Alpha Omega Alpha Honor Medical Society SPRING 2013 the PHAROS of Alpha Omega Alpha Honor Medical Society Spring 2013

ALPHA OMEGA ALPHA HONOR MEDICAL SOCIETY Alpha Omega Alpha Honor Medical Society SPRING 2013 THE PHAROS of Alpha Omega Alpha honor medical society Spring 2013 “Be Worthy to Serve the Suffering” Alpha Omega Alpha Honor Medical Society Ofﬁcers and Directors at Large Founded by William W. Root in 1902 C. Bruce Alexander, MD President Editor Richard L. Byyny, MD Birmingham, Alabama Ruth-Marie Fincher, MD Editor Emeritus (in memoriam) Robert J. Glaser, MD Immediate Past President Augusta, Georgia Associate Editor and Helen H. Glaser, MD Managing Editor John Tooker, MD, MBA President-Elect (in memoriam) Philadelphia, Pennsylvania Managing Editor Debbie Lancaster Joseph W. Stubbs, MD Secretary-Treasurer Art Director and Illustrator Albany, Georgia Robert G. Atnip, MD Designer Erica Aitken Hershey, Pennsylvania N. Joseph Espat, MD Editorial Board Providence, Rhode Island Douglas S. Paauw, MD Jeremiah A. Barondess, MD Faith T. Fitzgerald, MD Eric Pfeiffer, MD Seattle, Washington New York, New York Sacramento, California Tampa, Florida David A. Bennahum, MD Daniel Foster, MD William M. Rogoway, MD Sheryl Pfeil, MD Albuquerque, New Mexico Dallas, Texas Stanford, California Columbus, Ohio John A. Benson, Jr., MD James G. Gamble, MD, PhD Shaun V. Ruddy, MD Alan G. Robinson, MD Omaha, Nebraska Stanford, California Richmond, Virginia Los Angeles, California Richard Bronson, MD Dean G. Gianakos, MD Bonnie Salomon, MD Stony Brook, New York Lynchburg, Virginia Medical Organization Director John C.M. Brust, MD Jean D. Gray, MD John S. Sergent, MD New York, New York Halifax, Nova Scotia Nashville, Tennessee Carol A. Aschenbrener, MD Charles S. Bryan, MD David B. Hellmann, MD Marjorie S. Sirridge, MD Association of American Medical Colleges Columbia, South Carolina Baltimore, MD Kansas City, Missouri Washington, DC Robert A. Chase, MD Pascal James Imperato, MD Clement B. Sledge, MD Stanford, California, and Brooklyn, New York Marblehead, Massachussetts Councilor Directors Jaffrey, New Hampshire John A. Kastor, MD Jan van Eys, Ph.D., MD Henry N. Claman, MD Baltimore, Maryland Nashville, Tennessee Lynn M. Cleary, MD Denver, Colorado Michael D. Lockshin, MD Abraham Verghese, MD, DSc State University of New York Upstate Medical Fredric L. Coe, MD New York, New York (Hon.) University Stanford, California Chicago, Illinois Kenneth M. Ludmerer, MD Steven A. Wartman, MD, PhD Richard B. Gunderman, MD, PhD Jack Coulehan, MD St. Louis, Missouri Washington, DC Indiana University School of Medicine Stony Brook, New York J.Joseph Marr , MD Gerald Weissmann, MD Ralph Crawshaw, MD New York, New York Alan G. Wasserman, MD Portland, Oregon Stephen J. McPhee, MD David Watts, MD George Washington University School of San Francisco, California Peter E. Dans, MD Mill Valley, California Medicine and Health Sciences Baltimore, Maryland Robert H. Moser, MD Lawrence L. Faltz, MD Madera Reserve, Arizona Coordinator, Residency Initiatives Sleepy Hollow, New York Francis A. Neelon, MD Durham, North Carolina Suzann Pershing, MD Stanford University Student Directors www.alphaomegaalpha.org Alicia Alcamo, MD The Ohio State University College of Medicine Christopher Clark Manuscripts being prepared for The Pharos should be typed double-spaced, submitted in triplicate, and conform to the format University of Mississippi School of Medicine outlined in the manuscript submission guidelines appearing on our website: www.alphaomegaalpha.org. They are also available Tonya Cramer, MD from The Pharos office. Editorial material should be sent to Richard L. Byyny, MD, Editor, The Pharos, 525 Middlefield Road, Suite Chicago Medical School at Rosalind Franklin 130, Menlo Park, California 94025. University of Medicine & Science Requests for reprints of individual articles should be forwarded directly to the authors. The Pharos of Alpha Omega Alpha Honor Medical Society (ISSN 0031-7179) is published quarterly by Alpha Omega Alpha Honor Medical Society, 525 Middlefield Road, Suite 130, Menlo Park, California 94025, and printed by The Ovid Bell Press, Inc., Fulton, Administrative Ofﬁce Missouri 65251. Periodicals postage paid at the post office at Menlo Park, California, and at additional mailing offices. Copyright Richard L. Byyny, MD © 2012, by Alpha Omega Alpha Honor Medical Society. The contents of The Pharos can only be reproduced with the written Executive Director permission of the editor. (ISSN 0031-7179) Menlo Park, California Circulation information: The Pharos is sent to all dues-paying members of Alpha Omega Alpha at no additional cost. All correspondence relating to circulation should be directed to Ms. Debbie Lancaster, 525 Middlefield Road, Suite 130, Menlo Park, California 94025. E-mail: 525 Middle!eld Road, Suite 130 [email protected] Menlo Park, California 94025 POSTMASTER: Change service requested: Alpha Omega Alpha Honor Medical Society, 525 Middlefield Road, Suite 130, Telephone: (650) 329-0291 Menlo Park, CA 94025. Fax: (650) 329-1618 E-mail: [email protected] In This Issue DEPARTMENTS Editorial On the cover ALPHA OMEGA ALPHA HONOR MEDICAL SOCIETY Alpha Omega Alpha Honor Medical Society 2 AΩA and professionalism in SPRING 2013 medicine—continued See page 32. Richard L. Byyny, MD, editor Cover illustration by Jim M’Guinness. Alpha Omega Alpha elects 31 honorary members 2013 Medical Student 36 Service Leadership Project award winners Reviews and reflections 39 Healing Through Humanism: Physician Discussions and Film Presentations for Doctors and Other Caregivers Interested in the Practice of Compassionate ARTICLES Medicine Reviewed by Jack Truten, PhD, A thirty-five-year odyssey of an FCPP Alpha Omega Alpha chapter councilor Pathological Altruism 4 Reviewed by Jack Coulehan, MD William H. Frishman, MD, MACP Alfalfa to Ivy: Memoir of a Harvard Medical School Dean Reviewed by Thoru Pederson, PhD On dying and being alive 100,000 Hearts: A Surgeon’s Memoir 7 Nelson Fausto, MD, and Ann L. De Lancey, PhD Reviewed by Casey Means INSIDE BACK Letters Diagnosing Darwin 39COVER 12 Sidney Cohen, MD, and Philip A. Mackowiak, MD The physician at the movies 49 Dr. Dans is on leave. The column A maestro’s heart will return in the Summer issue. 22 Gustav Mahler’s cardiac disease Gregory W. Rutecki, MD POETRY Unraveling My Cousin’s Fatal CVA 21 Henry Langhorne, MD 34 Elizabeth Stier Acacia 32 Stephen Ray Mitchell, MD 2012 donations to Alpha Omega Alpha 44 AΩA and professionalism in medicine— continued Richard L. Byyny, MD, FACP he autumn issue of The Pharos featured my editorial, PROFESSIONALISM IN MEDICINE T“AΩA and Professionalism in Medicine,” in which I em- Responsibilities to patients phasized that the profession of medicine is based on a covenant The care of your patient is your Care for patients in an ethical, of trust—a contract physicians have with patients and society. I first concern responsible, reliable, and would like to continue that thought here. respectful manner Do no harm Respect patients’ dignity, privacy, Serving as a physician and practicing medicine must be and confidentiality based on core professional beliefs and values. One of our No lying, stealing, or cheating, Respect patients’ rights to make fundamental professional precepts is that those entering and nor tolerance for those who do decisions about their care practicing our profession will accept the values of medical Commit to professional Communicate effectively professionalism and learn and demonstrate the aptitude and competence and lifelong learning and listen to patients with commitment to behave professionally. understanding and respect for Physicians work primarily for others—our patients, families, their views communities, and society as a whole. Our success is measured Accept professional and personal Be honest and trustworthy and in human terms, by how well we benefit those under our care responsibility for the care of keep your word with patients and not necessarily in financial returns. Our profession is eval- patients uated and respected because of what we actually do and how Use your knowledge and skills in Maintain appropriate relations we meet our responsibilities. At the core of our professional the best interest of the patient with your patients values is what we do in caring for patients through a healing Treat every patient humanely, Reflect frequently on your care relationship between the physician and patient and, through with benevolence, compassion, of patients, including your values empathy, and consideration and behaviors these cumulative relationships, improving public health. We also have complex professional responsibilities to our medical Social responsibilities and advocacy profession, society, families, and ourselves. Commit and advocate to improve Respect and work with A physician’s work is compassionate and includes a commit- quality of care and access to care colleagues and other health ment to service, altruism, and advocacy. To a large extent, the professionals to best serve the patients’ needs practice of medicine as a profession is self-directed and there- fore self-regulating. With the privilege of self-management Commit and advocate for a just Commit to maintaining trust by distribution of finite resources managing conflicts of interest granted us comes professional responsibilities to our patients and society if we are to be worthy of their trust. Upholding these values requires the application of our specialized body of knowledge in fulfilling our duties with honor, integrity, and All medical students and physicians must learn and under- respect

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