SUNY Downstate Medical Center - Iatros Yearbook (Brooklyn, NY)

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am A431-56'bL1.'hLlf5bLA6BLli2,L5J6bLA6E1 iran m'b4,4cL2gJ.Tzc1il4JQL,16Lbu-454 1GiiQX,rJ5g- , ,LQ-4 !QLtQi!-LQ A. 15:31. , I ,X ff, ' ll'.allK3lL4lCDXll..AE'f3f i - X j , 1' ,f I 1: cyfrzyf vvvvffvf 11911121 FQDYWVQPW-?'L?f7l9?-fi'.3f'f1?f'l'4.!f VQWVQJT V121 uxfrz., .xffkgy ' 9 ei? f5G17 Ey' Surgeon at the Jewish Hospital, and Dr. John E. Jennings, formerly Chief Surgeon at the Brooklyn Hospital, conducted operative clin- ics on abdominal conditions in which both men are experienced and interested. It is felt that whenever possible we should give our students an opportunity to see and to hear surgeons of distinction for the sake of wider contacts with surgeons andsurgical teaching. We hope to encourage this policy. It is our privilege to report that many fa- cilities have been added to the technical work in the operating room. It is needless to go into the details at present excepting to say that the improvements which were mentioned in our previous report as being desirable, namely, the installation of a more adequate steriliza- tion plant and an increase in the available sterilizers and the tiling of the floors and walls in several of the operating rooms, have been provided and have added greatly to the general efliciency of both nurses and doctors. Thus, it has been made possible to increase our census of operations without undue lab- orious effort and with great benefit to our pa- tients. The census of patients and operations during the past year has shown a normal in- crease over the previous year, a sign which is encouraging and which makes us project our- selves hopefully into the future and to take into account such means as we shall have to employ to meet the growing demands on our facilities. The following figures are signifi- cant: Total operations for year 1924-1130 Total operations for year 1925-1243 Total operations for year 1926-1306 On account of the increase in the census of operations the members of the House Staff have been unusually busy and on account of the large number of emergencies, many of which are treated at night, the demands upon ev. .v:, .-v . . . .-1. .v. . .1-. .1-, , -X . va. , . ' ' , 3--'Wigs-X ' the House Staff became so great that it was necessary to increase the number of residents in order to furnish adequate operating teams. Furthermore, it became necessary to more efficiently staff the Surgical Dispensary by our Residents and Internes in cooperation with the Attending Surgeons. The Board of Re- gents and Superintendent of our hospital granted the appointment of another Assistant Resident Surgeon, Dr. Edward P. Dunn, who began his new duties January, 1927. We feel sure that the hospital and patients generally will profit by this increase. This calls our at- tention to the question of operating room fa- cilities in general and I visualize the time when the Long Island College Hospital will have an entirely new and properly organized suite of operating rooms to take care of an increasing number of operations and to allow for extension of all the surgical work in our institution. The operating rooms at present are entirely inadequate. However, we are not complaining but rather hoping for the time when through gift, endowment or otherwise. it may be possible to build a large modern well equipped operating pavilion. lt would appear that this is one of the great needs as far as the surgical work of the hospital is concerned. Each succeeding year has shown a healthy growth in the goitre clinic and with this growth have come increasing demands on our facilities and personnel. Thus the demands for studies in metabolism and diagnostics of thyroid disorders have become corresponding- ly greater. Incidentally, certain problems re- quiring frequent metabolic rates at short in- tervals presented themselves. lt was therefore felt that we could no longer reasonably ask the Department of Medicine with its increas- ing laboratory problems to furnish us with the necessary metabolism data. Through the -r.'..-v:. .-Q. . .. . , .v. xv. .v-. mr. .y. nn, .sn . . nf. .-v-. nr. . . .v. . . .-v. . I Page 'l'u.'r-ntg-one 1

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taaufwgu-Quswa ig? 5' .4.i,Qg.,n1,iaztmI-1: 1 1420-'T-1 Kuxnuzmml KTA Kauffman an-4 m H! - Xu, fi gp fi 315 5' -' if 0 ,..l1,lEiIiQ..ELAa,.5 'fw44g,nr1-1v'lYI SURGERY U mllf i T is always helpful and encourag- namely, that of neural surgery. We fortu- ing at this time of the year to nately had a number of interesting traumatic take stock of the work of the cases in which the problem of the treatment previous year in the Surgical De- of damaged nerves afforded excellent material partment and to note particularly to what degree the hopes previously expressed have been fulfilled. In our last report special reference was made to the foundation of a division of Surgical Pathology under the direction of Dr. Benja- min M. Cissel, Instructor in Surgery. This had two major purposes. One was to give our fourth year students an opportunity of first- hand contact with fresh and preserved surgi- cal pathological material and to receive direct teaching from the instructor in charge. It is a satisfaction to report that this division has been interesting and profitable to both our students and instructors. The routine study and recording of pathological data has reached a stage of standardization and at present with the very great help of Dr. Archibald Murray, our Pathologist, we have been able to profit far more from the study of our cases than was formerly possible. It is hoped that publica- tions may eventually ensue from this work. It has become our policy to invite eminent professors distinguished in their various fields to conduct clinics in surgery, thus taking over some of the Wednesday afternoon hours reg- ularly devoted to surgical clinics. We had the good fortune in the fall trimester to have Dr. Dean Lewis, Professor of Surgery at Johns Hopkins Medical School, give a clinic on a field in which he has done original work and in which he is an outstanding authority, for Dr. Lewis' demonstration. Recently a distinguished surgeon, Dr. Edward Archibald, Professor of Surgery at McGill University, conducted a Wednesday afternoon clinic for the fourth year class. Dr. Archibald and his co-workers have become unusually interested in the subject of post-operative pulmonary col- lapse and pulmonary surgery in general. The students and staff were delighted to hear Dr. Archibald and to learn from an outstanding authority some of the facts and theories re- garding the very interesting subject of post- operative pulmonary collapse. In the fall trimester, the Department of Surgery was singularly honored by having Dr. Roberto Alessandri, the distinguished and genial Professor of Surgery at the University of Rome, as its guest. Professor Alessandri spent the greatest part of a day making rounds through the wards and operating rooms and held an informal conference in the Surgical Pathological Laboratory where, in the pres- ence of members of the staff and internes, he made pertinent and instructive comments about numerous laboratory specimens, gross and microscopic. He manifested keen interest and enthusiasm and was a source of inspira- tion to all of us. Further encouragement was given to a closer cooperation between the extraumal teachers and the Long Island College Hospital Staff. Thus, Dr. William Linder, Chief -mgigififiridfiiiki-A 1115 615mm - Ar i Q , -wv v , . , - vi-rw-Lin: c, . .. - , If Page 'llumty J

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....- '- .A ..,.4.e-?.,1,..Q-a1,.a:..'rr,4..L ., - lj LKME' A 1LK KN 1?'iy'i-Fig-1 E- ,Vik V Tii ,'f'E., f'N., 1171711 ' 'i sp J' . -U-IA.. A .Q Vx Jqgd 1 N' 9 'K .illifll-llQD3l'Xlll,AX' . faux f iw i, ' 1.1 1' '1 -fx--1Q-, ' '-f ' V sf ' , generosity of Mr. S. L. Butler, space was pro- vided in close proximity to the Women's Surgical Ward for a modern, thoroughly equipped metabolism laboratory, which has been in operation since the beginning of the school year. We take this opportunity of ex- pressing our indebtedness to Dr. Louis John- son of the Department of Medicine, who un- sparingly and generously gave his time and at- tention in the past to the studies in metabol- ism in our goitre clinic. Without his pains- taking care we would have been deprived of much useful data and many aids in diagnosis and prognosis. Continued interest is shown by the mem- bers of both the Attending and House Staff in original work and in attendance at medical societies and the presentation of clinical pa- pers before the medical world, not only in our own community but in distant places. This should be an important function of all hospi- tal staff members and should receive the great- est encouragement. We feel that the work of the past year encourages further and better work in the future. EMIL GOETSCH, NLD. If l Q 1 jg-to'o.V in Q35 Q, KU! 9 .- fe-Gjgfis E-1.25.5-lj - SCHTENTHA -U 11N - V H V , g -- 4 - - 'v -4' -4' -av 4' + - - 'r - - -4- a+' -44 -A' -5- ur -4 me ' I Page Twenly-two 1