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Full text of "The University of North Carolina School of Medicine and Alumni Association bulletin [serial]"

THE UNIVtioiiY Ui^NORTH CAROLINA 

SCHOOL OF MEDICINE AND 
MEDICAL ALUMNI ASSOCIATION 



WINTER, 1968-69 



VOLUME XVI 



NUMBER 1 



1^^ 



HECEiHW 



>\FR 2.1 

DIVISION 



1969 




'm 



f^ 






-•^^ 




Official Group Disability Income Plan 

for 

Members Of North Carolina Medical Society 

Since 1939 
RENEWAL GUARANTEED TO AGE 70 



We are as close as your phone . . . Call us Collect — Phone 682-5497 — Durham 

$250.00 Weekly Income — ($1080.00 Monthly) Tax Free 
CHOICE OF TWO PLANS 



Plan Ir-7 




Maximum Accident Benefits 
Lifetime 


Maximum Si 
**7 Years 


ckness 
or to 


Benefits 

age 65 








SEMI-ANNUAL 


RATES 






Weekly Benefits 
$250.00 

200.00 


under 30 

$124.50 
100.50 


30 - 39 

$142.00 
114.50 


40-49 

$204.50 
164.50 


50 -59 

$284.50 
228.50 




60-69 

$352.00 
282.50 


150.00 


76.50 


87.00 


124.50 


172.50 




213.00 


100.00 


52.50 


59.50 


84.50 


116.50 




143.50 


Plan L-65 




Maximum Accident Benefits 
Lifetime 


Maximum Sicknes 
To age 65 


Benefits 








SEMI-ANNUAL 


RATES 






Weekly Benefits 

$250.00 
200.00 
150.00 
100.00 


Under 30 

$154.50 

124.50 

94.50 

64.50 


30-39 

$177.00 

142.50 

108.00 

73.50 


40-49 

$242.00 

194.50 

147.00 

99.50 


50-59 

$324.50 
260.50 
196.50 
132.50 




60-69 
$352.00 

282.50 
213.00 
143.50 



Accident benefits commence with the first day of disabiUty. Sickness benefits commence with the eighth day of disability or the 
first day of hospital confinement, whichever occurs first. 

J. L. CRUMPTON J. SLADE CRUMPTON 

ADMINISTRATORS PROFESSIONAL GROUP INSURANCE PROGRAMS 

SUITE 401 HOME SAVINGS BUILDING POST OFFICE DRAWER 17G7 

DURHAM, NORTH CAROLINA 27702 

JACK FEATHERSTON 

CHARLOTTE, N. C. 
Please call collect for additional information in completing your enrollment: 919 682-5497 

Underwritten by 

THE CONTINENTAL INSURANCE COMPANIES 

80 Maiden Lane, New York, N. Y. 



THE UNIVERSITY OF NORTH CAROLINA 



SCHOOL OF MEDICINE AND 
MEDICAL ALUMNI ASSOCIATION 



WINTER, 1968-69 



VOLUME XVI 



NUMBER 1 




EDITORIAL COMMITTEE 

Faculty: 

George D. Penick, M.D., Chairman 
Carl W. Gottschalk, M.D. 
Cornelius T. Kaylor, Ph.D. 
William E. Lassiter, M. D. 
Benson R. Wilcox, M.D. 

Alumni: 

Veme H. Blackwelder, M.D. 
Charles L. Herring, M.D. 
Isaac V. Manly, M.D. 
William W. McLendon, M.D. 
Shahane R. Taylor, Jr., M.D. 

NCMH House Staff: 

Gordon B. LeGrand, M.D. 

Student: , 

G. Patrick Guiteras 

Medical Foundation of N. C, Inc.: 
Emory S. Hunt 
Charles L. Powell 

Assistant to the Editor: 
Maria A. Leon 



IN THIS ISSUE 

Message from the Dean's Office 6 

Painless and Enlightened Giving 10 



Are Our Medical School Faculties 
Qualified to Teach Medicine? 



13 



Notes on a Trip to England and Ireland 19 

Blood Transfusion Three Hundred Years Ago 28 

The Implications of Computer Technology to 

Medical Education 32 

The UNC Health Services Research Center 34 

The Challenge of Personal Professional Development 37 

Medical Class of 1972 38 

News from the Hill 40 

Alumni News 51 

House Staff Alumni News 62 

Annual Medical Alumni Association Meeting • 63 



Photography: 

William Brinkhous 

NCMH Dcpt. Medical Illustration 



WINTER, 1968-69/ 1 



Glen Lennox 

GARDEN APARTMENTS 

AND 

SHOPPING CENTER 



LOCATED: 

15-501 BYPASS AND RALEIGH ROAD 
IN CHAPEL HILL 



GLEN LENNOX CORPORATION 

Box 107 

Chapel Hill, N. C. 



Rental Office 
Phone 967-7081 



YOUR STUDENT AMERICAN MEDICAL 

MEDICAL ASSOCIATION (SAMA) 

CONSULTANTS 





ALBERT A. LONG, JR. 

Agency Manager 



B. E. DURST, JR. 
Agent 



LOCAL OFFICE 

Corner of Watts and Club 

Durham, N. C. 27701 

Telephone 286-0731 

If you can find a better buy than the 
SAMA life Program — Then buy it!!! 

When a medical student, infern, or resident starts 
his Life Insurance with the SAMA Life Program, the 
sound advice, special experience, and help of trained 
SAMA Life Program representatives across the country 
are available to him. This personal counseling is yours 
wherever you go because these Minnesota Mutual Life 
men work together to give continuity to building your 
life insurance estate. 

M IN NESOTA MUTUAL LIFE 

Ask about our Deferred Payment Plan for Medical Students, 
Interns, or Residents. 



DON'T BE FOOLED! 

Be sure your Kodachrome 
film is processed by 
Eastman Kodak Company 

SEE US 

Foister's Camera Store 

Chapel HilL North Carolina 



2 /THE BULLETIN 




New Yorker 4-Dr. Hardtop. 




Fury III 2-door Hardtop 



YATES MOTOR CO., INC. 

419 WEST FRANKLIN STREET 
CHAPEL HILL, NORTH CAROLINA 27514 



THANKS! 



OI§EN 

REALTY 



BankAmericard 



AUTHORIZED SIGNATURES 



DOCTOR'S 
FRIEND 

The Complete Credit Card is your friend in more 
ways than one. As a personal all-purpose credit 
card, it lets you replace all the "specialized" cards 
you now carry in your wallet. It's welcome at more 
than 12,000 North Carolina businesses and in 
many cities across the country. You get just one 
monthly bill for all your purchases, and you can 
take up to 20 monthsto pay. You can even use your 
BankAmericard to "charge" cash — up to $500 — 
at any NCNB office. 

BankAmericard also works for you as a business 
tool. Every time a patient uses his BankAmericard, 
you eliminate an accounts receivable item. Just 
deposit your BankAmericard charge slips at 
any BankAmericard Bank, and receive immediate 
credit for the total amount of your patient charges, 
less a moderate discount. And all BankAmericard 
professional charges are without recourse to you 
— so that you have more available cash for the 
day-to-day operation of your practice. If you'd like 
more information about BankAmericard, for either 
personal or professional purposes, just call the 
BankAmericard Representative at any NCNB 
office. 



NCNB 

North Carolina National Bank 



Mtmbe 


Federal Reserve Syste 


Ti • Federal Depos 


Insurance Corporation 


Burlington 


Chapel Hill 


Charlotte 


Durham Fayett 


Greensboro 


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Morganton 


North Wilkesboro 


Raleigh 


Research Triangle 


Statesville 


Tarboro Tr 


Wilmington 


Winston-Salem 







Total Resources over $1,275 billion 
Capital Funds in excess of $68 million 



Winter, 1968-69/3 



At The Pines... 




^i^m^ifff^ 



ROBERT 
EXUM, JR. 

ASSOCIATE 

Ralph J. Golden 
Agency 

Administrator for the Medical 
Society of the State of North 
Carolina for LIFE — Major 
Medical and Business Expense 
Insurance. 



FOR APPLICATION OR FURTHER INFORMATION 
WRITE OR CALL 

ROBERT EXUM, JR. 

323 Grace Pittman BIdg., Fayetteville, N. C. 
Phone 483-4990 — Area Code 919 




Charcoal Steaks 



Catering to those 

who want the 

best service 

for their car. 



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ESSO SERVICENTER 

136 W. Franklin 
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4 /THE BULLETIN 



tome 

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And remember: Your Gifts Mean More 
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Winter, 1968-69/5 



Message from the Dean's Office 



PAINT AND POWDER 

Chester Nimitz, Admiral, United States Navy, 
once said "a ship ahvays is referred to as 'she' be- 
cause it takes so much paint and powder to keep one." 

The Medical School is not unlike the ship! Her 
current State operating budget, excluding the Hos- 
pital, is $3,325,000. But that's not enough paint and 
powder for a crew of 288 faculty and over 1,500 stu- 
dents. The "crew's" primary purpose is education but 
in carrying out that purpose medical care is given 
to over 11,000 in-patients and 125,000 out-patients 
annually. 

Of the present $3,325,000 State Operating Budget, 
$2,665,000 is from State appropriations, $234,000 from 
tuitions and fees, and the balance, or $426,000, from 
other miscellaneous income. Only 41% of total faculty 
salaries are provided from this operating budget. The 
other 59% of faculty salaries comes from professional 
fee income ( 18% ) , federal research and training grants 
(32%), North Carolina Memorial Hospital (3%), pri- 
vate gifts and grants (6%). 

In addition to the State budget, last year the 
School of Medicine spent over $6,000,000 in federal 
and private grants for research and research training. 
North Carolina Memorial Hospital spent another 10.4 
million including 4.6 million in State appropriations, 
primarily for indigent patient care, and 5.8 million 
from patient fee income. These, too, are generous 
doses of paint and powder which are helping to build 
this Medical Center into one of the best anywhere. 
But greater State support will be needed for this 
School to fulfill effectively her objectives of producing 
more health specialists and broader health knowledge 
through research and service. 

The Medical School's operating or educational 
budget, known as the "A" Budget, is increased an- 
nually in direct proportion to the increase in full-time 
students. Thus, if enrollment increases 2%, the State 
Operating Budget increases 2%. This would seem to 
be a powerful argument for increasing enrollment, 
but it's not. The present base budget of $3,325,000 is 
insufficient; hence, each year the School falls farther 
behind in meeting its financial needs. In this connec- 
tion is is important to know that of over 1,500 stu- 
dents taught by the medical faculty, only 695 are full- 
time students in the School of Medicine. Others in- 
clude 139 dental students, 86 nursing, 387 pharmacy, 
27 public health and 153 other undergraduates and 
graduates. There were also nearly 800 participants in 
continuing education programs last year. The 695 full- 
time students in the Medical School include medical 
students, physical therapy, medical technology, and 
graduate students as well as fellows, interns, and resi- 
dents. 

Based on the anticipated increase in enrollment 
(from 695 to 810 full-time equivalent students), the 



School should receive an additional $506,000 in 1969- 
70 and another $440,000 in 1970-71. Most of these 
additional funds will necessarily be used for salaries 
for the new faculty needed when entering medical 
classes are expanded from 75 to 100 students and 
dental classes from 55 to 75 in 1970. Special "A" 
budget funds also are anticipated to support the re- 
vised teaching program as it is moved to the new 
Basic Science teaching building. The School expects 
about $312,000 in 1969-70 and $276,000 in 1970-71 
with a major part of it specified for teaching equip- 
ment. This will represent the first significant equip- 
ment budget since this became a four year School in 
1952. Provided there are funds in the State's treasury, 
the Medical School can be fairly certain of receiving 
these sums. 

Because the School operates on such a close 
margin, not many new programs are initiated with 
funds derived from the State budget. Therefore, to 
correct current deficiencies, to initiate new programs 
or expand existing programs, there is a mechanism 
referred to as the "B" Budget. Historically, there has 
been little success with "B" Budget requests. Most of 
the new programs added over the past decade have 
been initiated with non-state funds. Those non-state 
funds are largely committed today, and it is important 
to seek new "B" Budget support for the balanced 
growth of the School of Medicine. 

After much study last winter and spring, the 
School of Medicine submitted a request for twelve 
"B" Budget programs requiring funds as shown be- 
low. 



Special Teaching Program for 

North Carolina Medical 

Students 

Program to Improve 

Community Medical Care 

Education of Personal and 

Family Physicians 

4. Laboratory Medicine 

5. Transplantation of 
Human Organs 
X-Ray Treatment of Canter 
Infant Survival 
Child Development Center 

9. Rehabilitation Medicine 

10. Biomedical-Engineering and 
Biomedical-Mathematics 

11. Ophthalmology 

12. Comprehensive Respiratory 
Care 



These programs are in priority order and are the 
ones considered most important to the institution at 
this time. This list does not include all the new pro- 
grams, or program improvements wanted. It does in- 



$ 141,986 


$ 278,160 


346,592 


460,686 


66,947 


131,754 


37,815 


54,963 


177,075 


215,288 


53,477 


60,419 


46,993 


74,777 


53,662 


107,782 


39,167 


62,411 


66,946 


78,302 


75,366 


100,123 


60,060 


67,484 


$1,166,086 


$1,692,149 



6 /THE BULLETIN 



elude those which can be implemented during the 
next two years. 

The "C" Budget is the University's mechanism for 
providing capital improvement funds. Because new 
space is needed and some old areas must be reno- 
vated, the "C" Budget for 1969-71 includes the follow- 
ing: 

1. Preclinical Education Building $ 4,889,000 

2. Medical Examiner's Laboratory 

(Addition to Preclinical Facility) 720,000(1) 

3. Clinical Science Office and Laboratory 8,900,000 

4. Bed Tower Addition to North 

Carolina Memorial Hospital 5,970,000 

5. Research Animal Farm 282,000 

6. Renovate MacNider 2,155,000 

7. Renovate Clinic Building 1,550,000 

8. Renovate NCMH 2,200,000 

9. Chapel for NCMH 250,000(2) 

$26,916,000 

( 1 ) This facilit)' is for the State Medical Examiner's Pro- 
gram and has the full support of the State Board of 
Health. 

(2) No State funds are requested for the Chapel, but we 
are required to secure approval for its construction. 

(Applications for Federal support for priorities 1, 
3, and 4 were submitted in June 1968. In mid Decem- 
ber the School was notified that the applications had 
been approved as submitted, with financing subject 
to the availability of funds. It is too early to predict 
the "availability" but these grants could provide 
$9,677,079 towards the total cost of $20,269,000. ) 

A brief description of each "B" and "C" budget 
item starts on this page. 

If you were to drive around the medical campus 
today, you might well ask, "With all the construction 
now under way and with the general confusion which 
already exists, why do you need more space to create 
even more confusion?" The fact is the School needs 
more space to catch up so class expansion plans can 
be realized. From 1952 to 1962 no new Medical 
School facilities were constructed. Then in 1962, the 
Medical Research Building was built. In 1966, the 
Ambulatory Patient Care Building was started to pro- 
vide clinic space for an increasing out-patient service 
and to provide modern radiological facilities includ- 
ing Radiotherapy. In the spring of 1968, construction 
began on a new Basic Science Teaching Building and 
a new library. No new faculty space, either office or 
laboratory, is provided in this new construction, 
funded in part from State appropriations. A research 
building which will provide faculty and office space 
is under construction in the old Victory Village area, 
but that is privately financed and will be rented by 
the School of Medicine, with rental funds from out- 
side of the State budget. A .small, one-story, limited- 
life laboratory building has been constructed by the 
University to ease, ever so slightly, the press for new 
faculty space. The School continues to add mobile 
trailers for temporary offices and laboratories for 
faculty and their technicians. With the completion of 
the Ambulatory Building and the teaching building. 



there soon will be space to see more out-patients and 
teach more students. But the institution is not keeping 
up with faculty space, not only for the present faculty 
but for the increased numbers required as more stu- 
dents are admitted. At the present time there is an 
average of 493 square feet of usable office and labora- 
tory space per faculty member. Very conservative 
estimates indicate medical schools should have at 
least 725. The simple fact is— more space is needed 
to recruit more faculty. 

Admiral Nimitz's statement applies well to the 
Medical School. The University administration ap- 
proved "her" budget requests for "paint and powder" 
and included them in the University's request to the 
General Assembly. Each item has been selected for 
one reason— to correct a serious weakness at this insti- 
tution. 

The School of Medicine of the University of North 
Carolina seeks and will welcome your active support 
of these requests which will help the School fulfill its 
educational and service responsibilities to the citizens 
of North Carolina. 



SUMMARY DESCRIPTION OF "B" BUDGET 
PROGRAMS 

1. Special Teaching Program for North Carolina Medical 
Students 

The major objective of this program is to permit more 
students from North Carolina to become physicians. The 
admissions policy of the School of Medicine gives prefer- 
ence to residents of this State. To continue this policy as 
we expand the size of each class from 75 to 100 beginning 
in 1970 will require that students with less than optimal 
premedical education be admitted to this School. If such 
students are to become competent physicians the School 
must offer special educational programs designed to meet 
their needs. The special instruction will take a variety of 
forms in different departments, but in general will involve 
special lectures and small group instruction of students 
with problems related to learning the biomedical sciences 
required by competent physicians. 

2. Program to Improve Community Medical Care 

This request is for the support of the Division of Edu- 
cation and Research in Community Medical Care in the 
School of Medicine of the University of North Carolina at 
Chapel Hill. It is the responsibility of the School of 
Medicine d) to educate physicians and other health pro- 
fessionals for service in the State, (2) give leadership in 
developing at the community level the resources and 
facilities which will bring comprehensive health service 
to our people, and (3) seek new approaches for the de- 
livery of health care to North Carolinians. This request 
will permit the School to greatly accelerate its contribu- 
tion to over-all health services. 

3. Education of Personal and Family Physicians 

A major objective of the School of Medicine is to edu- 
cate individuals who will practice in the State as personal 
and family physicians. To this end the School must 
expand its educational program in which students and 
house staff can be taught to care for patients who do not 
need to be in a hospital. Most of medicine is practiced in 
physicians' offices or in ambulatory care facilities where 
individuals are treated as "ambulatory" or "out-patients." 
If our students and house staff are to be attracted to the 
practice of general medicine rather than to one of the 
many specialties, they must see that general medicine is 
one of the most important and satisfying areas of prac- 
tice. This program proposes to expand the out-patient or 
ambulatory teaching facility of the School of Medicine in 
a manner so students have the desired experience. 

The new faculty to be added will be individuals with 
a primary interest in the care of patients on an ambula- 



Winter, 1968-69/7 



tory basis and who have an interest in expanding our 
training program in family medicine. Such physicians will 
be able to teach students the importance of office prac- 
tice and that most patients can be effectively provided the 
care they need without sending them into a hospital. At 
the same time, in the new ambulatory care facility he will 
be able to teach the value of consultations by specialists 
when indicated. In this setting the students can learn 
much of what they need to learn about family medicine 
from individuals who are excellent teachers and who are 
well informed regarding the most recent developments in 
medicine. The new ambulatory care facility will also offer 
a good setting for teaching the student the value of using 
individuals in the allied health professions in providing 
patients comprehensive primary medical care on a con- 
tinuing basis. With the help of these individuals a physi- 
cian can give good care to a much larger number of 
patients. 

4. Laboratory Medicine 

Hospital laboratories are playing an ever increasing 
role of importance in all types of medical care. Modern 
medicine is based to a great extent on precise knowledge 
of each patient's illness gained through complex labora- 
tory studies. There is an urgent need for physicians with 
special training in laboratory medicine and for medical 
technologists to staff the community hospitals and the 
major medical centers of the State. The School of Medi- 
cine has a responsibility to educate individuals required 
for these positions. In addition, it has the responsibility 
of teaching each medical student and each intern and 
resident who are going into various branches of medicine 
an appropriate amount of laboratory medicine. To meet 
these responsibilities a new Division of Laboratory Medi- 
cine is being developed in the School of Medicine and 
the North Carolina Memorial Hospital. Laboratories that 
are providing excellent services to patients and in which 
new methods are being developed are required if our stu- 
dents and house staff are to receive sound education in 
this important branch of medicine. This proposal is for 
the support of the teaching functions of the new Division 
of Laboratory Medicine by providing funds to support the 
faculty that will have responsibility for teaching in this 
Division. 

5. Transplantation of Human Org^ans 

The Transplantation Program will have as its main 
purpose the education of physicians, nurses, technicians 
and supporting personnel to develop transplantation- 
kidney dialysis services in community hospitals and medi- 
cal centers throughout the State. 



6. X-Ray Treatment of Cancer 

With the impending availability of new physical facili- 
ties, the development of a cancer X-Ray therapy program 
in the School of Medicine will fulfill a serious need at this 
institution. The educational program in this important 
area of endeavor has lagged badly because of the unavail- 
ability of equipment and facilities, including, in particular, 
super-voltage (betatron and cobalt) methods. Accordingly, 
the resources of the Department in its educational and 
service responsibilities have been invested largely in 
diagnostic radiologic work. About eighty per cent of pati- 
ents referrable for radio-therapy could not be treated 
here because facilities have not been available. We now 
will have the opportunity to contribute greatly in this 
vital area of cancer treatment. 

7. Infant Survival 

The most dangerous time of life is that of the period 
immediately before and after birth, during which time 
many special problems arise. This is called the perinatal 
period. The purpose of this infant survival program is to 
educate physicians, nurses and technicians who eventually 
will become responsible for perinatal care in community 
hospitals throughout North Carolina. Such a program 
would focus on (1) improvement of obstetrical care of 
complex cases with particular emphasis on preventable 
disorders such as certain blood problems and diseases and 
on (2) improvement of the intensive care of seriously ill 
newborns, prematures, and infants with complex medical 
and liurgical diseases. 



8. Child Development Center 

The Biological Science Facility of the Child Develop- 
ment Center located in the School of Medicine, together 
with the Frank Porter Graham Center, constitute the 
Child Development Research Institute of the University 
of North Carolina, Chapel Hill. This center has as its 
main purpose the establishment of a major program to 
investigate the biological and behavioral aspects of human 
development. 

Construction of facilities for the institute has been 
funded with State and federal funds for completion in 
1970. The 1967 General Assembly approved an initial "B" 
budget of $34,786 and $79,834, respectively, for 1967-68 
and 1968-69. The current proposal will provide funds 
necessary for the support of faculty for the Biological 
Science Facility of the Child Development Center as the 
program expands into its new facility during the next 
biennium. 

9. Rehabilitation Medicine 

The purpose of the Division of Rehabilitation is to 
make available the benefits of modern rehabilitation medi- 
cine to some 600,000 individuals in North Carolina who 
suffer from some impairment in their ability to live 
normal lives. More physicians and allied specialists will 
be adequately trained. The program in Physical Therapy 
will be expanded and integrated into the Division. A 
curriculum in Occupational Therapy will be developed 
within the Division. It will participate in the education of 
nurses, speech therapists, psychologists, various public 
health professions, dentists, rehabilitation counselors, and 
special education teachers. Better rehabilitation services 
will be provided to patients in North Carolina Memorial 
Hospital and an educational program for physicians who 
wish to work in the field will be developed. 

10. Biomedical-Engineering and Biomedical-Mathematics 

This request would establish State support for a pro- 
gram in Biomedical-engineering and Biomedical-mathe- 
matics in the School of Medicine. BME and EMM are con- 
cerned with bringing to bear on health problems the tech- 
niques of modern engineering and electronics and mathe- 
matics, including computers. 

11. Ophthalmology 

Since the four year medical school was opened in 1952, 
Ophthalmology has functioned as a small division of the 
Department of Surgery. Ophthalmology has not rendered 
the patient care, the instruction to students or partici- 
pated in the research which is desirable in a Medical 
School of this caliber. The purpose of this program is to 
establish Ophthalmology as a Department of the School 
of Medicine, to expand the training programs, to produce 
more Ophthalmologists for the State of North Carolina, 
to more effectively instruct medical students and nurses 
in Ophthalmology, and to care for larger numbers of pati- 
ents in North Carolina Memorial Hospital. 

12. Comprehensive Respiratory Care 

Acute and chronic respiratory disorders represent a 
major health problem. Recent advances in the under- 
standing of lung function, disorders of the bronchial tubes 
and lungs, together with the development of technical 
advances in equipment and methods of treatment offer an 
urgent challenge for reorganized teaching and service 
programs in the University Medical Center. The develop- 
ment of this program will bring to bear an effective and 
multi-disciplinary educational approach in this vital health 
field. 



SUMMARY DESCRIPTION OF "C" BUDGET 
PROJECTS— 1969-71 

1. Preclinical Education Building 

This building, which will be constructed just north of 
the present Clinic Building, will house the Department of 
Pathology and the Student Commons. There will be about 
55,000 usable square feet (including Item #2 below) of 
which 18,000 is for the Student Commons, including 
dining and lounge facilities. This is the "make up" space 
which had to be cut from the Educational Building two 
years ago because of increased construction costs. 



8 /THE BULLETIN 



2. Medical Examiner's Laboratory 

This will be at the top of the Preclinical Education 
Building. The Medical Examiner's laboratory actually is a 
State Board of Health project required to provide space 
for the new Medical Examiner. However, since it is being 
constructed on UNC property, it must be shown in the 
UNC budget request. 

3. Clinical Science Office and Laboratory 

With about 91,000 usable square feet, this building will 
have 9 floors. The basement is designed for animals and 
the upper floors are off'ices and laboratories. The location 
is behind MacNider and south of the Infirmary. 

4. Bed Tower Addition at NCMH 

North Carolina Memorial Hospital beds will be in- 
creased by about 220 beds with this addition. This addi- 
tion is considered essential by the time classes of 100 
students reach their clinical years. 

5. Research Animal Farm 

New Department of Agriculture regulations pertaining 
to the care of animals require us to expand animal facili- 
ties. Phase I will be financed by the University in 1968 
(approximately $60,000 plus utility costs). The 1969-71 
request we expect to use for matching funds for a Health 
Research Facility construction grant. 

6. Renovate MacNider 

No major renovations have been made in MacNider 
since its construction. When the animal quarters are 
moved from the fourth floor and the teaching laboratories 
to the Education building, much renovating will be re- 
quired to convert space for faculty labs and offices. The 
name applies to existing faculty offices and laboratories. 

7. Renovate Clinic Building 

The first Clinic Building space requiring renovations 
will be the first and second floors, when the clinics are 
relocated to the Ambulatory building in Spring, 1969. In 
1970 the library will move. Major building changes will 
be required to make the space into efficient faculty labs 
and offices. 



8. Renovate NCMH 

Many improvements are required to maintain NCMH 
as a modern teaching hospital. This request would pro- 
vide renovations in many areas, including the fourth floor. 
The renovations are also necessary to integrate existing 
space on the first three levels with the new ambulatory 
patient care facility. 

9. Chapel for NCMH 

No State funds are required for the project but State 
approval is required tor its construction. The exact site 
is not yet known but an architectural study is under way. 
It will be constructed entirely with private funds. 



EDITOR'S NOTE: Since this article was written for 
the Bulletin, the budget recommendations of the Ad- 
visory Budget Commission and the Governor's budget 
message have been heard. The "A" budget recom- 
mendations are about as anticipated. "B" budget sup- 
port has been recommended only in the amount of 
$191,000.00 for 1969-70 and $204,000.00 for 1970-71 
for priority 2, "Program to Improve Community 
Medical Care." 

No funds have been recommended for the three 
major new capital improvement projects, items 1, 3 
and 4 of the "C" budget. Only item 5, Research 
Animal Farm ($282,000) has been recommended for 
the School of Medicine, although item 2 was recom- 
mended for the Medical Examiner's program. 

Now, more than ever, the School needs the help 
of "her" friends. 




Winter, 1968-69/9 



Painless and Enlightened GiviM 



Henry A. Lowet* 




Henry A. Lowet 

During the closing days of December, 1967, a 
client of my firm astonished me by asking whether 
some last minuate charitable gifts should take the 
form of highly appreciated securities or the net cash 
proceeds from the sale of these securities. I hastened 
to advise our chent that he would be much further 
ahead if he gave the securities directly to the charity 
instead of selling them and giving the net proceeds 
to charity after payment of the capital gains tax, 
brokers commissions and other expenses resulting 
from the sale. By giving the appreciated securities to 
the charity, the charity would not only realize more, 
but the client would obtain a larger charitable con- 
tribution deduction on his 1967 Federal income tax 
return. 

This experience demonstrated to me that even 
sophisticated business and professional people are not 
always entirely clear as to how to maximize chari- 



• Henry A. Lowet, a partner in the New York City law firm 
of Jackson, Nash, Brophy, Barringer & Brooks, was raised in 
Winston-Salem and was graduated from the University of North 
Carolina at Chapel Hill in 1954 and from the Yale Law School 
in 1957. While at Carolina he was elected to Phi Beta Kappa and 
to the Golden Fleece. Mr. Lowet has participated on various 
Practising Law Institute panels and has been the author of 
articles in the fields of estates and trusts and related taxation. 



table gifts and minimize taxes. It need not be re- 
peated that individuals should not make charitable 
gifts entirely for tax reasons; on the other hand being 
"tax conscious" doesn't "taint" your charitable gifts. 
As has been said before, the Commissioner of Internal 
Revenue is clearly your "partner" in the sharing of 
your income and your "heir" in sharing the assets of 
your estate at the time of your death. The Commis- 
sioner therefore may be very influential in your mak- 
ing gifts to a charity. To make the medicine go down 
a bit easier he does not merely encourage such gifts, 
he actually sets forth alternative ways of giving and 
designs some ways more suitable for the very wealthy 
and other ways for persons of more modest means. 

This article is intended as a general introduction 
to more specific ones which may appear from time to 
time, setting forth some ideas on estate planning and 
ways to maximize charitable gifts and minimize the 
impact of income, gift and estate taxes. 

BROAD TAX GUIDELINES 
FOR CHARITABLE CONTRIBUTIONS 

A. The Federal Income Tax 

The Internal Revenue Code provides for a Federal 
income tax ranging from 14% to 70% of your taxable 
income. An individual during any one year may de- 
duct up to 30% of his "adjusted gross income" as a 
charitable contribution provided that the contribu- 
tions are actually made to schools, churches, hospitals 
and other charitable organizations that receive a sub- 
stantial part of their support from the general public 
or a governmental unit provided such organizations 
are located in the United States. If an individual, on 
the other hand, makes gifts to personal, family or 
other non-public foundations or makes gifts where he 
merely gives the income, as distinguished from the 
principal, of a fund "for the use of" a charitable 
organization, such charitable contributions are sub- 
ject to a 20% hmit. 

In addition to the extra 10% allowable as an in- 
come tax charitable contribution deduction for gifts 
to certain special charities, you may "carry over" for 
the next five years the amount of any gifts in excess 
of 30% of your adjusted gross income if the gifts com- 
prising the 30% and the excess are all to these special 
charities. 

You should note, moreover, that charitable con- 
tributions have not been made by a "cash-basis" tax- 
payer if he has merely pledged to give to a charity; 
he cannot take a deduction until he has paid off his 
pledge. 



10 /THE BULLETIN 



Consequently, a life-time gift to a charity will 
generally— from a Federal income tax point of view- 
really onlv cost you that portion of each dollar given 
away which exceeds vour Federal income tax bracket. 
Thus, if your top bracket is 502, each dollar con- 
tributed only costs you 50 cents out of pocket. 

B. The Federal Estate Tux 

In contrast to the 20% or 302 limitations on life- 
time charitable gifts for Federal income tax purposes, 
there are no similar limitations with respect to gifts 
made at one's death to charity. Caveat: there are 
restrictions under the laws of most states, however, 
as to the amount of testamentary charitable gifts one 
can make where there is a spouse, child or parent 
surviving the decedent. 

C. The Federal Gift Tax 

There is no Federal gift tax on a transfer of cash, 
securities or other property to a charitable organiza- 
tion. It should be noted, however, that an organiza- 
tion must fall within the definitions of the Internal 
Revenue Code before the donor may be certain that 
a taxable gift has not been made. 

D. State Taxes 

Although this article applies only to Federal taxes, 
if you are a resident of a state with an income tax or 
with a death tax in excess of the maximum Federal 
credit for state death taxes, it is possible that these 
guidelines will also serve to reduce your state taxes. 



PROPERTY WHICH MAY BE THE 
SUBJECT OF A GIFT 

A few rules should be remembered in connection 
with making contributions to a charitable organiza- 
tion. In the first place, the value of such a gift, where 
it is other than in cash, is the fair market value on the 
day the gift is made. Incidentally, appraisals of prop- 
erty which may often be necessary are deductible by 
the donor on his income tax return. Secondly, when 
dealing with gifts of property other than cash or 
securities, it is entirely feasible and sometimes quite 
desirable to give a fractional interest to the charity 
in one year, an additional fractional interest in a sec- 
ond year and so forth. This often avoids the problems 
resulting from making a gift exceeding 202 or 30% of 
one's adjusted gross income. Now to list some types 
of property which may be given to charity: 

( 1 ) Good old cash 

(2) Securities 

(3) Life insurance 

(4) Art objects 

(5) Real estate 

(6) Oil and gas interests 



(7) Books and manuscripts 

(8) Remainder or reversionarv interests in trusts 
and life estates 

There are, of course, manv other tvpes of property 
which will come to the mind ot the reader. 



WAYS IN WHICH PROPERTY 
MAY BE GIVEN TO CHARITY 

Although most persons are familiar with the ways 
in which cash or property may be given to charity as 
an outright gift, cither during their lifetime or as a 
bequest under their wills, they are less familiar with 
the techniques of setting up trusts cither during their 
lifetime or bv their will where either the income is 
left to charity for a term of years with the principal 
then returning to the family's use or where the income 
is reserved for one or more persons' life or lives, with 
the remainder going to charity at some indefinite 
point in the future. It is the trust approach which 
may offer some of the most interesting and chal- 
lenging opportunities for making gifts to charity 
without substantially upsetting the donor's cash flow. 

NOW TO THE 'PAINLESS" OR 
"THERAPEUTIC" PART OF GIVLNC; . . . 

A. Alternative Gift Over to Chariti/ 

One of the least painful methods in which a 
charity may be remembered is to provide for an 
alternative gift over to charity in the event that for 
unexpected reasons the persons who are to be the 
beneficiaries of a trust or an estate should not be 
living at the time of the distribution. I have always 
found that clients are receptive to providing for an 
alternative to charity where it is pointed out that the 
trust fund or estate might pass to unknown heirs 
should the natural objects of ones bount\- not be 
living at a certain point in time. This may also save 
administration expenses to the extent that one's execu- 
tors or trustees do not need to search for distant rela- 
tives at some future date. The other side of the coin, 
of course, is that the charity under this type of pro- 
vision may not realize anything should it not become 
neces.sary to utilize the alternative provisions. 

B. Gifts to Churitij of Hi^hh/ Appreciated Securities 
or "Donative" Sales 

Referring back for a moment to my firm's client 
who requested advice as to whether to give highly 
appreciated securities directly to charity or to sell 
the same first and then give the net proceeds after 
expenses to charity, it should be pointed out that 
there are several ways in which such gifts may be 
accomplished: 

( 1 ) Let us suppose that vou wish to give The 
Medical Foundation $20, 000 and your portfolio in- 
cludes 400 shares of XYZ Corporation stock which 



Winter, 1968-69/11 



cost you, at $50 a share, a total of $20,000. Let us 
further assume that these same 400 shares are now 
worth $40,000 or $100 per share. You could give The 
Medical Foundation 200 of these shares and con- 
tinue to own 200 shares without a change in the $50 
a share basis of the retained shares. Your charitable 
gift would be $20,000 and you would not recognize 
any capital gain by giving the stock directly to the 
charity. 

(2) Another approach to making gifts of appre- 
ciated property is the so-called "donative" or "bargain 
sale." Let us take the same 400 shares of stock which 
have a $20,000 basis and a $40,000 market value at 
the time you are considering making the gift. You 
are still only desirous of making a gift of $20,000. You 
could consider selling the 400 shares to The Medical 
Foundation for an amount equal to your basis, that 
is the $20,000. Since the sales price is equal to your 
basis, you would not realize any capital gain and the 
difference between the sales price and the present 
market value would constitute a charitable contribu- 
tion for Federal income tax purposes. The value of the 
gift to The Medical Foundation and the amount of 
your charitable deduction would be the same as if 
you had made a gift of cash or securities equal to the 
difference between the fair market value of the prop- 
erty and the sales price. 

Although your charitable deduction is the same 
whether you use approach ( 1 ) or ( 2 ) , if you use ( 2 ) 
you have the additional benefit of a "stepped-up" 
basis for this reason: If you now took the $20,000 
sales price and purchased 200 shares of the same 
stock at $100 per share, you would be reducing your 
potential capital gain on eventual disposition by 
having "stepped-up" your basis from $50 to $100. 

Undoubtedly, the charity should be advised in 
writing as to the intention of making such a gift and 
the amount by which the fair market value of the 
stock exceeds the same price. 

C. Increasing One's After-Tax Dollars by Charitable 
Gifts 

It is often possible to increase one's after-tax in- 
come by making charitable gifts. As an example, let 
us take a taxpayer who has adjusted gross income of 
$100,000 (Line 9 from U. S. Individual Income Tax 
Return [Form 1040]). Let us assume that he has 
$15,000 of itemized deductions which include no 
charitable contributions. After also deducting, say 
$1,200 for two $600 exemptions, the taxpayer would 
have taxable income of $83,800. The Federal income 
tax on this sum, assuming that a joint return is filed, 
would be $35,544, with the taxpayer being in a top 
bracket of 58%. If the same taxpayer gave away 
$10,000 to charity, which is within both the 20% and 
30% limitations, his figures would be deductions aggre- 
gating $25,000 which, with his $1,200 of exemptions, 
would give him taxable income of $73,800. Filing a 



joint return, his Federal income tax would be $29,900, 
which is $5,644 less than if he had not made the 
charitable contribution. Thus far, this would result 
in a reduction of the income tax, but would not, of 
course, result in the taxpayers having more cash after 
all expenses and taxes had been paid by him at the 
end of the year. 

If, however, the taxpayer had in an earHer year 
bought, let us assume, a working oil or gas interest 
for which he had paid $20,000 and had taken a de- 
duction for intangible drilling costs in the year of 
purchase of, say, $10,000, the taxpayer could then 
perhaps give away this oil or gas interest in a later 
year, after obtaining an appraisal for the same, and 
receive a charitable deduction for this gift. Even if 
the oil or gas interest for which $20,000 had been 
paid were now only valued at, say, $10,000 to $15,000, 
the total economic benefit of the original tax deduc- 
tion for the intangible drilling costs taken as an 
expense, plus that for the $10,000 to $15,000 chari- 
table contribution would substantially serve to make 
the taxpayer "whole" and possibly more so, particu- 
larly if he received some oil or gas income (subject 
to the depletion allowance). 

D. The Charitable Remainder Trust, Reserving Life 
Income 

One of the best ways of eating one's cake and 
having it too is by creating an irrevocable trust re- 
serving the income for the grantor's life and setting 
aside the remainder to charity. This type of trust will 
be discussed in further detail in a later article, but it 
will suffice to say here that such a trust will not re- 
sult in any reduction of income during the grantor's 
life as he has reserved the right to receive the income 
from the property. On the other hand, by virtue of 
having irrevocably set aside the remainder to charity, 
the actuarial value of the remainder (that is, after 
deducting the actuarial value of the life estate from 
the fair market value of the property placed in the 
trust) will qualify as an immediate charitable con- 
tribution under the Federal income tax laws. More- 
over, although this type of trust will be included in 
the taxpayer's gross estate for estate tax purposes, it 
has the further advantage of maximizing the marital 
deduction, where one is survived by a spouse, and of 
giving the estate an off-setting charitable deduction 
roughly equivalent to the amount included in the 
estate for estate tax purposes. 



No doubt, many persons reading the foregoing 
will prefer to remain straightforward fellows who will 
much prefer the simple methods; others perhaps may 
not deplore the subtleties quite so much. For those 
who believe that these are all new "tax avoidance" 
schemes, let them be reminded that these are in many 
respects present day forms of what English solicitors 
began to do for their clients hundreds of years ago. 



12 /THE BULLETIN 



Are Our Medical School Facilities 

Qualified To Teach Medicine?* 

Dickinson W. Richards, M.D. 

Nobel Laureate in Medicine and Lambert Professor of Medicine, Emeritus 

College of Physicians and Surgeons, Columbia University 



phers have not given more attention to this prin- 
ciple.) OTKOTN ETI nPOTEPON: he asks. "Is 
there not something before? Have we not a prior ques- 
tion?" It is this principle which I shall try to apply, 
from time to time, as we proceed. Have we not a prior 
question? 

In continuing his reply to Lysimachus and 
Melesias, Socrates asks further, "What exactly is this 
thing for which we are seeking good teachers? Surely 
it is not swordsmanship as such." After further con- 
versation, Socrates then asks, "Do we not say, then, 
that we are looking for learning that is in behalf of 
the souls of our young men?" Be it noted that sou] is 
a most inadequate translation of the original Greek 
word here, which is ^TXH, psyche. ^PTXH is a very 
large and comprehensive work in Greek; originally 
a "breath," it connotes spirit, mind, reason, spiritual 
desire, understanding— the whole inner life of man. 
This is what Socrates says teaching is for. We shall 
come back to this. 

But to return to my title, OTKOTN ETI 
nPOTEPON; Have we not a prior question? To start 
with, I suggest three very obvious prior questions: 

1. Who are, who constitute, our medical school 
faculties? 

2. What are, or should be, the qualifications for 
teaching medicine? 

3. What is medicine? 

Being perverse, I shall answer first the last ques- 
tion: What is medicine? 

Traditionally, the objective of medicine has been 
to relieve human suffering in all its multitudinous 
forms. We cannot hope or even try to deliver man 
from the totality of his suffering; but it is our respon- 
sibility to contemplate this— all the way from hu- 
manity uprooted down to the merest scratch or pass- 
ing anxiety— and to relieve what we can. 

This is well enough for a generalization, but we 
need more. What actually does medicine consist of? 
Four categories come to mind: (1) the individual 
care of the individual sick man; (2) the study of dis- 
ease or diseases as such; (.3) the care of sick people 
in groups, as in an institution; and (4) concern for 
all the illnesses, and the health, of an entire popula- 
tion. 

The scope of medicine has \aried greatly over till- 
ages. With Hippocrates and his school— to begin at 
the beginning— it was extraordinarily broad. They 




Dickinson W. Ricliards 

My title is provocative, perhaps unkind. Coming 
from one who has tried to teach medicine for the past 
forty-odd years, it is a betrayal of my own class— the 
worst form of social treason. 

I shall start by seeking a principle according to 
which our discussion can proceed, and I shall do this 
in traditional fashion by going back to Plato— specific- 
ally, to the Laches, one of his early dialogues having 
to do with teaching. 

The scene opens with two gentlemen, Lysimachus 
and Melesias, who being concerned about the educa- 
tion of their sons, are having a conference with two 
old generals as to whether or not their sons should 
be instnicted in swordsmanship. The question is re- 
ferred to Socrates, who is standing by. In his quiet 
way, Socrates then propounds one of the great prin- 
ciples in all reasoning, ( I am surprised that philoso- 

• Delivered in Chapel Hill on Medical Alumni Day, April 5, 



Winter, 1968-69/ 13 



dealt with all branches of medicine which they en- 
countered, giving a description, a diagnosis, and a 
prognosis for each recognizable entity and pursuing 
vigorously such empirical therapy as was then avail- 
able. They wrote on epidemiology and environmental 
medicine. In surgery, obstetrics, and other specialties, 
their anatomy was accurate and their treatment, 
rational. In community care, the interest and concern 
of Hippocrates himself extended all over the Aegean 
basin and surrounding countries. He visited plague- 
stricken lands as far as distant Illyria, and received 
honors from Argos, Athens, and Thessaly. He was "a 
man for all seasons," if medicine ever had one. 

Galen, six centuries later, was far more of a scien- 
tist than Hippocrates was, making outstanding dis- 
coveries in anatomy and physiology; but as a physi- 
cian his egotism, his contentiousness, his claim to 
omniscience and to miraculous cures, and the enorm- 
ous multiplicity of his remedies tended actually to 
reduce rather than enlarge the scope of medicine as 
a profession. Under him and after him medicine be- 
came fixed, its vision lost, its horizon shrunk. Personal 
care of individual patients, with appropriate rewards, 
became the beginning and end of medical practice. 

The true conception of a hospital, as an institution 
for the sustained care of the sick and needy, probably 
began upon the closing of all Aesculapia and pagan 
temples, by order of the Emperor Constantine in 
Byzantium in the year 335 A.D. Under the influence- 
so tradition tells us— of his mother Helena, institutions 
to care for the sick, for foundlings, for the helpless 
poor, for the aged, for poor and infirm pilgrims, and 
so forth began to be founded in the Eastern Roman 
Empire. For a thousand years and more, these re- 
mained largely under the care of the Church. In the 
sixteenth, seventeenth, and eighteenth centuries the 
hospitals were progressively taken over by the cities 
and the state. 

Physicians served in these hospitals. William 
Harvey, for example, was physician to St. Bartholo- 
mew's Hospital in London for 35 years, his duty being 
to present himself there one day in the week, pre- 
scribe for such patients as could walk to his desk in 
the Great Hall, and go and see in their beds those 
who could not. But the individual care of the indi- 
vidual patient, in the Galenic tradition, remained by 
far the major activity of the medical profession. 

We shall come back presently to events on the 
continent of Europe, but let us now, in the best iso- 
lationist manner, look at America first. 

It was from the tradition of the great clinicians of 
the eighteenth century that American medicine had 
its origin. Its leaders were trained in the clinics of 
Paris, Leyden, Edinburgh, and London. Returning to 
this country, they established medical schools in the 
same tradition; and these institutions were excellent 
for their day. But in the mid-nineteenth century 
schools increased in numbers and declined in quality 
to a deplorable degree. This was the setting for a 
true revolution in medicine, perhaps as great as any 
that has occurred, at least in our country's history and 



within the span of one generation. This revolution 
was instigated and, in large part, carried out by one 
man, Abraham Flexner. In any evaluation of Ameri- 
can medicine of today, it is necessary to look into 
this remarkable transformation, taking into consid- 
eration both the gains and the losses that have oc- 
curred as a result of it. 

The situation in the United States and Canada in 
1908, when Dr. Flexner began his survey, was as 
follows: Within the preceding century, 457 medical 
schools had been started in the United States and 
Canada; and in 1907, 155 of them were still extant 
and in active operation. They included good, bad, and 
indifferent schools— but most of them were of the 
poorest quality. They were private ventures, under- 
taken for the purpose of making money, the income 
being divided among the lecturers. A school starting 
in October might graduate a class the following 
spring. 

As a result of the oversupply of medical schools, 
the country became immensely oversupplied with 
doctors. Pennsylvania had one physician for every 
636 citizens; Nebraska, one for every 602; Colorado, 
one for every 328. Towns of one or two hundred 
might have two or three physicians. Doctors were as 
numerous in those days as churches, and as varied. 
In 1908, with about 1500 new M.D.'s needed, accord- 
ing to Dr. Flexner, 3497 were graduated. "It appears, 
then" wrote Flexner, "that the country needs fewer 
and better doctors, and that the way to get them 
better is to produce fewer." 

Let us look brieflv at the background of this re- 
markable man. Educated in the liberal arts, Abraham 
Flexner taught in the secondary school system for 15 
years. After a year of graduate training at Harvard 
and some courses in education in Germany, he 
plunged forthwith into the examination and evalua- 
tion of medical schools in the United States and 
Canada. He admitted at the start, and later even 
boasted, that he had previously never even set foot 
inside a medical school. Whatever knowledge of 
medical education he eventually possessed, he picked 
up as he went along. 

His method of attack was direct and his con- 
clusions were uncompromising. He visited personally 
every one of the 155 medical schools, and then wrote 
his report to the Carnegie Foundation, the famous 
Bulletin No. 4. The efl^ects of this report were so 
shattering that within a few years the number of 
medical schools in the country was reduced from 155 
to less than 80. 

Leaving the critical and destructive, Flexner 
moved to the creative, reorganizing good medical 
schools and establishing new ones. His model of per- 
fection was Johns Hopkins, and his hero, guide, 
philosopher, and friend was William H. Welch. He 
certainly could not have chosen better. 

Flexner's was the era when private enterprise was 
supreme and private fortunes were all but inexhaust- 
ible. He went after these fortunes relentlessly, and 
with prodigious efl^ect. The medical schools which 



14 /THE BULLETIN 



were rebuilt, or created de novo, through funds which 
Flexner extracted from local sources and from foun- 
dations, are those in which most of us have had and 
still have our training and our jobs; and those which 
have been built since Flexner's time are largely cut 
from the pattern which he envisioned. 

Flexner's motto was "excellence," and his prin- 
ciples: that the medical schools should be founded 
on a faculty of full-time men; and that the schools 
should be independent, devoted to the teaching of 
medicine and the advancement of medical science, 
and not involved in outside responsibilities. He had 
no great concern for the public welfare in the broader 
sense, nor practical interest in the public domain. He 
was interested in interesting people, not in the run 
of the mill. 

After his studies of the 155 medical schools, one 
is not surprised that he was not too favorably in- 
clined toward the practice of medicine as such. Of 
his new faculties he wrote. 

The clinical teacher becomes one in type with 
the teachers of the scientific branches. Teach- 
ing and research cease to become incidents: 
they become his interest, business and duty. 
Practice, whether general or consultative, be- 
comes secondary. 

However this may be, Flexner's "citadels of ex- 
cellence" went forward with enormous success. In 
describing the whole of the Flexner era, I believe that 
there is value in considering it in two parts, the divi- 
sion being based not so much on the state of medi- 
cine as on the state of society: (1) the quarter- 
century from World War I to World War H, and (2) 
the three decades from World War H to the present. 

Without going into the philosophic question as to 
whether it is the spirit of the men that produces the 
age or the spirit of the age that produces the men, one 
is certainly impressed by the number of remarkable 
men, most of them quite young, who filled the chairs 
of medicine, surgery, pathology, biochemistry, physi- 
ology, and other disciplines in the early and late 
1920's. These were great days. If education is to be 
concerned, as Socrates said, with the "souls of our 
young men," this was one of those times. The science 
of medicine concentrated on the mechanisms of health 
and disease, and this disease-oriented research, as we 
all know, produced truly stupendous achievements. 
I suppose every man has his own most vivid experi- 
ence. For me there has never been anything quite as 
thrilling as the discovery of insulin. In 1922 and 1923 
I was a third- and fourth-year medical student, work- 
ing on the wards of the "old Presbyterian Hospital" 
in New York. One ward there was devoted to diabetic 
children. To see those brave, hopeless little skeletons 
suddenly come to life again and grow into normal 
children within weeks or months was an experience 
not to be forgotten. 

But we must also look more broadly at the Ameri- 
can scene in those days. It should be emphasized 
that the social framework within which the Flexner 



revolution took place was, for it, a fortunate one— 
and some of the most fortunate aspects were those 
toward which Flexner himself was most scornful. 

Whether the phvsicians caring for the people of 
the country were good, bad, or indifferent, there were 
plenty of them. They would come when you sent 
for them and would do the best they could— and most 
of them learned much from the advances of medicine 
in their time. 

Of at least equal importance is the fact that the 
first-class participating clinicians, whom Dr. Flexner 
spoke of so slightingly, stayed on in the revolutionized 
medical schools and hospitals, and provided the sound 
background in clinical medicine from which the new 
research could make its start. The collaboration then 
in operation, at efjual levels, between clinicians and 
research men provided the students with high-quality 
and balanced teaching. 

Still another aspect of the same situation is that 
the full-time faculty members of that day were them- 
selves excellently trained and superb clinicians. One 
thinks of Francis Peabody, George Minot, Allen 
Whipple, Eugene Dubois, Francis Blake, and War- 
field Longcope— to give the briefest sampling of a 
long list. 

With the end of World War II, events began to 
change in a drastic way. While the benefits to medi- 
cal science from the "citadels of excellence" con- 
tinued, or even increased, the Hmitations- the nar- 
rowness—of the system became progressively more 
apparent; and the citadel, as well as the society sur- 
rounding it, has become the victim of the citadel's 
own virtues. Some long-neglected chickens have come 
home to roost; and if it is an oddly contrived meta- 
phor to speak of chickens coming home to a citadel, 
perhaps this illustrates even more vividly the incon- 
gruity of our present position. 

We must try to evaluate what we have lost in the 
course of this revolution, as well as what we have 
gained. 

Concentrating on the conquest of disease, our 
leaders have pursued with sustained enthusiasm and 
great ability the advancement of medical science. 
Great achievements have issued from this research, 
which I need not detail. The study of the mechanisms 
of disease has carried medical scientists ever further 
into biochemistry, physics, mathematics, and engi- 
neering. The huge increases in costs, both of research 
and of medical care, and the overriding place of the 
federal government in both, while of first importance, 
are not a part of my subject. 

To come back to research itself, the enthusiasm 
naturally has spread from faculty to students; and 
they in increasing numbers have found the ways of 
science not onlv attractive but profitable. Locating a 
research problem, a capable and enthusiastic student 
pursues it, to the National Institutes of Health and 
elsewhere; or, perhaps more often, he goes to the 
N.I.H. first and has the problem offered to him. In 
any case, he concentrates on this problem, becomes 



Winter, 1968-69 / 15 



a teacher in turn and, before too long, a professor. 
This is the path to glory. 

OTKOTN ETI HPOTEPON; Have we not 
now a prior question? Yes, we have— a number of them. 
I shall distinguish two: one internal to the medical 
school and one external. 

Concentrating on the conquest of disease or, more 
exactly, of a particular individual disease, the teacher 
tends to narrow his field of interest too greatly. The 
patients in a teaching hospital also tend to be se- 
lected, not run-of-the-mill cases. It is not quite fair 
to say that we spend most of our time teaching dis- 
eases that most people do not have; but the statement 
does have some relevance. As for the students them- 
selves, especially those destined for academic careers, 
their early research orientation often makes them cut 
comers on their clinical training; when they in turn 
become professors, they are lacking in breadth of 
experience. 

The effects on the practising clinicians who serve 
as teachers, insofar as these survive, are severe. They 
are truly second-class citizens. Their counsel is tol- 
erated but not accepted, while the resident reigns 
supreme. They themselves become discouraged, and 
often fall further behind. We still do have clinicians, 
actually practising clinicians, who are doing top- 
quality research; but their path is not easy, their 
academic recognition is held back, and their numbers 
are diminishing. Clinical investigation as such is re- 
ceiving relatively less attention, at a time when it is 
increasingly needed, and when it must become more 
rigorous. 

Correspondingly, the full and comprehensive and 
continuing care of the patient, especially in relation 
to his familv and com.munity, is given low priority. 
It is true that there are excellent outpatient-care pro- 
grams which do follow their patients most carefully; 
but the number of patients that can be handled 
through these programs is very small compared with 
the total need. 

So much for the internal consequences; now for 
a few of the external. As we have noted, one of 
Flexner's cardinal principles was that his citadels of 
excellence should be independent, concerned with 
teaching and research, and not responsible for either 
the medical or the social needs of the community. In 
spite of the increasing importance given to preventive 
medicine and public health within recent years, this 
principle is responsible for some of the very large and 
long-neglected chickens that are coming home to 
roost. 

In the first place, our medical schools for the past 
two generations have produced too few doctors for 
the country's needs. I realize the enormous difficulties 
and complexities involved in this situation, and I am 
only stating the fact. Second, there is more and more 
specialization and more and more concentration of 
doctors, not only in medical centers but, even more 
significantly, in cities and affluent communities, where 
good medicine can be both practiced and rewarded. 
Distressing as is the decline in the number of general 



practitioners, the increasingly serious maldistribution 
of physicians is even more disturbing. New practition- 
ers are forsaking altogether the underprivileged 
population areas. All this is well known. The results 
in social terms are alarming. Dr. David Rutstein has 
summarized the case in his book. The Coming Revo- 
lution in Medicine. 

The cold, hard facts of international statistics give 
the story more pointedly than arguments pro or con. 
In such indices as longevity and infant mortality, the 
United States has been slipping badly. Once near the 
top of the list among civilized nations, we are now 
near the bottom. In 1959, we were already thirteenth 
on the list of life expectancy for males, and by 1965 
we had slipped to twenty-second place. In the more 
sensitive index of infant mortality, our country ranked 
eleventh in 1959, eighteenth in 1965. In 1964, infant 
mortality among the white population in the United 
States was 21.6 per thousand births; that among the 
nonwhite population, 41.1 per thousand. Those figures 
mean the death of one infant out of every 25 born 
in this country. 

Finally— and this is the light ahead— our outdated 
Flexner system is now coming under strong criticism, 
not only from social sources outside but also from 
many of our younger teachers and scientists within. 
Perhaps the severest critics of all are many of our 
students, who resent our failure to teach them more 
of social medicine and social responsibility, and com- 
plain, as Dr. Irving London has recently reported, 
of the "sterility of the spiritual atmosphere in their 
medical education." If Socrates were standing at our 
side right now, what would he be saying about "the 
souls of our young men"? 

In this country, attempts to solve all these prob- 
lems seem to have emphasized chiefly more advanced 
organization: large regional complexes for total com- 
munity care, intricate machinery for processing ad- 
ministrative as well as medical data, echelons of 
medical and paramedical personnel. These solutions, 
I am sure, have great potentialities; how far they will 
go in providing personal care of the sick is hard to 
predict. In any case, I am not competent to develop 
this theme. 

It is curious that we have given so little attention 
to the achievements of other countries, especially in 
Western Europe, which have faced the same social 
problems, and have solved them so much better than 
we have. As one looks back, their progress did not 
take place in a year or a decade, or even in a century. 
Also, it was not the medical profession primarily, but 
rather the statesmen, who were most responsible for 
the results achieved. 

We can look back over Cjuite a span. Vauban, the 
great military engineer of Louis XIV, devoted himself 
also to social reform. Writing a report to His Majesty 
in 1707, he estimated that one tenth of the French 
population were reduced to beggary, while another 
five tenths lived continuously on the verge of desti- 
tution. Many years later, just before the French 
Revolution, Montyon discussed the high infant mor- 



16 /THE BULLETIN 



tality among the poor, industrial diseases, and ill 
health caused by malnutrition. As would be expected, 
social welfare became a problem of primary interest 
with the onset of the Revolution. A Committee on 
Mendicity during the early years, and later a Com- 
mittee of Public Assistance laid comprehensive plans 
to deal with pauperism, hospitals, and welfare of all 
sorts. These plans flourished until the summer of 1794, 
when all was swallowed up in the demands of war. 
History repeats itself. 

Two generations later, when the horrors of child 
labor and the other disasters of the Industrial Revo- 
lution were becoming apparent, a strong voice was 
raised, and this time it was from the medical pro- 
fession—that of the redoubtable Rudolf \'irchow in 
Germany. "The health of the people." he declared in 
1847 and 1848, "is a matter of direct social concern." 
"Social and economic conditions have an important 
effect on health and disease," and "the measures in- 
volved in [remedial] action must be social as well as 
medical." Here again, however, politicial considera- 
tions were dominant and, as George Rosen writes, 
"uith the defeat of the revolutionary movement of 
1S48, the revolutionary reform movement collapsed." 

It is an interesting but largely unknown fact that 
Dr. Flexner, shortly after his study of medical schools 
in the United States and Canada had been completed, 
made a similar study in England, France, and 
Germany. His success was something less than spec- 
tacular. The distinguished medical men in Europe 
listened to him politely, but were not inclined to 
change their ways in the fashion that this rather brash 
young American reformer prescribed. There have 
been i\\o diametrically opposed results of this in- 
action. The first is that the leaders and the leading 
schools of Europe have been trying to catch up with 
the American schools in their research and also in 
their teaching methods; the second— whether casually 
related or not— is that, in the provision of medical 
services, Europe has far outstripped the United States. 

One of the most remarkable health records of any 
country has been that of the small, relatively poor, 
widely scattered people of Norway. The story is well 
and simply told in a recent essay by Dr. Karl Evang, 
Director General of the Health Services of Norway. 
This story is not a special and isolated instance, but 
illustrates the progress of medical care in the more 
socially minded countries of Europe. 

In 1911, the year following Flexner's explosive 
outburst against medical schools in the United States 
and Canada, Norway in its own quiet way instituted 
an experiment in medicine that has proved to be as 
important for society as Flexner's was for science. 
This was the adoption of a public, nonprofit health 
insurance plan, covering about 20 per cent of the 
population. The program gained popularity, and has 
gradually been expanded. Since 1956, all the people 
have been covered. Today every Norwegian citi/cn 
enjoys the following benefits: 

1. Overall medical care: consultation and treat- 
ment by family doctor, or specialist if needed, until 



the illness is relieved or cured. For all except a few 
services the patient pays approximately 30 per cent. 

2. Free hospital care for all diseases as long as 
refjuired. 

3. Maternity benefits: all costs related to the birth 
of the child. 

4. Convalescent costs within limits, drugs inside 
and outside the hospital, limited home nursing, 
funeral allowances, and ea.sh allowances for sickness, 
Iving-in periods, family maintenance, and so forth. 

Slightly more than half the cost ot this plan is 
covered by sickness insurance premiums; the re- 
mainder, by employers and central and local govern- 
ments. The average citizen's premium is 3 per cent 
of his total income, although the percentage increases 
with higher incomes. There is free choice of doctor 
and hospital, and assurance of medical care, regard- 
less of the patient's means. 

"The very real problem of attracting doctors to 
remote areas has been 'foreseen' and to a large extent 
solved through the public health service," writes Dr. 
Evang. Local district doctors are appointed and paid 
by the central government. They care for the sick and 
must also meet all types of health and hygienic prob- 
lems. Besides his salary from the government, "he 
can earn fees as a practising physician." There are 
many details of the system which obxiouslv I cannot 
go into: nursing homes supervised by central hos- 
pitals; all doctors' fees, private and otherwise, held 
within a framework of so-called "normal rates" estab- 
lished by the Norwegian Medical Association and the 
Ministry of Prices and Wages. 

Under the operation of this policy, Norway stands 
in some health indices at the top, and never lower 
than fourth, among civilized countries. 

To return to our major problem, we have before 
us what Dr. Thomas McKeown of England has called 
the gap between medical knowledge and medical 
services. Medical knowledge, disease-oriented, is mov- 
ing ahead rapidly; medical services, community- 
oriented, lag behind. In a word, we in our citadels 
still have not realized that, nliile there is a scicnee of 
medicine, medicine is not a science. It recjuires science 
—physical, biological, and social— for its acKancement; 
but medicine is primarily a service, as Hippocrates 
told us very pointedly 24 centuries ago. 

How. then, should one proceed to bring medical 
teaching into moderTi times? I can offer a few addi- 
tional suggestions, from an obviously limited point 
of view. Again I should like to divide these consid- 
erations into those internal and those external to the 
schools themselves. 

Let us discuss first the internal adjustments. In 
general, as one approaches a changing situation it is 
well to bear in mind that there are things that need 
to be discovered, and other things that need to be 
rediscovered. One of the latter. I belie\c, is the value 
o( the pr;ictising physici;ui in the teaching of medi- 
cine. He sliould be restored to iiis rightful place as 
a first-class citizen in the world ot ;icademie medicine. 



Winter, 1968-69/ 17 



what can the practising cHnician bring to the 
medical school and teaching hospital that is both 
essential and unique? It should not be necessary to 
spell out his contributions, and yet it seems to be. 

A primary contribution, surely, is quickness of 
decision. Some decisions must be made within a day, 
some within an hour, some within a minute. An expert 
clinician can, as we all know, arrive at a decision on 
the basis of his own examination, plus at most a few 
laboratory tests— whether in the emergency room, in 
the ward, or in the home. For a student to be a part 
of this action is a liberal education in itself. If the 
case does not require immediate action, there are still 
important decisions to be made at the beginning: how 
to orient the case, how to reassure the patient, how to 
reassure the family, and how to get the diagnostic 
show on the road, without unnecessary expenditures 
of time and money. 

Another value of the practising clinician is the 
opportunity afforded medical students to observe a 
long-continued personal relationship between doctor 
and patient. The student must see this type of rela- 
tionship to appreciate it. 

All these things can be taught, partly by precept 
and partly by example. The guiding principle here, 
which is common to all teaching— and to all decision- 
making, for that matter— is the art of simplification, 
of finding what is essential out of the mass of com- 
plexity. The clinician's ability to do this is his supreme 
quality. In this world of inexorably increasing com- 
plexity, we need to search constantly for simplifica- 
tion, for achieving by a very few data in a very short 
time as good a decision as the machine makes for us 
on the basis of hundreds or thousands of data ob- 
tained over a much longer time. 

Such a process has been called intuition. I myself 
dislike this word, as being chiefly a gloss to hide 
ignorance and prevent analysis. The operation which 
we call intuition is actually a value judgment, derived 
from experience and memory, enhanced by imagina- 
tion. 

Since most medical students will eventually prac- 
tice medicine, it seems self-evident that they will 
learn much from practitioners. The wider the clinical 
experience represented in the teaching faculty ( group 
practice, specialty practice, public health, and so 
forth), the better. 

This has importance not only for the direct con- 
tribution of the practitioner to medical teaching, but 
especially so in establishing better relations, on equal 
terms, bet\\'een practitioner, laboratory workers, and 
fulltime members of the department. All should bene- 
fit. One field needing special attention these days is 
clinical investigation, both by scientist and clinician; 
and especially in research design. Joint effort should 
help. 

Another internal consideration is that of further 
broadening the scope of what is being taught in medi- 
cal schools. On this matter one finds large differences 
of opinion. In a recent editorial written for Science, 
Dr. Irvine Page expresses the hope that "the 'Ivory 



Tower' aspect of medical schools will not be de- 
stroyed," and suggests that "the necessary community, 
social, and medical functions can better be assumed 
by other existing agencies." Dr. Page is speaking here 
of actual community care; but we can still ask, "Have 
we not a prior question?" Regardless of how these 
functions are to be served, and by whom, the prior 
question is, "Where are they to be taught?" 

I can think of no logical place except the medical 
school for teaching these functions, including group 
practice, health insurance, and social practices in the 
community, and for training so-called paramedical 
personnel— technicians, bioengineers, and the rest. I 
agree with Dr. Rutstein that the nursing profession 
also needs to be divided into a number of separate 
services, with separate training to correspond. 

In other words, the medical school must emerge 
from its Flexnerian type of operation, specializing in 
the mechanism of disease, into a very large graduate 
and postgraduate institution, with many forms of 
instruction at many levels. The two years of basic 
training as undertaken by the Duke University School 
of Medicine, with electives in later years, would lend 
itself to this kind of expansion. Almost necessarily, 
such activities would be shared by other university 
departments, with extensive interrelations. 

When we turn to the consideration of affairs out- 
side the actual teaching in medical schools, we must 
ask ourselves, "What is the social and economic frame- 
work within which our schools will operate?" In a 
recent discussion of health care under regional medi- 
cal programs. Dr. Dwight Wilbur has warned that, 
in the midst of change, certain things must be pre- 
served, and among these is freedom for doctors to 
practise in the specialties, locations, or jobs that they 
choose. Dr. Rutstein seems to imply the same thing, 
and I agree with both. There must, of course, be firm 
regulations to ensure ethical practice— and if Europe 
is a precedent, as it probably is, these will become 
more stringent as time goes on. 

Finally, I want to offer some suggestions that ex- 
tend beyond the range of many that have been pro- 
posed to cope with the coming revolution in medicine. 
Here they are, thrown at you all at once. 

First, I believe that all medical education should 
be paid for out of government funds— federal, state, 
or both. This has been done for years in most Euro- 
pean countries, and there is every reason that it 
should be done here. Logistically, this would be the 
simplest and most direct way to meet at least a large 
part of the massive costs of the plans that are now 
being made. Those who are knowledgeable in these 
matters tell me that the cost would be significantly 
less than half a billion dollars per year— less than one- 
tenth the annual cost of our moon-shot program, or 
if you prefer, one-fifth of the monthly toll of the Viet- 
namese war. This single action would, it seems to me, 
cut a number of Gordian kmots: relieve hard-pressed 
medical schools and solve many problems of medical 

(Continued on Page 31) 



18 /THE BULLETIN 



Notes on a Trip to 

England and Ireland 



Bv C;. Patrick Cuiteras ( '69 ) 



Preface: 



Most prefaces are to stories whiat uvulae are to pa- 
lates — unnecessary. This story, however, requires a pref- 
ace in order to malie it understandable. 

1 spent this past summer working as a clinical clerk 
at the National Hospitals for Nervous Diseases, at Queen 
Square and at Maida Vale, London, England. I kept a 
highly erratic journal of my experiences, writing only 
when the fancy struck or I had nothing better to do. 
Thus, many people, events, and places are presented hap- 
hazardly, when they really merit more thorough descrip- 
tion. 

For reasons that will become apparent as the story 
progresses, you must have in mind the following facts: 

1) Because of scheduling difficulties, my wife's ar- 
rival in England preceded mine by one week and her 
departure followed mine by one week. 

2 1 Sis and Gin are my sisters and they live in London. 
Sis is married to John, and his parents are Mr. and Mrs. 
Franklin. 

3i Professor Valentine Logue is the boss of neuro- 
surgery at Queen Square and Maida Vale. 

4) The names of all patients and of all persons about 
whom nasty comments are made have been changed, more 
for my protection than theirs. The names of persons whom 
I have complimented are true, and I hope they will be 
flattered. 

5) The identities of Sheps and Nass you must deduce 
for yourself. They are at once inscrutable and ethereal in 
real life and shall so remain in this narrative. 

June 25. 1968 

I want to write down a few things before I forget 
them. It has been six days since I was in New York City, 
and much has transpired. 

The Biltmore Hotel, where 1 stayed, was pleasant, but 
the rest of the city was awful — crowded, expensive, dirty, 
malodorous, hot, and suspicious. I fought ray way to Times 
Square just to look at people — but there were too many 
to look at If I tried to follow one person down a street, 
assess his personality, and make up the story of his life — 
or only the story of his evening — he disappeared in the 
crowd, or someone else would catch my eye, before I 
could figure out what he was like. All the girls wore very 
short skirts, even the fat ones itheirs usually shorter than 
the othersi. The dresses were so short that it was im- 
possible to tell the whores from the "good " girls. I soon 
gave up. Since it was Election Day in New York, no liquor 
was sold. I went to the Metropolc Cafe briefly to watch 
the go-go girls, but they had no pride in their perform- 
ance. I left shortly and went to bed. 

The next morning, for $1.65, 1 bought a breakfast con- 
sisting of one egg, toast, juice, and coffee; it would cost 
less than SOc at home. I then walked down to the United 
Nations and went on a guided tour. Miss Kang of Korea 
was our guide. The buildings and such were interesting, 
but not much was happening. It then took me about an 
hour to walk from the U.N. to the Metropolitan Museum 
of Art. Toward the end of my walk I was suffering from 
continuous, not intermittent, claudication. I kept wanting 



to hail a taxi, but I just knew I would get cheated. The 
Museum had many of my favorite works of art i"I don't 
know much about art, but I know what I like"i. .Ml the 
Japanese, Greek, and Roman stuff was just the same li.e., 
dead I, but Rodin was there — The Thinker and all the ones 
of embracing bodies that embarrass you until you realize 
just how beautiful they are. There was a good section of 
Renoir with his healthy, ruddy, firm girls Also Monet, 
Manet, and Seurat; Sunday Afternoon at . , . i 'Grand 
Jatte? I was there and was much more beautiful than the 
reproductions you see in books 

Since my legs were dead by tlien, 1 ga\e in and took a 
taxi to Grand Central Station to wait for Sheps. It was 
an amazing place, crowded with people going in different 
directions, criss-crossing, weaving in and out. running, 
incessantly moving: I got dizzy just watching them. I first 
noticed Sheps when he was about three inches from me; 
I must have been looking at him for 50 yards or more. 
We ate lunch at a restaurant featuring giggly waitresses 
in leather micro-skirts, of all things We then went to the 
airport la $10 taxi ridei and waited for our plane to 
England. 

A large group of Negroes, old and young, were there 
awaiting the arrival of James Brown and His Famous 
Flames and carrying signs reading "Welcome Home, 
Jimmy"; "He's Our Soul Leader " They set up a rock band 
right in the middle of the terminal and began to ))lay. 



iHl} 




The author polishing his memoirs. 

Wmter, 1968-69/ 19 



and play, and play, and play. They knew two tunes. Every 
half-hour or so, someone would scream. "There he is!" 
and everyone would streak off in the designated direc- 
tion — but in vain. James Brown had still not returned 
home when we left at 8:30, but the beat went on. Although 
those boys didn't know music, they did have a lot of 
heart mot soul). Dr. Benjamin Speck was there, however. 
He got paged about 20 times (by the FBl?i and I saw him 
boarding a plane 'to Canada?). 

It was near the end of our wait that I detected the 
first of my ulcer pain. It was a classic case: associated 
with tension, made worse by an empty stomach, better by 
eating, and abominable by drinking. 

The plane trip across the Atlantic was long and dreary. 
To kill time. 1 watched Planet of the Apes. Sheps appeared 
moribund and slept a good deal. I saw the sunrise, could 
not see Ireland because of the clouds, but did see England, 
where we landed, thank God! It was no time before I was 
with my wife and we were off to Ireland, my adopted 
homeland.* Aer Lingus, the Irish Airlines, looked effi- 
cient and well mechanized, but I somehow doubted the 
plane's ability to fly unless a good fairy came out, touched 
it with her wand, set it asparkle, and then blew out of 
the palm of her hand across the Irish Sea. We arrived in 
Dublin (the plane had real motors, after all) about 1:30 
a.m. It was damn cold, dark and windy, and hard to find 
a taxi. When we finally got one, the driver said he had 
not been to our address in more than ten years and would 
have difficulty finding it. Eventually, however, he got us 
to 16 Cliftonville Road, Glasnevin, where we were greeted 
by our hosts. Mr. and Mrs. Murphey. 

Mr. Murphey appeared to suffer from chronic pul- 
monary disease, both obstructive and restrictive, and Mrs. 
Murphey seemed bent on telling us of her world travels 
(America, Spain, Italy, Majorca, Africa); but they were 
both very kind and helpful. Their home was comfortable 
(although cold) and Mrs. Murphey 's breakfasts were su- 
perb. 

Dublin is a grand place. Although not a beautiful city, 
it is interesting and proud, and the people are beautiful. 
The streets are littered, the buildings stained, and the 
River Liffey cruddy: but it still looked like a fine place to 
be. 

There was a surprising paucity of redheads in Dublin. 
Most of the people had thick black hair above sparkling 
blue eyes, clear white skin, and rosy cheelcs. The accent 
was very soft, musical, and restful to the ear. 

The first day we visited Christ Church, St. Patrick's 
Cathedral. Dublin Castle, and a memorial to three famous 
victims of the 1916 "Rising." That night we saw a play at 
the Abbey Theater — "Shadow of a Gunman" by Sean 
O'Casey. It was both amusing and touching and made one 
wonder about the motives of the revolutionists. Are they 
romantic or practical? 

Saturday we went to Trinity College. I skulked around 
the Medical School a bit; it was not in session. The lecture 
hall is classic: steeply rising wooden benches, worn and 
sagging floorboards, and an antiquated podium and rust- 
ing sink in the front The building is ancient and decrepit 
but, judging from bulletin-board notices, the curriculum 
is not too dissimilar from ours. I attempted to visit the 
Royal College of Surgeons but found it closed — and so 
we vvhiled away an hour in beautiful St. Stephen's Green. 
Although it was cold and blustery, the Dubliners were out 
in force, strolling about, walking dogs, feeding ducks. To 
warm ourselves afterwards, we stopped in Davy Byrnes's 
"moral pub" for a pint of Guinness — a lovely brew. 

That afternoon I picked up our rented car and we 
drove to Sandycove to see James Joyce's tower — a very 
beautiful place. Driving on the left was a problem; mak- 
ing a left-hand turn was an exercise in geometry. That 
night we visited O'Mara's singing pub, where we stood 
shoulder to shoulder with Dubliners singing melancholic 
and glorious songs of the "Rising." 



The following morning we set out on our journey 
across Ireland. All roads are similar to Bethel Church 
Road at home — well paved but narrow and winding; they 
are not numbered, and small direction signs are erected 
only at crossroads. The countryside provided one stunning 
vista after another. I only wish I had a moving-picture 
camera in my head with my eyes as its lens, so that I 
could record everything I saw. Better yet, wliy not live 
here and know the country? Several places, events, and 
people stand out — among them, the fresh, cheerful boy 
we carried to the cinema in New Ross to see "a western 
and a comedy, I think." I couldn't understand his name 
nor half of what he said, but he did feel "just grand" and 
was lovely company. 

Annestown, on the coast, was priceless. It is a sharply 
circumscribed, quaint village nestled in deeply rolling 
hills which abut St. George's Channel. The small public 
beach was filled with townspeople. The cliffs overlooking 
the rugged coastline were too beautiful for words. Down 
the road a piece is Dungarvan, a slightly larger village, 
which was having its annual festival. The town square was 
packed with cars and people, the center of attraction 
being a basketball game; the players were clumsily effec- 
tive. I stifled a Mitty-esque urge to strip off my shirt, 
bound onto the court, and gracefully bang in a hook or 
a jumper. 




*il don't know why I have always been so enamored ot 
Ireland and have alwa.vs wished to be Irish. It may be because 
many people have told me that I must be Irish, since I have red 
hair. Little did they know that I am as Spanish as the Armada 
Nevertheless, I have for many years secretly hoped that a drop 
or two of Irish blood trickled within me. I was overjoyed to 
learn that in 1601. 4.000 Spaniards landed in Ireland to "aid in 
the rebellion against England. So there is yet hope.) 



Sheps and I overjoyed to be in London. 

Coursing through the Caha Mountains is Tim Healy 
Pass — undoubtedly the world's most beautiful area. The 
mountains are not excessively tall but are very rocky and 
steep and rugged. They are full of lakes and rivers and 
multitudes of long-haired goats. The roads are narrow and 
tortuous. We stopped at one rural pub for a Guinness, 
then reluctantly pushed on to Kenmare to spend the night. 
The next morning we drove to Newcastle West and 
stopped in a small pub for a Guinness. It was tendered 
by a young, fair, and beauteous girl who nearly stole my 
heart. She was from a farm 11 miles away and had previ- 
ously worked in a hotel, but found the pub's wages of 3 
pounds a week too munificent to turn down. She said she 
loved Ireland, nevertheless. She showed us the woolen 
sweater she had knitted and said she wore it always — to 
work, to church, and for dancing! I know she could dance; 
she was so lovely. We wished her well when we left. 

We returned to Dublin at 5 p.m. and had one last 
nostalgic Guinness at Davy Byrnes's before departing for 
London. I felt very sad to be leaving Ireland, but happier 
for having been there. 

June 26 

First Day at Maida Vale — I walked to the hospital, 
arriving at 9 a.m. The place looks like a middle- to low- 
class apartment house from the outside; inside, it looks 
definitely low class. I took a slow, caged elevator up to 
Pvofessor Logue's office on the third floor; his secretary 
took me in to meet him. He had a most striking appear- 
ance: tall and sharp-faced, with silvery-gray hair worn 



20 /THE BULLETIN 



slightly long. He was dressed in a tailored, dark, pin- 
striped suit. His manner was abrupt but cordial and he 
invited me to have morning coffee with him and Mr. 
Rice-Edwards, the chief registrar, just down from 
Oxford.* 

We then went to surgery, where Professor Logue was 
to operate on a young woman with carpal-tunnel syn- 
drome. The operating suite is similar to those at NCMH, 
but the modus operandi is slightly different. The Professor 
did most of the work, including prepping and draping the 
patient. Mr. Rice-Edwards' chores were menial: clamp- 
holding, knot-tying, and the like. 

After the operation was completed, we went to a con- 
ference which seemed to be concerned chiefly with social 
and rehabilitation problems of past and present patients: 
Professor Logue was very much interested in this aspect 
of his work. Rounds were next. The patients were in small 
wards of four to eight beds each. The rooms, although 
old-fashioned, were comfortable. Mr. Symon, the newly 
appointed consultant lafter 14 years of being a registrar), 
conducted the rounds very ably. We were accompanied by 
about five or six members of the house staff, two ward 
nurses (sisters' and two Spaniards, whose function was 
not apparent. Mr. Symon was sartorially resplendent, as 
were the Spaniards; but the house staff' icalled housemen 
in England) looked fairly dowdy, wearing long white coats 
over baggy wool pants. 

The group then wended its way through several dark 
halls and one garbaged alley to the neuropathology de- 
partment for slide review. "The eminent Dr. McMenemy 
was absent and his place was taken by a younger man 
who looked as if he were born to be a neuropathologist: 
short, tightly built, and beady-eyed, with huge spectacles 
and a crisp, Bard-Parker voice. He lingered over Mr. 
Ewen's glioblastoma multiforme, described with obvious 
relish Mrs. Fitzsimon's meningioma, and was ecstatic 
while differentiating Miss St. Pierre's venous angioma 
with inflammatory reaction from a vascularized glioma. 

Next came neuroradiology, where we were served 
coffee and "biscuits." It was here that one of the Span- 
iards, Gonzalez, proved most sinister. He had been con- 
tinually bumping into things and generally getting in the 
way during rounds. When the sugar was being passed, he 
held it while I served myself. Between the first and the 
second spoonful, his previously steady hand developed a 
rapidly progressive tremor, which he quelled with some 
effort including an expiratory grunt. Very bizarre, indeed. 




Doubly-blinded study of Guinness' best and its effects on 
higher cerebral functions in a Pub along: Tim Healy Pass- 
Caha Mountains. 

One case was most interesting. A 33-month-old Negro 
boy had reportedly been normal until the age of 9 months, 
when he had a "fit." A right-sided palsy developed soon 
thereafter and persisted, although some improvement had 

•(NB — Registrar is equivalent to resident and any surgeon 
who is not a professor is addressed as Mister, Houseman is 
equivalent to intern.) 



been noted. The boy did not appear to be retarded. A 
carotid angiogram showed widening of the subarachnoid 
space and straightening of the middle and anterior cei'e- 
bral arteries. A ventriculogram showed the first ventricle 
to be widely dilated and unicellulai-; a large cerebral 
defect was present, permitting communication between 
the ventricle and the subarachnoid space. Air would not 
pass into the third and fourth ventricles. This case was 
even more bizarre than Gonzalez's behavior, although the 
lesion may be similar 

After the neuroradiology conference, it was time for 
lunch. The hospital dining room was in the basement of 
an apartment house two blocks away. For 2s 9d iSSri 1 
got soup, pork chops and sausage, peas, bread, coffee, and 
dessert. Professor Logue had his table set in his office by 
a little old lady who devotes her life to his comfort. I had 
only a glimpse of it, but it looked very formal. I am told 
that his lunch hour il to 2 p.m.) is inviolable. 

From 2 to 5:30 I watched three opeiations. all per- 
formed by Professor Logue. Two were shunt revisions 
and one was the excision of a lipoma that was causing 
posterior interosseous nerve palsy isame as radial but 
without sensory loss). Again, Mr. Rice- Edwards assisted 
in a limited capacity. At the end of the day, as they 
settled down for tea and sandwiches, Mr. Rice-Edwards 
suggested that tomorrow 1 be "turned loose on a patient. " 

June 27-30 

Thursday (Second Day at Maida Vale). I was not 

"turned loose" but had an interesting day nevertheless. 
Rounds with Rice-Edwards and Grinwald lAustralian 
houseman! began at 9 am and lasted until about 11:45: 
they gave many of the patients rather detailed neuiologic 
exams in order to assess their progress. One patient was 
especially interesting — a man with parkinsonism who had 
undergone right stereotaxic coagulation thalamotomy. His 
right hand was tremulous, whereas his left hand — which 
before surgery had been far more tremulous — was quiet 
at rest. He is most eager for the left-sided piocedure, 
which will be done shortly. I must examine him more 
closely tomorrow. 

At noon we dashed over to Queen Square Hospital to 
see Professor Logue present a case. Although this hos- 
pital seems a bit newer than Maida Vale, the lecture room 
is straight out of the history books: steeply rising wooden 
benches with a wooden partition in front of each. The 
walls are hung with portraits done in oils. The ease was 
one of epilepsy treated by surgery following cortieog- 
raphy — most interesting 

At 2 p.m. I watched Professor Logue remove a pituit- 
ary adenoma with Rice-Edwards's able assistance. .Xrfonad 
was used to keep the patient's systolic blood pressure at 
about 70-85 mm. Hg. The professor turned down a very 
neat bone flap, retracted the right frontal lobe, and sucked 
out the adenoma. 1 left before the operation was com- 
pleted and went home about 4:30 p.m. Judy and 1 then 
went into town, strolled down Fleet Street, visited the 
Strand and St. Paul's Cathedral, then bussed over lo 
Piccadilly and bought tickets to Man of La Mancha foi" 
tomorrow night 

Friday — Third Day at Maida Vale. This was not a good 
day at the hospital. Rounds terminated early and I ".vas 
left with nothing to do 1 spent a lot of time in the 
library, which is housed in one room and contains very 
few books. About 15 current journals, mostly neurologic 
in content, were on the shelves; Lancet, .American Journal 
of Medicine, and Postgraduate Medical Journal were 
among them. In the afternoon. 1 watched Mr Symon per- 
form a laminectomy for cervical sponflylosis; it was the 
first I'd seen and was quite interesting. 

That night we celebrated my wife's biithday by going 
to Piccadilly for suppei- at Queen's Head pub and for the 
play at the theater next door Man of La Mancha was 
sentimental and romantic but very good entertainment 
We sat way up high in the balcony, surrounded by groups 
of teen-agers from the U.S.A. 

Saturday. We went to an open-air market and ate 
lunch at a very posh pub on Paternoster Square near St. 
Paul's. Then to George's Inn il()7()i for a three-hour per- 
formance of King Lear in the inn's courtyard ilt took me 
six months to read this play last wintci- and spiing.i 



Winter, 1968-69/21 



Afterwards we went home, had supper, and took a long 
walk through our interesting neighborhood. 

Sunday. We slept late, then went to Hyde Park and 
listened to the speakers briefly. Two men were delivering 
strongly anti-American polemics which became very dull 
after a while. A very timid older man was explaining his 
theory of world economic reforms, and a younger man 
next to him was attempting to persuade all of us to prac- 
tice agape (Greek for love and charity) as a basis for life, 
rather than fear and suspicion. Such oratory provides a 
good way to blow off steam, I suppose. 




Maida Vale Hospital, London. 

We then ran into Sis and Gin, who joined us in a 
guided walking tour of Thomas More's Chelsea. The tour 
was occasionally interesting, but the crowd was too large 
and the temperature too high to make it really enjoyable. 
The most striking feature was the undisguised antipathy 
with which the natives greeted us. Several boys on motor- 
cycles felt it necessary to roar by and blow their horns 
loudly. One old woman walking a dachshund accosted the 
group and protested the guide's claim that Chelsea had 
only recently been joined to Metropolitan London. It 
seemed an article of faith with her, and she would not 
shut up despite many comments from the group. We were 
forced to retreat. While we were trapped in a narrow 
street between two rows of tall houses, a voice from a 
window groaned, "Go away, go away"; then music blared 
from the window, stopping only after we had moved on. 



July 6 

Because of a cold, followed by sinusitis and bronchitis, 
I have not felt up to writing in this book. 

Work at the hospital has slowed down and I am be- 
ginning to feel uncomfortable ("Work is the crutch of the 
anxious mind" — Guiteras, 1968). I have become friendly 
with Mr. Spencer, the parkinsonian, who has undergone 
his second procedure. The result was good except for 
slight slurring of his speech, which will probably be 
transient. 

The two most interesting operations that I have seen 
were the aspiration of a necrotic brain tumor in a West 
Indian lady (flown all the way to London courtesy of the 
National Health Service) and the implantation of a ventri- 
culocaval shunt for a glioma of the brain stem in a 19- 
year-old boy. Both operations demonstrated increased 
intracranial pressure in reality and not as a concept on 
a blackboard. When the dura of the lady's brain was 
incised, the brain bulged through; the sulci were almost 
inapparent. When the catheter was inserted into the boy's 
ventricle, the cerebrospinal fluid spurted through it for 
a distance of about six inches. 

Despite these educative events, I am becoming a bit 
worried about things. There is not much to do and the 
members of the house staff, though polite, are certainly 
not effusive in their relations with me. I was told to 
expect this, however. Another American has arrived, to 

22 /THE BULLETIN 



do research on multiple sclerosis with Dr. McMenemy. 
Unfortunately, he already has a British accent and has 
grown a moustache; need I say more? 

To fill up time, I have gained access to the very excel- 
lent slide and specimen collection of the pathology de- 
partment, have asked Professor Logue to get me a brain 
for dissection, and have checked out some good nuero- 
surgical books from the Queen Square Hospital library. 
I also attended the first of a series of clinical demonstra- 
tions at Queen Square. Dr. Gooddy made the presenta- 
tions, which were excellent. 

The first case was one of posterior cerebral artery 
insufficiency, the basis of which was a stenosis at the 
origin of the left vertebral artery; the patient's most re- 
markable complaint was that she occasionally saw things 
upside down. The second case was that of a man whose 
now-apparent left frontal glioma had defied diagnosis for 
seven months since the onset of right-sided clonic seizures 
in December. The electroencephalogram, skull films, brain 
scan, pneumoencephalogram, lumbar puncture, and arteri- 
ogram were all normal, and he had no headache, nausea, 
vomiting, or papilledema. Not until July did a repeat 
pneumoencephalogram finally demonstrate a left frontal 
mass, and all other tests were still normal. The third case 
was one of cavernous sinus thrombosis causing unilateral 
proptosis and probably due to neoplasm. The eye did not 
pulsate, but it was interesting to note the absence of 
hypesthesia in the distribution of the mandibular division 
of the trigeminal nerve, which does not course through 
the cavernous sinus as do the maxillary and ophthalmic 
divisions. 

Entertainment has not been neglected this week. 
Tuesday night we took "Jason's Trip" down Regent's 
Canal; this was most enjoyable. Small herds of baby 
ducks frantically following their mothers along the canal 
were among the many wondrous sights we saw. On Wed- 
nesday we went to see Fiddler on the Roof and on Friday 
saw Tartuffe at the Old Vic — both excellent performances. 
Thursday afternoon I went to Wimbledon, where I saw 
Maria Bueno overpower Rosemary Casals, and Rod Laver 
eventually defeat Dennis Ralston. It really seemed strange 
to be at Wimbledon, after having read about it for so 
long. On Saturday we took the train to Canterbury to see 
the cathedral and St. Augustine's Abbey (or ruins thereof). 
They are fabulous places and the train ride was a real 
adventure. We saw some pretty dismal slums, as well as 
some nice farms. 

July 28 

Since I last wrote in this book, I have been seized by 
a malady of passivity which has prevented me from at- 
tempting to write anything. It is a strange affliction which 
usually comes on when I feel that I am not the master 
of day-to-day activity or when I feel like a stranger in a 
strange land. Almost no endeavor seems worth the effort 
or likely to succeed if attempted. 

Despite this mental inertia and spiritual timidity, I 
have accomplished a surprising amount over the last three 
weeks. I am still not a member of the Maida Vale neuro- 
surgical team, as I had originally expected to be — but I 
am reasonably content with my present status of guest. 
I am completely free of any clinical responsibility but am 
permitted to examine any and all patients and to observe 
all operations. This arrangement is not as idyllic as it may 
first appear: since I am not a full-fledged houseman, my 
frequent appearances on the ward and in the operating 
room take on the flavor (to me, anyway) of intrusions. 
Despite this neurotic problem, I have seen some interest- 
ing patients. One is a woman with spasmodic torticollis 
for whom Professor Logue is planning a thalamotomy. 
This procedure is not as effective in this condition as in 
parkinsonism (75<Ti vs. 90 ^c ) and the mortality is about 
39c. In this case, however, the effort and risk seem justi- 
fied; for the patient has had no improvement since the 
onset of symptoms, associated with a bout of "the flu," 
six months ago. Her movements are very peculiar. I had 
expected them to be abrupt and violent, in keeping with 
my concept of the word spasmodic. Rather, they are fairly 
slow, sinuous rotations of the head which are not always 
to the same point nor of the same speed; and there is no 
sign of wildly contracting sternocleidomastoids or tra- 
pezii. In fact, the first few times she did it (perhaps one 



J 



should say "it happened"), I thought she was merely 
looking out the window beside her. 

Another very interesting patient is Mr. AUbright, a 
former steeplejack who, in 1955, fell 120 feet down the 
inside of a chimney. Being a plucky fellow, he sustained 
only compression fractures of T„ and L;. Since the spine 
was unstable. Professor Logue (then plain Mr. Loguei 
inserted some sort of stabilizing device. For three or four 
months afterward, Mr. Allbright's only complaints were 
severe but not crippling weakness and hypesthesia of the 
left leg, and moderate bowel and bladder disturbances. 
He was able to begin rehabilitation training as a shoe 
repairman and, by dint of hard labor and an engaging 
personality, eventually built up a hugely successful repair 
and retail shop. All of this Mr. AUbright documented for 
me with photographs which he had in his bedside table. 




Me and the Petit Palace — Paris. 

Three or four months after discharge, Mr. AUbright 
noticed that very occasionally his left leg would be seized 
by a severe "burning, shooting, electric" pain running 
down from buttock to heel and accompanied by an invol- 
untary "kick" of the leg. This symptom increased in 
frequency and severity over the years, until in January 
he was forced to quit work and sell his business, since he 
had nearly injured himself on his shoe-repairing machines. 

A myelogram shows a partial block at the level of his 
plates — i.e., over the cauda equina. The problem is very 
puzzling, and its solution even more so. It has been given 
the label spinal cord myoclonus, but that certainly does 
not explain the cause of the symptoms. It is impossible 
to determine what is happening; however, the nature of 
the injury and the motor and sensory manifestations sug- 
gest that the chain of pathologic events begins in the 
posterior root cells and continues through internuncials 
which, as a result of misguided regeneration, synapse 
with cells in the ipsilateral anterior horn. There are many 
other possibilities; in fact, because of the damaged cord 
and Cauda equina, one can postulate almost anything. 
Surgical therapy based upon unknown pathology is 
doomed to an unrewarding conclusion. Professor Logue 
has been considering all the possibilities for two weeks 
now. His latest idea is to attempt to release the partial 
obstruction, but he is not too keen on this since it might 
result in further obstruction. 

Another patient is a 19-year-old boy with a three- 
month history of neck pain and progressive right spastic 
hemiplegia, muscle atrophy, and hypesthesia; the left side 
is affected to a much lesser degree. Operation disclosed a 
very large cerebellar cyst, which had filled the fourth 
ventricle and pushed down the central canal through the 
foramen magnum; this was aspirated. Since the exact 
nature of this lesion is still undetermined, the prognosis 
is in doubt. He is a nice kid; we had a jocular discussion 
on the pros and cons of marriage and my ignorance of 
British geography. 

In addition, I have read a book by I. S. Cooper on the 
treatment of parkinsonism and am now reading Corre- 
lative Neurosureery by a group at Michigan. Next on my 



neurosurgical reading list is The Bioloffy and Treatment 
of Intracranial Tumors. 

On Thursday I received a brain from the postmortem 
assistant at Middlesex Hospital for 10 shillings. He said 
this was his standard fee for "you young doctors," al- 
though "the big man o'l Harley Street" has to pay £1. I 
spent the first day reviewing the surface anatomy, cranial 
nerves, and vessels. Tne next step is to inject the ven- 
tricles with wax and attempt to dissect out the basal 
ganglia, the thalamus, the internal capsule, and the optic 
radiation. These strjctures have a relationship which has 
so far defied my feeble understanding; no book or brain 
slice has ever clearly demonstrated it to me. 1 have been 
warned, however, that this dissection is none too easy. 
We shall see. 

One last thing: I went to a clinical demonstration at 
Queen Square Hospital by the famous Dr. Roger Ban- 
nister, the first man to run a mile in less than four 
minutes. No, he did not lope in wearing a sweat suit. On 
the contrary, he was the impeccable consultant and his 
presentation was quite good, if a bit haughty. He occa- 
sionally bared his fangs when making an important point 
— an expression reminiscent of his finish-line facial con- 
tortions in years past. 

In the realm of plain ol' general culture, 1 have done 
reasonably well the last several weeks. I read Brendan 
Behan's Confessions of an Irish Rebel, and A Short His- 
tory of Ireland by J. C. Beckett. Brendan's story is too 
good to be true, though I'm sure it is; and the history of 
Ireland's domination and oppression by England is too 
pathetic to be true, though I'm equally sure it is. 

We have also attended some superb dramatic and 
musical productions recently. Canterbury Tales was really 
well done, with a modern adaptation and music. 1 thought 
I would herniate from laughter during the climax of the 
"Miller's Tale." We have seen five plays: As You Like It 
and Edward II at the Old Vic, Dr. Faustus at Stratford 
on Avon. The Tempest at Chichester, and Two Gentlemen 
of Verona at Regent's Park. 

As You Like It and The Tempest were the best. Both 
had sort of a dream-world atmosphere about them that 
made me feel quite childlike and receptive to what they 
had to say. As You Like It had an all-male cast; since the 
plot involves a female-to-male disguise, this was occa- 
sionally confusing. The Tempest was beautifully done, and 
the appearance of Ceres and the other goddesses before 
Ferdinand and Miranda was really magical. 

Edward II was of a somewhat harsher note, but very 
interesting to watch. It was quite troubling to sec the 
Queen and Mortimer go to the dogs so quickly after they 
had originally seemed so admirable Gaviston, the Irish- 
man, was fun to watch; he had no concern but for him- 
self, and didn't try to hide it 

Dr. Faustus was not so great. The acting and produc- 
tion were terrific, but the theme of soiling one's soul to 
the devil is rather boring nowadays. Everyone knows it 
isn't worth it. The best part was the costuming of Lucifer, 
Beelzebub, the Seven Deadly Sins, and assorted minor 
ghouls. They were definitely the most repulsively fasci- 
nating creations I've ever seen. 

Two Gentlemen of Verona was strictly amateur by 
comparison but was worth seeing. Besides, 'they liad real 
hot dogs at Regent's Park and quick service with the 
Guinness. 

We also went to Cosi Fan Tutti at Covent Garden. 
This is a very beautiful theater with much red and gold 
trim, and fancy chandeliers. The opera, I'm told, was 
quite good; but I had my usual difficulty in appreciating 
this art form. True, some of the arias were very moving, 
provided you didn'l look at the silly person singing Ihem 
and made no attempt at all to relate them to the absurd 
plot. One of the heroines looked like an overweight lady 
wrestler, and her suitor looked like he probably spun 
pizzas over his head on week nights A \cry boorish ap- 
praisal, I know 

The .Messiah and the place of its performance, the 
Royal Albert Hall, were excellent matches I don't think 
.loan Sutherland and Handel could have been contained 
in any auditorium less colossal than the Royal Albert, We 
had "seats" on the promenade, which is a uide circum- 
ferential walkway around the hall; it must be about 200 
feet above ground level. Immediately below us was a set 
of obliquely raised seats; below them, three tiers of boxes, 
then some stalls and the main floor— all this in a big 



Winter, 1968-69/23 



circle. Behind the performers was an organ so big that 
the pipes looked like the smokestacks of a Pittsburgh 
steel mill. 

On July 14 we took a train to Cambridge. Despite 
heavy rain, we had a pretty good time. The colleges were 
very pretty and we had lunch in an excellent pub run by 
a grandmother-mother-daughter squad who served super 
fare and a very refreshing Guinness. 

The following week-end we entrained for Oxford — a 
most interesting place. The colleges are similar to those 
in Cambridge but seemed more varied and larger, and the 
town seemed to have more going on. In the afternoon we 
visited Martin Rice-Edwards' college (Wadhami and went 
to the Ashmolean Museum, where there are some ancient 
Chinese artifacts and other items of interest. We spent 
the night at a very nice "bed and breakfast" (run by Mrs. 
Lawful and her lawful wedded husband, Mr. Lawful) on 
Pembroke Street, near the center of town. Our window 
looked out on St. Aldate's Church, a very old building and 
very lovely. Next to it was Pembroke College and just 
across the street was Christ Church College. In the eve- 
ning we picnicked along the banks of the Cherwell and 
then strolled down to where it joined the Thames. The 
view through the trees, with the sun setting over the 
spired colleges, was really beautiful. 

The next morning we took a train to Warwick, where 
we were met by Dr. Whittaker, the director of the War- 
wick Hospitals and good ol' Clement, a classmate of mine 
who was visiting the eminent doctor. Dr. Whittaker was 
an excellent host. We drank wine and were shown around 
his lovely home and gardens, then had a tasty dinner 
served by his cook Afterwards, he took us on a drive 
around Warwick and Stratford, and then up into the 
Cotswolds, which is a group of hills providing the best 
scenery since Ireland. In them are nestled two villages 
where I could easily spend the rest of my life — Chipping 
Campden and Broadway. The first is a single-street town 
lined by a continuous row of joined shops, houses, and 
small hotels, all made of a yellowish-brown stone. In the 
center of the town is a fifteenth-century corn market 
made of the same stone. A general practitioner had 
opened his home to the public ifor 3s 6d, the proceeds to 
be used for some charity i and Dr. Whittaker, who knew 
the man, led our charge inside. It was too much — really 
authentic fifteenth and sixteenth century and well kept. 
The gardens in the back were very beautiful and were 
inhabited by tame rabbits and guinea pigs. Broadway was 
somewhat larger and a bit more touristy and fancy, but 
very lovely nevertheless. 

The next day we toured around Stratford, after having 
canoed up and down the Avon. We attended a lecture on 
Shakespearean comedy by the renowned Professor AUar- 
dyce Nicoll. Later we visited all the sights: Shakespeare's 
birthplace, Ann Hathaway's cottage, the houses where his 
married daughters lived, and the remains of his own 
home. A very good trip, indeed 

August 7 

Conditions at the hospital have improved in some 
respects and deteriorated slightly in others. On the posi- 
tive side, there have been some very interesting patients. 
Mr. Allbright had his obstruction relieved by some very 
meticulous work on the part of Professor Logue. The 
block was caused by a goodly amount of intradural fibro- 
sis, which was adherent to the cauda equina; much of this 
had to be left. The Professor put me to work during the 
operation as a "toe watcher," To distinguish fibrous tissue 
from nerve tissue, he used a stimulator. If a toe wiggled, 
I would holler from beneath the sheets, 'Adduction of the 
left great toe, sir! " To which the Professor would reply, 
"Thank you, thank you. Very helpful, indeed." Or the 
Professor might initiate the discussion by querying, "Dr. 
Guiteras, are there any movements?" My answer was a 
swift and decisive, "None at all. Professor!" Because of 
this assignment, I missed a clinical demonstration at 
Queen Square. The Professor seemed grateful, however, 
and invited me to attend a film on the uses of L-DOPA 
in the patients with parkinsonism. To return to Mr. All- 
bright — the results are very encouraging. He has had 
only a few slight painful twinges and no involuntary kicks. 
He has increased difficulty with micturition, however, and 
requires a catheter so far. 



The movie that I saw with Professor Logue showed 
some cases in which good results had been obtained with 
high doses of L-DOPA (6-8 gm. per day). Results were 
classified as "good" in 60Tr of the total series. Although 
this figure is not as impressive as the 90% efficacy for 
stereotaxis, one must remember that the patients in the 
latter group are selected. Mr. Symon is trying out the 
drug on a patient at Maida Vale who, because of minimal 
tremor, marked bradykinesia, and abnormalities of pos- 
ture and gait, is not an ideal candidate for surgery. He 
is up to about 2 gm. per day now and everyone, especi- 
ally the patient, (Mr. Traphell) gives optimistic replies 
when asked to comment on his progress. It does not yet 
appear breathtaking to me. 

The stereotaxic procedure for patients with torticollis 
was very interesting. I can't explain the Professor's 
method too well. The initial step is the implantation of 
perforated skull plates bilaterally, followed by myodil 
ventriculography to delineate the target point. A frame 
is then fixed to the patient's head; this is used to make 
measurements of angles and distances which will serve 
as a guide for introduction of the coagulating needle. A 
day or so later, the patient is taken to surgery for stimu- 
lation and coagulation. After bilateral procedures, her 
symptoms gradually diminished, and today they have 
almost disappeared. This response is just the opposite of 
that frequently seen in parkinsonism and is very curious, 
since the lesion has most likely been growing smaller in 
size during this time. 

Another interesting patient, Mrs. Matthews, is a 24- 
year-old woman from Barbados with a one-month history 
of severe headaches and papilledema. She has no neurol- 
ogic deficit, however, and appears well otherwise. The 
differential diagnosis lies between benign intracranial 
hypertension and an expanding lesion. A right carotid 
arteriogram will be done first, and if this is negative a 
pneumoencephalogram will follow. She mentioned that a 
lot of her scalp hair has fallen out recently, axillary hair 
has appeared, and her menses have become irregular. She 
has had no other endocrine abnormality. I wonder about 
the possibility of a tumor in or near the hypothalamus 
or the anterior pituitary. We shall soon see. Martin Rice- 
Edwards gave me a brief synopsis of the treatment for 
benign intracranial hypertension and a reference on the 
mechanism of papilledema (Brain 89:1, 1966), which 
proved interesting. 




The National Hospital. Queen Square, London. 

I must put in a good word for the registrars here. 
Although they are not overwhelmingly friendly, they are 
somewhat more refined than their counterparts in the 
United States. They do not use expressions like "gork," 
"rotten squash, " or "troll, " and they seem to have more 
interest in fundamental pathophysiologic mechanisms and 
less disdain for the "nit-picking fleas" than the residents 
at home. Rice-Edwards epitomizes these good qualities 
and, in addition, is quite well versed in literature and 
music — at least as far as my unschooled sensibilities can 
discern. I might add that, at the Victor Horsley Memorial 



24 /THE BULLETIN 



Lecture, the speaker, Douglas Northfield, was praised as 
a "compleat physician" and he, in turn, stressed Horsley's 
ability and interest in diverse medical and surgical fields. 
Certainly one could ask for no better examples upon 
which to model one's career. 

On the negative side, the brain dissection has been 
only fair. It was quite difficult injecting the wax into the 
ventricles before it hardened, and I was never able to get 
a good cast. The dissection is very tedious and it is almost 
impossible to avoid chewing up important structures. 
Nevertheless, I have managed to show the lateral ven- 
tricle, the caudate and lentiform nuclei, and the internal 
capsule. I will have to remove the wax impression in order 
to see the thalamus and the third ventricle. Miss Hester, 
the librarian — for some reason comprehensible only to a 
member of that compulsive profession — has kicked me 
out of the museum, and I must now go into the autopsy 
room; I much preferred the solitude and convenience of 
my original location. 

Another unfortunate development is that Professor 
Logue went "on holiday" to Spain and won't return until 
September 5. This is regrettable from my point of view, 
because it will reduce the number of admissions and 
operations. 

To finish up on a happier note, I attended a seminar 
on craniopharyngioma given by Rice-Edwards, Professor 
Logue, and an endocrinologist. It was well done and in- 
formative, covering the subject from a very elementary 
to a sophisticated level. Martin's presentation of the pati- 
ent and general discussion were done with careful elocu- 
tion, syntax, and organization, despite his apparent nerv- 
ousness. Professor Logue's surgical discussion was also 
very good. 

I guess the ultimate compliment was given to me yes- 
terday, when Mr. Symon asked me to take on a house- 
man's job for two weeks while Paul Grinwald goes on 
holiday. Since his vacation begins just after my departure, 
this suggestion will unfortunately come to naught. 

I must mention our recent camping trip — a four-day 
affair in the Lake District in northwest England. The area 
is filled with short but rugged mountains and deep black 
lakes, interspersed with small valleys containing sheep 
and cattle farms. We camped in an isolated spot hard 
beside the River Esk — but not 500 yards away was the 
warm and congenial Tatiegarth Inn and Public House, 
which we visited nightly. The second day we hiked up 
Illghyll Head (elevation about 2000 feet), across a barren 
plateau on which we saw some ancient (Saxon? Gaelic?) 
stone circles and mounds, and dovim the other side to 
Wast Water, a lake about four miles long, half a mile 
wide, and 250 feet deep. We continued along one side of 
the lake, traversing the steep, slippery, and treacherous 
"screes," or rock slides, which form most of the south 
border of the lake. We were able to complete only 10 miles 
of our proposed 13-mile journey and opted to thumb our 
way back to camp. We rode with a very nice young couple 
— school teachers from Birmingham. Unfortunately, I sat 
upon and demolished a loaf of bread in their back seat. 

The following day we drove to the Atlantic shore at 
Seascale, which was only about 10 miles ^way. We bought 
some freshly caught plaice, potatoes, and cider, which we 
prepared at camp — a most delicious meal. We then spent 
an hour at the pub with a glass of Benedictine and an 
Antonio y Cleopatra cigar, listening to the curious 
Yorkshire accents and a group of boys intent on song. 
Surprisingly enough, they chose old-time American favo- 
rites — "She'll Be Comin' 'Round the Mountain," "Darlin' 
Clementine," "Sidewalks of New York," etc. — as well as 
some more recent songs such as "Here's to You, Mrs. 
Robinson," and "Yellow Submarine." 

Before I forget, there was a most unusual patient pre- 
sented at Queen Square Hospital this afternoon — a very 
nice little old lady with incontinence, tremendous enlarge- 
ment of the bladder, ureters, and kidneys; neck pain; 
diminishing auditory acuity, and very sLiglit leg weak- 
ness. She had no urinary tract obstruction and her myelo- 
gram was normal. Guess what? Neurosyphilis. No kidding. 

And yet another, at Maida Vale: a 22-year-old pugilist 
with a neurofibroma of the fifth nerve causing lancinating 
pain over the right maxilla and sixth-nerve palsy on the 
right side. I missed his operation, unfortunately. 

Still another! A woman with pulmonary carcinoma 
metastatic to both occipital lobes. She felt well, but her 



vision was "distorted"; she saw faces as gargoyles, and 
fingers appeared much longer than normal. How ghoulish! 

August 11 

I am writing today to mention a few important items 
previously left out and also to try out my new nylon- 
tipped pen, a technological advance I've assiduously 
avoided for the several years since its invention. The other 
day, I finally gave in to progress and bought one. It works 
very well. 

I must describe our living quarters. We are at 119 
Pinduck Ave., W.9, one of a lengthy row of conjoined, 
nearly identical houses. A little farther down the block 
the houses become fairly dingy, but ours is the best of 
a good lot. The house has four floors and we occupy part 
of the basement. Our place consists of one large room, 
which serves as bedroom, living room, and dining room, 
and a very small kitchen with sink and gas stove — no 
refrigerator. The toilet is on the first floor and the bath 
on the second. You must pay 6d for a bath. 

The carpet on our floor was undoubtedly bought as a 
reject from a Portobello Road Market rug hawker, and 
the curtains which cover our back door and window were 
chosen because of their unparalleled ugliness. They are 
dirty red with white and black surrealistic representa- 
tions of the pelvic and splanchnic nerve plexuses. There 
are three wall pictures — all Venetian canal scenes. These 
hang against a background of wallpaper patterned with 
bamboo and thistles. Nevertheless, our apartment is most 
comfortable, cheap, conveniently located, and there is a 
lovely walled garden outside our back door. I like it here. 

The owners, and resident landlords, are a pair of 
middle-aged Welsh bachelors who live together on the 
first floor. The larger one, who appears to be in charge, 
is Mr. Cynwyth. His partner's name is a matter of some 
dispute. My wife maintains that it is Mr. Stokes, but 
this name is not found on the apartment's registry; per- 
haps this is because he lives with Mr. Cynwyth, under his 
aegis, so to speak. In any event, I refer to him mot to his 
face, of course) as non-Cynwyth, since this seems the most 
honest and safest thing to do. at least until the facts are 
known. This is the sort of complicated problem that arises 
from not making sure right from the start. 




Prince Alfred Pub in our neighborhood. 

Non-Cynwyth or, for the more daring, Mr. Stokes, 
appears relegated to doing the more menial household 
chores. Every Sunday he hauls out the carpet sweeper, 
bucket, and scrub brush, and cleans the halls and stairs 
carpets and the various bathrooms. He is quite fastidious 
in the performance of his chores; his compulsiveness 
frequently bubbles over into our room, where we have a 
laissez-faire policy of housekeeping. This apparently 
causes the poor man much anxiety, which he allays occa- 
sionally by emptying our garbage, scrubbing the sink, 
making the bed (here I must interject, lest one think 
we are absolute grubs, that we do usually make the bed), 
or sweeping the carpet. He does not begrudge us these 
services; in fact, we probably do his psyche a bit of a 



Winter, 1968-69/25 



favor. Their apartment, which I've entered occasionally, 
is extremely well appointed and at all time immaculate. 
Mr. Cynwyth handles the cooking for major dinner 
parties, while non-Cynwyth is permitted to cook breakfast 
every morning and to wash the dishes. If one asks them 
for advice or for directions to a place, they invariably 
squabble over the answer in their sing-song Welsh accents 
and Mr. Cynwyth always wins out. When Mr. Cynwyth is 
not at home. non-Cynwyth refers to him only as "he." 

There are fifteen apartments in this building, all 
occupied, and the only persons we've taken note of, save 
for the landlords, are our next-door neighbors, Mr. and 
Mrs. Johns and their infant child. Mrs. Johns may be 
Spanish but is probably South American; her husband is 
English. Their life seems to be an interminable shouting 
match, with Mrs. Johns doing 99.9% of the shouting and 
her husband bawling out an infrequent, "Oouw, shut up!" 
to which I usually append a silent but heartfelt "Amen!" 
Their disputes are primarily financial; it is not the con- 
tent but rather their frequency and duration, and the 
amazing durability of Mrs. Johns' larynx, that distinguish 
them. She is easily capable of squealing in a voice very 
similar to that of an enraged sow (a voice so common 
among Latin women) for 15 minutes without stopping. 
The timbre of her voice changes only slightly while she 
plays with her baby in the morning; since she talks to 
him in Spanish, we can only hope that her utterances are 
more complimentary than those to her husband. 

August 13 

Today I watched the first stage of a thalamotomy for 
parkinsonism, a procedure which merits description. The 
patient, Mr. Willis, is a civil servant from a town south 
of London, who for the past six years has been troubled 
by rigidity of his left arm and leg and tremor of his left 
hand. He has the immobile facies of parkinsonism but 
does not suffer from bradykinesia or any autonomic dys- 
function. Were it not for his hypertension (200/110) he 
would be the ideal candidate for surgery, and Mr. Symon 
decided that an operation was justified in spite of this 
relative contraindication. A right frontal burr hole was 
made; a stainless-steel ring was fitted into this hole and 
then nailed into the skull. The ventricle was tapped and 
the scalp incision closed around the cannula. The patient 
was then set up and a large, heavy, rectangular steel frame 
was fixed to his skull by means of four screws, much as 
one fits the stand to a Christmas tree. This frame had 
etched on it a series of graduations which would later be 
used as reference points for definition of the target. 

The trip to the X-ray department commenced. Lead- 
ing the procession were Mr. Symon and Mr. lUingworth 
in full, white surgical regalia, with hands folded across 
their breasts. Behind them came two operating-room 
assistants, struggling mightily wdth the chair in which 
rode the patient, oblivious to all. Mr. Willis is a large, 
obese, hirsute gentleman and appeared as the god of 
some black cult. The ventricular cannula protruded from 
his domed, shaven head, crowned with the massive frame 
screwed into his skull. Dark red blood oozed slowly from 
around each screw and trickled down his head in four 
separate streams. He was naked, save for inflatable pants 
around his legs, to be used in case his blood pressure fell 
precipitously. A large black rubber tube extended from 
his mouth down to the anesthetist's cart, which she duti- 
fully pulled alongside him. Connected to the cart was a 
trolley containing cylinders of compressed gas; this was 
pushed by another of the faithful. 

Bringing up the rear were Rice-Edwards — carrying the 
sacred scrolls upon which would soon be written the 
coordinates of the dark god's nucleus ventrolateralis 
thalami (et cum spiritu tuo!) — and me, in a long white 
robe, canvas overshoes, cap, and mask. I felt 1 should 
have been carrying an incense burner. The whole affair 
resembled a macabre religious procession as. we slowly 
wended our way through the gloomy halls of Maida Vale. 
Not even Marlowe at his best could have surpassed this 
scene for sheer ghoulishness. 

Once inside the x-ray department, myodil contrast 
material was injected into the ventricles and pictures were 
taken in anteroposterior and lateral projections. From 
these were made careful measurements relating the 
frame to the appropriate point in the thalamus. We then 
regrouped and paraded back to the operating room, where 



Mr. Symon inserted a perforated plastic hemisphere Into 
the steel ring at the angle indicated by the measurements 
just obtained. Theoretically, when a coagulating needle 
is passed through one of the holes to the correct depth, 
it will come to rest in the ventrolateral nucleus This pro- 
cedure will be done after the dark god has had time to 
rest up. 

Last night we went to Queen Elizabeth Hall by the 
river to see and hear Perlman at the violin and Ashkenazy 
at the piano play Prokofief's Second Sonata, Debussy's 
Sonata in G Minor, and Beethoven's Kreutzer Sonata. The 
first two pieces, although undoubtedly played with brilli- 
ance, were a bit too exotic for my simple tastes. The 
Kreutzer Sonata was better but seemed too fiercely organ- 
ized. Afterward, we tried to find a pizza at Piccadilly but 
were thwarted. 




Campsite, River Esk. 

The previous night we went to the Royal Festival HaU 
for the ballet set to Tchaikovsky's Sleeping Beauty. The 
music was superb, but the ballet seemed to feature gym- 
nastic feats rather than the graceful motion of the body. 

Right now I'm sitting in the Student's Common Room 
at Maida Vale, which is usually a pretty relaxed place 
except on Wednesday mornings. Then Dr. Gautier-Smith, 
a consultant neurologist, arrives with a truckload of 
papers which he spreads across the table. He is writing a 
book and seems very sensitive to disturbances, such as 
the loud scratching of my nylon-tipped pen. 

August 17 

Today was cold, windy, and dark; but nevertheless we 
sallied forth by train to Windsor Castle, which is only 
about 20 mUes from London. It is a huge and very well- 
preserved place, dominating the town and countryside 
from the hilltop upon which it stands. We visited the Old 
Masters' Gallery, where there are some of Leonardo's 
sketches, including those of St. Anne and the Christ child 
which appear in Madonna of the Rocks, and of the pat- 
terns of flowing water, the plans for a cannon foundry, 
and exploding mountain, and a study of the human leg 
and arm. These sketches are incomparable; they really do 
take on motion and life. I wish the entirety of the huge 
anatomical collection were open to the public. Holbein's 
sketches of Sir Thomas More and his father and son are 
also hung in the Old Masters' Gallery. 

We also toured the State Apartments where the 
royalty, in times past, resided. They are so grandiose as 
to be occasionally nauseating. Nevertheless, they make 
quite a good show. 

Last night I had a curious experience. About 10 p.m., 
in the midst of a thundershower, a young man knocked 
at our back door and explained that Mr, Singer, an elderly 
man who lives in the basement of the next house, was 
suffering from some sort of "nervous reaction" and had 
asked for me to see him. Mr. Singer had been a patient 
at Maida Vale before my arrival, and this tenuous link 
has been the basis for our acquaintance. He has never 
been a favorite of mine, being very obsequious when he 



26 /THE BULLETIN 



talks to me, yet a terror when scolding the children who 
play in our back garden. 

Knowing all too well the scantiness of my medical 
resources, I nevertheless trotted over to see him. He was 
sitting in the landlady's apartment and seemed a bit tense 
and shaky; he explained that he had "something wrong" 
in the back of his neck upon which the surgeons would 
not operate and today had gradually become increasingly 
"nervous, weak, and unsettled." He had called his GP, 
who told him there was nothing he could do. When I 
asked him if he had taken any medications during the 
day, he replied, "Yes, two Amytal," but added that he 
had unfortunately dropped his newly-filled prescription 
on to the train tracks shortly after his morning dose. I 
didn't let him ask the inevitable question but explained 
to him that I was still unlicensed, and made a brief 
examination, being careful to effect a good laying on of 
the hands. I then reassured him and told him to call his 
GP should his condition worsen — an event I seriously 
doubted. With that advice I left, and only on the way 
home remembered that withdrawal from barbiturates is 
more dangerous than from alcohol, and frequently leads 
to seizures. Urks! 

August 20 

Not much is happening at the hospital. Mr. Willis's 
thalamotomy was successful and he is quite pleased. Mr. 
Trapnell was discharged improved on about 6 gm. of 
L-DOPA per day. He says he is now able to plant a row 
of peas — something he hasn't done for years. He is still 
moderately disabled by his parkinsonism, however. Mrs. 
Matthews's right carotid angiogram and pneumoencephal- 
ogram were normal. Since her headaches and papilledema 
are subsiding, she received no therapy and will soon be 
discharged with the diagnosis of benign intracranial hyper- 
tension. Mr. AUbright appears to have profited from 
surgery; the spasms in his leg occur very infrequently, 
and his bladder function has returned to its preoperative 
state. In addition, motor strength and sensation in the leg 
seem to have improved. He is contemplating a return to 
the shoe business after his discharge. 

Last night we saw Merry Wives of Windsor at Aldwych 
Theater. I'm told that Shakespeare wrote this play specific- 
ally to feature Falstaff, who had been so popular with 
the bourgeoisie in previous plays. Falstaff was less than 
overwhelming in this production, but Master Ford and the 
rest of the cast kept me laughing all night. Guess I'm 
just demi-bourgeois. 




Llffey River — Dublin. 

We were fortunate enough to be invited to a party in 
honor of Dr. Robert Smith, a member of the Social Medi- 
cine Department at Guy's Hospital who is joining Dr. 
Lyle's crowd at UNC. The party was held at the Staff 
Common Room at Guy's. Dr. Smith is a real gentleman 
and will be a definite asset to our faculty. Nass and Sheps 
were there, both needing haircuts. 

This reminds me; Last month I met with them at a 



pub near Victoria to discuss our respective curricula for 
next year. Although our conversation wended its way 
through many topics, spurred on by camaraderie and 
frequent rounds of beer, we did make some worthy de- 
cisions on the business which ostensibly brought us to- 
gether. In addition, we heartily saluted Dr. Peters and 
other members of the faculty who brought about such a 
beneficent change in the course of study. 

August 21 

This was my last day at Maida Vale, and it was fairly 
profitable. Mr. Symon conducted the rounds and did a 
little bit of teaching, perhaps because of the presence of 
Miss Ann O'Faolain, a newly arrived student from Trinity 
College, Dublin. A pearl dropped: headache rarely occurs 
in vertebrobasilar ischemic attacks because this system 
has no meningeal branches. In carotid ischemic attacks, 
however, headache is prevalent because the carotid does 
supply the meninges. 

Tonight we take the all-night train to Paris — a big 
adventure! 

August 27 

This is my last night in London. Tomorrow the jet 
flies me back to New York, then home. We spent almost 
the entire day packing, and wrapping and mailing pack- 
ages, but went to the movie tonight to see The Bofors 
Gun, which starred Nicol Williamson. We had seen him 
in Of Mice and Men, which was excellent, and were not 
disappointed by his performance tonight. 

Yesterday we attempted to visit Parliament to hear 
the condemnation of Russia for its invasion of Czechoslo- 
vakia. The line was blocks long, however, and a group of 
Czechs at the front of the line had been standing for 
seven hours. My heart, if not my feet, was with them. 

We then went to the Welcome Medical Museum and 
studied a little pathology — ainhum, Burkitt's lymphoma, 
and sprue — and medical history. On leaving, we got lost 
and stumbled upon a fabulous shop of medical books, both 
old and new. I went wild and, within 10 minutes, bought 
a Leonardo da Vinci on the Human Body and a sixth 
edition of Osier's Textbook of Medicine. The prices were 
excellent: 4 guineas for the Leonardo, and 15 shillings 
for the Osier. 

We then zipped over to Earl's Court to meet John. Sis, 
Gin, and Mr. and Mrs. Franklin for a farewell dinner at 
a fine Chinese restaurant. The Franklins have been excel- 
lent hosts and friends whom I trust we will meet again 
soon. 

Our visit to Paris comes back to me like a dream. This 
effect is probably due as much to the fact that we had to 
take the all-night boat-train over and back as to the 
ethereal qualities of that warm and beautiful city. 

We arrived there at 6:30 a.m. and, after some oily 
coffee at Gare St. Lazare, hiked down to the Arc de 
Triomphe, which is big. We then took a leisurely stroll 
down the broad and pleasant Champs Elysees. By the time 
we arrived at Place de la Concorde, our sleepiness had 
caught up with us; we tottered into the Tuileries Gardens 
and slept on a bench for an hour. On arising, we visited 
the Musee d'Impressionistes, which revived our souls. We 
then continued through the gardens to the Louvre, where 
our tired eyes feasted upon Leonardo's Mona Lisa. Virgin 
of the Rocks, John the Baptist, and some others I can't 
remember. We also saw Venus de Milo; it was slightly 
amusing to see a group of diminutive Japanese tourists 
having their pictures taken individually while standing 
at attention by the statue. Feeling bone-weary, we walked 
down to the banks of the Seine on the He de la Cite, to 
have lunch and another nap. 

Notre Dame Cathedral and the Sorbonne drift lazily 
through my memory, then a long nap back at the 
Tuileries. interrupted by an elderly, stooped, but highly 
aggressive woman demanding 45 centimes for the use of 
the chair. I paid after sputtering a few protests, but 
noticed that the natives merely moved on when she con- 
fronted them. 

And so, that is it. Much more than what is contained 
in this narrative has happened to me, and a lot of what 
is recorded here deserves better description. I should like 
to end with some moving, eloquent statement, but it 
seems to escape me just now. I've had a good time here, 
but I want to go home. 



Winter, 1958-69 / 27 



Blood Transfusion Three Hundred Years Ago 



Peter Hutchin, M.D. 
Assistant Professor of Surgery 



Although references to blood transfusion can be 
found in the ancient literature, the first well-docu- 
mented attempts to transfuse blood into human sub- 
jects were made late in the seventeenth century. The 
necessary background for this development was pro- 
vided by William Harvey's discovery of the circula- 
tion in 1628 and the organization of scientific societies 
in the early 1660's— the Royal Society of England, 
established by Charles II, and its rival organization, 
L'Academie des Sciences, established by Louis XIV 
in France. The events which took place three hundred 
years ago— in the full glare of publicity, controversy 
over priority, chauvinistic tendencies, and public 
opposition— are reminiscent of recent developments 
in cardiac surgery. 

From antiquity blood was regarded as synonym- 
ous with life and was believed to carry with it the 
physical and mental qualities of its owner. It is not 
surprising, therefore, that the early attempts at blood 
transfusion in man were based on a belief in the 
therapeutic effects of blood on the psyche. No con- 
sideration was given to blood transfusion as a treat- 
ment for hemorrhage. 

The first intravenous infusion of any kind was 
probably performed at Oxford by Christopher Wren 
and Robert Boyle, both members of the Royal Society 
of England. To settle an argument as to whether the 
effects of drinking beer resulted from the presence of 
the alcoholic beverage in the stomach or in the blood 
stream. Wren and Boyle infused beer, wine, and vari- 
ous other "juices" into the veins of dogs, using as a 
primitive syringe a quill and a dog's bladder ( Fig. 1 ) . 
These experiments came to the attention of Richard 
Lower, a young medical student, who was one of the 




first to implement Harvey's discovery by transfusing 
blood from the circulation of one subject to that of 
another. His experiments with transfusions in animals 
are described in his now-famous book, Tractatiis de 
Corde. 

Lower first repeated the experiments performed 
by Wren and Boyle, infusing much larger quantities 
of beer mixed with wine. Finding that the solution 
mixed well with blood, he then proceeded to trans- 
fuse blood from one animal intcJ another. He per- 
formed the first blood transfusion in 1665 just four 
months before receiving his degree of Bachelor and 
Doctor of Medicine. After an unsuccessful attempt to 
transfer blood from the jugular vein of one dog into 
that of another, he decided to perform an artery-to- 
vein transfusion, using silver cannulas connected by 
the carotid artery of an ox (Fig. 2). His description 
of this experiment follows: 




Figure 1 
Intravenous infusion apparatus made of quills and a dog's 
bladder used by Christopher Wren and Robert Boyle in 
1656. 



IticiiAni) Lo\\-F- 



Figure 2 
Richard Lower first performed a transfusion of blood from 
one animal to another in 1665, using silver cannulas shown 
here. 

From the dogs suitable for experimental pur- 
poses I selected a medium-sized one and drew 
off its blood from an exposed jugular vein. The 
dog first set up a wailing but soon its strength 
was exhausted and convulsive twitchings be- 
gan. In order to resuscitate this animal from 
such a great loss of its own blood with blood of 
another, I securely bound a large hound along 
the smaller dog and allowed its blood to flow 
from the cervical artery into the smaller dog. 
This rushing in of blood soon transfused too 
much as evidenced by a returning restlessness 
of the engorged dog. The artery of the donor 
was now ligated and blood again withdrawn 
from the recipient. This withdrawal was re- 



28 /THE BULLETIN 



peated in another large dog until neither blood 
nor life remained. In the meantime blood was 
being drawn away and turned loose from the 
small dog, equalling in amount, I would judge, 
the weight of its body. Nevertheless, its jugular 
was again joined and its chains unfastened. 
The animal immediately leapt down from the 
table and apparently forgetful of its injuries, 
fawned upon its master. It then cleansed itself 
of blood, rolled in the grass, and apparently 
was no more inconvenienced than if it had 
been thrown into a flowing stream. 

It is interesting that the result of this experiment 
did not suggest to Lower that blood transfusion might 
be life-saving for patients suffering an acute blood 
loss. He was obviously influenced by the prevailing 
opinions of his time including the psychic effects of 
blood, and his mind was not properly prepared to 
recognize the significance of his findings. 

In France, the experiments of the Oxford group 
became known to L'Academie des Sciences and 
aroused a great deal of interest among its members. 
Under the leadership of Jean Baptiste Denis, profes- 
sor of philosophy and mathematics at the Faculty of 
Paris and physician to Louis XIV, experiments with 
animal transfusions were performed early in 1667. 
An appreciation of the atmosphere in which this work 
was conducted and the spirit of the time can be 
gleaned from the following entry in the Archives of 
the Academy: 

... at about this time there was much noise 
concerning a new discovery, for which the 
English had all the glory, but which the French 
perfected from day to day; it was the famous 
Transfusion of Blood, founded upon the circu- 
lation, which seemed to promise, along with 
an infinity of unusual experiments, the cure of 
all diseases of the blood, and an almost com- 
plete transformation of medicine . . . 

Denis and his assistant, Emmerez, rapidly per- 
fected their techniques and, in June of 1667, were 
ready to attempt a transfusion from animal to man. 
They decided to use a sheep because' its blood was 
believed to be of greater purity in relation to milk 
and meat, which are man's food. The patient was a 
17-year-old youth exhausted by fever and repeated 
phlebotomies. Denis gave him 9 ounces of blood 
from a sheep's carotid artery without i^ny immediate 
adverse reaction. The patient surprisingly recovered, 
and Denis concluded; 

Now who does not see that all these admirable 
effects derive without doubt from this little 
arterial blood of the sheep, which being mixed 
with the mass of his own gross blood served 
as a ferment and leaven to rarify it and refine 
it more than ordinary, to produce a greater 
abundance of spirits and to maintain all the 
functions of the body more free and uncon- 
strained? 



Encouraged by this success, Denis and Emmerez 
chose for their second subject a healthy 45-year-old 
man who volunteered to submit to the experiment. A 
record of his transfusion is preserved in Denis' report 
to the academy; 

And because this man had no considerable in- 
disposition at all, we proposed to make on him 
a transfusion more ample than the first, but 
having found his vessels quite deep and little 
filled with blood, we only withdrew about ten 
ounces and then we introduced a good twice 
as much from the crural artery of a sheep that 
we had expressly prepared, as much because 
it is larger and easier than the carotid as to 
include some diversity between this second 
experiment and the first. For the rest this man 
did not abandon his jovial humor during the 
entire period of the transfusion and among the 
other reflections he made on the situation of 
the sheep alongside his arm, he told us laugh- 
ingly that there were strange means of con- 
serving life in medicine, that he knew not who 
had invented this means of blood-letting but 
that he felt a very great heat from the incision 
that we had made in him as far as the axilla, 
which derived from the course of this new 
arterial blood which had to take this route to 
get to the heart. 

When the operation was completed we 
wished him to lie down, but as he felt no alter- 
ation in himself, it was impossible for us to 
achieve this end, and we could not prevent 
him from instantly cutting the throat of the 
sheep, blowing it up, and skinning it because 
he was skillful therein and has practiced it dur- 
in his youth. Then he wanted to return home, 
promising us that he would take a bouillon, 
and that he would lie down there the rest of 
the day, but he had no more than left than he 
went to find his comrades and took them to the 
tavern to drink up a piece of money that had 
been given to him to pay him for his day. And 
feeling more vigorous at noon, either from the 
new blood that he had received six hours be- 
fore or from the quantity of wine he had just 
drunk, he undertook a task involving his whole 
body and as hard as a man can endure since 
even horses would have trouble enduring it. He 
worked all afternoon and thus prevented us 
from making the observations on him that we 
had proposed to make. I met him in the street 
the next dav, and having learned of this be- 
havior from himself, I was surjirised at it, I 
disapproved of it strongly, and reproached him 
for imprudence, but he said as his whole ex- 
cuse, that he could not remain at rest when he 
felt well, and that he had not felt any pain 
during or after the operation, that he had 
dnmk, eaten and slept well, that he had more 
strength than before, and that if we still 
wished to repeat the same thing some day, he 



Winter, 1968-69 / 29 



begged us to choose no one but him, and that 
the next time he would rest and execute 
punctually everything that we ordered him to 
do. 

Denis's third transfusion was performed on July 
24, 1667. The patient was a young Swedish baron, 
Eric Bonde, who was moribund at the time and 
succumbed soon after the transfusion. 

Denis sent a letter describing his first animal-to- 
man transfusions to the Philosophical Transactions in 
London, a publication of the Royal Society. This 
letter was printed in the Transactions when the secre- 
tary of the society, Henry Oldenburg, was tempo- 
rarily absent from town. On his return, Oldenburg 
arranged to have the distribution of this particular 
issue suppressed, evidently to eliminate the claim of 
the French for priority. 

Nevertheless, the news about the successful per- 
formance of a sheep-to-man transfusion in Paris 
stirred the Royal Society to activity. Lower in par- 
ticular was not to be outdone by the French. On 
November 23, 1667— a month after his election to the 
Royal Society— Lower, with the assistance of Edmund 
King, transfused the blood of a docile lamb into "a 
mildly melancholy insane man" named Arthur Coga. 
The procedure went smoothly. The patient was first 
bled 7 ounces and then transfused for two minutes 
from the lamb's carotid artery, receiving an estimated 
9 to 10 ounces of blood. The patient himself later 
described his experience to the Royal Society in an 
address delivered in Latin and entitled "Humble Ad- 
dress of Agnus Coga." His amusing account, in which 
he stated that he was much better, left the impression 
with those who heard him that he was "cracked a 
little in his head." 

Meanwhile, Denis was beginning to encounter op- 
position from jealous colleagues in his own country. 
Fearful that the new operation might replace all the 
other remedies to which they were accustomed, some 
of the French physicians were determined to put an 
end to transfusion. Their opportunity to accomplish 
this arrived with Denis's fourth patient, Antoine 
Mauroy. 

This 34-year-old house servant, recently married, 
suffered from periodic attacks of mania. During one 
of these attacks, Denis was called for help. He de- 
cided that a transfusion of blood from a calf might 
have a calming effect on the patient, because of the 
animal's gentle spirit. The transfusion took place on 
December 19, 1667, in the presence of several physi- 
cians as spectators. Denis and Emmerez performed a 
venesection on the patient's arm vein, first withdraw- 
ing about 10 ounces of blood and then infusing 5 or 
6 ounces of blood from the calf's femoral artery. It 
was not possible to transfuse more blood because of 
the patient's lack of cooperation and violent behavior. 
The procedure was repeated the next day, after he 
became quieter, and a larger amount of blood was 



transfused. The resulting transfusion reaction— which 
of course was not recognized as such— was described 
by Theophile Bonet. 

As this second Transfusion was larger, so were 
its effects quicker and more considerable. As 
soon as the bloud entered into his Veins, he 
felt the same heat all along his Arm and in his 
Armpits which he had done before: His Pulse 
was forthwith raised, and a while after we 
observed a great sweat sprinkled all over his 
face. His Pulse at this moment was very much 
altered; and he complained of a great Pain and 
Illness at his Stomach, and that he should be 
presently choaked, unless we would let him go. 
The Pipe whereby the bloud was derived into 
his Veins, was presently drawn out, and while 
we were busied in doing up the wound, he 
vomited up what he had eat before, and be- 
sides, both pist and shit: By and by he was 
laid in his bed, and after he had for two hours 
sustained much violence, vomiting up divers 
liquours which had disturbed his Stomach, he 
fell into a profound Sleep about ten o'clock, 
and slept all that night without intermission till 
eight o'clock the next day, being Thursday. 
When he awakened he seem'd wonderfully 
compos'd and in his right mind, expressing the 
Pain and universal weariness that he felt in all 
his members. He pist a large glass full of such 
black Urine, that you would have said it had 
been mixt with Soot: He also slept well all the 
next night. Making water on Friday morning, 
he filled another glass with Urine that was al- 
together as black as that he made the morning 
before. . . . 

Mauroy recovered from the transfusion reaction 
and was improved for about two months. He then 
had a recurrence of his mania, and his wife is said 
to have insisted on another blood transfusion to quiet 
him down. Because of technical difficulties and the 
patient's lack of cooperation, it is not certain that the 
transfusion was ever accomplished. Nevertheless, 
Denis was charged with murder when the patient 
died the next day. It is said that the patient's wife, 
bribed by Denis' opponents, pressed charges against 
him, stating that her husband died during the tran- 
fusion. Although Denis was acquitted in the legal 
battle that followed, the influential physicians of the 
Faculty of Medicine in Paris arranged to have Parlia- 
ment prohibit further transfusion experiments in man 
by an edict from the criminal court dated April 17, 
1668. 

Blood transfusion was not attempted again, either 
in France or in England, after the edict was issued. 
Although surgical textbooks retained illustrations of 
the procedure for a number of years ( Fig. 3 ) , blood 
transfusion was essentially abandoned until the early 
nineteenth century. Nevertheless, Lower never lost 
faith in the possible value of blood transfusion. In an 
effort to establish his claim to priority, he wrote a 



30 /THE BULLETIN 



detailed account of the circumstances and experi- 
ments preceding his first actual transfusion of blood. 
"A certain Denis," he explained," in a letter recently 
made pubhc, attempted to deprive me of the credit 
of originating this famous experiment and appropriate 
it to himself." While there is no question that Lower 
was the first to perform and report an antmal-to- 
animal transfusion, Denis deserves the doubtful credit 
for the first animal-to-man transfusion. 

The transfusion of blood remained a highly 
dangerous procedure until 1900, when the existence 
of blood groups was recognized. Since then, blood 
transfusion has become a common and extremely 
valuable medical procedure. The account of its be- 
ginnings 300 years ago affords a vivid example of 
man's devious road to progress, demonstrating how 
the success of a discovery depends on the time of its 
appearance and on the mental and ideological pre- 
occupations of that particular era. 




Figure 3 
Sheep-to-man blood transfusion. Illustration from an early 
18th century surgical textbook. 



'Are Our Medical Faculties Qualified? — 



(Continued from Page 18) 



school— University relations; make a medical educa- 
tion available to all qualified applicants regardless of 
economic status; and allow medical graduates to 
begin their postgraduate training without being over- 
whelmingly in debt. 

My second suggestion has to do with the provision 
of good medical care in rural areas and in the poorer 
districts of our cities. I am not persuaded that equi- 
table distribution of medical services can be accom- 
plished entirely by intricate and tight administrative 
organization of the whole community, nor even by 
the addition of paramedical personnel, though this 
may well contribute. Nor do I believe that the answer 
lies in bringing all sick people to a hospital. As Dr. 
Henry Cecil of Philadelphia points out, when a ha- 
rassed mother brings her acutely ill child to the hos- 
pital, the doctor has no way of knowing that this is 
the only member of the family who is in trouble, or 
even the one in most serious trouble. Granting that 
visiting nurses can do much for families, physicians 
can do more. It seems obvious, however, that few 
physicians will choose unprofitable locations in which 
to set up a private practice. 

Is there not merit in the Norwegian scheme of 
having a public health officer, medically trained, in 
general charge of providing medical care to all the 
residents in his district? He should, of course, be paid 
well enough to make the post attractive. (Carrying the 
idea further, I think of these outlying areas as excel- 



lent training grounds for physicians at all levels, and 
of those who are in charge as being also high-quality 
teachers. Medical students would take part of their 
practical training in these places; and a year or two 
of residency training or post-residency practice in 
such a location would provide a sound background 
for the young physician. As we carry our Utopia to 
its best conclusion, such a term of training might 
substitute for military service. Such a practice has 
been employed in Scandinavia. This would provide 
at least a framework of continuity of personal medical 
care that is so much endangered bv mechanized 
systems. 

Are we aiming tor a revolution in medicine? It 
depends what you mean bv the word. Strictly speak- 
ing, it should mean turning things upside down. If 
bv revolution we mean that we are to make many 
changes, obviously the answer is i/es. If we are to 
throw what we have overboard, and start over again, 
the answer is no. We have so much going that is 
excellent, let us not give away all the good that Dr. 
P^lexner did for us. 

And now I come back to the categorical (juestion 
with which I began: Are our medical taeulties quali- 
fied to teach medicine? At this point, having said ail 
I have to say, I shall once again have recourse to a 
Socratic precedent. Socrates, you will remember, 
asked all the important (|iicst ions— but he never 
answered any of them. 



Winter, 1968-69 / 31 



The Implications of Computer 

Technology to Medical Education 

William G. Katzekmeyer, Ph.D. 
Assocmte Professor, Department of Biomathematics, Duke Universitij 



The computer is a curious child of man's ingenu- 
ity, a recently evolved species apparently descended 
from such innocuous ancestors as the gear-driven 
adding machine (fathered by Paschal in the mid- 
1600s), the punch-card record (probably first de- 
veloped by Falcon in the early 1700s ) , and Babbage's 
"analytical engine" ( invented in the mid-nineteenth 
century). After the discovery of the electron by J. J. 
Thompson in 1897, a series of mutations brought 
about the more recent relatives of the computer: the 
radio, radar, TV, and calculator. These ancestors, 
however, were comfortable for us to Hve with. They 
had a specific job to do; they did it well, and they 
knew their place. 

Not long after the birth of this child we call the 
computer, it became apparent that few of the virtues 
were in its nature. The computer seemed not to be 
satisfied with a single purpose, and it inspired a 
peculiar kind of loyalty almost approaching fanati- 
cism in those who espoused its cause. There seemed 
to be no end to the things that the computer could 
do and, for a while, little beginnings to things the 
computer icoiild do. 

The computer, in recent years, has moved out of 
its childhood. It has accepted many responsibilities 
and promises to accept manv more. Many people have 
stated their belief that the computer will completely 
revolutionize society, that it is the most significant 
innovation since the invention of the wheel— and have 
made other equally modest statements concerning 
its impact on our lives. 

what is it about the computer that makes its im- 
pact so much greater than that of many other tech- 
nological developments? Let us take a brief look at 
some of the innovations of man, starting with the 
wheel. The wheel increased man's mobility and, by 
so doing, increased his contact with his fellow men. 
It enabled him to carry heavier loads and, over the 
long term, certainly did revolutionize society. This 
invention altered the physical realities of man's en- 
vironment; it revolutionized man's ability to cope 
physically with his problems. The same can be said 
of more modern inventions such as the steam engine, 
the automobile, and the aiq^lane. 

Man's brain enabled him to extend the effect of 
his brawn. His brain also enabled him to extend the 
influence of his mind. This channel of man's creativity 
starts with the beginning of writing. Writing repre- 
sents an extension of man's mind. The printing press 
greatly enhances the ability of man to communicate. 
The telegraph, the telephone, the radio, and television 



are further refinements of man's ability to communi- 
cate what is on his mind. These inventions revolu- 
tionized man's ability to cope mentally with his prob- 
lems. Yet each of these inventions amounted to an 
extension or a continuation of man's intellectual influ- 
ence on his physical power. 

The function of the computer is different. The 
computer seems willing to invade the tasks tradi- 
tionally reserved for man. While it may be an over- 
simplification to say that men have served in the role 
of information processors, it is true that we gather 
infomiation, evaluate it, make decisions, and take 
action. So rapidly has our technology expanded the 
amount of knowledge available that this problem of 
infomiation management has become a critical chal- 
lenge which must be met if we are to ensure con- 
tinued progress. In medicine, as in other fields, the 
problem of progress centers around infonnation: how 
to gather it, how to store it, how to retrieve it, how 
to understand it, and how to act on it. The possession 
of the computer, with its potential for the extension 
of human knowledge, changes the context within 
uhich we work. 

The computer is capable of performing a wide 
variety of tasks, from the most simple to the very 
complex. It can perform these functions tirelessly, 
rapidly, and accurately. More important, perhaps, its 
ability to handle a vast amount of data and analyze 
it in a fashion similar to that of the human mind gives 
it great potential and usefulness as a cybernetic de- 
vice. Therein lies its great power: the ability to 
analyze, integrate, and control. 

It has been suggested that the computer is an 
extension of man's mind. Probably it is more nearly 
correct to say that the computer serves as a tool for 
the extension of man's uill. Some of the problems 
that have developed around the use of the computer 
may be traced to this source. I certainly am ready to 
view the contribution of the computer positively if 
it is mij will that is being extended; if it is the will of 
an adversary, I might not see the computer in such 
a favorable light. At anv rate, the computer will be no 
more effective than the men who guide it and, eventu- 
ally, no less effective. Thus it leaves us with a hope 
of applying on a broad scope the best that men have 
to offer, both in medicine and in other fields. 

Major uses of the computer in medicine have in- 
cluded the handling of medical data, information 
retrieval, and the maintenance of medical records. 
Probably the two most exciting uses— at least to my 
mind— are in the areas of process control and com- 



32 /THE BULLETIN 



puter-aided instruction in medical education. 

Let us look first at the computer's handling of 
medical data. It was in this area of scientific statis- 
tical analysis that the computer met its earliest suc- 
cesses. The reasons are clear. In the experimental 
laboratory, data are accumulated at such a rate as to 
be, if not stultifying, at least a significant deterrent 
to prompt analysis. We will never know how many 
answers to critical questions lie hidden in masses of 
data which could not be analyzed economically. Ap- 
plication of the computer is making it possible to 
analyze such data more promptly and accurately, i"^ 

In the clinical laboratory, similar problems exist. 
While a detailed and careful clinical evaluation will, 
for a long time, require the services of expert tech- 
nicians and creative minds, blood chemistry values, 
automated photomicrography, enzyme kinetic data, 
gas composition, and measurements of blood flow, 
heart rate, cardiac output, and respiratory air flow 
are being successfully analyzed by computers. ^-^^ 
Computers are also being used efl^ectively in the 
analysis of electrocardiograms. This does not mean, 
of course, that the only analysis is made by the com- 
puter. Computers are used as screening devices to 
identify electrocardiograms which need further study 
by the trained cardiologist. ^''- '^ 

In pharmacology, we see an example of the com- 
puter's versatility and its application at different 
levels. At the clinical level, the computer makes pos- 
sible the maintenance of accurate, up-to-date, and 
detailed drug inventories and automates the process 
of drug reorder. At another level, the computer makes 
it possible to record and analyze responses to drugs, 
facilitates the evaluation of new drugs, assures prompt 
recognition of any toxic characteristics, and analyzes 
the effects of various dosages on patients of different 
ages and physical characteristics. ^^' 2" 

As an information retrieval device, the computer 
is faithful in clinical diagnosis, in literature searches, 
and in making effective use of clinical records in all 
areas of medicine. Diagnosis has been defined as "the 
art of envisioning many possibilities and discarding 
all but the most probable." Although the thought 
processes of the expert diagnosticians are complex 
and intricate, they are, in their best form, systematic 
and thoroughgoing. Because of its enormous memory 
and almost instantaneous matching capabilities, the 
computer has significant potential as a diagnostic 

The best-known example of the information re- 
trieval technology is found in the operation of 
MEDLARS, where vast amounts of medical infonna- 
tion are stored and retrieved in a large-scale com- 
puter-access library. The limitations which have be- 
come evident in MEDLARS are a function of the 
coding system operation and not limitations of the 
computer capability itself. Other literature-searching 
systems in use include the Current Awareness Pro- 
gram in Metallurgy at Western Reserve University, 
the Ophthalmology Literature System operated by 
Reinecke at Harvard Medical School, and the Litera- 



ture Analysis Program of the American Rheumatism 
Association. ^i-^'' 

Various medical records applications, too numer- 
ous to mention, also illustrate the computer's useful- 
ness as a retriever of information. 

One of the most promising medical applications 
of the computer is in the area of process control. It 
is possible for computers to monitor continuously 
various aspects of a patient's condition, and to modify 
medication or other aspects of therapy in a preor- 
dained fashion on a continuous basis. This amounts 
to round-the-clock, ongoing treatment by the com- 
puter. The potential of such treatment is obvious to 
all of us. There are at least two major obstacles stand- 
ing in the way of widespread usage of computers for 
process control in medicine. First, it is extremely ex- 
pensive; and, second, the problems of effective pro- 
gramming are highly significant. 

The use of computers in instruction has been 
heralded for the past ten years as an innovation that 
would revolutionize American education. The same 
problems— those of high cost and difficult program- 
ming—have kept this prediction from becoming a 
reality. It seems apparent, however, that computer- 
aided instruction, which has the flexibility to allow 
students to learn a variety of subjects on a schedule 
suited to their learning ability, has a definite place 
in medical education. The University of Illinois, 
Harvard, Western Reserve and San Francisco medi- 
cal schools have ongoing projects which involve 
the teaching of medical students through the modality 
of computer-aided instruction.^^ 

Hardware which will make computer-aided in- 
struction economically feasible is expected to be 
available within the next decade. It may take a little 
longer to develop quality instruction materials suited 
to this modality on a scale that will make it significant 
in the overall picture of medical education. Mean- 
while, the kind of rigor that is necessary in develop- 
ing computer-aided instruction materials is forcing 
many of us to look at the medical curriculum with a 
new intensity. 

REFERENCES 

1. Malindzak, G. S. Jr., and Stacy. H. W.: Dynamic behavior 
of a mathematical analog of the normal human arterial system. 
Am. J. Med. Electronics 4: 28. 1965. 

2. Olmsted, F. : Biophysics in cardiovascular dynamics. Cleve- 
land Clin. Quart. 29: 90, 1962. 

3. Rushmer, R F.. Watson. N.. and Baker. D.: Effects of 
acute coronary occlusion on performance of right and left ven- 
tricles in intact, unanesthetized dogs. Am. Heart J. 66: 522, 196.3. 

4. Clynes. M.: Use of computers for physiological discovery 
and for diagnosis by dynamic simulation, Circ. Res. II; 515, 1962 
(Part Two). 

5. KrasnofF, S. C, Echikson, E.. and Oscherwitz, M.: Acute 
myocardial infarction; feasibility of utilizing electronic data- 
processing apparatus to investigate a large series of cases, Circ. 
Res. II: 591, 1962 I Part Two I , 

6. Warner, H. H.: Use of analogue computers m the study of 
control mechanisms in the circulation. Fed. Proc 21.- 87, 1962. 

7. Levin, I.: The svmbolization and measurement of biologic 
abnormality. -4m. J. Med. Electronics 1: 122. 1962. 

8. Steinberg, C A., Abraham, S . and Caceres. C A.: Pattern 
recognition in tlie clinical electrocardiogram. IRE Trans. Biomed. 
Electronic BME 9 23, 1962. 

9. Collen, M. S.. Health examinations and the automated 
laboratory, J.A.M.A. 195: 830. 1966. 

10. Malonev. J. V.. De Haven, J C. DeLand, E. C. and 
Bradham, G. B.: Analysis of chemical constituents of blood by 
digital computer. Surgery 54; 158. 1963. 

11. Sobota. J. T. Brewer. D.. Cummings. M. E.. Feld. M.. and 
Williams, G. Z.: A data processing system for hematology. Am. 
J. Clin. Path. 44: 502. 1965. 

'Continued on Page 65) 



Winter, 1968-69 / 33 



The UNC Health Services Research Center' 



By C. Arden Miller, M.D. 
Vice-ChancelloT for Health Services 




C. Arden Miller 

Universities serve the public in new and important 
ways. Many of these ways are not as new to medical 
schools as they are to the remainder of the university. 
For many years a first principle of medical education 
has been to involve students as participants in the 
delivery of health care. If young physicians are well 
prepared to serve the pubhc's medical needs, then 
their experiences as students must be consonant with 
those needs. This principle has guided the efforts of 
medical educators for decades. It is an important 
determinant for a new endeavor at the University of 
North Carolina. 

The University's new Health Services Research 
Center owes its life to at least three convictions and 
to the efforts of a great many people. The convictions 
are these: 

( 1 ) Personal health in this country is not as sound 
as we believe possible, and health services are not 
adequate to meet the public need. We face the diffi- 
cult paradox of mounting public— and possibly pro- 
fessional—dissatisfaction in the face of improving 
professional competence, better hospital facilities, and 
more rebable diagnostic and therapeutic procedures. 

•Portions of this paper were presented to the Postgraduate 
Dental Seminar, Chapel Hill, December 4. 1968. and to a meeting 
of the Faculty Council, University of North Carolina, December 
6. 1968. 



(2) Although many proposals are made to im- 
prove health and health services, we do not in fact 
know what corrective measures will be effective or 
at what cost. These proposals are researchable. The 
greatest potential for productive research of this kind 
resides in universities working in partnership with 
practitioners and pubhc and private agencies that are 
concerned with health care. 

(3) Great opportunity for improved health lies 
outside the efforts of traditional medical sciences, 
important as these are. Improved housing, improved 
education, improved recreation, improved nutrition 
may all be necessary for improved health and may 
in fact offer greater opportunity for substantial bene- 
fits than isolated expansion of curative medical serv- 
ices. 

Nearly everyone accepts these premises or some 
modification of them, sometimes with intense feeling. 
The arguments and data are impressive. Most people 
are familiar with our sad record of high infant mor- 
tality. About 16 countries (many of them we like to 
believe are less well developed than ours in some 
ways) have better records of infant survival. Life 
expectancy in 25 or 30 other countries, including 
Puerto Rico and Albania, is longer for most age 
groups than in this country. 

There is, of course, no reason why we should be 
first or best except that our potential for improving 
the quabty of life is so far unrealized. We cannot be 
proud that small children in a large city, when shown 
a teddy bear and asked "What is it?", respond nearly 
half the time that it is a rat. These same children 
have never seen a dentist; and most of them are 
anemic from diets poor in iron. We have tended to 
explain all of these sorry medical data with evidence 
that they are due to poverty, racial discrimination, 
and associated poor diet, poor schooling and poor 
housing. These are major contributors but they are 
not the sole answer. The same unfavorable mortality 
statistics and survival data pertain to white as well 
as to black Americans and to people of all socio- 
economic levels. 

These considerations were some of the concerns 
leading to the establishment of the Health Services 
Research Center, but there were others. Cost of medi- 
cal care was one of them. Payments for health serv- 
ices are a growing anguish to individuals as well as 
to government agencies. The anguish is particularly 
acute when it becomes difficult to document that im- 
proved quality is necessarily associated with increased 
cost. We have had a tendency to pay increasingly 
for poorer services. And even when money is avail- 
able for the purchase of high-quality services they 
are apt not to be completely accessible in a manner 



34/ THE BULLETIN 



that is protective of individual convenience and 
dignity. 

What are the proposed solutions to these prob- 
lems? We may need more professional workers, or 
more practitioners of a certain kind, or we may need 
a different distribution of doctors. We may need sup- 
portive personnel. In some other countries, a large 
staff of paramedical associates makes it possible for 
as few as four physicians to provide seemingly ade- 
quate service to as many as 30,000 people. We may 
need more group practices, more regional medical 
centers, more prepayment plans for health services, 
or an expanded insurance program. The air is full of 
speculation about what we need, but there is very 
little experimentation or bold innovation in patterns 
of health services that might give substance to these 
speculations. 

If one studies the documents written nearly 20 
years ago in association with the establishment of the 
Division of Health Affairs in this University, one is 
impressed with the fresh sound of the ideas and their 
pertinence to the problems of today. The University's 
programs in the health sciences were expected to have 
a dramatically beneficial effect on the quality and 
availability of health services to all people in North 
Carolina. The fact that so many of the problems are 
still with us, some of them in accentuated form, is 
testimony to their pernicious nature rather than to 
the lack of effort or desire on the part of the Univer- 
sity to cope with them. The problems were far bigger 
than imagined, and the resources needed to solve 
them were far greater than what was provided. 

Renewed effort began in the School of Medicine 
several years ago with the establishment of the Divi- 
sion of Education and Research in Community Medi- 
cal Care. This division, sponsored enthusiastically by 
Dean Taylor and headed by Dean Berryhill, has 
helped mobilize the Medical School's interests and 
resources to emphasize attention to problems of com- 
munity medical care. This effort was one of the early 
steps toward establishing our new Health Services 
Research Center. Another was the creation of a joint 
committee of the Medical School and the School of 
Public Health to study ways for improving patient 
care. 

Further advance was made in the Spring of 1967 
when a faculty committee was established to study 
and propose a center or institute for research and 
demonstration of improved ways to provide health 
services. This faculty committee was drawn from 
many schools of the University including Business 
Administration, Arts and Sciences, Social Work, and 
the Institute of Government. Over a period of time 
the committee expanded its membership to include 
nearly 20 people on a regular basis. Dr. PVank Wil- 
liams of the School of Medicine and Dr. John Cassel 
of the School of Public Health provided capable lead- 
ership for this complicated endeavor. A series of 
faculty conferences was held, involving first a number 
of representatives from the five health schools, and 



later, members drawn more widely from across the 
University. From these discussions the proposal to 
estabUsh a Center was finally developed. This pro- 
posal came to maturity at a time when a new federal 
agency for research on health services was created. 
The agency had been given $30 million and a man- 
date to establish an intramural research program, and 
a number of extramural national research centers. Our 
proposal for support was among the first submitted 
to this agency. It competed with about 20 proposals 
from other universities and research centers. It was 
one of the first three granted and funded. Acceptance 
of the proposal is a tribute to the resources of the 
University in health services research, to the efforts 
of a great many people who worked conscientiously 
over a long period of time to bring the concept to 
fruition, and to an atmosphere in the University 
which fosters problem-focused, multidisciplinary re- 
search efforts of participants from many departments 
and schools. 

Chief administrative officer for the Center will be 
Dr. Cecil Sheps. Dr. Sheps was previously a member 
of the University of North Carolina faculty; he sub- 
sequently had a distinguished career in the Schools of 
Public Health at Harvard, Pittsburgh, and more re- 
cently at the new Mount Sinai Medical School in New 
York. As Director of the Center he will report to the 
Chancellor's office through the Vice Chancellor for 
Health Sciences. He will be assisted by an adminis- 
trative board consisting of faculty members drawTi 
from various divisions and schools of the University. 
The Board will advise the Director on the adminis- 
tration and implementation of the Center's research 
and training programs. 

Two additional supportive and consultative groups 
will be attached to the Center. The first will be a 
panel of advisers, both professional and lay, repre- 
senting communities participating in the Center's 
demonstrations. The second will be a national panel 
composed of 6 to 12 recognized leaders of research 
in health services; it will meet at least once a year to 
counsel and advise on the Center's activities. 

Four interrelated research units will be established 
within the Center, each functioning under an associ- 
ate director. 

(A) An Experimental Practices Unit will devise 
model practices to test possible solutions to problems 
of delivering personal health care in community set- 
tings. We anticipate that six such models will be 
conducted in communities scattered across North 
Carolina, representing widely the state's ]X)pulations 
and needs. These communities will be selected with 
great care to guarantee the willing partiei]ialion and 
support of the affected people, agencies and prac- 
titioners. 

Experimental variables now being considered for 
demonstration practices include: (1) definition of the 
role and functions of the various health professions, 
(2) organizational characteristics of health teams, in- 
cluding relationships between public and private pur- 



Winter. 1968-69 / 35 



veyors of services, (3) methods of financing, (4) 
definitions of extended responsibility, (5) accessi- 
bility to the public on terms acceptable to it, (6) 
methods of measuring effectiveness of services. 

(B) A Monitoring and Surveillance Activity Unit 
will gather data, both cross sectional and continuing, 
from the study communities to facilitate ( 1 ) the 
sharpening or redefining of research questions, and 
(2) the assessment of experimental changes. 

(C) A Community Studies Unit will analyze and 
interpret interactions between personal health serv- 
ices and other characteristics of the study community. 
This will provide a conceptual framework in which 
the success or failure of attempted innovations may 
be understood. 

(D) An Economic, Financial, and Legal Unit will 
define economic and financial limitations imposed 
upon innovations in personal health services by exist- 
ing community structures. This unit will monitor the 
cost of experimental practices and propose new fi- 
nancial and legal approaches to providing more ade- 
quate health care. 

These four units will relate closely one to another. 
Reciprocal feedback systems will be established so 
that analysis of data will modify procedures in a 
continuing fashion. 

In order to implement this ambitious undertaking, 
we requested $9 million to be spent over the next 
five years. The first 12 to 18 months of the grant 
period was to be the planning and developmental 
stage. The money was to provide support for a core 
stafl^ of about 30 people and the operational funds for 
the entire period. 

We were not granted the full amount. Instead, we 
received nearly $3 million, suflBcient to underwrite 
tlie planning stage and to guarantee support of the 
core staff for the full five years. We were charged to 
submit additional requests for operational funds at 
the end of the first and second years. 

The Center has defined programs which we be- 
lieve will attract the participation of a great many 
faculty members, community and professional lead- 
ers. We believe the programs will serve multiple in- 
terests; we believe, for example, that they will serve 
as important educational laboratories for students 
involved in the study of health care. The Health 
Services Research Center will also provide a mechan- 
ism through which additional funds for support of 
research projects of many faculty members and pro- 
fessional leaders may be requested. Neither the proj- 
ects nor the investigators need to have been previ- 
ously included in the planning or definition of the 
Center. 

Implementation of this ambitious undertaking has 
been largely suspended in recent months pending the 
arrival of Dr. Sheps. In the meantime he has con- 
ferred with many of our faculty and has recruited 
several candidates for positions with the Center and 
with various interested schools and departments. 

The intervening months have not been entirely 



idle. A second major project has been spawned from 
the establishment of the Health Services Research 
Center. Last June, when we were certain that money 
was in hand to begin planning, I became convinced 
that an efi^ort of this sort should have a substantial 
element of concern for the consumer. My admiration 
for the purveyors of health services is considerable, 
but it seemed to me that we should be as concerned 
with the problems of receiving health care as with 
the problems of delivering it. While numerous reports 
on medical care problems in the United States have 
appeared in recent years, none has really focused on 
the problem confronting the patient. Studies have 
dealt with health care facilities, health manpower, 
utilization of services, costs, method of payment, and 
the delivery system. All of these aspects of health care 
have been examined to a greater or lesser degree by 
the increasing body of experts on health care research. 
Yet despite the individual consumer's large stake in 
the improvement of the health care system, there are 
few opportunities for him to make his needs felt and 
his interests understood. We therefore incorporated 
a study concentrating on the experiences and view- 
points of patients and potential consumers in the 
planning of our Health Services Research Center. Dr. 
Lester Breslow, director of a sister center simul- 
taneously established at the University of CaHfomia 
at Los Angeles, was contacted and became an enthusi- 
astic participant in a plan for measuring consumer 
satisfactions and dissatisfactions with health care, and 
consumer expectations for its improvement. Appli- 
cations for support of the study were submitted to 
five foundations. We have received word from three 
of them and it is our expectation that within the next 
week or two announcement will be made of a major 
study, extending over the next 18 months, emanating 
from this University and from the University of Cali- 
fornia at Los Angeles. The aim of the study is to 
examine health services in the United States from the 
standpoint of the patient's problems in obtaining ade- 
quate care. The study will include such aspects of 
the problem as bewilderment about what constitutes 
good care, when and where to obtain it, how to pay 
for it. Continuing limitation of large segments of the 
population to only the most meager care will receive 
particular attention. 

In closing I wish to emphasize that the Health 
Services Research Center is a collaborative project, 
not confined to a particular school or division of the 
University. A strong case can be made that every 
area of learning has pertinence to health. It is our 
hope that the Health Services Research Center will 
give support and encouragement to many investi- 
gators with latent interests in this field, as well as to 
many others who are now actively and productively 
engaged in it. Many of the country's leaders in health 
services research now work at this university, or have 
done so at some time in the past. It is our intention 
to build on this strength and to give new emphasis 
and new support to this important aspect of the Uni- 
versity's accomplishments and future development. 



36 /THE BULLETIN 



The Challenge 
of Personal 

Professional 

DevelopinenP 



by Chester M. Sinnett 
Contributing Editor of Research/ Development 



As each month rolls around I find myself with 
many different things that could be discussed, but 
I'm never quite sure which one would be of interest 
to those of you who read this column regularly. My 
aim is to bring up some points that may cause you to 
pause and think for a moment. Perhaps you do not 
agree with me. If this is the case, I should like very 
much to hear from you. A few of you have questioned 
some of the things I have said; this is fine, since it 
brings out points from which we both learn some- 
thing. 

It seems to me that this month particularly, before 
the start of a new year, we should be taking stock of 
ourselves. We should decide whether we are actually 
doing as well as we could. 

Professional development can mean different 
things to different people. To me it means that a man, 
or woman, must have ideals and goals by which he 
(she) lives. These goals do not have to be far out 
ones, but rather just the garden variety— providing 
they take the other fellow into consideration. 

One cannot live for himself alone. Regardless of 
how we look at it, we are not alone as we work each 
day. Some of us rubs off on each person we meet, 
just as some of him rubs off on us. We cannot get 
through a day without being influenced by or influ- 
encing other people. For this reason, if for no other, 

•Reprinted by permission from Research/Development. 19.17 
(Dee.) 1968. Copyright 1968 © by F. D. Thompson Publications. 



we should take careful stock of our actions toward 
those we supervise, those we work with, and those 
we work for. 

It may be trite to ask, but how often have you 
tried to see what a smile or a kind word will do for 
others? Why should we sometimes think that the 
world is against us, when really our feelings have 
little to do with the world as such but rather with 
ourselves as individuals. Take a good look at yourself 
first; see if you did not contribute a great deal to the 
particularly bad day you had. Sometimes it is pos- 
sible to locate the exact spot where things went awry 
and to understand why they did. 

Maybe for a few minutes we should get down to 
earth and think through just what we are trying to 
get out of life. Are we trying to "win friends and 
influence people" or do we feel so right in our actions 
that we think people .should search us out? When the 
other fellow is feeling lousy and tends to blame every- 
thing but himself for his actions we can help very 
much by showing a little sympathy and understand- 
ing. It seems to me that we have forgotti'n the simple 
things in life. We demand so much from everyone 
and everything. We do not want to take the time to 
think about things; we rush to and fro with no time 
to be considerate of others. 

How can one consider himself a professional 
unless he acts like one? He may be a technical expert, 
he may be considered one of the best in his line, but 
is he truly professional if he does not win the respect 
of his fellow men? Who is to judge one's professional 
standing— his peers, his friends, his family or those 
whom he meets from day to day? I have seen, and 
surely you have also, people who just radiate pro- 
fessionalism. Their carriage, their speech, their actions 
toward others, their dress, and their self-confidence 
all fit together to make the whole person something 
difterent than average. It is a real pleasure to meet 
and know such a person. He inspires one to try 
harder to become professional. 

Think back over the people vou have known. How 
many can you really call professional? Probably very 
few. But wait a minute, are you sure that you really 
meet those same re(|uirements? It is so easy to look 
for things in others and to mark them down for some- 
thing we do not consider professional, but are we 
ready to mark ourselves down for the same thing? 

I firmly believe that professionalism begins at 
home and that one must do some real soul searching 
to determine just what ideals and goals he must have 
to meet the criteria of a professional. Professionalism 
is not something anyone else is going to give to you 
—you must earn it, and you cannot do this until you 
know exactly where you stand with yourself. 1969 
is a brand new year made up of months, weeks, days, 
and hours. How well you spend them and the prog- 
ress you make is entirely up to you and your attitude. 
How about setting those goals for yourself a little bit 
higher just to see what happens. You just might be 
surprised. 



Winter, 1968-69/37 



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NEWS FROM THE HILL 




Following national competition, MR. HOWARD M. 
JERNIGAN (Biochemistry) won a research fellowship 
award from the National Institute of General Medical Sci- 
ences. His principal research area is the binding of hlstone 
fractions to various DNA types. 



DR. H. STANLEY BENNETT, currently Director of the 
Laboratories for Cell Biology of the University of Chicago 
will join the faculty as chairman of the Department of 
Anatomy and Director of a new program in Reproductive 
Biology on June 1, 1969. He will succeed Dr. Charles W. 
Hooker as chairman of the Anatomy Department. Dr. 
Hooker is retiring from this position after 20 years of 
service. The Reproductive Biology program is being made 
possible by a generous grant from the Rockefeller Foun- 
dation. 

Dr. Bennett brings to Chapel Hill long and distin- 
guished experience in the fields of anatomy and cell biol- 
ogy. Born in Japan, he received his A.B. degree from 
Oberlin College and M.D. from Harvard Medical School. 
Prior to military service during World War II he in- 
structed at Harvard Medical School and subsequently 
taught at Massachusetts Institute of Technology. He then 
became Professor and Head of the Department of Anatomy 
at the University of Washington in Seattle. In 1961 he 
moved to the University of Chicago where he served as 
Acting Chairman of the Department of Anatomy, Professor 
of Biophysics and Dean of the Division of Biological Sci- 
ences, including the School of Medicine. Since 1966 Dr. 
Bennett has been Robert R. Bensley Professor of Biologi- 
cal and Medical Sciences and Director of the Laboratory 
for Cell Biology at Chicago. He is a member of numerous 
scientific societies and national committees. An active 
investigator throughout his career, Dr. Bennett has been 
one of the outstanding contributors to the rapid advance 
that has been made in cell biology during the last two 
decades and is the author of about 75 publications in the 
scientific literature. This background makes him specially 
qualified to direct the new program in reproductive biol- 
ogy that will incorporate a broad attack on the problems 
of human fertility and population control. These basic 
investigations will compliment the current population pro- 
gram on the UNC campus and will help make Chapel Hill 
one of the world's foremost centers for population studies. 



DR. LARS ERIK BOTTIGER from the Karolinska In- 
stitute in Stockholm, Sweden, visited the university last 
September. On the 24th of that month he lectured at the 
Clinic Auditorium on "Fevers of Unknown Origin." 



DR. H. NEIL KIRKMAN (Pediatrics) spoke on "Vari- 
ants of Human Glucose-6-phosphate Dehydrogenase" at 
the national meeting of the American Chemical Society 
held at Atlantic City last faU. 




DR. JAMES A. BRYAN (Medicine) was selected by the 
members of the Whitehead Medical Society to deliver the 
1968 "Whitehead Lecture." Here he is congratulated by 
President Ellis Fischer after he delivered his address, "A 
Dibble for Medical Education," which will be published 
in the next issue of the Bulletin. 




DR. G. P. MANIRE (Bacteriology) is shown above with 
members of the staff of the Biophysics Department, Insti- 
tute for Virus Research, Kyoto University, Japan, where 
he spent one week last September. Dr. Manire was Visit- 
ing Professor at the Institute during 1963-64, and is con- 
tinuing collaborative studies with some members of this 
group. Dr. Akira Tamura, shown at top right, recently 
returned to Japan following a two year stay in Chapel Hill, 
where he was Assistant Professor of Bacteriology. Dr. 
Tamura was co-author of a paper given by Dr. Manire in 
Teheran, Iran, at a special session on trachoma at the 
International Congress for Tropical Medicine just preced- 
ing his September visit to Japan. 



40/ THE BULLETIN 



As part of the medical school's program of continuing 
education for practicing physicians, six-week postgraduate 
courses were held last fall in Asheville and in Morganton. 
Under the sponsorship of the school and the Burke 
and Buncombe County Medical Societies, afternoon and 
evening meetings were held every Tuesday in Asheville 
from September 17 through October 29, and every Wed- 
nesday in Morganton from September 18 through October 
30. Among the topics considered were cystic fibrosis, the 
use of antibiotics, cardiac arrythmias, and the manage- 
ment of depression and anxiety. 

The first speaker in both cities was Dr. Calvin M. 
Kunin, chairman of the Department of Preventive Medi- 
cine at the University of Virginia, who discussed the use 
of antibiotics and the prevention and management of 
urinary infections. 







DR. EDWARDS J. BATTERSBY (Vanderbilt Univer- 
sity) and participants at Asheville post-graduate course. 




Participants at the Morganton post-graduate course. 



A lecture on "Some Problems in Percutaneous Ad- 
sorption" was given by DR. RICHARD B. STOUGHTON, 



Head of the Division of Dermatology at Scripps Clinic 
and Research Foundation (October 2). 



DR. HUBERT C. PATTERSON (Sui^Mryi i..;sumed th-? 
office of president of the N. C. Surgical Association at the 
group's meeting in Southern Pines last fall. 



DR. JOHN A. EWING (Psychiatry) addressed the 28th 
International Congress on Alcohol and Alcoholism held 
in Washington, D. C. last fall. 



The Sigma Xi fall lectures were delivered by Dr. J. 
Logan Irvin (Biochemistry) and Dr. K. M. Brinkhous 
(Pathology). Dr. Irvin spoke at the School of Pharmacy 
auditorium on "Functions of Histones." Dr. Brinkhous 
addressed the society at the School of Public Health 
auditorium on "Trends in Hemophilia Research." 



On October 16, 1968, DR. OVE LUNDGREN, a physi- 
ologist from the University of Goteborg, Sweden, spoke 
at the school on "Regional Adjustments of Intestinal 
Blood Flow." 



A "Conference on Community Health" brought to 
Chapel Hill representatives from Student Health Orgcini- 
zations at medical schools in the southeast, Temple and 
Indiana. The Conference, held on October 25-27, 1968, 
was sponsored by DR. ROBERT HUNTLEY (Preventive 
Medicine and Sch. Public Health) through the Melbank 
Foundation and SAMA's southeast division, and organized 
by MR. JAMES S. HENNING ('71), president of the SAMA 
section. 




(1-r) DR. C. GLENN PICKARD, JR. (Medicine), DR. 
ROBERT DeMARIA (Duke University), DR. JOHN C. 
CASSEL (Sch. Public Health), DR. ROBERT SMITH 
(Preventive Medicine), MR. JOHN V. ALLCOTT, III ('71), 
and MR. JAMES S. HENNING ('71). 




MR. JOHN CALLEJA, from Tulane University School 
of Medicine and a member of the Student Health Organi- 
zation of New Orleans, addresses the participants. 



Winter, 1968-69/41 




Occupational and physical therapists, physicians and nurses from United States, Puerto Rico, Canada and Finland 
were among: the 50 participants in a five-day course in hand rehabilitation held in September at the Hand Rehabilitation 
Center.* The course, in its second consecutive year at the University, is the first of its kind in the United States. 



Last fall, DR. WILLIAM P. WEBSTER (Sch. Dentistry 
and Pathology), was appointed director of the new NCMH 
Dental Program. Dr. Webster is to develop and organize 
a program that will provide dental consultative services 
and treatment to patients in the hospital and in the new 
ambulatory wing. 

The Hospital Dental Service will be staffed by mem- 
bers of the School of Dentistry and specialty training pro- 
grams. Dental students will gain experience in providing 
specialized care for hospitalized patients and working in 
a hospital environment. Medical and dental students will 
have increasing opportunities to work together in pro- 
viding total patient care. 




MR. HAROLD P. COSTON, a native of Winston-Salem, 
was appointed Acting Director of North Carolina Memo- 
rial Hospital following the resignation of MR. WILLIAM 
L. IVEY last November. 

Mr. Coston, a graduate of Wake Forest University and 
a fellow of the American College of Hospital Administra- 
tors, received the degree of master of public health (hos- 
pital administration) from the School of Hygiene and 
Public Health of Johns Hopkins University in 1952. Prior 
to coming to Chapel Hill in 1966 to join the Department 
of Hospital Administration, he had served as administra- 
tor of hospitals in Baltimore and Cambridge, Maryland, 
and in Hannibal, Missouri, He also taught in the School 
of Hospital Administration at Washington University, St. 
Louis, Missouri. 

Mr. Ivey, who had served as director of Memorial Hos- 
pital for two years, relinquished that position in order to 



assume duties in the Department of Hospital Administra- 
tion of the School of Medicine. 



The Department of Psychiatry sponsored a program 
for practicing psychiatrists and non-psychiatrist physi- 
cians on November 7-9, 1968. The program "The Troubled 
Adolescent," — devoted to discussion of the problems of 
adolescence, included a series of presentations designed 
to give an over-view of the current generation of teen- 
agers and to provide insight into key problem areas. Dr. 
John E. Ewing (Psychiatry) presided at the opening ses- 
sion. The various lectures delivered were: "Maturation, 
Conformity, and Rebellion," DR. L. JOLYON WEST, Pro- 
fessor and Head, Dept. Psychiatry, Neurology and Be- 
havioral Sciences, University of Oklahoma; "Pharma- 
cologic, Idiopathic, and Social Reactions to Drug Use," 
DR. MARTIN KEELER (Psychiatry); "Communicating 
with the Adolescent — Interview Techniques," DR. ROB- 
ERT MICHELS, Assistant Professor, College of Physicians 
and Surgeons, and Associate Attending Physician at 
Presbyterian Hospital, N. Y. City; "Problems Associated 
with the Use of Oral Contraceptive Agents," DR. FRAN- 
CIS J. KANE, JR. (Psychiatry); "Problems of the Adoles- 
cent and Post Adolescent Student," DR. CLIFFORD B. 
REIFLER (Psychiatry); "Current Development in Psychi- 
atric Treatment," members of the staff of the Dept. of 
Psychiatry. DR. EWALD BUSSE, Professor and Chairman 
of the Dept. of Psychiatry, Duke University, summarized 
the program. DR. EUGENE A. HARGROVE, N. C. Com- 
missioner of Mental Health and DR. RICHARD PROC- 
TOR, Chairman of the Dept. of Psychiatry, Bowman Gray 
School of Medicine, also participated in the program. 




• (Described In the September 1968 issue of the Bulletin.) 



DR. L. JOLYON WEST (Univ. Oklahoma Medical Cen- 
ter) — "Maturation, Conformity, and Rebellion." 



42 /THE BULLETIN 



DR. GERALD L. MECHANIC, from New York City, 
and DR. SVEIN UTHEIM TOVERUD, from Norway, re- 
ceived associate professor joint appointments in the De- 
partment of Biociiemistry and in the School of Dentistry. 



"Blood Proteins" was the topic of the 1968 Medical 
Science Lecture Series: 

Sept. 21 Plasma Proteins: Perspectives 

FRANK W. PUTNAM, Ph.D., Professor of Biol- 
ogy and Director Division of Biological Sciences, 
Indiana University 

Sept. 28 Inherited Variations in Serum Proteins 

ALEXANDER G. BEARN, M.D., Professor and 
Chairman, Department of Medicine, New York 
Hospital-Cornell Medical Center 

Oct. 5 Complement 

HANS J. MULLER-EBERHARD, M.D., D.M.Sc, 
Member, Scripps Clinic and Research Founda- 
tion; Professor of Pathology, University of Cali- 
fornia at San Diego 

12 The Kinins 

KENNETH L. MELMON, M.D., Associate Profes- 
sor of Medicine and Pharmacology, University of 
California at San Francisco 

Oct. 19 Immunoglobulins 

DR. PUTNAM 

Oct. 26 Plasma Lipoproteins 

DONALD S. FREDRICKSON, M.D., Chief, Mo- 
lecular Diseases Branch, National Heart Institute, 
NIH 



Nov. 2 The Fibrinolytic System 

SOL SHERRY, M.D., Professor and Chairman, 
Department of Medicine, Temple University 
School of Medicine 

Nov. 9 Transplantation Antigens 

D. BERNARD AMOS, M.D., James B. Duke Pro- 
fessor of Immunology and Experimental Surgery, 
Duke University 

Nov. 16 Hemoglobin 

D. J. WEATHERALL, M.D., Senior Lecturer in 
Haematology, University of Liverpool 

Nov. 23 Cationic Leukocytic Lysosomal Proteins 

JOHN K. SPITZNAGEL, M.D., Professor of Bac- 
teriology and Associate Professor of Medicine, 
UNC 

DR. K. M. BRINKHOUS (Pathology) was chairman of 
the committee in charge of organizing the annual event 
this year. 




ASSOCIATE DEAN GRAHAM and DR. BEARN 



DRS. ROBERTS (Pathology and Medicine) and 
WEATHERALL 



Winter, 1968-69/43 



In November, four assistant professors were named 
to our faculty: DRS. JAMES LAWRENCE HOWARD (Psy- 
chiatry) of Geneva, 111.; WILLIAM A. MORRISON (Sur- 
gery) of Cairo. W. Va.; ROLFFS S. PINKERTON (Psychi- 
atry) of Venezuela, and MISS SHIRLEY SANDERS (Psy- 
chiatry) of Philadelphia. 



"The Evolutionary Basis of Acid Base Regulation" 
was the subject of DR. EUGENE ROBIN'S lecture on 
November 13. Dr. Robin is from the Department of Medi- 
cine at the University of Pittsburgh. 



with the medical school's expansion of its continuing edu- 
cation programs for practicing physicians. 

Mr. Raney's duties will include planning and producing 
open-circuit educational TV material for physicians and 
laymen. A series of 34 such programs are to originate 
from WUNC-TV in 1968-69. In addition, Mr. Raney will 
oversee expanded use of intramural closed-circuit tele- 
vision throughout the school. 

Prior to assuming his new position, Mr. Raney was an 
advertising copywriter with the General Electric Company 
in Chicago. 




Warner 



Hudson 



Coroners and medical examiners from North CaroUna 
met at the Institute of Government on November 8, 1968. 
It was the first time these specialists had met since North 
Carolina hired its first full-time state-wide medical exam- 
iner, DR. R. PAGE HUDSON (Pathology). MR. JOHN 
SANDERS, Director of the Institute of Government wel- 
comed the members of the N. C. Coroners and Medical 
Examiners Association. Dr. Hudson spoke to the group on 
"Death Associated with Alcohol" and "Implementation of 
the Medical Examiner System in North Carolina." DR. 
ROBERT H. WAGNER (Pathology) addressed them on 
"Some Practical Problems with Toxicology," and MR. 
DAVID G. WARREN (Inst. Government) spoke on "Legal 
Problems in Autopsy Cases." DR. ALLAN B. COGGE- 
SHALL, president of the Association, presided over the 
two days meeting. 



A faculty member at the Medical College of South 
Carolina for nearly 10 years, DR. FRANK CORDLE of 
Lindale, Ga., has been named a research associate in the 
Department of Preventive Medicine and in the School of 
Public Health. He holds degrees from the University of 
Florida and UNC. 




DR. LOUIS S. HARRIS (Pharmacology) participated 
in a round table discussion on "A New Side of Marihu- 
ana" broadcast over Raleigh station WLLE on November 
17, 1968. The program was taped in Cambridge, Mass., for 
the American Chemical Society's educational radio pro- 
gram, "Men and Molecules." Other panel participants were 
scientists at Cambridge with whom members of our Phar- 
macology Department have been working on a cooperative 
project concerning marihuana. 



DR. LOUIS G. WELT (Medicine), chairman of the 
National Kidney Foundation's Scientific Advisory Board, 
presided at the Foundation's medical forum held in Wash- 
ington, D. C. last November as part of NKF annual meet- 
ings. 

He has also been elected president of the American 
Society of Nephrology and will take office in November 
1969. 

DR. CARL W. GOTTSCHALK (Medicine), chairman of 
the national committee on Chronic Kidney Disease, re- 
ported to NKF on the work of his committee. 




DAVID L. RANEY, (UNC '63) a two-time winner of 
the Bronze Star in Vietnam, has been appointed Director 
of Medical Television in the Department of Preventive 
Medicine. The new position was created in conjunction 



DR. RENE JULES DUBOS (Bulletin, Mar. 1968), a 
pioneer in the field of antibacterial research from the 
Rockefeller University, delivered the 1968 Merrimon Lec- 
ture on December 4. Following the lecture, "Civilization 
and the Man of Flesh and Bone," there was a reception 
in honor of Dr. Dubos at the faculty lounge of the More- 
head Planetarium building. 



"The Management of Digestive Diseases," the 12th 
Annual UNC School of Medicine Symposium sponsored 
by the Department on Continuation Education, was held 
on November 21 and 22. The following programs were 
offered by faculty members from our school. Bowman 
Gray, Duke and the University of Vermont: workshops 
on "Peptic Ulcer," "Biliary Tract Disease," "Diseases of 
the Small Intestine and Colon," and "Malabsorption"; 
panel discussions on "Liver Disease" and on recent ad- 
vances in techniques of diagnosis and treatment; lecture 
on "Acute Viral Hepatitis and Its Variants" given by Dr. 
W. ALLAN TISDALE, Chairman of the Department of 
Medicine of the University of Vermont College of Medi- 
cine. Medical grand rounds were also attended. 



44 /THE BULLETIN 




^iiii#^ 




At the 1968 Clinical Congress of the American Col- 
lege of Surgeons in Atlantic City, DR. COLIN G. 
THOMAS, (Surgery) received a citation and plaque for 
his motion picture, "Total Thyroidectomy and Neck Dis- 
section for Thyroid Cancer," which was premiered at the 
meeting. The 25-minute color-and-sound film describes 
the evaluation and surgical treatment of a child with 
thyroid cancer which had spread to other areas of the 
neck. 



On December 6, DR. STELLA CHESS, from the De- 
partment of Psychiatry and Neurology of the N.Y. Uni- 
versity Medical Center spoke on "Temperament and Be- 
havioral Disturbances in Mentally Retarded Children." 



On December 11, DR. JAMES LEONARD, Director of 
the Division of Cardiology of the University of Pittsburgh, 
spoke on "The Importance of Left Atrial Systole in 
Man." 



Under the auspices of the Department on Continuation 
Education, and for the benefit of practicing physicians 
throughout the state, a seminar on "Disorders of the 
Blood Coagulation Mechanism" was conducted at the 
school on December 12. DRS. GEORGE D. PENICK 
(Pathologvi, HAROLD R. ROBERTS (Pathology and Medi- 
cine). CAMPBELL W. McMILLAN (Pediatrics), WIL- 
LIAM P. WEBSTER (Sch. Dentistry and Pathology), 
ROBERT D. LANGDELL (Pathology), and JAMES A. 
BRYAN (Medicine) discussed several aspects of congenital 
hemorrhagic disorders and diffuse intravascular coagula- 
tion 




The special guest speaker was PROF. S. VAN CRE- 
VELD, one of Europe's outstanding figures in hemophilia 
research and Director of the Hemophilia Clinic in Huizen, 
Netherlands (above' On the same day. Dr. Van Creveld 
also spoke lo both students and faculty on "Glycogen Stor- 
age Diseases " by invitation of the Department of Pedi- 
atrics ibelowi. 



"Digestive Diseases" sessions .Session leaders (top to 
bottom): DR. THOMAS O BRIEN (Bowman Grayi; DR 
JOHN T. SESSIONS, -IR (Medicine'; DR. JAMES F. 
SCATLIFF (Radi'il-^i;-,'; DR. CHARLES A. BREAM (Radi- 
ology': DR COLIN G. THOMAS, JR. (Surgery). 




Winter, 1968-69 / 45 



DR. MORRIS LIPTON (Psychiatry) attended the 
American College of Neuro-psychopharmacology conven- 
tion (San Juan, P.R., Dec. 17-20) as chairman of ACN's 
nominating committee. 



DR. ROBERT SMITH (Preventive Medicine) of the Di- 
vision of Education and Research in Community Medical 
Care, has been named the school's representative to the 
board of directors of the Regional Medical Program of 
Korth Carolina, a branch of the National Regional Medi- 
cal Program created by Congress in 1966 to combat heart 
disease, cancer and stroke. He succeeds Dr. Ernest Craige 
(Medicine) in this position. 

Before coming to UNC in September, Dr. Smith, a 
native of Dublin, Ireland, was a senior lecturer in medi- 
cine at Guy's Hospital in London where he directed re- 
search and teaching in general practice. Previously, he 
had engaged in general practice in several English towns 
and had served in an advisory and research capacity in 
the clinical research department of the Wellcome Foun- 
dation of England. He is an honors graduate of the Uni- 
versity of Dublin, from which he holds six degrees. 



DRS. RICHARD M. PETERS and PETER HUTCHIN 
(Surgery), participated in the annual meeting of the 
Society of Thoracic Surgeons held in San Diego, early 
in February. Dr. Peters's presentation was entitled "The 
Shock Lung" and Dr. Hutchin's (with Dr. Peters as co- 
author) "Pulmonary Congestion Following Infusion of 
Large Fluid Loads to Thoracic Surgical Patients." 




MR. CLARENCE F. CAUBLE, former administrator 
of the Medical College of Virginia's A. D. Williams Me- 
morial Clinic, has joined the hospital's administrative 
staff as Assistant Director in charge of the outpatient 
services. He brings to NCMH many years of experience 
in hospital and clinic management, as well as in formal 
teaching in training programs for hospital administrators 
and medical record librarians. Mr. Cauble had been at 
MCV since 1960. Prior to that, he was chief medical rec- 
ord librarian at Kings Mountain Memorial Hospital in 
Bristol and an administrative supervisor for VA hospitals 
at Oteen and Swannanoa, N.C. He holds a certificate from 
the American Association of Medical Record Librarians 
in Medical Record Science through the Duke University 
Hospital School for Medical Record Science. 



DR. ROBERT L. TIMMONS (Surgery) attended the 
annual meeting of the Southern Neurosurgical Society, 
in Dallas, on February 20-22, and presented his findings 
on "Ultrastructure of Somatotropin-Secreting Pituitary 
Adenomas." 




SHAG in Action — Charles Thompson ('70) gives rou- 
tine examination. 

THE STUDENT HEALTH ACTION COMMITTEE 
(Bulletin, May 1968) has continued and intensified its pro- 
grams designed to assist in delivering health care to 
indigent communities in Chapel Hill and Durham. This 
group — composed of both medical students and students 
from the other health sciences, with the active support 
of faculty members — is one of which we should all be 
proud. The WHITEHEAD MEDICAL SOCIETY, express- 
ing its belief that social issues can no longer be over- 
looked in our society, has offered SHAC a token sum of 
money to indicate its support for the committee's work 
The WHITEHEAD COUNCIL unanimously decided to 
donate $300 to SHAC and encourages other persons to 
contribute on a voluntary and independent basis to assist 
SHAC in carrying out its programs. Contributions may 
be sent to the Student Health Action Committee, North 
Carolina Memorial Hospital, Box 55. 



DRS. NEWTON D. FISCHER and W. PAUL BIGGERS 
(Surgery) will develop and carry out a program initiated 
by DR. WILLIAM C. TRIER (Surgery) to train a new 
type of medical aide — the surgical assistant. The training 
project is patterned after the program for physicians' 
assistants being developed at several other medical 
schools. Emphasis here is on training personnel to assist 
surgeons. It is planned to develop first a nucleus of trained 
assistants who later can aid in training others. Candidates 
must have a medical background, such as that acquired 
by hospital corpsmen in military service. 

The first trainee was a former Navy hospital corps- 
woman who worked with Dr. Trier at Bethesda before he 
retired from the Navy, MISS SUSIE BARBON. 

Dr. Trier will leave UNC this summer to join the 
faculty of the School of Medicine, University of Arizona. 



DR. HARVEY L. SMITH (Psychiatry), director of the 
Social Research Section in the Division of Health Affairs 
and professor of sociology in the University's Department 
of Sociology, has been promoted to Professor of Medical 
Sociology and appointed assistant to the Vice Chancellor. 
Health Sciences, for planning. In the latter role, he is to 
assist in the development and coordination of planning 
efforts in the University's various units of health sciences, 
and in relating these efforts to planning elsewhere within 
the institution and in the state. Dr. Smith also is cur- 
rently engaged in planning activities for the N.C. Regional 
Medical Program (Heart Ditease, Stroke and Cancer). 



DR. WILLIAM L. FLEMING (Preventive Medicine) 
served as a volunteer for two months aboard the hospital 
ship SS Hope while she was on a medical teaching-treat- 
ment mission to Colombo, Ceylon. 



DR. N. ARTHUR COULTER (Surgery and Physiology) 
has been appointed to the Bioengineering Special Study 
Section of the National Institutes of Health. 



The L. P. McLendon Scholarship in Medicine has 
been established at the school. Endowed by MAJOR 
LENNOX P. McLENDON iN.C. State Col. '10; UNC [Law] 



46 /THE BULLETIN 



'12, Hon. Doctor of Law degree '55) of Greensboro over 
a period of years and augmented by memorial funds to 
him following his death in 1968, the fund will be used 
to pay for a scholarship for a deserving medical student. 
It is stipulated that the student selected should prefer- 
ably be from one of four N.C. counties: Durham, Guil- 
ford, Orange or Anson. Major McLendon lived or prac- 
ticed law in each of these counties during his long years 
of service as an attorney. He was a member of UNC 
Board of Trustees i chairman of the medical affairs com- 
mittee), president of the Medical Foundation of North 
Carolina and of the N.C. Board of Higher Education. 
Major McLendon was WILLIAM W. McLENDON's ('561 
father. 



More than 20 mental health officials from the south- 
eastern states, Puerto Rico and the Philippines attended 
both the second and third "Mental Health Centers Plan- 
ning and Operations" courses in Chapel Hill. The series 
of five worlishops, a joint project of the Department of 
Psychiatry's Community Psychiatry Division and the N.C. 
Department of Mental Health, is financed by the National 
Institute of Mental Health and will continue to be held 
every six months. The second course took place on Sep- 
tember 16-27, October 21-November 1, 1968, the third 
one, on February 17-28, March 17-28, 1969. 

DRS. J. WILBERT EDGERTON and WILLIAM G 
HOLLISTER (Psychiatry) are coordinators of the project, 
which is designed to assist delegates in operating mental 
health centers and in training personnel for these fa- 
cilities. 

The worl^shop-laboratory training on "Processes of 
Planning and Organizing a Mental Health Center" that 
is held annually at Pisgah View Ranch in Candler, N.C. 
will take place this year on June 8-14, 1969. 




DR. H. G. WHITTINGTON, Director of the Division 
of Psychiatry Services, Dept. of Health and Hospitals of 
the City and County of Denver, addresses mental health 
officials. 




The Dr. Hunter Sweaney Visiting Professorship in 
Surgery has been recently endowed by DR. HUNTER 
SWEANEY ('17) of Durham, and his daughters, Mrs. 
Mary Sweaney Andersen (UNC '63) and Miss Betty 
Sweaney (UNC '66 1 both of Chapel Hill. 

In creating the endowment to support the professor- 
ship. Dr. Sweaney directed that it alternate between the 
UNC and Duke schools of medicine, or annually at both 
should the endowment income permit. The indenture 
creating the trust also stated that the first visiting pro- 
fessor should be selected by our school and invited to 
the Chapel Hill campus as early as practicable in 1969. 
The Duke school of medicine would invite a visiting pro- 
fessor in 1970, or possibly earlier. 

In establishing the visiting professorship for both 
schools. Dr. Sweaney and his daughters expressed the 
hope that renowned surgeons from all parts of the world 
may be brought to the two campuses to share their 
knowledge and experience with students of medicine, 
particularly those specializing in surgery. The unique 
arrangement whereby the responsibilities of the endow- 
ment are shared by Duke and us will be an important 
addition to the existing links between the two institutions. 




DR. WHITTINGTON and DR. EDGERTON, MRS. 
VACHER, DR MILLER and DR. DERR 'Community Psy- 
chiatry Division). 



DR SWEANEY and CHANCELLOR SITTERSON 



DR. MARILYN T. ERICKSON (Psychiatry and Pedi- 
atrics) has been appointed consultant to the N.C. Council 
on Mental Retardation. 



CHAPLAIN FRED W. REID, JR. (NCMH) has been 
elected a member-at-large to the executive committee of 
the College of Chaplains of the American Protestant Hos- 
pital Association. While attending the Association meet- 
ing in New Orleans (January 12-17) he presented a paper 
entitled, "The Chaplain as Department Head or Admin- 
istrator." REV. CLAUDE V. DEAL attended the meetings 
with Chaplain Reid. 



Specialists in internal medicine practicing in North 
Carolina communities are being selected for "monthly 
sabbaticals" to be spent at the medical school during the 
current school year. Each will work for a month in one 
of the subspecialty sections of the Department of Medi- 
cine. During this time, he will be teamed with a member 
of the faculty and will be available to talk with medical 
students, interns, and residents. 

According to Dr. Louis G. Welt, chairman of the De- 
partment, this educational program is designed to work 
in two directions. ". . . the visiting internists will have 
.something to teach us and we will have an opportunity 
to help them learn more . . ." 

The chance for these internists to be away from their 
practices and to live in a university setting for a month 
is to be provided by funds from the N.C. Regional Medical 
Prograin. If the pilot program this year is successful, 
future planning may include an exchange in which senior 
assistant residents at NCMH will take over the practices 



Winter, 1968-69/47 



of the physicians selected for the monthly sabbaticals 
while they are at Chapel Hill. 

So far, the program has had three visiting internists: 
DR. VERNON D. OFFUTT, from Kinston; DR. LUTHER 
W. KELLY, JR., from Charlotte; and DR. JAMES R. 
COLLETT, from Morganton. DR. GEORGE E. KOURY, 
from Burlington, will be the April visitor. 



DR. CLEMENT A. FINCH, Professor of Medicine at 
the University of Washington (Seattle) visited the school 
on January 15. He lectured on "Normal and Abnormal 
Erythropoiesis." 



DR. EDWIN T. PRESTON (Surgery) has joined the 
faculty as an instructor in orthopedic surgery. Last De- 
cember he completed his residency program at the Peter 
Bent Brigham Hospital and the Children's Hospital Medi- 
cal Center in Boston, Mass., where he had been chief 
resident in orthopedic surgery since April 1968. 



Sixty-six Greensboro physicians have been appointed 
to the School's part-time faculty and will participate in 
the UNC teaching programs at the Moses H. Cone Me- 
morial Hospital in Greensboro. The teaching programs 
were established in July, 1967 to provide our medical 
students with clinical experience in a community hospi- 
tal, to improve continuing education for local physicians, 
and to establish graduate medical education programs at 
Cone Hospital, with emphasis on preparation of physi- 
cians for family practice. 



DR. LENORE BALSAM BEHAR (Psychiatry) has been 
promoted to Assistant Professor of Psychology. He had 
been a part-time faculty member for the last three years. 



DRS. HORTON GRAY JOLLY ('65) and RAYMOND 
F. SCHMITT, JR. (Surgery) have received one-year ap- 
pointments as instructors. Dr. Jolly completed his intern- 
ship and residency at the University of Florida. Dr. 
Schmitt interned at Charity Hospital in New Orleans and 
was a resident at the Mental Health Institute at Cherokee, 
Iowa, and at Tulane University. 



DR. DONALD E. WIDMANN (Psychiatry) has been 
promoted to Assistant Professor. 



In his capacity of President of the Student American 
Medical Association, MR. C. CLEMENT LUCAS ('69) 
participated in a workshop on "The Ideal Medical Curri- 
culum" in Chicago during the week of February 6-10. 
AMA, SAMA, and other organizations met to discuss revi- 
sions in the curricula of schools of medicine throughout 
the country. 



DR. FRANK WILSON, JR. (Surgery) has been awarded 
an American Orthopaedic Association Exchange Fellow- 
ship. Presented by the Association every two years to 
four American and two Canadian orthopedic surgeons, 
the fellowship provides a six-week visit to leading ortho- 
pedic centers in Great Britain. Dr. Wilson will travel to 
England and Scotland during April and May. 



Several members of the faculty and student body par- 
ticipated in the meetings of the Southern Section of 
American Federation for Clinical Research and the South- 
ern Society for Clinical Investigation held in New Or- 
leans last January. The following papers were presented; 

"Adenosine-3', 5' -Monophosphate (Cyclic Amp) as the 
Mediator of ACTH Induced Depletion of Ascorbic Acid 



in the Adrenal Cortex." Mr. H. S. EARP ('70) and DRS. 
B. S. WATSON and R. L. NEY (Medicine). 

"Alcoholic Hepatitis; Natural History and Evaluation 
of Therapy." DRS. R. M. HELMAN, M. H. TEMKO, and 
H. J. FALLON (Medicine and Biochemistry). 

"Dynamic Geometry in the Normal and Abnormal 
Human Left Ventricle." DRS. W. P. HOOD, JR. and E. L. 
ROLETT (Medicine) 

"Relationship between Erythrocyte Active Transport 
of Sodium, Lactate Production, and Erythrocyte Sodium 
Concentration." C. H. WALLAS, J. C. PARKER, H. J. 
GITELMAN, and L. G. WELT (Medicine). 

"Nucleotide Permeability of Human Red Blood Cells." 
DR. J. C. PARKER (Medicine). 

"Experience with Serum Hepatitis in a Hemophilic 
Population." DRS. J. A. BRYAN, C. B. BRETT, and H. R. 
ROBERTS (Medicine and Pathology). 

"Antihypertensive Effects of an Adrenal Inhibitor, 
Aminoglutethimide, in Patients with 'Essential' Hyper- 
tension and Subnormal Renin." DR. J. W. WOODS (Medi- 
cine). 




DR. ERLE E. PEACOCK (Surgery) left The Hill to 
become Chairman of the Surgery Department at the 
University of Arizona on March 1. He had been a member 
of our faculty since 1956. 



$257,000, the first year allocation of a five-year, $1.4 
million grant to train health planners has been awarded 
to UNC by the U.S. Department of Health, Education and 
Welfare. It is one of the largest HEW grants awarded for 
training health planners. 

Three units of the university will cooperate in the 
program: the Dept. of Public Health Administration, the 
Dept. of City and Regional Planning, and the medical 
school's Division of Education and Research in Community 
Medicine. The two-year graduate training program for 
health planners will result in the training of 12-15 pro- 
fessional health planners annually, as well as in improving 
the teaching of health planning to graduate students in 
the cooperating units. In addition, several hunderd peo- 
ple will receive in-service training through Continuation 
Education programs over the five-year period of the 
project. 



DR. LOUIS S. HARRIS (Pharmacology) and MR. 
FRED M. ECKEL (NCMH Pharmacy) participated in the 
symposia on "Pharmaceutical Aspects of Drug Therapy" 
held in Winston-Salem and in Greenville under the spon- 
sorship of the Continumg Education Committee or tne 
School of Pharmacy. The Winston-Salem program began 
on March 6 at the N.C. Baptist Hospital and met weekly 
through April 3. The Greenville symposium started on 
March 12 at Pitt County Memorial Hospital and continued 
through April 9. 



1/THE BULLETIN 



"Organ Transplants" panel 




"Prolongation of Life" panel 



The WHITEHEAD MEDICAL SOCIETY sponsored a 
series of four two-hour panel discussions on medical 
ethics I February-March). Under the general title of "Con- 
versations in Medical Ethics," the issues discussed con- 
cerned: 

"The Dying Patient" (Panelists: DR. RICHARD 
PETERS (Surgery), DR. CHRISTOPHER C. FORDHAM 
(Medicine), DR. JAMES E. ALLEN (Population Center) 
and REV. CLAUDE V. DEAL (Chaplain NCMH). 

"Organ Transplants' (Panelists: DR. WILLIAM B. 
BLYTHE (Medicine), DR. CHARLES F. ZUKOSKI (Sur- 
gery), REV. CLAUDE V. DEAL, MR. MICHAEL C. KATZ 
(Sch. Law); and DR. JAMES E. ALLEN"). 



"Abortions" (Panelists: DR. JAROSLAV F. HULKA 
(Ob. Gyn), DR. DAVID S. WERMAN iPsychiatry), DR. 
JAMES E. ALLEN, FR. THOMAS O'DONNELL (from 
Hot Springs, N. O and REV. CLAUDE V. DEAL. 

"Prolongation of Life" (Panelists: DR. LOUIS G. 
WELT (Medicine), DR. NATHAN A. WOMACK (Surgery), 
DR. JAMES E. ALLEN, REV. CLAUDE V. DEAL, FR. 
THOMAS O'DONNELL, and MR. MICHAEL C. KATZ. 

DR. WILLIAM E. BAKEWELL (Psychiatry) moderated 
the first two sessions; REV. FRED W. READ (Chaplain 
NCMH), the other two. 




"Conversations in Medical Ethics' —C. hLLih FISHER 
('69), President of the Whitehead Medical Society, intro- 
duces the program. 




Faculty and students attend the panel discussion on 
"The Dying Patient" 



Winter, 1968-69/49 



DR. CHARLES H. HENDRICKS lOb.Gyn.) was one 
of the six speakers at the 22ncl Annual Medical Sym- 
posium of the Greensboro Academy of Medicine on March 
27. 



LAN (Stanford Univ.). M. VERA PETERS (Princess Mar- 
garet Hospital, Toronto), and SAUL A. ROSENBERG 
(Stanford Univ.). 



MR. THEODORE H. (TED) KIESSELBACH ('69) has 
been nominated by the Student Research Paper and 
Evaluation Committee to represent the School of Medi- 
cine at the 1969 SAMA-University of Texas Medical 
Branch National Student Research Forum to be held in 
Galveston, Texas, on April 24-26. The Mead Johnson 
Laboratories provide award funds for this annual event 
that each year attracts medical and graduate students, 
interns, and residents from all over the country. 

Mr. Kiesselbach will present his findings on "Localiza- 
tion of Coagulation Factor XIII in Human Bone Marrow 
Megakaryocytes by Fluorescent Tracing." These are the 
results of work done by him this year under the Senior 
Student Elective Program. His trip will be supported by 
the school's Grants Committee. 

A number of other students entered the competition 
to select the school's official delegate to the 1969 Forum 
and some of them have also been encouraged to present 
their work at Galveston. 



The Department of Radiology has announced a dedica- 
tion conference for the Division of Radiation Therapy. 
The two-day discussion on "The Lymphomas" will be 
held on April 10-11. Guest speakers include DRS. VIN- 
CENT T. DeVITA (National Cancer Institute), ROBERT 
J. LUKES (Univ. Southern California), HENRY S. KAP- 



DRS. DAVID M. BIDDULPH, a Research Fellow from 
the Department of Anatomy at the University of Illinois 
Medical Center; TIMOTHY K. GRAY, a Research Fellow 
from the Department of Medicine at the University of 
Maryland School of Medicine; ALFRED J. MAROZZI, 
JR., a trainee in neurobiology from the Department of 
Pharmacology at the University of Connecticut; and 
ANDRZEJ SLIWOWSKI, an international Research Fel- 
low from the 1st Department of Medicine at the Warsaw 
Medical School in Poland, are now in the Department of 
Pharmacology engaged in advanced, postdoctoral training. 
They are in Chapel Hill under the sponsorship of USPHS. 



WILLIAM T. HERZOG, M.S.P.H., has been appointed 
the first director of continuing education in health sci- 
ences at UNC. He will assume the new position this sum- 
mer. Mr. Herzog is now Assistant Professor of Health 
Administration at the School of Public Health and was 
formerly assistant director of Continuing Education Ser- 
vice. In his new position he will be responsible for co- 
ordinating, expanding and evaluating all health science 
programs in continuing education. 



MEDICAL PARENTS DAY IN CHAPEL HILL WILL BE 
SATURDAY, APRIL 12. 



CONTINUATION EDUCATION PROGRAMS 

WORKSHOP FOR THE FAMILY PHYSICIAN ON MODERN CONTRACEPTION-Sponsored by the 
Department of Obstetrics and Gynecology: Friday, June 6, 1969. Additional time in Family Planning 
Clinics will be arranged. 

TWO-WAY RADIO CONFERENCES-Tuesdays, 1 to 2 P.M. through April 15, 1969. FM Stations: 
WUNC Chapel Hill, 91.5 mc; WSJS, Winston-Salem, 104.1 mc; WGWR Asheboro, 92.3 mc; WVOT, 
Wilson, 106.1 mc; and WFMA, Rocky Mount, 107.7 mc. 



50 /THE BULLETIN 



ALUMNI NEWS 



PRESIDENT: James E. Davis ("42) 
PRESIDENT-ELECT: H. Haynes Baird ("40) 
VICE PRESIDENT: Charles L. Herring ('55) 

SECRETARY: G. Reg^inald Tucker ('55) 

TREASURER: James H. M. Thorp i'57) 

COUNCILLORS: John Dewey Dorsett, Jr. ('49), William W. McLendon ('56). 
Cornelius T. Partrick ('541, Ernest H. Yelton ('41), Harold L. Godwin ('45), Isaac 
C. Wright (M'43), F. A. (Ted) Blount ('42), John Olin Perritt, Jr. ('50), Zebulon 
Weaver, III ('61) 

Of the 14 elected officers of the N. C. Academy of General Practice, eight 
are our alumni. The president elect is Jack W. Wilkerson ('51) from Greenville. 
On the Board of Directors: Rose Pully ('491 from Kinston. Leon W. Robertson 
i'43D) from Rocky Mount, George R. Tucker, Jr. ('55) from Henderson, James B. 
Greenwood ('43M) from Charlotte, Hal B. Hawkins i'51) from Wilkesboro, C. O. 
Plyler, Jr. ('51) from Thomasville, and George W. Brown i'54) from Hazelwood. 



1902 




John Robert Lowery (1620 Wilt- 
shire Rd., Salisbury, N. C. 28144), 
since his retirement from active prac- 
tice, has become an author. His auto- 
biographical book, Memoirs of a 
Country Doctor, was published last 
fall, "... a warmly nostalgic and in- 
triguing comparison between old and 
modern bedside manners . . . laced 
throughout with homey philosophy 
and a fine sense of humor . . ." (Salis- 
bury Sunday Post, Sept. 29/68.) It is 
being sold through Bunker's Book 
Shop in Salisbury i$3.50). 

Dr. Lowery studied two years in 
Germany and practiced for a time in 
Raleigh before settling in Salisbury, 
where he opened the Lowery Hos- 
pital in 1929. This facility remained 
in operation until 1947. 



190: 



1004 

Arthur Brown English i514 Poplar 
St.. Bristol, Tenn. 37622) obtained the 
M.D. degree at Raleigh in 1906. He 
engaged in general practice for sev- 
eral years lin Mendota, Va. and Port- 
land, Ore.) prior to specializing in 




Leone Bums Newell '102 W. Trade 
St., Charlotte, N. C. 28202) gives his 
home address as 921 Berkeley Ave., 
Charlotte 28203. 



ophthalmology and otolaryngology 
and settling in Bristol. 

Dr. English and his wife, the 
former Ardis Stickley, have lived in 
Bristol for 47 years and have two chil- 
dren: Hazel Virginia (Mrs. George 
Little) and Ralph Stickley. The pic- 
ture shows the Englishes 'seated) 
with their children at the March 1968 
reception in honor of their 60th wed- 
ding anniversary. 

Although Dr. English celebrated 
his 85th birthday on October 2, he is 
very active and still drives his ear 
He no longer fishes or hunts but en- 
joys playing bridge almost every 
night. 



Ivie Alphonso Ward (Box 315, Hert- 
ford, N. C. 27944), since graduating 



from the medical school at Chapel 
Hill and Raleigh as president of his 
class, has practiced as a "country doc- 
tor" in Pasquotank. Perquimans, and 
Chowan Counties. During his first 35 
years of practice, he delivered more 
than two thousand babies. In 1926, he 
took additional training in otolaryn- 




gology and ophthalmology at Bellevue 
Hospital in New York City. 

Now 89. he goes to his office every 
morning and carries on a limited 
practice. His health is good, and he 
enjoys working in his garden and 
yard. He is a member of the Board 
of Deacons of the Hertford Baptist 
Church and attends services twice 
every Sunday. He and his wife, the 
former Ruth Lassiter of Gates Coun- 
ty, have been married 54 years, and 
he writes that they "are still together 
and very happy." 



Joseph Henry Cutchin 'Box 105, 
Whitakers, N. C. 27891) sends his best 
wishes to all. Because of his age, he 
has reduced his office hours from 24 
hours a day to 15 (7 a.m. to 10 p.m.). 




George W. Gentry, .Sr. 'Box 146, 
Roxboro, N. C. 27573), at the age of 



Winter, 1968-69/51 



84, continues to see patients at the 
office and the hospital and to make 
house calls. Although he resigned as 
chief of staff at Person County Me- 
morial Hospital in 1965, he is active 
in the Person County Medical So- 
ciety and sees 20 to 40 patients daily. 
He has been a Mason for more than 
50 years, and received a citizenship 
award in 1964. 

Dr. Gentry's hobbies are "working 
atid fishing." 



1914 

Daniel L. Knowles (1103 Eastern 
Ave., Rocky Mount, N. C. 27801) 
suffered a crippling stroke in 1966 
and is for the most part confined to 
his home. He was able to attend and 
enjoy the alumni meeting in Rocky 
Mount on October 22, 1968. His wife 
writes that ". . . he would be so happy 
to see or hear from any of his old 
classmates." 



1915 



Harry L. Brockmann (912 Fairway 
Dr., High Point, N. C. 27262) writes: 
"Retirement is not for this alumnus. 




So what does an old surgeon do when 
his days of major surgery are over? 
Well, the need of personal physicians 
and medical advisers is always pres- 
ent, so this one majors in such activ- 
ity. Self-chosen title: general purpose 
doctor, unlimited. For there are also 
pre-employment, pre-marital, and 
periodic health examinations, care of 
less severe industrial and other acci- 
dents, prophylactic measures, and 
treatment of many minor illnesses, 
real or imagined. Referring patients 
to active specialists friends is a two- 
way pleasure Such a life allows time 
for one to go fishing, play checkers, 
tend a garden, travel a little: work 
and play, all enjoyable!" 



Henry L. Cook, Jr. iC-2 Irving Park 
Manor, Greensboro, N. C.) retired in 
April, 1968— and regrets it— after 7' 2 
years of general practice in Fayette- 
ville and 40 years of ophthalmology 



and otolaryngology in Greensboro. He 
received his M.D. degree from Jeffer- 
son Medical College and took two 
years of postgraduate work in his 
chosen specialty at the University of 
Pennsylvania. 

Ben J. Lawrence, Sr. (Ashton Hall, 
Pace, Va. 24592) is "thankful to be 
alive, active, and in very good 
health." 

On October 22, the Fourth District 
of the Medical Alumni Association 
held its annual meeting at the Ben- 
venue Country Club in Rocky Mount, 
N. C. The District IV group took this 
opportunity to honor those 1916 grad- 
uates among their members— and 
their wives — who had been recognized 
at the State Medical Convention for 
50 years of service. 



1918 



William J. B. Orr (4050 N. Ocean 
Dr., Apt. 510, Lauderdale-by-the-Sea, 
Fla. 33308 1 practiced general surgery 
in Washington, D. C, until his retire- 
ment in 1954. He now raises Indian 
River citrus fruit and belongs to the 
Retired Doctors Society. 

He attended the 1968 Alumni 
Weekend and writes, "The one big 
thing that stands out in the minds of 
our class of 1918 is our Golden Anni- 
versary at Chapel Hill, and the royal 
way we were entertained in April, 
1968 at Morrison Dormitory and at 
the banquet and various lunches. The 
faculty and reception committee made 
us feel we were privileged to be UNC 
alumni. It was nice to mingle with 
our old classmates, and we value our 
Golden Certificates and the group 
picture." 



191* 

Glenn R. Frye (Box 1747, Hickory, 
N. C. 28601) is chief of the Hickory 
Surgical Clinic, with offices in the 
Richard Baker Hospital, where he and 
his three associates practice general, 
thoracic, and vascular surgery. Re- 
cent additions to this private general 
hospital have brought its capacity up 
to 120 beds. 

William G. Wilson, Jr. (105 Bridge 
St., Smithfield, N. C. 27577) retired 
because of physical disabilities in 
1953. His chief diversions are reading 
and gardening, with "hired muscles." 



'}_ 



Herbert H. Fritz UIO Pennswood 
Rd., Bryn Mawr, Pa. 19010) has been 
in general practice for 44 years, with 
three years out for duty in the Navy 
during World War II. 

John Merrel Parker (7 Oak Manor 
Lane, Pittsford, N. y; 14534) recently 
celebrated his 75th birthday, and is 
making a fairly good recovery from 
a stroke suffered last April. Recently 
he was awarded a plaque in recog- 
nition of his establishing a very active 




Cystic Fibrosis Center in Rochester, 

N. Y. 



107^ 

Catherine (Kitty) Cross Gray (203 
Delaware Ave., Bridgeville, Del. 
19933) retired in February after 43 
years in general practice. She has 
lost track of most of her classmates 
and will be glad to have news of 
people she knew "long ago and far 
away." 

Joseph W. Kimbrough (3118 Caro- 
lina St., N.E., Albuquerque, N, M.) 
has retired from the Navy with the 
rank of rear admiral, after serving as 
a medical officer (1926-45); an execu- 
tive officer of hospitals at Treasure 
Island, Calif. (1943-44), Jacksonville, 
Fla. (1945), and Pensacola, Fla. (1950- 
52); commanding officer of a hospital 
in Cuba (1952-54); and with the mili- 
tary sea transportation service (1954- 
58). During his military service he 
was awarded the Legion of Merit. 

Admiral Kimbrough is a member 
of the Association of Military Sur- 
geons and the Industrial Medical As- 
sociation and a fellow of the Ameri- 
can College of Surgeons and the 
Royal Society of Health. His main 
interests are forensic medicine and 
genealogy. 



192 



J. Richard Brown i2748 Virginia 
Ave., Shreveport. La. 71103) became 
a fellow of the American College of 
Surgeons in 1934 and is now chief 
of surgery at the Willis Knighton 
Hospital in Shreveport. His home ad- 
dress is 3932 Fairfield Ave. 

E.N.; During the spring of 1968 the 
University of N. C. Press published 
a book on "Wild Flowers in North 
Carolina" co-authored by William S. 
Justice and C. Ritchie Bell (Prof. 
Botany, UNO. Not too many persons 
have been aware that the first author 
is a medical alumnus of the class of 
1924, who graduated from Harvard in 



52 /THE BULLETIN 




Class of 1916 honored: Mrs. and Dr. Daniel L. Knowles, 
Dr. and Mrs. Leslie O. Stone, Dr. and Mrs. Joseph H. 
Cutchin, and Dr. Claiborne T. Smith. Above right: 

PresMent James E Davis ('42), Drs. Colin G. Thomas, 




Jr., W. Reece Berryhill ('25), Isaac M. Taylor, Carl B. Lyle, 
Jr., Robert A. "Daddy" Ross ('20), and J. Allen Whitaker 
('31), Chairman of District IV of the reunion honoring 
members of that district. 



1926, completed his surgical residency 
in Boston and began the practice of 
surgery in Asheville — where he still 
is — around 1930. It is our understand- 
ing that he and Dr. Bell have material 
on hand for a second volume on wild 
flowers in the state and hope it can 
be published before long. 



1926 



Roy H. McDowell (Main Street, 
Belmont, N. C. 28012) is a general 
practitioner. In 1930 Roy married 
Kathryn Bowers. He and his wife 
have two sons and three grandsons. 
The older son, Charles, is an ortho- 
pedic surgeon with the Dyerly CUnic 
in Richmond. The younger son, 
Harold, is a senior at Wake Forest 
University in Winston-Salem. 

J. W. Roy Norton (2129 Cowper Dr., 
Raleigh, N. C. 27608) retired as State 




in Rocky Mount, two years of teach- 
ing at the UNC School of Public 
Health, and 211/2 years with the State 
Board of Health. 



19: 



1931 



Health Officer on December 31. 1967, 
after four years of public health work 



Louis Appel (33-03 Parsons Blvd., 
Flushing, N. Y. 11354) practices pedi- 
atrics in Flushing but says he loves 
"to tinker in our place in Connecti- 
cut on land and on water." He and 
his wife Rhoda (whom he calls "his 
finest achievement") have four chil- 
dren and two grandchildren. 

To Louis Chapel Hill represents 
"the place that made it all possible, 
by giving me a chance to start in the 
field of medicine." 

Frederick P. Brooks (1805 Green- 
ville Blvd., Greenville, N. C. 27834) 
is a general practitioner in Greenville, 
where he is associated with Davis Lee 
Moore ('34), Charles P. Adams ('501, 
and Jack W. Wilkerson <'51) in the 
Greenville Clinic. He was formerly 
college physician and head of the 
Department of Health and Physical 
Education at East Carolina College, 
president of the Pitt County Medical 
Society, councilor of the Medical So- 
ciety of the State of North Carolina, 
and chief of staff of Pitt County 
- Memorial Hospital. 

One son. Fred Jr., is professor and 
head of the Department of Informa- 
tion Science at UNC; another son, 
John, a former Morehead Scholar, is 
executive secretary of the N. C. Legis- 
lature; and a third son, Henry Frank, 
is a businessman in Kinston. 

Morris Dworin <4 Roanoke Ave., 
White Meadow Lake, Rockaway, N. J. 
07866) was a general practitioner 
until he entered military service in 
1942. After his discharge he took a 
residency in radiology, becoming a 
certified radiologist in 1951. He has 
been associated with the Dover Gen- 
eral Hospital since 1956. 

Morris married Ruth Wind in 1941, 
and they have two sons: Elliott 
Matthew, who attended UNC from 
1961-65, and Harvey Douglas, current- 
ly an undergraduate at UNC. 



Harold W. Glascock. Jr. (Meadow- 
brook. Gilbertsville, N. Y. 13776) is 
Medical Director of the Norwich 
Pharmacal Co. (Norwich. N. Y. 13815). 
His son. Harold 111, is a freshman at 
UNC this year. 



1933 



James Watt (a 1959 recipient of 
The Alumni Distinguished Service 
Award) is the newly appointed associ- 
ate director for program planning at 
Children's Hospital of the District of 
Columbia. In this capacity he will 
evaluate all community related pro- 
grams undertaken by the hospital and 
associated organizations. He will also 
maintain liaison with area, regional, 
and national planning and action 
groups. James is a former special as- 
sistant to the Surgeon General for 
program review in the Public Health 
Service. He served as director of the 
PHS Office of International Health 
and as director of the National Heart 
Institute. 



William B. Patterson i99 S. Market 
St., Wailuka. Maui, H.I. 96793) is now 
a grandfather and a member of a 
medical group of ten specialists and 
two general practitioners which he 
feels is doing outstanding work in an 
isolated community. "It certainly is 
the best way to practice." 



Arthur I. Sims (3215 Columbia 
Pike, Arlington, Va. 22204) has re- 
cently been promoted from Clinical 
Associate Professor of Pediatrics to 
Clinical Professor of Pediatrics at 
Georgetown Medical School in Wash- 
ington, D. C. 



1938 



Horace H. Hodges (1351 Durwood 
Dr., Charlotte, N. C. 28204) has been 



Winter, 1968-69/53 



practicing internal medicine in Char- 
lotte since 1947 as a partner in the 
Durwood Medical Clinic. He served as 
president of the N. C. Society of In- 
ternal Medicine in 1967, and in 1968 
was elected a trustee of the American 
Society of Internal Medicine. 



19^ 

H. Haynes Baird (1012 Kings Drive, 
Charlotte, N. C. 28207) received his 
M.D. degree from Washington Uni- 
versity in 1942 and interned at Barnes 
Hospital from 1942 to 1943. He has 
practiced urology in Charlotte since 
1947 and is Chairman of the Depart- 
ment of Urology at Charlotte Memo- 
rial Hospital. President-elect of the 
UNC Medical Alumni Association, he 
is also a member of the District Com- 
mittee of the Morehead Scholarship 
Foundation, a trustee of Mars Hill 
College, chairman of the Membership 




Committee of the American Urologi- 
cal Association, and past president of 
the Charlotte Rotary Club. He is a 
diplomate of the American Board of 
Urology and a fellow of the Interna- 
tional College of Surgeons, the Amer- 
ican College of Surgeons, and the 
Southeastern Surgical Congress, as 
well as a member of the American 
Urological Association. 

Haynes married Cornelia Wallace 
in 1938 and they have three children: 
Wallace (currently a medical student 
at UNC), Harry, and Alice. 



1941 



Carlton G. Watkins (1630 Mocking- 
bird Lane, Charlotte, N. C. 28209) 
graduated from the Washington Uni- 
versity Medical School (Missouri) in 
1943 and took his internship and 
residency training at St. Louis City 
Hospital and Duke Hospital. Except 



for two years in military service 
(1951-53), he has practiced pediatrics 
in Charlotte since 1946 and is a past 
chairman of the Department of Pedi- 
atrics at Charlotte Memorial Hospital. 
Carlton was the founder and first 
secretary of the Charlotte Pediatric 
Society and has served as president 
of the N. C. Pediatric Society and the 
N. C. Family Life Council. He is a 
life member of the N. C. Congress of 
Parents and Teachers and is a mem- 
ber of the Charlotte-Mecklenburg 
Board of Education and of the Char- 
lotte Model City Commission. 



10 i9 

Frederick A. (Ted) Blount (2540 
Forest Dr., Winston-Salem 27104) is 
in the private practice of pediatrics 
and on the clinical faculty of the 
Bowman Gray School of Medicine. In 
1967 he was awarded an NIMH Fel- 
lowship in child psychiatry at the 
Johns Hopkins University School of 
Medicine. 

Ted is on the Medical Alumni As- 
sociation visiting committee to the 
UNC School of Medicine (past chair- 
man) and a member of the council. 
He is medical consultant for several 
Head Start programs in North Caro- 
lina, and is a trustee of N. C. Blue 
Cross-Blue Shield, Inc. 

Louis D. Hayman. Jr. (617 College 
St., Jacksonville, N. C. 28540) is one 
of three members of the class of 1942 
practicing in Jacksonville. Louis and 
Hunter Heath are internists, although 
Louis's activities are confined almost 
entirely to cardiology. James D. Piver 
is Jacksonville's only Board-certified 
general surgeon. Louis has been in 
Jacksonville 15 years. He states ". . . 
my most satisfying activity is cen- 
tered around the installation of our 
Intensive Care Unit, at which I 
stumped for in 1964. About the fall 
of 1965, it was in full operation and 
I have been the Director ever since. 
In a hospital the size of Onslow Me- 
morial Hospital, (100 beds) a com- 
bined Intensive Care Unit has been 
feasible, with some segregation of the 
coronary cases within the unit. We 
are now able to put in transvenous 
(temporary) Pacemakers, and Dr. 
Piver and I installed our first perma- 
nent Pacemaker a month ago." 

Hugh P. Smith, Jr. (8331 Brynwood 
Dr., Boise, Idaho 83704) practiced in- 
ternal medicine in California until 
1964, when he began a residency in 
radiology at the V. A. Hospital in 
Long Beach. California. After becom- 
ing certified in radiology, he moved 
to Idaho, where he practices radiol- 
ogy in partnership with Dr. Al Stone 
and Wesley Levi at St. Luke's Hos- 
pital. 

Hugh and his wife Sue have four 
children: Carolyn (2), Chuck (12), 
Hugh III (16), and Nancy (17). 



Hugh Dortch, Jr. (281 Cordova Rd.. 
West Palm Beach, Fla. 33401) is chief 



medical examiner for Palm Beach 
County and says he also enjoys 
Florida's opportunities for water- 
skiing, fishing, skin-diving, and flying. 
He has a daughter at Massachusetts 
General Hospital's School of Nursing 
and a son at Loyola University in 
New Orleans. 

Ernest G. Guy (14 S. Walnut St., 
Phihppi, W. Va. 26416) graduated 
from the University of Maryland 
Medical School and took his intern- 
ship and medical residency at the 
University of Maryland Hospital. He 
is a diplomate of the American Board 
of Internal Medicine and is now as- 
sociated with the Myers Clinic in 
Philippi. 

In 1950 Ernest married Josephine 
Pauline DiGristine, and they now 
have three children — Antoinette, 
Ernest Samuel, and Charles. 

William N. Hubbard Jr., Dean of 

the University of Michigan Medical 
School since 1959 and Professor of 
Internal Medicine there, has been 
elected to the board of directors of 
the Upjohn Company. Before joining 
UM he served as Associate Dean and 
Assistant Professor of Medicine at 
New York University School of Medi- 
cine. He holds honorary degrees from 
Hillsdale College (Michigan) and 
Albany Medical College. 

William H. Meroney has been Di- 
rector of the Walter Reed Army Insti- 




tute of Research since last summer. 
Bill, who holds the rank of Colonel, 
was formerly WRAIR deputy director. 

Henry C. Newsome, Jr. (Box 606, 
Pilot Mountain, N. C. 27041) received 
his M.D. from the University of Vir- 
ginia and took his internship at the 
North Carolina Baptist Hospital. In 
1948, after two years in the Army, 
he began the general practice of 
Medicine at Pilot Mountain, He was 
the first chief of staff at Northern 
Surry Hospital, which opened in 1957, 



54 /THE BULLETIN 



and was mayor of Pilot Mountain in 
1963. 

Henry's son Clay is a senior at 
UNC-CH, and his daughter Tricia is 




a junior in East Surry High School. 
Henry's hobby is serving as team 
physician for the East Surry High 
School football team (the Rebels), and 
he has missed only one game in five 
years. (Picture: courtesy of the Mt. 
Airy News.) 



I V ! 

Francis P. King (709 Professional 
Dr., New Bern, N. C. 28560) has been 
practicing internal medieme since 
1952. In 1963 he became associated 
with two members of the 1956 class: 
Robert P. Holmes and John R. Bag- 
gett. When time permits, he enjoys 
the recreational facilities around New 
Bern, including golf, fishing, boating, 
and some hunting. His oldest daugh- 
ter, Sallie, is married and living in 
Germany with her husband, who is 
in the Army. Another daughter, Anne, 
is a freshman at Salem College A 
son, Frank, is at New Bern High 
School, and two other children are 
still in grammar school. 

Francis writes, "The highlight of 
1968 was a visit to Sallie in Germany 
with side visits to Holland and to 
England. As many other 1944 gradu- 
ates, I am looking forward to our 
twenty-fifth anniversary reunion this 
spring." 

Lewis B. MacBrayer, III il530 
Baracoa Ave., Coral Gables, Fla. 
33146) is now on the staff of the Stu- 
dent Health Center of the University 
of Miami. Mac states that, "After 
practicing pediatrics in Mooresville, 
N. C. for 16 years, now I find that 
this is where I should have been all 
along. Would be happy to have a call 
from any friends who come to sun- 
fun filled Miami. Am in the book." 



Charles A. Speas Phillips (Pine- 
hurst Surgical Clinic, Box 1068, Pine- 
hurst, N. C. 28374) practices in a 
partnership with eight other surgeons, 
and was elected chief of the surgical 
service at Moore Memorial Hospital 
in 1968. During the past year he has 
been spending one afternoon a week 
in the surgical clinic of the UNC 
School of Medicine. He is also serving 
as Loyalty Fund Chairman for this 
year. 

Robert K. Quinnell (7908 Ariel 
Way, McLean, Va. 22101 ) recently re- 
tired from the Air Force with the 
rank of colonel. He is now Assistant 
Vice President and Director of Medi- 
cal Relations for the Pharmaceutical 




Manufacturers Association in Wash- 
ington and Clinical Assistant Profes- 
sor of Community Medicine at 
Georgetown University School of 
Medicine. 

Bob and his wife Marianne have 
four sons. Two are enrolled at the 
Virginia Polytechnic Institute in 
Blacksburg; one is at an Air Force 
Academy Prep School; and one is in 
high school. He claims that they ". . . 
have plenty of room for any Caro- 
linians coming through the Washing- 
ton area. You need only call us . . . 
Maybe we should have a Carolina 
get-together at the next A. MA. meet- 
ing." 

Charles W. Tillett i2200 E. Seventh 
St, Charlotte, N. C. 28204) practices 
ophthalmology in Charlotte with his 
wife, who is also an ophthalmologist. 
They have three children — boys aged 
11 and 12 and an 8-year-old daughter 
He is Clinical Assistant Professor of 
Surgery at UNC and comes to the 
medical school every two to three 
months to conduct an optical-aids 
cliftic for the partially sighted. 



diovascular surgery in Norfolk for 15 
years. He and his wife, the former 
Martha Kavanaugh of Louisiana, have 
three sons and one daughter 



Ira A. Abrahamson, Jr. (925-7 Fifth 
Third Bank Building, Cincinnati, 
Ohio 45202) is Assistant Clinical Pro- 
fessor of Ophthalmology at the Uni- 
versity of Cincinnati School of Medi- 
cine and is on the editorial board of 
E.E.N.T. Digest, Pediatric Ophthal- 
mology Journal, and G.P. Magazine. 
He is certified by the American Board 
of Ophthalmology and is a member 
of the American Academy of Oph- 
thalmology, the Pan-American Con- 
gress of Ophthalmology and Associa- 
tion of Ophthalmology, the Associa- 
tion for Research in Ophthalmology, 
the Societe Francais de Optalmologie. 
the Institute Barraquer of Barcelona, 
and the Cincinnati Academy of Medi- 
cine, as well as the Biological Photo- 
graphic Association and the Indus- 
trial Medical Association. 

In 1967 Ira's motion picture en- 
titled "Cataract Surgery" won the 
Third International Barraquer Award 




194S 



Thomas Lane Stokes (802 Medical 
Tower. Norfolk, Va. 23507) has been 
practicing general, thoracic, and car- 



for the teaching of ophthalmology 
through cinemaphotography. Since 
then he has lectured at the Moorfields 
Eye Hospital in London, the Asia 
Pacific Academy of Ophthalmology in 
Singapore and the Japan Ophthal- 
mological Association, a.s well as at 
the American Academy of Ophthal- 
mology and numerous other meetings 
in the United Stales. In 1966 his ex- 
hibit on "Anterior Segment Eye Dis- 
eases" won awards from the Ameri- 
can Academy of Ophthalmology and 
Otolaryngology, the Ameiican Acad- 
emy of Pediatrics, the Pan-American 
Congress of Ophthalmology, and the 
Ohio State Medical Association 

William G. Sanford (10028 Spear- 
fish, Ellsworth A F.B., S. Dak. 57706) 
has been in the Air Force since 1951. 
He completed a residency in internal 
medicine at Wilford Hall U S A.F. 



Winter, 1968-69/55 



Hospital. Lackland A.F.B., Texas, in 
1961, and was certified in 1963. He is 
a Senior Flight Surgeon and was pro- 
moted to full colonel in 1968. He has 
served in Germany and Thailand and 




is now commander of the 821st Medi- 
cal Group. Ellsworth A.F.B. 

Bill was married in Decem.ber. 
1967. He and Leon Cowan ('54)— a 
dermatologist in nearby Rapid City — 
get together occasionally and "enjoy 
talking 'Chapel Hill'." 



1949 



Aubrey D. Richardson (700 W. 40th 
St.. Baltimore. Maryland 21211) was 
named Maryland's "Physician of the 
Year" at special ceremonies held in 
Baltimore on December 18th. Aubrey 
was cited twice — nationally and by his 
adopted state — for his e.xtra-curricular 
work in aiding handicapped persons. 
Currently, he is medical director of 
the Keswick Home for Incurables of 
Baltimore City, and Assistant Profes- 
sor of Preventive Medicine and Re- 
habilitation at the University of 
Maryland. 



1950 



Frederick O. Bowman. Jr. (161 Fort 
Washington Ave., New York, N. Y. 
100321 is practicing and teaching 
thoracic and cardiovascular surgery. 
In July he was appointed Associate 
Professor of Clinical Surgery at the 
College of Physicians and Surgeons 
of Columbia University. 

Fred and his wife Betsy have "three 
male offspring and another on the 
way." 

Benjamin H. Josephson i201 S. 
Springfield Ave.. Springfield, N. J. 
0'7081i is practicing pediatrics. He and 
his wife Irma have three daughters: 
Anne (17), Nancy (13i, and Susie (10). 

Charles R. Vernon (Pig Fish Lane, 
Greenville Sound, Rt. 3, Box 347, 
Wilmington, N. C. 28401) has recently 



moved from Durham to Wilmington, 
where he is practicing general psy- 
chiatry with Dr. Rolf Fisscher. 

S. Kendall Willis. Jr. (310 Vanden- 
berg St., Goldsboro, N. C. 27530) has 
recently returned to Seymour John- 
son Air Force Base from a five-month 
deployment to Korea with an Air 
Transportable Hospital (55 people and 
seven tents, providing surgical facili- 
ties and four wards). He is com- 




mander of Fourth Tactical Hospital 
in the Department of the Air Force 
and was promoted to the rank of 
colonel in August. 



Richard B. Gibson (130 State St.. 
Brooklyn. N. Y. 11201) received his 
M.D. degree from Harvard in 1953 
and is now director of thoracic and 
cardiovascular surgery at Long Island 
College Hospital in Brooklyn. He and 
his wife. Virginia F., have a 6 year 
old daughter, Virginia E. 

Among his other activities is the 
restoration of a brownstone house 
(circa 1846) in Brooklyn Heights. 

Corbett L. Quinn (Box 128, Mag- 
nolia, N. C. 28453) took his internship 
and a partial medical residency at 
Mercy Hospital in Baltimore and has 
been doing general practice in Mag- 
nolia since 1955. He is a member of 
the medical staff at Duplin General 
Hospital in Kenansville, where he has 
held all staff offices at various times 
and is now chairman of the Utiliza- 
tion and Credentials Committees. He 
is also president of the Duplin 
County Tuberculosis Association, 
chairman of the Public Relations 
Committee of the Duplin County 
Medical Society, mayor of the Town 
of Magnolia, assistant civil defense 
director of Duplin County, and a 
member of the Board of Directors of 
Branch Banking and Trust Company. 
A lieutenant colonel in the Medical 
Corps of the U. S. Army Reserve and 



the North Carolina National Guard, 
he commands a company in the 105th 
Medical Battalion of the N. C. Na- 
tional Guard. He is a Mason and a 
Methodist. 

Corbett is married to the former 
Ruth Arlene Montgomery of High 
Rock. Pa., and they have two chil- 
dren: Corbett Jr.. 14, and Rlsa Teresa, 
12. 



195 



David L. Collins (411 Caldwell Dr., 
S.E.. Concord. N. C. 28025) trans- 
ferred to Harvard in 1952 and re- 
ceived the M.D. degree in 1954. He 
is chief of surgery at Cabarrus Me- 
morial Hospital, and the father of 
five children. 

J. Franklin Graves (68 Gadsden St., 
Charleston, S. C. 29401) is practicing 
internal medicine in Charleston and 
teaching part time at the Medical 
College of South Carolina, where he 
holds the rank of Assistant Clinical 
Professor of Medicine. His major in- 
terests are clinical oncology and, to 
a lesser extent, connective-tissue dis- 
eases. Until last year he conducted 
the Chemotherapy Clinic at the Can- 
cer Clinic of the Medical College of 
South Carolina and was an investi- 
gator in the Eastern and Central 
Regional Drug Trial Program. 

Frank and his wife Ann, with their 
four children — Stephen (17), Franklin 
(15), Robert (9), and Emily Ann (4) — 
live on Shem Creek in Mt. Pleasant. 
They enjoy fishing and sailing. 

Graham D. Newton (1600 E. Fifth 
St., Charlotte, N. C. 28208) trans- 
ferred to Cornell University after two 
years here and graduated there in 
1954. He interned at George Washing- 
ton University Hospital, and went to 
Duke Hospital for a residency in 
dermatology. He was certified by the 
American Board of Dermatology in 
1962 and is now engaged in group 
practice with two other dermatolo- 
gists. 

C. T. (Neil) Partrick (615 E. 12th 
St., Washington, N. C. 27889) became 
a member of the State Board of Medi- 
cal Examiners in November. 

Louis C. Spillman. Jr. (c/o Holmes 
and Narver. Inc., APO San Francisco, 
Calif. 96305) is chief physician for 
Holmes and Narver, Inc., a world- 
wide construction company. He is 
now stationed at Johnston Island, 
several hundred miles south of 
Hawaii. 

Nat H. Swann (707 Walnut St., 
Chattanooga. Tenn. 37402) is an in- 
ternist and a member of the Board of 
Directors of Newell Clinic Hospital. 
He belongs to the American College 
of Physicians and the American Col- 
lege of Chest Physicians and is a 
member of the Rotary Club. He has 
contributed several publications to 
the medical literature. 

Nat and his wife, the former Sarah 
Hayer of Nashville, have two sons, 
ages 12 and 9. His hobbies are golf, 
music, and photography. 



56/ THE BULLETIN 



Robert Harrell Vinson (4 Breeze- 
way Bldg., Vero Beach, Fla. 32960) in- 
terned at the University of Iowa and 
spent two years in the Air Force 
• serving in Spain) before taking his 
pediatric residency at the University 
of Florida School of Medicine. In 




1960 he began the practice of pedi- 
atrics in Vero Beach. He is a fellow 
of the American Academy of Pedi- 
atrics and is currently president of 
the Florida Mental Health Associa- 
tion and vice president of the Indian 
River Area Council for Comprehen- 
sive Community Mental Health, as 
well as immediate past president of 
the Indian River Medical Society. 
Active in the First Baptist Church, he 
helped to organize a "Get Set" pro- 
gram for preschool children spon- 
sored by the church and a class for 
retarded toddlers which is held in the 
church Sunday school rooms on Sat- 
urday mornings. 

The Vinsons have five children — 
three girls and two boys, "in that 
order." 

William Matthew Vinson (1190 
Montgomery Dr., Santa Rosa, Calif. 
95405) is an internist practicing solo 
in Santa Rosa, having become board- 
certified in 1962. He and his wife, the 
former Ruth Myatt iDuke '52) have 
two sons: Bill, age 10, and Tim, age 6. 

Bill's twin brother is Robert Harrell 
Vinson ('54). 



IV)-) 



E. Ted Chandler (1029 16th Ave. 
Place N.W., Hickory, N. C. 28601) is 
back at practice in Hickory after 
spending 16 months at the Bowman 
Gray School of Medicine. Ted went 
to Sierra Leone, West Africa, on a 
medical mission trip and describes 
the trip as "a very exciting and un- 
forgettable experience." 

C. Council Dudley (320 Ivy Circle, 
Elkin, N. C. 28621) took his intern- 
ship at Duke Medical Center and 
served in the U. S. Army from 1956 



to 1958. After a general practice resi- 
dency at NC Memorial Hospital (1958- 
1959), he practiced in Elkin from 
1959 to 1967. Since then he has been 
a pathology resident at the N. C. 
Baptist Hospital in Winston-Salem. 

Council and his wife Peggy have 
three children: Hunter (11), Fran (9). 
and Robert (7). 

John W. Foust (Providence Medical 
Center, 1950 E. Third St., Charlotte, 
N. C. 28204) was inducted into the 
American College of Surgeons at its 
meeting in Atlantic City last October. 

G. Irvin Richardson (1716 Richard- 
son Dr., Reidsville, N. C. 27320) is 
doing general practice in partnership 
with C. G. Payne ('56). He is the 
father of four children. 

Henry L. Stephenson. Jr. (615 E. 
Twelfth St., Washington, N. C. 27889) 
has been practicing internal medicine 
in a group with Neil Partrick ('54) 
and Clark Rodman ('41) since 1961. 
He is president-elect of the Seaboard 
Medical Association of North Caro- 
lina and Virginia, which holds its an- 
nual meetings in Nags Head each 
June. 

Henry and his wife Frances, have 
three boys: Henry III (111, Hale (8), 
and Sam (2). 

G. Reginald Tucker, Jr. (918 Mead- 
ow Lane. Henderson, N. C. 27536) has 
been in Henderson nearly ten years, 
doing general practice in partnership 
with Dr. M. W. Wester, Jr. He pre- 
cepts weekly in the Medical Clinic 
at U.N.C. and is secretary of the UNC 
Medical Alumni Association. 

Reginald and his wife Maude have 
two children. Lib and George, and he 
feels that he has "already served a 
lifelong obligation as P.T.A. presi- 
dent." He enjoys tennis and water 
skiing, but gave up snow skiing after 
breaking a leg. 



1957 



James H. Burrus (105 Grover St.. 
Shelby, N. C. 28150) returned to the 
private practice of obstetrics and 
gynecology in Shelby after serving 
one year as consultant in obstetrics 
and gynecology to the State Board 
of Health. He practices in partnership 
with Dr. Warren J. Collins. 

James R. Clapp (Box 3014, Duke 
University Medical Center, Durham, 
N. C. 27706) is Associate Professor of 
Internal Medicine at Duke and an 
established investigator of the Ameri- 
can Heart Association. His activities 
include research in the areas of renal 
disease and renal physiology, the care 
of patients, and teaching. He is also 
secretary and treasurer of the Board 
of Trustees for the Kidney Founda- 
tion of North Carolina. 

T. Albert Farmer has been appoint- 
ed to the new post of Executive As- 
sociate Dean and Director of Under- 
graduate Medical Education at the 
Medical College of Alabama. Albert, 
who was until this appointment As- 
sociate Professor of Medicine, was 
formerly Assistant Dean for Student 
Affairs and Chairman of the Curricu- 



lum Committee. He is now to super- 
vise activities of the Office of Admis- 
sions and a new Office of Educational 
Research. He also is to direct ongoing 
curricular revision and implementa- 
tion of changes. 

John K. Farrington i318 Westwood 
Ave.. High Point. N. C. 27262) served 
his internship at Ft. Benning. Ga.. 
and a residency in obstetrics and 
gynecology at Madigan General Hos- 
pital in Tacoma. Washington. He be- 
came a fellow of the American Col- 
lege of Obstetrics and Gynecology in 
1963 and a diplomate of the Ameri- 
can Board of Obstetrics and Gynecol- 
ogy in 1966. Since getting out of the 
Army in 1965. he has been engaged 
in the private practice of obstetrics 
and gynecology in High Point. 

Richard V. (Dick) Liles. Jr. (Box 
676. Norwood. N. C. 28128) is a gen- 
eral practitioner in Norwood. He is 
president of the Stanly County Medi- 
cal Society and served as Vice Chief 
of Staff of Stanly County Hospital in 
1967-68. He is a member of the N. C. 
Academy of General Practice, past 
president of the Norwood Jaycees 
(1967-68), and a member of the Board 
of Deacons of the First Presbyterian 
Church. 

Dick is married to the former Ann 
Ross Abbey of Charlotte and they 
have a son, Gregg Rutlege (3) and a 
baby daughter, Elizabeth Abbey. He 
writes that he needs a partner badly! 

Harvey A. Page (Box 2529, Pike- 
ville, Ky. 41501) has been in general 
practice in Pikeville since leaving 
Durham in 1964. For two years he 
has served as chairman of the staff 
of Pikeville Methodist Hospital. 

Harvey and his wife, the former 
Linda Osborne, have two children — 
a son, John, aged 17, who is planning 
to enter UNC next fall, and a daugh- 
ter, Deborah, aged 12. He is a mem- 
ber of the Episcopal Church and en- 
joys golf, hunting, and coin collecting. 

James H. M. Thorp (409 Mill St., 
Rocky Mount, N. C. 27801) took his 
internship and residency in obstetrics 
and gynecology at U. S. Naval Hos- 
pitals in Bethesda, Md., and Ports- 
mouth, Va. He then served on the 
staff of the Naval Hospital at Camp 
Lejeune for four years, spending a 
total of eight years in the Navy. He 
was discharged with the rank of 
lieutenant commander in 1965. After 
practicing in Fayetteville for 18 
months, he returned to his home 
town of Rocky Mount, where he has 
practiced obstetrics and gynecology 
ever since. He is a member of the 
American College of Obstetrics and 
Gynecology and a diplomate of the 
American Board of Obstetrics and 
Gynecology. 

Jim is married to the former Robin 
Arrington and they have three chil- 
dren: Robin (14). John (9). and Jim 
i8). He is active in the Episcopal 
Church, being a lay reader and a 
vestryman. His hobby is tennis. 

Gerald M. Wagger (2470 Greer Rd., 
Palo Alto. Calif. 94303) was affiliated 
with the University of Maryland Hos- 
pital for more than ten years after 



Winter, 1968-69/57 



his graduation, except for two years 
in service (1960-62). He recently left 
Maryland to accept a position with 
the Permanente Medical Group in 
Redwood City, Calif., as an internist 
and gastroenterologist. 

The Waggers have three children — 
two girls and a boy. 



1958 



Paul S. McCubbins (701 Barker St., 
Salisbury, N. C. 28144) practices in- 
ternal medicine in partnership with 
Dr. Roy Agner. 

The McCubbins have one son and 
two daughters. 

Luther Sullivan Nelson (3421 Clear- 
well St., Amarillo, Texas 79109) com- 
pleted a residency in radiology at 
Chapel Hill in July 1968 and has 
joined Bill Dunnagan (NCNH radiol- 
ogy resident, 1959) in the practice of 
radiology at St. Anthony's Hospital 
in Amarillo. 

Sully and his wife, Dolly, have 
three children: Jim, Stu, and Glenda. 

J. Wayne Thompson (445 Windsor 
Dr., Asheboro, N. C.) is associated 
with Charles W. Stout ('58) in general 
practice. 

Wayne and his wife have three 
boys, ages 9, 4, and 3. They have re- 
cently moved into a new home. 



David L. Kelly, Jr. (Bowman Gray 
School of Medicine, Winston-Salem, 
N. C. 27103) took his internship and 
part of his residency training at the 
N. C. Baptist Hospital in Winston- 
Salem and completed his residency at 
the Boston Children's Hospital and 
Peter Bent Brigham Hospital. After 
serving as a fellow in neurosurgery at 
Barnes Hospital in St. Louis, he re- 
turned to Winston-Salem, where he 
is Assistant Professor of Neurosur- 
gery at Bowman Gray. He is a Board- 
certified neurosurgeon and a member 
of the Congress of Neurological Sur- 
gery, the American Association of 
Neurosurgeons, and the Southern 
Neurosurgical Society. 

Henry Lester Kiser, Jr. (302 N. 
14th St., Bessemer City, N. C.) had a 
rotating internship at Tampa General 
Hospital in Tampa, Fla., before serv- 
ing a two-year tour of duty in the 
Navy. After his discharge in 1962, he 
took residencies in pediatrics at 
Grady Memorial Hospital in Atlanta 
and at the Medical College of South 
Carolina in Charleston, S. C. From 
1965 to 1967, he was a staff physician 
at Broughton Hospital in Morganton. 
Since 1967. he has been a staff pedi- 
atrician with the Western Carolina 
Center in Morganton. 

Talmadg:e C. Reeves (707 Camden 
Ave., Salisbury, Md. 21801) is en- 
gaged in the private practice of psy- 
chiatry. He and his wife Nancy have 
one son, Christopher Norman, born 
on May 9, 1968. 

Julian W. Seliff, Jr. (408 Medical 
Tower, Norfolk, Va. 23507) spent 



three years at NC Memorial Hospital 
as a psychiatric resident and has been 
practicing general psychiatry in Nor- 
folk since 1963. He and his wife 
Betsy have two children: Wood (7) 
and Susan (4). 



i960 

R. Spencer Eaves (224 New Hope 
Rd., Gastonia, N. C. 28052) is prac- 
ticing ophthalmology in Gastonia. 

J. Thomas Fox, Jr. (2525 Sharon 
Rd., Charlotte, N. C. 28211) has been 
practicing general psychiatry in Char- 
lotte since July, 1966. He has also 
served as consultant for the Mecklen- 
burg County Mental Health Center. 

Tom and his wife, the former Lan- 
don Lewis (UNC '56) have three chil- 
dren: Kathy (9), Carter (7), and Sara 
(6). 

Falls L. Harris (607 Arlington Ave., 
Greenville, S. C. 29601) is a derma- 
tologist who sa.vs he is still trying to 
play championship golf but may take 
up bowling instead. He and his wife 
Barbara have two children: Falls, Jr., 
and Sara Elizabeth. 

G. Wyckliffe HofTler (511 Seaway 
Dr.. Seabrook, Texas 77586) com- 
pleted a medical residency at the 
Medical College of Georgia in 1966 
and then served a two-year residency 
in aerospace medicine at Ohio State 
University. Since July 1st he has been 
a medical officer at NASA's Manned 
Spacecraft Center in Houston. He 
was a member of the medical team on 
the USS Essex, the carrier which re- 
covered the Apollo 7, and was spe- 
cifically involved in making cardio- 
vascular tests on the astronauts. "The 
work is very exciting and I feel this 
is a just and reasonable way to apply 
one's medical training — when driven 
by appropriate interests and the ob- 
vious role space exploration will as- 
sume in our world." 

William T. Huff, Jr. (960 Rothowood 
Rd., Lynchburg, Va. 24503) is begin- 
ning his sixth year in the group prac- 
tice of anesthesiology. He is the 
father of three daughters: Catherine 
(7), Ann (6), and Elizabeth (3). 

William N. Michal, Jr. (624 Quaker 
Lane High Point, N. C. 27262) has 
been practicing pediatrics in a four- 
man partnership since 1965. 

Duncan S. Owen. Jr. (Medical Col- 
lege of Virginia Hospital, Richmond, 
Va. 23219) served his internship at 
the Medical College of Virginia Hos- 
pital and then returned to Chapel Hill 
for a year of medical residency. After 
two years in the Army (a year at 
Womack Army Hospital at Fort Bragg 
and a year in Korea), he returned to 
Richmond and completed his resi- 
dency in medicine and a fellowship in 
rheumatic diseases. He is now Assist- 
ant Professor of Medicine and a mem- 
ber of the Division of Connective 
Tissue Disease. 

In 1966 Duncan married Irene Lacy 
Rose of Fayetteville. They have a 
young son. Duncan III. 



William Seymour Pearson (Bowman 
Gray School of Medicine, Winston- 
Salem, N. C. 27103) has been Director 
of Education and Assistant Professor 
of Psychiatry at the Bowman Gray 
School of Medicine since 1966. He 
was certified by the American Board 
of Psychiatry and Neurology in 1967. 

He and his wife Shirley, with their 
three children (Amanda, 9; Daniel, 7; 
and Laurie, 6) live at 1035 Chester 
Rd., N.W., in Winston-Salem. 

G. Thomas Strickland, Jr. (Naval 
Medical Research Unit #2, Box 14, 
APO, San Francisco, Calif. 96263) is 
Head, Department of Clinical Investi- 
gation of this Naval Medical Research 




Unit, located in Taipei, Taiwan. His 
department studies clinical diseases 
throughout Southeastern Asia, in- 
cluding Viet Nam, the Philippines, 
and Indonesia. Tom writes that they 
have a large series of patients with 
Wilson's disease and are using a total 
body counter and two radioisotopes 
of copper to study them. 

Tom's wife and three boys (ages 5, 
4, and 3) are with him. 

John E. Wise (1624 N. Center St., 
Hickory, N. C. 28601) interned at the 
Medical College of South Carolina 
and then served two years in the Navy 
at Jacksonville, Fla. Since completing 
a three-year residency in internal 
medicine at the University of Ala- 
bama at Birmingham in 1966, he has 
been practicing internal medicine in 
Hickory. 



C. Donivan Bessinger, Jr. (Green- 
ville General Hospital, Greenville, 
S. C. 29601) served a year's rotating 
internship at Queen's Hospital in 
Honolulu before entering the Navy 
for a two-year tour of duty, part of 
which was spent working with Ope- 
ration Deepfreeze at the South Pole 
Station. After two years of a surgical 
residency at Greenville General Hos- 
pital, he went to the University of 



58 /THE BULLETIN 



Virginia Hospital for a year as surgi- 
cal research fellow. Since 1967 he 
has been chief surgical resident at 
Greenville General Hospital, and in 
1968 he received the degree of Master 
of Science in Surgery from the Uni- 
versity of Virginia. 

Don married Jane Prevost of 
Greenville, S. C, in 1966. 

John C. Council, Jr. (1053 Boiling 
Rd., Charlotte, N. C. 28207) has been 
associated with Malcolm McLean 
('56) in the practice of pediatrics 
since August, 1968. He spent six years 
in the Navy following his graduation 
and was certified by the American 
Board of Pediatrics in March, 1967. 

The Councils have two daughters: 
Ashley (6) and Margaret (1). 

Ellison F. Edwards (225 Hawthorne 
Lane, Suite 305, Charlotte, N. C. 
28204) completed a residency in oto- 
laryngology at NCMH in 1966. After 
spending two years in the Navy at 
Boston, he began private practice in 
Charlotte. 

F. Michael Fennegan (1610 Ed 
Carey Dr., Harlingen, Texas 78550) is 
a neurosurgeon doing private solo 
practice. 

Mike and his wife, the former 
Nancy Davis, have two children — a 
boy, 5, and a girl, 2. 

William S. Gibson, Jr. (Geisinger 
Medical Center, Danville, Pa. 17821), 
after completing a residency in oto- 
rhinolaryngology, joined the staff of 
the Geisinger Medical Center. He 
plans to do postgraduate work in 
pediatric otolaryngology. He is "en- 
joying beautiful central Pennsylvania 
and doing a lot of skiing in the win- 
ter." 

Wilbur P. Matthews, Jr. (1339 Haw- 
thorne Rd., Wilmington, N C. 28401) 
interned at the Medical College of 
South Carolina in Charleston and 
then spent two years in the Navy. His 
pediatric residency was served at the 
N. C. Baptist Hospital and the Medi- 
cal College of South Carolina. Since 
1966 he has been associated with 
Charles Hicks ('62) in the practice of 
pediatrics in Wilmington. 

Wilbur and his wife Katherine have 
two children: Suzanne (4), and baby, 
Ashley. 

Roy Wayne Miller (The Medical 
Clinic, 1750 N. Palafox St., Pensacola, 
Fla. 32501) spent four years after his 
graduation at Emory University Hos- 
pital and the V. A. Hospital in At- 
lanta, where he served an internship, 
residency, and fellowship. After a 
two-year tour of duty at Maxwell Air 
Force Base in Montgomery, Ala., he 
joined the Medical Center Clinic, a 
multispecialty group in Pensacola, in 
September, 1967. He is an internist 
with a special interest in nephrology. 

Roy and his wife Pat have four 
children: Alan dO), Mark (8i, Scott 
(5), and Kathy (3). Roy's hobby is 
boating and he loves "Florida living 
and the beach area." 

Albert Ray Newsome (3121 Kinna- 
mon Rd , Winston-Salem, N. C. 27104 1 
is practicing internal medicine and 



cardiology and is an instructor in the 
medical outpatient clinic of the Bow- 
man Gray School of Medicine. He 
and his wife Mary have two sons, 
ages 5 and 8. 

W. Ferrell Shuford (3008 Oleander 
Dr., Wilmington, N. C. 28401) served 
two years in the Navy after complet- 
ing a medical internship at Grady 
Memorial Hospital in Atlanta, He 
then returned to Grady for a resi- 
dency in internal medicine and a fel- 
lowship in gastroenterology. In July, 
1967, he entered the private practice 
of internal medicine in Wilmington 
with Dr. E. Thomas Marshburn, Jr. 
He was certified by the American 
Board of Internal Medicine in June 
1968, 

Donn A. Wells (600 Beaman St., 
Clinton, N, C, 28328) is doing general 
practice in partnership with his class- 
mate, William L. Owens. 



1962 



Oscar H, Bolch, Jr. (5418 W. 76th 
St,, Shawnee Mission, Kansas 66208) 
returned to the United States in Aug- 
ust 1968 after a three-year tour of 
duty at the U, S, Navy Hospital in 
Rota, Spain, He is now in the first 
year of a residency in obstetrics and 
gynecology at the Kansas University 
Medical Center in Kansas City, 

Robert Ashe Carter (2110 Church 
St,, Nashville, Tenn, 37203) com- 
pleted a residency in urology at the 
Indiana University Medical Center in 
Indianapolis in June, 1967, After 
spending a year in the private prac- 
tice of urology at Terre Haute, Ind,, 
he moved to Nashville in July, 1968, 
In addition to carrying on his private 
practice, he is an Instructor in Urol- 
ogy at Vanderbilt University School 
of Medicine and is on the associate 
staff at the Vanderbilt University 
Hospital, 

James H. Gibbs (820 Fleming St,, 
Hendersonville, N, C, 28739) began 
the private practice of urology in 
July, 1968, 

Frederick D. Hamrick, III (802 N 
.Washington St,, Rutherfordton, N, C, 
28139) finished his training at Chapel 
Hill in 1967, and since then has been 
pathologist and director of labora- 
tories at the Rutherford Hospital, Inc, 
Fred and his wife, Carolyn, have 
two daughters, Robin Sue and Natalie, 

Lambros C. Rigas (206 Hospital 
Circle, Rome, Ga. 30161) served an 
internship and residency in obstet- 
lics and gynecology at the Medical 
College of Georgia, Since completing 
his residency in 1967, he has been 
engaged in the private practice of 
obstetrics and gynecology in Rome, 

He and his wife Anne, have one 
son; they live at 29 Virginia Circle, 
Rome. Ga. 30161, 

Michael H. Temko i3116 Victoria 
Blvd,, Hampton, Va, 23361) is en- 
gaged in the private practice of in- 
ternal medicine He is the father of 



one daughter, Sandra, born on March 
24, 1968. 

John F. Warner (4614 Butte Rd , 
Richmond. Va. 23235) has been in 
Richmond since his discharge from 
the Navy in 1966. He has a two-year 
fellowship in infectious disease at the 
Medical College of Virginia. 

Jack and his wife Carol — who 
teaches math at the Collegiate School 
in Richmond — have two sons, John 
i9i and David (4). 

David T. Watson il950 Grevstone 
Rd. N.W . Atlanta, Ga. 30318) interned 
in medicine at the New England Cen- 
ter Hospital and took a two-year 
residency in medicine at the Boston 
City Hospital. After a fellowship in 
cardiology at Grady Memorial Hos- 
pital in Atlanta, he served with the 
U. S. Army at Sandia Base in Albu- 
querque, N. M, In July, 1968, he be- 
gan the private practice of internal 
medicine in Atlanta in partnership 
with three other internists, 

David and his wife Gail have three 
children, Elizabeth (6), David, Jr, (4), 
and Katharine (9 months), two dog.s 
and one cat. 



Bruce F. Caldwell (502 Cutchin St., 
Clinton. N. C. 28328) is practicing 
surgery in Clinton after taking five 
years of postgraduate training in 
Augusta, Ga. He says he is "glad to 
be back in the Old North State." 

William B. Deal (1772 S.W. 36th 
Place, Gainesville, Fla. 32601) is a 
fellow in infectious diseases at the 
University of Florida Hospital and 
Gainesville V. A. Hospital, Beginning 
in July, 1969, he will be chief resident 
and instructor in medicine. 

Henry W. Gerock. Jr. i402 Brook- 
view Dr,, Jacksonville, N, C, 28540) 
took two years of postgraduate train- 
ing in internal medicine at the Medi- 
cal College of Georgia before enter- 
ing general practice in Jacksonville 
in July, 1965, His practice was inter- 
rupted by two years of Army duty, 
spent at the Walter Reed Army 
Medical Center in Washington, doing 
internal medicine. In April, 1968, he 
returned to his general practice in 
Jacksonville, 

He was married to Shirley Anne 
Morgan in 1964 and they have a 2- 
year-old daughter 

David R. Williams (207 Rockspring 
Dr,. Thomesville. N, C 27360) began 
the practice of pediatrics in Thomas- 
ville in July. 1968, 

Dave and his wife Jane have three 
children — Robby, Emily, and Burt, 
He continues a close association with 
Neil Bender i'63) who is an internist 
in Thomasville, 



J. W. David Atchi.son (1515 RulTin 
St.. Durham. N, C, 27701) served a 
year's surgical internship at NCMH 
before entering the U, S, Air Force 



Winter, 1968-69/59 



for a three-year tour of duty in Eng- 
land. He is now a resident in radiol- 
ogy at Duke University Medical Cen- 
ter. 

David and his wife Jane have two 
daughters: Heather, age 2, and Laura, 
age 1. 

William Rowell Burleson (3438 
N.W. 47th Place, Gainesville, Fla.) is 
a second-year resident in urology at 
Shands Teaching Hospital of the Uni- 
versity of Florida, where he also 
served his internship in surgery be- 
fore spending two years in the Navy. 

He married Linda Carol Carter in 
August 1966. 

Clyde M. Gaffney (Jackson Memo- 
rial Hospital, Miami, Fla.) is a resi- 
dent in urology in the University of 
Miami program. 

G. Patrick Henderson, Jr. (2709 
Sarah Ave., Durham, N. C 27707) will 
finish a residency in otolaryngology 
at Duke next June and will then have 
two years in the Army before starting 
practice. 

Pat and his wife Norma have two 
girls. Wendy Lou was born Oct. 17, 
1968, and Zoe Anne is 2 years old. 

Donald K. Nelms (7434- A Winter, 
El Paso, Texas 79920) is serving in 
the Army Medical Corps as chief of 
the Pediatric Outpatient Clinic at 
William Beaumont General Hospital. 

The Nelms have two adopted chil- 
dren: James Person, age 6, and Eliza- 
beth, age 1. 

James W. Rose (204 B Jupiter, 
Sheppard AFB, Texas 76311) is start- 
ing a two-year tour of duty with the 
Air Force. His family now consists of 
his wife Sarah, a daughter Susan, age 
4, and a son David, age 2. 

Jim plans to practice internal medi- 
cine with emphasis on pulmonary 
diseases. 

Wayne B. Venters (405 Overland 
Dr., Chapel Hill, N. C. 27514) com- 
pleted a mixed internship and a year 
of general surgery at the Medical 
College of Georgia in Augusta before 
joining the U. S. Public Health Serv- 
ice in 1966. He spent two years in 
Montana on the Crow and Northern 
Cheyenne Indian reservations, doing 
general practice and surgery. The 
second year he was service unit di- 
rector in charge of all the Public 
Health Service facilities and a 34-bed 
hospital on the two reservations. His 
wife Carol taught third grade on the 
reservation, and they both hunted 
big game as well as pheasants, ducks, 
and grouse. 

Wayne is now in his first year of 
orthopedic residency at Duke, and 
will be there for four years. 

Clifford R. Wheeless, Jr. (5223 Put- 
ney Way, Baltimore, Md.) is in the 
fifth year of an ob-gyn residency at 
Johns Hopkins. He has completed a 
fellowship in gynecologic endocrinol- 
ogy, infertility, and sterility. On 
March 1, he began a year of training 
in radical surgery at the Roswell 
Park Hospital in Buffalo, N. Y. After- 
wards he will return to Johns Hop- 



kins as chief resident on the obstetric- 
gynecology service. 



965 



Richard M. Aderhold (271-10 
Schucht Village, Gainesville, Fla. 
32601 ) finished two years in the 
Tuberculosis Branch of the U. S. Pub- 
lic Health Service in July, 1968, and 
is now a first-year resident in psychi- 
atry at the University of Florida 
Teaching Hospital. 

The Aderholds have a daughter, 
Leigh, born April 25, 1967. 

Richard M. Doughten (605 Walter 
Reed Dr., Greensboro, N. C. 27403) 
completed a pediatric internship at 
NCMH and a two-year pediatric resi- 
dency at the University of Florida 
and is now practicing pediatrics with 
Drs. Harold Spangler and Carl 
Weatherly. He and his wife Barbara 
live at Le Mans Apartments with 
their daughters, Kim (4), and Lisa 
(1>. Their "doors are open to any 
classmates passing through Greens- 
boro." 

Tally H. Eddings left a "very re- 
warding" general practice to begin 
an orthopedic residency at Charlotte 
Memorial Hospital on January 15. He 
had been practicing in Washington, 
Ga., since his discharge from the Air 
Force. 




Tally Eddings and son after 
dove hunt. 

Marvin R. Goldstein (8207 E. Bon- 
nie Rose Ave., Scottsdale, Ariz. 85251) 
is a third-year fellow in cardiology at 
the Institute of Cardiovascular Dis- 
ease in Phoenix. He, his wife Jackie, 
and their three daughters enjoy 
Arizona and plan to return there for 
Marvin to practice cardiology after 
his tour of duty in the Army. 

John Benjamin Hammett (3536 
Meadow Place, Boise, Idaho 83704) 
has completed his second year of 
residency in medicine at the Univer- 



sity of Washington and is doing a 
two-year tour of duty in the Epidemic 
Intelligence Service of the U. S. Pub- 
lic Health Service. He is assigned to 
the Idaho Department of Health. 

Howard Holderness, Jr. (225 Scott 
Ave., Universal City, Texas 78148) is 
serving at Randolph Air Force Base. 
At the end of his two-year tour of 
duty he plans to return to Stanford 
to complete a residency in plastic 
surgery. 

Howard and his wife have a daugh- 
ter, Laura Fortune, born on May 29, 
1968. 

Donald D. McNeill (8010 Dunsmore 
Rd., Richmond, Va. 23229) is a third- 
year resident in pathology at the 
Medical College of Virginia. In 1970 
he will begin his tour of duty in the 
Army. 

Hugh Wayne Mayhue (3120 Pome- 
roy Dr., Louisville, Ky. 40220) served 
two years in the Air Force, stationed 
at Chanute Air Force Base in Ran- 
toul. 111. On August 15, 1968, he be- 
gan a three-year residency in obstet- 
rics and gynecology at the University 
of Louisville Medical School. 

Two weeks before his discharge 
from the Air Force (on July 16, 1968) 
Hugh's wife, the former Judith 
Elaine Hornbeck, gave birth to a 
daughter, Kristine Elaine. 

Jesse R. Peel (Apt. 400, 1329 Lom- 
bard St., Philadelphia, Pa. 19147) 
will complete a residency in psychi- 
atry on July 1, and will then enter 
the Navy for two years. 

Williamson B. Strum il25 Florence 
Rd., Branford, Conn. 06405) took 
three years of postgraduate training 
at the University of Florida Hospital 
before going to Yale University, 
where he has a two-year fellowship 
in gastroenterology. When this is 
completed (in 1970), he plans to spend 
two years in the Air Force and then 
return to academic medicine. 

He married the former Faye Young 
in 1966. 



1966 



James Curtis Abell (210 Lowry 
Lane, Lexington, Ky. 40503) is in the 
second year of his residency in family 
practice at the University of Ken- 
tucky Medical Center. Recently he 
began work with a partnership in 
Midway, Ky. (20 miles from Lexing- 
ton) where he sees patients daily with 
consultation and supervision. 

William H. Bowers (5B Abercorn 
Apt., Savannah, Ga. 31406) completed 
a surgical internship at NCMH be- 
fore entering the Army as a flight 
surgeon. While serving a year in 
Vietnam with the First Air Cavalry 
Division, he received two Purple 
Hearts, eight Air Medals, an Air 
Medal with V device for valor, and a 
Bronze Star. He is now at Hunter 
Army Airfield and plans to return to 
NCMH as a resident in orthopedic 
surgery in the fall of 1969. 

John Robert Crawford, HI (Rt. 3, 
Box 151, Old Lystra Rd., Chapel Hill, 
N. C. 27514) is a resident in ophthal- 



60 /THE BULLETIN 



mology at NCMH and at McPherson 
Hospital in Durham. 

Robert C. Gibson (21 Chester St., 
Ballard Vale, Mass. 01810) completed 
his first year's residency in medicine 
at Western Reserve in Cleveland in 
June, 1968 and is now serving with 
the U. S. Navy aboard a destroyer in 
the Mediterranean. His home port is 
Norfolk, Va. 

Stanlei^h E. Jenkins, Jr. (842 Coun- 
try Club Dr., Morgantown, W. Va. 
26505) will finish a two-year mixed 
residency in medicine and pediatrics 
in June, 1969. He is married and has 
a daughter, bom on September 10, 
1968. 

Thomas J. Koontz (112 Davenport 
Ave., New Haven, Conn. 06504) Is in 
the second year of a surgical resi- 
dency at the Yale-New Haven Hos- 
pital. He has just completed a three- 
month period of service at the Albert 
Schweitzer Hospital in Deschapelles, 
Haiti, which he describes as "the most 
memorable experience of my life." 

ElUott W. Stevens, Jr. (8050 Maple 
St., Fairchild Air Force Base, Wash. 
99011) will finish his two-year tour of 
duty in the Air Force in September, 
1969, at which time he plans to begin 
a clinical fellowship in pulmonary 
disease and allergy at Duke. He and 
his wife Blanche are considering 
Greensboro as their future hometown 
and place of private practice. 



1967 



Charles L. Clarke, Jr. (FV3218010, 
CMR #3361, APO San Francisco, 
Calif. 96235) completed his internship 
at the University of Washington in 
Seattle before beginning a 30-month 
tour of duty as a captain with the Air 
Force in Okinawa in August. He is 
assigned to the 51st U.S.A.F. Dis- 
pensary at Naha. His wife Karen and 
twin daughters, Robin and Gray, 
joined him in September. 

After completing his service in the 
Air Force, Chuck hopes to return to 
a residency in obstetrics and gynecol- 
ogy. 

Howard D. Homesley (744 Bresslyn 
Rd., Nashville, Tenn. 37205) has be- 
gun a three-year residency in obstet- 
rics and gynecology at Vanderbilt 
University Hospital. After serving 
two years in the Army, he hopes to 
begin the practice of obstetrics and 
gynecology in North Carolina in 1973. 

Linda G. Hall Jackson (10391 Luke 
St., El Paso, Texas 79908) interned in 
pediatrics at St. Christopher's Hos- 
pital for Children in Philadelphia, the 
pediatric department of Temple Uni- 
versity. She is now married to 
Howard P. Jackson, a UNC graduate 
(zoology) from Fayetteville, who is a 
second lieutenant in the Army Air 
Defense, stationed at Fort Bliss, 
Texas. Since no residencies are avail- 
able in El Paso, Linda is postponing 
her residency in pediatric psychiatry 
for two years, until her husband is 
out of the Army and back in gradu- 
ate school. Meanwhile, she is working 
in the outpatient department of 



Thomason General Hospital, a mu- 
nicipal hospital serving predominant- 
ly Mexican Americans. 

Robert H. Kelter (1-8 Colony Apts., 
Chapel Hill, N. C. 27514) is a first- 
year resident in psychiatry at NCMH. 

Scott G. Kleiman (1130 S. Michi- 
gan, Apt. 2613, Chicago, 111. 60605) is 
in a four-year orthopedic residency 
at the University of Chicago. He will 
enter the Air Force for two years of 
active duty after completing his resi- 
dency program. 

Scott was married in March, 1968. 

Joseph T. McLamb (3601 Richard 
St., Nashville, Tenn. 37215) is in the 
first year of a residency in general 
surgery at Vanderbilt after which he 
plans to enter the Air Force. 

J. M. Morton (910 Hanover St., 
Aurora, Colo. 80010) is taking his 
postgraduate training in military 
service, and is beginning a pediatric 
residency at Fitzsimons General Hos- 
pital. 

When he wrote, he and his wife 
were expecting their second child 
"any time now." He reports that 
"Army life is good, training excel- 
lent." 

Gerald Pelletier, Jr. (2791 USAF 
Hospital, Hill AFB, Utah 84401) com- 
pleted an internship in surgery at 
Parkland Memorial Hospital in Dal- 
las, Texas, and is now a flight surgeon 
at Hill Air Force Base. 

Albert L. Roper II (Box 495, U. S. 
Naval Hospital, Balboa, San Diego, 
Calif. 92134) is a lieutenant in the 
Navy Medical Corps and a first-year 
resident in otorhinolaryngology. 

Joel E. Rothermel (345 West 58th 
St., New York, N. Y. 10019) is taking 
a one-year residency in general sur- 
gery at the Roosevelt Hospital in 
New York City. Next July he will 
begin a residency at New York Ortho- 
pedic Hospital at the Columbia- 
Presbyterian Medical Center. 

In February, Joel presented a paper 
at the New Orleans meeting of the 
Southern Medical Association on 
"The Changing Prognosis in Hemo- 
philic Arthropathy," co-authored by 
Dr. R. B. Raney. 



James C. Little, Jr. (2835-B Teak- 
wood Ct., Winston-Salem, N. C.) is 
taking an internship in medicine at 
the North Carolina Baptist Hospital. 
He plans to return to NCMH next 
July as a first-year resident in ob- 
stetrics and gynecology. 

James M. Nesbitt, Jr. (1743 Mohawk 
Ave., Charleston, S. C. 29407) is tak- 
ing a medicine-pediatrics internship 
at the Medical College of South 
Carolina. Next July he plans to go to 
Charlotte Memorial Hospital for a 
two-year residency in family practice 
(one year in medicine and one in 
pediatrics! before his two-year tour 
of duty with the Air Force. 




Rutherford B. Polhill, Jr. (2144 
Hillside Circle, Birmingham, Ala. 
35209) plans to stay at the University 
of Alabama for the first year of his 
pediatric residency. Rud and his wife, 
the former Martha Witt, have two 
children: R. B., Ill (Ruddy), age 4, 
and Martha Scoville (Scotty), age 2. 

David M. Rubin (20 Bogardus Place, 
Apt. 3H, New York. N. Y. 10040) will 
stay in New York for one year of 
residency at Babies and Childrens of 
Columbia Presbyterian before enter- 
ing the Army. 



In Mtmariam 



ROBERT LINDSAY BUGDEN '68 

1941-1968 

Bob was born 
in New York City 
on April 13. 1941. 
and died there on 
November 12, 
1968. The span 
of time between 
these two dates 
was regrettably 
brief but suffici- 
ent, nevertheless, 
to reveal clearly 
a man and a de- 
veloping career 
in medicine of 
outstanding proportions. 

Bob grew up in Fayetteville, New 
York, where his father is a highly 
respected thoracic surgeon. Following 
a year at Hamilton College, 1959-60, 
he transferred to the University of 
North Carolina where three years 
later he was awarded an A.B. degree 
in Zoology. During his college years, 
Bob was diligent and developed 
scholarly disciplines that when 
coupled with his exceptional talents 
led to his achieving honor status in 
mathematics and the sciences. Sum- 
mertime jobs as a hospital orderly 
and later an operating room tech- 
nician strengthened his interest in 
medicine. 

Upon entering medical school here 
in 1964, he had a clearly defined goal. 
He wished to become an excellent 
surgeon and was enthusiastic about 
working as hard as necessary to 
achieve this aim. But it would be a 
mistake to speak only of Bob's high 
standards of personal performance 
and his disciplined scholarship. His 
extraordinary vigor spilled over into 
all his activities; for example, skiing, 
swimming, and travel. Bob was out- 
standingly debonair His gentlemanly 
instincts and social graces made him 
a joy to his associates. Friends recall 
the pleasure Bob derived from quietly 
offering, in his well-modulated voice, 
the well-turned compliment which 
often encouraged a shy person to 
enjoy more fully a social occasion. 

Bob continued to develop his tal- 
ents during medical school and 
quickly gained the respect of his 
classmates. His cultural and medical 
backgrounds were enriched in the 
summers by first, a European tour 



Winter, 1968-69/61 



and subsequently, special work in 
psychiatry and pathology. His aca- 
demic excellence, outstanding per- 
sonal attributes and promise for fu- 
ture accomplishments were recog- 
nized by his election to Alpha Omega 
Alpha. 

His excellent record led to his be- 



ing selected for an internship in sur- 
gery at the Roosevelt Hospital in New 
York City. Bob's father had been 
closely associated with the Roosevelt 
Hospital staff when it served as a 
unit in the Armed Forces overseas 
during World War II. During his in- 
ternship, Bob was highly effective. 



appearing to enjoy surpassing the 
expectations of his teachers and col- 
leagues. 

Bob is survived by his parents. Dr. 
and Mrs. Walter Bugden, a brother, 
Wallace F. Bugden, and a sister, Lee 
Bugden. 

John T. Sessions, Jr., M.D. 



HOTTSE STAFF ALUMNI NEWS 



19^ 



Joseph D. Corpening (720 Grove 
St., Salisbury, N. C. 28144) practices 
pediatrics at the Children's Clinic in 
Salisbury, in association with two 
other pediatricians. 



losr; 



Sheldon Oscar Burman (Route 1, 
North Hatley, Quebec, Canada) is 
Professor and Chairman of the De- 
partment of Thoracic and Cardiovas- 
cular Surgery at the University of 
Sherbrooke School of Medicine in 
Sherbrooke, Quebec and is "trying 
frantically to learn French." The 
Burmans have three children, Allison 
Beth (4), Jocelyn Holly (3), and a 
baby, Harrison Emory Guy. 



1958 



Robert W. Whitener (1024 Profes- 
sional Village, Greensboro, N. C. 
27401) is president of the Southeast- 
ern Group Psychotherapy Society, a 
regional affiliate of the American 
Group Psychotherapy Association. He 
presided over a group therapy insti- 
tute held at Grove Park Inn in Ashe- 
ville in August. 1968. 



Faith N. Ogden (Star Route, Sharon, 
Vt. 05065) writes that she "moved to 
the hinterlands in 1965 in order to 
acquire leisure," but that "profes- 
sional demands are intruding." She 
serves as a psychiatric consultant to 
three mental health agencies, two pri- 
vate child-oriented agencies, an insti- 
tution for retarded adolescents, a 
state prison, and a child-care center 
under the Office of Economic Oppor- 
tunity. When she is not traveling in 
connection with her professional 
activities (within a radius of 50 to 



90 miles), she enjoys the 40 acres on 
her mountainside, the garden, her 
sister's lunch counter and thrift shop, 
and "thoughts of enough leisure time 
to revisit former habitats and 
friends." 



196 



W. Morris H. Noble (3095 Pacific 
Ave., San Francisco 94115) was in the 
Army Medical Corps from 1960 to 
1962. From 1962 to 1964 he served 
assistant residencies at San Francisco 
General Hospital and the University 
of California Hospitals. Since 1964 he 
has been practicing internal medicine 
in San Francisco and teaching at the 
University of California School of 
Medicine, where he is now Assistant 
Clinical Professor of Medicine. He 
was certified by the American Board 
of Internal Medicine in 1965 and is 
on the active staff of the Children's 
Hospital and St. Francis Hospital in 
San Francisco. He enjoys the com- 
bination of teaching and practicing. 

Morris married Winifred Brady in 
1962, and they have a son, Morris H., 
Jr., born in January, 1968. Their first 
son, Christopher Coleman, died of 
meningitis in July, 1968, at the age 
of 4. 



1961 



Richard P. McClintock, Jr. (555 S. 
Dora St., Ukiah, Calif. 95482) is a 
dermatologist in private practice. He 
was certified by the American Board 
of Dermatology in September, 1968. 



Herbert F. Johnson (847 S. New- 
port. Tampa, Fla. 33606), served as a 
radiologist on the teaching staff of 
Fitzsimons General Hospital for three 
years and then spent a year in Viet- 
nam with the Third Evacuation Hos- 
pital. After spending another ten 



months as chief of the Radiology 
Service at the U. S. Army Hospital 
Specialized Treatment Center at Ft. 
Gordon, Ga., he left the Army having 
attained the rank of lieutenant 
colonel. He is now engaged in the 
group practice of radiology in Tampa. 



L963 



Warren D. Carter (John Umstead 
Hospital, Butner. N. C. 27509) was 
promoted from Director of Rehabili- 
tation to Assistant Superintendent 
of John Umstead Hospital on July 1, 
1968. His home address is 2507 Wil- 
son St., Durham, N. C. 27705. 



i%4 



Branch L. Fields, Jr. (114 E. Peri- 
meter, Lackland Annex Air Force 
Base, Texas 78227) is a member of 
the staff of Wilford Hall U.S.A.F. 
Hospital at Lackland Air Force Base. 
He is in the Section of Infectious Dis- 
ease of the Department of Medicine. 



196^ 



Charles P. Nicholson, Jr. (Box 746, 
Morehead City, N. C. 28557) was ad- 
mitted into the American College of 
Surgeons on October 17, 1968. 



1968 



James E. Collins (822 N. Elm St., 
Greensboro, N. C. 27401) opened his 
office for the private practice of 
psychiatry in Greensboro on July 1, 
1968. 

Vasiliki Moskos (3 Dana St., Apt. 
12A, Cambridge, Mass. 02138) is in 
the first year of a residency in child 
psychiatry at Children's Hospital 
Medical Center and Judge Baker 
Guidance Center. 



62 /THE BULLETIN 



Annual Medical Alumni Association M 




Charles A. Speas Phillips ('44). 



The annual meeting of the Medical 
Alumni Association's Officers, Coun- 
cilors, District Chairmen, Fund Com- 
mittee, Visiting Committee, Advisory 
Committee and Nominating Commit- 
tee, was held on October 19, 1968, at 
the Faculty Lounge of the Morehead 
Planetarium. Among the non-officer 
speakers were Chancellor J. Carlyle 
Sitterson, representing the University 
administration; Dr. Christopher C. 
Fordham, IH and Dr. John B. Gra- 
ham in their capacity of associate 
deans, and Dr. George D. Penick, as 
Editor of the Bulletin. 



W. Reece BerryhUl ('25), John O. Perritt, Jr. ('50), and Lewis S. Thorp, Jr. ('50). 




Julian S. Albergotti, Jr. ('55) and 
Dean Taylor. 



McLeod Ri£r?ins ('22) and President Davis ('42). 




James H. M. Thorp ('57) and Geor^re D. Penick ('44). 

Winter, 1968-69/63 




Dean Isaac M. Taylor, President James E. Davis, Charles L. Herringr ('55), James H. M. Thorp, and H. Haynes Baird ('40). 




)f 1941 — 25th Anniversary 



At the forthcoming Medical Alumni Days to be held in Chapel Hill on April 23-24, 1969, the following classes will 

also have special reunions: 
1919 1933 1939 1959 

1929 1934 1949 1964 



64 /THE BULLETIN 



— Implication of Computer Tecl 



(Continued from Page 33) 



12. Frenk. H.: Analog computer methods and some technical 
problems in automatic photomicrography. Am. J. Med. Elec- 
tronics 1: 14, 1963. 

13. Noe. F. E.: Computer analysis of curves from an infrared 
C02 analyzer and a screen-type airflow meter, J. Appi. Physiol. 
IS; 119, 1963. 

14. Goldschmidt, H., and Lindgren, P.: An electronic interval 
recorder for measuring peripheral blood flow and heart rate, 
J. Appl. Physiol. 17; 169, 1962. 

15. Cleland, W. W.: Computer programs for processing en- 
zymes kinetic data. Nature 198: 463, 1963. 

16. Benchimol, A., Akre, P. R., and Diamond. E. G.: Clinical 
experience with the use of computers for calculation of cardiac 
output. Am. J. Cardiol, 15: 213, 1965. 

17. Borum, E. R., Chapman, J. M., and Massey, F. J.: Com- 
puter analysis of Frank-lead electrocardiographic data recorded 
in an epidemiological study, Circuiatio7i 32; 55, 1965 (Part Two). 

18. Berson, A. S., Stallmann. F. W., Broders. J. H.. and 
Pipberger. H. V.: Telephone transmission of electrocardiograms 
and on-line computer diagnosis. Am. J. Med. Electronics 4: 35, 
1965. 

19. Finney. D. J.: The design and logic of a monitor of drug 
use. J. Chronic Dis. 18: 77. 1965. 

20. Bluestone. R., and Harris, A.; Treatment of heart-block 
with long-acting isoprenaline. Lancet 1: 1299, 1965, 



21. Cooper. J. K., McGough, T, Ostrow, B , and Caceres, 
C. A.: Role of a digital computer in a diagnostic center, J.A.M.A. 
193 ' 911 1965 

22. Corday. E.. Bazika. V., Lang, T. W.. Pappelbaum. S.. 
Gold. H.. and Bernstein. H.: Detection of phantom arrhythmias 
and evanescent electrocardiographic abnormalities. Use of pro- 
longed direct electrocardiorecording. J.A.M.A. 193: 417, 1965. 

23. Criscitiello. M. G,, and O'Rourke. R. A.: Documentation 
of transient arrhythmias by constant cardiac monitoring. Am. 
J. Cardiol. 16; 779. 1965. 

24. Kurland. G. S. and Pressman. D.: The incidence of 
arrhythmias in acute myocardial infarction studied with a con- 
stant monitoring system. Circulation 31: 834, 1965. 

25. Swenson. W. M., Rome, H. P., Pearson, J. S., and Bran- 
nick, T. L. : A totally automated psvchological test. Experience 
in a medical center, J.A.M.A. 191: 925, 1965. 

26. Talbott, G. D. : The hot-line to the heart. Prototype of a 
specific inquiry system in coronary artery disease literature, 
J.A.M.A. 196; 964, 1966. 

27. Kent, A.: A machine that does research. Harper's 218: 
67, 1959. 

28. Starkweather. J. A.: Computer-Assisted Learning in 
Medical Education, The Canadian Medical Association Journal 
97: 733, 1967. 









M. 



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The University of North Carolina 



School of Medicine and 

Medical Alumni Association Bulletin 



Spring-Summer 1969 



Volume XVI 



No. 2 



EDITORIAL COMMITTEE 

Faculty: 

George D. Penick, M.D., Chairman 
Carl W. Gottschalk, M.D. 
William E. Lassiter, IVI.D. 
Benson R. Wilcox, M.D. 

Alumni: 

Charles L. Herring, M.D. 
Isaac V. Manly, M.D. 
William W. McLendon, M.D. 
Shahane R. Taylor, Jr., M.D. 

NCMH House Staff: 

Gordon B. LeGrand, M.D. 

Student: 

Don A. Gabriel 

Medical Foundation of N. C, Inc.: 

Emory S. Hunt 
Charles L. Powell 

Editor: 

Maria A. Leon 

Photography: 

William Brinkhous 

NCMH Dept. Medical Illustration 



IN THIS ISSUE 




To the Class of 1969 


2 


Today and Tomorrow for the 1969 Graduate 


4 


Senior Class Presidential Address 


6 


Senior Honors and Awards for 1968-69 


8 


Senior Banquet 


9 


The Class of 1969 


14 


The Whitehead Lecture 


24 


Medical Student Activism 


28 


Observations on Medical Practice 


31 


SHAC— Student Activists at UNC 


32 


Parents as Cotherapists 


38 


News from the Hill 


42 


Admissions Open House 


42 


Student-Faculty Day 


50 


Second Annual Student Research Day 


52 


Faculty Promotions 


55 


Freshman-Junior Honors 


59 


Alumni News 


60 


Alumni Necrology 


69 


Annual Meeting 


70 


Pinehurst 


73 




TO THE CLASS OF 1969: 



Commencement each year is a rewarding time for all 
of us because it marks completion of the medical 
school phase of the professional careers of another 
medical class. Thus the Class of 1969, to whom this 
issue of The Bulletin is dedicated, has left us. But like 
all classes, it is, in a real sense, still with us because 
in its years here it has contributed to the structure and 
form and spirit which constitute this school's real es- 
sence. The contributions of the Class of 1969 are many 
and unique. Of particular note I think is the leader- 
ship the class has given to the trend towards greater 
involvement of students in phases of the school's work 
other than the prescribed courses of study. This move, 
profound and wholesome, will make the school a dif- 
ferent place in the future, and a better one. The Class 
of '69 goes with our best wishes and highest expecta- 
tions. 



two-thirty o'clock in the afternoon 

monday, June the second 

nineteen hundred and sixty-nine 

Presiding: ISAAC MONTROSE TAYLOR, M.D., Dean, 
School of Medicine 



Honoring the graduates, their families and friends, tea 
was served in Graham Memorial immediately follow- 
ing the ceremony. 



Graduation 



PRELUDE: Rhosymedre 
Ralph Vaughn Williams 

PROCESSIONAL: Hippocrates' March 

Rudolph Kremer 

Professor Rudolph Kremer, Organist 

INVOCATION 

Fred William Reid, Jr. 

Chaplain, North Carolina Memorial Hospital 

A WORD TO THE GRADUATES 
Dr. Floyd W. Denny, Jr. 

PRESIDENT OF THE SENIOR CLASS 
Charlie Richard Fleming 

PRESENTATION OF HOODS 
AND ALUMNI CERTIFICATES 

THE HIPPOCRATIC OATH 

The Graduating Class in Unison 

BENEDICTION— THE PRAYER OF MAIMONIDES 
The Graduating Class in Unison 

RECESSIONAL: Maimonides' March 

POSTLUDE: Chorale Prelude on "In dir ist Freude" 
J. S. Bach 



TODAY AND TOMORROW FOR THE 1969 GRADUATE 



By FLOYD W. DENNY, M.D. 

Professor and Chairman, Department of Pediatrics 

President Fleming, Dean Taylor, Dr. Baird, graduates 
of the Class of 1969, wives, parents, families, and 
friends: 

I feel honored that Dick Fleming asked me to make 
this presentation, and I want you to know that I am 
pleased to be here. I consider it a privilege to be able 
to share with you at this most important time some 
of the thoughts that I, as chairman of a Department of 
Pediatrics, have about medicine in this country. I 
should like to speculate with you about what medicine 
will be like tomorrow, who will do it, where it will be 
done, and what your responsibility to it will be. I must 
make it clear that these are speculations, my own 
speculations, and while they may be shared by many 
I am sure there are a like number who will disagree. 
In spite of this controversy, I decided to proceed with 
this subject, because I feel rather strongly about some 
of the points that I intend to stress. The remarks that 
I make will be directed to the members of the graduat- 
ing class. I make no apologies for this, but I hope that 
they will be of interest to the rest of the audience also. 

First, I want to project with you into the future and 
try to visualize what the practice of medicine will be 
like 10, 20, or 30 years from now. In my opinion, the 
next few years are going to see great changes in the 
patterns of medical practice as we know them today. 
Changes need to be made, and unless we, as physi- 
cians, make these changes it seems probable that our 
government is going to make them for us. Before I 
go further, I want to make clear that I do not think 
that the practice of certain specialties of medicine will 
change drastically in the foreseeable future. It is ob- 
vious that medicine is becoming more complex each 
year and because of this the job of the consultant 
becomes more difficult and more important. His train- 
ing will continue to be long and arduous, his services 
more and more in demand, and the way he practices 
probably will not be altered too greatly. The large 
change that I foresee is the way that health and medi- 
cal care will be delivered in a primary or first-line way 
to the people of this country. It seems to me that we 
are rapidly approaching the time when those of you 
who are interested in practicing primary medicine 
must consider ways in which you can provide for the 
health and medical needs of all of the people all of 
the time. 

Let me explain further what I mean by this. At the 
present time, when a physician goes into practice in 
a community, he spends months or years building up 
his practice, because it takes time for patients to be 
referred by other physicians or for word to get around 
the community that Dr. X is a good doctor. There is 
nothing basically wrong with this except that, in gen- 
eral, the people who seek medical care are those who 
have the money and the intelligence to get help or 
are so ill that the optimal time of being treated has 
passed. Regardless of what the reasons are it is clear 



that large segments of our population do 'not get good 
medical care through the mechanisms that are now 
provided for them. I am suggesting to you that it will 
be the responsibility in the future of all of us, but par- 
ticularly the primary physician, to see that health and 
medical care is provided to all of the people in this 
country. 

It is obvious that we do not have enough doctors to 
take care of all the people of this country by conven- 
tional means. Logically, the next question then is, 
how will the job get done? I believe this responsi- 
bility is going to fall the lot of the pediatrician, the 
internist, and the family physician, who by my defini- 
tion combines the practice of pediatrics and internal 
medicine. It seems appropriate to separate the roles 
that the pediatrician and the internist will play in the 
future. It is clear that some internists and pediatri- 
cians will continue to be consultants in their respective 
fields and their training and practice will be directed 
toward this end. On the other hand, 1 foresee that 
some pediatricians, some internists, and the family 
physician will assume a role which today is found 
far too infrequently — that of assuming the responsi- 
bility of seeing that every person is given proper health 
and medical care. Since there will not be enough of 
these physicians, the problem is how they will provide 
this care. I question seriously that the methods of 
practice as we know them today are necessary. I be- 
lieve that there will arise shortly new methods for the 
delivery of medical care and new people to deliver it, 
£0 that it might be possible to give good health and 
medical care to many more people with the number 
of physicians who are being trained. It seems to me 
that we must decide quickly what jobs must be done 
by physicians themselves and what can be done by 
people who are less well trained or are trained in other 
disciplines. I think the roles of the nurse, the social 
worker, the psychologist, the speech therapist, the edu- 
cator, the administrator, and others, are going to be- 
come more important in the day-by-day practice of 
medicine. In addition, the development and use of 
new health workers, such as nurse practitioners or 
physicians' assistants show promise and should con- 
tinue. I would be most reluctant to think that the 
physician would not continue to be the hub of the 
wheel around which all of these revolve, because I 
think he alone should have the understanding of howi 
all of these disciplines can work to the greatest benefit 
of his patients. Furthermore, unless the physician, 
coordinates all the care of his patient and remains 
the person with whom the patient relates primarily,' 
the fragmentation that plagues medical care today will 
continue. Precisely how these people can be used in 
concert to deliver health and medical care to more 
people must be learned. It is here that we in the 
medical center should play the greatest role. As we 
develop better methods for the delivery of medical 
care, you as physicians just beginning your careers 
should adopt these new methods. The most important 



concept that I believe must permeate our thoughts in 
all of these endeavors is the need to develop better 
ways of providing medical care to more people of this 
country. 

Although I believe that the patterns of practice of 
some consultants will not be changed greatly, the prac- 
tice of others must be altered. I predict that the ob- 
stetrician and the psychiatrist must and will change 
the way that they deliver care in the future. Until we 
have enough obstetricians to deliver personally every 
baby in this country, some alternative must be found. 
I believe quite strongly that every woman who bears 
a baby should have the advantage of being under the 
care of an obstetrician. I do not know how this can 
be accomplished or what the exact relationship of the 
obstetrician to the actual delivery of the baby should 
be. I would guess, however, that the obstetrician can 
develop assistants who will work under his supervision, 
so that expert care can be provided for more mothers. 
Many of the same concepts apply to the delivery of 
psychiatric care to larger numbers of people. 

The next area of speculation is where the medicine of 
tomorrow will be practiced. I have only two points that 
I would like to discuss with you in this regard. The 
first is the necessity for taking front-line or primary 
medicine closer to the consumer. Since it seems cer- 
tain that there will not be enough doctors for each 
community to have its own physician, a possible solu- 
tion would be to put offices or clinics manned by 
physicians' assistants, nurse practitioners, or some 
other comparable medical person close to the patient. 
When this is done, it should remain the responsibility 
of the physician to supervise these people and see 
that good medicine is delivered. An important aspect, 
however, is that there should be medical facilities and 
care within easy access of the people. The second 
point that I want to speculate aJDOut is the changing 
character of hospitals. I would guess that some hos- 
pitals as we know them today will change greatly in 
the future. The complexities of medical care will force 
this change. It would seem inevitable that large refer- 
ral hospitals, such as North Carolina Memorial Hos- 
pital, will become more and more specialized and the 
physical layouts of the hospital will reflect this change. 
Already there are some specialized areas in our hos- 
pital such as the intensive care unit, the cardiac 
monitor unit, and the infant acute care unit, and I 
will be disappointed if some of the new additions to 
our hospital do not include even more areas of spe- 
cialized care. Such areas, however, will be far too 
expensive and not necessary for many hospitals. There 
will be developed, 1 would guess, hospitals which will 
be adapted to the needs of a particular area. The 
smaller community hospital would not be too different 
from what it is today, larger community hospitals 
should be built to handle patients with more complex 
diseases or operative procedures and referral hospitals 
will handle the still more difficult patients. Because 
the building of large and complex facilities takes such 
a long period of time, I hope very much that we can 
begin to think now of what is going to be necessary 
for the future so that the lag between the idea and 
the reality would not be too great. 



I should like to turn now to your responsibilities in 
this ever-changing and complex profession. I am going 
to list your responsibilities as follows: to medicine, 
to your patient, to yourself, and to your family. These 
are not listed in order of priority, because I am not 
able to do that for you. First, I want to talk about 
your responsibility to medicine. In thinking about this 
subject I looked up the meaning of the word medicine 
in Webster's New International Dictionary. According 
to this source, medicine is "the science and art dealing 
with the maintenance of health and the prevention, 
alleviation or cure of disease." This is an all-encom- 
passing profession, then, that you have entered. If 
you have chosen to be a consulting specialist, I en- 
courage you to get the very best training available, so 
that you can do the best possible job. I hope that 
most of you have chosen the specialty of iDeing a 
primary physician. If you have, remember that this 
is probably the most difficult and important specialty 
of all. 1 beg of you too to prepare yourselves thoroughly 
to do this job and do it well. In my estimation, you 
must be prepared to take a minimum of three years' 
training, or possibly four, and this should be done 
within the framework of departments of pediatrics 
and internal medicine. I hope very much that you 
will not slight the scientific aspects of medicine which 
receive so much stress today, but I also hope that you 
will give enough consideration to the art of medicine 
and to better ways of delivering medical care. 

The next responsibility that I want to mention is to 
your patient. This seems quite obvious because if 
people did not need physicians for health and medical 
care there would be no such profession as medicine. 
Unfortunately, in this era of scientific discovery and 
technical detail, the patient is frequently forgotten. I 
hope you will remember that patients are the reasons 
we are physicians and the reasons we have practices 
and hospitals. As Sir William Osier wrote, "We are 
here not to get all we can out of life for ourselves, 
but to try to make the lives of others happier." Hippo- 
crates, known best to us by his Hippocratic oath, had 
this to say about the physician's responsibility to his 
patients: 

Sometimes give your services for nothing, calling to mind 
a previous benefaction or present satisfaction. And if 
there be an opportunity of serving one who is a stranger 
in financial straits, give full assistance to all such. For 
where there is love of man, there is also love of the art. 
For some patients, who conscious that their condition is 
periloLis, recover their health simply through their content- 
ment with the goodness of the physician. And it is well 
to superintend the sick to make them well, to care for the 
healthy to keep them well, but also to care for one's own 
self, so as to observe what is seemly. 

This last part of Hippocrates' statement introduces 
the next aspect of your responsibility, which is to your- 
self. As you prepare to enter the next phase of your 
career, satisfy yourself that you are doing what is best 
and right for you. One of the real tragedies that I have 
observed in medicine is the physician who is trying 
to do a job that he doesn't really want to do. In ad- 
dition, once you have your future plotted take mind 



of your physical and emotional health and pace your- 
self so that you get the most out of life. 

Finally, you must consider your responsibility to your 
family — your parents, as well as your wife and children. 
Don't ever forget what they have meant to you in the 
past and and what they can mean to you in the future. 
In many instances your mothers and fathers have made 
tremendous sacrifices to see that you have gotten this 
education and that you are well prepared to face the 
life ahead of you. Let them enjoy your trials, your 
successes, your family, and you in the future. Regard- 
ing your wives, I have some very special words. I am 
continually amazed at what they do for you during 
your years of medical school and what they are pre- 
pared to do for you during your years of house-staff 
training. Many of them have supported you, raised 
your children— yes, even tolerated you — during these 
trying years. To your wives, then, I think you have 
extra and important responsibilities. 

Before I stop this afternoon, I want to address myself 
to the importance of the graduate of the University 
of North Carolina School of Medicine. To those of us 
who have worked with you over the years, you are 
indeed very special people. Experience with students 
of our medical school has shown us that you possess 
those qualities which place you in great demand in 
medical circles all over the country. You are excel- 
lently prepared to face the medical problems of today 
and tomorrow, and you will do well. Remember as 
you leave us that you represent not only yourselves, 
but also th^ University of North Carolina School of 
Medicine. The special place that I expect you to hold 
as physicians has been described by Robert Louis 
Stevenson: 

There are men and classes of men that stand above the 
common herd: the soldier, the sailor, and the shepherd 
not infrequently; the artist rarely; rarelier still the clergy- 
man; the physician almost as a rule. He is the flower 
(such as it is) of our civilization . . . Generosity he has, 
such as is possible to those who practice an art, never 
to those who drive a trade: discretion, tested by a thou- 
sand embarrassments; and what are more Important, 
Heraclean cheerfulness and courage. 

With this I wish you good luck and Godspeed. 



SENIOR CLASS PRESIDENTIAL ADDRESS 



By C. RICHARD FLEMING, M.D. 

Dean Taylor, Dr. Baird, faculty, parents, and friends: 

I would like to join in welcoming you to our hooding 
ceremony and at the same time thank you for sharing 
this memorable day with us. 

It was on another memorable day, September 15, 1965, 
that the members of this graduating class walked 
through the doors of MacNider Building and into an- 
other world called "medical school." As we convened 
for the first time it became obvious that, surprisingly 
enough, not all medical students are of the same 
breed. 



We were soon to discover just how different we were 
in so many ways. 

Our backgrounds ranged from engineering to teaching 
school in Africa; our ages from 19 to 27. We came 
from ten different states, but— for the benefit of any 
money-appropriating legislators here today — 56 of 67 
in this graduating class are Tar Heels born and bred. 
Our reasons for coming to medical school were nu- 
merous. Some of us had been prematurely exposed 
to hospitals and were intrigued by the art and science 
of medicine. Others probably came in an attempt to 
pattern their lives after an admired physician. Still 
others probably considered a career in medicine as 
an opportunity to aid the suffering. But I honestly 
believe that, if the truth be told, most of us did not 
know our exact reasons for choosing medicine as our 
profession. 

Well, there we were on the first day in 1965, so different 
in many ways, yet all with one objective in mind — to 
be deemed worthy of an M.D. degree on this day in j 
1969. I am sure we all sat nervously as Dean Taylor i 
rose and said, "Welcome, students," and then turned 
to the professors and said, "Work 'em, faculty." And 
work us they did! Day after day for two years we at- ' 
tended lectures and laboratories and took quizzes in 
an attempt to master a seemingly never-ending bar- i 
rage of facts. During our first year we were constantly ! 
reminded, but never quite realized, that the tremen- 
dous amount of scientific minutiae we were learning 
was to make us better physicians. Dr. Louis Welt, 
Professor and Chairman of the Department of Medi- 
cine, must have sensed our anguish when, during the 
1966 Whitehead Lecture, he said: 

Be assured that your studies of the basic sciences are, 
in fact, basic to your care of the ill, and as you proceed 
in clinical medicine you will simultaneously have to re- 
examine the knowledge of the basic sciences. Medicine 
will become more of a science, not less. If you are to 
achieve skill in the art of medicine you then, must be 
more of a scientist, not less. If the basic premise of this 
argument is intact, there is no room for a dichotomy be- 
tween the science and art of medicine, because they are 
woven into a single cloth which can be yours to wear. 



Encouraged by these words of wisdom, we dove enthu- 
siastically into our second year and, in our pathology 
course, our first confrontation with the disease process. 
At the year's end, we first sensed the art of medicine 
as we watched our clinical preceptors at the bedside. 
Some of us will never forget our first patient work-up: 
our preceptors wrote more corrections than we did 
history, and it was a sad beginning to a happy ending. 

During the third year we donned our fresh white uni- 
forms and joined the ward teams in caring for patients. 
Physically, this was to be the hardest year in medical 
school. We were all awkward as we stumbled through 
our initial procedures; but as the year progressed our 
tasks became less cumbersome. We now know the wet 
palms and knocking knees that are synonomous with 
presenting a patient at professor rounds under the 
critical eye of a departmental chairman. After each 
such experience, however, our confidence would rise 
a notch; and by the year's end we felt the pride and 
sense of accomplishment that follow hard work. After 
rotating through medicine, surgery, pediatrics, and 
psychiatry, most of us began considering our future 
specialties. 

Last year the Curriculum Review Committee, made up 
of both students and faculty members, concluded that 
by the time a student completes his third year in medi- 
cal school, he usually knows what his career goals in 
medicine will be. Hence they raised the question, 
"Why then shouldn't the students be allowed to pursue 
these goals during their senior year in medical school?" 
As a result of this committee's work our class has been 
the first to experience an elective senior year. This 
program allows the student to concentrate on sub- 
specialty rotations and, if he wishes, to take courses 
for credit at other medical centers, both in this coun- 
try and abroad. One may also take courses in the 
UNC undergraduate school or in other graduate schools 
here in Chapel Hill. Fourth year students have always 
had a reputation for running low in adrenalin; but, 
thanks to this curriculum change, we have remained 
genuinely interested in pursuing our future goals at 
this early age. 

The Curriculum Review Committee, which was respon- 
sible for this change, was created our freshman year 



in order to give students and faculty an opportunity 
to work together in deciding how medical education 
could be bettered. At a time when student-faculty 
relationships on the undergraduate level seem to be 
at a low ebb, this committee represents only one ex- 
ample of the excellent student-faculty relationships 
that exist in our school. Here, the faculty has encour- 
aged the students to become partners in the enterprise 
of medical education, and the students have respond- 
ed. The enthusiasm of the students who are serving 
on many important committees in the medical school 
complex is proof enough that students today can be 
constructively rather than destructively active. 

Just this past month, the medical school announced 
that students would be included on the Admissions 
Committee next year. These students will interview 
candidates for medical school and will have a voice 
in the committee's decisions. Now if we could just get 
students on the Student Promotions Committee, Medi- 
cal School would really be a breeze! 

Regardless of what a person brings with him to medi- 
cal school in the way of knowledge, character, and 
desire, a lot of what happens to him depends on what 
the school offers him and asks of him. This school 
has offered us a dynamic institution which is constant- 
ly expanding and one whose reputation and contribu- 
tions to medicine are widely recognized. The faculty 
has asked a lot of us by setting the extremely high 
standards which I hope we can live up to. 

For four years now the members of this class, who 
seemed at the beginning to have so little in common, 
have been facing the same hurdles — and today is proof 
that we made it to the finish line. In achieving this 
goal we have become a closely knit group and have 
developed a great deal of mutual respect. Later this 
month, the members of the class will disperse to all 
corners of the United States to begin another leg of 
our journey. Thirteen of our class members, however, 
are remaining in Chapel Hill next year for internships. 
I am sure that they will continue to convince people 
that the Class of 1969 is the best this school has ever 
produced. 





Illustrated by Ernest Craige, M.D., Professor of Medicine. 



SENIOR HONORS AND AWARDS FOR THE YEAR 1968-1969 



The Isaac Hall Manning Award 
THEODORE HYDE KIESSELBACH 

The James Bell Bullitt Award 
CHARLIE RICHARD FLEMING 

The Roche Award 

HENRY MOORE MIDDLETON III 

The George C. Thrasher, Jr., Award 
DAVID SAMUEL SHEPS 

The Upjohn Award 
CARL ELLIS FISHER 

The Mosby Book Awards 
JOHN HUGH BRYAN 
WILLIAM THOMAS ROWE 

The Lange Awards 
THOMAS RUSSELL GRIGGS 
GEORGE PATRICK GUITERAS 

The Merck Awards 
STEWART LANE ELLINGTON 
CHARLES DAYTON KIRK 

Alpha Omega Alpha Honor Medical Society* 
STEWART LANE ELLINGTON 
THOMAS RUSSELL GRIGGS 
GEORGE PATRICK GUITERAS 
THOMAS CAMERON MacCAUGHELTY 
JESSE FRANKLIN SANDERSON, JR. 
DAVID SAMUEL SHEPS 

The Student Research Paper Awards 
The Deborah C. Leary Memorial Award 
THEODORE HYDE KIESSELBACH 
"Fluorescent Antibody Demonstration of Coagulation 
Factor XIII in Human Megakaryocytes" 

* Elected Junior Year: John Hugh Bryan, Theodore Hyde Kiessel- 
bach, Henry Moore Middleton III, William Thomas Rowe. 



National Foundation Second Award and 
Student Research Day Second Award 
PAUL EUGENE BROWN 
"Genetic Variants in Hemophilia B" 

American Society of Clinical Pathologists Meritorious 
Student Research Award and Sheard-Sanford Award 

THEODORE HYDE KIESSELBACH 

"On the Effect of Thrombin on Factor XI H" 

Tenth Annual National Student Research 
Forum Grand Award 

THEODORE HYDE KIESSELBACH 

"Localization of Coagulation Factor XIII (F.XIIl) in 

Human Bone Marrow Megakaryocytes by Fluorescent 

Tracing" 

Tenth Annual National Student Research Forum 
Honorable Mention 

PAUL EUGENE BROWN 

"Genetic Variants of Hemophilia B: Characterization by 
Means of a Specific Factor IX Antibody and the Ox 
Brain Prothrombin Time Test" 

The W. R. Berryhill Merit Scholarship 
HENRY MOORE MIDDLETON III 

Alumni Merit Scholarships 
JOHN HUGH BRYAN 
STEWART LANE ELLINGTON 



CLASS OFFICERS 

President 
Vice-President 
Secretary 
Treasurer 



CHARLIE RICHARD FLEMING 

JAMES GILBERT WALLACE 

KAREN CAMPBELL SORRELS 

HARRY STATON LATHAM 




i^^i 







3 4 




THE CLASS OF 1969 



1. 

Frederick Patterson Avis (Southboro, IViass., age 29) 
received his A.B. degree from Brown University in 1964, 
with a major in biology. He and his wife, the former 
IVIaureen Ryan of White Plains, N.Y., have two sons: 
Frederick Patterson, Jr., and Christopher Sean. Fred 
plans to specialize in surgery and is taking his post- 
graduate training at NCMH. 



Edward Doy Aycoth (Charlotte, N.C., age 26) is a 1964 
graduate of N.C. State University, with a B.S. in chem- 
ical engineering. After an internship at Spartanburg 
General Hospital in Spartanburg, S.C, he plans to take 
a residency in radiology. 

3. 

H. Wallace Baird (Charlotte, N.C, age 26) is a 1965 
graduate of UNC, where he received an A.B. in zoology. 
Wallace and his wife, Phyllis Jean (also of Charlotte), 
have a daughter, Teresa Lee. They will remain in Chap- 
el Hill while Wallace serves his internship in pathology 
at NCMH. Wally is the son of alumnus H. Haynes Baird 
('40), the current president of the Medical Alumni Asso- 
ciation. 

4. 

Edward H. Brenner (Brooklyn, N.Y., age 25) received 
his A.B. from UNC in 1965, with a major in chemistry. 
He is married to the former Annette Faith Appel, also 
of Brooklyn. After a rotating internship at Walter Reed 
Army Hospital in Washington, Ed plans to specialize 
in ophthalmology. 

5. 

John G. Briggs, Jr. (Hendersonville, N.C, age 26) grad- 



uated from Carson-Newman College in 1964, with a 
B.S. in biology, then took a year of graduate study at 
the University of Tennessee. John is interning in plas- 
tic surgery at Baptist Memorial Hospital in Memphis, 
Tenn. 

6. 

Paul Eugene Brown (Huntersville, N.C, age 25) com- 
pleted a premedical course at UNC in 1965. His wife, 
before their marriage, was Patricia Benfield of Char- 
lotte. After a year's surgical internship at the Univer- 
sity of Kentucky Hospitals in Lexington, Gene plans 
to take a residency in orthopedic surgery. This year, 
Gene received the National Foundation Second Award, 
the Student Research Day Second Award and the Tenth 
Annual National Student Research Forum Honorable 
Mention for his research on hemophilia B. 

7. 

John Hugh Bryan (LaGrange, N.C, age 25) majored in 
English at UNC, receiving his A.B. in 1965. He is a 
member of Alpha Omega Alpha, having been inducted 
in his junior year; in addition, he was granted Alumni 
Merit Scholarships in his junior and senior years and 
the Mosby Book Award in his junior year. Hugh and 
his wife, the former Nancy Bennett of Shelby, will 
remain in Chapel Hill while Hugh is serving a pediatric 
internship at Memorial Hospital. He plans to specialize 
in pediatric hematology. 



Walter Woodrow Burns, Jr. (Charlotte, N.C, age 31) 
attended Davidson College and is a graduate of the 
U.S. Naval Academy, where he received a B.S. degree 
in 1960. Woody and his wife Mary Jane (also of Char- 
lotte) have one son, named for his father. They are 



14 




9 10 



13 14 





i 



11 12 




living in San Diego, Calif., while Woody is serving an 
internship in surgery. 



Nassif John Cannon, Jr. (Farmville, N.C., age 25) re- 
ceived his A.B. from the University of Notre Dame in 
1965. Nass spent the summer of 1968 in Scotland, 
studying at the University of Edinburgh under the 
tutelage of Dr. Richard Scott, chairman of General 
Practice. After an internship at the University of Ala- 
bama, in Birmingham, Nass plans to take his residency 
training in internal medicine, specializing in cardiology. 

10. 

Don Clarence Chaplin (Columbia, N.C., age 25) is a 
1965 graduate of UNC, with an A.B. in chemistry. On 
June 8 Don was married to Jeneane Surratt of Burling- 
ton, N.C. After an internship in medicine at the Uni- 
versity of Alabama Medical Center in Birhiingham, he 
plans to take special training in medical oncology. 

11. 

William Dallas Clark (Waynesville, N.C, age 26) ma- 
jored in physics at UNC, receiving his B.S. in 1965. 
He and his wife, the former Paula Stanford of Winston- 
Salem, have a daughter named Jennifer. Bill is in- 
terning in pathology at NCMH. 

12. 

Bertram Watts Coffer (Sanford, N.C, age 27) took a 
premedical course at N.C. State University, graduating 
with a B.S. degree in 1964. He is married to the former 
Jeanne Gardner of Portsmouth, Va., and they have one 
child, Bertram Watts, Jr. After completing his intern- 
ship in surgery at Duke Hospital, Bertram plans to 
remain in Durham for a general surgical residency at 
Duke. 



13. 

Robert Samuel Cromartie III (Fayetteville, N.C, age 
25) is a 1965 graduate of UNC, with an A.B. in chem- 
istry. He and his wife, who before her marriage was 
Elaine Collier of Fayetteville, have a son, the fourth 
Robert Samuel Cromartie. Sam is serving a surgical 
internship at Jackson Memorial Hospital in Miami and 
plans to specialize in neurosurgery. 

14. 

Bruce Atwood Dalton, Jr. (Lenoir, N.C, age 25) took 
his premedical work at Davidson College, graduating 
with a B.S. degree in 1965. His wife is the former 
Denise Dentan of Port Washington, N.Y. After an in- 
ternship in pediatrics at Fitzsimons General Hospital 
in Denver, Col., Bruce plans to take a residency in 
pediatrics and to complete twenty years of military 
service before beginning private practice in western 
North Carolina. 

15. 

Andrew Davidson (Chapel Hill, N.C, age 25) received 
his A.B. from UNC in 1965, majoring in French. He 
is married to a Chapel Hill girl, the former Mary Flem- 
ing, and will remain in Chapel Hill for an internship 
in surgery at Memorial Hospital. He plans to take his 
residency training in otolaryngology. Andy is the broth- 
er of Alan Davidson, a member of last year's graduating 
class. 

16. 

John Lorraine Davis III (Greensboro, N.C, age 26) 
graduated from UNC in 1964, with an A.B. in political 
science. His wife, before their marriage, was Mary 
Kendrick Fisher of Atlanta, Ga. They have a daughter, 
Lorraine Asbury. John, who is interning at the Univer- 



15 




sity of Alabama Medical Center in Birmingham, plans 
a career in surgery. 

17. 

Stewart Lane Ellington (Jacksonville, N.C., age 26) re- 
ceived his A.B. in English from UNC in 1965. He is a 
member of Alpha Omega Alpha and was chairman of 
the Honor Council. In his sophomore and junior years, 
he won Alumni Merit Scholarships and this year won 
the Merck Award. He and his wife, the former Janet 
Price of Wilmington, N.C., are living in Salt Lake City 
while he serves an internship in medicine at the Uni- 
versity of Utah Medical Center. After three years in 
the Navy, Stewart plans a residency in medicine and 
then to enter community practice in internal medicine. 

18. 

Eugene Beverly Ferris (Atlanta, Ga., age 26) received 
his B.S. degree from Davidson College in 1965. He is 
taking his postgraduate training in surgery at Georgia 
Baptist Hospital in Atlanta. 

19. 

Carl Ellis Fisher (Greensboro, N.C., age 26) is a 1965 
graduate of Duke University, with an A.B. in chemistry. 
He was vice president of his class for two years and 
a member of the Whitehead Council for the same 
period of time. While a senior, he was president of 
the Whitehead Medical Society and the recipient of 
the Upjohn Award. His wife, the former Margaret 
Hines, is from Tifton, Ga. They are remaining in 
Chapel Hill while Ellis serves a mixed internship in 
medicine and pediatrics at NCMH. He plans to obtain 
joint certification in internal medicine and pediatrics, 
and eventually to join a group for the practice of family 
medicine. 



19 20 




20. 

Charlie Richard Fleming (Durham, N.C., age 26) ma- 
jored in English at UNC, graduating in 1965 with a 
A.B. degree. He was president of the class and a 
member of the Whitehead Council during his last three 
years in medical school. During his second, third and 
fourth years he won — respectively — the William deB. 
MacNider Award, the Lange Award and the James Bell 
Bullit Award. Dick and his wife, the former Teresa Ann 
Tyren of Durham, have one child, Courtney. After com- 
pleting an internship in medicine at Williams Shands 
Hospital in Gainesville, Fla., he plans to take further 
training in internal medicine or possibly radiology. 
Dick is the son of alumnus Ralph G. Fleming ('34). 

21. 

Hugh Judd Grant, Jr. (Raleigh, N.C., age 25) received 
his A.B. from UNC in 1965. His wife, before their 
marriage, was Annlynn Davis of Griffon, N.C. They are 
living in Augusta, Ga., while Hugh serves a rotating 
internship at Eugene Talmadge Memorial Hospital. He 
plans to take his residency training in obstetrics and 
gynecology. 

22. 

Frank Benton Gray (Durham, N.C, age 27) majored 
in music at Duke University, where he received his 
A.B. in 1964. He was an organizing member of the 
Student Health Action Committee and served as its 
president during the past year; he was also chairman 
of the Student-Faculty Day Committee for 1969. Frank 
is married to the former Anna Alligood of Washington, 
N.C. They will live in his home town while he serves 
an internship in surgery at Duke Hospital. He then 
plans to take residency training in general and thoracic 
surgery, with special interest in transplantation. 



16 





25 26 



29 30 




23. 

Thomas Russell Griggs (Churchland, N.C., age 25) grad- 
uated from UNC in 1965, with an A.B. in chemistry. He 
is a member of Alpha Omega Alpha. Tom's wife, who 
before their marriage was Patricia Deal, is from his 
home town of Churchland. They are living in Baltimore 
while Tom is interning in medicine at Johns Hopkins 
Hospital. 

24. 

George Patrick Guiteras (Washington, D.C., age 26) re- 
ceived an A.B. degree from the University of the South 
in 1964, with a major in biology. A member of Alpha 
Omega Alpha and of the Whitehead Society, Pat served 
on the editorial committee of the Bulletin during his 
sophomore and senior years and was an organizing 
member of the Student Health Action Committee. Dur- 
ing the summer of 1968 he worked as a clinical clerk 
at the National Hospitals for Nervous Diseases in Lon- 
don. He was this year's recipient of the Lange Award. 
Pat is married to a Chapel Hill girl, the former Judy 
Andrews. He plans an academic career in neurosurgery 
or plastic surgery and is serving his surgical internship 
in Canada, at McGill University's Royal Victoria Hos- 
pital in Montreal. 

25. 

Lynous Willard Hall (Raleigh, N.C., age 30) is a 1961 
graduate of Shaw University, where he received a B.S. 
in biology. He and his wife, who was Barbara Morris 
of Richmond, Va., have two children, Melody and Ra- 
phael. His internship in obstetrics and gynecology is 
at Strong Memorial Hospital in Rochester, N.Y. After 
completing his residency training in this specialty, he 
plans to enter private practice in Raleigh or Durham. 

26. 

Edward Wheeler Haselden, Jr. (Columbia, S.C, age 25) 



took his premedical course at Davidson College, where 
he received the B.S. degree in 1965. His wife, who 
before their marriage was Katherine Edwards is from 
Greenville, S.C. They are living in Danville, Pa., while 
Ed is interning in family practice or pediatrics at the 
Geisinger Medical Center. He is planning to take his 
residency training in the field of medicine, pediatrics, 
or both. 

27. 

Ada Dorothy Hayes (Chula Vista, Calif., age 26) is a 
1964 graduate of Cornell University (zoology and chem- 
istry). Instead of taking an internship, Adadot is ser- 
ving as a fellow in hematology at the UNC School of 
Medicine. She plans to enter the new field of neona- 
tology. 

28. 

Clifford Craig Heindel, Sr. (Signal Mountain, Tenn., age 
30) received his A.B. degree from UNC in 1960, with 
a major in math. In 1962 Makerere College awarded 
him a diploma in education. Craig and his wife, the 
former Sally Parks Wolfe of Mt. Olive, N.C., have three 
children: Christian, Stephanie, and Clifford Craig, Jr. 
After completing his surgical internship at NCMH, 
Craig plans to take further training in neurosurgery. 

29. 

Peter Lawrence Heymann (Asheville, N.C., age 24) re- 
ceived an A.B. in English from UNC in 1965. His in- 
ternship in internal medicine is at Philadelphia General 
Hospital. 

30. 

James Thomas John, Jr. (Laurinburg, N.C., age 25) took 
his premedical work at Davidson, graduating in 1965 
with a B.S. degree. Tom spent the fail quarter of his 



17 






33 34 




senior year at the Department of Medicine of tiie Uni- 
versity of Queensland, in Brisbane, Australia. After 
completing a medicine internship at Vanderbilt Uni- 
versity Hospital in Nashville, Tenn., he plans to take 
a residency in internal medicine. 

31. 

John Gardner Johnston (Charlotte, N.C., age 26) re- 
ceived his A.B. degree from UNC in 1964, with a major 
in history. John was an organizing member of the 
Student Health Action Committee and served as its 
first president. His wife, who was Laurie Hurt before 
their marriage, is from his home town of Charlotte. 
Their daughter, named Laurie Paige, is called "Paige." 
John plans to specialize in pediatrics, and is taking 
his internship at the Children's Orthopedic Hospital 
and Medical Center of the University of Washington 
in Seattle. 

32. 

Barry Edward Kahan (Chapel Hill, N.C., age 24) finished 
his undergraduate work at Tufts University in 1965, 
graduating with a B.S. in chemistry. Barry is married 
to a Mount Airy girl, the former Ann Kathryn Puckett. 
After completing his internship in radiology at Meadow- 
brook Hospital in East Meadow, New York, he hopes 
to return to UNC for residency training in radiology. 

33. 

Richard Alan Keever (High Point, N.C., age 27) is a 
1963 graduate of UNC, where he received his A.B. in 
history. He is a winner of the Lange Award. On May 
10, 1969, he was married to Sarah Chipman of Winston- 
Salem. They will live in Chapel Hill while Dick serves 
his internship in surgery at NCMH. He then plans to 
take a residency in otolaryngology. 



34. 

Theodore Hyde Kiesselbach (Bloomington, III., age 28) 
spent two years at Johns Hopkins University before 
coming to UNC, where he received a B.S. in medicine 
in 1962. He won an Alumni Merit Scholarship in 1964 
and the Mosby Book Award in 1968. A member of 
Sigma Xi and Alpha Omega Alpha, he served as vice 
president of AOA in 1968. In addition to his M.D. de- 
gree, Ted received a Ph.D. in experimental pathology 
under Dr. Robert H. Wagner. During his senior year 
he won three national awards for research papers: the 
highest award given by the American Society of Clinical 
Pathologists "for the most outstanding research paper 
in clinical pathology entered in the 1969 competition 
among medical students in the United States," and 
the Sheard-Sanford Award for research in clinical pa- 
thology, and the first place in the Mead Johnson Excel- 
lence of Research Award Competition in the Medical 
Student -Attendance Category at the SAMA-Univ. 
Tex. Med. Branch National Student Research Forum 
held in Galveston, Texas, April 24-26, 1969. Locally, he 
also won the Isaac Hall Manning Award and the Deb- 
orah C. Leary Memorial Award. 

Ted and his wife, who was Nancy Scott from his home 
town of Bloomington, have two children. When he 
completes his internship in pathology at the University 
Hospital of San Diego County in La Jolla, Calif., Ted 
plans to take postgraduate training in immunopathol- 
ogy. There is a strong possibility that he may return 
to Chapel Hill for part of this training. 

35. 

Charles Dayton Kirk (Asheville, N.C., age 25) majored 
in political science at UNC, graduating in 1965. He won 
scholastic honors during his junior and senior years 
in medical school and this year he was also the recipi- 



18 




36 37 



40 41 





38 39 




ent of a Merck Award. Dayton and his wife Kathryn 
(from Washington, D.C.) have a baby daughter, Dayna 
Elizabeth, and will live in Gainesville, Fla., while he 
interns in surgery at the University of Florida. 

36. 

Harry Staton Latham (Bethel, N.C., age 23) received 
his B.S. in medicine from UNC in 1965. Harry was 
class treasurer during each of his four years in medical 
school. He is serving an internship in pathology at 
Stanford Medical Center in Palo Alto, Calif., and even- 
tually hopes to practice in pathology or internal medi- 
cine at a community hospital in the Southeast. 



Edward Huguenin Lesesne, Jr. (Knoxville, Tenn., age 
25) graduated from UNC in 1965, with an A.B. in chem- 
istry. He and his wife, who was Jane Dankworth of 
Arlington, Va., have a daughter named Catherine Piper. 
Ned is taking a rotating internship this year at the 
U.S. Naval Hospital in San Diego. He plans to enter 
private practice after completing his Navy service and 
residency training. 

38. 

C. Clement Lucas, Jr. (Lucama, N.C., age 27) is a 1964 
graduate of UNC, where he received an A.B. in history 
and chemistry. During his senior year in Medical 
School he served as national president of the Student 
American Medical Association. In this capacity he 
traveled to London, Moscow, and Helsinki, in addition 
to attending numerous meetings in this country. Clem- 
ent plans to specialize in internal medicine and is 
taking a straight medical internship at the University 
of Kentucky in Lexington. 



39. 

Thomas Cameron MacCaughelty (Durham, N.C., age 

24) received an A.B. in political science from Duke 
University in 1965. While at Duke, he was a William 
Neal Reynolds Scholar, on the dean's list, and a mem- 
ber of Pi Sigma Alpha, national political science honor- 
ary society. At UNC, he was inducted into Alpha Omega 
Alpha. His wife, the former Michelle Hatschek, con- 
siders both Greensboro, N.C., and Burlingame, Calif, 
as "home towns." Cameron plans either a practice 
or academic career in internal medicine and is taking 
a straight medical internship at Herbert C. Moffitt Hos- 
pital of the University of California Medical Center, in 
San Francisco. 

40. 

Henry John MacDonald, Jr. (New Bern, N.C., age 26) 
majored in zoology at Duke University, graduating with 
an A.B. degree in 1965. Harry was married in June to 
Linda Louise Wolff of Miami, Fla. They will live in 
Chapel Hill while he completes his internship in sur- 
gery at NCMH. He plans to specialize in otorhinolaryn- 
gology. 

41. 

Robert James MacNaughton, Jr. (Charlotte, N.C., age 

25) received his A.B. degree in 1965 from Johns Hop- 
kins University, where he majored in liberal arts. James 
married Mary Sandra May of Clinton, S.C, on May 31. 
He plans to specialize in general surgery and is taking 
his surgical internship at William A. Shands Hospital 
in Gainesville, Fla. 

42. 

Donald Miles MacQueen (Clinton, N.C., age 31) is a 
1960 graduate of Davidson College, where he received 
his A.B. in history. His wife, Lynn, is from Nashville, 



19 




43 44 



U; M 



47 48 




Tenn. Don is interning in pediatrics at the IVIedical 
College of South Carolina in Charleston. 

43. 

James Tift iVIann III (Raleigh, N.C., age 27) received 
his B.S. degree from N.C. State University in 1965. He 
and his wife Dabney (also from Raleigh) have two 
children, Billy and Dabney. Tift plans to specialize in 
internal medicine and is serving his medical intern- 
ship at NCMH. 

44. 

Cynthia Ellen Swisher McMillan (Roaring Gap, N.C, 
age 25) attended UNC-G for two years before transfer- 
ing to UNC-CH, where she graduated in 1965 with an 
A.B. in chemistry. Cynthia is married to Robert G. Mc- 
Millan of Dalton, Ga. Her internship in pediatrics will 
be served at the University of Tennessee's Memorial 
Research Center and Hospital in Knoxville, Tenn. 

45. 

Quentin Alexander Mewborn, Jr. (Farmville, N.C, age 
26) received an A.B. in chemistry from UNC in 1965. 
His wife, before their marriage, was Judith Ann Moore 
of Walstonburg, N.C. They are living in Norfolk, Va., 
while Alex serves a rotating internship at Norfolk Gen- 
eral Hospital. He is thinking of going into family prac- 
tice. 

46. 

Henry Moore Middleton III (Raleigh, N.C, age 26) is 
another chemistry major who received his A.B. from 
UNC in 1965. He won the McLeod Riggins Scholarship 
and the Mosby Book Award and during his senior year 
was president of Alpha Omega Alpha and recipient of 
the W. R. Berryhill Scholarship and the Roche Award. 
He is married to a girl from his home town, the former 





^^^^ H45 46 ^fL^"^ fti 




49 50 




Dorothy Ingram. After completing his medical intern- 
ship at Vanderbilt University Hospital in Nashville, 
Henry plans to take residency training in internal medi- 
cine and then practice this specialty as a member of 
a group. 

47. 

Walter Dickson Moss III (Mooresville, N.C, age 26) 
majored in psychology at the University of Virginia, 
where he received an A.B. degree in 1965. Dick is 
serving his internship in medicine at the University 
of Kentucky Hospital in Lexington. 

48. 

George Edward Newsome (Goldsboro, N.C, age 25) 
graduated from UNC in 1966 with a B.S. in medicine. 
While in medical school, he served as honor council 
representative. George and his wife Carolyn, who is 
from his home town of Goldsboro, will remain in Chapel 
Hill while he serves an internship in surgery at NCMH. 
He plans to specialize in otorhinolaryngology or ortho- 
pedics. 

49. 

David Williams Pearsall, Jr. (Greenville, N.C, age 25) 
attended Davidson and Dartmouth colleges, receiving 
his A.B. in English in 1965. On June 14, David was 
married to Marjorie Baum of Milledgeviile, Ga. His 
internship in general surgery will be served at the 
University of Wisconsin Hospital in Madison. 

50. 

Houston Harris Pittman (Whiteville, N.C, age 23) re- 
ceived his B.S. degree in medicine from UNC in 1966. 
His wife, Brenda Jean, is from his home town of White- 
ville; their daughter's name is Hope Adare. Harris is 



20 





53 54 




interning at NCMH and is considering a career in 
neurosurgery. 

51. 

James Scott Powers (Raleigh, N.C., age 23) is another 
1966 graduate of UNC who received his B.S. in medi- 
cine. During his freshman and sophomore years in 
medical school he was a member of the Curriculum 
Review Committee, and during his junior year was a 
member of the Student-Faculty Day Committee. Jim 
and his wife Marianne (also from Raleigh) have one 
child, Laura Elizabeth. After a rotating internship at 
Letterman General Hospital, an Army hospital in San 
Francisco, Jim plans to take residency training in in- 
ternal medicine (gastroenterology), obstetrics and gyne- 
cology, or radiology. 

52. 

William Thomas Rowe (Asheville, N.C., age 25) majored 
in chemistry at UNC, receiving his A.B. degree in 1965. 
Twice a winner of the Lange Award, Tom was inducted 
into Alpha Omega Alpha during his junior year, and 
won the Mosley Book award in his senior year. Tom 
was married on June 21 to Betty Bullard of Belmont, 
N.C., and is serving a medical internship at Yale-New 
Haven Hospital in New Haven, Conn. When his three 
years of Army duty are behind him, he expects to take 
his residency training in medicine before beginning 
a career in academic medicine or in private group 
practice. His chief fields of interest at present are 
immunology, nephrology, and metabolism. 

53. 

' Joseph Dwight Russell (Kinston, N. C, age 25) grad- 
' uated from UNC in 1966, receiving a B.S. in medicine. 
! During his third and fourth years in medical school, 
i he served on the Educational Policy Committee. He 



is married to a girl from his home town, the former 
Sarah Poole. Joe is serving a mixed internship in 
pediatrics and medicine at NCMH and plans to take 
his residency training in these fields, eventually be- 
coming certified by both specialty boards. He wants 
to enter private practice in North Carolina. 

54. 

Jesse Franklin Sanderson, Jr. (Morehead City, N.C., 
age 28) graduated from UNC with an A.B. in English 
in 1954. He is a member of Alpha Omega Alpha. He 
and his wife, the former Virginia Morris (also of More- 
head City), have two children, Jess and Amy. Frank 
is serving a mixed internship in medicine and surgery 
at the U.S. Naval Hospital in Oakland, Calif. He plans 
to take his residency training in either medicine or 
surgery and then to enter private practice. 

55. 

David Samuel Sheps (New Haven, Conn., age 24) was 
an English major at UNC, graduating with the A.B. 
degree in 1965. In his second year of medical school 
he won the Lange Award; in his third year, scholastic 
honors. While a senior he was inducted into Alpha 
Omega Alpha and received the George D. Thrasher, Jr. 
Award. During the summer of 1968 he worked as a 
clerk in the Department of Medicine at Guy's Hospital 
in London. David is taking a medical internship at 
Mount Sinai Hospital in New York City. 

56. 

James William Snyder (Thomasville, N.C., age 25) is a 
1965 graduate of UNC, where he received an A.B. in 
chemistry. His wife, Caryl Sue, is from Carolina Beach, 
N.C. Jim is taking an internship in internal medicine 
at the State University of Iowa Hospitals in Iowa City. 



21 




57 58 



61 62 





SS^ ^^ 



59 60 1 



^1 



63 



His present plans are to enter the private practice of 
internal medicine. 

57. 

Karen Campbell Sorrels (Spindale, N.C., age 26) spent 
two years at Indiana University before transferring to 
UNC, where she majored in zoology, receiving her 
A.B. degree in 1964. Karen, who is married to Ben- 
jamin Sorrels, served as class secretary for four years. 
She is interning in pediatrics at the Medical College 
of South Carolina in Charleston. 

58. 

William Stewart (Salem, Mass., age 29) received a B.S. 
in biology from Boston College in 1961 and then took 
further work in biology at the Graduate School of Arts 
and Sciences of Boston College, receiving his M.S. in 
1965. He and his wife Deanna (from Danvers, Mass.) 
have two sons, John and Mark, ages 5 and 2. After 
completing his internship at Strong Memorial Hospital 
in Rochester, Bill plans to specialize in urology and 
eventually to enter private practice. 

59. 

Franklin Truett Tew (Clayton, N.C., age 26) received 
his A.B. degree from UNC in 1965, with a double major 
in chemistry and English. He is married to a girl from 
his home town, the former Peggy Flowers. After com- 
pleting his internship in medicine at the University 
of Alabama Medical Center in Birmingham, Frank plans 
to take further training in internal medicine, with a 
possible subspecialty in cardiology. He would like to 
participate in a group practice in the Southeast, pre- 
ferably in North Carolina. 

60. 

John Glenn Thornburg (Charlotte, N.C., age 26) majored 



in chemistry at UNC, where he received his A.B. degree 
in 1965. His wife, who is also from Charlotte, was 
Sally Wyatt before their marriage; they have one child. 
They will be living in Augusta, Ga., while John serves 
an internship in pediatrics at Eugene Talmadge Me- 
morial Hospital. 

61. 

John Chester Triplett (Roxboro, N.C., age 26) was a 
chemistry major who received his A.B. degree from 
UNC in 1965. He and his wife, the former Gloria House 
of Hobgood, N.C., have a daughter, Chandra Michelle. 
After completing his internship in medicine at Geising- 
er Medical Center in Danville, Pa., John plans to take 
residency training in internal medicine and eventually 
to establish a practice in North Carolina. 

62. 

Wade Robert Turlington (Jacksonville, N.C., age 30) 
received the B.S. degree from UNC in 1961, with a 
major in business. His wife Rita is a Canadian from 
Tillsonburg, Ont., and they have one son, Wade. Bob's 
internship will be served at Mercy Hospital in Spring- 
field, Ohio; when this is completed, he plans to take 
residency training in general surgery. 

63. 

James G. Wallace (Charlotte, N.C., age 26) took his 
premedical work at Davidson College, graduating with 
a B.S. degree in 1965. During his second and third 
years at medical school Jim served as treasurer and 
vice president of the student body; during his fourth 
year, he was class vice president. He is married to 
the former Monte Hyatt Nicholson from his home town 
of Charlotte; he and his wife have one child, Monte N. 
Jim is taking an internship in surgery at the University 
of Florida in Gainesville. 



22 






i 



64 65 







66 671 



iV 




64. 

Nelson Barnett Watts (Asheville, N.C., age 24) is a 1966 
graduate of UNC, with a B.S. in medicine. His wife, 
who before their marriage was Bettie Ann Griffin, is 
from Asheville. They will be living in Augusta, Ga., 
while Nelson serves an internship in internal medicine 
at Eugene Talmadge Memorial Hospital. 

65. 

Carl Thomas Whiteside (Greensboro, N.C., age 26) was 
a psychology major at UNC, graduating with an A.B. 
degree in 1965. He and his wife Sandra (also from 
Greensboro) are the parents of Cass and Jennifer. After 
completing a medical internship at Touro Infirmary in 
New Orleans, Tom plans to take residency training in 
psychiatry and eventually to practice in North Carolina, 
perhaps in a group. He also hopes to teach part time. 

66. 

Russell Everett Williams, Jr. (Robersonville, N.C., age 
26) graduated from UNC in 1965, receiving his A.B. 
degree in chemistry. During his fourth year in medical 
school, he was a member of the Honor Council. Russ 
will be in Lexington, Ky., serving an internship in 
medicine at the University of Kentucky Hospitals. His 
present goal is to practice internal medicine in a group. 

67. 

William Faison Wilson (Clinton, N.C., age 25) received 
his B.S. degree from Davidson College in 1965. He is 
married to the former Carol McCormick of Hollywood, 
Fla. After an internship in family practice at Letterman 
General Hospital in San Francisco, Bill plans to take 
a residency in internal medicine. 



THE 1968 WHITEHEAD LECTURE* 
A DIBBLE FOR MEDICAL EDUCATION 




By JAMES A. BRYAN, M.D. 
Assistant Professor of Medicine 

The Whitehead Lecture, named in honor of the first 
dean of the University of North Carolina School of 
Medicine, is ordinarily given by a member of the fac- 
ulty well established in the community of scholars — 
senior in rank, mature in philosophy, and influential 
in shaping the policies of the medical school and 
University. This lecture traditionally reflects an under- 
standing of the collective roles to be played by the 
students and the teachers in this school, and some 
of the goals of medical education to be sought by the 
segment of humanity bound together here. Possessing 
none of the attributes of previous Whitehead lecturers, 
I was overwhelmed by the invitation to deliver the 
address this year. 

At about the same time that I received the invitation, 
there occurred in my life two "happenings" which, 
though completely unrelated, will both help me to 
"tell it like it is" at the School of Medicine in 1968. 

The first happening was the gift of a dibble. This ob- 
ject of utility, which I had never encountered before, 
was identified for me by several friends with agricul- 
tural connections. Webster defines it as "a small hand 
implement used to make holes in the ground for plants, 
seeds, or bulbs." My farmer friends tell me, however, 
that the term is no longer reserved for hand imple- 
ments but is also applied to improved models using 
foot power to break the ground. In other words, a 
dibble is a ground breaker. 

The second "happening" was some action this past 
summer by a group of students within the Schools of 
Medicine, Nursing, and allied health sciences. This ac- 
tion involved me, involved some of you, will (I hope) 
involve more of you, and perhaps will lead to some 
changes in the way things medical happen in Chapel 
Hill and Durham, in NCMH, and even in the medical 
school and University. 

* Delivered on September 18, 1968 



During the past school year, there was formed a group 
which is now known as the Student Health Action 
Committee (SHAC). The first meetings of this group 
were devoted to talking about medicine and society 
in general, voicing dissatisfaction with the failure of 
medicine to take leadership in meeting the needs of 
the sick poor, and to wondering how the members of 
the group, as students now and later as professionals, 
could provide some curative action. From observa- 
tions in the clinics and wards, and from studying the 
"health" statistics, these students deduced that some- 
thing was wrong with the way the poor were receiving 
medical care — something which might explain why 
medical care is ineffectual in improving their health. 
They deduced further that bad health might have 
something to do with poverty. This latter deduction, 
of course, is an old one, and one which has led to 
much political turmoil from the time of ancient Greece. 
It also has led to feelings of guilt, defensiveness, and 
withdrawal by the medical profession — including that 
part of the profession that stands in the shade of the 
university. 

After several months of very frustrating talk and of 
carrying out several small "feeler" projects, the group 
this summer launched programs among medically dis- 
advantaged people in Durham and Chapel Hill. In 
Durham, weekly question-and-answer sessions concern- 
ing health problems were held in the Edgemont com- 
munity; then, at the community's request, several clin- 
ics for pre-camp physicals were conducted. The money 
thus saved enabled the United Fund to send more 
children to camp. 

In Chapel Hill, members of the group attended the 
meetings organized in the Northside community by 
community workers paid through the Office of Eco- 
nomic Opportunity. In these meetings the students 
offered to act as "health advocates" for the people in 
the community — that is, to help these peoole find a 
way to get health care here in Chapel Hill. As you 
may or may not realize, obtaining such care in the 
tangle of clinics held at NCMH can be a major task. 

As an example, one problem which came to light 
through these contacts was that of impetigo in the 
children. This of course is a minor illness, and few 
parents feel justified in sacrificing a day's pay in order 
to take one or more of their children to a clinic for 
treatment of "dew sores." On the other hand, as you 
who have been through pediatrics know, these sores 
can harbor strains of streptococci and lead in some 
instances to acute glomerulonephritis. In response to 
requests for help with this problem, night dermatology 
clinics were organized by the students, who recruited 
preceptors and obtained drug supplies through the 
detail men of the drug companies. Many children were 
treated at these clinics. 

The students working in Durham and Chapel Hill have 
come to the consensus that continuing medical contact 
in these communities is important. Pediatric and adult 
screening clinics are being set up for both communi- 
ties. These clinics will meet at regular intervals and 
feed patients into the hospital and clinic facilities at 



24 



Duke and NCMH as necessity, reality, and good medi- 
cal care dictate. I am sure that as much effort will 
be required to carry out the function of seeing that 
patients receive needed medical attention through 
existing systems as in getting the neighborhood clinics 
off the ground. 

During the past few months, SHAC has had to establish 
itself, declare its aims, write a constitution, and look 
for money. I would like to quote the first part of their 
constitution, which expresses the beliefs of this orga- 
nization as follows: 

The Student Health Action Committee (SHAC) believes 
quality health care should be available to all individuals 
with respect for the human dignity of all men regardless 
of financial ability, social standing and race. SHAC main- 
tains that health science education should promote oppor- 
tunities for health science students to develop those skills 
and understanding necessary to achieve our stated objec- 
tives. 

To this end SHAC establishes the following goals and 
principles: 

1. Development of an awareness and understanding of 
the varied aspects of one's environment, including finan- 
cial, social and cultural mores and how they relate to 
individual health, family health, and community. 

2. Improvement of health services for the medically in- 
digent population by making more efficient use of the 
existing health care delivery system and, where indicated, 
the establishment of new programs and the replacement 
of old programs that have failed to meet the health needs 
of the community. 

3. Promotion of an awareness of vocational opportunities 
in the health science professions. 

4. Promotion of a more meaningful relationship between 
the community and the health professions through mutual 
understanding, mutual endeavors, and mutual accomplish- 
ments. 

These lofty and liberal desires could be subscribed 
to by any man of good will; in fact, on first reading the 
document, it sounds like Old Glory, motherhood, and 
the heavenly kingdom rolled into one. Careful thought, 
however, will bring to light some of the potential de- 
mands of such noble aims. 

How is such social action relevant to medical educa- 
tion, and how can all this activity, with its emotional, 
intellectual, and physical requirements, be reconciled 
with the definition of university ("a body of persons 
gathered at a particular place for the disseminating 
and assimilating of knowledge in advanced fields of 
study")? How does it fit into a system of medical edu- 
cation overwhelmed by the rapid accumulation of new 
information and techniques in the fields of basic sci- 
ence and clinical medicine? How can it fit in with a 
discipline struggling with the ethical issues and eco- 
nomic realities of applying all of this new scientific 
knowledge for the highest good of the individual patient 
and of humanity in general? 



Medical education, here as elsewhere, is an interaction 
between persons already recognized as physicians and 
scientists, and persons who desire recognition as being 
able to fulfill the responsible role of physician. 

Society's machinery for identifying certain of its mem- 
bers as physicians involves testing, licensing, taxing 
and certification, but hinges fundamentally on the 
granting of a medical degree by a university. The key 
variables in deciding who the future healers are and 
what their orientation will be then settles down to 
questions of who is admitted and what is the general 
orientation of the university (the community of schol- 
ars) with which the medical school is affiliated. 

Both the University and the School of Medicine repre- 
sent part of the "establishment" — just as the Depart- 
ment of Defense and its program for Viet Nam, Mayor 
Daley, the Democratic Party, the Fort Dietrick labora- 
tories for chemical and biological warfare, and policies 
of the NCMH clinics represent part of the "establish- 
ment." In our democracy we have operated under the 
assumption that our collective wills are reflected in 
what is done by the established organization. The 
business of reflecting wills, however, is carried out by 
complicated administrative machinery which moves 
very slowly, not only at the national level but also in 
the structures known as universities. The built-in fric- 
tions in this machinery lead sometimes to overheating 
and explosion. 

The bit of social machinery to which we are most 
intimately related is this school and its hospital. This 
particular medical school is located in a village. Dean 
Berryhill tells me that the question of its location, 
decided in the late 1940's, aroused many strong feel- 
ings, and that the strongest argument for its being 
located in Chapel Hill was the desirability of its being 
geographically contiguous to the community of people 
known as the University of North Carolina. In other 
words, patients should come to Chapel Hill— at least 
enough of them to provide a sound background for 
the teaching of medicine. The decision thus far has 
proved sound. Being located in a village in the South 
has not interfered with the University's making signif- 
icant contributions to society in general, and to the 
problems of medicine in particular. 

What now is the collective will for the aims of medical 
education here, and how can this will be tempered by 
wisdom? Our location has, perhaps, given us some 
freedom to deal abstractly with the problems future 
physicians will face. The problems are closing in on 
us, however, and the relative power position of those 
determining the direction of medical education has 
changed. The power of the student should not be 
underestimated. 

The UNC medical student today is better educated 
than he was in 1952. The student body represents a 
broader cross section of the people, not only of this 
state but of the nation as a whole. The student's un- 
derstanding of who he is and who he is to be has 
been colored by the realities of the draft, the hydrogen 
bomb, the student riots, the Black Power movement, 



25 



and the materialistic orientation of America. All of 
these realities are emotion-packed and require his 
attention, thought, and energies. When he gets here, 
he enters a community whose values revolve in general 
about the intellect but whose members are absorbed 
in such nonintellectual pursuits as jousting with legis- 
lative bodies for money, sitting on commissions ad- 
vising governmental agencies as to what should be 
done with our money, and going out into the estab- 
lished channels of power in the world. 

Nevertheless, as the chancellor of this university, Dr. J. 
Carlyle Sitterson, pointed out last spring,^ it is gener- 
ally considered most important that the base of the 
university reside in those who maintain their aloofness 
from the realities of society and from its power, so 
that the traditional role of the intellectual — that of 
creator and critic — can be sustained. 

The appealing and powerful argument by Dr. Sitterson 
for protection of the university from society requires 
the consideration of certain philosophic questions. Is 
there any difference between being a member of the 
university and being a member of the medical school? 

What stance toward social reality should be taken by 
the teacher in the medical school? 

What contact with the world should the medical school 
make? 

After his tenure as professor of medicine at Johns Hop- 
kins, the new model school in Baltimore, Dr. William 
Osier wrote the following evaluation of the clinical 
teachers of the school. See if it is applicable to the 
teachers here at UNC. 

"Cabined, cribbed, confined," within the four walls of 
a hospital practising the fugitive and cloistered virtues 
of a clinical monk, how shall he, forsooth, train men for 
a race the dust and heat of which he knows nothing and — 
this is a possibility! Cares less? 1 can't imagine anything 
more subversive to the highest ideals of a clinical school 
than to hand over young men who are to be our best prac- 
titioners to a group of teachers who are ex officio, out of 
touch with the conditions under which these young men 
will live.2 

This letter, written in 1911 by one of the most famous 
of the full-time clinical teachers, voiced misgivings 
about the relevancy and appropriateness of the medi- 
cal teaching performed at the dawn of the knowledge 
explosion. Since that explosion, the dilemma of the 
schools has been compounded. 

The peculiar requirements for maintaining validity and 
relevance of a university and the medical education 
it purveys are, however, related to fact as well as to 
philosophy. Current facts include; 

1. A national Health Manpower Act that delivers only 
part of the moneys promised the medical schools. 

2. The fact that federal research grants are being cut 
15 per cent. 



3. The fact that costs for patient care in the United 
have increased four times in the years that this hos- 
pital has been in operation, and that there are serious 
questions as to whether the nation is getting it's mon- 
ey's worth. 

4. The fact that hospital beds are almost impossible 
to get at NCMH, even though a 35-bed unit has been 
closed for more than a year because of inadequate 
nursing staff. 

5. The fact that there are no night or Saturday clinics 
at NCMH and that an emergency room visit costs 
$8.00; furthermore, a follow-up visit to a clinic for one 
member of a family of five making $50.00 a week would 
cost $5.00, exclusive of lab fees (which, by the way, 
range from $2.00 for a simple white cell count and 
$5.00 for a throat culture to approximately $100.00 for 
the studies generally considered essential for proper 
evaluation of a person with moderate hypertension — a 
disease affecting perhaps 20% of the Negro adult popu- 
lation of Chapel Hill and Carrboro). 

Memorial Hospital with its clinics, the teaching base 
for the applied science known as medicine, is in a 
real squeeze — not only in terms of the source and dis- 
bursements of the funds that make it move, but also 
in determining the directions in which it is going to 
move. It must respond to communities which include 
not only students and teachers — intellectuals and 
activists alike — but patients of the Chapel Hill and 
Carrboro community who look to the hospital and its 
physicians for primary and consultative medical care, 
as well as the patients and physicians from Manteo 
to Murphy who look for delivery on the technological 
promises listed in the daily press. 




In the midst of all these pressures on the system that 
has been established for the teaching of medicine 
comes a group of students, asking for themselves and 
for all of us— of all things— deeper social involvement 
and action. What in the world could have led these 
students to such a position? The medical school is 
ordinarily the school in the university with the least 
social awareness. Becoming a physician has, through 
the traditions of 3000 years, aimed the individual to- 
ward high technical competence, emotional neutrality, 
and orientation toward the welfare of his individual 
patient.3 The demands on the person who is to achieve 
these goals, who is to become accepted and protected 
by society as a physician, have usually pulled him out 
of the firing line of social involvement. Is SHAC sug- 
gesting that this withdrawal is inappropriate for the 
times in which we live? 



The established system has chosen the students in 
this school, including those already involved in SHAC, 
on the basis of what they have done as measured by 
various established yardsticks — including conformity 
to certain codes of behavior and measures of intel- 
lectual capability. The students who are here have 
the capability, right, and duty to examine what the 
established system has and has not done, to interpret 
what they find, and to bring pressure for change by 
their words and actions where change should take 
place. 

I think that those of us already deep in the system 
of medical education and medical care found in the 
United States may not have had the vision, energy, 
intelligence, or courage to separate the trees of pos- 
sible corrective action from the rapidly growing forest 
of social needs. In defense of our profession, it can 
be said that medical leadership is examining the in- 
adequacies of those of us currently in the action and 
is taking a new look at medical education. The curricu- 
lum changes that are occurring, slowly and painfully, 
at this school are an example of some of the results. 
Elsewhere medical pundits (many of whom, I might 
add, are of the variety who sit in ivy-covered buildings 
or attend conferences in beautiful retreat centers) 
write about The Coming Revolution in Medicine,'* ana- 
lyze the Trends in New Medical Schoois.s and give 
Views of Medical Education and Medical Care^ — all 
books reflecting the frustrations brought about by the 
realization that medical science has mushroomed and 
the health of the people has not improved. 

As has been pointed out, the place where our school 
touches the people is our hospital and its clinics. A 
physician and a sociologist have recently collaborated 
on a book called Sickness and Society,''' which looks 
at a situation similar to ours and describes what hap- 
pened during the hospitalization of 161 patients at a 
great eastern university and medical school. Dr. Franz 
Ingelfinger, editor of the New England Journal of Medi- 
cine, described the study as "an indictment — a reveal- 
ing, dismaying, and sensational expose, "^ which is the 
result of a hard look at the interactions between the 
people found in the hospital— particularly the doctors 
—and their patients. Although he characterized the 
book as an expose and not as a scientifically performed 
study, he admitted that weaknesses in the system and 
in our own actions as physicians had been highlighted. 

Sensational exposes are going to create increasing 
concern for the sickness in the social process called 
medical care, and the result will be pressure from out- 
side the medical establishment for change in medical 
education. All of us recognize, of course, that medical 
care is not the only social process that is sick. The 
various means taken in various places such as Berke- 
ley, Columbia, and Chicago to call attention to the 
sickness in society in general are bona fide symptoms 
of a serious underlying disorder in our country, and 
I, for one, am anxious that appropriate therapy be 
promptly applied. 

As indicated by the sweeping generalities just used, 
my own understanding of society, social processes, 



and social interaction is so naive that I have to express 
myself in vague, medically oriented words. This is 
the reason I am hopeful that a new vine can grow in 
the garden of medical education— a vine that perhaps 
can be called preparation for social relevance. 

I believe that the medical students in this school, 
in organizing SHAC and in pushing its goals, will be 
the dibble for planting the vine at this school. While 
we are waiting for the vine to grow and to grace this 
place with a setting for preparing some future physi- 
cians for roles as social leaders and for exposing others 
to life as it is, perhaps we can all, by observing and 
participating, learn to understand ourselves and our 
world a little better. 

A lecture of this type should always be closed by 
relevant sayings. Two aphorisms come to mind. The 
first is connected with the A in SHAC; for actions do 
speak louder than words. The second derives from the 
physical fact that when a dibble is pushed into the 
ground, there is bound to be some resistance, which 
results in friction or heat. The heat which we will en- 
counter will be in trying to choose between competing 
causes. The competition has become keen and the 
ground is very tightly packed with demands on your 
time and mine; therefore the heat will be fierce. I 
sincerely believe, however, that we at this medical 
school will (to mix metaphors) either have to "stand 
the heat or get out of the action." 

The new action is going to be where the people are 
and where the people hurt. The medical school as 
part of the University should be the intellectual servant 
to the needs of the people, and SHAC's move to become 
part of the health action in Durham and Chapel Hill 
is forcing the school to follow. I hope we can follow 
with wisdom and effectiveness. 

In 1957, Dag Hammarskjold wrote for all of us: 

Do not look back, and do not dream about the future 
either. It will neither give you back the past, nor satisfy 
your other daydreams. Your duty, your reward— your des- 
tiny—are here and now.9 

References: 

1. Sitterson, J. Carlyle. The Intellectual: Creator and Critic. 

Sixty-Fourth Annual Phi Beta Kappa Address. jChapel Hill] 
1968. 16 pp. 

2. Osier, William. Letter to Ira Remsen, President of Johns 
Hopkins University (1911) quoted in: Familiar Medical Quota- 
tions. Maurice B. Strauss, Ed. Boston, Little, Brown & Co., 
1968, p. 138. 

3. Parsons, Talcott, as quoted in: Perceptions of Illness and 
Medical Practice. Stanley H. King, Ed. New York, Russel Sage 
Fdt., 1962, p. 165. 

4. Rutstein, David D. The Coming Revolution in Medicine. Cam- 
bridge, Mass., The M.I.T. Press fcl967]. 180 pp. 

5. Popper, Hans P., Ed. Trends in New Medical Schools. New 
York, Grune & Stratton, 1967. 175 pp. 

6. Knowles, John H., Ed. Views of Medical Education and Medi- 
cal Care. Cambridge, Mass., Harvard University Press, 1968. 178 
PP- 

7. Duff, Raymond S. and Hollingshead, August B. Sickness and 
Society. New York, Harper & Row, 1968. 390 pp. 

8. Ingelfinger, Franz J. The arch hospital: An ailing monopoly. 
Harper's 237: 82-87 (July) 1968. 

9. Hammarskjold, Dag. Markings. Leif Sjoberg and W. H. Auch- 
en, Tr. New York, Alfred Knopf, 1964, p. 157. 



27 



MEDICAL 5TLIDENT ACTIVISM 




By C. CLEMENT LUCAS, JR. ('69) 

President of the Student American Medical Association 

Student activism has been present in all societies 
since beginning of time. Socrates, Aristotle, and Jef- 
ferson were active as students, and played vital roles 
in the founding of new societies. With the founding 
of societies, students have been a major force in caus- 
ing a swing in the pendulum of history. Whenever a 
society has lost its student activism, it has failed. Not 
only did the ancient Greeks and Romans decay from 
without, but they became stolid and withered from 
within. They lost the ideas and zeal of their youth. 

Our society has never really lacked students who 
assumed activist roles. In the early pilgrimages from 
Europe to North America, ships were filled with stu- 
dents who were seeking a new world in which to make 
their fortunes. From the rapid migration toward the 
Northwest Territory to the depression of the 1930's, 
students have been actively involved in many areas 
of our society. 

Then what is so different about today? The difference 
is that the students who are assuming activist roles 
today number, not in the tens, but in the thousands. 
One has only to look at last year's success of Senator 
McCarthy in New Hampshire to realize that the student 
community is organized and is a potent force to be 
reckoned with. 

With the growth of thousands of universities and com- 
munity colleges since the end of World War II, students 
have been stimulated to find their role in determining 
the future of our society. The activism and energy of 
the student movement today are not confined to our 
own country but have developed in virtually every 
country in the world. To be sure, the students alone 
are not responsible for all this activity. They have 
had the support and sympathy of various segments 
of society in their endeavors. 

It is well-known that this activism is rapidly spreading 
through the ranks of all students in the U.S. This has, 



perhaps, been more clearly articulated by students in 
the humanities, but today with the more enlightened 
and well-rounded basic preparation of medical stu- 
dents, the changing of medical curricula, and the in- 
creasing elective time, some medical students are 
finding time for deep reflection and to involve them- 
selves in the very active expression of their ideas 
and beliefs. 

Some students come from communities in which there 
is not effective delivery of health care, there is high 
infant mortality, and there are few physicians. They 
go to medical school emblazoned with a fervor to try 
to find some answers to getting health care to the 
people. Upon entering the medical school — providing 
he is that fortunate, and that either his MOAT scores or 
his color does not keep him out — the student is sub- 
jected to a rigorous disciplinary training which — as 
Martin Gross has" pointed out — changes him "from a 
societal leader, intellectually and humanly ... to a man 
of mediocre intellect, tradeschool mentality, limited 
interests, and incomplete personality — the contempo- 
rary Non-Renaissance Man."' As Arthur Douville re- 
cently noted "medical schools seem expressly orga- 
nized to stifle independent thought, limit student con- 
tact with the outside world, and channel the interests 
of their increasingly restless inmates through the ap- 
plication of a kind of intellectual straight-jacket of 
poorly-balanced expectations . . . utilizing values which 
employ the practice of isolation and rigid social con- 
trol."2 

The medical student is therefore transformed into a 
technician with an instant recall of facts, but he is 
not the sensitive, effective, educated person who has 
compassion and believes in justice nor is he concerned 
for the local problems of health care based upon the 
concept that it should be available to every individual 
regardless of his social, economic, or cultural back- 
ground. John W. Gardner has pointed out that "in- 
dividuals who have been made to fee! like cogs in a 
machine will act like cogs in a machine. They will 
not produce ideas for change. "3 

The enlightened medical student is not only concerned 
about educational processes that deny him his de- 
velopment as a total physician; he is also chagrined 
at the negation of responsibility by the medical school 
complex in reaching out into the community to deal 
with problems of health care. He sees the medical 
school, not as a force in the improvement of health 
care in this country, but as the "establishment" which 
seeks to perpetuate itself by adding another research 
project and another professor in order to get more 
funds from the government. He sees the medical 
school as trying to institute the new division of com- 
munity medicine with no real understanding of what 
the total community consists of, or what total medicine 
is. He hears his professors saying in the halls of the 
medical school that there is no longer any need for 
the family practitioner, while he may, in fact, be taught 
by those who have never practiced medicine. 

The medical student then, is torn between his experi- 
ence in the medical school and his real knowledge of 



28 



what health care is like in his community. Bergner 
and Yerby recently noted "many of our medical schools 
are as out of step with contemporary problems and 
understanding of the social mechanism and impact 
of disease as they were out of step with modern scien- 
tific medicine at the time of the Flexner Report."'* 

These are the thorns of irritation that cause medical 
students concern and lead to the creation of new or- 
ganizations and new methods for attacking these very 
real problems. McGarvey, Mullan, and Sharpstein ex- 
pressed it this way: "The authoritarian tradition in 
medical education has systematically separated the 
medical student from the patient, from the community, 
from the allied professions and from those who deter- 
mine his education. Unwilling to accept their tradition- 
ally passive role, many students have expressed their 
concern and have become involved with current health 
issues through the development of a new national co- 
alition . . ."5 of student activists. This coalition has 
developed because for years the medical school has 
denied its responsibility to the total community and 
in turn the development of the total physician. 

For many years SAMA (Student American Medical 
Association) had the reputation of being a benign or- 
ganization that offered little to its members except 
insurance. Deans, organized medicine, and students 
expressed contempt for it. Approximately 18 months 
ago, as a result of increasing concern and activism 
on the part of medical students, SAMA was rebuilt 
on the principles of concern, commitment, and action. 
Today, with new leadership and new enthusiasm, SAMA 
is moving forward into many areas, both on the national 
and on the local level. 

To attain its objectives, SAMA has focused attention 
on three broad areas: (1) medical education, (2) com- 
munity health, and (3) international health. 

We believe that the development of a "compleat" phy- 
sician begins early in his secondary school years and 
continues throughout his period of formal education, 
training and eventual practice as leader of the health 
team. The fundamental characteristics of the compleat 
physician of the future should be given more emphasis 
in the process of selecting students for admission to 
medical schools. Medical education itself should, in 
addition to supplying students with scientific skills, 
deepen and broaden their knowledge of human ecol- 
ogy, especially as it pertains to health. 

This implies that medical education cannot reside 
solely in the halls of the medical school and the hos- 
pital. The student must obtain knowledge of the indi- 
vidual within the context of his family and community 
— and such knowledge can be acquired only if the 
student receives part of his education in the commu- 
nity. Through direct involvement he would become 
better acquainted with the people who need service, 
their reasons for seeking care, the ways in which they 
make entry into various subsystems of delivery of 
health care, the agencies which support them, their 
availability and accessibility, and the varying qualities 



and costs of the services needed. As a corollary, we 
believe that the future of American medicine is predi- 
cated upon the philosophy of family practice, and we 
cannot agree that the family practitioner will be as 
extinct as a dodo. 

Further, this education should be extended beyond 
the borders of our country. We must not deceive 
ourselves into believing that the United States has 
all the answers, the best skills, and the most complete 
knowledge in seeking solutions to health problems. 
Other countries provide examples of health care from 
which we can learn much. For more adequate eval- 
uation of our system of delivering health care and for 
suggestions as to ways to solve existing problems, it 
would be helpful for selected students to become 
involved in the systems of other countries. To be 
effective, this involvement requires both the exchange 
of information and on-the-site study and participation 
for our students. 

The first National Student Conference on Medical Edu- 
cation was held early in February 1968 in cooperation 
with AMA (American Medical Association) and AAMC 
(Association of Americal Medical Colleges). Students 
from throughout the United States and some European 
countries came together to discuss the basic problems 
and philosophy of medical education. The Joint Com- 
mission on Medical Education has been appointed and 
includes 12 students and eight professionals (Paul Sa- 
nazaro, George E. Burket, Robert M. Hutchins, George 
E. Miller, John S. Millis, Daniel Funkenstein, Hayden 
C. Nicholson, and Robert C. Berson). This commission 
will hold meetings over a two-year period for the pur- 
pose of evaluating medical education and suggesting 
new philosophies, trends, and patterns. 

The standing Committee on Medical Education and 
the ad hoc Committee on Medical Education have be- 
gun efforts to develop with JCAH (Joint Commission 
on Accreditation of Hospitals) a new definition of the 
educational extern to insure full participation in 
the Residency Matching Program; to increase minority 
recruitment in all schools; to develop new courses on 
community medicines; to stimulate activity in the areas 
of course evaluation and student participation on ad- 
mission and curriculum boards as voting members. 

The area of community health has been integrated 
into a new concept of medicine and society, and we 
have moved from the successful, AMA-supported Kan- 
sas City project to new evolutionary steps. We have 
identified a new entity known as the community action 
leader. This summer we will hold the first Annual 
Institute on Community Action. We will select, on a 
competitive basis, 50 medical students from through- 
out the United States and will bring them together 
for a 10-week seminar in which they will receive in- 
tensive training in law, sociology, economics, labor, 
mass-media communications, and organizational the- 
ory. These students will participate in student medical 
clinics in Washington, D.C. and its surrounding com- 
munities, and will work in group practices and with 
general practitioners. Preceptorship activities will be 



29 



set up in the U.S. Congress, as well as in various 
executive branches of the government, such as HEW 
(Health Education and Welfare). There will be a Brook- 
ings Institute and Rand Corporation approach to the 
development of new ideas for strengthening the com- 
munity and systems for delivery of health care. The 
institute will be held annually for five years, and from 
the graduates of all these seminars a new organization 
will be created. There is a possibility that this seminar 
will evolve into a permanent school. 

We now have a full-time coordinator for community 
health in SAMA's national office, and we are compiling 
a compendium of all student projects for the Secretary 
of HEW. We have initiated plans for 50 medical stu- 
dents and 20 nurses to work in Appalachia this summer 
and for another 50 medical students to work in pro- 
grams supported by Title XIX. We are developing a 
contract with HEW to evaluate student attitudes toward 
community medicine and toward the relevance of the 
activities of departments of preventive medicine in the 
medical schools of the country. 

SAMA is now sponsoring 45 active community health 
projects, organized on an interdisciplinary basis, and 
we are assisting in the organization and funding of 
others. Regional community health conferences are 
being held throughout the United States. We are in 
the process of organizing a new division within SAMA: 
Operations and Research Analysis. This will set up 
a Rand Corporation approach toward present student 
projects of all types and will suggest ideas for new 
projects, 't will be in operation for at least five years. 

In the fall of 1969, SAMA, in cooperation with the 
Conference of National Student Professional Organi- 
zations — which represents more than 900,000 profes- 
sional students — will hold a national conference on 
"Man and His Environment." 

In response to a request by SAMA's 1968 House of 
Delegates, we are working in the halls of Congress to 
secure the passage of a federal scholarship program 
for all health students. SAMA representatives have 
appeared before the House Subcommittee on Govern- 
mental Operation to develop plans for medical legis- 
lation. 

We have moved into the area of mass-media commu- 
nications and are working with several organizations 
in developing high-quality, high-impact films such as 
Beware of the Wind and Distant Drummer. These films 
will point out the problems and failures of our present 
system of delivering health care. 

In the area of international health, SAMA has clearly 
moved ahead. We have rejoined the International Fed- 
eration of Medical Student Associations, and this sum- 
mer we are offering more than 500 externships in a 
bilateral arrangement with 20 foreign countries. We 
are developing a program of aid to the student clinics 
in Bolivia. Our booklet on International preceptor- 
ships will be reprinted this year in a much larger 
edition. 



It is SAMA's belief that individuals of all viewpoints 
should be given the opportunity to speak before medi- 
cal students in order that each student can decide for 
himself upon the validity of his ideas on the basis of 
a reasoned and informed consideration of the issues. 
With this purpose in mind, The New Physician has 
become a journal edited entirely by students. We 
are also publishing a national newsletter that is issued 
six times each year. 

We are making room in SAMA for full participation 
by all interns and residents. House officers now serve 
on several committees. 

It should be clear to all that SAMA has begun to 
assume a new and significant role in many areas. To 
be successful, however, we need to have the help of 
all deans. In order to improve dialogue between SAMA 
and AAMC and to prevent rumors and misconceptions 
as to student intent, SAMA has requested that one of 
its members be appointed to serve in an ex-officio 
capacity on AAMC's Group on Student Affairs division. 
SAMA has had a long and rewarding relationship with 
AAMC and we hope to continue receiving its support 
both on the local and national levels. 

Medical education, community health, international 
health, political concern, and community action: these 
are our priorities. To be relevant and effective is our 
ambition. Peace, prosperity, and a just society for all, 
with health care as a basic right, are our goals. Re- 
sponsibility is our dedication. 

We in the Student American Medical Association have 
pledged to the American society our sincerity in trans- 
lating our ideas into action in order that we might 
light the paths of the future and be more than blurred 
footsteps in the sands of time. At the same time we 
challenge members of the AAMC to direct their en- 
deavors toward the problems which are facing every 
community in terms of health care delivery. With the 
help of the AAMC and many others, we can build a 
just society and effectively treat its ills. We do not 
have all the answers, but we intend to take a positive 
step forward in trying to find some solutions. 



References: 

1. Gross, Martin. The Doctors. New York, Random House, 1966. 

2. Douville, A. W., Jr. The New Physician as activist. New Phys. 
17: 209, 1968. 

3. Gardner, J. W. The renewal of organizations. (Speech de- 
livered at Mid-West Research Institute, Kansas City, Mo., on 
May 13, 1965.) 

4. Bergner, L. and A. S. Yerby. Low Income and barriers to use 
of health services. New Engl. J. Med. 278: 541, 1968. 

5. McGarvey, M. R., F. Mullan and S. S. Sharfsteln. A study in 
medical action— the Student Health Organizations. New Engl. 
J. Med. 279: 74, 1968. 



30 



OBSERVATIONS ON MEDICAL PRACTICE 
By ARTHUR B. CROOM, M.D. 

The practice of medicine is now, as it always has been, 
a complex and often frustrating discipline. It is also 
a challenging and rewarding way of life, bringing joy 
and satisfaction as well as anxiety and despair. 

I 
The complexity of the problem begins with the long } 
period of training required and the forced decisions 
for long-range goals that must be made before all of 
the facts are known. It extends into periods of post- 
graduate training, where constant revaluation is neces- 
sary. Then the ever-changing material requires a life- 
time of study, discard, and adjustments. 

Students in their academic environment question 
methods of instruction. Practitioners seek adequate 
means of delivering medical care. Teachers search 
for modalities to ensure improvement in both areas. 
Through dissatisfaction can come healthy solutions; 
complacency leads only to a dead-end of mediocrity. 

C. Clement Lucas, Jr., president of the Student Amer- 
ican Medical Association, finds the town-and-gown gap 
unpalatable, since the campus-based physician could 
be in the position of giving advice without having the 
experience to back up his philosophy. The busy prac- 
titioner either is not welcome in medical schools or, 
if he is, finds little opportunity in the academic atmos- 
phere to challenge the young and eager for the world 
of service outside the marble halls. 

What has become of the dedicated, compassionate 
physician interested in service, growth, and fulfillment 
of the Christian ideal? He is still in our midst, both 
inside and outside our teachmg centers, but why has 
he become so difficult to recognize? Probably he hasn't 
— but the pressure of economic necessity and scientific 
endeavor, as well as the intervention of third-party 
participants in the doctor-patient relationship, cause 
people to see their own physician as this type of dedi- 
cated person, but to view the medical profession with 
distrust. 

In the not-too-distant past there was no argument as 
to the right of all our citizens to first-rate medical care. 
Medical services were dispensed with little concern 
for the patient's ability to pay. As the population has 
increased and the costs of delivering medical care 
have soared, as the more affluent have placed heavier 
demands on their physicians and the ratio of doctors 
to population has decreased, it has become humanly 
impossible for the conscientious physicians to meet 
all the demands upon him. Welfare, Medicare, Medic- 
aid, private grants, and government grants have con- 
tinued to provide funds for care of the indigent and 
for research, while insurance dollars have reduced the 
mass of the medically indigent (regardless of the 
criteria used to define this nebulous state). Ease of 
communication has placed burdens on the present-day 
physician that were undreamed of in earlier days. What 
would the horse-and-buggy doctor have done with 70 



phone calls per day, when a single call used to require 
two or more hours of his time? 

We do not claim that all physicians are dedicated, any 
more than we accuse all lawyers of being mercenary. 
Human beings were never intended to fit a fixed pat- 
tern, and we probably will never satisfy even our most 
optimistic fellows that all is right with the medical 
world. The art and the science are still separate and 
are not joined as one. 

What shall we say to our students of medicine? How 
can we challenge them to recognize the practitioner's 
concern for the future of medicine and to see in the 
private practice of medicine an opportunity for service 
and for a rewarding life dedicated to the welfare of all 
men? 

We need to begin with students on the high-school 
level. Many local high schools have career days, which 
offer medical practitioners a ready-made opportunity 
to talk to the students. Let us take advantage of this 
opportunity to discuss frankly with them the rewards 
and challenges of a life in medicine. Let us not fail 
also to point out to them the opportunities in the fields 
of nursing, technology, medical administration, and 
pharmacy. Then we must make ourselves available to 
these young people for more detailed and personal 
consultation. 

Medical educators are continually working to find new 
ways of making present knowledge available to stu- 
dents. Research continues to uncover new facts, to 
prove some of the old knowledge, to disprove some 
of the mass of information that we have come to accept 
as basic truth, and to shed its light into the dark corners 
of our ignorance. We must continue to be dissatisfied 
with the present state of our knowledge and to seek 
new truth — but doctors have a responsibility in the 
area of research to assess their studies carefully. The 
philosophy of undertaking meaningless projects that 
serve no purpose other than the acquisition of a grant 
can not only dry up the wellspring of economic supply; 
it also ties our young men to a treadmill and deprives 
them of the rewarding life they so nobly sought in 
embarking on a career in medicine. I beseech our 
academic brethren to forsake the philosophy of the 
grant dollar, as I beseech my fellow practitioners to 
be motivated primarily by concern for their patients 
rather than by love of money. 

We must find some way to bring to the attention of 
student physicians the need for improvement in meth- 
ods of delivering medical care. A great hue and cry 
has been raised as to the future of general practice. 
At the risk of being involved in semantic arguments 
and accused of oversimplification, I believe that it is 
probably true that few physicians in this country are 
actually engaged in general practice, as it was once 
known. Rare is the man who dares to take on all the 
health needs of a family, from pediatrics to geriatrics 
and including surgery and obstetrics. Someone, how- 
ever — whether he is known as a generalist, an internist, 
a family physician, or possibly something else in the 
future— must provide the basic medical care required 



31 



for the less complicated diseases or psychic problems 
that form the bulk of general practice. What a hero 
is the man or woman who can dedicate his or her life 
to this demanding type of practice and retain a cheerful 
demeanor, a kind word, a bit of friendly advice, or a 
wise solution for the problems of everyday living! 
These qualities are important if we are to fulfill the 
needs of the world. How sad will be the day when 
the medical profession is made up entirely of cold and 
calculating scientists without the artful compassion 
that was once the most we had to offer! 

It may well be that the needs of people for routine 
medical care can be met by paramedical personnel 
with less training than is now given our young physi- 
cians. As this question is being studied, physicians 
already in practice or in training must be the ones to 
provide this type of care, no matter how difficult it 
seems. We cannot stop working while we seek solu- 
tions. 

Lastly, I would beg my academic colleagues, as well 
as my fellow practitioners, to work out a method of 
bringing together the student and the practicing phy- 
sician for the express purpose of exchanging ideas 
relevant to the problems of delivering medical service. 
It is true that medical schools have a visiting faculty, 
but they need to go a step further. Time should be 
allowed for discussions between the L.M.D. and the 
student, not so much for the purpose of instructing 
the student as for the purpose of listening to him. 
How can we possibly interest him in the good life 
of a practicing physician if we do not first listen to 
his cry of anguish for the things he sees which dis- 
appoint him and turn to bitterness the sweet taste of 
his own success even before he can start? These 
bright young men and women have something to say 
to us, my friends, and we would do well to listen — 
and to listen well. 

Even as our youthful enthusiasm dims with the pass- 
ing years, even as we become more satisfied with the 
comfortable world of status quo, even as our thoughts 
turn to another generation and away from our own 
ambitions, we must maintain a sense of responsibility 
to patients, to knowledge, and even more to self-under- 
standing. Let us not allow complacency to deprive us 
of the bright horizons of future growth, health, service, 
dedication and, above all, love for our fellow man. 





W. R. Straughn (70) 
32 



SHAC-STUDENT ACTIVISTS AT THE UNC 
SCHOOL OF MEDICINE 

By WILLIAM R. STRAUGHN III ('70) 

Increasingly across the country, students at all levels 
of higher education are seeking and finding construc- 
tive ways to use their talents and energies for social 
and educational improvement. This search is being 
conducted both inside and outside the university com- 
munity. Last year medical students at UNC, along with 
other students in the allied health sciences, organized 
the Student Health Action Committee (SHAC). With 
a membership of more than 100 students, SHAC has 
as its motivating philosophy a deep concern for the 
health and well-being of all people. This philosophy 
is expressed in the preamble to SHAC's constitution: 

The Student Health Action Committee believes quality 
health care should be available to all individuals with 
respect for the human dignity of all men regardless of 
financial ability, social standing or race. SHAC maintains 
that health science education should promote opportuni- 
ties for health science students to develop those skills 
and understanding necessary to achieve our stated objec- 
tives. 

One of SHAC's objectives is for its members to develop 
an awareness of their environment which will enable 
them to evaluate the present system for delivering 
health care and work for its improvement. SHAC is 
also interested in promoting among high school stu- 
dents, especially those who belong to a minority group, 
an awareness of vocational opportunities in the health 
sciences and in bringing about a more meaningful 
relationship between the community and the health 
professionals that serve it. 

SHAC began early in 1968 as an informal group of 
medical and nursing students who were dissatisfied 
with the approach to medical education at UNC. In 
particular, we felt that within the teaching-hospital 
environment we were not given the opportunity to ex- 
plore the relationship of medicine to the community 
and to the individuals and families of that community. 
We were also concerned with the failure of the medical 
profession, and of the UNC School of Medicine, to 
respond to what we felt were inequities in the delivery 
of health care. 

By the late Spring of 1968 our dissatisfaction had led 
us to organize the Student Health Action Committee. 
From the basement of the Medical School, the organi- 
zation spread into action in the communities of Chapel 
Hill and Durham and within the medical school itself. 
By the end of the term, three projects were in formative 
stages: We began exploring the health needs of under- 
privileged neighborhoods in (1) Chapel Hill and (2) 
Durham and the connections their residents had with 
the health care facilities in these towns. (3) We began 
contacting high schools in North Carolina, offering to 
help them with medically oriented programs and with 
the recruitment of students into the health sciences. 





1. JIM POWERS ('69) 

2. Frank Gray ('69) and Dr. Robert Shaw. 

3. Lynn Kluge (Phys. Therapy '70), Richard Kaplin (Sch. Pub. 
Health '70), President John Allcott ('71), Bob Jones ('70), 
Debbie Delefield (Sch. Nursing '70), Don McLeod (grad. stu- 
dent Pharm.), Tom Cannon (Sch. Dentistry '71), Toby Atkins 
('71), Charles Richman ('71), Mary Lyn Field (Sch. Nursing 
'70), and Bill Straughn ('70). 

4. Jim Powers, Frank Gray and Dr. Shaw. 

5. Peggy Breckenridge (Sch. Nursing '69), Bill Straughn ('70), 
and Dr. James A. McFarland (Duke). 

6. James Cutcliffe (Sch. Dentistry '72), Mark McCall (Sch. Den- 
tistry '71), and Bob Jones ('70). 




The Summer of 1968 was spent in further organization, 
and we were encouraged to find that the faculty and 
administration of the medical and nursing schools 
were not only sympathetic but were interested in help- 
ing us further the aims of SHAC. Meeting with com- 
munity councils, golden-age clubs, and other organiza- 
tions in which we could talk with residents of low- 
income areas, we found that the contacts between 
these people and existing systems for the delivery of 
health care were grossly inadequate and were often 
personally degrading making health care even more 
inaccessable. This discovery led us to establish, with 
active community support, clinics for the delivery of 
primary health care within these communities. 

In Chapel Hill we found that many children needed 
preschool physical examinations. To answer this need, 
several clinics were held to give preschool exams and 
to treat children with skin diseases; more than 100 
children in the Chapel Hill-Carrboro area attended 
these clinics. In Durham we found that a number of 
children who were being sent to summer camp by the 
United Fund might not be able to go because their 
parents could not pay for the physical examination 
required for each camper. In three clinics, more than 
80 children were given pre-camp physicals. 

By the end of the summer, SHAC had grown to include 
students in medical technology, physical therapy, den- 
tistry, public health, and pharmacy. In addition, medi- 
cal and nursing students from Duke were participating 
in the Durham project. We had drawn up a constitu- 
tion, selected officers, and embarked upon our three 
projects. 

Under the leadership of Frank Gray ('59) as president, 
John Allcott (71) as treasurer, and Becky Green, senior 
nursing student, as Secretary, SHAC started the 1968- 
69 school year running and has yet to slow down. The 
organization and its growing projects now required 
both money and faculty participation. The faculty 
responded by donating time as well as money to 
further our projects. With contributions of more than 
$400 from the faculty, $200 from the Whitehead Society, 
$2,500 from the undergraduate student government, 
and $1,000 from the Durham-Orange County Medical 
Society, the projects were under way. 

Last October the Chapel Hill project headed by John 
Johnston ('69) began operating a general medical-pedi- 
atric clinic every other Monday at the old Chapel Hill- 
Carrboro Multipurpose Center. Beginning with 5 to 10 
pediatric patients an evening, attendance at this clinic 
has grown to 20 to 30 pediatric and adult patients an 
evening. The students working there began to see 
something never seen in the hospital clinics: children 
and adults enjoying a visit to the doctor. Within these 
clinics the participating students found that they were 
better able to understand the problems of their pa- 
tients—social and economic, as well as medical. They 
could and did see the total patient in his community. 

In addition, the participating students learned how to 
relate interprofessionally in a manner not possible 
with present curricula. A real "team approach" to 



medical practice was developing both in patient care 
and in post clinic evaluations. In working with the 
patients in the community the students had to learn 
to relate to and use the health-care facilities existing 
in the community. "Public health" was no longer a 
phrase uttered in contempt. 

Clinic organization had to be learned by both the 
students and the community. To this end a board of 
directors was established for the clinic. This board, 
made up of interested community members and stu- 
dents in the project, is incorporated as tax-exempt 
corporation in the state of North Carolina. In estab- 
lishing the clinic operation, the students had to use 
existing community organizations; and because the 
black community in Chapel Hill was not organized 
well enough to meet the clinic's needs, the students 
had to engage in community organization. 

The Chapel Hill-Carrboro Family Health Clinic, Inc. is 
now run by a community-controlled board of directors 
selected from and by existing members of the com- 
munity. There are also two health science students 
selected by the board to sit on the board. The par- 
ticipating students, by becoming involved in commu- 
nity medicine in an underprivileged area, are able 
to see the relevance of health care delivery to the 
community and to get a truer perspective on many 
of the problems facing the health professions today. 

The Durham project, headed by Bob Jones ('70) is a 
joint effort with the health-science students at Duke 
University, and the clinic draws on both Duke and UNC 
for faculty and student participants. This clinic differs 
from the Chapel Hill clinic chiefly in the racially mixed 
population it serves. Whereas the patients attending 
the Chapel Hill clinic are primarily from the rural 
black population, the clinic in Durham serves an 
urban ghetto area in which the ratio of white to black 
population is about 6:4. 

The Durham clinic began operating in a donated store 
front in the Edgemont area last November and has 
been open every Monday evening since then. More 
than 200 patients have been seen in over 500 clinic 
visits. Additional financial support for the Durham 
project has come from the Davidson Society of the 
Duke University School of Medicine, from the Duke 
Hospital Women's Auxiliary, and from other contribu- 
tions by people served by the clinic. 

Both projects, now well established, are in the process 
of expanding their facilities. With the present loads, 
the clinics need to be operated more than one night 
a week; it is hoped that this can soon be done. The 
clinics are looking for additional sources of financial 
support, so that they can not only continue operation 
but expand their services. In addition to providing 
better facilities, we hope to develop a paid staff of 
community health aides working under the direction 
of a public-health nurse. 

The health education project, headed by Dave McFad- 
den ('72), has presented several programs on health 



35 



careers to high-school groups throughout the state. At 
the recent state convention of the Health Career Clubs, 
attended by more than 200 high school students, 25 
health-science students presented a panel discussion 
on "Involvement in Health Care Delivery," followed by 
"sensitivity" sessions with small groups of teen-agers. 
In a post-convention survey, this was voted the best 
presentation made during the convention. 

Participants in this project have also been studying 
the problems of admission of black students to the 
health-science schools. They are engaged in meaning- 
ful dialogue with faculty and administration on this 
matter, and at the same time are trying to find ways 
of recruiting qualified black students at the high-school 
and college levels. 

SHAC holds monthly general meetings at which formal 
presentations are made on topics of interest, as well 
as more frequent informal meetings of students in- 
volved in the projects. SHAC is a growing and active 
organization, which we hope will reflect credit on the 
health professions and, in particular, on the health- 
science schools of the University of North Carolina. 



EDITOR'S NOTE 

On Sunday night, June 29, the building housing the 
Edgemont Community Clinic was destroyed by two fires. 
The first, at 11:00 p.m., extensively damaged the back 
of the building; the second, at 4:00 a.m., completely 
gutted the structure. The new dental operative equip- 
ment and most of the medical equipment and supplies 
were a total loss. Only the medical records and a few 
supplies could be saved. Neither the building nor its 
contents were protected by insurance. 

Firemen who are investigating the cause of the fire 
have not yet determined its origin, though the possi- 
bility of arson has not been ruled out. Plans are under 
way to continue the clinic operations in the Edgemont 
Community Center across the street from the old clinic 
building, until new permanent facilities can be found. 

(Photos W. G. Owen and W. R. Straughn) 



John Allcott (71) and Barney Lewis (Duke 70). 



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PARENTS AS COTHERAPISTS-NEW 
DIMENSIONS IN CHILDHOOD PSYCHOSIS 

ERIC SCHOPLER, Ph.D. 

Associate Professor of Psychology in Psychiatry 
and Associate Professor of Psychology 

We are living in a period wiien rapid advances in 
scientific knowledge on many fronts are taking place 
in a context of social change. It is sometimes difficult 
to distinguish between the effects of changing social 
values or attitudes on the one hand and increasing 
scientific knowledge on the other. This difficulty is 
especially apparent in the behavioral sciences and 
their applications in psychiatry and education. In re- 
cent years, for example, such changes have occurred 
in our study and treatment of autistic children and 
their families. Theories and assumptions which ap- 
peared true only a decade ago are no longer relevant. 

Ever since Kanner first identified infantile autism in 
1943,' it has been believed that the primary cause of 
this condition was the parents' rejecting attitudes, 
aberrant thinking, and emotional aloofness. Kanner 
described these parents as "schizophrenogenic" or 
"refrigerator parents." Although some clinicians recog- 
nized that the influence of the disturbed offspring may 
produce disturbed family relationships, psychodynamic 
theories of psychosis have considered parental atti- 
tudes primary in the child's development of autism 
or psychosis. In recent years parents have begun to 
express their indignation against such biases, 2-4 and 
their views have been supported by the scientific lit- 
erature. s-s 

In short, we have become aware that the primary 
causes of autism were often attributed to parents. 
There is accumulating evidence that psychotic chil- 
dren suffer from a predisposing impairment of bio- 
chemical or organic origin. 9 It is probable that a 
variety of lesions can give rise to similar patterns of 
behavior disorder, and that "autism" and "psychosis" 
may turn out to be blanket terms for a number of dif- 
ferent conditions. Parents of autistic or psychotic chil- 
dren generally have other normal children and func- 
tion within normal limits in other aspects of their 
lives. Parental perplexity and ineptness in the manage- 
ment of their psychotic child appear primarily in their 
reaction to a difficult and unresponsive child. This 
statement is true even of parents who have other 
adjustment problems. 

In light of these trends, the program of the Child Re- 
search Project has been undertaken as a new approach 
to the study and treatment of childhood psychosis. 
In this program parents are trained as cotherapists to 
work with members of our staff in the management 
of their own psychotic child. 

Criteria for Admission 

Because of the project's research design, admission 
is limited to children and parents who meet the follow- 
ing criteria: 



1. The child must be in the preschool period, either 
because of his age or because he has not been able 
to attend school. 

2. The child must be part of an intact family, living 
at home with his natural parents. The family must 
live within a reasonable commuting distance from 
Chapel Hill, and the parents must be willing and 
able to participate on a biweekly basis. 

3. The child must have had a psychiatric diagnosis 
of autism or childhood psychosis, based on a com- 
bination of at least five of the nine criteria given by 
Creak:'o 

a. Impairmen in his relationship with people and in 
his attachment to his parents. 

b. Repetitive use of the same toy or object without 
learning. 

c. Signs of abnormal perceptual experiences such as 
hypersensitivity or hyposensitivity to certain visual, 
auditory, or tactual stimuli. 

d. Peculiar motility patterns such as rocking, spin- 
ning, and toe-walking. 

e. Abnormal activity levels, either hyperactive or hy- 
poactive. 

f. Failure of speech to develop normally. 

g. Excessive anxiety with temper tantrums or self- 
destructive behavior. 

h. Resistance to environmental changes, with a striv- 
ing to maintain sameness. 

i. Uneven intellectual functioning, including both re- 
tarded and normal or precocious behavior. 

When a child and his family meet these three criteria 
for admission, he can be accepted in our project. In 
most cases a complete diagnostic work-up has been 
made before the child is referred by a private physician 
or by a child psychiatric or developmental evaluation 
clinic* 

Program of Treatment 

When a child is being considered for admission, he 
and his parents participate in a psychoeducational 
evaluation. During this time, the child is observed in 
a standard play situation. His psychosis, his strengths 
and weaknesses, and his learning potential are evalu- 
ated. A careful study is made of the child's perceptual 
deviations, and the sensory and learning modalities 
by which he can be reached are distinguished from 
those in which he is blocked. From this evaluation 
the staff obtains ideas for the initial approach to man- 
agement of the child. During this period each of the 
parents is asked to play with their child, so that the 
staff can observe any difficulties in the parent-child 
interaction. 

• Inquiries about referrals may be directed to the Director of 
tfie Child Research Project, Department of Psychiatry, Memorial 
Hospital, Chapel Hill, N.C. 27514. The telephone number is 
966-4270. 



38 



During the initial period of treatment, the child is seen 
by a psychoeducational therapist for one-hour sessions 
twice a week. The first few sessions are used for 
getting acquainted and for determining the child's 
level of functioning in both cognitive and emotional 
areas. Various approaches for reaching the child are 
tried, and suitable ones are selected. 

Parent consultants meet with the parents regularly. 
After the first few sessions with their assigned con- 
sultant, the parents observe the treatment sessions 
through a one-way screen. The consultant calls their 
attention to significant aspects of the observed inter- 
action between the child and the therapist, and an- 
swers any questions the parents may have. On the 
basis of home observations made by the parents and 
from direct experience with the child, the psychoedu- 
cational therapist works out a program for use at home 
and demonstrates it to the parents. The parents follow 
this program in daily sessions at home with their child, 
working for approximately 30 to 45 minutes each day. 

Parents keep daily written logs on their observations 
and their work with the child. Periodically they demon- 
strate to the staff the work they are doing at home. 
This plan provides the basis for a continous dialogue 
and for adapting the home program to the changing 
needs of the child. Parents also attend group meet- 
ings. These meetings enable the parents to become 
acquainted with the parents of other children under 
treatment and allow them to discuss their common 
problems and to share experiences. 

At the end of the initial extended diagnostic period, 
findings and recommendations of the staff are dis- 
cussed with the parents. A new program for the col- 
laboration between the parents and the Child Research 
Project is designed, one which can extend throughout 
the preschool period of about two years. 

The treatment emphasis is focused within four inter- 
related areas: 




Increasing her daughter's attention span by using puzzles. 




Eric Schopler, Ph.D., Director, Child Research Project. 

1. Human relatedness. IVlethods geared to the individ- 
ual child are developed for motivating him to increased 
awareness of the adult. This involves understanding 
the special ways in which each child can experience 
pleasure in human interaction and can understand 
expectations and limitations. Improvement in this area 
is basic to effective development in other areas. 

2. Competence motivation. This includes child's moti- 
vation and ability to explore his environment and to 
attain pleasure from the capacity to have an increasing- 
ly complex effect on his environment. Approaches are 
worked out for enabling the child to respond to struc- 
ture and to practice his own ways of using the struc- 
tures he has learned. In order to develop a sense of 
mastery, the child has to be able to seek help from 
adults when he has difficulty and to play on his own 
when he is able. Improvement in this area plays an 
important part in replacing or reorganizing psychotic 
behavior patterns. 

3. Perceptual motor processes. This encompasses co- 
ordination between eye and hand, awareness of the 
body, and its use in both fine and gross motor activity. 
On the basis of his understanding of the child's special 
sensitivities, perceptual distortions, and coordination 
difficulty, the therapist uses play exercises and phys- 



39 



ical activities to help the child overcome or cope with 
his impairment in this area. 

4. Cognitive development. Uneven development of 
intellectual functions characterizes all the children in 
our project. Although there is great variation in the 
children's symptoms and communication problems, it 
is not surprising that our patients also show some evi- 
dence of mental retardation. In this area the therapist 
analyzes the lack of perceptual integration underlying 
the deficit and fosters motivation to learn. Exercises 
and games are evolved in developmental sequences. 
These are aimed at enlarging receptive awareness 
signals for mental representations, words, and concepts 
evolving towards greater complexity. 

The parents continue to observe treatment sessions 
with their consultant, to work at home with their child 
in the role of cotherapists, and to demonstrate this 
work to the staff. The dialogue between parents and 
project staff continues as the child develops. One of 
the aims of the project is to work out a special educa- 
tion program for each child, a program in which parents 
and teacher work in a productive partnership after the 
child begins to attend school. 

Although our project has been in operation for less 
than two years, the results have been most encourag- 
ing so far. Some of our children are able to attend 
regular school classrooms without difficulty. For others, 
development proceeds at varying rates. In every case, 
however, there has been visible improvement in the 
child's development and in the family equilibrium. Our 
research involves longitudinal evaluation of each child 
and his family, as well as of ways in which our approach 
may profitably be applied to other problem children. 






Psychoeducational therapist teaching color distinction. 
40 



Mother working with her child on affective development. 
Father showing his son that building with blocks can be fun. 



REFERENCES 

1. Kanner, L. Autistic disturbances of affective content. Nerv. 
Child. 2: 217-250, 1943. 

2. Kysar, J. The two camps in child psychiatry: A report from 
a psychiatrist-father of an autistic and retarded child. Amer. J. 
Psychiat. 125: 103-109, 1968. 

3. Wilson, L. This Stranger, My Son: A Mother's Story. New 

York, G. P. Putnam's Sons, 1968. 

4. Park, C. The Siege. New York, Harcourt, Brace & World, Inc., 
1967. 

5. Frank, G. The role of the family in the development of psy- 
chopathology. Psychol Bull. 64: 191-205, 1965. 

6. Rimland, B. Infantile Autism: The Syndrome and Its Impli- 
cation for a Neural Theory of Behavior. New York, Appleton- 
Century-Crofts, 1964. 

7. Pitfield, M., and Oppenheim, A. Child rearing attitudes of 
mothers of psychotic children. J. Child. Psychol. Psychiat. 1: 
51-57, 1964. 

8. Schopler, E., and Loftin, J. Thought disorders in parents of 
psychotic children: A function of test anxiety. Arch. Gen. Psy- 
chiat. 20: 174-181, 1969. 

9. Rutter, M., Greenfield, D., and Lockyear, L. A five to fifteen 
year follow-up study of infantile psychosis. Brit. J. Psychiat. 113: 
1169-1199, 1967. 

10. Creak, M. Schizophrenic syndrome in childhood. Progress 
Report (April 1961) of a Working Party. Brit. Med. J. 2: 889-890, 
1961. 




^«*iifi!!t«^ 





News from the Hi 




In March, the Burroughs Wellcome 
Fund of Tuckahoe, N.Y., announced 
a grant of $125,000 to the school 
to support teaching and research in 
clinical pharmacology under the di- 
rection of DR. HAROLD J. FALLON, 
Jr. Dr. Fallon, who is chief of the Di- 
vision of Clinical Pharmacology, Tox- 
icology and Environmental Health 
and vice chairman of the Department 
of Medicine, thus becomes the six- 
teenth Burroughs Wellcome Scholar 
in Clinical Pharmacology, and his 
work will be supported by the fund 
for the next five years. 

This pioneering scholarship program 
of the Burroughs Wellcome Fund was 
established in 1955 "to assist medi- 
cal schools in setting up and devel- 
oping a division of Clinical Pharma- 
cology where students may learn 
under a first-class scientist and 
teacher to apply basic scientific 
knowledge and techniques to the 
study of clinical pharmacology." 



Through aid from the new grant, the 
Division of Clinical Pharmacology 
will participate in various teaching 
programs at the school, including 
the basic pharmacology course for 
medical students, elective clinical 
and research courses in pharmacol- 
ogy and biochemistry, and clinical 
clerkships in internal medicine. New 
faculty members are being recruited 
to participate in this program. 

Dr. Fallon's chief research interests 
include the mechanisms by which 
alcohol injures the liver, and the 
mechanisms of action of drugs which 
reduce blood lipids. Research in 
both these areas will be expanded, 
and additional projects will be start- 
ed. 

On March 8 the Admissions Commit- 
tee held an open house for advanced 
premedical students and their ad- 
visors. ASSOCIATE DEAN CHRISTO- 
PHER C. FORDHAM, DR. JAMES A. 
BRYAN (Medicine & Preventive 
Med.), Director of Admissions DR. 
WILLIAM R. STRAUGHN, JR. (Bac- 
teriology), and C. ELLIS FISHER 
('69) spoke to the visitors on medi- 
cine as a career and on admissions 
procedures in our school. 

Student-guided tours of the school 
and hospital were conducted and 



faculty members presented special 
demonstrations (DR. FREDERIC G. 
DALLDORF [Pathology]— "Pathology 
of Heart Diseases"; DRS. BENSON 
R. WILCOX and ROBERT D. CROOM 
[Surgery] —"Heart-Lung Machine"; 
DR. ORLANDO F. GABRIELE [Radi- 
ology]— "Radiological Diagnosis of 
Heart Disease"; DR. ERNEST 
CRAIGE [Medicine] — "Listening to 
Hearts"; and DRS. HERBERT S. 
HARNED, JR. and ROBERT T. HER- 
RINGTON [Pediatrics]— "Heart Dis- 
ease in Children.") 

DR. GEORGE D. PEN ICK (Pathology), 

Chairman of the Admissions Commit- 
tee, made concluding remarks. Com- 
mittee members DRS. STRAUGHN 
and CLIFFORD B. REIFLER (Psychi- 
atry) were the official hosts. Visitors 
and participating faculty and stu- 
dents had lunch at the hospital 
cafeteria. 

This year's Spring Lecture Series on 
Neoplasia began on March 5 with a 
lecture on "Mechanisms of Metas- 
tases" by DR. SUMNER WOOD, JR., 
from the Department of Pathology 
at the Johns Hopkins University. The 
following week, DR. DAVID PRES- 
COTT, from the Institute for Devel- 
opmental Biology of the University 
of Colorado, lectured on "Biology of 
Cell Division." 



Admissions Open House 





Dr. Frederic Dalldorf showing a diseased 
heart to premed students and advisors. 



Dr. Robert Croom explaining the heart- 
lung machine. 



Director of Admissions Straughn speak- 
ing to open house attendants. 



42 



As part of the series, a dedication 
conference to celebrate the opening 
of the new Division of Radiation 
Therapy was held on April 10 and 11. 

Five guest speakers discussed can- 
cer diagnosis and treatment each of 
the two conference days: DR. VIN- 
CENT T. DeVITA, chief, Solid Tumor 
Service, National Institutes of Health; 
DR. ROBERT J. LUKES, professor of 
pathology. University of Southern 
California School of Medicine; DR. 
M. VERA PETERS, Department of 
Radiation Therapy, Princess Marga- 
ret Hospital (Toronto, Canada); and 
two Stanford Medical Center faculty 
members— DR. HENRY S. KAPLAN, 
professor and executive. Department 
of Radiology, and DR. SAUL A. ROS- 
ENBERG, Department of Medicine, 
Division of Oncology. 

Faculty members JAMES F. NEW- 
SOME (Surgery), JAMES A. BRYAN 
(Medicine & Preventive Med.) and 
GERALD E. HANKS (Radiology) 
spoke on "State-Wide Tumor Regis- 
try," "Cancer Information Service," 
and "How to Improve University 
Community Oncology Relationships," 
respectively. 

Open house was held in the new 
center located in the basement of 
the Ambulatory Patient Care Build- 
ing. A social hour and a banquet 
followed. 

Dr. Hanks is director of the division 
which is expected to become the 



largest and best equipped x-ray ther- 
apy center for cancer in the south- 
east. 

DR. KARL MENNINGER, chairman of 
the board of the Menninger Founda- 
tion and co-founder of the Mennin- 
ger Clinic (Topeka, Kan.), was a 
guest of the Department of Psychi- 
atry late in March. The Menninger 
Foundation was created in 1941 as a 
nonprofit training, research and pub- 
lic health institution in psychiatry 
and psychology. The Clinic has also 
been concerned with the training of 
psychiatrists and psychologists and 
with developing new techniques in 
working with patients. 

While visiting the school. Dr. Men- 
ninger participated in departmental 
grand rounds and on March 28 de- 
livered an academic lecture to facul- 
ty and students. On the previous 
evening he was honored in a banquet 
at the Carolina Inn. 



Participation of faculty and students 
in the 53rd Annual Meeting of the 
Federation of American Societies for 
Experimental Biology was, as usual, 
numerous and well received. The 
following are some of the presen- 
tations: 

"The Role of Immunity in Tumor 
Development." G. HAUGHTON, J. 
WAGNER, and E. SIGMON. 



"Effects of Adjuvant and Antigen on 
Immunogenicity of Macrophage As- 
sociated BSA." J. K. SPITZNAGEL 

"The Dissociation of Plasma Anti- 
hemophilic Factor By Succinic An- 
hydride." E. M. BARROW and J. B. 
GRAHAM. 

"Purification of Fibrin Stabilizing 
Factor (FSF)." M. KAZAMA and R. 
D. LANGDELL. 

"Origin of Platelet Factor XIII (Fibrin 
Stabilizing Factor)." J. McDONAGH, 
T. H. KIESSELBACH and R. H. WAG- 
NER. 

"Three Dimensional Aspects of Pla- 
telet Aggregation: Scanning Electron 
Microscopic Studies." N. F. ROD- 
MAN and J. C. PAINTER. 

"Prepartum Alterations in Equine 
Serum Protein, Copper and Iron." H. 
D. STOWE. 

"Blood Compatibility of Some Poly- 
meric and Nonpolymeric Materials." 
R. G. MASON, L. D. IKENBERRY, and 
J. KEARNEY. 

"A Scanning Electron Microscopic 
Study of Morphologic Changes in 
Platelets Adhering to Glass." E. E. 
SCARBOROUGH. 

"Synthesis of Monoacylglycerophos- 
phate From sn-Glycerol-3-P by rat 
liver microsomes." R. G. LAMB and 
H. J. FALLON. 



Honoring Dr. Menninger. 




Dr. Menninger, Vice Chancellor Miller, Dr. 
Ewing, and Dean Taylor. 




43 



"Two Forms of Intranuclear Inclu- 
sions in Renal Tubules of Lead-Poi- 
soned Rats." P. B. MAY, M. R. KRIG- 
MAN, D. CRANE, and M. GATES. 

"Effects of Prostaglandin E' on the 
Hypothalamo - Hypophyseal - Adrenal 
Cortical Axis of Rats." T. C. PENG, 
M. M. SIX, and P. L. MUNSON. 

"Interrelations Between the Adrenal 
Cortex, Parathyroid Hormone and 
Thyrocalcitonin in Rats." K. NISHI- 
NO and P. L MUNSON. 

"Effect of Aluminum Phosphate on 
Neuramic Acid Concentration in 
Rabbit Brain." R. E. EXSS and G. K. 
SUMMER. 

"Transcellular Permeability in Ex- 
perimental Cholera." F. E. DALL- 
DORF and G. T. KEUSCH. Dr. Dall- 
dorf was co-chairman of the session 
on "Tissue Response; Inflammation." 

"Interactions Among Lysosomal Con- 
stituents of Polymorphonuclear Leu- 
kocytes." H. I. ZEYA. 

"Further Observations on the Mor- 
phology and Biochemistry of Mito- 
chondria Isolated from Kidneys of 
Normal and Lead Intoxicated Rats." 
R. A. GOYER and A. R. KRALL 

"Cromatin Fractions of Liver as Tem- 
plates for DNA Synthesis." J. T. 
BELLAIR, K. K. KUMAROO, and J. L 
IRVIN. 

Several other members of the facul- 
ty, as well as trainees in different 



departments, also attended 
meetings at Atlantic City. 



the 



W. RAY GAMMON (71), J. RONALD 
HUNT (72, class president), WIL- 
LIAM D. KASSENS (71, class vice- 
president), and RICHARD C. TAFT 
(72) represented the school at the 
National Convention of the Student 
American Medical Association in 
Chicago on April 1-4. Bill Kassens is 
a member of the organization's Com- 
mittee on Medical Education. The 
students also attended the SAMA- 
sponsored symposium on "Man and 
Society" held concommitantly with 
the convention. C. CLEMENT LUCAS 
('69) presided and presented his re- 
port to the Convention before step- 
ping down as national president of 
the student association. 

DR. HARVEY L SMITH, Assistant to 
the Vice-Chancellor for Health Sci- 
ences, discussed the "Health Re- 
sources and Needs in North Caro- 
lina" at NCMH on April 2. 



Findings of studies done by DRS. 
ROYCE L MONTGOMERY (Anatomy) 
and MICHAEL K. BERKUT (Biochem- 
istry) on the response of adrenal 
glands to lesions in the limbic area 
in brains of non-stressed female rats 
were presented by Dr. Montgomery 
to the American Association of Ana- 
tomists in Boston, Mass. (April 3-5). 

DR. ARTHUR J. McBAY, who was 
appointed Associate Professor of 



Pathology this spring, is a native of 
Medford, Mass. He graduated from 
Massachusetts College of Pharmacy 
where he also won his M.S. degree. 
He received his Ph.D. degree from 
Purdue University. He has taught at 
the Massachusetts College of Phar- 
macy and Harvard Medical School; 
prior to joining our faculty he was 
teaching at the Boston University 
Medical School. His primary ap- 
pointment is as Chief Toxicologist 
of the N. C. State Board of Health. 

Whitehead Society members cast 
their votes last March and elected 
T. REED UNDERHILL ('70), presi- 
dent; JAMES S. FULGHUM, III ('71), 
vice president; RICHARD C. TAFT 
('72), treasurer, and MARY SUSAN 
FULGHUM ('71), secretary to steer 
the student body during the 1969-70 
academic year. 

DR. GEORGE K. SUMMER (Biochem-' 
istry) participated in the Regional 
National Science Foundation Sym- 
posium on Human Genetics for High 
School Biology Teachers held in 
Chapel Hill on April 3-5. 
Dr. Summer has been elected Trea- 
surer of the N.C. Chapter of the So- 
ciety of the Sigma Xi for a two-year 
term beginning in May, 1969. 

DR. SYLVANUS W. NYE (Pathology) 

spoke on "Eosinophilic Meningitis" 
to the attendants of the course on 
"The Geographic Pathology of Trop- 
ical and Infectious Diseases" held 



SAMA CONVENTION 

At SAMA National Convention: Ray Gammon, Bill Kassens, Richard Taft and Ron Hunt in 
the lobby of the Conrad Hilton Hotel. Hunt and Kassens attending a session of the House 
of Delegates. 



Dr. H. L Smith 




44 



at the AFIP in Washington, D.C. on 
April 8. 

DR. COLIN G. THOMAS, JR. (Sur- 
gery) reported to the American Sur- 
gical Association meeting in Cincin- 
nati (April) on his new diagnostic 
procedure to detect thyroid cancer. 
The method is expected to increase 
accuracy of diagnosis by up to 150 
percent. 

On April 10, DR. BENSON R. WILCOX 
(Surgery) addressed the South Caro- 
lina Heart Symposium held in Flor- 
ence, B.C. on the "Present State of 
Cardiovascular Surgery." 

Actively carrying out his duties as 
state medical examiner, DR. W. 
PAGE HUDSON (Pathology) has 
spoken on the medical examiner sys- 
tem to the Medical Society of the 
State of North Carolina, the North 
Carolina Public Health Association 
and several county medical socie- 
ties, as well as to hospital staffs and 
civil organizations. 

On April 24, he was the guest speak- 
er in the forensic pathology series 
held at Duke University where he 
lectured on the medical examiner 
system and on the identification of 
human remains. In June he traveled 
to Toronto, Canada, to participate in 
the Fifth International Meeting of 
Forensic Sciences and presented a 
paper on "The Conception, Gesta- 
tion, Delivery and Growth of a State 
Medical Examiner System." 



Late Somatic Effects of Ionizing Ra- 
diation is the title of the recently 
published book written by DR. 
CHARLES D. VAN CLEAVE (Anatomy) 
at the request of the U.S. Atomic 
Energy Commission. Dr. Van Cleave 
was commissioned for this task in 
1965 . . . (U.S. AEC Division of Tech- 
nical Information, Oak Ridge, 1968. 
310 pp. Available as TID-24310 from 
Clearinghouse for Federal Scientific 
and Technical Information, U.S. De- 
partment of Commerce, Springfield, 
Va. 22151.) 

In his capacity as Officer of State 
Committee, DR. LEONARD PALUM- 
BO (Ob. & Gyn.) participated in the 
meetings of the Southeastern OB- 
GYN Society held in Atlanta on April 
10-13. He was also a panel discus- 
sant at the North Carolina OB-GYN 
Society meetings in Southern Pines, 
N.C., on May 3-4. 

At the American College of Obstetri- 
cians and Gynecologists meeting 
(Bal Harbour, Fla., April 27-30) both 
Dr. Palumbo and DR. JAROSLAV F. 
HULKA (Ob. & Gyn.) took active part, 
Dr. Palumbo as member of the Ad- 
visory Council and section chairman 
of North Carolina, and Dr. Hulka with 
his presentation on "Local Antibody 
Production in Cervical Mucus." 

The UNC Medical Parents' Club cele- 
brated its 13th Annual Parents' Day 



Dr. Van Cleave 




on April 12. The program was as 
follows: 

8:30 a.m. — Registration — Clinic Lob- 
by, N.C. Memorial Hospital. 

9:00-10:00a.m.— Tours of the Medical 
School and Hospital. 

11:00 a.m. — General Meeting, Clinic 
Auditorium. 

Presiding — Dr. Robert D. Croom, Jr., 
President, U.N.C. Medical Parents' 
Club. 

Greetings — William Clyde Friday, 
President, University of North Caro- 
lina. 

Remarks — Dr. Isaac M. Taylor, Dean, 
U.N.C. School of Medicine. 

Annual Meeting of the Parents' Club. 

General Business Session: 

The Charles H. Burnett Scholarship 
Fund, Berryhill Scholarship Fund, 
and the Student Emergency Loan 
Fund.— Dr. Mitchell Sorrow, Jr., As- 
sociate Professor of Medicine and 
Assistant Dean. 

Remarks— Carl Ellis Fisher '69, Presi- 
dent, Whitehead Society. 

"Studies of the Effect of Altered 
Thyroid Function on Experimental 
Breast Cancer" — Andrew Davidson 
'69. 

"Student Participation in Commu- 
nity Health"— John Volney Allcott 111 
'71. 

"Student Participation in the Medi- 
cal School Curriculum Revision" — 
Thurlow Reed Underbill '70. 

"The Senior Elective Program" — 
Charlie Richard Fleming '69, Presi- 
dent, Senior Class. 

"Problems of Cadaveric Organ Trans- 
plantation" — Charles F. Zukoski, 
M.D., Department of Surgery. 

Report of Nominating Committee. 

Other Old or New Business. 



45 



Comments of the President. 

1:00 p.m.— Buffet Lunch at Chapel 
Hill Country Club. 



Medical parents steering the Club 
during the present term are: 

President: Mr. L 0. Branch, Durham 

First Vice President: Dr. Don R. 
Printz, Asheville 

Second Vice President: Dr. Key Lee 
Barkley, Raleigh 

Secretary: Mr. C. C. Harmon, Greens- 
boro 

Trustees of the Student Emergency 
Loan Fund, Reece Berryhill Scholar- 
ship Fund and Charles Burnett 
Scholarship Fund: 

Mr. Donald S. Menzies, Hickory 

Dr. H. Haynes Baird, Charlotte 

Mr. W. T. Harris, Charlotte 

REGION I 

Chairman: Mr. V. J. Spivey, Chad- 
bourn 

Vice Chairman: Dr. Alan Davidson, 
New Bern 

REGION II 

Chairman: Mr. J. Thomas John, Laur- 

inburg 

Vice Chairman: Mr. Erwin B. Pittman, 

Wilson 

REGION ill 

Chairman: Mr. John T. Manning, 

Greensboro 

Vice Chairman: Mr. John V. Allcott, 

Chapel Hill 

REGION IV 

Chairman: Mr. Allen W. Huffman, 

Hickory 

Vice Chairman: Mr. Bertram Finch, 

Charlotte 

REGION V 

Chairman: Mr. F. D. Hamrick, Jr., 

Rutherfordton 

Vice Chairman; Mr. Lawrence Mills, 

Asheville 





DR. K. M. BRINKHOUS (Pathology) 
has been appointed to the National 
Advisory Heart Council of the Na- 
tional Heart Institute. He will serve 
from October 1, 1969 to September 
30, 1973. The Council is a 15-mem- 
ber advisory body which evaluates 
NHI's research and training activi- 
ties and makes recommendations 
concerning current and future NIH 
programs in the cardiovascular field. 

Dr. Brinkhous is also to continue as 
secretary-treasurer of the American 
Association of Pathologists and Bac- 
teriologists. He was re-elected for 
this position at the annual meeting 
of the association in San Francisco 
in March of this year. 

This spring. Dr. Brinkhous was twice 
honored for his numerous contribu- 
tions to medicine. On May 21st he 
received the North Carolina Award 
for distinguished achievements in 
science. The award, presented by 
Governor Robert Scott at a special 



dinner, was created by the 1961 Gen- 
eral Assembly to recognize individ- 
uals whose achievements in public 
service, fine arts, literature and sci- 
ence have brought honor to North 
Carolina throughout the nation and 
the world. Two days later in Wash- 
ington, D.C., he and Dr. Walter H. 
Seegers— of Wayne State University 
—received the 1969 International 
Award for Heart and Vascular Re- 
search given annually by the James 
T. Mitchell Foundation for Medical 
Education and Research. The foun- 
dation sponsored an all-day sympo- 
sium on "Blood Coagulation and 
Lung Pathology" for the occasion; 
the awards were given at the lun- 
cheon. Dr. Brinkhous delivered a 
paper at the scientific sessions on 
"Lung Extract and Blood Clotting. 
Retrospection 1934-1969: From Iowa 
City to Chapel Hill." 



"Effects of Bisulfite on Cation Trans- 
port and Metabolism in Human Red 
Blood Cells" was DR. JOHN C. PARK- 
ER'S (Medicine) address to the Red 
Cell Club at their Atlantic City meet- 
ing in April. 

DR. CHARLES C. MEHEGAN (Medi- 
cine) addressed the American Acad- 
emy of Neurology in Washington, 
D.C. He spoke on "Hyperlexia: A 




Drs. Oscar Goodwin, Robert Croom, Key Lee Barkley, Mr. Gary M 
and Mr. L. 0. Branch. Underhill 




Messrs. J. L. Phillips, L. 0. Branch 



Mr. Hale Johnson 
46 



W. Ray Gammon (71) 



Dr. William N. Hubbard, Jr. {'43M) 



study of Exceptional Reading Ability 
in Brain Damaged Children." 

DR. A. T. MILLER (Physiology) lec- 
tured on "Cell Metabolism in Hy- 
poxia" at Howard University School 
of Medicine on April 22. 

DR. ROBERT A. ROSS (Ob. & Gyn.) 
was installed April 30 as president of 
the American College of Obstetri- 
cians and Gynecologists during the 
College's annual clinical meeting at 
Bal Harbour, Fla. Dr. Ross is a mem- 
ber of the N.C. Governor's Commis- 
sion on Family Planning and Environ- 
mental Health. 

Special seminars sponsored by the 
Department of Pharmacology were: 

April 10: "Studies on the Mode of 
Biological Oxidation of Pyrazolopy- 
rimidines," DR. DAVID JOHNS, De- 
partments of Pharmacology and 
Medicine, Yale University. 

April 28: "Steps in the Reproductive 
Process Susceptible to Regulation," 
PROF. EGON DICZFALUSY, Repro- 
ductive Endocrinology Research 
Unit, Swedish Medical Research 
Council. 

May 7: "Structure-Activity Relation- 
ships of Inhibitors of Uptake of Nore- 
pinephrine by Adrenergic Nerves," 
DR. ROBERT MAXWELL, Wellcome 
Research Laboratories. 

On April 28 DR. JOHN K. SPITZNA- 
GEL (Bacteriology) conducted a sem- 
inar on "Killing of Bacteria by White 
Blood Cells (Polymorphonuclear Leu- 
kocytes)" at the University of Cincin- 
nati. In May, he attended the Annual 
Meeting of the American Society of 
Microbiology held in Miami Beach, 
Fla. 

"Differences in the Capacity of the 
Sympathetic and Endocrine Systems 
of Depressed Patients to React to a 
Physiological Stress" was DR. 
MARIO PEREZ-REYES'S (Psychiatry) 
contribution to the Workshop on the 
Psychobiology of the Depressive Ill- 
ness held in Williamsburg, Va., from 
April 30 through May 2. 

In April, DR. WILLIAM L FLEMING 
(Preventive Medicine & Medicine) 

participated on the meetings of the 
Public Advisory Committee on Vene- 



real Disease Control at the National 
Communicable Disease Center (At- 
lanta) and of the Board of Directors 
of the American Social Health Asso- 
ciation (Los Angeles). 

Dr. Fleming is chairman of the Com- 
mittee on the American Medical As- 
sociation Education and Research 
Foundation of the Medical Society 
of the State of North Carolina. In 
this capacity, he presented AMAERF 
checks to representatives of the 
three North Carolina medical schools 
at the annual meeting of the society 
(May 21). 

DR. MARIO C. BATTIGELLl's (Prev. 
Medicine & Medicine) spring activi- 
ties included participation in pro- 
fessional meetings: "Experimental 
Studies on the Mechanism of Pul- 
monary Injury from Air Pollutants," 
presented at the "Man in His Envir- 
onment," 15th Annual Technical 
Meeting of the Institute of Environ- 
mental Sciences, Anaheim, Califor- 
nia, April 21; "Physical Factors in 
Respiratory Infections" presented at 
the Annual Meeting of the N. C. 
Thoracic Society, Durham, April 25; 
"Coal-workers Pneumoconiosis" pre- 
sented at the Annual Meeting of the 
Kentucky Academy of General Prac- 
tice, Louisville, Kentucky, May 8. 

On April 30 seven operating room 
technicians received diplomas certi- 
fying their special training at NCMH. 
DR. JOHN W. MADDEN (Surgery) and 
MR. STEVE BAUGHN, New Careers 
Coordinator of the Durham branch 
of Operation Breakthrough, spoke at 
the graduation ceremony. Receiving 
diplomas were: MR. RONALD BEST, 
MRS. MARY DIXON, MRS. SANDRA 
FARRINGTON, MISS IRMA FER- 
RELL, MRS. SHIRLEY FOUSHEE, 
MISS MARGIE SHAMBERGER, and 
MRS. PARTHENIA SPEIGHT. 

A joint radiology conference was 
held last April for Duke and UNC. 
DR. ARTHUR R. CLEMETT, Associate 
Clinical Professor at New York Uni- 
versity, spoke on "Lymphomas of 
the G.I. Tract" 

MR. RONALD H. HUTTON. who had 
served as assistant director of the 
hospital since his arrival at NCMH 
in November, 1965, has been pro- 
moted to associate director. 



A member of the graduating class, 
THEODORE H. KIESSELBACH, was 
the winner of two national first-place 
awards in research competitions 
held this spring. The Awards Com- 
mittee of the American Society of 
Clinical Pathologists selected him to 
receive its highest award "for the 
most outstanding research paper in 
clinical pathology entered in the 1969 
competition among medical students 
in the United States." For this 
achievement and for being one of 
ten winners of the Sheard-Sanford 
Award for research in clinical pathol- 
ogy, he received a check for $350, a 
certificate from the American Socie- 
ty of Clinical Pathologists, and a 
medal from Bausch & Lbmb, Inc. 
The paper that won this honor for 
Ted is entitled "The Effect of Throm- 
bin on Factor XIII." 

At the National Student Research 
Forum held in Galveston April 24- 
26 and sponsored jointly by the Stu- 
dent American Medical Association 
and the University of Texas Medical 
Branch, School of Medicine, Ted and 
two other UNC medical students re- 
ceived one third of the awards of- 
fered. Ted's paper on "Localization 
of Coagulation Factor XIII in Human 
Bone Marrow Megakaryocytes by 
Fluorescent Tracing" won first place 
in the Mead Johnson Excellence of 
Research Award in the Medical Stu- 
dent-Attendance Category. Honor- 
able mention went to second-year 
student John T. Cuttino for his paper 
entitled "Studies on Hyperlipemia 
and Eruptive Xanthomata in Glyco- 
gen Storage Disease" and to fourth- 
year student P. Eugene Brown for 
his paper "Genetic Variants of He- 
mophilia B." More than 60 papers 
from 40 medical schools were enter- 
ed in this competition. 

DR. PHILIP SIEKEVITZ (Rockefeller 
University) was specially invited by 
the Department of Biochemistry to 
lecture on "The Biogenesis of Mem- 
branes" on May 1st. The department 
also sponsored three spring semi- 
nars: "Alteration of Lipid Composi- 
tion of Cultured Cells" (DR. ROBERT 
DELL'ORCO, Dept. Microbiology, Uni- 
versity of Kansas); "Cell-Free Syn- 
thesis of Clavine Alkaloids" (DR. 
FINIS L. CAVENDER, Dept. Biochem- 
istry, Texas Technological College); 
and "Characterization of Red Cell 
Acid Phosphatases" (DR. MARILYN 



47 



R. FENTON, Dept. Physiological 
Chemistry, Ohio State University). 

DR. HUBERT C. PATTERSON (Sur- 
gery), president of the N.C. Surgical 
Association, presided over the meet- 
ings of this organization held at The 
Homestead, Hot Springs, Va., on May 
15-17. 

DPS. JAMES F. NEWSOME and 
CHARLES F. ZUKOSKI (Surgery) also 
participated in the scientific reunion. 
Dr. Newsome, besides being program 
chairman, was the moderator of the 
panel on "Ethical Consideration of 
Organ Transplantation." Dr. Zukoski 
gave a paper on "Organ Transplan- 
tation." 

Dr. Newsome was also program 
chairman for the general session of 
the North Carolina Medical Society 
meeting (Pinehurst, May 21) and pre- 
sented a paper on "Needs to Improve 
Traffic Safety and the Care of Traffic 
Victims." 



Among the school's presentations at 
the 66th Annual Meeting of the North 
Carolina Academy of Science held in 
Wilmington, N.C. on May 2-3, were: 
"Protein Biosynthesis in Mammalian 
Cell Cultures" by DRS. BOYD SWIT- 
ZER and GEORGE K. SUMMER (Bio- 
chemistry); "The Influence of Amyg- 
dalectomy on the Spleen of Stressed 
and Non-Stressed Rats" by DRS. 
MICHAEL K. BERKUT (Biochemistry) 
and ROYCE L. MONTGOMERY (Ana- 
tomy); "The Behaviour of Rats Fol- 
lowing Bilateral Ablation of Septae 
and Amygdalae" by Drs. Montgom- 
ery and Berkut; and "Pathophysiol- 
ogy of Blood Coagulation" by 
GEORGE D. PENICK (Pathology). 



DR. MILTON L MILLER (Psychiatry) 
chaired the Section 5 of the scien- 
tific meetings of the American Psy- 
choanalytic Association held at Mi- 
ami Beach, Florida on May 3. 



Fifty occupational and physical ther- 
apy specialists from the United 
States, Canada and Sweden partici- 
pated in a five-day course at the 
Hand Rehabilitation Center on May 
12-16. UNC medical and therapy 
staff and guest lecturers discussed 
and demonstrated current techni- 
ques used for traumatically injured 
hands. The course was first offered 
in 1967 and has been held every year 
since then. 



Ten papers in the program of the 
69th Annual Meeting of the American 
Society of Microbiology held in Mi- 
ami Beach, Fla. last May were the 
results of research studies conduct- 
ed in our Department of Bacteriology 
by DRS. HARRY GOODER, KWANG 
SOO KIM, D. GORDON SHARP, DE- 
NISE D. DALTON, G. PHILIP MA- 
NIRE, AKIRO MATSUMOTO, and 
WILLIAM R. STRAUGHN, MRS. PRIS- 
CILLA B. WYRICK, and MESSRS. 
PETER M. McGUIRE and CHRISTO- 
PHER FIELD. 




By invitation of the National Audio 
Visual Center, DR. HAROLD R. ROB- 
ERTS (Pathology & Medicine) has 

been taping special television pro- 
grams on platelet disorders. The 
taping is being done in Atlanta, Ga., 
and will be completed this summer. 
Last March Dr. Roberts spoke on 
these disorders and methods to diag- 
nose them to the staff of the Medical 
College of South Carolina. 

DR. HARRY GOODER's (Bacteriol- 
ogy) presentation at the Symposium 
on Cell Wall and Membrane Struc- 
ture in Bacterial Taxonomy (Virginia 
Polytechnic Institute, Blacksburg, 
Va., May) was entitled "Cell Wall 
Composition in the Classification of 
Streptococci." 



DR. MARGARET C. SWANTON (Pa- 
thology) spoke on "Problems in Hor- 
monal Cytology" at the meeting of. 
the North Carolina Society of Medi- 
cal Technologists (Charlotte) on May 
3. In June, she was UNC-CH dele- 
gate to the American Association of 
University Women Convention held 
in Chicago. During her stay in that 
city, she also participated in the con- 
joint meeting of pathologists and 
gynecologists of the National Com- 
mittee for Reproducibility of Diag- 
nosis, an USPHS Cancer Control 
Uterine Cancer project. DR. HUGH 
M. SINGLETON (Ob. & Gyn.) also at- 
tended the latter meeting. 

The local chapter of the Alpha Ome- 
ga Alpha National Medical Honor 
Society held their annual ceremonies 
on May 9. The Adam T. Thorp III 
Memorial Lecture, established in 
memory of the class of 1956 alumnus 
to honor the new members of AOA, 
was delivered by DR. FRANK J. DIX- 
ON. Dr. Dixon, chairman of the De- 
partment of Experimental Pathology 
at the Scripps Clinic and Research 
Foundation in La Jolla, Calif., spoke 
on "The Etiology and Pathogenesis 
of Glomerulonephritis." 

The lecture was followed by a social 
hour and banquet at Blair House 
where the new members were initi- 
ated. 

DR. and MRS. JAMES A. BRYAN 
(Medicine) gave a reception at their 
residence for the guest speaker and 
the AOA members and their wives. 



48 




AOA Guest speaker Dixon and President Middleton 





Chief Justice Earl Warren and Dean Taylor at the inauguration 
ceremonies of the new Law School building on May 3. 



Dr. Dixon, Dr. Brinkhous and students 




Newly elected AOA members.- (Front row, left to right) Daniel L. Crocker (70), Thomas R. Griggs ('69), J. Franklin Sanderson, Jr. 
('69), Robert B. Jones ('70), T. Cameron MacCaughelty ('69), and David S. Sheps ('69). (Back row, left to right) Stewart L. Ellington 
('69), H. Grey Winfield III ('70), George M. Oliver, Jr. ('70), G. Patrick Guiteras ('69), J. Patterson Browder III ('70), and Dr. Harold 
R. Roberts ('55) (Pathology and Medicine). 



49 



STUDENT-FACULTY DAY 

Saturday, May 10 

10:00 Memorial Hall— Skits & 
Awards 

12:30 Storybook Farm — Barbecue 
dinner & Softball 

9:00 American Legion Hut— Com- 
bo Party 




THEM CULTURE LOVERS 

How 'bout them culture lovers, ain't 
they vultures 

Drool, slobber, slurp, eating them 
cultures 

Culturing cocci, culturing yeast 

Mix 'em with red cells, have a little 
feast 

Look at them culture lovers, ain't 
they great 

Smelling them pseudomonas, 
streaking them plates 

Them superstitious culture lovers, 
ain't they neat 

Hunting for treponema on the johnny 
seat 

How to be a culture lover if I may 
suggest it 

Find an old culture, eat it and 
digest it. 





THEM PILL PUSHERS 

How 'bout them pill pushers, ain't 
they great 

Prescribe you a pill for 'most any 
ache 

If your complaint is not specific 

They'll give you an aspirin or a 
soporific 

Look at them pill pushers ain't they 
hip 

Hide behind the lab door, take a 
little trip 

Them acid head pill pushers, ain't 
they meanies 

Charge you through the nose for just 
a few bennies 

How to be a pill pusher, get a legal 
cushion 

Find a few goof balls, haul off and 
push 'em. 

THEM SCOPE PEEPERS 

How 'bout them scope peepers, 
ain't they wise 

Peeping all day at their microscope 
slides 

Peep a slice of liver, peep a slice 
of heart 

Peep a slice of cake, can't tell 
'em apart 

Look at them scope peepers, ain't 
they spastic 

Trying to tell the normal cells 
from the anaplastic 

Them academic scope peepers, ain't 
they crocks 

Lurking in the laboratory, cursing 
at the docs 

How to be a scope peeper, don't need 
a ticket 

Find an old slide, stoop down and 
peep it. 




MY FAVORITE THINGS 

Midnight stool bennies, and crits in 
the morning 

Professor rounds and trolls 
without warning 

Ten page write ups that never get 
read 

These are a few of the things that 
I dread 

Smart yankee interns and verbose 
attendings 

Journal clubs residents with rounds 
never ending 

Mealy mouthed consults — 5 days 
too late 

These are a few of the things that 
I hate. 

Chorus: 

When the phone rings and my heart 
stops 

Then I feel so bad 

Then I just think of the money 
I'll make 

And then I don't feel so bad. 




50 




The Professor Award — Robert L. Ney, M.D. (Medicine) 



The Medical Basic Science Teaching Award- 
Carl W. Gottschalk, M.D. (Medicine and Physi- 
ology) 




Where are you going, my Kinny boy, 
Kinny boy? 

Where are you going, my Kinny, my 
own? 



51 



The Department of Medicine spon- 
sored three conferences during 
April-May: DR. STANLEY E. BRAD- 
LEY, Professor and Chairman, De- 
partment of Medicine, College of 
Physicians and Surgeons: "Studies 
of Hepatitis in Man and Dog." 

DR. GRANT W. LIDDLE, Professor 
and Chairman, Department of Medi- 
cine, Vanderbilt University School of 
Medicine: "Ectopic Hormones." 

DR. GILBERT GLASSER, Head, Sec- 
tion of Neurology, Department of 
internal Medicine, Yale University 
School of Medicine: "Cerebral Ionic 
Environment and Epilepsy." 

DR. CARL E. ANDERSON (Biochem- 
istry) participated in the Internation- 
al Symposium on The Chemistry and 
Metabolism of Sphingolipids held at 
the Michigan State University in 
May, and in the American Red Cross 
Conference on The Structure and 
Function of the Red Cell Membrane, 
at the Pan American World Health 
Organization (Washington, D.C., May 
8-9). 

Dr. Anderson is planning to attend 
the Vlllth International Congress of 
Nutrition in Prague, Czechoslovakia 
on August 28-September 6. 

DR. ERNEST CRAIGE (iVIedicine) has 
been elected to the Board of Exam- 
iners for the Subspecialty of Cardio- 
vascular Disease of the American 
Board of Internal Medicine. 



SECOND ANNUAL STUDENT 
RESEARCH DAY, MAY 7 



Welcome 

M.D. 



Dean Isaac M. Taylor, 



Introductory Remarks — Enser W. 
Cole III (71) 

"Genetic Variants in Hemophilia 
B"— P. Eugene Brown ('69)§ 

Sponsor: Harold R. Roberts, M.D. 
(Pathology and Medicine) 

"The Treatment of Pseudomonas 
Corneal Ulcer with Betadine"— 
James B. Sloan (70)§ 

Sponsor: Samuel D. McPherson, Jr., 
M.D. (Ophthalmology) 

"The Role of Fibrinogen in Platelet 
Aggregation — A Study of Congenital 
Afibrinogenemia" — David E. Sharp 
('71)§ 

Sponsor: Nathaniel F. Rodman, M.D. 
(Pathology) 

"An Example of Fragmentation and 
Obsession" — Harold R. Roberts, 
M.D., Guest Speaker 

"Fluorescent Antibody Demonstra- 
tion of Coagulation Factor XIII in 
Human Megakaryocytes" — Theodore 
H. Kiesselbach {'69)* 

Sponsor: Robert H. Wagner, Ph.D. 
(Pathology and Biochemistry) 

S student Research Day Awards 

*The Deborah C. Leary Memorial Awards 



"Adenosine 3'-5' Monophosphate as 
the Mediator of ACTH-induced As- 
corbic Acid Depletion in the Rat Ad- 
renal"— H. Shelton Earp III (70)* 

Sponsor: Robert L. Ney, M.D. (Medi- 
cine) 

"A Morphologic Study of Granulo- 
cyte Induced Hemolysis" — Daniel L. 
Crocker (70)* 

Sponsor: Richard I. Walker, M.D. 
(IVIedicine) 

Organizing Committee and Judges: 

Enser W. Cole III (71), Chairman 
Carol Ann Aschenbrener (71) 
C. Ellis Fisher ('69) 
Christine 0. Suberman ('70) 
J. Fred Wolfe ('72) 




Enser W.Cole III 




Harold R. Roberts, M.D. 
52 



Theodore H. Kiesselbach 



H. Shelton Earp III 




Daniel L. Crocker 



ROBERT B. JONES (70), received a 
Student Travel Award from the Amer- 
ican Gastroenterological Association 
to attend the organization's meetings 
held in Washington, D.C. on May 14- 
17. Bob, who has taken a year off 
from the regular medical school pro- 
gram to pursue graduate studies in 
the Department of Biochemistry, will 
begin his fourth medical school year 
next fall and expects to obtain his 
M.D. degree in 1970. 

On May 1st Associate Dean JOHN B. 
GRAHAM was the guest lecturer for 
the Student Research Day at the 
Medical College of Alabama. His 
topic was "Biomedical Research in 
the Coming Age." 

On May 15-16 he lectured at Cornell 
University Medical College in the ca- 
pacity of Visiting Professor of Medi- 
cine. He spoke on "Human Over- 
population" and "Biosynthesis of the 
Antihemophilic Factor." On the sub- 
ject of overpopulation he had pre- 
viously addressed the members of 
the Rotary Club of Concord, N.C. 

A seminar on "Ventilatory Mechanics 
of the Thorax in Emphysema" was 
conducted by DR. PAUL VAN LITH 
of the Department of Medicine of the 
University of Florida on May 12. 

DR. JOSEPH S. PAGANO (Bacteriol- 
ogy and Medicine) spoke on infec- 
tious mononucleosis to the N. C. 
State Medical Society in Pinehurst, 
N. C. on May 20. 

DR. CLAYTON E. WHEELER, JR. 
(Medicine) reported results of his 
work on herpes simplex infections to 
the Dermatology Section of the Illi- 
nois Medical Society (Chicago, May 
21) and to the Seaboard Medical As- 
sociation (Nags Head, June 20). 

On May 21, DR. MARY ELLEN JONES 
(Biochemistry) conducted a sympo- 
sium on "Bacterial Aspartate Trans- 
carbamylases" at the Department of 
Biochemistry and Nutrition of the 
Virginia Polytechnic Institute. 



and of the North Carolina Heart As- 
sociation (Charlotte, N.C). At South- 
ern Pines he spoke on "Training of 
Ambulance Attendants" and in Char- 
lotte he was moderator of a panel on 
peripheral vascular disease and also 
spoke on this subject. 

In June, Dr. Johnson participated in 
the Fourth Annual Rescue Institute 
held in the UNC campus. He has 
helped in the organization of the 
institute for the past three years. 

On May 27, DR. JANET J. FISCHER 
(Medicine and Bacteriology) lectured 
on "Antibiotic Usage" to physicians 
and staff of the Mountain Home Vet- 
erans Hospital in Johnson City, Tenn. 

DR. PAUL F. WHITAKER, Clinical As- 
sociate Professor of Medicine and 
Preceptor in Psychiatry from Kin- 
ston, N.C, is the author of a book 
of poetry entitled More Than Medi- 
cine (New York, The Carlton Press, 
1968). Many of the poems deal with 
medical and psychiatric subjects. 
Included in the volume is an essay 
on the use of poetry in therapy which 
Dr. Whitaker gave to our freshman 
class in Human Ecology in the spring 
of 1968. 

Quoted comments about the book 
will serve our readers far better than 
our own review: 

". . . This book of verse offers not 
only some excellent reading for the 
physician, but also gives him a read- 







ily available therapeutic aid for some 
of his patients ... We have read all 
of these unusual poems and recom- 
mend them strongly to our col- 
leagues . . ." (Bull. Am. Coll. Phys. 
10: 185 fAprill 1969.) 

". . . Both physicians and patients 
can read it with personal profit and 
benefit . . . shows most convincingly 
that the physician can 'cure some- 
times, relieve often, prevent fre- 
quently, but comfort always'. . ." (Dr. 
Richard Proctor, Professor and 
Chairman, Department of Psychiatry, 
Bowman Gray School of Medicine.) 

". . . is an enduring credo for all who 
would face life with dignity and for- 
bearance. This collection I heartily 
recommend . . ." (Dr. Warner H. Wells 
iSurgeryl.) 

. . .'Lament for America' and 'Art of 
Medicine' particularly appealed to 
me. I would like to see the latter 
included in the curricula of every 
medical school . . ." (Dr. Wilburt C 
Davison, Dean Emeritus, Duke Uni- 
versity School of Medicine.) 



DR. JAMES W. WOODS (Medicine) 
participated in the scientific session 
of the North Carolina Heart Associa- 
tion meetings held in Charlotte in 
May. His presentation was entitled 
"Newer Facets of Renovascular Hy- 
pertension." 



"Recent Advances in Pharmacology 
as Applied to Dental Practice" was 



DR. GEORGE JOHNSON, JR. (Sur- 
gery) attended meetings of the Medi- 
cal Society of the State of North 
Carolina (Southern Pines, May 21) 




Bub Juii 



53 



the title of DR. WILLIAM L DEWEY's 
(Pharmacology) address to the Coas- 
tal Dental Study Club in New Bern, 
N.C. (May 29). 

Results of studies carried out by 
Department of Medicine members 
DRS. CHARLES H. WALLAS, JOHN 
C. PARKER, HILLEL J. GUELMAN, 
and LOUIS G. WELT on relationships 
between erythrocyte active transport 
of sodium, lactate production and 
erythrocyte sodium concentration 
were presented by Dr. Wallas at the 
meetings of the American Federation 
for Clinical Research held in Atlantic 
City in May. 




WAYKIN NOPANITAYA, from Thai- 
land, received a Bachelor's degree 
in Zoology this spring. Waykin has 
been in the Department of Pathology 
since 1967 working under the tutelage 
of Dr. Sylvanus W. Nye and is cur- 
rently a candidate for the M.S. de- 
gree in Experimental Pathology. 

At the Third Hepatoma Symposium 
sponsored by the Pels Research In- 
stitute (Philadelphia, June 2-3) DR. 
J. LOGAN IRVIN (Biochemistry) re- 
ported his and DR. HENRY STRO- 
BEL's findings on the "Synthesis and 
Degradation of Tryptophan Pyrrolase 
and Tyrosine Transaminase in Liver 
and Morris Hepatoma 5123TC." 



On June 10, Dr. Irvin lectured on "Ef- 
fects of Histones Upon the Induction 
of Enzymes in Liver of Adrenalecto- 
mized Animals" at the M. D. Ander- 
son Hospital and Tumor Institute of 
the Texas Medical Center, in Hous- 
ton. 

DR. RAYMOND F. SCHMITT, JR., is 
a new Instructor in Psychiatry. Born 
in New Orleans, he attended Loyola 
University (B.S. 1956) and Louisiana 
State University Medical School 
(1959). He spent two years with the 
Air Force and served residencies at 
the Mental Health Institute in Chero- 
kee, Iowa, and at Tulane University. 
His primary interest is child psychi- 
atry. 

DR. DONALD D. WEIR (Medicine) 
spoke on "Management of Rheuma- 
toid Patients by Physicians in a 
Southern State" to the American 
Rheumatism Association at meetings 
held in Boston in June. 

On June 14 DR. CHARLES F. ZUKO- 
SKI (Surgery) lectured to the staff of 
the Moses H. Cone Memorial Hos- 
pital on "Organ Transplantation." 

Genetics trainee RAYMON J. KELLE- 
HER and DR. HARRY GOODER (Bac- 
teriology) presented their work on 
genetic linkage in the pyrimidine bi- 
osynthetic pathway in B. subtilis at 
the Transformation Meeting, held in 
Estes Park, Colo., in June 13-18. 

The Orange-Person Mental Health 
Center has established headquarters 
in Chapel Hill with DR. JOHN A. 
EWING (Psychiatry) as its clinical 
director. The center, founded last 
October, has clinics in Chapel Hill, 
Hillsborough and Roxboro. Most of 
the staff members are from the medi- 
cal school, NCMH and UNC depart- 
ments of Psychology and Social 
Work. In-patient service will be pro- 
vided at Memorial and Umstead hos- 
pitals. 

DR. ROBERT L TIMMONS (Surgery), 
Secretary-Treasurer of the Forum of 
University Neurosurgeons, attended 
the group's meeting in Dallas, Tex., 
on June 18-22. On April 11, Dr. Tim- 
mons presented a paper on "Water 
and Salt Metabolism Following Pitui- 
tary Stalk Section" at the Edgar 



Kaha Neurosurgical Meeting in Ann 
Arbor, Mich. 

DR. K. M. BRINKHOUS (Pathology) 

lectured on "Blood Coagulation — An 
Overview" at the summer course on 
Recent Advances in Biomedical Sci- 
ences Pertinent to Oral Surgery of- 
fered by the Department of Nutrition 
and Food Sciences of the Massa- 
chusetts Institute of Technology. 

DRS. GEORGE K. SUMMER (Bio- 
chemistry) and EDWARD L HOGAN 
(Medicine) participated in the Re- 
gional Lipid Conference held at Oak 
Ridge, Tenn. on May 8-9. Dr. Sum- 
mer spoke on "Studies on Hyperli- 
pemia in Glycogen Storage Disease" 
and Dr. Hogan reported on his work 
on sphingolipid composition in mu- 
rine genetic leukosdytrophy. 

On June 21, Dr. Hogan presented to 
the Annual Meeting of the Ameri- 
can Association of Neuropathologists 
(New Haven, Connecticut) findings 
of studies carried out by him and 
DRS. JOE P. HURT and MARTIN R. 
KRIGMAN (Pathology) on "Subacute 
Necrotic Myelopathy: Isolation of a 
Virus." 

MR. DONALD S. BUCKLEY, appoint- 
ed Instructor in Hospital Administra- 
tion, comes to Chapel Hill from 
Norfolk, Va., where he had been as- 
sistant administrator at the Norfolk 
General Hospital since 1965. Mr. 
Buckley was born in Charlotte, N.C, 
received his B.S. degree from UNC 
in 1959 and the M.H.A. degree from 
the University of Minnesota in 1961. 

DRS. JAMES H. SCATLIFF (Radiol- 
ogy) and CLAYTON E. WHEELER 
(Medicine) spoke at the 74th Annual 
Meeting of the Seaboard Medical As- 
sociation held June 19-22. Dr. Scat- 
liff's topic was "Newer Advances in 
Radiological Diagnoses" and Dr. 
Wheeler's was "Herpes Simplex In- 
fections." 

DR. WILLIAM E. BRENNER, recently 
appointed Instructor in Obstetrics 
and Gynecology, was born in Dayton, 
Ohio, and received his degrees from 
Case Western Reserve University. 
Before coming to Chapel Hill he was 
a teaching fellow at the University 
Hospitals of Cleveland. 



54 



Faculty Promotions 

To professor: DRS. BILLY BAGGETT 
{Pharmacology), THOMAS E. CURTIS 
(Psychiatry), WILLIAM G. HOLLIST- 
ER (Psychiatry), GEORGE JOHNSON 
(Surgery), WILLIAM R. STRAUGHN 
(Bacteriology), MARGARET C. SWAN- 
TON (Pathology), LUTHER M. TAL- 
BERT (Obstetrics & Gynecology), 
CHARLES F. ZUKOSKI (Surgery). 

To associate professor.- DRS. JOHN I. 
BOSWELL (Psychiatry), JAMES A. 
BRYAN II (Medicine & Preventive 
Med.), FREDERIC G. DALLDORF (Pa- 
thology), ROBERT B. DUKE (Psychi- 
atry), JAMES E. ETHERIDGE, JR. 
(Preventive Med.), FRANK S . 
FRENCH (Pediatrics), HILLEL J. 
GITELMAN (Medicine), WILLIAM P. 
GLEZEN (Pediatrics), EDWARD L. 
HOGAN (Medicine & Biochemistry), 
MARTIN R. KRIGMAN, REGINALD G. 
MASON, and SYLVANUS W. NYE 
(Pathology), JOSEPH F. PATTER- 
SON, JR. (Surgery), CLIFFORD B. 
REIFLER (Psychiatry), HUGH M. 
SHINGLETON (Obstetrics & Gyne- 
cology), MARY C. SINGLETON (Anat- 
omy & Phys. Therapy) and ROGER F. 
SPENCER (Psychiatry). MR. HAROLD 
P. COSTON (Hospital Administ.) and 
MISS MABEL M. PARKER (Phys. 
Therapy). 

To assistant professor: DRS. GARY 
W. COOPER and WILLIAM L. DEWEY 
(Pharmacology). 

To clinical assistant professor: DR. 
DONALD B. REIBEL (Surgery). 

PHILIP FREDERICK SPARLING, who 
has joined the faculty as Assistant 
Professor of Medicine, was a re- 
search and teaching fellow at Massa- 
chusetts General Hospital. A native 
of Evanston, III., he is a graduate of 
Princeton University and Harvard 
Medical School. He has also worked 
in the Venereal Disease Research 
Laboratory of the USPHS Communi- 
cable Disease Center in Atlanta, Ga. 

DR. HERBERT J. PROCTOR, Assis- 
tant Professor in Surgery, has return- 
ed to the Hill after two years with 
the U.S. Navy. A native of Glen 
Cove, N.Y., he is a graduate of 
Princeton University who received 
his M.D. from New York University 
in 1967. He served as chief resident 



here for a year prior to joining the 
Navy. 




DR. GLENN E. HAIR (Surgery) has 

left the Hill to go to Lexington, Ky., 
where he will create and chair the 
Division of Otolaryngology of the Uni- 
versity of Kentucky School of Medi- 
cine. Dr. Hair, who pursued his edu- 
cation at UNC (B.S., '55; M.D., '59; 
residency, '62-64) was appointed to 
our faculty in 1963. 

DR. WINFRED L SUGG ('57), Asso- 
ciate Professor of Surgery, had been 
teaching for three years at the Uni- 
versity of Texas Southwestern Medi- 
cal School in Dallas prior to joining 
our faculty on June 1. A Carolinean 
from Snow Hill, he served as lieuten- 
ant commander for two years at the 
U.S. Naval Hospital in Bethesda, Md. 
(See Alumni News). 

DR. THOMAS W. FARMER (Medi- 
cine) presented a paper co-authored 
by DR. JAMES N. ALLEN (Medicine) 
3t the meetings of the American 
Neurological Association held in Los 
Angeles in June. The paper was en- 
titled "Hereditary Proximal Amyotro- 
phic Lateral Sclerosis." 

DR. JOHN HENRY KNELSON, now 
an assistant professor in our Depart- 
ment of Pediatrics, is a native of 
Martin, N.D. He is a graduate of 
Manchester College, received his 
M.D. from Northwestern University 
Medical School and his M.P.H. from 
the University of Michigan, where he 
had been teaching. 

The school's Continuation Education 
Program has been accorded full ac- 
creditation by the Council on Medi- 
cal Education of the American Medi- 



cal Association. The accreditation 
system, which is about three years 
old, was developed to assure physi- 
cians of the quality of the presenta- 
tions being offered by medical 
schools, hospitals, professional so- 
cieties and other agencies. 

This accreditation is recognition of 
the excellence of the programs of 
the school. UNC inaugurated circuit 
courses for the physicians of the 
state in 1916, and was the first insti- 
tution in the United States to under- 
take to meet the needs of doctors for 
refresher education on a statewide 
basis. 

At the Fourth Conference on Blood 
Platelets held in Oak Ridge, Ten- 
nessee on June 24, DR. SOTIRIOS G. 
lATRlDIS presented the results of 
studies conducted in the Department 
of Physiology by him and DR. JOHN 
H. FERGUSON on "Platelet Adhe- 
siveness and Thrombosis Induced 
by Alkaline Phosphatase in the Rab- 
bit." 

DR. EDWIN T. PRESTON, appointed 
Instructor in Surgery this summer, 
comes from Kingsport, Tenn. He re- 
ceived his medical training at Duke 
University School of Medicine and 
was a teaching fellow at Harvard 
University through this spring. 

DR. CLOVIS W. FRANCISCONI of 
Porto Alegre, Brazil, visited NCMH 
under a W. K. Kellog Foundation fel- 
lowship to study developments in 
U.S. hospitals. Dr. Francisconi is 
consultant to, and member of, the 
implementation committee of the 
newly-constructed University Hos- 
pital in Porto Alegre which is sched- 
uled to open within the next year 
and will have a capacity of approx- 
imately 1,000 beds. During his two- 
week stay in Chapel Hill he worked 
with the staffs of both NCMH and 
Duke. 

DR. STANLEY R. MANDEL has been 
appointed Instructor in Surgery. 
Born in New York, he received the 
B.A. degree from Columbia Univer- 
sity, and M.D. and M.S. (surgery) 
degrees from the University of Vir- 
ginia. In June he completed his 
residency at the University of Vir- 
gin. a Medical Center, where he also 



55 



participated in research studies on 
organ preservation. 

JAMES B. SLOAN (70) has been 

awarded a $3,000 scholarship by 

Seeing Eye Inc. of Morristown, N.J. 

Jim is the first of our students to 
receive this award. 

A native of Wilmington, N.C. and a 
1962 UNC graduate, he served four 
years in the Navy before entering the 
school to pursue a medical career. 
His special area of research is cor- 
neal infections in which he became 
interested last summer while work- 
ing under the guidance of DRS. 
SAMUEL D. Mcpherson and L 
MORGAN HALE (Ophthalmology). He 
is currently carrying out related in- 
vestigations. 

Seeing Eye is a nonprofit organiza- 
tion which originally dealt only with 
providing guide dogs for the blind. 
It now awards scholarships to in- 
dividuals who demonstrate outstand- 
ing potential or who are doing valu- 
able research in opthalmology. The 
scholarships are awarded with the 
stipulation that the recipient spend 
the free quarter of his senior year in 
opthalmology and that he continue 
to do research in this specialty. 



Assistant Dean for Continuation Edu- 
cation DR. WILLIAM P. RICHARD- 
SON participated in the meetings of 
the Residency Review Committee for 
Preventive Medicine held in Chicago 
last April. Dr. Richardson, who is a 
liaison member of the committee, 
represented the American College 
of Preventive Medicine at the re- 
union. 

On June 23-25, he attended the an- 
nual meeting of the American Board 
of Preventive Medicine. 



DR. W. PAUL BIGGERS (Surgery) 
has returned to the Hill after spend- 
ing five months at the Scripps Insti- 
tute and Research Foundation carry- 
ing out special studies in immunol- 
ogy. 

DR. FRANCIS DeWITT PEPPER ('56) 
(Radiology) has entered the private 
practice of radiology in Winston-Sal- 
em. 

DR. GEORGE M. HIMADI has joined 
the Department of Radiology as As- 



sociate Professor. Previously, he 
was in private practice in Ft. Lauder- 
dale, Fla. Born in Ridgewood, N.J., 
he is a Duke University graduate who 
has taught at Columbia-Presbyterian 
Medical Center, and has served as 
director of radiology at Overlook Hos- 
pital in Summit, N.J., and at the Val- 
ley Hospital in Ridgewood. 

DR. I. DAVID GOLDMAN has joined 
our faculty as Assistant Professor of 
Medicine. Born in Jersey City, N.J., 
he is a graduate of New York Univer- 
sity and the University of Chicago 
School of Medicine. Dr. Goldman 
was a research associate at the Na- 
tional Cancer Institute before com- 
ing to UNC. 



(UNC), has rejoined our faculty as 
Instructor in Obstetrics and Gynecol- 
ogy after completing his military ser- 
vice. 



DR. DAVID A. ONTJES, who has been 
appointed Assistant Professor of 
Medicine and Pharmacology, is a 
native of Lyons, Kan. He graduated 
from the University of Kansas, re- 
ceived his M.A. degree from Oxford 
University in 1961 and his M.D. de- 
gree from Harvard Medical School 
in 1964. For two years he was a 
research associate with the National 
Institute of Arthritis and Metabolic 
Disease. 



DR. GARY W. COOPER (Pharmacol- 
ogy) attended the 51st Meeting of 
the Endocrine Society held in New 
York City on June 27-29. He present- 
ed a paper on measurement of in 
vivo secretion of pig thyrocalcitonin 
by radioimmunoassay as results of 
studies carried out by him and DRS. 
LEONARD J. DEFTOS and JOHN T. 
POTTS, JR. "Fractionation of LH- 
Responsive Adenyl Cyclase of the 
Rabbit Ovary" by DRS. WILLIAM R. 
HUBBARD, JENNIFER H. DORRING- 
TON and BILLY BAGGETT was an- 
other presentation from the Depart- 
ment of Pharmacology. DR. T. C. 
PENG, from the same department, 
also attended the meetings. 

DR. WILLIAM A. NEBEL ('62), N.C. 
born (Charlotte) and educated 



DR. SVEIN U. TOVERUD has joined 
our faculty as Associate Professor of 
Pharmacology and of Preventive 
Dentistry and Dental Science. A na- 
tive of Oslo, Norway, he attended the 
State University of Iowa and Harvard ■ 
School of Dental Medicine (D.M.D., 
1954), and returned to Norway to re- 
ceive his doctorate in dentistry from 
the University of Oslo in 1964. Since 
1954 he has done extensive research 
in pharmacology and dentistry, both 
in United States and Norway. Prior 
to coming to Chapel Hill he was an 
associate professor at the Depart- 
ment of Physiology and Biochemistry 
of the University of Oslo Dental Fac- 
ulty. 

DR. BILLY BAGGETT (Pharmacology 
and Biochemistry) has been appoint- 
ed Chairman of the Department of 
Biochemistry of the lyiedical College 




James B. Sloan (70) 



Dr. Billy Baggett 



56 



of South Carolina. Dr. Baggett joined 
our faculty in 1957. 

DR. BENSON R. WILCOX (Surgery) 
has been appointed chief of the Di- 
vision of Cardiac and Thoracic Sur- 
gery effective July 1. Dr. Wilcox, a 
Markle Scholar, is chairman of the 
senior electives program. In both 
positions he succeeds DR. RICHARD 
M. PETERS who w/ill join the staff 
of the University of California at San 
Diego as Professor of Surgery in 
charge of thoracic surgery. Dr. Pe- 
ters had been a member of our facul- 
ty since 1952. 

DR. WILLIAM H. PEARLMAN has 
been appointed Professor of Pharma- 
cology. Born in New York, he was 
educated at Brooklyn College (B.S., 
1934) and Columbia University 
(Ph.D., 1940). He comes to UNC from 
Harvard University where he had 
been for the past 10 years; previously 
he taught at Princeton and Jefferson 
Medical College. Dr. Pearlman was 
a visiting investigator at University 
'Of London for three years, associate 
scientific director of the Waldemar 
Medical Research Foundation for 
two years and consultant in surgery 
at Peter Brent Brigham Hospital for 
nine years. 

Some of the North Carolina physi- 
cians who participated in the Con- 
tinuation Education workshop on 
modern contraception. The work- 
shop, programmed for the family 
physician, was sponsored by the De- 
partment of Obstetrics and Gynecol- 
ogy and held on June 6. 




DR. ROBERT JAY REICHLER, Assis- 
tant Professor of Psychiatry since 
July 1st, taught the past year at the 
Medical College of South Carolina. 
A New Yorker from Bronx, he is a 
graduate of the University of Chicago 
and the Albert Einstein College of 
Medicine. He has also taught at the 
University of Rochester Strong Me- 
morial Hospital. 

DR. RALPH W. STACY (Surgery and 
Physiology), who had been a member 
of the faculty since 1963, resigned 
on June 30 to accept a position at 
Cox Coronary Institute. 

A large scale, double-blind controlled 
trial of live attenuated rubella vac- 
cine ((Merck-Sharp & Dohme, West 
Point, Pa.) has been carried out 
through the collaborative efforts of 
DRS. RICHARD P. LIPMANN and 
JOSEPH S. PAGANO of our depart- 
ments of Medicine, Bacteriology and 
Pediatrics, RONALD H. LEVINE (N.C. 
State Department of Health), MIL- 
LARD B. BETHEL and JANE H. WOO- 
TEN (Wake County Health Depart- 
ment), and many pediatricians, gen- 
eral practitioners and civic and pro- 
fessional groups in Wake County. 
The results of this study were re- 
ported to the International Confer- 
ence on Rubella Immunization in 
Bethesda, Md. (February 19) and to 
the American Medical Association 
Meetings in New York City (July 14). 
This study was one of the most ex- 
tensive and conclusive trials of ru- 
bella vaccine and was instrumental 



in the licensure of the product by 
the Merck Institute. 





Department of Medicine participation 
in the IVth International Congress 
of Nephrology (Stockholm, Sweden, 
June 22-27): 

DRS. WILLIAM B. BLYTHE, DOMIN- 
GOS 0. D'AVILA, HILLEL J. GITEL- 
MAN and LOUIS G. WELT: "Evidence 
for a Humoral Natriuretic Factor." 

DRS. CRAIGE COLE, BIythe and 
Welt: "Lack of Correlation Between 
Diuretic Action and Inhibition of 
Ouabain Sensitive ATPase." 

Dr. Welt: "Erythrocyte Transport De- 
fect in Uremia." 

DR. LEWIS N. TERRY, JR., recently 
appointed Assistant Professor of Ra- 
diology, had been chief resident in 
Radiation Therapy at Yale University 
Medical Center for the last two years. 
A native of Selma, Ala., he is a 1962 
graduate of Duke University School 
of Medicine. 



DR. WILLIAM HERZOG (Public 
Health) has been named the Univer- 
sity's first director of Continuing 
Education in Health Sciences to co- 
ordinate, expand and evaluate all 
health science programs in continu- 
ing education. 




Dr. Peters 



Dr. Wilcox 



57 



MR. LOCHLIN M. WARD (UNC Sch. 
Commerce '38) was recently named 
Assistant Director of NCMH. Prior 
to joining the hospital staff, Mr. Ward 
was Vice-President of Cardinal Prod- 
ucts, a Durham-based scientific sup- 
ply company. His duties will involve 
supervision of several operating de- 
partments, including the selection, 
requisition, and cost control of all 
materials, supplies and equipment 
used m patient care and in technical 
areas. 

The establishment at UNC of a 16- 
project program in the space sci- 
ences has been insured by a grant 
of $250,000 from the National Aero- 
nautics and Space Administration. 
This represents the first installment 
in a total grant of $1.6 million, to be 
given the University over the next 
five years. 

DR. ROBERT G. FAUST (Physiology) 
heads the committee which pro- 
posed the program. This group, rep- 
resenting at least 12 University de- 
partments and known as the UNC 
Space Sciences Committee, devised 
the program to cover three general 
areas of the space sciences: (1) the 
origin of life ind the universe, (2) 
life-support systems needed in 
space, and(3)the social and econom- 
ic implications of advanced space 
technology. The program includes, 
in addition to research projects, the 
establishment of a public lecture se- 
ries at the Morehead Planetarium. 

The program is expected to play an 
important role in contributing infor- 
mation to the government's space 
program. It will establish a center 
for space-sciences research at the 
University and will strengthen the 
research capabilities of many depart- 
ments in the University. 

The school and the New Hanover 
Memorial Hospital in Wilmington, 
N.C., have established a visiting pro- 
fessors program for the summer 
months under which seven members 
of our faculty will spend two weeks 
each at NCMH. DR. LOUIS G. WELT 
(Medicine) and DR. LOCKERT MA- 
SON, director of medical education 
at the Wilmington hospital, designed 
the program, working in conjunction 
with the University's Division of Edu- 
cation and Research in Community 
Medical Care. 



Participating faculty are members 
of the Department of Medicine: JAN- 
ET J. FISCHER, WILLIAM E. LASSI- 
TER, OSCAR L SAPP, ROBERT A. 
SHAW, RICHARD I. WALKER, DON- 
ALD D. WEIR, and DANIEL T. 
YOUNG. While in Wilmington, they 
are to participate in clinical and 
teaching activities on the hospital 
wards. 

DR. GEORGE JOHNSON, JR. (Sur- 
gery) is principal investigator of a 
research grant recently awarded by 
HEW in support of a continuing in- 
vestigation of shock. The $100,000 
grant will cover a three year period. 

Dr. Johnson's research will seek to 
determine some of the water and 
mineral changes that occur within 
the body spaces as well as within 
the individaul cells in shock. Infor- 
mation from this study will be ap- 
plied to the treatment of injured 
patients as well as those in shock 
from any other cause, but especially 
those due to blood loss. 

Initially, red blood cells will be stud- 
ied to determine if any changes in 
the cell membranes have occurred 
as a result of shock. Later, muscle 
cells will also be analysed for ab- 
normalities in function following 
shock. 



Associate Dean Christopher C. Ford- 
ham III has accepted the appoint- 
ment by the Board of Regents of the 
University System of Georgia as 
Vice-President for Medicine and 
Dean of the School of Medicine at 
the Medical College of Georgia, ef- 
fective August 1, 1969. 

Dr. Fordham has been a member of 
our faculty since 1958 and has held 
positions as Instructor, Assistant 
Professor, Associate Professor and 
Professor of Medicine. He served as 
Assistant Dean for Student Affairs 
from 1965 to 1968, and has been As- 
sociate Dean for the Clinical Sci- 
ences and Chief of Staff of NCMH 
since then. 




Associate Dean Fordham 



58 



Freshman-Junior Honors and Awards for the Year 1968-1969 



The William deB. MacNider Award- 
Don Alexander Gabriel, 71. 



The Heusner Pupil Award- 
Kirby Primm, 70. 



-Richard 



Alpha Omega Alpha Honor iVIedical 
Society — 

James Patterson Browder III (70). 
Daniel Lind Crocker (70). 
Robert Brooke Jones (70). 
George Motley Oliver, Jr. (70). 
Heber Grey Winfield III (70). 

The Student Research Paper Awards: 

The Second Award— Henry Shelton 
Earp III, 70. "Adenosine 3'-5' Mono- 
phosphate As the Mediator of ACTH- 
Induced Ascorbic Acid Depletion in 
the Rat Adrenal." 

The Third Award— Daniel Lind Crock- 
er, 70. "A Morphologic Study of 
Granulocyte Induced Hemolysis." 

Special Distinction — Charles B. 
Brett, 71. "Experience with Serum 
Hepatitis in A Hemophiliac Popula- 
tion." 

Special Distinction— Charles W. Har- 
shaw, Jr., 71. "The Effects of Fluo- 
ride Toxicity on Blood Ammonia Con- 
centration." 

Special Distinction— John 0. Reyn- 
olds, Jr., 71. "Aminoaciduria in Rats 
Induced by the Amino Acid Ana- 
logue, Cycloleucine." 

National Foundation First Award- 
John T. Cuttino, Jr., 71. "Studies on 
the Hyperlipemia and Eruptive Xan- 
thomata of Glycogen Storage Dis- 
ease." 

National Foundation Second Award 
—David Edward Sharp, 71. "The 
Role of Fibrinogen in Platelet Aggre- 
gation—A Study of Congenital Afib- 
rinogenemia." 

Student Research Day First Award- 
James Boykin Sloan, 70. "The Treat- 
ment of Pseudomonas Corneal Ulcer 
with Betadine." 

Student Research Day Second 
Award — David Edward Sharp, 71. 
"The Role of Fibrinogen in Platelet 
Aggregation— A Study of Congenital 
Afibrinogenemia." 



Tenth Annual National Student Re- 
search Forum Honorable Mention — 
John Tindal Cuttino, Jr., 71. "Studies 
on Hyperlipemia and Eruptive Xan- 
thomata in Glycogen Storage Dis- 
ease." 

The Morehead Fellows, Class of 72— 
John Millard Gilkey, Jr. 
Howard Samuel Kroop 
Ronald Jay Stanley 

Life Insurance Medical Research 

Fellows — 

Robert Brooke Jones, 70 

Don Alexander Gabriel, 71 



Foreign Fellowship Awards — 
Bruce Shoo-tang Change, 70 
Enser William Cole III, 71 
Stephen Lloyd Green, 70 
Clarence Alonzo Griffin 111, 71 
John Edward Hanna, 70 
Michael Ray Knowles, 71 

The Riggins Merit Scholarship- 
Daniel Lind Crocker, 70. 

Alumni Merit Scholarships — 
John Richard Leonard III, 70 
James Allison Shivers, 71 
Robert Linville Hinkle, 70 
Heber Grey Winfield 111, 70 
Enser William Cole III, 71 




Participants at UNC Commencement Exercises (Carmichael Auditorium, June 2, 
1969)— Governor Robert W. Scott and Dean Isaac M. Taylor. 

Vice Chancellor C. Arden Miller and commencement speaker Dr. James A. 
Shannon. 



59 



Alumni News 



PRESIDENT: 

H. Haynes Baird ('40) 

PRESIDENT ELECT: 
Charles L. Herring ('55) 

VICE PRESIDENT: 

W. Howard Wilson ('35) 

SECRETARY: 

Hugh C. Hemmings ('54) 

TREASURER: 
James Thorp ('57) 

COUNCILLORS: Julian S. Albergotti, 
Jr. ('55); Alton J. Coppridge ('51); Har- 
old L. Godwin ('45); William Moretz 
('37); Stephen C. Pugh ('57); Daniel H. 
Seals ('51); Lewis S. Thorp, Jr. ('50); 
Isaac C. Wright (43M); Ernest H. Yel- 
ton ('41); F. A. (Ted) Blount ('42); 
Dean C. Jones, Jr. ('56); Robert M. 
McMillan ('36); S. Malone Parham 
('43D); J. Olin Perritt ('50); Charles 
J. Sawyer III ('63); John Cotten Tay- 
loe, Jr. ('60); Zebulon Weaver III ('61); 
George Johnson, Jr. ('50); Samuel B. 
Joyner ('55); Edward B. McKenzie 
('49); Charles P. Nicholson (MS); Cor- 
nelius T. Patrick ('54); Howard A. Pat- 
terson ('23); George D. Penick ('44); 
J. Iverson Riddle ('56). 



1908 

ROSCOE DRAKE McMILLAN (Box 
232, Red Springs, N. C. 28377) re- 
ceived his M.D. degree from the 
University of Maryland in 1910 and 
has done general practice in Lum- 
berton and Red Springs. From 1941 
to 1945 he served as secretary-trea- 
surer of the Medical Society of the 
State of North Carolina, and in 1950- 
51 was its president. From 1948 to 
1950 he was secretary-treasurer of 
the North Carolina Academy of Gen- 
eral Practice; in 1950 he was chosen 
outstanding general practitioner of 
the year for North Carolina. He was 
vice president of the League for 
Crippled Children in 1945 and has 
served on a Special Committee for 
the Hospital and Medical Care Com- 
mission, on the State Board of Med- 
ical Examiners, on the Board of 
Examiners of Nurses, and on the 
State Board of Control of North Caro- 



lina Hospitals. He was district Ro- 
tary governor in 1934 and is a deacon 
in the Presbyterian Church. 

On April 20, 1967, Roscoe received 
the Distinguished Service Award 
from the UNC Medical Alumni Asso- 
ciation. The citation read as follows: 
"A Family Physician in the true 
sense of this special field of medi- 
cine to the people of his community 
for more than fifty years; a leader in 
Civic, Educational, and Church Ac- 
tivities throughout his lifetime. He 
has effectively served in the medical 
affairs of his State as a member of 
numerous committees and as Secre- 
tary and President of the Medical So- 
ciety of North Carolina." 

The McMillans have two children. 
He and his wife, the former Hannah 
McNeill, live at 514 S. Main Street 
in Red Springs. 

1916 

EUGENE P. PENDERGRASS (3400 
Spruce St., Philadelphia, Pa. 19104) 
is a member of the Council on 
Health Manpower of the American 
Medical Association, chairman of the 
Deans Committee of the Philadel- 
phia County Medical Society, and a 
member of the Advisory Committee 
for CARE/Medico, Philadelphia Di- 
vision. 

His "major professional interest at 
the moment is concerned with pneu- 
moconiosis in coal miners and as- 
bestos workers. This work is being 
done under the direction of the U.S. 
Public Health Service (asbestosis)." 



1919 

VERNE S. CAVINESS (109 N. Boylan 
Ave., Raleigh, N.C. 37603) graduated 
from Jefferson Medical College in 
1921 and has been practicing medi- 
cine in Raleigh ever since. He orga- 
nized the cardiovascular clinic at 
Rex Hospital in 1937 and directed it 
until 1967. He also organized the 
Medical Writers Club in Raleigh and 
was its first president. He has been 
a member of the clinical faculty of 
UNC School of Medicine, president 



and secretary of the Raleigh Acad- 
emy of Medicine, the Fifth District 
Medical Society, and the Rex Hos- 
pital staff, and is now president-elect 
of the Wake County Medical Society. 
He has served in the Medical Society 
of the State of North Carolina as 
chairman of the Section on the Prac- 
tice of Medicine. A fellow of the 
American College of Physicians, he 
organized and conducted the first 
regional meeting of this group to be 
held in North Carolina. He has been 
president and director of many civic 
groups in Raleigh. 

Besides practicing cardiology in Ra- 
leigh, Dr. Caviness has extensive in- 
terests in farming. 



1923 

M. PAUL BYERLY (5820 York Rd., 
Baltimore, Md. 21212) is still practic- 
ing internal medicine. His home ad- 
dress is 6415 Murray Hill Rd., Balti- 
more, Md. 21212). 



1926 

JAMES McRAE BETHEA (188 S. 
Bellevue, Memphis, Tenn.) graduat- 
ed from the Harvard Medical School 
in 1928 and is engaged in the private 
practice of internal medicine in 
Memphis. He is "looking forward to 
retirement and return to Carolinas." 



1931 

RALPH BERNARD GARRISON (Pine 
Croft, Hamlet, N.C. 28345) was hon- 
ored by the N.C. Academy of General 
Practice, at its twentieth annual 
meeting, for "the outstanding leader- 
ship" he provided as president of 
that organization. 

Ralph received his M.D. degree from 
the University of Maryland and ser- 
ved his internship in the Baltimore 
City Hospital. After a year as junior 
resident physician at the Maryland 
House of Correction, he began the 
general practice of medicine and 
surgery in Hamlet in 1933. In addi- 
tion to being assistant chief of staff 
at Hamlet Hospital and a member 



60 



of the executive board (and past 
chief of staff) at Richmond Memorial 
Hospital, he has been extremely ac- 
tive in community affairs and in the 
county, district, and state medical 
societies. He is on the executive 
council of the Medical Society of 
the State of North Carolina and is 
a past president of the Richmond 
County Medical Society, the Fifth 
District Medical Association, the 
Seaboard Coast Line Surgeons Asso- 
ciation, the Seaboard Coast Line Golf 
Association, the Hamlet Civic Club, 
the Hamlet Lions Club, the District 
8 School Board Association, and the 
Richmond County Country Club. Cur- 
rently the President of the Hamlet 
Development Company, which he 
helped to organize, he is on the ex- 
ecutive board of the Southern Na- 
tional Bank and a former chairman 
of its board of directors. He is also 
a member of the board of stewards 
of the Methodist Church. 




In 1936, Ralph married Evelyn Louise 
Blackley, a native of Hamlet. They 
have two children— Ralph, Jr. (now 
connected with the Seaboard Coast 
Line Railroad) and Mrs. Carolyn Gar- 
rison Duckett, wife of Dr. C. H. Duck- 
ett of Canton. Ralph's hobbies are 
travel and golf. 



1932 

THOMAS JEFFERSON TAYLOR (543 
Roanoke Ave., Roanoke Rapids, N.C. 
27870) obtained his M.D. degree from 
Jefferson Medical College in 1934. 
After a two-year rotating internship 
at St. Elizabeth's Hospital in Wash- 
ington, D.C., he entered private prac- 
tice in Scotland Neck, N.C, in 1937. 
In 1938 he moved to Roanoke Rapids, 
where he has remained since except 
for a period of active duty in the 
Army Medical Corps from 1940 to 
1945. He commanded the Medical 
Battalion of the 89th Infantry Divi- 




sion and was awarded the Bronze 
Star. He was discharged with the 
rank of colonel. 

He has served on the Halifax County 
Board of Health, the Halifax County 
Health Study Commission and the 
Roanoke Rapids Zoning Board. He 
is past president of the Roanoke 
Rapids Rotary Club and is now a 
member of the N.C. Board of Nursing 
Examiners. He is active in the First 
Methodist Church, and writes that 
he is the "proud grandfather of two 
granddaughters, children of Mr. and 
Mrs. James Miller of Roanoke Rap- 
ids. Another daughter and son-in- 
law Mr. and Mrs. Vic Bowles, reside 
in Chapel Hill. Present ambition — 
a little more leisure." 



1933 

AARON BARR (Meadowbrook Hos- 
pital, Box 175, East Meadow, N.Y. 
11554) received his M.D. degree from 
the Medical College of South Caro- 
lina. He is now attending psychia- 
trist at Meadowbrook Hospital, se- 
nior psychiatrist at Manhattan State 
Hospital, psychiatrist with the State 
Department of Mental Hygiene, and 
consulting psychiatrist for the Nas- 
sau County Drug Abuse and Addic- 
tion Commission. 

CAMERON F. McRAE (Apt. 6-J, 38 
Front St., Binghamton, N.Y. 13905) is 
commissioner of the Broome County 
Health Department and chairman of 
the Broome County Council on 
Smoking. Last summer the Broome 
County Health Department and the 
New York State Health Department 
cosponsored a multiphasic screening 
project in Binghamton, during which 
some 2700 persons were screened in 
nine days. 

A vestryman at Trinity Memorial 
Episcopal Church and associate 



teacher of the tenth-grade class in 
the Church School, Cam wrote the 
page for February 22, 1969, in the 
January-February issue of The Upper 
Room. 

Cam's wife, the former Beatrice Cris- 
field (UNC '30) is a genealogist and 
has had articles on this subject pub- 
lished in various journals. 



1939 

MAX M. NOVICH (313 State St., Perth 
Amboy, N.J. 08861) is an orthopedic 
surgeon and a member of the New 
Jersey State Athletic Commission. A 
former boxer and an expert on athlet- 
ic injuries. Max spoke on "Boxing" 
at the Symposium on the Medical 
Aspects of Sports, sponsored by the 
Committee on the Medical Aspects 
of Sports of the State of New York, 
and held in New York City on Febru- 
ary 8. 

As a member of the Association In- 
ternational de Boxe Amateur (AIBA), 
Max attended the Nineteenth Olym- 
piad in Mexico City last fall. 

We quote from a letter from Dean 
Berryhill to which he attached a clip- 
ping of an interview with Max pub- 
lished in the Perth Amboy News Trib- 
une last November and the program 
of the above mentioned Symposium: 
". . . Max was a star boxer in his 
undergraduate days in this Univer- 
sity. That's the way he got his edu- 
cation . . . Over the years he has 
continued to be a sports enthusiast, 
but more importantly, one of the 
medical leaders in this country in 
attempting to prevent the injuries 
that come from athletic participa- 
tion. He has never lost his enthusi- 
asm for his favorite sport of boxing 
and, again, in preventing the serious 
brain injuries that used to occur . . ." 



1940 

SAMUEL WRIGHT (117 Llanfair Rd., 
Ardmore, Pa. 19003) writes that "We 
would have been happy to have had 
our two sons choose UNC Medical 
School, but instead they are both 
in the University of Pennsylvania 
School of Medicine, one in first year 
(William E.) and one in third year 
(Scott H.). At any rate, my training 
at Chapel Hill is on the way to pro- 
viding two more physicians. We also 



61 



have a daughter (Elissa C.) who is a 
junior in high school." 

1941 

JACK HUGHES (923 Broad St., Dur- 
ham, N.C. 27705) is in the Depart- 
ment of Urology at Watts Hospital. 

The Hughes have 5 boys and 1 girl. 
Two of their sons are at UNC; Jack, 
Jr. is a rising sophomore in the 
School of Medicine. 



1943M 

GEORGE L JORDAN, JR. (1200 IViour- 
sund Ave., Houston, Tex. 77025) 
graduated from the University of 
Pennsylvania School of Medicine in 
1944 and served a one-year intern- 
ship at Grady Memorial Hospital be- 
fore entering the Army as a captain 
in the Medical Corps. After his dis- 
charge in 1947, he went to Tulane, 
where he served a two-year residency 
in surgery and at the same time ob- 
tained an M.S. in surgery from the 
Graduate School of Tulane Univer- 
sity. From 1949 to 1952, he was a 
fellow at the Mayo Foundation. 

After serving as chief of surgery at 
the Veterans Administration Hospital 
in Houston from 1955 to 1960, he was 
named deputy chief of surgery at 
Ben Taub General Hospital in Hous- 
ton in 1961, a position he still holds. 
Since 1964 he has been professor of 
surgery at Baylor College of Medi- 
cine in Houston. In 1966, George was 
senior consultant in surgery for the 
National Institute of General Medical 
Sciences, and in 1968 he was chief 
of the medical staff at Ben Taub 
General Hospital. 

1945 

EDWIN BOYLE, JR. (4701 North Meri- 
dian Ave., Miami Beach, Fla. 33140) 
is director of research for the Miami 
Heart Institute, which last fall an- 
nounced the development of a new 
heart monitoring system described 
as being as important as the original 
electrocardiograph. This system, 
based on that used by NASA to moni- 
tor the condition of astronauts in 
space, transmits patient -condition 
reports faster, more accurately, and 
with less danger than existing equip- 
ment. Ed describes the new system, 
called CARE I, as the first step to- 



ward complete patient care by com- 
puter automation. For the first time, 
information coming from the patient 
is in a language the computer can 
record and store for later use. An- 
other advantage of the system is that 
the patient can move about, since 
the transmission unit (about the size 
of a large candy bar) is strapped to 
his arm or leg. With the same basic 
mechanism, it is possible to moni- 
tor eight patients for eight body con- 
ditions, 16 patients for four condi- 
tions, or 64 patients for one condi- 
tion. 




Ed's home address is 4411 Saba! 
Palm Drive, Bay Point, Miami, Fla. 
33157. 

A. ROBERT CORDELL (963 Kenleigh 
Circle, Merrimont, Winston -Salem, 
N.C. 27106) is associate professor of 
surgery at the Bowman Gray School 
of Medicine and is doing research 
largely in the field of cardiovascular 
surgery. 

He and his wife, the former DeWitt 
Cromer of Winston-Salem have four 
sons. 



J. HICKS COREY (4601 Brainerd Rd., 
Chattanooga, Tenn. 37411) has been 
engaged in the private practice of 
pediatrics in Chattanooga since 1957 
and now has two associates. He is 
certified by the American Board of 
Pediatrics and is a member of the 
American Academy of Pediatrics. At 
present he is serving as president of 
the Tennessee Pediatric Society for 
1969-70. 

Hicks hopes "to return to 'Carolina' 
before long, to observe the great pro- 
gress on 'the Hill.' " 

1946 

WALTER C. BARNES (Southern Clin- 
ic, 401 E. Fifth St., Texarkana, Tex. 



75501) is head of the Department of 
Surgery of the Southern Clinic, 
where he has practiced for 14 years. 
For the past four years he has served 
on the Surgery Faculty at the Univer- 
sity of Arkansas in Little Rock, and 
he has been a member of the Board 
of Councilors of the Texas Medical 
Association for eight years. He works 
with Boy Scouts and' is currently 
serving as Council president. He is 
on the Official Board of the Metho- 
dist Church and teaches a Sunday 
School class made up of young mar- 
ried couples. 

Walter's wife, Polly, works with the 
YWCA and the Girl Scouts. Their 
son, Tad, who is finishing junior high 
school this year, recently became an 
Eagle Scout and a member of the 




National Honor Society. Their daugh- 
ter, Abbie, is finishing grade school 
this year. 

PAUL V. NOLAN {U03 Crownpoint 
Rd. West, Signal Mountain, Tenn. 
37377) received his M.D. degree from 
the University of Maryland and his 
M.P.H. from the University of Cali- 
fornia. He is medical supervisor of 
the DuPont Nylon Plant in Chatta- 
nooga and a member of the Tennes- 
see State Legislature and of the 




Hamilton County Quarterly Court (to 
which he was elected for a six-year 
term in 1966). He has served as a 
director of the Tennessee Cancer 
Society; the Chattanooga area Heart 
Association, Council on Alcoholism, 
and Science Fair; and of the Du- 
Pont Employees' Credit Union. 



62 



He is also a deacon of the Signal 
Mountain Baptist Church and chair- 
man of its finance committee. Paul 
and his wife, Anne, have twin sons 
(John and Tom, 13) and a daughter 
(Lou Anne, 10). 

FRANZ W. ROSA (World Health Orga- 
nization, Geneva, Switzerland) spent 
two years in India as chief of the 
Health and Family Planning Division 
of the Agency for International De- 
velopment. In August, 1968, he and 
his wife and three children moved 
to Geneva, where he is chief of Ma- 
ternal and Child Health for the World 
Health Organization. He keeps "in 
touch with UNC as an 'Adjunct Pro- 
fessor of Maternal and Child 
Health.' " 

JAMES T. WELBORN (17 E. Second 
Ave., Lexington, N.C. 27292) (Md. '48) 
has served as chief of staff of Lex- 
ington Memorial Hospital and is now 
on the hospital's executive commit- 
tee. He is also a past president of 
the Davidson County Medical Society 
and a director of the Lexington 
Chamber of Commerce. He is active 
in the First Presbyterian Church, be- 
ing president of the Men's Sunday 
School Class and a member of the 
diaconate. 

1948 

JOYCE HINSON REYNOLDS has 
been elected chief of staff of the 
Forsyth Memorial Hospital. Joyce, 
who was chief of the emergency 
room prior to the new appointment, 
is the first woman to head the medi- 
cal staff of any of Winston-Salem's 
hospitals. 

EMILY TUFTS (3929 S.W. Mt. Adams 
Dr., Portland, Ore. 97201) is working 
on the Collaborative Project of the 
National Institute for Neurologic Dis- 
eases and Blindness for the study of 




factors of importance in cerebral 
palsy and mental retardation. She 
writes that the work is interesting 
and allows her time to pursue her 
research projects and also to do 
some watercolors. She has had 
paintings in several exhibits recent- 
ly. 

1949 

CHARLES T. HARRIS, JR. (401 Fes- 
brook Court, Charlotte, N.C. 28211) 
did general practice in Salisbury un- 
til 1964. Since then he has been in 
the field of anesthesiology and is 
now on the staff of Presbyterian Hos- 
pital in Charlotte. 

The Harrises have three children: 
Chuck, 16; Harriet, 14; and Britt, 9. 

FRANKLIN G. NORRIS (55 W. Colum- 
bia St., Orlando, Fla. 32806) prepared 
a scientific exhibit on "Saphenous 
Vein as Arterial Substitute" which 
won first prize at the 1968 meeting 
of the Florida Medical Association. 

He and his family enjoy trips to med- 
ical meetings in the private plane (a 
Beech Bonanza) that he bought last 
summer. He sees "too few of my 
classmates too seldom." 



ROBERT A. PASCAL (Doctors' Clinic, 
Valdese, N.C. 28690) received his 
M.D. degree from the Bowman Gray 
School of Medicine in 1951 and spent 
two years at the Methodist Hospital 
in Brooklyn as an intern and assis- 
tant resident in general practice. 
Since 1953 he has been doing gen- 
eral practice in Valdese, where he is 
active in the Waldensian Presby- 
terian Church. 

He is still single. His hobbies are 
collecting American antiques and 
traveling. He has been to Europe 
several times since he left Chapel 

Hill. 



ROBERT M. RUDISILL (503 W. Michi- 
gan Ave., Urbana, III. 61801) received 
his M.D. degree from the Louisiana 
State University School of Medicine 
in 1951. After a year's internship at 
St. Joseph's Hospital in South Bend, 
Ind., he spent two years in South 
Bend doing general practice. From 
1954 to 1956, he practiced anesthesi- 



ology in Reno, Nevada, and since 

1966 he has been director of the 
Department of Anesthesia and In- 
halation Therapy at Mercy Hospital 
in Urbana. 

In addition to being a fellow of the 
American College of Anesthesiology 
and a diplomate of the American 
Board of Anesthesiology, he is a 
member of the American Society of 
Anesthesiologists and the Interna- 
tional Correspondence Society for 
Anesthesiology. He is also on the 
board of directors of the Champaign 
County Tuberculosis and Respiratory 
Disease Association and a member 
of a special committee of the Illinois 
State Association for Tuberculosis 
and Respiratory Disease. 

EDWARD C. SUTTON (1616 Memorial 
Drive, Burlington, N.C. 27215) was 
installed as a fellow of the American 
College of Obstetricians and Gyne- 
cologists at its annual meeting, held 
in Bal Harbour, Florida, April 28- 
May 1. 

1950 

LT. COL WESLEY GRIMES BYERLY, 
M.C. 0963299 (Second Surgical Hos- 
pital (MA), APO 96289, San Francis- 
co, Calif.) served for two months in 

1967 with the AMA Volunteer Physi- 
cian for Vietnam Program, treating 
civilian war casualties in a province 
hospital in Rach Gia. As a result of 
this experience, he became so emo- 
tionally involved in the war that he 
volunteered in February for a year's 
tour of active duty in Vietnam, "to 
see surgery from the military side." 
He is now doing forward combat sur- 
gery in a mobile army surgical hos- 
pital. In a note written on May 9, he 
stated that "the experience is stimu- 
lating, to say the least, as well as 
rewarding. Our hospital is in the 
Army's new MUST configuration with 
the inflatable air-conditioned ward 
units and the expandable-collapsible 
air-conditioned operating room units. 
This makes possible good care to the 
horrendous injuries we see, which is 
due to the fantastic job the dust-off 
pilots are doing getting these severe- 
ly injured men back to us within 15 
to 45 minutes of their injury. Best 
wishes to all in Chapel Hill." 

GORDON R. HEATH (2134 Reaney 
Rd., Lakeland, Fla. 33803) is prac- 



63 



ticing pediatrics in association with 
two other pediatricians. He has ser- 
ved as president of the medical staff 
of the Lakeland hospital (second 
largest in the state of Florida) and 
last year was president of his county 
medical society. 

Gordon and his wife, Audrey, have 
three children: Lucy, Read, and Paul. 

GLENN D. MOAK (2155 Weslynn Dr., 
Indianapolis, Ind. 46208) (Western 
Reserve '52) is engaged in the private 
practice of radiology in Indianapolis, 
doing both office and hospital work. 
He is married and has three chil- 
dren. 

JOHN L WAITERS (220 Deer Trail 
Road, North Caldwell, N.J. 07006) is 
corporate medical director of Bee- 
ton, Dickinson and Company in Ruth- 
erford, N.J. He writes that John, Jr., 
is in engineering school at N.C. State 
University; another son, Bill, is in the 
Air Force, stationed at Suffolk Air 
Force Base in New York. His older 
daughter, Liza, hopes to enter UNC 
in the fall of 1969, and his two young- 
est children, Tom and Amy, are at 
West Essex School in Caldwell, N.J. 



1951 

CHARLES C. STAMEY (Stratford 
Center, Winston-Salem, N.C. 27104) 
(Harvard '53) is practicing pediatrics 
in Winston-Salem and teaching clin- 
ical pediatrics at the Bowman Gray 
School of Medicine. 

Charles and his wife, Peggy, have 
two sons, Chris and Kent, and a 
daughter, Cindy. ". . . Evanescent 
leisure time spent with my very tol- 
erant Steinway and Phantasy, a great 
Palomino." 



1954 

CHARLES H. POWELL (Mars Hill, 
N.C. 28754) is doing general practice 
in partnership with his brother, W. 
Ernest Powell, Jr. (UNC '50) and W. 
0. Duck (Wake Forest and Hahne- 
mann). 

The Powells and their two children 
(Suzanne, 8, and Jeffrey, 2) live on 
Black Angus farm on outskirts of 
Mars Hill. He enjoys playing tennis 
several times a week. 



LOUIS C. SPILLMAN, JR. (c/o 
Holmes and Narver, Inc., Box 701, 
Johnston Island, APO San Francisco, 
Calif. 96305) was chief medical offi- 
cer at Eniwetok (Marshall Islands) 
for 22 months before accepting the 
same position at Johnston Island. 

1955 

DR. DONALD EUGENE HARRIS has 
been appointed Assistant University 
Physician at the Student Health Ser- 
vice. He is a native of Jacksonville, 
Fla., who had been a resident at 
NCMH since 1967. 

CHARLES L HERRING (310 Glen- 
wood Ave., Kinston, N.C. 28501) ser- 
ved a medical internship at the Uni- 
versity of Virginia Hospital in Char- 
lottesville before beginning his two 
years of service in the Army Medical 
Corps (at Fort Campbell, Kentucky, 
and at Fort Bragg, N.C). After his 
discharge in June, 1958, he returned 
to Chapel Hill for a two-year resi- 
dency in medicine, followed by a 
one-year fellowship in chest and in- 
fectious diseases. Since completing 
this in June, 1961, he has been en- 
gaged in the solo practice of in- 
ternal medicine in Kinston. 

Charles was married in 1956 to Shir- 
ley Ann Mason, and they have two 
children, C. L., Jr., 11, and Rebecca 
Ann, 7. 

WILLIAM C. RUFFIN, JR. (J. Hillis 
Miller Health Center, Gainesville, 
Fla. 32601) has been with the Depart- 
ment of Psychiatry at the University 
of Florida School of Medicine since 
leaving Chapel Hill. He was appoint- 
ed professor of psychiatry in 1967, 
and as vice chairman of the depart- 
ment is responsible for the overall 
undergraduate medical program 
within the department. His interests 
include training of nonpsychiatric 
physicians in Florida, inpatient psy- 
chiatry, and the undergraduate medi- 
cal student committee. 

Buck writes, "We are in the process 
of major curriculum revision in all 
departments with increasing empha- 
sis on students' early exposure to, 
and responsibility for patients . . . 
and are enlarging our medical stu- 
dent enrollment from 64 to 100. We 
have opened a new VA Hospital in 



Gainesville that has 120 psychiatric 
beds. At present we have 35 faculty 
members in the Department, and as 
we gradually open more beds in the 
VA, we will continue to add to our 
faculty. ... We continually have boys 
from Carolina on the house staff in 
all departments and have had sev- 
eral residents in psychiatry from 
Chapel Hill. 

". . . Smiley Hill ('55) is here at Flori- 
da, as is George Barnard ('55) who 
was promoted to associate professor 
of psychiatry in 1968, and ... is very 
active in psychophysiological re- 
search. ... In addition, Gene Glenn 
('55) is in the private practice of 
obstetrics and gynecology in Jack- 
sonville. . . ." 



1956 

COLEMAN BRANTLEY (212-B West 
Wendover Ave., Greensboro, N.C. 
27401) is in general practice in 
Greensboro. 

He and his wife, Shirley, have two 
daughters: Dana and Keri. They live 
at 2109 Carlisle Rd., Greensboro, N.C. 
27408. 

JOHN W. DEYTON, JR. (Box 155, USN 
Hospital, Camp Lejeune, N.C. 28542) 
completed a rotating internship and 
an Ob-Gyn residency at the U.S. 
Naval Hospital at Portsmouth, Va., 
and last year passed the Ob-Gyn 
Board. He has also served at Navy 
or Marine bases in Pensacola, Fla., 
in southern California, and in Cherry 
Point and Camp Lejeune, N.C. In 
addition, he has had brief tours of 
duty in the Caribbean and Mediter- 
ranean. He now holds the rank of 
Commander. 

John and his wife, Clara, have two 
boys. They hope to settle perma- 
nently in North Carolina in the very 
near future. 

ALEXANDER F. GOLEY (1509 Vaughn 
Rd., Burlington, N.C. 27215) took a 
one-year internship and a three-year 
medical residency at Grace -New 
Haven Community Hospital and 
spent two years at the Walter Reed 
Army Institute of Research. Since 
1962, he has been practicing internal 
medicine in Burlington. He is also 
Clinical Assistant Professor of Medi- 



64 



cine at UNC and attending physician 
at Alamance County Hospital and 
Memorial Hospital of Alamance 
County. Alex is a diplomate of the 
American Board of Internal Medi- 
cine, an associate member of the 
American College of Physicians, and 
a member of the North Carolina So- 
ciety of Internal Medicine, the Amer- 
ican Medical Association, the Med- 
ical Society of the State of North 
Carolina, and the Alamance-Caswell 
Counties Medical Society. He is al- 
so past-president of the Alamance 
County Heart Association and a 
member of the official board of 
Front Street Methodist Church. 

He and his wife, the former Sallie 
Boren of Greensboro, have three 
children: William Rankin, Daniel Bo- 
ren, and Clare Lynn. Their home ad- 
dress is 1625 Woodland Ave., Bur- 
lington, N.C. 

ROBERT P. HOLMES (709 Profes- 
sional Drive, New Bern, N.C. 28560) 
is practicing internal medicine in 
New Bern in association with two 
fellow alumni, John R. Baggett ('56) 
and Francis P. King ('44). (The part- 
nership is seeking a fourth member 
who has finished his training in in- 
ternal medicine.) 

Bob is married to the former Dorothy 
B. Bancker of Atlanta, and they have 
three children: Rob, 9; Charlotte, 7; 
and Thomas, 4. He enjoys hunting 
when time permits. 

FRANCIS DeWITT PEPPER (see 
News from the Hill). 

WILLIAM R. PURCELL (418 King St., 
Laurinburg, N.C. 28352) is a diplo- 
mate of the American Board of Pedi- 
atrics and a fellow of the American 
Academy of Pediatrics. He is back 
in Laurinburg for 15 months of solo 
pediatric practice, after spending two 
years in Charleston, South Carolina, 
where he was engaged in group prac- 
tice. He is chief of pediatric service 
at Scotland Memorial Hospital and 
is vice-president of the Community 
Betterment Committee of Scotland 
County and the Scotland County 
Mental Health Association. In addi- 
tion, he is a deacon and Sunday 
school teacher in the Laurinburg 
Presbyterian Church and is a mem- 
ber of the Laurinburg Rotary Club 
and the Chamber of Commerce. 



The Purceils have four children: Bill 
II, Leslie, Holly, and Gus. 

1957 

ROBERT S. CLINE (205 Hillcrest 
Drive, Sanford, N.C. 27330) is a part- 
ner in the Sanford Medical Group, 
which is building a new office build- 
ing (10,000 square feet) in an effort 
to entice other physicians to prac- 
tice with them. 

The Clines were expecting their 
fourth child in March, 1969. 

STEPHEN THOMAS GUPTON, JR. 
(1300 St. Mary's St., Raleigh, N.C. 
27605) is engaged in the private prac- 
tice of neurology. 

He and his wife Helen have six chil- 
dren: Debra, Diane, Stephen, Kath- 
ryn, John, and Richard. 

BOBBY ALAN RIMER is Assistant 
Professor of Obstetrics and Gynecol- 
ogy at the University of Maryland 
School of Medicine (Baltimore, Md. 
21201). 

WINFRED L SUGG has joined the 
UNC faculty as Associate Professor 
of Surgery. 

Winfred took his postgraduate train- 
ing at Barnes Hospital in St. Louis, 
Mo., finishing in 1964. For the next 
two years he was associated with the 
Department of Cardiovascular Sur- 
gery at the National Naval Medical 
Center in Bethesda, Md. In 1966 he 
was appointed assistant professor of 
thoracic and cardiovascular surgery 
at the University of Texas South- 
western Medical School where he 
performed the world's twenty-first 
human heart transplant (the first in 
a woman) in June 1968. He was also 
doing research on the development 
of a mechanical artificial heart assist 
device and transplantation. 

BENSON R. WILCOX (see News from 
the Hill). 



1958 

J. RICHARD PATTERSON (990 Main 
St., Danville, Va. 24541) was certified 



by the American Board of Obstetrics 
and Gynecology in November, 1968. 
Since August, 1965 the Pattersons 
and their two children (son and a 
daughter), have been living in Dan- 
ville, where he is engaged in partner- 
ship practice. He is president of the 
UNC General Alumni Association of 
Danville. 



1959 

EVERETT H. ELLINWOOD, JR. (Box 
3355, Department of Psychiatry, Duke 
University Medical Center, Durham, 
N.C. 27706) is associated with the 
Department of Psychiatry at Duke. 
He is primarily involved in teaching 
and neurophysiological research, but 
also cares for patients. 

He and his wife Connie have two 
children: Everett III, age 4; and Su- 
san, 1 year. He writes that they "cer- 
tainly would enjoy seeing any of the 
old classmates who come back to 
visit." 

JOEL S. GOODWIN (102 Mocksville 
Ave., Salisbury, N.C. 28144) is prac- 
ticing obstetrics and gynecology in 
partnership with Dr. Paul Green, Jr., 
after spending eight years in the 
Navy. He was installed as a fellow 
in the American College of Obstet- 
rics and Gynecology at its annual 
meeting held in Bal Harbour, Fla., 
April 28-May 1. 

The Goodwins have three sons: Joel 
II, 7; Jimmy, 5; and Charles, 2. 

GLENN E. HAIR (see News from the 
Hill). 

JAMES A. KILEY (378 Country Club 
Rd., Petoskey, Mich. 49770) is en- 
gaged in the general practice of 
medicine. 



1960 

CHARLES P. ELDRIDGE, JR. (6448 
Fannin, Houston, Texas 77025) is 
practicing diagnostic radiology in the 
Diagnostic Clinic of Houston and the 
Diagnostic Center Hospital. 

He and his wife Joan have three 
children: Mark, 5; Doug, 3; and Mike, 
born August 5, 1968. 



65 



CHARLES E. FITZGERALD, JR. (1355 
Orange Ave., Winter Park, Fla. 32789) 
is practicing internal medicine. 

JEAN RENE POIRIER (Ballenger 
Creek Rd., Route 9, Frederick, Md. 
21701) has been engaged in general 
practice in Frederick since July, 
1961. His partner is Dr. Willis J. Rid- 
dick, also of the class of '60. 




Jean's hobbies are horses, golf, and 
sailing. He and his wife Hilda, to- 
gether with their two children (Ste- 
phen, 14, and Cheryl, 11) live on 
Entremont Farm, where they breed 
and raise racehorses. One of their 
horses, Tearing Around, was winner 
of the World's Playground Stakes at 
Atlantic City on September 7, 1968. 

WILLIAM A. REID is an anesthesiolo- 
gist in Newport Beach, California 
(2072 Paloma Drive). 

ELLIOTT SOLOMON (28 Popham Rd., 
Scarsdale, N.Y. 10583) took two years 
of surgical training at Albert Einstein 
Medical Center, Jacobi Hospital, 
Bronx, N.Y., and then served three 
years as a resident in otolaryngology 
at Manhattan Eye, Ear and Throat 
Hospital. In 1965 he became a mem- 
ber of the attending staff (as surgeon 
in otolaryngology) of this hospital 
and was appointed to the attending 
staff at White Plains Hospital and 
Saint Agnes Hospital in White Plains, 
N.Y. In 1966 he was certified by the 
American Board of Otolaryngology 
and became a fellow of the American 
Academy of Ophthalmology and Oto- 
laryngology. In 1967 he received his 
discharge from the New York Air 
National Guard, with the rank of 
major, after six years of service. 

In 1968 Elliott was appointed director 
of otology at the New York School 




for the Deaf in White Plains and di- 
rector of hearing and speech at 
Burke Rehabilitation Center in White 
Plains, which is an affiliate of the 
Cornell University Hospital in New 
York City. He is now engaged in the 
private practice of otolaryngology in 
Scarsdale but continues to partici- 
pate in the teaching program of the 
Manhattan Eye, Ear and Throat Hos- 
pital. 

1961 

ZELL ALLISON McGEE (2010 Stokes 
Lane, Nashville, Tenn. 37215) served 
an internship and residency in inter- 
nal medicine at Bellevue Hospital, 
New York City, on the N.Y.U. service. 
After spending three years in the 
Army (with the Department of Bac- 
teriology, Walter Reed Army Institute 
of Research in Washington), he took 
another year of residency in internal 
medicine at Vanderbilt University 
Hospital in Nashville. Since 1967 he 
has held a fellowship in infectious 
diseases and has served as instruc- 
tor in the Department of Medicine at 
Vanderbilt. His research interests 
are mycoplasmas and L-phase vari- 
ants of bacteria. 

Zell's hobby is skiing, which he has 
"pursued on a number of occasions 
with Bill Gibson ('61) and his 
family." 

WILLIAM W. MORGAN (25473 Filaree 
Ave., Sunnymead, Calif. 92388) will 
be in the Air Force until 1970. After 
that he expects to go into the prac- 
tice of pediatric surgery, but has not 
yet decided on a location. 

LOUIE L PATSEAVOURAS (1300 St. 
Mary's Street, Raleigh, N.C.) took a 
year's internship in surgery at 
George Washington University Hos- 
pital in Washington, D.C., after his 
graduation. He then came back to 
Chape! Hill for residencies in sur- 



gery and otolaryngology at N.C. Me- 
morial Hospital. In 1967 he passed 
his ENT Boards and entered private 
practice in Raleigh, in association 
with Dr. N. L. Sparrow ('58). 

Lou married Sandra Coffin of Sara- 
toga, N.Y., in 1966. Their home ad- 
dress is 2111 Dunnhill Drive, Raleigh, 
N.C. 27608. 



1962 

T. BOYCE COLE (6217 Westchester 
Dr., Washington, D.C. 20031) took his 
postgraduate training (internship, 
one year of general surgery, and 
three years of otolaryngology resi- 
dency) at the University of California 
in San Francisco. He is now serving 
with the Air Force at Andrews Air 
Force Base in Washington. He has 
not yet decided where he will locate 
when he receives his discharge in 
1969. 

Boyce and his wife, Ginny, have two 
boys, Eric and Marc. 

ROBERT L BROWNING (1021 New- 
berry Dr., Richardson, Texas 75080) 
interned at the University of Arkan- 
sas before spending two years in the 
Navy with a Research and Develop- 
ment Group in the Pacific "on a very 
challenging and exciting project." 
Dur.ng this time he was sent to 
various special schools, and took in- 
tensive courses in industrial medi- 
cine and safety. After his discharge, 
he took a course in industrial medi- 
cine at the University of Oklahoma 
and worked part-time at the Western 
Electric plant in Oklahoma City as 
assistant medical director. In 1965 
he began the general practice of 
medicine in Richardson, Texas, 
where he has medical responsibility 
for approximately six thousand em- 
ployees at the Collins Radio Corpo- 
ration. 

Bob's hobbies are sailing (he has 
done a lot of sailboat racing through- 
out the Southwest in his Lido 14 
Class boat) and raising registered 
Black Angus cattle on a ranch in east 
Texas, near Lake Tawakoni. He and 
his wife Sarah were expecting their 
first child in January. 

He writes that they "are thoroughly 
enjoying the wide open spaces of 
Texas, but sincerely miss our many 



66 



friends in Nortii Carolina and the 
beautiful scenery in the Tarheel 
State." They invite "any Tarheels 
who are down this way on vacations 
or attending medical meetings to 
call and visit." 

H. GERARD HARTZOG served a one- 
year tour as general surgeon aboard 
the Naval Hospital Ship, USS Sanc- 
tuary, off the coast of Vietnam and 
six months at the Naval Hospital in 
Jacksonville, Fla. He will complete 
his service commitment in July. 

While he was in Asia, his wife Joy 
and their three daughters spent the 
year in Bangkok, Thailand, with her 
parents. Her father is an adviser 
with USAID. 

JOHN DAUGHTRY MARRIOTT (6854 
Bamburg Drive, San Diego, Calif. 
92117) completed his residency in 
radiology at the U.S. Naval Hospital 
in San Diego last August, and is now 
a lieutenant commander in the Navy 
Medical Corps. John and his wife, 
the former Ellen Joyner, have three 
children: John, Jr., 8; Elizabeth, 6V2, 
and Ellen, 5. 

KENNY JORDAN MORRIS (3838 Hali- 
fax Road, Wilmington, N.C. 28401) 
took his internship at Upstate Medi- 
cal Center in Syracuse, N.Y., and a 
residency in radiology at Johns Hop- 
kins Hospital. After serving as radi- 
ologist at Shaw Air Force Base in 
South Carolina, he entered the pri- 
vate practice of radiology in Wil- 
mington with Dr. J. 0. Perritt and Dr. 
J. M. James. 

Kenny and his wife Carolyn have 
three children: Kenny, Jr., 3; Mark, 
2; and Kimberly, 1. 

WILLIAM A. NEBEL (see News from 
the Hill). 

CARL SPENCER PHIPPS (380 Staf- 
fordshire Rd., Winston-Salem, N.C. 
27104) has been practicing internal 
medicine in Winston-Salem since 
1966, in partnership with Dr. Gray 
T. Boyette. His special interest is 
endocrinology and metabolism, and 
he is a member of the Board of Di- 
rectors of the newly formed N.C. Di- 
abetes Association. 

Carl and his wife have four children: 
Sandra, 7; David, 6; Kimberly, 3; and 
John, IV2. 



HARRY WHITE SCOTT (The Harbin 
Clinic, 104 E. Third Ave., Rome, Ga. 
30161) is engaged in the private prac- 
tice of dermatology. 

FULLER A. SHUFORD (5-F Doctor's 
Park, 417 Biltmore Ave., Asheville, 
N.C. 28803) has been engaged in the 
private practice of internal medicine 
and gastoenterology since July, 1966, 
in partnership with Drs. Walter R. 
Johnson and E. Emmons Corcoran. 

Fuller is married to the former Jo 
Anne Clark and they have two chil- 
dren: Katherine Sydney, born August 
30, 1955, and Roger Jordan, born 
April 3, 1967. Their home address is 
3 Buena Vista Rd., Asheville, N.C. 
28803. 

MIRIAM F. SMITH (1275 McConnell 
Drive, Decatur, Ga. 30033) began the 
private practice of general psychi- 
atry in Decatur in August, 1968, after 
finishing a three-year residency in 
psychiatry at Emory University. Be- 
fore that, she interned at Grady Hos- 
pital and spent two years in pathol- 
ogy at Emory. 

Miriam writes that she is "very busy 
and very happy." 



WILLIAM P. ALGARY (16 Flemington 
Rd., Chapel Hill, N.C. 27514) started 
a second year of cardiology fellow- 
ship at NCMH on July 1, and plans to 
go into private practice in July 1970. 
From 1965-67 he was with the U.S. 
Army Medical Corps at Fort Gordon, 
Ga. 

Bill and his wife Ruth have three 
children, two girls and a boy. 

HARRIS HARTWELL BASS (16226 
S.E. Eighth St., Bellevue, Wash. 
98004) served a rotating internship 
and a medical residency at Virginia 
Mason Hospital and the Mason Clin- 
ic in Seattle. After spending two 
years in the Navy, he joined the V.A. 
system for a brief time before estab- 
lishing a private practice in north- 
west Washington. 

His wife, Rae, works as an insurance 
correspondent for Farmers New 
World Life Insurance Company. 



WILLIAM RICHARD BURKE, JR. 
(Johnsdale Rd., Raleigh, N.C. 27609) 
began the private practice of adult 
and child psychiatry in Raleigh on 
July 1, 1968. He also serves as con- 
sulting psychiatrist at the Wake 
County Mental Health Center. 

J. ANDREW BURNAM (3021 Free- 
man St., San Diego, Calif. 92106) 
completed a residency in otolaryn- 
gology at Duke Hospital on July 1, 
1968, and is now serving on the staff 
of the U.S. Naval Hospital at San 
Diego. 

Andrew and his wife Gloria have a 
son, Mark, age 4V2. 

ROBERT J. COWAN (Department of 
Radiology, North Carolina Baptist 
Hospital, Winston-Salem N.C. 27103) 
is a second-year resident in radiol- 
ogy. Last October he presented a 
paper entitled "Tc"'-' Pertechnetate 
Brain Scans in the Detection of Sub- 
dural Hematomas" at the Ninth An- 
nual Meeting of the Southeastern 
Chapter of the Society of Nuclear 
Medicine, in Atlanta. 

DAVE M. DAVIS (597 N. Superior 
Ave., Decatur, Ga. 30033) is a senior 
resident in psychiatry at Emory Uni- 
versity and is doing research in fam- 
ily psychodynamics with Dr. Alfred 
Messer. He plans to remain in At- 
lanta after completing his residency 
next summer. 

THEODORE C. WHITSON (106th Gen- 
eral Hospital, APO San Francisco, 
Calif. 96503) finished his general sur- 
gery residency at NCMH in July, 
1968. He is now a captain in the 
Army, stationed in Yokohama, Japan. 
He and two other general surgeons 
are running a 55-bed burn unit. 

His wife Shelby and their 4-year-oId 
daughter are with him in Japan. 
When he wrote last December they 
were expecting their second child. 

1964 

JOHN N. BEARD (4714 Woodlark 
Lane, Charlotte, N.C.) served two 
years in the Air Force (Abilene, Tex- 
as) and returned to NCMH where 
he has just completed his pediatric 
residence. 



67 



Nick, his wife Darlene and their 
three daughters (IVIelissa 5, Teresa 3, 
and Karen 8 mos.) will be moving 
to Charlotte this summer where he 
will begin pediatric practice at the 
Nalle Clinic. 

ROBLEY KIVETTE BOWMAN (Box 
7576, Dix Hospital, Raleigh, N.C. 
27602), with his wife Reggie and 
daughter Laurel, returned to the 
United States in August, 1968, after 
serving a three-year tour in Europe 
with the U.S. Air Force. For the first 
18 months he was chief of medical 
services for the base dispensary in 
Etain, France, and for the next 18 
months, was chief of the general 
practice clinic at the USAF Hospital 
in Wiesbaden, Germany. 

In October, 1968, Kivette began a 
psychiatric residency at Dix Hospital 
in Raleigh. He and his family reside 
on the hospital grounds. 

ERNEST WOODROW HUNT, JR. (2551 
Soderblom Ave., San Diego, Calif. 
92122) finished his internship at the 
Naval Hospital in Bethesda, Md., in 

1965, and went to Pensacola, Florida, 
for training as a naval flight surgeon. 
When this was completed in April, 

1966, he departed for Tonkin Gulf 
aboard the USS Constellation. He 
spent two years as an Attack Carrier 
Air Wing Flight Surgeon, making two 
combat cruises to waters off North 
Vietnam. He was awarded the Air 
Medal and the Navy Achievement 
Medal, as well as unit commenda- 
tions awarded to Attack Carrier Air 
Wing Fifteen. He was promoted to 
Lieutenant Commander in Septem- 
ber, 1968. 

Woody is now in the first year of a 
residency in ophthalmology at the 
Naval Hospital in San Diego, the 
largest military hospital in the world. 
He and his wife Coley plan to be in 
San Diego for the next two and a 
half years. They have a daughter, 
Lisa, born in April, 1966; when he 
wrote, they were expecting a second 
child. 



1965 

DANIEL E. BROWN (25292 Fay Ave., 
Sunnymead, Calif. 92388) took three 
years of training in pediatrics at the 
University of Florida Teaching Hos- 



pital in Gainesville before entering 
the Air Force in 1968. He is stationed 
at March Air Force Base in California 
and expects to be discharged in 
1970. 

Dan is married to the former Barbara 
Ann Poag, a registered nurse (UNC 
'64). They have two daughters: Deb- 
orah Kaye, born March 23, 1966, and 
Jennifer Lynn, born June 5, 1967. 

EVIN H. SIDES (Route 4, Bolin Brook 
Farm, Chapel Hill, N.C. 27514) is as- 
signed to the 312th Evacuation Hos- 
pital in Chu Lai, Vietnam. 

His wife Bonnie, their son (Evin IV), 
and a daughter (Anna) are remaining 
in Chapel Hill until Evin returns to 
the States in September, after com- 
pleting his 12-month tour of duty in 
Vietnam. 



1966 

GARRY P. BERGERON, JR. (USS 
Semmes [DDG-18] FPO New York 
09501) completed a straight medical 
internship and one year of medical 
residency at Grady Memorial Hos- 
pital in Atlanta before entering the 
Navy. He is now the medical officer 
aboard a guided-missile destroyer 
assigned to the Sixth (Mediterran- 
ean) Fleet. Upon completion of his 
two-year tour of duty in the Navy, 
he plans to take a residency in 
radiology. 

ROBERT H. BILBRO (Camp Page 
Dispensary,APO San Francisco, Calif. 
96208) is commander of the post 
dispensary in Chun Chon, Korea. He 
writes that he is ". . . having an in- 
teresting experience ... we see many 
civilian patients, so a wide range of 
Oriental pathology is encountered. 
My tour here overlapped about two 
weeks with classmate Hunter Vaugh- 
an." 

Bob is planning to take more training 
in medicine, and probably in cardiol- 
ogy, after finishing his Army service. 

The Bilbros have two children. 

CAROL ANN HEDDEN HACKETT 
(Apt. 914, 1322 North Fort Meyer Dr., 
Arlington, Va. 22209) was married in 
Washington, D.C., on July 27, 1968, 
to Dr. John Peter Hackett of New 
York City. Both are residents in in- 



ternal medicine at Georgetown Uni- 
versity Hospital in Washington. 

ELIZABETH SPIVEY HOYT (2709 Car- 
tier Drive, Raleigh, N.C. 27608) in- 
terned at the Medical College of Vir- 
ginia before her marriage to Allen 
Hoyt of Pittsboro, N.C, who is now 
employed with Pet-a-Rama in North 
Hills in Raleigh. Since February, 
1968, she has been working as a gen- 
eral practitioner in the Comprehen- 
sive Treatment Unit at Dorothea Dix 
Hospital. 

The Hoyts ". . . have no children yet 
but do have three cats, one German 
shepherd, seven gerbils, and eleven 
aquariums full of tropical fish!" 

WYNDELL H. MERRITT (1108 Pitts- 
boro Rd., Chapel Hill, N.C. 27514) 
completed the first year of his resi- 
dency in surgery at the University 
Hospital in Gainesville, Fla., in July 
1968. He is now with the Army, ser- 
ving in the 85th Evacuation Hospital 
in Vietnam. 

J. LEWIS SIGMON, JR. (1574 Clayton 
Dr., Charlotte, N.C. 28203) served his 
internship in the Air Force and com- 
pleted his two years of active duty 
as Flight Surgeon in June. For the 
past year, he has served as Chief 
of Aeromedical Services at Shaw Air 
Force Base, S.C. On July 1, he began 
a two-year residency in family prac- 
tice at Charlotte Memorial Hospital. 

The Sigmons have two sons, Lewis 
1 1 1 (3 years old) and Andy (1 year old). 

1967 

PHILLIP G. ARNOLD joined the Army 
in July and is stationed at Fort Leon- 
ard Wood, Mo. where he is serving 
at the General Leonard Wood Hos- 
pital. 

He and his wife Susan have a son, 
Phillip B., born on February 16, 1969. 

JOE M. GRAVER (98 Pierce Road, 
Watertown, Mass. 02172) is a resi- 
dent in general surgery at Massa- 
chusetts General Hospital in Boston. 
Joe is the coauthor (with Drs. Erie 
Peacock and John Madden) of two 
papers published in 1968: one in the 
August issue of Surgery and the 



68 



other in the May issue of Annals of 
Surgery. 

He and his wife Beth have a son, 
William Joseph, born October 24, 
1968. 

JERRY W. GREENE (Box 12423, APO 
San Francisco 96227) is in Vietnam, 
serving with the Air Force as flight 
surgeon to a fighter wing (F-lOO) at 
Bien Hoa. He recently spent three 
weeks in the Philippines, learning 
the techniques of jungle survival. 

Jerry's future plans include a second 
year with the Air Force in Aviaro, 
Italy, then a residency, probably in 
psychiatry. 

ROBERT H. KEITER (91 Maxwell Rd., 
Chapel Hill, N.C. 27514) began his 
second year of psychiatry residency 
at NCMH on July 1. 

He married Mary Beth Fudge on 
June 8. 



CLIFFORD THOMAS LEWIS was sta- 
tioned at Otis Air Force Base on Cape 
Cod when he wrote us. He and his 
wife, the former Elizabeth Beattie, 
R.N. (UNC '67) were to leave for a 
two-year tour of duty at Clark Air 
Force Base in the Philippine Islands. 

DONALD H. McQueen III (H.H.C. 
05319356, l/64th Armor, APO New 
York 09031) completed a rotating in- 
ternship at Grady Memorial Hospital 
in Atlanta before reporting for mili- 
tary service at Ft. Sam Houston in 
San Antonio, Texas. After a six-week 
period of training, he was assigned to 
the l/64th Armor in Kitzingen, Ger- 
many, where he will be stationed for 
three years. 

Don's wife, Ann, accompanied him 
to Germany and gave birth to a 
daughter, Jennifer Lee, on Novem- 
ber 9. 

JAMES H. SPRUILL, JR. (204 First 
Street West, Barksdale A.F.B., La. 
71110) completed a straight medi- 
cine internship at Emory University 
and Affiliated Hospitals before enter- 
ing the Air Force. He is now assign- 
ed to the 855th Medical Group, Stra- 
tegic Air Command, Barksdale A.F.B. 
Upon completion of this tour of duty, 
he plans to continue his training. 



The Spruills have one child — a girl 
born in August, 1968. 



MATTHEW R. FRIEDMAN (111 Third 
Ave., New York, N.Y. 10003) was mar- 
ried in Chapel Hill on December 3, 
1968, to Mary Margaret Bowsher, a 
1967 graduate of the UNC School of 
Nursing. On July 1 he began a psy- 
chiatric residency at Boston Univer- 
sity Hospital. 



HOUSE STAFF 

1962 

JOHN ARMSTRONG CROSS, JR. (19 
Club Terrace, Newport News, Va. 
23606) completed his surgical train- 
ing at NCMH in 1962 and is now 
practicing general surgery in a group 
of four Board-certified surgeons. 

He is married and has four children. 



1968 

ROBERT N. DAVIS (206 W. Wendover 
Ave., Greensboro, N.C. 27401)'opened 
an office for the practice of derma- 
tology in Greensboro in July, 1968. 
In addition to being on the associate 
staffs of Moses Cone Memorial and 
Wesley Long Community Hospitals, 
he is clinical instructor in the De- 
partment of Medicine of the UNC 
School of Medicine (by virtue of its 
affiliation with Moses Cone Hospital). 

He and his wife Nickie have one son, 
Andrew. Their home address is 1704 
Duval Drive. 

RICHARD BEVERLY RANEY, JR. (9th 
Medical Detachment, APO New York, 
N.Y. 09176) is in Heilbronn, Germany, 
where he is the pediatrician at an 
Army Medical Corps dispensary. 

His wife and 14-month-old daughter 
are with him. 



ALUMNI NECROLOGY 
1968-1969 

ARTHUR CHASE AMBLER ('18) 
ALAN R. ANDERSON ('21) 
CHARLES W. ARMSTRONG ('12) 
THOMAS P. BRINN ('21) 
CLYDE R. BROWN ('32) 
HOWARD B. BARNWELL ('40) 
FREDERICK P. BROOKS ('31) 
ROBERT L BUGDEN ('68) 
CLARENCE P. CAMERON ('34) 
G. BRUCE DAVIS ('29) 
EVERETT H. ELLINWOOD ('31) 
JOHN H. FITZGERALD ('18) 
MARK A. GRIFFIN, SR. ('14) 
JAMES HAWFIELD ('16) 
JESSE F. HOBBS ('29) 
WILLIAM B. INGRAM ('43M) 
THOMAS C. KERNS, SR. ('09) 
ROBERT F. LEINBACH ('05) 
RUTH LEONARD ('40) 
FILAS J. LITTLE ('43D) 
JAMES F. MARSHALL ('29) 
KARL B. PACE, SR. ('12) 
ELLA LOUISE PAYNE ('40) 
CLAUDE T. PEOPLES ('43D) 
LOUIS I. POSNER CIO) 
DAVID J. ROSE ('20) 
ELI R. SALEEBY ('20) 
EUGENE S. SUGG ('17) 
ADAM T. THORP, JR. ('56) 
WALTER WATSON ('08) 
WILLIAM E. WILKINSON ('30) 
MILTON H. YUDELL ('39) 



69 



Annual Meeting Medical Alumni Association 

April 23-24, 1969 

Program 

APRIL 23 

5:30-6:00 p.m. Chapel Hill Country Club. Registration 

6:00-7:00 p.m. Social Hour 

7:00-9:00 p.m. Alumni Dinner 

Presiding: James E. Davis, M.D., President of the 
Alumni Association 

Welcome: Chancellor J. Carlyle Sitterson, Ph.D. 

Addresses: Mr. C. Ellis Fisher, President of the 
Whitehead IVIedical Society; Dean Isaac M. 
Taylor, M.D., UNC School of Medicine; James 
E. Davis, M.D. 

Presentation of Certificates to the Class of 1944. 

Presentation of Distinguished Service Awards. 

9:00 p.m. Carolina Inn. Class Reunions. 

APRIL 24 

9:30a.m.-12:30p.m. Clinic Auditorium. 

Presiding: James E. Davis, M.D. 

Welcome: Vice Chancellor Health Sciences C. Ar- 
den Miller, M.D. 

Greetings from the Medical Society of the State 
of North Carolina: David G. Welton, M.D., Pres- 
ident. 

Addresses: "The UNC School of Medicine and the 
People of North Carolina." Mr. Archie Davis, 
Chairman, Board of Directors, Wachovia Bank 
and Trust Company. 

"Medical Schools— National as Well as Local 
Resources." Dean William N. Hubbard, Jr., 
M.D., University of Michigan Medical School. 

Panel Discussion: "How the University of North 
Carolina School of Medicine Can Best Serve." 

Panelists: 

Julian S. Albergotti, M.D., General Medicine, 
Charlotte, N.C. 

Floyd W. Denny, M.D., Chairman, Department 
of Pediatrics, UNC School of Medicine. 

John R. Chambliss, M.D., Internal Medicine, 
Rocky Mount, N.C. 

Associate Dean Christopher C. Fordham, M.D., 
UNC School of Medicine. 

General Discussion 
1:00 p.m. Chapel Hill Country Club. Luncheon and 
70 



Annual Meeting of the Medical Alumni Asso- 
ciation. 

Presiding: James E. Davis, M.D. 

Welcome: Associate Dean John B. Graham, M.D. 

"Future Plans for the School of Medicine." Dean 
Isaac M. Taylor, M.D. 

Report of the Visiting Committee. John S. Rhodes, 
M.D., Chairman. 

Report of the Committee on Constitution and By- 
laws. John R. Chambliss, M.D., Chairman. 

Report of the Loyalty Fund Committee. Charles A. 
Speas Phillips, M.D., Chairman. 

Recognition of the Members of the Class of 1919. 

Tribute to Members Who Have Died During the 
Past Year. 

Report of the Elections Committee. John R. Cham- 
bliss., M.D. 

Installation of New Officers. 

3:00-5:00 p.m. Departmental Meetings 

Department of Medicine— Clinic Auditorium 
Department of Surgery — Surgical Lounge. 




Dr. David G. Welton, President 
N.C. State Medical Society 



John B. Graham ('40) 




John S. Rhodes ('27) 



John R. Chambliss ('43M) 




President H. Haynes Baird ('40), President Elect Charles L. Herring ('55), Vice 
President W. Howard Wilson ('35), Secretary Hugh C. Hemmings ('54), and Dean 
Isaac M. Taylor. 




John R. Chambliss ('43), Julian S. Albergotti ('55), Floyd W. Denny, and Chris- 
topher C. Fordham ('49). 




H. McLeod Riggins ('22), Dean Isaac M. Taylor 

and John R. Chambliss ('43M). 




Edward S. Williams ('54), Vice President W. Howard 
Wilson ('35) and Emory S. Hunt. 



Charles L. Powell 



Shirley P. Jabbs 



71 




72 



PINEHURST 

Medical Alumni Association luncheon held during the State Medical Convention at Pinehurst, N.C., May 19, 1969. 




_-/' " 



C. Ellis Fisher (70), James H. 
Scatliff (UNC Radiology) 



L. Richardson Preyer and Dean Isaac M. 
Taylor. 

73 




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WENTWORTH & SLOAN 

JEWELERS 

CHAPEL HILL, NORTH CAROLINA 




THE RANCH HOUSE 

Chapel Hill, N. on Rt. 86 at Town Limits 
Choice and Prime Western Steaks 

Hickory Smoked, Charcoal Broiled on our Open Hearth 



Sunday Evening Chuck Wagon Buffet 

5:30 to 8:00 P.M. on Sundays Only 

Four Meats (Including rare roast beef), Eight Vegetables, 

Six Salads, Dessert and Beverage 

All You Can Eat 



2.95 



Open: Tuesday through Sunday (Closed Monday) 

5:30-10:00 P.M. ('til 10:30 P.M. Friday and Saturday) 

After football games open at 4:30 P.M. 

For Reservations: Call Chapel Hill, 942-5155 



PARTIES 



CONVENTIONS 



BANQUETS 



80 



WE WANT TO HELP YOU BUILD 

A GOOD IMPRESSION! 



Optimum results in tJrinting depend on proper 
planning— \us\ as they do in every other field of 
endeavor. And proper planning includes, among 
many other things, the allowance of a proper 
amount of time for the job to be done 
right . . . without expensive haste or waste. 

Since printing is a highly developed art 
requiring finely honed skills and marvelously 
complex though versatile machinery, be sure to 
consult with your printer in your planning. And be 
sure to consult with him early, so that the job may 
be done right and be ready when it's needed. 

Because it's our purpose to help you build a 
good impression , we'd like to consult with you! 




■Creative Printers, Inc. 

DURHAM & CHAPEL HILL 



PHYSICIANS NATIONWIDE, INC. 




"1/1 assiirintidn of Northwentern Mutual ai/enlK offer- 
itifi a profcsxional serrice to the physicinn for inxur- 
niice and finnncial planning." 




LAWTON D. GRESHAM, C.L.U. 
NORTHWESTERN MUTUAL LIFE BLDG. 

P. 0. Box 71 Chapel Hill, N. C. 

Phone: 942-6966 

Greensboro Phone: 275-8773 



tapered tubing 
intensifies sound 
Iransmi 




scientifically designed 
ear tips fit better, 
block out room noise. 



raised diaphragm for 

sensitive acoustic 
pickup 



especially designed for greater sensitivity 
in sound pickup and for 
clearer transmission with these 
outstanding features... 

SPECIAL COLOR CODING TO PREVENT 
LOSS OR MISPLACEMENT 

Comes in five colors-different colors can be 
assigned to each floor, department, or 
personnel category (interns, nurses, etc.) 
so ttnat lost" instruments can be returned to 
proper owners. 



CAROLINA SURGICAL SUPPLY COMPANY 



706 TUCKER ST., 
PHONE 833-8631 



RALEIGH, N.C. 



81 



Advertise in The Bulletin. 



For information, Call or write: 

Charles L. Powell 

Trailer No. 23 — Manning Drive 

Chapel Hill, North Carolina 

Telephone 919 / 966-2543 



ATTENTION, RESIDENTS, INTERNS And SENIOR STUDENTS 

EACH YEAR WE EQUIP MANY PHYSICIANS OFFICES COMPLETE WITH 
FURNITURE, MEDICAL and SURGICAL EQUIPMENT, INSTRUMENTS, 
LABORATORY SUPPLIES, ORTHOPEDIC SUPPLIES, FRACTURE APPLI- 
ANCES, DIAGNOSTIC EQUIPMENT, STERILIZERS and AUTOCLAVES, and 
many other ite-ns. 

Let us furnish your office when you are ready 

WINCHESTER 

"CAROLINAS' HOUSE OF SERVICE" 

Winchester Surgical Supply Company 

200 SOUTH TORRENCE ST. CHARLOTTE, N. C. 28201 

Phone No. 704-372-2240 

Winchester-Ritch Surgical Company 

421 WEST SMITH ST. GREENSBORO, N. C. 27401 

Phone No. 919-272-5656 



82 




Eastgate Shopping Center— Chapel Hill 



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ALL THE FAMILY WILL APPRECIATE THAT 

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GOODNESS 

THAT CAN ONLY BE FOUND AT 

HICKORY FARMS 



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83 




Collier Cobb 

& Associates, Inc. 

Insurance and Surety Bonds / Chapel Hill, North Carolina 



84 



A Gracious Welcome to the 

Calm Comfort of the Old South 




A Unique Inn of a Great University 
'•In the Southern Part of Heaven — Chapel Hill" 

Your every comfort and conipU'/c relaxation is our foremost aim. 
Diniji}> facilities fashioned for the gourmet — and at reasonable prices. 
Visit The Hill Room, or enjoy the informality of our cafeteria. Private 
rooms are available for parties, banquets, meetings and dances. 
The Inn — a fraternity house for alumni every weekend. 



Carolina Inn 

Owned and Operated by the Tnivcrsity of North Carolina 
Carl Moser. Director 



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(Space courtesy of HICKORY FARMS OF OHIO, Eastgate Shopping Center, Chapel Hill.) 



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