Small Victories

MedicineBulletinSpring 2014 • Volume 98 • Number 4

Small Victories

changing the lives of the

abused and neglected Spine Problem: You Don’t Stand A Chance Here.

At the University of Maryland Medical Center, spinal problems have met their match. Our orthopaedic surgeons specialize in cases that may be considered too complicated at other hey, childhood illness: hospitals. We treat all ages and all conditions, including: it’s time out for you. • herniated disks • spinal stenosis • scoliosis Pediatric health problem, you are being closely • tumors watched. Day and night, teams at the University of • spinal cord injuries and other trauma Maryland Children’s Hospital are cracking down on Since we are experts at handling complex cases, the more every imaginable health issue a family could face. routine cases consistently have high success rates. Plus, our advances in minimally invasive options mean less infection From premature birth and heart defects to and shorter recovery times. Patients feel amazing levels of asthma and gastrointestinal problems, we have support and experience. Here, debilitating problems have no 150 specialists who ﬁ ercely go after every illness choice but to back down. while compassionately caring for each child and family. So pay attention childhood illness, you will not keep our kids from being kids.

For help ﬁ nding a pediatric specialist, please call 1-800-492-5538.

Before After Before After Scar After

Medicine on a MissionsM

EASY ACCESS WITH LOCATIONS IN: Baltimore, Timonium, Columbia, Woodlawn and College Park MEDICINE ON A MISSIONSM APPOINTMENTS: 410-448-6400 • MORE INFORMATION: umortho.org

umm.edu/childrens Affiliated with the University of Maryland School of Medicine

Affiliated with the University of Maryland School of Medicine Bulletin Editorial Board Joseph S. McLaughlin, ’56 Chairman Roy Bands, ’84 Frank M. Calia, MD, MACP MedicineBulletin Brian DeFilippis University of Maryland Medical Alumni Association & School of Medicine Neda Frayha, ’06 Nelson H. Goldberg, ’73 Camille Hammond, ’01 features Christopher Hardwick Jeffrey Todd Hobelmann, ’03 Harry C. Knipp, ’76 Morton D. Kramer, ’55 Small Victories 6 Morton M. Krieger, ’52 Maryland’s division of child protection, embedded Brett Levinson, ’02 Jennifer Litchman within its department of pediatrics, takes a multi-faceted Philip Mackowiak, ’70 approach to combating child neglect and abuse. You Janet O’Mahony, ’91 have to look well beyond Maryland’s borders to find a Zaineb Makhzoumi, ’08 more comprehensive program of prevention, diagnosis, Stanford Malinow, ’68 Robert M. Phillips, ’82 treatment, education, research and advocacy. Larry Pitrof Gary D. Plotnick, ’66 Ernesto Rivera, ’66 John Crawford, MD: The Books, His Life Jerome Ross, ’60 and Our Library Julie Wu 11 6 The University of Maryland Health Sciences and Human Medical Alumni Association Services Library is in the midst of a 200-year anniversary Board of Directors celebration. Its unique founding is traced back to the Protagoras N. Cutchis, ’83 purchase of a private collection of books from the family President of deceased faculty member John Crawford, MD, who was George M. Boyer, ’83 expounding some radical medical theories of his times. President-Elect Alan R. Malouf, ’85 Vice President Alumna Profile: Elizabeth C. Hosick, ’66 18 Elizabeth L. Tso, ’79 A Woman’s Place Treasurer Donna S. Hanes, ’92 It was a medical school interview at the University of Secretary Chicago that helped Elizabeth C. Hosick, ’66, gain admis- Neda Frayha, ’06 sion at Maryland. She was one of seven women admit- Camille Hammond, ’01 ted in 1962, and went on to a distinguished career as an Jeffrey Todd Hobelmann, ’03 anesthesiologist. Through it all she never lost her sense of Brett Levinson, ’02 11 Zaineb Makhzoumi, ’08 humor, and always kept our school close to her heart. Stanford Malinow, ’68 Janet O’Mahony, ’91 Robert M. Phillips, ’82 Alumnus Profile: Kristin Stueber, ’69 Michael E. Weinblatt, ’75 Directors 20 A Legacy for Mentors Richard Keller, ’58 Robert R. Rosen, ’49 An internationally acclaimed clinician and researcher Honorary Regional Vice Presidents in the treatment of rheumatoid arthritis, Michael E. Tamara L. Burgunder, ’00 Weinblatt, ’75, credits his career success to mentors Sona Chaudhry, ’14 and teachers at Maryland who encouraged and inspired Dr. E. Albert Reece, Dean Ex-Officio 18 20 him. He is the John R. and Eileen K. Riedman Professor of Medicine at Harvard Medical School, a fellow in Larry Pitrof Executive Director the Royal College of Physicians, and the inaugural R. Bruce and Joan M. Mickey Distinguished Chair in University of Maryland School of Medicine The University of Maryland Medicine Bulletin, America’s Rheumatology at Brigham and Women’s Hospital. Board of Visitors oldest medical alumni magazine, is jointly sponsored by the Medical Alumni Association of the University of Michael E. Cryor Maryland, Inc., and the University of Maryland School Chair of Medicine. Peter G. Angelos, Esq. The acceptance of advertising by this publication Kenneth Banks does not in any way constitute endorsement or approval departments Morton D. Bogdonoff, MD by the Medical Alumni Association or medical school. Jocelyn Cheryl Bramble Requests to reproduce articles should be directed to: Frank C. Carlucci, III Editor, Medicine Bulletin, 522 W. Lombard Street, Dean’s Message 2 Managing Wealth 23 Protagoras N. Cutchis, ’83 Baltimore, Maryland 21201-1636, or by email: William M. Davidow, Jr., Esq. [email protected]. Cynthia Egan News & Advances 3 Recollections 24 Robert E. Fischell, ScD Subscriptions are $20 per year (domestic) and $25 Laura Gamble (overseas) Medicina Memoriae 14 Student Activities 25 Nelson H. Goldberg, ’73 For information on advertising, please contact: Michael Greenebaum The Medical Alumni Association of the University of Faculty News Class Notes Stewart J. Greenebaum Maryland, Inc. email: [email protected] 16 26 Willard Hackerman Jeffrey L. Hargrave www.medicalalumni.org Advancement 22 In Memoriam 29 John R. Kelly Harry C. Knipp, ’76 Patrick McCuan Carolyn McGuire-Frenkil Editor-in-Chief Medical Editor Design Art Director Edward Magruder Passano, Jr. Larry Pitrof Morton M. Krieger, ’52 Brushwood Graphics Design Group Nancy Johnston Timothy J. Regan Timothy Ryan Melvin Sharoky, ’76 Richard L. Taylor, ’75 Spring 2014 • Volume 98 • Number 4 dean’s message

cademic medicine advances today because of discoveries made by previous generations. Our medical school celebrates a long lineage of distinguished healthcare professionals and researchers whose work has contributed greatly to medicine and science, and dramatically improved human health and well being. Many of the achievements that our past and present faculty, staff, students, and trainees have made can be found among the bookshelves and the online databases of the University of Maryland Health Sciences and Human Services Library which celebrated its 200th anniversary in 2013. From the discovery of the cause of yellow fever by a group including James Carroll, class of 1891, to contributions to the field of rheumatic diseases by alumMichael Weinblatt, ’75, our library catalogues the breadth and depth of exceptional biomedical research conducted by the school community. Although our historical performance informs our efforts and helps to influence our way forward, we cannot rely on past achievements to thrive during challenging times. Many of you may recall that I dis- E. Albert Reece, MD, PhD, MBA cussed the launch of the University of Maryland School of Medicine Vice President for Medical Affairs, University of Maryland and Medical System “Shared Vision 2020,” a fierce, goal-oriented, John Z. and Akiko K. Bowers Distinguished Professor and aggressive, strategic and opportunistic approach to maximize our aca- Dean, School of Medicine demic yield in all our mission areas: education, clinical care, research, finance and philanthropy. A cornerstone of Shared Vision 2020 for research is the Accelerating Innovation and Discovery in Medicine (ACCEL-Med) initiative. This initiative not only has implications for our research—with a goal of increasing the pace of discovery, collaboration, and innovation across all school departments, programs, institutes and centers—but also influences our curriculum and impacts the care that patients will receive from our faculty physicians and current fellows. For example, we established the first research consortium unit (RCU) in brain science, which includes senior basic and clinical faculty with a common goal to answer “big science” research questions in the areas of neurology, neurosurgery, and neurobiology, trauma and psychiatry. Plans are already underway to involve researchers at all stages in their careers in the brain science RCU to create a collaborative of researchers who are passionate about understanding the human brain, its diseases and treatment. Cross-cutting programs are not a new concept for our school. The division of child protection with our department of pediatrics, featured in this issue of the magazine, takes a similar multidisciplinary approach to treating and preventing child abuse and neglect. Led by Howard Dubowitz, MB, ChB, FAAP, the division has clinical programs that provide medical care (some We established the first research consortium unit free-of-charge) for children and their families, research studies (RCU) in brain science, which includes senior basic to understand the causes and outcomes of child abuse, and and clinical faculty with a common goal to answer “big teaching and advocacy programs to raise awareness of the issues among healthcare professionals. science” research questions in the areas of neurology, Central to advancing medicine is the mentoring and [ neurosurgery, and neurobiology, trauma and psychiatry. development of young, academically-trained physicians and researchers who have excellent analytic and critical thinking skills needed to synthesize the latest research findings into direct care for patients. Another key element of the ACCEL-Med initiative is a project to establish a research continuum of students, trainees, and junior and senior faculty working together in a themed area of research. In these uncertain fiscal times, philanthropy helps encourage the next generation of new talent to enter into academic medicine. Thanks to the generosity of alumni donors who support student scholarships, such as ElizabethHosick, ’66, these new recruitments are made possible. Through the incredible work of our current community, to support from our alumni, the ACCEL-Med initiative will help us advance our goal of becoming known for discovery-based medicine, not just here in Maryland, but across the region, the nation, and throughout the world.

Medicine Bulletin Spring 2014 [2] news&advances events Barbot Headlines Diversity Dinner Program Oxiris Barbot, MD, Baltimore City Commissioner of Health, was keynote speaker for the seventh annual Celebrating Diversity Dinner on February 1. More than 200 alumni, faculty, students and friends attended the event at the Marriott Inner Harbor at Camden Yards to celebrate the school’s diversity and raise money for the Dean Emeritus Donald W. Wilson Endowed Scholarship Fund. Camille Hammond, ’01, and husband Jason, were honorary chairs of the event. For his role in expanding diversity in the graduate studies program, Dudley Strickland, PhD, assistant dean for graduate and postdoctoral studies and director of the center for vascular & inflammatory diseases, was presented with the annual Dean’s Faculty Award Ernesto Rivera, ’66, Oxiris Barbot, MD, Camille Hammond, ’01 and husband Jason, MD for Diversity and Inclusion. He was praised for expanding diversity by not only taking a chance on students other programs considered high-risk but staying personally involved in their education to assure their success. Gifts and proceeds for this year’s event generated more than $30,000 for the scholarship fund.

events Radiology Alumni Gather in Chicago

Cite Restaurant, located adjacent to Chicago’s Navy Pier, was again the site of a reception for alumni and faculty attending the annual meeting of the Radiological Society of North America. The gathering was held on Monday, December 2, co-hosted by Elias R. Melhem, MD, the John M. Dennis Professor and Chairman of the Department of Diagnostic Radiology and Nuclear Medi- cine, and Larry Pitrof, executive director of the Medical Alumni Association. More than 60 people stopped by to visit.

Lina Y. Melhem, MD, a member of Maryland’s faculty in the division of endocrinology and wife of radiology chair Elias R. Melhem, MD, with Barry D. Daly, PhD, professor of radiology events School Receives Accreditation with Commendation

Maryland was awarded accreditation with commendation November 2019. ACCME accredi- by the Accreditation Council for Continuing Medical tation helps to assure the medical Education (ACCME) as a provider of continuing medical community and the public that the education for physicians. The review was based on the school provides physicians with school’s self-study report, evidence of performance-in- relevant, effective, practice-based practice, and an accreditation interview. The duration continuing medical education that sup- of certification extends for a six-year term, through ports U.S. health care quality improvement.

[3] University of Maryland news&advances

Exoskeleton Walking System for Paralyzed Patients

The University of Maryland Patients with lower-limb impairment have to be able Rehabilitation & Orthopaedic Institute to use their hands, arms and shoulders, as well as have is using a robotic exoskeleton that good cardiovascular health and skeletal strength in order allows some individuals with spinal to be able to use the system. cord injuries the opportunity to stand The institute is the only provider in Maryland with and walk during therapy sessions. The the ReWalk system, and its 144 beds make it the largest ReWalk system works like a high-tech inpatient rehabilitation hospital and provider of rehabili- body suit, providing motorized assistance tation services in the state. Patients make the transition to help paralyzed patients stand up and to rehabilitation after recovering from stroke, traumatic move their legs. Therapists work with injury, orthopaedic surgery and other illnesses. Peter Gorman, MD patients on basic skills, such as sitting and standing, before progressing to walking and more advanced techniques such as climbing up and down stairs. “We have seen some of our patients with spinal cord injuries make great prog- ress with the ReWalk. People who thought they would never get out of a wheelchair actually stand and walk while wearing the system,” says Peter Gorman, MD, associate professor of neurology and chief, division of The exoskeleton uses motorized legs to power movement in the knee and hip. On-board computers and motion sensors adjust for

movement. The system mimics natural walking.

rehabilitation at the University of Maryland Rehabilitation & Orthopaedic Institute. Gorman adds, “While the most obvious benefits are mobility in a standing position, patients also report additional physical benefits, including improved digestion and bowel function, which can be affected after sitting in a wheelchair for months and years.” The exoskeleton uses motorized legs to power movement in the knee and hip. On-board computers and motion sensors adjust for movement. The system mimics natural walking, and patients can work up to functional walking speed. Forearm crutches are needed for balance.

Contributors to News & Advances include: Sharon Boston • Larry Roberts • Rita Rooney • Bill Seiler • Karen Warmkessel • Photos by: John Seebode • Mark Teske

Medicine Bulletin Spring 2014 [4]

Brain Science Research Consortium Unit Established

aryland has established a psychiatry and behavioral Science. brain science research con- His primary area of research exper- sortium unit (RCU) to bring tise is the psychopharmacology of together faculty from mul- medications for treating addictions, tiple disciplines to probe the and he is the author of more than inner workings of the brain 200 research publications. He is the Mand to develop therapies for a wide principal investigator on National range of neurological disorders. Institutes of Health (NIH)-funded The brain science RCU will studies utilizing neuroimaging, conduct large-scale, multidisci- neuropharmacology, and molecular plinary studies on brain function genetics techniques. Johnson is a (and dysfunction). Physician-scien- neuroscientist and neuropsycho- tists, laboratory scientists and other pharmacologist whose work spans translational and clinical inves- basic, translational and the clini- tigators across the university will cal sciences, including the use of collaborate in the undertaking. molecular genetics and neuroimag- It will set out to answer chal- ing to develop medicines for the lenges presented by the NIH Brain treatment of addictions. Research Through Advancing Johnson will lead a steering Innovation Neurotechnologies committee which will determine (NIH BRAIN), also referred to as research areas for the brain science the Brain Activity Map Project, RCU to follow, and develop mul- a national research program an- The program was established to tidisciplinary centers of excellence nounced by President Obama last to submit research grants, conduct year. The program was established revolutionize how we understand the large-scale studies and make joint to revolutionize how we understand discoveries in how the brain works the human brain and mind, and to human brain and mind, and to find new and what causes brain disorders. It find new ways to identify and treat ways to identify and treat disorders is expected to bring together the disorders such as Parkinson’s disease, departments of neurology, neurosur- schizophrenia, Alzheimer’s disease, such as Parkinson’s disease, schizophrenia, gery, neurobiology, and psychiatry, autism, stroke, and brain injury. Alzheimer’s disease, autism, stroke, center for shock trauma & anes- The school’s brain science RCU thesiology research, the Maryland will be led by Bankole A. Johnson, and brain injury. Psychiatric Research Center and DSc, MD, MB, ChB, MPhil, pro- the University of Maryland Medical fessor and chair of the department of System.

Richard L. Eckert, PhD, the John F.B. Weaver Professor and Chair of the Department of Biochemistry & Molecular Biology, was named associate director for basic science at the Greenebaum Cancer Center. His research focuses on understanding how normal surface epithelial cells function to protect people from illnesses and how those cells are altered during disease states, including skin cancer. Eckert joined the faculty at Maryland in 2007. Transitions

[5] University of Maryland By Rita M. Rooney Small Victories Absolute success is a claim seldom made by those who treat abused and neglected children. Such success too often is thwarted by difficulties in uncovering what is indisputably the country’s most underground offenses against the young. While reports suggest 11 children of every 1000 are victimized, those numbers refer to abuse and neglect that’s reported, investigated and determined to have happened. Approximately six million children are reported to child protective services (CPS) annually, and this is considered to be underestimated. No one counts the children whose trauma remains a dark secret.

hese crimes, especially sexual abuse, are clandestine, behind door offenses that often inflict inestimable violations against the most vulnerable of victims who, through fear or humiliation, perpetuate the secrecy. Some children endure years of related problems, such as depression, mood or learning disorders, until finally one incident brings them to the attention of someone who acts to protect the child. In spite of challenges working in the field, faculty members in the pediatric department’s division of child protection achieve small victories every day in a multifaceted program of prevention, diagnosis, treatment, education, research and advocacy not duplicated elsewhere in the State of Maryland. In the area of research, the division is part of a landmark NIH-funded study, following children in five cities from ages four into their mid-20s, to determine the factors that lead to a child’s abuse or neglect, and why some children fare badly, while others do not. The division’s child care clinic, which has close ties with CPS, provides treatment to youngsters who have been abused, as well as those who have been neglected, and their non-offending care givers. Most often, CPS refers patients for treatment. The child protection team performs a medical evaluation to determine whether or not abuse has occurred. The care clinic provides treatment after abuse has been identified and investigated. Frequently the incidence of a child’s trauma is difficult to pinpoint. Howard Dubowitz, MB, ChB, FAAP, professor of pediatrics, principal investigator and head of the child protection division, reports, “We see genuine improvement in most of our cases, but there are Howard Dubowitz, MB, ChB, FAAP those that take a long time, even years.” Dubowitz, who has led the division since its inception in 2000, is a veteran of 33 years as a pediatrician in the field of child abuse and neglect. During a pediatric residency in Boston, he was drawn to an interdisciplinary fellowship program at Harvard Medical School. “I was intrigued by the nexus between social conditions and childrens’ health and development,” he says. “These kids and their tough circumstances moved me in a specific direction in my medical career.”

[7] University of Maryland Comprehensive Care on the entire staff. There is no room for error. To undertake Thanks to national funding from the Victims of Crime this work, a counselor or therapist must be deeply commit- Act, maltreated children and non-offending family ted while maintaining the objectivity it takes to evaluate members receive free mental health services, as much as and treat problems effectively. may be needed for as long as needed, unrestricted by case The Impact of Abuse management or insurance limitations. Randy Chang, PsyD, Klein reports both neglect and physical abuse can affect a clinical assistant professor of pediatrics, claims one of the child’s development and can contribute to attention deficit most important factors in serving abused children is that and learning disorders, as well as cause emotional, medi- the program has the flexibility to provide unlimited care to cal, and behavioral problems throughout the life cycle. those who need it. Neglect can have a devastating and long-lasting effect, “Other programs may provide an hour of care once a according to Klein. “It can be severe because its victims month, or even once a week, but many of our children often have a poor attention span, can’t manage aggression, need considerably more than that,” he says. “Our ability to or may have serious medical problems such as fibromyalgia, get favorable results is enhanced by the unlimited time we and other ramifications of their neglect. If no one in the devote to each case.” child’s environment is providing safety and nurturing, the While treatment may take place at the care clinic, the child becomes isolated. These youngsters develop apathy division relies on the support of a wide range of profes- and guilt. In time, people become objects to them. Neglect sionals serving as a child protection team of pediatricians, often is more difficult to document than physical abuse, but psychiatrists, psychologists, social workers, nurses and law certainly no less serious.” enforcement personnel who often are the first to spot a Somewhat aligned to neglect problem. University of Maryland faculty physicians are on is the psychological abuse of the front lines, consulting frequently with the center in children. As in neglect, children helping to evaluate possible abuse or neglect. who have been psychologically The division has ties with nearby counties. Wendy Lane, MD, assistant clinical professor of epidemiology and Thanks to national funding from the pediatrics, reports that she and Dubowitz have contracts to Victims of Crime Act, maltreated work at child advocacy cen- children and non-offending family ters (CAC) in Anne Arundel and Howard Counties. These members receive free mental are multi-disciplinary centers, health services, as much as may staffed by CPS, law enforcement and medical professionals be needed for as long as needed, who conduct child abuse in-

vestigations in a child-friendly unrestricted by case management Photo by Richard Lippenholz environment. She adds, “The or insurance limitations. role of the child abuse pediatrician there is to conduct medical Randy Chang, PsyD abused may bear no physical evaluations, and provide information and support to chil- scars, no history of sexual abuse. But their maltreatment dren and families coping with a recent disclosure of sexual may be unrelenting and their emotional scars as disturb- abuse. Many times, during this initial stage, we primarily ing as bruises that fade and fractures that heal. The end provide support to families.” She says information gathered result may be even more devastating. Clinic staff give the at this time strengthens any criminal case that may follow. example of a child who is continually told he is stupid as Gary Klein, MD, clinical assistant professor of psychia- one who may be a psychologically abused youngster. try, acknowledges, “Treating these children is hard.” “There is no question this is a difficult kind of abuse to It’s clear to any listener that Klein isn’t referring to the pinpoint,” Lane says. “It may be detected in the interaction long hours involved, or the difficulty of choosing the most between parent and child. Most children immediately turn effective therapy, but to the responsibility for changing the to a parent for support in a crisis, when hurt or confused. life of an abused child. It’s something that weighs heavily These children may not.” She adds, “Doctors or nurses in a

Dr. Howard Dubowitz can be contacted at [email protected]

Medicine Bulletin Spring 2014 [8] hospital or emergency department often catch hints of psy- “Surely, there are those who should never have children chological abuse by parents who indicate a child’s illness or be around them,” she agrees. “But most are not psycho- ‘doesn’t amount to anything.’” paths. I truly believe most parents don’t want to hurt their Physical abuse is regularly encountered by medical kids. They may suffer from depression, have issues with professionals who are open to the possibilities. There is self-control or PTSD as a result of combat. Maybe they a wide array of injuries, including internal and external were abused as children themselves, and they need help injury caused by punching or other inflicted injury to the with parenting.” Beyond Direct Care Much of what the division of child protection does on behalf of the abused takes place in the community. Its Safe Environment for Every Kid (SEEK) project emphasizes preventive healthcare by building on the generally good relationships among primary care professionals and parents. The SEEK model includes training for child health professionals to briefly assess and provide initial help in addressing targeted psycho-social problems, such as a parent’s depression. Intervention begins with a parent ques- tionnaire, which is stomach area of children typically under the age voluntary, and aims to identify common problems such as of five, and in most cases, no older than two. alcohol and substance abuse, domestic violence by a spouse Lane is conducting research, using a large data or partner, and major parenting stress. Dubowitz reports base from hospitals across the country, to deter- this project has demonstrated significant improvement in mine how many children are affected by this abuse. Often, the comfort level and sense of confidence to address some children seen in a hospital with obvious injuries from abuse of these common problems. may also have injuries that are not apparent. For instance, Additionally, education is an important component small tears to the liver may occur when a child is punched. of the division’s work. Third- and fourth-year medical Unfortunately, a child who is not yet talking cannot tell a students, as well as pediatric residents, benefit from training doctor his belly hurts. Lane is working with pediatricians by the child protection team. The Maryland Child Abuse in four pediatric emergency departments to increase rates Medical Professions (CHAMP) is a state-funded initiative of screening for this occult abdominal trauma in youngsters in which Dubowitz leads a statewide network of doctors with suspected sexual abuse. and nurses who can serve as knowledgeable specialists on Are such parents psychopaths beyond the ability to par- child abuse and neglect. They are trained and supported by ent? “Not necessarily,” Lane says. CHAMP.

Dr. Randy Chang can be contacted at [email protected]

[9] University of Maryland Lane currently leads the Baltimore Citywide Protection Team in an effort to improve the medical evaluation of Baltimore city children with suspected physical abuse, and to provide coordinated care by primary care providers and the Baltimore City Depart- ment of Social Services. Through this activity, the child protection team contacts primary care providers of patients to advise them about a child’s evaluation, whether follow-up is needed, and other aspects of an evaluation. “Primary care providers seem to really appreciate this information,” Lane says. “Without it, even if they are the ones to report a child, they may not know what treatment the child has had and what additional care may be needed.” The Bottom Line Steven J. Czinn, MD, professor and chair, department of pediatrics, says “The physicians and mental health professionals in this division provide a voice for those who cannot

speak for themselves. Photo by Richard Lippenholz “I can’t begin to explain how helpful that meeting Wendy Lane, MD They are advocates was in my being able to know more about the patient for the children of Doctors or nurses and to help her, as well as being able to share with these Baltimore and beyond other professionals how we could work together on her who have someone in in a hospital or behalf,” Chang says. “In any other environment, that their corner when they meeting would not have been possible.” need it most.” emergency department Lane agrees, adding, “I believe we have a unique per- Commenting on his often catch hints spective on the care of abused children. There is no esti- own experience in help- mate to the amount of time one case can take. I spend ing children at the care of psychological time in civil and criminal courts on behalf of patients. clinic, Chang explains abuse by parents who We work with judges in determining whether a child that he recently should be released to a parent, and under what condi- attended a meeting with indicate a child’s tions. We spend an enormous amount of time talking to the teacher, vice princi- illness “doesn’t attorneys and others throughout the system, and attend- pal and school psy- ing department of social services meetings, as well as the chologist at the school amount to anything.” considerable time necessary for family interaction.” of one of his patients, a It’s a sentiment shared by the entire faculty. Time, like 14-year-old girl who had funding, is a requisite, yet a luxury in treating abused and been sexually abused by her father from an early age. The neglected children. And like funding, there is never enough child has an understandably poor self image and various time to cover the needs of children at risk. Nevertheless, the emotional problems. Recent painful teasing by schoolmates division of child protection continues to achieve small victo- had led to her voicing thoughts of suicide. ries every day, many of them not really small.

Dr. Wendy Lane can be contacted at [email protected]

Medicine Bulletin Spring 2014 [10] By Philip A. Mackowiak, ’70 and Richard J. Behles

In 2013, the University of ter for $500 shortly after her father’s death, the University of Maryland, Baltimore Health Maryland’s HSHSL would become Sciences and Human Services one of the oldest medical school Library (HSHSL) celebrated libraries in the United States in continuous existence since its the 200th anniversary of its founding. The price of the collec- founding, which it traces to the tion, valued in today’s currency at $7,500 ($11.05/book), was a pit- purchase of the private library of tance, particularly so, given the fact John Crawford, MD, in 1813. that just one of the volumes contained in it, Sonni’s Buffon, is reported to have cost Crawford $300. The Collection For unclear reasons, Crawford’s collection When sold to initially gener- the University ated only tepid of Maryland, John Crawford, MD interest on the Crawford’s part of univer- collection sity officials. was the largest of its kind in the The Books, His Life When T. Barton Brune, class of state, and quite possibly the largest 1878, donated 1,200 books to in the fledgling nation. It consists of and Our Library the library in 1891, Crawford’s 679 volumes in six languages. The assemblage was simply merged oldest is a 1565 edition of Hieronymus into a broader library collection. Bock’s Kreutterbuch (Botanical Book), while the most The next recorded mention of it as an entity of any signifi- recent is a work of Crawford entitled, The Cause, Seat and cance was in December 1904, when University of Maryland Cure of Diseases, published in 1811 by Edward J. Coale of historiographer and first professional librarian, Eugene Baltimore. Fauntleroy Cordell, class of 1868, established the Library Many books in the and Historical Society of the University of Maryland. collection are medical Writing in Old Maryland (vol. 1, p. 5), Cordell describes the texts. However, there group’s inaugural meeting, at which “an interesting display are also ones devoted was made in the library of the rare old volumes which once to pharmacy, dentistry belonged to John Crawford.” and nursing. Some of the greatest names in The Man medical history are John Crawford was born in Northern Ireland in 1746. His represented among the father was a Presbyterian clergyman whose influence was collection’s authors, likely responsible for an abiding reverence for all of God’s including Hippocrates, creatures along with a strong sense of civic responsibility Galen, Linnaeus, that would guide his son’s life. Priestley, Bonnet, Crawford was educated at Trinity College, Dublin, Withering, Malpighi, and then studied at the University of Leyden where he and Boerhaave. received his medical degree. At the time, Galen’s version With the purchase of Hippocratic doctrine was just beginning to be supplanted of the library from by the concepts of Paracelsus attributing disease to external Crawford’s daugh- factors, rather than dyscrasias of internal humors. Later,

[11] University of Maryland

while serving in the tropics, first as a ship’s surgeon in ciation with the likes of Welch, Halsted and Kelly. Osler Bombay and Bengal, next as surgeon at the naval hospital has received special attention in this regard. Like Crawford, on the island of Barbados, and finally as surgeon-major in he was a bibliophile, whose massive collection found its the Dutch colony of Demerara (now Guyana), Crawford way to a university library (McGill’s). He also founded a came to the realization that the medical theories he had number of professional societies. However, the similarity been exposed to as a student were irreconcilable with his between the two men ends there. Osler was the author of personal observations. Post-mortem examinations he con- one of the first truly modern medical text books, an educa- ducted on patients dying of a variety of diseases convinced tor extraordinaire, and a prolific and lucid lecturer and him that external forces were, indeed, responsible for the writer. Crawford was none of these. Nevertheless, in our pathology encountered—though not the forces to which school’s quest to establish its own pantheon of heroes, some Paracelsus had referred—and he believed he had discovered have suggested that Crawford deserves to be a member. their secret identity. According to those promoting Crawford as one of our In 1794 and in failing health, Crawford left the tropics institutional heroes: “[He] was well ahead of his time with for good, though he never abandoned the theory concern- his thinking. [Unfortunately,] his theories…would not ing the origin of diseases that came to him while working receive proper acceptance until well after his death.… there. In 1796, he moved to Baltimore on the advice of his He correctly predicted a relationship between insects and brother-in-law, John O’Donnell, then one of the rich- human illness…conceived of the germ theory while resid- est men in the country and in all likelihood the man for ing in S. America…was the first American to administer whom city landmarks such as O’Donnell Street, O’Donnell smallpox vaccine…[and because he]lost all of his business Heights and O’Donnell Square were named. At that time by propagating an unpopular theory in medicine…[he was] Baltimore had a population of approximately 20,000, 27 of a martyr for truth.” whom were physicians. Crawford would become one of its What was Crawford’s unpopular theory? Why was it most energetic citizens. In the short span of 17 years before rejected, and did it really cause his practice to fold, as he he died, he became an intimate of Benjamin Rush (then claimed shortly before he died? Was he, in fact, the first arguably the most renowned physician in the country); American to administer smallpox vaccine? served for 13 years as grand master of the Masonic Order of Maryland; founded the Society for Promoting Useful Crawford’s Theory Knowledge; served as chairman of the Medical Faculty of As indicated earlier, Crawford’s theory concerning the Baltimore and vice president of the Baltimore Medical pathogenesis of disease was a product of his experiences Society; helped establish the Bible Society of Baltimore, the in the tropics. It was also heavily influenced by his books, Baltimore Public Library, the Baltimore General Dispensary which he not only collected with a passion but actually and the Maryland State Penitentiary; and was an advisor to appears to have read. His theory is succinctly summarized in the Maryland Board of Health. the following passage he published in the Observer in 1807: In 1811, Crawford briefly held a position as lecturer on “Plague, yellow fever and every other fever, and every other natural history at our school, in which capacity he gave an disease we experience, must be occasioned by eggs insinuated introductory lecture entitled “The Cause, Seat and Cure without our knowledge, into our bodies, externally or inter- of Diseases,” dealing with his theory on the pathogenesis nally, or from eggs placed near our habitations which, when of disease. Shortly after delivering it, he confided to Rush hatched, in either case prey upon us by parts.” that his lecture was “poorly received,” which likely explains why it was the only one Crawford ever presented at the In effect, Crawford proposed that all human diseases are school. A transcript of the lecture can be found in our caused by the eggs of insects, deposited onto or within the library’s historical collection. body, which hatch and then invade and destroy underlying John Crawford died destitute on May 9, 1813, and was tissues. The “eggs” to which he referred were not metaphors buried in the Westminster Church Cemetery on the corner for microorganisms—bacteria, viruses and such—but the of Fayette and Greene Streets. actual ova of insects, the species of which, he maintained, determines the particular disease that develops. His theory, In Search of Heroes he claimed, came to him after observing swarms of tiny One of a university’s greatest assets is its famous gradu- flies, which were ubiquitous in the tropics, though visible ates, teachers and others affiliated with it (no matter how only at a distance in the oblique rays of the setting sun. He transiently), who add glory to its name. Our sister medical reasoned that, although visible only at a distance under school long recognizing the value of such persons to its special circumstances, such insects permeate the air every- reputation has for many years vigorously promoted its asso- where, and are inhaled continually into the lungs where they lay the eggs responsible for all manner of diseases.

Medicine Bulletin Spring 2014 [12]

Crawford’s theory, as it turns out, was not original. As random observations made during his time in the tropics early as 600 BC, Lucius Junius Moderatus Columella (in and from his books. De Re Rustica) warned against constructing dwellings near swampy areas, since “there arise in these locations flying Conclusion animalcules possessing poisonous stings.” In the 16th, 17th In 1896 the Grand Lodge of the Masons re-erected a marble and 18th centuries, many other authorities represented marker at Crawford’s grave site. On it they had chiseled the among Crawford’s books postulated the existence of disease- many virtues they attributed to their former grand master. causing animalcules. In 1720, for example, Benjamin They said of him: Marten (an English physician) wrote that the cause of what “[He was] a model for all Christians…worthy of his illustri- we now recognize as tuberculosis “may possibly be some ous brother Adair [the author of several highly acclaimed certain species of animalcula or wonderfully minute living studies of animal heat]…his unwearied charity, his forgetful- creatures that by their peculiar shape or disagreeable parts ness of injuries, his cares and his fortune, were devoted to the are inimical to our nature but, however, capable of existing cause of suffering humanity…He was a father of the poor, in our juices and vessels…possibly being carried about by the brother of the stranger, the friend of the friendless.” the air we draw into our lungs.” Marten’s book was suffi- ciently popular in its day to merit a 2nd edition. In fact, Crawford was a man as remarkable as his collec- Thus, Crawford’s theory conflicted with orthodox tion, though, like all “heroes,” one with shortcomings. dogma promoting the humoral/atmospheric pathogenesis He did not conceive of the germ theory, nor did he have of disease, yet it had both any real concept of the existence of microbes or the manner in which they cause disease. historical support and a Crawford preached investigation but never did any. modicum of logic. Why then As to his possible primacy in was it so vigorously rejected He provided not a shred of experimental evidence the introduction of smallpox by Baltimore’s medical to support his theory. Such support came vaccination in America, there establishment, when prior exists written evidence of his authorities like Marten entirely from random observations made during his employing the practice here in appear to have succeeded in time in the tropics and from his books. Baltimore during the summer promoting similar concepts? of 1800, having acquired his First, in promoting his theory, Crawford went out of his vaccine from a Dr. Ring of London. Finally, it is unlikely way to denigrate anyone who opposed it. In the 50-page that Crawford’s “unpopular theory” ruined his practice, monograph The Cause, Seat and Cure of Diseases in which given the host of influential contacts he had to have had he presents his theory, Crawford spends 40 pages inveighing as a result of his important positions in the Masons, Bible against the closed minds of physicians opposing his idea. Society, Baltimore Medical Society, etc. Next, his writing is the height of tortured prose. The fol- Nevertheless, Crawford was an extraordinary man and lowing excerpt from a letter complimenting Rush on one of an exemplary citizen of his adopted city. He participated his recent publications is illustrative: in the founding of a host of public institutions that greatly benefitted Baltimore. He was also uncommonly chari- “The subject must first be well considered, engage for a table. When a hurricane left Barbados in rubble while he length of time the matures reflection, and the numerous was serving the area, Crawford distributed his sole supply obstacles that offer to a mind accustomed to a very different of medicines according to need without personal com- kind of reasoning must be dispassionately examined, before pensation. Although he traveled but a short distance in any decision can be hoped for. To those whose minds are understanding the relationship between insects and certain under a selfish influence, and who from unworthy motives, infections, at least he was heading in the right direction. oppose whatever clashes with their views, no proofs would In the final analysis, he was no John Beale Davidge, nor be satisfactory but to such as are alone anxious to arrive at Nathan Ryno Smith, nor James C. Carroll, nor Theodore truth, a detail of cases from our sagacious and candid pen, E. Woodward. Even so, he deserves a place in our pantheon where no false covering could ever be assumed, and the of heroes for his role in creating at our school one of the undisguised face of nature would be exposed to view, the first medical school libraries in the United States which has communication would have a value far above what it could remained in continuous existence since its founding. be possible to appreciate it at.”

And finally, Crawford preached investigation but never Authors: Philip A. Mackowiak, ’70, Carolyn Frenkil and Selvin Passen did any. He provided not a shred of experimental evidence History of Medicine Scholar; Richard J. Behles, Historical Librarian & to support his theory. Such support came entirely from Preservation Officer UMB Human Services and Health Sciences Library.

[13] University of Maryland Medicina Memoriae

Pius XII and The End of Life

ope Pius XII—Eugenio Pacelli by birth and a Haid was particularly interested in the church’s views native of the Urbs Aeterna itself—ruled over regarding the new forms of emergency medical intervention the Roman Catholic Church during the mid- that had been developed since the time when Pius had first dle years of the 20th century. His papacy began assumed his white cap, the zucchetto. Speaking to the gath- in March 1939 and continued until death in the ering in French, Pius made several assertions that continue fall of 1958. The record of Pius as summus pontifex remains to have currency over half a century later. a source of debate and argument, as it inevitably would be First, the pontiff commented on what were then since World War II started just months after he was elected, being referred to as “advanced reanimation techniques.” and his governance of the church continued through the Treatments such as the use of positive-pressure ventila- first third of the Cold War. Pius was as openly and ardently tors—first demonstrated successfully in 1952 by Dr. Bjorn an anti-Communist figure as was the later John Paul II, Ibsen of Copenhagen—had begun to save many lives that one of the last few priests to be elevated to the office of not long before would have been quickly lost. Victims of bishop by Pius. Whether or not the older pope was guilty of drowning, of advanced tetanus and polio with pulmonary contributing to war crimes paralysis, and of alcohol or drug toxicity were now surviv- during his era by standing ing and sometimes even being restored to full health. In the aside while those crimes opinion of Pius, advanced treatment for these cases only were being committed—a had to be used when there was a moral reason for doing frequent charge made in so: la morale médicale—typically, that there were realistic both popular accounts and chances of patient survival. No patients and no families academic histories cover- were morally required to do everything medically possible. ing the 1940s—Pius may Yet the pope was also clear that traditional forms of treat- nonetheless be credited ment and care, such as the provision of nourishing food, with shepherding his hydration, and wound treatment, must never be withheld, church through an epoch that could have seen it broken up and that deliberate euthanasia was still unlawful in the eyes or even destroyed. of the church (qui ne…licite). Pius’s health during the final four years of his papacy was For an audience in the 21st century, perhaps the most challenged not only by age and infirmity but also by what interesting feature of the Pope’s speech was his secondary may have been incompetent medical care. Yet he continued assertion that a medical doctor had no independent right or to work—overwork, according to those most loyal to him— obligation (le droit oul’obligation) to administer any particu- as he had before. His career was at heart that of a canon lar form of extreme intervention. The physician ought to lawyer and a Vatican diplomat (nuncio), and Pius was act according to authorizations given by the patient or, if inclined to give learned answers to any sort of question put the patient is comatose, by his or her family. The doctor to him. In November 1957, during a meeting of anesthe- may then act within the technological realm available, and siologists held in Rome and attended by many physicians Pius affirms that responsible medical personnel should seek from traditionally Catholic countries, Pius responded to out the newest and most promising forms of intervention questions from an Austrian attendee, Dr. Bruno Haid, chief and resuscitation. The term reanimation occurs over and of anesthesiology at the university hospital in Innsbruck. over in his speech and even in the Latin title given to it

Medicine Bulletin Spring 2014 [14] By Wayne Millan

within the Vatican’s official first intensive care unit in the archives (propositisquaesitis de United States at Dartmouth in “réanimatione”respondit). Pius 1955. That same year witnessed nevertheless knew about real- successful field trials for Dr. istic limits to human action, Jonas Salk’s vaccine against as the pope had often shown polio. News of those trials was during the WWII years when broadcast around the world. he needed to negotiate with Headlines about Salk’s break- forces that were alien to his through were as dramatic as institution. He acknowledged those that had announced V-J that new technologies could Day in August 1945. But less only be demanded when there than a year after his talk to the was moral cause and when they are available to the doctor. anesthesiologists, Pius XII—who had so carefully crafted his Such was, and often still is, not yet the case in many parts response to the thoughtful questions put by Haid—would of the world. become the subject of headlines for which he could never Pius comes across in this speech—which he probably have wished. composed himself, since this was prior to the Vatican Pius died at age 82 on October 9, 1958. His physicians developing its modern press office—as very much a man listed acute heart failure as the cause, as his health had of his time, the era of “heroic” science and medicine. He been precarious for several years. What would generate was a leader who wished to be seen as well-informed and unwelcome attention, however, was that those in charge scientifically literate. His administrative background would of funeral arrangements, including Dr. Riccardo Galeazzi- have made him cautious, however, about both the range Lisi, decided on a new embalming technique. Rather than and the reach of those new technologies that had been remove vital organs and use embalming fluids, the morti- advancing so rapidly. This caution can be seen in a third cians depended on what purported to be an ancient blend point he makes, which is that the church would leave to of resins and oils to preserve the papal corps. Results were science the matter of when precisely to define corporeal disastrous: the body, which was displayed in open and “death” (mort). If the patient has dropped into a deep coma traditional fashion for mourners coming by the tens of (l’étatd’inconscience profonde), if respiration can only be thousands, began to decay rapidly. It was a warm autumn in maintained mechanically, and the patient’s family wish no and around Rome, and the stench was so strong that some further intervention, then the doctor is allowed to discon- of the Swiss guards supposedly fainted from it. Morticians tinue treatment without fear of condemnation by church had to be brought in again to repair damage and make the authorities. For Pius, this decision had become a purely deceased pontiff appear presentable. Photos sent around the physical one, not a religious matter. The exact moment world showed gloves covering fingers that had blackened when the soul and body are separated (séparation complèt et and begun to drop off, and a face quickly restored with wax définitive de l’âme et du corps) would continue to be deter- and make-up. As Pius himself might have acknowledged, mined by God. neither the most ancient nor the most advanced of tech- The span of time covered by the papacy of Pius XII nologies could forever stave off the division of life from recorded as many dramatic medical advancements as had death (séparation complèt et définitive de l’âme et du corps). been seen during any other 20-year period. In addition to [The complete text of Pius’s speech is available through the the many techniques developed in World War II itself, Vatican’s website, www.vatican.va, under the heading Acta antibiotic and vaccine research went forward rapidly. The Apostolicae Sedis for the year 1957, pp. 1027-33.] Danish-born (though Massachusetts General-trained) Ibsen followed up on his work with pressurized ventilation Author Wayne Millan has been working behind by isolating certain of his polio and tetanus patients in the scenes of Maryland’s historical CPC for nearly specialized units at the municipal hospital in Copenhagen. two decades. A teacher and historian, he recently Using Ibsen’s model but extending it to a wider variety of entered the world of on-line learning by teaching an acute conditions, Dr. William Mosenthal established the intensive class in Classical Latin through the George Washington University.

[15] University of Maryland f acultynews

of neuroscience information through press ❖ Leslie Glickman, PT, PhD, assistant releases and web-based content. professor, department of physical therapy Appointments ❖ Sandy McCombe Waller, PT, PhD, & rehabilitation sciences, received the MS, NCS, associate Henry O. and Florence P. Kendall Award at professor, depart- the APTA of Maryland fall chapter meeting. ❖ Thomas Hornyak, PhD, associate ment of physical The Kendall Award was established as a professor, departments of dermatology therapy & rehabili- way for the APTA of Maryland to honor its and biochemistry & molecular biology, has tation science, has members for outstanding contributions to been selected as president-elect of the been appointed by the field of physical therapy. Pan-American Society for Pigment Cell the American Board ❖ John LaMattina, MD, assistant profes- Research. He will serve as president-elect of Physical Therapy sor, department of surgery, and director from 2014 to 2016, and as the president Specialties to the for living donor liver transplant at the from 2017 to 2019. specialty council on Sandy McCombe Waller, medical center, was among those featured PT, PhD, MS, NCS ❖ Karen Kotloff, neurologic physical in Baltimore Magazine’s “40 Under 40” list MD, professor, therapy for a four-year term. for 2013, spotlighting young leaders in the department of community. pediatrics and head, division of infectious diseases Awards & Honors & tropical pediat- Events, Lectures rics, was appointed ❖ Soren Bentzen, to the Food and & Workshops Karen Kotloff, MD PhD, DMSc, pro- Drug Administra- fessor, department tion Vaccines and ❖ Claire Fraser, PhD, professor, depart- of epidemiology Related Biological Products Advisory Com- ments of medicine and microbiology & and public health, mittee for a four-year term. The committee immunology and director, institute for has been awarded consists of a core of 12 voting members, genome sciences, was a speaker at the the prestigious who review and evaluate data and provide TEDxMid-Atlantic event in October in International KFJ advice to the commissioner of food and Washington, D.C., where she spoke about Award from the drugs concerning the safety, effective- Soren Bentzen, PhD, genomics and medicine. The recording is Danish National ness, and appropriate use of vaccines and DMSc available on their website at http://tedxmi- Hospital (Rigshos- related biological products intended for datlantic.com/2013-speakers/. pitalet) at the University of Copenhagen. human use for which the FDA has regula- Bentzen, who is also director of the biosta- tory responsibility. tistics shared service at the Greenebaum ❖ Scott Thompson, PhD, professor and Cancer Center, received the award for his * chair, department unique expertise regarding risk calculations Grants & Contracts of physiology for late complications of radiotherapy, as became chair of the well as his extensive research in this area. ❖ Edson Albuquerque, MD, PhD, profes- public education Rigshospitalet’s International KFJ Award, sor, department and communica- established in 2011, aims to strengthen of epidemiology tion committee international collaboration between leading & public health, of the Society for researchers at Rigshospitalet and interna- received a Neuroscience. This tional hospitals. 15-month com- international orga- ❖ Brian Browne, MD, professor, depart- petitive renewed Scott Thompson, PhD nization has 42,000 ment of emergency medicine, was honored contract in members, sup- with the 2013 health services leadership the amount of porting scientists and physicians devoted award from the Baltimore Area Council $3,611,115 from to understanding the brain and nervous Edson Albuquerque, MD, of the Boy Scouts of America. This award the Countervail system. Thompson’s committee oversees PhD was presented in recognition of outstand- Corporation many programs focused on educating the ing work in the medical community and (prime sponsor: the Biomedical Advanced public, policy makers, and educators about as gratitude for support of special needs Research and Development Authority) neuroscience, including the dissemination scouting in Maryland. for “Nerve Agent Countermeasure For

Medicine Bulletin Spring 2014 [16]

Sub-Lethal Exposures.” He also received With Chronic Hepatitis C Who Never ❖ Leonid a $215,340 subcontract from Countervail Received Interferon Therapy (HEPASIL).” Medved, PhD, (prime sponsor: NIH) for a six-month small ❖ Anthony Harris, MD, MPH, profes- professor of business innovation research project sor, department of epidemiology & public biochemistry and entitled “Galantamine for Pre-Exposure health, received a four-year, $1,355,622 molecular biology Administration in Conjunction with Post- award from the Agency for Healthcare received a four- Exposure Standard Care as Treatment Research and Quality for “Use of Electronic year, $1,562,077 Against Intoxication by Sarin.” Data to Improve Risk Adjustment for Hos- R01 grant for “Fibrin(ogen) Struc- ❖ Samer El-Kamary, MD, MPH, associ- pital Infection Rates.” Leonid Medved, PhD ture and Interac- ate professor, department of epidemiology ❖ Jay Magaziner, PhD, MSHyg, profes- & public health, received a two-and-a-half tions” and a one-year, $153,847 Maryland sor and chair, department of epidemiol- Industrial Partnerships Program grant for year, $3,871,908 contract from Rottapharm- ogy & public health, received a five-year, Madaus for “Phase II/III Treatment Trial “Optimization of Novel Hemostatic Agent $1,623,190 T32 grant from NIH for ClotBlock,” a phase 2 project. Using Legalon SIL and Ribavirin for Patients “Research Training in the Epidemiology of Aging.” *Grants & Contracts of $1 million and above

On-line Classroom Lectures for Alumni

Dues-paying members of the Medical Alumni Association are invited to view On-line Classroom Lectures. These include many of the first- and second-year presentations available to students as taught from Taylor Lecture Hall in the Bressler Laboratory, as well as recordings of grand rounds. In addition, the MAA Annual Historical Clinicopathological Conferences and a few historical lectures by Theodore E. Woodward, ’38 are available for viewing. Enrich your education by visiting the MAA website and registering today: www.medicalalumni.org.

• “Age-Related Hearing Loss, When Hearing Aids Are Not Enough” Ronna Hertzano, MD, PhD

Assistant Professor of Otorhinolaryngology, Division of General Internal Medicine University of Maryland School of Medicine Recent additions to the offerings☛ • “Affordable Care Act: Opportunities for Community Health Improvement” Marla Oros, RN President, Mosaic Group

[17] University of Maryland

By Rita M. Rooney

[Alumna P rofile] A Woman’s Place

When Elizabeth (Betsie) Hosick, ’66, entered the freshman class in 1962, she was one of seven women, and one of six at commencement four years Elizabeth C. Hosick, ’66 later. Stories of bias against women in medicine in those days are countless, but they aren’t likely to come from Hosick. An anesthesiologist who retired as chair of the Carle Clinic Association and medical director of the ambulatory surgery department of the Carle Foundation Hospital, Illinois, in 1998, she does acknowledge some difficulty in getting into medical school. “I sent applications throughout the country,” says the University of Iowa resident graduate. “I was put on a number of waiting lists, and of course I never knew why.” Hosick is a woman At one point, she was interviewed by a Maryland alum who was conducting interviews at the University of Chicago. After they talked he left the room, and she could hear him who clearly enjoyed dictate a glowing letter to the admissions committee at Maryland. Shortly thereafter, she got an acceptance letter. her medical career. She “I was thrilled and accepted immediately,” she says. “I never gave it a second thought. I remember thinking I wanted to be where I was wanted. And I have always been glad to talks of anesthesiology have made that choice.” Hosick doesn’t deny that the climate for women doctors was not what it is today. There as an environment that was a theory that women in medical schools were taking the place of men, and that they probably would leave medicine to raise a family at some point. However, once at Maryland, is congenial. She recalls she never felt any discrimination. “As long as a woman was compatible, did her work, and didn’t try to stick out as an that it was a popular oddball, she was fine,” she says. “If a woman acted like a jerk, she probably wasn’t accepted. But no less so than a male jerk.” specialization for women Commenting on changes in medical training then and now, Hosick refers to the limitations now imposed on the amount of consecutive time a resident can be on duty. in those days because it “No one cared how long we were on duty in those days,” she says. “If you were there all night long, that was just bad luck. But we were tough and didn’t complain.” provided a measure of Following an internship at Albany Medical Center and a residency at the University of Iowa Hospitals, Hosick completed a fellowship in anesthesiology at the Hospital of the stability that some other University of Pennsylvania where she conducted research studying the effect of anesthesia on the brain. fields did not. Acknowledging the research was significant at the time, Hosick typically underplays the importance of her role. “That was back in the 70s,” she says. “So much research in that area has followed that expands what we knew at that time.” Hosick is a woman who clearly enjoyed her medical career. She talks of anesthesiology as an environment that is congenial. She made her choice while completing a summer extern- ship in the field. She recalls that it was a popular specialization for women in those days because it provided a measure of stability that some other fields did not. There was never any other choice than medicine for Hosick. Her grandfather was a doctor, and she decided early in life that she would follow in his footsteps. It is significant that

Medicine Bulletin Spring 2014 [18]

Her gifts include the refurbishing of a lecture hall that today bears her name, plus a generous bequest providing scholarships for students. Her reason for this last is readily explained by her as an investment in the future of medicine. “Medical students today leave with debts of $250,000,” she says. “That’s a big burden to carry into a career that demands continuing education, and which faces many changes in the coming years. In addition, I’d like to think I have been helpful in Maryland’s ability to attract the brightest and best students.” Hosick says retirement was not a dif- he passed away when she was ficult choice for her. She only seven years old. Never- Her gifts include the refurbishing of a lecture hall enjoyed her entire career, theless, his life and career led although she admits being her to emulate him. He was a that today bears her name, plus a generous bequest a department chair was her surgeon who practiced at Rush least favorite part. She laughs Presbyterian Hospital at the providing scholarships for students. Her reason now, saying that, as chair, University of Chicago. Dur- for this last is readily explained by her as an one gets dumped on. It comes ing summers, he practiced in with the territory. the small farm community of investment in the future of medicine. “Some of my colleagues Frankfort, Michigan. After his have gone on to teaching, but death, the Frankfort hospital was named the Paul Oliver I decided I wanted to be free Memorial Hospital in his honor. for something new.” she says. That includes travel. She “Much of what I remember about him is what I was told has been to many of the most distant parts of the world, by others,” she says. “Each summer, he treated many people including Antarctica. “I wanted to see it before it melts.” in Frankfort who were unable to pay for medical care. Hosick spends five months of the year in Frankfort, He accepted chickens and fresh vegetables in place of his Michigan, the same town in which the local hospital bears traditional medical fees.” her grandfather’s name. She describes it as a wonderful A few years ago, Hosick attended a 60th anniversary of place inhabited by wonderful people. As a young girl, she the founding of the Paul Oliver Memorial Hospital, where spent her own summers there, and many of her old friends she watched her niece and nephew raise the American flag from that time have settled there following retirement. in honor of her grandfather. Hosick personifies a woman who continues to enjoy Through the years, Hosick has remained committed to life to the fullest. She looks back on a distinguished career Maryland and has demonstrated that commitment through in the field of her choice, a career that began at a time her generosity to various programs. Asked to explain, she when opportunities for women in medicine were limited. says simply, “I owe the school a great deal. If it hadn’t been She has the advantage of a vigorous sense of humor, and for the University of Maryland, I might never have been a benefits future doctors through her generosity. She is surely doctor.” a woman who found her place and lives it well.

[19] University of Maryland

By Rita M. Rooney

[Alumnus P rofile] A Legacy for Mentors

Michael E. Weinblatt, ’75, internationally regarded clinician and researcher, cemented his career choice while a third year medical student assisting the late Michael E. Weinblatt, ’75 Jean Jackson, MD, in the care of a rheumatology patient. He remembers Jackson as a dynamic teacher and outstanding clinician. No more so, however, than others who inspired him with the impact of teaching on a physician’s life. One of his most “We teach every day,” he says. “If I hadn’t had great mentors and teachers at Maryland, I wouldn’t be where I am today. So I consider teaching and mentoring a responsibility, part of significant initiatives what I owe to people like Drs. Ted Woodward and Frank Calia. It was their love of clinical medicine that encouraged me to pursue my own direction in medicine.” was the support of Weinblatt says Woodward was like a father to him, and that he was fortunate to be in the first class of residents under Calia at the Veterans Administration Hospital. It was international societies Calia who was instrumental in his choice of academic medicine and his decision to head to Boston for a clinical fellowship in rheumatology at the Robert B. Brigham Hospital. Today, aimed at the exchange Weinblatt is the John R. and Eileen K. Riedman Professor of Medicine at Harvard Medical School, a fellow in the Royal College of Physicians, and the recent inaugural R. Bruce and of knowledge. He Joan M. Mickey Distinguished Chair in Rheumatology at the Brigham Hospital. Within his specialty, it is systemic inflammatory disorders that became Weinblatt’s focus. established a cost- Rheumatoid arthritis (RA), affects younger more than older people. It destroys joints, and if not treated early and effectively, can shorten a person’s life by 10 to 15 years. Prior to free program at the the availability of current therapy, which Weinblatt pioneered, the disease, which targets women and has a genetic predisposition, led to severe disability within five years. American College of Weinblatt reports that until the mid-1980s, treatment of rheumatoid arthritis was limited. “We used drugs, such as gold injections and steroids, but most patients suffered a Rheumatology to share progression of the illness,” he says. “In fact, cures, such as they were, were left to surgeons performing joint replacement.” educational materials For many years, the drug, methotrexate, had been used in high doses to treat childhood leukemia, as well as to treat psoriasis with lower doses. While there were scattered reports with rheumatologists in of its use for rheumatoid arthritis patients, there was little enthusiasm among rheumatologists. However, Weinblatt was not one to turn a deaf ear to any therapy that helped control Africa, South America disease activity of RA. He wrote a formal protocol to study the effectiveness, if any, of the drug. The company that manufactured methotrexate, which was by then a generic drug, and the Pacific Rim fortunately had an interest in further study, and sponsored Weinblatt’s work. “I call it my grand slam,” Weinblatt says. “That was in 1982. It was the first trial I had long before widespread ever developed, and it was published in the New England Journal of Medicine in 1985. The drug was approved in 1988.” He adds that the study was considered a pivotal one for RA, internet access enabled and methotrexate has since become the standard of care for most patients suffering from rheumatoid arthritis. such exchanges. Methotrexate was a therapeutic windfall in reducing disease activity for RA patients, but Weinblatt was impatient for advances that might lead to remission. He became one

Medicine Bulletin Spring 2014 [20]

of the first to investigate the use The registry has already produced of drugs that are called biological 50 papers and has become an response modifiers. Among these enormous resource for research. molecules is a group that blocks It underlines as well another of an inflammatory mediator called Weinblatt’s priorities. As 2001 tumor necrosis factor (TNF). president of the American College Primarily interested in combining of Rheumatology (ACR), one of his these drugs with methotrexate, he most significant initiatives was the became involved in a development support of international societies program with inhibitors of TNF. aimed at the exchange of knowledge. As it turns out, this research has He established a cost-free program led to remarkable results. at the ACR to share educational “If a patient walks into a materials with rheumatologists in rheumatologist’s office today with Africa, South America and the new onset RA, there is more than Pacific Rim long before widespread a 75 percent chance of remission internet access enabled such or low disease activity with Methotrexate was a therapeutic windfall exchanges. methotrexate combined with one Weinblatt’s time is divided equally of these biologics,” Weinblatt says. in reducing disease activity for between research and clinical care. The words “early onset” are He has a practice in rheumatology key. He says one of the biggest RA patients, but Weinblatt was primarily through referrals from challenges facing rheumatologists impatient for advances that might lead rheumatologists and other physicians today is early referral. Because in the northeast United States, and blood tests may not be positive in to remission. He became one of the has a large national and international the early stages, a diagnosis may first to investigate the use of drugs that are practice as well. not be made. Often, warning signs Among numerous awards, he of discomfort or stiffness in joints called biological response modifiers. received the American College are ignored. of Rheumatology Distinguished Weinblatt’s research continues Clinical Investigator Award, the with investigation of other drugs that may be effective in Carol Nachman Award for Rheumatology (Germany), and treating RA. In addition, he is co-principal investigator the Virginia P. Engalitcheff Award for Impact on Quality of of a large registry housed at the Brigham that follows Life, National Arthritis Foundation (shared with colleagues the course of RA and serves as a biomarker and clinical for their work in methotrexate research). information repository. Established in 2001, the Brigham Weinblatt is an avid cyclist who, with a group of friends, Rheumatoid Arthritis Sequential Study (BRASS) has has twice traveled across the United States in a point-to- enrolled more than 1400 patients. point bike ride of about 10 days per segment. After the first He explains, “The registry was established to follow year, the group picked up each year from the place where patients long-term and collect annual samples; so that they previously ended. The first trip, from Oregon to Boston physicians around the world can access the data base for took five years. The second, from Yorktown, Virginia, to additional studies. As there are more advances in genetics Oregon took seven. As he reports, “It’s a great way to see and biomarker development, we will have samples with the country.” well-defined clinical information.”

[21] University of Maryland advancement

Supporting Scholarships: Transforming Dreams into Reality

n today’s dynamic healthcare envi- year, graduates crossed the stage with than our peer schools, many of which ronment, the need has never been an average debt load of $152,626. are able to offer better financial aid greater for attracting the best and More than one-third of these students packages and incentives, potentially brightest students to careers in medi- already carry a pre-medical education luring away many quality applicants. I cine. Breakthroughs occur every day debt of upwards of $24,000. Private philanthropy is the only way in established and emerging areas of The impact of such a large financial we can bridge this gap and increase medicine. Such innovations raise the burden can be devastating. Some quali- scholarship awards. bar for today’s physicians and re- fied students are forced to abandon a In an effort to attract new scholar- searchers and create demand for more career in medicine. Others must choose ship gifts, a matching gift program was talented and skilled professionals. a higher-paying specialty instead of formally launched in December 2013. In fact, the future of medicine is pursuing their passion. Therefore, For the next two years, the University dependent upon the ability of medical to attract premier students of all of Maryland Baltimore Foundation, schools to attract the most passion- backgrounds and ensure that today’s Inc., will match 1:2 (fifty cents for ate, gifted students. However, many medical education is not limited only each dollar) any gift to establish a new factors contribute to a student’s ability to those who can afford it, it is vital to endowed scholarship fund. The medi- to earn a medical degree, including the offer scholarship support. cal school is seeking contributions of capability to pay for an education that In 2013, the school of medicine $66,666, which would be matched to is continually rising in cost. disbursed more than $1.1 million to create a $100,000 fund. Tuition at Maryland is currently deserving students in the form of both If you are interested in creating more than $29,000 for Maryland merit and need-based scholarships a scholarship fund in your name or residents and more than $54,000 for and awards. However, in light of the in honor of someone and would like non-resident students. increasing costs of a medical education, to learn more about the matching Many students must obtain bank it is simply not enough. gift program, please contact Brian loans and leave medical school with The school’s endowment, though DeFilippis at 410.706.8503 or enormous debt. At Maryland last significant, is on average much lower [email protected].

Honoring Five Generations

The Knipp family’s history at Maryland began with Harry E. Knipp, class of 1887, who, after graduation, embarked on a general medical practice in Baltimore. His son, George A. Knipp, ’23, later joined him in practice, followed by grandson, Harry L. Knipp, ’51. Great-grandson, Harry C. Knipp, ’76, practiced diagnostic radiology in both Carroll County and the greater Baltimore area while also becoming active in medical li- censure and discipline, administrative, and organized medicine. All together, the family has cared for the people of Maryland for a combined 164 years. Senior Knipp’s 50th reunion in 2001: The late Harry L. Knipp, ’51 (his wife Barbara) David E. Knipp ’14, will follow in his father’s footsteps, en- and Harry C. Knipp, ’76 with wife Nora tering training in diagnostic radiology after graduation, with the was such a positive one, that it seemed only natural to continue with intent of a career in academic medicine. Recently, Harry made yet another endowment. Even with all of the challenges facing physi- a gift commitment to support a new scholarship endowment in cians today, I have yet to meet a medical student on our campus who celebration of his son’s upcoming graduation and in honor of was not intelligent, engaged and enthusiastic about the school and the family’s five Maryland generations. a career in medicine. To think that in some way these endowments “Two years ago, when my wife and I wanted to honor the memo- may assist and encourage one of these fine young physicians-in- ry of my maternal grandfather, who had been such a help to me early training could not be more uplifting.” in my career, and who prized education so highly, we decided to fund ~Harry C. Knipp, ’76 a scholarship in his name, and that of my mother. The experience Campaign Co-Chair Transforming Medicine Beyond Imagination

Medicine Bulletin Spring 2014 [22]

Managing wealth Eight Financial Tips for the New Year*

esolutions for the New Year often include getting 7. Review your insurance—the one’s personal finances in order. The following sug- disability, life and long-term care gestions should be of help: coverage that you maintain should 1. Pay yourself first—set a savings goal and be reviewed annually to determine implement your strategy by using regular, automatic whether your protection needs are deposits or investments into the account. If you par- still being met. At younger ages, the R ticipate in an employer sponsored qualified retire- probability of having an unexpected This column is prepared by Ken ment plan, such as a 401(k) or 403(b), try to contribute at debilitating event is greater than Pittman, CFP®, a senior vice least the amount needed to obtain the full company match. dying prematurely. You should also president and senior wealth 2. Create a budget—it is difficult to set goals for sav- review your property and casualty cov- planner at PNC Wealth Management. Pittman ing without understanding where your money is being erage (ex: homeowners, automobile, provides wealth planning spent. Track your expenditures and differentiate between etc.) and in certain situations, you may services and can be reached at your wants and needs. Reducing overspending on minor want to consider using an umbrella 410.626.2104 or at expenses, such as a daily latte, can have a big impact on protection policy. [email protected] your finances. 8. Review your tax plan—tax laws change periodically 3. Pay down credit card debt—credit card debt is most and it is important to know how such changes will likely likely the highest interest rate debt that you have, and if impact your financial situation. A qualified tax advisor you have been paying only the minimum amount, set a should be able to help you understand how these laws will goal to pay down more of the principal each month. Your affect you. ultimate objective should be to charge no more than you If you need further help with these matters or if you need can pay off each month. additional assistance for planning for a specific objective, 4. Prepare a personal net worth statement—a net worth such as preparing for retirement, you would be well served statement is a list of all of your assets (ex: home, bank by seeking guidance from qualified wealth planning accounts, investments, etc.) and all of your debts (ex: professionals. mortgage, credit cards, car loans, etc.). Compiling this *This column includes excerpts from the PNC Bank article entitled “Eight information is a simple exercise that can help you focus on Financial Tips for the New Year,” as prepared with comments from Joseph your financial goals. Jennings, CFA and Investment Director for PNC Wealth Management, in 5. Review your estate planning documents—documents January 2014. that everyone usually needs include a will, a durable power The PNC Financial Services Group, Inc. (“PNC”) uses the names PNC Wealth Management®, Hawthorn, PNC Family Wealth® and PNC Institutional Investments® to provide investment and of attorney and a living will (an advance directive). If you wealth management, fiduciary services, FDIC-insured banking products and services and lending of funds through its subsidiary, PNC Bank, National Association, which is a Member FDIC, and uses have minor children, a will is necessary for naming a guard- the names PNC Wealth Management® and Hawthorn, PNC Family Wealth® to provide certain ian in the event of your death. These documents should be fiduciary and agency services through its subsidiary, PNC Delaware Trust Company. “PNC Wealth Management,” “Hawthorn, PNC Family Wealth” and “PNC Institutional regularly reviewed (generally every three years) and modi- Investments” are registered trademarks of The PNC Financial Services Group, Inc. fied as needed. Your closest family members should know This report is furnished for the use of PNC and its clients and does not constitute the provision of investment, legal or tax advice to any person. It is not prepared with respect to the specific in- where the documents are in case of an emergency, and vestment objectives, financial situation or particular needs of any specific person. Use of this report is dependent upon the judgment and analysis applied by duly authorized investment personnel who it may be appropriate to review the material with family consider a client’s individual account circumstances. Persons reading this report should consult with their PNC account representative regarding the appropriateness of investing in any securities or members, especially those individuals that are designated adopting any investment strategies discussed or recommended in this report and should understand with specific responsibilities (ex: executor, trustee, guard- that statements regarding future prospects may not be realized. The information contained in this report was obtained from sources deemed reliable. Such information is not guaranteed as to its ian, etc.). accuracy, timeliness or completeness by PNC. The information contained in this report and the opinions expressed herein are subject to change without notice. PNC does not provide legal, tax or 6. Rebalance your investment portfolio—the asset accounting advice. Past performance is no guarantee of future results. Neither the information in allocation strategy that you employ in your investment this report nor any opinion expressed herein constitutes an offer to buy or sell, nor a recommenda- tion to buy or sell, any security or financial instrument. Accounts managed by PNC and its affiliates portfolio should be aligned with your financial goals. Over may take positions from time to time in securities recommended and followed by PNC affiliates. Securities are not bank deposits, nor are they backed or guaranteed by PNC or any of its affili- time, certain asset classes (ex: stocks, bonds, cash equiva- ates, and are not issued by, insured by, guaranteed by, or obligations of the FDIC, or the Federal lents, etc.) may have performed better than others, and Reserve Board. Securities involve investment risks, including possible loss of principal. To ensure compliance with Internal Revenue Service Circular 230, we inform you that any your portfolio, should be rebalanced (re-aligned) back to U.S. Federal Tax advice contained in this communication is not intended or written to be used, and cannot be used, for the purpose of (1) avoiding penalties under the Internal Revenue Code or (2) your target allocation. promoting, marketing or recommending to any person any tax-related matter(s) addressed herein.

[23] University of Maryland 80 Years Ago

In 1934, patients in the old hospital building located on the southwest 145 Years Ago corner of Greene & Lombard 45 Years Ago Streets (site of the original 1823 Baltimore Infirmary) were transferred In 1869, Dr. Julian J. Chisholm was to a new building across Lombard In 1969, Jonas R. Rappeport, class named dean and served until 1874. Street—the first hospital building of 1952, a forensic psychiatrist, was He was professor of surgery at the underwritten by the State of founder and first president of the Medical College of South Carolina Maryland. American Academy of Psychiatry from 1858 to 1868. During the Civil and the Law. He also served as the War, he treated the first wounded academy’s medical director from soldiers at Fort Sumter. 1981 to 1995. Rappeport testified Chisholm would later serve in several high-profile criminal as president of nearly every cases involving John Hinkley (who national and international shot President Reagan), Sara Jane ophthalmological society of Moore (who shot at President his day. Ford), and Arthur Bremer (who shot Alabama Gov. George Wallace).

A look back at America’s fifth oldest medical school and its illustrious alumni

Medicine Bulletin Spring 2014 [24 ]

activities Students Represent School on Legislative Day in Annapolis

can, so they stay in Maryland,” said second-year can be on the student Rupal Jain. cutting edge Financial support from Annapo- in the delivery lis for new research facilities, such of medicine in as Health Science Facility III, has Maryland.” enabled the school to find some- In face-to- where to put the state-of-the-art face meetings equipment and laboratories needed with lawmak- to train our students to stay on that ers from their cutting edge. The students thanked home coun- the legislators for supporting these ties, students capital improvements and expressed conveyed the their hope that they would continue importance this funding. of loan as- The delegation also urged law- Faculty and students at the State’s capital sistance and makers to continue the Cigarette scholarship support. The average Restitution Fund Program, which ore than 40 medical students and medical school debt for our graduates helps support cancer research and faculty joined the medical school dean is almost $170,000, which is above programs at the medical center that and president of the University of the national average. Loan repay- provide free health screenings for Maryland Baltimore in Annapolis on ment programs in Maryland would those who would not otherwise be M January 24 to speak with members of not only assist students with this able to afford them. These screen- the general assembly about issues of debt, but also keep these new doctors ings have helped to dramatically importance to the medical school. in the state when they begin to prac- reduce cancer deaths in Maryland Senate president Mike Miller, house tice medicine. “I am really thankful over the last decade. “I am going speaker Michael Busch, and senator to be here, because no one before has into primary care, and I think this Thomas “Mac” Middleton, chair of the made me feel that I could be an asset is such an important part of what finance committee, all came to speak to my state and especially my county; we do, being advocates for our with the students over breakfast. so it was really great to hear Senator patients and our communities,” Speaker Busch also spoke of the Thomas (Mac) Middleton say how said Beatrice Digen, a fourth-year importance of keeping the state’s crucial it was for students like us to student. talent in Maryland. “They talk about how tough it is to get into medical school—it should be tough!” he said. MAA Sponsors Two Class Events “We want the best and the brightest to The annual MAA Bull & Oyster Roast was staged on December 5 for mem- be here. You students sitting here are bers of the third year class. About 80 students and 20 faculty turned out for the top percent of talent in medicine the event at the MSTF Atrium. And about as many second- today, and we hope you stay here in years turned out for an evening reception on January 30, held Maryland. Our goal is to have the best at Alewife near the Hippodrome Theater. Both medical delivery system in the nation. events were underwritten by Carolyn Frenkil, a I believe we’re already there, but we member of the medical school’s board of visi- can always get better.” he admitted. tors. They are designed to encourage social “We want the students at the Univer- interaction among classmates. sity of Maryland School of Medicine to get the best training they possibly Participants at the second-year event included Cecile Karsenty, Elaine Bigelow and Michelle Ho

[25] University of Maryland classnotes

1949: Meredith P. Smith York last October. 1966: Thomas M. of her next book Who’s Your Higher Power? 1940s of Medina, Wash., reports that Hill of West Hartford, Conn., continues Finding a God of Your Own Understanding. his golf handicap has deteriorated and is practicing psychiatry part-time and is a Obrecht is a fellow of the American Society up to 19. consultant to the Social Security disability of Addiction Medicine. 1975: Robert J. programs. He and wife Gail spend summers Beach of Mays Landing, N.J., retired from 1950: Harry Bleecker at their second home in Lake Champlain full-time practice of anatomic & clinical 1950s of San Pedro, Calif., hopes near five of their children and six of their pathology at Shore Medical Center where to see classmates at reunion in 2015. grandchildren, while the others live in the he served since 1980. His body of work 1951: Benjamin D. Gordon reports Boston area. Hill is the only Yankee fan in a was recognized by having the medical that he’ll be moving to Rockville, Md., as family of Red Six rooters. v John E. Steers center’s oncology practice guidelines soon as he sells his home in Yarmouth of Westminster, Md., reports that son John, conference—held every two months— Port, Mass. 1954: Kathleen C. Buetow ’88, is a general surgeon and member named in his honor. v Stephen H. Pollock of Champaign, Ill., continues working full of the Carroll County Hospital Board of of Reisterstown, Md., reports that son time in pediatric child abuse medicine and Directors. 1968: Stuart Lessans of Jeremy, ’11, will begin a cardiology fellow- medical school education since she enjoys Rockville, Md., reports that twins Faye and ship at Maryland in July. 1977: Katherine all these activities. v Robert Ellis of Fort Matthew celebrated their B’nai Mitzvah on C. White of Rockville, Md., reports that Collins, Colo., retired from ECG interpreta- November 2, 2013, and plan to celebrate after decades of keeping a journal she tion at the end of February, reporting that this milestone again this summer in Israel. has begun writing in earnest. Thanks to a it had become too exhausting. 1959: 30-year medical career she’s not worried Robert J. Dawson of Cumberland, Md., 1970: George C. Samaras about having to make a career by writ- plans to retire this summer after 50 years 1970s of Annapolis, Md., recently ing. She also reports the December 2013 in practice at the Children’s Medical exchanged clinical practice for chair of the marriage of her daughter to her same-sex Group. department of medicine at Anne Arundel partner. 1979: Bruce B. Behounek Medical Center. He and wife Cathy have of Yardley, Pa., is a senior clinician and 1963: Edward C. Werner seven grandchildren under the age of four, global clinical leader for cardiopulmonary 1960s of Washington, D.C., thinks and they recently celebrated his 70th disease at Pfizer. His two sons, Matthew the 50th reunion last spring was spec- birthday in Greece with family and friends. and Christopher, have graduated from the tacular. He keeps in touch with Chris 1971: Terry P. Detrich of Easton, Md., University of Delaware School of Business Tountas on a fairly regular basis, and he is president of the Southern Neurological with degrees in finance.v Jan M. Hoffman wishes all classmates a Happy New Year. Medical Society. 1972: Elizabeth R. relocated to Wichita, Kans., and started 1964: Miriam L. Cohen of Baltimore Brown of Silver Lake, N.H. reports that Newton Diabetes and Endocrinology continues to practice cardiology as part of husband William J. Pyne passed away Specialists. He was voted into Best Doctors Union Memorial Heart Specialist. v Edgar on December 27, 2012. v Gregory A. again for 2014. V. McGinley of Fernandina Beach, Fla., Mitchell of Annapolis, Md., is president is hoping to see old friends—classmates of the American Society of Hypertension 1980: Catherine Crute of Baker, Kelly, Wood, Hartman, Michaelis, Mid-Atlantic Chapter. v H. Hershey Sollod 1980s Portland, Maine, practices Glass, Tuerk, Lee, Ashman, Luddy and of Denver continues practicing psychiatry, solo family medicine and teaches students Schmitter at reunion this spring. v Eric has three adult daughters and five adorable and residents. v Milford M. “Mickey” Dean Schmitter of Santa Monica, Calif., grandchildren, and enjoys skiing and hiking Foxwell Jr., of Cambridge, Md., is complet- in retirement, is a pro bono orthopaedic in the mountains. 1973: Greg Elliott of ing his 25th year as associate dean of consultant doing outpatient surgery for Salt Lake City received the 2013 lifetime admissions at Maryland. He has enjoyed the Venice Family Clinic, a west-side LA achievement awarded by Utah Business talking with alumni who have called with non-government free clinic. He is also a for contributions to the field of medicine. questions about the admissions process. v federal orthopaedic expert witness for the He is chairman of the department of Roy T. and Victoria W. Smoot of Lezella, Social Security Administration. Schmitter medicine for the Intermountain Medical Ga., report that Roy has decided to retire plans to attend the 50th reunion in May. Center and professor of medicine at the from full-time work, following Vicky’s v Richard G. Shugarman of West Palm University of Utah School of Medicine. similar decision three years ago. They will Beach, Fla., received a faculty appoint- 1974: Richard A. Block of Rancho continue living in the Macon area because ment to the Florida International University Santa Fe, Calif., recently retired from Kaiser of the more favorable weather. Roy plans Medical School and interviews prospective Permanente in San Diego where he spent to work part time as a physician-surveyor students. 1965: Terren M. Himelfarb 31 years as a perinatologist caring for with The Joint Commission International, and wife Ellen of Baltimore announce that high-risk pregnancies. v Dawn V. Obrecht surveying hospitals and health systems their fourth grandchild was born in New of Petersburg, Va., announces the release around the world. They have two grand-

Medicine Bulletin Spring 2014 [26]

children. 1982: Darryl B. Kurland of 26 years old, has relocated to Princeton, N.J., conducts infectious-disease San Diego to work for a small research at Janssen R&D, where wife Caryn start-up company specializing works in neuroscience. They report that in cyber security. 1999: Lisa son Jason, age 31, is teaching and practic- Brennan is medical director ing nephrology in central Massachusetts, for the Tampa Bay (Fla.) region of After Hours Pediatric. She is  Are you a physician in the University of Maryland while son Brian, age 28, earned his MBA medical community? and works at a dialysis equipment manu- a diplomate with the American Board of Integrative Holistic  Would you be interested in hosting an event to meet facturer in the northeast part of the state. and share your experiences with medical students, and v Jennifer S. Tseng of Lafayette, Colo., Medicine. Brennan and hus- even potentially serve as a mentor? is a regional medical officer with the U.S. band Bryan make their home

Department of State, posted to Embassy in Parrish. LinkMD serves to create Khartoum. Her region includes embassies in Eritrea, Chad, Ethiopia and Djibouti. 2005: Chris professional networking opportunities for Next year she will move to Ankara, Turkey, 2000s Grybauskas first and second year medical students and be responsible for a larger region. She and wife Lily of Redondo with residents, faculty, and alumni of UMD in adds that daughter Caroline is an artist Beach, Calif., welcomed casual, out-of-classroom encounters. in Brooklyn, and son Evan is to graduate Gavin Christopher, their Events vary from dinner, mini-golf, watching first, on November 2, 2013. from Claremont McKenna College this year. the big game, or another activity of 1987: D. V. Woytowitz of Wexford, Pa., is Though born on his birthday, in his third year as a faculty member at the Grybauskas reports that the your preference! University of Pittsburgh focusing primarily child has his mother’s good as a senior hematologist. He reports that looks and temperament. For more information or to set up an event, please e-mail his family is well. 1989: Elizabeth Lee 2006: Andrea Cuniff is in the LinkMD team at [email protected] or Herrera of Houston is a cardiovascular private practice with Maryland visit our website at linkmdblog.wordpress.com anesthesiologist at Houston Methodist Primary Care Physicians in DeBakey Heart & Vascular Center. She has Annapolis, Md., her home- two daughters, Alexandra, age 12, and town, where she lives with of Landover, Md., returned to Maryland for a Arielle, age 11. husband Justin and sons Jackson, age four, faculty position in family medicine. and Bennett, age two. 2008: Amy R. 1992: Elizabeth Alice Andrus of Washington, D.C., is with Capital 2011: Samuel Livingston II 1990s Scarito of White Hall, Md., Womens Care in Rockville, Maryland, fol- 2010s of Jacksonville, Fla., is complet- reports that her private internal medicine lowing completion of OB/GYN residency ing a third-year of a family medicine residency practice in York, Pa., is now limited to training at MedStar Washington Hospital as chief resident. He expects to be deployed outpatient care and includes nursing home Center. She has two daughters, ages five to Guam for full-scope inpatient and outpa- residents. She adds that son Michael, now and three. 2009: Kristin Powell Reavis tient family medicine shortly thereafter.

part-time employees, as well as general office expenses to maintain Our Medical Alumni Association the alumni data base, produce the quarterly Bulletin magazine, stage Mission: The Medical Alumni Association of the University of social events for alumni and students, administer a revolving student Maryland, Inc., in continuous operation since 1875, is an indepen- loan fund, and oversee conservation of Davidge Hall and maintain its dent charitable organization dedicated to supporting the University museum. of Maryland School of Medicine and Davidge Hall. Annual Fund: The association administers the annual fund on behalf Board Structure: The MAA is governed by a board consisting of of the medical school. Gift revenues support student loans and five officers and nine board members. Each year more than 100 scholarships, lectureships, professorships, capital projects—includ- alumni participate on its seven standing committees and special ing Davidge Hall conservation—plus direct support to departments anniversary class reunion committees. for special projects and support to the dean. Membership: Annual dues are $85. Dues are complimentary the The Morton M. Krieger, MD, Medical Alumni Center is located first four years after graduation and can be extended until the on the second floor of Davidge Hall, 522 W. Lombard Street, graduate has completed training. Dues are waived for members Baltimore, MD, 21201-1636, telephone 410.706.7454, fax reaching their 50th graduation anniversary or have turned 70 410.706.3658, website www.medicalalumni.org, and email years of age. Revenues support salaries for two full-time and five [email protected]

[27] University of Maryland 2014 Planned Giving Ad - FA.pdf 1 1/30/14 2:32 PM

What will your legacy be?

“When an institution has made a dierence in your life, allowed you to do the work you love, then supporting the ongoing work of that medical C school is a wonderful way to give back.” M

Y Barbara Burch Fleming, PhD, MD ’86

CM and Jim Fleming, PhD

CMY Inspired by her University of Maryland School of Medicine education, Dr. Barbara Burch Fleming and

K her husband, Dr. Jim Fleming, decided to make a legacy gift. Their bequest for the Frank M. Calia, MD, Professorship in Medicine will beneﬁt future generations.

How will you inspire others with your legacy?

Legacy gifts to the University of Maryland For more information about bequests, gifts that pay Baltimore Foundation cost nothing up front. income for life, and other innovative ways to support the University of Maryland School of Medicine please visit: Your gift is customizable and adaptable to www.umaryland.planyourlegacy.org changing ﬁnancial situations. Or contact: Your gift can: Tom Hofstetter, JD, LLM • build an endowment; AVP, Senior Director of Planned Giving University of Maryland, Baltimore • support faculty; 1-877-706-4406 • advance research; *PLEASE NOTE: Legacy gifts should be made payable to • provide scholarships; the University of Maryland Baltimore Foundation, Inc., for the beneﬁt of the University of Maryland School of Medicine. • support the School of Medicine’s other critical needs.

Whatever form your legacy gift takes, you will ﬁnd it very gratifying to support the School of Medicine. 2014 Planned Giving Ad - FA.pdf 1 1/30/14 2:32 PM

Memorial gifts are warmly received by: What will your Medical Alumni Association of the in memoriam University of Maryland, I nc. legacy be? 522 West Lombard Street Baltimore, Maryland, 21201-1636, J. Roy Guyther, 43D daughters, one son, five grandchildren, four or for more information simply call Family Practice great-grandchildren and companion Helen 410.706.7454. Mechanicsville, Md. Counsell. December 18, 2013 Asher Friedman, ’47 Mercy Hospital was the site of Dr. Dermatology Guyther’s rotating internship and residency Norfolk, Va. training. In 1946, he entered the U.S. Army the rank of full colonel. He received the December 7, 2013 Medical Corp, serving for two years at Legion of Merit Award upon retirement Moore General Hospital in North Carolina Sinai Hospital in Baltimore was the site from the Air Force in 1973. Thompson and at Fort Meade in Maryland. Guyther of Dr. Friedman’s internship, followed earned a master’s degree in public health opened his practice of general medicine by residency training at Kings County from Johns Hopkins. He retired in 1985 and in Mechanicsville in 1948 and served on Hospital in Brooklyn and a program at for several years volunteered at an adult the faculty at Maryland, retiring in 1990. Skin and Cancer Hospital in New York day care weight-loss clinic in San Clemente “When an institution has made a In 1979, he was selected by the American City. He spent two years in the U.S. Army and with the Kiwanis Club. Survivors Academy of Family Physicians as the family as chief dermatologist in the Korean War. include wife Jacqueline. dierence in your life, allowed you to doctor of the year and was honored at the Upon discharge he moved to Norfolk, David M. Kipnis, ’51 White House. He was a frequent volunteer Va., to open a private practice and serve Internal Medicine/Endocrinology & do the work you love, then supporting during the Medical Alumni Association as director of dermatology at Lake Taylor Metabolism phonothon in Davidge Hall, and in 1984 Hospital. Friedman was also active at the the ongoing work of that medical Clayton, Mo. received the Association’s Honor Award & Venereal Disease Clinic of Norfolk and February 5, 2014 C school is a wonderful way to give back.” Gold Key, presented for outstanding service served on the staffs at Bon Secours DePaul M to medicine and distinguished service and Sentara Norfolk General Hospital. Upon graduation, Dr. Kipnis interned at to mankind. In retirement Guyther wrote After retirement in 1994, he audited classes Johns Hopkins University and received Y Barbara Burch Fleming, PhD, MD ’86 nine books, mainly about local history on at Old Dominion University where he residency training at Duke University. CM and Jim Fleming, PhD Maryland’s eastern shore. The most recent established a scholarship in Jewish studies. He then pursued an American College MY publication, Bits and Pieces-Reflections Friedman played singles tennis, competing of Research Fellowship at Washington until the age of 87. Survivors include wife CY at Age 93, was released last year. He University School of Medicine in St. Louis was preceded in death by wife Elizabeth Ellyn-Mae, one son, one daughter and six and remained on the faculty his entire CMY Inspired by her University of Maryland School of Medicine education, Dr. Barbara Burch Fleming and and is survived by two children, four grandchildren. career. Appointments included professor K grandchildren and six great-grandchildren. of molecular biology/pharmacology and her husband, Dr. Jim Fleming, decided to make a legacy gift. Their bequest for the Frank M. Calia, MD, Joseph S. Schapiro, ’47 distinguished university professor of Professorship in Medicine will benefit future generations. Allen J. O’Neill, ’45 Pediatrics medicine. For two decades he led the Cardiology & Internal Medicine Chicago department of medicine and founded December 14, 2013 How will you inspire others with your legacy? Earlysville, Va. and led the clinical research center. His January 13, 2014 Dr. Schapiro practiced pediatrics in the relationship with Monsanto Co., beginning south shore of Chicago for more than 50 in the 1980s brought millions of dollars to Legacy gifts to the University of Maryland For more information about bequests, gifts that pay Upon graduation Dr. O’Neill served as a physician in the U.S. Army. Upon years. He was preceded in death by wife the institution. His research focused on income for life, and other innovative ways to support the Baltimore Foundation cost nothing up front. completion of his military obligation, he Raya and is survived by two children. metabolism, and one of his discoveries University of Maryland School of Medicine please visit: Your gift is customizable and adaptable to received additional training at Harvard and was his description of the incretin www.umaryland.planyourlegacy.org Johns Hopkins Universities. From 1952 William W. Thompson, ’50 effect. In 1988, Kipnis was recipient changing financial situations. until retirement in 1987, O’Neill practiced Aerospace Medicine of the Medical Alumni Association Or contact: San Clemente, Calif. Honor Award & Gold Key, presented for Your gift can: privately in Bethesda, Md., specializing Tom Hofstetter, JD, LLM in cardiology, internal medicine and as a August 22, 2013 outstanding contributions to medicine and • build an endowment; AVP, Senior Director of Planned Giving general practitioner. He served as chief Milwaukee County Hospital was the site distinguished service to mankind. He is survived by two daughters, one son, eight University of Maryland, Baltimore of staff at Suburban Hospital and was of Dr. Thompson’s internship, followed by • support faculty; grandchildren and two great-grandchildren. 1-877-706-4406 elected president of the Montgomery three years of aerospace medicine training County Medical Society. He retired to at Langley Air Force Base, Virginia, where he Kipnis was preceded in death by wife Paula. • advance research; Earlysville, Va., in 1991. Interests included regained pilot status. Thompson became *PLEASE NOTE: Legacy gifts should be made payable to Henry D. Perry Jr., ’51 piano, photography, tennis, sailing and chief of aerospace medicine for the • provide scholarships; the University of Maryland Baltimore Foundation, Inc., for Obstetrics & Gynecology the benefit of the University of Maryland School of Medicine. hiking. O’Neill was preceded in death Strategic Air Command of the U.S Air Force Plantation, Fla. by wife Mary Alta and is survived by two in the Surgeon General’s Office, rising to • support the School of Medicine’s December 18, 2013 other critical needs.

Whatever form your legacy gift takes, you will ﬁnd it very gratifying to support the School of Medicine. [29] University of Maryland in memoriam

Dr. Perry’s internal medicine residency was an avid supporter of Indiana basketball Dr. Cohen was a flight surgeon in the interrupted when he was called to serve in and Notre Dame football. Survivors U.S. Air Force after medical school and the U.S. Army during the Korean War from include wife Joan, four children, and eight completed training in internal medicine 1953 to 1954. Assigned to battalion aide grandchildren. at Boston City Hospital and Peter Bent stations, he was later awarded the bronze Brigham Hospital. He moved to the star. After military service, Perry completed Timothy D. Baker, ’52 Netherlands in 1966 to continue research training in OB/GYN and in 1959 established International Health & Public Health on phospholipid biochemistry. He returned a private practice in Hollywood, Fla. Cockeysville, Md. to America in 1969, continuing his Appointments included chief of staff and December 17, 2013 research at the school of public health at chief of OB/GYN at Hollywood Memorial Two years after medical school graduation, Harvard University and practicing medicine Hospital. He retired in 1993. Perry was Dr. Baker received a master’s degree which continued into his 70s. Survivors an 1807 Circle member of the John Beale in public health from Johns Hopkins include wife Joan, five children and 13 Davidge Alliance, the medical school’s University. He interned at Maryland and grandchildren. society for major donors. He was active received residency training at the New in the Kiwanis Club, Memorial Hospital York Department of Public Health. After Richard E. Schindler, ’53 Foundation and YMCA. He enjoyed golf, serving briefly as a district health officer General Surgery & Family Practice fishing, hunting and travel. Perry was in New York, Baker traveled to India Fulton, Md. preceded in death by wife Margarette and Ceylon as an assistant chief of the December 28, 2013 and is survived by one daughter, two health division for the U.S. Agency for After a general rotating internship, Dr. sons, five grandchildren and three great- International Development to persuade the Schindler received residency training grandchildren. Indian government to increase spending at Mercy Hospital in Baltimore and on the malaria eradication campaign. In Washington Hospital Center in Washington, John T. Scully, ’51 1959, he was named assistant dean of the D.C. Later he received fellowship training at Internal Medicine Johns Hopkins School of Public Health the American Academy of Family Practice, Valparaiso, Ind. and associate professor of public health and until 1998 served there as director November 19, 2013 administration where he later co-founded of the family practice residency program Dr. Scully served in the U.S. Army the world’s first academic department of for the midwest. Schindler served on the during World War II as a lieutenant in international health and established the staffs at Memorial Hospital and Sacred the medical administrative corps and general preventive medicine residency Heart Hospital. He played saxophone and attended medical school on the GI Bill. program. He later served as founding percussion for the Goldenaires Orchestra Upon graduation he received training director for the school’s Hubert H. doing mostly community service. Preceded at Youngstown Hospital Association in Humphrey Fellowship Program training in death by wife Miriam, Schindler is Ohio where he served as chief resident. foreign health professionals. Over his survived by two daughters, one son and Scully practiced in northwest Indiana for career, Baker served as health consultant three grandchildren. nearly five decades and was founding to four state governments and 24 national partner at Internal Medicine Associates. governments covering five continents. In Robert T. Adkins, ’56 He held appointments at St. Mary’s 1993, he received a lifetime achievement Emergency Medicine Hospital including chair of the department award from the American Public Health Ocean City, Md. of medicine, chief of the medical staff, Association. Baker was a member of the October 16, 2013 director of the cardio-diagnostics division, John Beale Davidge Alliance, Maryland’s After an internship at Mercy Hospital, chair of the institutional review board, society for major donors to the medical Dr. Adkins served as a post physician in and chair of the critical care committee. school. He was a rock collector who the U.S. Army Medical Corps stationed in Upon his retirement, the hospital named fashioned the minerals he found into Indiantown Gap, Pa. Afterwards he set up its intensive care unit “The John T. Scully jewelry. He also enjoyed downhill skiing, a family practice in Fruitland, and in 1968 ICU” where he had served as medical hang gliding and surfing. Survivors include joined Peninsula General Hospital in the director for 27 years. He was on the wife Susan, two sons, one daughter and accident ward, which later became the faculty at the medical school of Indiana two grandchildren. emergency room. His joint corporation, University Northwest and served on the Phin Cohen, ’52 established with colleagues, is known staffs of other local hospitals. Scully was Internal Medicine & Public Health today as Emergency Service Associates, a member of the Elm Society of the John Boston serving Peninsula Regional Medical Center, Beale Davidge Alliance, Maryland’s society January 31, 2013 Atlantic General Hospital and McCready for major donors. He enjoyed golf and was Memorial Hospital for trauma, cardiac,

Medicine Bulletin Spring 2014 [30] in memoriam

adult and pediatric emergencies. Adkins 1990. He enjoyed hunting, fishing, skiing 11 states. He also spent time developing was also active in the development of the and golf. Survivors include wife Zoa Ann, senior care housing and communities, local emergency medical service system three children and seven grandchildren. and in 2011 joined the adjunct faculty at for the eastern shore. Upon retirement Lenoir-Rhyne University Snipes School in 1994, Peninsula Regional changed its Joseph O. Dean, ’57 of Business. He enjoyed woodworking, emergency room facility to The Robert Pathology reading and gardening. Survivors include T. Adkins, M.D., Emergency/Trauma Rhinelander, Wis. wife Martha, two daughters, one son and Center. He was involved in numerous June 12, 2013 eight grandchildren. organizations and was a 33rd Degree Upon graduation, Dr. Dean was Scottish Rite Mason. Survivors include commissioned as an officer in the U.S. James C. Bulger, ’61 wife Nancy, four children, 11 grandchildren Public Health Service and interned in Obstetrics & Gynecology and one great-grandchild. Seattle before serving two years at the Rockville, Md. Kiowa and Comanche Indian Hospital in September 23, 2011 Jerald H. Bennion, ’56 Lawton, Okla. After residency training in Dr. Bulger received a degree in dentistry Otorhinolaryngology Youngstown, Ohio, he moved to Canton prior to medical school, practicing from Salt Lake City to begin practice at Aultman Hospital. 1957 to 1965 while in medical school February 12, 2013 In 1968, Dean joined Peoria Tazewell and during training. After internship and From 1956 to 1957, Dr. Bennion interned Pathology Group located at Proctor residency training, he practiced OB/GYN at LDS Hospital in Salt Lake City and Hospital in Peoria, Ill, where he spent in the Washington, D.C., area for more then for two years as a U.S. Army captain the remainder of his career. He also held than 40 years. Bulger held clinical and stationed in Wurzburg, Germany. He an appointment as associate professor academic appointments at Georgetown returned to Maryland for residency of pathology at the University of Illinois University Medical and Dental Schools training in ENT and afterwards served Medical School. Dean retired in 1994 and and at George Washington University. a joint fellowship program at Maryland relocated to Rhinelander, Wis., to enjoy Leadership positions included president of and Johns Hopkins. Upon completion the north woods, water sports, biking, the Washington Gynecological Society and of training he returned to Salt Lake City, skiing and camping. He also served on Washington Medical and Surgical Society. operating an ENT private practice from the volunteer faculty at the Elderhostel He supported Baltimore’s professional 1964 until retirement in 1996. He enjoyed Institute for Learning and Retirement. football teams, enjoyed traveling and family and friend associations and was Survivors include wife JoAnne, three sons, photography, and was deeply vested in active in his church. Bennion also enjoyed one daughter and 10 grandchildren. his Irish heritage. Survivors include wife tennis and travel. Preceded in death by Joan, three daughters, two sons and eight wife Connie, Bennion is survived by two Joseph W. Kurad, ’60 grandchildren. daughters, two sons, 17 grandchildren and Urology three great-grandchildren. Hickory, N.C. Franklin W. Colligan, ’68 December 31, 2013 General Practice Roy O. Shaub, ’56 Upon graduation, Dr. Kurad interned Salisbury, Md. Internal Medicine at Duke Medical Center where he also January 10, 2014 Twin Falls, Idaho received residency training in surgery. Dr. Colligan had a general practice in April 26, 2013 After two years as a base surgeon in the Salisbury, Md. He was preceded in death by The University of Michigan was the site U.S. Air Force, he returned to Maryland wife Diana and son Kevin, and is survived of Dr. Shaub’s internship, followed by for a urology fellowship. Kurad relocated by one daughter. residency training at LDS Hospital in Salt to Hickory, N.C., in 1967 and established Lake City. He moved to Twin Falls, Idaho, Viewmont Urology Clinic, serving as Omar D. Crothers III, ’70 and in 1960 began working at the Twin president for 30 years. Appointments also Orthopaedics Falls Clinic and Magic Valley Memorial include chief of staff at Catawba Valley Portland, Maine Hospital where in 1968 he served as chief Medical Center and chief of surgery at both May 17, 2013 of staff and in 1975 was president of the Catawba and Frye Regional Medical Center. Union Memorial Hospital was the site medical staff. Appointments also included In 1991, Kurad earned an MBA from Wake of Dr. Crothers’ internship, followed by program chair for the Idaho Medical Forest University and shortly thereafter residency training in orthopaedics at Association, and president of both the began working at hospitals, educational Tufts New England Medical Center and Idaho Heart Association and South institutions and industries on sub-acute hip surgery fellowship at Massachusetts Central Medical Society. Shaub retired in facilities and services for seniors covering General Hospital. Crothers began

[31] University of Maryland in memoriam

serving on the faculty at the University Faculty traumatic spinal cord injury. Oh taught of Pennsylvania Medical School. In 1979, human histology to first-year students until Anthony L. Imbembo, MD he moved to Portland, Maine, to co- retirement in 2006. He also led efforts to Surgery found Orthopaedic Associates which advance modern neuroscience research Baltimore grew into one of the largest orthopaedic in South Korea, initiating a government- February 21, 2014 practices in the state. Crothers was also funded neuroscience program. Then a consultant to Osteonics, a division of A New York native, Dr. Imbembo received he served as founding director of the Stryker Corporation, and an officer of the his medical degree from Columbia neurobiology research program under Orthopaedics Research and Education University College of Physicians and the Korean Ministry of Science and Foundation. In 1982, Crothers co-founded Surgeons in 1966. He served his surgical Technology. After retirement he returned Maine Handicapped Skiing, and for the internship and residency at Massachusetts to South Korea to continue mentoring next 30 years helped develop athletic skills General Hospital in Boston where he graduate and post-doctoral students. In and self-esteem in thousands of young became chief resident in general and 2007, Oh received the inaugural Mystery people. In 2011, in recognition of this thoracic surgery. Imbembo worked in of Life Award from the Archdiocese of work, he was inducted into the Maine Ski Baltimore for 10 years beginning in 1973, Seoul for his work on spinal cord injury Hall of Fame. He is survived by five children serving as assistant professor at both and regeneration. He was an avid golfer, and six grandchildren. Maryland and Johns Hopkins where he an expert on wines, a connoisseur of was also assistant director of surgery. In scotch and enjoyed reading military history. James Michael Hoffman, ’70 1983, he was named professor and vice Survivors include son Edward, ’00, one Anthropology chairman of the department of surgery at daughter and two grandchildren. His Colorado Springs, Colo. Case Western Reserve University School of marriage to Hoo Ja ended in divorce. July 24, 2012 Medicine and director of the department of After completing his medical degree at surgery at Cleveland Metropolitan General A. H. “Harry” Oleynick, MD Maryland, Dr. Hoffman earned a master’s Hospital. Returning to Baltimore in 1988, Neurology degree and PhD, in anthropology from Imbembo was named professor and chair Baltimore the University of Colorado, Boulder. He of the department of surgery at Maryland, February 19, 2014 held faculty positions at Northern Arizona an appointment he held until 1997. Raised in Elizabeth, N.J., Dr. Oleynick University Flagstaff, from 1973 to 1974, received an undergraduate degree from Tae Hwan Oh, PhD the University of California at Berkeley the University of Pennsylvania before Anatomy & Neurobiology from 1974 to 1977, and The Colorado attending medical school at the University Seoul, South Korea College of Colorado Springs from 1977 of Chicago where he graduated in 1956. December 19, 2013 until retirement in 2009. He was a member Internship followed at Temple University of the American Academy of Forensic Dr. Oh served on Maryland’s faculty from followed by residency training at Johns Sciences and certified as a forensic 1975 to 2006 as professor of anatomy Hopkins Hospital. Oleynick joined the U.S. anthropologist by the American Board & neurobiology. Born in Seoul, South Army Medical Corps, serving two years of Forensic Pathology. He worked with Korea, he received a B.S. from Seoul as chief of neurology at Madigan Army forensic offices across the state assisting National University in 1966 and M.S. Medical Center in Tacoma, Wash., and with the identification of human skeletal and Ph.D. degrees from the University was discharged as a captain. He entered remains and determining the cause of of Saskatchewan School of Medicine private practice in Baltimore during the death. Survivors include wife Merla and in pharmacology. He joined Maryland’s early 1960s and served on the staffs at St. one daughter. faculty in 1975 as an assistant professor in Joseph’s Hospital, GBMC, Union Memorial, the department of anatomy & neurology the Baltimore VA Medical Center and Sherman Kahan, ’71 after two years as a visiting fellow at NIH. Springfield Hospital Center in Sykesville. Cardiology & Internal Medicine Oh was promoted to tenure in 1986. His For 50 years he also served as a clinical Frederick, Md. research utilized in vitro tissue cultures associate professor in neurology, retiring December 24, 2013 composed of dissociated embryonic cells in 2013. Oleynick collected lithographs Dr. Kahan was a research fellow at the derived from rodents or avians. Initial and enjoyed hunting, fishing, boating, American Heart Association. He practiced research involved the trophic interactions gardening and photography. He was also a in Frederick with Cardiology Associates. between developing skeletal muscle cells in scuba diver and gourmet cook. Survivors Survivors include wife Katie and their culture and unknown factors derived from include wife Laurel, two sons and four combined six children. adult motor neurons, and later expanded grandchildren. into neuronal and glial apoptosis following

Medicine Bulletin Spring 2014 [32] Spine Problem: You Don’t Stand A Chance Here.

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Join us! Medical Alumni Association Reunion May 2–3, 2014 th Reunion Featuring Classes Ending in “4” and “9” Friday, May 2, 2014

at 8:30–10:30 am Open House & Check-in cop ho1l 39 i o in g 8:30–9:30 am Continental Breakfast l ic C a l l 9:00–9:45 am Hospital Tour a C c i o 10:00–11:00 am School of Medicine Update, Dr. E. Albert Reece, Dean r n

st f e

t 11:30 am–1:00 pm Harry & Vivian Kramer Awards Luncheon & Business Meeting

H 21

n 1:30–3:30 pm Afternoon Check-in

1:30–3:00 pm 21st Historical Clinicopathological Conference 3:30–5:00 pm School of Medicine Tour Evening Class Parties, classes ending in “4” and “9”

Saturday, May 3, 2014 8:30 am–1:30 pm Open House & Check-In 8:30–9:30 am Continental Breakfast 9:30–10:30 am Campus Walking Tour 10:45–11:45 am Restoring Davidge Hall: An Update 11:30 am–2:00 pm Complimentary Picnic, Davidge Hall 12:15–1:15 pm Lecture: Historic Green Mount Cemetary 1:30–4:00 pm Excursion to Fort McHenry Afternoon/Evening Class Parties 1999, 2004 & 2009 Evening School of Medicine Gala