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During  a  recent  lunch  with 
medical  student  leaders,  they 
described  several  programs 
they  are  developing  to 
improve  the  delivery  of  health  care  to 
North  Carolina's  rapidly  growing  Latino 
population.  I  am  proud  that  our  students 
are  continuing  our  school's  tradition  ot 
creating  new  programs  to  meet  communi- 
ty needs.  1  asked  Dr.  Cheryl  McCartney. 
Executive  Associate  Dean  lor  Medical 
Education  and  Dr.  Georgette  Dent,  Asso- 
ciate Dean  for  Student  Affairs,  who 
mentor  and  support  these  leaders,  to 
describe  the  student  initiatives  below. 


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In  the  past  3,'i  years.  Latinos  have 
become  the  kirgest  immigrant  group  to  the 
Lhiited  States:  in  North  Carolina,  the 
Latino  population  increased  94.7  percent 
during  the  199()s.  Although  our  state's 
Latinos  have  diversified  their  employ- 
ment from  rural  farm  work  to  jobs  in 
urban  construction  and  hospitality,  this 
population  remains  in  the  ranks  of  low 
wage  earners  who  face  language  and 
cultural  barriers  to  our  state's  health  care 
system.  Four  medical  student  organiza- 
tions are  addressing  these  issues:  Spanish- 
speakers  Assisting  Latinos  Student 
Association  (SALSA),  the  Student  Health 
Action  Committee  (SHAC),  Prevention 
in  ACTion  (PACT)  and  the  International 
Health  Forum  (IHF). 

SALSA  was  organized  in  1997  by 
three  medical  students:  Marchi  Lopez- 
Linus  ('99).  Romulo  Colindres  (MS4)  and 
Suzanne  Strandhoy  ('99).  The  initial  20 
members  provided  Spanish-language 
interpreter  services  to  the  maternity  and 
well-child  clinics  at  the  Chatham  Countv 


Health  Department  in  Pittsboro  and  our 
local  student-run  SHAC  clinic.  SALSA's 
current  80  members  also  serve  the  Wake 
County  Health  Department's  clinics 
in  Zebulon  and  Fuquay-Varina.  UNC 
Hospitals  and  the  SHAC  health-care 
booth  at  the  annual  fair,  hi  Fiesta  del 
Pueblo.  Dr.  Alan  Cross  (adolescent  medi- 
cine) is  the  faculty  adviser  for  SALSA  and 
this  year's  co-coordinators  are  Vaishali 
Gupta  (MS2)  and  Keith  Kocher(MS2). 

The  SHAC  Clinic,  located  in 
Carrboro,  is  the  oldest  student-run,  free 
health  care  clinic  for  indigent  patients  in  the 
United  States.  SHAC's  patients  now 
include  a  significant  number  of  Latinos. 
SHAC  co-coordinators  this  year  are  David 
Yale  ( MS2)  and  Eric  Wolak  ( Nursing  '(K)). 
The  faculty  adviser  is  Dr.  Adam  Goldstein 
(family  medicine). 

The  IHF  discusses  international 
health  issues  and  promotes  opportunities 
for  medical  students  to  study  abroad. 
Recently,  interest  in  research  and  service 
projects  in  Spanish-speaking  countries 
resulted  in  students  traveling  to  Costa 
Rica.  Honduras,  Bolivia  and  Mexico. 
Funded  by  our  school's  foreign  fellow- 
ship grant  or  by  loans,  students  have 
improved  their  Spanish  language  skills 
while  conducting  supervised  projects. 
This  year's  IHF  co-presidents  are  Todd 
DeVries(MS2),  Matthew  Foster  (MS2) 
and  Alan  Schulman  (MS2).  Caroline 
Stuck,  deputy  director  of  the  Office  of 
International  Affairs,  is  the  IHF  faculty 
sponsor. 

PACT  students  focused  on  migrant 
health  issues  this  fall.  With  support  from 
the  UNC  Program  on  Prevention  and  the 
Wake  County  Health  Department, 
students  were  on  the  front  lines  of  preven- 
tion in  the  free  clinics  for  these  Latino 
workers.  Rachel  Reisner  and  Miriah 
Teeter  (both  MS2,  PACT  co-presidents) 
organized  groups  that  prepared  culturally 
sensitive,  Spanish  language  curricula  about 
prevalent  health  problems  of  the  communi- 
ty such  as  diabetes,  hypertension,  green 
tobacco  illness,  sun  exposure  and  dehy- 
dration, pact's  faculty  adviser  is  Amy 
Ward.  Program  on  Prevention  co-direc- 
tors are  Drs.  Russ  Harris  and  Linda 
Kinsinger  (internal  medicine). 

Medical  student  enthusiasm  for 
improving  Spanish  fluency  has  galva- 
nized co-presidents  of  our  second-year 


class.  Heather  Crou.se  and  Rebecca  Sands, 
to  coordinate  the  development  of  a 
medical  Spanish  course  for  intermediate 
speakers.  Internist  and  co-director  of 
Introduction  to  Clinical  Medicine, 
Dr.  Marco  Aleman,  will  direct  this  course, 
emphasizing  the  language  skills  needed  to 
interview  and  examine  patients.  Associate 
University  Provost  Ned  Brooks,  who  has 
supported  the  health  affairs  interdiscipli- 
nary Spanish  course.  La  Charla.  has  fund- 
ed the  initial  development  of  the  course, 
and  Dean  Houpt  will  continue 
the  funding. 

Students  discussed  the  creation  of 
a  special  clinical  track  for  those  who  want  to 
develop  their  Spanish  skills  and  cultural 
competency.  Students  could  choose  to 
complete  required  clinical  course  work  in 
selected  communities  with  a  significant 
Sp;uiish-speaking  population. 


Medical  Alumni 
Association  Officers 

President 

Gordon  B.  LeGraiui.  MD  "65 

Riilcl,i;li 

President-Klect 

Paul  E.  Viser.  MD  84 
Cliiiron 

Vice  President 

Thomas  J.  Kooiit/.  MD  66 

\\'iii.\t(iihSii/ciii 

Secretar\ 

Ralph  L.  Wall  Jr..  MD"7X 

WlnsldihSiili'Di 

Treasurer 

William  .M.  Hemdon.  Jr..  MD  "XI 

Chaiionc 


Editorial  Staff 

John  W.  Stokes 

\hc  President.  Public  Affairs  & 

Markctiiv^ 

Debra  Pierce 

MciiKf^iii'^  F.diuir 

Leslie  F.  Lang.  Melissa  Matson.  Karen 
Slinnetord.  L\nn  Woolen 

Cdiurihiiiin'j.  \\  riuis 

Jon  Roltel  (pi:.  I  I ) 
Bill  Reaves  (pg.  12) 
Slarlyn  Comhs  (pgs.  21.  22 1 
Don  MacKen/ie  (pg.  22) 
Pluiid'^niphcrs 

The  Mediial  Alumni  liiillciin  is  published  lour  nines 
annually  by  ihe  LNCrhapel  Hill  Medical  .Alumni 
Association.  Chapel  Hill.  NC  27.^  14  Postage  is  paid 
by  Ihe  non-profit  asstKiation  through  L'.S.  Postal 
Permit  No.  24.  Address  correspondence  to  the  editor. 
OfTice  of  Medical  Center  Public  AITain..  .School  ol 
Medicine.  CB#7WK).  rjniversily  of  North  Carolina. 
Chapel  Hill.  NC27';i4. 


Medical  Alumni 

BULLETIN 

School  of  Medicine,  I  niversity  of  North  Carolina  at  Chapel  Hill 


Contents 

Features 

MissniiiariL's  lit  the  Medical  Type            

->, 

Building  .An  Acadoniic  Medical  Center 

....6 

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.SiitgeiA  StLidents  Create  Hugh  Willianison  Society 

Cuban  Pediatrics  Patient  Takes  International  .-Xdx enlure 

At  97.  He  Stares  at  Scars  So  Others  May  Breathe 

LINC  Stud\  Points  to  Chroniosonie  Site  ot  .-Xutisin  Gene 

Alumni  Protlle:  Frank  Huyler.  MD  '9.^  

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CMI-:/Alumni  Calendar 

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On  III,'  (  .M  ,7     Hie  Meilicil  Hinmolecnlar  Rescarcli  Building  is  insi  mu 
liuikling  projc'clsllic  Schnol  nl  \K-iIk  iiic  i.nrivnll\  li.is  uiidri  consiiiK  in 
.igc  IS  part  of  phase  (iiK-  u  illudnsliiKiHiii  nl  ilic  lonUK)  st|u.irc  li«ii  I.k 
111  ihc  huililing  program  K,  inh  riir.:  /\ .  ninhw  ,'t  1  "iil.  \,i  1  •X  Sw/;/.  /// 

ol  liall  clo/cn  L.ipil 
11   Ilk-  loiinclalioii 
Ills  iikIiuIccI  in  ph; 

News 
Briefs 


UNC  now  home  to  new 
nutrition  research  center 

To  help  reduce  the  staggering  toll 
of  unnecessary  illness  and  premature  death 
associated  u  ith  chronic  disease  and  to 
understand  better  the  links  between  such 
diseases  and  nutrition,  the  National  Institutes 
of  Health  chose  L'NC  as  home  of  the  nation's 
newest  Clinical  Nutrition  Research  Linit. 

"In  the  next  five  years,  we'll  receive  S4.7 
million  from  NIH  to  establish  and  operate 
this  unit."  said  Steven  Zeisel,  MD.  PhD. 
chair  of  nutrition  for  the  schools  of  medicine 
and  public  health  and  director  of  the  new 
center 

"Our  central  goals  will  be  to  enhance  the 
speed  at  which  new  laboratory  discoveries 
are  used  in  population-based  and  clinical 
research,  to  make  suic  that  the  education  of 
health  professionals  includes  nutrition  and 
to  help  people  learn  how  they  can  improve 
their  diets  to  stay  healthy."  he  said. 

UNC  will  be  one  of  only  seven  such  units 
in  the  United  States.  Others  are  at  Harvard. 
Washington  University  in  St.  Louis  and  the 
universities  of  Chicago.  Washington  at 
Seattle.  Southern  Alabama  and  Colorado  at 
Denver. 

For  more  infonuanon.  sec  hitp.Hwww. 
iiiu  .cilii  ncus  neasM-'rviuniv  zeisel^ KU.'fy 
y.hliii. 

Program  on  Health  Outcomes 
receives  $2  million  grant 

UNC's  Program  on  Health  Outcomes 
w  ill  receive  nearly  $2  million  from  the 
federal  government  to  create  a  Center  for 
Education  and  Research  on  Therapeutics 
that  v\  ill  develop  innovative  education  and 
research  efforts  focusing  on  new  and  exist- 
ing drugs  and  devices  used  in  pediatric  care. 

The  new  center,  is  funded  by  a  three-year. 
$1.98  million  grant  from  the  Agency  for 
Health  Care  Policy  and  Research 
(AHCPR).  part  of  the  U.S.  Department  of 
Health  and  Human  Sen.  ices. 

Carolina's  newest  research  addition  is 
one  of  four  centers  for  education  and 
research  on  therapeutics  (CERT)  created 
nationw  ide  to  boost  the  positive  impact  on 


patient  care  of  medical  products  —  drugs, 
biologies  and  medical  devices  —  to  reduce 
the  human  and  economic  toll  of  inappropri- 
ate use. 

flNC  researchers  will  focus  on  impros  - 
ing  the  health  of  children  and  adolescents. 
Potential  research  areas  include  therapeutic 
drug  monitoring  in  HIV-infected  children, 
drug  metabolism,  vitamin  D-deficient  rick- 
ets, asthma  care,  attention  deficit-hyperac- 
tivity  disorder  and  adverse  dnig  reactions. 

For  more  information,  see  liltp:/ nruw. 
itih  .ediil news! newsserrl unir^ sphi)92W^ . 
him. 

Adolescent  mothers  to 
benefit  from  new  grant 

UNC's  schools  of  medicine  and  public 
health  have  received  more  than  S 1 .5  million 
from  the  Robert  Wood  Johnson  Foundation 
to  support  nurse  home-visiting  efforts  that 
help  first-time,  low  -income  adolescent 
mothers  and  their  new  boms. 

The  funds  are  part  of  a  three-year. 
SlO-million  grant  awarded  to  the  Children's 
Hospital  .Association  of  Denver  to  support 
such  efforts  in  40  communities  nationwide. 
The  grant  will  help  establish  a  national 
center  for  the  home-nursing  program  at  the 
University  of  Colorado  and  a  regional 
center  to  be  managed  by  the  UNC  School  of 
Public  Health's  North  Carolina  Institute 
for  Public  Health.  In  the  next  three  years, 
the  centers  will  train  nurses  and  provide 
support  to  implement  a  network  of 
programs  in  the  communities. 

The  program  provides  in-home  services 
during  pregnancy  and  the  first  two  years  of 
a  child's  life.  During  weekly  or  biweekly 
\  isits.  nurses  help  expectant  and  new 
mothers  improve  their  knowledge  of  child 
health  and  development,  build  parenting 
skills  and  guide  personal  decision-making 
about  employment,  substance  abuse  and 
future  pregnancies. 

"The  nurse  home-visiting  services 
promote  health  in  all  areas:  physical, 
mental,  emotional  and  social."  said 
Terrence  Kenan,  special  program  consul- 
tant at  the  Robert  Wood  Johnson  Founda- 
tion. "This  program  provides  young. 


low  -income  mothers  v\  ith  crucial  instruc- 
tion, care  and  support  that  they  might  not 
otherw  ise  receive." 

New  procedure  offers 
alternative  for  nasal  surgery 

An  ear,  nose  and  throat  doctor  at  UNC  is 
using  a  new  technology  already  proven 
successful  in  treating  snoring  to  provide  a 
less  expensive,  relatively  pain-free  alterna- 
tive to  traditional  nasal  obstruction  surgery. 

"This  nonsurgical  procedure,  called 
somnoplasty.  could  change  how  we're 
doing  things,"  said  Wendell  Yarbrough, 
MD,  assistant  professor  of  otolaryngology, 
w  ho  divides  his  time  between  head  and 
neck  cancer  research  and  clinical  duties. 
"The  technology  was  first  approved  for 
treating  snoring,  which  is  treatment  of  the 
palate.  It's  exciting  that  another  innovative 
use  of  the  technology  has  been  approved." 

SomnoplastN  delivers  radio  frequency 
energ\  through  a  needle,  w  hich.  in  the 
treatment  for  snoring,  is  put  underneath 
the  lining  of  the  mouth. 

"It  creates  a  scar  that,  as  it  fonns.  tightens 
up  the  palate  and  decreases  the  volume  and 
intensity  of  snoring,"  Yarbrough  said.  "The 
procedure  is  relatively  pain-free  —  patients 
might  need  to  take  some  Motrin  or  Tylenol 
immediately  but  narcotics  for  seven  to  10 
days  are  unnecessary.  It's  also  more  conve- 
nient and  less  expensive  because  it  can  be 
done  in  a  physician's  office  and  the  patient 
can  be  back  at  work  the  next  day. 

For  the  complete  story,  see  littpillwww. 
unc.edu!ne\\slne\vssenircsearchlyarhr(ni3 
lOOIW.Iitm. 

Correction 

In  the  Summer  1999  Medical  Alumni 
Bulletin,  we  printed  a  New  s  Brief  titled 
"Womack  Society  Honors  Plastic  Surgeon." 
We  inadvertently  failed  to  credit  Carl  R. 
Hartrampf  Jr..  MD,  with  commissioning, 
funding  and  donating  the  portrait  of  Erie  E. 
Peacock  Jr..  MD.  JD.  We  extend  our 
apologies. 


Missionaries  of  the  Medical  Type 


By  Melissa  Matson 

F.dihtr' s  note:  Manx  i  SC plnsiciaiis 
inivcU'd  (.ihroiid  this  past  xcui.  This  artnlc 
is  not  iiucndcd  to  hcamipirhcnsivc- 

When  most  people  think  ot  missions. 
the\  think  of  something  religious 
in  nature.  But  that's  only  p;ul  of  the 
definition.  Webster  defines  a  mission  as 
"a  sending  out  to  perfomi  a  special  sen  ice." 
.And  that  special  ser\  ice  can  be  anything  — 
political.  scK'ial.  medical  orothen\  ise. 

Here  at  UNC.  we  ha\e  a  hislor\  of 
leaching  the  next  generation  i)f  doctors.  We 
also  ha\  e  a  histor\  of  sharing  our  expertise 
w  ith  other  doctors  around  the  state  and  the 
country.  For  some  UNC  physicians,  that 
mission  translates  into  traveling  to  less 
tortunate  countries  to  train  local  physicians 
and  pro\  ide  medical  services  to  local 
people. 

Follow  ing  are  the  sti>ries  of  a  few  \\  ho 
ha\  e  gone  on  medical  missions  this  y  ear 

Helping  children  in  Venezuela 

This  September.  James  Fletcher. 
MBBS.  clinical  associate  professor  of 
anesthesiolog\.  and  Robert  Valle\'.  MD. 
associate  professor  of  anesthesiology  and 
pediatrics,  went  to  Maracaibo.  Venezuela 
with  Rotaplast  International'.  They  were 
there  1 2  days. 

On  the  first  day.  the  team  of  fi\'e 
surgeons  and  six  anesthesiologists  screened 
ISO  pediatric  patients  prior  to  surgery. 
Then,  during  the  next  six  days,  the  team 
operated  on  16.^  patients  to  repair  cleft  lips, 
cleft  palates  or  both.  Fletcher  and  Valley 
each  pro\  ided  anesthetic  ser\'ices  to  five  or 
six  children  per  da\. 

As  in  the  case  of  most  medical  mis- 
sions, thev  brought  their  ow  n  equipment 
and  supplies  along  w  ith  them,  then  set  up 
tor  clinic  and  surgery  in  the  local  children's 
hospital.  Fletcher  said  of  the  facilities.  "The 
hospital  lackeil  much  of  the  equipment  that 
we  see  around  American  hospitals,  but  our 
hosts  still  had  a  good  infrastructure  for  us  lo 
plug  into.  I  learned  sou  can  achiese  a  whole 
lot  w  ith  few  resources." 

ValleN  agreed.  'It  was  much  easier 
than  1  expected  to  maintain  an  excellent 
standard  of  care  in  a  less-advantageil  health 
care  facility."  he  said.  "All  it  took  was  a 
little  ingenuity  and  a  great  team." 


"The  whole  trip  was  intense."  said 
Fletcher  "To  see  children  traiisfomied  from 
social  outcasts  because  of  facial  defoniiities 
to  socially  acceptable  was  ama/ing.  The 
parents  were  indescribably  happy  to  ha\e 
their  children's  appearances  impro\ed." 

Both  Fletcher  and  \alle\  plan  lo  go  on 
future  trips. 

'■The  mission  of  RotupUist  Inlcinatioii- 
al.  Inc.  is  to  provide  free  rt'consinictivc 
siiii;cr\for  indiiicni  children  with  cleft  lip. 
cleft  palate  and  other  facial  deformities. 
\  ohintecr  doctors  and  nnr.ses  are  matched 
with  Rotary  volunteers  in  host  countries, 
who  take  care  of  paperwork,  find  patients, 
anil  provide  operaiin:.^  rooms  and  housin<^ 
for  the  team. 

Fixing  hearts  in  Nicaragua 

You'd  never  know  from  the  beautiful 
Pacific  coast  that  Nicaragua  has  been 
through  tw  o  wars  in  20  years.  But  it  has.  and 
those  w  ars  have  taken  a  toll  on  the  country's 
infrastructure. 

Since  1986.  a  group  of  North  Carolina 
surgeons  have  sought  to  help  remedy  that 
by  traveling  to  the  country  on  medical 
missions.  They've  done  so  through 
"Nicaragua:  A  Project  Leon."  a  program 
started  by  John  Paar.  Ml),  a  Raleigh 
cardiologist. 

William  Sulli\';in.  MD.  a  general 
surgeon  at  Wake  Medical  Center.  AHEC 
appointee,  and  team  member,  presented  his 
most  recent  trip  to  Leon.  Nicaragua  during 
Surgery  Grand  Rounds  last  fall.  "Our  trips 
are  a  little  different  from  some  in  that  we  go 
primarily  as  collaborators."  said  Sullivan. 
".Nicaragua  has  no  lack  of  doctors.  What 
they  lack  are  resources.  So  we  go  to  assist 
and  exchange  ideas." 

Built  in  U)79.  Leon's  public  hospital 
has  2.^0  beds,  including  an  eight-bed  ICLI. 
Despite  its  si/e.  the  hospital  can  care  tor  a 
relatively  small  number  of  patients  because 
ot  limited  supplies.  "There's  a  lack  of  nurs- 
ing help,  equipment,  drugs,  and  things  such 
as  sutures  and  gauze."  Sullivan  saiil.  "lis 
humbling  lo  realize  how  much  we  have  and 
lake  for  granted  here  in  the  U.S." 

In  recent  years.  Sullivan  and  his  leani 
have  shipped  surgical  books,  anesihelic 
machines,  lelal  momlors.  surgical  cauleries. 
pulse  oximeters  and  surgical  instruments  to 
the  hospital  in  Leon. 

When  asked  whv  he  uoes  on  these 


trips.  Sullivan  said.  ">'our  slicccss  as  a 
surgeon  depends  on  the  number  ot  patients 
who  leave  the  hospital  better  than  w  hen 
they  came.  To  help  the  people  of  Leon  and 
see  their  improvemeni  is  an  honor. " 

Repairing  urology  problems  in 
Belize 

In  Januarv  1999.  a  pediatrician  from 
Goldsboro  called  Tim  Bukovv  ski.  MD. 
medical  director  for  L'NC's  pediatric  urolo- 
gy service.  "1  have  a  child  w  ith  a  urethral 
obstruction  that  I'd  like  vou  to  see."  saiil  the 
doctor.  "The  onlv  problem  is  ihal  he  is  in 
Belize." 

Bukovv  ski  agreed  to  evaluate  the  chikl. 
He  decided  that  rather  than  have  the  child 
come  to  the  L'nited  States,  it  would  be  easier 
on  everyone  if  he  w  ent  there.  He  w  as  soon 
contacted  b\  Egbert  Grinage.  MD.  a  pedia- 
trician in  Belize  and  tounder  ot  Friends  of 
Pediatrics,  a  grass  roots  organization  that 
brings  specialists  to  Belize  through  the  sup- 
port of  the  Belize  Citv  Rotary  Club  and 
local  companies. 

Bukowski  went  on  his  lirsi  trip  last 
.April.  He  spent  three  days  ihcie.  during 
w  hich  time  he  saw  40  patients  and  operated 
on  10.  When  he  went  again  in  September, 
he  saw  SO  patients  aiul  operated  on  12. 
using  main  of  the  cases  lo  leach  ihe  local 
dtKlors. 


Tmiliukowski.MD 


The  Belize  medical  s>  stem  is  state  run. 
"There  are  tlve  public  hospitals  and  a  smat- 
tering of  private  medical  practices  like  in 
Britain."  said  Bukowski.  "The  problem 
there  is  technology.  I  can  help  by  bringing 
the  technology  to  them." 

What  did  Bukowski  take  aua\ 
from  the  trip?  "I  guess  the  biggcsi 
thing  I  tix)k  away  wa.s  ho\\  crucial  il  is 
that  the  host  country  need  and  w  am 
\our  help."  Bukow ski  said.  ""These 
types  of  missions  don't  v\ork  unless 
the  country  has  some  sort  of  system  to 
bring  specialists  in  luid  gel  patients  to 
the  facilities." 

Bukowski  said  that  the  real 
hero  in  the  story  is  Dr.  Grinage.  the 
Belizian  pediatrician,  who  has 
worked  through  the  years  to  better 
medical  care  in  his  country.  ""He 
really  is  a  remarkable  man."  said 
Bukowski.  ""His  next  goal  is  to  build 
a  pediatric  intensi\e  care  unit." 


experienced  life  outside  the  de\eloped 
world,  and  second,  il  would  be  a  chance  for 
some  great  surgical  experience." 

He  traveled  with  then-UNC  fellow  Jeff 
Wilkerson.  MD.  a  specialist  in  urogynecol- 


ln!/hin\  (  'uj^plcilLhilili 


nicr.  KiJLihc.  Kenya 


Making  Indian  women  healthier 

Gil  Reid.  MD  "93.  chief  resident  in 
OB/Gyn.  spent  1 0  days  in  Jamkhed.  India,  a 
\  illage  450  miles  east  of  Bombay.  It  was 
there  that  he  w  itnessed  and  participated  in  a 
successful  rural  health  project. 

For  his  third-year  residencs  project. 
Reid  had  a  choice  of  research  or  a  clinical 
experience  away  from  campus.  He  chose 
the  latter.  "I  decided  to  go  that  route  for  two 
reasons."  said  Reid.  '"First.  I  had  never 


ogy.  to  the  Comprehensixo  Rinal  Health 
Project  in  Jamkhed.  Established  by  \\\o 
Indian  physicians  trained  at  John  Hopkins 
University,  the  program  trains  las  people  in 
outlying  villages  to  provide  simple  medical 
care  such  as  vaccinations,  prenatal  care,  and 
nmniloring  vital  signs. 

On  their  first  day.  Reid  and  Wilkerson 
held  clinic  for  52  women.  "We  set  up  two 
exam  rooms.  There  were  no  beds  with 
stirrups,  so  we  used  regular  tables  for  the 
exams."  Reid  said. 


During  their  10-da\  stay,  they 
performed  12  major  urogynecological 
surgeries,  most  of  them  vaginal  vault 
prolapse  repairs.  "The  degree  of  prolapse 
w  as  amazing.'"  said  Reid.  ""It's  due  to  poor 
nutrition  and  the  high  number  of 
children  each  woman  bears." 

Of  the  rural  health  project. 
Reid  said.  ""The  doctors  are  able  to 
pro\  ide  medical  care  that  helps  the 
people  physically,  but  the  biggest 
impact  is  social.  B\  training  women 
in  the  lowest  castes  to  be  lay  health 
workers,  they  have  assured  them  a 
place  in  their  \illages." 

Fixing  facial  deformities  in 
Africa 

This  summer.  Brian  Jewett. 
MD.  chief  ENT  resident,  traveled  to 
Kijabe.  Kenya  with  World  Medical 
Mission.*  He  was  joined  by  three 
other  .\merican  surgeons,  a  family 
practitioner  and  an  anesthesiologist  on  the 
two-week  trip. 

For  many  Kenyans,  medical  care  is 
difficult  to  come  by.  ""Kenya  has  a  shortage 
of  medical  providers,  and  most  of  them  con- 
centrate their  efforts  in  Nairobi."  said  Jevi  - 
eti.  "Many  people  in  outlying  areas  cannot 
get  to  Nairobi  for  medical  care.  So  when 
specialists  come  to  Kijabe.  they  go  there. " 

The  team  spent  their  time  at  Bethan\ 
Crippled  Children's  Center,  a  .^6-bed  reha- 
bilitation center.  While  there.  Jewett  and  the 
others  operated  on  60  children  w  ith  cleft  lip 
or  palate.  They  also  saw  60  pediatric 
patients  per  day  for  other  ENT  problems, 
such  as  thyroid  disorders. 

""I  was  impressed  by  the  dedication  of 
the  OR  staff."  Jewett  said.  ""Some  of  our 
days  were  up  to  14  hours  long,  but  the  staff 
were  the  first  ones  there  and  the  last  ones  to 
lea\'e.  They  wanted  those  children  to  receive 
the  care  they  so  desperately  needed." 

Jewett  found  that  the  Children's  Center 
served  not  just  as  a  rehabilitation  facility  but 
as  a  teaching  hospital.  ""Throughout  the 
vear.  British.  Gemian.  American  and  other 
specialists  come  to  Kijabe  to  pro\  ide 
ser\ices."  said  Jewett.  ""Doctors  training  in 
Nairobi  will  visit  the  center  to  learn  from 
the  foreign  doctors." 

*U<))/(/  Medical  Mission  is  an  offshoot  of 
Samaritan's  Purse,  a  Ininianitarian  organi- 
zation run  hy  Franklin  Graham,  .um  of  Billy 
Graham. 


Gil  Reul.  MD.  in  .Jamkhed.  India 


International  Health  Program  Receives 
$88  Million  Federal  Contract 


An  international  health  program  at 
UNC  recently  won  S88  million  from  the 
federal  government,  making  it  the  largest 
contract  aw  arded  to  the  university  in  its 
206-year  history. 

The  tl\  e-\  ear  cooperative  agreement 
K-tween  INTRAH  and  the  U.S.  Agency  for 
International  Development  (USAID)  also 
IS  the  largest  aw  arded  to  any  of  the  I  6 
campuses  in  the  UNC  system,  said 
Dr.  Richard  W.  Linton,  associate  vice 
president  for  research  and  director  of 
sponsored  programs  at  UNC  General 
.Administration. 

The  S8S  million  w  ill  allow  the  program 
to  implement  L'S.AlD's  new  Primar\ 
Providers  Pertomiance  lmpro\ement  in  Re- 
productive Health  Project  (PRIME  II). 
which  is  designed  to  create  sustainable, 
national  s\  stems  for  training  and  education 
in  family  planning  and  reproducti\e  health 
in  developing  countries. 

PRIME  II  aims  to  improve  the  work 
performance  of  primary  health-care 
providers  in  Africa.  Asia.  Latin  America, 
the  Caribbean,  the  Near  East  and  the  new 
mdependent  states  of  eastern  Europe  and 
the  former  So\  iet  Union,  said  Dn  James  W. 
Lea.  director  of  INTRAH  and  the  UNC 
School  of  Medicine's  Office  of  International 
Affairs. 

Since  its  start  in  1979.  INTRAH  and  its 
worldw  ide  efforts  have  followed  Carolina's 
long-standing  tradition  of  extending  its  edu- 
cational and  sen.ice  capabilities  beyond  the 
physical  boundaries  of  the  campus.  Lea 
said.  He  compared  INTRAH  with  the 
successful  N.C.  Area  Health  Education 
Program,  which  improves  the  supply,  distri- 
bution and  quality  of  primary  hoallh-carc 
pr(>\  iders  across  the  state. 

"Our  program  crosses  traditional 
departmental  lines  and  allows  us  to  appls 
the  university's  enonnous  expertise  directiv 
upon  improving  the  health  of  mothers 
and  infants  —  a  crucial  area  of  concern  for 
people  in  North  Carolina  and  arouiHJ  the 


world."  Lea  said.  "That's  what  we'll  do 
even  more  vigorously,  thanks  to  this 
renewed  financial  support." 

With  this  latest  SSS-niillioii  coopera- 
ti\e  agreement.  INTR.AH  has  recei\ed 
more  than  S2()0  million  from  L'S.AID  since 
1979.  INTRAH  has  helped  local  health- 
care workers  offer  men  and  women 
improved  access  to  quality  family-planning 
services,  prevented  unw  anted  or  unplanned 
pregnancies  and  campaigned  against  HIV 
and  other  sexually  transmitted  diseases. 

"We  strengthen  the  performance  of 
proN'iders  as  the\  sirise  to  inipro\e  famiK 


^  ^  Our  program  crosses 

traditional  departmental 

lines  and  allows  us  to 

apply  the  university's 

enormous  expertise 

directly  upon 

improving  the  health  of 

mothers  and  infants... 


planning  and  reproductive  health  services  in 
their  communities."  Lea  said.  "We  do  our 
work  through  training  and  other  innovative 
learning  methods,  adapting  cutting-edge 
lechnologN  and  collaborating  closely  w  ith 
host  couniiA'  colleagues  to  suppoil  national 
reproducti\e  health  goals  and  priorities." 

The  PR  1. VIE  ifproiect  brings  together 
organizations  expericnceil  in  miernalioiial 
health  and  de\elopment.  They  incluile  Ipas. 
a  nonprofit  reproducti\e  health  group  basetl 
m  Chapel  Hill;  .WSC  Internalional  of  New 


York;  Abt  Associates  of  Cambridge.  Mass.; 
Training  Resources  Group  Inc..  of  .Alexan- 
dria. Va.;  and  the  Program  tor  .Appropriate 
Technology  in  Health  in  Seattle.  The  .Amer- 
ican College  of  Nurse  Midw  i\es  and  Save 
the  Children  Federation  also  will  work  with 
the  project.  INTR.AH  has  offices  in  Togo. 
India.  Kenya  and  the  Dominican  Republic. 


Building  an  Academic  Medical  Center 


By  Karen  Stinneford 

While  it  might  surprise  someone 
navigating  around  the  dump 
trucks,  cement  mixers,  pylons 
and  construction  fences  that  ha\e  come 
to  symbolize  "Manning  Drive"  on  South 
Campus,  the  truth  is 
the  UNC  School  of 
Medicine  still  lacks 
sufficient  laboratories, 
offices  and  class- 
rooms needed  to  sup- 
port, nurture  and  grow 
world-class  research, 
clinical  and  teaching 
programs.  •■■m' 

Given  the  univer-     „     tum 
sily"s  many  financial 
needs — such  as  suffi- 
cient  faculty   salarv 
money  to  recruit  and 
retain   the   best   and 
brightest  teachers  and 
researchers  and  pro- 
vide funds  to  establish 
their  laboratories — a 
"building"  can   seem 
insignificant,  at  best.  That  is,  until  you  try  to 
fiiitl  the  phvsical  space  on  campus  to  house 
those  ne\\  1_\  hired  faculty. 

At  the  most  fundamental  level,  it 
is  the  physical  buildings  of  UNC  that  per- 
mit its  faculty,  staff  and  students  to  fulfill 
the  university's  missions  of  teaching,  ser- 
vice and  research. 

Here's  a  look  at  some  of  the  School 
of  Medicine's  cun-ent  and  planned  capital 
building  projects: 

Neuroscience.s  Research 
Building 

This  building  will  replace  the  fonner 
Biological  Sciences  Research  Center, 
which  was  torn  down  to  make  room  for 
the  new  N.C.  Women's  Hospital  next  to 
the  N.C.  Neurosciences  Hospital. 

"When  the  BSRC  went  offline  to 
make  way  for  the  new  hospital,  the  med- 
ical school  incurred  a  significant  loss  of 
space,"  explained  David  Perry,  executive 
associate  dean  for  administration.  "The 


new  Neurosciences  Research  Building 
barely  gets  us  back  to  where  we  were 
before  in  terms  of  research  space,  so  we 
are  greatly  looking  forward  to  its  coming 
online." 

The  eight-story  building  will  cost 
about  $30  million,  and  school  officials 


Nfiiidscicihcs  Rfscanli  Ruildiivj. 

plan  to  start  moving  facultv  into  the 
building  sometime  this  summer.  It  is 
located  on  Columbia  Street,  behind  the 
Thurston-Bowles  Building. 

The  building's  "anchor  tenant" 
will  be  the  UNC  Neuroscience 
Center,  directed  by  William  Snider.  MD. 
"77.  The  building  also  will  provide 
permanent  space  for  the  neurobiology 
curriculum,  additional  space  for  several 
neu  faculty  members  in  basic  neuro- 
science. and  faculty  "incubator""  space  for 
the  development  of  clinical  neuroscien- 
tists  with  direct  research  ties  to  basic 
scientists  in  the  center. 

Two  entire  floors  of  the  building  vvill 
be  devoted  to  laboratory  animal  inedi- 
cine.  one  of  them  specifically  to  house  an 
Animal  Models  Center  (funded  in  part  by 
the  Keck  Foundation)  for  UNC"s 
"mousers.""  researchers  who  specialize  in 
the  study  of  mouse  genomics.  Oliver 
Smithies.  DPhil.  Nobuyo  Maeda.  PhD. 
and  Terry  Van  Dyke.  PhD.  are  just  some 


of  the  faculty  members  steering  UNC"s 
internationally  renowned  mouse 
genomics  program. 

Another  floor  will  house  the  build- 
ings  administrative  and  mechanical 
tunctions.  and  school  administrators  cur- 
rently are  considering  how  to  best  parcel 
out  the  remaining 
three  floors  of 
undesignated 
research  space. 

The  Medical 
Biomolecular 
Research 
Building 

This  lOO.OOO- 
square-foot.  $64- 
million  facilitv 
could  house  60  to 
80  principal  inves- 
tigators -  presuni- 
ing  the  necessary 
funding  becomes 
axailable  to  build  it. 
The  building 
was  approved  by 
the  N.C.  General  Assembly  with  the 
understanding  that  the  School  of  Medi- 
cine would  finance  half  the  cost  through 
revenue  bonds.  The  uni\ersity  is  expect- 
ed to  issue  the  revenue  bonds  for  the 
school's  portion  of  the  project  sometime 
early  this  year.  About  S7  million  of  the 
state's  share  of  the  project  has  been 
appropriated  by  the  legislature  thus  far. 
allowing  the  school  to  break  ground  and 
begin  v\orking  on  utilities  and  the  foun- 
dation. 

Unfortunately,  the  N.C.  General 
Assembly  made  its  agreement  with  UNC 
before  Hurricane  Floyd  devastated  eastem 
North  Carolina. 

"We  are.  for  all  practical  purposes, 
out  of  research  space,  so  this  building  is 
critically  important  to  UNC's  ability  to 
seize  opportunities  for  growth  in  research 
funding  by  the  federal  government  and 
private  inclustry.""  Perry  said.  "And  we're 
in  a  great  position  to  do  so  because  of  the 
caliber  of  our  faculty  and  their  demon- 
strated ability  to  gamer  our  fair  share  of 


those  additional  resources.  Without  that 
building,  however,  our  ability  to  do  that 
is  seriously  constrained. 

"Having  said  that,  though,  whii  can 
say  that  a  research  building  is  more 
important  than  helping  the  residents 
down  east  rebuild  their  li\es.  their  homes 
and  their  li\  elihoods .'  .And  that's  the 
dilemma  facing  the  General  .Assemble" 
Perr\  added. 

Plans  tor  the  Medical  Biomolecular 
Research  Building  include  two  auditori- 
ums, one  that  would  seat  about  300  peo- 
ple, the  other  300  people.  The  auditorium 
space  also  is  critical.  Perry  said. 

"There  realh  is  no  place  decent 
south  ot  Manning  Drive  that  you  could 
call  an  auditorium."  Perry  said.  "The  lack 
of  an  attracti\e  multi-media  auditorium 
has  been  problematic  for  people  tr\  ing  to 
arrange  lectures  by  distinguished  visiting 
scholars  and  other  e\ents  we  want  to 
encourage  faculty,  staff,  students  and  the 
public  to  attend." 

If  all  facets  of  the  funding  package 
become  available  on  time,  the  building 
could  be  completed  by  mid-20()2.  Perry 
said. 

Faculty  Office  Building 

Plans  put  the  Faculty  Office  Building 
on  Mason  Fann  Road  next  to  Odom  Village 
and  behind  the  medical  center's  parking 
decks  comenient  to  the  hospitals  and  the 
Ambulator)  Care  Center.  The  fne-story. 
S3?-million  building  would  provide  facul- 
ty, post-doctoral  fellows  and  support  staff 
with  about  61.000  square  feet  of  badly 
needed  office  space. 

"The  building  predominantly  would 
help  our  clinical  departments  by  housing 
faculty  and  staff  who  now.  often  times, 
are  housed  in  cramped,  converted 
research  laboratories  and  other  sites," 
Perry  said,  adding  that  the  building 
would  accommodate  faculty  and  staff 
currentis  working  in  \arious  trailers  and 
in  the  antiquated  wings  B,  C.  D.  F  and  F 
of  the  medical  school. 

"Those  wings  were  created  nearly  .30 
years  ago  to  be  dorm  rooins,  not  offices, 
yet  we  have  them  crammed  full  of 


people."  Perry  said.  "The  structures  aic 
mechanically  frail,  not  readily  accessible 
to  the  handicapped  and  located  on  v\hat 
is  "prime  real  estate'  for  future  hospital 
expansion,  but  we  can't  tear  them  down 
at  this  time  because  we  have  no  place 
else  for  people  to  go.  The  advent  of  the 
Faculty  Office  Building  will  afford  the 
school  the  opportunits  to  better  house  its 
\er\  protluctise  faculty  and  staff,  and  in 
time  to  demolish  the  antiquated  wings  to 
make  w  a\  for  future  hospital  expansion. " 

Medical  Sciences  Research 
Building 

A  wholesale  gut  rehab  and  construc- 
tive re-use  of  this  4()-year-old  structure 
which  adjoins  MacNider  on  the  north  end 
is  the  final  component  of  the  School's 
major  capital  program. 

""All  this  vintage  building's  infrastruc- 
ture —  heating,  cooling,  plumbing,  electri- 
cal systems  —  is  antiquated  beyond  repair 
and  in  need  of  complete  replacement." 
Pern.  said. 


""While  the  building's  si/e  and  configura- 
tion do  not  lend  themselves  to  future  use 
for  state-of-the-art  biomedical  research 
purposes,  the  building  can,  when  fully 
ieno\ated  and  restored,  serve  the  .School 
well  as  teaching  and  academic  support 
space.  Our  current  thinking  is  that  the 
MSRB.  after  reno\ation,  would  serve  as 
the  new  home  for  the  School's  highly 
regarded  Department  of  Allied  Health 
Sciences,  which  for  some  time  has  been 
housed  in  substandard  and  insufficient 
space  in  the  School's  "w  ings"  buildings." 

Other  renovations  underway  include 
a  floor-by-floor  updating  of  Brinkhous- 
BuUitt  and  the  Mary  Ellen  Jones  build- 
ings. Burnett-Womack  and  Berryhill  Hall 
also  need  major  attention. 

""One  of  the  challenges  in  reiunating 
existing  buildings  is  how  to  complete 
construction  work  at  the  same  time  you 
need  facults  to  continue  to  teach  and 
conduct  research  m  those  structures."' 
Perrv  said. 


/•(/(  iiln  OII'k  {■  Hialiliiii; 


The  Campus  Master  Plan 


Ayers  Saint  Gross,  a  Baltimore  architectural  tlmi  specializing 
in  college  campus  planning,  was  hired  by  UNC"s  Board  of  Trustees 
in  1998  to  update  the  master  land-use  plan  tor  the  74()-acre 
central  campus, 

A  master  plan  is  a  blueprint  for  possible  development  over 
a  20-  to  5()-year  period.  When  completed,  the  plan  will  guide 
decisions  about  new  buildings,  renovations,  green  space,  parking, 
transit  and  pedestrians  —  helping  UNC  prepare  for  future  growth 
while  enhancing  the  beauty  for  which  the  campus  is  so  uell  know  n. 

The  last  master  plan  tor  UNC's  central  campus  v\as  completed 
in  1991.  .Since  then,  several  developments  made  updating  the  plan 
critical: 

•  A  construction  boom.  Today,  the  central  ciuiipiis  houses  more  than 
l.'^O  buildings,  plus  29  residence  halls.  Fourteen  capital  projects 
totaling  $50  million  were  completed  between  July  1998  and  Janu- 
ary 1999.  and  26  projects  valued  at  $15,^  million  now  are  under 
constmction.  Another  .'iO  projects  with  a  S279  million  price  tag 
are  in  desicn  staces. 


Completion  of  the  Chancellor's  httellectual  Chmate  Task  Force 
Report.  Along  with  major  recommendations  about  academic 
programs  and  facilities,  the  report  stressed  the  importance 
of  well-designed  indoor  and  outdoor  spaces  to  foster  intellectual 
conversation. 

Enrollment  growth.  UNC  trustees  have  endorsed  a  plan  to  add 
3,200  new  students  by  2008,  The  endorsement  stemmed  from  a 
UNC  system  call  for  its  campuses  to  address  a  sharp  increase  in 
the  number  of  high-school  students  who  wish  to  attend  college  in 
the  next  decade. 

Shortage  of  research  space.  Recent  studies  commissioned  bv  the 
UNC  system  and  Carolina  have  documented  an  extreme  academ- 
ic space  crisis  on  the  Chapel  Hill  campus,  especially  for  research 
laboratories  and  offices.  Administrators  say  the  lack  of  essential 
research,  graduate  student  office  and  enhanced  instructional  space 
threatens  the  university's  ability  to  attract  and  retain  highl\  quali- 
fied faculty. 


Medical  Biomoleadar  Research  BuiUing 


Surgery  Students  Create 
Hugh  Williamson  Society 


The  neul>  tomied  Hugh  WiUiainson 
SoLieiN.  a  group  for  medical 
students  interested  in  careers  in 
surgers'.  held  its  first  meeting  last  fall.  The 
society's  mission  is  to  pro\  ide  educational 
and  mentoring  opportunities  for  first-  and 
second-\ear  medical  students  interested  in 
surgical  practices  in  academic  medical 
centers  or  communit\  -based  practices. 

The  society  was  named  for  Hugh 
Williamson.  MD.  in  appreciation  for  his 
pioneering  contributions  to  medicine  in 
North  Carolina  during  the  era  of  the  Revo- 
lutionary War.  In  1780,  Williamson  was 
appointed  surgeon  general  of  some  4.()0() 
North  Carolina  militia  sent  to  help  defend 
South  Carolina  and  Georgia  against  British 
forces. 

Williamson  studied  medicine  under 
John  Hunter,  who  is  known  as  the  "father 
of  scientific  surger> '"  and  came  to  America 
after  practicing  on  the  European  continent. 
Williamson  ser\ed  as  a  go-between 
for  Benjamin  Franklin  and  the  leaders  of 
the  evolving  American  Revolutionary 
Committees  of  Safety.  When  the  Revolu- 
tionary War  broke  out.  he  traveled  to  North 
Carolina,  where  he  remained  inlimateh 
connected  with  North  Carolina  troops  until 
the  war's  conclusion. 

Follow  ing  the  end  of  his  career  as  an 
army  surgeon  in  the  field.  Williamson 
became  a  distinguished  legislator.  He  was 
an  active  delegate  to  the  Federal  Conven- 
tion and  sened  in  the  first  U.S.  House  of 
Representatives.  Along  with  William  R. 
Davie,  the  founder  of  the  University  of 
North  Carolina.  Williamson  helped  choose 
the  location  of  the  university  in  Chapel 
Hill:  he  also  served  as  one  of  its  first 
trustees  and  donated  money  for  the  first 
library. 

The  Hugh  Williamson  Society's  first 
speaker  was  Christopher  Baker.  MD. 
professor  of  surgery.  Baker  shared  his 
insight  on  surgical  careers  based  on 
information  he  has  gathered  during  his  20 
years  as  ;ui  academic  surgeon. 

David  Cierber.  MD.  and  David  Ollila. 
MD.  will  serve  as  the  society's  faculty 
advisers.  Students  Ian  Buchanan  and  John 
Meisinger  will  serve  as  co-presidents. 


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Besides  offering  students  educational 
ami  mentoring  opportunities,  the  societs 
will  select  one  student  annually  to  receixe 
the  Hugh  Williamson.  MD.  Award  for 
Excellence  in  Surgcrs.  in  be  presentetl 
to  the  outstanding  siiulcnl  on  surgical 
rotations  at  commencement.  The  winner 
will  attend  the  annual  Clinical  Congress  of 


the  .American  Ci 
supjiorl  from  llu 
and  the  ACS. 


liege  of  Surgeons 
department  of  su 


with 
rgery 


Cuban  Pediatrics  Patient  Take 


By  Lynn  Woolen 

All  the  conditions  were  present  to 
produce  a  major  media  stomi:  Cuban 
President  Fidel  Castro,  his  political 
toe.  U.S.  Sen.  Jesse  Helms;  the  United 
States'  controversial  embargo  that  prevents 
medical  supplies  from  entering  the  country 
and  a  theologically  liberal  congregation  ot 
N.C.  Baptists. 

At  the  eye  of  the  media  storm  stood  a 
7-year-old  Cuban  boy  about  whom  some 
Ainericans  claimed  —  and  Cuban  officials 
denied  —  would  die  from  a  congenital  liver 
ailment  if  he  didn't  get  proper  medical  treat- 
ment in  the  United  States. 

The  church  involved.  Pullen  Memorial 
Baptist  in  Raleigh,  learned  about  the  plight  of 
young  Raudel  Alfonso  of  Matanzas,  Cuba, 
when  one  of  its  members,  the  Rev.  Ned 
Walsh,  a  retired  Baptist  chaplain,  visited  the 
country  scouting  for  Habitat  for  Humanity 
building  sites.  A  doctor  there  told  Walsh  that 
Raudel  needed  medical  treatment  in  the  Unit- 
ed States  because  doctors  couldn't  properly 
treat  him  in  Cuba. 

Moved,  Walsh  was  even  more  touched 
when  he  learned  that  Raudel 's  mother  and 
father  had  lost  two  other  children  to  the  same 
liver  ailment  Raudel  siilTeied.  When  Walsh 
returned  to  North  Carolina,  he  enlisted  his 
congregation  to  lobby  the  Cuban  and  Ameri- 
can governments  to  allow  Raudel  and  his 
mother  to  make  an  emergency  trip  to  the 
United  States. 

To  expedite  the  process.  Walsh  asked 
North  Carolina's  senior  U.S.  Senator.  Jesse 
Helms,  to  intercede  on  the  child'.s  behalf. 
Helms,  a  longtime  opponent  of  Fidel  Castro 
and  a  staunch  supporter  of  the  U.S.  embargo 
of  Cuba,  contacted  U.S.  Secretary  of  State 
Madeline  Albright  seeking  an  emergency  hu- 
manitarian visa  for  Raudel  and  his  mother, 
klalmis  Alfonso  G;u-cia. 

Ill  the  meantime,  organizers  of  Raudel's 
visit  approached  LINC  Hospitals  and  asked 
officials  to  treat  Raudel.  The  hospital  agreed. 
After  Cuba  showed  little  sign  of  letting 
mother  and  son  leave.  Illinois  Gov.  George 
Rvan.  who  was  in  the  country  on  official 


business,  heard  of  the  problem  and  stepped 
in.  Ryan  negotiated  the  pair's  release  and 
accompanied  them  to  Chicago  before  send- 
ing them  on  to  North  Carolina. 

Raudel  and  his  mother  arrived  at 
Raleigh-Durham  International  Airport  Oct. 
2^)  and  were  taken  directly  to  LINC  Hospitals. 
Having  experienced  a  media  maelstrom  in 
Chicago,  the  two  braced  themselves  for 
reporters  and  photographers  awaiting  them  at 
the  airport  and  hospital,  where  they  briefly 
posed  for  photographs.  Media  including 


^  •  After  the  veins  are 
clotted  oif — through 

a  procedure  called 

sclerotherapy  that  UNC 

pediatric  gastroenterologists 

have  done  for  more  than  1 5 

years  —  we  believe  Raudel 

can  return  to  Cuba  with 

this  problem  behind  him 

at  last,       Rhoads  said. 


CNN.  ABC  News,  USA  Today,  the  Associat- 
ed Press,  The  Chicago  Tribune.  The  News 
and  Observer  of  Raleigh.  The  Hcraid-Siin  of 
Durham  and  local  TV  stations  followed 
Raudel's  Journey. 

A  L'NC  pediatric  and  surgical  team  led 
by  Marc  Rhoads.  MD.  professor  of  pediatric 
gastroenterology,  found  that  Raudel  suffered 
from  portal  vein  thrombosis  w  ith  extensive 
collateral  circulation.  This  meant  Raudel  had 
several  small  high-pressure  veins  leading 
into  his  liver  instead  of  one  "high-tlow"  vein. 


and  as  a  result,  blood  backed  up  into  his 
esophagus.  The  condition  often  occurs  as  a 
result  of  an  innammation  of  the  umbilical 
vein  during  the  perinatal  period  —  a  medical 
treatment  the  youngster  had  received  as  a 
newborn. 

A  lengthy  diagnostic  prcKCss  to  help  deter- 
mine the  best  course  of  treatment  ensued. 

"He  got  a  really  good  looking  over  by 
many  of  us."  said  Rhoads.  "All  during  his  first 
week  here.  UNC  doctors  contemplated  if 
surgery  could  be  done  to  "bypass'  his  clotted 
portal  vein  and  decompress  his  large 
esophageal  varices  —  the  veins  which  bled 
w hen  he  was  in  Cuba." 

"During  an  angiography,  we  learned  that 
Raudel  had  de\  eloped  a  spontaneous  shunt. 
Thus,  he  already  had  a  large,  naturally  devel- 
oped left  spleno-renal  shunt,  as  well  as  exten- 
sive collateral  veins  going  into  the  liver, 
which  made  the  surgical  creation  of  a  spleras- 
renal  shunt  unnecessary." 

UNC  physicians  determined  that  the 
best  course  of  treatment  was  a  series  of 
sequential  procedures  rather  than  full-blown 
surgery.  The  relatively  minor  treatment, 
called  endoscopy  sclerotherapy,  involves 
endoscopy  and  injecting  Raudel's  four  large 
veins  in  the  low  er  esophagus  to  clot  them. 

"After  the  veins  are  clotted  oft^  through 
a  procedure  called  sclerotherapy  that  UNC 
pediatric  gastroenterologists  have  done  for 
more  than  15  years  —  we  belie\e  Raudel  can 
return  to  Cuba  with  this  problem  behind  him 
at  last."  Rhoads  said.  "There  will  be  a  small 
chance  of  re-bleeding,  but  the  risk  of  massive 
hemorrhage  w  ill  be  very  low." 

Raudel  underwent  his  first  procedure 
Nov.  8.  stayed  overnight  and  was  discharged. 
He  and  his  mother  stayed  w  ith  members 
from  Pullen  Memorial  Baptist  before  return- 
ing to  UNC  Hospitals  two  weeks  later  for 
foUow  -up  esophageal  sclerotherapy.  In  early 
December.  Raudel  and  his  mother  returned  to 
Cuba,  where  he  might  have  to  undergo  the 
procedure  one  or  two  more  times,  Rhoads 
said. 

"But  he's  looking  fine."  Rhoads  said. 
"He's  not  having  any  symptoms  at  all.  And 
he's  now  at  lower  risk  of  bleeding  again." 


10 


itemational  Adventure  To  UNC 


Kiiiulcl  MIdiisn  and  his  nwrhfr  urnviii'^  <//  I  \(  '  llmpiuil}, 


At  97,  He  Stares  at  Scars 
So  Others  May  Breathe 


By  Joel  B.  Obermayer 

Rcprinti'J  with  pcnnisston  fruni  the  News 
ctC)/).vc/V(7- of  Raleigh 


Hcifihin  liii.soiN.  ML) 

On  a  recent  weekday  morning. 
Dr.  Hemian  Easom  was  in  his  office  holding 
an  X-ray  of  a  man's  chest.  Leaning  forward, 
he  traced  the  faint  outline  of  the  bronchial 
passages.  No  scarring.  He  threw  the  film  in  a 
stack  and  pulled  out  the  next  one. 

At  age  97.  he's  been  interpreting  X-rays 
for  the  public  health  department  for  more 
than  60  years.  He  has  no  intention  of  stop- 
ping alls  time  soon. 

"I  can't  imagme  not  doing  it."  Easom 
said. 

Indeed,  he  still  does  it  tw  ice  a  month. 
2(X)  X-rays  at  a  time,  making  him  the  longest 
continuously  serving  public  health  employee 
the  state  has  e\  er  had. 

Easom 's  career  is  legendary  in  the  state 
public  health  department.  He  started  the 
state's  department  of  occupational  health  in 
the  1 93()s  w  hen  he  and  an  engineer  drove 
around  North  Carolina  in  a  pickup  truck. 
Back  then.  the\'  towed  an  X-ray  machine  so 
the\  could  check  workers'  lungs  for  damage 
caused  b\  industrial  pollutants. 

"He  was  a  pioneer.  Before  Dr.  Easom. 
there  really  wasn't  much  state  involvement 
in  (workers'!  health."  said  Debbie  Crane, 
state  public  health  department  spokes- 
woman. "And  then,  there's  his  endurance... 
He  just  loves  w  hat  he  does." 


Easom.  a  Selma  native,  was  a  pre-med 
student  at  the  University  of  North  Carolina  at 
Chapel  Hill.  In  the  1920s.  UNC  had  a  two- 
year  graduate  medical  program.  To  finish  his 
medical  degree.  Easom  had  to  travel  to 
.St.  Louis.  After  that,  he  w  orked  a  summer  tor 
a  state  tuberculosis  sanitarium.  In  1935.  he 
landed  a  job  with  the  state  public  health 
department. 

Back  then.  plent\  of  factories  worked 
w  ith  asbestos.  It  was  particularly  popular  to 
w  ea\  e  it  into  cloth  for  industrial  uses. 

Also,  rock  quiuries  and  other  companies 
that  cut  or  crushed  rock  produced  tine  dust 
panicles  that  workers  routinely  breathed  in. 

Few  workers  were  aware  of  the  health 
problems  that  could  result. 

Easom  began  to  address  that  by  setting 
up  the  North  Carolina  Dusty  Trades  Pro- 
gram. It  was  the  first  time  the  state  had 
become  actively  invohed  in  an  occupational 
health  issue. 

Easom  and  an  engineer  set  out  to  visit 
nearly  every  employer  in  the  state  w  ho 
worked  w ith  asbestos  or  finely  ground  rock. 
Later  on.  the  two  men  did  another  set  of  long 
road  trips  taking  X-rays  of  workers'  chests. 

What  they  found  was  a  public  health 
menace.  One  of  the  places  they  visited  was  a 
mine  in  the  Sandhills  where  workers  were 
packing  talc  powder  the  consistency  of  fine 
flour:  it  was  used  as  an  additive  in  paint  and 
for  batteries.  Looking  at  the  X-rays.  Easom 
found  that  one-third  of  all  v\orkers  there, 
young  and  old.  had  lung  damage  from  the 
dust. 

"We  were  shocked.  We  had  no  idea  the 
problem  was  that  serious."  Easom  said.  "The 
workers  didn't  know  they  were  getting  sick." 

One  exception  was  a  man  Easom  met 
who  could  hardl\  breathe.  The  man  was  in 
his  late  20s  and  had  been  bagging  talc  in  the 
factory  for  less  than  10  years.  He  eventually 
died  because  of  the  damage  to  his  lungs,  and 
Easom  and  a  pathologist  exhumed  the  bod> 
to  prove  that  the  man's  death  was  caused  by 
the  dust. 

That  v\  as  turning  point.  Easom  said. 

He  w  as  able  to  use  the  autopsy  to  show 
the  company  and  the  workers  v\ hat  was 
happening.  TTie  company  abandoned  the  plant 
and  replaced  it  w  ith  one  that  had  much  better 
dust  control.  Easom  persuaded  many  other 
emplo\  ers  to  ch;inge  their  practices.  a.s  well. 

Easom.  v\.  orking  with  members  of  the 


U.S.  Public  Health  Service,  published  a  pair 
of  research  papers  about  w  hat  he  had  found 
w  ith  his  X-rays.  The  papers  eventually 
became  the  basis  of  national  health  policies 
I ol lowed  by  the  Centers  for  Disease  Control 
and  Prevention  and  the  National  Institutes  of 
Health. 

Pat  Curan.  an  industrial  hygiene 
engineer  in  the  state  Department  of  Health 
and  Human  Services,  said  he  has  know  n 
Easom  for  28  years  but  has  rarely  heard  him 
talk  about  this  accomplishment. 

"His  papers  were  the  backbone  of  nation- 
al health  policy,  but  he  doesn't  talk  about  it 
except  in  tidbits.  He's  too  modest."  Curran 
said.  "I  had  to  hear  about  it  from  the  folks  at 
CDC  and  the  National  Cancer  Institute." 

Easom  eventually  decided  he  wanted  to 
see  patients  regularly.  In  19-14.  he  took  a  job 
as  director  of  a  state  sanitarium  for  tubercu- 
losis patients  in  Wilson.  He  often  read  .\-rays 
there  looking  for  lung  damage. 

But  his  hospital  was  as  much  as  ware- 
house as  a  treatment  facility.  For  TB.  thefe 
were  no  effective  drugs.  Patients  were  pre- 
scribed rest  and.  occasionally  surgery,  but  the 
disease  often  w  on.  Of  ."iOO  patients  at  the 
sanitarium,  about  40  a  year  died.  Easom 
would  return  to  Raleigh  on  weekends  to  read 
chest  X-rays  for  the  Dusty  Trades  Program. 

Again.  Ea.som  w  as  at  a  historical  tuming 
point. 

In  the  1930s,  antibiotics  were  intro- 
duced that  could  attack  tuberculosis. 

"It  was  a  huge  change.  The  drugs  made 
all  the  difference  in  the  world."  Ea.som  said. 
"People  who  would  have  surely  died,  got  up 
and  w  alked  out  of  the  hospital." 

By  19,5.5.  the  sanitarium  was  no  longer 
needed  and  w  as  converted  to  a  mental  hospi- 
tal. But  Easom  continued  to  work  on  TB  issues, 
mnning  seminars  and  clinics  for  county  health 
departments.  He  retired  in  1 975. 

Of  course,  that  couldn't  keep  him  from 
coming  to  Raleigh  to  read  his  X-rays. 

Over  the  years,  a  stroke  and  cataract 
surgerv  haven't  stopped  him.  He  has  slowed 
diiwn  a  bit,  and  he  doesn't  walk  as  well  as  he 
did.  but  his  evesight  is  still  good  enough  to 
look  at  films.  While  he  drives  his  Cadillac 
iiround  Wilson,  he  now  gets  a  ride  for  the  trip 
totheTriiuigle. 

"I've  just  been  incredibly  lucky." 
Easom  said.  'T'\e  done  more  than  I  ever 
thought  I'd  do." 


Alumni 
Notes 


30s 


Kutus  R.  Little.  AB  '28.  MI)  '30.  believes 
he  nia\  be  the  only  li\in2  alumnus  of  the 
class  of  1930.  He  asks  if  there  are  an\  other 
sur\  i\  ing  "28  or  "30  alumni  that  lhe\  notify 
the  editor  of  the  Medical  Alumni  Bulletin. 
Little,  now  92.  remains  active.  He  and  his 
u  ife  have  three  erow  n  children. 


40s 


Carlton  G.  Watkins,  MD,  FAAP  '40,  has 

\\  ritten  Bcyciul  Medicine:  A  Ccnliiry  of 
Parcntiiii;  and  Pediatrics  in  Charlotte  and 
Mecklenhiin^  Counties  (190.^-1999).  The 
book  contains  the  biographies  of  250  pedia- 
tricians, other  physicians,  dentists  and  other 
allied  health  personnel.  It  also  records  the 
history  of  government  agencies  and  ci\  il 
and  social  organizations  involved  in  child 
welfare.  The  book  is  available  from  Broad- 
foot  Publishing  Company. 

John  B.  (Jraham.  MD  '42,  has  published 
his  founh  book  since  retiring  in  19S.5.  It  is  a 
cixikhook  titled  Southeastern  Cookiiii^. 


60s 


C\  (iray.  .MI)  "66,  plans  to  retire  from  his 
gynecology  practice  this  winter.  Gra\ 
says  that  his  health  is  still  good,  and  he 
looks  forward  to  retirement.  He  was  also 
recently  elected  president  of  the  Southern 
Gyn/OB  Societv. 

Howard  D.  Honusley,  MI)  '67,  has 

returned  to  \ash\  ille.  Tennessee,  to  join 
a  group  practice  after  24  \ears  in  .North 
Carolina. 


70s 


National  Board  of  Medical  Examiners  in 
March.  Her  responsibilities  include  organi- 
zational consulting  for  academic  and  other 
healthcare  organizations.  Her  specialties 
include  strategs  consultations,  leadership 
development  and  executive  coaching.  Her 
email  address  is  CAschenbre(2)aol.com. 


80s 


Anna  Bainbridge,  MS  '82.  has  been 
promoted  to  Director  of  Practice  at  the 
.American  Ph\  sical  Therapy  Association 
located  in  Alexiuidria.  Virginia. 

Lisa  Koehler  Burke,  MD  '89,  is  an  emer- 
gency medicine  physician  with  Peachtiee 
Emergency  Asstxiates  at  Piedmont  Hospital 
in  Atlanta.  She  and  her  husband.  .And\ . 
recently  celebrated  the  birth  of  their  son. 
Adam  Marshall. 


90s 


Carol  A.  Aschcnbrener,  MI)  '71.  began 
her  first  two-year  term  as  chair  of  the 


Lnri  \\.  Balaban.  MD  '90,  her  husband. 

Da\  id.  and  stin.  Michael  (age  3  1/2).  recently 
welcomed  Joseph  Daniel  into  their  fannly. 
Balaban  is  a  pediatrician  in  pri\ate  practice. 

Lawrence  R.  Nycum.  MI)  '90.  recently 
completed  a  fellow  ship  in  g\  necological 
oncology  at  Walter  Reed  Armv  Medical 
Center  and  the  National  Cancer  Institute. 
He  is  now  Division  Director  of  Gynecologic 
Oncology  at  Da\  id  Grant  Medical  Center, 
located  on  Travis  .Air  Force  Base  in  Califor- 
nia. He  holds  the  rank  of  major.  Nycum  also 
recentl\  was  aw;irded  "'Best  Scientific  Paper 
on  Oncology""  bs  the  American  College  of 
Obstetrics  Anned  Forces  District  Meeting. 
He  can  be  reached  at  Inycumrn  aol.com. 

Billie  (  osj-rove.  MI)  '92,  and  Chris 
(  osgnive.  MI)  '92,  are  happs  to  he  back  in 
■North  Carolina.  The\  ha\e  two  chiklren. 
Spencer.  .5.  and  Elly.  2. 


Cuiien  Rutr.  MI)  '92.  completed  a  fellow- 
ship in  abdominal  imaging  at  Georgetow  n 
Universitv  in  June.  He  has  joined  Fairfax 
Radiological  Consultants  in  Fairfax.  V.A. 

Ruric  (.\ndy)  .Anderson.  MD  "93.  is  an 

assist;uit  professor  of  medicine  ;uid  associate 
program  director  for  the  Internal  Medicine 
Residency  at  the  Medical  College  of 
Wisconsin  in  Milvvaukee.  He  and  his  wife. 
Holly,  are  expecting  their  first  child  in  .April. 
He  can  be  reachetl  at  runcC«  mcw.edu. 

Laura  B.  Knyedi.  MD  '93.  joined  the  Duke 
Eye  Center  facultv  as  an  assistant  clinical 
professor  of  ophthalmologv  this  August. 
Her  specialty  is  pediatric  ophthalmology 
and  strabismus.  She  works  part-time,  as  she 
is  also  the  mother  of  3-year-old  Emily  and 
14-month-old  .Andrew.  Her  email  address  is 
en\ed(K)l(a  mc.duke.edu. 

John  Phipps,  MI)  '93,  joined  Forsyth  Inter- 
nal Medicine  m  Jul\  1998.  His  specialty  is 
endocrinology.  He  ;ind  his  w ife.  Melissa.  ;ire 
expecting  their  third  child  in  Febm;iry . 

Allison  Poston,  MD  '95,  completed  her 
pediatrics  residenc\'  at  the  L  ni\ersiiy 
of  Kentucky  in  Lexington  and  has  joined 
Pediatric  and  Adolescent  .Associates,  a 
pri\  ate  practice. 

William  L  Smith  IN.  Ml)  '96.  has  com- 
pleteil  his  internal  metlicine  resuleniA.  He  is 
now  a  cardiology  fellow  at  Duke  L'niversity 
Medical  Center.  He  and  his  w  ife  recently 
celebrated  the  birth  of  their  son.  Willuim 
"Thomas"  Smith  \'. 

Harriet  N.  I)a\  is.  Ml)  '99,  has  joined 
Ghent  lamiK  Practice  Residency  Program 

in  Norfolk.  Virginia.  She  can  be  reached  at 
tiaMshnfa  fammetl.e\nis.etiu. 


13 


UNC  Study  Points  to 
Chromosome  Site  of  Autism  Gene 


By  Leslie  F.  Lang 

UNC  researchers  and  collaborating 
institutions  are  reporting  evidence 
for  a  possible  gene  on  chromosome 
13  that  causes  autism. 

The  group's  report  was  published 
Dec.  \5  in  the  Amciican  Juunud  of  Mcdkol 
(ic'lhiics. 

Autism  is  a  severe  neuro-developmen- 
tal  disorder  marked  by  social  and  comniuni- 
cation  deficits  and  ritualistic-repetitive 
behaviors  that  are  detectable  in  e;irly  child- 
hood luid  continue  throughout  life. 

"For  a  long  time  autism  was  not 
\ievved  as  being  a  genetic  disorder."  said 
loseph  Pisen.  MD.  professor  of  psychiatr\ 
and  new  director  of  the  university's  Mental 
Ketartlation  and  Developmental  Disabili- 
ties Research  Center.  "It  has  a  high  degree 
of  heritability,  confirmed  by  twin  studies 
that  show  a  substantially  higher  rate  in 
identical  twins  -  so  much  so  that  heritabilits 
is  more  than  90  percent." 

According  to  Piven,  a  child  psychia 
trist.  families  with  an  autistic  child  nin  up 
to  a  5  percent  risk  of  having  a  second  child 
with  autism. 

"And  while  that  percentage  is  not  so 
high,  it's  substantially  higher  than  the  rate 
of  autism  in  the  general  population.  v\  hich 
is  approximately  five  in  lO.OOO  kids"  he 
said.  "The  data  is  pretty  overwhelming  that 
autism  is  strongly  genetic,  more  so  than 
schizophrenia  or  diabetes." 

Still,  despite  epidemiology  evidence 
of  a  strong  genetic  influence.  Piven  and  his 
collaborators  note  that  the  search  for 
autism  genes  only  recently  has  begun  in 
earnest.  TTie  new  study  is  one  of  a  handful 
v\orldwide  to  genetically  screen  the  DNA 
of  nuclear  families  of  autistic  siblings. 

Tliis  imestigation  inwlved  7."^  families 
w ith  at  lea.st  two  autistic  children,  including 
three  families  having  three  autistic  children. 
The  children's  ages  ranged  from  3  to  31 
years  old. 

Findings  v\ere  based  on  an  assessment 
of  participants'  DNA  prepared  from  blood 
samples.  The  researchers  spaced  416 


nucleotide  markers  on  selected  chromo- 
some regions  for  each  individual.  The 
markers  helped  identify  those  regions 
across  individuals  containing  similar 
clusters  of  nucleotide  sequences.  .Statistical 
analysis  then  determined  if  the  presence  of 
these  regions  was  significantly  greater  than 
chance.  For  a  region  of  chromosome  13. 
the  answer  was  yes. 

The  study  also  highlighted  several 
other  possible  DNA  hot  spots  for  autism 
genes,  notably  a  region  on  chromosome  7. 
This  latter  finding  confimis  a  1999  report 
by  an  international  autism  research  team. 

The  new  evidence  akso  converizes  vs  ith 


According  to  Piven.  a  child 
psychiatrist,  famihes  with 

an  autistic  child  run  up  to  a 
5  percent  risk  of  having  a 
second  child  with  autism. 


that  from  another  research  group  for  a 
location  in  the  same  region  of  chromosome 
7  that  is  cunently  implicated  in  some  form 
of  specific  speech  and  language  impair- 
ment, a  disorder  having  characteristics  that 
overlap  that  of  autism. 

"We  believe  there  must  be  more  than 
one  gene  involved  in  autism."  Piven  said. 
"As  in  all  complex  behavioral  disorders, 
there's  no  clear  evidence  when  looking 
at  family  pedigrees  or  family  trees  that 
suggests  a  single-gene  may  underlie  this 
disorder." 

In  the  second  stage  of  the  project, 
also  funded  by  the  National  Institutes  of 
Health,  the  research  group  will  add  100 
new  lamilies  for  a  follow-up  analysis. 

Participating  institutions  include  New 
England  Medical  Center/Tufts  University 


School  of  Medicine.  Vanderbilt  University 
School  of  Medicine.  University  of  Iowa 
College  of  Medicine,  the  Johns  Hopkins 
University  School  of  Medicine  and 
Harvard  Universitv  School  of  Public 
Health. 

Besides  the  genetics  of  autism.  Piven 
also  uses  neuroimaging  (with  magnetic 
resonance  imaging)  to  study  structural 
differences  in  the  brain  of  autistic 
individuals.  He  was  the  first  researcher  to 
report  that  brain  size  is  greater  in  autistic 
persons,  an  enlargement  that  may  be  due 
to  certain  timing  during  the  process  of 
neuronal  development. 

With  new  funding  from  the  National 
Institute  of  Mental  Health.  Pixen's  center  is 
conducting  a  longitudinal  stud)  ol  children 
ages  IS  to  3.*^  months  old  with  autism  or 
probable  autism. 

""Basically,  we  want  to  look  at  the  size 
and  shape  of  the  brain  to  gain  insights  into 
this  observation  of  enlargement,  that  it  may 
encompass  some  developmental  abnonnal- 
ities  in  the  brain  during  early  postnatal 
development."  he  said. 


14 


Faculty 

Notes 


Damon  Anagnos.  MD.  has  been 
selected  to  participate  in  the  1999-2(101 
Teaching  Scholars  Program,  a  program 
designed  to  recognize  and  promote  teaching 
as  a  critical  scholarh  function. 

(hristopher  (".  Baker.  MI);  Ki'\  in 
Ikhrns.  Ml):  Cerald  Sloan.  Ml): 
Anthonv  A.  Mexer.  Ml).  PhD:  Amelia 
Drake.  Ml):  and  Timothy  Bukowski.  MI). 
were  among  the  t'acult)  to  recciN  e  School  of 
Medicine  Roster  of  Teaching  Excellence 
a\s:u"ds. 

Margaret  E.  Bentley.  PhD,  has 
been  named  associate  chair  of  the  Depart- 
ment of  Nutrition.  She  will  be  responsible 
for  o\  ersight  of  academic  programs  in  the 
department. 

Culley  Carson,  MD,  has  been  named 
president  ot  the  Urological  Research  Soci- 
ety. His  lenii  expires  September  21KKI. 

Elizabeth  Crais,  PhD.  associate  pro- 
fessor of  speech 
and      hearing 
sciences,  was 
recently  named 
,1  tellow  in  the 
Amcncan 
Speech-Lan- 
uiiage-Hearing 
.Association. 
Crais  was 

recognized  for 
preparing  grad- 
uate students 
and  practition- 
ers to  pro\  ide  famil)  -centered  assessment 
and  interxention  ser\  ices. 

Thomas  E.  Curtis.  MI),  professor  of 
psychiatry,  v^as  recognizeil  as  the  I'M)'* 
Distinguished  Alumnus  at  the  annual 
George  Ham  Symposium. 

Matthew  Ewend.  Ml),  his  been 
selected  to  participate  in  the  I ';9';-2()()l 
Teaching  Scholars  Program.  He  also 
received  a  ClinicalAIranslational  Research 
Avsard  from  the  UNC  Linebeiger  Compre- 
hensive Cancer  Center. 


Cicii.s 


Carol  A.  Eord,  MD,  assistant  profe 
sor  of  pediatrics 
and  medicine. 
recei\  ed  a  four- 
>  ear.  S240.00() 
Generalist 
Physician  Fac- 
ult\  Scholar 
Program  .Aw  ard 
from  the  Robert 
Wood  Johnson 
Foundation.  ^  - 

Ford  will  use     ^^ 
the  money  to  [oiil 

support       her 
research  of  adolescent  behavior. 

Joyce  Harp.  MD.  assistant  professor 
of  nutrition,  received  the  James  Woods 
Junior  Faculty  .Award  from  the  L'NC  School 
of  .Medicine.  This  aw  ard  recognizes  one  out- 
standing junior  facultx  member  for  contri- 
butions to  clinic.il  leaching  and  research. 

Karen  K. 
Holfman.  RN. 
MS.  CIC.  clin- 
ical instructor 
of  infectious 
diseases  and 
associate  direc- 
tor of  the  State- 
wide  Program 
for  Infection 
Control  and 
Epidemiology, 
was  recent  1\ 
honored  by  the  national  trade  magazine. 
Iiifci  nun  Ccnii'dl  laihix.  as  educator  of  the 
\ear. 

Jack  Eongenecker.  PhD.  clinical  pro- 
lessor  of  nutniion.  was  selecleil  as  a  fellow 
ol  the  American  Social  Nutrition 
Sciences. 

.Mice  I).  Ma.  .MI),  assisianl  prolessor 
of  meilicine.  was  awariled  a  Junior  Faculty 
Scholar  Award  at  the  41st  annual  American 
Society  of  Hematology  (ASH)  meeting  held 
last   December.  The  two-vear  award 


HoJJnicin 


pro\  ides  funding  to  scientists  who  ha\e 
recentl)  begun  their  rese;irch  ciu'eers  ;uid  lU'e 
studying  blood,  blood  diseases,  or  blood- 
forming  tissues.  Ma  is  one  of  se\  en  scien- 
tists to  receive  a  1999  award. 

Michael 
Mill.  Ml),  in 
tenin  di\  ision 
chief  of  cardio- 
thonicic 

surgery,  was 
named  a  mem- 
ber of  the  Uni- 
versity Health 
Consortium's 
CPAC  Heart 
Transplant 
Clinician  Coor-  Mill 

ilinating  Committee  and  CP.AC  Heart  Trans- 
plant Clinical  Benchmarking  Liaisons. 

Kim  I'rich.  MS\N.  clinical  instructor 
and  case  manager  for  the  UNC  Cnuiiofacial 
Center,  has  been  appointed  to  serve  on  the 
National  Advisory  Dental  and  Craniofacial 
Research  Council  of  the  National  Institutes 
of  Health. 


Research 
Briefs 


Study  confirms  protein 
culprit  in  alcohol-induced 
liver  disease 

For  ihc  first  linie.  UNC  scientists  have 
used  gene-knoci\out  technology  to  identity  a 
i^ey  molecular  player  in  alcohol-induced 
liver  disease. 

A  report  on  the  study  appeared  ni  the 
journal  Gastroenterology.  The  findings 
carry  implications  for  targeting  new  treat- 
ments aimed  at  preventing  alcohol-induced 
hepatitis  and  cirrhosis, 

"Having  this  knock-out  technology  will 
help  us  develop  drug  therapies  lor  this 
devastating  disease,  which  affects  1 1  million 
people  in  the  United  States  alone.""  said 
senior  study  author  Ronald  G.  Thurman. 
PhD.  professor  of  phamiacology. 

The  report  pointed  to  tumor  necrosis 
factor-alpha  (TNF-alpha)  as  the  liver  injury 
culprit.  This  hormone-like  protein  is  pro- 
duced in  the  liver  and  cells  throughout  the 
body.  An  immune  system  cytokine,  it  is  a 
central  pro-intlammatory  molecule. 

The  study  offers  the  first  solid  proof 
that  TNF-alpha  figures  importantly  in  the 
development  of  early  liver  injury  as.sociated 
with  long-tenii  alcohol  consumption.  Previ- 
ously, higher  levels  of  TNF-alpha  were 
founil  in  alcoholics  with  hepatitis  and  labo- 
ralon.  studies  ha\e  shown  that  luitibodies  to 
TNF-alpha  attenuated  alcohol-induced  liver 
in|ur\.  But  the  cytokine"s  role  in  the  disea.se 
remained  unclear. 

/■('/■  more  information,  see  http:ll 
www.iiiH.cduhwwslnewsscn'limivlliYerlOQ 
4W.htm. 

UNC  researchers  look  at 
effectiveness  of  new  cancer 
drug 

A  clinical  study  at  UNC  is  testing 
the  effectiveness  of  a  new  drug  for  treating 
cancers  of  the  ovaries  and  endometrium,  the 
lining  of  the  uterus. 

Tlie  clinical  trial,  sponsored  by  Eli  Lilh 
and  Co.  of  Indianapolis,  is  the  only  one  in 
North  Carolina  to  test  this  latest  selective 


estrogen  receptor  modulator  (  SERM  ». 
known  by  its  investigational  number 
LY.\';.\"^81, 

Unlike  traditional  chemotherapy,  side 
effects  associated  with  the  drug  are  minimal. 
Moreover,  the  drug  is  given  orally,  rather 
than  administered  through  intravenous 
infusion. 

"Traditional  chemotherapy  is  usually 
cytoto.xic  —  it  kills  cells.  And  when  it  kills 
cancer  cells,  it  kills  some  of  your  healthy 
cells,""  said  Linda  Van  Le.  associate  profes- 
sor of  obstetrics  and  gynecology.  "And  side 
effects  associated  with  traditional 
chemotherapy  can  include  hair  loss  and 
decrease  in  white  blood  cell  count.  When 
white  cell  count  is  decreased,  a  major 
concern  is  an  increa.sed  risk  of  infection."" 

According  to  Van  Le.  LY353381  does 
not  have  these  side  effects.  However,  there 
may  be  hot  flashes  and  an  increased  risk  of 
deep  venous  thrombosis,  fomiation  of  blood 
clots  in  veins. 

For  more  information,  see  htip::! 
\v\v\v.unc.cdiilnewslnewsseiyliinivlserm2IO 
OlW.lwn. 

New  biomarker  could 
improve  screening  for 
cervical  cancer 

Researchers  at  UNC  are  studying 
the  value  of  a  new  biomarker  for  improving 
cenical  cancer  screening. 

The  clinical  trial  will  examine  cenical 
smears  for  lelonierase.  a  protein  released 
into  cells  when  chromosomes  shorten,  stick 
together  and  become  genetically  unstable. 
TTie  protein  helps  rebuild  eroded  telomeres, 
the  caps  at  the  ends  of  chromosomes.  Its 
presence  in  cervical  cells  removed  during 
Pap  smear  testing  may  help  predict  which 
women  are  at  greatest  risk  for  developing 
cancer. 

"Pap  sme;ir  screening  has  been  very  ef- 
fective at  decreasing  the  number  of  deaths 
from  cervical  c;incer.  but  many  of  the  abnor- 
mal results  it  produces  do  not  lead  to  an 
increased  risk  of  cancer.""  said  John 
Boggess.  MD.  assistant  professor  of  obstet- 
rics and  gynecology.  ""A  lot  of  women 


undergo  expensive  testing  and  painful 
procedures  only  to  find  out  they've  got 
something  that  doesn't  need  treatment  or  is 
unlikel\  to  become  cancer."" 

According  to  Boggess.  a  gynecologic 
oncologist.  Pap  smear  sensitivity  is  only  70 
percent  and  can  be  as  low  as  50  percent  in 
women  w  ith  ulceration  and  innammation  of 
the  cer\  ix.  conditions  commonly  found  in 
women  with  cancer.  More  than  2.5  niillion 
abnormal  Pap  smears  are  reported  in  the 
United  States  each  year. 

For  more  information,  see  httpill 
www. line. echi/new.s/new.s.'ieiT/univ/cen'i 
callllOI'-N.htm. 

New  molecular  clues  may 
help  control  herpes 

A  UNC  study  may  have  identified  a 
new  way  to  halt  herpes  simplex  \  irus  in  its 
molecular  tracks. 

The  findings  —  though  still  too  basic 
lor  clinical  use  —  shed  new  light  on  how 
this  stubbornly,  persistent  virus  reproduces 
itself  within  nerve  cells  and  may  suggest 
possible  ideas  for  designing  therapies  aimed 
at  specific  molecular  targets. 

"The  picture  that"s  emerging  is  that  the 
virus,  because  it"s  an  intracellular  parasite, 
subverts  nomial  regulatory  cellular  mecha- 
nisms in  ways  that  optimize  its  own  replica- 
tion."" said  Steven  L.  Bachenheimer.  PhD. 
professor  of  micrt)biology  and  immunology. 

Reporting  in  October"s  .loiirnal  of 
\irolog\.  Bachenheimer  and  Tim  L 
McLean,  a  student  of  genetics  and  microbi- 
ology, noted  that  a  cellular  protein  kinase 
called  JNK.  (pronounced  "junk"")  seems 
important  for  herpes  simplex  virus  type- 1 
(HSV  I)  to  replicate.  HSVl  is  the  highly 
transmissible  herpes  virus  associated  with 
painful  cold  sores. 

"If  we  inhibit  the  activity  of  JNK.  we 
see  a  reduction  in  viral  yield  in  the  cell,"" 
Bachenheimer  said.  In  some  cells,  the 
reduction  was  significant,  he  said.  Viral 
replication  w  as  down  about  70  percent. 

F(ir  more  information,  see  http:ll 
www.Hnv.edulnewslnewssenUmivDicpeslOl 
399.htm. 


16 


Protein  in  Epstein-Barr 
virus  causes  B  cell 
lymphoma  in  mice 

UNC  scientists,  wcirking  u  ith  Loiieagues 
in  Japan,  have  proven  that  a  protein  called 
latent  membrane  protein  I  in  Epstein-Barr 
\  inis  causes  a  fomi  of  c;incer  known  ;i.s  B  cell 
hinphomainmice. 

The  work  is  important,  the  scientists 
say.  because  it  shows  the  protein's  central 
role  in  Epstein-Barr  \  irus"  ability  to  change 
normal  cells  into  cancerous  ones.  TTiat  \  irus 
already  is  known  to  cause  infectious 
mononucleosis  in  humans  and  has  been 
associated  w  ith  such  malignancies  as  Bur- 
kett's  lymphoma.  Hodgkin's  lymphoma  and 
ncse  and  throat  cancer.  It  is  especially  haz- 
ardous to  AIDS  patients  and  other  patients 
w  hose  immune  systems  ha\  e  w  e;ikened. 

""We  have  show  n  for  the  first  time  that 
Epstein-Barr  virus  clearly  can  cause 
cancer.""  said  Nancy  Raab-Traub.  PhD.  pro- 
fessor of  microbiology.  ""Now  we  can  go 
after  the  specific  protein  that  is  responsible 
and  perhaps  one  day  stop  that  protein  func- 
tion and  pre\  ent  the  cancer  from  grov\  ing." 

The  first  report  on  the  continuing 
research  appeared  in  the  Proceedings  of  the 
National  Academy  of  Sciences  last  year,  and 
a  second  describing  additional  findings  in  an 
October  1W9  issue  of  the  journal  Science. 

For  mure  information,  see  http:ll 
wM'w.itnc.edulnewslnewssenlreseanhlraah 
ilODVW.htm. 

Gene  mutation  tied  to 
deafness  in  blacks,  whites 

A  new  UNC  study  is  the  first  to 
establish  that  a  gene  mutation  associated 
w  ilh  about  20  percent  of  all  cases  of  hercdi- 
lar\  deafness  found  in  white  people  is  also 
tiiutul  in  blacks. 

"There  have  been  some  reports  m  the 
scieniillc  literature  on  Caucasians,  but  onK 
a  small  stud\  on  African-Americans,  anil 
they  didn't  find  the  mutation."  said  Eliza- 
beth .VI.  Rohlfs.  PhD.  clinical  assistant 
prolessor  of  pathology  and  laboratory 
medicine. 


Rohlfs  and  colleagues  tested  DNA 
samples  of  50()  w  hites  and  5(X)  blacks  for  the 
mutation  knov\n  as  35-delete-G  (35delG). 
Healthy  carriers  of  the  mutation  carry  only 
one  cop\  from  either  their  mother  or  father. 
When  each  parent  has  a  copy,  one  in  four 
offspring  risks  inheriting  a  pair  and  is  bom 
deaf.  These  are  the  odds  for  inheriting  a 
recessive  genetic  trait. 

""We  found  a  two  percent  carrier 
frequency  of  .\'^-delete-G  in  Caucasi;uis  and 
a  0.4  percent  carrier  frequency  in  African- 
.Americans.""  Rohlfs  said. 

In  North  Carolina's  general  population, 
this  ratio  translates  to  a  frequency  of  one  in 
10.000  for  whites  and  1  in  2.^0.000  for 
blacks.  The  findings  were  reported  at  the 
annual  meeting  of  the  American  Societ\  of 
Human  Genetics  in  San  Francisco. 

For  more  inforniation.  see  Imp:// 
iiiru./(/i( .('(//(  news  neusserv/univ/diieneK) 
iwyjimi. 

Gamma  tocopherol 
may  boost  risK  of  knee 
osteoarthritis 

A  component  of  vitamin  E.  known 
as  gamma  tocopherol,  may  somehow 
contribute  to  arthritis,  a  unique  new  study  of 
\  ilamin  E  and  the  painful  degenerative 
illness  suggests. 

The  study,  described  at  a  recent 
American  College  of  Rheumatology  news 
conference  in  Boston,  also  suggests  that  bas- 
ing a  high  proportion  of  alpha  tocopherol  - 
the  most  common  ingredient  in  \  itamin  E  - 
relative  to  gamma  tocopherol  ma\  help 
prevent  arthritis,  at  least  in  knees 

Joanne  Jordan,  MD,  research  associate 
professor  of  medicine,  presented  the  finil- 
ings.  A  member  of  the  Thurston  Arthritis 
Research  Center.  Jordan  is  principal  iinesti- 
gatorof  the  Johnston  Counts  Osteoarthritis 
Project,  a  large,  gosernment-sponsorcd 
studs  of  the  illness  that  lor  Ihc  lirsi  nmc 
incluiles  m;uis  black  subjects. 

/•(</■  more  informcilion .  sec  Imp." 
www. line  Clin  iie\vs:i)ew\serv  research  jodu 
nlll7W_lirm. 


17 


Alumni  Profile 


This  Doctor  is  No  Stranger  to  Writing 


By  Melissa  Matson 

Frank  Huyler.  MD.  MPH  "93.  enjoys 
observing  the  world  around  him. 
That  characteristic  has  served  him 
well  in  his  career  as  an  emergency  room 
physician.  It  has  also  served  him  well  in  his 
avocation;  writing  poetry  and  prose. 

Following  up  on  a  suggestion  to  write 
about  his  ER  experiences.  Huyler  recently 
hit  the  road  on  a  book  tour  promoting  The 
Blood  ofSlnmi;crs:  Sloric.s  from  hjii('ri;cncy 
Medicine.  In  his  book,  he  sought  to  recount 
interactions  with  patients  in  ways  that 
would  challenge  his  readers. 

"There's  a  lot  of  hype  surrounding 
emergency  medicine."  said  Huyler.  "And  I 
saw  this  book  as  an  opportunity  to  offer  an 
honest  look  at  an  often  misrepresented 
world." 

In  one  story,  for  instance.  Huyler 
describes  caring  for  the  victim  of  a  gunshot 
wound.  .After  rirshing  his  patient  to  surgeiy 
and  spending  the  night  w  ith  him  in  the  ICLI. 
Huyler  learned  that  the  man  \*.as  a  murderer 
He  w  rites: 

When  I  came  lo  sec  him.  before  sunrise.  I 
found  a  police  officer  silting  in  a  chair 
reading  a  magazine.  The  policeman 
yawned  when  he  saw  me.  put  down  his 
magazine,  and  came  out  lo  talk.  "He's  a 
had  one,"  he  said,  gesturing  to  the  mon- 
strously distorted  figure.  "We  think  he 
killed  at  least  two  convenience  store  clerks 
last  year."  "Really  .'"  The  cop  nodded. 
"Killed  them  both,  after  he'd  got  the 
money...  Right  through  the  head.  We've 
been  after  him  for  a  \  ear." 

The  child  of  two  itttemational  school- 
teachers. Huyler  grew  up  overseas,  in  the 
United  Kingdom.  Japan.  Brazil  and  Iran. 
"Growing  up  overseas,  being  a  foreigner, 
encouraged  me  to  sit  back  and  look  at  the 
bigger  picture."  said  Hu>  ler.  "It  helped  me 
as  a  writer." 

In  his  late  teens.  Huyler  decided  to  go 
to  Williams  College,  a  liberal  ails  college  in 
Massachu.setts.  where  he  earned  a  Bachelor 
of  Arts  in  English.  It  was  during  that  period 
in  his  life  that  he  began  to  v\  rite  seriously. 
"Williams  College  was  very  fertile  ground 
for  me  in  that  respect."  said  Huyler.  "I  had 
access  to  some  ver\  prominent  writers  v\ ho 
ga\e  me  \aluable  ad\ice  and  encourage- 
ment. I've  continued  to  w  rite  ever  since." 


Frank  Huyler.  MD.  MPH.  V.^ 

Despite  his  obvious  affinity  for  writing, 
he  decided  to  pursue  a  career  in  medicine.  "I 
wanted  a  sense  that  the  daily  v\ork  I  did  v\as 
important  and  that  it  had  a  tangible  and  real 
impact  on  people's  lives."  he  explained.  "I 
never  considered  the  possibility  of  being 
able  to  support  myself  through  writing. " 

With  that  motivation,  he  applied  to  and 
was  accepted  by  LINC's  School  of  Medicine. 
"I  was  really  fortunate  in  going  to  UNC." 
said  Huyler.  "I  was  under  the  false  impres- 
sion before  school  started  that  I'd  have  to 
put  my  interest  in  the  humanities  on  hold. 
But  v\hat  I  found  is  that  L'NC  emphasizes 
the  humanities  in  addition  to  the  practical 


side  of  medicine." 

Among  his  mentors  at  UNC  were  Judith 
Tintinalli.  MD.  MS.  chair  of  Emergency 
Medicine,  and  Jim  Manning.  MD.  associate 
professor  of  emergency  medicine,  who 
.served  as  his  career  goal  advisor.  "TTiey  went 
out  of  their  way  to  be  supportive."  said 
Huyler.  "And  they  encouraged  me  to 
consider  emergency  medicine  for  my  career." 

After  graduation.  Huyler  w  ent  to  Albu- 
querque. New  Mexico,  for  his  residency. 
While  there,  he  started  on  his  first  book. 
"My  department  chair.  Dr.  Da\id  Sklar. 
liked  to  write,  and  he  knew  that  I  did  also." 
Huyler  said.  "So  he  suggested  that  I  write 


18 


about  ni\  experiences  in  the  ER  t'lir  ni\  residene_\' 
prujecl. 

"I  think  it's  all  too  easy  in  medicine  to  torget  that 
what  you're  seeing  is  remarkable.  So  the 
remarkable  becomes  mundane. "  Hu\  ler  said.  "Every 
once  in  a  while,  it's  good  to  sit  back  and  take  stock  ot  the 
work  we  do." 

Editor's  Note:  As  of  our  publication  date.  The  Blood  of 
Srnini;ers.  published  by  Unixersity  of  California  Press, 
can  be  purchased  on  the  Internet  at  Amazon.com 
( S 1  .^47 )  or  BamesandNoble.com  ( S 1  .^.% ). 


Frank  Husler's  book.  The  Blood  of  Stnmaers.  has 
recei\  ed  numerous  review  s  by  literary  critics.  Among 
them  are  the  Boston  Globe.  The  New  Yorker,  and 
Publishers  Weekly.  Huyler  also  writes  poetry.  Some 
of  his  poems  have  been  published  in  The  Athiiuu 
Monthly.  Poetn.  The  Georgia  Review  and  the 
Carolina  Quarterly.  At  the  current  time,  he  is 
finishing  a  book  of  poems  and  working  on  a  no\e 

"Huyler's  w  riting  is  sharp  and  spare,  clean  as  a 
scapel. . .  Tliis  volume  is  a  modest  jewel,  a 
compact,  faceted  gem  that  shines  with  intelli- 
gence. And.  like  the  work  of  those  more  senior 
doctor/w  riter/philosopher  kings  who  precede 
him.  it  proves  that  even  in  these  days  of  lawsuits 
and  HMOs,  there  are  doctors  and  nurses  who 
iruK  \aluethe  lives  in  their  charge." 
Boston  (ilohc.  9/2^/99 

"This  haunting,  exquisitely  observed 
collection  of  medical  \'ignettes  is  much 
more  than  a  compilation  of  odd  cases 
from  the  emergency  room.  Huyler  probe 
beneath  the  surface  to  reveal  the  marrow 
<il  his  encounters  with  patients." 
I'Khlishcrs  Weekly,  mo/99 

"His  uork  shows  the  econonis  ami  sharp 
altention  that  both  jobs  |H.R.  physician  ami  poet 
demand. " 
The  AVii  Yorker.  9/6/99 


19 


Women  in  Leadership 


Bv  Melissa  Matson 


Willie  the  fictional  Dr.  Quinn  may 
have  been  an  unusual  fixture 
in  her  180()s  setting,  women 
doctors  are  commonplace  at  the  turn  of  the 
millennium. 

According  to  the  Association  of  .Amer- 
ican Medical  Colleges,  nearly  50  percent  of 
medical  school  applicants  are  women.  As  a 
result,  the  number  of  female  physicians  is 
rising  dramatically.  And  that  fact  has  led  to 
an  increased  desire  among  women  to  take 
on  leadership  roles  in  the  medical  field. 

In  academic  medicine,  leadership 
opportunities  have  been  relatively  slow  in 
coming.  The  AAMC  found  that  in  1998, 
only  27.4  percent  of  medical  school  faculty 
members  were  women.  It  also  found  that 


"the  proportion  of  women  faculty  at  the 
rank  of  full  professor  has  remained  virtually 
constant  during  the  past  17  years."  Another 
interesting  fact:  the  average  number  of 
women  department  chairs  per  medical 
school  is  one. 

Though  there  are  more  women  in  med- 
icine, there  are  not  a  proportional  number  of 
women  in  leadership  positions.  One  possi- 
ble reason  is  women's  efforts  to  balance 
career  and  family.  Currently,  most  tenure 
tracks  —  the  traditional  way  to  advance  in 
academic  medicine  —  do  not  allow  women 
to  take  time  off  to  raise  children. 

Another  possible  reason  is  that  women 
tend  to  have  fewer  networking  and  mentor- 
ing opportunities  than  men.  "Like  members 
of  minority  groups,  women  faculty  mem- 
bers have  a  much  harder  time  obtaining  the 
necessarv  mentorine  and  buildinii  net- 


works." said  Janet  Bickel.  associate  VP  in 
the  AAMC's  Division  of  Institutional  Plan- 
ning and  Development  and  head  of  the 
Association's  Women  in  Medicine  program. 
"Men  tend  to  underestimate  the  extra  chal- 
lenges that  result  v\  hen  you  don't  see  people 
w  ho  look  like  you  in  positions  of  power." 

UNC's  School  of  Medicine  is  a  little 
unusual  in  that  female  doctors  have  a  vari- 
ety of  leadership  roles,  including  several 
department  chairs,  deans,  division  chiefs 
and  committee  heads.  Tlw  Medical  Alumni 
Bulletin  sat  dow  n  w  ith  four  of  them  to  find 
out  what  their  experiences  in  academic 
medicine  have  been  like. 

Judith  Tintinalli,  MD,  MS 

For  Judith  Tintinalli.  MD.  MS,  chair  of 
the  Department  of  Emergenc>  Medicine, 
eender  has  made  little  difference  in  her 


Juclnh  Tiniiikilli.  MD.  MS 


career,  "rm  fortunate  to  be  in  a  specialt> 
that's  relatively  new.  And  because  of  that, 
it's  open  to  anyone  w  ho  is  sman.  \v  illin!:  to 
work  hard  and  good  at  w  hat  the\  do."  said 
Tiniinaili. 

She  found  the  same  to  be  true  during 
her  earl\  ciyeer  in  internal  medicine.  "I  had 
no  problems  because  I  was  a  woman  during 
medical  school  or  residency."  Tintinalli 
said.  "All  the  way  through.  I  assumed  peo- 
ple would  treat  me  for  w  ho  I  u  as."' 

■".And  now  that  Tm  in  a  position  of 
leadership.  I  make  it  clear  that  I  ha\  e  no 
gender  agenda."  said  Tintinalli.  "I  do  think 
women  ha\e  to  consider  issues  that  men 
ma\  not.  but  1  want  to  see  cvcryniu-  who  is 
good  get  a  chance.  1  don't  like  to  sec  polar- 
ization."' 

Her  advice  to  people,  male  or  female, 
w  ho  w  ani  to  enter  academic  medicine  — 
develop  good  clinical  skills,  learn  how  to  be 
a  gtKxi  administrator,  and  de\  elop  a  niche  in 
scholarh  acti\ilies.  "In  academic  medicine, 
the  path  to  promotion  includes  all  three."' 
said  Tintinalli. 

Valerie  Parisi,  MD,  MPH 

Valerie  Parisi.  MD.  MPH.  chair  of  the 
Department  of  Obstetrics  and  Gynecology, 
thinks  that  despite  the  positive  changes  for 
women  in  medicine,  gender  is  still  an  issue. 
■"For  the  most  part,  people  in  academia 
consider  themsehes  gender  neutral."  said 
Parisi.  "But  m\  experience  in  OB/Gyn. 
which  is  a  surgical  specialty,  has  been  that 
gender  neutrality  is  not  necessaril\  the 
nomi." 

Parisi  points  to  the  fact  that  few  female 
doctors  are  in  positions  of  "real"'  leadership. 
"Most  women  seem  to  stop  in  middle  man- 
agement." said  Parisi.  "Out  of  125  medical 
schools,  only  seven  or  eight  have  female 
OB/Gyn  chairs."  The  result,  says  Parisi.  is 
thai  young  women  have  few  female  role 
models. 

Like  Williams.  Parisi  is  a  strong  ad\o- 
cate  of  mentoring.  "".Mentoring  is  crucial  no 
matter  who  you  are."  Parisi  said.  ""And  I  tell 
my  students  that  the\  shouldn't  have  just 
one.  ThcN  need  twii  or  three  w ho  can  help 
w  ith  different  aspects  of  their  career." 

Among  Parisi  "s  hopes  for  future  female 
phNsicians:  greater  undersiandmg  through- 
out academic  medicine  of  the  value  ot  female 
leaders  and  their  potential  contribution  to  the 
system.  ""We  don't  want  to  lose  gifieil 
women  to  second  class  jobs."  Parisi  saiil. 

Carol  Lucas,  Phi) 

In  the  case  ot  C  aroi  l.ucas.  PhD.  chair 
of  the  Department  of  Biomedical  IJigineer- 
ing.  she  is  a  bit  of  an  oddil\.  "\]\  field  is 
strongly  lied  to  mathematics  and  engineer- 
ing."' said  Lucas.  "'For  that  reason.  I  was 


often  the  (MiI\  woman  in  ni\  classes  or 
workplace." 

But.  said  Lucas,  that  too  Is  changing. 
According  to  her.  biomedical  engineering  is 
a  specialty  that  has  proven  attract i\e  to 
women.  "You  might  call  it  the  softer  side 
ot  engineering."  Lucas  said.  "This  field  has 
tangible  links  to  human  beings  that  makes  li 
more  appealing  to  women  than  tiadiiumal 
engineering." 

For  Lucas,  being  a  woman  in  acaiiemic 
medicine  has  been  both  positive  and 
nei2ati\e.  "'1  call  it  m\   lite  as  a  token 


\alcncl\insi.\ll).\ll'll 

woman."  saul  Lucas.  "Vox  insiance.  \ears 
ago.  1  was  named  president  ol  .ui  interna- 
tional organization.  That"s  because  the 
members  couldn"t  decide  which  of  the  men 
to  appoint.  Since  1  wastlieonlv  worn. in.  1 
made  the  decision  an  easier  one. " 

What  Lucas  tlid  find  challenging  in  her 
earl)  career  was  securing  grants  and 
publishing  scholarl\  articles.  '"1  didn"t  have 
the  same  network  of  contacts  that  main  of 
my  male  counterparts  iliil."  Lucas  said. 
■"Because  ot  that.  1  wasn'i  able  lo  liiul  out 
about  as  main  oppoilunilies." 


Now.  as  one  of  the  oldest  women  in 
her  field.  Lucas  tries  to  mentor  those  just 
beginning,  "rm  in  a  position  to  help  other 
women  get  started."  said  Lucas.  "And  now. 
there's  beginning  to  be  a  network  that 
enables  women  to  talk  with  and  learn  from 
others  who  have  gone  before  them." 

Roberta  Williams,  MD 

Roberta  Williams.  MD.  chair  of  the  Depart- 
ment of  Pediatrics,  notes  that  her  specialty 
w  as  one  of  the  first  to  welcome  w  omen. 
"The  result  is  that  the  younger  generation  of 
pediatricians  is  predominantly  female,"  said 
Williams.  "Pediatrics  is  a  very  open  disci- 
pline in  which  women  are  encouraged  to 
move  up  the  ranks.  So  it"s  also  a  natural  fit 
for  women  who  have  an  interest  in  leader- 
ship." 

The  only  barrier  Williams  sees  for 
women  in  academic  medicine  is  the  same 
lor  women  of  any  profession.  "The  question 
is  "How  will  they  manage  their  reproducti\e 
\ears?""  said  Williams.  "1  think  that  we 
need  to  look  at  how  we  can  give  women  an 
opportunity  to  participate  in  academia  and 
still  have  a  family.  We  need  to  consider 
things  like  job  sharing  and  part-time  tenure 
tracks."  By  doing  so.  believes  Williams, 
academic  medicine  can  ensure  that  it  v\  ill  at- 
tract and  keep  talented  people. 

She  recommends  that  women  interest- 
ed in  academic  medicine  do  tv\o  things. 
First,  tlnd  a  mentor.  "Women  don't  take  ad- 
vantage of  mentoring  to  the  degree  that  men 
do."  said  Williams.  "Women  need  to  gi\e 
some  thought  to  w  ho  has  the  best  tools  to 
help  them  direct  their  careers." 

Second,  assert  your  needs  in  the  areas 
of  time,  salary  and  position.  "Traditionally, 
women  sell  themselves  short."  Williams 
said.  "All  too  often,  women  agree  on  a 
salary  only  to  find  that  a  male  colleague 
makes  more.  Then  they  are  dissatisfied." 


Canil  Lucas.  PhD 


RohcitiiWilluinis.MD 


22 


Development 

Notes 


Donations  benefit  hospital 
chaplainc\  program,  plastic 
surger\  research 

It's  not  often  that  nionev  gi\en  to  The 
Medical  Foundation  has  an  ob\  ious  and 
direct  clinical  impact.  But  in  the  case  ot 
James  and  Hannah  Bagwell's  gift,  it  does. 

In  lys^).  the  Bagwells,  who  live  ni 
Washington.  North  Carolina,  established 
the  William  Roberson  Bagwell  Chaplainc\ 
Fund  in  niemorN  of  their  son.  who  died 
that  \ear  of  a  brain  tumor  Bill  had  ser\ed 
as  UNC  Hospitals'  first  chaplain  dedicated 
to  patients  with  HIV  and  AIDS  until  his 
death.  His  parents  sought  to  keep  their 
son's  ministr>  alive  by  helping  to  finance 
the  chaplain  program  for  that  special 
patient  population. 

Last  .\o\ember.  the  Bagwell's  added 
$50. 000  to  the  fund.  In  part,  that  monev 
has  gone  to  support  the  work  of  Peter 
Mafflv-Kipp.  chaplain  to  AIDS  patients  at 
UNC  Hospitals  since  1991.  "This  ministrv 
is  an  essential  one  in  this  hospital,  and  it 
would  not  have  been  possible  w  ithout  the 
Bagwell  fund."  said  Mafflv-Kipp. 

On  the  research  side.  James  Valone. 
.MD.  a  retired  plastic  surgeon  from 
Raleigh,  and  his  wife.  Ethel.  recentl\ 
committed  SI  million  to  The  Medical 
Foundation  to  establish  the  James  A.  and 
Ethel  F.  Valone  Plastic  and  Reconstructive 
Surgerv  Research  Fund.  The  generous  gift 
was  stnictured  so  that  part  will  be  donated 
outright  on  an  annual  basis,  and  part  will 
be  received  from  the  Valones'  estate. 

"Dr.  and  Mrs.  Valone  and  their  famil\ 
are  long-time  friends  of  our  program,  and 
they  know  that  we  have  very  strong 
clinical  and  teaching  components."  saiil 
Gerald  Sloan.  .MD.  chief  ot  the  Division  of 
Plastic  Surgerv.  "But  thev  saw  what  we 
need  to  take  our  program  to  the  next 
level — to  strengthen  our  research  " 

So  the  Valones  established  the  fund 
to  help  "kick  start"  scholarship  in  the 
division.  Specificalh.  it  will  allow  the 
Division  of  Plastic  Surgerv  to  recruit  facultv 
to  set  up  significant  research  projects. 

"A  wonderful  thing  about  this  gift  is 


that  It's  unrestricted."  Sloan  said.  "That's 
great  in  teniis  of  recruitment  and  great  in 
teniis  of  getting  residents  involved  in  the 
research.  External  grant  funding  is  so 
unpredictable,  but  the  Valone  fund  will 
help  keep  our  research  projects  going 
independent  of  that." 

Centers  recei\  e  seed  grants 
from  Excellence  P'und 

Five  nationally  recogni/ed  L'NC 
research  centers  recently  received  seeil 
grants  from  The  Medical  Foundation  E.xcel- 
lence  Fund,  an  annual  fund  for  friends  of  the 
School  of  Medicine  and  UNC  Hospitals. 
Recipients  included  Lineberger  Comprehen- 
siv  e  Cancer  Center,  the  C\  stic  Fibrosis/ 
Pulmonarv  Research  and  Treatment  Center, 
the  Birth  Defects  Center,  the  Bow  les  Center 
for  Alcohol  Studies  and  the  Thurston  .Anhri- 
tis  Research  Center. 

Each  center  received  a  S.'^.OOO  seed 
grant  to  fund  promising  projects — research 
leading  to  new  treatments  and  cures  but  not 
far  enough  along  to  receive  national  funding. 
"Seed  grants  allow  researchers  to  get  the  data 
they  need  to  apply  for  national  grants."  said 
Shelley  Earp.  MD.  director  of  the  Lineberger 


Compreheiisiv  e  C;uicer  Center 

"I  know  I  speak  for  each  center  when  I 
sa\  we  are  thrilled  with  these  gifts."  said 
Fulton  Crew  s.  PhD.  director  of  the  Bow  les 
Center  for  .Alcohol  Studies.  "Tliey  w ill  help 
us  continue  some  v  eiy  innov  ative  research." 

The  Cvstic  Fibrosis/Pulmonary 
Research  and  Treatment  Center  plans  to 
use  its  griuit  to  purchase  new  equipment  for 
a  researcher  who  is  studying  how  infection 
begins  in  the  lungs  of  infants  diagnosed 
with  CF 

The  Birth  Defects  Center  will  use  the 
money  to  start  a  newsletter  and  to  help  fund 
education  of  health  care  professionals 
regarding  folic  acid  as  an  effective  means 
of  birth  defect  prevention. 

The  Bow  les  Center  for  Alcohol  Stud- 
ies' grant  vv  ill  he  used  to  prepare  education/ 
prevention  materials  on  fetal  alcohol 
svndrome.  the  leading  cause  of  biiih  defects 
including  mental  retardation. 

In  addition  to  these  seed  grants.  The 
E-xcellence  Fund  supports  medical  student 
research  awards,  a  distinguished  teaching 
professorship,  the  Family  Day  program  for 
families  of  medical  school  students,  student 
travel  grants,  student  lounge  renovations 
ami  other  special  programs. 


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litn,iiivlirl-i(ll,>nCirns.l'hl).diii\ini,>lihili,mlcsCiiihilni.\l,,,lu>ISniilics.\1,ii\.\titnn,uili\. 
\ll).(i<  liiii;  I  Incfdj  I  liciiithiidld'^x  (iihl  iiitiimii(il(n;y.  I  hiirsiuii  Aiii'iiili\  Rc^^■all  li  C'ciilri .  Sliillf\  l-ui/'. 
XtD.iliirilorofllirl.iihhciiici  ('iiiiipirlkiniviCiiiHci  Ctiitii :  Rh  luinllii'iKlki.MD.Jiiii  Unnttlh- 
Cwlichihnisis'  l'iiliihiiuii\  R(\i\in  It  tiihiiiciiimiui'tiiui .  iiiul  ilumuis  Sihilci.  I'hl).  tliin  lai  nf  llic 
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2?! 


Medical  Alumni 

WEEKEND 


May  4-7,  2000 


GENERAL  INFORMATION 

Accommodations 

Blocks  of  rooms  have  been  reserved  at  the  following  area  hotels. 
Alumni  are  responsible  for  making  their  own  reservations  by 
contacting  the  hotel  directly. 

The  Sheraton  Chapel  Hill  (formerly  the  Omni  Europa) 
919.968-4900  ext  4.^  or  I -S()()-.^25-35.^.'S.  fax  9m-942-.V'^57. 
(Contract:  UNC  Meilical  .Alumni  .Accommodations,  cut-off  date 
4/5/00.  Rate:  $ll9.00-t-». 

The  Carolina  Inn  919-933-2001  or  I -800-962-S3  19.  fax 
919-962-3400.  (Contract:  Annual  Medical  School  Alumni  & 
Reunions,  cut-off-date  4/14/00.  Rate:  SI49.00-H). 
The  Siena  Hotel  (headquarters  for  the  Class  of  1960) 
919-929-4000.  fax  919-968-6170.  (Contract:  UNC  Medical  Alumni 
Reunion,  cut-off  date  3/5/00,  Rate:  $155-h).  Be  sure  to  mention  the 
contract  name  when  making  your  reservations  and  plea.se  note  the 
cut-off  dates.  Other  area  hotels:  The  Hampton  Inn  (919-968-3000). 
The  Holiday  Inn  (9 19-929-2 171).  The  Best  Western  University  Inn 
( 9 1 9-932-2000 ).  The  Comfort  Inn  University  ( 9 1 9-490-4949 ). 

TENTATIVE  WEEKEND  SCHEDULE 

Thursday,  May  4 

1 1  a.m.  Class  Reunion  Golf  -  the  New  Finley  Golf 

course.  Shotgun  start.  Infomiation  regarding 
sign-up  mailed  directly  to  members  ot 
reunion  classes.  Pre-registration  is  required. 

Friday,  May  5 

9:30  a.m. -3  p.m.  Registration  Desk  Open.  Carolina  Club/ 
George  Watts  Hill  Alumni  Center. 
L'NC  campus. 

10 a.m. -Noon  ,\nnual  Business  Meeting.  Dowd  Room. 

Carolina  Club.  (All  Alumni  Welcome) 
Election  of  officers  and  councillors.  Lunch 
provided  for  attendees  following  the  meeting 
by  pre-registration  onl\. 

Noon-  1  p.m.  National  Loyalty  Fund  Steering  Committee. 

Peebles  Room.  Carolina  Club  ( Lunch  included ). 

1:.W- 2:30 p.m.  The  Fighteenth  .Annual  Spicer-Brecken- 

ridge  Memorial  Lecture.  103  Ben-yhill  Hall. 
Shuttle  bus  ser\ice  will  be  pro\  idcd  from  the 
Alumni  Center. 


3-5  p.m. 


Speaker:  M.  Therese  Southgate.  MD.  .Art 
Editor  J  on  null  af  the  Aincncan  Mcdual 
Association. 

Fndowment  Board  Meeting  (Selection  of 
2()()0-20()l  grant  recipients)  Dmvd  Room. 
Carolina  Club. 


Reception  and  Annual  Alumni  Banquet 

( Ptv-n'siistnition  leqitiied) 

Alumni  Hall  I.  II.  III.  Carolina  Club.  George 

Watts  Hill  Alumni  Center.  UNC  Campus. 

6:30  p.m.  Champagne  &  Wine  Reception 

7:15  p.m.  Dinner  Seating.  *Recognition  of  alumni 

fundraising  campaigns  'Presentation  of 
Distinguished  Service  Awards  and  Distin- 
guished Faculty  Award  "Recognition  of 
recently  retired  faculty. 


Saturday.  May  6 

8  a.m.-  12:30  p.m. 


CMF:  Clinical  Application  of  Anticoagula- 
tion Therapy 

* 


CLASS  REUNIONS 

Class  of  1945  Saturday.  May  6.  Carolina  Inn.  Social  & 

Dinner 
Class  of  1 950  Thursdas.  May  4.  Cocktails  &  Dinner 

Class  of  1 955  Saturday.  May  6.  Hope  Valley  Country  Club. 

Durham.  Social  &  Dinner 
Class  of  1960  Saturday.  May  6.  The  Siena  Hotel.  Tuscany 

Room.  Social  &  Dinner 
Class  of  1 965  Saturday.  May  6.  Cocktails  &  Dinner 

Classof  1970  Saturday.  May  6.  Carolina  Club.  Cocktails 

&  Dinner 

Class  of  1 975  Saturday.  May  6 

Class  of  1980  Saturday.  May  6 

Classof  1985  Saturday.  May6.  Anderson  Park.  Carrboro. 

Picnic 
Class  of  1 990  Saturday.  May  6.  The  Carolina  Inn.  Reception 

■All  schedules  below  are  tentative.  Final  Plans  included  in  class 
mailiiiiis. 


24 


President's 
Letter 


Greetings  Fellow  Alumni. 

B\  the  time  \ou  receive  this  issue  of  the 
Bulletin,  those  of  us  fortunate  enough  -  or 
ill-fated  enough,  depending  on  your  point 
of  view  -  to  have  experienced  the  snow  - 
slomi  of  the  centun,  will  have  returned  to 
our  usual  activities  and  daily  routine. 

The  severe  weather  caused  the  cancel- 
lation of  the  Wake  County  Deans  Recep- 
tion, hut  others  are  scheduled  in  Guilford. 
Forsyth.  Mecklenburg  and  Cumberland  (a 
first! )  counties  as  well  as  in  .Atlanta.  These 
are  outstanding  opportunities  to  sociali/e 
with  fellow  alumni  and  others  w  ho  are 
significant  supporters  of  the  medical 
school.  It  also  offers  a  chance  to  get  the 
current  scoop  on  the  state  of  the  school 
and  renew  a  sense  of  connectedness  to 
each  other  and  Chapel  Hill.  John  Foust 
will  likely  remind  you  that  your  ri\al 
county  in  the  Loyaltv  Fund  Campaign  is 
set  to  triumph  over  you  in  the  current 
drive.  I  hope  to  have  the  pleasure  of  seeing 
you  at  a  reception  in  your  area. 

The  highlight  of  the  \ear  for  the  Gener- 
al Alumni  Association  is  the  Spring 
Alumni  Weekend.  Reunion  committees 
are  busy  planning  a  festive  time  for  their 
classes  ( see  page  24 ). 

Outstanding  alumni  and  facultv  will  be 
recogni/eti  at  the  banquet,  which  also  will 
serve  as  the  moment  of  truth  for  the  Lo\  - 
alty  Funti  Campaign.  This  is  a  wonderful 
time  to  be  in  Chapel  Hill  and  I  hope  man\ 
of  you  can  come.  One  of  the  opportunities 
my  office  affords  is  to  participate  in  meet- 
ings of  the  Board  of  the  General  Alumni 
Association.  This  is  a  dedicated  group  of 
Tar  Heels  who  oversee  a  sers  effective 
organization  that  provides  excellent 
service  to  alumni. 

Among  other  enjoyable  activities  at  the 
winter  meetings  w  as  the  opportunitv  to  re- 
view the  master  plan  for  the  L'NC  campus 


for  the  next  decades  (as  rev  iewed  else- 
w  here  in  the  Bullciin).  The  concept  is 
wonderful.  The  execution  may  not  be 
complete  in  my  lifetime,  but  the 
existence  of  this  commitment  is  a  great 
comfort  to  those  of  us  w  ho  treasure  the 
Chapel  Hill  of  ourfomiative  years. 

Well,  enough  of  this  sentimental 
rambling  (a  prerogative  of  advancing 
vears).  Hope  to  see  vou  in  Chapel  Hill  in 
Mav. 

Gordon  B.  LeGrand.  MD  -65 


CME/Alumni  Calendar 

March  24-26.  2000  —  Chapel  Hill 

Clinical  Relevance  of  Medicinal  Herbs  and  Nutritional 

Supplements  in  the  Management  ot  Major  Medical  Problems 

March  26-April  1,  2000  —  Chapel  Hill 

Physicians  Medical  Management  Program.  Kenan-Ragler 
Business  School 

April  5-7,  2000  —  Chapel  Hill 

24th  Annual  Internal  Medicine  Conference 

April  II,  2000  —  Chapel  Hill 

Emergency  Medicine  Research  Forum 

April  29-30,  2000  —  Chapel  Hill 

I5th  Annual  Meeting  of  the  Glomerular  Disease  Collaborative 

Network 

May  4-7,  2000  —  Chapel  Hill 

UNC  Medical  Alumni  Weekend 

For  moie  infonnalion  about  CME  courses,  contact  the  Office  of 
Continuing  Medical  Education.  (919)  962-21 18.  or  toll-free 
through  the  Consultation  Center.  (800)  862-6264.  To  contact 
the  Alumni  Affairs  office,  call  (919)  962-6786  or  e-mail 
medical_alumni@nied.unc.edu. 


Estate  Planning  Notice 

Many  individuals  would  like  to  make  a  major  gift  to  the 
UNC  medical  center,  but  cannot  commit  current  assets  / 
for  such  a  purpose.  Through  a  will,  however,  anyone 
can  make  a  more  significant  gift  than  they  might  ever 
have  thought  possible  by  designating  a  specific  sum,  a 
percentage,  or  the  residue  of  their  estate  for  the  benefit 
of  the  medical  center. 

To  provide  a  bequest,  simply  include  a  paragraph  in 
your  will  naming  The  Medical  Foundation  of  North 
Carolina,  Inc.  as  a  beneficiary.  For  example: 

"/  give,  devise  and  bequeath  (the  sum  of$ )  or 

( %  of  my  estate)  or  (the  residue  of  my  estate) 

to  The  Medical  Foundation  of  North  Carolina,  Inc.. 
a  501(C)(3)  created  to  maintain  fimds  for  the  UNC 
medical  center  with  principal  offices  located  at  880 
Airport  Road,  Chapel  Hill,  North  Carolina!' 

This  language  creates  an  unrestricted  bequest  for  use  by 
the  medical  center  when  and  where  the  need  is  greatest, 
or  you  may  specify  that  your  gift  be  used  for  a  particular 
purpose. 

For  further  information  on  bequests,  contact  Jane 
McNeer  at  (919)  966-1201,  (800)  962-2543,  or 
jmcneer@email.unc.edu. 


PERIODICALS  DEPARTMENT 
HEALTH  SCIENCES  LIBRARY 

CAROLINA  CAMPUS   7585 


Nonprofit  Organizatiim 

U.S.  Postage 

PAID 

Chapel  Hill.  NC 
Permit  No.  24 


Medical  Alumni 


BULLEnN 


Sdiool  of  Medicine,  University  of  North  Carolina  at  Chapel  Hill 


i 


Dean's 
Page 


The  missit)!!  ul  Ihe  UNC  School  ol 
Medicine  reminds  us  thai  w  c 
were  created  to  improve  the 
health  ol  the  people  of  North 
Carolina. 

For  the  past  27  years,  one  of  the  ua\s  our 
niissit)n  has  been  most  tangibly 
realized  has  been  through  our  involvement 
with  and  leadership  of  the  Area  Health  Edu- 
cation Centers  (AHEC)  Program. 

AHEC  was  created  by  a  group  of  vision- 
ary leaders  to  address  the  stubborn  prob- 
lems of  both  the  shortage  and 
maldistribution  of  primary  care  physicians 
and  other  healthcare  providers  in  our  state. 
From  the  outset,  we  realized  this  ct)uld  not 
be  a  venture  of  our  .School  alone,  but  wouki 
require  close  ccdiaboration  with  all 
five  UNC-CH  health  affairs  schools,  as 
well  as  Ihe  other  acatlemic  health  centers  in 
the  state. 

Working  with  our  colleagues  and  using 
AHEC  as  the  bridge,  we  have  been  able  to 
provide  community-based  training  experi- 
ences for  our  students  and  residents,  while 
offering  our  expertise  to  practicing  profes- 
sionals in  even  the  most  rural  and  under- 
served  communities. 

Today,  the  AHEC  program  remains  the 
linchpin  of  a  broad  anay  of  educational  ini- 
tiatives designed  to  prepare  physicians  and 
other  healthcare  pro\  iders  to  meet  the  needs 
of  the  stale. 

For  our  School,  it  would  be  impossible  to 
have  a  class  size  of  1 60  without  the  eapacils 
the  AHECs  and  the  AHEC  faculty  afford  us. 
More  than  40  percent  of  the  clinical  training 
of  each  medical  student  occurs  in  an  AHEC 
setting,  and  AHEC  rotations  continue  to  re- 
ceive evaluations  by  students  that  are  at  or 
near  the  top  of  all  clinical  experiences. 
Reading  through  student  evaluations  gives  a 
sense  of  the  importance  these  experiences 
play  in  the  life  of  UNC  medical  students. 

Recent  examples  include  comments  such 
as  "I  learned  so  much  about  primary  care 
medicine.  It  was  a  great  experience."  or  ""the 
attendings  really  enjoy  teaching  and  al- 
lowed me  the  right  balance  between  autono- 
m\  aiul  supervision. ..this  was  the  best 


experience  t)f  m_\  medical  career  thus  far." 

AHEC  also  pro\  ides  a  means  by  which 
the  School  can  fulfill  its  ser\  ice  mission. 
Last  year,  more  than  440  specialty  clinics 
were  pro\  ided  by  our  faculty  in  towns  and 
cities  across  that  state  that  would  not  other- 
wise have  priority  access  to  such  sub-spe- 
cialty care.  In  addition,  our  faculty  taught 
some  .^.'iO  Continuing  Medical  Education 
programs  and  provided  technical  assistance 
to  countless  health-care  pro\  iders 

AHEC  also  offers  the  iiili  astriiciure 
through  which  we  can  resptind  rapidl\  to 
urgent  healthcare  needs  when  they  arise.  At 
the  time  of  the  flooding  in  eastern  North 
Carolina  last  fall.  AHEC  proved  a  vital  re- 
source for  faculty  who  offered  clinical  ser- 
\  ices  to  communities  in  the  affected  areas. 
Through  regional  AHECs.  we  also  were 
able  to  pro\  ide  training  programs  for 
health-care  pro\  Iders  and  other  human 
service  workers  dealing  w  ith  the  emotional 
aftemiath  of  the  tragedy. 

AHECs  capacity  to  adapt  to  the  chang- 
ing needs  of  the  state  has  been  critical  to  its 
success  through  the  years.  Currently  the 
School  of  Medicine  and  the  other  health 
atfairs  schools  are  working  closely  with 
AHEC  on  a  new  strategic  plan  for  2001- 
2004.  As  we  build  on  our  core  programs  for 
students,  residents  and  practicing 
health  professionals.  I  anticipate  this  plan- 
ning process  will  help  shape  our  opportuni- 
ties to  respoiul  more  effectively  to 
important  concerns. 

We  will  address  such  issues  as  increasing 
the  number  of  undeirepresented  minorities 
in  medicine  and  other  health  careers;  using 
infomiation  technology  to  improve  our  edu- 
cational programs  and  increase  access  to 
health  care;  strengthening  our  primary  care 
and  prevention  programs;  and  improving 
our  efforts  to  give  patients  and  the  general 
pLiblic  better  information  about  their  health 
and  ways  to  enhance  it. 

The  North  Carolina  AHEC  program  has 
become  a  standard  of  excellence  for  similar 
efforts  throughout  the  nation.  It  provides  our 
Schixil  of  Medicine  with  a  statewide  class- 
room for  students,  residents  and  healthcare 


practitioners  of  all  types. 

As  AHEC  engages  in  a  planiung  process 
that  sets  its  course  tor  the  next  four  years.  I 
am  confident  it  will  demonstrate  once  again 
how  careful  attention  to  the  needs  of  the 
state,  high-quality  education  programs  and 
cooperation  w  ith  other  institutions  can  be 
combined  to  achieve  a  farsighted  and  pur- 
poseful fulfillment  of  the  School  of  Medi- 
cine's mission. 


Ofl}d^   L-     &tufC 


Jcffivx  L.  Hiuipl.  Stn 
Dean.  Sclu><:l„t Mi, Heme 


Medical  Alumni 
Association  Officers 

President 

Gordon  B.  LeGiand.  MD  "65 
Rcileii;li 

President-Elect 

PaulE.  Viser.MD"84 
Clinlon 

Vice  President 

Thomas  J.  K(H»nt/.  MD  "66 
Wliistfiii-Stilciii 

Secretar> 

Ralph  L.  "Wall  Jr..  MD  "78 
Wiiisidii-Siilc'iii 

Treasurer 

William  M.  Hcrndon.  Jr..  MD  "81 
Charlotlc 


Editorial  Staff 

John  W.  Stokes 

Vice  President.  Fiihlic  Ajfairs  & 

Marketing 

Dcbra  Pierce 
Mdiuiiiini;  Eclilar 

Michele  Blevins.  Katherine  Kopp. 
Leslie  H.  Lang.  Melissa  Malson. 
Karen  Stinneford.  Lynn  Wootcn 
Contrihiitiiiii  Wrilers 

Dan  Cra\\l(ird  ipus.  14.  l.-^i 

Ja\  NUmgunKpgs.  6.  10.  1  1.20.2!) 

I'hoUniniphcrs 

The  Meilu  at  Ahimiii  Hulliim  is  piihlisheil  lour  liiiicv 
annually  by  ihc  L'NC-Chaix-I  Hill  Medical  .■\lunini 
A.ss<x;ialion. Chapel  Hill.  NC  275 14.  Poslajic  is  p.ml 
by  ihe  non-pnifit  associatinn  through  I'.S.  Postal 
Permit  No.  24.  Address  correspondence  to  the  editi  u. 
Office  ol  Medical  Center  Public  Affairs.  .School ,  il 
Medicine.  CBWTNIO.  University  of  North  ( ■.irolm.i. 
Chapel  Hill.  NC  275 14 


Medical  Alumni 

BULLETIN 

School  of  Medicine,  Iniversitv  ot  North  CaroUna  at  Chapel  Hill 


Contents 

Features 

.A  Natural  t'orL'NC  Neuroscience 6 

Miiiniu  Protilc:  Daniel  Biim  n,  MD,  't>5 S 

UNC  Surgeons  Pertorni  .Slate's  [-iisi  "Doniino"  LiverTransplanl 10 

L'NC  Health  C;u"c  Aequires  Rex  Healthcare                     12 

Match  Da>  2()()()  and  Pearls  otWisLloin 14 

.AHEC:  Taking  Medicine  lo  Ni>nh  Carolina's  Coinniunilies 16 

Kids  allNC  Hospitals  rseC'ompulers  To  ralkWilhOlher  Sick  C'hildien IS 

l-Miih\  Profile:  Fuller  Award  Winner  Harve>  Hanirick.  MD 20 

Departments 

Dean's  Pace                     Inside  Front  Cover 

Research  Briefs                  2 

NewsBriels         4 

lacullv  Notes           22 

Development  Notes 24 

I'lesuient's  Letter    Inside  Back  Cover 

C.\lF./.\lunini  Calendar Back  Cover 

Oinlh  (  n\,i     Ihc  Dull  nil,.  II  led   An  innn\.ili\c  li\ci  li. mspl, ml  oilers  mnic  Ik  >|X- h'l  iliIkhIs 

in,ol,,l>s  .l„\  \Uur.;i,m 

Research 
Briefs 


UNC,  Duke,  starting  search 
for  osteoarthritis  genes 

It's  not  dilTicLilt  to  I'lnd  a  I'amily  in  whicli 
generation  after  generation  has  struggled 
w  ith  the  same  inherited  disease.  The  ehal- 
lenge  is  finding  the  genetie  hnk  to  understand 
how  iihiesses.  sueh  as  osteoarthritis,  are 
passed  down  Iroiii  parents  to  their otTspring. 

An  international  researeh  network  com- 
posed ot'se\en  unisersity  medical  institutions 
including  UNC"s  Thurston  Arthritis  Re- 
search Center  and  Duke  University  Medical 
Center  have  just  begun  the  largest  study  ever 
to  look  tor  that  link,  the  genetic  susceptibility 
toosteoailhritis. 

The  most  common  form  of  arthritis,  os- 
teoailhritis  is  a  chronic  conditiim  that  allects 
more  than  21  million  Americans.  B\  anaK/- 
ing  DN.A  and  health  histories  from  man\  pa- 
tients, researchers  believe  they  vv ill  better 
understand  the  role  that  one  or  more  genes 
play  in  the  condition's  development.  The 
goal  is  to  find  new  and  more  etfective  medi- 
cines. The  academic  research  institutions  are 
v\i>rking  together  with  the  Center  for  Human 
Genetics  at  Duke  and  Glaxo  Wellcome,  a 
pharmaceutical  company. 

/■'('/■  //;<■  /////  \!(>n,  sec  littp://\v\v\\.iinc.cdii 
/ncws/iicwsscry/icscuivh/jiinliinl  IM>'-)'->.l}lin. 

Study  finds  no  evidence  that 
hormone  benefits  autism 

Parents  will  go  to  great  lengths  to  help 
children  w  ith  illnesses,  including  trying  the 
latest  well-publicized  treatments  regardless 
of  w  hether  they "v e  been  prov en  effectiv e.  But 
if  a  theiapv  sounds  loo  good  to  be  true,  it  usu- 
ally is. 

A  new'  study,  which  appeared  in  the  New 
EugUmdJdiirnal  of  Medicine,  offers  a  prime 
example  of  this.  Contrarv'  to  w  hat  early  pub- 
licitv  suggested.  North  Carolina  researchers 
found  no  ev  idence  that  a  single  dose  of  the 
synthetic  human  hormone  secretin  benefited 
children  w  ith  autism. 

In  a  well-controlled  study  of  60  children, 
half  of  whom  received  synthetic  secretin  and 
half  of  whom  received  an  inactive  salt  solu- 
tion, scientists  could  tell  no  difference  be- 
tween the  groups  when  the  studv  ended.  The 


investigation  was  double-blind,  meaning  that 
neither  clinicians  nor  parents  knew  w  hicli  of 
the  two  treatments  the  children  received  until 
ev  aluations  were  complete. 

lor  more  infomiation.  see  hnp./Annv.uiic. 
edi(/ne\vs/newsscn/reseairMiodfisl\l2SW.Imn. 

UNC  scientist  finds  smallest 
number  of  genes  needed  for 
organism's  survival 

The  minimum  number  of  protein-producing 
genes  a  single-celled  org;misni  needs  to  sunive 
and  reproduce  in  the  laboratory  is  somewhere 
between  265  and  350,  according  to  new  re- 
search directed  by  a  top  UNC  scientist. 

L'sing  a  technique  know  n  as  global  trans- 
poson  mutagenesis.  Clyde  A.  Hutchison  III. 
PhD.  professor  of  microbiology,  and  col- 
leagues at  The  Institute  for  Genomic  Re- 
search in  Rockv  ille.  Md..  found  that  roughlv 
a  third  of  the  genes  in  the  disease-causing 
Mycoplasma  genitalium  were  unnecessary 
tor  the  bacterium's  surv  iv  al. 

The  technique  —  a  process  of  elimination 
—  involved  randomly  inserting  bits  of 
unrelated  DNA  into  the  middle  of  genes  to 
disrupt  their  function  and  see  if  the  organism 
thrived  aiiyvv ay. 

.Stich  research  is  a  significant  step  forward 
111  creating  minimal,  tailor-made  lite  forms 
that  can  be  further  altered  for  such  purposes 
as  making  biologically  activ  e  agents  for  treat- 
ing illness.  Hutchison  said.  More  immediate- 
Iv.  it  boosts  scientists"  basic  understanding  of 
the  question.  "What  is  life .'" 

For  nunc  infonuation.  see  hup: //www: unc. 
cdii/iHws/iiewssen/researcMmuh  12999.htm. 


UNC  selected  as  mutant 
mouse  resource  center 

The  National  Institutes  of  Health  selected 
UNC  as  one  of  tw  o  Regional  Mutant  Mouse 
Resource  Centers  in  the  nation.  The  new  cen- 
ter will  receive  a  grant  of  S660.000  annually 
ov  er  fiv  e  years. 

UNC  and  the  University  of  California  at 
Dav  is  w  ill  facilitate  more  w  idespread  use  of 
mouse  models  in  basic  and  translational  re- 
search throutihout  the  countrv.  Such  models 


have  revolutionized  scientists'  ability  to 
probe  mammalian  biology  and  disease  and 
hav  e  become  a  v  akiable  resource. 

The  new  centers  will  expand  the  already 
strained  capabilities  of  Jackson  Laboratories 
in  Bar  Harbor.  Maine,  to  characterize, 
maintain  and  distribute  an  ever-growing 
anav  of  mutant  mouse  models  to  the  research 
community. 

"One  of  the  problems  is  that  people  can 
generate  lots  of  models,  but  these  won't  be 
accessible  w  ithout  a  repository  w  here  they 
can  be  quality  controlled,  checked  out  and 
distributed."  said  Terrv  Van  Dv  ke.  PhD.  pro- 
fessor of  biochemistry  and  biophv  sics. 

For  more  information,  see  liup://\\ww:une. 
edii/ne\\s/ne\\ssen/resecinli/m(Hisel2l7W.liim. 

Cooperation  marks  new  era      i 
of  cancer  research 

In  the  new  millennium,  cooperation  ■.— 
rather  than  keen-eyed  competition  —  may 
signal  a  new  era  of  federally  funded  research 
lor  the  nation's  top  scientists  who  develop 
and  study  mouse  models  of  cancer. 

In  a  bold  strategy,  a  UNC  scientist  will 
share  the  helm  of  the  Mouse  Models  of 
Human  Cancer  Consortium,  a  cooperative  of 
14  university-based  research  teams  from 
around  the  nation,  each  indiv  idually  funded 
bv  the  National  Cancer  Institute  ( NCI ). 

"It's  reallv  ven  exciting  —  it's  a  paradigm 
shift  in  the  w  ay  most  people  do  science."  said 
Teny  Van  Dvke.  PhD.  professor  of  biochem- 
istrv  and  biophysics.  "Most  who  do  science 
do  so  independently,  and  are  worried  about 
the  competition  and  who  gets  the  credit.  Now 
each  team  will  have  some  money  to  work  on 
their  own  animal  models,  and  pursue  their 
own  indiv  idual  ideas,  but  will  also  participate 
in  a  larger  scale  cooperative  group. 

"There  will  be  extensive  sharing  of  ideas, 
results  and  reagents."  she  added. 

Molecular  fats  prevent  nerve 
sheath  abnormality 

.A  studv  led  bv  scientists  at  UNC  points 
to  a  group  of  fats  crucial  to  the  proper  fomia- 
tion  of  the  myelin  sheath  surrounding 
nerv  e  fibers.  I 


Although  the  new  trndings  ha\e  no  direct 
clinical  implications  tor  human  disease.  the\ 
help  sohe  a  scientific  puzzle  while  adding 
new  know  ledge  to  the  molecular  biolog\  of 
iinelin  and  diseases  of  m\elin  loss,  parlicu- 
larh  multiple  sclerosis. 

M\elm.  which  is  3()-pcrcent  protcm  and 
7()-percent  lipid  —  or  fat  —  tonus  the  multi- 
membrane  shield  that  surrounds  ner\e 
axons,  hair-like  extensions  of  nene  cells  that 
snake  off  and  make  connections  w  iih  other 
nerve  cells.  These  m\elinaied  connections 
fonn  the  u  iring  circuitr\  of  both  the  central 
nervous  systems,  which  includes  the  brain 
and  spinal  cord,  and  the  peripheral  nervous 
sxsiem. 

Foi  till' full  article,  sec  lntp://\\w\\.um  .ccIk 
/ih"n  \/iic\\  sscir/ivseanli/iiiycliii  1 2 1  Jyy.litiii. 

.\voiding  vitamins  A,  E  might 
improN  e  cancer  tlierapv 

X'uamins  .A  and  H.  w  hich  normallv  boost 
human  health  in  numerous  ways,  also  appear 
to  keep  cancer  cells  from  dying  through  the 
natural  protective  process  scientists  call 
apoptosis.  new  UNC  research  show  s. 

.As  a  result,  giving  patients  those  vitamins 
niav  prevent  cancer  cells  from  self-destruct- 
ing and  work  against  cancer  therapv.  scien- 
tists say. 

nie  UNC  researchers  presented  their  find- 
ings at  the  .•\merican  .Society  for  Cell  Biolo- 
gv's  annual  meeting  in  Washington.  D.C. 
Rudolph  .Salganik.  PhD.  research  professor 
of  nutrition,  and  Terrv  Van  Dvke.  PhD.  pro- 
fessor of  biochemistrv  and  biophvsics.  di- 
rected the  studies. 

"We  believe  this  work  is  important  be- 
cause it  ma\  make  cancer  treatments  more 
effective."  Salganik  said,  "it  suggests  that 
cancer  patients,  especiallv  those  undergoing 
chemotherapy  or  radiation  therapv.  mav  do 
better  on  an  antioxidant-depleted  diet." 

hiiniiiirc  liitdniuitidii  \cc  liltp://\\'\\M:iiiic.cdii 
/twws/iwwsscn/rcHiin  li/viiiiinik l2lJW.Iitiii. 

Newer  oral  contraceptive 
may  be  less  liarmful  for 
women  smolders 

Oral  conlraceptivcs  arc  known  to  increase 
the  risk  of  heart  problems  for  smokers,  aiul 
new  research  at  UNC  suggests  that  might  be 
due  in  part  to  the  specific  Ivpe  of  hormones 
contained  in  "the  pill." 

Older  "second-generation"  oral  contra- 
ceptives have  a  higher  androgenic  coiilenl 


because  of  the  tvpe  of  progesterone  hormone 
used  w  hen  compared  to  new  er  "third-genera- 
tion" fonnulations. 

For  all  women,  older  oral  contraceptives 
prtiduced  higher  blood  pressures  and  more 
resistance  to  blood  flow  inside  blood  vessels 
during  stressful  situations,  the  UNC  suidv 
showed. 

.A  report  on  the  findings  a|ipcaicd  in  the 
Januan  issue  of  Ohsictrics  and  Gyiiecoloi;}. 
■Authors  include  psv  chology  graduate  stu- 
dent Patricia  Straneva  and  Susan  (iirdler. 
PhD.  assistant  professor  of  psychiatrv 

For  mine  information,  sec  hllp://w\vu:tini . 
eihi/ne\v.\/ne\\sseiv/ivseaiili/i;inllcii)l()^K).litm. 

Cystic  fibrosis  experiments 
offer  hope  for  improv  ed 
treatments 

.Although  not  vet  ready  to  trv  their  new 
technique  in  patients.  U.NC  scientists  have 
successfulK  repaired  a  genetic  problem  that 
accounts  for  a  form  of  cystic  fibrosis  com- 
monly seen  in  patients  of  European  Jewish 
descent. 

Kenneth  Friedman.  PhD.  research  lellow 
in  pathologv  and  laboratory  medicine,  and 
Rvszard  Kole.  PhD.  professor  of  phaniiacol- 
ogv.  dev eloped  the  method  to  correct  a  miita- 
tion  involv  ing  unnecessarv  information 
inside  a  gene.  When  that  gene  is  imperfect, 
cystic  fibrosis  results. 

The  two  conducted  the  research  in  collab- 
oration with  UNC's  Lawrence  Silverman. 
MD.  and  Michael  Know  les.  MD.  and  Duke 
Universitv  's  Jonathan  Cohn.  MD.  and  tech- 
nician Jolanta  Kole. 

"This  work  builds  on  a  strategy  first  ex- 
plored by  Dr.  Kole  in  his  studies  of  beta-tha- 
lassemia.  a  genetic  disease  often  seen  in 
Mediterranean  and  some  Asian  couniiics 
and  involv  ing  defective  hemoglobin  mole- 
cules that  lead  to  red  blood  cell  destruclion  in 
bone  marrow."  Friedman  said.  "We  applied 
his  method  to  a  cvstic  fibrosis  gene  mulalioii 
discovered  here  at  L:NCin  iw"i." 

/■(//  the  lull  \liir\.  sec  hltp://\\\\\\Aiiic.cdii 
/ni'w  \/iic\\\si  n/rc\C(inli/li'lcmiiJI2U)W,liiiii. 

Experts  to  study  informed 
consent  in  national  gene 
transfer  research 

Investigating  ethical  issues  surrounding 
recent  ami  upcoming  genetic  discoveries  w  ill 

be  Ihe  L'oal  (da  new  S')7.S.()(I(I  National 


Human  Genome  Research  Institute  award  to 
L'NC  tacultv  members. 

Gail  Henderson.  PhD.  and  Nancv  King. 
JD.  both  professors  of  social  medicine, 
will  lead  the  three-vear  elTort.  sponsored  b> 
the  institute's  Ethical.  Legal  and  Social  Im- 
plications of  the  Human  Genome  Project 
program. 

"\\  hen  Dr.  James  Watson  set  up  the 
Human  Genome  Project,  he  required  that  a 
certain  percentage  of  its  budget  be  set  aside 
to  fund  studies  of  the  genome  project's  ethi- 
cal, legal  and  social  implications  since  it 
raised  so  manv  questions."  Henderson 
said.  "Our  work  relates  to  how  people  under- 
stand genetic  research  in  tcinis  of  the 
consent  process, 

"We're  planning  to  invesiigalc  how  bene- 
fits are  described  and  understood  in  gene 
transfer  studies,  which  just  about  everybody 
calls  gene  therapy."  she  said.  "People  think  of 
these  studies  as  therapy  but  they  are  not  at  all. 
The>  are  reallv  just  earlv  research  that  we 
hope  will  eventualh  lead  to  better  treat- 
ments." 

For  the  full  slorw  sec  lutp://\\\\\y.unc.cdu 
/nms/nc\\sscir/resciucli/licndciill  llXXI.htm. 

UNC  study  may  help  clarify 
how  cells  grow 

.A  studv  led  bv  a  UNC  scientist  sheds  new 
light  on  the  process  of  cell  growth  regulation. 

The  studv.  which  focuses  on  ihe  complex 
network  of  biochemical  signals  between  pro- 
teins and  en/v  mes  w  ithin  cells,  helps  clarify 
how  those  signals  initiate  or  limit  cell 
growth. 

.Although  still  too  basic  for  clinical  use. 
the  findings  suggest  the  possibility  of  new 
tlrugs  that  wiiuld  target  specific  growth-in- 
tlucing  molecules  within  cancer  cells.  A  re- 
port of  the  studv  appeared  in  the  science 
journal  Wuun  . 

Lee  Graves.  PhD.  assistant  protessor  of 
pharmacologv  and  the  suidv  s  principal  m- 
\  esiigalor.  saiil  the  cii/v  me  M.AP  kinase 
(M.APKi  IS  a  kcv  component  of  a  signaling 
palhwav  iniliatetl  bv  growth  factors. 

"This  IS  just  one  of  manv  signaling  |ialh- 
wavs.  but  we  know  it's  essential  for  growth." 
he  said.  "So  the  kcv  question  has  been,  w  hat 
are  the  specific  targets  of  MAP  kinase'.'  That 
is.  what  are  the  impoilant  things  it  does,  and 
how  doe^  It  regulate  cell  growth'.'" 

lor  more  uiloriuation.  see  http://\\\\\\.uni . 
edii/neus/ne\\ssen/rcseanli/,cll<)l2lKXI.hinL 


News 
Briefs 


Medical  school  to  create 
genetics  center 

The  School  of  Medicine  will  receive  $2.6 
million  over  four  years  from  the  Howard 
Hughes  Medical  Institute  to  help  de\  elop  and 
staff  a  new  genetics  center. 

"The  genetics  center  will  complement  ex- 
isting research  strengths  at  Carolina  in  the 
studs  of  mouse  models  of  diseases,  genetics 
of  model  organisms,  cancer  research  and 
chnical  genetics."  said  Williatn  F.  Mar/luff. 
PhD.  executive  a.ssociate  dean  for  research. 

"The  money  will  establish  the  genomics 
core  technologies  we  need  on  campus,  in- 
cluding a  chromosome  imaging  facility  for 
detecting  alterations  in  cancer,  as  well  as  ab- 
normalities in  genetic  diseases."  he  said. 
"It  will  also  be  used  for  recruiting  four 
young  faculty  members  working  in  mam- 
malian genetics." 

Ot  \()5  U.S.  medical  schools  competing 
for  the  Howard  Hughes  grants.  L'NC  w  as 
among  41  w  inncrs.  Awiirds  ranged  from  $1 .6 
million  toS4  million. 


NIH  awards  UNC,  Duke  $21 
million  to  boost  care  for  AIDS 
patients,  research 

AIDS  specialists  at  UNC  and  Duke  will 
iecei\'e  S2I  million  from  the  National  Insti- 
tute of  Allergv  and  Infectious  Diseases  over 
the  next  fixe  years  to  continue  their  battle 
against  the  deadly  illness. 

The  money  is  part  of  renewed  national 
Adult  AIDS  Clinical  Tnals  Group  ( A ACTG 1 
funding.  It  w  ill  suppoil  care  for  people  li\  ing 
w  ith  .AIDS  across  North  Carolina  and  clini- 
cal trials  that  already  have  resulted  in  far 
more  effective  treatments  than  were  first 
axailable  and  promise  further  medical 
progress,  the  physicians  say. 

"Since  the  beginning  of  the  AIDS  epidem- 
ic, the  AACTG  has  made  enormous  contri- 
butions in  helping  people  with  HIV  li\e 
dramatically  longer  and  healthier  li\'es."  said 
Anthonv  S.  Fauci.  MD.  director  of  the  insti- 
tute. ".A.ACTG  studies  ha\e  been  and  will 


continue  to  be  an  invaluable  source  of  scien- 
tific data,  significantly  advancing  our  ability 
to  treat  HIV." 

UNC's  effort,  led  by  Charles  van  dcr 
Horst.  MD.  professor  of  medicine,  and 
Joseph  Eron.  MD.  associate  professor  of 
medicine,  will  get  $12.5  million.  Duke's 
effort,  directed  by  John  Bartlett.  MD.  associ- 
ate professor  of  medicine,  will  receive 
$8. .5  million. 

New  program  leaders  named 
at  cancer  center 

Marci  Campbell.  PhD.  and  Andrew  Ol- 
shan.  PhD.  have  been  appointed  as  program 
leaders  at  the  Lineberger  Comprehensi\e 
Cancer  Center. 

Campbell,  assistant  professor  of  nutrition. 
will  lead  the  Cancer  Prevention  and  Control 
Program. 

This  program  works  v\  ith  communities, 
health  care  pro\  iders.  schools  and  other 
agencies  to  promote  adoption  of  healthy  be- 
haviors —  including  diet,  smoking  cessation, 
physical  activity  and  cancer  screening  — 
with  an  emphasis  on  acti\  ities  in  rural,  un- 
derser\ed  and  minority  populatiiins. 

Scientists  also  are  investigating  a  wide  va- 
riety of  other  topics,  including  issues  faced 
by  cancer  survivors  and  new  approaches  to 
cancer  prevention. 

Olshan.  associate  professor  of  epidemiol- 
ogy and  research  associate  professor  of 
surgery,  will  lead  the  Cancer  Epidemiology 
Program. 

Researchers  in  the  program  are  in\estigat- 
ing  disease  patterns  in  the  population  to  iso- 
late possible  causes  of  cancer,  such  as 
lifestyle  and  the  en\  ironment.  as  well  as  to 
identify  groups  at  high  risk  for  cancer. 
In  combining  epidemiology  with  basic  sci- 
ence using  molecular  and  genetic  en\  iron- 
mental/  lifcstv  le  exposures. 


UNC  performs  videoscopic 
surgery 

For  millions  of  Americans,  heartburn  isn't 


just  an  occasional  aggravation.  Rather,  it  is 
an  cNcrvdav  misery  that  forces  them  to  con- 
tinually consume  over-the-counter  antacids 
and  prescription  medications  and  keeps  them 
aw  ake  at  night. 

Now  those  painful  days  and  sleepless 
nights  can  be  eradicated,  thanks  to  a  video- 
scopic surgical  procedure  being  performed 
by  physicians  at  UNC. 

"Estimates  show  that  l<S  million  people 
in  the  United  States  suffer  from  chronic 
heartburn  or  what  is  known  as  gastroe- 
sophageal reflux  disease,  or  GERD."  said 
Mark  J.  Koruda.  MD.  professor  of  surgery 
and  nutrition. 

"While  antacids  and  medications  may  re- 
lieve symptoms  for  occasional  heartburn, 
they  don't  offer  comfort  for  some  one  million 
chronic  sufferers.  For  these  folks,  videoscop- 
ic surgery  can  be  a  long-term  solution  to  an 
everydav  problem. " 

In  the  \  ideoscopic  surgical  procedure  now 
being  offered  at  UNC  Hospitals,  the  physi- 
cian makes  fi\  e  to  six  small  incisions  —  each 
less  than  one  inch  —  to  make  room  for  spe- 
cial surgical  instruments,  including  the  la- 
pai\)scope. 

While  the  videoscopic  procedure  is  new. 
the  surgery  itself  is  not  —  it  has  been  around 
since  the  1930s.  But  traditional  surgery  re- 
quired surgeons  to  make  a  long  incision  in 
the  abdomen,  a  painful  operation  from  w  hich 
patients  took  a  long  time  to  recov  er. 

Lineberger  awarded 
$25.3  million  renewal 
grant  from  NCI 

The  Lineberger  Comprehensive  Cancer 
Center  has  received  a  five-year.  $25.3  million 
grant  from  the  National  Cancer  Institute  to 
renew  support  for  its  cancer  research  pro- 
grams. 

The  amount  represents  a  94  percent  in- 
crease from  the  center's  previous  five-year 
grant,  one  of  the  largest  increases  ever  award- 
ed b\  the  institute's  cancer  centers  program. 
All  of  the  funds  will  be  used  at  UNC.  making 
this  grant  one  of  the  largest  ever  awarded  for 
research  at  the  universit>. 


"The  Lineberger  Center  has  done  a  re- 
markable job  of  bringing  taeuh\  together 
from  ail  the  health  affairs  schools,  and  in- 
creasingl\.  other  parts  of  the  campus,  to  bear 
upon  the  problem  of  cancer."  said  Jeftre\ 
Houpt.  MD.  dean  of  the  school  of  medicine. 

"Its  intcrdiscipiinars  research  efforts  are 
ground-breaking."' 

Said  H.  .Shellon  Earji.  MD.  center  director. 
"In  the  past  live  years,  the  I'NC  Lincbcrger 
Center  has  grown  dramaticall}.  fashioning 
inultidisciplin;u-\  clinical  care  programs  \\  ilh 
LNC  Hospitals  and  UNC  Heahh  Care  as 
well  as  conducting  outstanding  clinical,  pub- 
lic health  and  basic  cancer  research.  National 
recognition  of  our  superb  scientists  and 
ph\  sicians  has  increased  commensurately. 
With  this  renewal  grant.  NCI  has  recognized 
the  qualit\  and  cimtinued  promise  of  our  re- 
search and  clinical  efforts." 


UNC  Hospice  excels  during 
recent  Joint  Commission 
accreditation 

LNC  Hospice,  part  of  the  L^NC  Health 
Care  System,  receixed  the  highest  designa- 
tion possible  during  a  recent  re\  iew  by  the 
Joint  Commission  on  Accreditation  of 
I  Icalthcarc  Organizations. 

Preliminar\  findings  from  the  accrcilita- 
tion  re\iew  showed  that  LNC  Hos|iicc 
scored  yy  out  of  I  (K)  points. 

This  marked  the  first  time  L'NC  Hospice 
hud  undergone  re\  iew  by  the  Joint  Commis- 
sion, an  independent,  not-for-profit  organiza- 
tion that  is  the  world's  leading  health-care 
standards  setting  and  accrediting  bod\. 

LjNC  Hospice,  formerlx'  Hospice  ol 
Chatham  County,  has  scrvcil  tcrininalK  ill 
patients  and  their  families  for  \h  \cais.  flic 
l.^-emplosec  organization  became  pari  ol 
CNC  Health  Care  in  .April  \W-)  and  scr\cs 
Chatham  and  Orange  counties. 

Judy  Li  pa.  executive  director  of  INC 
Hospice,  said  the  Joint  Commission  accredi- 
tation lends  even  more  credibility  to  an  orga- 
nization that  already  prides  itself  on 
deliverin;:  evcelleni  care. 


".Although  more  and  more  hospices  are 
seeking  Joint  Commission  accreditation, 
only  about  5  percent  complete  their  initial 
surveys  at  the  same  high  level  L'NC  did.  so 
we  obv  iouslv  are  excited  about  that."  she 
said. 

To  earn  and  maintain  accreditation,  an  or- 
ganization must  undergo  an  on-site  survev  by 
a  Joint  Commission  survev  learn  al  least 
everv  three  vcars. 

Federal  funds  awarded  for 
training  clinical  researchers 

The  School  of  Medicine  has  won  federal 
funds  to  train  some  of  its  best  and  brightest 
young  doctors  for  careers  in  clinical  research. 

The  Clinical  Research  Cumculum  .-\w.ird 
comes  from  the  National  Institutes  of  Health. 
The  award  helps  prov ide  an  in-depth  two- 
year  training  program  for  eight  to  10  junior 
faculty,  each  of  whom  is  committed  to  a  ca- 
reer as  a  clinical  investigator,  according  to 
Eugene  P.  Orringer.  MD.  executive  associate 
dean  fiir  facuhy  affairs. 

"Over  the  last  decade,  there  has  been  a 
dearth  of  young  physicians  who  pursue  clini- 
cal research  as  their  career  goal.  It's  not  a 
local  problem,  but  rather  a  national  problem." 
he  said.  "The  NIH  created  this  award  to  pio- 
V  ide  institutions  such  as  UNC  w  ith  the  sii|i- 
port  for  the  infrastructure  necessarv  to  tram 
these  young  people." 

L'NC  was  one  of  .^.'i  medical  iiisiiiLilions  to 
win  the  award,  which  pro\ ides  S2()().()(K)  per 
vear  over  five  years  and  is  renewable.  For 
purposes  of  this  award,  clinical  research  in- 
cludes patient-oriented  research,  epidemio- 
logic  and  behavioral  studies,  ami 
(nitcomes-oricnled  heahh  scrv  ices  research. 
.\l  Carolina,  trainees  will  lake  courses  in 
those  areas  through  the  schools  of  medicine, 
public  health  and  pharmacv.  A  new  Iv  de- 
signed seminar  program  locuseil  on  ilrug  ile- 
velopment  will  supplement  those  courses. 
.All  trainees  will  also  design  antl  carrv  out  a 
comprehensive  clinical  research  pio|ccl 

Al  the  heart  of  the  program  is  a  novel  men 
loring  system  in  which  senior  lacullv  mem 
hers  work  closelv  with  Irainees.  helpiii'j  llieiii 


w  ith  coursework  and  research,  and  w  ith  set- 
ting and  then  achiev  ing  their  long-term  ca- 
reer goals. 

"We  have  created  a  program  that  has  both 
breadth  and  depth."  Orringer  said.  "We  are 
paiiicularlv  pleased  with  the  close  exposure 
each  trainee  will  gel  to  faciiltv  members  and 
other  trainees." 

He  added  that  most  of  the  trainees  will 
have  written  a  NIH  grant  pi\)|iosal  hv  the  end 
ol  their  second  y  ear  in  the  program. 

But.  Orringer  added,  while  NIH  funding 
supports  the  program's  infrastructure  -  in- 
cluding a  portion  of  the  salai  v  for  senior  fac- 
ulty inxohed  -  it  does  luu  pro\  ide  the 
stipends  needed  to  pay  the  trainees.  This 
meant  reaching  out  to  attract  additional  funds 
from  other  sources. 

"We  knew  that  wiilnn  the  next  decade  or 
SI)  a  lot  of  clinical  research  would  involve 
drug  devektpment.  including  clinical  trials."' 
said  Orringer.  "So  w  ith  that  locus.  I  felt  we 
could  go  to  industry  and  ask  tor  help  lo  su|v 
port  some  of  the  trainees."' 

.And  so  far  the  plan  has  mel  w  iili  success, 
l-'inancial  support  for  trainees  eniollcd  in  ihe 
new  program  has  been  obtained  from  the 
phannaceutical  giant  Eli  Lilly  and  Company, 
from  Pharmaceutical  Product  Development 
Incoiporated  (PPD-Pharniaco).  a  clinical  re- 
search organization,  and  from  the  American 
Academv  t)f  Phannaceutical  Phvsiciaiis. 


A  Natural  for 
UNC  Neuroscience 


/);:  Sniilcr  ilistiisscs  a  computer  imuf^c  with  Dr.  Ahiiui  Jiukiiuiii. 


By  Leslie  H.  Lang 

Williuiii  "Bill"  Snider  has  an 
ambitious  goal;  He  wants  to 
make  UNC  a  major  national 
plaser  in  21st-century  neuro- 
science reseaivh. 

To  that  end,  this  tall,  atfabie.  soft-spoken 
native  of  western  Kentucky  must  don  several 
hats  —  that  of  college  recruiter,  \isionary. 
fund  raiser,  program  director,  and.  of  course, 
scientist. 

For  the  new  head  of  UNC's  Neuroscience 
Research  Center,  that  last  cluipeau  is  a  natur- 
al fit.  A  pioneer  in  neuronal  growth  factor  re- 
search. Snider  and  his  work  on  proteins  that 
reijulate  the  survival  and  erovvth  of  neurons 


are  lamiliar  to  most  senior  scientists  in  the 
field,  indeed,  his  research  reputation  had  qui- 
etlv  si)lidified  during  a  16-year  tenure  at 
Washington  University  in  St.  Louis. 

And  when  it  came  to  selecting  a  top  scien- 
tist who  could  also  toot  the  Tar  Heel  mega- 
phone for  neuroscience  recruiting  and 
fund-raising.  Snider's  UNC  legacy  helped 
make  him  a  natural  choice.  Both  his  mother 
and  her  sister  earned  degrees  in  Chapel 
Hill,  and  Snider  earned  both  his  bachelor's  of 
science  in  niatheniatics  and  medical  degrees 
here. 

"1  grew  up  in  this  little  town  in  Keiituckv 
called  Hopkinsv  ille.  and  for  reasons  I  don't 
fulK  understand,  my  grandfather  sent  two  of 
his  daughters  dow  n  to  Chapel  Hill."  he  said. 


"And  this  was  back  in  the  19.^()s  when  there 
were  few  w  omen  here.  So  my  mother  and  her 
sister  were  ainong  the  first  women  to  do  their 
last  two  years  of  college  at  UNC." 

While  her  son  was  excelling  in  science 
duiing  high  school.  Snider's  mom  made  him 
aware  of  the  National  Science  Foundation 
prizes  for  talented  science  students. 
These  were  intensive  summer  programs  in 
science  education.  Her  suggestion  that  he  try 
for  one  held  at  UNC  might  have  been  an  indi- 
cation that  she  smiled  at  the  memory  of  her 
Carolina  days. 

"So  that's  how  1  first  got  here  the  summer 
after  my  junior  year  in  high  school,  and  1 
just  loved  it."  Snider  said.  "Later  I  applied  to 
and  got  accepted  by  UNC  and  Duke.  So  I 


picked  UNC." 

The  furnier  math  major  eredits  a  ph\  Mcal 
eheniistrx  professor  tor  introducing  him 
lo  the  biological  world  of  nerve  axons 
and  synapses. 

"Lee  Pederson  gave  me  a  book  by  Sir 
Bernard  Kat?  called  Ner\e  Muscle  Synapse."' 
he  said.  "It's  a  famous  book  about  the 
process  of  synaptic  transmission  at 
the  neuromuscular  junction,  the  synapse 
between  ner\es  and  muscle.  And  1  found  it 
fascinating.  It  seemed  to  have  a  \ery  logical 
and  quantitati\e  aspect  that  w as  also  appeal- 
ing to  me.'" 

During  his  first  year  in  medical  schoiil. 
Snider  was  exposed  to  neurobiology  through 
a  course  taught  by  Edward  Perl.  Mf^.  cur- 
rentU  Sarah  Graham  Kenan  Professor  of 
Cellular  and  .Molecular  Phy  siology  at  UNC. 
In  1971.  Perl  was  recniited  to  UNC  from  the 
University  of  Utah  to  strengthen  neuro- 
science  at  Chapel  Hill.  It  was  Perl  who 
helped  recruit  his  former  student  to  take  over 
the  helm  of  UNC's  Neuroscience  Research 
Center 

"The  combination  of  exposure  in  neurobi- 
ology in  that  course,  and  my  tascinalion  w  ith 
neurosciences  through  pre\ious  con\ersa- 
tions  with  Dr.  Pederson.  just  did  it  for  me  that 
1  was  going  to  be  in\()l\ed  in  this  field." 
Snider  said.  ""I  think  a  lot  of  us  with  interest 
in  biological  science  struggled  with  the  issue 
of  w  hether  to  pursue  graduate  training  or 
medical  school  training.  For  many,  this  has 
been  solved  by  the  combined  .MD-PhD  pro- 
gram. But  this  option  didn"t  exist  \^hen  I  was 
at  L'NC.  1  might  add  that  Dr.  Perl  also  strug- 
gled with  this  issue." 

So  lascinated  b\  neurosciences  was 
Snider  that  he  took  a  y  ear  off  after  his  tlrsi 
year  in  medical  school  to  pursue  a  tellowship 
arrangement  Perl  helped  organize  w  ith  s|-)inal 
cord  phy siologist  Motoy  Kuno.  Kuno.  who 
had  been  recruited  by  Perl  w  hen  he  became 
department  chaimian.  was  particularly  inter- 
ested in  the  interactions  between  the  motor 
neurons  in  the  spinal  cord  that  inner\ale 
muscle  cells.  Sniderexplained. 

"He  formulated  ideas  about  trophic'  in- 
teractions, trophic'  having  to  do  with  nour- 
ishment, in  that  the  muscle  nourished  the 
innervating  neuron."  he  said.  ",\t  the  linie  we 


had  no  idea  about  the  molecules  in\ol\ed  in 
this.  So  I  guess  I  became  fascinated  w  ith 
those  questions,  and  my  subsequent  career 
has  largely  been  de\t)tcd  to  study  ing  the  mol- 
ecules that  mediate  these  trophic  interactions 
in  the  nerxous  sy  stem." 

■After  graduation  in  1 977.  Snider  elected  to 
continue  clinical  training  and  interned  at  the 
Har\ard-affiliated  Beth  Israel  Hospital  in 
Boston.  He  then  completed  a  residency  in 
neurology  at  Cornell,  at  the  time  considered 
the  premier  neurology  training  program  in 
the  nation.  While  at  Cornell,  he  met  his  wile. 
Barbara,  w  ho  was  completing  her  psychiatric 
training  at  Paine- Whitney.  She  is  board-certi- 
fied in  child  ps\  chiatry. 

As  it  turned  out.  Snider  eventually  was 
able  to  combine  both  science  and  clinical 
work.  He  accepted  a  post-doctoral  fellow- 
ship at  Washington  University  and  subse- 
quently joined  the  neurology  faculty. 

"My  clinical  interest  was  neuromuscular 
disease,  including  amyotrophic  lateral  scle- 
rosis (commonly  referred  to  as  Lou  Gehrig"s 
disease  or  ALS),  peripheral  neuropathies  and 
pain.""  he  said.  ""I  was  able  to  tie  together  w  hat 
1  worked  on  in  the  laboratory  and  observed  in 
clinic  patients." 

But  Snider  allowed  that  after  Id  years  in 
St.  Louis,  he  had  "reached  the  stage  in  my  ca- 
reer when  the  opportunity  to  develop  and 
lead  something  sounded  very  appealing."" 

Word  that  his  old  alma  mater  was  setting 
up  a  neuroscience  center,  a  research  center 
that  wt)uld  cross  various  disciplines  at  the 
medical  school,  and  that  there  would  be  a 
substantial  tlnancial  commitment  for  faculty 
space  in  a  new  building  seemed  to  Snider  the 
perfect  challenge.  A  return  to  Chapel  Hill 
also  seemed  a  sweet  symmetry. 

Snider"s  goals  for  the  center  arc  ambitious. 
In  his  temporary  office  at  the  UNC  Lineberg- 
er  Comprehensive  Cancer  Center,  he  be- 
comes more  animated  when  he  eagerlv 
outlines  them.  One  can  readily  sense  his  pas- 
sion for  the  work. 

"1  would  like  to  combine  a  couple  of 
themes  in  basic  and  clinical  neuroscience 
that  will  be  very  inlluential  in  the  21st  centu- 
ry."' he  said.  "The  first  of  these  is  develop- 
mental neurobiology,  aiul  mv  tlrsi  mission 
v\  ill  he  lo  slienglhen  and  evpaiul  the  tlevelop- 


ment  of  that  area  on  campus  here. 

"t)ur  ability  to  understand  how  the  brain 
tonus,  how  particular  types  of  nerve  eel  Is  dif- 
ferentiate and  send  axons  to  the  appropriate 
regii)ns  of  the  brain  and  not  to  other  regions, 
how  synapses  fomi  and  lunction  -  molecular 
genetics  has  opened  up  this  field  in  w  ay  s  that 
could  not  hav  e  been  imagined  a  decade  ago. 

".And  so  I  plan  to  make  brain  development 
the  first  area  of  effort  for  the  Neuroscience 
Reseiu"ch  Center.""  he  said.  "This  will  primar- 
ily involve  people  working  on  mouse  mod- 
els, using  the  genetics  ot  the  mouse  to 
understand  the  genetic  basis  for  how  the 
brain  dev  elops. 

".A  second  goal,  perhaps  one  that  w  ill 
make  the  center  unique,  is  to  combine  issues 
in  developmental  neurobiology  and  research 
related  to  clinical  neurology,""  he  added.  ""We 
would  focus  panicularly  on  issues  related  to 
repair  of  the  nervous  system,  repair  of  dam- 
age after  spinal  cord  injuries  and  after  stroke. 
It  is  almost  certain  that  the  same  things  that 
govern  neural  development  will  be  important 
for  nervous  system  repair."'Snider  noted  that 
the  center  itself  will  not  go  into  treatment  at 
the  level  of  clinical  trials. 

"Wc  arc  interested  in  the  science  lounda- 
tions  of  therapy  related  to  brain  and  spinal  re- 
pair, and  so  we  would  be  try  ing  ti)  recruit 
people  who  would  be  studying  the  surv ival 
of  nerve  cells,  differentiation  of  nerve  cells. 
gR)w  th  of  axons  of  nerve  cells,  and  we  would 
also  be  interested  in  recruiting  people  who 
are  attempting  to  repair  the  nervous  sy  stem 
after  injuries,""  he  said.  "This  is  working 
beautilully  in  mouse  models  now."" 

But  Snider  is  not  averse  to  peering  into  ihe 
future  forclinical  applications. 

"The  great  progress  in  isolating  human 
embryonic  stem  cells  means  that  we  might 
potentially  apply  the  know  letlgc  of  develop- 
mental processes  to  the  successful  repair 
of  nervous  system  injuries  m  |ieople,"' 
he  saul. 


Alinniii  Profile 


Dr.  Daniel  E.  Brown:  Pc: 


By  KathtTiiu'  Kopp 

When  Daniel  E.  Brow n  giadii- 
aled  from  the  UNC  School  ol 
Medicine  in  1965.  he  didnl 
begin  lo  know  how  far  —  lit- 
eralK  —  he  w  ould  go  in  his  career. 

Though  most  of  his  work  as  a  pediatri- 
cian has  taken  place  in  Raleigh.  Brow  n  last 
vear  spent  Iwo-and-a-half  months  half  a 
world  away  serving  on  a  medical  mission 
team  in  .Africa. 

He  said  it  is  no  exaggeration  to  sa\  the 
experience  changed  his  life. 

This  year.  Brown  celebrates  his  3.5th  re- 
union year.  His  career  path  is  familiar  to 
many  physicians;  After  graduating,  he  com- 
pleted an  internship  and  residenc\  in  pedi- 
atrics at  Shands  Hospital,  now  part  of  the 
University  of  Florida-Gainesville  hospital 
svstem.  including  a  year  as  chief  resident. 
Then  he  entered  the  U.S.  An  Force. 

■'Back  then,  we  had  what  was  called  the 
Berrv  Program."  he  recalled.  "If  you  en- 
tered this  program,  you  had  a  commitment 
to  mililai7  service  for  a  period  of  time." 

So  after  completing  his  medical  training. 
Brown  and  his  wife.  Barb;ua.  a  graduate  of 
the  UNC  School  of  Nursing,  spent  two 
\  ears  at  March  Air  Force  Base  near  River- 
side. Calif 

In  1470.  Brown,  a  natne  of  Selma  in 
Johnston  Coiintv.  retiimed  to  North  Caixili- 
na  and  |oined  the  Raleigh  pediatric  practice 
of  Frank  Winslow  and  Frank  Poole,  two 
well-respected  North  Carolina  pediatri- 
cians. The  practice  is  now  known  as  Blue 
Ridge  Pediatrics:  Brown  is  one  of  five  pedi- 
atricians in  partnership  there. 

Brown  credits  his  mentors  with  helping 
hmi  refine  his  skills  as  a  pediatrician  in  his 
earl\  \ears  of  practice.  He  also  learned  a  lot 
from  the  e\ents  of  his  own  life.  When  he 
and  Barbara  mo\ed  lo  Raleigh  in  1970.  the\ 
w  ere  the  proud  parents  of  three  young 
daughters.  Deborah.  Jennifer  and  Virginia. 
Like  most  pediatricians.  Brown  acknowl- 
edged that  becoming  a  parent  himself 
tautihl  him  more  about  carini:  for  children  - 


Daniel  Brown.  '65  and  one  of  his  patients  are  all  smiles  on  his  reeent  trip  to  Kenya. 


and  their  parents  —  than  textbooks  and  lec- 
tures ever  could. 

"Once  you  ha\e  your  ow n  children.  \ou 
really  begin  to  understand  sour  patients  and 
their  families."  he  said. 

In  1976.  the  Browns  welcomed  a  fourth 
child  into  their  faniih.  Daniel  E.  Brow n  Jr. 
The  follow  ing  v  ear.  young  Dannv  died  from 
a  metabolic  illness. 

"That  event  changed  our  li\es."  Bmw  n 
said  simply.  "It  changed  our  lives,  and  it 
taught  me  a  lot." 

In  manv  wavs.  the  famih  's  tragic  loss 


represented  a  turning  point  for  Brow  n.  both 
personalK  and  professionally. 

".After  our  son  died.  I  felt  I  had  so  much 
more  empath\  for  families  who  were  going 
ihrough  difficulties."  he  said.  "Whenever  I 
had  contact  w  ith  a  famih  w  ith  a  seriously  ill 
child  or  a  family  w  ho  lost  a  child.  I  could  re- 
allv  empathize  with  what  they  were  going 
through.  And  in  a  lot  of  ways,  losing  our  son 
tested  my  faith,  but  it  also  made  it  stronger." 

Brown,  a  devout  Christian  and  a  member 
of  Pro\  idence  Baptist  Church  in  Raleigh,  is 
unafraid  to  profess  his  beliefs.  .And  through 


liatrician  with  a  Mission 


the  years  he  has  put  his  faith  into  action,  most 
recently  doing  medical  mission  work.  In 
1994.  he  joined  a  medical  mission  team 
sponsored  hy  Baptist  World  Relief. 

"Our  team  tra\eled  to  Zaire  for  three 
w  eeks  to  care  for  children  orphaned  by  the 
ci\  il  w  ar  in  Ru  anda."  he  said.  "Though  I  \\  as 
only  there  for  a  feu  weeks,  the  experience 
had  a  major  impact  on  me.  It  piqued  in\  in- 
terest in  mission  \\  ork." 

In  199.>.  Brown  attended  a  conference  in 
Asheville  calleti  "Prescription  for  Renewal." 
sponsored  h\  .Samaritan's  Purse,  a  relief  iir- 
ganization  headed  by  Franklin  Graham. 

"Samaritan's  Purse  has  an  arm  called 
World  Medical  Mission."  explained  Brow  n. 
"They  send  \olunteers  all  over  the  world  to 
pro\  ide  medical  care  and  assistance." 

After  attending  the  conference.  Brow  n 
was  detemiined  to  take  another  mission  trip. 
After  some  research,  he  set  his  sights  on 
going  to  Tenwek  Hospital  near  the  tow n  of 
Bomet  in  a  remote  part  of  western  Kenya. 
The  logistics  of  taking  extended  lime  off 
from  private  practice  were  challenging. 

"It  took  almost  three  \ears  to  get  e\er\  - 
thing  in  place  so  I  could  be  gone  for  two-and- 
a-half  months."  Brown  said.  "It  takes  a  lot  of 
effort  and  cooperation  from  your  partners  to 
work  out  something  like  this.  It's  hard  to  be 
out  of  the  office  tor  such  a  long  period  of 
tunc." 

Brow  n's  w  ife  and  their  s  oungcst  daughter. 
a  teacher,  accompanied  him  to  Keny  a. 

.As  might  be  expected,  practicing  pedi- 
alncsin  Kcn\a  is  light  \ears  awa_\  from  prac- 
ticing in  Raleigh. 

"In  pediatrics  today,  you  still  see  a  lot  of 
acute  illness,  but  pediatrics  has  detlnitel> 
changed  over  the  years."  Brown  said.  "Now 
in  private  practice,  we  spend  a  lot  more  time 
working  through  situations  like  attention 
deficit  disorder  and  psychological  and  hc- 
ha\  ioral  problems.  These  kinds  of  issues  take 
up  much  more  time  than  in  the  past. 

"The  was  pediatrics  is  practiced  has 
changed  as  well."  Brown  continued.  "We 
used  to  just  pick  up  the  phone  and  call  w  hen  a 
child  needed  to  sec  a  specialist  like  a  neurol- 


ogist or  a  surgeon  or  a  gastroenterologisl. 
Now  we  have  to  look  at  the  list  from  the  pa- 
tient's insurance  company,  which  may  or 
may  not  have  the  name  of  the  physician 
\  ou'd  like  to  refer  to  on  it.  and  go  from  there. 
There's  a  lot  more  bureaucracy  and  paper- 
work than  there  used  to  be." 

In  cimtrasi.  Brow  n  discovered  that  practic- 
ing pediatrics  at  Tenwek  meant  treating  one 
acLite.  often  life-threatening,  illness  after  an- 
other. .And  as  far  as  making  refeiTals  to  spe- 
cialists' 

"There's  not  much  access  to  specialtv  care 
in  western  Kenva."  said  Brown.  "Nairobi  is 
more  than  an  hour  aw  ay  by  plane  and  four- 
and-a-half  hours  by  car.  and  transport  to  the 
citv  is  often  not  available.  At  Tenwek.  there 
are  about  six  staff  physicians  for  300  beds. 
The  rest  of  the  doctors  there  are  part  of  a 
changing  group  of  volunteers." 

Many  of  the  children  Brow  n  treated  in 
Kenya  were  seriously  ill. 

"The  biggest  problems  there  were  menin- 
gitis, pneumonia  and  TB."  he  said.  "These 
were  often  associated  w  iih  AIDS,  w  hich  is 
very  common  in  both  mothers  and  children 
in  Africa.  We  also  were  dealing  with  tremen- 
dous problems  w ith  malnutrition  and  dehy- 
dration. It's  so  different  from  the  U.S.  Here. 
if  vou're  sick,  it's  just  a  short  ride  to  the  hos- 
pital or  the  doctor's  office.  There,  we  serv ed 
a  .^OO-square  mile  area.  Patients  got  to  the 
hospital  on  foot,  by  mule  and  occasionallv. 
bv  a  motored  vehicle.  There  are  no  ambu- 
lances. Most  of  the  conditions  we  saw  were 
treatable,  but  for  a  lot  of  patients,  it's  a  two- 
dav  trip  to  get  to  the  hospital.  These  kills 
were  really  sick  by  the  time  they  got  to  us; 
thev  were  often  in  critical  condition.  Some  ol 
them  came  in  too  sick  to  save.  The  first  two 
w eeks  I  u  as  there,  we  had  1 2  children  die. 

■We  had  45-60  kids  in  the  hospital  at  a 
time."  Brown  added.  "There  was  a  severe 
epidemic  of  malaria  while  we  were  there.  ,At 
times,  we  had  two  or  three  kids  to  a  beil.  The 
ones  we  were  able  to  save  generallv  did  well, 
without  complications.  '"I'ou  do  see  a  lot  of 
children  ilie.  and  that's  hard.  But  there  aren't 
resiiLMces  there  to  care  for  kids  \\  ho  surv  ive 


but  need  continuing  medical  treatment.  That 
care  is  just  not  readilv  available.  .As  one  nns- 
sion  nurse  said  to  me.  'There  are  worse 
things  than  dying  in  Africa.'" 

Despite  the  hard  work  and  many  chal- 
lenges. Brown  refused  to  get  discouraged 
during  his  siav  in  Kenv  a.  Instead,  he  focused 
on  the  progress  Tenwek  Hospital  made  to- 
w  aid  improv  ing  medical  care  for  the  region. 

"The  hospital  just  graduated  its  first  class 
of  nursing  students."  he  said.  "One  hundred 
percent  of  the  class  of  2.^  to  M)  passed  the 
Kenv  an  nursing  boards." 

Brow  n  took  great  pride  in  mentiiring  a 
young  African  physician  in  the  hospital's 
new  internship  and  residency  program. 

"There  are  just  two  medical  schools  in  all 
of  Kenya."  explained  Brown.  "In  Kenya,  stu- 
dents take  their  boards  right  after  graduation, 
then  usually  do  a  one-year  internship  before 
going  to  work.  There  aren't  many  residencv 
programs  in  the  country,  and  there  are  more 
graduates  than  there  are  spaces.  Tenwek  just 
began  this  new  internship  and  residencv  pro- 
gram, and  I  was  verv  luckv  thai  mv  time 
there  overlapped  almost  directly  w  ith  .Agnes 
Langat.  a  young  intern  doing  her  pediatric 
training.  She  was  spending  a  vear  rotating 
through  medicine,  pediatrics.  OB-Ci'*i'N 
and  surgery,  and  il  was  verv  exciting  to  be 
able  to  work  w  ith  her.  During  mv  time  there. 
I  was  also  able  to  help  the  hos|iiial  tlevelop 
a  curriculum  for  pediatrics.  It  was  verv 
rewarding  " 

.All  in  all.  Brov\n's  iime  at  rcnwck  Hospi- 
tal was  an  experience  he  lio|ies  to  repeal  in 
another  vear  or  two 

"I  am  sii  much  moie  .ippiecialivc  now  ol 
all  that  we  have  in  icrms  nf  icsoinvcs  in  this 
countiv."  he  said.  "Our  mcilic.il  cue.  ihe 
availabililv  ol  Iraiispoilalion.  coiiimunica- 
tion  sv  stems  n's  so  ililfeiciil  in  .Africa. 
But  It  was  verv  ins|iiriiig  to  me  to  see  |Vo|ile 
of  various  faiths  anil  denominations.  Iidiii 
all  kinils  of  meilical  backgrounds,  coming 
together  to  help  enrich  ihis  part  ol  the 
world.  I'hcie  is  sd  iiuicli  oppnriiiiniv  iheie  u> 
help  others." 


UNC  Surgeons  Perform  State '^l 


■Domino  "  liver  donor  Jim  Hiiiilvr  I U'fl).  unj  rccipicnl  Gtirx  Bo^ciri;c'  cli\ciiysvs  ihcir  ni.sc  with  reporters. 


By  Karen  Stinneford 

UNC  surgeons  performed  a  rare 
"'domino""  liver  transplant  opera- 
lion  in  March  when  they  put  a  ca- 
daN'cric  liver  in  one  recipient  and 
then  transplanted  that  recipient's  tlawed-hut- 
lunctionul  li\  er  into  someone  else. 

The  no\el  transplant  technicjue  —  never 
before  done  in  North  Carolina  —  has  oc- 
curred only  about  30  times  worldw  ide  since 
first  performed  in  Miami  in  1996.  UNC  sur- 
geons said  the  ■'domino""  approach  likely  will 
become  routine  as  doctors  continue  to  seek 
new  ways  to  address  the  critical  shortage  ot 
a\  ailable  cadaveric  organs. 

"This  represents  the  ultimate  in  recycling 
—  gi\  ing  a  person  who  desperately  needs  a 
liver  one  that  otherwise  would  have  been 
thrown  away.""  said  Jeffrey  Fair.  MD.  chief  of 

10 


the  abdominal  transplant  program  at  LINC. 

"As  long  as  there  are  more  patients  who 
need  organs  than  there  are  organs  available, 
medicine  will  have  to  find  new  ways  to  help 
people  with  no  other  options.""  he  said.  "Ap- 
proaches like  a  'domino  transplant'  w ill  ha\e 
to  become  more  commonplace."' 

P.  James  "Jim"'  Hunter.  5S.  of  Pinehursl. 
was  the  first  person  to  recei\  e  a  new  liver  dur- 
ing the  procedure.  Hunter  suffered  from 
amyloidosis,  a  rare  and  ultimately  fatal  dis- 
ease in  which  his  liver  produced  a  variant 
protein  —  called  amyloid  —  that  his  body 
could  not  process. 

Because  it  wasn"t  used  or  eliminated,  the 
protein  collected  in  cells  throughout  Hunter's 
body,  damaging  his  central  nervous  system 
and  heart.  He  underwent  a  heart  transplanl  at 
UNC  in  June  1998  and  also  was  placed  on  a 
w  aiting  list  for  a  liver  transplant,  which  repre- 


sented the  only  "cure"  for  amyloidosis. 

The  rationale  behind  using  a  liver  from  a 
patient  w  ith  amyloidosis  is  that  the  disease 
progresses  quite  slowly,  said  Mark  Johnson. 
MD.  director  of  the  renal  transplant  program 
at  UNC.  Build-up  of  the  abnormal  protein 
won't  become  clinicall_v  significant  for  some 
10  to  15  years,  he  said,  and  it  will  take  anoth- 
er 1 5  to  20  years  before  permanent  damage 
results  from  that  build-up. 

"So  the  functional  life  span  provided  by 
one  of  these  transplanted  livers  easily  can  be 
2.5  to  35  years."  Johnson  said. 

So  on  March  I .  Hunter  receiv  ed  a  normal 
liver  from  a  cadaveric  donor.  But  rather  than 
dispose  of  Hunter's  liver  —  which  is  the 
noim  follow  ing  such  an  operation  —  doctors 
liansplanted  it  into  49-year-old  Gary  Bosarge 
ofRichlands. 

Whv  w  ould  Bosarge  w  ant  a  defective  liver 


^irst  'Domino'  Liver  Transplant 


Transplant  suri;eons  Mark  Jiilinsiiii.  MD.  llcfn  ami  Jcffercx  Fair  Mi),  hclicvc  ilmior  iransphuiis  will  help  paiunis  in  need. 


know  n  to  produce  a  poicntiall\  litc-threatcn- 
ing  protein .'  His  doctors  said  it  is  because 
Bosarge's  own  health  problems  posed  a  more 
immediate  threat  to  his  lil'e. 

Bosarge  sutlers  from  hepatitis  C.  a  chronic 
mlection  that  lrequenil>  results  in  pennaneni 
scarring  —  or  cirrhosis  —  of  the  li\er. 
Bosarge  was  infected  with  the  hepatitis  C 
\  irus  in  1979  when  he  recei\ed  a  blood  trans- 
lusion  after  a  helicopter  crash  in  South 
America,  and  his  liver  had  become  so  scarred 
it  no  longer  worked  adequately.  As  a  result. 
Bosarge  experienced  tremendous  pain, 
weakness  and  bloating  and  was  almost  to  the 
point  of  being  unable  to  v\ork. 

"He  was  in  bad  shape  —  sick  as  a  dog." 
said  Roshan  Shrestha.  MD.  medical  director 
of  the  liver  transplant  program  at  INC.  "He 
said  that  e\er>  da\  he  could  feel  himself 
going  a  little  more  downhill." 

So  I'.NC"  physicians  offered  him  Hunter's 
li\er  —  along  with  a  long  laundr\  list  of 
problems  that  might  follow  if  the  transplant 
took  place.  Shrestha  said  that  his  patient,  who 
has  a  1  ."^-year-old  daughter,  leapt  at  the  op- 


piiilunity.  figuring  an_\  li\er  had  to  work  bet- 
ter than  the  one  he  had. 

"He  told  me.  "If  I  can  live  20  iiune  \eais. 
I  can  see  my  daughter  get  married." 
Shrestha  said. 

Waiting  for  a  completely  healthy  li\er 
posed  problems,  too.  Johnson  said.  Gi\'en  the 
huge  demand  for  cadaveric  organs.  Bosarge 
likel)  faced  spending  another  year  on  the 
waiting  list  before  one  would  become  avail- 
able. By  then,  his  health  could  have  deterio- 
rated to  where  he  was  no  longer  a  suitable 
candidate  for  transplant  surgery. 

"There  are.  admitiedlv.  a  lot  of  uiiknow ns 
here."  Johnson  said.  "But  given  what  we 
know  about  amyloidosis  and  the  time  it  takes 
for  the  disease  to  manifest  itself,  we  think  Vlr. 
Bosarge  could  have  20  to  .^0  years  of  good 
health  before  his  new  liver  starts  causing 
problems.  And  by  then,  medicine  certainly 
will  have  discovered  a  more  effective  treat- 
ment than  what  we  can  offer  now  " 

Fair  agreed,  adding.  "We  could  have 
thrown  the  liver  away,  but  it  had  the  poicniial 
to  help  someone.  And  whenever  \ou  can  help 


someone,  vou  should." 

Hunter  and  Bosarge  both  left  L'NC  Hospi- 
tals about  eight  days  after  their  surgeries. 

Since  its^start  in  1991.  UNC  Hospitals- 
liver  transplant  program  has  grown  into  one 
of  the  largest  and  most  successful  in  the 
Southeast.  Among  the  program's  main 
"firsts"  was  that  doctors  here  performed  the 
slate's  first  living-related  liver  traiis|ilani  m 
194(1. 

Some  14.724  people  in  the  liniled  States 
currentiv  aic  awaiting  a  liver  transplant, 
accortling  to  the  I'nited  Network  for 
Organ  Sharing.  In  I9MS.  the  latest  year  avail- 
able, about  I  ..^00  palieiils  died  before  thev 
could  gel  a  new  liver.  Last  year.  4..'i()0 
liver  transplants  were  |XMfoniied  in  the  Unii 
ed  States.  D 


UNC  Health  Care  Acquires 
Raleigh's  Rex  Healthcare 


Nearly  one  year  follow,  ing  UNC 
Health  Care's  announeed  interest 
in  aeqiiiring  Rex  Healtheare  in 
Raleigh,  the  deal  was  done.  Chief 
Kxeeuliv  e  Offieer  Jeffrey  L.  Houpt.  MD.  and 
Rex  Healtheare  Trustees  Chairman  James  B. 
Hyler  Jr.  announced  in  mid-.April  that  Rex 
Healthcare  is  now  part  of  the  UNC  Health 
Care  System. 

"The  new  relationship  w  ill  complement 
and  expand  the  existing  ser\  ices  and  pro- 
grams offered  hy  Rex  and  UNC,  and  enhance 
the  abilities  of  holh  organizations  to  ser\e  pa- 
tients and  families  in  the  greater  Triangle 
area,"  Houpt  said. 

Hyler  agreed,  adding,  "residents  of  Wake 
County  will  continue  to  receive  the  same 
high-quality  health  care  Rex  has  provided  for 
more  than  100  years,  with  the  added  benefit 
of  new  programs  made  possible  by  L'NC 
capital." 

Hyler  said  Rex  will  in\est  in  additional  re- 
sources to  better  ser\  e  the  health-care  needs 
of  a  grow  ing  Wake  County  and  Triangle  area 
population. 

"Through  our  affiliation  w  ith  UNC.  Rex 
also  w  ill  gain  greater  access  to  high-le\el 
clinical  programs,  advanced  technology  and 
medical  research,"  he  said. 

Under  the  agreement.  Rex  Healthcare  w  ill 
continue  to  operate  as  a  separate,  private,  not- 
for-profit  entity  and  will  retain  its  separate 
identity.  Its  employees  will  remain  employ- 
ees of  Rex  Healthcare. 

I'NC  and  Rex  anticipate  both  growth  and 
expansion  of  ser\  ices  and  cost-sa\  ings  under 
the  agreement. 


Governing  Boards  Reorganize 


The  agreement  making  Rex  Healthcare 
part  of  the  UNC  Health  Care  System  result- 
ed in  changes  to  both  organizations"  go\'- 
erning  boards  and  appointments  of 
directors  for  the  new  ly  established  John 
Rex  Endowment  Board. 

The  new  Rex  Healthcare  Board  includes 
the  following  current  Rex  board  members: 
William  C.  Burkhardt,  Jean  W.  Carter,  MD. 
James  T.  Fain  III.  Charles  T.  Francis,  Ann 
Goodnight,  James  B.  Hyler  Jr.,  Robert  A. 
Ingram,  Richard  S.  Myers.  MD,  and  Waltye 
Rasulala,  UNC"s  appointees  to  the 
Rex  Healthcare  Board  are:  J.  Slade 
Crumpton.  Eric  B.  Munson  and  Thomas  E. 
Sibert.  MD. 

The  UNC  Health  Care  Board  includes 
the  following  current  UNC  board  mem- 
bers; Molly  Corbetl  Broad.  J.  Slade 
Crumpton.  F-rank  .A.  Daniels  Jr..  M. 


Andrew  Greganti.  MD.  Jeffrey  L.  Houpt. 
MD,  John  A.  Kirkland,  MD,  Estell  C.  Lee. 
William  McCoy,  R.  Malloy  McKeithen. 
Eric  B.  Munson,  Valerie  Parisi,  MD.  Bailey 
Patrick  Jr.,  Paul  J.  Rizzo,  William  L.  Roper. 
MD.  Charles  M.  Shelton  and  John  S 
Ste\ens.  Joining  the  Board  from  Rex  are: 
Jean  W.  Carter,  MD,  Richard  L.  Daugherty 
and  James  B.  Hyler  Jr. 

The  governing  board  of  the  new  John 
Rex  Endow ment.  chartered  to  ad\ance 
health  care  in  the  greater  Triangle  area,  will 
consist  of  12  members.  Named  to  serxe  at 
the  tiine  of  this  printing  were:  David 
Boerner,  MD,  Ben  L.  Bradsher,  William  C. 
Burkhardt,  James  T.  Fain  III.  Charles  T. 
Francis.  ,\nn  B.  Goodnight,  James  H.  May- 
nard  and  Waltye  Rasulala.  UNC"s  represen- 
tati\es  are  Jeffrey  L.  Houpt,  MD.  William 
McCoN  and  William  L.  Roper.  MD. 


The  transaction.  \ allied  at  S2yo  million, 
calls  for  establishing  a  new  John  Rex  Endow- 
ment and  funding  a  number  of  Joint  UNC- 
Rex  projects.  Financial  details  of  the  deal 
include: 

•  SI 00  million  to  go  toward  the  new  John 
Rex  Endowment.  Twenty-f"i\e  million  of  this 
will  be  returned  to  Rex  Healthcare  for  capital 
projects.  Income  from  the  remaining 
S7.S  million  will  be  used  to  support  indigent 
care  and  enhance  communit\  health-care 


programs  in  the  greater  Triangle  area. 

•  S?X  million  to  be  committed  by  UNC  to 
fund  strategic  initiatives  jointly  agreed  upon 
by  Rex  and  UNC.  These  could  include  ex- 
panding cancer  care,  pediatric  ser\ices  and 
women's  serxices. 

•  SI  32  iTiillion  in  existing  long-term 
debt  to  stay  w  ith  Rex  Healthcare  and  its  affil- 
iates. These  liabilities  remain  on  the  Rex  bal- 
ance sheet.   D 


and  Rex  Healthcare 


Combined  Service  Area 


Four  County 
Pnmar;  Care 


V 


G  R  A  N  V  I  L 


ALAMANCE 


ORANGE 


DURHAM 


WAKE 


I.l 


CHAPEL 
■    HILL 

P'actri-t  Pijtuer/ _  Hoscitals 


CHATHAM 

Carolina  Dialysis 


VANCE 


FRANKLIN 


Blue  Ridge  Family  Pra 


Rex  Primary  Care 
of  North  Raleigh  ^ ,  ^ 

\    Future  Sile  of    '"  ' 
Rex  Healthcare  '  WAKE 
of  Wakefield       FOREST 
X  \       ,^  Wake  Forest 

-\"  „    ,     ,  ,\  V  Pediatncs 

Boylan  Internal 
Rex  HorVie  Medicine 

-  _  .         Health  —  - 

.lid-Caroliria""   -    \_  \  ""•    Rex  Hospital  &  1 

Homecare •  vm)  ^Ns.   x  Rex  Wellness 

Special'^'*    r,:  ~^\.  >^     Cenle 

Rex  Obstetrics 
Cnainarr  J  Gynecology 

^^°"'"9  NC  Kids  of  Raleigh 


/. 


RALEIGH 


^ 


Rex  Healthcare  of  Cary 
Rex  Family  Practice  of  Cary 
Rex  Pediatrics  of  Cary 
Rex  Urgent  Care  of  Cary  nauFo 

Rex  Wellness  Center  of  Cary      """"'=''        7o 


CLAYTON     JOHNSTON 


Sarifo'r;  Scecifli 
Clinics 


\  Game' 
\      Prac 


Farr.ily 
Practice 


Match  Day  2000: 


Match  Day.  That  annual  event  when 
medical  school  seniors  nationwide  learn 
which  residency  program  they  will  enter. 
This  year's  event  was  held  on  March  16 
and  approximately  140  graduating  UNC 
medical  students  filled  the  Clinic  Audito- 
rium. 

"As  a  group,  our  students  arc  incredibly 
accomplished  and  talented  people,  and 
Match  Day  is  just  one  more  manifestation 
of  their  achievements,"  said  Georgette 
Dent,  MD,  associate  dean  for  student 
affairs. 

"Traditionally,  our  students  have  done 
very  well  with  regard  to  getting  good  resi- 
dencies; last  year,  the  percentage  of  our 
students  who  got  their  top  choice  was 
higher  than  the  national  average,"  she 
added.  "That  says  UNC  is  doing  a  great 
job  educating  these  students,  and  as  a  re- 
sult, they  are  considered  excellent  recruits 
by  other  programs." 

About  86  percent  of  UNC  medical  stu- 
dents were  matched  with  one  of  their  top 
three  choices  during  the  computerized 
process.  Sixty-four  percent  received  their 
first  choice. 


John  Yiuini;  (rli^hij.  xluircs  his  lellcr  with  friends. 


2000  Residency  Target  Placements 
Specialty  Placements 


Johnailian  Bradley  Woods  Is  all  smiles  on  Mateh  Daw 
14 


Family  Practice 

■■^^^ 

^^m  "> 

Inicrnal  Medicine 

2* 

Medicine-Pedialncs 

■■■  -f 

Obsietrics/Gynccolog)' 

8 

Pediatrics 

^^^^^^ 

^^^^^^ 

Anesthesiology 

■  7 

Dermatology 

■i  2 

Emergency  Medicine 

8 

Neurological  Surgery 
>,                      Neurology 

■  l 
1 

-^      Orlhopcdit  Surger>' 

■  7 

,^            Otolaryngolog>' 
%                            PM&R 
H                        Patholog)' 
Plastic  Surg- Preliminary 
Plastic  Surgery 

^^  3 

1 
■  1 

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Psychiatry 

Radiolog\ -Diagnostic 

Radio  logy -Oncologic 

Surgery-General 

Surgery-Preliminary 

Urology 
Deferred 

hi  II 

6 

0                  3 

10 
Numf 

15                20 
cr  of  Seniors 

25 

'The  World  Is  Your  Oyster' 


By  Lynn  W'ooten 

The  world  is  your  iiNster. 
So  it  is.  pertiaps.  fitting  that  as  the> 
prepare  to  head  off  on  their  own 
into  their  chosen  professional 
world.  UNC  medical  students  recei\e  a 
feu  pearls. 

Pearls  of  w  isdom.  that  is. 

Continuing  a  long  and  much-anticipated 
tradition.  School  of  Medicine  facult\'  of- 
fered helpful  hints,  special  reminders  and 
often-touching  ad\  ice  to  students  at  the  an- 
nual Pearls  Day  gathering. 

Through  skits,  slide  shows  and  simple 
heart-to-heart  orations,  faculty  ga\e  stu- 
dents a  feu  things  to  think  about  as  the\  set 
out  to  become  physicians  theinseK  es.  Their 
"pearls"  ranged  from  the  serious  to  hysteri- 
cal, but  no  matter  what  the  message,  each 
facultN  member  received  heart\.  apprecia- 
tive rounds  of  applause  from  their  soon-to- 
be  fonner  students. 

■Among  the  "pearls"  offered  for  consider- 
ation uere: 

Georgette  Dent,  MD.  associate  dean  tor 


student  affairs  —  L'sing  special  lighting  ef- 
fects (uell.  OK.  flashlights  ua\ed  from  the 
front  rou  )  and  slides.  Dent  created  her  own 
riotous  \ersion  of  the  megahit  TV  game 
shou.  "Who  Wants  to  Be  a  Millionaire'.'"' 
But  her  game.  "Who  Wants  to  Be  Board 
Certified'""  offered  such  mind-numbing 
questions  as  "Paroxysmal  nocturnal  hemo- 
globinuria is  lypicall\  characteri/ed  b\  an 
abnormalitN  in  which  of  the  l'olKn\  ing'.'"" 
For  assistance,  contestant/  student  Donald 
McLamb  elected  to  "call  a  friend""  — 
Stephen  Kiser.  MD.  professor  and  associate 
chair  for  medical  education. 

John  Thorp,  MD.  associate  professor  of 
maternal-fetal  medicine  —  Thiirp  focused 
on  the  importance  of  physicians  making 
strong  connections  u  ith  their  patients.  "Sit 
dou  n  u  hen  \  ou  talk  to  patients.""  he  said.  "It 
gi\es  the  appearance  of  concern." 

.\nthony  Meyer.  MD.  professor  and  di- 
\  ision  chief  general  surgery  —  No  matter 
u  hat  is  going  on  in  a  physician"s  life.  Meyer 
pointed  out.  the  doctor  should  not  be 
distracted  or  negatively  effected  to  the  detri- 
ment of  interacting  uith  patients.  In  other 


words,  personal  baggage  should  be  leli  out- 
side the  door.  "In  patient  caiv.  the  person  in 
the  forefront  of  \(iur  mind  shinild  be  the  pa- 
tient, not  \ourselt  " 

Anthony  Lindsey.  MD.  clinical  associ- 
ate professor  of  general  ps\  chialr\  and  be- 
ha\  ioral  medicine  —  L'sing  photographs  of 
de\oted  UNC  employees  as  his  backdrop. 
Lindsey  stressed  the  importance  ot  assis- 
tants, nurses  and  other  support  personnel  in 
a  physician"s  life.  He  suggested  that  the  stu- 
dents, once  the)  are  on  their  ou n.  alua\  s 
remember  —  and  appreciate  —  u  hat  these 
people  ha\'e  to  offer. 

Harvey  Hanirick,  MD.  professor  of 
communit\  pediatrics  —  Hamrick  noted 
one  of  the  greatest  fears  a  physician  has: 
Becoming  the  target  of  a  malpractice 
lausuit.  With  apologies  to  Da\  id 
Letterman.  he  offered  up  the  Top  10  Rea- 
sons to  .Axoid  a  Malpractice  Suit  ("Worst 
of  all.  your  family  uill  encourage 
you  to  go  to  law  school."")  and  the  Top  10 
Reasons  You  Might  Get  Sued  l"^'ou"\e 
never  been  sued."")  D 


2000  Residency  Target  Placements 
Primary  Care  Placements 


^ 

^r^ 

^^r^ 

m 

l^yp 

1  ^^^1 

I'dlrii  III  (  (ij'jHi'^i  I  It  In.  iiihl  lliiillu  I  Rdhi  ilsoii  Wliilv  tii/(n  </  //>,■/(/  iiuniit  iil  on 
SUiuliDax. 


AHEC:  Taking  Medicine  tc 


Naiuy  Pfifcr.  Ml),  ciiul  tliinl-ycar  resident  lllvti  Wilkcrsaii  review  seheJule.s. 


To  understand  the  partnership  be- 
tween the  UNC  School  of  Medi- 
cine and  the  N.C.  Area  Health 
Education  Centers  (AHEC)  Pro- 
gram, you  really  need  to  leave  Chapel  Hill. 

You  might  head  to  Asheville  to  the  Moun- 
tain AHEC,  or  to  Wilmington  to  the  Coastal 
AHEC.  You  could  travel  to  the  Southern  Re- 
gional AHEC  in  Fayettc\  ille,  to  the  Charlotte 
AHEC.  or  to  Wake  AHEC  in  Raleigh.  Head 
west  out  of  Chapel  Hill  and  the  tlrsl  AHEC 
you'll  pass  is  in  Greensboro. 

The  AHEC  Program  and  the  School  of 
Medicine  share  a  mission  to  meet  the  health 
care  needs  of  the  people  of  North  Carolina. 
Greensboro  AHEC.  like  the  other  sites,  pro- 
\  ides  the  School  with  the  resources  to  offer 
community-based  training  to  medical  stu- 
dents and  residents  and  to  provide  profes- 


sional support  and  continuing  medical  edu- 
cation for  physicians  in  the  communities 
where  they  practice. 

Greensboro  AHEC  offers  residenc\  place- 
ments in  family  medicine,  pediatrics  and 
internal  medicine.  The  residency  programs 
are  sponsored  by  Moses  Cone  Healthcare 
Svsieni  in  conjunction  with  the  L'NC  School 
of  Medicine. 

The  program  in  internal  medicine  accepts 
20  residents  and  provides  opportunities  to 
learn  in  an  environment  that  emphasizes  the 
generalist  skills  necessary  to  enter  a  commu- 
nity-based practices.  Residents  function  as 
primary-care  physicians  w  ho  deliver  conti- 
nuity care  for  both  inpatients  and  outpatients. 
Residency  faculty  members  pio\  ide  this  edu- 
cation with  e\tcnsi\e  support  from  commu- 
nity preceptors 


The  AHEC  Program  addresses  the  short- 
age and  maldistribution  of  health-care  pro- 
fessionals in  underser\ed  regions  and 
encourages  students  to  practice  in  those  areas 
bv  allow  ing  them  to  train  alongside  mral  and 
communilN  practitioners.  AHEC  also  pro- 
vides informaliim  resources  and  prolessional 
support  that  rural  physicians  need  to  stay  on 
the  culling  edge  of  medicine.  Since  the  N.C. 
AHEC  Program  began,  nearly  ."i.^S  family 
doctors  trained  in  AHEC-based  residency 
programs  ha\e  settled  in  communities  across 
North  Carolina. 

"The  moie  students  we  tram  in  communi- 
tv-based  settings  and  the  more  we  support 
existing  rural  practices,  the  more  attractive 
and  better  those  practices  become." 
said  Thomas  Bacon,  DrPH,  Director  of  the 
N.C.    AHEC   Proeram   and   Executive 


s[orth  Carolina's  Communities 


Associate  Dean. 

The  AHEC  projiram  began  in  1972.  It  was 
one  >  ear  later  that  Stew  art  Rogers.  MD.  grad- 
uated fnini  the  School.  Rogers,  a  tenured  lac- 
ult\  member  at  L'NC.  has  v\orked  in  internal 
medicine  through  Greensboro  AHEC  for  2 1 
years.  Rogers  belie\es  one  way  AHEC  im- 
proves health  care  in  communities  is  by  cre- 
ating an  academic  presence  in  the  slate's 
hospitals. 

'AHEC  bnngs  t'acults  and  their  talents  as 
resources."  he  said.  "The  presence  of  medical 
student  training  programs  and  residencs  pro- 
grams like  we  ha\e  here  in  Greensboro  gi\e 
practicing  ph\sicians  the  opportunity  to 
teach  and  sta\  connected  w  ith  schools  of 
medicine." 

Rogers  places  great  \alue  on  his  ov\ n  com- 
munity-based rotation  as  a  medical  student. 

"\h  familN  is  from  Greensboro,  and  I  was 
excited  to  he  an  acting  intern  in  pediatrics  at 
Moses  Cone.  I  enjoNed  it  a  great  deal."  he  re- 
called. "I  especially  appreciated  the  indepen- 
dence ol  doing  meaningful  clinical  work 
awa\  from  the  uni\ersity." 

.\anc\  Pilfer.  MD.  'S7.  also  is  a  full-tmie 
laculty  member  for  the  internal  medicine  res- 
idency program  in  Greensboro.  A  nati\e  of 
Morganton.  she  completed  three  community 
rotations  as  a  student.  And  like  Rogers.  Pfifer 
valued  the  hands-on  nature  of  the  rotation 

"I  lo\ed  it.  mostly  for  the  one-on-one  ex- 
perience with  the  attending."  she  said.  "I  re- 
member once  during  my  OB  rotation  at  Wake 
AHEC.  I  got  to  do  nine  deliveries  in  one 
night.  My  peers  back  on  campus  didn't  gel 
any  w  here  near  that  kind  of  exposure. " 

illy  a  Wilkerson  is  a  third-year  resident  in 
Greensboro's  internal  medicine  program  and 
has  trained  w  iih  both  Rogers  and  Pfifer.  A  na- 
tive of  Eden,  he  graduated  in  IW7  and  rates 
his  experiences  w  ith  AHEC  as  "wonderful. 
My  community  rotations  and  residency  pro- 
vided  me  with  practical  experiences  where 
the  attending  phvsicians  were  verv  approach- 
able and  students  were  a  prioritv." 

Besides  his  rcsidencv.  V\  ilkcrsdii  complet- 
ed a  family  practice  rotation  at  Southern  Re- 
gional AHE:C  and  an  OB  and  emergencv 
medicine  rotations  at  Wake  AHI.C.  and  com- 
pleted thml-vear  medicine  inpatient  and  (uil 


patient  rotations  and  a  lourth-vear  acting  in- 
ternship at  Greensboro  AHIX"  laniilv  \Iedi- 
eine  Clinic. 

Wilkerson  plans  to  practice  medicine  in 
the  Greensboro  region.  He  plans  to  rely  on 
AHEC  for  resources  necessary  for  this  new 
phase  of  his  medical  career. 

"I  haven't  felt  any  disadvantage  working 
in  Ihe  communitv  and  a  distance  from  Ihe 
School."  he  said.  "I  can  relv  on  AHEC  librarv 
resources  during  the  ilay  or  night.  .As  long  as 
I'm  in  the  stale.  I'll  take  advantage  of  all  ihe 
serv  ices  AHl:C  prov  ides." 

Those  resources  are  one  ol  the  reasons  the 
AHEC  ProL-ram  is  so  suecesslul.  Ko.jcrs 
said. 

"It's  easy  uiulei  ihe  pressures  ol  private 
practice  for  phvsicians  lo  lose  louch  w  ith  the 
education  process. "  he  said.  "I  think  manv 
private  physicians  are  grateful  for  ihe  first 
class  library  resources,  continuing  education 
programs,  off-campus  degree  programs  for 
mid-level  health-care  professionals  and  the 
many  other  resources  .AlliX"  brings  to  the 
communitv  " 

Besides  piovulmg  prolession.il  support, 
the  School  ol  Mi-dkineaiul  Alll.Caic  iin 


poilanl  partners  in  palieiil  education  as  well. 
Wilkerson  said. 

"Ediiealing  the  palienl  is  a  big  part  of  the 
battle  in  improving  healtlicare  outcomes."  he 
said.  "With  access  to  .AHEC  libraries  and 
their  online  resources,  information  from 
teitiai  V  research  centers  comes  into  commu- 
nities m  verv  expeditious  fashion.  .AHEC 
improves  health  care  bv  iinprov  ing  access  to 
practitioneis.  bin  also  bv  providing 
educational  programs  loi  prolessionaK  and 
their  palienis."  D 


Kids  at  UNC  Hosp 
To  Talk  With  O 


Allwdii  Sillier  nt  Rccivcitiaiuil  Therapy  liclps  n  puiicni  upcniic  STARBRICjHT. 


By  Melissa  Matson 

Imagine  thai  you're  1  2  years  old  and 
have  cancer.  Trips  to  the  hospital  lor 
chemotherapy  are  wearing  you  out. 
You're  in  pain  and  afraid  of  what  \s  ill 
happen  to  yi>u.  On  top  of  that,  you  feel  like 
Nou're  the  only  one  in  the  world  going 
through  this. 

Now  imagine  sitting  at  a  computer  and 
talking  face-lo-face  with  a  12-year-old  can- 
cer patient  in  another  state.  He  tells  you  he"s 
going  through  chemotherapy  too.  and  like 
vou.  is  really  sick.  He"s  also  scared  that  he 
won't  get  well.  '\'ou'\e  found  a  friend. 

Children  at  UNC  Hospitals  are  doing  that 
through  STARBRIGHT  World,  a  prixate.  in- 
teracti\ e  computer  network  for  hospitalized 

18 


children.  The  brainchild  of  film  producer  and 
director  Steven  Spielberg.  STARBRIGHT 
World  began  in  \^n5.  Spielberg's  idea  was  to 
enable  sick  kids  to  interact  \ia  \ ideoconfer- 
ence  with  other  children  facing  similar  health 
challenges. 

•■We  have  created  a  true  \  irtual  pla>  ground 
—  a  place  that  can  help  children  recapture 
the  joy  of  being  a  kid.  Regardless  of  how  far 
technology  ad\  ances.  it  is  the  human  connec- 
tion that  matters."  said  Spielberg,  chairman 
of  the  STARBRIGHT  Foundation. 

Last  summer.  UNC  Hospitals  became  the 
first  hospital  in  the  Southeast  to  join  the  net- 
work. The  day  was  celebrated  w  ith  much 
fanfare,  including  a  \  isit  from  the  late 
N.\SCAR  driver  Adam  Petty,  who  donated 
iiKinev  to  the  project. 


Since  then.  STARBRIGHT  World  has  re- 
ceived ra\e  re\ iew s  from  UNC's  pediatric 
patients. 

"The  kids  love  this."  said  Allyson  Salier.  a 
recreational  therapv  assistant  in  charge  ot 
UNC  Hospitals'  STARBRIGHT  World. 
"The  first  thing  the\  do  when  they  come  for 
return  hospital  visits  is  ask  me  when  they  can 
siet  on  STARBRIGHT." 

Currenth.  UNC  Hospitals  has  five  STAR- 
BRIGHT  World  temiinals  —  one  in  its  pedi- 
atric plavroom.  I'ne  in  the  N.C.  Javcees  Bum 
Center,  one  in  the  Hospital  School,  one  in  its 
pediatric  hematologv/oncologv  unit  and  one 
in  the  bone  marrow  transplant  unit. 

■When  the  new  N.C.  Children's  Hospital 
opens,  we  hope  to  have  additional  comput- 
ers." said  Salier.  "We  plan  to  w ire  every  inpa- 


als  Use  Computers 
ler  Sick  Children 


Sprint  teams  with  the 
STARBRIGHT  Foundation 


These  duN  s.  many  busi- 
nesses look  beyond  profit 
margins  to  how  they  can 
participate  in  and 
strengthen  the  communi- 
ties around  them.  Spnnt  is 
just  such  a  company. 

So  when  the  STAR- 
BRIGHT  Foundation 
went  looking  for  a 
telecommunications  com- 
pan\  to  help  create  STAR- 
BRIGHT  World.  Sprint 
stepped  up  to  the  plate. 
Now.  Sprint  is  STAR- 
BRIGHT  World's  exclu- 
si\e  telecommunications 
pro\ider. 

That  means  that  Sprint 
donates  the  multi-million 
dollar  network  infrastruc- 
ture that  enables  thou- 
sands ot  children  to 
simultaneously  e-mail 
each  other:  to  see  and 
speak  w  ith  their  peers  any- 
where  on  the  network 
through  \  ideoconferenc- 
ing;  to  play  together  in 
real-time  through  interac- 
t:\c  computer  games;  and 
to  understand  more  about 


their  illnesses  through 
multi-media  educational 
programs. 

The  technology,  called 
.As\  nchront)us  Transfer 
Mode  (ATM )  network, 
makes  fast,  secure  data 
transmission  possible. 
The  result  is  that  100  hos- 
pitals can  simultaneously 
send  and  receixe  data, 
voice.  \  ideo  and  sophisti- 
cated programming. 

Sprint  is  a  global  com- 
munications companv 
working  to  integrate  long 
distance,  local  and  wire- 
less communications  ser- 
\ices.  Sprint  built  and 
operates  the  United 
States"  first  nationwide 
all-digital,  fiber  optic  net- 
work and  is  a  leader  in  ad- 
\anced  data  communi- 
cations services  and  is 
a  leader  in  advancctl 
data  communications  scr- 
\ices.  Sprint  has  SI7  bil- 
lion in  revenues  and 
serves  more  than  17  mil- 
lion business  and  residen- 
tial customers. 


patients. 


r\  jhiiudiir  Willi  pcduilrii. 


lient  r.Kim  lor  STAKBKIGHT  World.' 

Besides  its  \  ideoconference  capabilities. 
STARBRIGHT  World  offers  video  games 
and  Internet  access  to  4(K)  pre-approved  Web 
sites.  Children  can  find  infomiation  on  a  va- 
riety of  illnesses,  tests  and  treatments,  or  ihev 
can  forget  health  issues  altogether  and  play  a 
game  for  fun. 

VV'hen  Salier  sits  dovMi  with  a  peiliatric  pa- 
tient at  a  STARBRIGHT  World  computer, 
she's  neverquite  sure  what  will  happen. 

"I  let  the  kills  go  where  they  want  and  do 
what  thev  want  wilh  STARBRIGHT,"  said 


Salici.  "It's  important  for  them  to  feci  that  for 
a  short  lime  during  their  dav.  thev  have  some 
control."" 

Through  .STARBRIGHT  World,  kids  can 
also  post  questions  like  "What's  ihe  worst 
part  of  chemotherapv  .' "  on  a  medical 
bulletin  board.  Or  they  can  search  lo  see  w  lio 
IS  online. 

"I  was  with  one  17-v ear-old  who  luul  |usi 
been  diagnosed  with  cancer. "  said  Salier. 
"When  he  sat  down,  the  tlrsi  thing  he  did  was 
look  up  his  tvpe  of  cancer.  Then  he  ran  a 
search  lo  tiiul  sonieoiic  aroiiiul  his  .rje  who 


had  alreadv  lost  their  hair."" 

Rveryone  involved  with  .STARBRIGHT 
World  at  IJNC  Hospitals  —  from  the  doctors 
to  the  recreational  therapists  to  the  patients 
themselves  —  have  come  awav  praising 
the  sv  sieiii, 

■Ourevpcrience  is  ihat  STARBRIGHT 
World  allev  iates  some  of  the  an.xiely  and  fear 
children  feel  in  the  hospital.""  said  Harvey 
Hamrick.  Ml),  professor  of  pediatries. 
"We  are  so  |ilcasetl  lo  be  able  to  offer  it  to 
oui  palieiils."  n 


19 


Faculty  Profile 


Harvey  Hamrick,  MD: 


Hiinc\  Ihiiinick  cxcuuinvs  Jciiiufvi-  Rnullcx.  7.  aj  Snow  Ciiiiip.  NC 


K\  Lviin  W'ooten 

As  one  (it  L'NC's  best-known  and 
icspected  pediatricians.  Harvey 
Hamrick,  MD.  obviously  has  a 
way  with  children.  As  it  turns  out. 
he  has  a  way  with  words,  as  well. 

"One  of  the  things  that  stands  out  about 
Di-.  Hamrick  IV>r  the  residents  and  students 
training  w  iih  him  is  his  speech  mannerisms."" 
says  Alan  D.  Stiles.  MD.  acting  chair  ofthe 
department  of  pediatrics.  "He  frequently  in- 
corporates "sayings"  in  his  teachings  that  I 
am  sure  date  from  his  childhood  in  western 
North  Carolina.  Forexample.  he"ll  say  some- 
thing like.  'It  looks  like  the  chickens  have 
come  home  to  roost."  when  a  diagnosis  has 
been  closed  in  on.  One  of  our  past  residents 
assembled  many  of  these  to  share  at  a  depart- 
mental 'jaiheriniz.  Evervone  there  could  re- 


member situations  where  these  were  used."" 

In  fact.  Hamrick  has  left  such  a  big  im- 
pression on  many  of  his  colleagues,  patients 
and  friends  throughout  his  years  at  UNC  that 
he  was  recently  recognized  vv  ith  the  H.  Flem- 
ing Fuller  Award,  given  annually  to  someone 
whose  ov\ n  dedication  to  the  highest  stan- 
dards of  patient  care  and  community  service 
minor  that  of  its  namesake. 

"Receiving  the  Fuller  Av\ard  was  reallv 
something.""  Hamrick  sav  s.  "I  was  qLiilc 
moved."" 

The  recognition  is  a  highlight  in  a  career 
admired  by  others  and  relished  by  the 
avvard"s  recipient.  "I've  just  had  a  great  Jour- 
ney here.""  Hamrick  say  s. 

Hamrick  was  born  in  the  small  western 
North  Carolina  town  of  Rutheifordton.  in  the 
Ashev  ille  and  Shelbv  v  icinity.  Considering 
his  famiK  hisiorv.  it  was  somethini:  of  a  sui- 


prise  thai  he  went  into  medicine. 

"I  should  have  been  a  lawyer.""  he  recalls 
with  a  laugh.  "Lawyers  go  way  back  in  my 
family.  I  wanted  to  do  something  different,  I 
think.  There  was  no  epiphany,  if  you  will. 
There  was  no  great  calling.  In  deciding  what 
to  do.  I  looked  for  a  challenge  and  something 
about  medicine  attracted  me."" 

Hamrick  graduated  from  UNC  in  1961 
and  entered  the  Navy.  At  that  point,  he  says, 
"I  wasn't  sure  v\hat  I  wanted  to  do.""  Once  the 
medicine  bug  bit.  he  entered  the  UNC  School 
of  Medicine  and  graduated  in  1967.  It  was 
during  his  third  year  of  medical  schoi)l  that 
he  decided  pediatrics  was  for  him.  "It  just 
seemed  to  fit.""  he  says.  ""I  like  working  with 
children.  And  pediatricians  are  generally 
low-key  people  who  have  a  lot  of  patience."" 

From  1 97 1  -72.  Hamrick  was  in  private  pe- 
diatric practice  in  VV'inston-Salem.  but  UNC 


20 


Best-Loved  Pediatrician' 


-  and  the  idea  ofteaching  -  drew  him  back  to 
Chapel  Hill,  w  here  he's  remained  e\  er  since, 
working  and  teaching  as  a  pediatrics  general- 
ist.  "1  had  ai\\a\s  wanted  to  teach  and  felt  so 
comfortable  in  this  setting."  he  says.  "1  like 
watching  \oung  people  discover  things 
themsehes  and  see  their  self-confidence 
grow,  ^'ou  can  almost  measure  it  b\  the 
month." 

"I  ha\  e  not  regretted  coming  back  here." 
.According  to  his  colleagues. 
Hamrick"s  students  are  glad  he  made  that  ca- 
reer mo\e.  as  well.  "Dr.  Hamrick  generates 
enthusiasm  about  an\  clinical  problem  he  en- 
counters in  a  patient  -  regardless  of  how  rou- 
tine -  and  can  infect  the  resident  or  student 
with  that  enthusiasm."  sa\s  .Stiles,  who  was 
one  of  Hamrick's  residents  in  the  I97()s.  "l 
would  say  that  Hamrick  exemplifies  w hat 
most  of  the  pediatric  residents  in  our  depart- 
ment see  as  the  pediatric  generalist.  He  is 
also  clearly  the  most  popular  role  model  for 
residents  in  the  department." 

In  fact,  one  colleague  believes  Hamrick's 
invohemeni  in  teaching  -  parlicularK  his 
work  in  honing  UNC's  residencv  program  - 
IS  what  he  will  be  best  remembered  for.  "The 
e\cellence  of  the  residencv  program  is  his 


legac\."  says  Roberta  Williams.  MD.  former 
chair  of  pediatrics.  ""We  ha\  e  one  of  the  nmst 
competitive  training  programs  in  the  country. 
He  has  carelullv  nurtmed  the  program  and 
served  as  its  best  role  model." 

Hamrick  marvels  at  how  medicine  has  ad- 
vanced over  the  past  .^O-plus  v ears.  "Tech- 
nology has  certainly  changed  -  MRIs  and  CT 
scans  are  just  amazing.  And  look  at  immu- 
nizations. For  example,  in  the  last  10  years, 
one  of  the  most  serious  forms  of  childhood 
meningitis  has  been  all  but  eratlicated  bv  an 
immuni/ation." 

But  the  evolution  of  the  managed  care 
trend  troubles  him.  "HMOs  have  been  verv 
disruptive  of  care."  Hamrick  says.  ""The 
strong  relationship  between  physician  and 
patient  has  been  fractured  quite  a  hit  bv  that." 

While  Hamrick  does  not  work  in  the  clini- 
cal setting  as  much  as  he  once  did.  his  pres- 
ence in  the  Held  remains  strongly  felt.  ""He  is 
consistently  diligent,  compassionate,  careful 
and  unpretentious."  Williams  savs.  "He 
maintains  the  highest  standards  of  clinical 
care  and  expects  the  same  of  others.  He  ap- 
proaches problems  with  knowledge  and  w  is- 
dom.  hiMiiorand  sensiliv  itv." 

Now  approaching  fi().  and  with  main  of 


Rcsidvni  Riiiiiiiie  hrluiri.  /<■//.  miJ  Hamruk  uilk  will;  .Icnnitcr  Bnullcx  of  Snow  C 


imp. 


his  friends  and  colleagues  hav  ing  alreadv  re- 
tired. Hamrick  understands  that  retirement  is 
in  the  not-too-distant  future.  But  the  notion 
of  hanging  up  his  w  hile  coat  leaves  him  a  bit 
uneasy.  Retiremcnl  would  allow  him  to  bet- 
ter cnjov  such  favorite  hobbies  as  swimming 
and  spend  more  lime  with  wife  .Ann;  their 
two  children.  Anna,  an  allomev  specializing 
in  medical  malpractice  law.  and  James,  a 
fourth-year  LINC  medical  student  heading  to 
the  L'niversitv  of  California  at  San  Francisco 
for  residency;  their  s|iouses:  ami  ;i  new 
grandchild,  his  fust. 

"'I  really  don't  leel  like  retiring." 
Hamrick  says.  ""Nol  yet.  But  whatever  I  do.  I 
w  ant  to  be  verv  useful  at  it." 


The  H.  llemiiig  liillei  .Awartl  is  in- 
tended as  a  permanent  memorial  to 
Kinston  physician  H.  Fleming  Fuller, 
who  died  in  1986.  A  founding  member 
ol  the  board  of  directors  of  North  Car- 
olina Memorial  Hospital.  Fuller  served 
on  the  board  from  1971  until  his  death 
The  l-"ullei  Award  is  bestowed  on  some 
one  based  on  these  attributes: 

•  Unwavering  personal  connnitment  to 
treating  patients  w  iih  compassion  and 
respect 

•  Ongoing  serv  ice  as  a  staunch  advo 
cate  for  maintaining  the  highest  stan- 
dards of  patient  care  and  well-being 
—  both  ]-)hv  sical  and  emotional 

•  Flffectiveness  as  a  professional  role 
model  foi  the  siudents  and  voiing 
physicians  responsible  lor  the  cue  ol 
future  generations 

•  .Sense  ol  civ  ic  res|ionsibiliiv  through 
active  participation  in  grou|-)s  or  orga- 
nizations concerned  with  the  health 
and  well  being  ol  \oilh  ('.Molina's 
cili/ens 

1  Ins  V car's  lecipieiil  will  be  aiinounceJ 
Sepl'l.S 


Faculty 

Notes 


Christopher  C.  Baker,  MD,  FACS.  pro- 
lessor  of  surger\.  v\ as  recently  appointed  to 
the  Committee  on  Surgieal  Education  in 
Medical  Schools  for  the  American  College 
of  Surgeons.  Baker  also  served  on  the  Amer- 
ican College  of  Surgeons"  Committee  on 
Trauma  and  is  currently  a  member  of  the 
Curriculum  Committee  for  the  Association 
for  Surgical  Education. 

Janice  M.  Dodds,  Edl).  associate  profes- 
sor of  nutrition,  has  re- 
eei\ed  the  Catherine 
Cowell  Aw ard  from 
the  American  Public 
Health  Association's 
food  and  nutrition  sec- 
lion,  of  w  hich  she  is 
chair.  The  award, 
sponsored  by  Mead 
.lohnson  Nutritionals. 
rect)gni/es  excellence 
and  achie\enient  in 
administration,  plan- 
ning, mentoring  and  team  biulding  in  public 
health  nutrition,  and  includes  a  cash  prize. 
Dodds  specializes  in  community-based  in- 
ter\entions  to  imprme  nutrition  and  studies 
leadership  de\elopment  with  a  focus  on 
management  in  public  health  nutrition  with 
women  and  children.  She  is  also  serving  on 
the  N.C.  Institute  of  Medicine's  child  health 
task  force  as  chair  of  the  health  promotion 
subcommittee. 

I)a\  id  .\.  (lerber,  MD.  assistant  profes- 
sor of  surgery,  recenth  recei\ed  a  Eaculty 
Research  Fellow  ship  from  the  American 
College  of  Surgeons.  Gerher  will  receive 
S.^5.000  annually  for  two  years,  during 
w hieh  time  he  will  be  working  on  the  isola- 
tion and  identification  of  a  hepatic  progenitor 
cell  pt>pulation.  Further  analysis  will  look  at 
llie  antigenicity  of  these  cells  and  how  this 
would  impact  their  potential  in  li\ercell  ther- 
ap\  as  an  alteniali\e  to  solid  organ  transplan- 
tation. 

Robert  N.  Ciolden.  MD.  professitr  and 
chair  of  psychiatrv.  has  been  appointed  to  the 
editorial  board  of  Depression  and  Anxiety. 
Golden  has  also  been  appointed  to  a  three- 
\eartenn  on  the  Scientific  .Advisory  Panel  of 
the  .American  Psvchiatric  Institute  for  Re- 
search and  Education.  The  Institute,  an  affili- 
ated organization  for  the  American 
Fs\  chiatric  .Association,  is  charged  v\  ith  es- 
tabhshuig  the  leadership  role  of  the  AP.A  in 


IN  REMEMBRANCE 

W.  F'aul  Bijijiers,  .MD.  62.  died  April  .S.  2( )()().  leaving 
a  legacy  as  a  caring  physician  and  a  teacher  of  physicians. 
He  was  an  integral  part  of  the  University  of  Niirth  Caroli- 
na since  becoming  a  medical  student  in  1959.  Dr  Biggers 
completed  his  residency  and  joined  the  faculty  in  1968. 
He  offered  an  example  of  compassion,  scholarlv  devd- 
tion.  ;ind  commitment  to  patient  care. 

Beyond  these  contributions.  Dr  Biggers  had  a  lifetime 
interest  in  speech  and  language  and  served  on  the  Board 
of  Examiners  for  Speech  and  Language  Pathologists  and 
Audiology.  Through  tireless  efforts,  he  ensured  that  the 
state  Legislature  established  and  continued  a  program 
designed  to  aid  children  with  speech  and  hearing  disor- 
ders. This  program  has  already  benefited  thousands  of  children  w  ithin  our  state. 

For  these  elforts.  he  was  presented  the  Service  to  Mankind  Award  and  also  was  named 
the  1999  H.  Fleming  Fuller  Award  winner  as  the  outstanding  clinician  at  UNC  Hi>spitals. 
(A  profile  about  Dr  Biggers  appeared  in  the  Winter  1999  issue  of  this  publication.) 

In  recognition  of  Dr.  Biggers"  many  contributions.  George  Sheldon.  MD.  and 
Harold  C.  Pillsbury.  MD.  led  etYorts  to  rename  the  Carolina  Children's  Communicative 
Disorders  Program  the  VV.  Paul  Biggers.  MD.  Children's  Communicative 
Disorders  Program. 

Just  w  eeks  prior  to  his  death,  the  W.  Paul  Biggers.  MD.  Distinguished  Professorship  w  as 
established.  Dr  Biggers  requested  that  the  Professorship  be  awarded  to  a  physician  who 
shares  his  passion  for  innovative  teaching.  Indiv  iduals  wishing  to  make  a  donation  ti>  the 
endowment  of  this  new  Iv  created  professorship  should  contact  The  Medical  Foundation  of 
North  Carolina.  Inc.  at  ( 9 1 9 1  966- 1 20 1. 


contributing  to  the  scientific  basis  of  psychi- 
atric practice  and  policv . 

Sharon  Rin^^vvalt.  MS.  clinical  assistant 
professor  of  sjieech  and  hearing  sciences, 
has  been  appointed  the  Orange  Countv 
Preschool  Interagency  Council's  representa- 
tive to  the  board  of  the  Orange  County  Part- 
nership for  Young  Children,  for  a  three-year 
term.  Ringwalt  currentiv  is  the  co-chair  of 
the  Health  and  Early  Intervention  Grants  Re- 
vievv  Committee  for  the  Partnership. 

(;e()rj;e  K  Sheldon.  MD.  Zack  D.  Owens 
distinguished  professor  and  chair  of  surgery, 
has  been  awarded  an  honoran  fellowship  by 
the  Philadelphia  Academy  of  Surgery,  the 
oldest  surgical  society  in  America,  for  his 
contributions  to  the  improvement  of  the  sci- 
ence of  surgery  and  the  education  of  sur- 
geons. 

Sheldon  has  also  been  unanimouslv  se- 
lected as  an  honorary  fellow  of  the  Society  of 
Black  Academic  Surgeons.  The  classifica- 
tion of  honorary  fellow  is  the  Society's  most 
coveted  recognition  and  is  bestowed  on 
those  \\\w  have  distinguished  themselves 
through  outstanding  achievement  and  dedi- 
cation to  the  objectives  of  the  Society. 


Sheldon  w  as  most  recently  elected  as  an 
honorary  fellow  of  the  Royal  College  of  Sur- 
geons of  England,  an  independent,  profes- 
sional body  committed  to  promoting  and 
advancing  the  highest  standards  of  surgical 
care  for  patients.  He  will  be  admitted  to  the 
College  at  a  ceremony  in  October 

Sheldon,  surgery  ehainnan  for  15  years,  is 
the  chair  of  the  Association  of  American 
Medical  Colleges,  an  organization  dedicated 
to  improv  ing  public  health  by  enhancing  the 
eflectiveness  of  academic  medicine.  He  is  a 
fomier  president  of  the  American  College  of 
Surgeons,  the  American  Surgical  Associa- 
tion, the  American 
Board  of  Surgery  and 
the  .American  Associa- 
tion for  Surgery  of 
Trauma.  The  author  of 
more  than  300  articles 
and  book  chapters. 
Sheldon  has  held  edito- 
rial board  appointments 
at  several  national 
peer-reviewed  medical 
journals.  Shchlcn 


Alumni 

Notes 


60s 


Marvin  R.  (ioldstein,  MD  '65.  has  been 
practicini:  canJiolog\  in  Scottsdalc.  Ariz., 
for  30  \cars.  He  and  his  w ife.  Michelle, 
crossed  the  Pacific  and  back  (7.000  miles  i 
in  their  sailboat.  Upon  their  return.  the\ 
found  out  they  were  pregnant  with  tw  ins. 
now  age  two.  Mar\  in  can  be  contacted  at 
iiiarx  goldC«  speedchoice.com. 

Benjamin  K.  Ward,  Jr.,  .MD  "67.  w  as 
named  Rotarian  Man  of  the  Year  in  I9W  by 
the  Florence.  .South  Carolina  Rotar\  Club. 
He  is  a  urologist  with  Florence  L'rologic 
.Associates. 


70s 


Cynthia  I).  Conrad.  MI)  '78.  has  a  new 
position  w  ith  Connecticut  Valley  Hospital, 
the  state's  long-temi  psychiatiic  hospital,  as 
Chief  of  Professional  Senices. 

Jonathan  S  Krauss,  MD  '78.  recentl\  ac- 
cepted an  earl\  retirement  offer  from  the 
Medical  College  of  Georgia  where  he  has 
been  a  professor  of  pathologs'. 


80s 


Charles  B.  Nemen.fl.  MD  '81.  PhD  '76. 

was  recently  recei\cd  the  William  C.  Men- 
niger  Award  for  contributions  to  mental 
health  by  the  American  College  of  Ph>  si- 
cians.  He  will  recei\e  the  award  ne.\t 
.April  in  Philadelphia  at  the  ACP's  annual 
meeting. 

William  Uinkenwerder,  .MD  "81.  was  re 

cently  named  to  the  Board  of  Directors  of 
the  .American  Association  of  Health  Plans 
and  was  elected  fellow  of  the  American 
College  of  Physicians.  Fie  currently  ser\es 
as  e\ecuti\e  \  ice  president  and  \  ice  chain )f 
Blue  Cross/Blue  .Shieki  of  Massaclui sells. 

Mare  Randall.  Ml)  -HI.  iscuneniK  chair 


and  William  A.  Mitchell  Professor  of  Radi- 
ation Oncology  at  Indiana  University 
School  of  Medicine.  This  year,  he  w  ill  serve 
as  the  President  of  the  Medical  Staff  of  Chil- 
ian Health  Partners  Inc..  the  consolidated 
hospital  system  of  L'ni\  ersit\  Hospital. 
Riles  Hospital  tor  Children  and  Methodist 
Hospital  of  Indiana  Inc.  Marc  and  his  w  ilc. 
Brabsie  (BS  "79).  have  three  children:  Ken. 
1 4;  Morgan.  1 2  and  Marycobb.  10. 

Tobia.s  Schifter.  MD  "86.  is  a  diagnostic  ra- 
diologist and  nuclear  medicine  specialist  in 
Phoenix.  Ariz.  He  recently  was  appointed 
president  of  the  Arizona  Radiological  Soci- 
et\.  His  two-year  term  stalled  Januars  2000. 
He  can  be  reached  at  tschiftercp  e\  di.iiet. 

Phil  Thwing,  MD  '84.  is  engaged  to  be 
married  to  LeAnne  Keicher.  His  email 
address  is:  PhilThw  ing(?'  Greene. xtn. net. 

Lawrence  W yner,  MD  '83.  is  a  renal  trans- 
plant surgeon  at  Charleston  .Area  Medical 
Center  in  West  Virginia.  He  and  his  w  ife. 
Louida.  announce  the  birth  of  their  second 
child.  Tessa  Anneliese.  who  was  born  No\. 
,^0.  1999.  Their  son.  Joshua  Ross,  celebrat- 
ed his  third  binhda\  in  .luK. 


Fresno.      He 
kin>:bibbvfe  aol.( 


reached 


90s 


Brian  Hamilton,  MI)  "91.  moved  to  Ann 
Arbor.  Mich.,  in  1991.  where  he  completed 
his  radiology  residency  and  tellowships  in 
cross-sectional  imaging  and  interventional 
radiologv.  In  1997.  he  moved  to  Charlotte, 
where  he  joined  Mecklenburg  Radiology 
Associates.  He  and  his  w  ife.  Kim.  recently 
welcomed  triplets  (Lila.  Oliv ia  and  Mc.Alis- 
terl  to  their  familv. 

C.  Kins  Bibhy  ,|r.,  .Ml)  '92.  finished  iwo 
years  as  a  general  suigcrv  rcsKlcnl  al  ['C- 
San  Francisco  belore  complclmg  familv 
practice  residency  at  Medical  College  of 
Virginia  in  Richmond.  Va..  and  becoming 
boaril  ceinlied  in  1997.  Bihby  is  now  com- 
pleting his  general  surgery  residencv  at  I  'C- 


Catherine  C.  Betor,  MD  '93.  gave  birth  h) 
Nicole  Canada  Betor  on  Oct.  19.  1999.  She 
works  as  a  pediatric  ophthalmologist  w ith 
Morganton  Eye  Physicians.  PA. 

Cynthia  Cowan  Bennett.  MD  '93.  and  her 

husband.  Scott  Bennett.  Ml)  9.^  gave  birth 
to  tw  ins.  Ouentin  Thomas  and  Oliv  ia  Judith 
on  Nov.  23.  1 998.  Bennett  and  her  husband 
are  in  private  practice  in  Gastonia  and  can 
be  reached  at  cindv-louCn  gndusa.net. 

N  ictoria  Carrett,  MD  "96.  a  lesident  at 
Children's  Hospital  of  Michigan,  helped  de- 
sign a  program  that  recentlv  receiv  ed  a 
Community  Access  to  Child  Health  plan- 
ning grant,  funded  bv  Wyeth  Lederle  Vac- 
cines and  awarded  by  the  American 
Academy  of  Pediatrics.  The  program, 
called  Teaching  Children  How  to  Raise 
Children,  is  designed  to  give  teen-aged 
mothers  in  Detn>it  the  skills  ihev  \kw\  lo 
care  for  their  children. 


23 


Development 
Notes 


Dance  Marathon  raises 
$70,000  for  Kids 

The  second  aniuuil  LJNC  Dance  Marathon 
raised  S7().()25.98  to  henefit  the  patients  of 
the  N.C.  Children's  Hospital  —  nearl\  dou- 
bling its  first-)  ear  collection. 

The  Medical  Foundation  and  ever>'i)ne  at 
the  N.C.  Children's  Hospital  is  extremely 
gratetul  for  the  endless  effort  and  enthusiasm 
gi\en  by  the  participants  of  this  year's  Dance 
Marathon."  said  Jim  Copeland.  president  of 
the  Medical  Foundation  of  North  Carolina. 
Inc.  "Their  achievements  are  remarkable. 
They  are  a  shining  example  of  what  Carolina 
students  are  capable  of  when  they  pull  togeth- 
er for  a  great  cause  —  children." 

The  Dance  Marathon  is  the  largest 
fundraiser  for  the  Children's  Hospital  and  is 
organized  solely  by  L'NC  students.  More  than 
70  students  danced  for  24  hours  beginning  at 
7  p.m.  Feb.  25  to  raise  money  for  the  Chil- 
dren's Hospital.  The  Dance  Marathon  com- 
mittee has  purposely  left  this  money 
unrestricted  because  its  members  want  it 
a\ailable  for  the  programs  and  patients  most 
in  need. 

Last  year,  the  Dance  Marathon  raised 
$40. 00,^.8.5  during  its  inaugural  event,  mak- 
ing it  a  first-time  success  story.  Organizers 
this  year  broke  last  year's  total  in  part  b\  also 
hosting  a  silent  auction  of  donated  items.  The 
auction  alone  brought  in  S 1 2.2.56. 

MAA  Supports  High-Tech 
Health  Sciences  Library 

L'NC's  Health  Sciences  Library  has 
received  S4().00()  from  the  Medical  Alumni 
Association  and  its  Medical  .Alumni  Loyalty 
Fund.  This  is  the  second  pa\iiient  of  a  fi\e- 
year  pledge  totaling  $2()0.()()6. 

The  pledge  is  a  gesture  of  the  Association's 
commitment  to  the  Library's  Capital  Cam- 
paign, an  initiati\e  to  renovate  the  library 
building  to  meet  the  changing  needs  of  phy  si- 
cians.  faculty,  staff  and  students  in  the  21st 
century.  The  Medical  .Mumni  Association 
has  a  history  of  supporting  the  Library .  Since 
1 49 1  they  ha\  e  donated  a  total  of  S325.0()0  to 
assist  the  Library  in  pro\  iding  inno\ati\e 
health  information  sy  stems  and  ser\  ices. 

Campaign  goals  include  creating  teaching 


James  Harper.  MD.  and  Jane  McNeer. 
Irii^liO.  present  Carol  Jenkins  with  a  $40JI(H) 
clicik  far  the  L'NC  Healtli  Sciences  Library. 

labs,  an  electronic  classroom  with  teleconfer- 
ence capabilities  and  cutting-edge  media 
kitchens,  where  students,  library  staff  and 
faculty  collaborate  to  make  electronic  course 
materials.  The  kitchens  v\  ill  contain  all  the 
necessary  ingredients,  such  as  network  con- 
nections and  digital  \  ideo  softw  are.  to  create 
the  most  effective  set  of  matenals  for  both  the 
teacher  and  student. 

Though  the  renovation  is  not  intended  to 
prov  ide  increased  space,  it  will  offer  users  a 
redesigned  space  for  learning  and  teaching. 
"We  want  to  make  the  Library  a  warm  and 
inv  iting  gathering  place  for  everyone  who 
takes  advantage  of  our  resources.  At  the  same 
time,  we  need  to  be  as  high  tech  as  possible," 
says  Carol  Jenkins.  Health  Sciences  Library 
Director. 

Former  UNC  researcher 
honors  his  late  wife  with 
$1  million  donation 

A  fonner  UNC  researcher  has  given  more 
than  SI  million  to  establish  fellowships  hon- 
oring his  late  wife.  The  fellowships  would 
benefit  future  scientists  with  the  UNC  Neuro- 
science  Center. 

James  R.  White.  PhD.  a  retired  UNC  pio- 
fessor  of  biochemistry,  has  transfeiTcd  stock 
valued  at  S  1 .028  million  to  The  Medical 
Foundation  of  North  Carolina,  Inc.,  to  fund 
the  Helen  Lyng  White  Fellowships  in  Neuro- 
science  Research. 

■"Follow  ing  my  vv  ife's  death.  I  tried  to  de- 
V  elop  a  vv  ay  to  honor  her  memory  in  an  ap- 
propriate way."  he  said.  "Since  most  ot 


Helen's  research  in  the  years  just  prior  to  her 
death  w  as  directed  toward  the  dev  elopnient  of 
drugs  to  treat  afflictions  of  the  central  nervous 
sv  stem,  it  seemed  appropriate  to  somehow 
promote  research  in  the  neuroscience  area. 
Fortuitously,  at  UNC-Chapel  Hill  the  Neuro- 
science Center  had  just  gotten  underway." 
said  White. 

"This  endowment  is  a  wonderful  gift  and 
sincerely  appreciated  by  all  of  us  at  the 
School  of  Medicine."  said  Jane  NL  McNeer, 
V  ice  president  of  The  Medical  Foundation  of 
North  Carolina.  Inc.  "Many  young  scientists 
for  years  to  come  will  be  the  true  beneficia- 
ries. This  gifi  will  make  a  real  difference  in 
research  at  the  Neuroscience  Center." 

James  White  met  Helen  Lyng  w  hile  they 
were  both  doing  research  w ith  the  DuPont 
Co.  in  Wilmington.  Del.  Follow  ing  their  mar- 
riage in  January  1955.  Helen,  a  1952  graduate 
of  Russell  Sage  College,  continued  her  edu- 
cation at  the  University  of  Delaware,  where 
she  received  a  Master's  degree  in  radiation 
chemistry .  In  1 962.  they  came  to  UNC.  w here 
James  joined  the  faculty  of  the  medical 
school.  Helen  received  her  PhD  in  biochem- 
istry in  1967.  Thereafter,  she  Joined  Bur- 
ixHighs  Wellcome  Laboratories. 

When  Glaxo  purchased  Burroughs  Well- 
come, she  and  other  scientists  fomied  a  com- 
pany called  KPI,  which  is  still  located  in  the 
area  and  focuses  on  studying  nerve  grow th 
factors  and  antidepressants. 

Helen  While  died  of  cancer  in  1997. 
■  ^"^^H       William  D. 

F  ^^^MkJ^0   Snider.  MD. 

director  of  the 
Neuroscience 
Center,  said  it 
"is  anticipated 
that  the  inter- 
est from  this 
endow  nient 
would  support 
TK^^  the  salaries  of 

"^^  two  post-doc- 

toral fellows. 
The  success- 
ful applicants 
would  bear  the  title  "Helen  Ly  ng  White  Fel- 
low in  Neuroscience  Research." 


Helen  Lxni;  White 


President's 
Letter 


Final  Grcetiriiis. 

li  has  been  an  honor  and  a  pleasure  to 
serve  as  president  of  the  Medieul  Alumni  As- 
stx:iation  this  past  year.  I  ha\e  enjoyed  nian\ 
opportunities  to  partieipate  in  \arious  eere- 
monies  and  meetings  that  in\ol\ed  alumni, 
faculty,  students  and  friends  of  the  medical 
school. 

At  the  White  Coat  ceremon\  and  at  gradu- 
ation, it  was  a  treat  to  share  the  excitement 
and  anticipation  of  students  at  the  beginning 
and  the  end  of  their  school  experience.  These 
are  some  impressi\e  young  people  about  to 
enter  the  profession  who  will  be  a  credit  to 
their  alma  mater. 

The  N'omia  Berrxhill  Lecture  brought  to- 
gether many  longstanding  and  new  faculty 
and  friends  to  he  reminded  once  more  of  the 
rich  heritage  we  share  though  our  school. 

Regional  alumni  meetings  were  well  at- 
tended and  w  ere  a  time  of  fellow  ship  and  an 
opportunity,  for  Dean  Houpt  to  discuss  the 
state  of  the  school.  I'm  sure  those  who  made 
the  effort  to  attend  were  gratified  b\  the  expe- 
rience. 

My  favorite  e\ent  is  the  Spring  Alumni 
Meeting.  The  turnout  this  year  was  outstand- 
ing. Aside  from  my  being  somewhat  micro- 
phone-challenged, the  program  went  well. 
The  recipients  of  the  .Alumni  Distinguished 
Service  Awards  certainlv  represented  the 
best  that  the  School  oi  .Medicine  stands  for. 
Presenting  Harold  Roberts  the  .Mumni  Dis- 
tinguished Facull\  .Award  was  the  highlight 
of  the  Near  tor  me.  Ron  Neal's  remarks  in  an- 
nouncing the  scholarship  endowment  in  Dr. 
Roberts"  honor  epitomized  the  sort  of  impact 
he  had  on  many  who  trained  and  vsorked 
under  him. 

Dr  Bud  Harper  has  ccrtaiiil\  taken  on  his 
duties  as  .Associate  Dean  for  Alumni  Affairs 
with  relish  and  finesse.  (As  an  aside,  compar- 
ative golf  scores  of  Dr.  Harper  and  Dean 
Houpt  are  a  state  secret  I)  Of  course. 
Stephanie  Stadler  makes  the  alumni  office 
runassmoothl\  as  it  does 

Acknowledgments  would  be  incomplete 
without  thanking  John  hnisi.  abl\  supporteil 


b\  the  .Medical  Foundation  Stall,  tor  his  un- 
relenting efforts  on  behalf  of  the  Lo\alt\ 
Fund.  Congratulations  are  in  order  to  the 
Class  of  '.SS  for  their  outstanding  contribu- 
tion this  \  ear 

For  our  school  to  continue  to  progress  and 
prosper  the  referendum  on  the  bonds  tor  cap- 
tial  projects  in  the  uni\ersit\  system  must 
pass.  .Anyone  v\ho  will  speak  on  behalf  of  the 
bonds  at  ci\  ic  clubs,  churches,  etc.  can  con- 
tact the  Dean's  otTice  for  speaking  points  or 
other  assistance.  "\'our  help  is  needed. 

Finalh.  thank  you  for  >our  support  this 
\ear  1  know  \ou  will  enjo>  having  Paul  Viser 
at  the  helm  in  the  next  year 

GonhmBLiCnmJ.MI).  Vo 


-«  »vx' 


ME/Alumni  Calendar 


June  JO,  2000  -  Chapel  Hill 

McdiLcilcL'al  Semiiuir  2()()() 

June  II,  2000  -  Chapel  Hill 

Palhology  aiul  Laboratory  Medicine  Update  tor  the  Praeticint; 
Patlioloyist 

June  16,  2000  -  Chapel  Hill 
Ol'RR  Regional  Worksliop 

Julv  7-10,  2000  -  Chapel  Hill 

IJeiiientary  &  Adoleseenl  IHACCII  Summer  Trainini; 

July  lO-Aug  4,  2000  -  Chapel  Hill 
Preschool  TKACCH  Summer  Trammt; 

Jul\'  21-23,  2000  -  Amelia  Island.  FL 

Heart  F-aikire  Maiiagemeiil  2()()1) 

Julv  21-23,  2000  -  Research  Triangle  Park,  NC 

Neurode\elopmeiital  Variations 

Julv  10- August  4.  2000  -  Chapel  Hill 
Preschool  TEACCH  Summer  Traming 
Hlementary  &  Adolescent  THACCH  Summer  Training 

I-or  more  information  about  CME  courses,  contact  the  Ot'fice 
ot  Continuing  Medical  Education.  (919)  962-21 18,  or  toll-l'ree 
through  the  Consultation  Center.  (800)  862-6264.  To  contact 
the  Alumni  Affairs  office,  call  (919)  962-6786  ore-mail 
medical  alumni C"' med.unc.edu. 


Estate  Planning  Notice 

Many  individuals  would  like  to  make  a  major  gift 
to  the  UNC  medical  center,  but  cannot  commit 
current  assets  for  such  a  purpose.  Through  a  will, 
however,  anyone  can  make  a  more  significant  gift 
than  they  might  ever  have  thought  possible  by 
designating  a  specific  sum,  a  percentage,  or  the 
residue  of  their  estate  for  the  benefit  of  the  medical 


To  provide  a  bequest,  simply  include  a  paragraph 
in  your  will  naming  The  Medical  Foundation  of 
North  Carolina,  Inc.  as  a  beneficiary.  For  example: 

"I  give,  devise  and  bequeath  (the  sum  of$ , 

or  ( %  of  my  estate)  or  (the  residue  of 

my  estate)  to  The  Medical  Foundation  of  North 
Carolina,  Inc.,  a  501(C)(3)  created  to  maintain 
funds  for  the  UNC  medical  center  with  principal 
offices  located  at  880  Airport  Road,  Chapel  Hill, 
North  Carolina." 

This  language  creates  an  unrestricted  bequest  for 
use  by  the  medical  center  when  and  where  the  need 
is  greatest,  or  you  may  specify  that  your  gift  be 
used  for  a  particular  purpose. 

For  further  information  on  bequests,  contact 
Jane  McNeer  at  (9 1 9)  966- 1 20 1 ,  (800)  962-2543, 
orjmcneer@email.unc.edu. 


Nonpi-Dfit  Organization 

U.S.  Postage 

PAID 

Chapel  Hill.  NC 

Permit  No.  24 


PERIODICALS  DEPARTMENT 
HEALTH  SCIENCES  LlBi^ARY 

CAROLINA  CAMPUS   7585 


Summer  :(HM) 


Medical  Alumni 


BULLETIN 


School  of  Medicine,  University^  of  North  Carolina  at  Chapel  Hill 


W  Reece  Berryhill,  MD 

The  Father  of 

Modern  Medicine 


Walter  Reece  Berryhill,  MD 

lOOth  anniversary  of  his  birth  stirs  memories  of  enormous  contiibutions  to  UNC 


By  Karen  Stinneford 

Nearly  tour  decades  after  Waiter 
Reece  Berryhill.  MD.  stepped 
dow  n  as  dean  of  ttie  UNC  Sciiooi 
of  Medicine,  his  \  ision  and  intlu- 
ential  leadership  li\es  on. 

It  is  evident  in  the  initials  ""MD"  that  ap- 
pear on  Carolina  diploma's  behind  e\er\ 
medical  school  graduate's  name. 

It  is  evident  in  patients  from  towns  such  as 
Grifton  and  Monroe  and  Hamlet  who  ha\e 
access  to  high  quality  care  at  one  of  the  coun- 
try's finest  academic  medical  centers. 

It  is  evident  in  the  hundreds  of  doctors, 
nurses,  pharmacists  and  dentists  working  in 
medicalK  underscrxed  areas  of  the  state  with 
the  support  of  the  N.C.  Area  Health  Educa- 
tion Centers  program. 

.As  stated  b\  one  of  Berryhill's  fonner  stu- 
dents and  faculty  members  in  a  letter  nomi- 
nating his  mentor  for  the  Universitvs 
prestigious  O.  Ma.x  Gardner  Award.  "Dr. 
Berrvhill  has  always  seemed  to  me  to  exem- 
plify the  characteristics  of  one  who  has  done 
most  to  benefit  the  human  race." 

Berryhill.  the  architect  of  modem  medical 
education  at  Carolina,  was  born  near 
Charlotte  on  Oct.  14.  1900. 

.A  staunch  Scotch-Presbyterian.  Berryhill 
intended  to  pursue  a  career  in  the  ministry 
when  he  enrolled  at  Carolina  in  1917.  Figur- 
ing a  minister  needed  to  be  well-grounded  in 
the  classics,  he  studied  Latin.  Greek  and 
English,  even  w  inning  the  Eben  Alexander 
Prize  for  the  best  English  translation  of  a  se- 
lected Greek  passage.  With  characteristic  hu- 
mility.  Berryhill  later  downplayed  the 
achie\ement  by  saying  the  prize  wasn't  a  big 
deal  —  he  w  as  the  only  student  who  compet- 
ed for  it  and  besides.  "I  needed  the  S 1 0." 

But  modestv  can't  hide  the  accomplish- 
ments of  a  young  man  determined  to  make 
the  most  of  his  education.  During  his  under- 
graduate years  at  Carolina.  Berryhill  ser%ed 
as  president  of  the  senior  class  and  head  of 
the  student  council  and  was  inducted  into  Phi 
Beta  Kappa. 

Sometime  during  his  junior  \ear.  Berryhill 
decided  to  become  a  doctor  instead  of  a  min- 
ister. He  also  met  the  woman  w ho  would  be- 
come his  w  ife  and.  years  later,  his  partner  in 


Waller  Recce  Bcriylull.  MD 

\,<nh  C,m,lm,l  Colic,  lun,  I  'mveism  nl  ,V..;1/;  Cun^lliui  Uhuii-.  al  Cluipcl  llil 

building  the  medical  school  and  hospital  at 
UNC.  ^ 

Benyhill  met  Norma  Connell  of  Warren- 
lon  one  Saturdav  afternoon  at  Peace  College. 
He  had  gone  there  to  \  isit  a  girl  from  home, 
but  upon  finding  her  holding  court  with  a  par- 
lor-full of  male  suitors,  he  was  introduced  in- 
stead to  Miss  Connell.  who  accompanied 
him  to  the  college  chapel  for  a  chat. 

During  their  visit.  Berryhill  proceeded  to 
shock  the  pious  young  lady  w  ith  questions 
that  seemed  heretical.  "Could  God  fry  an  egg 
on  a  snow  ball'.'"  he  asked  her. 

"He  didn't  have  the  gift  of  gab.  and  I  didn't 
ha\e  the  gift  of  gab.  and  he  just  trying  to  find 
something  to  say."  Mrs.  Berryhill  recalled  re- 
cently. "He  was  trying  to  shock  me  to  start 
the  conversation  and  so  he  borrow  ed  a  tech- 
nique from  Horace  Williams,  his  philosophv 
teacher,  who  would  ask  shocking  questions 
to  make  people  think  and  talk." 

When  he  graduated  from  Carolina  in 
192  1 .  Berryhill  lacked  money  for  medical 


school,  so  he  returned  to  Charlotte  and 
taught  in  local  public  and  private  schools 
for  two  vears.  carefulh  sa\  ing  for  a  retum 
to  Chapel  Hill. 

Since  it  was  founded  in  1S79.  closed  in 
ISS.'^  and  re-opened  in  1890.  the  UNC 
School  of  Medicine  had  struggled  to  ex- 
pand its  curriculum  beyond  a  tw  o-year  pro- 
gram of  gross  anatomy  instruction  and 
science  labs.  In  1902.  the  University's  lead- 
ers added  an  additional  two  years  of  clini- 
cal instruction  by  tapping  the  resources  and 
patients  in  several  Raleigh  hospitals.  The 
effort  failed  for  lack  of  state  funding  and  by 
1910,  the  University  was  back  to  teaching 
the  basics  in  a  two-year  program.  Its  med- 
ical students  had  to  attend  other  colleges  to 
procure  their  medical  degrees. 

Berryhill  received  his  medical  degree 
from  Harvard  in  1927  and  was  an  intern 
and  resident  in  medicine  at  Boston  City 
Hospital  before  mo\  ing  to  Belmont  for  a 
short  stint  in  priv  ate  practice. 

In  1929-30.  he  pinch-hit  in  the  class- 
room of  Isaac  Manning.  MD.  dean  of  the 
UNC  School  of  Medicine.  When  Manning 
asked  Berryhill  to  teach  a  physiology 
course,  the  latter  replied  that  he  didn't 
know  enough  physiology  to  conduct  it. 
"Well.  Reece.  then  this  is  a  good  way  to 
learn  some  more!"  Manning  responded. 

Whate\  er  his  initial  qualms  about  teach- 
ing. Benyhill  clearly  had  the  gift  of —  and 
love  for  —  classroom  instruction,  and  from 
that  point  on  practiced  medicine  in  an  acade- 
mic setting. 

Berryhill  and  Miss  Connell  married  in 
August  1930.  and  she  accompanied  him  to 
Cleveland  where  he  was  first  chief  resident  in 
medicine  and  later  attending  physician  at 
Lakeside  Hospital  and  an  instructor  at  Case 
Western  Reserve  University.  The  Berryhills 
returned  to  North  Carolina  in  1933  when  he 
accepted  a  position  as  chief  physician  at 
UNCs  student  infirmary.  A  short  time  later, 
he  became  an  associate  professor  of  medi- 
cine. 

Bern  hill  rose  quickh  through  the  ranks  of 
the  medical  school,  becoming  assistant  dean 
in  1937  and  acting  dean  in  1940.  When  he 
became  dean  in  1941.  he  was  just  41  years 
old  —  the  youngest  man  ever  appointed  to 


the  position.  Mn  _\  outh  didn't  impede  his  \  i- 
sion.  Legend  has  it  Bern  hill  so  belie\ed  Car- 
olina needed  a  four-\ear.  degree-awarding 
medical  school  that  he  extracted  a  promise 
from  then-Uni\ersit\  president  Frank  Porter 
Graham  to  help  make  it  happen. 

Bern  hill's  timing  —  that  ot  World  War  II 
—  would  pro\e  pro\  idential.  .At  the  same 
time  Berr\  hill  began  his  et't'ort  to  expand 
UNC's  medical  school,  men  throughout 
America  were  enlisting  in  the  armed  ser- 
vices. North  Carolina  men  were  called  to 
serve,  too.  but  many  were  rejected  as  being 
physically  unfit.  The  state  ended  up  w  ith  one 
of  the  nation's  highest  draft-rejection  rates. 

Why  w  ere  North  Carolina  men  —  many  of 
whom  toiled  in  the  strenuous  labor  of  farm 
and  textile  work  —  physically  unfit  for 
armed  sen  ice'  Poor  nutrition  w  as  one  cause, 
but  a  bigger  factor  w  as  access  to  got)d  med- 
ical care.  Being  a  predominantls  rural  state. 
North  Carolina  lacked  enough  phvsicians  to 
adequatelv  care  for  its  population.  As  a  re- 
sult, many  injuries  and  illnesses  went  un- 
treated, vshich  affected  the  overall  health  of 
the  state's  citizens. 

The  embairassment  of  ha\  ing  one  of  the 
countrv  's  worst  draft-rejection  rates  spurred 
North  Carolina's  legislature  to  create  seseral 
commissions  and  public-ser\  ice  campaigns 
to  promote  better  health.  This  otfered  Berrv  - 
hill  the  perfect  opportunity  to  sell  his  \  ision 
of  what  the  state's  tlagship  university  could 
do  to  for  her  citizens:  train  more  primarv  - 
care  doctors  w  ho.  in  turn,  could  treat  more 
people. 

To  accomplish  this.  Berryhill  said.  Caroli- 
na needed  a  four-year  medical  school. 
Carolina  needed  a  hospital 
where  medical  students 
could  gain  \aluable  clinical 
experience  and  where  com- 
munitv  -based  ph\  sicians 
could  send  their  patients  tor 
specialized  care.  .And  Car- 
t)lina  needed  to  encourage 
medical  students  to  work  in 
small-town  practices,  and 
also  lend  support  to  the 
physicians  alreads  serving 
there. 

His  \  ision  became  the 
blueprint  forlodav's  L'NC 
.School  of  Medicine.  I'NC 
Hospitals  and  the  N.C.  Area 
Health  lulucation  Centers 
program. 

William  B  Blsthe.  MI). 
Marion  Covington  profes- 
sor of  medicine,  called 
Berryhill's  timing  fortu- 
itous. Not  onl)  was  the  .N.C. 
General  Assembly  con- 
cerned about  the  poor  health  lhi\  lu\i,iiii 
of  citizens,  but  mans  men  in      /  nivcisin  \ 


political  pow  er  w  ere  former  classmates  ol 
Bern,  hill's.  The\  quicklv  embraced  his  opin- 
ion that  the  University  should  be  part  of  the 
solution. 

■'In  the  m4()s.  the  leadership  of  this  state, 
bv  and  large,  had  come  from  Carolina  — 
they  were  Berryhill's  schoolmates,  and  that 
■good  old  boy'  network  helped  him  iremen- 
douslv."  Blv  the  said. 

In  I'-UV.  the  General  .Assemhiv  provided 
S5. 240. ()()()  to  build  a  4()()-bed  hospital  in 
Chapel  Hill.  The  money  also  was  used  to  ex- 
pand the  School  of  Medicine  building  and 
build  domiitories  for  nurses  and  house  physi- 
cians. Two  years  later  the  General  Assembly 
appropriated  another  $2.3  million  to  com- 
plete these  projects. 

In  an  undated  op-ed  column  Bcrrv  hill 
w  rote  shortlv  before  N.C.  Memorial  Hospital 
opened  in  1952.  he  lauded  how  these  im- 
provements would  benefit  all  North  Carolini- 
ans. 

"With  this  increase  in  the  annual  output  of 
doctors,  largely  residents  of  the  state;  with  in- 
creased facilities  for  the  training  of  nurses, 
technicians  and  aides  in  various  medical 
fields:  and  vv  ith  increased  consultation  and 
postgraduate  education  facilities  available, 
the  state  should  be  well  along  the  road  toward 
solv  ing  its  most  pressing  health  problem  — 
the  lack  of  adequate  personnel."  he  stated. 

The  UNC  School  of  Medicine  graduated 
its  first  class  of  MDs  in  1 954. 

While  Berrvhill  carefully  built  a  medical 
school  and  hospital  in  the  195()s  and  early 
196()s.  he  did  so  without  any  fanfare  or  self- 
promotion.  Indeed.  Berryhill's  inodesty  and 
humilitv  vvas  renowned  anions;  students  and 


facultv.  Even  the  most  comprehensive  book 
to  detail  the  history  of  the  L'NC  School  of 
Medicine.  "Medical  Education  at  Chapel 
Hill:  The  Eirst  Hundred  '\'ears."  barelv  men- 
tions BeiTvhill  and  his  legacv  at  all  —  a  tact 
that  seems  strange  until  one  happens  to  note 
he  w  as  an  authoi'. 

"Dr.  Berrvhill  had  a  strong  devotion  to 
dutv.  vshich  was  manifested  in  a  strong  devo- 
tion to  the  L'niversitv  of  North  Carolina  and 
to  the  state."  Blv  the  said.  "The  University 
and  the  medical  school  were  his  religion  — 
he  had  no  desire  for  self-pre)motion  and  he 
never  took  credit  for  anv  thing.  He  just  want- 
ed what  was  best  for  the  l'niversitv  and  med- 
ical school." 

William  W.  McLendon.  MD.  emeritus 
professor  of  pathologv  and  laboratorv  medi- 
cine, said  Berrv  hill  possessed  a  number  of 
characteristics  that  made  others  admire  him 
as  a  leader  His  ability  to  carefullv  listen  to 
and  weigh  other  peoples'  opinions  before  he 
made  a  deliberate  and  final  decision  com- 
manded respect.  He  knew  everv'  faculty 
member  and  student  bv  name.  He  sought  out 
faculty  meinbers  w  ith  strengths  different 
from  his  ow n  and  gave  them  the  autonomy 
the\  needed  to  fulfill  their  professional  po- 
tential. 

Most  of  all.  Berrvhill  possessed  enonnous 
personal  and  professional  integrity,  said 
McLendon.  who  recounted  the  following  in- 
cident: 

"One  day.  Dr  Berrvhill  got  word  that  his 
barn  w  as  on  fire."  McLendon  said.  "He  had 
the  keys  to  the  state  car  in  his  pocket  because 
he  was  going  to  Raleigh  that  afternoon  to  ap- 
pear before  a  legislative  study  commission. 
No  one  would  have 
blamed  him  for  jump- 
ing III  the  stale  cai  and 
dri\  mg  oul  to  sec 
about  his  burning 
barn,  but  Or  BeiTvhill 
wouldn't  have  even 
coiisuieicd  doing 
that.  Instead,  he 
w  a  Iked  around  the 
medical  school  until 
he  found  a  lacullv 
memlx'i  whose  car  he 
could  bniidw  ami 
ihcii  he  iliovc  the  bor- 
row cd  car  niii  111  ihc 
bain  " 

I'hvsicians  like 
Berrvhill  who  trained 
during  the  I92()sand 
1  9.^()s  were  encour- 
aged to  develop  im- 
|iosing.  stem 

countenances  to  help 
uiulerscore  then  |iro- 


(  ( iiil  j'lh'id  ('I  iIk  II(  iiIiIi  AIIciiis  vainpits  wiiihdii.i  \  ilu 
iiiiui  UiHi  Id  the  Mule's  I  ili:(n\. 


(  iiiiliiiiitJ  (III  /'i;i.'i   /" 


Faculty  Profile 


Relishing  tlie  challenge 


L; 


By  Melissa  Matson 

Diaz  likes  a  challenge. 
Il\  a  characteristic  that  has 
shaped  his  medical  career 
ind  ser\es  him  well  as  the 
new  chair  ol  the  Department  of  Der- 
matology. 

Born  and  educated  in  Peru,  Diaz 
had  no  idea  that  he'd  spend  the 
greater  part  of  his  adult  life  in  the 
United  States.  Nor  did  he  have  any 
idea  that  after  10  years  as  chair  of 
dermatolog\  at  the  Medical  College 
of  Wisconsin,  he'd  lea\e  his  position 
and  the  state  he  called  home  to  mo\  e 
to  North  Carolina. 

Life  in  Peru 


Diaz  considers  himself  fortunate  ^^^ 
to  have  attended  medical  school  in 
Peru  in  the  late  196()s.  "The  medical 
school  was  new,  though  it  was  p;ul  of 
one  of  the  country's  oldest  uni\ersi- 
ties  founded  by  Liberator  Simon  de 
Bolivar  in  1824,"  said  Diaz.  "It  was 
affiliated  with  a  brand-new  teaching 
hospital  w hich  meant  we  had  the  lat- 
est technolog\  and  teaching."  '-'"'>  ^"'-"-  ^^I^ 

Follow  ing  his  last  year  in  medical 
school.  Diaz  accepted  a  residenc\'  position  in 
inlenial  medicine.  During  that  \ear,  he  decid- 
ed that  he  w  anted  to  become  a  specialist.  "In- 
ternal medicine  was  too  general  for  me," 
said  Diaz.  "I  needed  a  field  I  could  go  more 
in-depth  in." 


Coming  to  the  U.S. 

He  had  planned  to  finish  his  training  and 
practice  medicine  in  Peru.  But  a  challenge 
from  some  classmates  made  him  consider 
other  options. 

"It  ne\  er  crossed  my  mind  to  come  to  the 
United  States,"  said  Diaz.  "But  w  hen  I  found 
out  that  two  classmates  v\ere  taking  a  United 
States  licensing  exam,  I  had  to  take  it  tt)o." 

Diaz  passed  the  exam  in  \^M.  and  shortly 


thereafter,  the  job  offers  began  rolling  in. 
"My  timing  was  good,"  Diaz  said.  "Man\ 
U.S.  hospitals  at  that  time  were  suffering 
from  a  shortage  of  physicians." 

But  before  Diaz  could  accept  an  offer,  he 
had  to  resohe  an  issue  in  his  personal  life:  his 
relationship  with  Dora,  his  long-time  girl- 
friend. "I  asked  her  to  maiTX  me  in  October 
1969,"  said  Diaz.  "We  got  married  that  De- 
cember, and  two  weeks  later,  we  mo\ ed  to 
the  United  States." 

Furthering  his  education 

Diaz  started  his  training  in  the  United 
States  as  a  medicine  intern  at  New  York's 
Ellis  Hospital.  He  found  himself  well  pre- 
pared for  w  hat  he'd  tace  that  first  year. 

""Mn  clinical  training  in  Peru  exposed  me 


to  so  many  patients,  so  I  was  wav 
ahead  of  my  peers  clinically."  said 
Diaz.  "The  challenge  for  me  was 
the  language  banier." 

During  his  time  at  Ellis  Hospi- 
tal, Diaz  considered  more  careful- 
ly the  areas  of  medicine  in  w  hich 
he  might  specialize.  He 
knew  he  enjoyed  dermatology, 
and  he  was  intrigued  by  im- 
munology. So  he  applied 
to  residencies  that  offered  the 
chance  to  study  both. 

At  the  Department  of  Derma- 
tology at  SUNV-Buftalo,  Diaz 
found  exactly  what  he  was  look- 
ing for  —  a  nourishing  communi- 
ty of  immunologists  and  the 
beginnings  of  a  tleld  called  im- 
munodermatology.  Among  his 
mentors  were  nationally  recog- 
nized dermatologists  Dick  Dob- 
son,  MD,  his  department  chair, 
and  Thomas  T  Pro\ost,  MD.  w  ho 
later  became  chair  i)f  dermatol- 
ogy at  Johns  Hopkins  School  of 
Medicine. 

Following  his  residency,  he  ac- 
cepted a  fellowship  at  Mayo 
Graduate  School  of  Medicine  in 
Rochester,  Minn.  It  was  during 
his  fellowship  that  he  began  re- 
search into  two  autoimmune  diseases  of  the 
skin,  pemphigus  vulgaris  and  pemphigus  fo- 
liaceus.  research  he  continues  to  this  da\. 

"Pemphigus  \  ulgaris  and  pemphigus  Ibli- 
aceus  are  rare  but  serious  autoimmune  blis- 
tering disorders  of  the  mouth  and  skin."  said 
Diaz.  "Before  1950.  people  would  die  with 
no  treatment.  Toda>'.  we  can  treat  people  w ith 
steroids  and  immunosuppressive  agents.  Un- 
fortunately, we  don't  know  the  cause  of 
human  autoimmune  disease." 

Beginning  an  academic  career 

Once  Diaz  finished  his  training,  he  had  a 
decision  to  make. 

".■\t  that  point.  I  was  the  father  of  two  chil- 
dren and  had  offers  to  go  into  private  prac- 


tice."  said  Diaz.  ""But  I  was  atlraclcd  b\  the 
variety  in  academic  medicine,  ihe  challenge 
of  doing  research,  patient  care  and  teaching." 

So  in  1976.  he  joined  the  L'ni\ersity  of 
Michigan  as  an  assistant  professor  of  demia- 
tology.  His  chair  ga\e  him  a  lah  for  his  re- 
search and  start-up  funding,  then  sent  him 
out  on  his  own.  "I  saw  patients  a  few  days  per 
week  to  generate  a  salary  and  w rote  grant 
proposals  to  gel  funding  for  m\  research."" 
said  Dia/.  "I  had  to  pro\  e  myself."" 

During  his  years  at  Michigan.  Dia/  had  the 
chance  to  expand  his  research  outside  of  the 
United  Slates.  He  knew  that  an  endemic  tomi 
of  pemphigus  existed  in  Bra/il.  He  also  kneu 
several  people  at  the  Uni\ersit\  of  Sao  Paulo. 
and  subsequentl)  was  in\ited  to  join  them  as 
a  \  isiting  professor 

"Brazil  was  the  perfect  place  to  conduct 
research.""  Diaz  said.  "In  certain  regions,  doc- 
tors see  several  hundred  patients  per  year 
w  ith  a  disease  related  to  pemphigus.  I  \\  as 
drawn  by  the  opportunits  to  find  out  the 
cause  of  the  disease  in  Brazil,  with  the  goal  of 
appK  ing  that  know  ledge  to  find  the  cause  of 
the  same  disease  here  in  the  L'.S."" 

In  1982.  Diaz  and  his  junior  fellows  left 
Michigan  for  Johns  Hopkins.  There  he  se- 
cured his  second  National  Institutes  of 
Health  grant  and  further  expanded  his  re- 
search in  Brazil.  ""It  was  exciting  to  work  on 
the  frontier  of  research  in  the  U.S.  one  da\. 
and  be  in  the  remotest  regions  of  Brazil  the 
next.""  said  Diaz. 

.All  told.  Diaz  spent  six  \ears  at  Johns 
Hopkins.  While  there  he  was  made  the 
schcHtls  fourth  full  professor  of  dcmiatolog). 

His  first  chairmanship 

In  I9XN.  the  .Medical  College  of  W'lsccn- 
sin  made  Diaz  an  otter  he  coukln"t  refuse  — 
a  chance  to  establish  the  college's  llrst  tle- 
pariment  of  dermatology. 

"When  1  got  there."  said  Diaz,  "the)  onl\ 
had  six  residents  and  a  part-time  laculls 
member.  So  I  was  starting  from  scratch  " 

That  was  a  challenge  he  relished.  He  stall- 
ed by  hiring  faculty  for  a  laboratory  and  then 


hired  clinical  people.  Ten  sears  later.  Diaz 
said.  Wisconsin  had  one  of  the  best  dermatol- 
og_\  programs  in  the  midw  est. 

His  claim  is  not  without  suppiirt.  In  IWS, 
Wisconsin"s  demiatolog\  department  ranked 
14th  in  the  nation  in  NIH  funding.  In  the 
same  year,  UNC  w  as  ranked  1 1  th. 

His  department's  residency  program  also 
won  a  prestigious  aw ard  from  the  American 
Academy  of  Dermatology  that  recognized 
excellence  in  innovati\e  teaching.  The  resi- 
denc\  program  included  a  two-month  rota- 
lion  at  the  Uni\ersity  of  Sao  Paulo.  Brazil. 
Department  of  Dermatolog\.  (Note:  This 
exchange  program  has  been  transferred  to 
UNC  and  made  a\  ailable  to  residents  here. ) 

Coming  to  Chapel  Hill 

In  earl>  1999.  Diaz  recei\cd  letters  Irom 
se\  eral  search  committees  —  one  from  the 
University  of  North  Carolina.  They  wanted 
to  inters  iew  him  for  their  dennatology  chair- 
manships. 

"1  woke  up  to  a  new  reality  then.""  Dia/ 
said.  "First-grade  institutions  were  interested 
in  me.  That  created  a  restlessness  in  me  as  1 
thought  about  the  possibilities."" 

True  to  form.  Diaz  recognized  that  new 
challenges  were  w  ithin  his  reach.  He  decided 
to  go  through  the  inler\  iew  process.  In  the 
end.  he  chos'e  L'NC. 

"UNC  was  quick  w  ith  its  offer. '"  said  Diaz. 
"".And  1  saw  here  the  chance  to  establish  a 
strong  research  collaboration  between  our 
faculty  and  those  in  the  departments  of  im- 
munology and  epidemiology.  That  was  \er\ 
impoiianl  in  ni\  own  research." 

His  vision 

Diaz  joins  UNC"s  dermatolog\  depart 
ment  at  what  he  sees  as  a  pivotal  lime.  '  The 
department  has  a  wonderful  national  ie|iLita- 
tion.""  said  Diaz.  "But  the  departmenl  is  going 
through  a  transition  as  one  generation  of 
leadership  is  taking  a  step  back.  I  w  ant  to  es- 
tablish lounilalions  that  will  help  Ihe  depart- 
menl atlvancc  bevdiul  w  here  il  has  been  " 


Luis  A.  Diaz,  MD 

Born: 

September  16.  1942,  in 

Cascas,  La  Libertad,  Peru 

Wife: 

Dora 

Children: 

Luis.  Jr.,  MD.  29: 

Fernando,  24:  and  Carlos,  22 

Personal 

Computers,  cooking. 

interests: 

mo\  ies  and  fishing 

Became 

U.S.  citizen 

:  1982 

Those  foundations  include  making  the  de- 
partment attracti\e  to  a  new  generation  of 
demiatologisis  who  might  otherw ise  choose 
private  practice.  They  also  include  making 
sure  his  department  is  prepared  for  the  in- 
e\  ilabililN  of  increased  ci>mpetition. 

■"You  know,  up  until  now.  we  dermalologi- 
cal  clinical  practices  al  man\  medical 
schools  ha\en'l  reall\  had  to  wori_\  aboui 
w here  the  mone\  will  come  from.""  said  Dia/. 
"But  now  many  are  experiencing  the  stress  of 
competition  w ith  managed  care.  I  wani  to 
make  sure  we"re  ready  for  il  here."" 

If  there"s  one  thing  that  this  current  presi- 
dent of  the  SocieU  for  In\esligati\e  Derma- 
tology w  anis  to  make  sure  others  know  about 
him.  it"s  that  he"s  a  team  player  "Fxe  been  in 
academia  lor  most  i>f  in\  career  and  ha\  e 
seen  many  different  management  si\les.  in- 
cluding divisi\e  t)nes."'  said  Dia/.  "1  look  for- 
ward to  working  w  ith  this  administialion  ami 
my  colleagues  to  further  the  work  begun 
here.  .And  1  will  do  m\  hesi  lo  lullill  ihc  mis- 
sion of  this  departmenl  in  palicnl  care,  med- 
ical education,  research  ,ind  comimmil\ 
ser\  ice.""  D 


Teacher-Student  kidne 
UNC  Hospitals  and  gain; 


By  Karen  Stinneford 

An  otherwise  routine  ii\  ing-donor 
kidney  transplant  at  UNC  Hospi- 
tals captured  the  national  media 
spotlight  last  April  when  Jane 
Smith,  a  middle-school  science  teacher  trom 
Fayette\  ille.  gave  a  kidney  to  one  of  her  stu- 
dents, Michael  Carter 

The  human-interest  appeal  of  the 
"teacher-student  kidney  transplant"  story  at- 
tracted reporters  from  media  outlets  such  as 
People  magazine.  The  New  York  Times.  NBC 
Nightly  News  and  Dateline  NBC. 

Michael  had  been  bom  with  renal  dyspla- 
sia, and  a  result,  one  of  his  kidneys  failed  to 
grow  and  function  \\  hile  the  other  functioned 
only  minimally.  He  began  undergoing  dialy- 
sis treatment  in  June  1998.  and  his  name  was 
added  to  LlNC's  kidne\  transplant  waiting 
list  in  March  1999. 

The  poignant  story  unfolded  when  .Smith 
watched  Michael,  now  15.  toss  a  football 
with  some  other  students  on  the  playground 
at  Max  Abbott  Middle  School  last  year. 

Smith  knew  nothing  about  MichaeTs 
medical  condition  while  she  watched  him 
throw  and  catch  the  ball.  To  her.  it  seemed  he 
was  "a  step  or  two  behind  the  other  kids  each 
time."  which  she  attributed  to  the  baggy 
pants  and  shiil  he  w  as  wearing. 

During  a  break  in  pla\.  Smith  told  Michael 
that  if  he  wore  tighter-fitting  clothes,  he 
could  keep  up  with  the  other  students.  He 
replied  that  he  wore  loose  clothes  because  he 
was  undergoing  dialysis  three  times  weekl\ 
and  the  loose  clothing  made  the  procedure 
more  comfortable. 

As  Smith  would  later  describe  it  at  a  new  s 
conference,  the  con\ersation  w ent  like  this: 

"You're  not  on  dialysis."  Smith  said  in  dis- 
belief. 

"T  am.  too."  Michael  said.  "1  need  a 
kidney." 

"Well.  1  ha\e  two  —  do  you  v\ant  one  of 
mine?"  Smith  replied. 

Although  Smith's  offer  to  donate  a  kidne\ 
was  a  spontaneous  gesture,  it  was  a  sincere 
one.  She  ga\  e  Michael  a  slip  of  paper  with 

6 


her  name  and  home  phone  number  on  it.  and 
told  him  to  give  it  to  his  mother.  Deborah 
Evans.  Carter  did.  and  when  his  mother 
didn't  call  immediately,  he  pestered  her. 

At  the  news  conference.  Evans  recalled 
that  she  was  hesitant  to  contact  Smith  be- 
cause she  didn't  want  her  son  to  get  his  hopes 
up.  About  a  dozen  of  Michael's  relatives  had 
been  tested  as  potential  donors  and  no  one 
matched.  The  likelihood  that  a  teacher  from 
the  school  playground  would  match  seemed 
slim.  E\ans  said. 

Yet  Michael  persisted.  Every  time  he 
passed  his  mother  in  the  hall  at  home,  he 
asked  whether  she  had  called  Smith  yet. 

"She's  the  one.  Mom  —  I  just  know  it." 
Michael  told  his  mother  repeatedly. 

So  E\ans  made  the  phone  call,  and  soon 
Smith  was  at  UNC  Hospitals  undergoing 
tests  to  detennine  whether  she  was  a  suitable 
match  for  Michael.  She  was. 

The  transplant  w  as  scheduled  to  take  place 
in  December,  but  was  postponed  when 
Michael  de\eloped  an  infection  just  prior  to 
surgery.  In  April.  Smith  and  Michael  were 
admitted  to  UNC  Hospitals  and  this  time, 
they  felt,  the  surgerv  w  as  meant  to  take  place. 

Mark  W.  Johnson.  MD.  director  of  the 
renal  transplant  program  at  UNC.  removed 
Smith's  kidney  laparoscopically  on  Friday. 
April  14.  before  handing  it  off  to  David  A. 
Gerber.  MD.  assistant  professor  of  surgery, 
for  transplantation  into  Michael. 

Other  members  of  Smith  and  Michael's 
medical  team  included:  Elizabeth  Friedman. 
RN.  transplant  nurse  coordinator  post-op; 
Debbie  Sue  Gipson.  MD.  pediatric  nephrolo- 
gist:  Becky  Knotts.  CCSW.  clinical  social 
w  orker;  Lynn  McCoy,  RN.  CNN.  renal  trans- 
plant nurse  coordinator:  Ann  Morris,  RN, 
nurse  practitioner;  and  Beverly  Rodegast, 
RN.  transplant  nurse  coordinator  post-op. 

By  the  morning  of  Monday.  April  I  7. 
Smith  had  recovered  sufficiently  enough  to 
appear  with  Michael's  mother  and  Gerber  in 
live  inter\iew s  on  The  Today  .Show.  Good 
Morning  .America  and  MSNBC.  They  also 
conducted  interviews  with  NBC 
Nighilx  News,  which  sent  a  film  crew  to 
UNC  Hospitals. 


Later  that  afternoon,  they  held  a  nev\  s  con- 
ference for  TV.  radio  and  print  reporters  from 
throughout  North  Carolina.  Subsequent 
news  stories  appeared  in  USA  Today.  The 
Wall  Street  Journal 's  Southeast  Edition,  the 
Atlanta  Journal-Constitution,  the  Boston 
Globe,  the  Chicago  Tribune  and  Houston 
Chronicle,  and  aired  on  TV  stations  in 
Cincinnati,  Cleveland,  Dallas,  Detroit. 
Kansas  City,  Los  Angeles,  New  York. 
Philadelphia,  Phoenix,  Salt  Lake  City  and 
San  Francisco. 

Smith  left  UNC  Hospitals  follow  ing  the 
news  conference,  just  72  hours  after  her  kid- 
ney was  removed.  She  returned  to  her  class- 
room about  two  w eeks  later. 

"I  feel  fantastic."  Smith  recently  stated.  "If 
it  weren't  for  the  reminder  (scar)  on  my  ab.- 
domen.  I  really  wouldn't  know  I'd  done  it.  It 
only  took  three  weeks  to  feel  I  had  full  ener- 
gy again." 

Michael's  mother  also  reported  that  he  is 
feeling  belter  than  he  has  in  years. 

"Michael  is  doing  great."  Evans  said, 
adding  that  doctors  have  given  Michael  per- 
mission to  start  playing  his  beloved  basket- 
ball again. 

Both  families  gave  high  praise  to  the 
health-care  providers  and  staff  at  UNC  Hos- 
pitals. 

"Regarding  m\  thoughts  about  the  doc- 
tors, nurses,  transplant  coordinator,  public- 
relations  department,  food  service  and 
transportation  at  UNC  Hospitals  —  well,  let 
me  just  sa\'  I  am  proud  to  be  a  UNC  alum- 
nus," Smith  said.  "The  skill,  care,  instruction, 
counseling  and  support  v\ere  amazing.  Drs. 
Johnson  and  Gerber  are  phenomenal  men. 
Their  know  ledge  and  concern  for  the  patient 
gi\e  confidence  and  comfort,  and  I  w as  ne\ er 
anxious  for  one  moment.  They  are  a  credit  to 
their  profession. 

"I  just  can't  say  enough  about  m_\ 
enormously  positive  experience  at 
UNC  Hospitals." 

E\ans  agreed.  "I've  been  to  other  hospitals 
with  Michael  and  felt  I  had  to  w  atch  him  con- 
stantly."  she  said.  "But  at  UNC.  I  knew 
I  could  lea\e  his  room  and  go  to  the  cafeteria 
and  be  comfortable  v\'ith  that  situation. 


ransplant  takes  place  at 
lational  media  attention 


Jane  Small  and  Mliluwl  Carter  spend  same  lime  reading:  i;cl  well  wishes  an  a  pra\ir  c  lunn  liiniiiini;  in  MuluuTs  hospital  , 


W'c  fell  so  secure.  I  knew  Michael  was  in 
;ju(  id  hands" 

Since  her  surgen.  Smith  has  been  honored 
at.  and  in\  ited  to  speak  at.  conferences  recoy- 
ni/in<;  the  \aluable  contributions  of  vohin- 
teers  or  promoting  awareness  about  organ 
donation.  She  is  pleased  with  how  the  news 
media  has  portra\ed  the  transplant. 

"The  media  interest  was  unbelie\ahle  — 
and  persistent,  as  I  am  still  getting  calls."  she 
said.  "The  coverage  has  been,  vv  iihoul  excep- 
tion, tremendous!)  supporti\e  of  the  process. 
ms  profession  as  a  teacher  and  m\  faith.  I  re- 
ally can't  complain  uhen  the  press  is  so  posi- 
tive about  issues  1  care  sodeepl\  about." 


.■\nd  if  her  and  Michael's  story  persuades 
one  person  to  consider  becoming  an  organ 
donor,  she  said,  the  media  attentitni  will  be 
well  worth  it. 

According  to  the  Carolina  Donor  Ser\  ices 
in  Durham,  about  67.()()()  Americans  current- 
ly are  av\ ailing  a  life-sas  ing  organ  transplant. 
Thirteen  people  on  the  national  wailing  list 
die  e\ery  day.  and  some  4.S.'i,S  people  died  in 
1998  when  organs  did  not  become  a\ailable. 
A  new  patient  is  added  \o  the  national  organ 
waiting  liste\ery  16  minutes. 

In  North  Carolina.  nearU  2..^(HI  people  are 
awaiting  an  organ  transplant.  l'eo|ile  ages  IS 
and  older  can  indicate  their  tlesire  to  donate 


by  signing  a  donor  card  and  expressing  their 
wishes  to  family  members.  kelati\es  can  do- 
nate a  deceased  family  member's  organs  and 
tissues  regardless  of  that  person's  age. 
.As  many  as  50  people  can  benefit  from 
one  person's  decision  to  donate.  For  more 
information  about  beci>ming  an  organ  donor, 
people  can  call  The  Coalition  on  Donation 
at  (SOO)  .V^.'i-SHARI:  or  \isit  the 
organi/ation's  World  Wide  Web  site 
www. shares ourlife.oii;  [J 


Top  mouse  geneticist  he 


By  Leslie  H.  Lanj; 

The  intcriiiilionally  renowned 
mouse  genetieist.  Terry  R. 
Masinuson.  MD.  reeently  joined 
the  UNC  Sehool  of  Medicine  to 
head  a  new  genetics  department  and  ge- 
nomics initiative. 

Magnuson.  one  of  the  most  sought-after 
scientists  in  mammalian  genetics  brought 
with  him  his  entire  13-member  laboratory 
group  from  Case  Western  Reserse 
University. 

In  his  tenured  appointment  as  Sarah 
Graham  Kenan  professor  and  chairman  of 
genetics,  Magnuson  became  founding  head 
of  the  medical  school's  newest  department. 
The  program  will  be  housed  in  a  KM). ()()()- 
square-foot  human  biology  research  build- 
ing currently  under  construction  w  ith  a 
combination  of  public  and  private  funds. 

TeiTy  chose  UNC  over  many  other  op- 
pi)rtunities,  some  of  which  offered  substan- 
tially larger  resources  than  we  currently 
ha\e."  said  Jeffrey  Houpt.  MD.  dean  of  the 
.School  of  Medicine.  "He  was  intluenced  by 
the  exceptional  science  programs  here,  the 
careful  planning  of  our  needs  and  strategies 
and  the  collegial  atmosphere  of  the  entire 
research  community." 

During  visits  to  Chapel  Hill.  Magnuson 
took  particular  note  of  the  reality  behind 
Carolina's  reputation  for  interdisciplinary 
research. 

"It's  a  very  collegial  place,  and  that's 
w hat  struck  me  when  I  came  through.  \er- 
sus  other  institutions  I  visited."  he  said.  "If 
one  wants  to  put  together  a  uni\ersity-w ide 
center,  it  seems  nn>re  likely  to  happen  at 
UNC  because  of  the  culture.  .-Xnd  I  find  that 
very  exciting." 

Funding  also  was  an  important  factor  in 
Magnuson's  decision  to  come  to  Chapel 
Hill.  The  School  of  Medicine  \\i\\  recei\e 


$2.6  million  over 
four  years  from  the 
Howard  Hughes 
Medical  Institute  to 
help  develop  and 
staff  its  new  genet- 
ics center. 

"The  genetics 
center  will  comple- 
ment existing  re- 
search strengths  at 
UNC  in  the  study  of 
mouse  models  of 
diseases,  genetics  of 
model  organisms, 
cancer  research  and 
clinical  genetics." 
said  William  F. 
Mar/luff.  MD.  ex- 
ecutive associate 
dean  for  research  at 
the  School  of  Medi- 
cine.  "The  nmney 
will  establish  the 
genomic  core  tech- 
nologies we  need  on 
campus  and  a  chro- 
mosome imaging 
facility  for  detecting 
alterations  in  cancer 
as  well  asabnonnal- 
ities  in  genetic  dis- 
eases." 

Of  1 05  U.S.  med- 
ical schotils  competing  for  the  Hughes 
grants.  UNC  was  among  41  winners. 
Awards  ranged  from  $1 .6  million  to  S4  mil- 
lion. 

According  to  Hughes  olTicials.  the  suc- 
cessful proposals  emphasized  collabora- 
tions between  researchers  in  basic  sciences, 
clinical  research  and  bioinfonnatics.  a  field 
that  mairies  computer  science  with  molecu- 
lar bioloev  to  anah  /e  the  massise  data 


Tcny  R.  Magnuson,  MD 


being  generated  by  the  Ll.S.  Human 
Genome  Project.  The  project  by  the  U.S. 
Department  of  Energy  and  the  National  In- 
stitutes of  Health  will  identify  more  than 
lOO.OOO  genes  in  human  DNA.  determine 
the  sequences  of  the  three-billion  chemical 
base  pairs  that  make  up  human  DNA  and 
store  this  infonnation  in  databases. 

"We're  going  to  build  a  major  genomics 
program  here  at  UNC."  Marzluff  said.  "Ten 


ids  new  UNC  program 


new  School  of  MediLine  facLiltx  uill  be 
added  in  this  area.  \\  iih  a  locus  on  the  genet- 
ics of  complex  diseases.  In  addition,  the 
School  of  .Medicine  and  the  College  of  .Arts 
and  Sciences  w  ill  recmit  at  least  fi\e  neu  fac- 
ult>  in  bioinfomiatics." 

,A  portion  of  the  Hughes  grant  will  be  used 
to  recruit  four  junior  facultN  working  in 
mammalian  genetics  by  offering  start-up 
packages  for  equipping  their  laboratories  and 
pro\  iding  support  for  technical  personnel 
and  supplies. 

Magnuson  already  has  signed  on  se\eral 
of  the  nation's  lop  assistant  professors  to 
UNC.  They  include  David  Threadgill  from 
Vanderbilt  University,  Fernando  de  Villena 
of  Temple  University  and  the  Fels  Institute 
for  Cancer  Research,  and  Stanford's  Charles 
Perou.  a  young  leader  in  cancer  genetics  and 
micro-array  analysis  of  multiple  genes. 
Perou's  recruitment  was  done  jointly  with 
the  UNC  Lineberger  Coniprehensiv  e  Cancer 
Center. 

"In  looking  at  genetics  and  genomics  at 
UNC-Chapel  Hill.  I  see  an  incredibly  strong 
medical  genetics  effort  spread  across  obstet- 
rics and  gynecology,  pediatrics  anil  medi- 
cine." .Magnuson  said.  "The  cy  stic  fibrosis 
center  is  entering  into  a  national  consortium 
to  look  for  modifiers  of  CF.  Molecular  diag- 
nostics is  important  within  the  clinical  de- 
partments, and  the  Lineberger 
Comprehensive  Cancer  Center  has  begun  an 
important  research  program  in  this  area,  as 
well.  There's  genetic  epidemiology,  biosta- 
tisiical  genetics  and  nutrition  in  the  School  of 
Public  Health,  all  of  which  are  important  to 
the  success  ol  a  genomics  program." 

According  to  Magnuscm.  the  ongoing 
public  and  commercial  genome  projects  are 
generating  an  unprecedented  amount  of  in- 
lormation  leading  to  a  comprehensive  dia- 
log of  all  known  human  genes. 

"And  Irom  this  we're  seeiiiL:  cmeruiiiL' 


technologies,  new  data  on  gene  sequencing 
and  this  is  leading  to  greater  e\pK>ration  of 
gene  functiim."  he  said.  "More  than  learning 
the  function  of  individual  genes,  what  is  real- 
ly important  here  is  looking  at  the  function  of 
genes  collectively,  as  interacting  networks  of 
genes  within  the  entire  genome  —  this 
means  complex  genetics  and  complex  disor- 
ders. And  that's  vv  here  the  genome  project  is 
allow  ing  us  to  go." 

Given  the  inevitable  explosion  of  genetic 
and  genomic  information  at  the  molecular, 
organismal  and  population  levels,  the  entire 
biomedical  research  enterprise  is  undergoing 
a  paradigm  shift  away  from  hypothesis-dri- 
ven research.  Magnuson  said. 

"Now.  having  these  vast  amounts  of  cata- 
logued infomiation.  we  have  discovery-dri- 
ven research;  that  is.  we're  analyzing  this 
information."  he  explained.  "And  this  will 
lead  back  to  better  hypothesis-driven  re- 
seiirch.  After  analyzing  gene  sequences,  you 
can  predict  functional  relationships  based  on 
sequence  and  then  test  these  functional  rela- 
tionships. This  is  leading  to  incredible  iiifor- 
matii>n  on  genetic  v  ariances  associated  vv  ith 
disease  predisposition  and  the  prediction  of 
therapeutic  responses  to  drugs.  |the  field  ol'l 
phamiacogeneties." 

In  Magnuson's  v  ision.  a  genomics  center 
contains  key  components  in  adi.litioi)  to  the 
science. 

"We  must  deal  not  only  with  the  science 
and  scientific  discoveries  but  vv  ith  health- 
care issues,  the  business  enterprise,  including 
technology  development  and  transfer, 
bioelhics.  and  the  legal  and  social  impacts 
of  genomics  iliscoverics  on  public  policv." 
he  said. 

"1  env  ision  biomedical  engineering  as  an- 
other key  component  to  bring  us  fuilher  into 
imaging  technology,  microfabi  icalion  of 
sensors,  molecular  diagnostics,  ami  arr.iv 
lechnolo'jv."  he  adtled.  ".And  iheii  ihcre  arc 


the  educalional  and  training  programs  at  all 
levels  —  undergraduate,  graduate,  medical, 
social,  business.  1  think  a  genomics  center 
at  UNC  must  encompass  all  these  ditfeient 
components." 

Why  the  genetics  initiative  at  Chapel  Hill 
now  .'  Houpt  summed  it  up  succinctly. 

"L'nless  you  have  an  excellent  program  in 
genetics,  you'll  be  incapable  of  aspiring  to  be 
a  leading  medical  school  or  a  leading  univer- 
sity in  this  country."  he  said.  "This  is  one 
dance  vou  can't  sit  out."  D 


CommeiTiorative  plaque  honoring  W.  Reece 
Berryhill,  MD,  to  be  unveiled  Oct.  10 

A  commemorative  plaque  honoring  the  contributions  of  fomier  School  of  Medicine 
Dean  W.  Reece  Berryhill,  MD,  will  be  unveiled  Oct.  1 0. 

The  plaque  presentation  will  take  place  as  part  of  the  1 6th  annual  Norma  Berryhill  Dis- 
tinguished Lectureship. 

The  plaque,  contributed  by  grateful  alumni,  contains  comments  made  by  University 
President  Francis  P.  Venable  (1956-1934)  during  his  University  Day  address  in  Chapel 
Hill  on  Oct.  12,  1900.  Venable's  comments  were  published  in  the  Charlotte  Daily  Ob- 
server two  days  later  on  Oct.  14,  1900.  the  same  day  Berryhill  was  bom  in  a  Mecklenburg 
County  community. 

For  both  men,  visionaries  of  their  times,  the  sentiments  would  reflect  the  principles 
upon  which  they  based  their  administrations.  The  te.xt  of  the  plaque  is  as  follows: 

"The  University  of  a  State,  when  it  tnily  fulfills  its  duty,  should  be  its  chief  strength  and 
glory,  a  light  for  the  people,  the  fountain-head  of  their  higher  life,  the  .source  of  their  up- 
lifting and  upbuilding,  the  bulwark  of  their  liberties.  It  moulds  the  leaders  of  the  people. 
Streams  of  inlluence  flow  from  it  to  gladden  the  whole  land. .  ..Great  movements  for  the 
bettering  of  the  condition  of  the  people. .  .spring  from  it. 

"The  founders  of  this  State  in  their  sturdy  independence  and  far-seeing  wisdom  recog- 
nized the  importance  of  such  an  institution,  and  so,  while  the  struggle  for  freedom  was 
still  upon  them,  provided  for  the  establishment  of  this  University  —  the  chief  safeguard 
of  their  children  against  the  loss  of  those  liberties  for  which  they  fought.  And  should 
some  one  come  and  offer  to  endow  this  institution  w  ith  many  millions  and  remove  it  from 
the  control  of  the  State,  it  wouldbeasaleof  their  birth-right  of  those  children,  a  betrayal 
of  the  trust  of  the  fathers.  The  citizens  of  this  State  cannot  afford  to  have  this  University 
narrowed  down  to  the  political  platfomi  of  any  one  party,  to  the  creed  of  a  single  sect,  to 
the  economic  belief  of  any  individual  philanthropist.  Parties,  churches,  philanthropists, 
all  can  center  their  efforts  here  and  unite  in  the  making  of  a  great  people,  a  grand  Com- 
monwealth, but  the  people  must  control.  The  truest  democracy  in  this  State  is  found  right 
here  —  a  w  ise  tolerance  for  all  shades  of  opinion  and  belief." 

The  plaque,  which  depicts  the  images  of  both  Berryhill  and  Venable.  will  be  mounted 
in  Berryhill  Hall. 


Ciin/iiniiil  Iniiii  piii^t'  .i 

lessional  authorit\,  McLendon  added. 
Berryhill  put  his  stern  countenance  to  good 
use. 

"He  was  an  imposing  and  intimidating 
person,  and  it  was  the  most  dreaded  thing  to 
get  called  to  his  office."  McLendon  said. 
"One  time  a  student  got  called  to  his  office, 
and  Dr.  Bern  hill  made  him  sit  there  while  he 
finished  up  some  task.  Finally,  Dr.  Berrvhill 
said.  "Do  you  like  medical  school?'  and  the 
student  replied  v\  ith  great  trepidation,  "Yes 
sir.  1  do.'  He  said,  'Well,  that's  good  because 
you're  in  the  top  10  percent  of  your  class. 
Keep  up  the  good  work.'" 

When  BeiTyhill  stepped  down  as  dean  in 
1964,  he  was  named  Sarah  Graham  Kenan 
professor  of  medicine  and  became  director 
of  the  Division  of  Education  and  Research  in 
Community  Medical  Care.  During  the  five 
years  he  served  in  that  position,  he  broad- 
ened the  Uni\ersity's  teaching  base  by  ar- 
ranging hospital  affiliations  throughout 
North  Carolina.  Out  of  these  cooperative 


arrangements  —  which  provided  full-time 
faculty  for  the  associated  hospitals  —  grew 
the  N.C.  Area  Health  Education  Centers  pro- 
gram. 

Today,  some  28  years  after  it  was  created, 
AHEC  continues  to  help  meet  the  primary 
health  care  needs  of  the  state  by  improving 
the  supply,  distribution  and  quality  of  health 
care  professionals.  Students  who  attend 
UNC's  medical  or  phannacy  schools  are  re- 
quired to  complete  nearly  half  of  their  clini- 
cal rotations  at  AHEC  sites. 

For  his  work  laying  the  foundation  for  the 
AHEC  program,  Berrvhill  was  named  a  mas- 
ter of  the  American  College  of  Physicians  in 
1977  —  the  highest  level  an  individual  can 
attain  within  the  organization. 

When  he  wasn't  at  the  School  of  Medi- 
cine. Berryhill  loved  working  in  his  yard, 
planting  fiowers.  trees  and  shrubs,  and  tend- 
ing to  the  family's  large  vegetable  garden.  He 
rareh  went  to  his  office  in  the  summertime 
w  ithout  takini:  alona  some  tlowers  or  \eizeta- 


bles  for  co-workers,  students  or  patients. 

An  a\  id  reader  and  classical  music  con- 
noisseur. Berryhill  lo\ed  sports  and  could 
rattle  off  baseball  .statistics  dating  back  to 
the  1920s.  It  was  an  interest  fueled  when 
Berryhill  served  as  director  of  the  student 
infirmary  and  his  task  involved  caring  for 
the  university's  athletes. 

For  someone  uncomfortable  v\.ith  public 
praise  and  accolades.  Berryhill  had  to  en- 
dure much  of  both  dunng  his  career  He  re- 
cei\ed  the  O.  Max  Gardner  Award  and  the 
Cio\ernor's  Distinguished  Citizens  Award 
in  1964,  and  in  1971.  former  students  and 
house  officers  in  his  home  county.  Mecklen- 
burg, honored  him  by  creating  the  W.  Reece 
Berryhill  Mecklenburg  Medical  Scholar- 
ship. 

In  197.^  the  School  of  Medicine  honored 
him  by  naming  one  of  its  buildings  Berryhill 
Hall.  The  basic  sciences  building  for  health 
affairs  students  cost  slightly  more  than  the 
General  Assembly's  original  1 947  appropri- 
ation for  the  hospital  and  medical  school. 

BeiTvhill  retired  from  the  faculty  in  1 97 1 . 
He  died  at  the  age  of  78  on  Jan.  1  .'|979,  the 
year  that  marked  the  centennial  anniversary 
of  medical  education  at  Chapel  Hill.  He  is 
buried  at  his  beloved  campus  in  the  Old 
Chapel  Hill  Cemetery. 

One  former  colleague  summarized 
Berryhill  and  his  career  as  follows:  "Dr. 
Berryhill's  inherent  Scotch-Irish  modesty 
and  reticence  would  never  permit  him  to 
admit  his  towering  contribution  to  this  med- 
ical center... hut  so  broadly  ha\e  Dr  Berry- 
hill's  talents  ranged  and  so  inextricably  is 
his  life  interwoven  with  the  fortune  of  this 
school  that  one  cannot  mention  one  v\  ithout 
thinking  of  the  other."  D 


10 


Contributions  of  Norma 

Berryhill  honored  in 

distinguished  lecture  series 


Wi' 


lie  her  husband. 
\V.  Reeee  Bernhill. 
MD.  was  bus\ 
buildine  a  deeiee- 


conterring  medical  school  and  at- 
filialed  leaching  hospital.  Norma 
Connell  Bernhill  was  bus\  build- 
ing a  communit). 

Indeed,  "her  hospitalit\  helped 
con\  ince  those  young,  hot-shot 
medical  faculty  that  this  would  be 
a  good  place  to  teach  and  do  re- 
search and  raise  their  families." 
one  colleague  said. 

Mrs.  Berr\  hill's  contributions 
to  the  School  of  Medicine  and 
UNC  Hospitals  were  so  instru- 
mental to  their  growth  that  a  dis- 
tinguished lecture  series  was 
named  in  her  honor.  The  Norma 
Berryhill  Distinguished  Lecture- 
ship takes  place  each  fall  and  fea- 
tures an  accomplished  School  of 
Medicine  faculty  member 

Raised  on  a  farm  in  Warren 
Count\.  the  oldest  girl  among  10 
children.  Mrs.  Berrshill  met  her 
future  husband  in  1921  when  she 
was  a  student  at  Peace  College. 
After  transferring  to  Carolina  and 
recei\ing  her  bachelor's  degree  in  1925.  she 
mo\ed  to  New  York  City  and  studied  for  a 
master's  degree  in  sociology  while  working 
in  a  settlement  house  for  immigrant  women. 
She  married  Bernhill  in  19.^0  after  returning 
to  North  Carolina  to  ser\e  as  dean  of  girls  at 
Charlotte's  Central  High  .School. 

When  Berryhill  became  dean  ot  the 
School  of  Medicine,  it  had  just  4,S  tacults 
members  and  a  two-year  curriculum  that 
forced  students  to  complete  their  medical  ed- 
ucation elsewhere.  When  Berryhill  stepped 
down  2.'^  years  later,  the  School  of  .Medicine 
had  4.^.^  faculty  members,  was  awarding 
medical  degrees  and  operated  a  highls  re- 
spected academic  medical  center 

Persuading  phssicians  to  come  to  Chapel 


r 

Norniii  C. 


Bernhill 

Hill  in  the  I94()s  and  early  I95()s  was  a  chal- 
lenge. There  was  only  one  hotel  in  town  — 
the  Carolina  Inn  —  and  few  restaurants,  so 
the  hospitalit)  Mrs.  BenAhill  extended  was 
crucial  to  recruiting  new  faculty  and  helping 
them  feel  welcome  and  connected  after  the\ 
arri\ed.  She  frequently  hosted  dinners 
and  teas  for  facults  members  and  their  w  i\  es. 
and  it  became  a  common  sight  to 
see  her  taking  lacults  lamilies  casseroles 
or  desserts. 

"Chapel  Hill  was  just  a  little  southern  \il- 
lage  —  it  vKasn't  the  town  it  was  today."  Mrs. 
BerPthill  said.  'Making  new  people  feci  wel- 
come was  just  something  neighbors  did  " 

Kenneth  Brinkhous.  Ml),  who  fiisi  \isited 
the  Berrvhill  home  in  I'Mfi.  recalled  ihc 


BeiTx  hills'  laiiious  li(is|iiialit\. 

"The  school  was  \erN  small 
back  then  and  there  v\  as  a  feeling 
o\'  w  armth  and  closeness."  he 
said.  "Mrs.  Berryhill  lent  grace 
and  dignity  and  was  alw ays  sen- 
siti\e  to  the  needs  of  faculty  and 
students.  Her  home  was  always 
open,  and  that  atmosphere  of  gra- 
ciousness  was  so  important  in 
helping  recniit  the  faculty  needed 
to  expand  to  a  four-\  ear  school." 

Mrs.  Bern* hill  alsi)  was  instru- 
mental in  organizing  the  L'niver- 
sit},  Woman's  Club  and  creating 
the  N.C.  Memorial  Hospital  Aux- 
iliary. Now  called  the  Volunteer 
Association,  the  organization  re- 
cruits \  olunteers  w  ho  donate 
more  than  .'^2. ()()()  hours  of  their 
time  to  UNC  Hospitals  annualK . 
Colleagues  sa\  the  late  dean 
fully  appreciated  the  \alue  of  his 
w  ife's  contributions,  once  re- 
J        marking,  "she  did  more  than  ans  - 
j        body." 

1  This  year's  Norma  Berr\  hill 

Distinguished  Lectureship 
lakes  place  at  3  p.m.  Tucday. 
Oct.  10.  in  Gerrard  Hall  and  fea- 
tures George  Sheldon,  MD.  Zack  D.  Owens 
distinguished  professor  of  surgeiy  and  chair- 
man of  the  Department  of  Surger>'.  Sheldon 
is  the  chair-elect  of  the  .Association  of  Amer- 
ican Medical  Colleges.  He  is  one  of  less  than 
20  surgeons  in  the  last  100  sears  to  ser\c  as 
president  of  all  major  surgical  organizations, 
incUuling  the  .•\merican  College  of  Sur- 
geons, the  American  Surgical  .Association, 
the  American  Association  tor  the  Surger\'  of 
Trauma  and  the  American  Board  of  Surgery. 
The  authoi-  of  more  than  .^00  articles  and 
book  chapters.  Sheldon  has  held  editorial 
board  appointments  at  se\eral  national  peer- 
rev  iewed  medical  journals.  □ 


Faculty 

Notes 

Alice  S.  Ammerman,  DrPH.  RD,  associ- 
ate  prcifessiir  of 


nutrition,  is  the 
recipient  ot  the 
Bernard  G. 
Greenberg  Alumni 
Endowment 
Award.  The 
award  is  gisen 
a  II  n  u  a  1  I  y  t  o 
an  outstanding 
lull-time  faculty 
member  of  the 
.School   of  Public 


Aininernuin 


Health  for  excellence  in  the  areas  of  pub- 
lic health  research,  service  and  teaching. 
Continuous  demonstrated  excellence  in 
service  to  the  broader  public  health  com- 
munity over  a  number  of  years  is  a  major 
criterion  of  the  award. 

Paul  F.  Dunn,  MSN,  FNP,  CDE.  clinical 
assistant  professor  of  family  medicine,  has 
been  elected  chair  of  the  "Patterns  of 
Care"  Taskforce  for  the  NC  State  Diabetes 
Ad\isory  Council  —  a  council  appointed 
by  the  gmernor.  The  taskforce  has  repre- 
sentation from  diabetes  pro\  iders  through- 
out North  Carolina  directed  toward  help- 
ing primary  caregi\ers  in  their  delivery  of 
diabetes  care. 

David  Fensferniacher,  PhD.  research 
assistant  professor  of  pharmacology,  act- 
ing director  of  the  Center  for  Biolnformat- 
ics  and  director  of  scientific  computing  for 
the  School  of  Medicine,  has  recenth  been 
awarded  a  $5().()()()  grant  from  the  Small- 
wood  Foundation.  The  grant  will  be  used 
to  establish  both  undergraduate  and  gradu- 
ate student  assisiantships  in  bioinformat- 
ics.  and  also  to  de\elop  a  bioinlormatics 
seminar  series. 

Adam  O.  Cold.stein,  MD.  assistant  pro- 
fessor of  family  medicine,  was  recently 
presented  with  a  certificate  of  apprecia- 
tion, signed  by  N.C.  Gov.  James  Hunt,  in 
recognition  of  dedication  and  outstanding 
ser\'ice  to  North  Carolina  in  his  efforts 
working  with  teen  tobacco  use. 

Robert  E.  Gwyther,  MD,  MBA.  piofes 
sor  of  family  medicine,  was  elected  vice 
president  of  the  N.C.  Academy  of  Family 
Physicians.  Gwyther  recently  traveled  to 
Moscow.  Russia  \\\lU  a  group  from  the 
National  Institute  on  Alcohol  Abuse  and 
Alcoholism  (NIAAA).  where  he  partici- 
pated in  teaching  techniques  of  alcoholism 
inter\eniion  to  Russian  phvsicians. 


Timothy  J.  Ives,  PharmD,  MPH.  clinical 

associate  professor  of  family  medicine, 
has  been  selected  as  a  fellow  by  the  2()()() 
L'.S.  Public  Health  Service  Primary  Care 
Policy  Fellowship  program. 

Rehecca  J.  Laudicina,  PhD.  assistant 
professor  of  clinical  laboratory  science, 
has  established  the  Hemochromatosis 
Education  and  Screening  Project  with  a 
$200,()()()  grant  from  the  Kate  B.  Reynolds 
Charitable  Trust.  The  planned  two-year 
project  will  include  an  educational  pro- 
gram offered  through  the  NC  Area  Health 
Education  Centers,  and  the  screening  of 
low-income  people  in  14  western  North 
Carolina  counties  for  this  common  genetic 
disorder. 

Warren  P.  Newton,  MD,  MPH.  associ;ite 
professor  and  William  B.  Aycock  Distin- 
guished Chair  of  family  rnedicine,  has 
been  appointed  to  the  board  of  directors  of 
the  NC  Academy  of  Family  Physicians. 

David  W.  Ollila,  MD.  assistant  professor 
of  surgery,  has 
accepted  the  posi- 
tion of  director  of 
the  Multidiscipli- 
nary  Sentinel 
Node  Proizram  at 
UNC.  Ollila  com- 
-     '-■  pleted    an    NIH- 

^^V  funded     surgical 

^^^k  ^m^^^^^^  oncology  fellow- 
^^H  ^      ^^^B  ship  John 

Wayne       Cancer 
OMo  Institute.     Santa 

Monica,  Calif.,  in  1997  and  stayed  for  an 
additional  year  as  the  assistant  director  of 
surgical  oncology.  At  the  Ji)hn  Wayne 
Cancer  Institute.  Ollila  trained  with  the 
pioneers  of  sentinel  lymphadenectomy  in 
melanoma  (Donald  L.  Morton.  MD)  and 
breast  cancer  (Armando  E.  Giuliano. 
MD).  Since  arriving  at  UNC.  Ollila  has 
helped  to  complete  an  institutional  breast 
cancer  sentinel  node  validation  trial, 
which  documents  UNC's  high  accuracy 
rate  with  the  technique.  Ollila  is  a  member 
of  the  American  College  of  Surgeons 
Oncology  Group  Breast  Section,  which 
currently  has  two  national  sentinel  node 
protocols. 

Ollila  was  also  recently  selected  by 
L'NC  medical  students  for  membership  in 
Alpha  Omega  Alpha  (AOA),  the  only 
national  student  honor  medical  society  in 
the  world.  The  societv  "s  chapters  annually 
offer  membership  to  a  faculty  member 
who  has  distinguished  themsehes  in  their 
professional  career. 


Catherine  N.  Otto,  PhD,  MBA.  assistant 
protessor  of  clinical  laboratiiry  science, 
has  been  appointed  to  the  National  Com- 
mittee on  Clinical  Laboratorv  Standards" 
Subcommittee  on  Total  Error  for  Labora- 
tory Methods. 

(Jeorge  F.  Sheldon,  MD.  Zack  D.  Owens 
distinguished  professor  and  chair  of 
surgery,  has  been  awarded  the  Llni\ersity 
ot  Kansas  Medical  Alumni  Association's 
2000  Distinguished  Alumnus  Award  in 
recognition  of  his  outstanding  contribu- 
tions to  society  and  to  the  profession  of 
medicine.  The  purpose  of  this  prestigious 
award  is  to  provide  a  role  model  and  a 
source  of  motivation  for  current  and  luture 
medical  students.  The  award  is  presented 
to  an  individual  who  is  a  graduate  of  the 
University  of  Kansas  School  of  Medicine, 
and  who  has  made  niileworthy  contribu- 
tions to  the  theory  and  practice  of  medi- 
cine and  to  the  health  of  all  people 
through  patient  care,  research  and  teach- 
ing skills.  Sheldon  received  his  MD  from 
the  University  of  Kansas  School  of  Medi- 
cine in  1961. 


Benjamin  M.W.  Tsui,  PhD.  professor 
and  director  of  research  in  biomedical 
engineering,  has  been  appointed  vice- 
chair  of  the  department. 


Alumni  Association 
Honors  Five 


The  School  of  Medicine  and  the 
Medical  Alumni  Association  pre- 
sented tl\e  Distinguished  Ser\ ice 
Awards  and  the  Distinguished 
Facult)  Award  at  its  annual  awards  banquet 
heldNia\.r 

This  year's  Distinguished  Service  Award 
recipients  were:  Walter  R.  Da\  is  of  Midland. 
Texas:  Otis  N.  Fisher.  MD.  of  Greensboro: 
James  D.  Hundle>.  MD.  of  Wilmington;  and 
William  L.  London.  MD.  of  Durham.  The 
Distinguished  Faculty  Award  went  to  Harold 
Roberts.  MD.  of  Chapel  Hill. 

•  .A  nati\ e  of  Pasquotank  County.  Davis  is 
"^wp-*-=<C  perhaps        best 
know  n  for  his  role 
^       in  spearheading 
1      the  creation  of  the 
university's  S23- 
niillion    central 
Academic  .Affairs 
librarv  that  bears 
his  name.  T  h  e 
Texas  business- 
man   not    onlv 
w  orked  to  per- 
suade the  .N.C. 
General  .Assembly  to  fund  the  library  w  ith 
the  sale  of  university-owned  utilities,  he  also 
personally  supplied  the  lO-acre  facility  with 
books.  Other  university  beneficiaries  of 
Dav  is'  generosity  include  the  Educational 
Foundation.  UNC  Press,  the  School  of  Social 
Work  and  last  year's  Hurricane  Floyd  relief 
efforts.  Davis  has  served  I  I  years  on  the 
I'NC  Board  of  Governors  and  15  years  on 
the  I  NC-CH  Board  of  Trustees. 

In  the  medical  school,  the  department  of 
ophthalmology  has  made  dramatic  improve- 
ments in  doctors'  ability  to  track  and  treat  di- 
abetic eye  disease,  thanks  lo  considerable 
funding  from  Dav  is.  His  grants  have  sent  fac- 
ulty members  overseas  through  the  Doctors 
Without  Borders  and  Phvsicians  for  Peace 
programs,  Davis  also  put  in  countless  hours 


Davis 


explaining  to  state  legislators  the  fundamen- 
tal need  for  the  UNC  Health  Care,  which 
greatly  enhanced  the  School  of  Medicine  and 
U.NC  Hospitals'  business  tlexibility  and  al- 
lowed it  to  compete  more  fairly  in  today  s 
rapidiv  changing  health-care  miu-ketplace. 

•  Fisher  is  known  throughout  the  stale  as  an 
expert  radiologist  w ho  steadfastly  advocated 
for  updated  and 
expanded  radiolo- 
'^v  g>    facilities   at 
v'.hat      is      now 
Moses        Cone 
Health  System  in 
Greensboro.  Fish- 
er —  w  ho  earned 
his  bachelor's  and 
medical  degrees 
at  Carolina  —  has 
demonstrated  his 
Fi\lier  lov  alty  to  his  alma 

mater  time  and  time  again  through  Schot)l  of 
Medicine  fund-raising  efforts  and  willing- 
ness to  work  w  ith  Area  Health  Education 
Center  students. 

Fisher  has  served  in  various  capacities  at 
local  and  state  levels  as  a  member  of  the 
boards  of  directors  for  the  N.C.  Chapter  of 
the  American  College  of  Radiology,  the 
Medical  Board  of  the  Mo.ses  Cone  Hospital, 
the  N.C.  Medical  Peer  Review  Foundation 
and  the  Southeastern  Angiography  Society 
—  serving  also  as  past  president  in  the  latter 
two  organizations.  He  is  a  member  of  the 
Guilford  County  Medical  Society  and  has 
served  as  president  and  board  member  for 
ihc  Greensboro  Academy  of  Medicine,  as 
well  as  serv  ing  on  the  boards  of  the  Greens- 
boro Heart  Association  and  ihe  Crippled 
Children's  Societv  of  Greensboro 

•  Huiidlev  twice  has  been  included  in  •■The 
Best  Doctors  in  America:  Soulheasi  Re- 
gion" Having  completed  his  iindcigiaduatc 
and  medical  cdiicalioii.  research  rcllowshi|i 


(  ^ 


and  residency  at 
Carolina.  Hund- 
lev  has  been  an 
active  member  of 
the  meilical 

schtiol's  .Alumni 
.Association.  .As- 
sociation presi- 
dent in  1998-44. 
Alumni  Council 
member  since 
1990  and  Nation- 
al Loyalty  Fund  HiiiulUy 
Committee  member  since  1994.  he  also 
served  on  the  search  committee  that  selected 
the  department  of  orthopedics'  first  chair- 
man and  worked  diligentlv  to  establish  the 
chair's  distinguished  professorship. 

Hundley  has  been  staff  physician  for  the 
Rotarv'  Orthopaedic/Regional  Crippled  Chil- 
dren's Clinic  for  nearly  three  decades,  the 
past  nine  years  as  medical  director.  For  more 
than  20  yeiu-s,  he  also  sened  as  athletic  team 
physician  for  UNC- Wilmington  and  was 
given  the  athletic  department's  William  J. 
Brooks  Distinguished  Serv  ice  .Award.  In 
1998.  he  was  recognized  with  the  establish- 
ment of  the  James  D.  Hundley  Outstanding 
Student  Trainer  Aw  ard.  A  past  president  of 
the  North  Carolina  Orthopaedic  Association, 
he  serves  on  the  Governor's  Osteoporosis 
Prevention  Task  Force  and  the  National 
Board  for  Certification  of  Orthopaedic 
Phv  sicians  .Assisianls. 

•  .A  petliatrician  and  pctiialric  hemalologisi 
for  nearly  40  years.  London  is  a  145  1  j'hi 
Beta  Kappa  graduate  of  UNC.  After  allciul 
ing  medic.il  school  at  UNC  and  completing 
naming  ai  Children's  Medical  Center  in 
Boston.  London  returned  to  practice  in  ihe 
Durham  office  established  bv  his  uik  Ic. 
Throughout  his  practice.  London  has  served 
as  ;i  role  model  faculty  member  for  meilical 
sUklenis.  residents  and  staff  at  L'NC  Hospi- 
tals. Ihe  SchiH)l  of  Medicine.  Duke  Universitv 


I.^ 


Medical  Center,  Durham  Regional  Hospital 
and  the  lumier  Watts  Hospital. 

An  active  member  of  the  American  Board 
of  Pediatrics  since  1979.  London  served  on 
the  board  of  directors  for  six  years  and  was 
secretary-treasurer  for  another  year.  He  has 
ser\ed  as  the  long-time  president  of  the  N.C. 
Pediatric  Society, 
and  held  numer- 
ous leadership  po- 
sitions in  the  state 
chapter  of  the 
American  Acade- 
my of  Pediatrics. 
London  was  chap- 
ter chaimian  from 
1969  to  1974.  and 
under  his  guid- 
ance, the  two  state 
London  organizations  — 

once  fragmented  in  their  efforts  —  worked 
collaboratively  to  champion  programs  for 
children. 


For 


■  40  Years  follow  ine  his  davs  as  an 


undergraduate, 
medical  student, 
senior  resident  and 
fellow  at  Carolina. 
Roberts  has  ser\  ed 
on  the  school  of 
medical  faculty  as 
an  internationally 
recognized  special- 
ist in  hematology 
;ind  coagulation.  His 
curriculum  vitae 
includes  member- 
ships on  committees  and  councils  at  the  Na- 
tional Institutes  of  Health,  the  National 
Heart.  Lung  and  Bhxid  Institute  and  the  Na- 
tional Hemophilia  Foundation.  At  Carolina, 
he  served  as  chief  of  the  Division  of  Hema- 
tology, director  of  the  Center  for  Thrombosis 
and  Hemostasis.  director  of  the  Clinical  Co- 
agulation Laboratory  and  director  of  the 
Comprehensive  Hemophilia  Diagnostic  and 
Treatment  Center,  the  latter  of  which  now 
bears  his  name. 

In  recocnition  of  his  work  in  the  field  of 


coagulation.  Roberts  was  granted  the  Distin- 
guished Career  Award  for  Contributions  to 
Hemostasis  by  the  International  Society  on 
Thrombosis  and  Hemostasis.  where  he 
serv  ed  for  1 2  years  as  executive  director.  He 
also  was  aw  arded  the  society's  highest  honor, 
the  Robert  P.  Grant  Medal,  for  his  research 
mlo  the  genetic  basis  of  hemophilia.  His  tal- 
ent as  a  teacher  has  been  recognized  by  stu- 
dents who  awarded  him  the  Medical  Basic 
Sciences  Teaching  Aw  ard. 

The  Distinguished  Service  Award  was  es- 
tablished in  1 955  to  honor  alumni  and  friends 
whose  careers  and  unselfish  contributions  to 
society  have  added  luster  and  prestige  to  the 
LIniv  ersity  and  its  School  of  Medicine.  The 
Distinguished  Faculty  Award,  first  given  in 
1978.  recognizes  a  full-time  UNC  faculty 
member  for  excellence  in  teaching,  contribu- 
tions to  medicine  in  the  state,  leadership  in 
continuing  education  of  practicing  physi- 
cians and  accomplishments  in  improving 
communications  between  faculty,  alumni 
and  people  of  the  state. 


.4  Snapshot  of 


Spring  Medical  Alumni  Weekend 


May  5-6,2000 


Walter  Davis,  seated,  shares  a  moment  with  Dean  Jeffrey 
L  Hoiipt.  MD. 


Classmates,  friends  and  faculty  reminisce  at  the  DSA  Banquet  at  the 
Carcliihi  Cliih. 


Sharitii;  memories  during  a  look  hack. 


The  Class  of  '55  presents  its  lari^est-ever  Loyalty  Fund  ijift  of  $150,000. 


14 


Fall  Medical  Alumni  Weekend 

October  20-21,  2000 

UNC  Fall  Medical  Aliunni  Weekend  Schedule 


FRIDAY 
OCTOBER  20, 2000 


SATIRDAY. 
OCTOBER  21. 2000 


•^^Ml a.m.  -  2:30  p.m.  CME:  Pre\enti\e  Medicine:  Screening  and 
Earl\  Management  of  Major  Medical  Dis- 
eases Tlw  GiOixi'  Watts  Hill  Alumni  Center. 
Chapel  Hill 

Registration  and  Continental  Breakfast 
Welcome  and  Introductions.  James  R.  Harper. 
.MD.  Associate  Dean  for  Medical  Alumni 
Affairs 

The  Re\olution  in  Diabetes  and  its  Manage- 
ment: Implicatii)ns  fe)r  Screening.  John  B. 
Buse.  MD.  Director  Diabetes  Care  Center  and 
.Associate  Professor  of  Medicine.  Di\  ision  of 
Endocrinolouv 
Break 

11:3(1  a.m. -12:30p.m.  Prostatic  Malignancy:  Decision  Marking 
Based  on  PSA  Values.  James  L.  Mohler.  MD. 
.Asscxriate  Professor  of  Surger>  and  Pathology 
&  Laboratory  Medicine.  Member  oi  UNC 
Lineberger  Comprehensi\  e  Cancer  Center  & 
Director.  Urologic  Oncology 
Lunch 

Screening  and  Treatment  of  GI  Malignancies. 
Da\id  F.  Ransohoff.  MD.  Professor  of  Medi- 
cine. Di\  ision  of  Dieesti\e  Diseases 


9:30- 10  a.m. 
10 -10:05  a.m. 


10:05- 11:15  a.m. 


11:15- 11:30a.m. 


12:30- 1:30  p.m. 
1:30 -2:30  p.m. 


3 -4  p.m. 


6:30-7:15  p.m. 
7: 15 -9  p.m. 


Special  Presentation:  "Walter  Reece 
Berrvhill.  MD.  and  the  Expanded  Medical 
School  at  Chapel  Hill."  William  W.  McLen- 
don.  MD  "56  Ge(>n;e  Walts  Hill  Alumni  Cen- 
ter. Chapel  Hill 

Six'ial  and  Banquet.  George  Watts  Hill  Alum- 
ni Center.  Recognition  of  new  Loyalty  Fund 
Associates,  student  scholarship  recipients  and 
Endou  ment  Fund  urant  recipients. 
S^M:id\-AlumniHalll.ll.lll 
Dinncr-AlumniHalll.ll.Ili 


(The  schedule  below  is  based  on  a  "best  guess"  game  kickoff  time  of 
12:30  p.m.  Kickoff  is  subject  to  change  until  10  da\s  prior  to  the 
date.  Call  '^)lM-%2-SS4|  the  week  pnor  to  the  game  to  confimi  kick- 
off  and  morning  e\ent  schedule.  Those  u  ho  pre-registcr  b\  the  dead- 
line will  be  contacted  w ith an\  appropnate  intomialion. ) 


8:30  a.m.- 12  p.m. 


9  a.m. 


9  a.m. 


11  a.m.- 12:15  p.m. 


*^  12:30  p.m. 


Reiiistration  and  Ticket  Pick  Up. 

I  siVloor  Bern,  hill  Hall.  UNC  Campus 

Council  Meetmg.  103  Benyhill  Hall 

Reunion  Campaiiin  Stcerini:  Committees 
Meeting.  103  BerrNhill  Hall 
Classes  of  "46.  ".51.  "56.  "61.  '66.  "71.  "76.  "SI. 
"86.  "^)1 

Pig  Picking,  outside  Berryhill  Hall  in  the  Stu- 
dent Commons  Area 

UNC  \  s.  Clemson.  Kenan  Stadium 

*4  TICKETS  MAXIMUM.  FIRST  COME. 
FIRST  SERVE.  Additional  tickets  may  be- 
come available  closer  to  the  game  date.  Contact 
the  Medical  .Alumni  Office  at  9 1 4-462-884 1 . 


ACCOMMODATIONS:  Alumni  are  respon- 
sible f(^r  making  hotel  arrangements.  Blocks  of 
rooms  ha\e  been  reserved  at:  1 )  The  Sheraton 
Chapel  Hill/  (formerlv  the  Omm)  -  414-468- 
4900  (4/22/00  cutoff).  SI  44-^.  ID  =  UNC 
Medical  Alumni.  2)  LaQuinta  Inn  &  Suites 
(1.8  mi  north  of  140/15-501  e.xit)  - 
4 1 4-40 1  -4660  ( 4/20/00  cutoff.  Group  #45 1 65 ). 
,$72-1-.  $44-)-.  ID  =  l'NC  Medical  Alumni.  A  list 
of  additii>nal  hotels  in  the  Research  Triangle 
can  be  provided  upon  request. 


(Print  and  Fax  la  the  .Medical  Alumni  Oifice) 

FAIL  MKDICAL  ALIMNI  WEEKEND 
REGISTR.\TION 

Deadline:   Oelcher  .<.  2(10(1 


Name 


Class  Year 


Address 


Telephone 


Namc(s)  of  Guest(s) 


*Social  Security  (CME  only  -  optional) 


Friday.  October  20th: 

CMliWoiiram 
Berryhill  Presentation 
Social  &  Banquet 


# C"'  S65.(K)  =  % 

# (no  charge) 

# (p  S45,(K)  =  •«, 

(prc-regislralion  required) 


Saturday,  October  2Ist: 

Council  Vlcclini;                       # 
Pig  Picking:       "       Adult        # 

(i- 1  (i  yo     # 

C"'  $l().(X)  =  .'j. 
(S'  $  7.(X)  =  $ 

Foolball  Tickcls                          # 

(MaMiiuiin  (it  4  can  be  ordered! 

Tolal: 

@  $26.(X)  =  $ 

S 

Method  of  Payment: 

Check  (payable  lo  Medical  Foundation  of  NO    

Credit  Card:  VISA  Mastcrt^ard 

Signature 

Card  # 

Fxpiration: 

KLliini  I..  Medical  Alumni  Ott"icc.  UNC-CH 

C.B.  #  7(MH).  126  MacNider  Buildini: 
Chapel  Hill.  NC  :7.'^94-7(H)<) 

Telephone:  (414)  4()2  SS41  or  l-S(M)-S62-6264  (ask  lo 
be  connected).    Facsimile  (419)  466-1076 
Email:  Medical  Alumni («' med.unc.edu 


News 
Briefs 


UNC  Hospitals  ranked 
among  best  medical  centers 
in  the  nation 

Elc\  en  niedic;il  specialties  ottered  at  L'NC 
Hospitals  rank  anioiiy  the  lop  50  programs  of 
their  kind  nationwide,  according  to  the  Jul) 
1 7  issue  of  U.S.  News  ami  World  Report. 

"U.S.  New.s  has  recognized  what  we  al- 
ready knew  —  that  some  of  the  best  medical 
experts  and  programs  in  the  country  are  lo- 
cated right  here  at  UNC  Hospitals,"  said  Eric 
Munson.  president  and  chief  executive  offi- 
cer. "That  UNC  Hospitals  is  consistently 
ranked  alongside  such  premier  medical  insti- 
tutions as  Johns  Hopkins  and  the  Mayo  Clin- 
ic speaks  to  the  high  caliber  of  our  faculty 
and  staff  anil  the  high  quality  of  our  patient 
care." 

To  be  ranked,  a  hitspital  had  to  meet  one  of 
three  standards:  be  a  member  of  the  Council 
of  Teaching  Hospitals;  be  affiliated  with  a 
medical  school;  or  provide  at  least  nine  out  of 
1 7  prescribed  technological  services.  These 
criteria  winnowed  the  number  of  "rankable" 
medical  centers  in  the  United  States  from 
6.247  to  1.701. 

U.S.  New.t  ranked  the  top  50  programs  in 
the  following  specialties:  cancer;  cardiology; 
digestive  disease;  ear.  nose  and  throat;  eyes; 
geriatrics;  gynecology;  hormonal  disorders; 
kidney  disease;  neurology/neurosurgery;  or- 
thopedics; pediatrics;  psychiatry;  rehabilita- 
tion; respiratory;  rheumatology;  and  urology. 

LINC  Hospitals"  gynecology  program 
ranked  14th  nationwide.  Pediatrics  ranked 
22nd  nationally  —  a  first-time  appearance  on 
the  list. 

■'How  exciting  it  is  that  the  reputation  of 
our  pediatrics  department  is  garnering  such 
prestigious  acclaim  just  months  before  the 
opening  of  the  new  N.C.  Children's  Hospi- 
tal." said  Alan  Stiles,  MD.  chair  of  the  De- 
partment of  Pediatrics.  "We  have  tried  to 
establish  a  premier  pediatrics  program  in 
North  Carolina,  and  I  think  this  ranking  sup- 
ports our  belief  that  we  are  succeeding  in  our 
endeawir." 

UNC  Hospitals  also  appeared  in  the  fol- 
lov\ing  other  specialty  rankings:  cancer.  41; 
digestive  disease.  32;  e;u",  nose  and  throat,  26; 
geriatrics,  22;  hormonal  disorders.  24;  kid- 
ney disease.  20;  orthopedics.  37;  respiratory 
disorders.  I S;  and  urolocv.  24. 


Sanford  Specialty  Clinic 
Expands  Services 

Just  months  following  the  opening  of  San- 
ford Specialty  Clinics  in  Sanford.  UNC 
Health  Care  has  expanded  its  medical  ser- 
\  ices.  Sanford  Specialty  Clinic  now  offers 
endocrinology  and  osteoporosis  care  to  its 
services  that  initially  included  pulmonary 
medicine  and  rheumatology. 

Pulmonary  specialist  Jana  Johnson.  MD. 
and  rheumatology  specialists  Mary  Anne 
Dooley.  MD,  and  .Alfredo  Rivadeneira,  MD, 
provide  patients  medical  care. 

Diagnostic  and  treatment  services  are 
available  at  the  clinic  for  asthma,  lung  dis- 
ease, osteoporosis,  rheumatoid  arthritis,  in- 
nammatory  arthritis  and  tendonitis. 

The  clinic,  located  at  212  W.  Main  St.  in 
Sanford,  is  open  from  8  a.m.  to  5  p.m.,  Mon- 
day through  Friday.  Groundbreaking  for  a 
new  facility  is  expected  to  take  place  this  fall. 


Spicer-Breckenridge  lecture 
focuses  on  medicine  and  art 

M.  Tliere.se  Soiillii^iile.  MD,  Senior 
Contributing  Editor  of  the  Journal  iif  the 
American  Medical  Association,  was  the 
keynote  speaker  at  the  2000  Spicer-Breck- 
enridge Memorial  Lecture,  held  May  5. 
Southgate  presented  "Some  Affinities 
Between  Medicine  and  the  Visual  Arts." 
Soulligate  .selects  covers  and  writes  essays 
for  JAMA,  and  she  also  lectures  for  med- 
ical societies,  hospitals,  museums,  and 
cominunitx  groups. 


UNC  treats  home  health 
patients  with  the  latest 
technology 

UNC  Home  Health  has  gone  high-tech, 
thanks  to  a  new  program  called  Tele-Home- 
care  that  allows  home-health  nurses  to 
"\  isit"their  patients  through  telephones  and 
computers. 

The  technology  of  telemedicine  isn't  new. 
For  years  now,  doctors  ha\e  consulted  each 
other  \'ia  teleconference.  And  hospitals  na- 
tionwide ha\e  established  telemedicine  sites  at 
satellite  locations,  allow  ing  doctors  and  pa- 
tients in  rural  areas  to  "meet"  with  specialists 
in  more  metropolitan  areas. 

For  UNC.  though.  Tele-Homecare  repre- 
sents the  first  time  the  technology  has  been 
used  to  care  for  patients  in  their  ow  n  homes. 

"We  are  only  the  second  hospital  in  North 
Carolina  to  use  Tele-Homecare."  said  Zelda 
Moore,  a  registered  nurse  and  the  program's 
coordinator.  "East  Carolina  v\as  the  first,  and 
they've  primarily  used  it  w  ith  patients  who 
have  congestive  heart  failure,  hypertension 
and  high-risk  pregnancies.  We'\e  broken  new 
ground  by  using  it  to  care  for  wound  patients." 

Using  the  new  technology  with  wound  pa- 
tients was  a  natural  for  the  home  health  nurses. 

"These  patients  require  a  lot  of  monitoring, 
and  we  can  spend  a  lot  of  time  visiting  them," 
Moore  said.  "With  telemedicine  we  can  still 
monitor  the  patients,  keep  the  wounds  healing 
and  use  our  manpow  er  more  effecti\  ely  " 

Another  plus  for  telemedicine  is  its  tlexibil- 
it\.  If  a  nurse  is  concerned  that  a  patient  is  too 
sick  for  telemedicine  care,  the  nurse  can 
change  the  plan. 

"We  can  switch  to  home  visits,  or  if  we 
think  the  patient  is  too  sick  for  home  care,  we 
can  talk  w  ith  the  doctor  about  a  clinic  \  isit  or 
other  medical  evaluation,"  she  said.  "A  peifect 
example  is  the  time  1  scheduled  a  Tele-Home- 
care V  isit  with  a  patient  on  a  new  medication.  I 
noticed  on  the  monitor  that  her  face  was 
sw  ollen.  so  1  Jumped  in  the  car  and  went  to  her 
home  for  a  more  detailed  assessment." 

Another  related  application  for  the  technol- 
ogy is  canng  for  bum  patients. 

"Bum  patients  have  to  return  so  many  times 
to  clinic  during  their  healing  process."  said 
Anita  Fields,  a  registered  nurse  who  is  burn- 
care  coordinator  for  the  N.C.  Jaycee  Burn 
Center  at  UNC  Hospitals.  "Now  we  can  use 
telemedicine  to  ease  some  of  that  burden." 


Research 
Briefs 


UNC,  Duke,  starting  search 
for  osteoarthritis  genes 

It's  not  difficult  to  find  :i  laniilN  in  uhicli 
generation  after  generation  has  struggled 
with  the  same  inherited  disease.  The  chal- 
lenge is  finding  the  genetic  link  to  understand 
how  illnesses,  such  as  osteoarthritis,  are 
passed  dow  n  from  parents  to  their  offspring. 

An  international  research  network  com- 
posed of  se\en  uni\ersit\  medical  institutions 
including  L'.\C"s  Thurston  .Arthritis  Re- 
search Center  and  Duke  L'ni\ersit_\  Medical 
Center  ha\e  just  begun  the  kirgest  studs  e\er 
to  look  for  that  link,  the  genetic  susceptibilit\ 
to  osteoarthritis. 

The  most  common  form  of  arthritis,  os- 
teoarthritis is  a  chronic  condition  that  affects 
more  than  21  million  .Americans.  Bs  analw- 
ing  DN.A  and  health  histories  from  man\  pa- 
tients, researchers  belie\e  the\  will  better 
understand  the  role  that  one  or  more  genes 
play  in  the  condition's  development.  The 
goal  is  to  find  nev\  and  more  effectix  e  medi- 
cines. The  academic  research  institutions  are 
working  together  u  ith  the  Center  tor  Human 
Genetics  at  Duke  and  Glaxo  Wellcome,  a 
pharmaceutical  conipan\. 

For  the  lull  Stan.  \ce  lutp://\\\v\\.uin  .cdu 
Au'us/newsscir/ivsccin  li/i( inhiti  1  IJIOW.htiii. 

UNC  opens  first  clinical  trial 
of  vaccine  treatment  for 
advanced  breast  cancer 

Doctt)rs  at  the  Uni\ersity  of  North  Caroli- 
na at  Chapel  Hill  ha\e  opened  their  first  clini- 
cal trial  of  a  \accine  treatment  for  ad\anced 
breast  cancer. 

.After  more  than  four  years  of  test-lube  and 
animal  studies,  researchers  at  the  UNC 
l.ineberger  Comprehensi\e  Cancer  Center 
will  find  out  if  intra\enous  infusions  ot  their 
genetically  engineered  protein  fragments  will 
stimulate  a  person's  immune  cells  to  recog- 
nize and  kill  breast  cancer  cells,  causing  ad- 
\anced  breast  tumors  to  shrink. 

"This  breast-cancer  \accine  is  not  a  shot  - 
it's  a  'vaccine'  because  it  should  work  by  en- 
hancing the  patient's  ovs  n  immune  response 
against  their  tumor."  said  l.ineberger  member 
Jonathan  Serod\.  .\11).  associate  prolessor  of 
medicine  antl  microbiology  and  immunolo- 
gy- 

"This  is  the  tlrst  use  ot  a  \accinc  directed 
against  a  mollification  ot  a  specific  part  of  the 


HER-2/neu  protein  found  on  breast-cancer 
cells.  People  ha\e  tried  using  engineered  pro- 
teins in  the  treatment  of  melanoma,  but  not 
for  breast  cancer  " 

Study:  too  much  sugar,  not 
enough  milk  may  damage 
U.S.  teens'  health 

Between  19(1."^  and  I ysift.  a  considerable 
shift  occurred  in  the  diets  of  U.S.  teenagers 
that  could  compromise  the  future  health  of 
the  nation's  people,  a  major  new  Uni\ersit\ 
of  North  Carolina  at  Chapel  Hill  stud\  shows. 
On  the  horizon,  researchers  say.  are  more 
strokes,  heart  disease,  high  blood  pressure 
and  cases  of  the  bone-weakening  condition 
know  n  as  osteoporosis. 

Total  milk  consumption  dropped  b\  close 
to  50  percent  among  adiilescents  o\  er  the 
three  decades  studied,  they  found.  That  de- 
crease was  accompanied  by  a  hea\ y  increase 
in  consumption  of  sugar-laden  soft  drinks 
and  fruit-fla\ored  beverages.  Teens  also 
began  eating  more  of  their  \  egetables  in  the 
fiinii  of  fatt\  fried  potatoes  than  their  parents 
did. 

".An  increase  in  high-fat  potato  consump- 
tion through  French  fries  and  hash  browns 
led  to  an  increase  in  segetable  intake,  but  the 
number  of  ser\  ings  of  fruits  and  vegetables  is 
still  below  the  recommended  fi\e  per  day." 
said  Barr\  Popkin.  PhD.  professiir  of  nutri- 
tion at  the  schools  of  public  health  and  medi- 
cine and  one  of  the  repint's  authors.  "Iron, 
lolate  and  calcium  intakes  continue  tt)  be 
below  recommendations  for  girls." 

A  report  on  the  findings  appears  in  the  Jul\ 
issue  of  Archives  of  Disease  in  Childhood,  a 
professional  journal. 

hnp://\\\yu:iiiie.edii/iieu  s/neu\ser\/ 
rese(ir(h/popkinS(l724()0.lilin 

Study  seems  to  show  >vhy 
French  sutter  less  heart 
disease,  cancer 

University  of  North  Carolina  at  Chapel 
Hill  scientists  have  discovered  w!i\  a  com 
pound  found  in  grapes  and  grape  products 
such  as  red  wine  shows  natural  cancer-figlu- 
ing  properties  that  might  be  importanl  in  pre- 
venting or  treating  the  illness. 

The  work  appears  to  explain  (he  sci-called 
"Irench  |Xiradox"        llic  lad  lliat  Ircnch 


people  experience  lower  rates  of  heart  dis- 
ease death  and  certain  cancers  despite  drink- 
ins:  nu>re  wine  on  averaize  than  L'.S.  residents 
do. 

Scientists  finind  that  the  substance,  irans- 
Resveratrol.  or  Res.  modulates  the  activ  it>  of 
NF-kappa  B.  a  protein  that  attaches  to  DNA 
inside  cell  nuclei  and  turns  genes  on  and  off 
like  a  svv  itch,  the  scientists  found.  Res  appar- 
entlx  helps  turn  otf  a  natural  protective  mech- 
anism in  the  body  inviilv  ing  the  protein  that 
prevents  cancer  cells  from  being  killed,  as 
thev  should  be. 

.A  report  on  the  work  appears  in  the  Julv 
issue  o\'  Cancer  Research,  a  scientific  jour- 
nal. .Authors  are  Minnie  Holmes-McNary. 
PhD.  a  nutritional  biologist  and  postdoctoral 
fellow  at  the  UNC's  Lineberger  Comprehen- 
sive Cancer  Center,  and  her  mentor  Albeil  S. 
Baldw in  Jr..  PhD.  a  biology  professor  who 
also  works  at  the  center. 

htlp://\\\\\\\itnc.edu/ne\vs/ne\\sser\/ 
researcli/hald\vin>l)63iH)l).htm 

New  national  study  shows 
infection,  fat  embolism 
important  contributors  to 
sickle  cell  disease  deaths 

Unusual  infections  and  lumps  o\  fat  called 
emboli  that  clog  arteries  in  the  lungs  appear 
to  be  under-appreciated  causes  of  acute  chest 
sv  ndrome  in  sickle  cell  disease  patients.  The 
syndrtmie.  which  is  a  group  of  debilitating 
symptoms,  is  the  leading  cause  of  death 
among  sickle  cell  patients,  according  to  a 
major  new  studv . 

Earlier  diagnosis  and  more  aggressive 
treatment  of  those  svmpioms  might  save 
many  victims  of  the  illness,  which  is  the  most 
common  inherited  disorder  among  black 
people  in  the  United  States,  researchers  sav. 

Improved  treatment  may  include  earlier 
use  of  oxygen,  more  eftective  antibiotics,  in- 
centive spirometiv  and  chest  physical  thera- 
py in  patients  who  develop  the  chest 
syndrome,  they  say.  When  appropriate,  earli- 
er use  of  blood  transfusion  and  mechanical 
ventilation  also  should  be  considercti 

.A  report  on  the  .'^O-medical  cciiici  suulv 
appeared  in  the  June  22  issue  of  the  A'cir 
l:ni;land  .loiirnal  of  Medicine.  Listed  among 
its  authors  was  Fugene  P.  Orringer.  MD. 
UNC  professor  of  medicine. 

htlp://\v\\w.itnc.edu/ne\\  s/new  sserv/ 
rese,n(h/orruf^\ll>')2liin.hnii 

17 


Alumni  Profile 


Paul  Viser  Assumes 
MAA  Presidency 


By  Katherine  Kopp 

Paul  Viser,  MD.  recently  installed  as 
president  of  the  UNC  School  of 
Medicine's  Alumni  Association,  is  a 
man  v\  ith  a  sense  of  mission. 

■"r\e  got  two  ver>'  simple  goals  for  myself 
as  president,"  said  Viser  in  a  recent  interview. 
"One  is  increasing  membership  in  the  alumni 
association.  The  second  is  increasing  the  sup- 
port, both  tlnancial  and  in  other  arenas,  that 
alumni  contribute  to  the  medical  school." 

Viser.  a  native  of  Ahoskie  and  the  son  of  a 
UNC  class  of  "50.  has  found  satisfaction  fol- 
lowing in  his  father's  footsteps.  He  graduated 
from  UNC  in  l^SO  with  a  bachelors  of  sci- 
ence degree  in  bicilogy.  and  credits  the  Biolo- 
gy Department  with  supplying  him  with 
more  than  just  an  undergraduate  degree.  "I 
met  my  w  ife.  Diane,  in  my  biolog)  class."  he 
sa)'s  w  ith  a  laugh.  "And  for  that  reason  alone, 
it  was  probably  the  best  class  I  ever  took  at 
Carolina!" 

After  recei\  ing  his  MD  from  the  UNC 
School  of  Medicine  in  1 984.  Viser  completed 
an  internship  and  residency  in  internal  medi- 
cine in  Little  Rock.  Ark.  Viser  went  on  to 
spend  two  years  in  Whitesburg.  Ky.,  fulfilling 
a  National  Health  Ser\'ice  Corps  commit- 
ment. "Whitesburg  is  in  the  coal  mining  re- 
gion of  Kentucky."  explains  Viser.  "and  there 
is  a  lot  of  poverty  there.  Working  there  was 
difficult  in  many  ways,  but  it  was  also  a  very 
v\  orthw  hile  expeiience." 

After  a  brief  sojourn  in  Winston-Salem. 
Viser.  his  wife  Diane  and  their  three  children 
now  enjoy  quintessential  small-town  life  in 
Clinton.  "When  it  was  time  to  lea\e  Ken- 
tucky back  in  1989. 1  looked  at  four  different 
practice  opportunities."  says  Viser.  "I  nar- 
rowed it  down  to  two,  one  in  Winston-Salem 
and  one  in  Clinton,  and  we  chose  Winston- 
Salem.  But  after  about  six  months,  it  became 
clear  to  me  that  I  realh'  missed  small-tow  n 
life.  E\en  though  I  was  the  fourth  person  in  a 
great  group  of  doctors  in  Winston-Salem.  I 
just  didn't  feel  it  was  the  right  fit  for  me." 

Viser  realizes  that  the  life  that  suits  him  so 
well  is  not  for  every  physician.  But  he  also 
believes  that  there  are  many  benefits  —  both 
personal  and  professional  —  to  being  a 
small-town  doc. 

18 


Ptiiil  \'iM'r  and  son  Aaron  prepaic  dinner 
for  the  rest  of  the  family  which  includes 
Ellen.  1 1,  and  Mark.  8. 


"I  know  that  some  people  think  being  a 
doctor  in  a  small  town  is  like  being  stuck  out 
in  the  boondocks,"  he  acknow  ledges,  "and  I 
do  miss  the  camaraderie  I  had  as  part  of  a 
group.  Doctors  who  live  in  smaller  tow  ns  and 
rural  areas  can  sometimes  get  out  of  touch,  if 
they  don't  keep  up  with  reading  journals  and 
CME  opportunities.  But  I've  found  that,  even 
though  I'm  a  solo  practitioner.  I  share  call 
with  five  other  doctors  and  handle  an  acti\e 
hospital  practice.  It's  a  situation  that's  good 
for  all  of  us." 

Viser  shares  office  space  w  ith  another 
physician  right  next  to  Sampson  Regiiinal 
Medical  Center,  a  land-grant  hospital  built 
after  World  War  II  and,  according  to  Viser, 
one  of  the  few  independent  hospitals  left  in 
the  state.  Though  he  li\'es  in  a  town  of  only 
8,000  or  so  residents.  Viser  and  the  five  other 
physicians  he  shares  call  with  draw  from  a 
county  population  of  45.000  and  beyond. 

"Clinton  is  in  the  center  of  Sampson 
County."  Viser  explains,  "and  1-40  goes  right 
through  the  county.  By  land  area,  we're  the 
largest  county  in  the  state." 

Viser  feels  he  has  the  best  of  all  wodds  — 
an  independent  solo  practice,  complemented 
by  shai'ed  coverage  and  some  shared  expens- 
es with  other  physicians,  continuing  educa- 
tion opportunities  through  UNC  and  other 


institutions  that  allow  him  to  keep  current 
with  new  advances,  and  life  in  a  small-town 
where  he  is  known  and  knows  others.  He  is 
active  in  the  community,  doing  everything 
from  coaching  softball  to  teaching  Sunday 
schot)l  to  \olunteering  on  behalf  of  the 
Sampson  Crisis  Center,  w  hich  pro\  ides  food, 
clothing  and  shelter  to  those  in  need. 

He  really  enjoys  the  bonds  that  he  has  de- 
\eloped  w  ith  his  fellow  citizens  in  Clinton.  "1 
thri\e  on  the  relationships  that  have  devel- 
oped," he  says.  "These  relationships,  with  pa- 
tients and  with  those  in  the  w  ider  community, 
develop  slowly,  over  a  period  of  time.  You 
just  can't  rush  them." 

Viser  stays  busy,  seeing  about  1 5  to  20  pa- 
tients a  day  —  "within  the  norms  for  in- 
ternists." he  says  —  rounding  at  two  nursing 
homes  and  making  occasional  house  calls. 
"My  dad  used  to  carry  a  big  doctor's  bag  on 
his  house  calls."  Viser  remembers.  "He  car- 
ried everything  you  could  think  of:  it  was  big 
enough  for  a  camping  trip!" 

"If  a  patient  is  tenninally  ill  or  just  got  out 
of  the  hospital."  he  says,  "it's  nice  for  me  to 
gi)  to  them  and  see  how  they're  doing.  That's 
often  hard  to  do  in  a  practice  in  a  larger 
town."  says  Viser 

An  avid  and  lifelong  learner,  Viser  is  con- 
stantly reading  journals,  discussing  cases 
w ith  other  ph>sicians.  and  attending  confer- 
ences to  improN  e  his  base  of  know  ledge. 

As  president  of  the  Alumni  Association. 
Viser  plans  to  stay  on  his  toes  for  the  rest  of 
his  tenn.  "I  hope  to  encourage  more  people  to 
attend  our  medical  alumni  weekends,"  he 
says.  "They're  a  great  opportunity  for  contin- 
uing education,  and  an  even  better  opportuni- 
ty just  to  see  one  another  and  catch  up." 

He  also  hopes  to  increase  the  le\el  of  fi- 
nancial participation  by  graduates  of  the 
medical  school.  And  Viser,  who  is  not  afraid 
to  put  his  money  where  his  mouth  is,  has 
gi\  en  regularly  to  the  UNC  School  of  Medi- 
cine. "I  spent  eight  very  iinportant  years  of 
my  life  in  Chapel  Hill,"  says  Viser.  "I  owe  my 
li\  ing  to  that,  and  I'd  like  to  do  what  I  can  to 
encourage  a  feeling  of  loyalty  and  gratitude 
toward  the  Medical  School  among  my  fellow 
alumni."  D 


Match  Day 


^^^Kj      ^  '*  laP 

^^Pr       <^V 

^^H 

»^::i 

CotiiiralulaluMis  to  the  Class  of  2(K)()  School  ot  Medicine  gradu- 
ates. Nearl\  half  ot  the  graduates  entered  a  priniar\  caie  residencs 
program  earlier  this  summer  Check  the  list  bekm  lor  the  names  of 
residents  coming  to  your  program.  Then,  call  them  with  a  u  elcome 
loyourcitN  ortown. 

Visit  the  School  ol  Medicine  Web  site  at 
uw'M.niCil.uiu  .cdu/Mi/iinnch/lii.srory  lor  more  mlormation  on 
this  and  piexious  matches.  Those  listed  belou  and  on  the  Web 
consented  for  their  names  to  appear  in  public  documents. 


iforn 


Alabama 

William  Trac\  Durham 

California 

Carols  n  Cell 
Karen  Marie  Di\on 
Susan  Hunter  Gibbs 
Har\e\  James  Hamrick.  Jr. 
Da\  id  Laurence  Issacs 
Catherine  Tung-Ling  Lee 
KimberK  Susan  Le\in 
Madelena  Michele  Martin 
Louise  Dysart  Met/ 
Zackary  .S  Moore 
Nimesh  Bhupendra  Shah 
Elizabeth  .\  Steele 

Colorado 

.•\llison  Dorbandt 

District  of  Coliinihia 

Katina  Cieiger  Barnes 
Romulo  Ernesto  Colndres.  Jr. 
Nerissa  .Marge  Price 

Florida 

OluwatoNin  Olarele  .Ajose 
.Mehin  .Standford  F-arland.  Jr. 
Sonja  Trojak  F-'rance 
SamerTaj-Eldin 
Johann  Vincent  Torres 

(k'orgia 

Sung  K>u  Chang    '^I'i^Hl 

Illinois 

Zane  Kesin  Basrawala 
Lisa  Rahangdale 
Taslor  Hainer  Stroiul 


Indiana 

Donald  Lee  Mcl.amb.  Jr.   ' n/!i/in/i 
Michael  Patrick  Murphy      "'"<'"^' 


Internal  Medicine 


Pediatrics 

Emergency  Medicine 

Internal  Medicine 

Medicine 

Radiology-Diagnostic  ( Ad\. ) 

Transitional* 

Emergenc)  Medicine 

Pediatrics 

Internal  Medicine 

Pediatrics 

Psychiatry 

Anesthesiology  (Ad\.) 


let  of 


Pediatric 


Pediatrics 

Pediatrics 
Psvchiatrv 


Pediatrics 
Family  Practice 

Pediatrics 
Internal  Medicine 
Medicine-Pediatrics 


Medicine-Primarv 


Urology 

Obstetrics/(i\necolog\ 
Radiolosjv-Diag.         , 


Emergency  Medicine 
Emergency  Medicine 


Colo 


Vn\\.  Alabama  Hospital.  Binningham 


Childrens  Hiispital.  Oakland 
.Alameda  Counts  Medical  Center.  Oakland 
UC  San  Francisco.  San  Francisco 
UC  San  Francisco.  San  Francisco 
UC  San  Diego  Med.  Clr..  San  Diego 
Santa  Clara  Valle\  Medical  Ctr..  San  Jose 
Stanford  Uni\ersit\  Programs.  Stanford 
Loma  Linda  Univ.  Med.  Ctr.  I.oma  Linda 
VC  San  Francisco.  San  Francisco 
Stanford  Uni\ersit\  Programs.  Stanford 
Loma  Linda  Uni\.  Med.  Clr.  Loma  Linda 
Stanford  Unixersitv  Programs.  Stanford 


Colorado  School  of  .Medicine.  Denver 


NCC- Walter  Reed  Arm\  Medical  Center 
Childrens  National  Medical  Center 
Georgetown  llni\crsit\  Medical  Center 


Jackson  Memorial  Hospital.  Miami  .    , 

Florida  Hospital.  Oriando  >  ^1''' 

Uni\.  Florid;i/Shands  Hospital.  Gainesville 
Uni\.  Florid.i/Shands  Hospital.  Gaines\ille 
Jackson  .Memorial  Hos|iital.  Miami 


Emopv  Uiii\ersii\,  .Atlaiila 


Loyola  Uni\.  Medical  Ctr..  Mawvood 
McCiau  Medical  Ctr  Northuesiern.  Chic; 
Unnersitv  ot  Chicago  Ho.pnal 


Indiana  Uni\..  Imlianapolis 
Indiana  Uni\..  Indianapolis 


19 


Kentucky 

Andrew  Craig  McGregor     nfiif^l 

Maine 

Kimberly  Lyn  Hartnett 

Maryland 

Janinc  Elizabeth  Billiard 

William  Aycock  Mills,  Jr. 

Patrick  O'Connell  Mctr 

Michigan 

Leslie  Renee  Ellis 
Mark  Eric  Hutchin 
Mark  Eric  Hutchin 

Minnesota 

JetTrey  Schiller  Mueller 

James  Elliot  Rider 

Leonide  Gerard  Toussaint  III 

Massachusetts 

Bi7an  Courtney  Batch 

Sandra  Charlotte  Farkouh 

David  Laurence  Issacs 

Stephen  Andrew  Oljcski 

Aneesh  Kiuiiar  Singia 

Peter  Anton /.emaif     \laSSach 

New  York 

Michael  L;iJaun  Cody 

Kendreia  Wynette  i^ickens-Williams 

Albert  Hamilton  Holt.  Jr 

Jenniler  [illen  Larson 

Stephen  William  North 

Patrice  Lanette  Reives 

Elizabeth  Cate  Roede 

William  Douglas  Schell 

North  Carolina 

James  Ritbert  Alexander 
James  Robert  Alexander 
Albeil  Muir  Leonard  Anderson 
Frederic|ue  Claude  Marie  Bailliard 
Anne  Wood  Bea\'cn 
JetTres  \i.  Brow  n 
Donna  Michelle  Capps 
■Abigail  Suzanne  Caudle 
Chanhthevy  Sourisak  Chai 
Kimberley  Renette  demons 
Kelli  Gail  Coop 
Patricia  .Ashles  Coppatie 
David  Rodolph  Dixon^ 
Brian  William  Downs 
Brian  William  Downs 
Cescili  Aurelia  Drake 
Myriam  Ruth  Farkouh 
William  Mortimer  Fowlkes  IV 
Carolyn  Lonaine  Hess 
Shawn  Brooke  Hocker 
Carolina  Markey  Hoke 
Tenence  Edward  Holt 
Jennifer  Ann  Hooker 
Tracy  Powell  Jackson 
Skyler  Elizabeth  Kalady 
Sosena  Kebede 
Dennis  John  Kubinski 
Ke\  in  Michael  Lee 
Bartholomew  Joseph  Lopina 
Kecha  .AnnMarie  L\  nShue 


Uroloiiv  (Adv. 


General  Surcerv 


Pediatrics 
Pediatrics 
Medicine-Primary 


Internal  Medicine 
Surgery* 
Otolaryngology  (Adv. 


Radiology-Diag.  (Adv.) 
Internal  Medicine 
Neuroloiiical  Sure.  (Adv.) 


Internal  Medicine 
Pediatrics-Primary 
Medicine* 

Radiology-Diag.  (Adv.) 
Anesthesiology  (Adv.) 
Urology 


Anesthesiology  (Adv.) 
Obstetrics/G\'necology 
Psychiatrv 
Internal  Medicine 
Family  Practice 
Psychiatry  ' 

Obsletrics/Gynecology 
Orthopedic  Surge!7 


}or 


Medicine* 

Phy.  Med/Rehab(Adv.) 

Medicine-Primai7 

Pediatrics 

Internal  Medicine 

Internal  Medicine 

Family  Practice 

General  Surgery 

Family  Practice 

Anesthesiology 

Internal  Medicine 

Pediatrics 

Family  Practice 

Otolaryngology  (Ad\. ) 

Surgery* 

Obstetrics/Gynecology 

Pediatrics 

Emergency  Medicine 

Family  Practice 

Orthopedic  Surgery 

Obstetrics/Gynecology 

Internal  Medicine 

Orthopedic  Surgeiy /Research 

General  SurgeiT 

Pediatrics 

Internal  Medicine 

Lrology  (.Adv.) 

Internal  Medicine 

Family  Practice 

Pediatrics 


Uni\ .  of  Kv.  Medical  Center.  Lexington 


Maine  Medical  Center.  Portland 


Johns  Hopkins  Hospital.  Baltimore 
Johns  Hopkins  Hospital.  Baltimore 
Johns  Hopkins  Bay\  iew  Med.  Ctr.,  Baltimore 


Univ.  Michigan  Hospitals.  Ann  Arbor 
Univ.  Michigan  Hospitals.  Ann  Arbor 
Univ.  Michigan  Hospitals.  Ann  Arbor 


iigan 


Univ.  Minn.  Medical  Scht)ol.  Minneapolis 
Univ.  Minn.  Medical  School.  .Minneapolis 
Mayo  Graduate  School  ol  Medicine.  Rochester 


Boston  Uni\.  Medical  Center 

Boston  Combined  Peds  Res.  Program,  Boston 

Mt.Aubuni  Hospital.  Cambridge 

New  England  Med.  Ctr.  Boston 

Mass.  General  Hospital,  Boston 

Boston  Uni\.  School  of  Medicine 


St.  Vincents  Hospital.  New  York 
MetiX)politan  Hospital  Center.  New  York 
New  York  Uni\ersit\  Medical  Ctr. 
LIniv.  Rochester/Strong  .Memorial.  Rochester 
Univ.  Rochester/Strong  Memorial,  Rochester 
Long  Island  Jewish  Med.  Ctr.,  New  Hyde  Park 
New  York  Presbyterian  Hospital,  New  York 
St.  Lukes-Roosevelt  Hospital  Center,  New  York 


Carolinas  Medical  Center,  Charlotte 

Carolinas  Medical  Center.  Chariotte 

Duke  Univ.  Medical  Ctr.,  Durham 

UNC  Hospitals,  Chapel  Hill 

UNC  Hospitals.  Chapel  Hill 

Moses  Cone  Memorial  Hospital.  Greensboro 

Mountain  AHEC.  AsheviUe 

UNC  Hospitals.  Chapel  Hill 

UNC  Hospitals,  Chapel  Hill 

UNC  Hospitals,  Chapel  Hill 

Carolinas  Medical  Center,  Charlotte 

Carolinas  Medical  Center.  Charlotte 

Wake  Forest  Uni\.  Baptist  Med.  Ctr.  Winston-Salem 

UNC  Hospitals,  Chapel  Hill 

UNC  Hospitals.  Chapel  Hill 

Duke  Univ.  Medical  Ctr.  Durham 

UNC  Hospitals,  Chapel  Hill  /.   /^.-/i-/^//; 

Uni\.  Hllh  System  East  Carolina,  Greenville 

Carolinas  Medical  Center.  Charlotte 

Duke  LIniv.  Medical  Ctr.  Durham 

UNC  Hospitals,  Chapel  Hill 

UNC  Hospitals.  C  hapel  Hill 

UNC  Hospitals.  Chapel  Hill 

UNC  Hospitals.  Chapel  Hill 

UNC  Hospitals.  Chapel  Hill 

New  Hainner  Regional  Med.  Ctr.  Wilmington 

Wake  Forest  Uni\.  Baptist  .Med.  Ctr,  Winston-Salem 

UNC  Hospitals,  Chapel  Hill 

Wake  Forest  Uni\.  Baptist  Med.  Ctr.,  Winston-Salem 

Carolinas  Medical  Center,  Chariotte 


20 


Alycia  Moore  McFarland 
Christopher  Brent  Mizelle 
Christopher  Brent  Mi/elle 
Joseph  Albert  Molitiemo.  Jr 
Joseph  Albert  Mohtiemo.  Jr. 
Jaquelin  Marie  Xash 
Jaquelin  Marie  Nash 
\\'end\  Gail  Owen 
Heather  N.  Roberston  White 
KiniberK  Miehelle  Rouse 
Vineent  Cyril  Schooler 
Karen  B  Stitzenberg 
Melanie  L\  nn  Tew 
Am\  Jacqueline  Tn\  ette 
John  W.  Watts 
Jonathan  Bradle\  W'otxls 
Matthew  Donald  '"lount; 


Psychiatn 
Dermatology  (Adv.) 
Medicine* 
Surgery* 
Urolog)  (.Ad\.) 
Demiatolog\  ( .Ad\'. ) 
Medicine* 
Medicine-Priniar) 
()bstctrics/G\  necolosj 
Family  Practice 
Internal  Medicine 
General  Surger> 
Psychiatr\ 
Psychiatr) 
FamiK  Practice 
Medicine-Primary 
L'rolos:\  i.Adv.J 


UXC  Hospitals.  Chapel  Hill 

LNC  Hospitals.  Chapel  Hill 

Moses  Cone  .Memorial  Hospital.  Greensboro 

CNC  Hospitals.  Chapel  Hill 

L'NC  Hospnals.  Chapel  Hill 

UNC  Hospitals.  Chapel  Hill 

UNC  Hospitals.  Chapel  Hill 

Duke  L'ni\.  Medical  Ctr..  Durham 

Carolinas  Med:cal  Center.  Charlotte 

New  Hamner  Reg.  .\led.  Ctr,.  W'ilmnigton 

Wake  Forest  Univ.  Baptist  Med.  Cti  .  \\instoii-Salem 

UNC  Hospitals.  Chapel  Hill 

LNC  Hospitals.  Chapel  Hill 

LNC  Hospitals.  Chapel  Hill 

Mountain  AHHC.  Ashe\  ille 

Wake  Forest  L'niN.  Baptist  Med.  Ctr..  W  iiiston-Salem 

Duke  L'iii\.  .Medical  Ctr..  Durham 


Pennsylvania 

Megan  Ha_\es  Bair-Merritt 

LaTos  a  A.  Brow  n 

LaToN  a  .A.  Brow  n 

Timolh\  Ward  Dancy 

Da\  id  P.  Fit/gerald 

Elizabeth  Leonard  Fit/gerald 

Corey  D.  Fogleman 

Melinda  Diane  Frit/ 

Seth  Chnstopher  Collings  Hawkins 

Jeffrey  Schiller  .Meuller^ 

Deepa  Perumallu 

Douglas  Da\  id  Rockacy 

.Amish  Chandrakant  Sura 


Pediatrics 

.•\nesthesiolog\  (Ad\. ) 
Transitional* 
Famil>  Practice 
Internal  Medicine 
Pediatrics 
Family  Practice 
Pediatiics 

FmergencN  Medicine 
Transitional* 
Internal  Medicine 
Emergence  Medicine 
Internal  Medicine 


Childrens  Hospital  of  Philadelphia 
Hospital  ol  the  L'ni\  ol  Pa..  Philadelphia 
Frankford  Hospital.  Philadelphia 
UPMC  Shads  side.  Pittsburgh 
Hospital  ol  the  Linn.  ol'Pa.'^  Philadelphia 
Childrens  Hospital  of  Philadelphia 
Lancaster  General  Hospital.  L,ancaster 
Llni\.  Health  Center  of  Pittsburgh 
Lini\ .  Health  Center  of  Pittsburgh 
L!ni\.  Health  Center  of  Pittsburgh 
Hospital  of  the  Univ.  of  Pa..  Philadelphia 
L'ni\.  Health  Center  of  Pittsburgh 
L'ni\.  Health  Center  of  Pittsburgh 


South  Carolina 

Tro\  .Augustus  Bunting 
Bamab\  Todd  Dedmond 
Zane  Ian  Lapinskes 


Internal  Medicine 
Orthopedic  Surgen. 
FamiK  Practice 


Medical  Uni\ .  of  SC.  Charleston 

Palmetto  Richland  Mem.  Hiispital.  Columbia 

Self  Memorial  Hospital.  Greenwood 


Tennessee 

Michael  Thomas  Capps 
Seth  Monis  Cohen 
Peter  Howard  McHu'jh 


Medicine-Pediatrics 
Otolaryngology  (Adv.) 
Medicine-Pediatrics 


Vandcrbilt  Uni\.  Medical  Ctr..  Nash\  ille 
Vaiidcrbill  Univ.  Medical  Ctr..  Nashxille 
L'nn.  Tennessee  COM.  Memphis 


Texas 

Janet  Eli/abelh  Hams 
Dawn  Denise  Johnson 
Jason  Neil  Kat/ 
Susan  Lee  Marcelli 
Tans  a  Pauline  Tiamfook 


Obstetrics/G\  nccolog; 
Pediatrics 

Emergency  Medicine 
Obstetrics/G_\  nccolog; 
FamiK  Practice 


Univ.  Texas  Med.  School.  Houston 
Uni\.  Texas  Southwestern  Med.  Schiiol.  Dal 
L'ni\.  Texas  Southwestern  Med.  School.  Dal 
Baylor  College  of  Medicine.  Houston 
Uni\.  Tc\as  Med.  Branch,  (iabcston 


Robert  Stuart  B\rum 
Chris  D  Fennelf 
Erie  hars  Franckc 
Traces  Louise  Huckabec 
MokhtarO.  .Morgan 
Scott  Da\  id  .Nash 
Michael  Karim  Newman 
Stephen  Andrew  Oljcski 
Jonathan  R  Saluta 
Yalaunda  .Michelle  Ihoma' 
James  Eric  Turner 
R\an  Carl  Wanamaker 


\\usliin)it<)n 

.Neil  C   \  iniHL' 


Internal  Medicine 
.Anesthesiology 
Orthopedic  Surg.-fith  M-ar 
FamiK  Practice 
FamiK  Practice 
Medicine-Pediatrics 
Plastic  Surgery* 
Transitional* 
Orthopedic  Surgen 
Surger\  * 
Internal  Medicine 
Medicine-Primary 

Oilhopcdic  Surgery 


Liniversity  of  Virginia.  Charlottcs\illc 
L'ni\ersit\  of  Virginia.  Charlottesv  ille 
I  'ni\ersity  of  Virginia.  Charlollcs\  ille 
Chippenham  Medical  Center.  Richmond 
Rixcrsidc  Regional  Med.  Ctr.  Newport  News 
Medical  College  of  Virginia.  Richmond 
Medical  College  of  Virginia.  Richmond 
Carilion  Health  S\stem.  Roanoke 
Mctlical  College  of  Virginia.  Richmond 
Uni\ersiiy  of  Virginia.  Charlottes\  illc 
L'ni\ersiiy  of  Virginia.  Charlottes\ille 
L'ni\ersii\  of  Virginia.  Charlottes\ille 


Madi'jan  Arniv  Medical  Center.  Tacoma 


Alumni 

Notes 


50s 


William  S.  Jovner,  MI)  "50.  recently 
mo\ed  to  the  nevvlv  opened  Croasdaile 
Methodist  Retirement  Community  in 
Durham,  and  writes  that  he  and  wife 
Jane  are  doing  their  best  to  keep  the 
UNC  Hag  flying  in  the  shadows  of  the 
Duke  campus. 

Dan  A.  Martin,  MI)  "50,  is  still  engaged 
in  his  work  as  director  of  Trover  Clinic 
Foundation  Education  Division  and  as 
medical  director  of  the  Hopkins  County 
(Kentucky)  Health  Department.  Martin 
can  be  reached  at  kymartinsC?  \ci.nct. 

John  L.  McCain,  MD  "50.  is  the  medical 
director  of  three  nursing  homes,  in  addi- 
tion to  his  practice  in  rheumatology  and 
geriatrics.  McCain  writes  that  he  is  enjoy- 
ing his  practice  a  great  deal  —  he  went 
solo  in  "92.  moved  into  a  new  office  in 
"98.  and  became  a  certified  medical 
director  in  "98.  McCain  and  wife  Betty 
li\e  in  Wilson.  NC. 

IJoyd  C.  McCaskill,  MD  "55.  joined  his 
cousin.  Norman  McCaskill.  along  with 
their  wises  and  families  last  April  in  the 
dedication  of  the  UNC-CH  McCaskill 
Soccer  Center  by  the  UNC  Athletic 
Department  and  the  Educational  Founda- 
tion. McCaskill's  family  of  UNC  gradu- 
ates includes  Norman  McCaskill.  "33: 
Lloyd  C.  McCaskill.  '51  and  "55;  L. 
Curtis  McCaskill.  Jr.  "78:  Donna  Jordan 
McCaskill.  "TS:  T.  Gray  McCaskill,  "79; 
Kimberly  Davis  McCaskill.  "80:  Janell 
McCaskill  Hannah.  "83:  Roger  D. 
Hannah,  "79:  and  future  graduate  James 
Curtis  McCaskill.  Lloyd"s  grandson,  a 
sophomore. 


60s 


emerald  (Jerry)  Fernald,  MD  "60. 

remains  acti\e  in  resident  recruitins:  for 


the  department  (if  pediatrics  and  the  F.W. 
Denny  Society  at  UNC. 

Frank  McCain,  MD  "60.  has  two  part- 
ners now  after  35  years  of  solo  allerg\ 
practice.  McCain  works  4  days  each 
week  and  says  that  he  is  enjoying  his 
work  more  than  ever,  because  having  the 
partners  affords  him  more  time  with  his 
patients  and  less  stress. 

G.  Thomas  Strickland,  MD  "60.  says 

he  has  no  plans  to  retire  anytime  soon  — 
he  still  enjoys  teaching  medical  and 
graduate  students,  house  officers  and 
health  care  pro\  iders  in  practice. 
Strickland  has  research  projects  ongoing 
in  Mar\land,  Brazil,  the  Philippines 
and  Egypt.  He  and  wife  Anne  li\e  in 
Baltimore,  and  can  be  reached  at 
tstrickland@som.umar\  land.edu. 

Robert  L.  (Jrubb,  Jr.,  \ID  "65.  is  heavi- 
ly involved  in  bitth  clinical  neurosurgery 
at  Washington  University  in  St.  Louis  and 
in  research  using  PET  scanning  to 
patients  with  severe  head  injuries. 
Grubb's  wife,  Julia,  is  vice-president  of 
the  Friends  of  St.  Louis  Children's  Hos- 
pital and  serves  on  the  board  of  directors 
of  Epworth  Children's  Home  in  St.  Louis. 
His  son.  Robert  III.  is  a  fourth-year  urol- 
og\  resident  at  Barnes-Jewish  Hospital, 
and  daughter  Mary  Connell  is  a  first-sear 
law  student. 

Robert  Kindley,  MD  "65.  retired  from 
the  .Air  Force  m  1996.  after  22  years. 
Kindley  is  now  in  private  allergy  practice 
in  the  Destin-Ft.  Walton  Beach  area  of 
Florida.  He  and  w  ile  Lynn  can  be  reached 
at  rkindle\'(?' aol.com. 

WIMiam  F.  Savers,  MD  "65.  retired  in 
January  of  this  year.  He  and  wife  Bett\ 
arc  looking  forward  to  spending  more 
time  at  Bald  Head  Island.  NC.  and 


Iraseling.  They  can  be  reached  at 
wsayers(n  triadiT.com. 

F.  Walton  .\very,  MD  "67.  retired  from 
pathology  practice  in  July  "99,  and 
recently  returned  from  a  vacation  in 
Israel  —  a  trip  that  he  says  is  a  must  for 
e\er\one. 


70s 


Stephen  L.  Green,  MI)  "70.  has  started  a 
charils  called  Sedona  LTD.  dedicated  to 
bringing  AIDS  care  to  the  Caribbean  and 
Central  .America. 

John  F.  Hanna,  MD  '70.  retired  from 
otfice  urologs  practice  in  Louisburg.  NC  . 
in  199S  and  mo\ed  to  Sarasota.  Fla. 
Hanna  writes  that  he  is  doing  real  estate 
and  property  management  in  a  hot  mar- 
ket, and  doing  better  than  ever  in  medi- 
cine, w  iih  a  lot  less  stress. 

Bruce  Berlow,  MD  "75.  moved  to 
Mystic.  Conn.,  two  years  ago  after  prac- 
ticing in  Santa  Barbara.  Ca.  for  18  years. 
He  and  w  ife  Lee  can  be  reached  at 

bbcrlow  (n  pol.nel. 

Frank  Moretz,  MD  "75.  is  currently  the 
secretary  treasurer  for  the  N.C.  Society  of 
.Anesthesiologists.  Moretz  is  slated  to  be 
president  of  the  NCSQA  in  2002. 

F;d  Morris,  MD  "75.  received  a  PhD  in 
philosophy  in  1998.  and  is  currently 
leaching  philosophy  part-time.  Morris 
enjoys  running,  and  has  completed  six 
marathons,  including  two  Boston 
Marathons. 

Cynthia  D.  Conrad,  MD  "78.  has  a  new 
position  vsith  Connecticut  Valles  Hospital 
(the  state's  long-term  psychiatric  hospi- 
tal) as  Chief  of  Professional  Ser\ices. 


She  has  spent  the  past  13  \ears  associated 
with  the  Institute  ot  Li\in>;  in  Hartlord. 


80s 


Lawrence  Wyner.  MD  '83.  is  a  leiial 
transplant  surgeon  at  Chariestt>n  Area 
Medical  Center  in  West  Virginia.  He  and 
his  wife.  Louida.  announce  the  birth  ol 
their  second  child.  Tessa  Anneliese.  u  ho 
was  horn  No\.  30.  1999.  Their  son.  Joshua 
Ross,  celebrated  his  third  birthda\  in  Jul\. 

Sebastian  R.  .Alston,  MD  '85.  is  cunent 
ly  an  associate  protessor  ot  patholog}  at 
Mercer  Uni\ersity  School  of  Medicine  in 
Macon.  Ga.  Alston  says  he  is  having  a  lot 
of  fun  at  Mercer,  and  he  currentl\  serves 
as  secretary  of  the  Group  for  Research  in 
Pathology  Education  (GRIPE),  the  pathol- 
ogy education  association. 

Leslie  .\.  Bunce,  .MI)  '85.  reports  that 
alter  nine  years  in  academic  hematolog\/ 
\ascular  medicine  at  the  Uni\ersity  of 
Rochester  and  two  and  a  half  \ ears  in 
pharmaceutical  medicine  in  Research 
Triangle  Park.  .NC.  she  recently  began 
an  open-ended  hiatus  to  enjo\  time  at 
home  with  her  two  sons.  Michael.  6. 
and  .lames.  4, 

Elizabeth  Kngelhardt  .Mandell.  .MD  '85. 
her  husband.  Jim.  and  children  Michael. 
6.  and  Kaitlyn.  3.  recently  mo\ed  to  the 
Minneapolis/St.  Paul  area  in  order  to  be 
closer  to  Jim's  job  as  a  pilot  for  .Northwest 
Airlines.  Mandell  is  currently  interview- 
ing for  jobs  and  plans  to  continue  her 
practice  in  occupational  medicine, 

Terrence  (Sonny)  .M(irt(in,  MD  '85.  is 

currenti)  practicing  coiiimumt_\  hospital 
emergcncN  medicine,  and  expects  to  com- 
plete a  dual  .MBA  /  MHA  degree  program 
next  spring. 


active  with  a  group  of  pediatricians  from 
her  hospital  who  volunteer  their  serv  ices 
to  children  in  El  Salvador.  Thomas  says 
she  finds  the  work  very  rewarding,  and 
recommends  physician  volunteerism  to 
aiivone  suffering  from  "phvsician  hurn- 


Marilyn  Russell,  PhD  '86.  is  an  adjunct 
pritfessor  of  biologv  at  Gonzaga  Universi- 
tv.  in  Spokane.  Wash.  Russell  says  she 
enjov  s  raising  her  granddaughter.  Angela, 
renovating  her  farmhouse  and  l.^-acre 
farm,  and  raising  organic  vegetables  m 
her  greenhouse  year-round. 

Michael  Duggan,  MD  '88.  and  his  w  ife. 
[-aura,  lecentlv  celebrated  the  birth  of 
their  second  son.  Luis  Raphael.  Their 
son  Max  Perez  is  6  years  old.  Duggan  is 
a  pathologist  w  ith  Pathology  Medical 
Services  in  Lincoln.  Neb. 

Philip  Thwing,  MD  '88.  is  proud  to 
announce  his  engagement  to  LcAnne 
Keicher  The  two  were  to  be  married  in 
Julv.  His  email  address  is: 
PhilThwinu  a  Greene. \tn. net. 


90s 


lodd  Cowdery,  MD  'y(».  lues  and  works 
in  the  San  Juan  Islands  of  Washington 
State  on  an  island  called  Orcas.  Cowdery 
serves  the  communilv  as  a  familv  phvsi- 
cian. He  reports  that  Orcas  is  roughlv  the 
si/e  of  Manhattan,  but  with  only  1/1 OOO'*^ 
the  population.  A  critical  difference,  he 
notes,  to  he  and  his  two  partners  who  pro- 
vide  the  island's  onh  24/7  medical  care. 
Cowderv  relies  on  the  consiaiu  compan- 
ionship of  his  dog.  Jericho,  whom  he 
calls  a  dog  with  a  remarkable  travel  (ale. 
Cowderv  can  be  reached  at: 
tcovi,derv  ("  rockiskuufcom. 


a  PhD  from  Medical  College  of  Virginia 
in  1998.  He  is  current! v  in  a  cardiotho- 
racic  surgerv  fellow  ship  at  Hahnemann 
Universilv  Hospital  m  Pennsv  Ivaiiia. 

Gary  M.  Myles,  PhD  '90.  graduated  liom 
law  school  at  the  Universitv  of  Washing- 
ton in  June  "99.  Myles  is  now  an  associate 
patent  attomev  at  Seed  Intellectual  Prop- 
erty Law  Group  PLLC.  a  chemical/ 
hiotechnologv  practice  in  Seattle. 

Todd  (Jriffith.  MD  '97.  has  begun  a 
nephrology  fellow  ship  at  Duke  L'niversiiv 
Medical  Center  Griffith,  his  wife.  .Andie. 
and  their  two  children  are  excited  to  be 
returning  to  the  Triangle.  Thev  can  be 
reached  at :todd.i:ri filth Cp  alumm.diike.edu. 


Deaths 

.k'rr>  F.  Kriigh,  MS.  PT  '84 


Claudia  Ihomas.  Ml)  '85. 


.urrenllv 


.John  (  Iriv  I  Liit«istle.  Ml)  '9(»   uceived 


23 


Development 

Notes 


Loyalty  Fund  Campaign 


Rciininn  aiul  ivfiioiuil  committee  chairs  presented  more  than  $S22.()Ol)  in 
Loxaltx  Fund  donations  at  the  Sprint;  Medical  Alumni  Banquet  in 
Chapel  Hill.  Final  aunpaign  totals  for  the  year  ending  June  30.  2000 
are  listed  helow. 


Number  of 

Percent 

Total  Cash 

Class/Region 

Volunteers 

Participation 

&  Pledges 

Class  of  1945 

3 

16/24(67%) 

S    6.8(X) 

Class  of  1950 

11 

32/39(82%) 

$  20,000 

Class  of  1955* 

23 

44/48  (92<7r) 

$150,500 

Class  of  1960 

24 

35/60(59%) 

$  40.000 

Class  of  1965 

12 

24/54(44%) 

$   14.000 

Class  of  1970 

12 

31/69(45%) 

$  30.000 

Class  of  1975 

TT 

34/100(34%) 

$  168.500 

Class  of  19S() 

10 

50/153(33%) 

$   19.000 

Class  of  1985 

15 

37/143(26%) 

S  24.000 

Class  of  1990 

24 

45/125(36%) 

S   13.500 

Class  of  2(X)0* 

20 

1  16/13()(89%)(,n,./,U,n/v 

S  25.525 

Atlanta*** 

10 

43/108(40%) 

S  14.000 

BLincoiiihe*** 

.\shcyille 

Durham/Orang 

12 

29/67(43%) 

$  16,500 

e         18 

124/343(36%) 

S  63.500 

Forsyth 

21 

51/100(51%) 

$  33.(X)0 

W'inston-Salenr 

Guilfoi'd 
Lheenshoro 

Mecklenburg 

28 

103/174(59%) 

$  49.500 

25 

86/217(40%) 

$  60.000 

Charlotte 

New  Hanoser 

14 

41/70(59%) 

S  35.200 

Wilnungton 

Wake 

25 

106/276(38%) 

S  39.300 

Raleigh 

'irpn'Hiil'.  /i(i,'/iCA 

level  i>t  iiliinini  piu 

tieipcititinin  elci.'.s. 

**Foiirth-yciir  CiiiniHiiiiii  reuclied  all- 

time hii:h  ii/z/i S9'",  purlieipiHidn. 

*  *  *Ccisli  only,  iwl  including  pledges 

Hatcher  Golf  Tournament 
scheduled 

The  2000  Mike  Hatcher  Memorial  Golf 
Tournament  kicks  off  w  iih  registration  at  1 1 :30 
am.  on  Monday.  Oct.  9.  at  Prestonwiiod  Golf 
and  Country  Club  in  Cary. 

The  shotgun  start  will  he  at  I  p.m.  Cost  is 
S 1 50  per  golfer,  w  hich  includes  a  charitable 
contribution  of  S65. 

The  tournament  raises  money  for  cystic  fi- 
brosis research  at  UNC.  Since  the  e\ent  started 
four  years  ago.  it  has  raised  more  than 
$200,000.  Last  year,  there  were  appro.ximately 
300  entrants. 

To  enter,  contact  Greg  Hatcher,  tournament 
director,  at  (919)  469-3868  or  310-9758 
( pager)  or  email  ghatcher(5' ix.netcom.com. 

Or.  contact  Jim  Miller  at  The  Medical 
Foundation  of  North  Carolina.  Inc.  at  (919) 
966-1201  oremailjim_miller(?  unc.edu. 

Honor  Roll  of  Donors  .  ' 

Correction 

The  Winter  1999/2000  issue  of  the  Bulletin 
included  the  Medical  Foundation's  annual 
"Report  to  Donors."  which  features  an  Honor 
Roll  of  Donors  who  made  contributions  to  the 
Loyalty  Fund  during  the  preceding  fiscal  year. 
L'nfonunately.  not  all  names  were  included  in 
the  Loyalty  Fund  List.  Our  apologies  to  those 
donors  v\  hose  names  appear  below : 

•  J.AllenWhitaker.M.D.  "31 
Rocky  Mount.  NC 

•  JackB.Hobson.M.D.  "57 
Charlotte.  NC 

•  Robert  S.Cline.M.D.  "57 
Sanford.  NC 

•  Robert  J.  Cowan.  M.D.  "63 
Winston-Salem.  NC 


24 


President's 
Letter 


As  I  dro\e  to  Chapel  Hill  in  Ma\  lo 
piirticipate  in  the  graduation  cero- 
nion\  tor  the  Sehool  of  Medi- 
cine's Class  ot  2()()().  I  was 
alread)  excited  about  m\  being  inxited  to 
participate. 

Just  16  \ears  bexond  ni\  own  gradua- 
tion in  that  same  Memorial  Hall,  the  memo- 
ries ot"  it  all  remained  \  i\  id.  The  e\  ent 
marked  one  otlhe  tlnal  academic  milestones. 
w  ith  the  presence  ot  Tamily  and  close  friends 
adding  due  weight  lo  the  occasion.  It  was  at 
once  a  celebration  and  a  good-bye  to  class- 
mates before  scattering  hither  and  yon.  With 
an  idea  of  w  hat  lay  ahead  for  this  year's  class. 
1  shared  the  electricity  of  the  eager  graduates. 
.As  Dean  Smith  said  in  his  often-imitated  un- 
emotional nasal  twang  amid  the  immediate 
aftermath  of  the  UW2  championship.  "I  am 
happy  for  our  seniors."  (The  next  year,  you 
recall.  Jim  VaKano  demonstrated  how  to  cel- 
ebrate as  he  spun  around  the  court  in  Brow  n- 
ian  motion!) 

Anyway,  as  it  turned  out.  graduation  day 
this  time  around  was  notable  more  for  the 
time  Just  before  the  ceremony.  Having  re- 
ceived by  mail  my  parking  placard,  my  mind 
was  free  as  I  cruised  into  tow  n  vv  ith  about 
30  minutes  to  spare.  From  a  radius  of  a  mile 
or  so.  I  started  to  see  cars  double-parked  on 
the  major  thoroughfares.  Closer  to  campus, 
centripetall-obese  fathers,  red-faced  and 
soaked  with  sweat,  were  struggling  uphill 
along  the  sidewalks  as  their  perky  gow  ned 
daughters  set  the  pace.  Closer  still,  the 
swarms  of  humanity  required  me  to  slow 
down  to  walking  speed,  (inally  I  approached 
the  Columbia  .Street-Cameron  A\enue  inter- 
section where  the  hallowed  path  to  the  Old 
Well  was  blocked.  A  barricade  was  manned 
by  three  people,  including  an  armed  police 
officer,  but  a  simple  wa\e  of  my  parking 
placard  got  for  me  a  smile  and  a  welcome 
through. 

As  I  inched  toward  Memorial  Hall,  gently 
easing  my  way  through  groups  of  people 
standing  on  the  pa\ement.  it  was  plainly  ap- 
parent that  I  was  one  of  the  \ery  lew  allowed 
to    pass     that     way.     Moments     later. 


GniUtiidc 

Tlw  liii;li  pri:f  of  lite,  ilic  ndwiiiiii;  tcrtiiin 

(>l  (I  mail,  is  u>  he  horn  with  a  hias  u>  sonic 

pitisnit  which  finJ.'i  him  In  employment 

iiihl  luippincss. 

Ralph  W'alilo  F.mcison 


I  parked  within  .SO  teet  of  the  aLidiloiium 
where,  incidentally,  there  \\ere  another 
15  empty  spaces.  Without  question,  that  was 
the  highlight  of  my  Tar  Heel  career 

Other  e\ ents  come  to  mind  —  getting  an 
.A  in  organic  chemistry,  being  oflered  a  seal 
in  medical  school.  e\en  getting  midcourt 
bleacher  seats  in  Carmichael  tt)r  the  Caroli- 
na-Duke game  —  but  none  of  these  approach 
the  ie\el  of  my  special  parking  pri\ilege  as 
president  iif  the  UNC  Medical  Alumni 
Association. 

For  the  parking  space  and  for  the  eight 
wonderful  years  at  Carolina,  I  am  deeply 
grateful.  Having  received  a  top-le\el  educa- 
tion at  nominal  cost.  UNC  deserves  my  life- 
long loyalty  and  support.  Since  each  of  you 
shares  w  iih  me  this  legacy  of  pri\  ilege.  I  urge 
you  to  join  me  in  meeting  our  responsibilit\ 
to  give  something  back  lo  our  alma  mater. 
Refer  your  patients.  Connect  w  ith  your  fel- 
low alumni  at  the  various  social  functions 
and  CME"s.  Precept  a  student.  Become  a 
Loyalty  Fund  associate.  Look  for  wa\s  to 
build  up  our  School  of  Medicine  as  so  maiiv 
before  us  havetlone  proudly. 


CME/Alumni  Calendar 

September  15-17.  2000  -  Kingston  Plantation.  Myrtle  Beach.  SC 

N.C.  Society  of  Anesthesiologists  Fall  Session 

September  16.  2000  -  Chapel  Hill 

Family  Day  /  While  Coat  Ceremony 

September  22-23,  2000  -  Chapel  Hill 

I'NC  Wound  Management  Conference 

September  2S-30.  2000  -  Chapel  Hill 

Ross  Society  Annual  Meeting 

October  3.  2000  -  Chapel  Hill 

Dedication  of  Neuroscience  Research  Center 

October  6-7.  2000  -  Durham 
UNC  Children's  Burn  Conterence 

October  10.  2000  -  Chapel  Hill 

Berryhill  Lecture 

October  13-14.  2000  -  Greensboro 
UNC-Duke  Women's  Cancer  Conference 

October  20-21.  2000  -  Chapel  Hill 

Fall  Medical  Alumni  Weekend 

For  more  information  about  CME  courses,  contact  the  Office  of 
Continuing  Medical  Education  at  (919)  962-21  IS  or  toll-free 
through  the  Consultation  Center  at  (800)  852-6264.  To  contact 
the  Alumni  Affairs  Office,  call  (919)  962-6786  or  email 
medical  alumni Cp  nied.unc.edu 


m'^^'M 


Estate  Planning  Notice 

Many  individuals  would  like  to  make  a  major  gift 
to  the  UNC  medical  center,  but  cannot  commit 
current  assets  for  such  a  purpose.  Through  a  will, 
however,  anyone  can  make  a  more  significant  gift 
than  they  might  ever  have  thought  possible  by 
designating  a  specific  sum,  a  percentage,  or  the 
residue  of  their  estate  for  the  benefit  of  the  medical 


To  provide  a  bequest,  simply  include  a  paragraph 
in  your  will  naming  The  Medical  Foundation  of 
North  CaroUna,  Inc.  as  a  beneficiary.  For  example: 

"I  give,  devise  and  bequeath  (the  sum  of$ 

or  ( %  of  my  estate)  or  (the  residue  of 

my  estate)  to  The  Medical  Foundation  of  North 
Carolina,  Inc.,  a  501(C)(3)  created  to  maintain 
funds  for  the  UNC  medical  center  with  principal 
offices  located  at  880  Airport  Road,  Chapel  Hill, 
North  Carolina." 

This  language  creates  an  unrestricted  bequest  for 
use  by  the  medical  center  when  and  where  the  need 
is  greatest,  or  you  may  specify  that  your  gift  be 
used  for  a  particular  purpose. 

For  further  information  on  bequests,  contact 
Jane  McNeer  at  (919)  966-1201,  (800)  962-2543, 
orjmcneer@email.unc.edu. 


Medical  Alumni 


BUiXETIN 


School  of  Medidne,  Unhnersi^  of  North  Carolina  at  Chapel  Hill 


rancis  Collins,  MD  77 

Guides  Effort  That  Is 
Changing  Medicine 


Dean's 
Page 

state  of  the  School  2000 

Rcceiitl).  in  iiiv  annual  ""stale  ol  the 
School  of  Medicine"  presentation  to  lacuitN 
and  staff.  I  described  the  many  w  a\  s  UNC  is 
setliny  a  new  standard  of  excellence  in 
teaching,  lesearch  and  patient  care. 

We  are  wiirking  to  undergird  our  educa- 
tional mission  with  three  major  thrusts:  Fo- 
cusing know  ledgeable  faculty  leadership, 
developing  leading-edge  facilities  and  de- 
ploying outstanding  program  de\elopment. 
We"\e  made  tremendous  strides  in  each  ol 
these  areas,  and  I  wanted  [o  share  that  infor- 
mation w  ith  Nciu.  our  alumni  and  friends. 

Leadership:  I  have  often  referred  to  2000 
as  ""the  year  of  recruiting  chairs  '  The 
.School  of  Medicine  recruited  eight  new  lac- 
ully  chairs  this  year.  Since  I  joined  the 
schot)!  in  l*-)97.  vve"ve  recruited  a  total  of  14 
new  chairs,  four  new  center  directors  and 
two  new  center  co-directors. 

Many  of  these  faculty  leaders  studied  or 
trained  at  Carolina,  and  consider  their  return 
to  he  a  homecoming  of  sorts.  Others  were  at- 
tractetl  by  the  appeal  of  living  in  the  Town 
on  the  Hill  and  by  Cart>lina"s  international 
reputation  lor  high-e|Liality  education  and 
clinical  care.  All  of  them  come  with 
impressive  academic  credentials  and  prmen 
track  records  of  exceptional  program 
de\elopment. 

Please  join  me  in  welcoming  our  most  re- 
cent new  department  chairs.  The\  are:  V\  tas 
Bankaitis.  PhD.  cell  biology  and  anatomx ; 
Luis  Diaz.  MI),  dermatology;  Frank  Fongo. 
MD.  PhD.  Neurology.  Terry  Magnuson. 
PhD.  genetics:  Lee  McLean,  PhD.  allied 
health:  Travis  Meredith.  MD.  ophthalmolo- 
gy: Marschall  Runge.  MD.  PhD.  medicine: 
and  .-Xlan  Stiles.  MD.  pediatries. 

The  Medical  Alumni  Biillviin  has  |nih- 
lished  profiles  on  some  of  these  facult\ 
chairs  alreatl\.  aiul  will  continue  to  intro- 
duce you  to  others  in  upcoming  issues. 

Facilities:  .-\n\one  w ho  has  spent  time  in 
the  School  of  Medicine's  educational  or  re- 
search buildings  knows  the  amount  and 
quality  of  space  lea\es  something  to  be  de- 
sired. But.  several  positive  improvements 
are  under  vva\ . 


First,  the  Neurcseiences  Research  Build- 
ing is  expected  to  open  this  spring.  The 
eight-story.  .$30-million  facility  will  hi>usc 
the  L'NC  Neuroscience  Center,  where  re- 
searchers will  study  issues  related  to  the 
brain,  including  how  the  brain  develops  and 
how  it  responds  to  damage.  The  building 
also  will  prov ide  permanent  space  for  the 
neurobiology  curriculum  and  adtlitional 
space  for  several  new  facultv  members  in 
basic  neuroscience. 

Other  occupants  include  the  School  of 
Medicine's  animal-models  center  and  its 
"mousers."  researchers  who  study  mouse 
genomics.  Research  components  of  the  de- 
partments of  ophthalmology  and  neurology 
also  vv  ill  move  into  the  new  facility. 

Construction  on  the  Medical  Biotnolecu- 
lar  Research  Building  is  under  way.  as  well. 
This  lOO.OOO-square-foot.  $64-million  fa- 
cility will  house  60  to  SO  principal  inv  estiga- 
lors.  and  prov  ide  two  auditoriums,  one 
seating  about  500  people,  the  other  .^00. 

Voter  enilorsement  of  the  Nov.  7  bond  ref- 
erendum means  the  School  of  Medicine  will 
receive  nearlv  S.'^O  million  to  finish  the 
Medical  Biomolecular  Research  Building. 
The  boiuls  also  will  provide  another  $60 
million  to  make  desperately  needed  renova- 
tions and  improvements  to  the  Medical  Sci- 
ence Research  Building,  the  Burnett- 
Womack  Building.  Beiryhill  Hall  and  other 
facilities. 

Pntjjram  development:  We  have  plans 
to  grow  om  genomics,  vascular  biology, 
bioinlormatics  and  infectious  disease  pro- 
grams. Vascular  biology  will  get  four  new 
faculty  positions,  while  infectious  disease 
has  alreadv  recruited  faculty  for  two  new  po- 
sitions. 

The  Department  of  Genetics,  under  the 
direction  of  Dr.  Magnuson.  will  receive  10 
tenure-track  faculty  positions  from  the 
School  of  .Medicine.  Last  year,  the  program 
received  S2.6  million  over  four  \ears  from 
the  How  ard  Hughes  Medical  Institute  to 
help  establish  genomics  core  technologies, 
including  a  chromosome  imaging  facility. 
The  HHMI  money  also  w  ill  help  recruit  four 
junior  faculty  members  by  offering  start-up 


packages  for  equipping  their  laboratories 
and  prov  iding  support  for  technical  person- 
nel and  supplies.  In  addition,  there  w  ill  bean 
another  16  facultv  positions  funded  by  the 
L'niversity  in  various  other  programs  across 
the  campus. 

In  bioinlormatics.  four  new  faculty  posi- 
tions have  been  allocated  and  I've  granted 
"licenses  to  hunt"  to  build  programs  in  kej 
areas.  Reflective  of  our  effort  to  meld  clini- 
cal expertise  with  bioinlormatics  knowl- 
edge, the  School  of  Medicine  was  ju"Sl 
awarded  a  contract  by  the  Cystic  Fibrosis 
Foundation  Therapeutics.  Inc..  an  affiliate  ol 
the  Cv  Stic  Fibrosis  Foundation,  to  create  anc 
maintain  the  nation's  first  comprehensivj 
bioinlormatics  center  for  cv  stic  fibrosis  re- 
searchers. 

Recruiting  more  researchers  continues  tc 
be  one  of  my  piiorities.  and  the  faculty  of  th( 
School  of  Medicine  have  supported  me  bj 
allowing  me  to  withhold  1  percent  of  al 
state  dollars  for  the  purpose  of  creating  new 
positions.  By  2001.  this  withhold  will  b< 
worth  SI. 6  million  —  all  of  which  will  b< 
used  to  partiallv  support  up  to  40  new  faeul 
t_v  positions. 

The  School  of  Medicine  is  an  organiza 
tion  full  of  exciting  new  initiatives  led  by 
dedicated  and  motivated  faculty  and  staff 
who  are  committed  to  excellence  and  who 
have  great  expectations  for  tomomnv . 

Future  Dean's  Page  columns  will  focus 
on  other  elements  relating  to  the  "'State  of 
the  School  of  Medicine."  Nc.xi:  Re-shaping 
the  curriculum  and  what  we're  doing  to 
address  other  educational  issues. 


mn 


L 


i-tu^t 


JctfirxLHiniin.MD 
Dean.  ScluKil ofMcdiiinc 


0; 

-— 

.-.--  -- 

'    DEC 

HE.KLTH  SCi 

T 

Medical  Alumni 
Association  Officers 

President 

Paul  E.  Viser.  MD  '84 
Clinton 

President-Elect 

Thomas  J.  Koonlz.  MD  '66 
W'inston-Sdicni 

\  ice  President 

Ray  M.  Ha\  worth.  MD  "62 
Kno.uille.  Tn 

Secretary 

JohiiM.  Hcrion.  MD"83 

\Vilniini;t(>n 

Treasurer 

WilhamM.  Herndon.  Jr..  MD'Sl 
Charlotte 


Editorial  Staff 

John  \\.  Stokes 

Vice  President.  Public  Affctirs 

&  Xfcirketiiiii 

Debra  Pierce 
Editor 

Michele  Ble\  ins,  Bernadette  Giilis. 
Catherine  House.  Leshe  H.  Lang. 
Katie  .Macdonald.  L\nn  W'ooten 
Conlrihuli/ii^  Writers 

Dan  Crawford  (pg.  20) 

Steve  Exxum  (p<z.  ?<) 

Jay  Magnum  (pg.  11.  14.  \5.  IX.  24i 

Will  Ouens  (pg^  2..^) 

Photo\ir(ipher\ 


llic  Miiin  iilMiiinni  Hiillcliii  is  published  tour  times 
annuiillv  h>  ihefNC-C'hapc-l  Hill  Mcdic;il  Aliinirii 
Asviciatiiin.  C'hiipol  Hill.  .\C  27.^  14.  P(islai;e  IS  p.ml 
h\  ihc  min-protil  a^s()l.■lalllln  ihrouyh  L'.S.  Postal 
Pcrmil  No.  24.  .Address  correspondence  to  the  editor. 
Office  olMedical  Center  Public  .Mfairs,  School  ol 
Medicine,  CB#7WK).  I  nixersitv  or  North  Carolina, 
Chapel  Hill.  NC27,S  14 


Medical  Alumni 

BULLETIN 

School  of  Medicine,  University  of  North  CaroHna  at  Chapel  Hill 


Contents 


Features 


With  Scientific  higenuits  and  a  Little  Lucis,  L'NC  Physicians  Help  Couples 
Concei\e  Babies 2 

Women's  and  Children's  Hospitals  Will  Be  the  Newest  Additions  to  the  UNC 
Health  Care  Famih  4 

,Muiiiiii  Profile:  .Alphabet  Soup 

LW'Ciiliini  tiiincis  Ccllins  SeiTes  Upthe  Huimin  Genome  'Recipe'  and  Sets  ilie 

,S7(/.t,'c  FcrA  Mind-Biii:i;linii  Medical  Revolution 6 

Health  .Al'tairs  Bookstore  Has  A  New  Home 9 

Dean's  Choice Ill 

Family  Day  2000 14 

Faculty  Profile:  Marschall  Range,  .MD.  Chair.  Department  otMedicine I S 

Scholarship  Established  In  Honor  of  Harold  Roberts.  MD 20 

UNC  Protessor  Endow  s  National  Prize  In  Neumscienee 2 1 

2000-2001  Loyalty  Fund  Scholars 26 

Lo\alty  Fund  Campaign 2S 

Report  to  Donors 29 


Departments 


Dean's  Puge Inside  FionlCtner 

News  Briefs 12 

Faculty  Notes 16 

Research  Notes 22 

Developtneni  Notes 24 

.Aluinni  Notes 25 

Piesidcnl's  Letter Inside  Back  Ciner 

CME/Alumni  Calendar Back  Co\er 

(hillh  Cinii:  .MicT  10  lonj;  scaisol  pivp.ir.iUon  Ir.iiK  is( 'olliiis.  .\1I)  77  ,iiul  the  icsc.uch 
stall  at  the  NatKinal  Human  (lenomc  Research  Itistitiiic  alony  w  ith  scientists  wnrkiiii: 
together  at  laboratories  around  the  world  cracked  the  hiuuan  body's  jicnetic  code,  an 
astoundin':  feat  thai  promises  lochanj;c  medicine  loiever  Photos  fnim  the,! line  2{KH1 
newsconterence  held  at  the  White  House  ,irc  couilcs\  ol  ihc  N.ilional  institutes  ol  Health. 


With  Scientific  Ingei 
UNC  Physicians  Helj 


By  Catherine  House 

Late  one  night,  Stan 
Beyler,  MD  arrived  at 
the  airpoil  alter  a  busi- 
ness trip  and  boarded 
a  shuttle  to  his  ear.  It  wasn't 
erowded.  so  Beyler  notieed  that 
a  niuseular  man  dressed  in 
leather  and  seated  at  the  baek  of 
the  bus  was  staring  at  him.  It 
made  Beyler  uneasy. 

Suddenly  the  man  in  leather 
blurted  out.  "Hey!  You're  ihi 
man  who  got  my  w  i  K 
pregnant." 

Antieipating  trouble,  ilu 
other  passengers  braeed  them- 
sehes  against  their  seats,  but 
Beyler  ealmly  replied,  "Oh  ^''^'<'''  ""'' 
sure.  I  remember  you.  How  are 
you  doing?" 

As  it  happens.  Beyler  was  only  doing  his 
job.  As  a  seientist  at  UNC  Hospitals 
.Assisted  Reproduetive  Teehnologies  (ART) 
pntgram,  Beyler  works  with  t'eilility  speeialists 
to  help  eouples  eoneei\  e. 

Despite  the  \ast  number  ol  unintended 
pregnaneies  eaeh  year  in  the  United  States  — 
about  three  million,  aeeording  to  the  Alan 
Guttmaeher  Institute  —  getting  pregnant  ean 
sometimes  be  extraordinarily  diffieult.  As 
many  as  10  million  Ameriean  couples  are 
infertile,  and  some  spend  years  trying  to 
conceive,  often  without  success. 

In  vitro  fertilization  (IVF)  —  commonly 
know  n  as  "test  tube"  pregnancy  —  has 
helped  many  couples  achie\e  their  dream  of 
lia\  ing  a  child.  Since  m7S,  there  ha\e  been 
moixMhan  30().()()()  successful  IVFs  world- 
u  ide.  .At  UNC  Hospitals,  about  125  couples 
undergo  IVF  each  year.  About 
40  percent  become  pregnant  and  some  30 
percent  end  up  with  a  live  biilh. 

While  that  rate  may  seem  low.  Be\  ler. 
clinical  assistant  professor  of  obstetrics  and 
gynecology  and  director  of  the  clinical 
androloev  and  embrvoloi;\  laboratory. 


Ills  cliiUlrcii  Piiiil  (iiul  Bcckx.  wife  Marxhah  aiul  cut  Mil, 


explained  that  it  is  similar  to  "natural" 
conception  rates.  Even  with  no  fertilitv 
problems  and  no  contraceptive  use.  only  one 
in  three  reproductive  cycles  result  in  successful 
pregnancy. 

Also.  Beyler  explained.  IVF  is  onl\ 
successful  w hen  both  piirties  have  functioning 
gametes  —  that  is.  eggs  or  sperm.  If  a 
woman's  egg  quality  is  poor,  then  an  egg 
donor  is  a  possible  alternative.  Older  women, 
for  example,  may  be  able  to  carry  a  child,  but 
their  eggs  might  be  "worn  out."  A  woman  is 
bom  with  all  the  eggs  she  will  ever  have  — 
about  two  million  —  but  by  the  time  she 
reaches  puberty,  there  may  be  only  about 
400.000  left.  By  the  time  she  turns  40.  there 
may  be  \  cry  few  good  qualitv  eggs  left. 

If  a  man  isn't  able  to  produce  spemi.  then 
the  only  option  is  to  use  donor  sperm.  But 
e\  en  if  a  man  has  a  low  count.  Beyler  said, 
pregnancy  is  possible.  Sometimes  the  spenn 
just  needs  a  little  help  reaching  its  destination. 

E\  en  when  a  man  has  a  normal  sperm 
count,  less  than  I  percent  of  the  spemi  present 
in  the  ejaculate  actually  make  it  into  the 
woman's  uterus,  and  fewer  still  make  it  to 
fertilization  site  in  the  fallopian  tube.  In  this 


case,  Beyler  can  use  a  proce- 
dure called  interuterine  in- 
semination in  which  the 
man's  spenn  is  taken  directly 
futm  his  testicles  and  inject- 
ed into  the  woman's  uterus 
w  hen  she's  ovulating.  But 
that  doesn't  guarantee 
fertilization. 

Michael  GO' Rand.  MD, 
professor  of  cell  biology  and 
anatomy  and  one  of  the 
founders  of  UNC's  IVF  pro- 
gram, studies  sperm-egg  in- 
teraction. To  understand  the 
process,  consider  the  design 
of  a  human  egg.  Eaeh  egg  has 
a  shell  around  it,  called  a 
zona  pellucida,  that  protects 
the  egg,  provides  a  secure 
place  for  the  embryo  to  grow 
and  keeps  extra  sperm  from 
getting  in.  First,  the  sperm  has  to  penetrate 
the  shell,  and  then  it  has  to  fuse  with  the  egg. 

In  each  of  these  steps,  certain  proteins  in 
the  spemi  are  insohed. 

"If  a  man  is  infertile,  one  or  more  of  those 
proteins  may  be  missing  or  nonfunctional." 
O'Rand  said.  "We're  trying  to  understand  the 
basic  biology  of  each  of  those  steps  — 
figure  out  which  proteins  are  needed  for 
w  hich  step." 

While  this  work  e\entually  may  help  re- 
searchei's  restore  function  to  defective  sperm 
by  adding  new  proteins.  O'Rand  siiid  "micro- 
manipulation" techniques  —  recent  procedures 
designed  to  facilitate  the  fertilization  process 
—  often  b\  pass  the  protein  problem.  But  if 
doctors  somedav  could  tell  w  hether  sperm  is 
defective  beforehand,  they'd  know  which 
techniques  would  work.  sa\  ing  time  and  ex- 
pense. 

Beyler  said  that  w  hen  he  started  pert'omiing 
IVF  in  1987,  it  was  just  a  matter  of  finding 
the  eggs  in  fluids  sent  to  his  lab  and  putting 
them  into  culture.  Then  the  right  number  of 
w ashed  spemi  w ere  added,  and  he  would  let 
nature  take  its  course.  But  since  those  "early 


iity  and  a  Little  Luck, 
I!ouples  Conceive  Babies 


Liiiini  ct  Chi\  Hiillduay  with  daui^htcis 
Lnuixn  and  Eiiiilx 

da\s.""  a  number  of  techniques  ha\e  e\()l\ed 
to  help  int'enile  couples. 

The  first  technique  used  was  partial-zonal 
drillms:.  which  in\ol\cs  (ipening  up  little 
holes  around  the  egg.  The  idea  is  that  by 
opening  up  the  shell  a  little  bit.  weaker  spemi 
can  gel  in  to  Icrtili/e  the  egg.  Sub/onal  inser- 
tion went  a  step  further:  A  teu  sperm  are 
phssically  placed  in  the  layer  between  the 
egg  membrane  and  the  shell,  in  hopes  that 
one  will  penetrate  the  egg.  This  procedure 
doesn"t  always  work,  though,  because  the 
sperm  often  just  end  up  swimming  around  in 
the  fluid  between  the  shell  and  the  mem- 
brane. 

Fmallv.  there's  mlrac>  loplasniic  sperm 
inieclmn  ( ICSI).  in  which  the  spc-mi  is  injected 
direcll\  into  the  inside  of  the  egg.  Beslersaid 
It's  important  to  avoid  damaging  the  egg 
nucleus  w  ith  this  priK-edure. 

"There  are  a  lew  tricks  imohetl  to  make  it 
work  well."  he  said,  "l  Inst  kill  the  sperm 
ph>sicall>  h\  breaking  iis  neck  with  the 
injection  pipet.  draw  u|i  its  tail  and  then 
quickls  enter  the  egg  cstoplasm.  After  that.  I 
suck  back  some  egg  cstoplasm  to  make  sure 
I'm  through  the  membrane  and  lo  allow  ihe 


sperm  lo  mi\  with  the  egg  cytoplasm.  1  then 
inject  the  sperm  and  c\  toplasm  mixture  back 
into  the  egg." 

To  help  improve  IVF  success.  Beyler  and 
his  colleagues  began  seeing  patients  in  c>  cles 
rather  than  continuous!).  That  wa\.  he  sa\  s, 
they  can  work  w ith  several  patients  at  one 
lime,  perform  IVF  for  them,  step  back  and 
analyze  the  results. 

For  instance,  they're  trying  to  make  the 
cultures  in  test  tubes  more  like  fluid  in  the 
fallopian  tube  at  mid-cycle.  For  IVF.  embry- 
ologists  used  to  use  a  nonspecific  culture 
medium  —  the  same  kind  used  for  experi- 
ments such  as  growing  cancer  cells. 

"But  there  were  a  lot  of  extraneous  nutri- 
ents that  weren't  vital  lo  fertilization  and 
might  even  be  detrimental  to  earh  iirowth." 
Beyler  said. 

During  the  middle  of  a  woman's  cycle,  for 
example,  there  isn't  much  glucose  or  phos- 
phate found  in  the  fallopian  tubes,  but  both  of 
these  nutrients  were  in  the  original  media. 
Beyler  found  that  eliminating  some  of  the 
glucose  and  phosphate  appeared  to  improve 
pregnancy  rates. 

"It's  a  lot  of  trial  and  error."  Bevler  said. 
".Sometimes  it's  a  matter  of  prescribing  dif- 
lerent  combinations  of  homione  medications 
or  tr\  ing  a  new  piece  of  equipment." 

A  tew  years  ago.  there  was  an  unusuallv 
high  rate  (about  .^0  percent)  of  multiple 
pregnancies.  Techniques  had  improved  for 
stimulating  egg  growth,  for  getting  more 
eggs  to  lenilize  and  for  better  culture  condi- 
tions. To  compensate.  Beyler  and  his 
colleagues  tried  waiting  three  to  five  davs 
instead  of  two  days  to  transfer  embiyos  to  the 
woman's  uterus.  This  was.  doctors  can  pick 
out  the  strongest  ones  and  transfer  fewer. 
Bevler  said  mulliple-pregnancv  rates  have 
come  down  lo  2(1  peiceni.  mosi  ot  which  are 
twin  pregnancies. 

.Another  helpful  technique  is  crvopreser- 
valion  -  lieezing  eggs,  sperm,  or  embryos  - 
which  allows  more  chances  at  fertilization 
with  frozen  sperm,  or  the  transfer  of  thaw  eti 
embrvos  to  ihe  ulerus.  Irom  one  sperm 


biopsy,  for  instance.  Bevler  can  separate  the 
sperm  into  small  quantities  and  freeze  the 
portions  he  doesn't  use. 

"I  onlv  need  a  few  thousand  sperm  to  w ork 
w  ith."  Beyler  said,  "and  typically  even  a 
small  count  has  a  few  hundred  thousand 
around." 

In  line  case.  Bev  ler  combined  IVI-  and 
cr\  opreserv  ation.  A  cancer  patient  decided  to 
hav  e  some  of  his  sperm  frozen  before  under- 
going cancer  treatment  since  chemotherapy 
tends  to  reduce  spenn  count.  Ftir  1 9  \  ears,  his 
sperm  were  kept  in  UNC's  sperm  bank. 
About  a  year  ago.  the  patient  and  his  wife 
decided  they  w anted  to  have  children.  Be\  ler 
thawed  Ihe  patient's  sperm  and  performed 
ICSI  to  lertilize  his  w  ife's  eggs.  While  she 
didn't  conceive  on  the  first  attempt,  the  lab 
still  has  plenty  of  sperm. 

"The  sperm  seemed  to  be  line."  Bevler 
said.  "We  think  the  problem  might  have  been 
a  female  factor,  so  if  we  can  tlgure  out  how  to 
get  better  eggs  from  the  woman,  then  we  can 
tr\  again."  D 

I  This  arricic  appcuis  in  liic  I'nil  2(HH)  issue 
('/'Endeavors  iihi\:(i:inc  und  is  irpiiuiccl  with 
permission. ) 


t.rsscr.  wife  IUiilhii,i  i 


Women's  and  Childrei 
Newest  Additions  to  the 


Construction  of  the  new  N.C. 
Women's  and  Children's  hospi- 
tals has  been  hampered  by 
numerous  factors,  including: 

•  A  deluge  of  rain  in  1998  that  caused  a 
4()-day  delay; 

•  Changes  made  to  the  original  design  as 
well  as  changes  required  by  the  builder, 
and 

•  Unexpected  glitches,  such  as  the  required 
removal  of  more  rock  from  beneath  the 
construction  site  than  was  first  predicted. 

As  soon  as  construction  is  complete,  work 
begins  on  the  renovation  and  expansion  of 
the  lobby  in  the  main  hospitals  building.  That 
reconfiguration  will  connect  an  improved 
lobby  and  expanded  outpatient  pharmacs 
area  with  a  two-story,  glass  concourse  run- 
ning the  breadth  of  the  entire  medical  center 
complex  —  allowing  patients,  visitors 
and  stall  to  easily  mcne  from  one  building  to 
another. 

To  learn  more  about  the  new  hospitals  and 
to  see  artist's  renderings  of  patient  rooms, 
lobby  and  nurses  station  as  well  as  construc- 
tion photos,  \'isit  www.unclwalthcare.org 

Facts  about  the 
N.C.  Children's  Hospital 

•The  all-pri\ate  patient  rooms  are 
designed  to  feel  as  much  like  "home"  as 
possible.  They  feature  private  bath 
rooms  with  tubs  and  showers;  laminated 
walls  so  children  can  display  artwork,  get- 
well  cards  and  photographs;  and  conveil- 
ible  sofas  to  accommodate  relatives 
spending  the  night. 

•  UNC  offers  the  state's  only  accredited 
Hospital  School  for  children  in  K-12  with 
teachers  and  a  full-time  principal  to  help 
children  keep  up  with  their  classroom 
studies  during  their  hospital  stays. 


'  Pediatric  care  at  UNC  was  ranked  22nd 
nationally  by  U.S.  News  &  World  Report 
magazine  in  its  annual  "Best  Hospitals" 
ranking. 

'  The  N.C.  Children's  Hospital  will  offer 
"one  stop  health  care"  for  children  and 
their  families:  all  pediatric  clinics  will  be 
housed  under  the  same  roof,  and  feature 
kid-specific  and  kid-friendly  operating 
and  pnicetlure  rooms. 

'  The  hospital  will  offer  interactive  enter- 
tainment for  children.  One  will  be  an 
atrium  with  a  mbber-foam  tloor  designed 
to  look  and  feel  like  an  outdoor  park  com- 
plete with  flowing  "brook"  and  a  bridge 
to  cross  it.  Teen-age  patients  will  enjoy 
their  own  private  lounge  stocked  \\  ilh 
music  and  video  games.  (It  is  so  "cool" 
that  parents  must  be  accompanied  by 
theii'  teens  to  access  it.)  The  lobby  will 
feature  a  dazzling,  two-storied  continu- 
ous motion  sculpture. 

'  Annually,  more  than  72,000  children 
from  all  100  North  Carolina  counties 
come  to  N.C.  Children's  Hospital  for  in- 
patient and  outpatient  treatment.  UNC 
offers  a  full  range  of  pediatric  specialty 
and  subspecialty  care,  including  compre- 
hensive intensixe  care,  a  Level-I  Trauma 
Center  and  a  state-of-the-art  bum  center. 
UNC  is  one  of  just  two  hospitals  in  the 
Southeast  to  perform  living-related  li\er 
liansplants. 

'  Nationally  and  internationally  renowned 
experts  in  the  fields  of  cystic  fibrosis,  on- 
ciilogy,  hemophilia,  sickle-cell  disease, 
infectious  disease,  genetics,  neonatology, 
child  abuse,  endocrinology,  bron- 
choscopy and  congenital  heart  disease 
work  at  UNC  Hospitals.  Our  facult\ 


consult  with  community  doctors  through- 
out the  state  24  hours  a  day. 

The  Newborn  Critical  Care  Center  cares 
for  more  than  750  babies  a  year  from  all 
over  the  Southeast.  About  one-third  of 
the  babies  are  transported  here  by  pedi- 
atric-trained  specialists  with  the  UNC  Air 
and  Ground  Transport  Service. 

Facts  about  the 
N.C.  Women's  Hospital 

The  N.C.  Women's  Hospital  was 
designed  to  offer  patients  and  their  fami- 
lies as  much  comfort  and  privacy  possi- 
ble. All  patient  rooms  are  private  and 
feature  a  conversation  area,  private  bath 
w  ith  tub  and  shower,  and  a  convertible 
sofa  to  accommodate  relatives  spending 
ihcnighl. 

The  new  facility  is  conveniently  located 
and  offers  a  comprehensive,  integrated 
approach  to  women's  health.  Women 
from  throughout  North  Carolina  will  re- 
cei\e  care  in  the  areas  of  obstetrics  and 
gynecology,  cardiology,  geriatrics,  can- 
cer, nutrition,  alternative  medicine,  and 
beha\  ioral  and  mental  health. 

Housing  all  clinics  under  one  roof 
enhances  the  accessibility  of  care  and 
offers  a  wami.  inviting  atmosphere  to  pa- 
tients and  their  loved  ones 

A  Women's  Resource  Center  is  planned 
for  the  lobby.  It  will  include  an  interac- 
tive library  with  literature  and  journals;  a 
nurse  educator  to  talk  w  ith  women  and 
help  them  find  useful  health  information: 
and  expanded  patient  education  programs 
and  seminars  currently  offered  through 
the  Women's  Wellness  Network. 


5  Hospitals  Will  Be  the 
JNC  Health  Care  Family 


Thr  \.C.  Chihlrvns  H<.s,nu,l  a,ul  ,hc  \.C.  \\nnwu\  l/,n,,„al.  Dcluainm  cvnus  ,nr  planncj  (or  Scpl.  S.  20111 


•  The  Irianiile's  onls  hospnal -havcd. 
nurse-midwil'cn,  program  oporaics  liom 
N.C.  Women's  Hospital.  MalL'niit\  care 
lor  all  patients  —  inekidini:  lahor.  deln  - 
or\.  recover,  and  posiparliim  care  —  \>,  ill 
he  delivered  in  one  room.  There  also  \m1I 
he  plenty  of  space  torhahs  lo  sta\  uith 
mom.  Rooms  located  in  the  maternil\ 
u  int;  alsci  include  rocking  chairs. 

•  The  N.C.  Women's  Hospital  uill  he 
capped  u  ith  a  scilarium  complete  u  ilh 


touniam  and  sk>  light  lo  olTer  a  pleasant.  women's  and  children's  medical  care 

warm  and  nurturing  en\ironmeni  lo  pa-  w  ill  he  li>caied  on  the  second  lloor 

tients  and  their  lamihes. 

•.An    outpatient    phaiinac),    chapel, 
•   Board-ccrtilieil.  nationalh  renowned  and  calcleria  are  locateil  iii  the  new 

physicians  oiler  care  in  the  areas  ol  ma-  lacihtv, 

lernal-lelal  meilicine.  uiogynecolog),  in       (Sec  irhiu,!  slnr\  on  pane  /  U 
lertiliis.  pen-  and  post   menopause,  can- 
cer, radiology /mammogra|ih\  and  anes- 
thesioloiiv 


Si\ 


-■rating   rooms  deilicatcd  t( 


Alunini  Profile 


Alphabet  Soup 

UNC  alum  Francis  Collins  serves  up  the  human  genome  'recipe 
and  sets  the  stage  for  a  mind-boggling  medical  revolution 


By  Lynn  Wooten 

Last  June.  Francis  S.  Collins. 
MD.  PhD.  sUhk!  hi  ihc  Blue 
Room  of  the  While  House, 
looked  around  and  found 
himself  in  the  company  of  ambas- 
sadors, senators  and  other  go\emmeiil 
heavyweights.  Soon,  even  the  president 
of  the  United  States  would  he  joining 
him.  After  10  long  years  of  preparation 
and  work,  this  was.  at  last,  the  big  da\ 
—  the  announcement  to  the  world  that 
Collins,  his  research  staff  at  the  Nation- 
al Hiuiian  Genome  Research  Institute, 
and  scientists  working  together  at  labo- 
ratories around  the  world  had  cracked 
the  hiuiian  body's  genetic  code,  an  as- 
tounding feat  that  promises  to  change 
medicine  forexer 

Yet  in  a  few  moments,  Collins,  w  ith 
President  Clinton  at  his  side,  would 
enter  the  East  Room,  step  up  to  a  podi- 
um, and  in  front  of  a  roomful  of  re- 
porters mask  an  internal  conflict  of 
devastating  irony.  Just  four  days  earlier, 
his  sister-in  law  had  died  of  one  of  the 
most  dreaded  and  common  diseases  to 
strike  women.  Ha\  ing  spent  the  previ- 
ous day  at  her  funeral  and  comforting 
his  grie\  ing  brother,  Collins  was  stRick 
by  the  unique  hand  fate  had  dealt  him. 

"The  juxtaposition  here  of  an  exhilarating 
moment  in  science,  with  such  promise  for 
the  future  of  medicine,  and  the  reality  of  how 
this  had  come  much  too  late  to  help  this 
wonderful  woman,  had  me  a  bit  confused." 
Collins  said.  "It  v\asabil  Jannng." 
It's  no  wonder. 

The  decoding  of  the  human  genome  — 
the  molecular  makeup  of  a  himian  being  — 
is  hailed  as  the  prerequisite  leap  toward  un- 
locking the  secrets  of  disease,  illness,  bnlh 
defects  and  other  health  issues  that  have  long 
st\  mied  researchers  and  physicians.  In  other 
words,  knowledge  that  might  save  millions 
of  women  like  his  sister-in-law  in  the  future. 

As  Bill  Clinton  entered  the  Blue  Room 
and  approached  him.  Collins  temporarih 
shook  off  these  family  concerns. 
6 


Francis  Collins.  MD  '77 


"I  thought,  "This  is  really  going  to  happen. 
This  is  a  pretty  big  deal.'  Pretty  soon,  we  are 
w  alking  into  the  East  Room  while  the  band  is 
pla\  ing  'Hail  to  the  Chief.'  Tliat's  lui  experience. 

"When  I  was  a  medical  student  and  house 
officer  in  Chapel  Hill,  the  notion  that  my  path 
would  somehow  lead  to  that  kind  of  an  e\ent 
would  have  been  completely  unthinkable." 


COLLINS'  YEARS  AT  UNC  almost 
didn't  happen. 

"I  was  on  the  launching  pad  to  go  to  that 
other  university  called  Duke  w  hen  the  More- 
head  Foundation  expressed  an  interest  in 
interviewing  me  for  one  of  three  Morehead 
fellowships."  he  remembered.  "So  I  came  to 
Chapel  Hill  w  ith  m\  heart  in  m\  mouth  in 
early  Februar\  of  197.^  to  be  interviewed 


w  ith  five  others.  Christopher  Fordham 
w  as  the  chairman  of  the  Morehead 
medical  fellowship  inter\ iew  commit- 
tee. I  really  fell  in  lo\e  w ith  the  tow n 
and  the  uni\'ersity  that  weekend." 
Within  days,  he  was  accepted. 
The  decision  to  enter  UNC's  School 
of  Medicine  was  not  his  first  career 
change.  Always  interested  in  science, 
the  Virginia  native  had  first  gone  to 
Yale  University  to  obtain  a  doctorate  in 
physical  chemistry. 

"I  thought  that's  what  I  wanted  to  do. 
but  I  disco\  ered  there  were  some  pretty 
exciting  things  gomg  on  in  biology  and 
genetics."  although  not  advanced 
enough  yet  for  human  application.  "So 
I  went  to  medical  school  in  quite  a  bit  of 
confusion  abt)ut  w  here  my  ow  n  path 
would  lead." 

Would  he  focus  on  science  and  re- 
search or.  as  he  phrased  it.  on  "simply 
being  a  good  doctor?" 

Collins  found  his  answer.  A  brief 
course  in  December  1973  by  Henry 
Neil  Kirkman  Jr..  MD,  looked  at  the  ba- 
sics of  human  genetics.  Kirkman  pre- 
sented a  patient  w  ith  sickle  cell  anemia 
and  illustrated  in  a  pow  erful  w  ay  how  a 
simple  misspelling  in  the  DNA  code 
could  have  profound  consequences  for 
the  health  of  that  indi\  idual. 

"\M  I  was  captisated,"  Collins  said.  "This 
brought  together  my  interests  in  science  and 
a  principle-based  approach  to  understanding 
problems  with  a  direct  application  to  human 
health.  1  knew  at  the  end  of  those  two  w  eeks 
that  w  as  w  hat  I  w  anted  to  do  —  I  w  anted  to 
he  a  physician  who  used  the  tools  of  genetics 
to  trv  to  understand  disease  better." 


GRADUATING  FROM  the  School  of 
Medicine  in  1977.  Collins  undertook  his 
residency  and  a  chief  residency  at  UNC. 

"I  have  very  warin  feelings  for  him.  He 
was  always  a  hard-working  but  joyous 
person  to  be  around."  said  classmate  David 
C.  Henke,  MD,  assistant  professor  of  medicine 
at  UNC.  "He  walked  around  with  a  cup  of 


Collins  iiHikes  reimirks  at  June  2000  news  conference  held  in  the  White  House. 


ct)tYee  all  the  time  because  I  don"t  think  he 
e\er  slept.  And  he  was  a  stickler  for  getting 
things  right.  e\en  from  the  teachers.  If 
an  instructor ga\e  out  what  Francis  knew  was 
incorrect  information,  he  would  ne\er  let  it 
slide." 

Collins.  50.  said  he  had  sp)ecial  mentors  at 
L'NC.  "The  one  that  stands  out  most  for  me 
was  the  late  John  Parker,  a  consummate 
ph\  sician  ...  the  kind  e\er\  one  would  hope  to 
belike." 

Recalling  the  first  week  he  was  in  charge 
of  patients  during  his  residencs.  Collins  said 
Parker,  a  Kenan  professor  of  medicine,  w  ent 
behind  him  to  make  sure  he  had  not  ""missed 
an\ thing."  Parker's  manner,  though,  was  not 
threatening;  rather,  it  was  inspiring.  Collins 
said.  ""I  wanted  to  ha\e  that  same  kind  of 
breadth  and  thoroughness."" 

Collins  returned  to  'Sale  for  a  fellowship  in 
human  genetics,  w  here  he  worked  on  methods 
of  crossing  large  stretches  of  DN.A  to  idcntif\ 
disease  genes.  Joining  the  facult>  of  the 
L'ni\ersiiy  of  .Michigan  in  1984.  he  continued 
to  develop  these  ideas,  w  hich  he  called  "posi- 
tional cloning.""The  concept  developed  into  a 
powerful  component  of  modern  molecular 


genetics,  as  it  alknvs  the  identification  ot 
disease  genes  for  almost  any  condition  w  ith- 
out  knowing  beforehand  what  the  functional 
abnomialitv  might  be. 

Using  this  strategv.  Collins  and  Canadian 
researchers  identified  the  gene  for  cystic 
llbrosis  in  1989.  followed  by  the  discoveries 
of  the  genes  fiir  neurofibromatosis  and 
Huntington's  disease. 

In  199.^.  Collins  became  director  of  what 
is  now  known  as  the  National  Human 
Genome  Research  Institute,  the  public 
organization  that  is  part  of  the  National 
Institutes  of  Health.  The  NHGRI  was 
charged  with  the  task  of  mapping  and 
sequencing  the  human  genetic  code,  as  well 
as  identifying  and  recommending  solutions 
to  ethical,  legal  and  social  issues  that  could 
result  from  the  human  genetic  code.  The  task 
includes  sequencing  all  .VI  billion  biochemi- 
cal '"letters""  of  human  DNA.  the  coded  in- 
structions —  the  '"recipe"  —  for  a 
functioning  human.  Using  this  instruction 
book,  scientists  can  begin  to  ferret  out  in  a 
molecular  w  av  the  secrets  of  human  health 
and  disease.  With  the  working  draft  of  the 
genome  sequence  completed  and  a  finished 


version  —  which  will  be  as  complete  as  hu- 
mans and  computers  can  nuike  it  —  expected 
before  2003.  experts  predict  monumental  ad- 
vancements  into  diagnosing  and  treating 
everv  thing  from  cancer  to  .•\l/heimer"s  dis- 
ease. 


"THE  ACCOMPLISHMENT."  Collins 
said,  '"is  clearly  a  milestone  of  the  highest 
order."" 

Don"t  think  Collins  is  patting  himself  on 
the  back,  though.  Eschew  ing  even  the  notion 
that  he  might  w  in  the  cov  eted  Nobel  Prize  for 
his  work,  he  seems  quite  uncomfortable  w  ith 
the  praise  lauded  on  him.  He  quickK  credits 
"a  long  list  of  heriiic  figures  in  science""  for 
their  contributions.  ""This  milestone  was  their 
work." 

Others  recognize  Collins'  imprint  on  the 
project. 

"He  is  clearlv  at  the  lop  of  his  profession."" 
Henke  said.  '"He  is  right  there  in  what  I'm 
sure  will  be  the  seminal  work  in  medicine  for 
this  century.  I'm  very  impressed  w  iih  his  ca- 
reer and  work." 

But  striv  ing  tor  the  same  goal  w  as  J.  Craig 
Venter.  PhD.  president  and  chiel  scienlific 
officer  of  Celera  Genomics,  a  private  organi- 
zation running  an  independent  genome- 
sequencing  project.  Some  observers  consid- 
ered Celera  to  be  the  Collins  group's  chief 
rival,  but  w hile  the  media  trumpeted  a  "feud" 
between  the  men  and  their  organizations. 
Collins  saw  things  differently.  The  percep- 
tion of  a  nasty,  rancorous  race  to  the  genomic 
finish  line,  he  said,  has  been  overstated 
considerablv.  But  he  conceded  that  such  talk 
probably  inspired  his  scienlisis  and  "siiired 
thepol." 

"1  think  competition  is  almost  always  a 
good  thing."  Collins  added. 

.And  contrary  to  media  reports  that  Clinton 
forced  Collins  and  Venter  to  work  together  in 
jointly  announcing  the  status  of  their 
research.  '"I  had  no  pressures  coming  dow  n 
from  the  White  House  to  take  a  particular 
action."  Collins  said.  "The  media  got  that 
wrong." 

('onliiiKfil  (in  I'liiie  S 

7 


Alphabet  Soup 

Ciiiiiiiuicil  Jioiii  /'((,1,'c  7 

With  the  first  draft  of  the 
genome  map  in  place,  the  world 
now  can  expect  a  new 
competition,  one  w  ith  staggering 
fmancial  stakes.  Amied  u  ith  the 
human  genetic  code,  phamiaceu- 
lical  companies  alread)  are  rac- 
ing to  develop  drugs  and  other 
therapies  geared  to  an  indi\  id- 
Lial's  own  genetic  makeup.  Such 
personalized  treatments  should 
dramatically  improve  a  patient's 
care  and  response. 

'"E\er\  phannaceutical compa- 
ny is  counting  on  this."  Collins 
said.  "You  w  ill  see  a  transfomia- 
tion  in  how  medicine  is  prac- 
ticed." 

While  new  medical  and  scien- 
tific advancements  will  occur 
steadily,  people  shouldn't  expect 
a  cure  for  cancer  or  diabetes  next 
year,  he  added  Although  the 
genome's  letters  have  been  prop- 
erly sequenced,  scientists  don't 
yet  know  what  their  "Book  of 
Life"  means  -  they  can't  read  it 
yet.  And  many  experts  believe 
that  understanding  the  genome's  language 
will  be  a  much  more  difficult  task. 

■"The  thing  that  people  w  ill  notice  in  tenns 
of  their  ovv  n  medical  care  ov  er  the  next  fiv  e  to 
seven  years  will  be  the  increasing  availability 
of  DNA  tests  that  will  allow  people  to  deter- 
mine their  indiv  idual  risk  of  future  illness." 
Collins  pointed  out.  "In  particular,  know  ing 
you  are  at  high  risk  and  allow  ing  you  to  do 
something  about  that  risk.  For  instance, 
something  like  colon  cancer-  those  at  high 
risk  taking  advantage  of  colonoscopy  in 
order  to  pick  out  those  tumors  w  hile  they  are 
small  and  easilv  removed." 

.^Xnd  therein  lies  an  ethical  debate  over 
genome  research;  Should  patients  be  told 
they  likely  will  be  stricken  with  an  illness  or 
disease  later  in  life,  particularly  if  there  is 
little  medical  help  available  at  the  time? 

"Indiv  iduals  ought  lo  have  the  chance  to 
make  up  their  minds  of  w  helher  thev  w  ant 


Collin 
gniihlctai 


ith  daughters  Margaret,  left.  Elizabeth,  right. 
tghter  Ahby. 


that  information  or  not."  Collins  said. 
"Nobody  should  force  that  information  on 
people  w  ithout  them  deciding  they  want  to 
know  that.  I  think  many  people  w  ill  not  want 
to  know  about  risks  for  which  there  is  no 
intervention  available.  I  would  say.  "No. 
thank  vou." " 


CONTROVERSIES  AROUND  the 

potential  contlicts  between  religious  and 
scientific  v  lews  of  humanity  intrigue 
Collins,  a  self-described  "serious"  Christian. 

"I  have  not  found  those  conflicts  at  all," 
he  said,  suggesting  that  such  controversies 
lack  factual  understanding  about  the 
genome  and  the  research  process.  Finger 
pointing  between  the  w  odds  of  science  and 
religion  "points  out  to  me  how  big  an  infor- 
mation gap  reallv  exists."  he  said. 

But  that  debate  mav  be  left  to  others  once 


Collins"  work  is  finished  in  a 
couple  of  years.  What's  next  for 
his  career? 

""That's  a  very  good  question, 
and  I  have  absolutely  no  idea." 
he  admitted.  ""I  don"t 
intend  to  retire  from  the  federal 
government.  I  feel  I  have  another 
career  or  two  in  me.  but  I  don't 
know  what  they  iu"e  yet.  I'm  tov- 
ing  with  a  bunch  of  options,  but 
am  in  some  confusion  over 
which  one  makes  sense.  It  will 
be  very  hard  to  llnd  something  to 
do  after  this  that  has  the  same  re- 
markable intensity  and  impact." 

Meanwhile.  Collins  and  his 
wife.  Diane  Baker,  a  faculty 
member  at  the  University  of 
Michigan,  continue  a  commut- 
ing marriage,  w  hich  he  called  ""a 
bit  of  a  challenge,  but  we've  fig- 
ured out  how  to  handle  this  pret- 
ty effectively." 

Collins  also  spends  time  rid- 
ing motorcycles  and  playing  the 
guitar,  including  gigs  with  his 
own  band.  He  enjoys  v  isiting  his 
two  daughters:  Elizabeth,  a  medical  social 
worker  in  Ann  Arbor.  Mich.,  and  Margaret, 
who  recently  gave  Collins  his  first  grand- 
child, a  girl  named  Abbv. 

Margaret  Collins  Hill.  MD.  is  a  1996 
graduate  of  the  UNC  School  of  Medicine, 
where  she  also  undertook  her  residency  in 
internal  medicine  and  is  now  a  fellow  in 
nephrology.  Collins  is  thnlled  that  .Margaret 
is  in  Chapel  Hill  and  at  his  alma  mater. 

""I  can't  think  of  a  better  place  w  here 
I'd  like  a  child  of  mine  to  spend  her  time." 
he  said.  □ 


Health  Affairs  Bookstore 
Has  A  New  Home 


By  Michele  Blevins 

It  you  haven't  visited  the  L'NC 
Health  AtTairs  B(H)kstore  re- 
cent!}.. _\ou  ina\  mn  recogni/e 
the  place.  The  hooivstore  has 
relocated  and  expanded  just  a  bit 

—  it  now  occupies  tour  floors  of  a 
brand-new fi\e-siory  building. 

h"s  quite  a  change  from  its  pre- 
\  ious  location  —  on  the  first  floor 
of  the  Brinkhous-Bullitt  Building 

—  \v  here  the  sales  floor  w  as  only 
600  square  feet.  In  its  new  home, 
the  bookstore  has  a  sales  area  of 
7.000  square  teet.  more  than  10 
times  its  original  size. 

.All  that  additional  space  has  en- 
abled the  biHikstore  to  enhance  the 
variety  of  features  and  services  it 
offers  the  UNC  health  affairs  community. 

The  depth  of  inventory  on  books,  for 
example,  has  signiflcantly  increased.  Selec- 
tions now  include  popular  book  titles,  com- 
puter manuals,  cookbooks  and  children's 
books,  all  in  addition  to  the  ever-present 
classroom  texts,  studv  guides  and  medical 
reference  titles  for  health  affairs  students. 

But  customers  will  And  much  more  than 
just  hooks  when  thev  visit  the  store 
Computer  software  and  supplies  and  a  vari- 
etv  of  medical  equipment  and  accessories 
are  just  some  ot  the  new  items  the  bookstore 
carries. 

A  full  line  of  medical  apparel  is  available 
for  students  and  health  professionals  alike, 
including  lab  coats,  nursing  unitomis.  scrubs 
and  clogs. 

In  addition,  clothing  and  gitt  items  aie 
available  that  represent  all  ot  the  L'NC  health 
affairs  schools,  including  the  .Allied  Health 
Sciences  programs.  Fhe  store's  selection  ot 
UNC  collegiate  clothing  and  gifts  has 
increased  as  well. 

And  for  anyone  who  wants  to  uiiw  iiul 
with  a  cup  of  coffee  or  u  snack,  there's  Cate 
Caducous  —  the  store's  coffee  shop  —  locat- 
ed on  the  third  floor  ot  the  buildin::.  which  is 


The  ncu  Hcalili  Affairs  Bookstore. 


acluallv  the  store's  main  entrance  level.  In 
addition  to  a  seating  area  w  iih  laptop  connec- 
tions inside  the  cafe,  there  also  are  outdoor 
seating  areas  on  the  second  and  third  floors 
of  the  building. 

The  second  floor  includes  a  conlerence 
room  that  can  hold  up  to  .^0  people  and  is 


available  tor  use  bv  health  alTairs  tacul- 
ty.  staff  and  siudents.  .Also  located  on 
the  second  floor  is  a  L'NC  Printing 
Copy  Center,  w  hich  relocated  trom  its 
former  home  in  the  MacNider  Build- 
ing. 

The  store  is  well-equipped  to  handle 
the  rush  of  students  buying  textbooks  in 
the  first  weeks  of  classes  each  semester. 
There  are  six  cash  registers  located 
throughout  the  store  to  reduce  students' 
waiting  time  during  peak  book-buving 
season. 

Like  other  L'NC  Student  Stores,  the 
Health  Aflairs  Bookstore  is  a  non-profit 
operation  that  doesn't  receive  state 
lunding.  The  store's  profits  go  toward 
non-athletic  scholarships  for  L'NC  stu- 
dents. 

The  Health  Affairs  Bookstore  is 
located  on  Medical  Drive,  behind 
Carrington  Hall  (School  of  Nursing) 
and  adjacent  to  Fordham  Hall.  Hours  of 
operation  ;u"e  Mondays  through  Fridays 
from  7;.^()  a.m.  -  6  p.m.  and  Saturdays 
from  1 0  a.m.  -  2  p.m.  D 


A  peck  in\ulc  llic  first  floor 


Dean's  Choice 


By  Leslie  H.  Lang 

How  does  life  work?  How  does  a 
lour-letter  alphabet  spell  out 
instructions  for  all  species  on 
earth'.'  How  does  the  union  of  a 
single  egg  and  sperm  become  a  baby  of  five 
trillion  cells?  What  can  the  study  of  molecular 
mechanisms  tell  us  about  disease' 

In  a  sprawling  and  bustling  Fordhain  Hall 
laboratory.  WUliam  F.  Marzluff.  PhD. 
professor  of  biochemistry  and  biophysics, 
the  School  of  Medicine's  executive  associate 
dean  for  research,  and  director  of  the  pro- 
gram in  molecular  biology  and  biotechnology 
seeks  answers  in  this  arena  of  big  questions 
by  focusing  small,  very  small. 

He  and  his  graduate  students  and  postdoc- 
toral researchers  study  the  regulation  of  gene 
activity;  namely,  the  system  of  biochemical 
switches  that  turn  genes  on  and  off  during  the 
mammalian  cell  cycle  and  during  early 
development  in  frogs  and  sea  urchins. 

Sometimes  the  work  takes  Marzluff  to  the 
edge  of  life's  very  beginnings,  each 
e.\]:>eriment  moving  a  .step  closer  to  unraveling 
the  biochemical  mystery  of  embryogenesis. 
the  process  by  which  an  egg  transforms  into 
an  embryo. 

At  the  heart  of  this  research  is  a  unique 
cellular  protein  that  Marzluff  "s  UNC  labora- 
tory discovered  and  cloned  in  1996.  This 
"stem-loop  binding  protein."  v\  hich  latches 
onto  the  looped  tail  of  histone  messenger 
RNA.  signals  the  synthesis  of  histone 
proteins  crucial  to  cell  functioning  during 
embryogenesis  and  throughout  the  organism's 
life.  In  fact,  about  half  of  the  nucleoprotein 
complex  known  as  DNA  are  histone  proteins. 

But  SLBP  does  more  than  simply  hitch  a 
ride  on  a  loop  of  nucleotides.  It  also  doggedly 
peifonns  a  string  of  important  duties  after  it 
takes  the  mRNA  into  a  specific  region  of  the 
nucleus.  It  interacts  with  other  proteins  to 
make  sure  the  mRNA  is  properly  processed 
into  its  tlnal  form.  And  then  after  helping  get 
it  out  to  the  cytoplasm,  the  cell's  factory 
tloor.  SLBP  remains  bound  to  the  mRNA. 
making  sure  that  its  instnictions  are  properly 
translated. 

From  w  hat  is  known  about  it  so  far.  that's 
pretty  impressive  for  a  compact  protein. 
10 


Indeed,  according  to  the  latest  findings,  it 
may  be  the  fundamental  regulator  of  all  the 
histone  genes  which  are  essential  for 
chromosome  replication. 

In  some  characteristic  ways.  Marzluff 's 
protein  serves  as  metaphor  for  the  man. 
Here's  what  David  Lee,  PhD.  chair  of 
biochemistry  and  biophysics,  says  about  his 
colleague. 

"I  view  Bill  Marzluff  as  one  of  our  best 
assets,  and  I  know  that  view  is  shared  by  a 
number  of  major  scientific  leaders  who  are 
here  largely  because  of  Bill's  recruitment 
efforts.  No  one  brings  more  positive  and 
creative  energy,  as  well  as  sheer  stubbornness, 
to  promoting  basic  science  at  Carolina.  Bill 
has  an  almost  unique  ability  to  work  w  ith 
biomedical  scientists  of  e\ery  persuasion, 
from  biologists  to  biophysicists.  and  is 
implicitly  trusted  by  the  entire  community.  1 
am  particularly  proud  to  ha\e  served  on  the 
search  committee  that  recruited  Bill  to 
UNC." 

Science  faculty  both  in  and  out  of  the 
School  of  Medicine  sing  similar  praise  for 
Marzluff.  The  university  is  widely  regarded 
for  its  interdisciplinan'  biomedical  research, 
which  he  tirelessly  nurtures  and  promotes. 

"One  great  attraction  to  this  university  is 
the  really  top  quality  undergraduate  school  in 
close  proximity  to  some  of  the  best  science  in 
the  world.  There  are  not  too  many  places  that 
have  this  combination  physically  close  to 
each  other  w  here  they  actually  do  interact," 
Marzluff  obsenes. 

And  it  is  to  this  active  research  nucleus 
that  Marzluff  strives  to  shepherd  new  faculty. 
"Part  of  the  job  that  appeals  to  me  is  the 
opportunity  to  recrtiit  young  faculty  and  help 
them  develop.  Chapel  Hill  is  a  wonderful 
place  to  recmit  to  because  of  the  living  condi- 
tions and  the  collegiality.  That's  one  reason 
that  we're  recruiting  extremely  competitively." 

One  might  be  drawn  to  conjure  an  image 
of  this  UNC  scientist-administrator  complete 
with  rep  tie.  Tar  Heel  megaphone  and  lab 
coat  of  Carolina  blue.  Instead,  how  ever,  think 
khakis,  tennis  shirt  and  sneakers.  That  is. 
think  grad  student,  v  intage  early  1970s.  Still, 
for  those  special  events  and  conferences,  a 
navy  blazer,  proper  shirt  and  tie  hang  behind 
office  door. 


Actually,  the  student  image  fits  appropri- 
ately, sartorially  and  professionally.  His  is  a 
fast-paced  research  field  vv  ith  rapidly  changing 
technology.  And,  as  Da\  id  Lee  points  out. 
the  growing  emphasis  on  interdisciplinary 
approaches  to  human  disease  dictate  that 
biomedical  scientists  "be  fast  on  their  feet — 
proficient  at  self-education  and  able  to 
integrate  infonnation  across  a  wide  spectrum 
of  fields." 

Bill  Marzluff  readily  admits  that  he  has 
gone  back  to  school,  as  it  were,  .several  times 
during  his  career. 

At  Hanard  in  the  mid-1960s  (BS,  Chem- 
istry. '67).  his  interest  in  biochemistry  devel- 
oped at  a  time  when  an  undergraduate  major 
in  that  field  did  not  exist.  ( Marzluff 's  father 
was  a  research  chemist  for  American 
Cyanamid.)  Biology  had  not  become  very 
molecular.  Cell  biology  was  microscopy,  in- 
cluding much  electron  microscopy.  The  ge- 
netic code,  the  secret  words  of  DNA. 
remained  largely  unplumbed. 

Marzluff  earned  a  PhD  in  biochemisti"y  at 
Duke,  followed  by  postdoctoral  research  at 
Johns  Hopkins  where  he  worked  on  gene 
regulation  in  mammalian  cells. 

"In  temis  of  making  some  particular  RNA 
molecules,  we  were  trying  to  basically  repro- 
duce in  a  test  tube  some  of  the  reactions  that 
went  on  in  the  cells.  You  see.  you  couldn't 
clone  a  gene,  a  piece  of  DNA.  or  grow  a  piece 
of  DNA  before  1975  or  1976.  With  the 
advent  of  cloning,  you  had  to  stop  everything 
and  re-train  yourself 

"All  the  experiments  we  did  before  were 
on  whole  cells.  Now  we  could  take  an  indi- 
vidual  isolated  gene  and  just  study  that.  So 
basically  you  had  to  stop  and  re-train.  This 
meant  learning  all  the  new  technologies, 
buying  the  stuff  and  figuring  out  how  to 
make  it  work.  So  in  our  area  the  real  excite- 
ment didn't  come  until  shortly  after  we 
finished  our  postdocs. 

"Now  with  completion  of  the  Human 
Genome  Project,  we  have  to  change  the  way 
we  approach  scientific  problems  again." 

.Marzluff  joined  the  chemistry  faculty  at 
Florida  State  University  in  1974.  During  17 
years  in  Tallahassee,  he  nurtured  and  sus- 
tained a  strong  undergraduate  biochemistry 
program.  He  came  to  UNC  in  1991,  and 


MarzhitJ  ui  luuue  in  the  research  lab. 

e\er\  year  at  least  one  student  from  Florida 
State  joins  UNC's  graduate  biochemistry 
program. 

"One  of  the  reasons  I  went  into  this  busi- 
ness was  the  opportunity  to  teach.'"  Mar/lutY 
says.  "At  Florida  State,  the  a\erage  annual 
teaching  load  in  the  chemistry  department 
wa.s9()to  I (K)  lectures.  Here  I  teach  one-third 
of  a  first-\ear  graduate  course  and  a  molecu- 
lar biolog)  section  to  medical  students.  So  I 
still  do  a  fair  amount  of  teaching. ' 

Add  to  that  the  mentoring  of  graduate 
students  and  postdoctoral  research  staff; 
meeting  grant  proposal  deadlines  for  his 
lab's  research  funds:  preparing  and  submit- 
ting articles  for  journal  publication:  confer- 
ence planning:  fund-raising  on  and  off 
campus  on  behalf  of  basic  sciences,  including 
buildmg  construction,  grants  procurement 
and  facult\  recruitment:  organizing  and 
attending  planning  conferences:  and  meeting 
myriad  other  administrati\e  responsibilities. 

"He's  the  most  effective  and  unusual 
research  dean  l'\e  e\er  known."  says  Jeflre\ 
I..  Houpl.  M.  dean  of  the  School  of 
.Medicine. 


"B>  mutual  agreement,  he  has  no  office  in 
our  administrative  area,  he  can  work  on  it  as 
much  or  little  as  he  wants  —  I  keep  no  track 
of  his  time.  But  he  gets  agreement  on  diffi- 
cult issues  like  space,  cost  sharing,  and  puts 
people  together  more  effectively  than  an\  one 
I'nc  seen.  His  success  is  that  he's  not  \ iewed 
as  an  administrator.  I  always  wanted  a 
research  dean  in  this  mold  and  finall\  got  it 
uithBill." 

In  his  ow  n  deanship,  NUuyluff  seems  allergic 
to  limelight.  He  prefers  that  it  shine  on  his 
UNC  basic  science  colleagues  and  their 
accomplishments  in  recent  years. 

"Some  great  things  ha\e  been  achie\cd 
here,  he  says.  "  Creation  of  the  cystic  fibri>sis 
model  mouse  by  Richard  Boucher.  Be\erly 
Koller.  and  Oliver  Smithies.  This  accom- 
plishment helped  increase  our  understanding 
ol  the  disease  and  gain  neu  insights  into  its 
treatment. 

".Michael  Knowles.  Richard  Boucher  and 
others  have  followed  this  by  studying  neu 
drugs,  the  P2Y2  receptor  agonists,  to  treat 
lung  disease  in  patients  w  ith  c\  stic  fibrosis. 

"We  had  the  discoxerv  by  A/i/  Sancar's 


lab  that  cr\  ptochrome.  the  no\el  pigment 
found  \\  ithin  the  e\  e.  skin  and  part  of  the 
brain,  controls  circadian  rhythm,  the  body's 
internal  clock.  This  discovery  could  lead  to 
more  effecti\  e  therapies  for  depression  and 
greater  safety  during  shift  u  ork  at  night. 

".■\nother  accomplishment  was  the 
cloning  of  the  molecule  I-kappa-B  and  its 
role  in  regulating  cancer  cell  growth  and 
death."  Marzluff  continues.  "This  research 
by  W  Baldw  in  is  w  idel>  recognized  for  pro- 
\  iding  an  understanding  of  how  cancer  de- 
\  clops  and  ma\  lead  to  new  methods  of 
iieatment  and  prevention. 

"■■Xnd  just  last  year  Jack  Griffith  discov- 
ered the  structure  of  telomeres,  the  ends  of 
chromosomes.  This  discovery  that  chromo- 
somes end  in  loops  should  prov  ide  a  whole 
new  way  of  thinking  about  basic  molecular 
mechanisms  related  to  cancer  and  to  the 
control  of  aging  in  cells. 

"I've  watched  Jude  Samulski  and  his 
colleagues  dev  elop  the  best  v  ectt)r  system  for 
gene  therapv  —  adeno-associated  v  inis. 

"Then  there's  last  December's  discoverv 
bv  Clvde  Hutchison  and  his  colleague  at 
TIGR  (The  Institute  for  Genomics  Research) 
of  the  smallest  number  of  genes  needed  for 
an  organism's  surv  ival.  This  research  marks 
a  significant  step  toward  creating  minimal, 
tailor-made  life  forms  that  can  be  further 
altered  for  such  purposes  as  making  biologi- 
cally active  agents  for  treating  illness." 

The  research  dean  also  points  to  the 
appointment  last  year  of  biochemisirv  and 
biophysics  professor  Terrv  Van  Dv  ke.  PhD. 
to  direct  the  Mutant  Mouse  Regional 
Resource  at  UNC.  With  a  S3..'i  million  grant 
over  five  vears.  this  is  one  of  only  two  NIH- 
sponsored  sites  nationally  that  will  facilitate 
more  widespread  use  of  mouse  models  in 
basic  and  translational  research  throughout 
the  U.S.  Such  models  have  revolutionized 
the  abilitv  to  probe  mammalian  biology  and 
disease  and  have  become  a  valuable 
resource. 

Marzluff  is  proiul  that  ihc  school's 
research  reputation  and  collegial  interdisci- 
plinai")  atmosphere  make  it  very  competitive 
in  tacultv  recruitment.  Some  highlv  sought- 
after  indiv  iduals  were  recentlv  tapped  to 
direct  new  research  centers.  Recently 
appointed  are  William  Snider.  MD.  head  of 
the  Neuroscience  Research  Center  and  Terrv 
Magnuson.  PhD.  Sarah  Graham  Kenan  Pro- 
fessor and  Chair  of  the  new  deparimeni  of 
genetics.  Magnuson  also  will  direct  UNC's 
Genomics  Center,  cunently  under  fomiation. 
"This  is  an  exciting  time  to  be  involved  in 
biomeilical  research.""  savs  Marzluff.  "And 
il"s  pailicularlv  exciting  lo  be  doing  it  in  the 
cnm|\inv  (il  some  ol  ilic  worUI's  besi."'  D 


II 


News 
Briefs 


UNC  Specialty  Women's 
Center  uses  high-tech 
uhrasound  equipment 

Doctors  and  sonogruphers  at  UNC 
Specialty  Women's  Center  in  Raleigh  now 
can  perform  more  detailed  examinations  of 
Linbom  babies  by  using  the  latest  in  high-tech 
ultrasound  equipment. 

The  new  equipment,  know  n  as  the  HDI- 
3()()().  is  a  high-definition  imaging  ultra- 
sound. The  technique  offers  doctors  and 
expectant  parents  such  a  precise  image  of  the 
fetus  that  it  can  detect  abnormalities  like 
spina  bifida,  a  defect  of  the  central  ner\ous 
system  that  occurs  when  the  neural  tube, 
which  forms  the  spinal  cord  and  brain,  does 
not  de\elop  properly. 

Denise  Johnson,  an  ultrasonographer  at 
the  center,  has  used  the  HD1-5(MK)  ultrasound 
since  Ma_\  and  considers  it  an  indispensable 
tool  for  detecting  certain  birth  defects. 

"It's  brand  new  with  all  the  bells  and 
whistles.""  said  Johnson.  "It  helps  us  study 
high-risk  obstetrical  cases."" 

The  HD1-5(XH)  ultrasound  used  at  the  center 
offers  a  closer  look  at  congenital  heart  prob- 
lems, kidney  defects  and  gastrointestinal 
abnonnalities. 

Obstetricians  and  gynecologists  through- 
out the  Triangle  refer  their  patients  to  the 
center  for  prenatal  diagnoses,  and  some 
patients  ha\c  tra\eled  from  as  far  away  as 
Wilmington  for  the  ultrasound. 

"We  hope  to  attract  more  patients  from 
areas  that  do  not  cunently  offer  this  type  of 
ultrasound,  but  who  could  benefit  from  our 
expertise  in  maternal  and  fetal  medicine.'" 
Johnson  said. 

Wellpath  Select,  Inc.  and  UNC 
Health  Care  Sign  Provider 
Network  Agreements 

WellPath  Select.  Inc..  an  HMO  formedy 
owned  by  Duke  Health  Systems,  and  UNC 
Health  Care  ha\  e  signed  agreements  that  will 
allow  WellPath  to  provide  its  members 
access  to  the  health  care  provided  by  UNC 
Hospitals  and  UNC  Physicians  &  Associ- 
ates, The  contracts  include  continuing:  Well- 
12 


UNC  Health  Care  unveils  new  lifesaving  helicopter 


Loiik.  up  in  the  sk_\  1  It's  a  bird.  it"s  a 
plane  ...  no  ...  it"s  the  new  Tar  Heel  One. 
UNC  Health  Care"s  new.  state-of-the-art. 
Iitesa\  ing  helicopter.  Part  of  the  UNC  Air 
and  Ground  Transportation  fleet,  the 
chitpper  w  ill  offer  patients  in  medical  cri- 
sis a  faster  and  safer  trip  to  the  hospital. 

"The  biggest  difference  is  the  technol- 
ogy."' said  pilot  Shep  Kaylor.  The  aircraft, 
an  ECI.^5-T1  manufactured  by  Euro- 
copter,  replaces  a  helicopter  made  in 
the  I98()s  but  which  featured  I97()s 
equipment. 

The  new  Tar  Heel  One  can  transport  a 
pilot,  three  medical  personnel  and  one 
patient  and  can  tly  well  over  400  nautical 
miles.  Kaylor  said  —  far  surpassing  the 
250-mile  range  of  the  previous  chopper. 


More  fuel  efficient,  lighter  and  better 
constructed,  the  new  Tar  Heel  One  is  also 
"more  en\  ironmentalK  friendly."  Kaylor 
added.  "It  bums  fuel  more  cleanly." 

The  main  benefit  for  patients  is  the 
helicopter's  speed -e\ en  shaving  10  min- 
utes off  a  night  can  pro\e  crucial  for  a  pa- 
tient in  critical  condition,  said  nurse 
Wend\  Rash,  a  member  of  the  llight  team. 

"We  will  still  di>  the  same  type  of  care 
and  procedures,  but  it  will  help  us  out  be- 
cause it  is  faster."  she  said.  "It  also  has  im- 
pro\ed  lighting  inside  for  better  night 
\ision." 

Striking  in  appearance,  the  helicopter 
sports  bold  Carolina  blue  and  white 
stripes,  a  large  painted  Tar  Heel  on  its 
belh  and  the  new  UNC  Health  Care  logo. 


Path's  long-standing  and  successful  relation- 
ship w  ith  Rex  Hospital  and  its  priman  ph\  si- 
cians.  Rex  Healthcare  in  Raleigh  is  part  of 
the  UNC  Health  Care  System. 

With  the  contracts  effecti\e  September  I . 
2(  K  K ).  Wei  I  Path  enhances  its  already  substimtial 
pro\  ider  network  b_\  more  than  64 1  specialists 
and  105  primary  care  ph\sicians  who  are 
part  of  UNC's  facultv  and  community  prac- 
tices. The  contracts  include  the  full  scope  of 
ser\  ices  pro\  ided  b\  UNC  Health  Care, 
including  all  its  hospitals,  physicians  and 
other  health  care  services,  such  as  home 
health  and  hospice.  Both  LWC  and  WellPath 
are  committed  to  continuing  to  build  upon 
their  strong  relationship  for  the  greater  benefit 


of  WellPath  members  and  communities 
served  by  WellPath  and  UNC. 

"We  belie\e  our  track  record  as  a  leading 
health  care  system  enables  us  to  bring  great 
\alue  to  WellPath  members."  said  Eric  Mun- 
son.  President  and  Chief  Executi\  e  Officer  of 
UNC  Hospitals.  "Our  experience  in  the  mar- 
ketplace, our  excellent  health  care  ser\ices 
and  our  positive  association  w  ith  many  of  the 
area's  employers  have  enhanced  the  health 
and  well-being  of  the  people  in  this  region. 
And  we  belie\e  w ith  this  new  relationship 
WellPath  members  will  have  more  choice 
through  our  extensive  network  of  physicians 
and  hospitals." 


UNC  wins  contract  to  create 
the  first  Cystic  Fibrosis 
National  Bioinfomiatics  Center 

The  L'ni\er^it\  of  North  Carolina  at 
Chapel  Hill  School  of  Medicine  has  been 
awarded  a  contract  b\  the  C\  stic  Fibrosis 
Foundation  Therapeutics  Inc..  an  affiliate  of 
the  C\  Stic  Fibrosis  Foundation,  to  create  and 
maintain  the  nation's  first  comprehensi\e 
bioinforniatics  center  for  c>stic  fibrosis 
researchers. 

The  new  contract  establishes  the  C>stic 
Fibrosis  National  Bioinforniatics  Center  in 
cooperation  \\  ith  Infomia.x  Inc.  The  contract 
is  worth  S45().()(KJ  over  t\\  o  years. 

As  the  amount  of  infonnation  about  c\  stic 
fibrosis  continues  to  grow,  scientists  are 
challenged  to  carr\  out  research  that  turns 
this  information  into  neu  therapeutics  as 
rapidl\  and  efficienth  as  possible.  While 
there  are  man)  labiiraliiries  around  the  coun- 
try stud_\  ing  csstic  fibrosis,  scientists  still 
lack  a  commtin  "language"  \\  ith  w  hicli  lo 
exchange  know  ledge  and  infonnation. 

■"CF  researchers  at  most  universities 
usually  rely  on  the  tools  at  their  university, 
meaning  that  scientists  lu'e  most  often  work- 
ing independently  of  each  other."  said  Da\id 
Fenstermacher.  director  of  scientific  comput- 
ing. "One  reason  for  this  is  that 
researchers  use  different  fonnats  for  storing 
data,  making  it  difficult  to  go  to  another 
cystic  fibrosis  data  site  and  learn  from 
infonnation  stored  there. " 

The  Cystic  Fibrosis  National  Bioinloi- 
matics  Center  will  allow  the  foundation  to 
use  UNC  as  a  central  repository  for  data 
derived  from  gene  expression  studies.  When 
one  group  uncovers  important  data,  another 
participating  group  can  use  that  information 
for  its  subsequent  expenments. 

For  more  than  two  decades.  INC  has 
been  nationallv  and  internationallv  recog- 
nized for  its  premier  CF  Foundation  research 
center  and  accredited  care  center 

The  Cystic  Fibrosis  Foundation  will 
provide  researchers  access  to  Gcnomax.  a 
database  and  data-mining  tool  produced  by 
Infomiax  Inc.  to  be  housed  at  UN'C  where  it 
can  be  accessed  via  the  Internet.  Technical 


and  application  assistance  will  he  available 
i^ound  the  clock. 

"This  initiativ  e  betw  een  academia.  industn. 
and  a  non-profit,  voluntarv  health  organiza- 
tion is  another  innovative  tool  that  will  assure 
the  progress  of  science  and  of  cv  stic  fibrosis 
research  in  particular."  said  Robert  J.  Beall. 
president  and  chief  executiv  e  officer  of  the 
CF  Foundation.  "CF  scientists  hav  e  a  great 
track  record  for  collaborating  to  move  CF 
research  forward.  This  continues  to  fonn  the 
cornerstone  of  our  success." 

The  Genomax  database  will  be  prov  ided 
to  a  limited  number  of  participating  cv  stic 
fibrosis  researchers  for  free,  and  these  inves- 
tigators will  have  private  v  irtual  wnrk  areas 
w  here  thev  can  analv  /e  their  data.  Eiv  entuallv . 
however,  each  participating  scientist  will  be 
required  to  submit  his  or  her  data  lo  the 
central  repository,  iherehv  making  it  accessible 
to  other  researchers. 

"Bv  providing  access  to  this  powerful 
gene  analv  sis  tool  and  centrali/ed  database, 
the  CF  Foundation  hopes  that  scientists  will 
use  the  tools  of  functional  genomics  and 
protein  structures  to  identify  nov  el  targets  for 
future  drug  development."  Beall  said. 

.According  to  Fenstermacher.  the  Cv  stic 
Fibrosis  National  Bioinforniatics  Center 
should  become  available  to  CF  researchers 
this  fall. 

Eck,  Viall  appointed  directors 
of  women's  and  children's 
programs 

UNC  Health  Care  recently  appointed  two 
new  program  directors  for  its  N.C.  Women's 
and  Children's  hospitals,  currciitlv  iiiuici 
construction. 

.Sharon  Fck  has  been  named  director  of 
the  N.C.  Women's  Hospital.  Carolyn  Viall 
has  been  named  clinical  mirsing  ilireclor  lor 
Chiklien's  Services. 

Before  coming  to  L'.NC  last  summei.  I:ck 
served  as  project  manager  of  Senior  Nursing 
Administration  and  Patient  Care  Serv  ices  at 
Yale-New  Haven  Hospital  in  New  Haven. 
Conn.  She  said  the  challenge  of  tailoring 
programs  offered  in  a  brand-new.  state-of- 
the-art  facilitv  attracted  her  to  Chapel  Hill. 


Lck 


"We're  going  to 
respond  to  what 
w  omen  w  ant."  she 
said.  "We're  going 
to  give  them  chitic- 
es.  shared 

Llecision-m.iking. 
convenience  and  a 
caring,  human  con- 
nection." 

Eck  received  her 
hacheUtr's  of  sci- 
ence degree  in 
nursing  in  U)8.^  and 
her  master's  degree  in  nursing  in  l9Sft  from 
the  Universitv  ot  Iowa.  She 
earned  her  doctorate  in  nursing  from  '^'ale 
University. 

•An  assistant  professor  in  the  UNC  School 
of  Nursing.  Eck  sits  on  the  National 
Research  Committee  of  the  .American 
Association  of  .Ambulator)  Care  Nurses.  She 
is  a  member  of  the  .American  Nurse's  .Asso- 
ciation. 

Viall  comes  to 
LINC  from  the 
Medical  Univer- 
sity of  South 
Carolina,  where 
she  served  as 
nurse  manager  of 
the  Pediatric 
Medical-Surgi- 
cal. Pediatric 
Oncolog). 
Pediatric  l:n- 
docrinc  and 
Renal,  and  Pedi- 
atric Cardiac  units. 

"We  aim  to  deliver  world-class  caie.  ami 
we  want  lo  be  the  top  choice  among  parents 
aiul  lelerring  ph)  sicians  for  pediatric  care." 
she  said. 

Viall  earned  her  bachelor's  degree  in  nurs- 
ing from  Cleveland  State  Univeisit)  in  I'JSI 
and  her  master's  degree  in  nursing  from  Case 
Westeiii  Reserve  Univeisit)  in  IMSd. 

.A  member  of  the  .American  Association  of 
Critical  Care  Nurses.  Viall  serves  on  the 
■Amencan  Sociel)  for  Parenteral  and  linteral 
Nutritions  Public  Policv  Committee.  In 
l'^>S.  she  was  awauleil  the  South  Carolina 
League  lor  Nursing  Award  ol  l\ccllcncc. 

1.^ 


Violl 


Family  Day  2000 


Under  perfect  Carolina 
blue  skies,  a  large  crowd 
enjoN'ed  Family  Day  ac- 
tivities held  Sept.  16  at 
UNC's  Carroll  Hall. 

School  of  Medicine  Dean  Jeffrey 
I..  HoLipt  welcomed  almost  500  stu- 
dents, family  and  friends,  one  of  the 
biggest  groups  e\er  to  attend  the 
e\ent.  Other  faculty  members  par- 
ticipating in  the  program  included 
GeiT)  S.  Oxford.  PHD.  professor  of 
cell  and  molecular  physiology; 
Georgette  Dent.  MD.  associate 
dean  for  student  affairs.  Stephen  J. 
Ki/er.  MD.  professor  and  associate 
chair  for  medical  education; 
and  Beat  Steiner.  MD.  MPH.  clini- 
cal assistant  professor  of 
family  medicine. 

James  B.  Brame.  Jr..  of  Durham, 
who's  daughter  Amy  graduated  m 
199S  and  now  daughter  Anna  is  a 
first  year  student  spoke  to  parents. 
Brame  told  parents  that  the  life  of  a 
medical  student  revolves  around 
four  "S"  words:  study,  stress,  sacri- 
fice and  sleeplessness. 

"These  words  are  easy  to  under- 
stand and  we  all  know  that  our  fu- 
ture doctors  experience  all  four  in 
prescription  doses.  We  can  help 
them  w  ith  another  "S"  word.  That  is 


support.  ...  I  ask  each  of  you  as  par- 
ents to  seek  out  and  find  opportuni- 
ties to  volunteer  your  time  and 
talents  to  the  medical  school." 

Follow  ing  lunch  cm  the  lawn, 
first  year  students  and  families  ad- 
journed to  Memorial  Hall  for  the 
traditional  White  Coat  Ceremony. 
This  year's  speaker  was  Stewart 
Rogers.  MD.  professor  of  medicine 
w  ho  leads  the  Internal  Medicine 
Training  program  at  Greensboro's 
Moses  Cone  Hospital  for  AHEC. 

The  White  Coat  ceremony  origi- 
nated at  Columbia  Uni\ersit\  's 
College  of  Physicians  and  Surgeons 
seven  years  ago. 

The  ceremony  is  designed  to  fos- 
ter the  ideals  of  humanistic,  com- 
passionate patient  care,  ethical 
conduct,  and  personal  responsibili- 
t\  in  the  learning  of  medicine.  UNC 
held  its  first  White  Coat  Ceremony 
in  1996.  About  160  first-year  med- 
ical students  received  their  coats 
during  the  ceremony  before  a 
standing-room  only  crowd.  The 
ceremony  concluded  with  the  stu- 
dents reciting  The  Oath  (see  next 
page)  dedicating  themselves  to 
the  responsibilities  of  a  physician 
intrainins:. 


Gcoviicnc  Dent.  Ml),  ilsmk  uilc  Jciin  Jcr  sludcnl  iilhiirs.  hikes 
a  lii^hr-hcarteil  moment  ihiriiig  her  presentation  as  part  of  the 
Family  Day  program. 


Sliulents  i^et  chance  to  catch  up  with  taiiiilx  at  lunch. 


.\  stiuleiit  panel  shares  perspective  of  medical  school  life  with  parents  who 
attended  Familx  Da\  events. 


Snulfiu^.  fciiuilx  and  tru-nds  hud   'lunch  on  die  hiwn  "  mnsidc  Currod  Hidi 


The  Oath 


I  acknowledge  and  accept  the  privileges  and  responsibilities 
i;iven  to  me  today  as  a  physician  in  training  and  dedicate  myself  to 
provide  care  to  those  in  need. 

I  will  approach  all  aspects  of  my  education  with  honesty  and  in- 
tegrit\:  embracing  opportunities  to  learn  from  patients,  teachers 
and  colleagues.  The  diversity  of  their  experiences,  cultures  and 
beliefs  will  enrich  my  education  and  my  alvlity  to  car  for  patients. 
When  I  feel  unprepared  for  new  responsibilities.  I  will 
acknowledge  my  limitations  and  seek  guidance. 

I  will  respect  the  humanity,  rights  and  decisions  of  all  patients 
and  will  attend  to  them  with  conipassiim  and  without  bias.  I  will 
maintain  patient  confidentiality  and  be  tactful  in  my  words  and 
lU  tions.  I  will  not  forget  that  there  is  an  art  to  medicine  as  well  as  a 


science  and  that  warmth,  wiiipalhx  and  understanding  are  inte- 
gral to  patient  care. 

I  recognire  the  privileges  afforded  me  as  a  physician  in  training 
and  promise  not  to  abuse  them.  I  will  .urive  to  earn  the  tni\i  m\ 
patients  place  in  me  and  the  respect  that  society  places  upon  ni\ 
profession.  As  a  student.  I  will  .'ieek  to  acc/iiire  the  kiunvledge  and 
skills  needed  for  individual  patient  care,  the  capacitx  to  prevent 
illness  and  to  understand  the  wars  that  I  can  contribute  to  the  stan- 
dard of  health  in  my  community. 

.As  I  accept  these  new  responsibditics.  I  will  not  loiget  the  im- 
portance of  my  own  health  and  well-being.  I  will  continue  to  value 
mx  relations  with  those  who  have  supponed  mc  in  the  pa\l  and 
those  who  will  share  in  nn  jiiuirc. 


Students  recite  The  Oath  ihiriif^  the  White  Coat  Ceremon\  held  at  Memorial  Hall. 


Fivhiin^cr 


Faculty 

Notes 


Robert  A.  Bashford,  MD.  clinical  associ- 
ate professor  of  psychiatr\.  has  been  elect- 
ed to  the  membership  of  the  American 
College  of  Psychiatrists. 

Janet  K.  Freburger,  PhD.  PT.  has  been 
selected  as  the  2000 
recipient  of  the 
Dorothy  Briggs 
Memorial  Scientific 
Inquiry  Auard  from 
the  American  Physi- 
cal Therap\'  Associa- 
tion. Freburger  has 
also  been  selected  to 
recei\e  a  National 
Research  Service 
Award  from  the  Agency  for  Health  Care 
Policy  and  Research  of  the  U.S.  Public 
Health  Ser\  ice.  beginning  in  Jul\  20()(). 

Noelle  A.  Granger,  PhD.  professor  of  cell 
biologs  and  anatomy,  has  recei\'ed  a  grant 
from  the  Educational  Technology  Group 
for  the  purpose  of  de\elopment  of  gross 
anatomy  dissection  guides  using  comput- 
er-based resources  with  the  aid  of  Jesse 
Cannon.  Granger  also  received  a  grant 
from  ETG  to  develop  3D  embryology  ani- 
mations. 

Gail  E.  Henderson,  PhD.  and  Nancy 
M.P.  King,  JD.  both  professors  of  social 
medicine,  are  leading 
a  group  of  colleagues 
who  ha\e  been  aw ard- 
ed  a  three-year. 
$975,000  National 
Human  Genome 
Research  Institute 
grant  to  in\estigate 
ethical  issues  sur- 
rounding gene  trans- 
fer studies.  Hender- 
son. King  and  colleagues  will  interview 
investigators,  research  subjects,  study 
coordinators  and  members  of  institutional 
review  boards  in  up  to  50  of  the  most 
recent  gene  transfer  studies  across  the 
L'nited  States.  The  group  will  also  analyze 
the  specific  language  of  consent  forms  in 
such  studies  in  an  effort  to  understand  how 
people  develop  ideas  and  beliefs  about 
possible        benefits        from        gene 


Henderson 


KIni; 


transfer/research 
studies.  .Also 

involved  in  the  pro- 
t  arc  Larry  R. 
Churchill,  PhD.  pro 
lessor  of  social  medi- 
cine; Daniel  K.  Nel- 
son, MS.  associate 
professor  of  social 
medicine  and  pedi- 
atrics; Arlene  Davis,  JD.  research  assis- 
tant professor  of  social  medicine;  and 
Michael  O.  Calloway,  a  fellow  at  the 
UNC-CH  Cecil  G.  Sheps  Center  for 
Health  Services  Research. 

Celia  R.  Hooper,  PhD.  clinical  professor 
of  speech  and  hearing  sciences,  has  been 
honored  bv  L!NC-Greensboro's  School  of 
Health  and  Human  Performance  with  its 
Distinguished  .-Xlumni  Award. 

Jean  M.  Lauder,  PhD.  professor  of  cell 
biology  and  anatomv.  has  recently  received 
two  awards.  NIDCR  has  granted  Lauder  a 
five-year  award  titled  "Serotonergic  Regu- 
lation of  Insulin-Like  Growth  Factors." 
NIEHS  has  funded  ""Organochlorine  Pesti- 
cides and  Serotonergic  Development."  a 
two-vear  aw ard. 

John  J.  Lemasters.  MD.  PhD.  professor 
of  cell  biology  and  anatomy,  has  been 
granted  a  two-year  Collaborative  Funding 
.Assistance  Program  award  from  the  N.C. 
Biotechnology  Center  for  his  research  pro- 
ject titled  "Development  of  Carolina  Rinse 
Solution." 

Jeffrey  .\.  Lieberman,  MD.  professor  and 
vice  chair  for  research  and  scientific  affairs 
of  psvchiatry.  and  Christine  Marx,  MD 

received  the  2000  Kempf  Award  from  the 
American  Psychiatric 
Association.  The  award 
recognizes  research 
excellence  in  schizo- 
phrenia, and  is  given  to 
an  outstanding  mentor 
and  his/her  mentee. 
Lieberman  recently 
served  as  part  of  the 
planning  board  for  the 
Lichcmuin         Surgeon       GeneraLs 


Report  on  .Mental  Health. 

Gary  B.  Mesibov,  PhD.  professor  of  psy- 
chiatrv  and  director  of  TEACCH.  has 
received  an  honorary  doctorate  from  the 
academic  board  of  the  Univ  ersity  of  Mons- 
Hainaut  in  Mons.  Belgium.  The  Belgian 
university  recognized  Mesibov  for  univer- 
sity training  and  public  school  implemen- 
tation of  TEACCH  methods  in  Belgium. 
TEACCH  was  the  first  program  in  the 
United  States  to  offer  comprehensive  and 
community-based  professional  assistance 
for  families  to  help  them  understand  and 
treat  autism  and  avoid  unnecessary  institu- 
tionalization. 

Anthony  A.  Meyer.  MD,  PhD.  professor 
and  div  ision  chief  of 
general  surgery,  has 
been  named  the 
Roscoe  Bennett  Gray 
Cowper  Distin- 
guished Professor  of 
Surgery.  He  succeeds 
George  Johnson.  MD 
who  was  the  first 
Cowper  Professor, 
and  who  now  is  the 
Roscoe  Bennett  Gray  Cowper  Professor- 
Emeritus.  Mever  has  also  been  appointed 
reviewer  for  the  Journal  of  Leukocyte 
Blolo\;y.  chairman  of  the  Honors 
Committee.  Nominating  Committee  and 
Committee  on  Publications  for  the  Ameri- 
can Association  for  the  Surgery  of 
Trauma,  and  was  appointed  to  the  Strate- 
gic Planning  Task  Force  for  Ambulatory 
Care  Pharmacy  last  year. 

Michael  R.  Mill,  MD.  professor  of 
surgerv.  has  been  named  chief  of  the  divi- 
sion of  cardiothoracic  surgery.  He  has  been 
the  acting  chief 
since  Benson  R. 
Wilcox.  MD. 

retired  in  1998.  Mil 
performed  both  the  'Tt3^ 
first  heart-lung 
transplant  and  first 
pediatric  heart-lung 
transplant  in  North 

Carolina.  

Mill 


Merer 


J^^ 


Paul  L.  Molina.  MD.  associate  professor 
ol  radiologv  uas 
selected  by  the  diag- 
nostic radioiogN  res- 
idents as  Teacher  iil 
the  '^ear.  The  award 
honors  a  UNC  facul- 
ty member  who 
makes  a  significant 
contribution  to  radi- 
ologN  resident  edu- 
Moliiui  cation    during    the 

academic  year.  Molina  joined  the  facult\ 
in  1993  and  has  ser\ed  as  the  residency 
program  director  for  the  department  of 
radiiilog\  since  1996.  He"s  the  director  of 
computed  body  tomograph\'  and  chairman 
of  the  radiology  resident  selection  com- 
mittee. 

Shoji  Osawa,  PhD.  research  associate 
professor  of  cell  biology  and  anatomy,  has 
recei\ed  a  three-\ear  award  from  NTH 


titled  "Desensiti/ation  of  Cone  Visual 
Signaling  Pathwa\s." 

Michael  D.  Peck,  .MD,  ScD.  professor  of 
surger\  and  director  ol  the  L'NC  Ja\cee 
Burn  Center,  has  been  appointed  to  the 
editorial  board  of  the  Jounuil  of  Hum 
Care  and  RehabUitation. 

The  Journal  is  the  official  publication 
of  the  American  Bum  Association  and  is 
the  only  U.S.  journal  de\oted  e\clusi\el\ 
to  the  treatment  and  rehabilitation  of 
patients  with  burns.  Its  original,  peer- 
re\iev\ed  articles  present  the  latest  infor- 
mation on  surgical  procedures,  acute  care, 
rehabilitation,  reconstruction  and  burn 
pre\ention. 

Robert  L.  Peiffer,  Jr..  PhD.  DVM.  pro 

fessor  of  ophthalmology  and  patholog\. 
was  recentK  in\ited  to  be  a  \isiting  pro- 
fessor at  the  Western  Colleges  of  .Medi- 
cine and  Veterinar\  Medicine.  L'ni\ersit\ 


of  Saskatchewan.  Saskstoon.  Canada.  In 
addition  to  participating  m  patient  rounds 
and  collaborati\e  research  with  Dr.  Bruce 
Grahn.  Peiffer  ga\e  three  lectures  while 
there.  "Ocular  .Melanomas  in  Three 
Species."  "The  Histopathology  of  Glauco- 
ma." and  "Pigmented  Ocular  Lesions." 

M.  Patricia  Ri\cra.  MD.  assistant  pro- 
fessor ol  pulmonar\  and  critical  care  med- 
icine, has  been  appointed  go\ernor  of 
North  Carolina  for  the  .American  College 
of  Chest  Physicians  for  2()()()-2()()2. 

Wesley  M.  Wallace.  MD.  clinical  assis- 
tant professor  of  emergency  medicine,  has 
been  appointed  bs  House  Speaker  James 
Black  to  the  North  Carolina  Legislature's 
Smart  Grovsih  Commissiim. 


Robert  D.  Lansdell.  MD.  professor 
emeritus  of  patholog\  and  laboratory  medi- 
cine at  the  UNC  School  of  Medicine  for 
more  than  30  years,  passed  awa\  April  I  1. 
2()(M).  Despite  his  death  at  age  7ft.  his  life- 
time of  contnbutions  to  the  fields  of  hema- 
tolog\  and  pathologs  will  continue  to  li\e 
on. 

"Dr.  Langdell  was  one  of  the  three 
world-famous  coagulationists  that  UNC 
has  produced."  said  Harold  R.  Roberts. 
MD.  distinguished  professor  of  medicine 
and  pathologN  and  laboratory  medicine. 
"Dr.  Langdell.  along  with  Dr.  Kenneth 
Brinkhous  and  Dr.  Robert  Wagner,  is 
known  the  world  o\er  for  the  Partial 
Thromboplastin  Time  test  that  the  three  first 
developed  and  described  in  19.S.\" 

The  Partial  TTiromboplastin  Time  test,  or 
PTT  as  many  physicians  call  it.  is  a  simple 
bl(K)d  test  used  for  the  diagnosis  ol  bleeding 
disorders  and  for  monitoring  treatment  ot 
heart  attacks  and  strokes  w  ith  the  anticoag- 
ulant heparin.  The  test  is  currentls  used  mil- 
lions of  times  a  day  by  hospitals  worldw  ide. 
according  to  Roberts,  and  has  tormed  the 
basis  of  all  other  one-stage  clotting 
assass  used. 


IN  REMEMBRANCE 


R,,hcn  I)  luiir^chll.  Ml) 

"Dr.  Langdell's  contributions  lo  his  licld 
included  not  only  the  de\elopmeni  of  PIT 
and  his  expertise  in  the  diagnosis  of  bleed- 
ing disorders."  said  Roberts,  "but  also  his 
enumeration  of  the  requirements  on  blood 
banks  to  treat  those  disorders  w  ith  blood 
component  therapy." 

.•\  graduate  of  the  George  Washington 
L'niversit)  School  of  Medicine  in  I94S. 
Lansidell  first  came  to  L'NC  as  a  fellow  in 


patholog)  in  1944.  Hcquickl\  became  a 
ke\  member  of  Brinkhous'  research  group, 
and  began  teaching  in  the  department  of 
pathology  in  1951.  His  research  interests 
included  the  nature  of  coagulation  in  lower 
animals,  and  the  stability  of  coagulation 
factors  in  blood-banked  blood  and  plasma. 

Throughout  the  course  of  his  distin- 
guished career.  Langdell  was  invohed  in 
numerous  professional  affiliations,  includ- 
ing the  .American  Medical  .Association,  the 
American  Society  of  Clinical  Pathologists 
and  the  International  Sociels  of  Lhrombo- 
sisand  Haemostasis 

Langdell  retired  from  the  School  of 
Medicine  in  June  of  19S9.  In  1990.  the 
Langdell  Transfusion  Medicine  Service, 
the  blood  bank  for  L'NC  Hospitals,  was 
dedicated  and  named  in  honor  ol  Langdell, 

Langdell's  achiev  e  men  is  w  eie  once 
again  lecogni/ed  in  l'>4ft  when  ihc  Ameri- 
can .Association  of  Blood  Banks  awarded 
him  their  highest  honor,  the  Karl  I.andstein- 
er  .Award.  The  award  is  given  annuallv  in 
recognition  of  those  who  have  made  out- 
staniling  contributions  iii  the  science  ol 
blooil-banking  at  both  the  clinical  and  basic 
research  levels. 


Faculty  Profile 


Runge  Stays  Focused  on 


By  Katie  Macdonald 

During  the  hottest  days  of  summer, 
w  hen  many  North  Carolinians  ure 
complaining  of  the  heat  and  hu- 
midity, Marschaii  Runge.  MD. 
PhD.  and  new  chair  of  the  UNC 
Department  of  Medicine,  is  thoroughly 
enjoying  the  blue  skies  and  casual,  university 
town  lifestyle  unique  to  Chapel  Hill.  "It's 
like  a  breath  of  fresh  air."  said  the  native 
Texan,  who  has  found  relief  from  the  Texas 
heat  along  with  some  new  challenges  that 
come  with  chairing  one  of  the  largest  depart- 
ments w  ithin  the  School  of  Medicine. 

"ril  do  my  absolute  best  to  help  the  de- 
partment grow  and  prosper  and  to  foster 
growth  in  our  faculty,  fellows,  residents  and 
staff."  he  said,  ""rm  excited  to  be  here  and 
will  do  e\erything  I  came  to  help  continue 
the  outstanding  tradition  that  this  department 
has  had  o\  er  the  past  se\  eral  decades.  " 

In  July.  Runge  moved  his  w  ife.  Susan,  and 
their  five  children.  Thomas.  17:  Elizabeth. 
1."^;  William,  13;  John,  10:  and  Mason.  8. 
from  from  Gaheston,  Texas,  where  they  had 
lived  since  1994.  in  Texas,  Runge  worked  in 
the  cardiology  di\  ision  at  the  John  Seal\ 
Hospital  —  University  of  Texas  Medical 
Branch  at  Galveston.  Along  with  his  role  as 
professor  of  internal  medicine  and  John 
Sealy  Distinguished  Centennial  Chair. 
Runge  ser\ed  as  the  director  for  the  Sealy 
Center  for  Molecular  Biology,  all  while 
fulfilling  his  duties  as  an  attending  physician. 

His  medical  career  is  replete  with  distin- 
guished academic  and  hospital  appointments. 
He  graduated  from  the  Johns  Hopkins 
School  of  Medicine  and  was  an  intern  and 
resident  in  Internal  Medicine  there.  He  then 
completed  his  cardiology  fellow  ship  at 
Harvard's  Massachusetts  General  Hospital 
and  was  a  faculty  member  there  prior  to 
mo\ing  to  Emory  Uni\ersity  as  an  associate 
professor  of  Medicine  in  1989.  0\erthe 
\  ears,  he  has  recei\  ed  numerous  aw  ards  and 
honors  that  are  reflective  of  his  outstanding 
career  as  a  researcher,  teacher  and  physician. 

His  research  awards  include  the  Henry 

18 


Marschaii  Rnui;c.  MD.  chair  of  the  Department  of  Medicine 


Christian  Research  .^ward  from  the  Ameri- 
can Federation  of  Clinical  Research  and  the 
American  Heart  Association  Council  on 
Thrombosis"  Young  Investigator  Prize  in 
Thrombosis. 

Runge  also  has  received  praise  from  some 
of  the  top  medical  schools  in  the  country.  In 
1993,  Emory  University  honored  him  with 
the  Golden  .Apple  .•\ward  for  excellence  in 
teaching  in  internal  medicine  and.  in  1994. 
the  University  of  Texas  Medical  Branch 
designated  him  the  Best  Teacher  in  Internal 
Medicine.  The  Best  Doctors  in  .America  also 
counted  Runge  among  the  select  doctors  for 
its  fourth  edition  issued  in  1998.  For  a  doctor 
whose  modesty  and  unassuming 
demeanor  might  strike  some  as  unexpected. 


although  w  elcome  characteristics.  Runge 
has  consistently  demonstrated  an  ability  to 
manage  a  lot  of  responsibilities  with  the 
highest  degree  of  skill  and  professionalism. 

Runge"s  talents  and  work  ethic,  however, 
come  as  no  suiprise  to  his  family  and  friends, 
vv  ho  know  of  his  childhood  grow  ing  up  in  the 
Texas  hill  country. 

"My  parents  are  both  children  of  the 
Depression  and  are  really  big  on  education," 
said  Runge.  "They  were  very  insistent 
on  getting  a  good  education  and  putting  it  to 
good  use.  The\  never  pushed  me  in 
an\  direction  in  particular,  but  did,  on  occa- 
sion, tell  me  that  if  I  procrastinated  too  much, 
they  would." 

Althousih  Runae  was  not  alwavs  sure  he 


wading,  Teaching,  Caring 


u  anted  to  he  a  doctor,  there  \\  as  strong  pull  in 
his  famils  toward  medicine  —  with  se\eral 
phvsician  I'aniih  members,  including  his 
older  sister  and  younger  brother  —  both  of 
\\  hom  also  ended  up  in  academic  medicine. 

Now  as  a  diKtor  specializing  in  cardiolog>. 
Runge  finds  it  amusing  to  reflect  on  his  original 
vision  of  becoming  a  doctor.  ""When  I  first 
thought  about  going  into  medicine,  my  plan 
was  to  go  into  famiK  practice  in  a  small  town 
in  central  Texas  w  here  my  grandparents  had 
a  ranch."  he  recalled.  ""But  in  college,  some- 
what to  my  surprise.  I  became  interested  in 
basic  molecular  biology  research,  and  it  w  as 
that  interest  that  really  led  me  to  academic 
medicine.  That  life  wasn't  \'ery  compatible 
with  tamil\  practice  in  the  central  Texas  hill 
countPv.  though."' 

The  directum  his  life  has  taken  is  quite 
unlike  the  life  of  a  family  practice  doctor  in 
central  Texas.  Although  he  wanted  to  attend 
the  University  of  Texas  at  Austin,  Runge  was 
encouraged  to  look  beyond  the  comforts  of 
familiarity  and  home  for  an  education.  His 
parents'  insistence  that  he  li\e  at  home  if  he 
attended  LT.  proved  enough  niotix ation  to 
send  Runge  to  Vanderhilt  University  in 
Nashv  ille.  Tenn..  where  he  studied  biology. 
Vanderhilt  is  where  Runge  met  his  wife 
.Susan,  an  anesthesiologist.  .She's  put  her 
practice  aside  for  now.  concentrating  instead 
on  being  a  full-lime  mother.  ""Susan  and  I  met 
in  chemistry  class."  said  Runge  w  ith  a  grin. 

.After  graduating  from  Vanderhilt  in  1976. 
Runge  decided  to  continue  his  education 
there  and  in  1979.  completed  his  PhD  in 
Vanderhill's  molecular  biology  program. 
From  there.  Runge  attended  Johns  Hopkins 
University  School  of  .Medicine,  where  he 
received  his  .\H)  in  I9S4. 

Since  that  time.  Runge  has  thnveil  in  his 
position  as  a  physician  and  researcher, 
devoting  much  of  his  career  to  the  study  of 
vascular  biology  and  clotting  thrombosis. 
"I'm  interested  in  knowing  how  the  blood 
vessels  work."  he  said. 

UNC's  long-standing  reputation  as  one  of 
the  world's  leaders  in  thrombosis  research. 
the  growing  interest  here  in  v.iscuiar  hioloyv. 


and  the  breadth  of  cutting  edge  research  both 
in  the  department  and  medical  school  are  all 
reasons  that  Runge  decided  tit  come  io 
Chapel  Hill.  "UNC  has  a  wonderful  and  well 
desened  tradition  and  reputation  in  thrombosis 
research,  and  has  great  science  throughout 
the  institution."  he  said.  ""Although  I  hadn't 
initially  sought  a  position  as  chairman,  the 
strength  of  this  department  and  of  UNC  and 
the  area  were  practically  irresistible.  Plus, 
everyone  I  knew,  including  several  former 
UNC  faculty  members  who  were  chairs  in 
Galveston.  realK  spoke  ver\  highh  of  the 
institution  and  area." 

As  the  new  chair  of  medicine.  Runge  is.  in 
part,  responsible  for  setting  the  tone  for 
students  hoping  to  enter  the  medical  profes- 
sion. He  will  teach  on  inpatient  services  in 
areas  of  clinical  medicine,  including  his  area 
of  expertise,  cardiology.  ""I  very  much  enjoy 
teaching  at  different  levels."  he  said.  ""One  of 
our  most  important  teaching  roles  as  faculty 
focuses  on  the  approach  to  the  patient.  We. 
and  our  students,  must  learn  to  evaluate 
patients  in  a  scientific  w  ay  in  order  to  consider 
all  possible  disease  processes  and  treatments 
while  never  losing  sight  of  the  impoilance  of 
compassion  and  the  phv  sician-patient  rela- 
tionship. Helping  medical  students  and  hous- 
estaff  learn  these  lessons  in  today's  more 
hurried  medical  environment  is  a  challenge 
that  we  must  address." 

Runge  plans  to  combine  his  scieiiiilic 
instruction  with  an  emphasis  on  profession 
alism  and  respect  for  patients,  their  families 
and  coworkers  in  health  care.  ""The  best 
approach,  in  my  opinion  is  lo  leach  interac- 
tively and  by  example."  he  sav  s. 

Runge  wants  also  to  leach  medical 
students  in  the  pre-clinical  vears.  focusing  on 
the  application  of  basic  science  to  the 
practice  of  medicine.  ""In  the  past.  I  have 
taught  in  physiology  and  pathophysiology 
courses  on  the  heart  and  blood  vessels,  and  I 
hope  to  be  do  the  same  here."  he  said. 

Along  w  ith  his  duties  as  a  tacullv  member 
111  the  School  of  Medicine.  Runge  will  spend 
a  significant  amount  of  lime  with  the  mctlical 
houseslall    \\\n  In  lliice  davs  a  '.'.cck.  kuiii.'e 


will  attend  a  conlcieiice  called  Morning 
Report  and  then  answer  questions  at 
bi-weeklv  "Stump  the  Chair"  sessions. 

"The  job  of  chairman  is  a  truly  daunting 
task,  particularly  w ith  the  ever-changing 
health  care  environment."  he  said.  ""Today,  it 
is  not  only  important  to  be  involved  in  all  the 
traditional  areas  of  academic  medicine,  but  to 
alw ays  have  an  eye  towards  adapting  to  the 
changing  landscape.  Thinking  back  about 
some  of  the  incredible  chairs  that  I  have 
know n.  as  well  as  those  w ho  have  preceded 
me  here,  these  indiv  iduals  somehow  com- 
bined teaching,  clinical  care  and  research  in 
their  own  lives  and  integrated  these  into  their 
departments.  They  not  only  led  by  example, 
but  also  faced  the  administrative  challenges 
of  managing  a  large  and  important  part  of  a 
medical  school  through  challenging  times  in 
academic  medicine.  Without  question,  this  is 
a  much  larger  job  than  anv  one  person,  and 
we  have  a  wonderful  faculty  at  UNC  and 
div  ision  directors,  all  of  whom  have  alreadv. 
and  continue  to  rise  to  the  occasion." 

Runge's  relocation  and  new  job  mav  seem 
lo  him  like  a  breath  of  fresh  air.  but  it  is 
Runge  who  will  breathe  new  life  into  the 
department  of  medicine.  "I  think  we  have  to 
lake  a  fresh  look  at  medicine."  he  said.  "Willi 
the  collective  brain  pow er  of  the  departmenl 
of  medicine.  I  have  no  douhl  thai  if  we  are 
w  illiiig  lo  be  miiovalive.  lo  lake  risks  aiul  lo 
persisi.  we  can  make  changes  that  will  allow 
all  of  us  to  spend  more  time  on  what  we 
entered  academic  medicine  for  in  the  fiisi 
place  —  to  do  research,  lake  care  of  palicnls 
and  leach."  D 


Scholarship  Established  in 
Honor  of  Harold  Roberts,  MD 


BvBernadetteGillis 

Sa\  ing  ihank  you  lo  one  man  never 
meant  so  much  to  so  many.  In  appreeia- 
iii>n  of  years  of  support.  Ron  Neal. 
MD,  "75.  an  OB  Gyn  in  Greensboro.  N.C.. 
created  a  scholarship  to  help  medical  school 
students  in  honor  ol'  Harold  R.  Roberts.  MD. 
".'^.'^.  The  scholarship  endowment  fund  is  held 
at  The  Medical  Foundation  of  North  Caroli- 
na. Inc. 

"Harold  Roberts  was  not  onl\  a  mentor  to 
me  but  also  a  father  figure.  Neal  said.  "E\er 
since  I  was  in  medical  school.  I  ha\e  wanted 
lo  thank  him.  The  most  significant  thing  I 
could  to  do  was  to  set  up  a  scholarship."  The 
Roberts  Loyally  Fund  Scholarship  was  an- 
nounced by  Neal  with  Roberts  standing  at  his 
side  at  the  Spring  Medical  Alumni  Weekend 
Banquet. 

The  need-based  scholarship,  named  after 
Roberts,  will  benefit  medical  students  u ilh 
llnancial  need. 

Ha\  ing  come  from  disadvantaged  back- 
grounds, helping  economically  disadvan- 
taged medical  students  would  mean  a  lot  \o 
both  Neal  and  Roberts.  Neal  said.  "We  both 
know  what  it  was  like  to  staiggle.  That's  the 
reason  for  setting  up  a  need-based  scholar- 
ship." He  added.  "ll"s  a  way  of  helping  those 
like  him  and  mvself." 

It  was  Robeils'  understanding  of  financial 
struggles  that  led  Neal  to  find  a  role  model  in 
Roberts.  "Hav  ing  lost  my  father  a  at  \erv 
voung  age.  it  was  easv  for  me  to  admire 
him." 

Neal  worked  w  ith  Roberts  for  three  vears 
before  attending  the  school  of  medicine,  first 
as  a  technician  and  later  as  a  graduate  stu- 
dent. "Dr.  Roberts  was  personally  interested 
in  my  work  and  helped  me  realize  my  dream 
of  becoming  a  physician." 

Roberts  taught  Neal  many  lessons  in  life, 
including  the  importance  of  the  being  the 
best  at  w  hat  you  do  despite  your  occupation 
or  background,  said  Neal.  "I  am  certain  that 
Dr.  Roberts  and  1  share  the  belief  that  men 
and  women  of  character,  intelligence  and 
commitment  should  be  able  to  pursue  c;u"eers 
in  medicine,  regardless  of  economic  circum- 
stances." 


]() 


Hiimlil  Rdhcrts.  MD.  left,  learns  of  Ron  iWcal's  \c/iol(ir.\hip  i;ifr. 


The  Harold  R.  Roberts  Loyalty  Fund 
Scholarship  will  benefit  one  student  each 
year  beginning  in  the  fall  2001 .  The  scholar- 
ship is  one  of  .'i  1  Lovalty  Fund  Scholarships 
awarded  annually  by  the  Loyalty  Fund,  the 
unrestricted  annual  fund  of  medical  school 
alumni.  A  campaign  is  underway  to  endow- 
all  .^1  scholarships  at  a  minimum  of 
$100,000.  Rising  costs,  including  a  signifi- 
cant tuition  increase,  make  the  case  for  en- 
dowment. A  story  will  appear  in  the  next 
Bulletin  in  regard  to  the  Medical  .Alumni  En- 
dow ment  Campaign. 

Neal  said  he  is  happv  the  scholarship  will 
benefit  medical  students  w  ith  backgrounds 
similar  to  his.  "It's  a  wonderful  feeling  lo 
know  vou  are  helping  others,  and  this  is  a 


w  onderful  oppoiiunitv  to  help." 

In  addition  to  show  ing  his  appreciation  for 
Roberts'  infiuence.  Neal  said  the  scholarship 
was  established  also  to  recognize  Roberts' 
contributions  to  the  school  of  medicine.  "Dr 
Roberts  is  one  of  the  medical  school's  great- 
est advocates,  and  he's  made  a  tremendous 
difference." 

Ri)berts  has  serv  ed  on  the  school  of  medi- 
cine faculty  as  an  internationally  recognized 
specialist  in  hematology  and  coagulation.  He 
was  also  granted  the  Distinguished  Career 
.Award  for  Contributions  to  Hemostasis  by 
the  International  Societv  on  Thrombosis  and 
Hemostasis.  He  w  as  honored  w  ith  the  Med- 
ical .Alumni  .Association's  Distinguished 
Serv  ice  .Aw  aid  earlier  this  year. 


UNC  Professor  Endows 
National  Prize  in  Neuroscience 


One  of  UNC's  most  distin- 
guished researchers  recenii\ 
endowed  ii  SlO.Ooi) 
national  prize  to  he  awarded 
annuall)  tor  an  outstanding  scientific 
contribution  to  neuroscience. 

Edward  R.  Perl.  MD.  Surah  Graham 
Kenan  professor  of  cell  and  inolecuiar 
ph\  siologs  said  he  endow  ed  the  prize 
to  draw  attention  to  UNC"s  strengths 
in  neuroscience  and  pa\  tribute  to  the 
uni\ersity 

"The  prize  allow  s  me  to  acknow  I- 
edge  the  uni\ersit\  for  the  opportuni- 
ties it  has  gi\  en  nie."  he  said.  "The  prize 
would  bring  to  the  campus  on  a  yearl\ 
basis  major  contributors  in  the  field  to 
receixe  this  aw ard.  gi\e  a  lecture  and 
interact  w  ith  people  here. 

"The  prize  would  be  a  legacv  of  nn 
ha\  ing  been  here  and  would  help  call 
attention  to  the  institution  and  our 
strength  in  neuroscience." 

Perl  said  he  hoped  the  prize  would 
be  awarded  for  an  outstanding  disco\  - 
cry  or  seminal  insight,  rather  than  to 
commemorate  a  lifetime  bod\  of  work. 

"The  selection  committee  would 
choose  from  the  broad  field  of  neuroscience 
ranging  from  de\  elopment  to  molecular 
mechanisms  to  integrative  function."  he  said. 
"It  is  m\  specific  w  ish  that  the  prize  should 
not  focus  on  the  same  area  in  successive 
\ears.  The  concept  is  to  recognize  people 


aid  R.  Perl.  MD 


ind 


w  ith  fresh  and  current  contribution 
make  them  aw  are  of  UNC." 

Perl,  who  received  his  medical  degree  in 
1 949  fn>m  the  Uni\  ersily  of  Illinois  at  Chicago. 
tv\ice  served  as  acting  head  of  the  L'ni\ersit\ 
of  Utah's  physiology  department.  Recruited 


to  Carolina  to  build  up  the  uni\ersit\  s 
strength  in  the  neurosciences.  Pei  1 
served  as  chairman  of  |ilivsiologv  from 
1971  to  1989. 

A  founder  and  acting  president  w  hen 
the  Society  for  Neuroscience  w  as  start- 
ed in  1969.  he  was  awarded  that  group's 
1998  Gerard  prize  for  outstanding  con- 
tributions to  the  field. 

Perl's  wiirk  in  pain  mechanisms  has 
been  highlv  influential.  He  was  the  first 
to  document  the  existence  of  nocicep- 
tors, sensorv  fibers  speciallv  activated 
bv  tissue  damage  and  their  relation  to 
the  sensation  of  pain.  He 
continues  to  explore  the  biological 
bases  of  pain  sensation. 

Nearing  completion  on  campus 
is  a  S3()-million  Neuroscience 
Research  Center,  headed  bv  William 
Snider.  MD.  a  pioneer  in  the  action  of 
nerve  grovMh  factors,  proteins  thai  help 
neurons  grow.  Perl  helpei,!  rcciuil 
Snider  to  UNC. 

"His  nociceptor  work  has  had  an 
enormous  impact  on  modern  pain  re- 
search." Snider  said  of  Perl. 

"There  are  nov\  literallv  dozens  of 
laboratories,  as  well  as  biotechnology  and 
pharmaceutical  companies,  studying  the 
molecular  characteristics  of  these  neurons 
w ith  an  eye  toward  developing  novel  pain 
therapies."  D 


Californian  wins  first  Perl-UNC  Neuroscience  Prize 


.\  California  researcher  became  the  first 
w  inner  ot  a  national  prize  endowed  bv  a 
distinguished  scientist  at  the  University  of 
North  Carolina  at  Chapel  Hill.  The  prize,  to 
be  awarded  annuallv.  recognizes  outstand- 
ing scieniiflc  contribution  to  the  Held  of 
neuroscience. 

The  SIO.OOO  Perl-UNC  Neuroscience 
Prize  goes  to  Oav  id  Julius.  PhD.  professor 
111  cellular  and  molecular  pharmacologv  at 
ihe  I  ni\i.-isil\  cil  { '.ilitiirnia-San  IraiKisco 


School  of  Medicine. 

Julius  discovered  the  nerve  cell  mole- 
cule that  mediates  responses  to  capsaicin, 
the  active  ingredient  in  hot  peppers.  The 
capsaicin  receptor.  VRl.  also  is  responsi- 
ble for  the  transmission  of  noxious  heal 
sensations. 

I  hat  discover)  four  vears  ago.  and 
Julius"  subsequent  studies,  build  on  the  pi- 
oneering research  of  neurophvsiologist  |-d- 
ward  k    Perl.  Ml).  S.ir.ih  Giahaiii  Kenan 


professor  of  cell  anil  molecular  phv  siologv 
at  UNC's  .School  of  Medicine, 

Julius  said  he  was  lionoieil  lo  have  le 
ceived  theavsard. 

"I  lake  great  pride  and  pleasure  in  being 
named  the  recipient  of  the  first  Perl-UNC 
Neuroscience  Prize."  Julius  said.  "Ol 
course,  this  prize  is  made  possible  through 
the  generosity  of  Fid  Perl,  but  it  also  rellecls 
his  pioneering  studies  in  the  area  of  noci- 
ception and  sensorv  iieunin  liinclinniiiL'  " 


Research 
Briefs 


Research  shows  radiologists 
will  need  different  programs 
for  digital  mammography  to 
work  best 

For  doctors  to  take  best  ad\  antage  of  new 
digital  mainiiiography  and  possibly  saxe 
more  women  from  breast  cancer,  companies 
that  manufacture  the  technology  need  to  cre- 
ate new.  more  sophisticated  computer  pro- 
grams. University  of  North  Carolina  at 
Chapel  Hill  scientists  say. 

That's  because  a  team  of  researchers  led 
b\  Htta  Pisano.  MD.  professor  of  radiology, 
has  found  that  radiologists  prefer  different 
kinds  of  images  for  c\  aluating  different  types 
of  breast  tissue  ahnonnalilies. 

""Before  v\e  did  our  study,  we  thought  that 
a  ceilain  type  of  lesion  and  a  certain  kind  of 
breast  density,  for  example,  would  require 
only  one  type  of  processing."  said  Pisano. 
also  chief  of  breast  imaging  and  a  member  of 
the  UNC  Lineberger  Comprehensix  e  Cancer 
Center.  ""Now.  we  think  displaying  images 
w  ill  be  more  complicated.  To  get  full  use  out 
of  digital  mammographs'  machines,  compa- 
nies are  going  to  have  to  put  some  resources 
into  optimizing  images  for  different  tasks." 

■An  image  processing  program  that  reveals 
calcitlcatiiws  in  the  breast  will  be  different 
from  one  that  helps  doctors  evaluate  those 
calcifications  once  they've  been  found,  she 
said.  The  same  holds  true  for  cancerous 
breast  tumors. 

A  report  on  the  latest  research  appears  in 
the  September  issue  of  Radiologx,.  Besides 
Pisano.  authors  are  Elodia  B.  Cole,  reseaich 
associate  in  radiolog\ :  Stacey  Major,  fomier 
research  assistant  in  biostalistics:  Shuquan 
Zong.  graduate  research  assistant;  Bradle\ 
M.  Hemminger.  senior  research  associate  in 
radiologx ;  Keith  E.  Muller.  PhD  associate 
professor  of  biostalistics;  and  27  co-authors 
iVoni  the  International  Digital  Mammogra- 
phs De\  elopment  Group.  The  latter  is  a  con- 
sortium of  radiologists  from  UNC.  Harsard. 
Johns  Hopkins.  Duke  and  other  uni\ersities. 
■A  companion  report  in  the  September  issue 
o{  Radiographics  contains  images  from  the 
studs. 

The  lescarch  insohed  showinc  imaees 


Worn  2S  patients  w ith  various  known  breast 
abnormalities  to  12  radiologists  who  com- 
pared digital  images  from  three  different 
commercially  asailable  machines  to  tradi- 
tional film  mammograms  from  the  same  pa- 
tients. The  physicians  were  asked  to  decide 
and  record  which  images  they  preferred  in 
making  diagnoses.  Manufacturers  were  Gen- 
eral Electric.  Fisher  and  Trex. 

The  challenge  for  General  Electric  and  the 
other  companies  will  be  to  create  new.  more 
sophisticated  computer  sitftware  that  takes 
into  account  what  radiologists  beliese  pro- 
vides the  most  helpful  pictures,  the  ph\  sician 
said. 

The  National  Cancer  Institute,  the  U.S. 
Amiy  Medical  Research  and  Material  Com- 
mand and  the  Canadian  Breast  Cancer  Re- 
seiuch  Initiatis e  supported  the  research. 

For  more  information,  see  lutp://w\vw. 
iinc.edii/ne\\s/newssen'/resecircli/piscmoH3l 
on.  htm 

Camera  to  detect  early  signs 
of  lung  cancer;  tests  at 
UNC  seek  people  at  risk 
for  disease 

Physicians  at  the  Ihiisersity  of  North  Car- 
olina at  Chapel  Hill  School  of  Medicine  are 
seeking  people  at  high  risk  for  deseloping 
lung  cancer  to  participate  in  a  studs'  aimed  at 
detecting  early  signs  of  the  disease. 

■"We  are  looking  for  people  svho  has  e  a 
prior  history  of  early-stage  lung  cancer,  head 
or  neck  cancer,  smokers  os  er  age  35  and 
smokers  svho  base  had  relatises  svith  lung 
cancer.""  said  Patricia  Risera.  MD.  assistant 
professor  of  medicine  and  a  member  of  the 
UNC  Lineberger  Comprehensise  Cancer 
Center.  ""Our  hope  is  that  sve  ss  ill  be  able  to 
detect  cancers  at  a  much  earlier  stage  svhen 
sve  knoss  ihc  chance  of  treatment  success  is 
better." 

The  study,  w  hich  is  in  collaboration  ss  ith 
scientists  from  the  National  histitute  of  Ens  i- 
ronmental  Health  Sciences,  involves  a  cam- 
era de\  ice  called  LIFE,  for  lung  imaging 
fluorescence  endoscope. 

UNC  phs sicians  base  been  using  the  LIFE 
unit,  ss  hich  is  approsed  bs  the  U.S.  Food  and 


Drug  Administration,  for  more  than  a  year  to 
detect  pre-malignant  or  malignant  changes 
inside  the  lungs.  UNC  is  the  only  facility  in 
North  Carolina  svith  the  device. 

Created  in  Vancouver.  Canada,  by  Xillix. 
the  LIFE  bronchoscope  is  an  improvement 
over  conventional  bronchoscopy.  X-rays  or 
sputum  tests.  It  uses  red  or  green  light  svaves, 
causing  normal  cells  to  appear  bright  green. 
Abnomialities.  such  as  pre-cancerous  lesions 
and  tumors,  shoss  up  as  sarying  shades  of  red 
orbrossnish  red. 

"'It  is  more  sensitise  than  the  traditional 
white-light  bronchoscopy  for  precancerous 
lesions."  Rivera  explained.  ""'With  the  svhite- 
light  method,  even  an  experienced  hroncho- 
scopist  can  miss  a  lesion." 

This  improsed  sensitivity  means  physi- 
cians can  encourage  patients  svith  early  signs 
of  cancer  in  their  lungs  to  adopt  ness  and 
healthier  life  habits. 

■"By  catching  tumors  that  are  precancer- 
ous, we  can  make  intersentions  and  also  en- 
courage patients  to  stop  smoking."'  Risera 
said.  "'We  beliesc  that  some  pre-malignant  le- 
sions may  regress  if  patients  stop  smoking." 

For  more  information,  see  http://www. 
iinclicalthcare.org/medsys/news/new.sreleases/ 
ne\[\release.cfi}i/rele(ise=life_l'>romhoscope. 
Iitnil 

Hearing  loss  a  threat  to 
children  who  survive  'stiff 
lung'  condition  at  birth, 
UNC  physician  finds 

Children  ss  ho  surs  ise  a  condition  at  birth 
in  which  their  lungs  are  too  stiff  to  saturate 
their  blood  w  ith  enough  oxygen  mas  be  at  in- 
creased risk  for  progressise  hearing  loss  and 
need  perii)dic  hearing  tests,  according  to  a 
University  of  North  Carolina  at  Chapel  Hill 
physician. 

Newborns  ssiih  the  potentialls  life-threat- 
ening condition  called  persistent  pulmonary 
hvpertension.  or  PPHN.  usually  are  put  on 
mechanical  s  entilation  s  ia  a  breathing  tube. 

Surs  is  ors  of  PPHN  need  folloss  -up  moni- 
toring ss  ith  periodic  hearing  tests,  even  if 
standard  auditory  testing  in  the  first  ss  eeks  of 
life  prose  normal,  according  to  Wendell  G. 


■^arbrough.  MD.  assistant  professor  of  oto- 
lan,  ngology  and  head  and  neek  siirger). 

in  the  United  States,  about  ID.IMM)  babies  a 
year  are  bom  \\  ith  this  disorder. 

Writing  in  the  .August  issue  of  Airhivi's  of 
Otoliii-Mifiology.  ^'arbrough  makes  his  point 
describing  the  ease  of  a  child  with  dekiyed- 
onset  hearing  loss 

'".As  a  neuborn.  this  child  had  sur\  i\ed 
persistent  pulmonar\  hypertension.  He  was 
treated  in  neonatal  intensive  care  and  after 
discharge  from  the  hospital  had  done  fine  on 
regular  pediatric  examinations."  ^'arbrough 
explained.  "He  also  did  well  on  standard  de- 
Nekipmental  tests  at  se\en  and  1.^  months. 
These  showed  nomial  response  to  sound,  but 
did  not  include  fomial  audiologic  testing. 

"But  w hen  he  was  about  3  years  old.  his 
parents  brought  him  to  our  clinic  because 
they  were  concerned  that  the  child  might 
ha\e  poor  hearing.  They  had  noticed  the  dif- 
ference in  speech  dexelopment  between  their 
older  child." 

The  parent's  concerns  were  justitled.  The 
child  communicated  w  ith  poor  articulation, 
and  hearing  tests  resealed  moderate  to  se\ere 
bilateral  sensorineural  hearing  loss.  Auditor) 
simctures  w  ithin  his  ears  essentially  w  ere  not 
detecting  sound  signals  for  ner\e  transmis- 
sion to  the  brain. 

"We  titled  him  w  ith  hearing  aids  and  sent 
him  to  speech  pathology  for  a  fonnal  speech 
and  language  evaluation.  He  had  a  vocabu- 
lary of  about  50  words,  compared  with  900 
words  ty  pical  of  3  y  ear  olds."  Varbrough 
said.  "Auditory  comprehension,  expressive 
communication  and  total  language  score 
w  ere  consistent  w  ith  a  one-year  delay  in 
s[X'ech  and  language  skills." 

The  boy  was  enrolled  in  speech  therapy 
and  followed  by  an  audiologist  for  hearing 
e\  aluation  and  refitting  of  hearing  aids. 
\N  hen  he  was  seen  again  in  the  clinic  six 
months  later,  his  viKabulary  had  increased  to 
2f^i)  words.  But  tests  demonstrated  a  progres- 
sion in  hearing  loss. 

In  his  journal  report,  'i'arhidugh  acknowl- 
edged a  growing  body  ot  data  supporting  a 
link  between  PPHN.  its  medical  treatment 
and  hearing  loss. 

"The  issue  is  clouded  to  some  degree  be- 
cause a  lot  of  these  children  were  on  different 
types  of  ventilation  support  or  on  drugs  such 


as  gentamycin  |an  antibiotic],  which  have 
been  associated  with  hearing  loss."  he  said. 
"But  I  think  it's  becoming  clearer  that  the  un- 
derly  ing  insult  is  not  necessarily  what  we  do 
to  the  child  but  the  disorder  itself.  PPHN." 

For  more  information  sec 
htip://\vww.imchealthcare.orf>/mfdsys/ue\\s/ 
newsrelcases/ne\\srelease.cfm/release=sliff 
_luni;.liinil 

New  protein  key  to  cell 
shape  and  movement; 
has  implications  for 
cancer,  pregnancy,  brain 
development,  wound  healing 

.A  protein  discovered  by  scientists  at  the 
University  of  North  Carolina  at  Chapel  Hill 
appears  to  play  a  key  role  in  delennining  the 
shape  of  cells  and  allow  ing  them  to  move. 

The  newly  identified  protein,  called  pal- 
ladin.  is  being  explored  for  its  inlluence  on  a 
number  of  biological  processes,  including 
the  invasive  spread  of  cancer,  wound  healing, 
brain  development  and  the  implantation  ot 
the  embry  o  in  the  uterus. 

"I  think  it  may  be  critically  involved  in 
even  more  biological  functions."  said  Carol 
A.  Oley.  MD.  assistant  professor  of  cell  and 
molecular  physiology.  A  report  of  the  dis- 
covery, co-authored  by  Mana  M.  Parast.  MD. 
of  the  University  of  Virginia,  was  published 
in  the  Aug.  7  issue  of  the  Journal  of 
Cell  Biology. 

Otey  said  the  new  protein  was  named  after 
Palladio.  the  intluential  I6th-ccnluiy  archi- 
tect. Palladin  appears  to  be  quite  involved  in 
the  architecture  iif  cells,  specifically  via 
the  actin  cy  toskeleton.  a  polymer  protein 
complex  that  ihovkIcs  much  of  the  basis  for 
cell  shape. 

"Cells  have  a  shape  that  is  ivlalctl  to  iheir 
luiictioii."  Otev  explained.  "A  good  example 
of  specialized  cell  shape  is  the  neuron.  They 
must  be  very  long  and  skinny  to  allow  the 
nervous  system  to  lunclion.  .Another  exam- 
ple is  epithelial  cells,  including  skin  cells, 
which  bind  tightly  to  one  another  lo  form  a 
continuous  sheet." 

.According  to  Otey 's  findings,  palladin  be 
longs  to  a  small  group  of  cy  toskelelal  atllic- 


sion  proteins  that  seem  to  prov  ide  molecular 
'glue"  for  maintaining  cellular  shape  and  for 
the  attachment  of  cells  to  one  aiuuher  v  ia 
their  plasma  membranes.  For  example,  fi- 
broblasts are  spindle-shaped  cells  involved  in 
connective  tissue  and  collagen  tbmialion  and 
also  are  crucial  to  wound  healing.  In  these 
cells,  palladin  is  concentrated  near  attach- 
ment points  to  the  plasma  niembranc. 

On  the  other  hand,  palladin  is  abseni.  not 
expressed,  in  some  undifferentiated  cells; 
that  is.  in  cells  which  haven"t  achieved  their 
genetically  predetermined  shape.  Thus,  the 
protein  is  absent  in  precursor  stem  cells. 

"So  this  indicates  that  palladin  play  s  a  role 
in  fomiing  the  new  cy  toskeleton  of  cells  that 
are  beginning  to  differentiate  and  take  on 
their  specialized  shape."  she  said. 

.According  to  Otey.  an  exciting  thing  about 
palladin  is  its  presence  in  different  torms. 
different  molecular  w  eights. 

"In  many  different  types  of  cells,  one 
lorm  of  palladin  may  be  necessary  for  tight 
adhesion  and  another  for  migration,  or  move- 
ment."' she  said. 

She  noted  that  a  heav  ier  fonii  of  palladin  is 
more  highly  present,  or  expressed,  in 
metastatic  cancer  cells  —  tumor  cells  that 
spread  beyond  their  point  of  origin. 

This  research  is  supported  by  grants  from 
the  National  Institutes  of  Health. 

I-oi  more  intormation  see  hup: 
//\\w\\.:uneiiealtiuare.org/meds\s/news/news 
releases/new  sii'lease.cjin/n'lease=ixilladin.html 


23 


Development 

Notes 


Tile-painting  endeavor 
to  raise  money  for 
N.C.  Children's  Hospital 

A  unique  parlnership  between  the 
N.C.  Children's  Hospital  and  a  Chapel 
Hill  business  will  raise  money  for  the 
liospiiaTs  pediatries  program. 

"Hands  and  Heels  for  Hope"  is 
a  pri)gram  eo-sponsored  by  Paint  the 
Earth,  a  paint-it-yourself  eeramie  studio 
in  Chapel  Hill,  and  The  Medieal  Founda- 
tion ol'  North  Carolina.  Ine.  Paint  the 
Earth  is  ottering  a  special  tile-painting 
opportunity  that  will  give  artists  long- 
term  recognition  and  pro\ide  financial 
support  to  the  N.C.  Children's  Hospital. 

Through  "Hands  and  Heels  lor 
Hope."  artists  can  paint  6-inch  square 
tiles  that  will  be  permanently  moLuited  in 
the  lobby  of  the  new  N.C.  Children's 
Hospital.  The  cost  is  $25  for  one  tile  or 
,S40  for  two  tiles.  Proceeds  benefit  the 
N.C.  Children's  Hospital. 

Paint  the  Earth  will  donate 
all  tiles  and  supplies,  and  will  gla/e  and 
fire  the  llnished  works. 

Indi\iduals  are  encinuaged  to  \isii 
Paini  ihc  Harlh  at  ."^16  \V.  Franklin  .St. 


—  |usi  be  suic  to  icll  a  studii)  staff  mem- 
ber the  purpose  of  your  \  isit.  Handprints 
and  footprints  of  children  are  suggested 
figures  to  paint,  but  any  tasteful  message 
or  art  is  welcome. 

The  ne.xt  tile-painting  fundraiser  will 
be  held  Fri,  Dec  8,  at  the  Medical  Au.xil- 
lary  Holiday  Bazaar  in  the  lobb\  of  the 
N.C.  Neurosciences  Hospital. 

150  Attend  Fall 
Co-Founders'  Meeting 

Nearly  150  people  attended  the  Fall 
Co-Founders'  Meeting  held  Nov.  1  I  and 
hosted  by  The  Medical  Foundation  of 
North  Carolina.  Inc.  The  Foundation  held 
the  e\enl  al  the  William  and  Ida  Friday 
Conlinuing  Education  Center  for  those 
who  have  contributed  more  than  SI. ()()() 
this  year. 

Co-Fininders'  Club  President  Daxid 
Rendleman.  MD  '70.  presided  over  the 
meeting  v\hich  focused  on  women's  and 
children's  programs  at  UNC.  A  sneak  pre- 
\  iew  ()f  the  new  N.C.  Children's  Hospital 
was  presented  by  .Alan  Stiles.  MD.  chair 
of  the  department  of  pediatrics.  (For  more 
inlormalion  about  the  new  N.C.  Women's 


Mike  Bticy.  left,  a  UNC 
senior  and  head  of  last  year's 
UNC  Dance  Marathon, 
presents  a  check  for  $70,000 
to  Eric  Mimson.  UNC  Hospitals 
president  and  chief  executive 
officer  { second  from  left). 
Scarlet  Cardwell.  director  of 
the  department  of  social  work, 
and  Alan  Stiles.  MD.  chair  of 
the  department  of  pediatrics. 
The  Dance  Marathon  is  on 
aimiial  fundraising  eveni 
organized  In  UNC  students  to 
benefit  the  N.C.  Children's 
Hospital.  Dance  Marathon 
2001  will  he  held  in  Fchniarx. 


and  Children's  hospitals  see  page  4. 

Program  highlights  included  the  fol- 
lowing presentations  by  UNC  .School  of 
Medicine  faculty  members: 

"The  Center  for  Maternal  and  Inlanl 
Health."  by  Ken  Moise,  MD.  professor 
and  division  chief  of  maternal-fetal  medi- 
cine 

'Cutling-Edge  Techniques  of  Intrauter- 
ine Therapy."  by  Nancy  Chescheir.  MD. 
professor,  department  of  obstetrics  and 
gynecology 

"Prenatal  Cardiac  Diagnosis."  by  John 
Cotton.  MD.  assistant  professor,  depart- 
ment of  pediatrics 

"Approaches  to  Congential  Heart  Dis- 
ease." by  Mark  Bleiwiess.  MD.  assistant 
professor,  department  of  pediatrics 

Co-Founders'  meetings  provide  donors 
information  on  issues  facing  the  School  of 
Medicine  as  well  as  new  research  and 
technology. 


24 


Alumni 

Notes 


20s 


Uni\ersity    of    Soiiih    Carolina     in 
Charlesiiin.  SC. 


Herman  F.  Easom,  MD  "27.  li\es  in 
Wilson.  N.C.  and  works  pari  lime  ai 
chest  clinics  for  tuberculosis.  In  19M7.  he 
lost  his  uife:  the  two  had  no  children. 


40s 


George  Md^eniore.  Ml)  "46,  would 
like  lo  know  how  is  lellow  classmates 
are  doinj:.  McLeinore  continues  to  prac- 
tice medicine  at  his  cardiolog\  practice 
in  New  ^'ork  Cit\. 


60s 


.|(ie  (iriffin.  MD  "68,  retired  in  August 
Irom  the  .Medical  College  of  Georgia  as 
professor  of  medicine  (gasiroenterolog\  i 
after  2.*^  \ears  on  the  facult\.  He  plants  to 
enter  prisaie  practice  in  .Augusta.  Cia. 


70s 


I)a\id  H.  Hopper.  .Ml)  "76.  president  of 
Total  Life  Famil\  Practice  Center.  Inc. 
and  Bill  Harden.  MD  77.  from 
Bluefield.  Va..  wrote  "we  (recentl\) 
worked  lor  eight  da\s  in  the  isolated  aiul 
rehcl-controlled  lerriiones  ol  the  Nuba 
.Mountains  and  Blue  .Nile  districi  ol 
.Southern  .Sudan,  .\lrica."  The  two  treal- 
eti  .^.000  patients  lor  malaria,  worms. 
d>senler).  iropic.il  skin  ulcers  anil 
numerous  other  prohlcms.  ID  see 
photos  ol  the  trip  check  ihe  web  siie  at; 
h  1 1  |i :  //c  o  m  m  u  n  I  1  I  e  s  .  m  sn.com/ 
missionlosLidan 

Tomm>  Pope.  .Ml)  "78.  was  recentl\ 
promoted  as  professor  and  chair  ol  ihe 
deparlmeni  ol  radiologv   at  the  .Meilicai 


80s 


.Vngela  Kendrick.  Ml)  "82,  is  a  pediairi 
anesthesiologist  at  the  Doernbechei 
Children's  Hospital  in  Portland.  Or.  Sh 
and  hei"  husband.  Biad.  unite  ainonc 
who  \isits  Portland  to  stop  b>  for  a  \isii 
.And.  bring  some  barbecuel 

Scott  L.  Raniey.  .Ml)  '81.  is  duel  of 
inter\entional  radiology  with  Ba\ 
Radiology  Associates.  PA  in  Panama 
City.  Florida.  His  email  address  is 
SLR.'Sac?  aol.com 

Teri  Rummans.  MD  '81.  Ii\es  in 
Rochester.  Mn.  where  he  works  in  the 
department  ol'  ps\chiatry  at  the  Ma\o 
Clinic.  He  was  recentK  elected  presideni 
of  the  staff  for  2001. 


90s 


Ibrez  Handukwala.  .Ml)  '^7.  is  a  mem- 
her  of  the  Hmor\  L'ni\ersit\  Hospital 
ileparlment  of  medicine  facult\.  He  plans 
lo  maiT\  Claire  Parker.  MD  '47.  who  is 

currently  a  fourth-\ear  resident  in  oh/gyn 
at  Emory  Uni\ersii\  Hospital. 

Michelle  Kilbv.  MD  '90.  is  an  assisianl 
jirolessor  in  pediatrics  at  the  rni\ersii\ 
of  .Alabama.  She  also  is  the  medical 
director  ol  the  child  abuse  team  and 
reccnth  recei\eil  her  masieis  in  public 
health.  She  and  her  husbaiul.  Michael, 
have  two  sons. 
|{r>aii  Ne>Mirtb.  MI)  ••)!,  pissed  ihc 


.A\er  Board  of  Cosmetic  Surgery  in  .April. 
Nevwirth  lives  in  Hickory.  NC.  with  his 
wife  and  four  children  where  he  works  in 
a  private  oral,  ma.xillofacial  and  cosmetic 
surgeiA  practice. 

(;ardiner  Roddey.  MI)  '•>(!,  and  Patty 
Roddey.  .MD  "•)().  live  in  Charlotte.  NC 
w  ith  their  sons  Rich.  7.  Idi.  2  and  daugh- 
ter Lvle.  ."^  monlhs.  Pallv  practices  2  1/2 
davs  per  week.  Ciardiner.  although  he 
works  king  hours,  still  finds  nme  lo  plav 
some  soccer  and  basketball. 

Melinda  T.  Wyatt.  MI)  '93,  and  her 

husband  Rick,  recent  l\  welcomed 
Nicholas  Tav  Kir  Wvatlt  to  iheir  family 
this  year.  Melinda  is  currenilv  in  inivaie 
practice  in  Raleigh.  NC. 

Deaths 

Re\  Speers,  MD,  House  Staff.  57-'6I 


25 


2000-2001  Loyalty  Fund  Scholars 


The  Loyulu  Fund  iiiilialed  iIk'  Merit 
Award  program  in  1966  with  a  modest 
stipend  to  six  students.  In  the  late  1980"s  the 
Medical  Alumni  Association  developed  a 
strategic  vision  to  promote  broader  and  high- 
er levels  of  alumni  support.  Increasing  pri- 
vate gilts  enabled  the  number  of  scholarships 
to  grow  from  20  in  1 993  to  5 1  currently,  each 
ccnering  full  in-state  tuition.  The  awards  for 
2()()0-2()()l  are  S3. 300  e.\cept  for  Allied 
Health  Sciences,  which  are  $  1 .500. 


Merit  Awards  -  ,Aii  estimated  ten  awards 
are  made  for  highest  honors  during  MS  I.  II 
and  III.  (MS  Ills  to  be  detemiined. ) 

Four-Year  Scholarships  -  Twenty-four 
students  are  supported.  Si.\  awards  to  MS  Is 
for  four  years  based  on  academics,  leader- 
ship and  financial  need.  Two  are  designated 
for  MD/PhD  students. 

Fourth-Year  Generalist  Scholarships  - 

Fi\e  aw  aids  to  MS  IVs  who  ha\e  committed 
to  a  generalist  residency  program. 


First-,  Second-  and  Third-Year 
Scholarships  -  Three  one->  ear  aw  aids  for 
each  class  based  on  academics,  leadership 
and  financial  need. 

Allied  Health  Sciences  -  Three  aw  ards 
for  students  to  be  selected  b\  the  Department 
Chair. 


Jessica  Bailey 

Lindse\  Baker 

April  Blue 

MS  III 

Allied  Si  wiKfs 

MS  l\ 
Foiii-Ycai 

Theodore  Brissoii 

MS  II 
One-Year 


Jeiiniler  Bushman 

Martin  Butler 

MS  1 

MS  II 

MD/PhD 

Merit 

^^ja 


Jennifer  Chancellor       Jerome  Chen 

.1/5/'  MSI 

One-Yetir  OiieA'eiir 


Lisa  Cohen 

Heather  Crouse 

MS  1 

MS  III 

Four-Year 

One-Year 

Donna  Culton 

C  urios  hherl 

MS  III 

MSI\- 

MD/PhD 

FiHir-Year 

Stephanie  Talk 

MS  II 
F<uir-)'ear 


Kelly  Fogleman 

MS  'll 
One-Year 


Matthew  Foster 

MS  III 
Four-Year 


Lee  Gray 


Jamie  Green 

AlludSciciuc 


w 


Duncan  Hill 

\oah  Hoffman 

MS  III 

MS  III 

OiuYciU 

MlVI'hD 

v% 

O 

^ 

; '  > 

r^fei 

V  . 

Rodney  Look                     ( 

Chad  McCall 

A/S  /\  ' 

l/.V  / 

(hH-)iOr 

MD/I'hli 

Miihail  Ro\intlial  Jonathan  Roiilli 

\t\  III  MS  III 

Ml)  I'lil)  h'Ki-Ycai 


>-^^ 


Llizahelh  (iiukian  Slacy  Haponik 

Mlud  Scumc^  .MS  I 

hour-Yiar 


Jennifer  Hunter 

MS  III 
Mem 


Dallon  McLean 

MS  II 

Miiv 


Shaida  Ryan 

MS  III 
i, mi -Year 


Jt^\ 


Rebecca  Sands 
MS  III 
OiH-Yan 


Gavin  Henderson 

MS  II 
MD/Phn 


Michelle  Hernande: 

MS  III 


I'/'/av  Krishnamiirthy      Milele  Kudumn 

MSI  MS  II 

(>iu)cui  Oiu    )c,ii 


Shannon  Sawin 

MS  l\ 
I. nil -Yen 

I    1 


Jason  Merker 

An  up  Parik 

iMtonia  Roach 

MS  III 

MS  1 

MS  l\ 

MD/PhD 

ilnc-Ycai 

h>lll    )cui 

(  harle 

\  Smith 

Rishi  S\al 

Charles  Toulson 

Ixivanya  Miidya 

\(iin  \o 

Rehccca  Walk, 

\/S  l\ 

MS  II  ' 

MS  l\ 

MS  III 

MS  n 

MS  1 

DihYc 

III 

I-niii-Ycar 

OiicYiiir 

Merit 

loin   Year 

h.iii   Year 

Sara  Woods 
MS  I 
hour-  )c<ir 


11 


Loyalty  Fund  Campaign 


Loyalty  Fund  Budget  FY  2000-0: 
$705,000 

Student  Scholarships  and  Programs 
S22(i.ll(l() 


Communications 
SI  26.00(1 


Medical  Alumni 
Distinguished 
aching  Professorship 
S50.000 

lealth  Science 

Library  and 

Icchnology  Support 

S50.b00 


Area  Campaigns 
Atlanta 

George  W.  Cox.  .\1.D.  '66  Cluiii 

Buncunibr  County 

E^ienilcy  D.  Jeftries,  M.D.  'S.";  Cliuii 

Durhani/Orange  Counties 

W.  Woocliou  Burns.  Jr..  M.D.  ■6'-)  Co 

Cluui 

\\  Benson  .McCulcheon.  Jr..  M.D. 

IIS  Co  Clhiii 

Forsjth  County 

Richard  C.  Wor'f.  M.D.  'VS  Cluiir 

Cuiiford  County 

Drew  A.  Jones.  M.D  '^l  CoCliuir 

Leigh  H.  Jones.  KLD.  '90  Co-Chuir 

Mecklenburg  County 

Rob\n  StacN-Humprhnes.  M.D.  'S? 

Co'chiui 

Bradlev  K.  Weisiier.  NLD.    S.S  Co- 

Chan  ' 

New  Hanover  County 

John  ,\L  Herion.  M.D.''S.^  Clhur 

Wake  County 

H Chllon  Pailers.ni  til.  M.D,  '74 

Reunion  Campaigns 

Class  of  1445 

John  R,  Pender  111.  M.D.  Chair 
G.  Robert  Clults.  M.D. 
A.  Robert  Cordell.  M.D. 

Class  of  1950 

John  .A.  Kirklarid.  .M.D.  Cluiir 
Frederick  O.  Bowman.  Jr..  M.D. 
W.  Grimes  B\erlv.  Jr..  M.D. 
EluoodB.  Cole\.  M.D. 
John  T.  Dees.  m'.D 
Laurence  B.  Leinbach.  .M.D. 
John  L.  McCain.  M.D. 
Lewis  S.  Thorp.  Jr.  M.D. 
Charles  R.  Vernon.  M.D. 
John  L.  Walters.  M.D. 

Class  of  1955 

John  W.  Pousi.  M.D.  Cluiir 


.Medical  Alumni        .•\lumni  Outreach 
Endowment  Fund  5115.000 

$25,000 

•Funds  raised  in  cvijcss  <>t  hiidj:i.-i  dccrcasL-  ihc  piTtctilai-c 

Har\cy  Adams.  NLD. 
Julian  S.  Albergoili.  Jr..  M.D. 
Robert  G.  Brame,  M.D. 
Ralph  E.  Brooks.  Jr..  M.D. 
Walter  E.  Deyton.  NLD. 
PreslcN  Z.  Dunn,  Jr..  M.D. 
-       J.  Eugene  Glenn.  M.D. 
Ira  D.  Godwin,  M.D. 
James  W.  Haves  111.  M.D. 
Charles  L.  Herring.  M.D. 
William  D.  Huftlnes.  NLD. 
SamuelG.  Jenkins.  Jr.,  M.D. 
Samuel  B.  Jovner.  NLD. 
A.  Smith  Lineberger.  Jr..  M.D. 
William  L.  London  IV,  M,D. 
Llovd  C.  McCaskiU.  M.D. 
Andrew  C.  Nliller  III.  M.D. 
J.  Th.iddeus  NIonroe.  Jr..  NLD. 
G.  Ir\in  Richardson.  NLD. 
C.  William  Rogers.  NLD. 
Roben  L.  Summerlin.  Jr..  NLD 
G.  Reginald.  Jr..  M.D 

Class  of  l%n 

Elliott  Solomon.  NLD.  Clmir 
Jefferson  D.  Bulla  111.  M.D. 
John  R.  Dvkers.  Jr.,  M.D. 
Gerald  W  Fernald.  M.D. 
Robert  H.  Hackler  111.  NLD 
James  R.  Harper.  NLD 
Falls  L.  Harris,  NLD. 
E.  Carwile  LeRov.  M.D. 
J.  Gray  McAllister  111,  M.D. 
K.  Franklin  NIcCain.  M.D. 
William  N.  Nhchal.  Jr..  NLD. 
Cecil  H.  .\e\ille,  Jr.Nl.D. 
Duncan  S.  Owen,  Jr..  NLD. 
Robert  B.  Payne,  NLD. 
Jerrv  Nl.  Petty,  M.D. 
Jean  R.  Poirier,  M.D. 
Elizabeth  V.  Raft.  M.D. 
Hilliard  F.  Seigler,  M,D. 
Robert  F.  Sloop.  Jr.,  M.D. 
John  C.  Tavloe,  NLD. 
P  Bun  Nca/e\.  NLD. 


NLD.  Chan 
NLD. 


NLD, 


Class  of  1965 

VVilliani  F.  Sasers 
James  O.  Burke.  Jr 
Takev  Crist,  M.D. 
Robert  V.  Fulk.  Jr, 
Charles  R  Graham.  Jr..  NLD. 
Alexander  C.  Hattawav  ML  M.D. 
Howard  Holderness.  Jr..  M.D. 
Joe  R  Hurt.  M.D..  Ph.D. 
Richard  E.  Lassiier.  NLD. 
Gordon  B.  LeGrand.  NLD. 
JohnB.  Shinn.  NLD. 
Williamson  B   Strum.  M.D. 

Class  of  1970 

David  A.  Rendleman  111.  NLD.  Chair 

H.  Clifford  Baggeii.  Jr..  M.D. 

Jerrx  C.  Bernstein.  NLD. 

Daniel  L.  Crocker.  Jr..  NLD. 

Charles  E.  Crumley.  NLD. 

H.  Shelton  Earp  lli.  NLD. 

James  O.  Goodwin.  M.D. 

C.  Brvan  Koon.  Jr.,  M.D. 

Edward  A.  Norfleet,  M.D. 

T.  Reed  Underbill.  M.D. 

Class  of  1975 

Hoke  D.  Pollock.  NLD.  Chair 
Julian  C.  Brantley  111,  NLD. 
Samuel  L.  Bridgers  II,  M.D. 
Dallas  C.  Craven,  Jr.,  M.D. 
Richard  F.  Fox.  M.D. 
Donald  G.  Gregg,  NLD. 
Thomas  Higgins.  NLD. 
David  S.  Lennon,  NLD. 
Howard  A.  McNLihan.  NLD. 
Michael  W.  Meriwether.  NLD. 
Frank  H.  Morets.  M.D. 
Dan  A.  Myers,  M.D. 
W.  Ronald  Neal.  M.D. 
Marshall  H.  Odom.  NLD. 
Charles  J.  Parker,  NLD. 
H.  Wonh  Parker.  NLD. 
James  E.  Peacock.  Jr..  NLD, 


Wanda  L,  Radtord.  NLD. 
Carol  B.  Teutseh.  NLD. 
E.  Brooks  Wilkins.  M.D. 
Kenneth  H,  Winter,  M.D. 

Class  of  1980 

Sandra  K.  Haiglei.  NLD  Chair 

Class  of  1985 

James  W.  Ledeier,  Jr.,  M.D.  Chair 
Bernard  T.  Eaton,  M.D. 
Margaret  K.  Fikrig,  M.D. 
Catherine  G.  Fuller.  M.D. 
Susan  C.  Hadler,  M.D. 
David  V.  Janeway,  M.D. 
Margaret  G.  Johnson,  M.D. 
Peter  M.  Jordan.  M.D. 
Theodore  C  Kemer,  Jr..  M.D. 
John  A.  Kirkland.Jr.M.D. 
James  E.  Manning,  M.D. 
Terry  A.  Morrow.  M.D. 
Joel  E.  Schneider,  M.D, 
S.  Patrick  Stuart,  Jr.,  M.D, 
Sherrie  E.  Zvveig,  M.D. 

Class  of  1990 

JohnE.  Baiklev.  M.D.  Chair 
John  T  Atkins  111.  M.D. 
Benila  F.  Banks.  M.D. 
L.  Lorraine  Basnight,  M.D. 
Eh/abcth  D.  Bell.\l.D. 
VV  Lee  Bell,  NLD. 
Catherine  L.  Cooper,  M.D. 
Wilham  De  Araujo,  M.D. 
Mark  T  Hooten,  M.D. 
HaiTison  A.  Latimer,  M.D. 
Lori  B.  Lilley,  M.D. 
Garv  B.  Loden.  M.D. 
Wanda  K.  Nicholson,  M.D. 
Crvstal  J.  Pettiford-YeldelL  M.D, 
Eus;enia  B.  Smith.  M.D. 
Murphy  F.  Townsend  III.  NLD. 
.Anne  M.  Tra\nor,  M.D. 
Craia  Wierum,  M.D. 
John^H.  Wood.  M.D. 
Mark  W.  Zinimemian.  M.D. 

Class  of  2000 

Stuart  NL  Hardv.  NLD.  Co-Chair 
Shawn  B.  Hocker.  .M.D.  Co-Chair 
Christopher  G.  Brow  n 
Troy  A.  Bunting,  M.D. 
KeliiG.  Coop.  M.D. 
Timothy  W.  Dancv,  M.D. 
Cescili  A.  Drake.  M.D. 
Leslie  R.  Ellis,  M.D. 
SonjaT  France.  M.D. 
S  Brett  Hea\  ner 
Tracy  R  Jackson.  NLD. 
Ke\mNlLee,  NLD. 
Kimberh  S.  Levin,  M,D, 
Susan  L.  Mareelli,  M,D, 
Justin  .A.  Mutch,  M.D. 
Stephen  W.  North,  M.D, 
Nerissa  NL  Pnce.  M.D. 
Douglas  D.  Rockacv.  NLD. 
Karen  B.  Stit/enberg.  NLD. 
T.i\lorH.  Stroud,  NLD. 


Report  to  Donors 


Dear  Mt'dical  School  Alumnus: 

It  is  uith  sincere  thanks  and  apprecia- 
tion that  I  report  to  \ou  that  t'lseai  year 
1499-2()()()  (July-June I  was  another 
record-setting  year  for  alumni  i2i\ing  to 
the  UNC  School  of  Medicine  and  UNC 
Hospitals. 

Almost  50  percent  of  medical  alumni 
naiionall\  contributed  a  total  of  S2.2  mil- 
lion to  benefit  UNC  School  of  Medicine 
and  UNC  Hospitals.  Of  this  amount. 
SI. 5  10. 000  was  restricted  to  support 
much-needed  professorships,  fellow- 
ships, lectureships  and  other  important 
programs. 

The  remaining  S69().0()0  was  con- 
tributed b\  ?<9  percent  of  all  alumni  to  the 
l.o\alt_\  Fund,  the  unrestricted  fund  that 
pro\ ides  support  where  no  other  funding 
sources  are  available.  It  would  take  an 
endowment  of  SI4  million  to  generate  an 
annual  income  of  S690.000.  This  illus- 
trates the  significance  of  alumni  support 
in  the  life  of  the  UNC  School  of  Medi- 
cine. 

The  listing  that  lollows  includes  the 
names  ot  all  alumni  who  made  contribu- 
tions to  an\  Medical  Foundation  account 
between  July  I.  1999  and  June  .^0.  2()()(). 
Names  in  bold  t\pe  recognize  alumni 
who  conlribulcd  at  the  SI. 000  level  or 
above.  Names  in  italics  recogni/e  alumni 
w  ho  gave  SI 0.000  or  more. 

Continued  alumni  participation  in  the 
l.ovally  Fund  Campaign  plays  a  pivotal 
role  in  helping  to  determine  the  qualitv  of 
programs  that  the  UNC  School  of  Medi- 
cine is  able  to  offer  its  students  and  fac- 
ullv  each  year.  Thank  you  again  tor  your 
generous  support  of  all  programs  at  your 
alma  mater. 

Sincerely. 

June  M.  McNcci:  Asslsttint  Dean 
and  Vice  Picsidcni. 
The  Medical  imuulaluiu  af 
Siirlli  Can  lima.  Inc. 

PS.  Please  notify  The  Medical  Founda- 
tion at  (8(K))  962-2.54.^  of  any  corrections 
to  this  list.  We  have  matle  evcrv  cllorl 
tor  accuracy. 


Hoiuir  RoW  Of  Alumni  Di)iK)r; 
1999-2(HH) 

Sl.OOO-Sy.yw  doitius  ill,  pnnttil  in  hohi 
$IO.O(HI  or  more  iiiv  piinhcl  in  hold  Uii/iix 

CL.ASSOF  i^z."; 
Number  in  Class:  2 
Percent  Donors:  50.0  *> 

Herman  F.  Easom.  M.D..  WiNon.  NC 

CL.A.S.SOF  1924 
Number  in  Class:  2 
Percent  Donors:  50.0 'r 

\ancc  T  .Alcvander.  M.D..  Da\idMin.  NC 

CI..\,SS()F  14.M 

Number  in  Class:   8 

Percent  Donors:  25.0  ^t 

Ralpli  B.  Garrison.  M.D..  Hamlet.  NC 

J.  .\.  Whitaker.  M.D..  Rocky  Mount.  NC 

CLASS  OF  19.^2 
Number  in  Cla.ss:  5 
Percent  Donors:  lO.O'^c 

Georjie  P  Rosemond.  M.D..  Laneansler.  PA 

CL.ASSOF  19.U 
Number  in  Class:  4 
Percent  Donors:  50.0'r 

William  B.  Patterson.  ,\I.D..  Wailuku.  HI 
Jean  R.  Sutler.  M.D..  Chapel  Hill.  NC 

CL.ASSOF  ly.^.s 
Number  in  Class:  4 
Percent  Donors:  25.0 'i 

Jiilien  H,  Meyer.  .\I.D..  Roanoke.  V.A 

CL.ASSOF  14.^6 

Number  in  Class:   12 

Percent  Donors:  ISM'^c 

l.andis  P  Milchell.  M.D..  Spindale.  NC 

Laura  R.  Venning.  Ml:)..  Ctiapel  Hill.  NC 

.\nnie  Louise  Wilkerson.  \LD..  Raleigh,  NC 

CL,\SS()F  19.^7 

Number  in  Class:  5 

Percent  Donors:   20.0'j 

W.  .Skellie  Hunt.  .|r..  NLD..  W  ilniinnton.  N{ 

CL.ASSOF  I9.V; 
Number  in  Cla-ss:   II 
Percent  Donors:  }()A'"c 

Jesse  B,  Calduell.  Jr.,  Ml),,  (lastonia.  NC 
Henry  T.  Clark,  .In,  .NLD.,  Chapel  Hill,  NC 

l.duin  .A.  R.isberrv.  Jr..  Ml),.  Wilson.  NC 
Pearl  It   Sehol/.  MI).  Balliniore.  Ml) 

CI  ,\SS  Ol    1940 
Number  in  Class:   2.^ 
Percent  Donors:   .V).l'r 

Inez  W    Fliod.  M  I )  .  CliarloHe.  NC 
J..hn  B   Ciraham.  M  I)  .  Chapel  llill,  NC 


Henry  C  C.uynes.  Jr.  MI),.  Rockwall.  T\ 

Joseph  \V,  K.ihn.  MI).  Fr.inkhn.  NC 

Robert  K.  Kirkman,  M.I).,  Key  Biscayne,  KL 

French  H.  McCain.  .Ml),.  Bloonilleld  Hills.  Ml 
George  B.  Patrick.  Jr.  Ml).  Silver  Spnni;.  .Ml) 
John  L  Ranson.  Jr.  Ml).  Charkuie.  NC 
John  H  Woh/.  Ml).  Ch.irlone.  NC 

CL,\SS()F  1941 

Number  in  Class:    15 

Percent  Donors:  ii.i'e 

Robert  M.  Hall.  M.D..  Raleigh.  NC 

Jack  Hughes.  M.D..  Durham.  NC 

Claude  Lowi")  Pressls.  M,D..  Charlolle,  NC 

Carllon  C.,  Walkins.  M.D  .  Charlolle.  NC 

Ernest  H.  Velton,  M.D.,  Rutherfordton,  NC 

CL.ASSOF  194: 
Number  in  Class:  23 
Percent  Donors:  26.1 'r 

Jerrv  H,  .Allen.  M  D,.  Springfield.  MO 
Frederick  A.  Blount.  M.I)..  Winsion-Saleni.  NC 
John  B.  McDevitt.  M.D..  New  >ork.  NY 
George  W.  Plonk.  M.D..  Kmgs  Mountain.  NC 
William  Tenenblatl.  Ml)..  Lake  Worth.  FL 
R,  B   Williams.  Jr.  Ml),.  Wilmmglon.  NC 

CLASS  OF  194.> 

Number  in  Class:   45 

Percent  Donors:  24.4'^( 

James  R.  Collett.  M.D..  Morganlon.  NC 

John  C.  Foushce.  M.D,.  Santord.  NC 

William  .V.  Hiihharcl.  .Ir.  \l.l)..  Hickory 

Corners,  MI 

William  F  Hulson.  Mi),.  Noithhrook.  II. 

Alexander  C.  Mitchell.  .M.D,.  Onehioia.  NY 

Sarah  T.  Momnv.  .M.D  .  PhD,.  Raleigh.  NC 

S.  Malone  Parhani.  M.D..  Henderson.  NC 

Frank  R.  Reynolds,  M.D.,  Wilminj-ton.  N( 

James  H.  Shell.  Jr..  M.D..  Baltimore.  Ml) 

Kenneth  W.  Wilkins,  M.D.,  (ioldsboro,  N( 

Kenan  B   Williams.  Ml),.  Sanloid.  NC 

CLASS  OF  1944 
Number  in  Class:  27 
Percent  Donors:  40.7 '> 

J   \  incent  Arey.  M.D..  Concord.  NC 

Joseph  W.  Baggett.  M.D..  Fayellevjilc.  NC 

Hilda  II,  Bailey.  MO,.  Salishury.  NC 

.1.  Stuart  (Jaul.  Jr.,  M.D.,  (  harlotte,  NC 

J,  Baylor  Henninger.  M.I),.  Sl.ilesulle.  NC 

I  laiKis  P  King,  Sr.  M.D..  Neu  Beiii.  NC 

Is.i.ie  \    Manlv.  MD,.  Raleigh.  \C 

(  harles  \.  Speas  Phillips.  M.D..  Southern 

Pines,  Nt 

J,  Milchell  .Soii.iu.  Ji,.  MD.t  hapel  Hill.  \C 

Charles  W.  Tillell.  Ml)..  Charlolle.  N( 

J  Taylor  Vernon,  M.I)..  Morganlon.  .\( 

CLASS  OF  1 945 
Number  in  Class:   24 
Percent  Donors:   41.7', 

29 


G.  Walker  Blair,  Jr .  M.D..  Burlington.  NC 
G.  Robert  Clutts,  M.D.,  Greensboro.  NC 
A.  Robert  Cordell,  M.D.,  Winston-Salem,  NC 

J.  Hicks  Corey.  Jr..  M.D..  Chattanooga.  TN 
Courtney  D.  Egerton.  Jr..  M.D..  Asheville.  NC 
Grafton  C.  Fanney.  Jr..  M.D-.  Bonita  Springs.  FL 
Harold  L.  Godwin.  .M.D..  Fayetteville,  NC 
Ben  M.  Gold.  M.D..  Rocky  Mount.  NC 
Kuhy  T.  Hart.  Jr..  M.D,.  Petersburg.  VA 
Edward  R.  Hipp.  Jr.,  M.D..  Charlotte,  NC 
Weldon  H.  Jordan.  M.D..  Fayetteville,  NC 
David  Josephs.  M.D..  Baltimore.  MD 
John  H.  Monroe,  M.D.,  Winston-Salem,  NC 
John  R.  Pender  111.  M.D..  Charlotte.  NC 
Roger  A.  Smith  111.  M.D..  San  Bemadino.  C.A 
Clitton  F  West.  Jr..  M.D..  Chestenown.  MD 

CLASS  OF  1446 

Number  in  Class:  27 

Percent  Donors:  55.6 '/f 

Ira  \.  .\brahamson,  .In,  M.D.,  Cincinnati.  OH 

Jules  Anier.  M.D..  Den\er.  CO 
Walter  C.  Barnes.  Jr..  M.D.,  Texarkana.  TX 
Crowell  T.  Daniel.  Jr..  M.D..  Fayetteville.  NC 
William  W.  Forrest,  M.D.,  Greensboro,  NC 
Mary  .Mice  V.  Fox,  M.D.,  Mount  Desert,  ME 
(;.  Denman  Hammond.  M.D..  Pasadena,  C\ 
Robert  S.  Lacke>,  MD,.  Charlolte.  NC 
William  H.  Sheely.  M.D..  Alexandria.  VA 
H.  Frank  Starr,  Jr.,  M.D..  Greensboro.  NC 
Da\id  G.  Stroup.  M.D..  Savannah.  GA 
Arthur  R.  Summerlin.  Jr.,  M.D..  Raleigh.  NC 
James  T.  Welbiini.  M.D..  Lexington.  NC 
John  E.  Weyher.  Jr..  M.D..  Wilmington.  NC 
Thomas  E.  Whitaker  IL  M.D..  Greenville.  SC 

CLASS  OF  1^47 
Number  in  Class:   15 
Percent  Donors:   13.3% 

HaiTV  G,  Walker.  M.D..  Statesville.  NC 
Sarah  L.  Waixen.  M.D..  Chapel  Hill.  NC 

CLASS  OF  144.S 
Number  in  Class:  26 
Percent  Donors:  34.6% 

Robert  R.  Aycock.  M.D..  Saint  Helena.  CA 
Vema  Y.  Barefoot.  M.D..  New  Bern.  NC 
William  S.  Cheek.  Sr..  M.D..  Spartanburg.  SC 
T\ndall  P  Hams.  MD  .  Chapel  Hill.  NC 
Edwin  P.  Hiatt.  M.D..  Wilmington.  OH 
Louis  T.  Kermon.  M.D..  Raleigh.  NC 
Julius  A.  MacKie.  Jr.  M.D..  Bryn  Mawr.  PA 
Shirley  L.  Rivers.  M.D.,  Tucson,  AZ 
Daniel  T  Young,  M.D..  Chapel  Hill.  NC 

CLASS  OF  144'» 

Number  in  Class:  37 

Percent  Donors:  32.4% 

J.  Dewey  Dorsett.  Jr..  M.D..  Charlotte.  NC 

Christopher  C.  Pordham  III,  M.D.. 

Chapel  Hill.  NC 

John  M   Ganibill.  MD,.  Flkin.  NC 

K.  Sidney  (Jardncr.  Jr..  M.D..  Fayetteville,  NC 

Odell  C.  Kinibrell.  Jr..  M.D..  Raleigh.  NC 

Spinks  H.  Marsh.  M.D..  Minneapolis.  MN 

Edward  B.  McKenzie.  M.D..  Statesville.  NC 

Charles  F  Melchor.  Jr..  M.D..  Myrtle  Beach.  SC 

Edwin  W.  Monroe.  M.D..  Green\ ille.  NC 

Robert  B.  Pennington.  M.D,.  Middletown.  CT 

Rose  Pully.  M.D..  Kinston.  NC 

30 


Jonathan  S.  Swift.  NLD..  Big  Canoe.  G.A 

CLASS  OF  m.so 
Number  in  Class:  41 
Percent  Donors:  70.7% 
Gertrude  A.  Bales,  M.D..  Rochester,  NY 
Frederick  <),  Bowman,  Jr.,  M.D..  Chapel  Hill,  NC 
W,  Grimes  B>crl>.  Jr.  .\1.D,.  Hickory.  NC 
Jack  O,  Carson.  MD..  Grifton.  NC 
Elwood  B.  Coley,  M.D..  Lumberton.  NC 
John  T.  Dees.  M.D.,  Bald  Head  Island,  NC 
Buel  K.  Grow.  Jr..  M.D,.  Belle  Meade.  NJ 
William  B.  Hams.  M.D,.  Carlsbad.  CA 
Joel  B.  Huneycutt.  M,D..  Lake  Wylie.  SC 
Harold  H,  Jeter.  Jr..  \LD,.  Wilmington.  NC 
George  Johnson,  Jr.,  M.D.,  Chapel  Hill,  NC 
Har\e\  VV,  Johnston.  M.D..  Charlotte.  NC 
William  S,  Joyner.  NLD..  Durham.  NC 
John  A.  Kirkland,  M.D..  W  ilson.  NC 
Laurence  B.  Leinbach.  M.D..  Winston-Salem.  NC 
Dan  A.  Martin.  M.D..  Madisonville.  KY 
John  L.  McCain,  M.D..  Wilson.  NC 
Glenn  D.  Moak.  M.D..  Indianapolis,  IN 
James  F,  Morris.  NLD,,  Goldshoro.  NC 
James  H,  Pccdin.  Jr..  M.D..  Burgaw.  NC 
J.  Olin  Perritt,  Jr..  M.D.,  Wilmington.  NC 
John  W,  Sawyer.  M.D..  Wilmington.  NC 
Eugene  B.  Sharpe.  M.D,.  Asheville.  NC 
Lewis  S.  Thorp.  Jr..  M.D..  Rocky  Mount.  NC 
John  F.  Trotter.  NLD..  Atlanta.  GA 
Belk  C.  Troutman.  M.D..  Grifton.  NC 
Charles  R.  Vernon.  M.D.,  Wrightsville.  NC 
John  L.  Waiters.  M.D..  Raleigh.  NC 
John  R,  Wilkinson.  Jr..  MD..  Hickory.  NC 

CLASS  OF  I4.S1 
Number  in  Cla.ss:  40 
Percent  Donors:  22.5% 

Luther  L.  Anthony.  Jr..  M.D.,  Gastonia.  NC 

John  S.  Barlow.  M.D..  Concord.  MA 

W  illiam  B.  BIythe  II.  M.D..  Chapel  Hill.  NC 

Baxter  11,  ByerK.  NLD,.  Tallahassee,  FL 
A.  James  Coppridge.  NLD,.  Durham.  NC 
Kari  L.  Lawing.  M.D..  Lincolnton.  NC 
Murdoch  R.  McKeithen.  M.D..  Laurinburg.  NC 
Luther  W.  Oehlbeck,  Jr..  M.D..  Muse.  FL 
John  K.  Pearson.  M.D.,  Apex.  NC 

CLASS  OF  19.S2 
Number  in  Class:  6 
Percent  Donors:  33.3% 

Da\  id  L.  Collins.  Jr..  NLD..  Concord.  NC 
Charies  H.  Powell.  NLD..  Omiond  Beach.  FL 

CLASS  OF  1454 
Number  in  Class:  34 
Percent  Donors:  47.1% 

Leland  S.  .■Nverett.  Jr..  M.D.,  High  Point.  NC 
Paul  H.  Brigman.  M.D..  Trinity.  NC 
A.  Joseph  Diab,  M.D.,  Raleigh,  NC 
Malcolm  Fleishman,  M.D..  Fayetteville.  NC 
Charles  B.  Fulghum.  Jr..  NID..  Atlanta.  GA 
J.  Franklin  Graves.  NLD,.  Mt,  Pleasant.  SC 
Robert  S.  Jones.  M.D..  Shelby.  NC 
James  C.  Parke.  Jr.  M.D..  Charlotte.  NC 
Cornelius  T.  Partrick.  M.D..  Washington,  NC 
Ely  J.  Perry.  Jr..  M.D.,  Kinston,  NC 
Allen  Spencer,  M.D..  Salisbury.  NC 
Nat  H.  Swann.  Jr..  NLD,.  Signal  Nlountain.  TN 
H.  Durwood  Tvndall.  MD,.  Goldshoro.  NC 


William  H.  Weinel,  Jr.,  M.D.,  W  ilmington,  NC 

Virgil  A.  Wilson,  M.D,.  Winston-Saleni,  NC 
A.  Donald  Wolff.  M.D.,  Clemmons,  NC 

CLASS  OF  1955 
Number  in  Class:  51 
Percent  Donors:  88.2% 
Henry  W.  Abernethy.  M.D..  Hickory,  NC 
Harvey  Adams.  .\LD..  .■Xshehoro.  NC 
Julian  S.  Albergotti.  Jr.,  M.D..  Charlotte,  NC 
George  W.  Barnard.  Sr.,  M.D.,  Gainesville.  FL 
Robert  G.  Brame,  M.D..  Chariotte.  NC 
Ralph  E.  Brooks,  Jr..  M.D..  High  Point,  NC 
E.  Ted  Chandler.  NLD,.  Thomasville.  NC 
Walter  E.  Deyton.  NLD  .  Dan\  ille.  VA 
Griggs  C.  Dick.son,  M.D.,  Charlotte,  NC 
Presley  Z.  Dunn.  Jr..  MD..  Greensboro.  NC 
Charles  F.  Eddinger.  NLD..  Spencer.  NC 
John  W.  Foust,  M.D.,  Charlotte,  NC 
John  W,  Gaines.  Jr.  NLD..  Newport.  NC 
J.  Eugene  (Jlenn.  M.I)..  Jacksonville.  FL 
Ira  D.  Godwin,  M.D..  Fairfax.  VA 
Robert  L.  Golby.  M.D.  and  Mary  B.  Golby.  M.D.. 
Durham.  NC 

James  W.  Hayes  III.  M.D..  Burlington.  NC 
Charles  L.  Herring.  M.D..  Kinston.  NC 
William  D.  Huffines.  NLD..  Chapel  Hill.  NC 
Vernon  1,.  James.  Jr..  M.D..  Fair  Oaks  Ranch.  TX 
Samuel  G.  Jenkins.  Jr..  M.D..  Elizabeth  City.  SC 
Robert  C.  Jordan.  Jr..  M.D..  Sanford.  NC 
Samuel  B.  Joyner.  NLD..  Greensboro.  NC 
James  L,  Lamm.  NLD..  San  Francisco.  C.A 
.\.  Smith  Lineberger.  Jr..  M.D..  Wilmington.  NC 
William  L.  London  \\.  M.D.,  Durham,  NC 
Lloyd  C,  McCaskill.  NLD,.  Nlaxlon.  NC 
Clarence  R.  .McLain.  Jr..  M.D..  Cincinnati,  OH 
Andrew  C.  Miller  III,  M.D.,  Gastonia,  NC 
J.  Thaddeus  Nionroe.  Jr.  NLD,.  Chapel  Hill,  NC 
Thomas  P.  Moore.  M.D..  Jacksonville.  NC 
Frank  C.  Morrison.  Jr.,  M.D.,  Canton,  NC 
(;.  Irvin  Richardson,  M.D..  Reidsville.  NC 
Harold  R,  Roberts.  MD,.  Chapel  Hill.  NC 
OIner  K  Roddey.  Jr.  NLD,.  Chariotte.  NC 
C.  W  illiam  Rogers.  M.D..  Lebanon.  TN 
William  C.  RufTm.  Jr..  M.D..  Boca  (;rande..  FL 
Palmer  F  Shelbume.  M.D..  Greensboro.  NC 
Henry  L.  Stephenson.  Jr..  M.D..  Washington,  NC 
Robert  L.  Summerlin.  Jr..  M.D..  Dublin,  NC 
(;.  Reginald  Tucker,  Jr..  M.D..  Emerald  Isle,  NC 
W illiam  J.  Waddell.  M.D..  Prospect.  KV 
W.  Wallace  W  bite,  M.D..  Cincinnati.  OH 
William  H.  While.  Jr.  NLD..  Gainesville,  GA 

CLASS  OF  1456 
Number  in  Class:  50 
Percent  Donors:  44.0% 

Wade  NL  Brannan,  NLD..  Port  Arthur.  TX 
John  W,  Deyton.  Jr..  M.D..  Jacksonville.  NC 
William  E.  Easterling,  Jr.,  M.D.,  Chapel  Hill,  NC 
John  T.  Evans,  M.D.,  Chattanooga.  TN 
Charles  W.  Fowler  III,  M.D.,  Oriando.  FL 
Alexander  F  Goley.  NLD,.  Buriington.  NC 
Francis  W.  Green.  NLD,.  Albemarie.  NC 
John  L,  Ha/lehursi  111.  M.D,.  Asheville.  NC 
Otis  NL  Lowry.  NLD,.  Spnng  Hope.  NC 
William  W.  McLendon.  M.D..  Chapel  Hill.  NC 
J,  Doyle  NIedders.  NLD,.  Raleigh.  NC 
Robert  L.  Murray,  M.D..  Roanoke,  VA 
John  W,  Ormand.  Jr.  NLD,.  Wilmington.  NC 
Chflon  G,  Pavne.  NLD,.  Reidsville.  NC 


Francis  D.  Pepper.  Jr..  M.D..  \yinsroii-Salem.  \C 
William  R.  Purcell.  M.D..  Laurinburg.  NC 

James  F  Richards.  Jr..  M  D  .  Orlando.  FL 
Thomas  C.  Suther.  Jr..  .\I  D..  Jackson  Springs.  NC 
John  W  Vasse\.  M  D  .  Raleigh.  NC 
William  B.  Wood.  M.D..  Chapel  Hill.  NC 

Leonard  S.  Woodall.  M.D,.  PA..  Smithfield.  NC 
De\ve\  H.  Yarley.  M.D..  Durham.  NC 

CL.ASSOF  \9^' 

Number  in  Class:  50 

Percent  Donors:  44.0 '> 

H.  John  Bradley.  Jr..  .M.D..  Greensboro.  NC 

Jame^  R  Clapp.  M.D  .  Durham.  NC 

Robert  S.  Cline.  M.D..  Sanford.  NC 

Luther  H.  Clontz.  M.D..  Morganton.  NC 

William  P.  Cornell.  .\1.D..  Phoeni\.  .A.Z 

George  S.  Edwards.  Sr .  M  D  .  Raleigh.  NC 

John  K.  Farringion.  M.D..  High  Point.  NC 

J  Grayson  Hall.  .\I.D..  Mount  .Airy.  NC 

Bennett  .A.  Hayes.  Jr..  M.D..  Fayetteville.  NC 

Jack  B.  Hobson.  M.D..  Charlotte.  NC 

J.  Paul  Hurst.  Jr.  M.D  .  Rydal.  P.A, 

George  L.  Irvin  III.  M.D..  Coral  Gables.  FL 

Richard  \.  Liles.  Jr..  M.D..  Albemarle.  NC 

H.  Mixwell  .Momson.  Jr.  .M.D..  Southern  Pines.  NC 

Har\ey  A.  Page.  M.D..  Pikeville.  K\ 

Raeford  T.  Pugh.  M.D..  Washington.  NC 

James  N.  Slade.  M.D..  Edenton.  .NC 

Nathaniel  L.  Sparrow.  .M.D..  Raleigh.  NC 

James  H.  M.  Thorp.  M.D..  Rocky  Mount.  NC 

Earl  P.  Welch.  Jr..  M.D..  W  inston-Salem.  NC 

Roben  J.  Whitlock.  M  D  .  Easton.  MD 

Dr.  Benson  R.  and  Mrs.  Luclnda  Holderness 

W  ilcox.  Chapel  Hill.  NC 

CLASS  OF  1958 
Number  in  Class:  50 
Percent  Donors:  38.0^f 
James  T  Alley.  .M.D..  .Macon.  GA 
Clarence  \.  Bailey.  Jr.  M.D..  Durham,  NC 
John  I.  Brooks.  Jr..  M.D..  Tarboro.  NC 
.Maurice  L.  Canaday.  M.D..  Lincolnton.  NC 
M.  Paul  Capp.  M.D..  Tucson.  AZ 
David  B.  Crosland.  M.D..  Mt.  Pleasant.  NC 
James  R  Edwards.  M  D  .  Raleigh.  NC 
George  E.  Ennis.  NLD..  Hickory.  NC 
Nancy  P.  Favvcett,  M.D.,  Pembroke  Pines.  FL 
Thomas  VL  Haizlip.  .M.D..  Raleigh.  NC 
John  S.  Howie.  M.D..  Raleigh.  NC 
Waller  N.  Long.  Jr..  M.D..  Taylorsville.  NC 
Charles  T.  .Macy.  .M.D  .  Lansdale.  PA 
John  A.  McGee.  Jr .  .M  D  .  Charlotte.  NC 
Luther  S.  Nelson.  M.D..  Amarillo.  TX 
T  Lane  Orniand.  M.D..  Monroe.  NC 
J.  Richard  Patterson.  .M.D..  Danville.  \  A 
Charles  W.  Stout.  M.D..  Asheboro.  NC 
Paul  .M.  Weeks.  M.D..  Chapel  Hill.  NC 

CLASS  OF  14.59 

Number  in  Class:  48 

Percent  Donors:  41.7'^r 

Doris  B.  Braxton.  M.I)..  Burlington.  N( 

Robert  C.  Brown.  M.D..  (  hapel  Hill.  NC 

Daniel  Whilaker  D.ivix.  Ml).  Wadesboro.  NC 

A.  Eugene  Douglas.  Jr.  Ml).  Hald  Hcid  Island.  NC 

Otis  N.  Fisher.  Jr.  M.D..  (;reenshoro.  NC 

Cieorge  W.  (;entry.  Jr.  M.I)..  Roxboro.  NC 

Joel  S.  Ciimduin.  M.I)..  Salisbury.  NC 

Robert  1..  (Jreen.  Sr..  M.I)..  Winslon-Sakin.  N( 


O.  James  Hart.  Jr..  M.D..  Mocksville.  NC 

.■\.  Tyson  Jennette.  .MD..  Wilson.  NC 
Morris  A.  Jones.  Jr..  M.D..  Chapel  Hill.  NC 
David  L.  Kelly.  Jr..  M.D..  Winston-Salem.  NC 
Roben  P  Linker.  M.D  .  Charleston.  SC 
Wilfred  D.  Little.  Jr..  M.D.,  Ana  Mana.  FL 
Edward  L.  Mitchell.  M.D..  Prospect.  KV 
A.  Sherman  Morris.  Jr..  M.D..  Ashevlllc.  NC 
Julian  W.  Sclig.  Jr..  M.D..  Eli/ahcth  City.  NC 
Shahane  R.  Taylor.  Jr..  M.D..  Cireensboro.  NC 
Charles  E.  Trado.  Jr..  M.D..  Hickory.  NC 
C.  Carl  Warren.  Jr..  M.D..  Charlotte,  NC 

CLASS  OF  l%0 

Number  in  Class:  63 

Percent  Donors:  60.3'! 

\\  illiam  B.  Abernethy.  Jr..  M.D.,  Gastonia,  NC 

Leo  R   Anderson.  M.D..  Corona  Del  NLir.  CA 
Ralph  L.  Bentley.  M.D..  Statesville.  NC 
James  A.  Campbell.  M.D..  Charlotte.  NC 
John  R.  Curtis.  M.D..  Athens.  GA 
John  R.  Dykers.  Jr..  .M.D..  Siler  City.  NC 
Charles  R  Eldndge.  Jr..  M.D..  Houston.  T.\ 
Gerald  W,  Femald.  M.D,.  Chapel  Hill.  NC 
Charles  E.  Fitzgerald.  Jr..  .M.D..  Maitland.  FL 
J.  Thomas  Fox,  Jr..  M.D..  \allc  Crucis,  NC 
David  B.  Garmise.  M.D..  Blumon,  SC 
Roben  H.  Hackler  111.  M.D..  Richmond.  VA 
James  R.  Harper.  M.D..  Durham.  NC 
Ch.irles  W,  H.irns.  M.D  .  Ch.irloite.  NC 
Falls  L.  Harris.  M.D..  Cireenville.  SC 
G.  Wyckliffe  Hoffler.  M.D..  Titusville.  FL 
L.  Gordon  Kirschner.  M.D  .  Washington.  DC 

E.  Carwile  LeRoy.  M.D..  Charleston.  SC 
James  Ci.  Mann.  M.D..  C;olden.  CO 
James  M.  Marlowe.  NLD..  High  Point.  NC 
J.  Gr.iy  McAllister  III.  Ml).  Chapel  Hill.  NC 

K.  Franklin  McCain.  M.D..  W  inston-Salcm,  NC 
William  N,  Michal.  Jr..  .MD,.  High  Point.  NC 
Cecil  H.  Neville.  Jr.  M.D..  Pinehurst.  NC 
Duncan  S.  Owen.  Jr..  M.D..  Richmond.  \  A 
Robert  B.  Payne.  M.D..  Mooresville.  NC 
Jerry  M.  Petty.  M.D..  Charlotte.  NC 
Jean  R   Poinei,  Ml)  .  Frederick.  MD 
Elizabeth  \.  Raft.  NLD..  Durham.  NC 
Charles  W,  Robinson  III.  M.D..  San  Antonio.  T\ 
Hilliard  F  Seigler,  M.D.,  Durham.  NC 
Robert  F  Sloop.  Jr..  .M.D..  Wilson.  NC 
Elliott  .Solomon.  M.D..  Rye  Brook.  N^ 
G  Thomas  Strickland.  Jr..  M.D..  Baltimore.  MD 
John  C.  Tayloe.  M.D..  New  Bern.  NC 
P  Bun  Vea/ey.  .M.D..  Sarasota.  FL 
Kenneth  Weaver.  M.D..  Jonesborough.  TN 
John  J.  White.  Jr..  M.D..  Winston-Salem.  NC 

CLASS  OF  1461 
Number  in  Class:   50 
Percent  Donors:   52.0'f 

F.  Stanley  .\\ci>.  Jr.  .Ml),.  Noilolk.  \,\ 
H.  David  Bruton.  M.D..  Carthage.  NC 
Cosmo  A.  Dita/io.  M.D..  Ph.D..  C1iarlottes\  ille.  \A 
John  W.  Garden.  NLD..  Lexington.  KV 

W  illiam  S.  Gibson,  Jr.,  M.D..  Riverside,  PA 
John  C  Graham,  Jr,  .M  D,.  Kitty  Hawk.  .NC 
L   Morgan  Hale.  M.D  .  Ch.ipel  Hill.  NC 
Richard  W  Hudson.  NLD  ,  BaNb<iro,  NC 
William  H.  Koun.  M.D..  Isle  of  Palms.  SC 
/ell  A  .McGec,  M.D.,  Salt  Lake  City.  IT 
U.  Stacy  Miller.  M.D..  Raleigh.  NC 
William  W  Mor.jan.  Jr.  M  I)  .  Keno.  W 


.•\  Ray  Newsome.  M  D  .  Winston-Salem.  NC 

C.  Rex  O'Briant.  M.D..  Gilbert.  AZ 

William  L  Owens.  M.D  .  Clinton,  NC 
Cecil  H.  Rand.  Jr..  M.D,,  Greenville.  NC 
Leon;ird  E.  Reaves  111.  M.D.,  South  Brunswick.  NC 
James  H.  Robinson.  M.D..  Wilmington.  NC 
W.  Ray  Samuels.  M.D..  Kiawah  Island.  SC 
Edward  .\.  Sharpless.  M.D.  and  Martha  K. 
Sharpless.  M.D..  CJreensboro.  NC 
W  Fenell  Shutoid.  Ji..  Ml)..  Wilminglon.  NC 
Joshua  Tayloe.  M.D..  Washington.  NC 
Zebulon  Wea\er  111.  .M.D  .  Ashe\ille.  NC 
Donn  A.  Wells.  M.D..  .Sea  Ranch  Lakes,  FL 
William  H  White.  Jr.  M.D..  Sanford.  NC 

CLASS  OF  146: 
Number  in  Class:  52 
Percent  Donors:  42.3'^f 
Karl  L  Barkley.  M  D..  Greensboro.  NC 
William  S.  Bost.  Jr.,  M.D..  Greenville.  NC 
Joseph  H.  Callicott,  Jr,  M.D.,  Lynchburg.  V.A 
Lawrence  M.  Cutchin.  M.D..  Tarboro.  NC 
Jen-y  J.  Filer.  MD,.  Li\ingston.  AL 
Marion  W,  Grift'in.  M  D,.  Asheboro.  NC 
Frederick  D,  Haninck  111.  MD  .  Lynchburg.  \A 
H.  CJerald  Hartzog  IH.  .M.D..  Raleigh,  NC 
Ray  M.  Hayworlh.  M.D..  Knoxville,  TS 
Charles  M.  Hicks.  MD..  Wilmington,  NC 
J,  Neuton  .MacCoriiKick.  Ml)  .  Raleigh.  NC 
John  L.  Monroe.  M.D..  West  End.  NC 
Kenny  J.  Morris,  .M.D..  W  ilmington,  NC 
William  A.  Nebel.  NLD..  Chapel  Hill.  NC 
W  Gordon  Peacock.  NLD  .  San  Francisco.  C.\ 
Carl  S.  Phipps.  M.D..  \Mnston-Salem,  NC 
Alton  A.  Reeder.  M.D..  High  Point.  NC 
Lambros  C.  Rigas.  MD,.  Rome,  GA 

D,  Emerson  Scarborough.  Jr.,  NLD..  Raleigh.  NC 
Fuller  A.  Shuford,  NLD.,  Asheville,  NC 
Miriam  F  Smith,  M.D.,  Decatur.  GA 

Roy  V.  Vamer,  M.D..  Houston,  TX 

CLASS  OF  146.^ 
Number  in  Class:   52 
Percent  Donors:   40.4'( 
W  illiam  P  Algary.  M.D..  C;reen\ille,  SC 
Neil  C.  Bender.  M.D..  New  Bern.  NC 
W  P.iul  Riggers.  M  D  .  Clupel  Hill.  NC 
I.  Kelman  Cohen.  NLD..  Richmond,  \.\ 
John  W,  Dallon.  Jr..  NLD..  Santa  Nlonica.  CA 
Da\e  NL  Da\is.  M  D  .  Atlanta.  GA 
William  B,  Deal.  NLD,.  Bmmngham.  AL 
J.  Nlichael  Gallagher.  NLD..  Seattle.  \\A 
Ira  M.  Hardy  II.  M.D..  Greenville.  NC' 
William  ()  Jolly  111.  NLD..  Albemarle.  NC 
Charles  I.  Loftin  HI,  M.D.,  Roanoke.  VA 
J.  M.  McLean,  M.D.,  Peoria,  11. 
Eugene  W.  Pate.  Jr..  M.D.,  Kinsion.  NC 
Charles  J.  Sawyer  111.  Ml),.  Ahoskie.  NC 
Samuel  E,  Scott.  NLD..  Burlington.  NC 
Richard  W.  Shermer.  M.D..  Chapel  Hill.  NC 
DaMd  W.  Sillmon.  NLD..  Greensboro,  NC^ 
Jen-y  A.  Smith,  NLD.,  NIemphis.  TN 
W.  Landis  Voigl,  M.D  ,  Edenton,  NC 
Ro\  A   Weaker.  Nil).  Fa>etle\  ille,  NC 
DaMd  R   Williams.  Si  .  M  I),.  lhomas\ille.  NC 

CLASS  OF  1464 

Number  in  Class:  54 

Percent  Donors:  25,'»'< 

J.  Nichols  Beard.  M,l)„  (  harlolle.  N( 


Harry  L.  Broome,  M.D.,  Alpharetta,  GA 
John  R.  Ctlla.  M.D..  Raleigh.  NC 

Roy  L,  Curr).  Jr..  M.D.,  .San  Francisco.  CA 
James  F.  Earnhardt.  M.D..  Winston-Salem.  NC 
G.  Patrick  Henderson.  Jr..  M.D..  Southern  Pines.  NC 
E.  Citniiack  Holmes.  Jr..  M.D..  Pacific  Palisades.  CA 

D.  Charles  Hunsinger,  M.D.,  Kin.ston,  NC 

E,  Woodnnv  Hum.  Jr..  WD..  La  Jolla.  CA 

W.  Kirhy  Kilpatrick.  .|r,  M.I)..  Pinehurst,  NC 
Noel  B.  McDevitt.  M.I)..  .Southern  Pines,  NC 
Artus  M.  Moser,  .Jr.,  M.I).,  .Swannannoa,  NC 
Marshall  K.  Redding,  .M.I).,  Long  Beach,  CA 
James  W.  Rose.  Jr..  .M.D..  Madison.  Wl 

CLASS  OF  1 465 
Nuniher  in  Class:  57 
Percent  Donors:  42.1% 

G.  William  Bates.  M.D..  Brentwood.  TN 
Hal  F  Collier.  M.D..  Flowery  Branch.  GA 
Takey  Crist,  M.D.,  Jacksonville,  NC 
Robert  \.  Fulk.  Jr..  Ml)..  Wilnimgton.  NC 
Kdgar  (;.  (Jallagher,  Jr..  M.I)..  Jacksonville,  NC 
Mar\iii  R.  Cloldsiem.  M.I)..  Scollsdalc.  .\Z 
Rohert  I,.  (Jrubh,  Jr.,  .M.D.,  (Jlendale,  MO 
Joe  W,  Hardison.  M.D.,  Fayetteville.  NC 
Alexander  C.  Hattaway  111.  M.D.,  Raleigh.  NC 
Das  id  C.  Hcleltlnger.  M.D..  Tuscaloosa.  AL 
Howard  Holderness.  Jr.,  M.D..  Greensboro.  NC 
.loe  P  Hurt.  M.D.,  Ph.D.,  .Sylva,  NC 
Bcrn.ird  R   J.ick.  .Ml)..  A/le.  T,\ 
Rohert  I.  Kindley,  M.D.,  Mary  Esther,  FL 
RiclKird  H.  Lassiier.  M.D..  Chapel  Hill.  NC 
(Jordon  B.  LeCJrand,  M.D.,  Raleigh,  NC 
Sue  E.  Massey.  M.D..  Scotts  Valley.  CA 
William  D.  McLesler.  M.D..  Ph.D..  Fayette\  ille.  NC 
Donald  D.  McNeill.  Jr..  M.D..  Lenoir.  NC 
l.leuellyn  Phillips  II,  M.D.,  Renton.  WA 
Thomas  L.  Presson.  M.D..  Greensboro.  NC 
William  F.  Sayers,  M.D.,  Winston-Salem,  NC 
Evin  H,  Sides  111.  M.D..  Raleigh.  NC 
Wilhs  H,  Williams.  Ml)..  Atlanta.  GA 

CLASS  Ol-  h)(i(i 
Number  in  Class:  63 
Percent  Donors:  49.2% 
J.  Curtis  Abell.  M.D.,  .Statesville.  NC 
Robert  P  Bamnger.  M.D..  Gastonia.  NC 
Rohert  H.  Bilhro.  M.D..  Raleigh,  NC 
Tmiotin  i:.  C'loningcr.  Ml),.  Charlotte.  NC 
(Jeorge  W.  t  (>\,  M.D..  Atlanta,  GA 
William  M.  t  rutchfleld.  M.D..  Elizabeth  City,  NC 
Philip  C.  Deaton.  M.D..  Greensboro.  NC 
Kdgar  C.  (Jarrabrant  II.  M.D..  Raleigh,  NC 
Robert  C.  (;ibson  III,  M.D..  Portland,  OR 
Carol  H.  Hacketl.  Ml),.  Mercer  Island.  WA 
Law  rence  I).  Henry,  M.I)..  Jefferson  City.  MO 
Howard  T  Hinshau.  MI)..  Ch.irlotte.  NC 
N,  Neil  Howell.  Ml),.  Charlotte.  NC 
William  C.  Hubbard,  M.D..  Raleigh,  NC 
Hugh  A.  McAllister.  Jr..  M.I)..  Houston.  T\ 
Kdgar  M.  McCiec.  M.D..  Lexington,  KV 
Duncan  Morton.  Jr..  M.D,.  Charlotte.  NC 
Hugh  (;.  Murray,  Jr.,  M.D.,  Atlanta,  GA 
R.  Kenneth  Pons.  M.D.,  Medtord,  OR 
James  A.  Pressly.  M.D..  Charlotte.  NC 
Surry  R  Roberts.  M.D..  Raleigh,  NC 
Charles  K   Scott,  M,D,,  Haw  River,  NC 
Robert  K.  Sevier,  M.D.,  tireensboro,  NC 
J.  Lewis  Sigmon,  Jr.,  M.D.,  Davidson,  NC 
H   Lee  Smyre,  M.D.,  Greer.  SC 

^2 


E.  Walker  Stevens.  Jr..  M,D..  Greensboro.  NC 
W.  Beverly  Tucker  III.  M.D..  Henderson.  NC 
W.  Hunter  Vaughan,  M.D.,  Steubenville,  OH 
James  H.  Whicker.  M.D..  Raleigh.  NC 
John  A.  Young,  M.D.,  Charlotte,  NC 
James  A.  \ount.  M.D..  Charlotte.  NC 

CLASS  OF  1967 

Number  in  Class:  67 

Percent  Donors:  46.3% 

F  Walton  A\ery.  M.D..  Chapel  Hill.  NC 

Rudy  W.  Barker.  M.D.,  Durham.  NC 

Gerald  W,  Bl.ikc.  .M.D,.  Raleigh.  NC 

Thomas  \\.  Bundy.  M.D..  Chambersburg.  P\ 

Joseph  M.  Cr.uer.  M.D..  Atlanta.  GA 

Vartan  .A.  Davidian,  Jr.,  M.D.,  Raleigh,  NC 

Da\id  .-X.  Evans.  M.D..  Monroe,  NC 

R.  Donald  Garrison,  M.D.,  Jacksonville,  FL 

Harvey  J.  Hamrick,  M.D..  Chapel  Hill.  NC 

K.  Franklin  Hart.  Jr.,  M.D.,  Morganton.  NC 

L.  Fuller  lIone>cutl.  Jr..  .\1,D  .  Raleigh.  NC 

James  I).  Hundley,  M.D.,  Wilmington,  NC 

Scott  (;.  Kleiman.  M.D..  Marietta.  GA 

Frank  W.  Leak.  Sr..  M.D..  Clinton.  NC 

Hugh  T.  LetJer.  Jr..  M.D.  and  Constance  Farthing 

Letler.  Ph.D.  Fori  Worth.  TX 

Robert  W.  Madry.  Jr.,  M.D.,  Corpus  Christi, 

TX 

W.  Jason  McDaniel.  Jr..  .M.D.,  Raleigh,  NC 

Joseph  T.  Mcl.anih.  Ml),.  Goldsboro.  NC 

Donald  H.  McQueen  III.  M.D..  Rock  Hill.  SC 

Rudolph  I.  Mint/.  Jr..  .M.D..  Kinston,  NC 

Harold  B.  Owens.  M.D..  Danville.  VA 

II   Richard  Parker,  Jr..  .M.D..  Greensboro.  NC 

(ierald  Pelletier.  Jr..  M.D..  New  Bern,  NC 

Albert  L.  Roper  II.  M.D..  Norfolk,  VA 

Douglas  M.  Russell.  M.D..  Goldsboro,  NC 

Walter  R.  Sahiston.  M.D..  Kinston.  NC 

James  H.  Spruill,  M.D,.  Jackson.  TN 

Henry  I'.  Thomason.  Jr..  M.D..  (Jastonia,  NC 

Benjamin  K.  Ward.  Jr..  M.D..  Florence,  SC 

Barry  M.  Welborne.  M.D..  Charlotte.  NC 

CLASS  OF  l%X 
Number  in  Class:  62 
Percent  Donors:  43.5% 
Joseph  P.  Archie,  ,Ir..  M.D..  Raleigh,  NC 
George  W.  Bensch.  M.I),.  Stockton.  CA 
Lucius  Blanchard.  Jr..  M.D..  Las  \egas,  N\ 
Edward  W,  DaMdi.m,  .M.D  .  Ch.ipel  Hill.  NC 
Alan  Davidson  HI,  M.D.,  (Jreensboro,  NC 
Ten-\  D.  Golden.  M.D..  Atlanta.  GA 
Theodora  L.  Gongaware.  M.D..  Savannah.  GA 
Joseph  \V.  Griffin,  Jr..  M.D..  Augusta.  GA 
W,  F  Hancock.  Jr..  M.D..  Burlington.  NC 
Hoke  F  Henderson.  Jr..  M.D..  Columbia,  SC 
John  L.  Kirkland  111.  M.D..  Houston,  TX 
Edward  W.  Kouri,  M.D..  Charlotte.  NC 
Jerold  E.  Lancourt.  M.D..  Dallas.  TX 
Paliick  T.  Malone.  M.D..  Rosuell.  GA 
Robert  G.  Martin,  M.D.,  Southern  Pines.  NC 
Rulhertoid  B.  Polhill.  Jr..  M.D..  Birmingham.  AL 
David  M.  Rubin.  M.D..  Greensboro.  NC 
Carole  \\.  Samuelson.  M.D..  Birmingham.  ,\L 
E.  Franklin  Shavender.  M.D..  Durham.  NC 
Robert  B.  Sheann.  M.D..  Rockville,  MD 
Valerie  L,  Slallings,  M.D..  Norfolk.  VA 
George  S.  Stretcher.  M.D..  Spartanburg.  SC 
William  S.  Teachey.  M.D..  Virginia  Beach.  VA 
Robert  C.  Vanderben^.  Jr..  M.D..  Raleiah,  NC 


Jerry  C.  Woodard,  M.D.,  Wilson,  NC 

Richard  H.  Wra\  III,  M.D.,  Morehead  City.  NC 
Stephen  W.  ^oung.  M.D.,  Austin,  TX 

CLASS  OF  1969 

Number  in  Class:  64 

Percent  Donors:  37.5% 

P.  Kugene  Brown,  M.D.,  Hickory,  NC 

J.  Hugh  Bryan,  M.D.,  Fayetteville,  NC 

W.  Woodrim  Burns.  Jr..  M.D..  Chapel  Hill.  NC 

Don  C.  Chaplin,  M.D.,  Burlington,  NC 

R.  Samuel  Crom.irtie  111.  M.D..  Omiand  Beach,  FL 

Hugh  J.  Grant.  Jr..  M.D.,  Raleigh.  NC 

G  Patrick  Guiteras.  .M.D..  Chapel  Hill,  NC 

Edward  W.  Haseldcn.  Jr.,  M.D.,  Columbia,  SC 

J   Thomas  John,  Jr..  M.D..  Nashxille.  TN 

Dr.  and  Mrs.  W  illiam  R.  Jordan,  Fayetteville.  NC 

Richaid  A.  Keever.  M.D..  High  Point.  NC 

Edward  H.  Lesesne.  Jr.,  M.D.,  Canton,  NC 

C.  Clement  Lucas.  Jr..  M.D..  Larchmont.  N^l' 

Henry  J.  MacDonald.  Jr..  M.D..  New  Bern.  NC 

R.  James  MacNaughton,  Jr.,  M.D.,  (ireenville,  SC 

David  W,  Peaisall.  Jr..  M.D..  Greenville.  NC 

James  S.  Powers.  M.D..  Bethesda.  MD 

Joseph  D.  Russell,  M.D..  Wilson,  NC 

David  S.  Sheps.  M.D..  Gainesville.  FL 

James  W.  Snyder.  M.I)..  W  ilmington.  NC 

Karen  C.  .Sorrels.  M.D,.  Midlothian.  \  A 

Franklin  T  Teu,  Ml),.  Chapel  Hill.  NC 

John  t .  Triplett.  M.D..  M.P.H..  Bethesda.  MD 

Nelson  B.  Watts.  M.D..  Atlanta,  GA 

CLASS  OF  1970 
Number  in  Cla.ss:  70 
Percent  Donors:  61.4% 

H.  Chlford  Baggett,  Jr.,  M.D.,  Rocky  Mount,  NC 

Jerry  C.  Bernstein,  M.D.,  Raleigh,  NC 

Robert  G.  Blair.  Jr.  M.D.  and  Pauline  M.  Blair. 

MI).  New  Bern.  NC 

William  J.  Busby.  M.D..  Thomasville.  NC 

William  K.  Byrd.  M.D..  Roanoke  Rapids,  NC 

Harold  H.  Cameron.  M.D..  New  Bern.  NC 

Daniel  L.  Crocker.  Jr.,  M.D..  Rocky  Mount,  NC 

Ch.irles  E.  Crumley.  M.D..  Lincolnton.  NC 

H.  Shelton  Karp  HI,  M.D.  and  Joanne  Karp. 

Ph.D.,  Chapel  Hill,  NC 

Mary  H.  Edwards.  M.D.  and  David  J.  Edwards. 

PhD,.  Pittsburgh.  PA 

Richard  M.  Freeman.  M.D..  Opelika.  AL 

James  O.  (ioodwin.  M.D,.  Henderson.  NC 

John  F.  Hanna.  M.D..  Sarasota.  FL 

Joseph  M.  Harmon.  M.D..  Mount  Pleasant,  SC 

John  K  Ilartness,  Jr..  M.D..  Monroe.  NC 

W.  Borden  Hooks.  Jr.,  M.D.,  Mount  Airy,  NC 

Donald  1).  Howe.  M.D,.  Gastoni.i.  NC 

Dr.  and  Mrs.  Mark  G.  Janis.  Seal  Beach,  CA 

James  J   Jenkins.  M.D..  Saint  Louis.  MO 

V.  Bryan  Koon.  Jr..  M.D..  Durham.  NC 

Frederick  (i.  Kroncke.  Jr.,  M.D.,  Rocky 

Mount,  NC 

John  R.  Leonard  111.  .M.D..  Greenville.  NC 

James  D.  Melton.  M.D..  Morganton.  NC 

Michael  A.  Moore.  M.D.,  Danville,  VA 

Edward  A.  Nortleet.  M.D..  Chapel  Hill,  NC 

L.  Christine  Oliver,  M.D.,  Brookline,  MA 

Hoke  Pollock.  M.D..  Wilmington.  NC 

R   Kirhy  Primm,  .M.D  .  Wenatchee.  WA 

David  A.  Rendleman  HI,  M.D.,  Raleigh.  NC 

Thomas  A.  Roberts,  Jr„  M.D.,  Charlotte,  NC 

Subir  Rov,  M,D.,  Pasadena,  CA 


A.  Stevens  Rubin.  Jr..  M  D  .  Chatsworth.  C.A 
James  B.  Sloan,  M.D.,  Wilmington,  NC 
Kenneth  W.  Sniithson.  .\!.D..  Inins;.  T\ 
Jame>.  D.  Smithwick.  M-D..  LaurMiburg.  NC 
Charle-s  E.  Thompson,  .M.D.,  New  Rochelle,  W 
T.  Reed  I  nderhill.  M.I)..  NeH  Bern.  NC 
Ross  L.  \aughan.  M.I)..  Raleigh.  NC 

E.  Lance  Walker.  M.I)..  Littklon.  fO 
William  ,|.  Weatherlj.  M.I).,  (ireenshoro.  NC 
H.  Grev  Wintield  111.  .\1.D..  llickon.  NC 

CLASS  OF  1471 

Number  in  Class:  73 

Percent  Donors:  24.7 'r 

Robert  A.  Bashford,  M.D..  Chapel  Hill.  NC 

J,imes  S.  Co\e  111.  .\1.D  .  Ralcii:h.  NC 
James  S.  Fulghum  III.  M.I),  and  Mar)  Susan 
Fulghum.  .M.I).,  Raleigh.  NC 
Joe  E  Gadd>.  Jr .  M.D..  W  inston-Saleni.  NC 
Daniel  P.  Greenfield.  M.D..  Short  HilK.  NJ 
Michael  R.  Knowles,  M.D..  Chapel  Hill.  NC 
Kathnn  R.  Ku\kendal.  Cineinnati.  OH 
Richard  A.  Nelson.  M.D..  Cordo\a.  TN 
Frederick  S.  Neuer,  .M.D.,  Emporia,  KS 
William  B.  Piltman,  M.D..  Rock>  Mount.  NC 
R.  R.indolph  P.mell.  .\1.D..  Ho\  Point.  \VI 
Charles  H.  Richman.  M.D..  Saratoga  Springs.  N"^ 
Virgil  O  Roberson  111.  M.D..  High  Point.  NC 
J.  Allison  Shivers.  M.D.,  Asheville,  NC 
Sara  H   Sin.il.  Ml).  W  insion-Saleni.  NC 
John  P.  Surratt.  M.l)..  Clinton,  NC 
George  C.  \enters,  M.D.,  Raleigh,  NC 
David  K   Wagoner.  M  D..  Charlotte.  NC 

CLASS  OF  14"; 

Number  in  Class:  70 

Percent  Donors:  37.1  "^^ 

Henrv  H  Atkins  11.  .\1.D..  Hampden.  ME 

Robert  L.  Barnes  111.  M.D..  Knoxville.  TN 

Myron  H  Brand.  M.D..  .Madison.  CT 

Peter  R.  Bream,  M.D.,  Jacksonville,  FL 

L.  Franklin  Cashuell.  Jr..  M.D..  Greensboro.  NC 

Randolph  B.  Cooke.  M,D..  Owego.  N't 

Cecil  M.  Famngton.  Jr..  M.D..  Salisburv.  NC 

Karen  W.  Green.  M.D  .  Holden.  .\IA 

Alger  \'.  Hamrick  111.  M  D  .  Raleigh.  NC 

L.  Clayton  Harrell  III.  M.D..  Charlotte,  NC 

Hubert  B.  Hasuood  111  .Ml)  .  Raleigh.  NC 

F.  Christian  Heaton.  M.l)..  Raleigh,  NC 
Larrv  A  High.  Jr .  .\1  L)..  Rockv  Mount.  NC 
Wilham  B   Horn.  .M.D  .  Boone.  NC 

John  S.  Hughes,  M.D..  .New  Haven.  CT 
Thomas  G.  Irons.  .M.D..  Greenville.  NC 
Joseph  A.  Jackson.  M.D..  Pilot  .Mountain.  NC 
Howard  S.  Kroop.  M.I)..  Woodbury.  NJ 
William  \.  Long.  Ml).  Ne«lnn.  N( 
John  R.  Lurain  III,  M.D..  Oak  Park,  IL 
John  T  .Manning.  Jr..  M.D,.  Houston.  TX 
John  R.  Partridge.  M.D..  .Midlothian.  VA 
lames  S.  Reed,  M.D.,  (;ig  Harbor.  WA 
I    I  ledenck  Wolfe.  M  D..  Knovsillc.  IN 
J   Kieh.ird  Young.  .Ml)..  Sherborn.  MA 

CLASS  OL  147  < 

Number  in  Class:  81 

Percent  Donors:  35.8 'i 

Frederic  F.  Bahnson  111.  M.D..  Brevard.  NC 

Ci  RutTin  Benton  111.  .VI. D..  Brevard.  NC 

Stephen  A  Bernard.  .M.D..  Chapel  Hill.  NC 

Stephen  B.  Billick.  .M.D..  New  York.  NY 


Jesse  A.  Blackman.  M.D..  PA..  Fremont,  NC 
Thomas  B.  Cannon.  M.D..  Winston-Salem.  NC 
Nad\  M  Gates  111.  .\I  D  .  Chapel  Hill.  NC 
Franklin  S.  Clark  III.  M.D..  Kayetteville.  NC 
LKnd  K.  Conistoek.  M.D..  Snow  Camp.  NC 
Frank  E.  Davis  HI.  M.D..  Roanoke  Rapids.  NC 
John  E.  Estes.  Jr..  M.D..  Rocky  Mount,  NC 
L,  Rultni  Franklin.  Jr..  M.D..  Raleigh.  NC 
J.  Blake  Goslen  111.  M.D.,  Charlotte.  NC 
David  A.  (Jrimes.  .M.D..  Chapel  Hill,  NC 
J  Michael  Harper.  M.D..  Charlotte.  NC 
F  Daniel  Jackson.  M.D..  Cumberland.  MD 
E.  Earl  Jenkins.  Jr..  M.D..  Rock  Hill.  SC 
J.  t  harles  Jennette.  M.l)..  I  hapel  Hill.  NC 
Dennis  R  Johnson.  .\1  D  .  ^ork.  PA 
Colin  D  Jones.  .M  D  .  Ahoskie.  NC 
James  L.  Maynard,  M.D.,  Rock  Hill,  SC 
Dale  A.  Newton.  M.D..  Green\ille.  NC 
David  R.  Patterson,  M.D.,  Greensboro,  NC 
W.  McLean  Reavis.  Jr..  M.D..  Lakeland.  FL 
Da\  id  E.  Sharp.  M.D..  Ph.D..  Bear  Creek.  PA 
S.  Wa>ne  Smith.  M.D..  Raleigh.  NC 
George  H,  Lnderwood.  Jr..  M.D.,  Honolulu.  HI 
Robert  R.  Walthtr,  M.D..  New  York,  NY 
William  H,  Whisnant.  M  D..  Bristol.  TN 

CLASS  OF  1474 

Number  in  Class:  97 

Percent  Donors:  33.0'> 

Robert  M.  Alsup.  M.D.,  Winston-Salem,  NC 

Thomas  W.  Bouldin.  M.D..  Chapel  Hill.  NC 
W.  Gnft'lth  Bowen.  M.D.,  St.  Louis.  MO 
Douglas  C.  Brewer.  M.D..  Elm  City.  NC 
Donald  C.  Brown.  M.D..  Can.  NC 
David  R.  Clemmons,  M,D.,  Chapel  Hill.  NC 
Thomas  H.  Dukes  111.  M  D..  Charleston.  SC 
Donna  E.  Fnck.  .M.D..  Chapel  Hill.  NC 
Stephen  S.  Hawkins.  M.D..  Hixson.  TN 
C.  Norman  Hurwii/.  M.D..  Fairfield.  Oil 
Joseph  M.  Jenkins,  M.D.,  Fayetteville,  NC 
Stephanie  L.  Kodack,  .M.D.,  .Austin,  TX 
John  A.  Lang  111.  M.D..  Raleigh.  NC 
Clarence  E,  Lloyd.  Jr..  MD..  Greensboro.  NC 
Sheppard  A.  McKenzie  III,  M.D.,  Raleigh.  NC 
Cl\de  Nolan.  Jr..  M  D..  Greensboro.  NC 
II.  Clill(m  Patterson  III.  M.l)..  Raleigh.  NC 
Harold  C  .  Pollard  III.  M.l)..  Winston-Salem.  NC 
C.  Eredric  Reid,  M.D..  W  inston-Salem.  Nl' 
Su/anne  V.  Sauter.  .VI. D..  Chapel  Hill.  NC 
Charles  W.  Smith.  Jr..  M.D..  Little  Rock.  \R 
Roger  L.  Snow.  VI. D..  Boston.  VIA 
Da\id  E  Tart.  VI  D.  Hickorv.  NC 
David  T.  Tayloe,  Jr.,  M.D.,  Goldsboro,  NC 
John  W.  Thornton  111.  VLD..  Augusta.  GA 
Larry  E.  WaiTcn.  M.D..  Chapel  Hill.  NC 
Charles  H.  Weiss.  M.D..  Newton.  MA 
Kenneth  H.  Wilson.  VLD..  Chapel  Hill.  NC 
William  G.  Wilson.  VLD  .  t  harloiiesvillc.  VA 
Heishel  L.  Wi\.  Jr..  .VLD..  VI. nice.  IL 
Charles  I),  ^bder.  VLD..  FairMcw.  NC 
I).  Bryan  Young.  M.D..  Shelby.  NC 

CLASS  OF  I47.S 

Number  in  Class:    Mlfi 

IVrccnl  Donors:   Ai).<,' , 

I.,  .lackson  Allison.  .|r..  VI. I).,  last  Syracuse.  N^ 

Bruce  A.  Bellow.  VI  1).  Vlsslic.  (   I 
William  J.  Blacklev.  VI. D..  KIkin,  N( 

Julian  CBunllev  111.  VI  I)  .  Rock\  Vloum.  N( 
Julian  T  Branllev.  Ji  .  VI  I)  .  Vienna.  \ A 


Patrick  G.  Bray.  M.D..  Shaker  Heights.  OH 
Samuel  L.  Bridgers  II.  M.D.,  Woodhridge,  CT 

E.  Drew  Bridges.  VLD..  Wake  Forest.  NC 
Cvril  S.  Dodge.  M.D..  Vancouver.  WA 
Benjamin  Douglas.  VLD..  Dillsboro.  NC 
William  H.  Edw.iids.  VI  D  and  Susan  T 
Edwards,  M.D-.  Norwich.  \T 
Clarence  E,  Foglem.ui  111.  M  I). 
Colorado  Springs.  CO 
Richard  F.  Fox.  VI. I)..  Cireensboro.  NC 
Donald  C;.  Ciregg,  M.D..  CJreenville,  SC 
Eric  H.  Hels.ibeck.  VLD  .  Asheboro.  NC 
Ernest  E  Krug  III.  VI. I)..  Rochester.  MI 
C  harles  P.  I.anglev  III.  VI. 1)..  Shelby,  NC 
David  S.  I.ennon.  VI. I)..  C  harlotte,  NC 
Howard  A.  VIcVlahan.  VI. I)..  Vlarietia,  (iA 
Frank  11.  VIoiet/.  VLD..  .\shc\illc.  NC 
Wade  H  VIoser.  Jr..  VLD..  Raleigh.  NC 
Dan  A.  Myers,  M.D..  Kinston,  NC 
]\.  Ronald  .\eal,  M.D.,  Greensboro,  SC 
Henry  N   Nelson  111.  VLD..  Indialantic.  FL 
Lanning  R,  Newell.  VLD..  Raleigh.  NC 
Vlaishall  ILOdoin.  M.I).  Boone.  NC 
Stephen  L.  Okiye,  M.D.,  Saint  Thomas,  \  I 
Henrv  E.  Parfiti.  Jr..  VI. D..  Fayetteville.  NC 
H.  Worth  Parker.  M.D.,  Norwich,  VT 
Jerry  E.  Patterson.  M.D.,  Chapel  Hill.  NC 
James  E.  Peacock.  Jr..  VLD..  Winston-Saleni.  NC 
Claudia  A.  Peters.  VLD..  Kingston.  ON 
Joseph  B   Philips  111.  VI  I),.  Birmingham.  AL 
Hoke  D.  Pollock,  Vl.D.,  W  ilmington,  NC 
James  L.  Price  111.  M.D.,  Wilmington.  NC 
Joseph  R.  Pringle.  Jr..  M.D.,  Burlington.  NC 
W.  Paul  Sawyer.  M.D..  Tallahassee.  FL 
Michael  A.  Stang.  M.D..  Pikesv  ille,  MD 
Kenneth  K.  Steinweg.  VLD  .  Greenville.  NC 
Carol  B.  Teutsch.  VLD..  Gwvnedd  \allev.  PA 
James  W,  Winslow.  VLD..  Tarboro.  NC 
Kenneth  II.  W  inter.  VI. I).,  (ireenshoro.  NC 

CLASS  OF  147(1 
Number  in  Class:   12(1 
Percent  Donors:  3(1.0 '-f 

Bienda  L   Adams  Hudson.  VLD..  VIooie.  SC 

Warwick  Aiken  III.  VLD.  and  Janet  Cyhiynski 

Aiken.  VLD..  Gastoma.  NC 

Paul  D.  Barry.  M.D..  CJreensboro,  NC 

Vlartin  F  Beals.  Jr..  VI  D  .  Bluefield.  \  A 

Jean  C.  Bolan.  M.D..  Washington.  DC 

AlevisC   BoutenetL  VI. 1)..  Litchfield.  CI 

Rich.ird  A   Bowerman.  VLD  .  Ann  Arbor.  VII 

Barbara  J.  Campbell.  Vl.D..  Somerset.  PA 

Vlariorie  B.  Can.  Vl.D..  Raleigh.  NC 

F^dward  I..  Cattau,  Jr..  Vl.D..  (Jernianlown.  IN 

William  II.  (iamble.  Vl.D..  (ireensboro,  NC 

(  harles  II.  Hicks,  Vl.D..  W  ilmington.  NC 

J.  Lee  llollci.  Vl.l).  leiiiplc.  I  .\ 

Robert  H.  Hulchins.  M.D..  Wilmington.  NC 

Walker  A.  Long.  .VLD..  Ch.ipel  Hill.  NC 

Ross  I)   Lvnch.  VI  I)  .  ColiiinhLi,  S( ' 

VlcKav  VkKmnon.  VI  I)  .  Kciiiluoiih.  II. 

Michael  \:  Vlillei.  VLD.  Iiaiiklm.  IN 

B   Douglas  VIorton  III.  VI  1)  .  Vlacon.  GA 

Robert  S.  VIoskalik.  VI  1)  .  Coldwatei.  Vll 

E.  Paul  Nance.  Jr.,  M.D..  Nashville.  TN 

I.   Andrew  Nassel.  Jr.  VI  I)  .  Danville.  PA 

David  B.  Neeland.  Vl.D..  VIontgomery.  AL 

ll.irokl  A   Nichols.  VLD  .  Giecnsboro.  NC 

Kathleen  (iallagberOxner.  M.l)..  (ireenv  ille.  SC 

Sheldon  VI,  Rclchin.  VI  I).  Richmoiul,  \  \ 


Tamara  L.  Sanderson,  M.D.,  Lexington,  KV 

Robert  S.  Shapiro.  M.D..  Athens.  GA 
David  F.  Silver.  M.D..  Charlottesville.  VA 
Robert  J.  Tallaksen.  .M.D.,  Morgantown,  WV 
R.  Henry  Temple.  Jr..  M.D,.  Wilmington.  NC 
F.  Ray  Thigpen,  M.D.,  Whiteville,  NC 
Mark  E.  Williams.  M.D..  Charlottesville.  VA 
Riehard  L.  Wing.  M.D..  Charlotte.  NC 
Sabra  A.  VVoodard,  M.D..  Raleigh,  NC 

CLASS  OF  1977 
Number  in  Class:   119 
Percent  Donors:  24.4  9} 

.Michael  L,  Ban-inger.  M.D..  Shelby.  NC 

.lohii  R.  Black.  M.D..  Zionsville.  IN 

Clinton  A.  Bnlev.  Jr.  M.D..  Wnghtsvillc  Beach.  NC 

Francis  S.  Collins,  M.D.,  Ph.D..  Rockville,  MD 

Joseph  E.  Craft.  M.D..  Guilford.  CT 

Allen  J.  Daugird.  M.D..  Chapel  Hill.  NC 

Meyer  E.  Dworsky,  M.D.,  Huntsville,  .\L 

Wayne  D.  Fogle.  M.D..  Knowille.  TN 

Peter  C.  Gruenberg.  M.D..  .^Itamonte  Springs.  FL 

Charles  H.  Hoover.  III.  M.D..  Monroe,  NC 

William  L.  Isley.  M.D..  Kansas  City.  MO 

L.  Lyndon  Key.  Jr..  M.D.  and  Janice  D.  Key. 

M,D..  Hollywood.  SC 

Judith  M,  Kramer.  M.D..  Chapel  Hill.  NC 

Frederick  11   Mahry.  Jr.  MD..  Lanrinhurg.  NC 

•Stephen  Ray  .Mitchell,  M.D.,  Alexandria,  VA 

Warren  H.  Moore,  M.D.,  Sugar  Land,  TX 

H.  Grady  Morgan.  Jr..  M.D..  Wilmington.  NC 

Pamela  A.  Nel.son.  M.D..  Raleigh.  NC 

Scott  H.  Norwood.  M.D..  Tyler.  TX 

Louis  M.  Perlniutt,  M.D.,  Chapel  Hill,  NC 

Michael  L.  Pool.  M.D..  Knowille.  TN 

Duncan  S.  Postma.  M.D..  Tallahassee.  FL 

Catherine  M.  Radovich.  M.D..  Gallup.  NM 

Samuel  T  Selden.  M.D..  Chesapeake.  VA 

Howard  J.  Stang.  M.D..  Stillwater.  MN 

.lohn  H.  Stanley,  Jr.,  M.D.,  Wilmington,  NC 

Michael  M.  Ward.  M.D..  Wilmington.  NC 

Richard  H,  Wcislci.  MD,.  Raleigh.  NC 

CLASS  OF  l')7S 
Number  in  Cla.ss:   129 
Percent  Donors:  25.6'7f 

T  Rupert  Ainsley.  Jr..  M.D,.  Sanford,  NC 
Michael  C.  Alston.  M.D,.  Murtreesboro.  NC 
James  J,  Bedrick.  M.D..  Charlotte.  NC 
John  D.  Benson,  M.D.,  Cary,  NC 
Jean  W.  Carter.  M.D..  Raleigh.  NC 
Brian  J.  Cohen.  M.D..  Sudbury.  MA 
Cvnlhia  D  Conrad.  M  D,.  PhD,.  Branford.  CT 
Paul  W.  Coughlin,  M.D.,  High  Point,  NC 
Betty  J,  Crosby.  M.D,.  Charlotte.  NC 
Allison  J.  Dudley.  M.D..  Charlotte.  NC 
Martha  L.  Elks.  M.D..  Atlanta.  GA 
Seth  V.  Hetherington.  M.D..  Chapel  Hill.  NC 
Michael  D.  Holland.  M.D..  Rocky  Mount.  NC 
Cynthia  R.  Howard.  M.D..  Baltimore.  MD 
Dorothy  M.  Linster.  M.D..  Raleigh.  NC 
Wade  L.  Lowry.  M.D,.  Colleyv  ille.  TX 
Jeftiey  A.  Margolis.  MD..  Tappahannock.  VA 
John  T.  McElvecn,  Jr.,  .M.D..  Raleigh.  NC 
W.  Ronald  MofFitt.  M.D..  Hendersonville.  NC 
Mark  D.  Monson.  M.D..  Spartanburg.  SC 
Donna  L.  Prather.  M.D..  Carrboro,  NC 
John  V  Pruitt  111.  M.D..  Boston.  MA 
Peter  A.  Schlesinger.  M.D,.  St.  Paul.  MN 
Stuart  C,  Segerman.  M.D..  .Atlanta.  GA 


Susan  T.  Snider,  M.D.,  Burnsville,  NC 
William  D.  Snider,  .M.D.,  Chapel  Hill,  NC 

Donna  S.  Sperber.  M.D..  St.  Petersburg.  FL 
Alan  D.  Stiles.  M.D..  Chapel  Hill.  NC 
Gregory  H.  Tuttle.  M.D..  Mebane.  NC 
Wilham  A.  Walker.  .M.D..  Charlotte.  NC 
J.  Byron  Walthall.  Jr..  M.D.  and  Nancy  L. 
Teafl.  .M.D..  Charlotte.  NC 
Richard  C.  Worf.  M.D..  Winston-Salem.  NC 

CLASS  OF  1979 

Number  in  Class:   128 

Percent  Donors:  28.1% 

Andrew  H,  Balder.  .M.D..  Longmeadow.  MA 

Gail  .M.  Capel.  .M.D..  Schenectady.  NY 

D.  Franklin  Craig.  M.D..  Burnsville.  NC 

Waller  E.  Daniel.  Jr..  M.D..  Raleigh.  NC 

Douglas  M.  Delong.  M.D..  Ladysmith.  WT 

Allen  R.  Edwards.  M.D.  and  Palncia  K.  Hill. 

M.D..  Statesville.  NC 

Ellen  B.  Fitzgerald.  M.D..  Lexington.  KY 

Sharon  M,  Foster.  M.D..  Raleigh.  NC 

Thomas  R.  Hinson.  Jr..  M.D..  Clemmons.  NC 

Kent  M.  Kalina.  M.D..  Charlotte.  NC 

Anne  T.  Keifer.  M.D.  and  John  C.  Keifer.  M.D.. 

Chapel  Hill,  NC 

John  M.  Lafferty.  M.D..  Valdese.  NC 

Charles  E.  Lownes.  M.D..  Greensboro.  NC 

Julia  E,  McMuiTay.  M.D,.  Madison.  Wl 

Darlyne  Menscer,  .M.D.,  Charlotte.  NC 

Harold  P  Overcash.  MD..  Raleigh.  NC 

Christian  E.  Paletta.  M.D.,  St.  Louis.  MO 

Lawrence  H.  Pearson.  M.D.,  Shelby.  NC 

James  G.  Peden,  Jr..  M.D..  Greenville.  NC 

Alan  M.  Ranch.  M.D..  Santa  Barbara.  CA 

Charles  N.  Reed.  M.D..  Hickory.  NC 

J,  Mark  Rowles.  M.D..  .Atlanta.  GA 

James  L.  Sanderford.  Jr.,  M.D.,  Lewisville,  NC 

David  M.  Siegei.  M.D..  Rochester.  NY 

William  L.  Stewart.  M.D..  Southern  Pines.  NC 

Frances  R.  Thomas.  M.D..  Chicago.  IL 

Paul  A.  Vadnais.  MD..  Charlotte.  NC 

Lynn  E.  Wesson.  M.D,.  Raleigh.  NC 

Mack  W.  White  III.  M.D.,  Charlotte,  NC 

C,  Phillip  Whitworth.  M.D..  Forest  City.  NC 

Lan-y  T  Williams.  M.D,.  Hickory.  NC 

Leonard  S.  Wojnowich.  M.D..  Savannah.  GA 

O.  Ban-y  Wynn.  M.D.  and  Michelle  H  Wvnn. 

M.D..  Charlotte.  NC 

CLASS  OF  1980 
Number  in  Class:  145 
Percent  Donors:  36'7<- 

Edward  H.  Bertram  111.  M.D,.  Charlottesville.  VA 
Roger  D,  Billica.  M.D..  Houston.  TX 
Marcus  E.  Carr.  Jr..  M.D..  Midlothian.  VA 
Wilbur  B.  Carter.  Jr..  M.D..  Chapel  Hill,  NC 
Lauren  E.  Cosgrove.  M.D.,  Potomac.  MD 
Phillip  K.  Dorton.  M.D..  Thomasville.  NC 
Patricia  T.  Edkins.  M.D..  Chapel  Hill.  NC 
W.  Wells  Edmundson.  M.D..  Raleigh.  NC 
Walter  E.  Egerton  111.  M.D..  Aberdeen  Proving 
Grounds.  MD 

C.  O'Neil  Ellis,  M.D..  Matthews,  NC 
Barry  J.  Freeman.  M.D..  Los  Angeles,  CA 
Fredenck  U.  Goss.  M.D..  Salisbury.  NC 
John  C.  Gudger.  M.D..  Swansboro.  NC 
Sandra  K.  Haigler.  M.D..  Lexington.  KY 
Catherine  J,  Hants.  M.D..  Wilmington.  DE 
Call  L,  Havnes.  Jr.  M.D,.  Kinston.  NC 


Mark  A.  Helvie.  M.D,.  Ann  Arbor.  MI 

J.  Patrick  Holland.  .M.D.,  Winston-Salem,  NC 

Kenneth  E.  Hollingsworth.  M.D..  OIney.  MD 
Philip  R.  Johnson,  Jr..  M.D..  New  Albany.  OH 
Edward  C.  Jones.  M.D..  Clemmons,  NC 
Konrad  C.  Kaltenbom.  M.D..  Anchorage.  AK 
Daniel  M.  Lewis.  M.D..  Charlotte.  NC 
Thomas  H.  Lineberger.  M.D..  Pinehurst.  NC 
Jimmy  Locklear.  M.D..  Raleigh.  NC 
William  L,  Lowe.  Jr..  .M.D..  Winnetka.  IL 
Christine  C,  Mahvi.  .M.D..  Middleton.  Wl 
E.  John  Markasheuski.  Jr..  M.D..  Huntsville.  AL 
Steven  K.  .McCombs.  M.D..  Chapel  Hill.  NC 
T.  Michael  O'Shea.  Jr.  ,M.D..  Wniston-Salem.  NC 
Cort  A.  Pedersen.  M.D..  Chapel  Hill.  NC 
Dwight  D,  Perry.  M.D,  and  Veronica  J.  Ray. 
M.D..  Durham.  NC 

R.  Brookes  Peters  IV.  M.D..  Tarboro.  NC 
Bayard  L.  Powell.  M.D..  Winston-Salem.  NC 
Timothy  A.  Presnell.  M.D..  Richlands.  VA 
Pctnc  M,  Rainey.  MD..  Lake  Forest  Park.  WA 
Judith  L.  Rissman.  .M.D..  Lexington.  MA 
Steve  E.  Ritchie.  M.D..  Knoxville.TN 
Suzanne  Rogacz.  M.D..  Potomac.  MD 
J.  McNeill  Smith  111.  M.D..  Asheville.  NC 
Paul  C.  Sorum.  M.D..  Schenectady.  NY 
James  P.  Srebro.  M.D..  Napa.  CA 
Walter  J.  Steele.  M.D..  Charlotte.  NC 
Karin  R.  Sternberg.  M.D..  Pittsford.  N\' 
Leslie  L.  Taylor  111.  M.D..  Smithfield.  NC 
James  V  Taylor  III.  M.D..  Wilson,  NC 
Donna  W.  Tilson.  M.D..  Louisville.  KY 
Jonathan  P.  Tolins.  M.D..  Minneapolis.  MN 
Margo  F,  Tolins-Mejia.  M.D..  Minneapolis.  MN 
Liliana  Ci.  Visscher.  M.D..  Cape  Girardeau.  MO 
Kenneth  W.  W  ilkins,  Jr.,  M,D.,  New  Bern.  NC 

CLASS  OF  19S1 

Number  in  Class:   159 

Percent  Donors:  32.7% 

(;.  Williams  .4dams.  M.D.  and  Deborah  L. 

Fussing.  .M.D..  Scverna  Park.  MD 

Lee  P  Adlci.  M.D..  Winsion-Salem.  NC 

Paul  S.  Andrews.  M.D..  Chapel  Hill.  NC 

David  Shields  Barnes.  M.D.  and  Elizabeth  Scott 

Babcox.  M.D..  Shaker  Heights.  OH 

Craig  R.  Bennett.  M.D..  North  Wilkesboro.  NC 

Philhp  M,  Bridgman.  MD..  Hannawa  Falls.  NY 

Stephen  E.  Buie.  .M.D,.  Asheville.  NC 

(iraham  W.  Bullard.  M.D..  Cornelius.  NC 

Lena  W,  Butterworth.  .MD,.  Charlotte.  NC 

David  .4.  Crews.  M.D.  and  Elizabeth  A.  Eagle, 

.M.D..  (Jreensboro.  NC 

Deborah  H.  Davis.  M.D,.  Morganton.  NC 

David  M.  Deitz.  M.D..  Olympia.  WA 

Amelia  F  Drake.  MD..  Chapel  Hill.  NC 

Frederick  M.  Dula.  Jr..  M.D..  Salisbury,  NC 

David  A.  Goff.  M.D..  Raleigh.  NC 

David  K.  Harper,  M.D..  Concord.  NC 

William  M.  Herndon.  Jr..  M.D..  Charlotte.  NC 

G.  Wallace  Kernodle.  Jr..  M.D..  Burlington.  NC 

Douglas  P  Kiel.  M.D,.  Medfield.  MA 

Garland  C,  King.  MD,.  Franklin.  NC 

Alan  S.  Kopin,  M.D.,  Wellesley  Hills.  MA 

R.  Wayne  Kreeger.  M.D..  Atlantic  Beach.  FL 

Leigh  S.  Lehan.  M.D..  Raleigh.  NC 

Robert  E.  Littleton.  M.D..  Raleigh.  NC 

Nanetta  B,  Loue-Roache.  M.D..  Winston-Salem.  NC 

Jane  E.  Lysko,  M.D.,  Asheville.  NC 

Saundra  A.  Maass-Robinson.  M.D..  East  Point.  GA 


John  R.  Mangum.  M.D..  Sanford.  NC 

W  illiani  H.  Menvm.  Jr..  M.D.  and  Man  -Frances 

Meruin.  Knowille.  TN 

Catherine  H.  Messick,  M.D..  \\ iaston-Salem,  NC 

Charles  B.  Nemerot=l'.  M.D..  Ph.D..  .AUanta.  G.-\ 

J  Thomas  Newton.  M.D..  Clinton.  NC 

Larry  C.  Nickens.  M.D..  Goldsboro.  NC 

William  B.  Olds.  M.D..  Rovboro.  NC 

Paul  M.  Parker.  M.D.  and  Ruth  M.  Parker. 

.\I.D..  .Atlanta.  G.\ 

Peter  L.  Pleasants.  M.D..  Providence.  RI 

Larn,  B.  Poe.  M.D..  Binghamlon.  NY 

Teresa  A.  Rummans.  M.D..  Rochester.  MN 

Timothy  G.  Saunders.  M.D..  Charlotte.  NC 

Thomas  J.  SeeK.  .\I.D  .  Summerfield.  NC 

Ehvood  E.  Stone.  Jr..  M.D.,  Cedar  Rapids.  \.\ 

William  W.  Stuck.  .M.D..  Columbia.  SC 

James  D.  V\hinna.  M.D  .  Monroe.  NC 

.Susan  M.  Whitehead.  Mancos.  CO 

Carol  J.  Wilkerson.  M.D..  .Alexandria.  V.-\ 

Phillip  M.  Williford.  M.D..  Winston-Salem.  NC 

Warden  L.  Wbodard  III.  M.D..  Charlotte.  NC 

Michelle  H.  Wynn.  M.D.  and  Ossian  B.  Wynn. 

M.D..  Charlotte.  NC 

CL.XSSOF  19S: 
Number  in  Class:   153 
Percent  Donors:  ILf^t 

John  C  .Adams.  M.D..  Indian  Trail.  NC 
Joseph  L.  Albright.  Jr..  M.D..  Chariotte.  NC 
.Mary  John  Ba\le\.  M.D  .  Greensboro.  NC 
Barbara  L.  Bethea.  .M.D..  Lillinglon.  NC 
Peter  H.  Bradshaw.  M.D..  Hickory.  NC 
J.  Lawrence  Brady.  Jr..  M.D..  Charlotte.  NC 
David  W.  Cash.  M.D..  Statesville.  NC 
N.incy  C.  Chescheir.  NLD..  Chapel  Hill.  NC 
Bruce  V.  Darden  II.  M.D..  Charlotte.  NC 
Robert  C.  Dellinger.  Jr..  M.D..  High  Point.  NC 
Cindy  S.  Dieringer.  M.D..  Camden.  SC 
Lawrence  M.  Fleishman.  M.D,.  Charlotte.  NC 
Charles  J.  Fulp,  Jr..  M.D..  Atlanta.  GA 
John  S.  Gaul  III.  M.D..  Charlotte.  NC 
Thomas  W.  Graham.  M.D..  Carrboro.  NC 
Stephen  .M.  Hux.  M.D..  Winston-Salem.  NC 
Timothy  O.  Jenkins.  .\I.D..  Concord.  NC 
Beverly  N.  Jones  III,  M.D..  Winston-Salem.  NC 
Kathi  J.  Kemper,  .M.D..  Boston.  MA 
Angela  Kendnck.  .M.D..  Aloha.  OR 
Virginia  E.  Killough.  M.D..  Marquette.  Ml 
Marian  S.  Kirkman.  M.D..  Carmel.  IN 
Vincenl  J,  Kopp.  M.D  .  Chapel  Hill.  NC 
.Mary  I.  Korytkouski.  .\I.D.,  Pittsburgh.  P.A 
Jackie  A.  Lucas.  M.D..  Charlotte,  NC 
James  T.  Massagee,  M.D..  Greensboro,  ,NC 
Linville  M.  Meadows.  M.D..  Jacksonville.  FL 
Horace  W.  .Miller  IV,  M.D..  Fayelteville,  NC 
Myrlin  L.  Murphy,  M.D..  Chapel  Hill.  NC 
Mark  D.  Peacock.  M.D..  Mooresville.  NC 
Donald  W  Peters.  M.D  .  VSinstonSalem.  NC 
Rildia  J.  Pritchelt.  M.D..  Gary.  NC 
Eric  D.  \an  Tassel,  M.D..  Asheville.  NC 
Kathryn  I,.  VVeise.  M.D..  Cleveland  Heights.  OH 
Stanley  A.  Wilkins,  Jr.  M  D  .  Raleigh.  N( 

(I   \SSOF  IW.^ 

Number  in  Class:   157 

Percent  Donors:  2l.T7r 

David  J  Ballard.  Ml)..  Ph.D..  Dallas.  TX 

Thomas  W.  Benton.  M.D..  Charlotte.  .NC 

Marsha  F  Benholl,  .M.D  .  Jacksonville.  FI. 


James  A.  Bryan  111.  M.D..  Chapel  Hill.  NC 
\incenl  K.  Cheek.  M.D..  Greensboro,  NC 
Douglas  W,  Clark.  M.D  .  Chapel  Hill.  NC 
R.  Caner  Clements.  M.D..  Oakland.  CA 
Ronald  W.  Cottle.  .M.D..  Florence.  SC 
.Mark  H.  Davis,  M.D..  Crescent  City,  CA 
Mary  Anne  Dooley,  M.D..  Chapel  Hill.  NC 
Nancy  L.  Earl.  M.D.,  Chapel  Hill,  NC 
James  L.  E\erette.  Jr..  M.D..  Dover.  DE 
.\Iich.iel  B,  Fischer.  M.D,.  Glastonbury.  CT 
kimberly  S,  Haltiw  anger.  MD,.  Scl.iuket.  NY 
John  .M.  Herion.  M.D..  Wilmington.  NC 
Thomas  T.  Hunter.  M.D..  Jacksonville.  NC 
Barbara  E.  Johnston.  M.D..  New  York.  NY 
Elizabeth  Kopin.  M.D..Wellesle>  Hills.  MA 
James  D   L.idd.  MD..  Ashe\illc.  NC 
Peter  J,  Larson.  M.D,.  Oakland.  CA 
Franklin  Webster  Maddux.  MD,  and  Dugan 
Wiess  .Maddux.  .M.D..  Danville.  VA 
Ovela  B.  Mcintosh- Vick.  M.D..  Durham.  NC 
Margaret  N.  Morris.  M.D..  Asheville.  NC 
James  C,  Osborne.  M.D..  Greensboro.  NC 
Catherine  C.  Pamsh.  MD..  Ellicott  City.  MD 
Gail  L,  Shau,  M.D.,  Odessa.  FL 
Hermon  W.  Smith  111.  M.D..  West  Friendship.  MD 
Eugene  R.  Soares.  M.D,.  Dover.  NH 

C.  Stephen  Stinson.  M.D.,  Winston-Salem.  NC 
Gregory  .A.  Underwood.  M.D..  Charlotte.  NC 
Mary  C.  Wasko.  M.D..  Pittsburgh.  PA 

John  H,  Williams.  M.D..  Raleigh,  NC 
Lawrence  M.  Wyner.  M.D..  Charleston.  WV 
Princess  W.  Yousem,  M,D,.  Pittsburgh.  PA 

CLASS  OF  14S4 
Number  in  Class:   144 
Percent  Donors:  29.9 '7<^ 

James  P  Alexander.  Jr..  MD,.  Decatur.  GA 

D.  Antonio  Bell.  M.D.  and  Amelia  K  Bell.  .M.D.. 
Cornelius.  NC 

Steven  J.  Citron.  M.D..  Dunwoody.  GA 

Patncia  F  Culhane.  M.D.,  Campbell.  CA 

.Alain  T.  Drooz,  M.D..  Vienna.  V.A 

Eli  D.  Finkelstein.  M.D..  Edison.  NJ 

Kathleen  J.  Foster-Wendel.  MD,.  Ames.  lA 

Siephen  h,  Gitelman.  M  D,.  San  Francisco.  CA 

Ronald  \>.  Hargrave.  M.D..  Mt.  Pleasant.  SC 

James  R.  Harper.  Jr..  .M.D..  W  ilmington.  NC 

James  C,  Hill.  M.D..  Cary.  NC 

Janice  R.  Hossler.  M.D..  Columbia,  SC 

Linda  E,  Jafte.  M.D..  Wilton.  CT 

Paul  A,  James.  .M.D,.  Williamsville.  N'l' 

.Michael  J.  Knight.  M.D..  North  Hampton.  NH 

Marcia  A.  Koomen.  M.D.,  Chapel  Hill,  NC 

Elizabeth  W.  Koonce,  M.D..  Charlotte.  NC 

Robert  P.  Lineberger.  M.D  and  Catherine  K 

Lineherger.  M.D..  Chapel  Hill.  NC 

Jo  .M,  Mailiirano.  MD,.  lexinglon,  SC 

Jane  H.  Murray.  M.D..  Durham.  Nl 

Howard  W.  Newell.  Jr..  .M.D..  Goldsboro.  NC 

R.  Claiborne  Noble.  M.D..  Raleigh.  NC 

Douglas  W.  Peed.  M.D..  Chapel  Hill,  NC 

Ronald  E.  Pruitt.  M,D„  Nashville.  TN 

Allred  L.  Rhyne  111.  ,M.D  .  Charlotte.  NC 

Richard  (;.  Saleehy.  Jr..  M.D.  and  Jackie  A. 

Niwlin-Saleeln.  M.D..  Raleigh.  N( 

Kolvn  ,\  S.iiiiiii(.ns.  Ji  .  MD,  (ii.iikl  Junciion.CO 

David  I..  .Sappenfield.  M.D..  Durham.  N( 

Paul  W  Sassei.  MI).  Lden.  NC 

.Mary  A   Saunders,  NLD.,  Springfield.  IL 

John  .\1   Schollstall.  M.D..  Glen  Mills.  PA 


Thomas  E.  Shook.  M.D..  Savannah.  (J.A 
Thomas  C.  Spangler.  M.D..  Winst<m-Salem.  NC 
Sharon  R.  Stephenson.  M.D..  Cary.  NC 

Nathan  R.  Strahl.  \1  I)  .  Ch.ipel  Hill,  NC 
Paul  E.  Viser.  M.D..  t  linton.  NC 
Robert  A.  Wainer.  M.D..  (ireensboro.  NC 
Rolf  B.  WaUin.  M.D..  Fayelteville.  NC 

Robert  E.  Wiggins.  Jr..  M.D,.  Ashe\ille,  NC 
Daniel  W.  Wilhams  111.  M  D..  Lewisville.  NC 

CLASS  OF  iyS5 
Number  in  Class:   159 
Percent  Donors:  ^.^..^'^i- 
A,  Elizabeth  Allen.  M.D  .  Winsum-Salem.  NC 
Sebastian  R,  Alsion.  M  D,.  Jackson.  GA 
S.  Leonard  Auman.  Jr..  M.D..  Dallas,  TX 
Leslie  A.  Bunce.  MD,.  Ch.ipel  Hill.  NC 
Charles  L,  Carter.  M.D..  Memphis.  TN 
Kathleen  M.  Clarke-Pearson.  M.D..  Chapel  Hill.  NC 
Jonathan  S.  Cohen.  M.D..  Signal  Mountain.  TN 
Susan  L.  Cookson,  M.D..  Stone  Mountain.  GA 
Laura  L.  Crow.  MD..  Greensboro.  NC 
Cynthia  H,  Dent.  M.D..  Cro/et.  VA 
Douglas  S.  Diekema.  M.D,.  Kenmore.  W.A 
Cymhia  B  Dunham.  M.D..  Chapel  Hill.  NC 
Douglas  Shure  Feltman,  NLD.  and  Gwenii 
Elizabeth  McLaughlin.  M.D.,  Miami,  FL 
Kenneth  E.  Ferrell.  Jr..  M.D..  Charlotte,  NC 
Margaret  K,  Fikrig.  M.D..  Guilloid.  CT 
Catherine  G.  Fuller.  M.D..  Los  Angeles.  CA 
John  H.  Gilmore,  Jr..  MD..  Chapel  Hill.  NC 
Pamela  P.  Golden.  M.D..  Tucson.  .AZ 
Charles  S.  Hayek.  M.D..  Shelby.  NC 
Brentley  D.  Jeffries.  M.D..  Ashev  ille.  Nt 
Margaret  G.  Johnson,  M.D..  C  hapel  Hill.  N( 
Stuart  HaiTington  Jordan.  MD,  and  Sher\l  Ann 
Gillikin.  M.D..  Fayetteville.  NC 
Dr.  Peter  M.  and  Mrs.  Rebecca  A,  Jordan. 
Greensboro.  NC 

David  C.  Joslin.  MD,.  Greensboro.  NC 
Theodore  C.  Kerner,  Jr..  M.D.,  Lewisville.  NC 
John  A,  Kirkkind.  Jr.  M.D..  Charlotte.  NC 
Mark  H.  Knelson.  M.D..  Durham.  NC 
Joyce  K.  Lammert.  MD  .  .Senile.  \\A 
James  W,  Ledeiei.  Jr.  MD  .  Ad^.ince.  NC 
Elizabeth  S.  McCuin,  M.D..  Roanoke.  \A 
Nancy  H  .Miller.  .M.D..  Longmeadow.  MA 
Stephen  B.  Mitchell.  M.D..  Moiehead.  KY 
Terrence  D.  Morton.  Jr.  M.D..  Moorcsville.  NC 
Albert  R   Munn  111.  M  D  .ind  Iis.i  F  Deiaincllc. 
M  I)  .  Raleigh.  NC 

Robert  F.  .Murray  III,  .M.D..  Pleasant  Ridge.  Ml 
Albert  J.  Osbahr  III,  M.D.,  WaynesMlle.  NC 
Leslie  K.  Paulus.  M.D..  Phoenix.  A/ 
Fredertck  B,  Payne.  Jr.  MI).  Fayelle\  illc.  NC 
Joel  K.  .Schneider.  M.D..  Raleigh,  N( 
Martin  E,  Slieline.  .MD  .  Allanla.  <,A 
McCriieS.  Smith.  Ml)  and  Haibai.i  II   Sniilh. 
M.D..  Greensboro.  NC 
G   King  Snyder.  Jr..  M.D..  Rye.  CO 
S.  Patrick  Stuart.  Jr..  M.D..  Winston-Salem.  NC 
Dorothy  E.  Thomas,  M.D..  LouismMc.  K'i 
Claudia  L.  Thomas.  M.D..  Sands  Point.  N^l' 
Bradley  K  Wcisiier.  .MD,.  Ch.irloite.  NC 
Randall  W  Williams.  MI),.  Raleigh.  NC 
Robert  S  /.uckei.  Ml).  lampa.  FL 
Sheine  i;,  /weig.  MD,.  Chapel  Hill.  NC 

(1    \SS  (1|     I'ISf) 
NinnlH-r  in  (lass:    155 

35 


I'erctnt  Donors:   16.8'7f 

Sic\en  J.  Baumrucker.  MD..  Church  Hill.  TN 
J   Lancaster  Bridgeman.  Jr..  M.D..  Greenville,  SC 
M.  Todd  Brown.  M.D..  Charlotte.  NC 
Charles  B.  Cairns.  M.D..  Denver.  CO 
Michael  D.  Carter,  M.D.  and  Mary  Beth  A. 
Carter.  M.I).,  Wilmington,  NC 
James  W  Cheek.  M.D.,  Jacksom  lUe.  FL 
William  M.  Clark.  Jr.  M.D.  and  Elizabeth  T. 
Clark.  M.D..  Oak  Park.  IL 
Herbert  (J.  (iarrison  HI,  M.I)  and  Lynne  C. 
(iarrison,  M.I).,  (Jreenville,  \C 
hh/abeth  V.  Getter.  .M.D..  New  'lork.  N"! 
Pamela  G.  Hanna,  .MD.,  Cornelius.  NC 
Connie  D.  Hamll.  M.D..  Indianapolis.  IN 
,).  Curtis  Jacobs,  .M.D.,  High  Point.  NC 
Jonathan  K.  Le\ine.  M.D.,  Charlotte,  NC 
Leslie  C.  McKinney.  M.D..  Raleigh.  NC 
Michael  E.  Nonns.  M.D..  M.PH..  Greensboro.  NC 
.Steven  R.  Olson.  M.D..  Greensboro,  NC 
C.  W.  .Sotley.  Jr.,  M.D..  Anderson,  .SC 
Cathy  Jo  W.  Swanson,  M.D.,  Roanoke,  V.A 
Beverly  J.  Waddell,  M.D.,  Lorton,  VA 
L.  Tyler  Wadsworth  III,  .M.D.  and  Deborah  T. 
Wadsworth,  .M.D.,  Des  Peres,  MO 
CaKin  G.  Warren,  Jr,  M.D..  New  Bern.  NC 
James  C.  Womble.  M.D..  Car>.  NC 

CLASS  OF  14,S7 
Number  in  Class:   156 
Percent  Donors:  30.1% 

Steven  H.  Baker.  M.D..  Asheville,  NC 

Thomas  H.  Belhom.  M.D..  Ph.D.  and  Linda  R. 

Belhorn.  M.D.,  Chapel  Hill.  NC 

William  S.  Blau.  M.D..  Ph.D..  Chapel  Hill.  NC 

David  W.  Boone.  M.D..  Raleigh.  NC 

Mehssa  W.  Bureh.  M.D..  Orono.  ME 

Lisa  A.  Chnstman.  M.D..  Raleigh.  NC 

(;regor  (J.  Cleveland,  .M.I)..  Ph.D.. 

TInimonsville,  SC 

James  B.  Collawn.  M.D..  Raleigh,  NC 

Carey  G.  Cottle.  Jr..  M.D..  Greensboro.  NC 

James  Earl  Crowe.  Jr.  M.D.  and  Elizabeth  H. 

C"rowe.  M.D..  Brentwood.  TN 

Lochrane  G.  Davids,  .M.D.,  (Jreenville,  SC 

I.  Gordon  Early.  Jr.  M.D..  Spartanburg.  SC 

Lee  A.  Furlong.  M.D..  Seal  Rock.  OR 

Jani.i  B.  Greene.  M.D..  Rock\  Mount.  NC 

W    Slu.irt  Hartlc>.  M.D..  Charlotte.  NC 

Richard  H.  Havunjian,  M.D.,  Los  .Angeles,  C.\ 

James  P.  Hoolen.  Jr..  M.D..  Elon  College.  NC 

Dennis  N.  Jacokes.  M.D.  and  Allison  L.  Jacokes. 

M.D..  Raleigh.  NC 

William  W,  King.  M.D..  Wilmington.  NC 

Thomas  E.  Lawrence.  M.D..  Greensboro.  NC 

Susan  R.  Leiw.  M.D..  Roanoke.  \'.\ 

Ciusta\  C.  .Magrinat.  NLD..  Greensboro.  NC 

Teresa  B.  .Vlelvin.  M.D..  Moores\ille.  NC 

Sherry  L.  Morris,  M.D.,  Harrisonburg,  \A 

Peter  R.  Muller.  NLD..  Charlotte.  NC 

Lisle  M.  Nabell.  M.D..  Bimiingham.  AL 

Thomas  E.  Paulson.  M.D..  Sacramento.  CA 

Nancy  \\.  Phifer.  M.D.,  Burlington,  NC 

Mark  K.  Robbins,  M.D.,  Charlottesville.  VA 

David  B.  Robinson.  M.D..  M.RH..  Auke  Ba\,  AK 

C.  Alan  Ross,  M.D.,  Summerfield.  NC 

Daniel  M.  Sappenfield.  M.D..  Charlotte.  NC 

Constance  J.  Sewell.  M.D..  Asheville.  NC 

Ronald  B  Shapiro.  M.D..  Austin.  T.\ 

Da\id  L.  Sheppard.  M.D..  Gull  Breeze.  FL 

36 


Robyn  L.  Stacy-Humphries,  M.D.,  Charlotte,  NC 

Brian  S.  Strauss.  .M.D..  High  Point.  NC 
William  R.  Sutton.  M.D..  Wilmington.  NC 
Victoria  B.  Teague.  M.D..  Alpharetta.  G.\ 
Obinnaya  C.  Umesi.  M.D..  Durham.  NC 
Roben  M.  Walasin.  M.D..  Chapel  Hill.  NC 
Da\id  C.  Ward.  M.D..  Chapel  Hill.  NC 
Jonathan  J.  Weiner.  M.D..  Durham.  .NC 
Paul  A.  'loung.  M.D..  APO.  AE 

CLASS  OF  19SS 
Number  in  Class:  154 
Percent  Donors:  27.9% 

C.  Trent  Blackman.  M.D..  Concord.  NC 
Jon  P.  Brisley.  .M.D..  Roanoke.  \  A 

Brenton  T.  Burkholder.  M.D..  Atlanta.  GA 

J.  Craig  Charles.  M.D..  Winslon-Salem.  NC 

Jack  .M.  Cole,  M.D.,  Moore,  SC 

Debra  L.  Coles.  M.D..  Charlotte.  NC 

Jonathan  B.  Covey.  M.D..  Pueblo,  CO 

Peter  G.  DalldorL  M.D..  Greensboro,  NC 

Keith  A.  Davis,  M.D.,  San  Diego,  CA 

Paul  R.  Eason,  M.D.  and  Margie  B.  Eason,  M.D., 

Martinsville,  V.A 

C,  Gaelyn  Garrett,  M.D.,  Nashville.  TN 

Kirslen  G.  Girkins.  M.D..  Charlotte.  NC 

Frenesa  K.  Hall.  .VLD..  Lilbum.  GA 

Elizabeth  H.  Hamilton.  M.D..  Chapel  Hill.  NC 

Da\id  W.  Herion.  M.D..  Bethesda.  MD 

Hunter  A.  Hoover.  M.D..  Charlotte.  NC 

C.  David  Johnson.  M.D..  BIythewood.  SC 

Kathryn  P.  King,  M.I).,  Carrboro,  NC 

Hannah  R.  Krigman,  M.D.,  St.  Louis,  MO 

Ritsu  Kuno.  M.D..  .Midlothian.  VA 

Jane  M.  Laco.  .M.D..  Plymouth.  MN 

Stuart  J.  Levin.  M.D..  Raleigh.  NC 

Thaddeus  L.  McDonald  III.  M.D..  Raleigh.  NC 

Marsden  H.  McGuire.  M.D..  Baltimore.  MD 

Philip  J.  Nahser.  Jr.  .M.D..  Greensboro.  NC 

Charles  E.  Parke,  M.D.,  Greenville.  SC 

Richard  M.  Peek.  Jr.  M.D.  and  Julie  T  Peek. 

M.D..  Nashville.  TN 

Gary  L.  Pellom.  M.D..  Durham.  NC 

John  E.  Perry  III.  M.D..  Raleigh.  NC 

H.  Kyle  Rhodes.  M.D..  Wilmington.  NC 

Jeffrey  E.  Roller.  M.D..  Morganton.  NC 

George  H.  S.  Sanders.  M.D..  Jamestown.  NC 

Charles  D.  Schcil.  M.D..  Hickory.  NC 

J.  Robert  Siher.  M.D..  Charlotte.  NC 

Mary  E  Smith.  M.D.  and  Bryan  W.  Smith.  M.D.. 

Chapel  Hill.  NC 

Daniel  J.  Stackhouse,  M.D.,  Charlotte,  NC 

John  D.  S\  nianski.  M.D..  Charlotte.  NC 

Roger  P  Tart.  M.D..  Mobile.  AL 

Edward  W.  Whitesides,  M.D.,  Wilmington,  NC 

Elliott  E  Williams.  M.D..  High  Point.  NC 

CLASS  OF  1  y.s^ 
Number  in  Class:   146 
Percent  Donors:  24.0% 

Paul  E.  Austin.  M.D..  Durham.  NC 

Scott  M.  Baker,  M.D.  and  Kristin  D.  Baker, 

M.D..  Concord,  NC 

Robert  S.  Bein,  M.D.,  Green\ille.  TN 
L.  Katheiine  Bliss,  M.D.,  Etland,  NC 
Lisa  K.  Burke,  M.D..  Marietta.  GA 
.Margaret  F.  Campbell.  M.D.,  Greensboro,  NC 
Peter  N.  Copsis.  M.D.,  Matthews,  NC 
Brcnda  K.  Cowell.  M.D..  Charlotte.  NC 
Daniel  T  Goulson.  M.D..  Levinsiton.  K^' 


Douglas  B.  Hansen.  M.D..  Rock  Hill.  SC 
Mary  E  Hebert.  M.D..  Denison.  T\ 
Rosemary  Jackson.  M.D..  Bahama.  NC 
Daniel  M.  Kaplan,  M.D.,  Raleigh,  NC 
Michael  W.  Keeley.  .M.D..  Shelby.  NC 
William  H.  Kelly.  M.D..  Fayetteville.  NC 
Charles  G.  Lampley  IV.  NLD..  Shelby.  NC 
William  L.  Lawing.  M.D..  Winston-Salem.  NC 
Johnnie  A.  Lee.  M.D..  Fuquay  Varina.  NC 
Kenneth  S.  Maxwell.  M.D..  Winston-Salem.  NC 
James  M.  McLean.  M.D..  Winston-Salem.  NC 
Melissa  M.  McLeod.  M.D..  Norfolk.  VA 
Jay  B.  .Michael.  M.D..  Fayetteville.  NC 
H  .Merle  Miller.  M.D..  Boulder.  CO 
Linda  K.  .Mitchell-Fry e.  M.D..  Laurel.  NC 
Robert  F  Noel.  Jr..  .VLD..  Henderson.  NC 
Lisa  C.  Richardson.  M.D..  Clarkston.  GA 
Mary  D.  Shearin.  M.D..  Jamestown.  NC 
Arthur  J.  Shepard  III.  M.D.  and 
Nicole  P  Shepard.  M.D..  Albany.  GA 
Ci.  Bradley  Sherrill.  M.D..  Greensboro.  NC 
Patricia  G.  Singer.  M.D.  and  J.  Daniel  Singer. 
M.D..  Greensboro.  NC 
John  H.  Stephenson.  M.D..  Roswell.  GA 
Jon  R  Woods.  M.D..  Madison.  Wl 

CLASS  OF  \W{) 
Number  in  Class:   153 
Percent  Donors:  30.7% 

Lori  W.  Balahan,  M.D..  Charlottesville.  VA 
John  E.  Barkley.  M.D.,  Charlotte.  NC 
Ronnie  J.  Bamer.  M.D..  Salisbury.  NC 
Elizabeth  D.  Bell.  M.D..  Chapel  Hill.  NC 
Robert  M.  Bernstein.  M.D..  Seattle.  WA 
Anna  P  Bettendorf.  M.D..  Durham.  NC 
Cednc  M.  Bnghl.  M.D..  Durham.  NC 
Betsy  E.  Brown.  M.D..  Seattle.  WA 
Martyn  J.  Cavallo.  M.D..  Nash\  ille.  TN 
Sandra  C.  Clark.  M.D..  Chapel  Hill.  NC 
Scott  M.  Cochrane.  M.D..  Amherst.  MA 
Catherine  L.  Cooper.  M.D..  Richmond.  V.A 
Todd  S.  Cowdery.  M.D..  Eastsound.  WA 
C.  James  Cummings.  M.D..  .Asheville.  NC 
Terri  W.  Cummings.  M.D..  Stone  Mountain.  GA 
William  De  Araujo.  .M.D..  Goldsboro.  NC 
Ban-y  T  Degregono.  M.D..  Portland.  OR 
Jon  P  Donnelly.  M.D..  Cape  Elizabeth.  ME 
Thomas  E  Edwards.  Jr.  M.D..  Atlanta.  GA 
Robert  R.  Ehinger.  .M.D..  Greensboro.  NC 
John  W.  Entwislle  III.  M.D..  Lafayette  Hill.  PA 
Mary  I.  Fatehi.  M.D..  Englewood.  NJ 
.Mark  T.  Hooten.  M.D..  Rock  Hill.  SC 
R.  Lynne  Homsby.  M.D..  Greenville.  SC 
Stacey  N.  Ibrahim.  M.D..  Asheville.  NC 
Dominic  .A.  Jaeger.  M.D..  Burlington.  VT 
Leigh  H.  Jones.  M.D..  Greensboro.  NC 
John  H.  Kiege.  M.D..  Greensboro.  NC 
Philip  C.  Lackey.  M.D.  and  Victona  D.  Lackey. 
M.D..  Charlotte.  NC 
Edward  I.  Lee.  M.D..  Winchester.  VA 
Lon  B.  Lilley.  M.D..  Raleigh.  NC 
Linda  J.  Matthews.  M.D..  Huntersv ille.  NC 
Nicolette  B.  Naso.  M.D.  and  William  B.  Naso. 
.M.D..  Florence.  SC 

Todd  G.  Owsley.  DDS.  M.D..  Greensboro.  NC 
Whitman  L.  Reardon.  M.D..  Chapel  Hill.  NC 
J.  Gardiner  Roddey.  Jr.  M.D.  and  Patricia  K. 
Rodde\.  M.D..  Charlotte.  NC 
Ami  J.  Shah.  M.D..  South  Pa.sadena.  CA 
Eugenia  B.  Smith.  M.D..  Chapel  Hill.  NC 


Murphy  F  Townvend  III.  M.D..  Atlanta.  G.A 
Craig  W  ierum,  M.D..  Nashville,  TN 

J.  Todd  Williams.  M.D..  .Asheboro.  NC 
.Adam  S.  Wilson.  M.D..  \ancou\er.  \\.-\ 
John  H.  Wood.  M.D..  Chapel  Hill.  NC 
Mark  W.  Zimmerman.  M.D  and 
Sherri  .A.  Zimmemian,  M.D..  Car>.  NC 

CL.-XSSOF  1441 

Number  in  Class:   157 

Percent  Donors:  24.8'> 

Katrina  H.  .Avery,  M.D..  Durham,  NC 

Mack  N   Barnes  III.  M.D..  Bimiingham,  .\L 

Roben  P  Bnaht.  M.D.,  Durham.  NC 

Roben  C  Brooks.  M  D  .  Pittsburgh.  P.A 

N.  Elaine  Broskie.  M.D..  Salem.  OR 

M.  Elizabeth  Brown.  .\I  D..  Summert'ield.  NC 

Linda  H  Butler.  M  D  .  Raleigh.  NC 

Thomas  R.  Coleman.  M.D..  Lut/.  PL 

Roben  L.  Cook.  M.D..  Pittsburg.  P.A 

William  W.  Crone.  M.D..  .Atlanta.  G.A 

Amy  C.  Degnim.  M.D..  Leeds.  M.A 

Cathenne  M.  Gordon.  M.D..  Wellesley.  M.A 

Bnan  H.  Hamilton.  M.D..  Charlotte.  NC 

Leon  W,  Hemdon.  Jr.  M.D.  and 

^olanda  \'.  Scarlett.  M.D..  Hillsborough.  NC 

W   Barlou  Inabnet  III.  M.D..  Neu  fork.  NY 

l)re«  A.  Jones.  M.D..  Greensboro.  NC 

Seth  E.  Kat/.  M.D..  San  Diego.  C.A 

W   P  Killam.  M.D..  Fort  Defiance.  .AZ 

.Michael  J.  Lucas.  M  D..  High  Point.  NC 

Constantine  G.  Marousis.  .M  D  .  West  Palm 

Beach.  FL 

James  J.  McCarthy.  M.D..  Menon  Station.  PA 

Todd  D.  McDiannid.  M.D..  Greensboro.  NC 

Scott  R.  McDuffie.  M.D..  Sumter.  SC 

Jobe  C.  Metts  111.  M.D..  Mount  Pleasam.  SC 

Linda  M,  Nicholas.  .M.D..  Chapel  Hill.  NC 

Vincent  C.  Phillips.  M.D..  Engleuood.  OH 

Richard  J,  Pollard.  M.D.  and 

Helene  R  Keyzer-Pollard.  M.D  .  Gastonia.  NC 

Danny  Silver.  M.D..  Raleigh.  NC 

Bnan  D.  Smith.  .M.D..  Shelby.  NC 

Todd  F  Tanner.  .M.D..  Goldsboro.  NC 

Paul  C.  Tobin.  M.D.  and  Rebecca  B  Tobin,  Ml). 

Chapel  Hill.  NC 

Gilbert  R.  Upchurch.  Jr.  M  D  .  Ann  .Arbor.  .Ml 

Andrew  B.  Wallach.  .M.D..  New  York.  NY 

Frederick  M.  Weeks.  M.D.  and  Margaret  W. 

Weeks.  M.D..  Vero  Beach.  FL 

Patrick  .A.  Wilson.  M.D..  Wihnington.  DE 

Edward  H.  Wrcnn.  M  D..  Pittsburgh.  PA 

CLASS oi-  iw: 

Number  in  Class:    157 

I'lrcint  Donors:   2(1. -I'r 

Jorge  A   Allende.  Jr.  M.D  .  Fort  Collins.  CO 

Mary  M,  Bledsoe  Felkner.  M.D..  Charlotte.  NC 

Lisa  A.  Brone.  .M.D..  .Abescon.  .NJ 

Nancy  C.  Clayton.  M.D..  Chapel  Hill,  NC 

Gerald  E.  Cooley.  M.D.  and  Amy  R.  Cooley. 

MD.  Charlotte.  NC 

Christopher  C.  Cosgrose.  M  D.  and 

Billie  F  Cosgrove.  M  D  .  Wilmington.  NC 

Cynthia  K.  Crews.  M.D  .  Den\er,  CO 

Mary  J.  Forbes.  M.D..  Raleigh.  NC 

Scolt  K.  Garrison.  M.D..  Raleigh.  NC 

James  G.  Hall.  .M.D..  Durham.  NC 

Mark  W.  Jenison.  M.D..  Virginia  Beach.  VA 

Pamela  C.  Jenkins.  .M.D..  Lvmc.  NH 


Andy  C.  Kiser.  M.D.,  Whispering  Pines.  NC 

Ban-etl  T.  Kitch.  M.D..  Cambridge.  MA 

David  A.  Konanc.  M.D..  Raleigh.  NC 

Susan  R.  Marcinkus.  .M.D..  Luther\ille.  MD 

Walter  S.  Moms  III.  M.D..  Southern  Pines.  NC 

Martin  T.  Noveinber.  M,D..  Cambridge,  M.A 

Edward  J.  Pnmka  111.  M.D,  and  Lynda  R.  Pnmka. 

M  D.  .A\onLake.  OH 

Anand  \'.  Ramanathan.  M.D..  Darien.  IL 

Hans  P  Roethlmg.  M.D..  C.oldsbor,..  NC 

J   Cullen  Riitl.  M.D..  Arlington.  \A 

Scott  \'.  Smith.  .M.D..  Ape\.  NC 

Anjali  M.  Sues.  M.D..  Raleigh.  NC 

Thor  O.  Svendsen.  M.D..  Chariottc,  NC 

Rita  E.  Treanor-Plemmons.  M  D..  Envin.  TN 

Charles  D.  Wells.  M.D..  Atlanta.  GA 

Bradford  Tracy  WinsKm.  M.D,  and  Lisa  Corbin 

Winslou.  MD..  Denver.  CO 

CLASS  OF  IW,^ 
Number  in  Class:   145 
Percent  Donors:  21.4'<- 

Aleta  A,  Borrud.  M.D,.  Rochester.  MN 
Rochelle  M,  Brandon.  M.D..  Charlotte.  NC 
Tamara  W,  Bnngewatt.  MD,.  Davidson,  NC 
Harry  L.  Broome.  Jr..  M.D..  Phoeniv.  AZ 
John  S.  Chase.  M.D.,  Iowa  City.  lA 
John  D.  Corey.  M.D..  Carrboro.  NC 
William  L.  Craig  III.  M.D..  Raleigh.  NC 
Carolyn  J.  Dalldorf.  M.D..  Chariottesville.  VA 
Karia  L.  Debeck.  .M.D..  Durham.  NC 
Cathy  .A.  Donovan.  .M.D..  Onainia.  MN 
S,  Lynn  Gardner.  M.D..  Stone  Mountain.  G.A 
J.  Judd  Green.  Jr.  M.D..  Jamestown.  NC 
Thomas  M.  Haizlip.  Jr.  M.D..  Banner  Elk.  NC 
Joseph  1,  Harwell.  .M.D..  Sharon.  MA 
C.  Anthony  Kim.  M.D..  Puyallup.  WA 
Eugene  H,  Maynard.  Jr.  M.D..  Smithfield,  NC 
Jennifer  L.  Miles,  M.D..  Oakland.  CA 
John  D.  Phipps.  M.D..  Winston-Saleni.  NC 
Lawrence  M.  Raines  III.  MI),.  Chapel  llill.  NC 
Eileen  M.  Raynor.  MD,.  J.icksonville.  II. 
Norman  E.  Sharpless.  M.D,.  Newton.  M.A 
Tammy  R.  Spear,  M.D..  Summert'ield.  NC 
Eric  S,  Stem.  M.D..  Fort  Wayne.  IN 
Theodore  T.  Thompson,  M.D,.  .Abingdon,  V.A 
Loretta  K,  Tibbels,  M.D,.  Omaha.  NE 
Paige  C,  Walend.  MD,.  Phoenix.  AZ 
Lisa  1.  Wang.  M  D,.  Houston.  T\ 
Bruin  R   Webster.  MD,.  Wilmington.  NC 
William  K.  Westerkam.  M.D.,  Coliimhia.  SC 
Kirk  I.,  Wooslev.  MD,.  Ch.irlotte.  NC 
MehndaT,  Wvatl.  MI).  Raleigh.  NC 

CT.ASSOF  IW4 
Number  in  Class:   153 
Percent  Donors:  21,6'^^ 

Jonathan  G  Austin.  Ml).  Moiini  I'lc.isanl.  SC 

Laura  H,  Bachniann,  M.I),  and  Kurt  C   B.kh 

mann.  MD,.  Birmingham.  AL 

.Mary  T.  Bond.  .M.D..  Fayelteville.  GA 

Jane  H.  Brice,  M.D.,  Chapel  Hill.  NC 

Marlene  S.  Calderon.  MD..  Ypsilanii.  Ml 

Peter  T  Chu.  M.D  .  Fletcher.  NC 

Lisa  A.  Ciillespie.  M  D  .  l.ithonia.  GA 

Robin  P  B  Hicks.  .M.D.,  Newton  Highlands.  MA 

Chandra  S  Hollier,  M.D..  Carol  Springs.  11. 

William  H  Jones.  M.D..  Charlotte.  NC 

Carrie  S.  Kent.  M.D..  Lenoir,  NC 

Kenneth  C.  Lcnnon.  M.D..  Greenville.  S( 


Roy  S  Lewis.  M  D,.  Houston.  T\ 

Melissa  M,  Luiz.  MD,.  Chapel  Hill.  NC 

John  L.  Matthews.  M.D..  Durham.  NC 

Karen  F,  Mattocks.  MD..  Columbia.  SC 

Lucy  S.  Miller.  M.D,  and  Robert  Sean  Miller.  Jr. 

M.D.  Cincinnati.  OH 

Jacqueline  H,  Minis.  Ml)  and  J,  W  hitman  Minis. 

Ml).  Winston  Salem.  NC 

l),iniel  H.  Moore.  Ml).  Ches.ipe.ike,  VA 

Juha  E,  Norem-Cokei.  Ml),.  Favetteville.  NC 

John  B  Patterson.  MD  .  PhD  .  Winston-Salem.  NC 

William  L.  Plyler,  M.D..  Hendersonville,  NC 

Claudia  C.  Prose,  M.D..  Chapel  Hill,  NC 

Lisa  A.  Rietz.  M.D.,  St.  Louis.  MO 

John  W.  Rusher,  MD.,  Raleigh,  NC 

Richard  Scherczinger,  M.D..  Cornelius,  NC 

Nicholas  B.  Sliz.  Jr.  M.D..  Lawrenceville,  TN 

Carolyn  T.  Spencer,  M.D.,  Gainesville,  FL 

Bristol  R  Winslow.  MD  .  Durham.  NC 

Juhe  L,  Wynne.  MD,.  Milhnocket.  MH 

CLASS  OF  IW5 
Number  in  Cla.ss:   174 
Percent  Donors:  24.1  T'c 

.Mich.iel  D,  Applegate.  M.D..  Asheboro.  NC 

Joshua  E,  Bernstein.  M.D.,  Cambridge,  MA 

Paul  H.  Bowman,  M.D.,  Augusta,  GA 

Peter  A.  Caprise,  Jr..  M.D..  Chapel  Hill,  NC 

Christina  L.  Catlett.  M.D..  Ellicott  City,  MD 

David  A.  Chesnutt.  M.D..  Chapel  Hill,  NC 

Elizabeth  C.  Deterding.  MD,.  Summertleld.  NC 

Andrea  B   Dickerson.  .M  D  .  Favetteville.  NC 

Elisabeth  K,  Dipietro.  MD,.  Weston.  .MA 

David  B.  Dorofi.  M.D..  Norfolk.  VA 

Dietrich  A.  Gerhardt.  M.D.,  Waterloo.  LA 

Richard  Ryan  Gessner.  M.D  and  Sarah  Young 

Gessner.  M.D..  Charleston,  SC 

Kathcnnc  Meadows  Harper.  M.I),  ,iiid  Stephen  A. 

Harper.  MD,.  Clemmons.  NC 

Marcus  T,  Higi,  M.D..  Tallahassee.  Kl. 

John  B,  Holtzapple  111.  M.D..  Eugene.  OR 

Richard  H.  Jones,  M.D.,  Patuxent  River,  MD 

Angela  M.  Keen.  M.D.,  Salt  Lake  City,  I'T 

Suzanne  Lazorick.  M.D..  Clayton,  NC 

A.  Kellett  Letson  111.  Ml)..  Asheville.  NC 

William  D.  Lyday  II.  .M.D,.  Omaha.  NF 

Brant  K.  Oelschlager.  MD,.  .Seattle.  WA 

John  W.  Ogle  111,  M.D.,  Palo  Alto.  CA 

Hitcn  K.  Patel.  M.D..  Charlotte.  NC 

Linda  D.  Pegram.  M.D,.  Philadelphia.  PA 

Monica  L.  Piecyk.  M.D.  and  John  B  Piecyk, 

M.D.,  Canton.  MA 

Laura  M,  Robert.  M.D,.  Lynchburg.  \A 

Paul  D.  Rosen.  M  D  .  New  Voik.  NY 

Wesley  G.  Schooler.  .\l  I)  ,  Duiham.  NC 

Susan  K.  Seo.  .Ml).  New  York,  N^ 

David  R,  Shaffer.  Ml),.  New  York.  NY' 

C.inil  G.  Shores.  M.D..  Chapel  Hill.  NC 

D.ina  L,  Simpson,  M.D  ,  Charleston,  SC 

\ni.iiida  1.  Slater.  MI)..  Pittsboro,  NC 

l<   S   Spies.  Ml).  Matthews,  NC 

Jawal  Suleman.  M  I)  .  Colunibia,  SC 

John  W    Surles.  M  D  .  M,k  Jesficld.  NC 

Ketan  K.  Iriveih.  Ml).  Alex.indna.  \A 

Kellv  M.  Waicus.  Ml),  Durham.  NC 

Deidra  I.  Woods.  Ml).  Washington.  DC 

CLASS  OI    I'f'lf, 
Number  in  Class;    15'> 
Percent  Donors:   211. 1 '  i 

37 


Maa'  Oregon  Amaya.  M.D.  and  Sharon  Croom 
Amaya.  M.D..  Mableton,  GA 
Kathenne  E.  Barrett.  M.D..  Raleigh.  NC 
David  K.  Becker,  M.D..  Chapel  Hill.  NC 
Andrea  C.  Best.  M.D..  Culver  City,  CA 
Sara  B.  Beyer.  M.D..  Matthews.  NC 
Ann-Bndget  D.  Bird.  M.D..  Durham.  NC 
Cynthia  J.  Brown.  M.D..  Waterhury.  CT 
Christopher  H.  Chay.  M.D..  Ann  Arbor.  Ml 
William  J.  Conner.  M.D..  Dunn.  NC 
Lorraine  D.  Comwell.  M.D..  Carrboro.  NC 
Robert  M.  Dums.  M.D..  Christiansburg.  VA 
Cory  A.  Dunnick.  M.D..  Nashville.  TN 
Joan  E.  East.  M.D..  Asheville.  NC 
Douglas  K.  Graham.  M.D..  Highlands  Ranch.  CO 
Brian  Earl  Grogg.  M.D.  and  Karen  Lynne  Grogg. 
M.D.  Rochester.  MN 
.lames  A.  Haaksma.  M.D..  .'\sheville.  NC 
Juhc  A.  Haizlip.  M.D..  Chapel  Hill.  NC 
Kimberly  J.  Hamilton.  M.D..  Durham.  NC 
Chamette  M.  Huggins.  M.D..  Washington.  NC 
E.  Allen  Liles.  Jr..  .M.D..  Durham.  NC 
Michael  H.  Lowry.  M.D..  Morehead  City.  NC 
Daniel  E  Maher.  M.D..  San  Diego.  CA 
John  E.  Milko.  M.D..  Myrtle  Beach.  SC 
David  P.  Miller.  Jr.  M.D..  demons..  NC 
Tracey  E.  O'Connell.  M.D..  Durham,  NC 
David  N.  Quinn.  M.D..  Columbus,  OH 
Lisa  M.  Roberts,  M.D.,  Pittsburgh,  PA 
JettVy  P.  Simko,  M.D.,  Ph.D..  San  Francisco.  CA 
William  T.  Smith  IV.  M.D..  Durham.  NC 
Carlos  A.  Vargas.  M.D..  Eranklm.  NC 

CLASS  OF  IW7 
Number  in  Class:   161 
Percent  Donors:  41.(11- 

Eyal  C.  Altar.  M.D..  Biookline.  MA 

Henry  C.  Baggett  III.  M.D..  Anchorage,  AK 

Ihre/  R.  Bandukwala.  M.D..  Atlanta.  GA 
Michael  L.  Batten.  M.D..  Philadelphia.  PA 
,'\ndrew  William  Ba/emore.  M.D.  and 
.Anna  Marlet  Bazemore.  M.D..  Cincinnati.  OH 
Kimherly  L.  Beavers.  M.D..  Chapel  Hill.  NC 
Kclurah  C.  Bell.  M.D..  Kingsport.  TN 
George  M.  Brinson.  M.D..  Chapel  Hill.  NC 
Debbie  A.  Brown.  M.D..  Southfield.  MI 
Michael  B.  Brumback.  M.D..  Atlanta.  GA 
\Lirk  D.  Charlson.  M.D..  Chapel  Hill.  NC 
Stephen  V.  Chiavetta  III.  M.D..  Rochester.  MN 
Kathy  N.  Chism.  M.D..  Knowille.  TN 
Elizabeth  C.  Clark.  M.D..  Portland.  OR 
Raymond  D.  Cook.  M.D..  Durham.  NC 
Nicole  M.  D' Andrea.  M.D..  Chapel  Hill.  NC 
Lance  L.  Davis.  M.D..  Charleston.  SC 
Charles  S.  Dietrich  111.  M.D..  Honolulu.  HI 
Carrie  A.  Dow-Smith.  M.D.  and  Vincent  C. 
Smith.  M.D..  Pearland.  T.\ 
Charles  W.  Eitrig.  M.D..  Miami  Beach.  FL 
Janel  R.  Encamacion.  M.D..  Springfield.  MO 
Thomas  W.  Gansinan.  M.D..  Indianapolis.  IN 
Cathryn  A.  Geary.  M.D..  Cincinnati.  OH 
Bradley  C.  Gehrs.  M.D..  Birmingham.  ."XL 
Chandra  S.  Ghosh.  M.D..  Atlanta.  GA 
Michael  Gill.  M.D..  Ann  Arbor.  MI 
Leigh  B.  Goodwin.  M.D..  Charlotte,  NC 
Todd  E  Griffith.  M.D..  Durham.  NC 
Richard  W.  Hudspeth.  M.D.,  Salt  Lake  City.  L'T 
Srikant  B.  Iyer.  M.D..  Cincinnati.  OH 
Paul  Harian  Kartheiser.  M.D.  and  .-Xmy  Mane 
Lrsano.  M.D..  Durham.  NC 

38 


Andrew  L.  Katz.  M.D..  Durham.  NC 

Dawn  E.  Kleinman.  .M.D..  Carrboro.  NC 

Jennifer  S.  Klenzak.  M.D.  and  Scott  M.  Klenzak. 

M.D..  Durham.  NC 

Ramesh  L.  Krishnaraj.  M.D..  Greensboro.  .NC 

Kathryn  A.  Lee.  M.D..  Etna.  NH 

Cindi  J.  Leech.  M.D..  Salt  Lake  City.  UT 

Erica  A  Lyndrup.  M.D..  New  York.  NY 

Donna  B.  McGee.  M.D..  Horse  Shoe,  NC 

Leah  R  .Mc.Mann.  .M.D..  Dupont.  WA 

Jerry  W.  Mitchell.  Jr..  M.D..  Pittsburgh.  PA 

Dean  S.  Morrell.  M.D..  Chapel  Hill.  NC 

Amy  L.  Mosher.  M.D..  Chapel  Hill.  NC 

Jeffrey  S.  Moyer.  M.D..  .Ann  .Arbor.  Ml 

Julia  K.  Nelson.  M.D..  Durham.  NC 

Brian  S.  OKelley.  M.D..  Gainesville,  FL 

John  Charles  Parker.  M.D.  and 

Heather  M.  Henderson.  M.D..  Lexington.  K'l' 

Joseph  F  Penta.  M.D..  FPO.  AP 

John  K.  Petty.  M.D..  Portland.  OR 

Sarah  B.  Philp.  M  D..  .Seattle.  WA 

Jennifer  E.  Rhodes-Kropf  .\LD..  New  York,  NY 

Austin  S.  Rose.  M.D..  Chapel  Hill.  NC 

John  R.  Stephens.  M.D.  and  Anne  H.  Stephens. 

M.D..  Durham.  NC 

Julie  C.  Verchick.  M.D..  Pinehurst.  NC 

Lauren  E.  Wagner.  M.D..  Chicago.  IL 

Melanie  P  Walker,  M.D..  Cincinnati.  OH 

Lydia  Ward.  M.D..  Charleston.  SC 

lllya  L.  Wilkerson.  M.D..  Greensboro.  NC 

Christopher  R.  Williams.  M.D..  Bimiingham.  AL 

Laura  Clark  Windham.  M  D..  Durham.  NC 

CLASS  OF  IWS 
Number  in  Class:   152 
Percent  Donors:  34.2% 
John  G.  Alley.  Jr.  M.D..  Carrboro.  NC 
Christopher  W.  Baird.  M.D..  Pittsburgh.  PA 
Elizabeth  R.  Bates.  M.D..  Berkeley.  CA 
Michelle  W.  Beckham.  M.D..  Concord.  NC 
Dalliah  M.  Black.  M.D..  Hillsborough.  NC 
Jacqueline  C.  Chang.  M.D..  Na.shville.  TN 
Alan  Cook.  M.D..  Durham.  NC 
Christopher  C.  Copenhaver.  M.D.  and 
Carol  Anne  Borack.  M.D..  Rochester.  NY 
Mary  S.  Crowder.  M.D..  Greenville.  NC 
James  M.  O.  Culver.  M.D..  Durham.  NC 
Farr  A.  Curlin.  M.D..  Chicago.  IL 
Jason  E.  DeVente.  M.D..  Greenville.  NC 
William  F.  Durland.  Jr..  M.D..  Maple  Bluff  Wl 
Jonathan  E.  Fischer.  M.D..  Carrboro.  NC 
Maxwell  E.  Fisher.  M.D..  Nashville.  TN 
Angela  B.  Gantt-Holliday.  M.D..  Dublin.  OH 
Kathy  L.  Gariand.  M.D..  Chapel  Hill,  NC 
Barbara  K.  Gavin,  M.D.,  Boston.  MA 
Nichole  D.  Gner,  M.D.,  Chapel  Hill.  NC 
Chad  Gunnlaugsson.  M.D..  Ypsilanti.  MI 
Joshua  L.  Hardison.  M.D..  Cumberland.  Rl 
Paul  M.  Henderson.  M.D..  Hendersonville.  NC 
Michael  S.  Hoben.  M.D..  Charlotte.  NC 
Rebeccah  A.  Hoffman.  M.D..  Monroeville.  PA 
Travis  C.  Honeycutt.  M.D..  Norfolk.  VA 
Joseph  T.  Jenkins.  M.D..  Chapel  Hill.  NC 
Traci  A.  Lamothe.  M.D..  Charlotte.  NC 
Miriam  W.  Lindrooth.  M.D..  Northfield.  IL 
Colby  E.  Mangum.  M.D..  Winston  Salem.  NC 
Siobhan  O'Connor.  M.D..  Louisville.  KY 
Robert  S.  Park,  M.D.,  San  Francisco.  CA 
Stephen  J.  Phillips.  M.D..  Baltimore.  MD 
William  G.  Pittman  III.  M.D..  San  Francisco.  CA 


Caroline  C.  Prochnau.  M.D..  Knoxville.  TN 
James  M.  Schmidt.  M.D..  Charlotte.  NC 
Brian  Shelley.  .M.D..  .Albuquerque.  NM 
Mona  A.  Sinno.  M.D..  Waco.  T\ 
Shelia  D.  Smith.  M.D..  Richmond.  CA 
Amy  B.  Stanfield,  M.D..  Charlotte,  NC 
Thomas  E.  Stephens.  .M.D..  Asheville.  NC 
William  H.  Sturgill  III.  M.D..  Jacksonville.  NC 
Andrew  J.  Taylor.  M.D..  Wnghtsville  Beach.  NC 
Stephan  G.  Thiede.  .M.D..  Chapel  Hill.  NC 
Michael  M.  Walger.  M.D..  Loma  Linda.  CA 
John  W.  Warner.  M.D.,  Falls  Church.  VA 
Elizabeth  S.  Weinberg,  M.D.,  Cincinnati,  OH 
T  Bnan  Willard.  M.D..  Columbia.  MO 
Paul  L.  Winslow  III.  M.D..  Durham.  NC 
Robyn  K.  Zanard.  M.D..  Greensboro.  NC 
.Adam  J.  Zolotor.  M.D.  and  Karolyn  Forbes, 
M.D..  Ann  Arbor.  MI 

CLASS  OF  I9W 

Number  in  Class:  133 

Percent  Donors:  27.1 '^f 

Victor  C.  Archie.  M.D..  Thousand  Oaks.  CA 

Eric  D  Bernstein.  M.D..  Portland,  OR 

Roben  C.  Bowen  111.  M.D..  Charlotte.  NC 

Stephen  P  Brackbill.  M.D..  Chicago.  IL 

Craig  M.  Bumworth.  M.D..  Columbia,  SC 

Peggy  A.  Byun.  M.D..  Winston-Salem.  NC 

H.  Scott  Cameron  II.  M.D..  Baltimore.  MD 

Nicole  Chaisson.  M.D..  Saint  Paul.  MN 

John  B.  Chiavetta.  M.D..  Rochester.  MN 

Ellen  C.  Collett.  M.D..  Morganton.  NC 

Stanley  R  Dover,  M.D.,  Winston-Salem,  NC 

Robert  A.  DuBose.  M.D..  Seattle.  WA 

Carrie  L.  Dul.  M.D..  Portland.  OR 

S  Sheppard  Dunlevie.  Jr.  M.D..  Charlotte.  NC 

Michelle  E.  Elisburg.  M.D..  Kew  Gardens.  NY 

Lisa  A.  Flora.  M.D..  New  Castle.  DE 

Robert  G.  Goodrich,  M.D..  Chapel  Hill,  NC 

Lisa  J.  Harrington.  M.D..  Providence.  RI 

Angela  L.  Heider.  M.D..  Chapel  Hill.  NC 

Winny  W.  L.  Hung.  M.D..  Providence.  Rl 

Yewande  J.  Johnson.  M.D..  Birmingham.  AL 

Kevin  J.  Logel.  M.D..  Salt  Lake  City.  UT 

Marchi  V.  Lopez-Linus.  M.D..  Chapel  Hill.  NC 

Ben  M.  Meares.  Jr..  M.D..  Taylors,  SC 

Brian  H.  Mullis.  M.D..  Durham.  NC 

Stephen  F.  Parsons.  M.D.  and  .Alden  M.  Parsons, 

M.D.  Chapel  Hill.  NC 

LeVonne  G.  Powell-Tillman.  M.D..  Durham.  NC 

Beth  A.  Renzulh.  M.D..  Chapel  Hill.  NC 

L.  .Allison  Shivers.  .M.D..  Nashville.  TN 

Graham  E.  Snyder.  M.D..  Manhasset.  N\' 

Julia  W.  Tsang.  M.D..  Chapel  Hill.  NC 

Harrison  G.  Tuttle.  M.D..  South  Burlington.  VT 

A.  Elizabeth  Undenvood.  M.D..  Salt  Lake  City.  UT 

LaClaire  Williams.  M.D..  Tucson.  ,AZ 

Enc  S.  Winer.  M.D..  Maiden.  .MA 

CLASS  OF  2000 
Number  in  Cla.ss:   142 
Percent  Donors:  4.2% 

Albert  M.  Anderson  M.D..  Chapel  Hill.  NC 
Joshua  W  Knowles.  Chapel  Hill.  NC 
Cathenne  T.  Lee  M.D..  Chapel  Hill.  NC 
Zackary  S.  Moore  M.D..  Chapel  Hill.  NC 
Jeffrey  S.  Mueller  M.D..  Chapel  Hill.  NC 
Patrick  A.  O'Connell  M.D..  Baltimore.  MD 


MEDICAL  ALLIED  HEALTH  SCIENCES 

GRADUATES 

Duane  S.  Anderson.  Jr..  Siaunlon.  \A 

Stephanie  S.  Baker.  Car\.  NC 

Lon  E.  Benn.  Chicago.  IL 

C\nthia  P.  Bodenheinier.  Winston-Saleni.  NC 

Ehzabeth  .A.  Bridges.  .Atlanta.  G.\ 

Doreen  E.  Clark.  Raleigh.  NC 

Cheri  Courtright.  Greensboro.  NC 

Sidney  S.  Curn,.  M.D..  Norcross.  G.A 

Shan,  n  H.  Davies.  Little  Rock.  AR 

Susan  H.  Davis.  Gibsonville.  NC 

Jason  M.  Demon,  Carrboro.  .NC 

.Alice  S.  Duddy.  Fi^mingham.  M.A 

Laura  H.  Dudle\.  Rocks  Mount.  NC 

Chnst\  S.  Engle.  .\Iaitheus.  NC 

Bett\  B.  Gast.  Hickor\.  NC 

Patrice  E.  Hardee.  .Moms\ille.  .NC 

Leslie  C.  Hawley.  Corpus  Christi.  T.\ 

Michele  M.  Haywood.  Columbia.  SC 

Christin  L.  Hemmens.  New  Orleans,  L.A 

Kathleen  O.  Hemdon.  Raleigh.  NC 

Carol  Higgins-Gilmer.  Chapel  Hill.  NC 

Catherine  N.  Humphrey.  Bimungham.  ,AL 

June  S.  Kenned\.  Durham.  NC 

Kimberls  B.  K.lug.  .Menomonee  Falls.  WI 

Sheila  R.  McMahon.  Raleigh.  NC 

Cheryl  E.  Miller.  Alpharetta.  GA 

Joelle  M.  Roberson.  WiUiamsville.  N^■ 

Darlene  K.  Sekerak.  Ph.D..  Raleigh.  NC 

Patncia  S.  Sikes.  Chapel  Hill.  NC 

Christopher  S.  Throckmorton.  .Atlanta.  G.A 

Kathenne  P.  Uomoto.  Issaquah.  W.A 

BASIC  SCIENCES  GRADL  ATES 
Nils  B.  Ades.  Ph.D..  Salt  Lake  City.  LT 
Carolme  H.  .Aland.  Ste\ensville.  .\1D 
Patricia  \\.  Bair.  .Marianna.  FL 
Enc  T  Baldwin.  Ph.D..  Kalania/oo.  .Ml 
Christine  A.  Biron.  Ph.D..  Pro\  idence.  Rl 
Dehra  D.  Bloom.  Ph.D..  Sun  Prarie.  WI 
Timoth\  J.  Boiling.  Wilmington.  DE 
Joan  P.  Boone.  Efland,  NC 
Carl  D,  Bonner.  Ph  D.  Durham.  NC 
Su/anne  C,  Bullock.  Blowing  Rock.  NC 
Janet  P  Burnham.  Ph  D  .  Raleigh.  NC 
Robert  (ilenn  Butler.  Escondido.  C.A 
Karen  E.  Butler.  Fredenck.  MD 
Mary  G.  Cafiero.  Richardson.  TX 
Ian  J  Caley,  PhD  and  Rebecca  Pogue-Caley. 
Ph  D  .  Chapel  Hill.  NC 
Ellen  S.  Cana\an.  Cary.  NC 
Shery  1  K.  Camiak.  Bismarck,  ND 
Matthew  E.  Carrigan,  Atlanta.  GA 
Chia  S.  Chang.  New  Hyde  Park,  NV 
Kathry  n  K.  Cheek.  Columbus.  GA 
Qiming  Chen.  Ph.D..  Horsham.  PA 
Caroline  M  Christopher.  Chapel  Hill.  NC 
Nancy  W.  Clark.  Reston.  VA 
Alison  G.  Comweil.  Carrboro,  NC 
Iimothy  W.  Corrigan.  Charlotte,  NC 
Debra  K.  Cowan.  Chapel  Hill,  NC 
Victoria  Z.  Coward,  Jacksonville,  FL 
Merle  M.  Crawford.  Hummelsiown.  PA 
Dorothv  L  Daley.  Wilmington.  DL 
Robena  M.  Del.uca.  Raleigh.  NC 
Martha  W.  Easlcy,  Amelia  Island.  FL 
Harriet  H.  Ellis,  Wilson.  NC 
.Amanda  S.  Englenh.  Washington.  DC 
Debra  R.  Ernst.  West  Bloomlield.  Ml 


Leah  S.  Fletcher.  Ph.D..  Geneseo,  NY 

Carole  J.  Forloines.  Kenneti  Square,  PA 

.Madeline  H.  Freeman.  Greenville.  SC 

Kathenne  L.  Fries.  PhD  .  Atlanta.  GA 

Jo  Ellen  F  Gilbert.  Jackson\  ille.  FL 

JudithL.  Glas,  Oakdale.  PA 

Charies  A.  Glick.  Frederick.  MD 

Robert  P  Gruninger.  Chapel  Hill.  NC 

Heidi  A.  Harkins.  Ph.D..  Ch.ipel  Hill.  NC 

Janet  L.  Harrill.  Forest  Cit\.  NC 

Margaret  P.  Herbers.  Silver  Spring,  MD 

Marcia  W.  Herbert.  Virginia  Beach.  V.A 

Edna  D.  Hodges,  Washington,  NC 

Anne  C.  Huft.  Ph.D.  and  Bruce  E  Miller.  Ph  D  . 

Collegev  ille.  PA 

Diana  B.  Johannsen.  Fredericksburg.  \.A 

Brigid  W.  Johnston.  Cary.  NC 

Jane  E.  Jordan.  The  Woodlands,  T.X 

Deborah  W.  King.  Bremerton.  WA 

Steven  W  King.  Ph.D..  Florence.  SC 

Susan  .A.  Klemm.  Charlotte,  NC 

Stephen  B.  Knisle>.  Ph.D..  Birmingham,  .AL 

Lauree  M,  Kruyer.  Southern  Pines.  NC 

Roben  A.  Lerch,  Ph.D..  Spring  Valley.  N1' 

Scott  C.  Li\  ingston,  Erie.  PA 

.Amy  H.  Lumsden,  Arlington  Heights,  IL 

Earl  E.  Macy.  West  Plains,  MO 

Melissa  Maret,  Ph.D..  Vardley.  PA 

Celia  C.  McCartv.  Alpharetta.  GA 

William  T  McGivnev.  Ph.D..  Rockledge.  PA 

Tina  W.  McKeon.  Atlanta.  GA 

Jona  P.  Medlin.  Raleigh.  NC 

Beth  E.  Mileson.  Ph.D..  Falls  Church.  VA 

Elzbieta  M.  Milewska.  Saint  Charles.  IL 

Robert  E.  Moon.  Fort  Lauderdale.  FL 

Susan  H.  Moore.  Raleigh.  NC 

Virginia  W,  Morton.  Houston.  T.X 

Karl  F  .Muster.  D.D.S.  and  Carol  Richtcr  Muster. 

Ph.D.,  Champaign,  IL 

Lauren  B.  Noble.  Wake  Forest,  NC 

Elizabeth  H.  Pearsall.  Rocky  Mount.  NC 

Dacia  N.  Pitzer,  Cleveland.  OH 

Dons  T.  Poole.  Ph.D..  Chapel  Hill.  NC 

Gary  E.  Prillaman.  D.D.S. .  Mocksville.  NC 

Tamaia  R,  Ritchie.  Durham.  NC 

Kristin  R.  Rogers.  Princeton  Junction.  NJ 

Constance  Rothermel.  Ph.D..  Essex  Ealls.  \J 

James  P.  Ryan.  Memphis.  T.N 

Rachel  J.  Sanders.  M.S..  Juneau.  .AK 

Patricia  Scronce.  Woodbridge.  \'.A 

J.  .Michael  Shenill.  Danville.  CA 

Rebecca  A.  Shirk.  Ph.D..  Mahern.  PA 

Susan  S.  Skeen,  Elon  College,  NC 

Phillip  G.  Smith,  Durham,  NC 

Jennifer  V.  Smith.  Ph.D..  West  Chester,  PA 

John  N.  Snouwaert,  Ph.D.,  Chapel  Hill,  NC 

.Anne  Steward  Solari,  Florissant.  MO 

Sara  J.  Stit/er.  Richmond.  \  A 

Jean  1..  Stout.  Saint  Paul.  MN 

Deborah  II   Strickland.  Apc\.  NC 

Pamela  Perrs  Sluhbs.  I  allbrook.  CA 

Monroe  J.  Stutts  III.  Chapel  Hill.  NC 

Laura  I.  Tanner.  Ph.D..  San  I-rancisco.  CA 

Stuart  A,  Thompson.  Ph.D..  I-:\ans.  GA 

Louisa  B.  Thompson.  Roswell.  G.A 

Kllen  B.  Troutman.  Salisbury.  NC 

Tsong-Tseh  I  sa\.  Ph  D  .  Orange.  CA 

Cirace  S.  Tuckei.  Dciiison.  T.X 

Elizabeth  F.  Via.  W  insi,,n  S.ilciii.  NC 

Jeanne  S.  Wagner.  Bcisc,  11) 


David  E.  Wain,  Wilmington,  NC 

Chervl  H.  Whelan.  Louisville.  KV 

Rebekah  J.  Wilkes.  Lillington.  NC 

Elizabeth  C.  Wilkinson,  'loungsv  ille,  NC 

Beverly  A.  Williams.  Chapel  Hill.  NC 

Barnaby  E.  Wra\.  Know  ille.  TN 

Albert  G.  Zimmermann.  Ph.D..  Carrboro.  NC 

F.ACL  LT^l 

L.irr\  W.  .Arnold.  M.D..  Snow  Camp.  NC 
Stephen  R.  .Aylward,  Ph.D..  Carrboro.  NC 
Christopher  C.  Baker.  M.D.,  Chapel  Hill,  NC 
Nancy  P.  Barnes.  Severn.  NC 
Stuan  O.  Bondurant.  Jr..  M.D..  Chapel  Hill.  NC 
G.ir>  n   Bos.  MD.  Chapel  Hill.  NC 
Watson  A,  Bowes.  .In.  M,I),.  Chapel  Hill.  NC 
H.  Robert  Brashear.  ,|r..  M.I)..  C  hapel  Hill.  NC 
Dr.  R.  Alan  and  Mrs.  Irene  Brl(;j;anian. 
C  hapel  Hill.  NC 

James  A.  Br\.in  II.  MD..  Chapel  Hill.  NC 
Joseph  A.  Butkwalttr.  M.D..  Chapel  Hill.  NC 
John  B,  Buse.  M.I),.  Ph.D..  Chapel  Hill.  NC 
John  1)    Bulls.  Jr.  MO.  Duili.un.  \( 
Robert  C.  Cefalo.  .M.U..  Chapel  Hill,  NC 
Thomas  V.  Clancy.  M.D..  Wilmington,  NC 
Richard  L.  Clark,  M.D..  Chapel  Hill.  NC 
William  Lord  Coleman.  M.D..  Chapel  Hill.  NC 
Anna  Marie  Connolly,  M.D..  Chapel  Hill.  NC 
Ernest  Craige.  M.D..  Chapel  Hill.  NC 
William  J.  Croimrtic.  MD  .  Ch.ipel  Hill.  NC 
Floyd  W.  Denny,  Jr..  M.D..  Chapel  Hill.  NC 
Robert  F  Devellis.  Ph.D..  Chapel  Hill.  NC 
James  F.  Donohue.  M.D..  C'hapel  Hill.  NC 
William  Droegemueller.  M.D..  Chapel  Hill.  NC 
Thomas  M.  Egan.  M.D..  Chapel  Hill.  NC 
David  E.  Eifrig.  Sr..  M.D,.  Chapel  Hill.  NC 
Paul  B.  Farel.  Ph.D..  Chapel  Hill.  NC 
Newton  D,  Fischer.  M.D..  Chapel  Hill.  NC 
Charles  G.  Foskey.  Chapel  Hill,  NC 
Jeffrey  A.  Frelinger.  Ph.D.,  Ch.ipel  Hill.  NC 
Eric  C.  Frey.  Ph.D..  Durham.  NC 
VVilliam  E.  Garrett.  M.D..  Ph.D..  Bahama.  NC 
l.eon.ird  S,  Gettcs.  M  D  .  Chapel  Hill.  NC 
Robert  N.  (Jolden.  M.I),  and 
.Shannon  C.  Kenne>.  M,l)..  (hapel  Hill.  NC 
Joe  W.  (irisham.  M.U..  Chapel  IIIII.  NC 
John  J.  Haggerly.  Jr..  M.D..  Chapel  llill.  NC 
Joseph  W    Hall  111.  Ml).  Duih.mi.  NC 
William  I).  Heizer.  M.I).,  (hapel  Hill.  N( 
Jeffrey  1..  Houpt.  M.I).,  (hapel  Hill.  NC 
Gregorv  1-,  Hulka.  Ml).  Hillsborough.  NC 
David  G,  K.uilm.in.  MD  .  PhD  .  Chapel  Hill.  NC 
\MIIIam  K.  Kaufmann,  Ph.D..  Durham.  NC 
.Scott  S.  Kellev.  Ml),.  Chapel  Hill.  NC 
Thomas  C.  Keyseriing.  .M.D..  Chapel  Hill.  NC 
Ernest  N.  Krayhill.  M.D..  Chapel  Hill.  NC 
Jan  A.  Kylstra,  M.D..  Chapel  Hill.  NC 
William  E.  Lassiter.  Ml).  Chapel  Hill.  NC 
H.  R.  Lesesne.  M.D.  Chapel  llill.  \C 
Kcnnelli  J   1  evin.  M  I ).  (hapel  llill.  NC 
Jelliev  A    l.icbeiiiiaii,  \I  I)  .  (  li.ipel  Hill,  NC 
(  arol  N.  I.ucas.  Ph.D..  (hapel  llill.  N( 
All.in  A   M.ihhie.  M  1).  Ch.ipel  Hill,  \( 
Elizabeth  S.  Mann.  M.D..  (hapel  llill.  N( 
Stanlev  J.  .Martmkoskv.  Ph  1)  .  Chapel  Hill.  NC 
Campbell  W    .Mc.Mill.in.  Ml).  Chapel  Hill.  NC 
D.ivul  I    \leiien.  M  D.  Piiishoio.  NC 
Anilinnv  ,\   Mevei.  Ml),  Ch.ipel  Hill.  NC 
.Melanie  Mintzei.  Ml)  .Ch.ipel  Hill.  NC 
Don  K-  Nakavama.  Ml).  R.ilcpjh.  NC 

39 


Christian  E.  Newcomer  Ph  D..  Chapel  Hill.  NC 
Terry  L.  Noah.  M.D.,  Carrboro.  NC 
David  A.  Ontjes.  M.D..  Chapel  Hill.  NC 
Anihony  N.  Passannante.  M.D..  Chapel  Hill.  NC 
Edward  R.  Perl.  M.D..  Chapel  Hill,  AC 
David  R.  Perry.  Chapel  Hill.  NC 
Thomas  D.  Petes.  Chapel  Hill.  NC 
Arthur  J.  Praiige.  Jr.  M.D..  Chapel  Hill,  NC 
Milton  D.  Quigless.  Jr.  M.D..  Raleigh.  NC 
Kenneth  G.  Reeb,  M.D.,  Chapel  Hill,  NC 
Desmond  K.  Runyan.M.D.,  Chapel  Hill.  NC 
Robert  S.  Sandler.  M.D..  Chapel  Hill.  NC 
James  H.  Scatliff.  M.D..  Chapel  Hill.  NC 
Nicholas  J.  Shaheen.  M.D.  and  Amy  W.  Shaheen. 
M.D..  Chapel  Hill.  NC 
George  F.  Sheldon.  M.D..  Chapel  Hill.  NC 
Sidney  C.  Smith.  Jr.  M.D..  Chapel  Hill.  NC 
Brian  C.  Stabler,  Ph.D.,  Chapel  Hill,  NC 
Chuck  Stone.  Chapel  Hill.  NC 
Catherine  A.  Taylor.  M.D..  Chapel  Hill.  NC 
Colin  G.  Thomas,  Jr.,  M.D.,  Chapel  Hill.  NC 
Michael  D.  Topal.  Ph.D..  Chapel  Hill.  NC 
Charles  M.  Van  Der  Horst.  M.D..  Chapel  Hill.  NC 
Judson  J.  Van  Wyk.  M.D..  Chapel  Hill.  NC 
.Mahesh  A.  Varia.  M.D..  Chapel  Hill.  NC 
Mark  C,  Weissler.  .\1.D..  Chapel  Hill.  NC 
James  R.  While.  Ph.D.,  Chapel  Hill.  VC 
Clarence  E.  Whilefield.  Chapel  Hill.  NC 
J,  Kenneth  Whitt.  Ph.D..  Chapel  Hill.  NC 
Frank  C.  Wilson.  M.D.,  Chapel  Hill,  NC 
Richard  V.  Wolfenden.  Phi)..  Chapel  Hill,  NC 
James  R.  Yankaskas.  M.D.  and  Bonnie  C. 
Yankaskas  Ph.D..  MPH.  Chapel  Hill.  NC 

IIOL'SE.STAFF 

Kiehard  C.  .Andrinjja,  M.D..  (ireensboro.  NC 

Ray  M.  Antley.  M.D..  Morganton.  NC 
William  B.  Applegate.  M.D..  Winston-Salem.  NC 
James  W.  Asaph.  M.D..  Portland.  OR 
Thomas  .\1.  Bashore.  M  D..  Durham.  NC 
Stephen  N.  Becker.  M.D,.  Libhy.  MT 
Jeffrey  P.  Bonize.  M.D..  Bryn  Mav\r.  PA 
Thomas  A.  Brackbill.  M.D.,  Greensboro,  NC 
Bruce  R.  Brodie.  M.D..  Greensboro,  NC 
Robert  A.  Brown,  M.D..  Fort  Myers.  FL 
Wallace  D.  Brown.  M.D..  Raleigh.  NC 
George  F.  Brumback.  M.D..  Greensboro.  NC 
Edwin  L.  Bryan.  M.D..  Greensboro.  NC 
Robert  V.  Buccini.  M.D..  Greensboro.  NC 
Kenneth  A.  Buddendorff  III.  M.D..  Mobile.  AL 
William  R.  Bullock.  M.D..  Charlotte.  NC 
Allen  E.  Cato.  Jr.  M.D..  Durham.  NC 
G.  Raybum  Cheely.  M.D..  Raleigh.  NC 
Robert  Che\alier.  M.D..  Charlottesville.  VA 
.Arsenio  O.  Cordoves.  M.D..  Miami.  FL 
Thomas  P  Cornwall.  M.D..  Durham.  NC 
•Stanley  C.  Cox  HI,  M.D.,  Southern  Pines,  NC 
Barbara  A.  Crockett.  M.D..  Durham.  NC 
John  T  Cumes.  M.D.  and  Cheryl  A.  Viglione. 
VI.D.  Greensboro.  NC 
Frederic  G.  Dalldorf.  M.I),  and 
Joanna  S.  Dalldorf.  M.D.,  Chapel  Hill,  NC 
Marsha  L.  Davenport.  M.D..  Chapel  Hill.  NC 
A.  Joseph  D'Ercole.  M.D..  Chapel  Hill.  NC 
Wayne  R.  Detorres.  M.D..  Mahwah.  NJ 
Donald  G.  Detweiler.  M.D..  Raleigh.  NC 
Douglas  R.  Dirschl.  M.D..  Chapel  Hill.  NC 
Diane  M.  Duffy.  M.D..  Graham.  NC 
Michael  F  Durfee.  M.D..  Raleigh.  NC 
Richard  Essner.  M.D..  Los  Angeles.  CA 

40 


Lisa  P.  Ferran.  .M.D..  Durham.  .NC 

Catherine  A.  Fomeris.  M.D..  Chapel  Hill.  NC 

Charles  E.  Frederick.  M.D..  Greensboro.  NC 

James  C.  Garbutt.  M.D..  Pittsboro.  NC 

Larry  D.  Grubh.  MD..  Florence.  SC 

Todd  H.  Hansen.  .M.D..  Asheville,  NC 

Frank  J.  Haraf,  M.D.,  Louisville,  TN 

Carl  R.  Hartrampf.  Jr.  M.D..  Atlanta.  GA 

Glenn  B.  Hays.  M.D..  North  Fort  Myers.  FL 

Xaver  F.  Hertle.  M.D..  Greensboro,  NC 

Michael  A.  Hill.  M.D..  Durham.  NC 

Peter  J  Holland.  M.D.  and  Donna  S.  Holland. 

.\I  D.  Boca  Raton.  FL 

Robert  R.  Huntley.  M.D.  and  Joan  t  .  Huntley. 

Ph.D.,  t  hapel  Hill,  Nt 

Burton  R.  Hutto.  M.D..  Chapel  Hill.  NC 

Harold  N.  Jacklin.  M.D..  Greensboro.  NC 

.\li  Jarrahi,  M.D.,  VVinston-.Salem,  NC 

Robert  B.  Johnson.  M.D..  Gary.  NC 

Thomas  L.  Johnson.  M.D..  Inglewood.  CA 

J.  Jeff  Johnson.  M.D..  Paducah.  KY 

F.  Douglas  Jones.  M.D..  Greenville.  NC 
Raleigh  O.  Jones.  Jr.,  M.D.  and  Janine  C  Jones. 
M.D..  Nicholasville.  KY 

Hisashi  Kajikuri.  M.D.,  Monterey,  CA 
Jeffrey  D   Kal/.  .\1.D  .  (iicensboio.  NC 
Moyra  E,  Kilell.  Ml)..  Chapel  Hill.  NC 
Jonathan  S.  Krauss.  M.D..  .Augusta.  GA 
Walter  L.  Lamar,  M.D..  Tulsa,  OK 
Halcut  C.  Lawrence  HI,  \LD.,  Asheville,  NC 
Randolph  L.  Lee.  M.D..  Apex.  NC 
Steven  Lipper.  M.D..  Chapel  Hill.  NC 
Frank  A.  Loda.  M.D..  Chapel  Hill.  NC 
Dr  Jane  L.  Madison.  Chapel  Hill.  NC 
H.  Rayinond  Madry.  Jr.  M.D.,  Raleigh,  NC 
Bruce  T.  Malenbauiri,  M.D.,  Durham,,  NC 

G.  Philip  Manire,  Ph.D.,  Chapel  Hill,  NC 
Peter  J.  Massicott.  M.D..  Boston.  MA 

Al.m  H.  .\l.itsumoto.  M.D  .  Charlottesville.  VA 
Charles  R.  McAdams.  Jr.  M.D.,  Charlotte.  NC 
James  (.',.  MeClure,  >LD.,  Memphis.  TN 
W.  Benson  McCutcheon,  Jr.,  \LD.,  Durham.  NC 
William  T.  McKinney.  Jr.  M.D..  Madison.  Wi 
Morton  Meltzer.  M.D..  Cameron.  NC 
Steven  L.  Mendelsohn.  M.D..  Asheville.  NC 
James  J.  Murphy.  M.D..  Arden.  NC 
Mark  E.  Murphy,  M.D..  .Savannah.  G.A 
Keith  A.  Nance.  M.D..  Raleigh.  NC 
Charies  L.  Nance.  Jr.  M.D..  Wilmington.  NC 
John  L.  Nehil,  M.D.,  Louisville.  KY 
Richard  A.  Niles.  M.D..  Lynchburg.  VA 
Margaret  R.  Nusbaum.  D.O..  M.PH..  Chapel  Hill.  NC 
John  W.  Oglesby.  M.D..  Nashville.  TN 
Frederick  H.  Opper.  M.D..  Wilmington.  NC 
Louis  V.  Paciho.  M.D..  Leeds.  MA 
Linn  H.  Parsons.  M.D..  Winston-Salem.  NC 
Joseph  F  Patterson.  Jr.  M.D..  Chapel  Hill.  NC 
George  H.  Pierson.  Jr.  M.D..  Greensboro.  NC 
Cedric  W.  Porter.  Jr.  M.D..  Asheville.  NC 
William  1.  Proctor.  M.D..  Raleigh.  NC 
Rupa  C.  Redding-Lallinger.  M.D..  Chapel  Hill.  NC 
Hal  J.  Rollins.  Jr.  M.D..  Greensboro.  NC 
Roland  E.  Schmidt.  M.D..  Chapel  Hill.  NC 
Michael  S.  Schur.  M.D..  Satellite  Beach.  FL 
Stephen  B.  Schuster.  M.D.,  Greensboro.  NC 
Ronald  P  Schw.iiv,  M  D  .  Raleigh.  NC 
Stephanie  .A.  Skolik.  M.D..  Huntington.  WV 
Bryan  W.  Smith.  M.D.  and  Mary  F  Smith.  M.D.. 
Chapel  Hill.  NC 
John  J.  Solic.  M.D..  State  College.  PA 


Liang  Y.  Soo.  .M.D.  and  Dixie  L.  Soo.  NLD.. 

Chapel  Hill.  NC 

Ernest  B.  Spangler.  Jr..  M.D..  Greensboro,  NC 

Mary  C,  Steuterman.  M.D..  Greensboro.  NC 
Thomas  NL  S«antkovvski,  \LD.. 
Southern  Pines,  NC 

Robert  V.  Sypher.  Jr.  M.D..  Greensboro,  NC 
Dianne  W.  Trumbull.  M.D..  Morgantown.  WV 
George  L.  Wallace.  Jr.  .M.D..  Maninsville.  VA 
Turin  P.  Walters,  M.D.,  Huntington,  W  V 
Brent  W.  Weston.  M  D..  Durham.  NC 
Camngton  W.  White.  .M.D..  Durham.  NC 
Kenneth  S.  White.  M.D..  Wilmington.  NC 
Robert  W.  Whitener.  M.D..  Greensboro.  NC 
Frances  K.  Widmann.  M.D..  Chapel  Hill.  NC 
Jeffrey  L.  Wilson,  M.D..  (ilasgow,  KY 
George  T.  Wolff.  M.D..  Greensboro.  NC 
Lucas  Wong.  M.D..  Temple.  T\ 
H.  Linton  Wray.  M.D..  Che\y  Chase.  ,MD 
Peter  R.  Young,  Sr.,  M.D.,  (Jreensboro,  NC 
Nakhleh  P.  Zarzar,  M.D.,  Raleigh.  NC 
.Mary  E.  Zelcnik.  .\LD..  Clifton  Forge.  VA 
Thomas  .A.  Zirker.  ML)..  Greensboro,  NC 

Ph.D.  GRADL.ATES 

Phyllis  G.  Andrews.  Ph.D..  Durham.  NC 

Linda  M.  Boland.  Ph.D..  Woodbury.  MN 

Philip  Brooks,  Ph,D.,  Bethesda,  MD 

Ronald  K.  Charlton.  Ph.D..  Jacksoinille.  FL 

Haroutune  Dekirmenjian.  Ph.D..  Knowille.  TN 

Lori  Ann  Dostal.  Ph.D..  Brighton.  Ml 

David  Joel  Edwards.  Ph.D.  and  .Mary  Hemng 

Edwards.  M.D..  Pittsburgh.  PA 

Janet  L.  Evans.  Ph.D..  Stockton.  NJ 

Charles  C.  Finley.  Ph.D.  Chapel  Hill.  NC 

James  C.  W.  Finley.  Ph.D..  Cleveland.  OH 

Beatnce  Hughes- Werner.  Ph.D..  Chapel  Hill,  NC 

Warren  M.  Kati,  Ph.D.,  Gurnee,  IL 

Tec-Ping  Lee.  Ph.D..  Williamsville.  NY 

.Michael  J.  Leiivelt.  Ph.D..  Sun  Praire.  Wi 

David  P  Lewis.  Ph.D..  Pearl  River.  NY 

David  M.  Mottola.  Ph,D..  Tampa.  FL 

Mary  Ella  M.  Pierpont.  Ph.D..  Samt  Paul.  MN 

Derek  T.  Puff.  Ph.D..  Somersville.  MA 

Bonnie  B.  Punske.  Ph.D..  Sandy.  UT 

.Mariorie  S.  Read.  Ph.D..  Durham.  NC 

Robert  A.  Schwartzman.  Ph.D..  Gaithershurg.  MD 

Peter  R.  Shank.  Ph.D..  Rumford.  Rl 

Charles  J.  Viviano.  Ph.D..  Beacon  Falls.  CT 

Michael  D.  Waters.  Ph.D..  Chapel  Hill,  NC 


President's 
Letter 


The  UNC  Legacy 

Se\L'ral  weeks  ago.  iii\  wcirkdas  was  oil  tn 
a  tiHigh  start.  E\er\()nc  was  show  ing  up  fur 
his  appointineni.  This  led.  iiicxorably.  tn  ni\ 
falling  tiirther  and  further  hehind  schedule. 
Fifteen  minutes  should  be  enough  lime  lor  an 
internist  tti  see  a  follow-up  patient,  but  that 
span  is  sinipl\  not  realistic  for  some.  On  this 
particular  da>.  nian\  of  m\  challenging 
patients  were  arranged  in  rapid  -  a  lelalise 
term  -  succession.  Most  phvsicians.  except 
perhaps  for  those  in  the  most  rarefied  sjiecial- 
lies.  can  relate  to  m_\  plight. 

M\  first  three  patients  that  da\  arrived 
bearing  carefull\  recorded  lists  of  iheir 
concerns.  Despite  the  w  rillen  plea  posted  in 
m\  waiting  room  —  "'No  Lists"  —  m\  pa- 
tients gleefulK  disregarded  m\'  sign.  Follow- 
ing instead  the  ad\ice  in  /'rcvciiiicn 
maga/ine  on  how  to  get  the  most  out  ot  their 
\  isit  w  ith  the  doctor.  the_\  honed  a  detailed 
outline  of  the  past  month's  problems.  The\ 
should  ha\e  read  Medical  Economics  which 
brands  such  patients  as  "difficult."  the  type  to 
be  axoided  whenexer  possible.  From  either 
perspecine.  the  dreaded  Lists  guaranteed 
that  the  \  isiis  were  not  going  to  be  neatl)  lieil 
tip  in  \5  minutes  I 

.Also  conspiring  to  keep  me  off  schedule 
were  several  patients  with  a  chief  complaint 
of  "weakness.""  Known  all  too  well  b\  iii\ 
colleagues  in  primary  care,  weakness  ii\als 
constipation  as  the  most  per\asi\e  nialad\ 
ever  lo  afflict  humankintl.  yet  the  medical 
literature  is  nearlv  silent  on  the  subject.  I  here 
are  several  variants  .Among  the  most  com- 
mon are:  "'Doc.  I  |usi  ain't  got  no  energy." 
.And.  ".\I\  gel  up  and  go  done  got  up  and 
went."  Occasionally,  after  ruling  out  a  lew  of 
ihe  common  potential  underlv  ing  diagnoses. 
1  tlaie  lo  ascribe  some  sv  mptoms  to  the  aging 
process,  iiul  this  can  be  a  less-than-gracelul 
lorax  into  a  Ihornx  dialogue.  "L\e  never  had 
ihis  problem  before."  the  patient  insists. 
"But  vou've  never  been  86  before  either. ' 
I  respoiul  |ilainly  if  not  bluntly.  ,At  this 
point.  I  have  been  in  the  room  lor 
2>  minutes  and  mv  neallv -cratled  otiice 
schedule 


IS  a  distant  memorv.  .Such  was  mv  biisv 
Nh>ndav  morning  back  in  .Atigust. 

What  has  anv  of  this  to  do  w  ith  the  L^NC" 
Medical  .Alunini  Assiiciation '.'  Perha|is  this: 
Ihe  frustrations  of  the  morning  got  me  thinking 
about  mv  role  w  ithin  the  larger  medical  com- 
munitv.  .Someone  has  to  he  first  to  wade 
through  the  vast  bodv  ol  patient  complainis. 
The  primary  care  physician  has  the  responsi 
bility  to  discern,  for  example,  the  pedestrian 
age-related  "weakness"  from  the  "weakness" 
of  iri>n  deficienev.  hv  polhv  ronlism.  or 
diabetes.  Others,  such  as  L'niversilv  lacuhv. 
may  serve  bv  spending  their  entire  careers  on 
viral  hepatitis  or  glaucoma,  becoming 
authorities  w  ithin  a  narrow  subject  area. 
Even  administrators  play  a  ke\  pari  in 
providing  timelv  services  in  a  manner  besi 
suited  to  the  patient's  needs. 

So  It  is  too  with  UNC  School  of  Medicine. 
We  all  occupy  an  important  cog  in  the 
machinery  of  lop-tlight  patient  care.  Acade- 
mics teach,  conduct  research,  and  treat  rare 
diseases.  Dean  Houpt  deals  w  ith  the  critical 
niacro  issues  of  funding,  the  Legislature, 
phx  sical  plant  needs,  and  departmental  leail- 
ership.  Sludenls  bring  energv  and  enlhusiasm 
into  the  mix. 

We  alumni  contrihule  as  well.  ('omprisei.i 
mostly  of  physicians  in  private  practice,  we 
prov  ide  ihe  btilk  of  medical  care.  Irom  our 
practices  can  come  a  stream  of  patieiil  lefer- 
rals.  .Also,  regular  financial  support  has  a 
meaningful  inipact.  and  this  has  been  ]iarlic- 
ularlv  true  in  recent  years.  F^ach  of  us  has  an 
opportunity  and  an  obligation  to  parlicipale 
in  the  affairs  of  our  alma  mater.  After  all.  it 
was  as  students,  many  vears  ago.  that  we  first 
became  piotid  members  ol  the  I'NC"  lamilv. 
Let  us  all  cherish  this  sioried  legacv.  and 
responil  in  kind 


CME/Alumni  Calendar 

Sovemher  1 7,  2000  —  The  Friday  Center.  Chapel  Hill 

Psychuilry  Across  the  Ages;  5lli  Annual  Update 

Sovemher  IS,  2000  —  The  Friday  Center.  Chapel  Hill 

17th  Annual  George  C  Hani  Symposiuni 


Estate  Planning  Notice 

Many  individuals  would  like  to  make  a  major  gift 
to  the  UNC  medical  center,  but  cannot  commit 
current  assets  for  such  a  purpose.  Through  a  will, 
however,  anyone  can  make  a  more  significant  gift 
than  they  might  ever  have  thought  possible  by 
designating  a  specific  sum,  a  percentage,  or  the 
residue  of  their  estate  for  the  benefit  of  the  medical 


December  I.  2000  —  The  Friday  Center.  Chapel  Hill 

Domestic  Violence  Conference 

Deeeinher  2.  2000  —  The  Friday  Center.  Chapel  Hill 

A  Multidisciplinary  Approach  to  Ksophageal  Disease 

January  IS-19.  2001—  The  Friday  Center.  Chapel  Hill 

Challenges  in  Geriatric  Practice:  I2lh  Annual  ("onlerencc 

January  31.  2001  -  Chapel  Hill 
Student  Research  Day  2001 

April  27-2S,  2001  -  Chapel  Hill 

Spring  Medical  Alumni  Weekend 

For  more  information  about  CME  courses,  contact  the  OtTicc 
ot  Continuing  Medical  Education  at  (41'*)  9(i2-21  IS  or  loll 
tree  through  the  Consultation  Center  at  (800)  852-6264.  To 
contact  the  Alumni  Affairs  Office,  call  (919)  962-6786  or 
email  medical_ahimni(n  nied.unc.edu 


To  provide  a  bequest,  sinq)ly  include  a  paragraph 
in  your  will  naming  The  Medical  Foundation  of 
North  Carolina,  Inc.  as  a  beneficiary.  For  example: 

"I  give,  devise  and  bequeath  (the  sum  of$ 

or  ( %  of  my  estate)  or  (the  residue  of 

my  estate)  to  The  Medical  Foundation  of  North 
Carolina,  Inc.,  a  501(C)(3)  created  to  maintain 
funds  for  the  UNC  medical  center  with  principal 
offices  located  at  880  Airport  Road,  ChapelHill, 
North  Carolina." 

This  language  creates  an  unrestricted  bequest  for 
use  by  the  medical  center  when  and  where  the  need 
is  greatest,  or  you  may  specify  that  your  gift  be 
used  for  a  particular  purpose. 

For  further  information  on  bequests,  contact 
Jane  McNeer  at  (919)  966-1201,  (800)  962-2543, 
orjmcneer@email.unc.edu. 


Nimprofit  Organization 

U.S.  Postage 

PAID 

Chapel  Hill,  NC 
IVrniil  No.  24 


PERIODICALS  DEPARTMENT^ 
HEALTH  SCIENCES  LIBRARY 
CB  75B5  ^  ^ 

CAROLINA  CAMPUS   7585