Alpha Omega Alpha Honor Medical Society Autumn 2018

Alpha Omega Alpha Honor Medical Society Autumn 2018 Norman Rockwell’s Doctor and Doll, from the Saturday Evening Post. ©SEPS licensed and provided by Curtis Licensing Indianapolis, IN THE PHAROS of Alpha Omega Alpha honor medical society Autumn 2018 Alpha Omega Alpha Honor Medical Society “Be Worthy to Serve the Suffering” Founded by William W. Root in 1902 Editor Richard L. Byyny, MD Officers and Directors at Large Alan G. Robinson, MD President Managing Editor Dee Martinez Los Angeles, California Sheryl Pfeil, MD Art Director and Illustrator Jim M’Guinness President Elect Columbus, Ohio Designer Erica Aitken Eve Higginbotham, SM, MD Immediate Past President Philadelphia, Pennsylvania Joseph W. Stubbs, MD, MACP Editorial Board Albany, Georgia Wiley Souba, Jr., MD, ScD, MBA Secretary-Treasurer Jeremiah A. Barondess, MD Lester D. Friedman, PhD C. Ronald Mackenzie, MD Hanover, New Hampshire New York, New York Geneva, New York New York, New York Lynn Cleary, MD David A. Bennahum, MD James G. Gamble, MD, PhD Philip A. Mackowiak, MD Syracuse, NY Albuquerque, New Mexico Stanford, California Baltimore, Maryland Holly J. Humphrey, MD John A. Benson, Jr., MD Michael Gerber, MD Ashley Mann, MD Portland, Oregon Denver, Colorado Kansas City, Kansas Chicago, Illinois Jonathan F. Borus, MD Dean G. Gianakos, MD J. Joseph Marr, MD Richard B. Gunderman, MD, PhD Newton Centre, Lynchburg, Virginia Broomfield, Colorado Indianapolis, Indiana Massachusetts Jean D. Gray, MD Aaron McGuffin, MD John Tooker, MD, MBA Richard Bronson, MD Halifax, Nova Scotia Huntington, West Virginia Philadelphia, Pennsylvania Stony Brook, New York Richard B. Gunderman, MD, PhD Stephen J. McPhee, MD Steven A. Wartman, MD, PhD John C.M. Brust, MD Indianapolis, Indiana San Francisco, California Washington, DC New York, New York Lara Hazelton, MD Janice Townley Moore Charles S. Bryan, MD Halifax, Nova Scotia Young Harris, Georgia Columbia, South Carolina David B. Hellmann, MD Francis A. Neelon, MD Medical Organization Director Lynn M. Cleary, MD Baltimore, Maryland Durham, North Carolina Atul Grover, MD Syracuse, New York Pascal J. Imperato, MD, MPH&TM Douglas S. Paauw, MD, MACP Association of American Medical Colleges Fredric L. Coe, MD Brooklyn, NY Seattle, Washington Washington, DC Chicago, Illinois Therese Jones, PhD John S. Sergent, MD Jack Coulehan, MD Aurora, Colorado Nashville, Tennessee Councilor Directors Stony Brook, New York Henry Langhorne, MD Audrey Shafer, MD Jill Omori, MD Gregory Davis, MD Pensacola, Florida Palo Alto, California University of Hawaii John A. Burns School of Lexington, Kentucky Medicine Jenna Le, MD Jan van Eys, PhD, MD Lawrence L. Faltz, MD New York, New York Nashville, Tennessee J. Mark Kinzie, MD Larchmont, New York Oregon Health and Science University School Michael D. Lockshin, MD Abraham Verghese, MD, DSc Joseph J. Fins, MD, MACP, New York, New York (Hon.) of Medicine FRCP Jerome Lowenstein, MD Stanford, California Kathleen F. Ryan, MD New York, New York New York, New York Steven A. Wartman, MD, PhD Drexel University School of Medicine Faith T. Fitzgerald, MD Kenneth M. Ludmerer, MD Washington, DC Sacramento, California St. Louis, Missouri Gerald Weissmann, MD Coordinator, Residency Initiatives New York, New York Suzann Pershing, MD Stanford University www.alphaomegaalpha.org Student Directors Sean Christensen, MSIV University of South Carolina School of Medicine Manuscripts being prepared for The Pharos should be typed double-spaced and conform to the format outlined Samantha Dizon in the manuscript submission guidelines appearing on our website: www.alphaomegaalpha.org/contributors.html. University of Maryland School of Medicine Editorial material should be sent to Richard L. Byyny, MD, Editor, The Pharos, 12635 E. Montview Blvd, Suite 270, Aurora, CO 80045. E-mail: [email protected]. Dagoberto Estevez-Ordoñiez, MD Requests for reprints of individual articles should be forwarded directly to the authors. Vanderbilt University The Pharos of Alpha Omega Alpha Honor Medical Society (ISSN 0031-7179) is published quarterly by Alpha Omega Alpha Honor Medical Society, 12635 E. Montview Blvd, Suite 270, Aurora, CO 80045, and printed by The Ovid Bell Press, Inc., Fulton, Missouri 65251. Periodicals postage paid at the post office at Aurora, Colorado, and at additional mailing offices. Copyright © 2018, by Alpha Omega Alpha Honor Medical Society. The contents Administrative Office of The Pharos can only be reproduced with the written permission of the editor or managing editor. (ISSN 0031- Richard L. Byyny, MD 7179). Executive Director Circulation information: The Pharos is sent to all dues-paying members of Alpha Omega Alpha at no additional Aurora, Colorado cost. All correspondence relating to circulation should be directed to Ms. Dee Martinez, 12635 E. Montview Blvd, 12635 E. Montview Blvd, Suite 270, Aurora, CO 80045 Suite 270, Aurora, CO 80045. E-mail: [email protected]. Telephone: (720) 859-4149 POSTMASTER: Change service requested: Alpha Omega Alpha Honor Medical Society, 12635 E. E-mail: [email protected] Montview Blvd, Suite 270, Aurora, CO 80045. 2 Editorial I The proudest moment of my career Richard L. Byyny, MD, FACP 04 Medicine’s uncompromising champion of racial justice Vidya Viswanathan 12 Hope in hopeless causes Ethan Song 17 Walking fragile in the garden Mara Feingold-Link, MD 18 A gift underserved Jacob Abou–Hanna 20 A life-saving and life-taking 19th century medical instrument Edward C. Halperin, MD, MA, and Yvonne S. Thornton, MD, MPH 25 A fly on the wall Anjali Om 26 When the lights of health go down Samuel A. Wells, MD 32 Good enough medicine Kenneth Brigham, MD, and Michael M.E. Johns, MD 35 Finding the particulars: The search for the identity of family medicine through generations of change Kate Rowland, MD, MS utumn 2018 utumn 41 From cradle to grave A • Nadine Zeidan, MD 43 Reflections 44 Medical student turned patient Kush S. Patel, MD 47 Book Reviews olume 81 Number 4 Number 81 olume V 50 Medicine on the big and small screen • 51 Letters to the Editor 53 Chapter and National News The Pharos Inside53 Millenials’ Night Before Christmas IN THIS ISSUE Back Cover Frederick G. Guggenheim, MD Richard L. Byyny, MD, FACP, displays his AΩA certificate MD, FACP, L. Byyny, Richard of the William Root historical cabinet in AΩA in front national office. The proudest moment of my career Richard L. Byyny, MD, FACP lpha Omega Alpha Honor Medical Society (AΩA) society. Membership in AΩA is a lifelong professional com- has been recognizing, advocating for, and inspir- mitment to the mission and values of AΩA. AΩA expects ing physicians in teaching, the care of patients, members to commit to a lifelong professional responsibil- Aand promotion of health for more than 116 years. AΩA ity of high-quality clinical care, academic achievement, aspires for all in the medical profession to be worthy to exceptional leadership, outstanding professionalism, and serve the suffering. remarkable service. Members serve as clinicians, teachers, Election to AΩA is an honor signifying a lasting com- role models, mentors, coaches, public servants, and leaders mitment to clinical excellence, professionalism, leadership, in medicine, their communities of practice, and society. scholarship, research, and community service. A lifelong I will never forget the day in 1964 when I was elected honor, membership in the society confers recognition for to be a member of AΩA—it was the proudest moment of a physician’s dedication to medical professionalism, and my career. I was a first-generation college graduate with no the science and art of healing. Membership may be at- physician family members or physician friends. The only tained throughout one’s professional career—as a medical physician I had met was my pediatrician who I saw about student, resident, fellow, faculty member, alumni, clinician, once a year when I was a child. or distinguished leader in medicine. I was academically successful in high school and was Members exemplify excellence and achievement in committed to graduating from college. I came from very medicine that includes, but is not limited to, scholastic modest means, and the only way I was able to attend achievement; demonstrated professionalism; leadership college was to go to a community college as an aspiring capabilities; adherence to ethical standards; fairness in first-generation college student. After my first year at com- dealing with colleagues; and a record of service to school munity college, I was able to transfer to the University of and community. Members are recognized as excellent doc- Southern California on a swimming and water polo ath- tors whose knowledge, skills, professional attitude, trust- letic scholarship. I majored in history and thought I would worthiness, demeanor, care of the patient, compassion, get a PhD and become a teacher and professor of history. empathy, altruism, teamwork, lifelong learning, humility, However, I postulated that I could be a doctor and care and responsibility place them in the upper echelon of the for patients. I had completed the pre-medical requirements medical profession as servant leaders. and was qualified to apply to medical school. I applied and More than 4,000 students, residents/fellows, faculty, to my surprise and great celebration, was accepted! and alumni are elected each year. Since its founding in Upon my arrival at the University of Southern 1902, nearly 187,000 members have been elected to the California School of Medicine (now the Keck

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