RHODE ISLAND M EDICAL J OURNAL MEDICAL SCHOOL GRADUatION PAGE 47 DR. ELLENBOGEN ON CONCUSSIONS: THE PERFECT STORM PAGE 43 DR. DAILEY CHAIRS HEALTH COMMISSION paGE 57 SPECIAL SECTION BROWN SCHOOL of PUBLIC HEALTH JUNE 2013 VOLUME 96 • NUMBER 6 ISSN 2327-2228 Some things have changed in 25 years. Some things have not. Since 1988, physicians have trusted us to understand their professional liability, property, and personal insurance needs. Working with multiple insurers allows us to offer you choice and the convenience of one-stop shopping. Call us. rims I B C 800-559-6711 RIMS-INSURANCE BROKERAGE CORPORATION Medical/Professional Liability Property/Casualty Life/Health/Disability RHODE ISLAND M EDICAL J OURNAL 20 BROWN SCHOOL OF PUBLIC HEALTH KRIS CAMBRA, MA; TERRIE FOX WETLE, PhD GUEST EDITORS 23 Educational Opportunities in Clinical and Translational Research PATRICK VIVIER, MD, PhD 25 The Sum is Greater than its Parts: The Center for Evidence-Based Medicine KRIS CAMBRA, MA; THOMAS A. TRIKALINOS, MD, PhD; EILEEn O’GaRA-KUrtIS 27 Creating the Future: Brown University’s Executive Master of Healthcare Leadership ELIZABETH A. KOFRON, PHD 29 Joan Teno, MD: Leader in Crusade for Quality Hospice, Palliative Care MARY KORR, RIMJ MANAGING EDITOR 31 Kahler’s Research Bridges Behavioral/Social Sciences and Medical Care MARY KORR, RIMJ MANAGING EDITOR RHODE ISLAND M EDICAL J OURNAL 8 COMMENTARY Establishing a Legacy: The Aronson Chair for Neurodegenerative Disorders JOSEPH H. FRIEDMAN, MD Pilgrimage of an Herb Named Foxglove STANLEY M. ARONSON, MD 14 GUEST COMMENtaRY ‘The doing of medicine, the being of a doctor’ JONATHAN A. TREEM, MD Orthopedic Medical Devices: Ethical Questions, Implant Recalls and Responsibility JENNIFER RACINE, BA 41 RIMS NEWS Tar Wars Poster Contest Bike Helmet Distribution House Calls at the State House 54 EVENTS Lectures Conferences 63 PHYSICIAn’s LEXICON A Tendency Toward Wordiness STANLEY M. ARONSON, MD 65 HERItaGE 50 Years Ago: Dr. Hamolsky of Boston Joins Brown Faculty 100 Years Ago: The Automobiles Doctors Drove RHODE ISLAND M EDICAL J OURNAL IN THE NEWS RICHARD G. ELLENBOGEN, MD 43 51 HOME & HOSPICE CARE OF RI Speaks on head injuries Recognized among in youth, the NFL, military top 100 hospice agencies in patient care ALPERT MEDICAL SCHOOL 47 51 THE MIRIAM Graduates 113 Recognized by new physicians Greenhealth for environmental efforts MEGAN RANNEY, MD 49 52 HASBRO Calls for research Sees upsurge in all-terrain into gun violence vehicle accidents BRADLEY HOSPITAL 50 52 LIFESPAN, GATEWAY Starts OCD program To partner KENT HOSPITAL 50 53 LIFESPAN Opens ambulatory surgery center Opens pharmacy at RIH RECOGNITION, APPOINTMENTS TANYA L. DAILEY, MD 57 59 CHRISTY L. DIBBLE, DO Named chair of new director of W&I Health Dept. Commission women’s GI health center DRS. CYR, KIZIRIAN 57 59 PeTER S. MARTELLY, MD Recognized by Named associate medical RI chapter of ACP officer of Southcoast LESLIE GORDON, MD 57 59 TODD F. ROBERTS, MD Earns ‘Early To lead Roger Williams Achievement Award’ transplant unit JUNE 2013 VOLUME 96 • NUMBER 6 RHODE ISLAND M EDICAL OURNAL PUBLISHER J RHODE ISLAND MEDICAL SOCIETY WITH SUpport FROM RI DEPT. OF HEALTH PRESIDENT ALYN L. ADRAIN, MD PRESIDENT-ELECT ELAINE C. JONES, MD VICE PRESIDENT CASE REPORT PETER KARCZMAR, MD 33 A Case of Intracranial Hemorrhage SECRetaRY ELIZABETH B. LANGE, MD Causing Stress-Induced Cardiomyopathy TREASURER LESLIE RUSSELL, MD; PHILIP STOCKWELL, MD JOSE R. POLANCO, MD IMMEDIate paST PRESIDENT NITIN S. DAMLE, MD EXECUTIVE DIRECTOR PUBLIC HEALTH NEWELL E. WARDE, PhD 36 Health By Numbers: Adult Suicide and Circumstances in Rhode Island, 2004–2010 EDITOR-IN-CHIEF JOSEPH H. FRIEDMAN, MD YONGWEN JIANG, PhD; JEFFREY HILL, MS; BEATRIZ PEREZ, MPH; ASSOCIate EDITOR SAMARA VINER-BROWN, MS SUN HO AHN, MD EDITOR EMERITUS STANLEY M. ARONSON, MD IMAGES IN MEDICINE PUBLIcatION StaFF 39 Epiploic Appendagitis: MANAGING EDITOR MARY KORR An often-unrecognized cause of acute abdominal pain [email protected] LINDA RATANAPRASATPORN, LISA RATANAPRASATPORN, TERRANCE HEALEY, MD GRAPHIC DESIGNER MARIANNE MIGLIORI EDITORIAL BOARD STANLEY M. ARONSON, MD, MPH JOHN J. CRONAN, MD JAMES P. CROWLEY, MD EDWARD R. FELLER, MD JOHN P. FULTON, PhD PETER A. HOLLMANN, MD ANTHONY E. MEGA, MD MARGUERITE A. NEILL, MD FRANK J. SCHABERG, JR., MD LAWRENCE W. VERNAGLIA, JD, MPH NEWELL E. WARDE, PhD RHODE ISLAND MEDICAL JOURNAL (USPS 464-820), a monthly publication, is owned and published by the Rhode Island Medical Society, 235 Promenade Street, Suite 500, Providence RI 02908, 401-331- 3207. All rights reserved. ISSN 2327-2228. Published articles represent opinions of the authors and do not necessarily reflect the offi- cial policy of the Rhode Island Medical Society, unless clearly specified. Advertisements do not imply sponsorship or endorsement by the Rhode Island Medical Society. Classified Infor- mation: Cheryl Turcotte, Rhode Island Medical Society, 401-331-3207, fax 401-751-8050, [email protected]. Concierge Insurance Service Are you underwhelmed by the level of care and coverage you receive from your current insurance company? Maybe it’s time for a second opinion? he Rhode Island Medical Society and Butler & Messier Insurance are offering an exclusive CONCIERGE TPROGRAM for all your insurance needs. Everyone in the Rhode Island medical community is eligible for the best rates for your home and auto insurance, as well as your office policies. For a no obligation second opinion call John Divver at 401.728.3200 or visit www.Butlerand Messier.com/RIMS Exclusive Insurance Partners www.ButlerandMessier.com COMMENtaRY Establishing a Legacy: The Aronson Chair for Neurodegenerative Disorders JOSEPH H. FRIEDMAN, MD [email protected] D ESPITE THE THREE In retrospect, Stan was children with some of the world’s worst decades that have passed, everywhere, although he neurological disorders. He not only pro- I recall my first interac- was, in fact, “retired.” It vided comfort and care, but used these tion with Stan Aronson, took me many years to unfortunates to learn about their diseas- MD, quite clearly. I was learn that I only knew the es to prevent them in future generations. 8 a fairly new neurologist tip of the iceberg. He was a distinguished educator, leaving 9 in Rhode Island, hav- Although I have a behind academic generations of “Stan’s EN ing recently finished my master’s degree in math- children, grandchildren and great-grand- training in New York, ematics, it was only after children,” who today are some of the and working at the Rog- a brief chat with a col- world’s distinguished neuropathologists. er Williams Hospital. league, when I mentioned Perhaps most dear to him, he moved I was building up an that I had recently talked from running one of the world’s largest out-patient practice, trying to attract with Stan, that I learned what a poly- neuropathology programs to become patients with movement disorders, math was. The colleague mentioned, the founding dean of the Brown medical particularly Parkinson’s disease, but I in passing, that Stan was a true poly- school. He started with a secretary and spent most of my time consulting on math. Although I had studied 30 Days a faculty of 40. Brown now has a faculty hospitalized patients. I was the only to a More Powerful Vocabulary in high of over a thousand, and more secretaries neurologist on the staff then. I responded school, this word eluded my memory and administrators than it had faculty to a page on my beeper, and found myself bank. A polymath is someone who when he started. His underweight baby speaking to Stan for the first time. Quite knows a lot about everything, sort of the is now a leviathan, and considered one honestly, having had no interaction with opposite of what we encounter in doc- of the best medical schools in the world. the medical school, I didn’t know who tors these days, who know less and less He helped found the R.I. Parkinson’s he was, but he acted like there was no about more and more, myself included. Support Association and Home & Hos- reason for me to know who he was, and Stan seems not only to know everything, pice Care of Rhode Island and served explained that he was the neurology but is able to put things together in ways on the board of directors of both The consultant for the Brown student health the rest of us can only marvel at. But Miriam and Butler hospitals. In addition, service. He was interested in turning that is only part of his attraction. he was editor-in-chief of our state med- this position over to me and hoped I’d When Stan was a youthful 82 or so he ical journal for 10 years. These were, of be interested, or at least willing, since seriously told me that he was wondering course, all unpaid positions. Meanwhile, it required only a small amount of time. about his next career. As one of the lead- he continued to teach at Salve Regina I’m not sure which was my next ing neuropathologists in the world, he College as well as Tougaloo College, a interaction with him. It may have been had been a leader in the fight against Tay historically black institution in Mis- when he invited me to give a lecture or Sachs disease, an inherited disease that sissippi, introducing students to broad two in the introductory neuroscience killed babies via their nervous system. and challenging topics such as medical course for Brown medical students, His approach to understanding this and ethics and epidemiology each semes- or when he invited me to participate other neurological disorders of children ter. While I did introduce this essay by in a meeting of the Rhode Island Par- would not be possible today.