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M6403200 INDIANA UNIVERSITY MEDICAL CENTER TOP IMPRINT MARGIN Medical Class of 1970 Indiana University Medical Center 1100 West Michigan Indianapolis, Indiana HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE) Dote G 9-70 sJtZT 7 X-— t T f c o2- «, ,Y . • ' ' . V7 a • V s Coocyl dyoJO OC .4 . JC4j xii Cl 6C ut-fj lc yd- -yO £ ay y6 c t y£ + «x - “ ck £4 - Ct+ +V o £c t- t-AJ 5 - £ -«- 0 Cl C4 l£ COx 'Iaoua ’cn 3 yCu t yuA Cdjo Uyc . 7 't’hju x,- M £ _ 'l lAyt t yC - yC aj yU-ou y AVLoyt Ou6cL -t_. ‘ U oTy -O-yt Ctr-4 + — ( -M UyLL-cc.  IL JT. f J aTc ucaa A, i Avo 6-4L r 0 _.w y Ccy ygy ti L A-Jt JLyJL- y 4i y 9c cy P USE ONE SIDE ONLY HISTORY-PHYSICAL-PROGRESS-OTHER . IB (CIRCLE ONE i  M6403200 INDIANA UNIVERSITY MEDICAL CENTER TOP IMPRINT MARGIN Medical Class of 1970 Inciiana University Medical Center 1100 V est Michigan Indianapolis, Indiana HISTORY-PHYSICAL-PROGRESS-OTHER «CIRCLE ONE) Dote i S ■3y V y U _ € 7 'VU Ce. £ca - Cc -es . £-9 cn (X- c - — '' i- £ 4l c£_ t o — v -o r JVa _ ( . 2T r ' C aaXO -O-Cr 1?- —j C v-y S A. '7CC4 - Uo_ yot xC Oy 6 A t (_ - 3z, Axz — 0t Z £uO O-J JZs£ - - f e yt SZ.— — x - ' Ic -O- P Ct cy A p — — - 7 C4X tco £ ,£6 - Z)uA6s — so tj J tcxfn $ - 0 • h erTAA— 0 2 10C - 1A_ @3 - a£-+-AAA-4 £A_J , U . . 7 - y 7 V y ' ■7 Ccjt Jx y £ JL. a. +-T rv Cay, aa— i4 -+' 2L_ c t. o- Ct- - - cn «— - v x c- cru t - k-c-o-wl ■— t yLA u- oy . ctka cnc -? A- caa. r . f yCAA tX c J7 €ry zi --JL- -Xa oaa a i « 7 7 — (2tCC23=D- U W-d rrAA • JIa J (L- K- u£. 0 1 j r • faC 4 o — Q- 0 y jU' o A-4s%+ y 3 3 O CsyiAS j OCLAA XC U_A_ U-A -hi. li try , o USE ONE SIDE ONLY HISTORY-PHYSICAL-PROGRESS-OTHER IB (CIRCLE ONE) i M6403200 HISTORY-PHYSICAL-PROGRESJOTHER (CIRCLE ONE INDIANA UNIVERSITY MEDICAL CENTER Dote TOP IMPRINT MARGIN _ Medical Class of 1970 _ Indiana University Medical Center 1100 West Michigan Indianapolis, Indiana GLENN W. IRWIN, JR., M.D. Dean, School of Medicine TO , USE ONE SIDE ONLY HISTOF TO THE I. U. OF 1970: SCHOOL OF MEDICINE GRADUATES The class of 1970 is to be complimented on its many achievements. Your excellent cooperation in the implementation of the major and new programs of your school has been appreciated. As sophomores, you were the first class to take the component of the new curriculum entitled INTRO- DUCTION TO MEDICINE. The course has been im- proved, thanks to your responsible advice and evalua- tion. During your senior year you were the first class to take essentially an entire elective year. Again through your recommendations and counsel the fac- ulty and administration have been able to improve this important academic experience. May I extend my personal congratulations to your class for the important initiative and support you have provided. Among your many accomplishments you have established neighborhood health clinics; a change in the grading and evaluation system; retreats with medical students, faculty and practicing physi- cians; the policy of awarding you degrees at the time you successfully complete the required courses. I had hoped that you might also have had the op- portunity to benefit from our several new projects such as the completion of the Indiana University Hospital, the major addition to the James Whitcomb Riley Hospital, the improved affiliation between the University and the Marion County General Hospital, and the extensive recruitment of new full-time fac- ulty. Nevertheless, I trust your Medical School experi- ence was stimulating and meaningful. It is through the joint cooperation of students, faculty and ad- ministration, as demonstrated by your class, that progress is made. Best wishes to all of you. Glenn W. Irwin, Jr., M.D. Dean, School of Medicine M6403200 INDIANA UNIVERSITY MEDICAL CENTER HISTORY-PHYSlCAL-PROGRESLOTHEfT (CIRCLE ONE Dote TOP IMPRINT MARGIN Medical Class of 1970 Indiana University Medical Center 1100 West Michigan Indianapolis, Indiana Present Immunizations aX - TU hc. . George Lukemeyer David McKinley Associate Dean of the School of Medicine Assistant Dean of Financial Affairs I KP ONP Sinp OMI Y Jack Hickman Assistant Dean of Student Affairs STORY-PHY Steven Beering Assistant of Postgraduate Medicine 1 B M6403200 INDIANA UNIVERSITY MEDICAL CENTER HISTORY-PHY! (C ICAL-PROGRESS-OTHER - ___ IRCLE ONE) Dote c — cl, ' C 'fO Previous Diseases TOP IMPRINT MARGIN Medical Class 1970 Indiana University Medical Center 1100 West Michigan Indianapolis, Indiana David Gibson, M.D. Professor G Chairman; Biochemistry I-f v ou yteuR. BW|C Sc-itac-i pAft.6 'Y n Rictivit yovA Ewald Selkurt, Ph.D. Professor G Chairman; Physiology — i Edward Shrigley, Ph.D., M.D. Professor G Chairman; Microbiology Warren Andrew, Ph.D., M.D. Professor G Chairman; Anatomy Y «M ol TVm 'tv  'TVv « .. { Vwatf F.no. 04 tur c HISTORY-PI ||l KOI UKU tM t s j-v }• 'r«t' M6403200 INDIANA UNIVERSITY MEDICAL CENTER HISTORY-PHY c ICAL-PROGRESS-OTHER . _ IRCLE ONE) TOP IMPRINT MARGIN w iJo iw PhU. U . lames Ashmore, Ph.D. Professor G Chairman; Pharmacology 15 A o$ ft  - -, fVK fc TKt C ©♦ • • JutLX So j-r BaKov  .) DtOJlft •, tJftmtb 3 gsurt 'CM wVo A-r t'A- St 0 Iks Wc TVv«rVt.C. ©4 Opcfi-Rt'OK • r n I JIV ALT INV-'V INtJJ-V-' I I II. ( «CIRCLE ONE) Joshua Edwards, M.D. — Professor G Chairman; Pathology William Battersby, M.D. Professor G Chairman; Surgery William Campbell, M.D. Profess’or G Chairman; Radiology M6403200 INDIANA UNIVERSITY MEDICAL CENTER HISTORY-PHYSICAL-PROGRESS-OTHER TOP IMPRINT MARGIN «CIRCLE ONE) Dote Morris Green, M.D. Professor G Chairman; Pediatrics Vy c’fct Sorry D TTIc, But We just dohji: ftt( Liici it ! John Nurnberger, M.D. Professor G Chairman; Psychiatry Victor Hackney, M.D. Professor G Chairman; Dermatology O o O [jj, LJLul r TKt. CoANS? -OTHER M6403200 INDIANA UNIVERSITY MEDICAL CENTER CD CL) CD cd CD Q Td D CD o C W) cd c A Ml « IN II I RSTIIKTION TO PATRONS OV PHI'jW s l CASE OF MILIAR OTR XTTXCK: STAY (LEAR OF ALL WINDOWS. keep hands free of glasses bottles CIGARETTES, ETC STAND AWAY FROM BAR, TABUS ORCHESTF EQUIPMENT AND FURNITURE. . LOOSEN NECKTIE. UNBUTTON (OAT AND ANY OTHER RESTRICTIVE CLOTHING. . REMOVE SUSSES, EMPTY POCKETS OF All SHARP OBJECTS SUCH AS PENS, PENCILS ETC . IMMEDIATELY UPON SEEING THE BRILLIANT FUSH OF NUCLEAR EXPLOSION, BEND OVER PUCE YOUR HEAD FIRMLY BETWEEN YOUR I THEN KISS YOUR ASS GOODBYE. DR. JOHN B. HICKAM Professor and Chairman of the Department of Medicine Indiana University Medical School FUNERAL REMARKS by Dr. William H. Hudnut, III Pastor of Second Presbyterian Church at St. Luke's Catholic Church Indianapolis, Indiana February 12. 1970 We have gathered here this morning very reluctantly to pay a final tribute to one of the great men of American medicine, to ex- press our feelings of emptiness, sorrow, and loss, to surround his widow and children and other members of his family circle with our love and friendship and sympathetic concern, and to commend unto the mercy of Almighty Cod the soul of our brother departed. Dr. John B. Hickam. As Chairman of the Department of Medicine at the Indiana University School of Medicine, as a member of innumerable professional medical societies and a contributor to several professional journals, as a widely respected author and lecturer, as the recipient of many honors that came to him in recognition of his talent, his leadership, and his achievements in sophisticated medical research and teach- ing, Dr. Hickam had achieved a well-deserved national and international reputation. He was. to quote one of his colleagues, one of the few outstanding men in academic medicine in the country today. His public record is well known, although time docs not permit us to recite the many landmarks and truly significant achievements in his distinguished professional career. We have read much of that in the newspapers. Let us rather focus on the man behind the clini- cian. the person behind the teacher, the genius behind the researcher, and on those qualities of character and spirit that made Dr. Hickam the magnificent human being that he was. It was undoubtedly the unique combination of talent in research and teaching and the practice of medicine that made him so good. The key to the combination lay in his astute mind, his indomitable will, his warm heart, and his humble spirit. His was a probing in- tellect that could explore a problem patiently, meticulously, deeply and clearly. His was an administrative ability that could organize and execute fairly, judiciously, diplomatically, tactfully. His was a tough resilient willpower that gave him the strength and stamina to work hard, to shoulder tremendous responsibilities, to carry heavy burdens without complaint, and to put in long, long hours. His was a style of life that made him a delightful companion, a good friend, very well liked and very much beloved, kind, considerate, sensi- tive, sincere, a man of warmth and good humor; possessed of the highest wisdom of all, which is the wisdom of humility, articulate without being aggressively talkative, modest though he had much of which to be proud, self-confident without being self-centered. His was an unobtrusive quality of leadership that invariably surfaced in every group with which he was associated--like the Association of Professors of Medicine of which he was the President. His was an understanding, a patience, a tenderness, a sensitivity to the person be- hind the patient, an appreciation of the individual human being with dreams and hopes and problems and needs behind the student, that gave him a willingness to work with people patiently toward a solution of their problems rather than dispense them casually--so that his students felt there was a special quality in the education they received from him, so that his colleagues would consult with him even though they were not members of his department, so that his patients would sense that he practiced a medicine of the whole per- son and treated people, not diseases, so that no one who ever talked with him would be made to feel that he was small or his problem was small, and so that one would say, Outside of my own family, he's done more for me than anyone else. His was a tremendously useful life, and at age 55. in fullest and finest flower. Now it is over. Now he is gone. Now this bright, good candle is snuffed out--suddenly, irrationally, tragically. It matters not how we know him--as colleague or teacher, friend or neighbor, father or husband--we all feel tremendously bereft. We arc all diminished by this untimely loss, and we ask not for whom the bell tolls this morning, because we know it tolls for each of us--for his loved ones in particular in their close family circle, for Maty and Helen and Tom--but for all of us in general, and for many who arc not here this morning, for patients he has healed and students he has taught; for the I.U. Med. School, for our city and our state and our nation, and for the entire medical profession. Sometimes we can speak of death as a blessing, but not in this instance. And I daresay that if we are absolutely honest, we will confess a sense of intellectual and moral outrage about this. Why him, in his prime? we ask. How unjust, how tragic! I, for one, will not wTito it off with the easy answers of a sullen cynicism that calls it fate or a glib piety that calls it the will of Cod. Nor will I blame God for it. Our world is not a greenhouse. It is a world in which there is suffering and pain and injustice. We would not have it otherwise, really, but neither would we hold Cod responsible for it all. So we would maintain a reverent agnosticism about the question why, and look for partial meanings within the penumbra of mystery that surrounds us in this mortal life. But after that, we would speak a word of faith. The tragic element in life, can either tempt men to despair or prompt them to faith. Let us opt for faith. This is a Christian church, this is a Christian service. Christians read in their Scripture a line that says We live by faith, not by sight. We believe where we cannot prove. So after we have expressed our gratitude for Dr. Hickam's life, after we have taken our stand by his widow and children to comfort them in their bereavement, after we have confessed our painful feelings of loss and perplexity, we would finally and triumphantly speak of faith. We would point to the everlasting arms that undergird life, and when life is over, lift us up, giving wings to our spirits, rather than permitting us to sink.back into eternal darkness. We would say that the final meaning of life lies beyond life, and that death is something that happens in life, not to it. We would affirm our belief that there is an unseen yet real world of the spirit, ruled by the law of love, which is far more magnificent and far more enduring than the world of flesh and blood, a world that docs not decay or go smash when the bodily engines of this world fail, a world of which we arc a part because we arc endowed by our Creator with spirits that enable us to transcend our earth-bound limitations. We would take inspiration from John Hickam's example, and hopefully run the race yet set before us a little better because of what he meant to us. And finally, we would commend unto our Heavenly Father's loving care in the House with its Many Mansions, the soul of our brother dep arted, crying out, Death be not proud, for death once dead there’s no more dying then, and singing through our tears: For all the saints who from their labors rest. Who Thee by faith before the world confessed. Thy name, O Jesus, be forever blest, Alleluia! O blest communion, fellowship divine! We feebly struggle, they in glory shine; Yet all are one in Thee, for all arc Thine. Alleluia! Alleluia! bo youmuhJYou Oon't- fin I Hwyof Yov ft. Mtutal Urttli Sh , jlty f 99 Eos R.O.S.—“Those Were the Days . . TV OSS- of b (« £.wt wdK p«.o c VvotOtftl_ RlUkfcHS. Learning the finer techniques Gwftb X knvtjJT Sttw suc+a BMttt? itites S'k c L XXoftS fft ViopltirJS'.' Holding that retractor Appreciating campus life What a farce i Seeing unusual patients Using new methods Getting together O ly UaIiom Foob US 1 +oucH unth feAlity This must be the place? It is! Limbo 10 am Star, tranquilizer I 1 •) ? I : Anything to calm the nerves Well, almost anything. : s I vi I Let's get on with it. And we did. California, here I come! Somebody loves me. Whew--Still together Fun, Fun and More Fun . . A new breed of doctors is emerging. Did we ever act like this? . . . And Let Us Entertain You! Barf bag, please? Sex Lucky they're graduating. Clinicalpathologic Conference, I.U.M.C. March 16, 1970 Clinical Presentation Pathology Presentation Dr. Stuart Kleit Dr. Louis Virchow Heck Dr. Richard Hamburger C.C. A 97 year old man was admitted to MCGH on December 25, 1969 because of failure to thrive . He had been seen in the Receiving Ward on 17 consecutive nights with total body pain and constipation. He was blown out each time with various diagnoses including post-senile dementia, Chagas' Disease, and eclampsia. P.I. Pt. had been in excellent health until approximately 73 years prior to admission when he first noticed the acute onset of sharp stabbing epigastric pain which radiated into his scrotum. This pain was often accompanied by a distant rumbling sensation in his rectum and a rhythmic twitching of his penis. The patient had worked several decades ago as a bartender on North Meridian at the Pink Pussy Hotel G Bar. The patient stated that he was an occasional social drinker and that his daily alcoholic consumption consisted of two cases of beer, five quarts of wine and six flasks of white lightening. The patient thought that there was possibly some relation between his epigas- tric pain and his moderate history of alcoholism. He was able to live with this pain, however, for forty to fifty years and stated that he obtained relief by gargling a mixture of Jim Beam, STP motor oil, pigeon feathers and hamster dung. However, he finally quit tending bar during the Prohibition Era and began work as a repairman for the Twilight Outhouse Mgft. Co. in Eastern Kentucky. The patient stated that he enjoyed this job because of his exposure to the fresh mountain air. He also felt that he was helping to make America a better place to shit in. After an unfortunate fall while working inside an ultramodern brick outhouse, he decided that he needed a change of environment. The patient next worked as a piano player at an Indianapolis restaurant called the Scarlet Rug. He was fired several years ago when a group of medical students signed a petition protesting his perverted sense of humor. He was replaced by a more soft-spoken man named George. In the past few years the patient held several part-time jobs including street sweeper, city councilman, campus cop at IUMC, and spccchwriter for Spiro Agncw. During the last six months he has wandered aimlessly around the Midwest visiting old friends in nursing homes and VA hospitals. The patient was a Spanish-Amcrican War veteran and had been admitted to many VA hospitals. However, each time he was dis- charged A.M.F. when it was learned that he had fought for the Spanish. During this time he first noticed itching of his teeth, intermittant twitching of his uvula, and palpitations in his groin. These symptoms were brought about by doing wheelies on his Honda and they were rapidly relieved by sexual Intercourse and flatus. Three months PTA he first noticed that his stools were glowing in the dark, and flashes of lightning were shooting from his penis upon urination. These symptoms became so annoying that he began to blindfold himself with each defecation and micturition. This double- blind trial was aborted when he was arrested in the City-County Building for defecating in a phone booth and urinating in an ashtray. He escaped from the Marion County Jail by dissolving the iron bars with his sputum. While in jail, however, he instituted a unique form of self-treatment which quickly relieved the aforementioned symptoms. The patient refused to disclose the exact nature of this therapy until interviewed by one of the MCGH surgery residents who was especially skilled in Oriental methods of persuasion; the patient had heard that the young doctors at General Hospital had had great experience with his type of problem. He presented in the Receiving Ward at 4:30 a.m. Christmas Eve. At that time he had not urinated or had a bowel movement in 47 days. PAST MEDICAL HISTORY: Meds: Included Mycostatin vaginal suppositories X 10 years for rhinorrhea; Aludrox 30 cc O.I.D., intra thccally for seizures; the patient stated that he was allergic to glucose and condoms. Previous illnesses included Down's syndrome. Shee- han's syndrome, and Kwashiorkwor. Previous operations included resection of a Bartholin's cyst by Dr. Huber in 1874. Repair of an aneurysm of the thoracic duct by Dr. Lcmpkc in 1936. Intcrmcdullary fixation of fracture of hyoid bone by Dr. Wray in 1967. The patient insisted that he had been the donor for several heart transplants. While in the service the patient had fought for the Spanish in Cuba. He stated that he single-handedly sank the Maine by means of asustained and brisk diuresis in the galley. FAMILY HISTORY: The patient's mother is 126, living and well with occasional amenorrhea, and works as a go-go girl at Shannon's Roaring Twenties. The patient's father has never been determined. The patient has two brothers: one who is 86, in poor health, who plays backup quarterback for the Chicago Bears. The other brother is 92, with tuberculosis and works as a food handler at the Student Union building, but has recently been offered the chairmanship of the Department of Surgery. The patient stated that he probably has a large family with children scattered all over the country, but he was not sure. SOCIAL HISTORY: The patient has been a tremendous burden on society. PHYSICAL EXAMINATION Physical exam revealed an anxious and cachetic old man in severe chronic distress who was obviously either Caucasian, Oriental, or Negro. He was very angry that he had been taken to the pathology department before he was brought to the receiving ward. Vital Signs: B.P. 150 70--right carotid standing Pulse 3 min and grossly irregular Rectal temp, failed when the patient bit the bulb off the thermometer HEENT: Fundiscopic exam revealed a prominent sella turcica. External auditory canals were plugged with chewing tobacco, as was the foramen magnum. Examination of the nostrils revealed bilateral galactorrhea. The patient's ears were thought to be low set; the left car being under the mandible and the right car in the right axilla. NECK: Examination of the neck revealed a large mass anteriorly which was thought to be a spermatocele. BREASTS: There was bilateral gynecomastia with an inscription under the right reading Positive , and under the left reading Negative . CHEST: Percussion of the chest revealed crack-pot tympany throughout. HEART: The examiner felt no lifts or heaves over the prccordium but the patient said that the exam gave him a thrill. The first and second heart sounds were absent, but there was a loud whooping and honking heard well over the entire prccordium which radiated into the right buttock. This was interpreted by the examiner as sounding like a male Canadian goose during mating season. ABDOMEN: Inspection of the abdomen revealed a distended, protuberant belly with an air-fluid level visible at the umbilicus. Bowel sounds were regular at 60 min. in 4 '4 time with occasional bursts of flatus. A loud screeching bruit was heard over the symphysis pubis. GENITALIA: Examination of the external genitalia was truly exciting. There was a tatoo of a bumblebee on the dorsum of the penis and an accompanying inscription which read The Big Stinger . Palpation of the right testicle revealed a positive Homan's sign. The left testicle could not be located initially, but later was found during examination of the knee in the po pi teal fossa. EXT RE ME TIES: There was gross anasarca with 4+ pitting edema of the eyebrows. Examination of the feet was attempted by three house officers each of whom subsequently required artificial resuscitation. NEUROLOGICAL: The neurological exam was unremarkable except for the absensc of the first five cranial nerves. A Binne test was aborted when the patient began passing flatus at 256 cycles sec. RECTAL: During rectal exam a small polyp was found in the transverse colon and the liver was palpable just below the right costal margin. No stool was obtained per rectum. However feces found under the fingernails were strongly Hematest positive at 5 seconds. LABORATORY DATA Lab studies obtained at the time of admission included a Hgb of 1.4 CM with a VBC of 85,000 with 80,000 eosinophils. SCOT was 14,000 units. Scrum protein, 0.05 gnv with A 'G ratio of 1 to 3. Three sealed containers of urine were sent to the lab for culture. They were lost in transit only to be found two weeks later in a vending machine in the Med Science building. Serum porcelain levels were ob- tained on three occasions. The first two were read as greater than 100,000 Comer units microlitcr . When the third specimen was intro- duced into the AutoAnalyzcr a thick cloud of pungent yellow smoke came billowing from the machine and the clinical lab had to be closed down for a week. Three Med Techs were found dead due to porcelain asphyxiation. The lab would accept no more specimans from this patient. However a large, bulky, foul-smelling, pale yellow floating stool speciman was also sent to the lab. After due study and evaluation, it was concluded that while only some turds float, they all stink. An admitting EKG was interpreted as very low sinus rhythm compatible with p inguinale . Chest X-ray was read as suggestive of BPH but cannot rule out lupus. HOSPITAL COURSE Several hours after admission the patient was missing from his room. The next morning on ward rounds he was found in the ICU urinat- ing on the other patients. He was subsequently returned to his room and bound down with lock and chain, and a Foley catheter was anchored prophylactically. One hour later he had chewed through his catheter and feces were found more than thirty feet from his bed. Large quan- tities of Airwick were used in an attempt to neutralize the pH in his room. The next day, however, several of the house staff had severe conjunctivitis and were then issued gas masks. The patient then locked himself in his room for the remainder of the day and was found on evening rounds in acute alcoholic intoxication. It was ascertained that he converted his Gomco and Bennett machines into a distilling apparatus and had made two quarts of wine from cleaning fluid that he had stolen from the maid. On the next day a cardiology, peds, and gyn consult were requested and refused. However an infectious disease consult was obtained with the help of a small bribe. Their suggestions included a massive ST AT bath with a solution of 5; phenol and dilute HC1. They also felt that a can of Raid was the treatment of choice. A Scotch tape test for pinworms was attempted but failed when the patient's anal mucosa sloughed on the tape. On the fourth hospital day a liver biopsy was performed and the tissue obtained revealed normal splenic architecture. The patient was transferred to the detention ward after a sexual assault on five student nurses simultaneously. Dr. Dyken refused to see the patient but stated that a EMC was definitely indicated. Sputum culture grew out large numbers of MY COBACTERIUM SMEGMATIS. On the fifth hospital day the patient developed a prolonged episode of priapism during which he became severly hypotensive. He was then seen by Dr. Lempke who felt that an emergency pancreatectomy was the treatment of choice. The patient was taken to surgery but before the lights could be properly adjusted, the patient had a seizure and vertical trismus was noted over his buttocks. He then suddenly arrected and with his dying breath he screamed, God save Ramon y Cajal . “Oh, Yes, Those Were the Days, My Friends . . . My first pelvic. I (tine. Ewi t Get to t, z on Tht fftb L? And the Day Went on . . . Have a seat. A bird's eye view. M6403200 INDIANA UNIVERSITY MEDICAL CENTER TOP IMPRINT MARGIN HISTORY-PHYSICAL-PROGRESS-OTHER «CIRCLE ONE) helical Class of 1970 Indiana University Medical Center 1100 toest Michigan Indianapolis, J-ndiana Dote 5 ydtti+JL, 7- (7- 's cr - cCe sus OjUapoo yCCcU TA JrfyCt • y At±7rt0L£s777riy i 0W- VO- f D Q s Ua £U - ‘A- 30 e t y- ' - • . „ ’ . 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V Ti iCrAA AOits AA tA- d A) «a 9 ; aia JL USE ONE SIDE ONLY HISTORY-PHYSICAL-PROGRESS-OTHER IB (CIRCLE ONE) TOP IMPRINT MARGIN M6403200 INDIANA UNIVERSITY MEDICAL CENTER fC3N |pi5C0VUI(j I a W T l«iMiy L. -N iWftWV 4 o5SH C4L HISTORY-PHYSICAL-PROGRESS-OTHER (CIRCLE ONE) Dote l 0 i 7z e cryuy, fa £A £- t y£i cru_yf f2y_ ‘?Uy c2 — yCO fcL t Ur ca 3 o 7 ' ' Zr A - _ yCyy, CCyTtc x y Z-Ojls 'Hyyy.'f sCiAyyy yy - - y- C y6y k - £ — y ys cc- 0j £ - - V C y yy%yyu AyG—4 - — +7 C y yyy— £ca — C_ 66 6-y — C 5cx- c 5? 770 yt cy y £ M £ + .J jyyy '7lty- e cy.4Lyt-. ; - - jCc- yy£ IC Cyyyy jZO ri — 0(0 c T 0 ? — ? . _ . y tcyfity y y fKatfCrXU £t0Uyyy  Q rf 0UtA yt- a r, J70 r y ' A TlC yi Z Cri K -A C4L% n y 2y - ce t 2. -r hyyujt g V. On- - S - (jJtfiyxO-Cl-c 2aA a r7UyrM3CU . 0 r USE ONE SIDE ONLY HISTORY-PHYSICAL-PROGRESS-OTHER _ (CIRCLE ONE) 1 B I Class Officers Theron Ebel, President Dr. Jack Hickman and Officers VETERANS Darrell Regier, Treasurer Beverly Carpenter, Secretary John Brown, Vice-President Indiana University Medical School Class of 1970 MELVIN ABRAMS, M.D. Gary, Indiana JACK R. ADAIR, M.D. Brownsburg, Indiana STANLEY R. ADKINS, M.D. Twelve Mile, Indiana STEPHEN D. ALLEN, M.D. Switz City, Indiana WAYNE J. AMBROUS, M.D. Indianapolis, Indiana KENNETH ANDERSON, M.D. Indianapolis, Indiana DONALD ANKOV, M.D. Whiting, Indiana C. JOE OTTINCER, M.D. Indianapolis, Indiana DAVID O. BAUGH, M.D. Evansville, Indiana BARBARA A. BEELER, M.D. Gary, Indiana LAWRENCE C. BELL, M.D. Evansville, Indiana LOUIS B. BIXLER, M.D. South Bend, Indiana JOHN N. BLAIR, M.D. South Bend, Indiana NORMAN P. BLAIR, M.D. Indianapolis, Indiana JEFFREY L. BOHLINC, M.D. Munster, Indiana JAMES BOLKING, M.D. Indianapolis, Indiana LEO M. BON AVENTUR A, M.D. Hammond, Indiana JAMES B. BRENNAN, M.D. Columbia City, Indiana JOHN W. BROWN, M.D. Gosport, Indiana THOMAS K. BROWNE, M.D. Marion, Indiana JAMES E. BURKHART, M.D. Richmond, Indiana LAWRENCE K. BUSHKILL, M.D. Fort Wayne, Indiana KENNETH F. BUTTON, M.D. Munster, Indiana HOWARD L. CANTOR, M.D. Terre Haute, Indiana BEVERLY A. CARPENTER, M.D. Indianapolis, Indiana DONALD C. CHAMBERS, M.D. Aikea, South Carolina JAMES D. CHANDLER, M.D. Indianapolis, Indiana CHARLES CLEMENS, M.D. Indianapolis, Indiana RICHARD C. COMBS, M.D. Syracuse, Indiana DAVID G. CONGER, M.D. Waldo, Wisconsin THOMAS P. COOPER, M.D. Merom, Indiana DAVID L. COTTOM, M.D. Terre Haute, Indiana JAMES P. CRANE, M.D. Alton, Illinois JOHN F. C RE WES, M.D. Brazil, Indiana KENNETH L. CULBERTSON, M.D Indianapolis, Indiana JEFFREY C. DARNELL, M.D. Muncie, Indiana STEPHEN F. DICKEY, M.D. South Bend, Indiana DAVID C. DUNSTONE Fort Wayne, Indiana MARVIN E. EASTLUND, M.D. Indianapolis, Indiana THERON A. EBEL, M.D. Indianapolis, Indiana PATRICIA E. BADER, M.D. Indianapolis, Indiana DeWAYNE L. ENYEART, M.D. Indianapolis, Indiana PHILIP N. ESKEW, M.D. Indianapolis, Indiana JOHN T. FAR CHER, M.D. Michigan City, Indiana HAROLD G. FELTER, M.D. Indianapolis, Indiana EDWARD P. FEUTZ, M.D. Paris, Illinois NANCY F. FISHBACK, M.D. Indianapolis, Indiana WILLIAM FORTNER, M.D. Campbellsburg, Indiana ALAN B. FOSTER, M.D. Prospect, Connecticut PETER C. FREDERIXON, M.D. Crown Point, Indiana SHELDON J. FRIEDMAN, M.D. South Bend, Indiana JERRY A. GOODMAN, M.D. Indianapolis, Indiana THOMAS A. GOODNIGHT, M.D. Indianapolis, Indiana EMALEE K. GOTTBRATH, M.D. Jeffersonville, Indiana THOMAS R. GRUSZYNSKI, M.D. South Bend, Indiana KENNETH H. GUILD, M.D. North Truro, Massachusetts THOMAS W. HAMILTON, M.D. Evansville, Indiana EDWARD W. HARTZLER, M.D. Goshen, Indiana STEPHEN HAWKINS, M.D. Indianapolis, Indiana 8 LOUIS W. HECK, M.D. Terre Haute, Indiana THEODORE F. HECEMAN, M.D. Terre Haute, Indiana HAMID HE KM AT R A VAN, M.D. Milwaukee, Wisconsin LYLE G. HENRY, M.D. Indianapolis, Indiana RALPH G. HESLER II, M.D. Indianapolis, Indiana HORACE O. HICKMAN, M.D. Indianapolis, Indiana FREDERICK A. HILLIS, M.D. Logansport, Indiana FRANK L. HILTON, M.D. Terre Haute, Indiana UNDA B. HINER, M.D. Indianapolis, Indiana CRAIG B. HOFFMAN, M.D. South Bend, Indiana JON W. HOLDREAD, M.D. Goshen, Indiana ROBERT W. HONGEN, M.D. Kokomo, Indiana PAUL F. HOWARD, M.D Lake Placid, Florida RICHARD G. HUBER, M.D. Indianapolis, Indiana DONALD HUNSBERCER, M.D. Wyatt, Indiana MICHAEL J. HAGGER, M.D. Silver Lake, Indiana JOSEPH JAMESON, M.D. Indianapolis, Indiana PAUL E. JARRETT JR., M.D. Anderson, Indiana DAVID L. JETMORE, M.D. Huntertown, Indiana 8 J. MARTIN JOHNSON, M.D. Muncie, Indiana PHILIP J. JOHNSON, M.D. Muncie, Indiana PHILIP E. JOHNSTON, M.D. Fort Wayne, Indiana THOMAS A. JONES, M.D. Anderson, Indiana NINA C. KING, M.D. Speedway, Indiana GEORGE W. KMETZ, M.D. Crown Point, Indiana NANCY C. KNOLL, M.D. Indianapolis, Indiana DAVID J. KRULL, M.D. Rome City, Indiana GREGORY P. KWASNY, M.D. Hammond, Indiana MICHAEL T. LAMB, M.D. Brownsburg, Indiana ROBERT H. LARMORE, M.D. Anderson, Indiana RICHARD L. LAUTZENHEISER, M.D. Berne, Indiana FRANK H. LAWRENCE, M.D. Delmar, Delaware CHARLOTTE A. LEE, M.D. Huntersville, Alabama STEVE LENN, M.D. Indianapolis, Indiana MICHAEL K. LOMAX, M.D. Shoals, Indiana JOSEPH M. LONG, M.D. Indianapolis, Indiana DONALD R. LOWES, M.D. Wanamaker, Indiana CALE S. LUNDQUIST, M.D. West Lafayette, Indiana FRANK R. LUSHER, M.D. Chula Vista, California CO VI THOMAS A. MABEL, M.D. Indianapolis, Indiana ODILE W. MacALUSTER, M.D. South Bend, Indiana JERRY L. MACKEL, M.D. Huntertown, Indiana THADDEUS J. MALAK, M.D. Gary, Indiana THOMAS W. MARSHALL, M.D. Indianapolis, Indiana JOHN T. McCUCKIN, M.D. Park Ridge, Illinois david s. McLaughlin, m.d. Connersville, Indiana SHARON M. MEANS, M.D. Terre Haute, Indiana MARK E. MEYERS, M.D. Evansville, Indiana ROBERT M. MICHAELS, M.D. Summit, New Jersey JOHN L. MILLER, M.D. Great Falls, Montana ROBERT W. MILLER, M.D. Valparaiso, Indiana HARRY F. MILLS JR., M.D. Terre Haute, Indiana ROBERT P. MOHLMAN, M.D. Muncie, Indiana THOMAS J. MORETTO, M.D. Bremen, Indiana WILLIAM F. MORGAN, JR., M.D. Madison, Indiana DELBERT W. NELSON JR., M.D. Evansville, Indiana STUART A. O'BYRNE, M.D. Chicago, Illinois NORMAN W. OESTRIKE, M.D. Indianapolis, Indiana RICHARD H. OTTEN, M.D. Indianapolis, Indiana STEVEN E. OTTENWELLER, M.D. Fort Wayne, Indiana BONNIE J. PATTERSON, M.D. Griffith, Indiana W. DAVID PEPPLE, M.D. Auburn, Indiana JON C. PERKINS, M.D. Evansville, Indiana GUY F. PERRY JR., M.D. Indianapolis, Indiana JOHN C. PHARES, M.D. Kokomo, Indiana STEPHEN R. PLEDGER, M.D. Evansville, Indiana GYORGYG. POLCZ, M.D. Muncie, Indiana JOHN M. PROOS III, M.D. South Bend, Indiana JOSEPH C. RANDOLPH, M.D. Gary, Indiana o JAMES E. RAU, M.D. Indianapolis, Indiana CHARLES M. REECE, M.D. New Castle, Indiana DARREL A. RECIER, M.D. Hobart, Indiana CHARLES E. REHN, M.D. Evansville, Indiana PAUL H. RICE, M.D. Kokomo, Indiana DAVID W. ROBERTS, M.D. Manchester, Connecticut DONALD L. ROECNER, M.D. Tipp City, Ohio PHILIP A. ROPER, M.D. Indianapolis, Indiana JAMES R. ROUSH, M.D. Morgantown, Indiana MICHAEL J. RUEGSECCER, M.D. Waterloo, Indiana MAX RUDICEL, M.D. Muncie, Indiana GORDON A. S AS KIN, M.D. Indianapolis, Indiana JACK R. SCHERER, M.D. Columbus, Indiana ESTHER SCHUBERT, M.D. Taiwan ARNOLD J. SCHULTE, M.D. DOUGLAS J. SEIP, M.D. Fort Wayne, Indiana RICHARD T. SENN, M.D. Indianapolis, Indiana JAMES L. SEPIOL, M.D. N. PHILIP SHELTON, M.D. Indianapolis, Indiana JOHN C. SHERMAN, M.D. HARRY J. SHRIVER, M.D. CHARLES M. SHUMATE, M.D. GERALD R. H. SOKOL, M.D. THOMAS SOUTHERN, M.D. JAMES G. SPAHN, M.D. STEPHEN C. SPURGEON, M.D. HOWARD STAMM, M.D. Galesburg, Illinois RONALD E. STEELE, M.D. Evansville, Indiana BARRY R. STEIMAN, M.D. Swampscott, Massachusetts WILLIAM M. STONE, M.D. Indianapolis, Indiana RICHARD D. TELLE, M.D. Valparaiso, Indiana JOHN H. THOMAS, M.D. Huntington, Indiana HARRY P. M. VON TOBEL, M.D. West Lafayette, Indiana CLARENCE E. WALLS, M.D. Oak Park, Illinois MARY ANNE WALTHER, M.D. Indianapolis, Indiana STUART J. WARNER, M.D. Indianapolis, Indiana THEODORE M. WARNER, II, M.D. Indianapolis, Indiana STEPHEN C. WATSON, M.D. Anderson, Indiana R. WYATT WEAVER, JR., M.D. Fort Wayne, Indiana GEORGE WEIS, M.D. Elmore, Ohio CHARLES F. WILLIAMS, M.D. Fort Wayne, Indiana LARRY V. WILLIAMS, M.D. Edinburg, Indiana LOUISE M. YOH, M.D. Speedway, Indiana PHILIP ZOERCHER, M.D. Tell City, Indiana WALLY ZOLLMAN, M.D. Walton, Indiana RONALD AHLBRAND, M.D. DONNA C. BLYTHE, M.D. Indianapolis, Indiana STEPHEN BLYTHE, M.D. Indianapolis, Indiana DAVID S. HURST, M.D. Hammond, Indiana MARC A LEVIN, M.D. Whiting, Indiana LINDA K. STRAWBRIDGE, M.D. Indianapolis, Indiana ROBERT STRAWBRIDGE, M.D Indianapolis, Indiana FRED WESBROOK, M.D. Indianapolis, Indiana , Class Members Not Pictured 5 SAMUEL WILLIAM BERG, M.D. GERALD LEE BLOSSOM, M.D. JANET T. BLOSSOM, M.D. MICHAEL SIMON COFFMAN, M.D. MICHAEL JOSEPH DUKES, M.D. MARC EISENBERG, M.D. ROBERT FLOYD EZELL, M.D. JACK LLOYD FOLTZ, M.D. KIM LYLE FROBERG, M.D. JANICE FOX GABLE, M.D. RICHARD CAMERON GINGERY, M.D. TERRY FLETCHER HATCH, M.D. DONALD F. HODURSKI, M.E. JAMES ANDREW HUNT, M.D. MICHAEL WILLIAM KENNEDY, M.D. RICHARD MICHAEL KNAPEK, M.D. MICHAEL RAY KNONWITZ, M.D. JOHN THOMAS McCUCKIN, M.D. DAVID STEPHEN McLAUGHLIN, M.D. JON TERRY MADER, M.D. STEPHEN DENNIS MALUCA, M.D. GEORGE WALLACE MERKLE, M.D. STEPHEN ROGERS MILLER, M.D. JOHN EDWARD MULGLUR, M.D. JAY EDWIN NOFFSINGER, M.D. STUART ABBOTT O'BYRNE, M.D. DAVID ANTHONY PARDIECK, M.D. YUK C. POON, M.D. WILLIAM ZEIGLER POTTER, M.D. JOHN DICKSON RAU, M.D. EDWARD JAY RYAN, M.D. MICHAEL GERARD RYAN, M.D. GILBERT ALLAN SARTORE, M.D. ELIZABETH JILL UNGER, M.D. MICHAEL B. WEEKS, M.D. Internship Assignments—Class of 1970 Jack R. Adair Stanley R. AdkinJ Methodist Hospital, Indianapolis Stephen D. Allen Vanderbilt, Nashville Wayne J. Ambrous Methodist Hospital, Indianapolis Kenneth W. Anderson Forth Wayne Medical Education Donald H. Ankov Grady Memorial, Antlanta Leslie A. Bain Memorial, Long Beach David, O. Baugh Indiana University, Indianapolis Barbara A. Beeler Indiana University, Indianapolis Lawrence C. Bell St. Joseph’s, Denver Louis 8. Bixler Memorial Hospital, South Bend John N. Blair Memorial Hospital, South Bend Norman P. Blair Colorado Medical Center, Denver Gerald L. Blossom Marion County General, Indianapolis Janet L. Blossom Methodist Hospital, Indianapolis Donna G. Blythe Marion County General, Indianapolis Stephen E. Blythe Marion County General, Indianapolis Jeffrey L. Bohling St. Mary's Hospital, Leo M. Bonaventure Cook County Hospital, Chicago James E. Bodkin, Jr. St. Elizabeth's, Dayton James N. Brennan University Hospitals, Cleveland John W. Brown University of Michigan, Anne Arbor Thomas K. Browne Marquette University Hospitals, Milwaukee James E. Burkhart North Carolina Baptist Lawrence L. Bushkill L. A. County Harbor Central Kenneth F. Button Presbyterian Hospital, N.Y.C. Howard L. Cantor St. Joseph's, Syracuse Beverly A. Carpenter Indiana University, Indianapolis Donald C. Chambers Methodist Hospital, Indianapolis James D. Chandler Ball Memorial Hospital, Muncie Charles W. Clemens Memorial, South Bend Richard C. Combs Indiana University, Indianapolis David C. Conger Norfolk, General Hospital, Norfolk Thomas P. Cooper Tampa General Hospital, Tampa David L. Ccetom Galveston, Univ. of Texas John F. Crewes, General Rose, Denver Kenneth L. Culbertson Memorial, South Bend Jeffrey C. Darnell Indiana University, Indianapolis Stephen F. Dickey Tampa Ccncral Hospital, Tampa Michael J. Dukes Methodist Hospital, Indianapolis David C. Dunstonc Bronson Methodist, Kalamazoo Marvin E. Eastlund Saint Vincent's, Indianapolis Marc S. Etsenberg Yale New Haven Medical Center Dc Wayne L. Enyeart Santa Clara, San Jose Philip N. Eskew, Jr. St. Vincent's, Indianapolis Robert F. Ezell Memorial Baptist, Houston John T. Farghcr Tampa General, Tampa Harold C. Felter, Jr. Indiana University, Indianapolis Edward P. Feutz Barnes Hospital, St. Louis Nancy F. Fishback Touro Infirmary, New Orleans William R. Fortner Methodist Hospital, Indianapolis Alan B. Foster St. Joseph's, Syracuse Peter C. Frcdcrlxon Hennepin County, Minneapolis Sheldon J. Friedman Indiana University, Indianapolis Kim L. Froberg Marion County General, Indianapolis Janice R. Gable Lutheran General, Chicago Richard C. Gingery Weld County General, Denver Jerry A. Goodman Methodist Hospital, Indianapolis Thomas M. Coodnight Methodist Hospital, Indianapolis Emalce K. Cottfcrath University of Illinois, Chicago Thomas R. Cruszynskl St. Joseph's, South Bend Kenneth H. Guild St. Elizabeth's, Boston Edward W. Hartzlcr Indiana University, Indianapolis Terry F. Hatch Johns Hopkins. Baltimore Stephen S. Hawkins Methodist Hospital, Dallas Louis W. Heck Indiana University, Indianapolis Theodore F. Hegeman Indiana University, Indianapolis Hamid Hekmatravan L.A. County--USC Medical Center Lyle C. Henry Marquette University, Milwaukee Ralph C. Hosier L.A. County--USC Medical Center Horace O. Hickman Indiana University, Indianapolis Frederick A. Hillis Indiana University, Indianapolis Frank L. Hilton St. Mary's Hospital Linda B. Hincr Colorado Medical Center, Denver Donald F. Hodurski Indiana University, Indianapolis Craig B. Hoffman Miami Valley, Dayton Jon W. Holdrcad IUMC • Psych latry Robert W. Hongen Marquette University, Milwaukee Paul F. Howard Univ. of California--L.A. Donald W. Hunsberger Ball Memorial, Muncie James A. Hunt Methodist Hospital, Indianapolis David S. Hirst Maine Medical Center, Portland Michael J. Jagger St. Joseph's, South Bend Robert J. Jameson Indiana University, Indianapolis David L. Jetmorc Mary Hitchcock Memorial John M. Johnson Colorado Medical Center, Denver Philip J. Johnson Fort Wayne Medical Educ. Program Philip E. Johnston Methodist Hospital, Indianapolis Thomas A. Jones Memorial Hospital, South Bend Michael W. Kennedy Marlon County Ccneral, Indianapolis Nina C. King Methodist Hospital, Indianapolis George W. Kmetz St. Elizabeth's, Dayton Richard M. Knapek Marion County General, Indianapolis Nancy C. Knoll St. Joseph's, Phoenix David J. Krull Miami Valley, Dayton Gregory P. Kwasny Cleveland Clinic, Hospital Michael T. Lamb St. Luke's, Denver Robert H. Larmore Highland General, California Richard Lautzenhclscr Methodist Hospital, Indianapolis Frank H. Lawrence Maine Medical Center, Portland Steven D. Lenn Methodist Hospital, Indianapolis Marc A. Levin Cleveland Clinic Hospital Michael K. Lomax Methodist Hospital, Indianapolis Joseph M. Loog Army Medical Services Hospitals Brooke, San Antonio Donald R. Lowes Marion County General, Indianapolis Calc S. Lundquist Sacred Heart, Spokane Frank R. Luther Good Samaritan, L.A. Thom at A. Mabel Methodist Hospital, Indianapolis Odile Mac Allister Indiana University, Indianapolis Jerry L. Macke! St. Vincent's, Indianapolis Jon T. Madcr Unlv. of Texas, Calvcstoo Thaddcus J. Malak Rhode island Hospital Steven D. Maluga Marion County Ccncral, Indianapolis Thomas W. Marshall St. Vincent's, Indianapolis John T. McCuckin Rhode Island Hospital David S. McLaughlin Miami Valley, Dayton Sharon Means Marion County Ccneral, Indianapolis Mark E. Meyers St. Mary's Hospital, Robert H. Michaels Methodist Hospital, Indianapolis John L. Miller Methodist Hospital, Indianapolis Robert W. Miller Walter Reed, Washington D.C. Stephen R. Miller Ball Memorial, Muncie Harry F. Mills Robert P. Moh I man Kaiser Foundation, California Thomas J. Moretto St. Vincent's, Indianapolis William F. Morgan St. Joseph's, Phoenix Delbert W. Nelson Indiana University, Indianapolis Jay Noffslnger Naval Forida Stuart A. O'Byrne Brooke Army Hospital, San Antonio Norman W. Oe strike Indiana University, Indianapolis Richard H. Ottcn Hurley Hospital, Flint Steven E. Ottcnwclicr Butters worth Hospital, Michigan Cocny Joe Ottingcr Memorial Hospital, South Bend David A. Pardicck Miami Vally, Dayton Bonnie J. Patterson Indiana University, Indianapolis Jon C. Perkins St. Mary’s Hospital, Cyorgy C. Polcr Cook County, Chicago Yuk C. Poon Marion County Ccneral, Indianapolis John M. Proos St. Vincent's, Indianapolis Joseph C. Randolph St. Vincent's, Indianapolis James E. Rau L.A. County—USC Medical Center John D. Rau Univ. of California, L.A. Charles M. Recce Memorial Hospital, South Bend Darrel A. Regier Montefiore Hospital, N.Y.C. Charles E. Rchn Methodist Hospital, Indianapolis Paul H. Rice St. Vincent's, Indianapolis David W. Roberts Marion County Ccneral, Indianapolis Donald R. Roegner St. Joseph's, South Bend Philip A. Roper Methodist Hospital, Indianapolis James R. Roush St. Elizabeth's, Kentucky Max H. Rudiccl Ball Memorial, Muncie Michael J. Rucgseggcr Miami Valley, Dayton Edward J. Ryan Naval, Chelsea Michael C. Ryan St. Vincent's, Indianapolis Cilbert A. Sartore St. Mary's Hospital, Cordon A. Saskin Duval Medical Center, Florida Jack R. Scherer St. Joseph's, South Bend Esther Shtibcrt Methodist Hospital, Indianapolis Arnold Schulte Marlon County Ccneral, Indianapolis Douglas J. Seip Marquette University, Milwaukee Richard T. Scnn Henry Ford, Detroit James L. Scpiol Providence, Seattle Norman P. Shelton Methodist Hospital, Indianapolis John C. Sherman St. Elirabcth's, Kentucky Harry J. Shriver Marion County Ccneral, Indianapolis Cerald H. Sokol Temple University, Philadelphia Thomas E. Southern Naval, Bcthesda James C. Spahn Methodist Hospital, Indianapolis Stephen C. Spurgeon Marion County Ccneral, Indianapolis Howard W. Stamm Memorial Hospital, South Bend Ronald E. Steele Methodist Hospital, Indianapolis Berry R. Steiman St. Louis Univ. Hospitals William R. Stone Methodist Hospital, Indianapolis Linda K. Strawhridge Indiana University, Indianapolis Robert A. Strawhridge Indiana University, Indianapolis John H. Thomaf Marquette University, Milwaukee Harry M. Von Tobel Univ. of Michigan, Anne Harbor Clarence E. Walls Blodgett Memorial, Michigan Mary Anne Wallhcr Lankenau, Philadelphia Stuart J. Warner Theodore M. Warner Methodist Hospital, Indianapolis Stephen C. Watson St, Vincent’s, Indianapolis R. Wyatt Weaver Memorial Hospital, South Bend Michael B. Weeks Harkness Community, San Francisco George A. Weis Univ. of Michigan, Anne Arbor Frederick P. WcSbrook Indiana University, Indianapolis Charles F. Williams Indiana University, Indianapolis Larry V. Williams Indiana University, Indianapolis Louise A. Yoh Cook County, Chicago Philip Zoerchcr Hermann County, Houston Charles W. oilman Methodist Hospital, Indianapolis Melvin Abeam Tassapa Ccneral, Tampa Ronald M. Ahlbrand St. Joseph's, South Bend Patricia E. Bader Indiana University, Indianapolis Samuel W. Berg Bloomington, Indiana-- Michael S. Coffman IUMC Psychiatry James P. Crane St. Louis Maternity Hospital Thcron A. Ebel St. Vincent's, Indianapolis Jack L. Foltz Indiana University, Indianapolis Thomas W. Hamilton Santa Barbara Ccneral, Santa Barbara Richard C. Huber Ball Memorial, Muncie Paul E. Jarrctt Indiana University, Indianapolis Michael Konowiti St. Joseph's, Phoenix Charlotte Lee St. Joseph's, Phoenix Ccorgc W. Merkle Fort Wayne Medical Educ. Program John E. Mulglur St. Joseph's, South Bend Walter D. Pepplc Fort Wayne Medical Educ. Program William Z. Potter Charles M. Shumate Indiana University, Indianapolis Richard D. Telle Phoenix, Arizona Elizabeth Jill Unger Indiana University, Indianapolis INDIANA UNIVERSITY MEDICAL CENTER TOP IMPRINT MARGIN M6648000 TEMPORARY RELEASE The maximum time limit that may be granted is 72 hours. If patient needs to be absent for a longer period they are to be discharged. Minors are to have the forms completed by parent or guardian and they are to be released only to those persons. 1. THE UNDERSIGNED. UNDERSTAND THAT PERMISSION HAS BEEN GRANTED FOR cn 9 0 - T C(M (Myself or Name of Patient) TO BE ABSENT FROM THE HOSPITAL FOR A PERIOD BEGINNING AND ENDING i 970 (Date) '9 70 (Date) IN ADDITION, IT IS AGREED THAT I ASSUME FULL RESPONSIBILITY FOR MY OR MY CHARGE'S SAFETY AND WELL-BEING DURING THIS PERIOD AND WILL HOLD THE HOSPITAL AND MEDICAL STAFF HARMLESS FOR ANY INJURY OR DAMAGE SUSTAINED WHILE OFF THE HOSPITAL PREMISES. I, FURTHER, UNDERSTAND THAT HOSPITAL CHARGES FOR BED OR ROOM WILL BE CONTINUED DURING THIS ABSENCE. (Witness) T o? 970 % tient or Guardian) $ Q (Date) f 970 Tjl 9 70 (Date) The above patient has been given permission to leave the hospital for a period beginning inning 9 97o (Date) and finding JU ' ■970 (0fne) Q 1 (Date) In my opinion this absence will be beneficial to the patient and not interfere with the hospital treatment. (Attending Physician or Representative) 3. 97 (Oatef USE ONE SIDE ONLY TEMPORARY RELEASE 70-1B TOP IMPRINT MARGIN USE ONE SIDE ONLY history-physical-progress ther) 1 B (CIRCLE ONE) So Teach Us To Number Our Days, So That We May Apply Our Hearts unto Wisdom.
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