jersey city, n. j. is
TRANSCRIPT
MEDICAL CENTER ♥♥eeJERSEY CITY, N. J. is
LOUIS L. PERKEL, M.D.,F A.C.P.
DIRECTOR, DEPARTMENT OF GASTROENTEROLOGY
CHAIRMAN, INTERN AND RESIDENT
TRAINING COMMITTEE
January 10, 1956
Dr. Leonidas H. Berry412 HE. 47th St,
Dear Dr. Berry:
As you know, the Board of Trustees of the American Collegeof Gastroenterology, at its October meeting in Chicago, appointedme Chairman, and you a member, of the Committee on HospitalRelationships. The chief function of this committee is to helpin the establishment of Residencies and Fellowships in Gastro-enterology in as many of the large hospitals in this country asis possible.
In order that I may be able to make a report on existingavailable positions of this type, I am asking you to furnishme with information relative thereto, particularly in your |locality. Will you therefore let me know as soon 4s possibite晳晳of any available Residencies and Fellowships in Gastroenterologyin your city or state, and also if any are contemplated in thenear future.
Kindest personal regards,
Sincerely yours,
LOUIS L. Perkel, M.D.
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al BOARD OF TRUSTEES
ChairmanLYNN A. FERGUSON,M.D.
Grand Rapids, Mich.
PresidentJAMEST. NIX, M.D.
New Orleans,La.
President-electARTHURA. KIRCHNER, M.D.
Los Angeles, Calif.
Ist Vice PresidentC. WILMER WIRTS, M.D.
Philadelphia, Pa.
2nd Vice PresidentFRANK J. BORRELLI, M.D,
New York, N.Y. _3rd Vice President
JOSEPH SHAIKEN, M.D.Milwaukee, Wisc.
4th Vice PresidentHENRY BAKER, M.D.
Boston, Mass.
Secretary-GeneralROY UPHAM,M.D.
New York, N. Y.
SecretaryTHEODORES. HEINEKEN,M.D.
Bloomfield, N. J.
TreasurerELIHU KATZ, M.D.
New York, N. Y.
EditorSAMUEL WEISS, M.D.
New York, N. Y.
Chmn. Bd. of GovernorsLOUIS OCHS,Jr., M.D.
New Orleans, La.
SAMUELS. BERGER, M.D.Cleveland, Ohio
YVES CHAPUT, M.D.Montreal, Canada
DONALD C. COLLINS, M.D.Los Angeles, Calif.
HARRY M. EBERHARD,M.D.Philadelphia, Pa.
WILLIAM C. JACOBSON,M.D.New York, N.Y.
1. R. JANKELSON,M.D.Boston, Mass.
S. BERNARD KAPLAN,M.D.Newark, N. J.
EDWARDJ. KROL, M.D.Chicago,Ill.
JOHN M. McMAHON,M.D.Bessemer, Ala.
FERNANDO MILANES, M.D.Havana, Cuba
H. NECHELES, M.D.Chicago,II}.
LOUIS L. PERKEL, M.D.Jersey City, N. J.
WILLIAM B. RAWLS, M.D.New York, N. Y.
M. E. STEINBERG, M.D.Portland, Ore.
FRED H. VOSS, M.D.Phoenicia, N. Y.
Honorary PresidentANTHONYBASSLER, M.D.
New York, N.Y.
Executive SecretaryDANIEL WEISS, B.S., M.A.
OFFICIAL PUBLICATIONTHE AMERICAN JOURNALOF GASTROENTEROLOGY
50 January 1956
Dr. Leonidas H. Berry412 E, 47th St.
Chicago 15, Ill.
Dear Dr. Berry:
I am in receipt of your letter of 26 January addressed to Dr.Heineken, as well as your letter of 29 December forwarding thecorrect copy of the paper you presented in Chicago,
Pleasé accept my apologies for the @eleyin acknowledgcinc GO 5, : ging its re»ceipt, but the truth is that we are so Swemped that we have allwe can do to keep our heads sbove water,
Another reason for the delay is that I was checking on the cost ofreproducing the gestroscopic drawings in color.
I am afraid thatcolor reproductions would be prohibitive, sincethe cost of plates aloné without running would be well over $600.00.eas circumstances, I think we had best stick to black endwhite,
I em returning herewith the copy of the paper which was submittedat the time of the meeting and which you asked to have returned,
Agein please accept my sincere apologies for this delay and withkindest regards, I am
Cordially yours,
Gw- ¢
DANIEL WEISSExecutive Secretary
DW sbg
Enel,
RECENTEXPERIMENTAL AND CLINICAL EXPERIENCES WITH☜ANTAC1THERAPYSTHN PEPTIC OY4053 endBy
e
Leonidas H. Berry, M.D., Jonas Adomavicius, M.D., T. J.ew☜eoDeRobert Schoop, M.D., and Juanita Purnell, R.Ne, ee
SeanA survey made a few years ago indicates that physicians in oyns
United States see more than 361,000 patients with peptic ulcerper
month, and that there are approximately four million ulcer patients at
all times. (1) I am, therefore, bringing to your attention a disorder
which is by no means uncommon yet there are problems of its pathogenesis,
its treatment and prevention which continue to baffle the most astute
minds of the medical sciences, and leave unanswered important questions
of management for the clinician.
The earliest American disciple of antacid therapy in the treatment
of peptic ulcer is generally recognized as Bertram W. Sippy who lived
and worked in Chicago and published his classical observations in 1915.
(2) However, the late Dr. Hyman Goldstein (3) stated that Aurelius
Cornelius Celsus treated peptic ulcer with antacids in the first century
A.D. I therefore do not hope to present at this time an "Occasion de
Celebrer" in calling to your attention the use of antacids in the treat-
ment of ulcer. I-only wish to reopen the subject, consider its rationale
and to present some of our recent controlled experiences with veptic
ulcer, using an aluminum salt product as an antacid.
A great mass of evidence accumulated over the years indicates
rather convincingly that the suppression of gastric acidity with antacids
is associated with relief of ulcer symptoms and the healing of the ulcer
niche. These effects may be dramatic and complete. However, the more
soluble alkaline antacids may disturb the aéid base balance of the blood
SRE oR op Seater omen omameme
*From The Cook County and Provident Hospitals, Chicago Pe
nan
and produce symptoms of alkalosis. It is also well known that these
antacids, of which sodium bicarbonate is the best example, also may
cause "rebound secretion" of acid sastric juice. Other antacids, such
as caleium carbonate and magnesium oxide, are relatively insoluble but
the former is constipating and the latter may be quite laxative in
neutralizing doses. Many other antacids, including the triple phosphates
of calcium and magnesium, the exchange resins, protein hydrolysates and
mucins, are in general use. A detailed discussion of the merits and
demerits of all of these products will not be undertaken in this report.
I should like to point out, however, that there are generally accepted
standards and criteria which are regarded as characteristics of an ideal
antacid in the treatment of peptic ulcer. A theoretically ideal antacid
should be (1) héntoxic, (2) relatively insoluble or unabsorbable and
therefore should not disturb the acid base balance of the bleed, (3)
should not cause "acid rebound" or secondary rise in gastric acidity,
(4) should exert a prolonged neutralizing effect in small doses, but
should not suppress gastric acidity beyond a pH of about 3.5 to cD,
it should be paltable and relatively inexpensive, and (6) should not
have an excessively constipating or laxative effeét. No antacid has as
yet been devised which meets all of these criteria. Yet most of the ones
named have their good points. Most clinical investigators today agree
that the aluminum products more nearly meet the criteria set forth for
the ideal antacid. (Ref.)
In recent months we have studie@ gestrie secretion in relation to
healing of peptic ulcer on our services at Cook County and Provident
Hospitals. We have been interested in promptness and completeness of
healing with X-ray and gastroscopic control. Secondly, we attempted to
assess clinical evidences of prompt and complete healing as judged by
total and prolonged relief of ulcer symptoms and our own experiences in
evaluating adherance to medical discipline. Thirdly, we studiedthe
incidence of recurrence in these groups of patients overaperiod of
18 months. In all of these evaluations we éniphiasized the importance of
recognizing and separating the symptoms duedirectly to ulcer and☂ other
_associated gastrointestinal symptoms.~ ,
DIAGNOSTIC STUDIES
The diasnostic criteria were strict and consisted of laboratory
and clinical evidence. It was not enough to merely have X-ray deformities.
Each patient had an ulcer story indicative of activity. Many patients
had repeat X-ray and gastroscopic examinations before treatment was
started. It is our custom to have the patient keep a diary of symptoms
duringthe work up peiod in order to confirn or deny the original story.
Occasionally duodenal deformity was regarded as a healed sear or inactive
ulcer because a ulcer syndrome was not present. The gastro intestinal
symptoms in such cases were often indicative of functional bowel distress,
associated cholecystitis or other gastrointestinal disorders.
Chart I
SLIDEI- DiagnosticStudies BeforeandAfter Rx X-ray)
The first slide shows diagnostic and treatment studies involving
99 ulcerative lesions consisting of 77 duodenal ulcers, 11 benign gastric
ulcers, 1 gastrojejunal uleer, 1 malignant gastric ulcer and 9 cases of
hypertrophic gastritis.
Indicated are the number of X-ray examinations before and after
treatment. In 99 ulcerative lesions before treatment, 77 duodenal
patients had 86 examinations, 11 gastric ulcer patients 15 examinations,
while 1 gastrojejunal and 1 malignant gastric ulcer had one examination
each. The X-ray follow-up during and after treatment consisted also of
multiple examinations.
SLIDE IT - Diagnostic Studies -Gastroscopic Diagnosis BeforeandAfterRx
Gastroscopic examinations before treatment and in follow-up studies
ho
were also multiple. In addition fractional gastric analysis, blood,
urine, and stool examinations, ws well as X-rays of gall bladder and
colon were done on all patients.
SECRETORY STUDIES
In order to study the neutralizing effect of a selected antacid
upon the gastric juices of our cases of peptic ulcerative lesions, our
methods were as follows: (Slide 3 DAA formular) An aluminum product,
Dihydroxy Aluminum Aminoacetate, was chosen. It is a salt of an amino
acid, aminoacetic acid and aluminum hydroxide, as indicated in the
diagram. Slide 4A - secretory data) The principal group for secretory
studies consisted of 79 patients with peptic ulcerative lesions. 30
patients proven to have negative GI tracts by X-ray examination were
used as controls. 109 secretory experiments were run for two hours
or more on 79 patients with peptic ulcerative lesions anda
with negative GI tracts. Aliquot portions of gastric juice were removed
periodically, measured and returned to the stomach except for minimal
quantities from which to determine electrometrically the pe, free and
total acidities. (Slide 4B) After a control run of 1 hour, 2 gms and
in a smaller group of cases 4. ems of Dihydroxy cece Aminoacetate
were erushed in % oz of water and washed through a Levine tube into the
stomach with an additional 4 ounce of water. In the case of 4 ems 2
ounces of water were used. Aliquot portions were removed every 15
minutes for at least another hour for volumetric measurements, D's free
and total acid determinations.
Slide 54 (Neg. G.I.) The next slide shows a graft of mean or composite
secretory curves of ot and free acid - 30 cases with normal GI tracts.
Adequate suppression of free acid is indicated after introduction of
Dihydroxy Aluminum Aminoacetate.
Slice 5B shows a similar eraft of 20 duodenal ulcer cases indicating
~5♥ |
adequate suppression of free acid to a pt of 3.5 or above (or clinical
units of approximately 0) for 45 minutes in most eases, after introduction
of DAA.
Slide 5C shows the actual spread of ot in 10 cases of duodenal ulcer
before and after DAA.
It is obvious from these grafts that the drug selected, Dihydroxy
Aluminum Aminoacetate, is expabie of suppressing gastric acidity to points
within the range of the socalled ideal pe range of 3.5 to 5. for an
average of ☜5 minutes in most cases. As gastric acidity is reduced the
digestive activity of pepsin is suppressed, and therein lies the effacacy
of antacid therapy. The acid neutralizing power of the drug was just as
effective in the stomach with ulcerative lesions as it was in the 30
normal stomachs used as controls. Other experiments not detailed here
involved secretory studies after Histamine stimulation as well as in
fasting basal secretions, with no essential difference in neutralizing
effects.
TREZTMENT STUDIES ©
As mentioned previously, ovr experience, as well as reports of other
observers, indicates that the aluminum products are probably the most
satisfactory antacids in use today. They are nontoxic, relatively un-
absorbable, do not disturb acid base balance, capable in small quantities
of perseceae large amounts of gastric acidity moderately but usually not
below a pt of 3.5 to 5. Besides they are said to have an absorbative
and an effective demulcent action. An important short coming of the
aluminum products has been the marked tendency to constipate espectally
when freguent administrations are desired. This occurs at times in spite
of concurrent use of mild laxatives. In be Pventmcnt studies, Dihydroxy
Aluminum Aminoacetate was again used in preference to the aluminum
hydroxides, hoping to avoid or reduce the annoyance of constipation.
And secondly to determine whether in other respects this aluminum
why or
salt of an amino acid should be regarded as an effective antacid, clinically.
This U.3.?. product contains 55% less of the constipatine aluminum element
than the hydroxides. (Ref.)
TABLE SLIDE 6A Clinical Rx Studies
| 99 patients with ulcerative lesions and clinical symptoms of activity |
4 treated with a bland diet and Dihydroxy Aluminum Aminoacetate as an
antacid. The patients were instructed to chew two tablets (1 gm) two
hours after meals and at bed time. Some patients with very active
symptoms were given 1 eram every 2 hours for 8 or 9 foxes a day. This
was especially true in cases of duodenal ulcer with partial pyloric
obstruction and in the cases of gastric ulcer. No anticholinergic or
antispasmodic or other drugs was given except an occasional dose of
phenobarbital as a sedative in a few cases. These patients were on
treatment from three weeks to 1$ years. They were seen regularly by one
of us. A few of them daily while hospitalized, most of them once a week
until completely relieved and then every two or three weeks. A diligent
attempt was made to determine whether the specific ulcer symptoms were
relieved. Certain symptoms,such as lower abdominal distress, bloating,
areophagy, might persist while the typical rythmic epigastric burning
or gnawing after meals would be effectively relieved. (Lights)
SLIDE 6B Clinical Results of Rx
Table
The next slide shows that about 90% of the cases were completely
relieved of symptoms in less than three weeks. In some instances milder
symptoms returned occasionally for longer periods. Only about 7% required
periods longer than 3 weeks for complete relief and only 2 patients were
in the category of not being completely relieved and one of these was a
malignant gastric ulcer. The breakdown with reference to duodenal ulcer,
gastric ulcer, gastrojejunal ulcer, hypertrophic gastritis and malignant
ulcer is indicated.
SLIDE 6C_ Summary of Clinical Results
Zable
The next slide shows clinical results in summary. Included is the
interesting fact that only 3% complained of constipation not previously
noticed. One patient complained of nausea attributed to the peppermint
flavoring of the drug. It was of especial interest to us because we
have observed similar instances: before that the ease of malignant gastric
ulcer was not completely relieved of symptoms with very rigid management
including finally the addition of anticholinergics. It is our feeling in
spite of the reports in the literature that most cancerous gastric ulcers
could be diagnosed by a careful analysis of the clinical course which
under rigid medical management over a period of 4 to 5 weeks. While I
would not rely upon this alone it is an important adjuvant oft times te
equal to the laboratory methods in the differential diagnosis of malignant
ulcer.
SLIDE6D Evidence of Healing
Table
Evidence of healing was grouped into clinical, X-ray, and gastroscopic
evidence. It is obvious from the next table that the results were excellent.
Such results of course eo not difficult to obtain with careful and
conscientious management, when one has the confidence and cooperation of
the patient.
The following serial views are illustrative of the X-ray and gastro-
scopic evidence of healing in our group of ek
SLIDE 7A (Case L.S.) A middle age make had a gastridé ulcer on the lesser
curvature with rather mild symptoms, was treated for months in the clinic
before our study, with little evidence of healing. He was finally
hospitalized for better control and the ulcer healed aitmost completely in
10 days by X-ray and gastroscopic control. Slide 7B, Slide 70, Slide 7D,
Slide 7E, Slide 7F.
-8♥
Case A.D. A 38 year old female was first seen with rather severe symptoms
of partial pyloric obstruction due to healing duodenal ulcer. (Slide BA)
18 months after subtal gastric resection she developed a gastrojeiunal
ulcer (Slide 8B) Although these lesions are often very difficult to
handle, medically, in this case healing was rather complete as shown by
X-ray and gastroscopy. (Slide8c) (Slide 8D)
Case E.C. A 40 year old male presented a fairly typical ulcer story and
was reported by X-ray to have a benign prepyloric ulcer (Slide 9A) With
some antral spasm. At gastroscopy we felt the patient had a malignant
ulcer. (Slide 9B) Surgery was advised. Surgery was refused so medical
management was instituted rather intensively for about three months.
Symptoms were relieved but never completely, with Bland diet, antacid
management, nor when anticholinergics were added. (Slide 9C) Next slide
is a gastroscopic view showing some evidence of healing and rough scarring
but not the smooth epitheliazation of benign uléer. Surgery was finally
performed 6 months after diagnosis and carcinoma confirmed. No metastasis
were found.
All of these cases were treated with the aluminum product, Dihydroxy
Aluminum Aminoacetate and Bland diet but the approach was that of apprais-
ing and treating the oot patient in addition to the local manifestation
of disease. The incidence of recurrence of clinical symptoms after
cessation of antacid therapy for one month or more was observed. All of
these cases had originally been on regular treatment for three weeks or
more before cessation. A correlation of history data indicates usually
recurrences were associated with short periods of therapy, or some definite
and specific episode such as dietary indiscretions, a bout of cocktails,
acute upper respiratory infections, or emotional storms, like a tug of war
with the spouse, economic reverses, etc. There was X-ray and gastroscopic
evidence of recurrence in one case of benign gastric ulcer of the lesser
curvature 17 months after cessation of therapy.
March 12, 1956
Mr. Daniel Weiss, Executive Sec.American goeeeeeot Gastroenterology23 West 60th StreetNew York 23, Ne. Y.
Dear Dan:
4
peeteesiee medical editor has gone ¢
itled "Recent Experimental and _ClirWith Antacid Therapy in Peptic Yee:very much if I ask you to subst
for that part of the manuscrifsubmitted? It would mean keep
if it means delay of a manthI believe that + r ;areadinghave. If t can be ey LitS
appreciate it very much
Sincerely yours,
Leonidas H.
LHB/va
BOARD OF TRUSTEES
ChairmanLYNN A. FERGUSON,M.D.
Grand Rapids, Mich.
PresidentJAMES T. NIX, M.D.
New Orleans,La.
President-electARTHURA. KIRCHNER, M.D.
Los Angeles,Calif.
Ist Vice ceetidentC. WILMER WIRTS, M.D
Ronee Pa.
d Vice gnFRANK Ly"BORRELLI M.D.
New York. N.Y.
3rd Vice PresidentJOSEPH SHAIKEN, M.D
Milwaukee, Wisc.
4th Vice PresidentHENRY BAKER, M.D
Boston, Mass.
Secreta wenn!ROY UPHPHAM,
New York, Nt¥
SecretaryTHEODORES. HEINEKEN, M.D.
Bloomfield, N. J
TreasurerELIHU KATZ, M.D.
New York, N. Y.
EditorSAMUEL WEISS, M.D.
New York, N. Y.
Chmn.Bd. of GovernorsLOUIS OCHS, Jr., M.D.
New Orleans, La.
SAMUELS. BERGER, M.D.Cleveland, Ohio
YVES CHAPUT, M.D.Montreal, Canada
DONALDC. COLLINS, M.D.Los Angeles, Calif.
HARRY M. EBERHARD,M.D.Philadelphia, Pa.
WILLIAM C. JACOBSON,M.D.ew York,
1. R. JANKELSON, M.D.Boston, Mass.
S. BERNARD ay*ener M.D.Newark, N. J.
EDWARDJ. KROL, M.D.Chicago, i.
JOHN M. McMAHON,M.D.Bessemer, Ala.
FERNANDO MILANES, M.D.Havana, Cuba
H. NECHELES, M.D.Chicago,Ill.
LOUIS L. PERKEL, M.D.Jersey City, N. J.
WILLIAM B. RAWLS, M.D.New York, N. Y.
M. E. STEINBERG, M.D.Portland, Ore.
FRED H. VOSS, M.D.Phoenicia, N. Y.
Honorary PresidentANTHONYBASSLER, M.D.
NewYork, N.Y.
Executive SecretaryDANIEL WEISS, B.S., M.A.
OFFICIAL PUBLICATIONTHE AMERICAN JOURNALOF GASTROENTEROLOGY
AMERICAN COLLEGE OF GASTROENTEROLOGY33 WEST 60th STREET, NEW YORK 23, N. Y¥. © Tel. Clrele 6-4345
16 March 1956
Dr. Leonidas H. Berry412 E. 47th St.Chicago 15, Ill.
Dear Dr. Berry:
Thank you very much for your letter of 12 March enclosing the
edited copy of your manuscript.
There will be no problem in substituting this for that originallysubmitted and utilizing the tables and figures.
The A. H. Robins Company has expressed an interest in obtaining
reprints of the article, and I will keep you advised as to the
progress in this direction.
With kindest regards, I am
Comially yours,
QeDANIEL WEISSExecutive Secretary
DW 0 o
October 11, 1956
Dr. Louis lL, PerkelChairman |Committee on Hospital RelationshipsAmerican College of Gastroenterology33 West 60thStreetNew York 23, N. Y.
Dear Dre Perkels
I am sorry that I will be unable t&Committee on Hospital Relationshép
Cook County Hospital as of JuiResidents and Chewe 6323 be on /ewe places io Fellows
oo periods. As far as Iersity of Chicago offers
aeee
eee ee
C wy ovparalOctober 13, 1958
Dr. Lynn A, Ferguson, eSecPetary - General
_~ fhmerican College of Gastroenterology72 Sheldon Avenue, 8.2. .Grand Rapids 2, Michigan
Dear Dr.♥Berguson? Perkel,
My heart has been heavy every since it was announced that the American
College of Gastroenterology will hold its 1958 meeting in New Orleans,
La, It seems unfortunste that no one at the time of acceptance of the
invitation was alerted to the fact that attendance at this meeting mst
be subject to racial discrimination by state and local law, as well asby long standing custom.
I havebeena particimting m pHofthe American College of Gastro;
enterology and its antecedent organization, the National GastroenterologicalAssociation for many years. I have had great pride in this membePship,
because of its liberal heritage. This liberal heritage applies not only to
race, religion, and nations! origin, but it has declined to set itself apart
as a self styled, oligarchy of intellectual aristocrats. But rather it has
dedicated itself to the service of all who have a serious interest inGastroenterology. It is obvious that I cannot attend the meeting of theeollege at the Jung Hotel in New Orleans, La, during its 1958 session.I should like to say however, thet if the policy of the organization for
the future shall include the acceptance of invitations for its meeting inanmrea where racial discrimination is practiced, I would take it to mean
thatmymembership is no longer welcomed in the organization. However, asa fellow in good standing, I should prefer to ask the organization to go.
on record as being against such future meetings by amending its con-
stitution. I feel that today truly liberal organizations mst be willing
to stand up and be counted, I propose therefore that article IX, Section
1A be amended as follows: :
"No meeting of the college shall take place in a state or city or hotel,
or other institution where discrimination is practiced against individuals
because of race, creed or national origin". Any wording-which you may
prefer that expresses the same thought will be satisfactory to me,
I trust that this letter can be brought before the organization atitsNew Orleans meeting. Sincerest regards and best wishes.
Very truly yours,
Leonidas H, Berry, M.D.LHB:dlb.
Saneletter sent to:
I, Dr, Arthur A. Nrrschnep
2:Dr, Lours Ochs, oFI. Dr. Louis Perke|
October 13, 1958
Dr. Arthur A, Kirschner,Chairman ~ Trustee BoardAmerican College of Gastroenterology2007 Wilshire Blvd.Los Angeles, California
Dear Dr, Kirschner:
My heart has been heavy every since it was announced that the American
College of Gastroenterology will hold its 1958 meeting inNew Orleans,
La. It seems unfortunate that no one at the time of acceptanceof the
invitation was alerted to the fact that attendance at this ing must
be subject to racial diserimination by state and local law, as well as
by long standing custon.
I have been = participating member efthe American College of Gastro-
enterology and its antecedent orgenization, the National Castreenterological
Association for many years, I have had great pride in this membership,
because of i☁s liberal heritage. This liberal heritage applies not only to
race, religion and national origin, but it has declined to set itself apart
as a self styled, oligarchy of intellectual aristocrats. But rather it has
dedicated itself to the service of all who have a serious interest in
Gastroenterology. It is obvious that I cannot attend the meeting of the
college atthe Jung Hotel in New Orleans, Le, during its 1958 session,
I should like to say however, that if the policy of the organization for
the future shall include the acceptance of invitations for its meeting in
an area where racial discrimination is practiced, I would take it to mean
that my membership is no longer welcomed in the organization. However, as
a fellowingood star , 1 should prefer to ask the organization to go
dai ng akai such futuremeetings by amending ite come
stitution. I feelthat today truly liberal organizations must be willing
to stand upand becounted, I propose therefore that article IX, Section
1A be amended as follows: :
"No meeting of the college shall take place in a state or city or hotel, ne
er other institution where discrimination is practiced against individuals ♥
because of race, creed or national origin". Amy wording which you may m
prefer that expresses the same thought will be satisfactory to me.
I trustthat this letter can be brought before the organization at its
New Orleans meeting. ☁Sincerest regards and best wishes.
Very truly yours,
Leonidas H, Berry, M.D.
LHB:dlb,
SURGERY
EDWARD J. KROL, M. D.WEST LAWN MEDICAL BLDG.
.4255 WEST 63rD STREET
CHIGAGO 29, ILL.
October 16, 1958
Leonidas H. Berry, M.D.
412 East Forty -Seventh Street
Chicago 15, Illinois
Dear Dr. Berry:
I received a copy of the letter that you sent to Dr.Perkel, in reference
to the American College of Gastroenterology meeting in New Orleans.
Rest assured, I did not know this condition, about which you explained,
existed, and will do all in my powerto bring this before the Board ofTrustees meeting in New Orleans.
Very sincerely yours,
ELEJK:AH Edward J. Krol, M.D.
RELIANCE 55-4884
aJf dum
FERGUSON:?DROSTE°FERGUSON
CLARAG
72 SHELDON AVENUE, S.E.
GRARD RAPIDS 2,MICHIGANLYNN A. FERGUSON, B.S., M.D.JAMES A. FERGUSON, M.D.HOWARD G. BENJAMIN, M.D. PRACTICE LIMITED TO PROCTOLOGY
JAMES P. MULDOON, M.D.JOHN R. HEATON, M.D. RADIOLOGY
C. PETER TRUOG, Ph.D., M.D.
BEN R. VAN ZWALENBURG,M.D.
November 10, 1958PATHOLOGY
Cc. ALLEN PAYNE, M.D. LEE W. YOTHERS, A. B., M. H. A.DALE L. KESSLER, M.D.
ADMINISTRATOR
Leonidas H. Berry, M.D.412 East Forty Seventh StreetChicago 15, Illinois
Dear Dr. Berry:
| appreciate your sending me a copy of the letter addressed to Dr.Perkel. It has been brought before the Board, and fully discussed.You will recall, of course, that Dr. Nix and | talked to you aboutthe situation while we were in Washington. At the time, | did notrealize exactly the full impact of the situationasit is. Now, I be-lieve, 1 understand it a little better. 1! am very sorry that you didnot choose to attend the meeting, because we had a very excellent andwell] attended program. There were 2-3 colored doctors, and a coupleof colored interns, who attended all the sessions. The only hitch isthis, that the hotel would not serve themfood; neither would theygive. them lodging. | was told that,☁hadyou been present, you wouldhave been a house guest of the President of the Dillard University.
This matter of.religion,.creed,color,and intregation is a littlelarger☂thanany of us even though, in oursmall way, we do participate.Obviously, wecannotmake-the-final♥decistons.Personally, | wouldnet want to boycott New Orleans aswg@ meeting place, because it is [email protected] other extra-#iedical problems ☜we each have towork out as best we possibly can, | find that all of the men in theorganization in New Orleans are Staff members at Turo and the coloredhospital and, as you know, Nix, and Ochs, and Irving Levin carry onteaching courses for the Staff, Residents, and Interns. | feel surethat, with a patient attitude, these differences of opinion will e-ventually fade out. {it may not be in your generation or mine, butif you will think back a few years, you must realize that your race
has come a long ways not only through your own efforts but throughthose of your white friends, in spite of the fact that their whitefriends objected. Many years ago, when | was Chairman of the St. Mary'sBoard for 19 years excepting for 2 years when | was Staff Chief, wehad a couple of colored doctors on our Staff who were fine gentlemen.One was a Dermatologist, and the other a general practitioner. Thegeneral practitioner never got a chance to do surgery on his own,
qo
OScttenine a letter on
Leonidas H. Berry, M.D.
Vi.
Now, we have 4-5 colored physicians in our city, all fine gentlemen,and all scheduling their own surgery according to their several abili-ties. | think we have made some gains, and | don't think anything isto be gained by being vindictive, and | don't think the American Collegeof Gastroenterology could accomplish very much by boycotting any ofthe Southern States. As far as | am concerned, it is the wrong way togo about it. 1 think that one gains favor by being understanding andcooperative and - above all - humble even though it may take 2-3 gen-erations to accomplish the ultimate end. There are quite a few of uswho understand your position thoroughly, and can agree with you on allpoints excepting the method of solution. Keep in mind that | am notstating the position of the Board of Trustees, by this letter, butonly my own thoughts in the matter. We have these problems in GrandRapids, and you certainly have encountered them in Chicago. In yourheart, | am pretty sure, you feel the same way | do, but it is a wholelot harder for you to accept,
| hope you will not let your membership in our organization hinge onthat sort of thing, because that attitude is juvenile, and | am pretty damsure you are not that kind of fellow. 1 feel sure that patience andgood behaviour will, eventually, win out.
With all good wishes, and best personal regards, | am
Very sinaérely yours,=
w/
Ly/A.Ferguson, M.D.
Ce
LAF/mw
Fn410☝ ANTHONY BASSLER, M. :
st? ,0 F.A.C.P., LL.D. \og67) 5 ~.
oeONOT 121 EAST 71st STRot cet ca
porOot NEW YORK
Oct. 16, 1958.
Dr. Leonidas H. Berry,412 East 47th Street
Chicago 15, Ill.
My dear Dr. Berry:
I have a copy of your letter of October 14th toDr. Perkel, and I understand it fully. I feel quite surethat at the moment the location of New Orleans was selectedno thought was given to discrimination of any sort. I ap-preciate the point of view that you have of the Organizationbeing that of a service type spreading Gastroenterologythroughout the Profession. This whole nonsense of discrim-ination is hard for me to understand since I have never had
any such traits in my makeup. It so happens that I om aCatholic and around me in the Organization are a lot of Jewishpeople and we all live together as a heppy family, one ofwhich you are yourself in no small or discounted way. Weall feel the great service that you have done to gastroscopyand that you are a credit to our Organization in that con-nection. I do not know whether or not the Headquarters has
a copy of your letter but I am taking the liberty of forwardingit to Mr. Weiss.
Sending best wishes, I em
Sincerely,
PeeleAnthony sler
AB.ID
ARTHUR A. KIRCHNER,M.D., F. A. C. G.
GASTROENTEROLOGY
2007 WILSHIRE BOULEVARD LOS ANGELES 57, CALIFORNIA
DUNKIRK 88-3311
October 17, 1958
Leonidas H. Berry, M. D.412 East 47th StChicage 15, Illinois
Dear Doctor Berry:
Thank you for your letter of October 13th.Your request is a reasonable one and I shall bringit before the Board of Trustees in New Orleans Octo-
ber 19th.
There are no Meetings scheduled in theSouth for the next five years. We will meet here inLos Angeles, and I shall look forward to your at-
tendance,
Very truly yours,| . :
(401) kvchue,AAK : mw Artif☂ A. Kirchner, M. D.
January 12, 1959
Mr. Daniel Weiss,Executive SecretaryAmerican College of Gastro-Enterology
33 W. 60th %.New Zork 23, New York
Dear Mr. Weiss:
You will recall reeeiving a copy of a letter which I wrote to Dr,Perkel, Chairman of the constitution committee of the college. I
sent several copies of this letter to officers of the Society.Most of them answered promptly expressing their complete agreementwith my protest.
I am enclosing a copy of the only letter expressing a contraryopinion. It was written by Or. Ferguson sometime after the con-vention. 4 copy of my answer is also enclosed. I have not heardofficially the results of my letter. Unofficially I was toldthat there was general agreement with the sentiments it expressed.Whether or not my suggestion is complied with the protest itselfwas the important thing. Now that it has been made I have no planto push it further.
Hoping you and family are well. Sincerest regards and best wishes.
Very truly vours,
Leonidas HK, Berry, M.D.
LHB:dlb,.enclosures
8.
BOARD OF TRUSTEES
ChairmanFRANK J. BORRELLI, M.D.
New York, N.Y.
PresidentJOSEPH SHAIKEN, M.D.
Milwaukee, Wisc.
President-electHENRY BAKER, M.D.
Boston, Mass.
Ist Vice PresidentLOUIS OCHS,Jr., M.D.
New Orleans, La.
2nd Vice PresidentEDWARDJ. KROL, M.D.
Chicago,III.
3rd Vice PresidentTHEODORES. HEINEKEN, M.D.
Glen Ridge, N. J.
4th Vice PresidentHENRY G. RUDNER,Sr., M.D.
Memphis, Tenn.
Secretary-GeneralLYNN A. FERGUSON,M.D.
Grand Rapids, Mich.
SecretaryLOUIS L. PERKEL, M.D.
Jersey City, N. J.
TreasurerWILLIAM C. JACOBSON,M.D.
NewYork, N.Y.
_ Editor-in-ChiefSAMUEL WEISS, M.D.
NewYork, N. Y.
Chmn.Bd. of GovernorsLIBBY PULSIFER, M.D.
Rochester, N. Y.
HARRY BAROWSKY,M.D.New York, N. Y.
ROBERTR. BARTUNEK, M.D.Cleveland, Ohio
MAXWELLR. BERRY, M.D.Atlanta, Ga.
MAX CAPLAN,M.D.Meriden, Conn.
DONALDC. COLLINS, M.D.Los..Angeles, Calif.
1. R. JANKELSON,M.D.Boston, Mass.
MURRELH. KAPLAN,M.D.New Orleans, La.
S. BERNARD KAPLAN,M.D.Newark, N. J.
LIONEL MARKS, M.D.Toronto, Canada
MILTON J. MATZNER, M.D.Brooklyn, N. Y.
JOHN M. McMAHON,M.D.Bessemer, Ala.
M. E. STEINBERG, M.D.Portland, Ore.
JULIAN A. STERLING, M.D.Philadelphia, Pa.
JOHN P. WAITKUS, M.D.Chicago,Ill.
GEORGEK. WHARTON,M.D.Los Angeles, Calif.
Executive DirectorDANIEL WEISS,B.S., M.A.
OFFICIAL PUBLICATIONTHE AMERICAN JOURNALOF GASTROENTEROLOGY
AMERICAN COLLEGE OF GASTROENTEROLOGY33 WEST 60th STREET, NEW YORK 23, N. Y. © Tel. Clecle 6-4345
19 October 1960
Dr. Leonidas H. BerryHotel CarreraSantiago de Chile
Dear Dr. Berry:
it was a pleasure speaking with you and | hope you had apleasant trip.
Enclosed please find the letter to Dr. Alessandri and | trustthat you will find it satisfactory.
With kindest personal regards, | am
Cordialiy yours,
day ☁
ANIEL WEISSExecutive Director
DW: gsEncl.