of which is deciding , 1 ' where to want a first-class practice. fj j setting for your private " practice — an environment of excellence for your patients and for yourself. Full resources. Solid support in every area. A commitment to advanced technology W traditional human values. At Baptist, we ' ve created a complete medical center where both new and established practices can flourish. But don ' t take our word for it. Call 897-5824 for a free examination, and we ' ll tell you exactly why Baptist is New Orleans ' finest hospital for the private practice of medicine. Find out how our people, our facilities (including three medical office buildings) and our dedication to quality care can make your practice more rewarding. Baptist. Examhte the possibilities at Baptist. Call John Scott, Vice President Marketing Public Affairs, at 897-5824. Southern Baptist Hospital 2700 Napoleon Avenue, New Orleans, Louisiana 70115 (504)899-931h American Medical Association Louisiana State Medical Society Orleans Parish Medical Society A medical degree is the first step in becoming a doctor. . . Association with your new peers is the second step. Call Gary Kuhlmann for information - 523-2474. c-oi Commencement One Handout BC=160 Fourth Year June 6, 1988 Anna C. Epps, PhD Staff Class of 1988 Best of Luck in the Years to Come (and on the FLEX!) Office of Student Services and MEdREP MEdREP Tulane Medical Bookstore Congratulations to the Class of 1988! REFLECTIONS OF GREATNESS Dr. Rudolph Matas, the father of modem ascular surgery Dr. Rudolph Matas was chief of surgery at Touro Infirmary from 1905 to 1935 as well as a professor at Tulane Medical School. He stood for innovation, dedication, and compassion . . . those things that Tulane Medical School and Touro Infirmary still stand for today. Congratulations, class of 1988, from your friends and colleagues at Touro Infirmary. May your careers in medicine challenge you and reward you. TOIRO I N I M Heu ' Orleans ' Premier MultiSpecialty HospUal 1401 Foucher Street, New Orleans, LA 70115 (504)897-7011 ! Tulane Med ca A umni Association ' Best WisHes to tfie Class of 1988! We Serve... The Student The Alumni, and The Medical Center Through... Alumni News Publications The Annual Crawfish Boil Homecoming Activities Class Reunions Nationwide Alumni Functions Student Recognition Awards The Senior ' ' Match ' ' Party, and The Alumni Locating Service GQNfiItimn.ATIQliS ORADS c hildren ' s Hospital congratulates the graduates of the Class of 1988 of the Tulane University School of Medicine. Many of you have completed clinical rotations at Children ' s Hospital in pediatrics, pediatric subspecialties, pediatric rehabilitative medicine, pediatric orthopaedics, pediatric surgery, pediatric surgical subspecialties, pediatric radiology and in a host of other areas. We have been delighted to have you be a part of Children ' s Hospital and to see how a union of the Children ' s Hospital with the private practicing community and its affiliate institutions, Tulane University and Louisiana State University, has made us a most dynamic and growing force in pediatric care in the State of Louisiana and the entire Gulf Coast area. We look forward to continued growth, and we are certain that many of you will be a part of that growth. As your residencies and fellowships progress we hope that many of them will be done in part here and that we will have the opportunity to watch you grow professionally. We hope that you will be frequent visitors and learn of the resource of our Children ' s Hospital in the New Orleans and Louisiana community. Congratulations for much happiness and fulfillment in the future. CHILDREN ' S HOSPITAL ' M ' B i iSir.iT ' W VA—- ' Adv rfls m nU " tSSS m i asrs: i az s s: Rx - For What Ale ' s You JOE ' S BAR 1500 Cleveland Ave. New Orleans, LA 581-9809 10% Lifetime Discount Card Given to all Tulane Graduates, Students, and Staff Upon Request Mike Serio ' s Po-Boys Deli 1 1515 Tulane Avenue (Across from Chanty) 522-8686 2 211 LaSa lie Street (Next to Joe ' s Bar) 522-0224 ri " 1 Mike Serio — Owner Southern Eye Bank 145 Elk Place New Orleans, LA 70112 523-EYES (523-6343) " Give the Gift of Sigtit " Ti UNIVERSITY BLOOD CENTER Thanks for your Support Since 1984, You make a Difference! Adverfhemenh T-Wove 127 May the road rise up to meet you. May the wind be always at your bacl . May file sun shine warmly upon your face, and the Rain fail softly upon your fields And until we meet ogain. May God hold you in ■ " ' ' " " ' " " of his hand. — An Irish Prayer


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