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

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i in- i f V WW ff? Meridia A 2 ' N T ' rigiiqf era linii,Ql',f:sliniliiiilfigitigliei'iQii.iiQiolltgt11+1i.,l it y11i1i3iigri.nsi1r11m.n,i OBSTETRICS AND GYNECOLOGY H12 past year has brought with it ,certain improvements in the De- partment of Obstetrics and Gynecology, for without improvements there can be no progress and without progress there is likelytto he deterioration. These betterments have consisted chiefly in doing tm ' more careful work, analyzing our records, turning out better his- tories, additions to our equipment and physical plant, the creation Q at the expense of our obstetric laboratoryj of an isolation nursery with separate cubiclesg the elaboration of our follow-up clinic, and finally, the establishment of a cancer clinic for women. The continuous growth of our Department has overtaxed our bed capacity and we cannot grow larger until we can increase our physical plant. This cannot be done until either a new building for Obstetrics and Gynecology, or a new pavilion for private and semi-private patients, is built-thus giving more room for private ward and ward patients in our present quarters. Until this actually happens, we can and will grow better, but not larger. In spite of the handicaps from our overcrowding, and at times, actual lack of fbeds, our De- partment is turning out 1TlO1'C and better work than ever before-as the vener- able Doctor Johnson once said Nothing is impossible to diligence and skill? How long will the community in which a Hospital such as ours is situated allow it to exist as it is ?-just as long as the Board of Managers and the Physicians connected with the Hospital are satisfied. The enthusiasm must come from within, it can never come from without. VVe need so much and have compara- tively so little with which to acquire our actual needs. One might ask with propriety, when do we get a new nurses' home?g a private pavilion?g a new and modern laboratory? VVe are not pessimistic, we like to believe that out of big ideas some good may come. Witlioiit an increase of beds, work rooms or nursing personnel, etc., we can and will progress but the path will be rougher and the work more arduous. Perhaps it will be more pleasing to the community we serve, which after all we should cultivate, cater to and try in every way to please. We need boosters, not knockers. Let our Alumni spread the news of the good work we are doing and the handicaps under which we labor. The follow-up clinic is progressing, practically every case taken care of in the wards of our Department returns upon notification for examination and advice. These follow-up examinations are recorded and filed with the history of the case, a true follow-up system that is working, affording information as to our failures and successes, making us better and more careful surgeons. A Cancer Clinic for our Department was established during 1928. This is essentially a diagnostic clinic, selected cases are referred to the Hospital where we can, and do, treat malignant growths of the cervix and uterus effectively 5, -,VY iv -T lf, ' r' +.l ' ' ' ' m X lf Page Twelzty-sewn fj

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RTHENT 'rf UBSTET

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,.,..t:a, QF , f ' za' 3, :ale-: -. if E ' ' Q-A--H-H-1--A--m-nyD.....f61irail -..a..-.--..-.e-,-c--.,-..Y-.--.W et.- eai-fsrsrwin fr as W if l Qll lfl, l' l,LLlj.l g ljLl.,Q,llUeQlllT 1fL?gfL fLQlIi.LQQlQTflifl with our present amount of radium, in conjunction with the X-ray Department, which administers the deep ray therapy. Our great need is more radium, with the acquisition of another 100 milligrams, we could treat effectively all cases of malignancy that may come to our clinic. With the help and cooperation of all concerned, including the American Society for the Control of Cancer, we expect to build up a Cancer Clinic second to none in the Borough of Brooklyn. The new plan of third year instruction, which was introduced this year, while not perfectly satisfactory, is, we believe, giving good results. It would seem, however, that the old question and answer method of teaching is still highly desirable. A Junior student needs more fundamental knowledge than the new system is giving him-however, the character of our student -body is steadily improving and perhaps this may compensate for the loss of the personal touch in the new system. 1928 has been a good year as regards contributions to medical literature. Many members of our staff have contributed papers, delivered addresses and lectures, spreading the news generally of the work of our Department. It is only through such endeavor on the part of all Departments of our Hospital that the profession and the laity, which is more important, will ever know and learn to appreciate just what we are doing. ' JOHN OSBORN POLAK. is A: gif so W r 'i-,-:,,, ,.-.,..s- sd- -- 1 lf Page Twenty-nigh! :I