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AlumniNews SUMMER 2003 Alumni News DukeMed Duke Med 5 Saving the life of D.C.’s youngest sniper victim The Difference a Surgeon Can Make 8 Tales of a Space Cowboy, William G. Anlyan, MD 12 Your Turn: A Student’s Take on Cultural Bias

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Page 1: AlumniDuke AlumniNews DukeMedMed News

AlumniNews

SUM

MER

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AlumniNewsDukeMedDukeMed

5 Saving the life of D.C.’s youngestsniper victimThe Difference a Surgeon Can Make

8 Tales of a Space Cowboy,William G. Anlyan, MD

12 Your Turn:A Student’s Take on Cultural Bias

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School of Medicine NamedOne of the Country’s Best

The Duke University School ofMedicine has been ranked #4 in thenation, according to U.S. News &World Report’s Best GraduateSchools 2004—a tie with theUniversity of Pennsylvania and astep up from last year’s #5 ranking.

Also earning high marks isDuke’s physician assistant program—the country’s first, founded byformer School of Medicine chairEugene Stead, MD—which wasnamed the nation’s best. In addi-tion, six medical specialties—women’s health, geriatrics, inter-nal medicine, HIV/AIDS,drug/alcohol abuse, and familymedicine—occupy top-ten slots.

“Although our medicalschool ranking can vary from

year to year due to the nature of the ranking system,we are gratified to have been consistently includedamong the very top schools in the country for thepast decade,” said Duke Health System presidentand CEO Ralph Snyderman, MD. “Dean SandyWilliams’ leadership has had a strong positive impactand will undoubtedly continue to advance our insti-tution in the years ahead.”

Two Duke School of Nursing programs also earnedtop-ten rankings: The nurse anesthetist program—which will graduate its first class this year—wasnamed #6 in the country, while the school’s geronto-logical nursing program ranked eighth.

“Our nursing school has made excellent progressand continues to grow under the leadership of DeanMary Champagne,” Snyderman said, adding thatDuke’s overall success “is a direct reflection of theoutstanding talent of our faculty, students, and staff.”

Medical Students NamedSchweitzer FellowsSeven Duke medical students have received presti-gious North Carolina Schweitzer Fellowships for2003-04. They are...

Marie Clark and Amy Henriott for their work increating a comprehensive health care and educationprogram for residents of the Genesis Home, aDurham transitional facility for homeless families. Thegoal is to teach residents to seek appropriate healthcare for issues like diet and exercise, contraception,stress management, diabetes, and breast cancer.

Rajesh Swaminathan for developing a programto screen members of the Durham community formetabolic syndrome—a widespread risk factor forheart disease—and to teach them about appropriatelifestyle modifications and treatment strategies. Theobjective is to increase awareness and understand-ing of metabolic syndrome among underserved area residents and members of the local health care community.

Andrea Havens for helping to create the Senior-Student Partnership, a collaboration between Dukemedical students and elderly community memberswho are involved with the Durham Council forSenior Citizens. The program will improve healthcare for isolated seniors who may have inadequateinformation about or access to appropriate healthcare services.

Jeffrey Sung and Susan Kansagra for develop-ing a management plan for SafeChild, an existingWake County non-profit organization that strives toprotect children from sexual and physical abuse bypromoting programs targeting at-risk families andfirst-graders, who face the greatest risk of sufferingfrom abuse. More than 2,200 cases of child abuseare reported in Wake County annually.

Andy Garrison for establishing a smoking cessa-tion program at Durham’s Lincoln Community HealthCenter, a facility that treats many of the area’sunderserved populations. Students involved with theprogram will provide advice, motivation, counseling,and smoking cessation products like nicotine patchesto patients actively trying to quit smoking.

The N.C. Schweitzer Fellows Program is a branchof the U.S. Schweitzer Fellows Programs®, an organ-ization that provides service fellowships to graduatestudents dedicated to addressing unmet communityhealth care needs.

2 DukeMed AlumniNews

Alumni NewsIN BRIEF

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Mentoring Program PairsFellows and Faculty

A new initiative is giv-ing young physiciansthe opportunity toconduct researchunder the guidance ofrenowned Duke facul-ty members.

Led by JohnHamilton, MD, chief ofinfectious diseases andinternational health,the Duke MentoredClinical Research

Scholar Program will offer stipends for up to fiveyears to promising research clinicians—MDs whohave either completed the clinical component of asubspecialty training program or received a one- tothree-year Duke faculty appointment.

The innovative and highly competitive programenables successful candidates to draw upon theexpertise and experience of nearly 50 participatingmentors—Duke physician-researchers in specialtiesranging from immunology and human genetics toOB/GYN, surgery, and cardiology.

The program’s first cohort of participants—slatedto begin their faculty research collaborations inJuly—is comprised of Andrea Haqq, MD, who willbe investigating some genetic components of child-hood obesity; Aimee Zaas, MD, HS’02-current,who will look at the relationship between mortalityin bone-marrow-transplant patients and the fungusresponsible for many of those deaths; and DavidSeo, T’93, MD’97, who will examine geneticchanges in cardiac patients who have undergonesurgical ventricular restoration.

“To provide fellows with a credible clinicalresearch experience, you have to have someone whowill lead the way and provide guidance,” says pro-gram director Hamilton. “Mentoring is a tried andtrue method to guide trainees who have the poten-tial to excel.”

22 Inducted to AOAFive alumni, including three current Duke facultymembers and one house staff member, are among22 recent Duke inductees to Alpha Omega Alpha.

The alumni inductees are: Mark Onaitis, MD’97,HS-current; Gary Cox, MD, HS’95, a member ofthe Duke Division of Infectious Diseases andInternational Health; Jeffrey Crawford, MD,HS’77-’82, a member of the Duke ComprehensiveCancer Center; Laura Schanberg, MD’84, HS’84-’91, a member of the Division of PediatricRheumatology; and Etta Driscoll Pisano, MD’84,HS’84-’91, a physician at UNC-Chapel Hill.

Eight members of the medical class of 2003 wereinducted, along with nine members of the class of2004. They are: Joseph Barker, MSIII; JamesBrashears, MSIII; Patricia S. Cho, MSIV; MarieClark, MSIII; Rebecca Elliott, MSIII; TristanHartzell, MSIII; Karen Hoffman, MSIV; RaviKarra, MSIII; Kensaku Kawamoto, MSIV; PatrickKelly, MSIV; Rebecca McClaine, MSIII; TimothyMillington, T’00, MSIII; James Onigkeit, MSIII;Tiffany Powell, MSIV; Frederick Rauscher, MSIV;Craig Rineer, MSIV; and Elizabeth Weinzierl, MSIV.

At the student level, AOA inductees are selectedbased on ranking in the top 25 percent of the class.At the practicing physician and physician-academicianlevel, selection is based on outstanding careers andcontributions to the generation, conservation, anddissemination of medical knowledge. Approximately16 percent of Duke alumni are AOA members.

Medical Families WeekendWell Attended This year’s Medical FamiliesWeekend, held in March, had the best attendance ever. Morethan 200 students, parents, faculty,and staff came together to shareexperiences and informationabout medical education at Duke.The event included a country barbecue, the annual MedicalStudent-Faculty Show, a facultyforum, a luncheon, and tours ofthe School of Medicine.

John Hamilton, MD

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Medical AlumniWeekend 2003 Graduates from any year ending in 3 or 8 and mem-bers of the Half-Century Club, comprised of all class-es from 1951 and earlier, are invited back to Dukefor Medical Alumni Weekend, October 31-November1, 2003. Registration materials will be mailed in July.

Making the MatchJon Schoenecker, MSIV, and hiswife, Susan, had more than onereason to celebrate Match Dayweekend this March. Not onlywas it their son, Tyler’s, firstbirthday, they learned that Jonhad been accepted into theorthopedic residency program at Vanderbilt University MedicalCenter in Nashville, Tenn.

Jon was one of 87 Duke medical students whoparticipated in this year’s national Match DayCeremony, where medical students who will gradu-ate in May discover which residency program hasaccepted them.

According to Caroline Haynes, MD, Duke’s resi-dency training program director, Duke students werevery successful this year at getting into highly selec-tive residency programs like orthopedics (5), ophthal-mology (3), otolaryngology (3), and dermatology (4).The top specialties were internal medicine (14), gen-eral surgery (6), and pediatrics (6). By far, the largestnumber of students matched at Duke (21). Othertop schools were Harvard (8), University ofCalifornia-San Francisco (4), Stanford (3), Johns

Hopkins (3), and Yale (2). Other placements went to New York Hospitals, the University of Texas,University of California-Los Angeles, University ofCalifornia-San Diego, University of California-Davis,and many others.

Call for 2004 Awards NominationsNominations for 2004 Medical Alumni AssociationAwards are now being accepted. Presented annuallyduring Medical Alumni Weekend, awards are givenfor Distinguished Alumni, Distinguished Faculty,Humanitarian Service, Distinguished Service,Honorary Alumnus/a, and the William G. Anlyan,MD, Lifetime Achievement Award. Letters of nomi-nation should include the following: candidate’sname, class year and/or house staff years and spe-cialty, the award category, a statement of why youbelieve this person should be considered, letters ofsupport, and your name, address, telephone number,and/or e-mail address, class/house staff years, andspecialty. Please send nominations by August 31,2003, to MAA Awards Nomination, Duke MedicalAlumni Association, 512 S. Mangum Street, Suite400, Durham, NC 27701-3973. Online nominationsmay be made at medalum.duke.edu, by clicking on“Awards Program,” and “Make a Nomination.”

$$$$$

4 DukeMed AlumniNews

IN BRIEF

Congratulations2002 Duke School of Medicine reuniting classes,

who committed more than $482,188to Duke University School of Medicine. This

amount includes $323,535 in unrestricted gifts

to the Davison Club and The Fund for

DukeMed. These gifts and pledges provided

vital support for scholarships, faculty recruit-

ment, technology, departments, and research.

A special thanks to all class agents and gift

participants for their leadership roles in making

the 2002 Reunion Gift Program a tremendous

success!

The editorial staff apologizes for the omission

of the total amount of funds committed in the

Spring 2003 issue of DukeMed Alumni News.

Medical Alumni Weekend2003

October 31-November 1

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DukeMed AlumniNews 5

The Difference a Surgeon Can Make

by Jeni Lyttle

In late November, pediatric surgeonKurt Newman, MD’78, took a phone call from theworried mother of one of his patients—a 13-year-oldboy. The child, discharged days earlier following emer-gency surgery, was experiencing pain.

After some probing by Newman, the cause of thechild’s pain became clear: The boy had been playingbasketball and had simply overdone it. Fairly unre-markable, until you consider the child. The ninthknown Washington, D.C.-area sniper victim, he hadnearly crossed the threshold between life and death amere six weeks earlier. Newman was one of thosewho helped save his life.

“Injuries you’d see on a battlefield,not in a pediatric OR...”

The interim chief of surgery and newly appointedexecutive director of the Joseph E. Robert, Jr., Centerfor Surgical Care at Children’s National MedicalCenter, Newman was in a meeting the morning ofOctober 7, when he received an urgent page from hissurgical partner, Martin Eichelberger, MD:

Need you to call the OR re: 13 yo with gunshot woundsNewman had heard on his way to work that

morning that a child had been shot while beingdropped off at an area middle school. The possibilitythat this child was a sniper victim crossed his mind,

ALUMNI NEWS

Saving the life of D.C.’s youngest sniper victim

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he says, although that suspicion wasn’t immediatelyconfirmed.

Newman quickly headed for the OR, where hemet lead surgeon Eichelberger. What they discoveredwas unlike anything they had seen before: Theextent and massive nature of the boy’s injuries—eachpotentially fatal—was horrific, Newman recalls—”thekind of thing you’d see on a battlefield, not in apediatric OR.”

As the 10-person OR team got to work, it becameevident that the bullet had shattered inside thechild’s body, riddling many of his vital organs withtiny lead shards, most invisible to the naked eye. Theboy’s left lung was seriously bruised and bleeding,his stomach ripped open, his diaphragm, liver, pan-creas, and spleen all severely damaged.

“Kids don’t usually survive one of these types ofinjuries, much less a combination of so many,”Newman says. “There was an unbelievable amountof damage—like a bomb had gone off in this child’schest and abdomen.”

As events quickly unfolded, the team learned thatthe boy was, in fact, not only a victim of the sniper,but also the nephew of one of their co-workers, alongtime surgical nurse at Children’s—and the womanwho’d taken the child to school that morning.

These circumstances made the case particularlygut-wrenching, Newman says. “In surgery, there’s anelement of distancing yourself from the situation inorder to concentrate on the task at hand, and in thiscase, that was very hard to do,” he says.

“Seeing that boy lying there, thinking of my owntwo boys on their way to school that day...we allknew it could have just as easily been one of ourkids. It was extremely emotional for everyone—and took a lot of work to focus on the intense, step-by-step nature of caring for this child.”

While he has cared for many children injured byviolence, it had typically been in situations that wereeither accidental or related to criminal activity,Newman says—”never one that involved a serialkiller or the possibility of terrorism”—a very realthreat in the nation’s capital these days.

“Between 9/11, the anthrax scare, and the ongo-ing threat of terrorism, the sniper attacks were justanother in a series of events in this area that leftmany people feeling anxious and under siege,” hesays. “We didn’t know immediately whether this wasterrorism, a sick person acting alone, or what. Whatwe did know was that we felt personally vulnerablebecause the sniper shootings were affecting peoplerandomly as they went about their daily lives.”

By the time the two-and-a-half-hour surgery wascomplete, the child’s spleen was the only organ

removed; the rest were repaired and left to heal ontheir own.

Helping to Catch a Serial Killer

X-rays had shown that the largest bullet fragment—about the size of a dime—had not penetrated any of the boy’s vital organs. Lodged between his ribcage and skin, the fragment would not normallyhave been removed at that time unless it was endangering his health.

But given the circumstances, Newman says, “weknew it was important—as long as it wouldn’t com-promise the child’s well-being—to try to retrieve thatfragment in order to help law enforcement officials.We were able to make a small incision, and the frag-ment popped right out”—and was promptly turnedover to one of the many police officers and U.S.Department of Alcohol, Tobacco, and Firearmsagents waiting outside the OR.

Handing over the bullet fragment was only oneway the surgical team played a crucial role in assist-ing law enforcement officials; the medical expertiseof Newman and Eichelberger was sought in a differ-ent capacity, as well.

“The authorities were trying to gather as muchinformation as possible, so there was intense interestnot only in the bullet itself, but also in its trajectory,angle, and position,” Newman says. “We wereasked to assess the child’s wounds in detail to helpthem translate the kind of injuries he’d sustainedinto ballistics and forensics data.”

“Sometimes everything just breaks right.”

Criminal investigation aside, those involved with sav-ing the boy’s life realize that the odds point to atragically different outcome. Thankfully, the oddswere with them that day as an incredible chain ofevents played out.

Immediately after the shooting—and instead ofdialing 911—the boy’s aunt raced him to BowieHealth Center, a nearby urgent-care facility. Despitebeing unaccustomed to treating trauma victims, thecenter’s staff did a remarkable job of stabilizing theboy-at which point he was air-lifted to Children’s.

“That was one of the really unbelievable thingsabout this case,” Newman says. “What are thechances—given the number of people in this area—that a child being shot under those circumstanceswould be related to one of our friends and col-leagues? Doing what she did greatly reduced thetime it took for treatment to begin, and helped savethis child’s life.”

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Newman credits the child’s improbable outcometo having a solid infrastructure in place—and to thequick, appropriate actions taken by each link in achain of trained professionals. “The group at theurgent-care facility, the helicopter staff, everyone allthe way down the line did all the right things andthe system really worked,” he says.

At one point during the operation, Newman says,“We really felt that things were going in the rightdirection. We were beginning to close up, and Martyand I looked at each other as if to say, “We’re goingto get this kid off the table and out of the OR,” herecalls. “That was when we felt pretty sure we’dmake it over that first hurdle.”

The second hurdle was cleared about a week later,Newman says, when the boy was breathing on hisown and worries about healing and infection werefading. “We really started getting the sense thathe’d make a strong recovery,” he says, adding that,of course, the biggest hurdle of all was crossedwhen the boy went home in November.

“Sometimes everything just breaks right,”Newman says. “In this case, we had a fabulousteam—everyone was prepared and knew their roles,the people who cared for the child before he arrivedhere at Children’s knew what to do and when to doit—and the needed resources were available andready every step of the way. All that, plus a lot ofluck.”

Success in situations like these ultimately boilsdown to training and preparedness, says Newman.

“You never know when you’ll need this kind ofpreparation, particularly in light of the terroristthreats we face in this day and age,” he says.

“It’s even more crucial than ever to have a well-rehearsed system in place—from the first respondersto the communications and transportation people tothe OR staff. The idea is to not have to reinvent thewheel with each incident, to always be prepared byhaving that education and infrastructure in place.”

Lessons Learned

Newman, a member of both the Duke MedicalAlumni Council and the national Joint Commissionon Accreditation of Health Care Organization’s Boardof Commissioners, says it was his own medical edu-cation that got him interested in trauma surgery—and credits the mentorship of Duke faculty membersfor guiding him toward a surgical career.

Particularly influential during Newman’s time atDuke, he says, were David Sabiston, MD, then-chairof surgery, and faculty member Joseph Moylan, MD,“one of the first surgeons at Duke to devote himselfto caring for people with traumatic injuries andburns,” Newman recalls. “Dr. Moylan established arotation for fourth-year students, and that experi-ence is really what turned me on to the difference asurgeon could make.”

A pediatric surgeon since 1986, Newman has nodoubt made a positive impact on the lives of count-less children and their families. But despite it all, heknows there’s always something new to be learnedfrom every situation.

“Sometimes it feels like you’ve seen and done itall, so it can be easy to get hardboiled and cynical,”he says. “But there are always going to be timeswhen you get nervous about what’s going to hap-pen. As controlled as things may be at work or inyour life, there can still exist this huge sense of fearand vulnerability—that your children could be threat-ened, the people around you could be threatened-and those feelings were definitely there that morn-ing with this child.”

On a more positive note, Newman “was remindedonce again of the great satisfaction that comes frombeing part of a winning team,” he says, adding thatthe boy is not only back in school, but back to play-ing basketball—and that his long-term prognosis isgood. “You have the training, you’ve done the drills,you’re prepared...so it’s really incredible when every-thing comes together the way it’s supposed to andresults in this kind of outcome.”

“There was an unbelievable amount

of damage—like a bomb had gone off

in this child’s chest and abdomen.”

Kurt Newman, MD’78

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Comments in this article were taken from an interview

with Duke University Chancellor Emeritus William G.

Anlyan, MD, who served as dean of the Duke

University School of Medicine and Chancellor for

Health Affairs from 1964 to 1988. The chat with

Anlyan was the third in a series of conversations with

prominent emeriti, alumni, or current members of the

DUMC faculty who were crucial in the growth and

development of the School of Medicine and the

Medical Center. The “Before the Colors Fade” series is

sponsored by the Office of the Dean and led by

Edward Halperin, MD, vice dean. DukeMed

AlumniNews will carry excerpts from selected sessions.

by Marty Fisher

Tales of a Space CowboyHow William Anlyan, MD, ushered in a new era at DUMC

Alumni NewsBEFORE THE COLORS FADE

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ALUMNI NEWS

When Bill Anlyan arrived at Dukefrom Yale University Schoolof Medicine in 1949, hefound the contrast amaz-ing. “Every cubic inch ofthe hospital and medicalschool was bustling withactivity 18 to 20 hours aday,” he remembers. “AtYale, we had empty wings

of buildings just sitting there.”Something about the energy of the place—the

crowded hospital wards, faculty and students sweat-ing together in the pre-air-conditioning humidity, thesmell of rubbing alcohol and humanity mixed withgreasy Dope Shop hamburgers—was intoxicating tothe 23-year-old just out of medical school. Anlyanwas invited to stay for residency, and he never left. Inthe mid-1960s he became dean, and later chancellor.As he presided over Duke’s transition from a leadingregional teaching hospital to a nationally prominentacademic medical center, Anlyan would never havethe luxury of empty buildings at Duke. In fact, thefinancial, political, and social struggle for space, cul-minating in the construction of Duke (North)Hospital, would be a defining point of his career.

“Where’s Duke?”

Anlyan’s path to Duke began in Alexandria, Egypt,where he was the son of a foreign service officerwith the British government. He received an educa-tion at Victoria College and passed the Oxford andCambridge Higher Certificate at age 17. World War IIwas underway at the time, but Anlyan was declaredineligible for military service due to severe arthritis.Instead, his father gave him $5,000 for college, andin 1943, Anlyan boarded a U.S. Merchant Marineship alone for a 32-day journey to the United States.He followed the footsteps of his older brother, John,to Yale, and completed his undergraduate educationin a mere 15 months. Anlyan was accepted at theUniversity of Chicago, Harvard, and Yale medicalschools, but decided to continue at Yale. During histhird year, he completed a thesis on multiple sclero-sis, examining the two prevalent theories of theday—that it was caused either by sub-acute orchronic encephalomyelitis (inflammation of the brainand spinal cord) or by thrombosis (blood clots) of thevenules in the brain. Based on the latter theory, mul-tiple sclerosis was treated with anticoagulants suchas heparin and coumadin. Anlyan was soon put towork regulating anticoagulant therapy for patients of

William German, MD, Yale’s chief of neurosurgery.As Anlyan’s fourth year of medical school neared

its end, the chief resident in neurosurgery, a formerDuke intern, suggested he consider Duke. “Where’sDuke?” was Anlyan’s response. In 1949, after talkingby phone with Clarence Gardner, MD, HS’32,Duke’s head of surgical residency training, Anlyandecided to give Duke a try. He remembers his twofaculty mentors—Gardner and chair of surgery DerylHart, MD—as perfect complements to each other.“Dr. Gardner taught you the way it was in the text-book, and Dr. Hart taught you by example—healways had that instinct to go ahead with whatneeded to be done,” says Anlyan. While Gardnerwas friendly and caring, Hart was tough and busi-nesslike, rarely remembering first names. Anlyan’snew white buckskin shoes, purchased for $26 beforehe left New Haven, Conn., were the first casualty ofhis surgical training: “Dr. Hart would use these bigpads to soak up the blood in the belly,” says Anlyan.“I stood right next to him, holding the retractors.He’d unknowingly dump the blood-soaked spongesright onto my new shoes.”

Even as a resident, Anlyan had something new tooffer the physicians at Duke—his anticoagulant therapyfor thrombotic disorders. “I introduced that,” he says,“and many of the chiefs of service were kind enoughto send consultation requests on patients with throm-botic disorders—mostly venous, some arterial—to me,even though I was just a resident in surgery.”

From Lavatories to Laboratories

In 1964, Duke University President Douglas M.Knight asked Anlyan to become the school’s thirddean. Anlyan began his tenure justas desegregation came to Duke—in fact, he had admitted the firstAfrican-American medical student,Delano Meriwether, MD’67, theyear before.

Segregation had a huge impacton the amount of available spaceat Duke. There were two sets ofbathrooms and drinking fountains—one for whites and one for “coloreds.” The most ridiculoussegregation, according to Anlyan,was for the deceased. “Therewere four morgues—divided by sex and by color,”says Anlyan. “I don’t know what they expected tohappen in the ice box.”

When Bernard Amos, MD, chief of immunology,was recruited to Duke from Buffalo, N.Y., he

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remarked on the extraordinary number of restroomson each floor. They no longer carried the racial desig-nations, and there seemed no logical reason to haveso many. He negotiated with Anlyan to convert someof the restrooms into badly needed laboratories.

One element of segregation that was slower toimprove was on the patient wards. No matter howintegrated the university and the medical centerbecame, the majority of people in Durham had theirown ideas about how medical services should bedelivered. There was only one “colored” ward inDuke Hospital—the Nott Ward on the fourth floor—and people were often kept waiting for a bed. Thislack of space helped lead to the creation of a Dukeresidency training program at Lincoln CommunityHospital, Durham’s African-American health center.

Upping the Ante

As Barnes Woodhall, MD, then dean of the medicalschool, was helping Anlyan transition into the dean’srole, Anlyan was drawn into his first major controver-sy over space, one that he says laid the groundworkfor all future construction projects.

“Apparently Barnes had told the basic science chair-men that he would get the clinical chairmen to con-tribute from their building funds to construct theNanaline Duke Building for research,” says Anlyan. “And,bless him, he never told the clinical chairmen that.”

In those days, the National Institutes of Health still fund-ed construction projects, and Dan Tosteson, MD, chair ofphysiology and pharmacology, and Phil Handler, PhD,

chair of biochemistry, had such a grant to build the lab-oratory building that would become Nanaline Duke.Because the grant wouldn’t cover the entire cost, theyneeded the clinical chairs’ contribution.

Never before at Duke had money from the rev-enue-producing clinical departments been allocatedto provide space for basic research. Clinical chairsmay have understood the correlation between state-of-the-art research and advancements in clinical care,but they had never been asked to help pay for it.

“Here [Handler and Tosteson] have the NIH moneyand a deadline, and they need to know whether theclinical chairs are in or not,” says Anlyan. Woodhalland Anlyan were invited to a testy meeting atHandler’s home. When Woodhall became irritatedand stormed out, Anlyan agreed to work things outwith the clinical chairs.

It took some diplomatic finesse to bring the chairsalong. The most recent building addition beforeNanaline Duke had been the wing of the old hospitalthat now extends towards Duke Gardens, built in1957. In that project, “people got space accordingto how much money they put in,” recalls Anlyan.The greatest allocation went to medicine and sur-gery. Psychiatry, with newly recruited chair EwaldBusse, MD, got part of the ground floor for a newclinic, “but poor old pediatrics got one little cornerof that building,” says Anlyan.

Wheeling and Dealing

Anlyan’s next major space negotiation was in the1970s, when the Seeley Mudd Building was pro-posed to house a new medical library. Knowing awell-stocked library was critical to Duke’s gainingstature as a first-rate medical school, Anlyan was up-front with the faculty from the beginning. “We wereall at a retreat, and I took a pretty hard line,” saysAnlyan. “I said, ‘I have veto power over the use ofthe building fund, and if we don’t build this, you’renot going to have money for anything else.’” Forabout $800,000, Anlyan had a state-of-the-artlibrary designed and built, with plenty of flexiblespace for expansion and room for an initial collectionof 200,000 books.

Unfortunately, there wasn’t enough money tocomplete the basement of the Seeley Mudd Building.Anlyan bided his time until an opportunity presenteditself. He served on the board of G. D. Searle andCompany, a major pharmaceuticals firm. At the time,they were recruiting Donald Rumsfeld (current U.S.Secretary of Defense) as CEO. The Searle brothers

10 DukeMed AlumniNews

BEFORE THE COLORS FADE

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DukeMed AlumniNews 11

came to Duke to meet with Anlyan about theRumsfeld appointment, and he showed them theunfinished space that he wanted to build out as aconference center. “I said, ‘We could name it theSearle Center,’” says Anlyan, ”and they said, ‘howmuch would it cost?’ All I could think to say was ‘$1million sounds about right.’” A week later, theSearles called back and announced they’d buy it. TheSearle Center continues to serve as a meeting, con-ference, and hospitality center today.

Space Brings Equality

New clinical space for the medical center had been atopic of conversation for decades at Duke. The oldhospital was crowded and seriously outdated. Newwings had been added helter-skelter, according toAnlyan. “Up to that time, whenever new clinicalfacilities were needed, they would put a bump hereand a bump there and close a courtyard and build anew wing,” remembers Anlyan. “What was needed

was a major step forward.”When the idea for a new hospital was presented

to Duke’s Board of Trustees, the board took a toughposition on finances, requiring the medical center tohave 40 percent of the total cost in assured revenueup front. “We had two options,” remembersAnlyan. “One was a $145 million package to replaceall the clinical and hospital facilities. The other was a$95 million package that would leave the twonewest departments, psychiatry and obstetrics andgynecology, in Duke South. I was advised that Iwould never be able to sell the $145 million model.”

The groundwork laid during the Nanaline Dukenegotiations helped pave the way for the clinicaldepartments to share the cost of a new hospital.Each department, regardless of whether it would getspace in the new facility, was required to contribute$10 million—$5 million from its departmental fund,and the other $5 million from its share of the build-ing fund. The Duke Endowment contributed another$10 to $11 million, and additional philanthropic con-tributions helped complete the required 40 percent.

One of the key people who worked closely withAnlyan in planning Duke (North) Hospital was Jane

Elchlepp, MD, PhD, a member of the pathologydepartment who later was appointed assistant vicepresident for health affairs, planning, and analysis.“Jane was the brightest person I’ve ever workedwith,” says Anlyan. “She was a superb physical andprogrammatic planner.” Plans were first drawn formajor renovations to the old hospital, including con-verting the student Dope Shop into new office spacefor the chancellor. Soon after, the medical centerembarked on planning for a building that would bea model teaching hospital unlike anything Durhamhad ever seen.

Building the new facility created the opportunity todo away with the antiquated practice of having sepa-rate facilities for Private Diagnostic Clinic patients andpublic (charity) patients. According to Anlyan, it wasElchlepp’s idea to provide private single rooms for allpatients. In addition to enabling caregivers to offerthe same level of service to all, this arrangementoffered the greatest flexibility in terms of grouping

patients logically by medical service instead of bygender and race. Imagine the delight on moving daywhen patients were taken from a 16-bed ward in theold hospital to a private room and bath with color TVin the new Duke Hospital!

In addition to presiding over the many facilityinnovations that launched Duke University MedicalCenter on a path to its current premier status,Anlyan recruited many of the chairs who would godown as Duke greats.

Anlyan left the medical center in 1988 to serve asDuke University chancellor for two years. After that,he retired from the University and began service as atrustee with The Duke Endowment. Today, he con-tinues to be a prominent figure in the life of themedical center and university.

ALUMNI NEWS

“Apparently Barnes had told the basic science chairmen that he would get the clinical chairmen to contribute from their building funds to construct the Nanaline Duke Building

for research. And, bless him, he never told the clinical chairmen that.” —William Anlyan, MD

Page 12: AlumniDuke AlumniNews DukeMedMed News

After I completed my third year ofmedical school about a year ago, I

decided to devote a year to working withthe Latino community. I speak Spanishand I’m from North Carolina, the statewith the most rapidly growing Latinopopulation in the country. I wanted tolearn more about health issues facingLatinos and what I could do to reducebarriers to health care.

I took a two-pronged approach: I begana health policy internship at El Pueblo, astatewide Latino advocacy organization,and I applied for a part-time interpretingjob at Duke Hospital. Because each jobinforms the other, I cannot really distin-guish between the knowledge I havegained in one over the other. As a medicalstudent, however, I have paid particularattention to my clinical experiences andhow they might relate to my future careeras a physician.

When I first started interpreting at thehospital, for example, I worried a lot aboutvocabulary. Although I have been speakingSpanish for almost ten years now, I am not anative speaker. More than two years havepassed since I spent time in a Spanish-speak-ing country.

Before my first shift in the hospital, Ispent a week reading only Spanish-lan-guage newspapers. In my car, I listened toQué Pasa and La Supermexicana radio sta-tions. I switched the TV to Univision orTelemundo whenever it was on. I reviewednotes from the interpreter training I had attendedand I went through a collection of medical pamphletswritten in Spanish to learn specialized terminology.The night before that shift, I put together a three-ring binder with notes and vocabulary lists to carryaround with me in the hospital.

As soon as I got in a room alone with a patientand a provider, I realized there was no time to thinkabout my lists. If I couldn’t think of the exact wordimmediately, I just found another way to say it.Fortunately, there are many ways to say the same

thing without breaking the cardinal rules of interpret-ing—no omission, no addition, and no editorializing.I stopped worrying so much about vocabulary andbegan to focus on the hard part of being an inter-preter: communication.

Communication involves language, to be sure,but it also involves visual cues and the timing ofspeech. One difficulty of interpretation comes fromtime delays. Most medical interpreting is “consecu-tive interpreting.” Unlike the interpreting heard dur-ing the UN meetings, in which the speaker and the

12 DukeMed AlumniNews

YOUR TURN

Your Turn is your place toshare opinions, reflections,and observations. We inviteessays from alumni, faculty,students, and house staff. To submit your idea, pleasecontact us by e-mail [email protected], orwrite to DukeMed AlumniNews,512 S. Mangum Street, Suite 400, Durham, NC27701-3973.

Your Turn

Harriett Purves, MSIV

A fourth-year studentconfronts cultural biason multiple fronts

By Harriett Purves, MSIV

Page 13: AlumniDuke AlumniNews DukeMedMed News

DukeMed AlumniNews 13

interpreter are heard simultaneously through listeners’headphones, in consecutive interpreting only one per-son speaks at a time. So when a provider performs anexam and asks, “Does it hurt here?” as she palpatesthe upper part of the spine, her hands may havereached the middle thoracic area by the time theinterpreter finishes the question, “¿Le duele aquí?”

A more serious problem with medical interviews conducted in two languages is a general lack of under-standing, which at the outset I assumed would be linguistically based. After several shifts of interpreting,however, I saw that it is nearly always culturally based.In my work with El Pueblo, I have spent a good deal oftime exploring cultural health beliefs among Latinos andpresenting to groups about the differences betweenthe health systems of Mexico and other countries.

The concept of co-payments, for example, may beunfamiliar to someone from another country. Certainprescription drugs are available over the counter inMexico, and unlike in the U.S., pharmacists may sug-gest which medicines clients should purchase.Among many Latinos, medical decision-making isdone as a family. A phrase I often hear whenwomen are asked to make a decision is, “Let me talkto my husband first.” A phenomenon known asfatalismo—a view of life and death in which patientsbelieve they have little or no control in preventing orsurviving disease—may explain why some Latinosdelay seeking treatment until disease is advanced.

Understanding concepts like these—even thoughthey are not applicable to all Latinos or all Spanish-speakers—can help bridge the communication gapthat arises from cultural differences betweenproviders and patients.

Examining Latino culture has helped me to examinemy own culture—one engrained more and moreheavily in the American medical system. As medicalstudents, we are trained to recognize the patterns ofdisease in order to diagnose them properly. We learnto make a conclusion based on a set of clues. Someof these clues are based on physical appearances,some on test results, and some on the careful historieswe learn to take. As much as possible, we are taughtto verify the conclusions we draw, but once we haveseen the same pattern lead to the same conclusionenough times, we begin to trust our conclusions evenbefore verification. Problems occur when we begin toapply pattern recognition to symptoms or behavior.

One day recently, I went to interpret for an elderlygentleman in the emergency room. A social workerinquired about how he planned to pay for his med-ications and where he planned to go for follow-upmedical care. Before he answered, I had already

decided what he would say. Because I knew he livedin Durham, I assumed he would go to LincolnCommunity Health Center, a “safety-net clinic” thatprovides a great deal of care for the uninsured. Tomy surprise, he told us that he would be seekingcare at another clinic that accepted Medicaid.

I had made two incorrect assumptions. First, Iassumed, because of his low English proficiency, thathe had not been in the country for a long time. Thisled me to believe that he probably didn’t qualify forMedicaid, despite his low income level. After I finishedinterpreting, I left the room wondering how thoseassumptions might have affected my treatment of thepatient if I had been the provider. I couldn’t believethat I—someone who carefully inserts the word“some” or “certain” before the word “Latinos” when-ever making generalized statements, someone whoemphasizes the diversity of the Latino community—would jump to such conclusions about this individual.

A friend who works in a community health centertold me that the mental checklist she uses to review apatient’s case ends with a question about parity: Did Itreat this patient the same way Iwould have treated a white patient(or male patient, or whatever compar-ison is appropriate)? I realized thatthere is a parallel question to askwhen working with interpreters: Did Itreat the patient the same way Iwould have treated an English-speak-ing patient? Did I speak to the patientdirectly, looking at her and not theinterpreter? Did I ask all the questions I would havenormally asked? Did I offer the same treatmentoptions I would have offered an English-speakingpatient? Providers have to be systematic with thesequestions because the fact is, there will always be acultural gap; there will always be hidden cultural fac-tors that could affect care.

While I look forward to being in the position ofprovider, I now know the added responsibility thatcomes with it. I will continue on my journey of cul-tural competency, reminding myself all the way thatjust having the knowledge does not mean I’m actu-ally putting it to use. I will still have to implementthose systematic checks...after all, it’s part of mymedical culture.

For those who work with interpreters, Purves’“Tips for Physicians Working With Interpreters”is available online at medalum.duke.edu. Clickon DukeMed Alumni News, Tips for WorkingInterpreters.

ALUMNI NEWS

“Examining Latino culture hashelped me to examine my ownculture, one engrained moreand more heavily in theAmerican medical system.”

— Harriett Purves, MSIV

Page 14: AlumniDuke AlumniNews DukeMedMed News

Half-CenturyClubHenry T.E. Munson,T’35, MD’39, is retired.He and classmate FrankCrosby, MD‘39, bothlive in Bradenton, Fla.

William R. Nesbitt, Jr.,MD’42, retired fromobstetrics and has takenup a second career as afreelance writer. He hashad numerous articlespublished in major reli-gious publications andrecently had a book pub-lished, as well, The Illu-sion of Time. Both sons

are physicians and hisdaughter is a dentist. Helives in Fairfield, Calif.

Richard A. Ruskin,T’40, MD’43, clinicalprofessor of obstetricsand gynecology at Cor-nell Medical School, isretired from practice. Heand his wife, Clara Lee,live in New York City.

William Watkins Pryor,MD’47, HS’55, DavisonClub, is retired and livesin Greenville, S.C. Heand his wife, Julie, spenda lot of time at theirbeach home. He enjoysfishing, playing tennis,

and reading. They havefour children and eightgrandchildren.

Wilmer C. Betts,MD’48, HS’48-’52, helpsoperate The HealingPlace, a 180-bed treat-ment facility for homelessmale alcoholics and drugaddicts in Wake County,N.C. On the board ofdirectors and also ateacher of recovery class-es several times a week,Betts was also named afinalist for North Caroli-na’s Nancy SusanReynolds Personal ServiceAward. He was instru-mental in founding sever-al addiction-recoveryprograms, including theN.C. Physicians HealthProgram and the RomanCatholic Eastern DioceseBishop’s Program. He hasbeen in private psychi-atric practice for 29 years.

He and his wife,Georg’Ellen, WC’49, livein Raleigh, N.C., andhave four children andseven grandchildren.

Dan J. Feriozi, T’44,MD’48, retired frompracticing pediatrics andpathology and is now anAviation Medical Examin-er who evaluates pilotsfor the Federal AviationAdministration. A privatepilot himself, he alsooperates a 500-acre cat-tle farm. He and his wife,Anne, have been marriedfor 54 years and live inMcLean, Va. They havefour children.

Lonnie A. Waggoner,Jr., T’46, MD’48, Davi-son Club, is retired andliving in Gastonia, N.C.,with his wife, RachelPalmer, BSN’47. Theyenjoy traveling, reading,civic and church activi-ties, and spending timeat their Blowing Rock,N.C., condominium.

1950sRudger P. Hiatt,MD’51, lives in Mesa,Ariz. He and his wife,Ruth, have seven chil-dren, seven grandchil-dren, and 38 great-grandchildren. He initial-ly retired from a 40-yeargeneral surgery practicein 1988 due to an arthri-tis flare. Two-and-a-halfyears later, the commu-nities in Arizona’s WhiteMountains sent officialsto see him to try to convince him to performsurgery for them untilthey could find anothersurgeon. He stayed formore than ten years andhad a very enjoyabletime operating on allwho came to him inneed of surgery, regard-less of their insurancecoverage.

Gerard Marder, MD’52,HS’54-’56, DavisonClub, retired from pedi-atrics in 2000, the year heand wife, Joan, married.They live in Asheville,N.C., and enjoy traveling.

William H. Anderson,Jr., MD’53, is retiredfrom private cardiologypractice, but continues toserve as medical directorat both a skilled nursingfacility and a paramedicschool at his local hospi-tal. The proprietor of asuccessful Internet-basedbusiness, he calls WestSpringfield, Penn., home,and has been married tohis wife, Wanda, for 52years. They have five liv-ing children and 17grandchildren.

Ellison C. Pierce, Jr.,MD’53, was recentlyhonored with the NorthCarolina Society of Anes-thesiologists’ Distin-guished Service Award.Actively involved in theAnesthesia Patient SafetyFoundation, he lives inBoston, Mass., andbecame a first-timegrandfather in 2001with the birth of Jack-son, to his son Chip,T’88, and wife Wendy.

Robert G. Deyton, Jr.,T’51, MD’55, DavisonClub, is retired fromobstetrics and gynecolo-gy. He and his wife,Yvonne, live inGreenville, N.C., andhave six children and 16grandchildren. They lookforward to enjoying anear-finished cabin inthe N.C. mountains.

Gordon H. Ira, Jr., T’50,MD’55, Davison Club,is retired after spending35 years specializing incardiovascular disease inprivate practice in Jack-sonville, Fla., which heand wife, Joice, still callhome. He was honored

14 DukeMed AlumniNews

Send your class note to us at Duke Medical Alumni Association,Class Notes, 512 S. Mangum Street, Suite 400, Durham, NC27701-3973, or submit your class note online atmedalum.duke.edu. Due to space limitations, we are notalways able to publish all the class notes we receive for agiven issue. If you didn’t see yours in this issue, please lookfor it in the next issue.

CLASS NOTES

Alumni News

5,000 Applicants, 100 OpeningsAdmissions Office Needs Alumni Volunteers

If you graduated from Duke School of Medicine in 1983 or later,Brenda Armstrong, WC’70, MD, HS’75-’79, director of admissions,needs your help. By interviewing prospective students from yourregion, you can play an important role in deciding which of the manyapplicants receive the coveted invitation to enroll at DukeMed.

For more information, please contact Margaret Moody at 919-667-2514or [email protected].

Class Notes are now online at medalum.duke.edu/

Page 15: AlumniDuke AlumniNews DukeMedMed News

by the Mayo Foundationand St. Luke’s Hospital,where he was chief ofmedicine for 25 years,with the establishmentof an annual lectureshipthat bears his name.

Jerome A. Grunt,MD’56, HS’57-’58, is aprofessor emeritus at theUniversity of Missouri-Kansas City’s School ofMedicine and continuesto be involved withresearch, publishing, andteaching. A member offive boards, he works toimprove health care forMissouri’s poor children.He and his wife, Hope,have four children and10 grandchildren andlive in Kansas City.

▲ Billy F. Andrews,MD’57, Davison Club,professor and chairmanemeritus of the Universi-ty of Louisville School ofMedicine’s departmentof pediatrics, chief ofstaff emeritus at KosairChildren’s Hospital, andvisiting fellow at Oxford,England’s Green College,presented “150 Years ofPediatrics in The Com-monwealth of Kentucky(1851-2001)” at TheIrish and American Pae-diatric Society’s 2001annual meeting. Thatyear, he was also aninvited guest of John P.McGovern, MD, at theopening ceremony forOxford’s Osler-McGovernCentre. He presented “ABit of Sir William Osler’sInfluence on Pediatrics”

at the 34th meeting. Healso presented that yearat the American OslerSociety’s annual meetingand the Kentucky Acade-my of Family PhysiciansAnnual Scientific Assem-bly. He represented ElonUniversity at the inaugu-ration of the 20th presi-dent of Indiana’s ButlerUniversity, and was aguest at the InternationalConference on MaternalPKU. His “Sir WilliamOsler’s Continued Appealto Learn Signs and Symp-toms of Disease,” a mes-sage to the University ofLouisville School of Medi-cine’s 2001 class, and“Thoughts on HistoricalPrecedence and EthicalConsiderations for Use ofStem Cells” were bothpublished in the Journalof The Kentucky MedicalAssociation. In October2002, his “Sir WilliamOsler’s Emphasis on Physi-cal Diagnosis and Listen-ing to Symptoms” was tohave appeared in theSouthern Medical Journal.

William E. Painter,T’53, MD’57, DavisonClub, is retired frompracticing radiology. Heand his wife, Karen, livein Lynchburg, Va., andare active in church andcommunity activities.

Roman L. Patrick, Jr.,T’54, MD’57, HS’58-’62,Davison Club, a special-ist in anatomic and clini-cal pathology, has retiredas medical director ofSmithKline Beecham. Heand his wife, Evelyn,N’56, live in Saint Louis,Mo., and have two sons,Mark, an engineer, andScott, an artist.

Joseph Francis Frau-meni, Jr., MD’58, Davi-son Club, is the directorof the National CancerInstitute’s Division of Epi-demiology and Geneticsresearch program and

resides in Bethesda, Md.In 2002, he was electedto membership in theNational Academy of Sci-ences and received theAmerican Medical Asso-ciation’s Nathan DavisAward for OutstandingGovernment Service. Healso was presented in2002 with the AltonOchsner Award from theOchsner Clinic Foundationand the American Collegeof Chest Physicians.

T. Rudolph Howell,MD’58, Davison Club,a pediatric radiologist, isthe chairman of the Chil-dren’s Hospital Depart-ment of Radiology inRichmond, Va. He wasthe president of Duke’sDavison Club from 2000-02 and is the president-elect of the SouthernMedical Association. Heand his wife, Cheryl, livein Chester, Va.

F. Maxton Mauney,MD’59, HS’59-’66,Davison Club, is retiredfrom cardiac surgery andhas embarked on a sec-ond career as a consult-ant to the medical-deviceindustry. He is the med-ical director for Ventrica,Inc., a company that pro-duces new types of vas-cular connectors forcoronary and peripheralbypass grafts. He and hiswife, Fran, married in2002 and now live inDurham, close to five ofhis seven grandchildren.

Andrew G. Wallace,T’57, MD’59, HS’59-’61,HS’63-’64, is retired, but still serves on threeboards, one for a largecommercial laboratoryand two for non-profithealth care-related organ-izations. He enjoys sailingand learning about Greekand Roman history. Heand his wife, Barrie, live inHillsborough, N.C., andhave three children, one

in commercial construc-tion in Florida, one a gas-troenterologist, and one adean for student judicialaffairs at Duke.

1960sLenard E. Jacobson,MD’60, T’64, DavisonClub, a retired urologist,recently moved to BocaRaton, Fla., with his wife,Elizabeth. They have twosons, one an architect inSan Francisco, and theother an assistant profes-sor at the University ofSussex, U.K.

Alexander McLeod,MD’60, taught in theMedical and Manage-ment Schools of Vander-bilt University as a clinicalprofessor of medicine,clinical professor of med-ical administration,adjunct professor ofmanagement, and clini-cal professor of medicineemeritus, and left clinicalpractice in 1998. He andhis wife, Dorothy, live inNashville, Tenn.

Alden W. Dudley, Jr.,T’58, MD’62, DavisonClub, is chief of staff atthe Salem, Va., MedicalCenter and the associatedean of academic affairsat the University of Vir-ginia School of Medicine.He has been busy build-ing a house and helpingto build the College ofOsteopathic Medicine atVirginia Tech. He enjoysgardening, bridge, andgenealogy. He and hiswife, Mary Dudley,WC’59, MD, have twosons, R. Adams, T’86,MD’91, who is marriedto Kirsten Johansen,MD’91, and Eric, T’89,who graduated in 2002from the University ofHouston’s College ofOptometry.

Kenneth J. Kahn,MD’62, HS’62-’63, lives

with his wife, Norma, anartist, in Jaco, CostaRica, where they enjoyfrequent travel and hik-ing. His son, Neil, oper-ates a canoe and kayaktour business and livesnearby. His daughter,Julie, lives in Boston andwas nominated for anEmmy Award in 2002 forvideo editing.

David I. Kingsley,MD’62, Davison Club,practices diagnostic radi-ology at the John F.Kennedy Medical Centerin Edison, N.J., and isalso the president of theNew Jersey QualityImprovement Organiza-tion. He and his wife,Elaine, live in Edison andhave three children andfive grandchildren.

William J. Massey III,T’58, MD’62, DavisonClub, has privately prac-ticed internal medicinefor 34 years in Williams-burg, Va. His son, Gant,T’86, holds a PhD inforestry from the Univer-sity of Montana anddaughter, Kelly, recentlygave birth to Virginia, hisfirst grandchild.

▲ A. Everette James,MD’63, was named a2003 Gold Medalist bythe American RoentgenRay Society, an organiza-tion that promotes theadvancement of medi-cine through the scienceof radiology. He was alsonamed as the recipient

DukeMed AlumniNews 15

CLASS NOTES

Page 16: AlumniDuke AlumniNews DukeMedMed News

of the Association ofUniversity Radiologists2003 Gold Medal for hiscontributions to thatorganization, as well asto the field of academicradiology in general. Hismany professionalaccomplishments includeserving on the facultiesof Harvard and JohnsHopkins medical schools,acting as chairman ofradiology and radiologi-cal sciences at VanderbiltUniversity School ofMedicine for more than15 years, and serving aspresident of the Societyof Chairmen of Academ-ic Radiology Depart-ments, the Associationof University Radiolo-gists, and the AmericanRoentgen Ray Society.He has been a PickerAcademic Fellow, a DukeDistinguished MedicalAlumnus and Humani-tarian Awards recipient,and a founding memberand cover editor of theInternational Journal ofArt in Medicine. He haspublished more than 20books on medicine, law,ethics, art, folklore, andfiction; his newest, Rut-ledge: A Novel, is a storyof medicine, family, war,and love. James and hiswife, Dr. Nancy JaneFarmer, live in ChapelHill, N.C., and have threechildren, Everette, Jean-nette, and Elizabeth, andfour grandchildren.

Peter Kohler, MD’63,HS’63-’64, DavisonClub, received the Ore-gon Chapter of theAmerican Jewish Com-mittee’s 2002 HumanRelations Award inDecember. He was rec-ognized for, among oth-er achievements,increasing the number ofprimary care providersavailable to care for vul-nerable and underservedpopulations; strengthen-ing the diversity and cul-

tural competency of thestate’s health care work-force; initiating employ-ee volunteer and givingprograms; and encour-aging young people toconsider careers inhealth care and biomed-ical research.

Angus M. McBryde, Jr.,MD’63, HS’67-’71, is aprofessor in the Universityof South Carolina’sDepartment of OrthopedicSurgery, as well as thedirector of sports medicinefor the university’s footballand basketball teams. Heand his wife, Kay, live inColumbia, S.C., and haveeight children.

William W. Baxley, Jr.,MD’64, is retired frompracticing otolaryngologyand now spends his timetraveling, golfing, andhelping his wife, Char-lene, with her antiquesbusiness near their homein Macon, Ga. Hisdaughter, Anne, holds aPhD in philosophy andteaches at Virginia Tech,while his son, William, isa broker with Merrill Lynch.

Frederic H. Gerber,MD’65, although retiredfrom practicing radiologyfull time, still performsmammograms some 70days per year. He and hiswife, Zenta, live in Medi-na, Wash., but spendhalf the year travelinginside and outside theU.S. Their son, David, isa senior at Northern Illi-nois University and plansto attend law school.Their son, Michael, is aclinical psychologistpracticing in San LuisObispo, Calif.

J. Fletcher Lee, MD’60,HS’60-’67, DavisonClub, is a retired neuro-surgeon, clinical professorof surgery at the Universi-ty of Texas-San Antonio,and past president of the

Congress of NeurologicalSurgeons. He was therecipient of the Distin-guished PractitionerAward of the SouthernNeurosurgical Society in2000. He enjoys travel,photography, model-shipbuilding, and carvingduck decoys. He and hiswife, Barbara, married in1995. Between them,they have six children and12 grandchildren. Theylive in San Antonio.

Norman W. Wetterau,MD’67, is a family physi-cian with Tri-CountyFamily Medicine in Nun-da, N.Y. He serves on anumber of nationaladdiction-related com-mittees, has led work-shops at nationalmeetings of AAFP andASAM, and conducted aworkshop in Budapest,Hungary in 2002. Hewas named the NewYork State Family Physi-cian of the Year and iscurrently working toeducate primary carephysicians on the screen-ing and treatment ofaddiction problems. Heand his wife, Nancy, livein Dansville, N.Y., andhave a son, a daughter,and four grandchildren.

Carl S. L. Eisenberg,MD’68, was named to athree-year term as presi-dent of the WisconsinChapter of the AmericanAcademy of Pediatrics inJuly 2002. He practicespediatrics with AdvancedHealthcare in Milwaukee.He and his wife, Susan,live in Mequon, Wis.

Thomas F. Henley,MD’68, HS’69-’73,Davison Club, has prac-ticed with GreensboroOB-GYN Associates formore than 27 years. Heenjoys playing golf and isalso active in the NorthCarolina Senior Games,in which he is the state

16 DukeMed AlumniNews

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Page 17: AlumniDuke AlumniNews DukeMedMed News

champion in discus andshot put. He and hiswife, Sandra, married for34 years, live in Greens-boro, N.C., and havethree children, Tommy,Brian, and Kristen.

Harlan Ira Wald, T’64,MD’68, HS’68, DavisonClub, lives in Ft. Laud-erdale, Fla., where he isretired from a 26-yearcareer in plastic surgery.He now practices legalmedicine.

Henry G. Utley, PhD’66,MD’69, Davison Club,and his wife, Elaine, livein Athens, Ga. They cele-brated the marriage oftheir daughter, Eliza, inAugust 2002.

1970sW. Andrew Cies,MD’71, HS’71-’72,Davison Club, has a pri-vate practice in internalmedicine and keeps busyoutside of work by golf-ing, traveling, and work-ing toward an MBA. Heand his wife, Leslie, callNewport Beach, Calif.,home and have two chil-dren, Jennifer, T’99,and Andrew, E’01.

Dana Andersen, T’68,MD’72, Davison Club,lives in Princeton, Mass.Since 2001, he has beenthe Haidak Professor andchairman of the Depart-ment of Surgery at theUniversity of Massachu-setts and surgeon in chiefof University of Massa-chusetts Memorial HealthCare, Inc. His wife, CindyGingalewski, MD, is a

pediatric surgeon on staffat U.Mass. They have onedaughter, Lauren.

▲ Allen R. Dyer,MD’72, PhD’80, is aprofessor of psychiatryand behavioral sciencesat East Tennessee StateUniversity. A textbook hewas involved in writing,A Concise Guide toEthics, is due in print inMay 2003. A decade ofthe administrative workthat comes with runninga state psychiatric hospi-

tal, as well as two academic psychologydepartments (Albany

and East Tennessee)have proved challenging. He enjoys triathlons,marathons, skiing,swimming, moun-tain climbing, andtraveling to Nepaland Italy. He and hiswife, Susan, an EastTennessee StateUniversity English lit-erature teacher and

owner of a technical-writ-ing business, live inMcAfee Bluff, Tenn. Theirson, Will, a softwareengineer, and his wife,Jaime, made them first-time grandparents in2002. Their son, Cliff, isan information sciencesgraduate student atUNC.

Elwood W. Hopkins III,MD’72, HS’72-’73, isthe senior medical officerat the U.S. Naval Acade-my. He enjoys runningmarathons, boating, ski-ing, and cooking. He andhis wife, Judy, a free-lance writer, live inAnnapolis, Md.

▲ Nancy T. Livingston,WC’68, MD’72, is in private practice as anadolescent and adultpsychiatrist and psycho-analyst and is a teaching

DukeMed AlumniNews 17

CLASS NOTES

Page 18: AlumniDuke AlumniNews DukeMedMed News

analyst on the faculty ofthe UNC-Duke Psychoan-alytic Education Program.She also serves on theBoard of Directors of theLucy Daniels Foundation.She and her husband,Bill, have been marriedfor 22 years. They live in Durham, N.C., andbetween them have fivechildren, ages 25-37.

Charles G. McClure,T’68, MD’72, is a neurol-ogist who has been inprivate practice for morethan 26 years. Currentlypracticing in Augusta,Ga., he is active in short-term medical missions tolocations including Peruand Venezuela. He andhis wife, Catharine, livein Evans, Ga., and havefour children. Theirdaughter, Catie, has adoctorate degree inmusic, and she and hus-band, Kenneth Jack-son, T’95, have twochildren and live in Char-lotte, N.C. Their son,Chad, is a photojournal-ist for The ChattanoogaTimes/Free Press. Theirdaughter, Elizabeth,T’00, works with David-son College’s intervarsityChristian fellowship; andtheir son, Matthew, is inhigh school.

H. Grant Taylor, Jr.,MD’72, Davison Club,is a hematologist-oncolo-gist who works in aCharlotte, N.C., grouppractice. He enjoys bikeriding, running, and hasrecently taken up yoga.He and his wife, Janet,have two children, Lock,a 2002 UNC graduatewho hopes to go to med-ical school, and Caitlin, ahigh-school senior.

David Wellman, T’68,MD’72, HS’71-’78, Davi-son Club, is the chiefmedical officer for UnitedEmergency Services, anorganization that staffsemergency rooms in theSoutheast. He and his wife,Carol, have five children,Anne, Christine, Jenny, Emily,and Billy, and two grand-sons, Matthew and David.

George HomerDurham II, MD’73, is apediatrician working toimplement behavioralhealth integration in pri-mary care within Inter-mountain Health Care.He recently traveled toEngland to visit friends.He and his wife, TheHonorable Christine M.Durham, live in Salt LakeCity, Utah, and have oneson, Trey, who is in theMBA program at theUniversity of Pennsylva-nia’s Wharton College.

John William Hallet,Jr., MD’73, DavisonClub, is the director ofEastern Maine MedicalCenter’s new Vascularand Cardiac WellnessCenter, as well as a clini-cal professor of surgery atTufts Medical Center. Helives in Orrington, Maine.

Louis Andrew Koman,T’70, MD’74, HS’74-’79,is an orthopedic surgeonand professor at WakeForest University’s Schoolof Medicine. He is theauthor of Botulinum Toxin Type A in the Man-agement of Cerebral Palsy,published in 2002. Heand his wife, Leigh,WC’71, live in Winston-Salem, N.C., and havetwo children, Amy, T’01,who works for Aber-crombie and Fitch, andAlex, a freshman in N.C.State University’s Schoolof Engineering.

Arthur G. Spector,T’70, MD’74, was therecipient of the 2002Faculty Teaching Awardfor a Tufts University-affiliated residency and isalso the residency pro-gram director at Cam-bridge Hospital. Heenjoys sailing, flying, ski-ing, and Harley-Davidsonmotorcycles, and isexpecting a grandchild.

George Stephen Eisen-barth, PhD’74, MD’75,is a diabetalogist andexecutive director of theBarbara Davis Center forChildhood Diabetes inDenver, Colo. He lives inGolden, Colo., and hastwo grown children.

Robert Elliot Gentry,T’72, MD’76, is a cardiol-ogist in private grouppractice at East TennesseeHeart Consultants inKnoxville, Tenn., where heand his wife, Darlene, live.They have two children,Kristen and Thomas.

J. Wesley Jones, T’72,MD’76, HS’76-’79,HS’81-’83, DavisonClub, lives in Fayetteville,N.C. Since 1993, he hasled ten medical and con-struction teams to Mon-tero, Bolivia, under theumbrella of Curamericas,a non-profit founded byHenry Perry, T’69. Hehas wrestled for yearsabout how to truly helpBolivians, some of theworld’s poorest people.He has given generouslyof his time and money tohelp them build schoolsand buy computers, andhe led a fund-raisingeffort at the Monterohospital. He is teachingBolivians how to annuallyraise significant sums of money through fund-raising activities to helpsupport their hospitals and schools.

Richard P. Polisson,MD’76, A’92, is the seniorvice president of GenzymeCorporation’s clinicalresearch division. He and hiswife, Sharon O’Quinn, livein Swampscott, Mass., andhave two children. Mattgraduated from HarvardCollege in 2002, and Bethis at Tufts University.

Thom A. Mayer,MD’77, Davison Club,was awarded the Ameri-can Public Health Associ-ation’s first annual PublicHealth Hero Award in2002 in recognition ofhis leadership in creatinga system to care forWashington, D.C.-areaanthrax patients in late2001. In addition to hisrole as president andCEO of Emergency Physi-cians of Northern Vir-ginia, he was namedmedical director of theNational FootballLeague’s Players’ Associ-ation, which overseesthe care of more than1,900 NFL players.

Kurt D. Newman,MD’78, Davison Club,interim chairman ofpediatric surgery at Children’s National Medical Center, has beenappointed to the Boardof Commissioners of theJoint Commission onAccreditation of HealthCare Organizations. Hehelped care for the 13-year-old victim of the D.C.-area sniper shootings.(See this issue’s feature article.)

William G. Ward, Sr.,MD’79, HS’84-’89, is anorthopedic surgeon andprofessor at Wake ForestUniversity School of Medi-cine. He recently complet-ed a CD-ROM textbookentitled MusculoskeletalTumors: An InteractiveClinical Radiology andPathology Textbook. Heand his wife, Corinne, livein Winston-Salem, N.C.

1980sDouglas J. Sprung,MD’80, HS’80-’83,Davison Club, is a gas-troenterologist in Mait-land, Fla., where he lives.In 2002, he collaboratedwith his son, Greg, on a retrospective clinical

18 DukeMed AlumniNews

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Page 19: AlumniDuke AlumniNews DukeMedMed News

research project on “Barrett’s Esophagus in a Community Setting, theIncidence of Dysplasiaand Cancer,” a ten-yearfollow-up study theyhope to have published.

L. Faith Birmingham,MD’81, HS’82-’83,HS’85-’87, DavisonClub, is a family practi-tioner who has been inprivate practice since1999. An avid gardenerand volunteer at theOpen Door Clinic since1991, she lives inRaleigh, N.C., with hertwo children, Joel, ahigh-school senior andNational Merit Scholarfinalist, and Rebekka, ahigh-school freshman.

David W. Trader,MD’81, is the medicaldirector of Geriatric Psy-chiatry Outpatient Ser-vices at Cedars-SinaiMedical Center. He livesin Los Angeles with hiswife, Kathleen, and hastwo children, Christo-pher and Bryan.

Martha E. Gagliano,MD’82, HS’82-’87, iswith Durham Pediatricsand was elected by herpeers as one of the toppediatricians in theSoutheast. She and herhusband, Michael Novak,head of Meredith Col-lege’s history and politicsdepartment, live inDurham with their son, athird-grader at DurhamAcademy.

Gina L. Michael,MD’82, HS’82-’85, is aprimary care attendingphysician who specializesin internal medicine. Sherecently joined the St.Louis Veterans Administra-tion Hospital, where shesupervises St. Louis Uni-versity medical residentsand students. She and herhusband, Marc Wallis, anattorney, have been mar-

ried for 14 years, live in St. Louis, Mo., and havethree children.

Karl B. Hiatt, MD’83,Davison Club, is a plas-tic surgeon and chief ofsurgery at Mesa Luther-an and Valley LutheranHospitals. He is in theprocess of having a newoffice building construct-ed for his practice, whichwill include an accreditedoperating room. He andhis wife, Diana, have sixchildren and live inMesa, Ariz.

▲ L. Stewart Massad,Jr., MD’84, HS’85-’89,has joined the faculty ofSouthern Illinois Universi-ty School of Medicine asan associate professor ofobstetrics and gynecolo-gy and chief of the gynecologic oncologydivision. Recognized asan authority on cervicalcancer prevention, heco-authored a lead arti-cle in the Journal of theAmerican Medical Asso-ciation in 2002, whichestablished nationalstandards for evaluatingand treating womenwith abnormal Papsmears. Chief of gyneco-logic oncology at CookCounty Hospital from1994 to 2002, he wasalso a faculty member ofRush Presbyterian St.Luke’s Medical Centerfrom 1992 to 1997. He isthe associate editor ofThe Journal of LowerGenital Tract Disease,and he has published

approximately 60 peer-reviewed manuscripts aswell as many essays andfictional works. He andhis wife, Sylvia, live inOak Park, Ill.

Glen Ross, T’80,MD’84, is an orthopedicsurgeon who specializesin knee and shoulderreconstruction. A tourna-ment-level squash player,he is the team physicianfor two universities andan assistant physician forthe Boston Celtics. Herecently had three scien-tific journal articles pub-lished and was namedOutstanding OrthopaedicEducator by the fellow-ship at Boston’s NewEngland Baptist Hospital.He and his wife, Kristin,N’81, have two sons,Anthony and Jake, andlive in Wayland, Mass.

▲ Paul W. Sperduto,T’80, MD’84, G’84,HS’85-’87, director ofradiation oncology atRidgeview Medical Cen-ter and director ofstereotactic radiosurgeryat Methodist andFairview Southdale Hos-pitals in Minnesota, washonored by two nationalorganizations for excel-lence in clinical research.He is the principal inves-tigator on two nation-wide clinical trialsevaluating stereotacticradiosurgery—duringwhich a high dose ofradiation therapy is deliv-ered to a brain tumorwhile minimally affecting

the surrounding brain.His research was select-

ed for presentation at the2002 annual meeting ofthe American Society forTherapeutic Radiology andOncology and was rankedby his peers among themost important of the1,200 abstracts submitted.He also received the 2002Excellence in ClinicalResearch Award from theSociety of Neuro-Oncology.

Among his manyaccomplishments, Sper-duto has performed ruralhealth care in Appalachia,cyclone-relief work inIndia, spina bifida researchin N.C., liver cancerresearch in Taiwan, andhas taught medical students in China. Hereceived the Jones-Guer-rero Scholarship for neu-ral tube defect researchand received the HenryLuce Scholarship for ayear of study in Asia. Hewas a medical staff fellowin radiation oncology atthe National Cancer Insti-tute and selected as a1994-1995 Hubert H.Humphrey fellow in theUniversity of MinnesotaPolicy Forum. He was oneof only four physicians inthe country to receive the1999 Lane W. AdamsAward given by the Ameri-can Cancer Society forexcellence in treating can-cer patients. In clinicalpractice at Methodist andFairview Southdale Hospi-tals in Minneapolis, he alsohas served as chief of staffof Ridgeview Medical Cen-ter in Waconia, Minn.

In his leisure, he enjoystennis, coaching LittleLeague and trying to keepup with the three childrenhe and wife Jody, T’80,G’90, a clinical psycholo-gist, have. They live out-side Minneapolis.

Thomas M. Amidon,T’82, MD’86, is the direc-tor of Overlake Hospital’scardiology department, as

well as the director ofSeattle CardiovascularResearch. He and his wife,Jean Burger Amidon, livein Woodinville, Wash.,and have four children,two of whom wererecently adopted fromGuatemala.

Elizabeth Taylor-Albert, T’83, MD’87,Davison Club, is arheumatologist in privatepractice in OklahomaCity, Okla., where sheand her husband, DavidAlbert, MD’81, Davi-son Club, live with theirfour children, Katy,Michael, Carl, and Luke.Named one of the state’sbest doctors in 2002, shespent five years as a fac-ulty member at the Uni-versity of OklahomaSchool of Medicine, aswell as five years work-ing for a large corporatemedical group.

Grant R. Simons, T’85,MD’89, HS’96-’97, is thedirector of the EnglewoodHospital and MedicalCenter’s Cardiac Electro-physiology program. Heand his wife, Sunisa, livein Tenafly, N.J., with theirthree children.

1990sAdam D. Stein, MD’90,is a facial plastic surgeonwho recently opened thefourth location of TheFacial Plastic SurgeryCenter in N.C. He andhis wife, Eva, live inFuquay-Varina, N.C., andcelebrated the arrival ofa daughter, GabrielleSara, in 2002.

David A. Zimmerman,MD’91, is a cardiologistin private practice withKennestone CardiovascularConsultants in Marietta,Ga., where he lives withhis wife, Karlyn, G’90,and daughters Rachaeland Sara.

DukeMed AlumniNews 19

CLASS NOTES

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Eric S. Fromer, MD’92,is a dermatologist andassistant clinical profes-sor at the University ofCalifornia-Davis MedicalSchool. He and his wife,Irma Garcia, a pediatricdentist, live in Fairfield,Calif., and have threeyoung children, Elena,Clark, and Benjamin.

Thomas J. Noonan,MD’92, HS’92-’95, is anorthopedic surgeon atthe Steadman HawkinsClinic in Englewood,Colo., as well as theteam physician for theColorado Rockies base-ball team. He and hiswife, Pamela, live in Lit-tleton, Colo., and havetwo young children.

Kenneth W. Altman,G’84, PhD’88, MD’93, isan assistant professor ofotolaryngology and thedirector of the Center forVoice at NorthwesternUniversity. Married toCourtney, he has twosons, Sebastian andSpencer, and lives inChicago, Ill.

Rosemary H. Aaron,MD’94, is a pediatricianin private practice inNashville, Tenn., whereshe lives. She has twochildren, William andHannah.

Richard Chao-ChungWu, T’89, MD’94, a specialist in cardiologyand electrophysiology,recently joined the facultyof the University of Okla-homa as an assistantprofessor of medicine.He and his wife, Saman-tha, a pediatrician, live inEdmond, Okla.

Christine Chang, T’91,MD’95, is the medicaldirector of the Home-Based Primary Care Pro-gram at the Washington,D.C., Veterans Affairs

Medical Center. Shemarried Jerry Chang,chief radiology residentat the University ofMaryland, in April 2002.The couple lives in SilverSpring, Md.

Katherine G. Romp,MD’95, is a generalinternist treating privatepatients and helping toteach residents at theUniversity of Alabama atBirmingham. Active inher church choir and aer-obics classes, she andher husband, Robb,M’95, HS’99-’02, apediatric cardiologist,have two children,Abbey and Logan. Theylive in Birmingham, Ala.

▲ Evelyn Y. Anthony,MD’96, a diagnostic andpediatric radiologist,recently joined the facultyof Wake Forest Universi-ty’s Baptist Medical Centeras an assistant professorof pediatric radiology. Sheand her husband, Dan,live in Winston-Salem,N.C., with their three chil-dren, Walker, Elisabeth,and Isaac.

Paul T. Baird, Jr., T’91,MD’96, HS’96-’99, andhis wife Tracy, T’94, wel-comed their second son,Garrett, in July 2002.

Elbert Tze-Chin Cheng,MD’96, a facial plasticsurgeon, is the presidentof the Los Gatos, Calif., -based Center for Facial

Rejuvenation. He and hiswife, Esther, MD’96,live in Mountain View,Calif., where Esther cur-rently stays home withtwo-year-old twins, Elan-cy and Everett.

John J. Savarese,MD’96, recently gradu-ated from Stanford Uni-versity’s School ofBusiness and is now thedirector of Neurogesx,Inc., a San Carlos, Calif.,-based pharmaceuticalcompany. He and hiswife, Kathleen, live inBurlingame, Calif., withtheir son, Brando.

Jennifer M. Beamer,T’93, MD’97, and hus-band William, T’93,welcomed their firstchild, a son, Drew, in2002. The Beamersreside in San Diego,where Jennifer is a man-ager with consulting firmHealth Advances, LLC,

and William is a portfoliomanager with Dowling &Yahnke, Inc., an invest-ment management firm.

Susan M. Watrous,MD’97, was namedmedical director andchair of psychiatry atCortland Memorial Hos-pital in Cortland, N.Y., inSeptember 2002. Afterliving in Arizona for atime, she has returned toNew York to be closer tofamily and friends.

2000sAditee Narayan, T’96,MD’00, HS’01-Current,will finish her pediatricsresidency this year andhas been named chiefpediatrics resident for2003-04. She is marriedto Drew Narayan, E’96,G’98, PhD’99.

20 DukeMed AlumniNews

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DukeMed AlumniNews 21

Alumni NewsHOUSE STAFF NOTES

1940sRaymond B. Ander-son, MD, HS’41-’42, isretired from practicingpediatrics and being aprofessor of pediatrics atthe University of Mis-souri School of Medi-cine. He and Beth, hiswife of 63 years, live inOlathe, Kan.

G. B. Hodge, MD,HS’42-’47, DavisonClub Charter Member,a retired surgeon, cele-brated his 80th birthdayin September 2002. Pre-sent were his wife, KatieHodge, N’43; daughterSusan Hodge, B’83;son John Hodge, T’77;son Byron Hodge,MD’78, HS’77-’83; andmany others. He residesin Spartanburg, S.C.

Robert B. Tudor, MD,HS’46-’47, is retiredfrom practicing pediatricsand lives in Bismarck,N.D. He has three chil-dren, Rachael, an Episco-pal priest; Tom, anattorney; and Ann, aphysical therapist.

1950sCharles L. Rast, Jr., MD,HS’48-’50, HS’52-’54, isretired from private car-diology practice. Activein the Kiwanis Club andMethodist church, hebelongs to a genealogi-cal society and enjoyswalking, musical events,reading, and attendinglectures and conferencesat the University of SouthCarolina School of Medi-cine. He and his wife,Rosalyn, live in Colum-bia, S.C., and have three children, Charles, John,and Rosalyn, and twogranddaughters, Amandaand Emily.

Rudiger Breitenecker,MD, HS’57-’59, HS’61,who retired after 40years as a general andforensic pathologist, isnow a forensic patholo-gy consultant whoenjoys riding and breed-ing horses and spendingtime at a second homein Vienna, Austria. Heand his wife, Robin, livein Cockeysville, Md., andhave three sons. Two arestockbrokers and one isan attorney.

1960sJohn T. Eagan, Sr., MD,HS’53-’60, is a cardiolo-gist in private practice inBirmingham, Ala., wherehe and his wife, June,reside. They have four chil-dren, Tom, a cardiologist;Christopher, an attorney;Sarah, a homemaker; andWolton, an art historian;and nine grandchildren,including triplet boys.

John Sansom Forrest,MD, HS’57-’60, formerlyan orthopedic surgeon,has spent the past tenyears as an independentorthopedic medical exam-iner. He and his wife,Judy, live in Elmira, N.Y.,and have five childrenand 15 grandchildren.

Richard A. Obenour,MD, HS’60-’62, special-izes in pulmonary medi-cine and is the actingchair of the University ofTennessee’s GraduateSchool of Medicine. Heand his wife, Mary, livein Knoxville.

Mahmoud H. Bahrani,MD, HS’63-’64, is a con-sultant pediatrician atthe Amman SurgicalHospital, the Al-KhalidiMedical Center, and theArabic Medical CenterHospital, all in Amman,Jordan. He has two sons,one a graduate of theUniversity of Houston’schemical engineeringprogram who is currentlypursuing an MBA atGeorgetown University;the other a medical stu-dent at the University ofTexas-Galveston.

John T. Bonner, MD,HS’63-’64, is a neurosur-geon in private practicein Fresno, Calif., as wellas the secretary of theCalifornia Association ofNeurological Surgeons,and chair of the FremoMoera Medical Associa-

tion Delegation to CMAHouse of Delegates. Heenjoys running, photog-raphy, German short-haired pointers, hunting,and he belongs to theBulldog Association forFresno State University.He and his wife,Romona, live in Fresno.

Sushil S. Lacy, MD,HS’63-’64, is the presi-dent-elect of the Ameri-can Association ofClinical Urologists, aswell as the South-Cen-tral Section representa-tive of the AmericanUrological Association’sBoard of Directors. He isin group practice in Lin-coln, Neb., where healso resides.

Stafford G. Warren,MD, HS’62-’64, special-izes in cardiovascular dis-ease in a group practicein Charleston, W.Va., andis also the chief of theCharleston Area MedicalCenter. He and his wife,Sue, live there, as well,and have three children,Laura, a medical student;Ben, who plans to attenddental school; and Zach,a college senior.

Joel R. Temple, MD,HS’60-’61, HS’64-’66, isan allergist in private prac-tice, an avid photogra-pher, and an administratorof The Church of JesusChrist of Latter Day Saints.A resident of Dover, Del.,he has eight children—seven daughters and ason—and 14 grandchildren.

Barry R. Tharp, MD,HS’62-’67, is the 2002-2003 president-elect ofthe American Neurotol-ogy Society, the chair ofthe Department of Oto-laryngology of the Med-ical Center of SouthCarolina, and a profes-sor of neurology andpediatrics at the Univer-sity of California Davis

Medical Center.

Ronald J. Karpick, MD,HS’65-’69, is retired as apulmonary and criticalcare specialist and hasrecently begun workingas an internist and geria-trician at a nursing facili-ty near his home in FallsChurch, Va. His son,Jonathan, received hisdegree in aeronauticalengineering from Prince-ton in 1996 and is a doc-toral candidate inmechanical engineeringat Stanford.

Joseph C. Parker, Jr.,MD, HS’68-’69, retiredas chair of the Universityof Louisville Hospital’sDepartment of Patholo-gy and Laboratory Medi-cine in 2002. He is nowthe director of the uni-versity’s Pathology Grad-uate Medical Educationprogram and works inthe hospital’s pathologydepartment. He and hiswife, Tricia, live inLouisville, Ky. He enjoysvisiting his granddaugh-ter, Taylor, as well as CivilWar battlefields andstudying cosmology. Hisson, John, is at Vander-bilt University, and hisdaughter, Nancy, is thehead trainer at DolphinsPlus in Key Largo, Fla.

1970sDavid Gilbert, MD,HS’69-’72, has donateda bronze heart sculpturehe created to the CapeFear Valley Health System’sHeart Center. The piece,titled “Mended Heart,”took six months and$5,000 to create and willbe permanently displayedin the Center’s lobby. Heand his wife, Gail, residein Fayetteville, N.C.

George Maroulis, MD,HS’67-’73, a specialist inreproductive endocrinol-ogy, is a professor and

▲ James W. Clower, MD, HS’48, a retired ophthal-mologist who practiced in Florida for some 50 years,was awarded a certificate of merit by the FloridaMedical Association in 2002. The award, the associa-tion’s highest honor, is given to those who haveshown long-time exceptional and outstanding serv-ice to the association, the medical profession, andthe public. He and his wife, Boots, live in DaytonaBeach and have two sons, James, a physician, andMichael, a public accountant, and five grandchildren.

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chairman of the OB-GYNdepartment of the Uni-versity of Thrace inAlexandroupolis, Greece.He is also the president ofa U.S.-based foundationthat promotes the studyof Greek civilization. Hehas two children and livesin Athens, Greece.

Jack E. Shalley, MD,HS’68-’71, is the vicepresident and medicaldirector of TransamericaLife Insurance Companyin Kansas City, Mo. Heand his wife, Becky, livein Lees Summit, Mo.,and have two children,Chet and Nathan, andone grandson, Tucker.

C. Bruce Alexander,MD, HS’75-’79, vicechair of the University ofAlabama School of Med-icine’s pathology and res-idency program, receivedthe Parker J. Palmer“Courage to Teach”Award in recognition ofhis outstanding andinnovative residency pro-gram leadership. He wasto have received theaward in February at theAccreditation Council forGraduate Medical Educa-tion and is the firstpathologist nationwideto receive this honor.

Parham R. Fox, MD,HS’72-’75, was elected afellow in the AmericanCollege of Radiology in2002. His daughter, Jen-nifer, T’94, B’01, is mar-ried to FranciscoRobelo, B’00. Parhamlives in Lynchburg, Va.,where he is also in pri-vate radiology practice.

Franklin L.Rosenfeldt,MD, HS’72,cardiovascu-lar surgeonand princi-pal research

fellow at Alfred Hospitalin Melbourne, Australia,

is the founding editor ofthe international Heartand Lung CirculationJournal. Also the head ofthe cardiac surgicalresearch unit at BakerMedical Research Insti-tute and Alfred HospitalPrahran since 1978, he isa clinical associate pro-fessor in Monash Univer-sity’s departments ofsurgery and departmentof epidemiology and pre-ventive medicine. He andhis wife, Anne, who wasan ICU nurse at DukeHospital in the 1970s,live in North Baldwynand have three children.

Richard H. Daffner,MD, HS’70-’73, hasreceived the AmericanBoard of Radiology’s Dis-tinguished ServiceAward. Since 1982 hehas been an examinerfor the oral portion ofthe board exam, and hecurrently composesquestions for the exam’swritten section. A BoyScout leader who residesin Pittsburgh, Pa., heworks at Allegheny Gen-eral Hospital and is thehealth and safety chair-man for the GreaterPittsburgh Council. Hisson, Scott, is an orthope-dic surgery resident atJefferson University.

Marjorie A. Bowman,MD, HS’76-’79, special-izes in family practice,public health, and preven-tive medicine. A professorand chair at the Universityof Pennsylvania HealthSystem, she also recentlypublished the third edi-tion of Women Physi-cians: Life and CancerManagement. She andher husband live inWayne, Pa., and have fivechildren, four of whomare currently pursuingundergraduate and grad-uate degrees.

Albert Augustine Mey-er, Jr., MD, HS’75-’78, isan associate professor inthe UNC-WilmingtonDepartment of FamilyMedicine, as well as afaculty member of theCoastal Family MedicineResidency program,where he works to trainnearby family physicians.He and his wife, Kim,S’95, have five children,two college graduatesand three in college, andlive in Wilmington, N.C.

Kathryn MarijoanAndolsek, MD, HS’76-’79, clinical professor ofCommunity and FamilyMedicine at Duke,received the LeonardPalumbo Award from theSchool of Medicine in2002 and was namedassociate director ofGraduate Medical Educa-tion last year. She and herhusband, Don Bradley,live in Durham and havethree children, Brendan,Nicholas, and Kendall.

1980sJoseph J. Muscato,MD, HS’78-’81, and hiswife, Mary SlotskyMuscato, MD, HS’78-’81, were honored fortheir commitment toexcellence in medicalcare, education, research,and service to their com-munity with the 2002Laureate Award, themost prestigious givenby the Missouri chapterof the American Collegeof Physicians. The parentsof three sons, Jeff, Andy,and Dave, they practicehematology and medicaloncology, respectively, inColumbia, Mo.

Pradip Kumar Rustagi,MD, HS’80-’82, is a pri-vate-practice internistspecializing in hematol-ogy-oncology as well asa clinical associate pro-fessor of medicine at

Stanford University,where he also adminis-ters gene therapy tohemophiliacs. He and hiswife, Rashmi, live in PaloAlto, Calif., and have ason and three daughters.

Kazuo Shimizu, MD,HS’80-’82, is a professorin Nippon MedicalSchool’s Department ofSurgery, Division ofBreast and EndocrineSurgery, in Tokyo, Japan,where he lives with hiswife, Takako. He hasthree sons, Kazuhide,Yusuke, and Motoi.

J. Dirk Iglehart, MD,HS’75-’84, practicesgeneral surgery and isthe Anne E. Dyson Pro-fessor of Women’s Can-cers at Harvard MedicalSchool. He has four chil-dren and lives in WestNewton, Mass.

Gary Bruce Schwartz,MD, HS’85-’86, in pri-vate practice as a handand orthopedic surgeonsince 1986, is a clinicalassistant professor oforthopedic surgery at theUniversity of Miami’sSchool of Medicine, clini-cal assistant professor atNova Southeastern Uni-versity’s School of Osteo-pathic Medicine, andpresident of the FloridaHand Society. He enjoysDuke basketball and play-ing jazz harmonica. Heand Terri, his wife of 23years, live in Cooper City,Fla. and have two chil-dren, Jared and Lorne.

Colonel Judd W. Moul,MD, HS’88-’89, is thedirector of the U.S.Department of Defense’sCenter for Prostate Dis-ease Research in Bethes-da, Md., the city he callshome. In 2002, he wasinvited to attend a White

22 DukeMed AlumniNews

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House ceremony duringwhich President Bushdeclared to the nationthat the war on cancerwill be won.

1990sSarah P. Adams, MD,HS’88-’91, is a pediatri-cian in private practice inWilmington, N.C., whereshe also lives. She mar-ried her husband,Lawrence Gilman, in2000, and they enjoyrowing, kayaking, andboating. She has onedaughter, Jessica.

Diana Heather Heath,MD, T’82, HS’88-’91,practices ophthalmologywith The Eye Associatesin Holiday, Fla. She andher husband, David Wall,have three children, Jen-nifer, Brian, and Sarah.

Evelyn Shearer-Poor,MD, HS’88-’91, is aphysician assistant clini-cal professor at the Uni-versity of Texas-Houston,as well as the medicaldirector of the hospital’sintensive care unit. Shelives in Sugar Land,Texas. Her son, Andrew,attends Baylor University.

Abdhish R. Bhavsar,MD, HS’91-’92, wasawarded the State Gov-ernmental Affairs Inno-vation Award at theannual meeting of theAmerican Academy ofOphthalmology in Octo-ber. He resides in NorthOaks, Minn.

Tracy Collins, MD,HS’89-’93, practicesobstetrics and gynecolo-gy in Munster, Ind. Sheand her husband, Darryl,live in Schererville, Ind.,and recently welcomedCaleb, their first child.

Richard Stuart VanderHeide, MD, HS’93, apathologist, has been

named to a four-yearterm with the Cardiovas-cular Study Section ofthe National Institutes ofHealth. He is on the fac-ulty at Wayne State Uni-versity in Detroit andlives in Grosse PointePark, Mich.

Kasiraja Sathappan,MD, HS’92-’94, is achild psychiatrist in pri-vate practice and is themedical director of Tri-State Behavioral HealthCare, Inc., in SaintClairsville, Ohio. Herecently opened Pome-granate Health Systems.He and his wife, Chinta,have two sons and live inWheeling, W.Va.

R. Morris Friedman,MD, T’84, HS’89-’95,and his wife, Colleen,had their first child, adaughter, Virginia, inDecember.

Stephen Paul Combs,MD, HS’92-’95, is apediatrician in privatepractice, director of pedi-atric critical care forWellmont Health System,and clinical associateprofessor of pediatrics atEast Tennessee State Uni-versity. He was recentlynamed medical directorfor a clinical trials pro-gram which serves some7,500 members in north-east Tennessee andsouthwest Virginia. Helives in Kingsport, Tenn.

Richard Moore, Jr.,MD, HS’96-’97, one ofonly two physicians insoutheast North Carolinawho are fellowship-trained at Duke in hand,upper extremity, andmicrovascular surgery,participated in the annu-al conference of theAmerican Society ofHand Therapists in 2002at the Ottawa CongressCentre in Ottawa, Cana-da. He delivered a pres-entation about handmusculature, performeda surgical demonstra-tion, and served on aphysician panel for aquestion-and-answersession. Moore alsoattended the 57th annu-al meeting of the Ameri-can Society for Surgery

of the Hand in Phoenix,Ariz., in October. Affiliat-ed with the WilmingtonOrthopaedic Group, P.A.,since 2000, he lives inWilmington, N.C.

2000sBrian James Malloy,MD, HS’94-’00, was cer-tified by the AmericanBoard of Urology in 2002and is in group practicein Great Falls, Mont.,where he lives with hiswife, Joan. He enjoys fly-fishing, hunting, camping,and skiing, as well as hischildren, Griff and Bayley.

DukeMed AlumniNews 23

HOUSE STAFF NOTES

The Fund forDukeMed 2002-2003

The Fund for DukeMedCHALLENGE40% by 04!

1. is matched 1:1 by the Medical Alumni Councilthrough a $100,000 Alumni Challenge Match,

2. helps The Fund for DukeMed alumni participationrate grow from 30% to 40% by the end of THECAMPAIGN FOR DUKE, December, 2004, and

3. keeps Duke’s medical student debt among the lowest of private schools across the nation.

Please participate with your gift to The Fund for DukeMed.For information on making your gift, contact:

The Office of Annual GivingDuke University Medical Center512 S. Mangum Street, Suite 400Durham, NC 27701-3973919-667-2500To make an online gift, visit fundfordukemed.duke.edu

Your gift to The Fund for DukeMed will work three times as hardthis year as it:

Page 24: AlumniDuke AlumniNews DukeMedMed News

Jesse W. Carll IV, T’41,MD’43, of Palm Beach,Fla., died on March 28,2003. A longtime residentof Bridgeton, N.J., hepracticed general medi-cine and obstetrics andgynecology in that townfor more than 40 years—sometimes as the onlypracticing obstetrician inthe county—before mov-ing to Palm Beach in1989. Instrumental in thedevelopment of Cumber-land County College, aswell as its nursing pro-gram, Carll sat on the college’s board for morethan ten years and was its chairman for severalyears. He also served as aNavy physician in the Asi-atic and Pacific theatersduring World War II, as aCumberland County med-ical examiner and as astate governmentMedicare administrator.

According to ThePhiladelphia Inquirer, Carllalso served as a deacon atBridgeton’s St. Andrew’sEpiscopal Church and wasa member of the BaronialOrder of the Magna Car-ta. Carll is survived by fourdaughters, a brother, andseven grandchildren.

Paul Green, Jr., MD’51,died on March 6, 2003.Having studied obstetricsand gynecology and inter-nal medicine, he openedhis practice in Salisbury,N.C., in 1958, and openedthe Salisbury Clinic forWomen in 1967. Heserved as chief of staff ofRowan Memorial Hospital,president and trusteemember of the RowanCounty Medical Society,and president of theAmerican Cancer Society.He was also a member ofthe North Carolina StateMedical Association andthe American College ofObstetrics and Gynecolo-gy. He is survived by hiswife, Joan, N’51, one son,

three daughters, one sister,and eight grandchildren.

Arch S. Morrow,MD’37, died on March13, 2003. The oldestpracticing physician inJacksonville, Fla., he was91 years old at the timeof his death. He special-ized in internal medicineand was still seeingpatients in his San Mar-co, Fla., office five days aweek. He is survived byhis wife of 61 years,Jean, two sons, onedaughter, one brother,five grandchildren, andone great-grandchild.

James L. Titchener,MD’49, died on Febru-ary 28, 2003. He was apsychiatrist, psychoana-lyst, clinical investigator,and writer. After beingcalled for active duty inthe U.S. Army duringWorld War II, he contin-ued his undergraduatestudies at Princeton Uni-versity before attendingDuke University Schoolof Medicine. During hiscareer, his principal inter-est was the immediateand long-term impact ofpsychic trauma. His con-cern about disasters andtrauma led to his co-founding the CincinnatiChapter of Physicians forSocial Responsibility. Heresided in Cincinnati,Ohio, and is survived byhis wife, Judith, one son,three daughters, one sis-ter, and two grandsons.

W. Howard Tiller, Jr.,MD’78, Davison Club,died April 18, 2003 inSpartanburg, S.C., after abrief illness. An orthopedicsurgeon who specializedin hand and microsurgery,he was a member of Spar-tanburg’s medical commu-nity for 18 years, mostrecently as a partner withOrthopaedic Associates.

Tiller completed a six-and-a-half-year internshipand residency at Duke,serving as chief orthope-dic resident during hislast year. A Spartanburgnative, he was a memberof the American Acade-my of Orthopaedic Sur-geons, the AmericanSociety for Surgery of theHand, the PiedmontOrthopaedic Society, theS.C. Orthopaedic Associa-tion, the S.C. Medical Soci-ety, and the SpartanburgCounty Medical Society.

He was certified by theAmerican Board ofOrthopaedic Surgeonsand was on staff at Spar-tanburg Regional MedicalCenter. He also volun-teered with the StateBoard of Health, treatingpatients of the CrippledChildren’s Clinic of Spar-tanburg, and served asthe team physician forthe Dorman High Schoolfootball team. He was amember of the Spartan-burg Rotary Club, servedfor six years on the boardof Mobile Meals of Spar-tanburg, and was anactive member of FirstPresbyterian Church.

Tiller graduated PhiBeta Kappa from WakeForest University, where hewas a member of the Sig-ma Chi fraternity, and wasa lifelong member of theBoy Scouts of America—an Eagle Scout.

He is survived by hiswife, Nancy; daughter,Louise; son, Walker; threesisters; one brother; and ahost of other relatives.

Stedman W. Smith, Sr.,MD, HS’41-’44, ‘46-’47, aretired obstetrician and gyn-ecologist of Salisbury, Md.,died October 14, 2002.

Charles I. Williamson,MD, HS’60-’63, died onMarch 11, 2003. Heresided in Mobile, Ala.

24 DukeMed AlumniNews

Alumni NewsOBITUARIES

May 11, 2003School of Medicine GraduationSearle CenterDurham, NC For more information, contact Heather Lemons at 919-667-2527.

August 4-8, 2003School of Medicine Orientation WeekDurham, NC For more information, contact Heather Lemons at 919-667-2527.

October 30-31, 2003Medical Alumni Council MeetingWashington Duke InnDurham, NCFor more information, contact Ellen Luken at 919-667-2537.

October 30-November 1, 2003Medical Alumni WeekendDurham, NCFor more information, contact Jenny Jones at 919-677-2517.

MAA Calendar

DukeMed AlumniNews is published quarterly by the Duke Medical Alumni Association. Issues are available online at medalum.duke.edu. Your comments, ideas, and letters to the editor are welcome. Please contact us at:

DukeMed AlumniNews512 S. Mangum St., Suite 400Durham, NC 27701-3973e-mail: [email protected]

Ellen Luken, Executive Director,Medical Alumni Affairs and External RelationsEditorMarty FisherContributing writersJeni LyttleEmma MartinHariett Purves, MSIVArt Director Lacey ChylackGraphic Designer Jeff CrawfordPhotographyPaul Fetters PhotographyDuke University Photography

Produced by the Office of Creative Services andPublications.Copyright Duke University Health System, 2003MCOC-3295