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The Chironian NYMC Archives Publications

Winter 1972

The Chironian Vol. 87 No. 3

New York Medical College

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Recommended Citation Medical College. (1972). The Chironian Vol. 87 No. 3. Retrieved from https://touroscholar.touro.edu/nymc_arch_journals/156

This Book is brought to you for free and open access by the NYMC Archives Publications at Touro Scholar. It has been accepted for inclusion in The Chironian by an authorized administrator of Touro Scholar. For more information, please contact [email protected]. The Journal of the Alumni Association of New York Medical College, Flower and Fifth Avenue Hospitals Volume 87 Number Three Winter 1972-1973 The Alumni Association Officers **Henry P. Leis ’41 President Cyrille R. Halkin ’45 President-Elect Saverio S. Bentivegna ’50 First Vice-President John M. Marino ’59 Secretary David T. Mininberg ’61 Treasurer Howard T. Beilin ’62 Archivist Barbara Aguanno Executive Director Governors Harry Barowsky ’31 Julius Blankfein ’28 Frank J. Borrelli ’33 Joseph E. Davis ’53 Joseph F. Dursi ’59 *Herbert M. Eskwitt ’47 Frank E. Fierro ’33 Louis E. Fierro ’60 J. Clifford Hayner ’19 Kirk K. Kazarian ’61 Walter L. Mersheimer Arthur A. Michele ’35 ’37 George R. Nagamatsu ’34 E. Edward Napp ’33 ’•'Bernard Rothbard Benjamin J. Sadock’ 39’59 Seymour Schlussell ’51 Saul A. Schwartz ’30 Lawrence B. Slobody ’36 •’^George B. Smithy ’45 ^Martin L. Stone ’44 Edward Wasserman ’46 Bernard J. Wattiker ’44 ^Regional Representative ~*Alumnus Representative to the Board of Trustees Editorial Committee On the cover, Saul A. Schwartz, ’30 topj Drs. Dan H. Moore, Chairman Robert E. Hermann, Henry P. Leis, Jr. ’41, Joseph E. Davis, ’53 and Maurice M. Black ’43 Rita Girolamo, ’51 at Breast Cancer Donald S. Gromisch, ’60 Symposium; David T. Mininberg, ’61 middle left, Charles G. Mortimer Sanford Sail, ’59 speaking; at dedication of David Schechter, Associate Member Basic Sciences Building; middle right, students Editor in anatomy laboratory of Saul A. Schwartz. ’30 new building; bottom. Executive Editor Dr. Sidney Shulman Ruth Norton Oliver consults with Dr. Joseph E. Davis ’53. Managing Editor Adele Slocum Ghironian Volume 87 Number Three Winter 1972-73

Construction Begins on New Facility 2 Alumni Association Launches Student Loan Program 3 TPM Gift Caps Year of Progress at Westchester Medical Center 4 Basic Sciences Building Dedicated 6 College Sponsors Breast Cancer Symposium 8 Genetics Discussed at Ob/Gyn Symposium 9 A Talk with Dr. Davis 10 Who’s in the News 12 Voice Prosthesis Developed by Alumnus 13 College Briefs 14 New Department Chairmen Joint Study of Acute Glomerulonephritis Sex Therapy Center and Conference Visit by French Surgeons Career Development Award Comparative Pathology Project Class Notes 18

The Journal of the Alumni Association of New York Medical College, Flower and Fifth Avenue Hospitals, Fifth Avenue at 106th Street, New York, N. Y. 10029 LEhigh 4-6067 ConstnictioB on HewMity

The College has begun construction of a $1,400 000 parking garage at its site. The new facility which will be situated at the corner of 105th Street and Madison Avenue, is part of an extensive program to

ZZ7,Manhattan and allow for an expansion andplan, improvement of patient care services. ^vemeni;

Of stee and concrete and will accommodate 350 cars Upper levels will be reached by a rectangular ramp and the garage will be connected directly to the hospifal building on alternate floors. An ambulance entrance from Madison Avenue will be part of the plan to provide improved emergency room services the the vacant lot on d Fifth Avenues as a parking area for its employees and professional personnel who drive to work. Now SrCoL^ development is projected for that site. The College has expressed its desire to join with the community m planning the housing, and has suggested

ould service, be incorporated in the project. The garaee “•* P“«»«on

Rendering of new parking facility, presently under construction. Cohen Research Building is to the right 2 Alumni Association Launches Student Loan Program

“I have always felt that the alumni are the heart and backbone of this institution, and you continue to prove me right.” These were the words of President Lawrence B. Slobody to Alumni Association Treasurer David T. Mininberg ’61, upon learning of the Association’s contribution toward a new Student Loan Fund. The new program lauded by President Slobody makes a fund of $250,000 available for loans to students of the College at rates substantially below commercial levels, and with liberal repayment provisions. The fund represents a cooperative effort of three private orgsmizations; The Alumni Association of the College, The Equitable Life Assurance Society, and United Student Aid Funds (USA Funds), a non-profit agency that guarantees low-cost student loans. Dr. Mininberg, who is chairman of the College’s Scholarship Committee as well as treasurer of the Alumni Association, said that the new plan was developed to supplement the aid now available to students from federal, state, and private funds. “More than half the medical students at the College require some kind of financial aid,” he said, “and the funds presently available aren’t enough to cover all their requirements.” The College estimates total expenses for an unmarried student living away from home at about $8,000 for each of the three years of the new concentrated curriculum. The amount includes food, lodging, tuition, fees, books, and instruments. Under the new plan, the Alumni Association will deposit $25,000 with USA Funds, which will guarantee $250,000 in loan funds to be made available by Equitable Life. All requests for loans must first be reviewed by College financial aid officers and approved by the College’s Scholarship Committee. Repayment of loans will be deferred until after the student’s graduation and will be on the installment plan, with the repayment period extending for as long as ten years. “The students most in need of help,” said President Slobody, “are often least able to obtain additional funds. With no established credit ratings, these students are considered poor credit risks. Now, through the generosity of our Alumni Association and the cooperation Alumni Association check of USA Funds and Equitable Life, we can ensure the is handed over to United availability of loans for the disadvantaged student — and Student Aid Fund. From for any other student whose education may be jeopardized left, NYMC Board because of lack of funds.” Chairman Keith R. Urmy and President Lawrence B. Slobody, USA Fund representative William J. Davis, and Alumni Association President Henry P. Leis, Jr. ’41 and Treasurer David T. Mininberg ’61. 3 IBM Gift CapsYearof Progress at

1972 was a year of vigorous activity and vital progress for the developing Westchester Medical Center. Two new buildings were completed, the new Westchester campus of New York Medical College was opened, and the Center Westchester Medical Cent received a major “kickoff” gift for its future development. The gift the first major contribution from the business community to the Medical Center—was a challenge grant of $1,000,000 from the International Business Machines Corporation. In announcing the gift, T. V. Learson, chairman of IBM s Board of Directors, said “The new Westchester Medical Center, working in partnership with the County’s physicians and hospitals, means better health care for the people of Westchester and surrounding communities The Center not only will provide expanded hospital services It also brings with it a medical college, new to the County’ that will give us the benefit of a century of experience in medical education, research, and health care delivery. All of us in IBM are proud to be able to contribute to this Center and to lend a hand in helping it make Westchester a better place to live.” The IBM grant will be made over a five-year period An initial payment of $200,000 has been made, with full payment contingent upon the Center’s success in raising at least $4,000,000 from the business community. Future payments will be forwarded as the Center’s fundraising campaign progresses, Mr. Learson said. In acknowledging the grant, Charles G. Mortimer, chairman of the Westchester Medical Center Development Board, commented, “IBM has always shown itself to be a highly progressive organization, responsive to community needs. We welcome the challenge this grant poses and will go forward in our fundraising campaign with increased assurance of the fulfillment of our goal.” Dr. Lawrence B. Slobody, president of the College and of the Westchester Medical Center Development Board, said the gift represented a major milestone in the progress of the Medical Center. “It culminates a splendid year and Above — augurs great accomplishment in .” Dr. David L. Grove, Conceived a decade ago by Westchester1973 County Executive Vice President of the Edwin G. Michaelian, the Center was initiated in 1968 International Business as a joint undertaking of the County of Westchester; Machines Corporation, the private sector, represented by The Westchester Medical at left, presents a check to Center Development Board; and New York Medical Charles G. Mortimer, College. These groups have been working together to Chairman of the develop a new medical resource of the highest quality Westchester Medical on the Grasslands Reservation in Valhalla, New York. Center board. The early days of 1972 saw the final touches put on the Opposite page - Site of Mental Retardation Institute building of the College, and Westchester Medical on April 25 the building was dedicated. In the short time Center in Valhalla, N.Y. of its operation the Institute has recorded 4,500 patient The College's new Basic Sciences Building visits and has enrolled 97 children in a school program is at right. Above and to that will eventually accommodate 160 girls and boys. the left of it is Mental Retardation Institute Building. A special feature of the Institute is a 24-bed inpatient The volumes were moved into the new building in wing, which this year cared for 49 patients. December. As a member of the Westchester Council of Agencies During 1972 the College also took steps toward for the Retarded, the Institute has been supplying backup establishing formal ties with the community hospitals of and coordinating services to existing programs in the Westchester. The Committee on Affiliations established community, and members of the Institute’s staff are guidelines and met with the directors of the county’s working directly with community agencies for the hospitals to discuss the possibilities of affiliation. Late retarded in a number of Westchester communities. In in the fall White Plains Hospital became the first in its first year the Institute has also affiliated with Westchester formally to express its interest in affiliating Westchester Community College, whose students in the with the College, and shortly after, Stamford Hospital in health allied professions are given training at this Fairfield County, Conn., took the same step. The College facility. expects to work out specific details with the two hospitals, The College’s Basic Sciences Building was the next unit and others, in 1973. of the Westchester Medical Center to be constructed. In In late September the County conveyed 8,725 acres June, with the paint hardly dry on the sections of the of land on the Grasslands Hospital Reservation in Valhalla building devoted to the study and teaching of anatomy, to the New York State Urban Development Corporation the College class of 1975B arrived on campus — the first for the purpose of building housing units for medical ever to study medicine in Westchester County. The students and staff of the Westchester Medical Center. contractors worked through the summer and fall to Work on the foundations began in November. The housing bring the building to completion, and on October 24 a will consist of modular units, to be built in Albany, dedication ceremony was held (see p. 6). By the end trucked to the site, and placed on the foundations in the of December, five of the six basic science departments spring. It is expected that students will begin occupancy of the College were in residence in the new building, in June 1973. with the Department of Microbiology scheduled to move As the major fundraising arm of the Medical Center, in early in the new year. the Development Board began its campaign for funds to An important unit of the Basic Sciences Building is complete the basic elements of the Medical Center with the Library, which merges the collection of the Westchester a luncheon for area business leaders in September. Academy of Medicine with that of New York Medical Climaxing the year’s progress was the IBM challenge College. The impressive resource of 40,000 reference grant. During the coming year the Medical Center will volumes of the academy was enhanced by the addition look to other corporations, individuals, and foundations to of nearly 50,000 volumes dealing with the basic sciences help advance the next step in the development of the selected from the College’s Lillian Morgan Hetrick Library. Center: the construction of a 500-bed teaching hospital, which is scheduled for completion in 1975.

5 Basic Sciences Building Dedicated

On the morning of October 26 Secretary of Health Education and Welfare Elliot L. Richardson dedicated the College’s new Basic Sciences Building “to the education of physicians and scientists, to the advancement of scientific knowledge, to the alleviation of human suffering and to the good health of our nation.” Three hundred representatives of science, education and government gathered at the Westchester campus for the ceremony, which was held in the library of the new building. They heard speakers from the College Westchester County, and the state and federal governments mark the occasion. Secretary Richardson paid tribute to the efforts of private, county, state, and federal sources involved in the development of the Westchester Medical Center. “The dedication of a building devoted to learning and the improvement of people’s lives is a moment in time lending distinction to all involved in its accomplishment,” he said, going on to discuss the health care crisis in America “One of the endurable and valuable strengths of American life IS that people have banded together to help their neighbors,” he asserted, saying that this would prove the foundation for solving the nation’s medical care problems. The audience greeted his speech enthusiastically. President Lawrence B. Slobody, chairing the ceremony, spoke on the major objectives of the Westchester Medical Center, of which the new building is a part. The objectives, he said are “to develop health manpower; to bring forth significant basic and applied research; to provide better health care to the entire community; and to bring forth creative and innovative programs as examples to the country and the whole world.” Barry Robbins, president of the Student Senate, told the audience that the Westchester Medical Center “will serve both the rich and the poor, and will enable all citizens of the county to obtain first-class medical care 1 — Before the dedication close to home.” He pointed out that “with the ceremonies: President introduction of the basic sciences program at Valhalla, Slobody and Dr. a new curriculum in the behavioral sciences has begun. Margaret J. Giannini This curriculum offers medical students early in their chat with Secretary of Health, Education, and career a chance to explore the social, psychological, and Welfare Richardson emotional implications of treating patients and of dealing and Westchester County with disease. The insight thus gained will help students Executive Michaelian. deliver the service they render with dignity.” ^ ~ Charles G. Mortimer, The Student Senate president concluded, “At the same chairman of the Westchester Medical Center Development Board, greets guests at dedication ceremony. Seated behind him are Secretary Richardson, County Executive Michaelian, Executive committee Chairman Jackson E. Spears, and Reverend Paul V. Beam. time that New York Medical College expands its health care mission into Westchester, the College is still firmly rooted in New York City. It has thus become established as a link in a chain that joins New York City and its northern suburbs.” Dr. Johannes A. G. Rhodin, chairman of the Department of Anatomy, whose department was the first to teach in the new building, voiced the faculty’s enthusiasm for the building’s facilities and setting. Commenting on the history of the Westchester Medical Center, Edwin G. Michaelian, county executive of Westchester, pointed out that the dedication was “the culmination of 12 solid years of work.” He predicted that “this will become the greatest medical center in the country.” Mr. Michaelian also read a congratulatory message from Governor Nelson A. Rockefeller. Charles G. Mortimer, chairman of the Westchester Medical Center Development Board, urged the guests to continue to pursue the goal of developing the new medical center, stressing the need for financial support from the private sector. “Considered solely in terms of dollars, this community could never hope to gain so much for so .small an investment,” he said. “What you see here today is but the beginning. Pass the word that we have a chance to embrace a higher standard of health for every citizen of this county — and in time, of this whole great country.” Jackson E. Spears, former board chairman and now chairman of the Executive Committee of the College’s Board of Trustees, paid a special tribute to Dr. Slobody. “We salute him for the modesty with which he handles his accomplishments,” Mr. Spears said. The audience gave Dr. Slobody cheers and a standing ovation. The new Basic Sciences Building houses the six basic science departments of the College — anatomy, biochemistry, microbiology, pathology, pharmacology, and physiology — and the Graduate School of Basic Medical Sciences. Total cost of its construction was $10,000,000, of which $6,260,000 was provided by the Bureau of Health Manpower Education of the U.S. Department of Health, Education and Welfare and $4,540,000 by the State of New York. The College’s Class of ’75B was the first to use the new building when the members started their study of anatomy in June. (See Chironian, Volume 87, Number Two).

The study of anatomy, 1972: students using the audiovisual and other specialized equipment of the anatomy laboratories in the new Basic Sciences Building. 7 College Sponsors Breast Cancer Symposium

New York Medical College, which has long been a leader in clinical and investigative studies of breast cancer sponsored a day-long symposium on this subject on November 3 at the Westchester campus. The panel of experts that was assembled for the symposium included members of the faculty of the medical college as well as a guest faculty from outstanding institutions throughout the country and from Canada. Among the College’s contributions to knowledge of breast cancer in recent years have been pioneer studies m tumor-host interactions and the demonstration of the biological importance of immunological factors in the behavior of the disease. More recent studies have shed new light on the complex relationship between the “Pill,” parity, and breast cancer. The current status of these investigations was reported at the symposium. In addition, there were presentations on such important developments as viruses and breast cancer and endocrine characteristics of the breast cancer patient, as well as discussion of the newer methods in diagnosis and treatment of the disease. One of the major concerns of participants at the symposium was the importance of identifying the women who fall into the high-risk group for developing breast cancer. These women, it was felt, should receive repeated examinations, employing the most advanced techniques so as to achieve early diagnosis and care. New screening methods and earlier diagnosis have already contributed to an improved survival rate for women who contract the disease. A second concern of the symposium was the need for control of factors that influence the incidence of breast cancer so as to decrease the prevalence of the disease. Among the variables that are thought to play a role in the development of breast cancer are hereditary factors, At the Breast Cancer viruses, and sex hormone metabolism. In addition are Symposium; top, Drs. the external variables such as frequency of pregnancy, Raymond A. McBride, age at first pregnancy, viruses, and the intake of female symposium chairman, sex hormones, knowingly or as contaminants of food. and Milton Terris, chairman of Department The remarkable difference in the incidence of disease of Community and in different geographical areas was noted by the Preventive Medicine; partmipants. For example, in the state of , vxiddle, Dr. M. Vera Peters the incidence of breast cancer is more than five times of the Ontario Cancer as frequent as in Puerto Rico or Japan. The geographical Institute with Dr. Jane C. Wright ’45, variations as well as the rarity of the disease in males professor of surgery at lend support to the contention that breast cancer occurs NYMC; bottom, in non-random fashion, and it was recognized that a more Drs. Dan H. Moore, detailed knowledge of metabolic and social factors as Institute for Medical they relate to development of the disease was required. Research, Camden, N.J., and Robert E. Hermann, It was noted that epidemiological studies can be no Cleveland Clinic, with better than the accuracy and completeness of the records Drs. Henry P. Leis, Jr. ’41 kept by the patient’s personal physician, and thus the and Maurice M. Black ’43. symposium emphasized the importance of recording 8 Continued on Page 19 Genetics Discussed at Ob/Gyn Symposium

Will future eugenicists produce chimeras that make the monsters of mythology seem tame by comparison, or will they help the human race overcome genetically based afflictions? Both of these possibilities lie within our capacities, according to participants in an interdisciplinary panel on human rights and medical ethics that was part of a two- day symposium on “Perinatal Aspects of Genetics and Birth Defects.” The symposium, held on October 27-28, was sponsored by the Obstetrical and Gynecological Society and the Department of Obstetrics and Gynecology of the College. Dr. Louis J. Salerno, president of the College’s Ob/Gyn Society, served as program chairman for the meeting. The symposium included scientific presentations and discussions of genetic factors associated with a wide range of disorders. Participants included faculty members of the College and a guest faculty from other institutions, who discussed basic concepts of genetics, the relationship of heredity and disease, and clinical aspects of birth defects. It was the session on human rights and medical ethics, however, that elicited the most spirited discussion, with its four panelists all representing different disciplines and points of view. Paul Ramsey, professor of religion at Princeton University, advocated limits on the human right to reproduce by technical means; Harold Edgar of Law School took the legal view; and Drs. Robert E. Cooke, chairman of pediatrics at The Johns Hopkins University School of Medicine, and Kurt Hirschhorn, chief of medical genetics at Mount Sinai School of Medicine, presented two differing medical views. Dr. Salerno was moderator. Dr. Ramsey introduced the question of the rights of mankind versus the rights of society and the scientific community by distinguishing between “genetic surgery” — or treatment of the fetus in the uterus in order to prevent such afflictions as Tay-Sachs Disease and “genetic engineering” or genetic manipulation, which he termed as “a moral experiment on the child to be.” He charged that “medicine has shifted from tending the human condition to reproduction designs and engineering. Much of the panel’s ethical discussion was stimulated School; middle, “Human by a film entitled “The Right to Survive” shown by Rights” panel members Dr. Cooke. The film depicted the fate of a Mongoloid Robert E. Cooke, Paul infant born with duodenal atresia, a kind of intestinal Ramsey, Harold Edgar, and Kurt Hirschhorn; blockage which, if not corrected by surgical means, bottom, Drs. Anthony A. would eventually cause the child to starve to death. At the Ob/Gyn Clemendor, Gilbert Ortiz Johns Hopkins Hospital, where the child was born, left Symposium; top, ’60, Allan B. Weingold ’55, the decision whether the child should live or die to his Symposium Chairman and Adolfo DaCosta — parents, a couple with limited financial means who already Louis J. Salerno and all College faculty members — with had several children. The couple’s decision that the infant Panelist Henry L. Nadler of Northwestern Dr. Henry R. Mueller of should not be operated on left to the nurses and physicians University Medical St. Paul Minnesota. Continued on page 12 9 ATalk with Dr. Davis

Dr. Joseph E. Davis, recently appointed chairman of the Department of Urology and an alumnus of the College, says Dr. Davis, “we became interested in the problem class of 1953, is an international leader in the population of how to develop some type of contraceptive device that would be temporary, that is, a device that could be put control movement. He is noted for his work at the College in the development of techniques for reversible vasectomy into the tube to stop the sperm, but not be so permanent and the study of possible immunological responses in as vasectomy.” Through the Association for Voluntary Sterilization, men who have had vasectomy, and also for his activities Dr. Davis was approached by a biomedical engineer who as president of the Association for Voluntary Sterilization had already patented a micro-valve. This device, which is Because everything relating to Dr. Davis’s field of interest still being modified, is inserted into the vas. Dr. Davis commands attention these days, and because his and Dr. Freund, through their studies, were able to contributions to his field are so vital, Chironian interviewed Dr. Davis on his research and his activities guide the engineer on refinement of the design. The device is presently undergoing studies in 40 human as a proponent of voluntary sterilization. volunteers. “The results have been good,” says Dr. Davis Dr. Davis’s interest in population control began about “We’ve had some problems, particularly at the beginning, ten years ago when he was working in the field of male infertility. At that time, he was concerned with problems m developing the technique of how to put it in and keep it in. Any device that is going to work—and there have of how sperm are produced and transported and why been others that have been developed—must grow into the some men who are otherwise perfectly normal have difficulty causing conception. Then, in the mid-1960’s, wall of the vas. You just can’t occlude the vas by he became interested in doing vasectomies for voluntary putting something into it because the sperm will get sterilization. around it. We have shown that tissue will grow into the gold matrix of the vas in both the guinea pig and in the At the same time,” he says, “I began working with human.” Dr. Matthew Freund, a pharmacologist here at the medical college, whose particular interest is in sperm physiology. The postoperative course of the volunteers has been All attempts formerly had been to study the infertile uneventful. Dr. Davis says. There have been no infections, mal^the man who had a problem—but we set out to no special problems, and no effect on the sex life of the study the normal fertile male. We hoped that what we patients. would find out would help us later in discovering what’s Dr. Davis thinks that the device, if it continues to abnormal about the infertile male.” prove nonreactive and effective in stopping sperm, may They undertook their studies of normal fertility among become an important method of contraception. “It would the patients who came to Dr. Davis seeking vasectomies. mean that a man would have a type of contraceptive “We began by studying the vas that was removed at device similar to the lUD, but of course a little more vasectomy, examining its physical and pharmacologic permanent. This is a device for an individual who is not going to want to have children in the immediate future properties,” says Dr. Davis. “It used to be thought, for but who would like the option, in four or six or ten example, that the vas was just a straight tube and sperm migrated up the tube. But through the work done here years, of having the device turned on by simple reoperation at the College it is now known that the vas actually so that the sperm would go through. Of course we forces the sperm up the duct system by contraction.” don’t yet know if the sperm that go through will be the kind that cause fertility. These studies will take years.” Other studies undertaken by Dr. Davis and Dr. Freund Another major facet of Dr. Davis’s work are the studies concerned the establishment of sterility following he has been doing with Dr. Sidney Shulman. Dr. Davis vasectomy. Formerly it had been thought that the patient became sterile after the passage of a certain length of says, “It happens that New York Medical College has two time following the operation. The Davis-Freund studies men who are giants in the basic science area of male revealed that time per se was not the determining factor, reproduction: Freund with his work on the mechanisms but rather the number of ejaculations following of sperm transport and characteristics of sperm, and Sidney Shulman, a professor of microbiology who is vasectomy. probably the world’s leading authority on the immunologic From their studies the investigators were able to factors of the male reproductive system.” hypothesize that in the man who has not been vasectomized, In 1968 Dr. Shulman and Dr. Davis met at a meeting sperm are forced up the whole duct system right from the testicle at the moment of ejaculation, rather than of the American Fertility Society in San Francisco, and coming from the upper part of the tube, as was formerly discussed vasectomy and possible immunologic responses thought. to It. Work had previously been done with men who had “At the same time that we were doing these studies,” been forcefully sterilized by the Germans and were later reanastamosed. The men were still infertile, and a Dutch 10 immunologist had found that they had a high level of backlog of men who wanted to have vasectomies have “sperm antibodies.” He had not, of course, been able to by now already had the operation and that more physicians study the men before their vasectomies. than ever are performing vasectomies. “But we here had the opportunity (we were the first “I think that there’s been an overemphasis on what to do so) to compare the serum of men before and after the effects of vasectomy are,” Dr. Davis says. “There are vasectomy and determine if there was any change in effects to taking the “Pill,” there are effects to taking their sperm agglutinating level,” Dr. Davis says. To do aspirin—there are effects to practically anything that a this we had to take donor sperm, because obviously after doctor does. We’re making efforts to study the effects the vasectomy we couldn’t get the sperm of the patient of vasectomy, but I don’t think this is any reason to three, six, nine months later. We took donor sperm and stop doing the operation.” mixed it with the serum of the vasectomized men, and As far as future research plans are concerned. Dr. Davis found that more than 60 percent of these men developed says that he hopes to begin studies on types of male some agglutinating substance in their blood. We don’t contraceptive drugs in collaboration with Dr. Roy Hertz, know if it’s an antibody or not, but it is a substance that newly appointed professor of obstetrics and gynecology causes the donor sperm to become inactive.” and medicine (see Chironian, Volume 87, No. 2). Dr. Other groups have confirmed this finding and there Davis says, “I believe that many different methods of has been a considerable amount of publicity about this male contraception have to be developed, because I immunologic phenomenon. Dr. Davis says, “Some individuals think you need different types of contraceptives to have tried to link this finding with certain systemic appeal to different types of societies. For instance, pills diseases that are of allergic origin. At present, however, may be more acceptable to males in some societies then there is no evidence of any relationship.” surgery.” Drs. Davis and Shulman feel that the immunologic Dr. Davis’s connection with the Association for Voluntary response to vasectomy must be studied further. “We don’t Sterilization began in 1965 when he started speaking on know whether it’s the effect of surgery or an effect on their behalf to physician groups and the public concerning the testicle. No one knows.” sterilization as a form of permanent birth control for Dr. Davis says that in recent months the number of couples who had had as many children as they wanted. requests for vasectomies appears to have decreased, In 1970, he became president of AVS, and one of the but he is not sure that this results from the publicity first things he set out to do was to try to project its concerning possible immunological effects. He points out message internationally. “We were able to raise a that another possible cause may be simply that the substantial amount of money from private contributions,” he says. “And this past year we got a $2,000,000 grant from the Agency for International Development to develop what we have called the International Project of the AVS.” A recent international endeavor of the AVS was the conference on voluntary male and female sterilization held in Geneva in February. The conference attracted more than three hundred guests, including members of the medical and allied professions, educators, sociologists, clergymen, demographers, and government officials. Discussion covered such varied subjects as the role that voluntary sterilization plays in family planning; medical aspects of sterilization; religious, social, and cultural factors that influence national policies on sterilization; legal aspects of sterilization; and education programs for voluntary sterilization. “Our message,” says Dr. Davis, “is that voluntary Dr. Sidney Shulman sterilization is no less a health matter than appendectomy, consults with Dr. Davis or giving aspirins on indication. It doesn’t belong with concerning their cooperative studies on the moralists and it doesn’t belong with the church; development of it is an individual matter between patient and physician. agglutinating substance It is a health matter. That’s the message we want to in the blood of get across.” vasectomized men. 11 Ob/Gyn Symposium Who’s in the News Continued from Page 9 the anguish of helplessly watching the child die. The film The o d year ended and 1973 began with wide coverage viewer sees the grim directive NOTHING BY MOUTH of faculty activities by the nation’s media. In the first pasted on the side of the infant’s bassinet, and learns that it took the baby 15 days to die of starvation. of a senes of periodic reports to the readers of C^roman, the editors here share a cross-sampling of Dr. Cooke, who was personally involved in that incident, clippings received by the Office of Public Affairs in the made the film with help from the Joseph P. Kennedy, Jr. ' last weeks of 1972. Foundation. He was spurred by his outrage at advice in Breaking into headlines from Houston to Boston was many surgery textbooks that surgeons should rule out the development by DR. IRVING S. COOPER, research the presence of an intellectual defect in their patients before operating for certain conditions. pro essor of anatomy, of a new cryosurgical technique to reverse or temper spastic paralysis and control epileptic Mr. Edgar queried why the hospital did not “go seizures. Dr. Cooper reported at the annual meeting o/ to the courts.” “If a child is shot,” he said, “It is the American Academy of Cerebral Palsy that using the murder; if a pregnant woman aborts as a result of an new technique to destroy some of the deep brain cells accident, or delivers an infant mentally or physically that control body movements, he was able to relieve the deformed as a result of taking a certain drug, there is spastic paralysis of stroke and cerebral palsy in more a lawsuit. Why not in this case?” The case, he said, than half of the patients on whom he operated Also showed that “we are beginning to judge who should’live or syndicated and reported nationwide was a story on ihe die.” The law can facilitate such decisions, he maintained. development of a new instrument that will aid in the It was Dr. Ramsey’s opinion that if the hospital determination of death by disclosing the presence or absence decided not to get a court order, still it should not have of electrical activity in the brain. The instrument was hidden the incident behind hospital walls. “The woman invented by DR. E. ROY JOHN, director of the College’s should have taken her baby home,” he said, presumably Brain Research Laboratory, and Robert Laupheimer an including both parents in his imperative. “That would engineer. Dr. John was quoted as saying that the presence have forced the wider human community to face the life IS conventionally determined by heartbeat or whole issue of who should live or die.” In response Dr breathing, but sometimes when both are absent, the person Cooke observed, “We can’t further punish a woman who may still be alive. Various medical groups ha;e, i^ the IS already punished by nature.” past, recommended that the definition of death be modified Dr. Hirschhorn, concerned with a charge by Dr. Ramsey to mclude the absence of detectable electrical brain that physicians are not taking enough responsibility for activity. . . DR. SEYMOUR K. FINEBERG, assistant decisions asked, “If a mother-to-be decided with her professor of medicine, said in a newspaper opinion column husband that she should have a therapeutic abortion, is that parents often plant the seeds of adult sickness in the couple not making a decision that lies within their children by overfeeding them.” He also pointed to the competence?” Dr. Salerno questioned whether the parents strong opinion” that holds that whole milk should be should be permitted to make the decision to permit the avoided after weaning since butterfat and lipid content baby to die when there are alternatives available such o milk IS thought to be a forerunner of atherosclerosis. as foster homes, institutions, and court orders. The • . . News feature stories included DR. BARBARA BESS’S courts have the responsibility of protecting any child report that watching television dulls creativity, especially from “parental abuse,” he said. in children. “When children lose interest in creating their The official panel debate ended with a statement by own Ideas and fantasies, they lose individuality, and this carries over into later life.” .... The Copley News Dr. Ramsey that “great scientists and Mongoloids both have a right to survive.” However, the impact of the ervice reported on a presentation by DR. MAURICE M. BLACK, professor of pathology, at a recent meeting of two-day program continued as groups of ex-officio debaters stood over coffee discussing the questions__ e International College of Surgeons. He reported on a Should doctors have sole responsibility over who may study of the parity characteristics of breast cancer patients in relation to prior use of the “Pill” and other reproduce? Is procreation a right? Do parents have legal estrogen preparations. The study, performed in collaboration or moral rights to decide if their children should live or die? Should society attempt to control further with Dr. Henry P. Leis, Jr., showed that a history of experimentation in genetic engineering? — long after the nulliparity or late first parity was unusually more meeting had ended. requent in breast cancer patients who had previously used estrogens than in those who had not. It also showed that breast lesions arising after estrogen pre-treatment were more likely to be cancerous in nulliparous and late parous women as compared with early parous women 12 Voice Prosthesis Developed by Alumnus

A New York Medical College plastic and reconstructive surgeon has developed a new voice prosthesis that has restored natural-sounding speech to laryngectomees who were unable to learn esophageal speech or other forms of vocal communication. Dr. Stanley Taub ’57, clinical assistant professor of surgery, who developed the device and refined the single- stage surgical procedure required to enable patients to wear it, says the device can be inserted or removed easily by the patient, requires no external power supply, and eliminates the danger of aspiration. The prosthesis received its first clinical trials at the College and is now being worn by nine patients. Regional or ethnic accents present in their speech before laryngectomy are still detectable, and some users have learned to whistle, sing a full octave, whisper, or shout with the device. The Taub device, which requires only a few minutes to insert, can be worn for as long as 18 hours before removal for cleaning becomes necessary. The instrument is small and compact, enabling male wearers to conceal it under a shirt or collar, even when wearing a tie, and female wearers to cover it with a small neck scarf. The prosthesis consists of an air bypass valve and a fistula valve. The valve is attached by a rubber tube to a modified tracheostomy tube and is designed to permit normal breathing through the device at the tracheostoma. Increased breathing pressure activates the air bypass valve, and pulmonary air is directed through the system to support phonation. Air from the lungs flows through the external bypass device, through the fistula valve into the esophagus, and then up through the resonance tract into the oral cavity. Vibratory activity of the esophageal musculature caused by the air stream from the lungs results in a voice. The simple surgical technique recommended by Dr. Taub to enable patients to wear his device is a modified cervical esophagostomy in the left side of the neck. If a radical neck dissection has previously been performed on that side, he suggests using the right side. The esophagostomy should be performed at least one year after laryngectomy to make sure that chances for a recurrence of the patient’s carcinoma are minimal, says Dr. Taub. The prosthesis can be fitted to the patient approximately ten days after esophagostomy, and voice is obtained immediately upon insertion. New York Medical College has applied for a patent on the air bypass prosthesis and has signed a licensing agreement with a company that plans to manufacture it and make it available to surgeons.

Dr. Stanley Taub '57 with new voice prosthesis that he has developed. 13 College Briefs

New Department Chairmen Chairman of Dermatology. Dr. Edward H. Mandel ’45, acting chairman of dermatology since October 1971, has been named professor and chairman of the department. After his graduation from the College in 1945, Dr. Mandel interned at Metropolitan Hospital and served as -assistant resident in dermatology at City Hospital. He then completed a three-year course at the Skin and Cancer Unit of Medical Center, where he was appointed a fellow in medical mycology. He joined the faculty of the Department of Medicine of New York Medical College in 1951, becoming director of the department’s Section of Dermatology in 1968. The section became a separate department in 1971. The author of numerous articles on dermatologic subjects. Dr. Mandel is a member of the Society of Investigative Dermatology and past-president of the Dermatologic Society of Greater New York. He is also a diplomate of the American Board of Dermatology and a fellow of the New York Academy of Medicine, the American Medical Association, the American College of Physicians, and the American Academy of Dermatology.

Chairman of Dentistry. Dr. Sydney C. Rappaport has been appointed chairman of the Department of Dentistry, one of the few such departments in the United States to ’ exist independently within a medical school setting. A member of the New York Medical College faculty and acting chairman of the Department of Dermatology since 1969, Dr. Rappaport directs the dental care programs at Metropolitan Hospital Center and Bird S. Coler Hospital, and at the Mental Retardation Institute of the College at its Westchester campus. He has conducted a private practice of general dentistry and oral surgery in New York since 1947, and has served as research associate of the School of Dental and Oral Surgery of Columbia University. A diplomate of the American Board of Oral Medicine and the New York Board of Oral Surgery and a fellow of the New York Academy of Dentistry and the American College of Dentists, Dr. Rappaport is currently president­ elect of the Metropolitan Conference of Hospital Dental Services.

14 Joint Study of Acute Glomerulonephritis Sex Therapy Center and Conference

The renal disease laboratories of New York Medical The Sexual Therapy Center of the Department of College and the University of Zulia Medical School in Obstetrics and Gynecology has completed its first year of operation. The center, which aims to help couples Maracaibo, Venezuela, will join forces to study acute improve their sexual communication, was established a glomerulonephritis, a kidney disease caused by the year ago when Department Chairman Dr. Martin L. Stone streptococcus organism. Dr. Kurt Lange, director of the College’s Renal Disease ’44 approved the expansion of the Section of Psychosomatic Section, Departments of Medicine and Pediatrics, said Obstetrics and Gynecology to include the center. Since that the goal of the cooperative arrangement is to advance then, more than 50 couples have been treated and the the development of methods of prevention, early diagnosis, staff has increased to six. Co-directors of the center are and arrest of the disease. The acute form of the disease. Dr. Donald Sloan of the Department of Obstetrics and Dr. Lange believes, leads frequently to chronic Gynecology and Dr. Benjamin Sadock ’49 of the glomerulonephritis, a disease that kills approximately Department of Psychiatry. Therapy consists of two to four weeks of intensive 34,000 people annually in the United States. In treatment, during which time the couples are seen daily Latin American countries the incidence of acute glomerulonephritis is much higher than in the U.S. by both male and female therapists. Results have been encouraging, with staff therapists achieving approximately At the present time, Dr. Lange notes, patients in the the same cure rate as the Masters and Johnson Clinic end stage of the disease must undergo renal dialysis or in St. Louis. All couples seen experienced some degree kidney transplant in order to compensate for the damage to their kidneys caused by the disease. Dr. Lange of improvement. points out that prevention or early arrest of the On November 18, the center sponsored the second meeting of sex therapists from university centers in the disease would serve both to relieve the suffering and discomfort of these patients and to obviate the need metropolitan New York area. Great interest was shown in the conference and although preregistrants had for great expenditures of money for therapy at later stages. numbered only 50, final attendance was more than 100. Under the cooperative arrangement, the Venezuelan The conference sessions, moderated by Drs. Sloan and university will provide tissue biopsies and blood specimens from patients with acute glomerulonephritis to further Sadock, included presentations by representatives of the research being done at New York Medical College. therapy centers of six institutions, and three case In 1970, Dr. Lange and his group isolated the antigen presentations from the NYMC center. that they believe to be responsible for acute glomerulonephritis, identifying it as a constituent of the plasma membrane of certain streptococci. The researchers also determined that in susceptible individuals who contract the disease, both the antigen itself and the antibodies against it localize in the glomeruli of the Visit by French Surgeons kidney. This led them to speculate that immunization Fifteen distinguished professors and chiefs of surgery against the disease in the form of a vaccine might prove from medical schools and teaching hospitals throughout useful. Dr. Lange says that his group aims to produce France visited the College on November 27-29. Dr. Henry a viable vaccine “within two to three years. P. Leis, Jr. ’41, clinical professor of surgery and chief Dr. Gerhard Treser, associate professor of medicine of the breast surgery service, planned the program with at the College and a member of the Lange research Dr. Jean Rives, professor at the University of Rheims, group, has gone to Maracaibo to arrange for the collection and served as host for the French party. and shipment of the first specimens to New York Medical The group, which came to the United States to observe College. The examination and treatment of patients surgical techniques and teaching methods as they are included in the study will be carried out by a group of practiced here, was welcomed in the Halsey Room of the Venezuelan physicians at the Zulia Medical School in Maracaibo.

15 Col^ge by Dr. Lawrence B. Slobody >36, president; Dr. - ^Sr Mersheimer 37,37 chairman of the Department of Surgery During their stay, the French visitors met with specialists on the College faculty, who discussed the latest jcepts ,n their fields, such as prognosis and treatment of breast cancer, management of hand disorders, new techniques m orthopedics, the management of anesthesia for critically ill patients, the role played by recovery room and intensive care units, and treatment of abdomtoal lesions. The visitors were also conducted on surgical grand jnds at Metropolitan Hospital Center. A social hlghTght Of their trip was a reception in their honor at the hLe Dr. and Mrs. Leis in Whitestone, N.Y. Career Development Award A NYMC hematologist. Dr. Robert G. Lerner has received a five-year Research Career Development Award from the National Institutes of Health to support his research on a basic mechanism involved in blood clotting- research that may lead to more effective methods for treating thrombotic diseases. Dr. Lerner, who is an fn"uly'lSf“y

ceUs'ntvT? '^hite blood P y significant role m the basic clotting process He demonstrated that when these cells are kept for several

leading to the formation of fibrin, a protein that is a majorleadings component r of clotted blood In his new studies. Dr. Lerner, using rabbits as the

2^thromtosis31;“ in normal animals with that in developmentanimals whose white blood cells have been removed, in the hope

n the clotting process. This research, he says, may pave way or investigations on how clotting may be prevented or treated. It may also shed light on the role of white blood cells in certain bacterial infections, such as meningitis or septicemia, in which widespread clotting IS a frequent and sometimes fatal complication. he grant made to the College for Dr. Lerner is in the

amount for the remaining period. The awards are made to young scientists with outstanding potential for careers of independent research in the sciences related to health ”

Dr. Robert Lerner injects i rabbit as part of his studies of role of white 16 blood cells in clotting. r. k Comparative Pathology Project A group of pathologists at New York Medical College has joined with New York City’s Department of Parks in a project that promises to benefit mankind through the study of animal disease models while at the same time providing comprehensive care for the animals in the city’s zoological parks. Under a contract with the Parks Department, pathologists at the College will work cooperatively with the curators of zoos in Central Park, Prospect Park, and Flushing Meadows Park, studying environmental conditions that may cause animals to become sick as well as caring for animals that do contract diseases. The College’s goal in the program is to gain knowledge of spontaneously occurring animal diseases that can be applied to the human health sciences. The animals will benefit from comprehensive health management that encompasses preventive medicine, emergency care, treatment of acute and chronic illnesses, and investigations into causes of death. Scientists at the College see the zoo population as an invaluable resource for the study of such conditions as arteriosclerosis, cancer, heart disease, diabetes, hepatitis, and many other diseases that animals share with man. The animals will be cared for at the zoos, at the College’s animal facilities in Manhattan, and at the new Basic Sciences Building on the Westchester campus. The health contract with the city is an integral part of the College’s broad-based comparative pathology program, which is under the direction of Ralph E. Strebel, Ph.D., associate professor of pathology, and Edward Garner, D.V.M., assistant professor of pathology.

Drs. Ralph F. Strebel and Edward Gamer talk with newsmen when the joint venture of the College and Parks Department was announced on December 18. Waiting patiently for her “physical” to begin is Pansy, a year-old chimpanzee who had a head cold. 17 Class Notes

1928 SAUL FORTUNOFF and his wife have chosen Golden Bay 1950 Towers in Hollywood, Florida, as their retirement home. ALICE ITTNER MACAULAY, director of ambulatory r. Fortunoff, now a full colonel in the U.S. Army services at Grasslands Hospital, Valhalla, N.Y., has been Reserves, recently resigned as director of the Veterans appointed Medical Consultant to Westchester Community Hospital at Fort Howard, Md. f supervise all medical services 01 tne college. 1941 SALVATORE J. DETRANO, new president of the New 1955 Jersey Proctologic Society, plans an intensive program JOHN C. WRIGHT has accepted an appointment as or the early detection of cancer of the rectum during ^airman of the Department of Family Medicine and to'the'sth w“r' presented a paper Midd) M Residency Program at the to the 5th Western Hemisphere Congress of the Middlesex Memorial Hospital, Middlesex, Conn. International Congress of Surgeons in San Diego, Calif. he paper explains a new procedure for the removal of 1961 hemorrhoids in the doctor’s office. According to Dr BERNARD SINGER, who has practiced ophthalmology in Detrano, his 15-minute paper took more time to read than Noi^alk Conn., for five years, has opened a second office the operation itself requires. in New Canaan, Conn. ’

1943 1962 WILUAM B. GREENBERG and five other phyaielana \ general practice in ofSf '■'’"“‘“I Management e Freehold, N.J., area for seven years has moved his he Child With Chronic Respiratory Allergy." Given office to a new facility which he has had built in under the auspices of the Allergy Society, Freehold township. the course was geared to help the generalist and pe latncian in the office management of children with VICTOR GRANN has been awarded the 1971-72 Ettinger this type of allergy. e owship, which provides an opportunity for a physician with a special interest in cancer detection and treatment 1946 to become acquainted with newer techniques in the field, J. CAMPBELL HOWARD, JR., is director of medical r. rann, a hematologist, is in practice in Stamford, research for Schering Labs in Kenilworth, N.J., and the onn He is an associate physician and chief of special president-elect and a fellow of the National Academy of hematology at Stamford Hospital. Psychosomatic Medicine. In a profile of Dr. Howard in 1963 he Mountainside, N.J., newspaper, the Echo, he was quoted as saying that "doctors must be taught to manage LBERT C. GOLDBERG and his wife, Linda, have -authored a 122-page paperback book entitled Ins and Outs of Mann, a guide for parents of preschool children n Mann County, California. The guide, which started 1947 out as a pamphlet for Dr. Goldberg’s patients, grew into Lw tff^ paperback that covers types of nursery schools, ortheastern Brazil to join the staff of the -S.S.‘^-tly HOPE for how to select one, gifted children programs, well baby Dr Thompson will spend two and one-half months of chnics, supplemental food programs, and genetic counseling. volunteer service aboard the hospital ship in Natal. The The Goldbergs, who have five children, are well aware of missil!' ^®"th medical teaching-treatment Lr' theTr :h^“

1949 1964 THOMAS F. SANTILLI is chief of the pulmonary division appointed senior associate of Holy Redeemer Hospital, Meadowbrook, Pa Ld chief the nh Pharmacology for Schering Corporation, V ---- ivieaaoworook ofPj.rmof cardiology.1------at- Philadelphia State_ Hospital.’ . ^a., and chief the pharmaceutical manufacturers. Dr. Arcieri his wife, and their five children, live in Whitestone, N.Y.

18 PETER N. BOGDAN has opened a practice in internal NECROLOGY medicine and pulmonary disease in Yorktown, N.Y. Dr. Chironian records with sorrow the death of the following Bogdan is an assistant attending physician at Grasslands alumni: Hospital at Valhalla, N.Y., and also serves at the Veterans Edwin C. Braynard, M.D. — ’10 Administration Hospital in Montrose, N.Y. Calvin E. Williams, M.D. —’12 Ralph E. Perry, M.D. — ’20 1966 Isidore Berger, M.D. — ’21 STEPHEN GREENBERG, who recently completed a Benjamin Gilbert, M.D. — ’30 three-year residency in ophthalmology at St. Mary’s Hospital Sidney Glass, M.D. —’31 in Rochester, N.Y., has opened a practice of ophthalmology Herman Rudensky, M.D. — ’31 in North Hornell, N.Y. He also serves on the attending Edward R. Richter, M.D. — ’31 staff of Bethesda Community Hospital and St. James Philip Weissman, M.D. — ’35 Mercy Hospital. Dean Wright Smith, M.D. — ’35 Reta Adams, M.D. — ’36 CHARLES Z. SCHER is now engaged in practice of plastic Vincent Pellegrini, M.D. — ’36 and reconstructive surgery with Dr. Samuel L. Scher at Herman Reinstein, M.D. — ’37 1100 Park Avenue, New York, N.Y. Charles W. Stark, M.D. — ’37 Joseph Lede, M.D. — ’43 1968 Arthur John Fusco, M.D. — ’48 MICHAEL R. DELMAN is a second-year fellow in Howard Harry Maldiner, M.D. — ’53 gastroenterology at Metropolitan Hospital. He has a son, Keith, age 2.

LEWIS M. FEDER is chief resident in dermatology at New York Hospital-Cornell Medical Center. He finishes Breast Cancer Symposium up in May of ’73. Continued from Page 8 specific information in medical histories. The conquest MICHAEL L. JACOBS has completed an Ob/Gyn residency of breast cancer, it was concluded, will require the in Rochester N.Y. He and his wife, Shelley, have two cooperative effort of the practicing physician, the children. Dr. Jacobs is to serve two years at Kincheloe laboratory scientist, and the epidemiologist. Air Force Base in Northern Michigan and is looking The symposium was supported in part by a grant-in- forward to getting in a little skiing while he’s there. aid from the American Cancer Society. The program was under the chairmanship of Dr. Raymond A. McBride, JOHN F. O’BRIEN, a second-year dermatology resident Professor of Pathology. in a three-year program at Metropolitan Hospital, plans Members of the College faculty who presented papers to remain in the New York area after completing his and titles of their presentations were: Drs. Maurice M. residency. Black ’43 and Henry P. Leis, Jr., ’41, Estrogen, Parity and Breast Cancer; Drs. Louis Venet and Philip Strax, ROBERT J. SIRAGUSA is now a second-year dermatology Population Screening Procedures; Dr Black, Immune resident at Metropolitan Hospital after completing two Responses to Breast Cancer; Dr. Leis, Diagnosis of Breast years in the Army in Alabama. He is the father of a boy, Cancel-; Dr. John L. Madden, Modified Radical Mastectomy; Dr. Marvin Z. Rotman, Radiation Therapy; age one and a half. and Dr. Robert E. Madden, Chemotherapy of Breast Cancer. Guest speakers included representatives from the 1970 EDWARD T. CREAGAN is presently a staff associate at National Cancer Institute, Memorial Hospital for Cancer the National Cancer Institute of the National Institutes and Allied Diseases, Harvard University School of Public of Health. In June 1970 he completed a straight medicine Health, the Ontario Cancer Institute, the American Cancer internship at the University Hospital, University of Society, and other prominent institutions concerned with Michigan in Ann Arbor. In July 1973 he will become a the problem of breast cancer. fellow in internal medicine at the Mayo Clinic.

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CLASS CORRESPONDENTS Alice Ittner Macaulay, M.D. ’50 Charles Kilhenny, M.D. ’57 Grasslands Hospital Major Jesse Palmer, M.D. ’64 *2 Hospital Avenue Department of Internal Medicine 47 Kirby Street Danbury, Conn. 06810 Valhalla, N.Y. 10595 Fort Rucker, Ala. 36360 Charles D. McCullough, M.D. ’58 Alta Goalwin, M.D. ’51 Werner Roeder, M.D. ’65 2685 Main Street 1 Chestnut Drive 22 Crawford Street Bridgeport, Conn. 06606 Great Neck, N.Y. 11021 Bronxville, N.Y. 10708 Joseph F. Dursi, ’59 Paul Tartell, M.D. ’52 Andrew Coronato, M.D. ’66 198 Dorchester Road 89-50 56th Avenue 56 Francis Drive Scarsdale, N.Y. 10583 Elmhurst, N.Y. 11373 Clark, N.J. 07066 Robert Conway, M.D. ’60 Robert Donnefeld, M.D. ’53 Stephen Berger, M.D. ’67 314 DeMott Avenue 405 West 23rd Street—Apt. 16D 995 Old Country Road Rockville Centre, N.Y. 11570 Plainview, N.Y. 11803 New York, N.Y. 10011 ! I I Judy Frank, M.D. ’61 Col. Budd Appleton, M.D. ’54 Robert Orlandi, M.D. ’68 • St. Luke’s Hospital Center Chief of Ophthalmology 5 Hillside Place j 421 West 113th Street Walter Reed Army Hospital Ardsley, N.Y. 10502 | New York, N.Y. 10025 I Washington, D.C. 20012 I Henry Hanff, M.D. ’69 Raymond O. Craven, M.D. ’62 John Curran, M.D. ’55 Department of Orthopedic Surgery ■ 18 Grand Place Medical Center Metropolitan Hospital ! Newton, Conn. 06470 Baldwin Avenue 1901 First Avenue j Jersey City, N.J. 07304 New York, N.Y. 10029 | Gerard Lawrence, M.D. ’63 I 150 Mansfield Avenue I Harold J. Luria, M.D. ’56 Norman Maron, M.D. ’70 i Willimantic, Conn. 06226 25 May Street | Glens Falls, N.Y. 12801 Park Avenue at 76th Street ' New York, N.Y. 10021 j

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