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The Wake County Physician Is a Publi- 2010 Cation for and by the Members of the Michael Thomas, MD, Phd, FACE Wake County Medical Society

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The Wake County Physician Is a Publi- 2010 Cation for and by the Members of the Michael Thomas, MD, Phd, FACE Wake County Medical Society July 2010 Volume 15 No. 3 TTHEHE WWAKEAKE CCOUNTYOUNTY PPHYSICIANHYSICIAN Magazine Celebrating medicine, the arts, intellect, ideas and curiosity. North Carolina Museum of Art Rodin Court at night. (Photograph by Jesse Turner) THE WAKE COUNTY Wake County Medical Society TABLE OF CONTENTS PHYSICIAN Officers and Executive Council Page 1 President’s Message The Wake County Physician is a publi- 2010 Michael Thomas, MD, PhD, FACE cation for and by the members of the Wake County Medical Society. The Wake President Page 1 Time to Apply Cutting Edge County Physician is published in April, Micheal Thomas, MD, PhD, FACE To the Brain, Nobelists Says April, July and October. We will consider Treasurer James Watson, PhD for publication articles relating to medi- cal science, editorials, opinion pieces, David Cook III, MD Page 2 Editorial letters, personal accounts, photographs Assad Meymandi, MD, PhD, DLFAPA Past President and drawings. Prospective authors Page 3 The Role of Social Sciences & Humanities should feel free to discuss potential Raynor Casey, MD Jeffrey P. Braden, PhD articles with the editorial board. Assad Meymandi, Page 4 Letters to the Editor Manuscript Preparation Submissions MD, PhD, DLFAPA Page 8 Physician Profile: Dr. Edward B. Yellig should be sent electronically to Founding Editor and Editor-in-Chief [email protected] Fiona Morgan Page 10 The Evolution of a Children’s Hospital Submit photographs or illustrations as Editorial Board Mark Piehl, MD high quality 5 x 7 or 8 x 10 glossy L. Jarrett Barnhill, MD prints or a digital JPEG or TIF file at 300 Jeffrey Engel, MD Page 14 WCMS Update DPI no larger than 2” x 3” unless the Brian Go, MD Paul Harrison artwork is for the cover. Please include Douglas I. Hammer, MD, DrPH Page 15 WCMS Society News names of individuals or subject matter Ken Holt, MD Page 16 WCMS New Members for each image submitted. Photos may Nell D. Joslin Page 18 Mental Health Corner: Celebrating be sent directly to: Fiona Morgan Nicholas Emanuel Stratas, MD, DLFAPA Tina Frost Nicholas Stratas, MD 708 Merrion Park Lane Phillip Timmons, MD Page 22 North Carolina Treasures Morrisville, NC 27560 Susan T. Weaver, MD Peter White, PhD [email protected] - 919.671.3963 Randall W. Williams, MD Page 23 At Placebos, Magic & Faith Healing Authors Bio and Photos L. Jarrett Barnhill, MD, DFAPA, AACAP Council Members Submit a recent 3x5 or 5x7 black and Page 24 Issues on End of Life Care white or color photo (snapshots are Susheel Atree, MD Gary S. Winzelberg, MD suitable) along with your submission for Jeffrey Engel, MD publication or a digital JPEG or TIF file Manish Fozdar, MD Page 26 POINT: Health Care Reform at 300 DPI no larger than 2” x 3” (Send Brian Go, MD J. Bradley Wilson, JD to Tina Frost at the above address.) All Warner L. Hall, MD Page 27 COUNTER POINT: Health Care Reform photos will be returned to the author. Doug Holmes, MD James S. Fulghum, III, MD Include a brief bio along with your prac- Ken Holt, MD tice name, specialty, special honors and Page 28 Project Access positions on boards, etc. Please limit M. Dixon McKay, MD Pamela Carpenter Assad Meymandi, MD, PhD, DLFAPA the length of your bio to 3 or 4 lines. Page 30 Public Health Issues David Miller, MD Submissions may be mailed to: Dale Oller, MD Jeffrey Engel, MD, MPH Editor, The Wake County Physician Page 32 Poetry Corner 2500 Blue Ridge Rd, Ste 330 Patricia Pearce, MD Raleigh, NC 27607 Susan T. Weaver, MD John Balaban Phone: 919.782.3859 Fax: 919.510.9162 Page 34 Thinking Things Through WCMS Alliance Co-Presidents E-mail: [email protected] Assad Meymandi, MD, PhD, DLFAPA LaRinda Kaplan Page 36 Quarterly Morbidity Report Ad Rates and Specifications: Maya Zumwalt Full Page $300 Jeffrey Engel, MD, MPH 1/2 Page $150 VISION FOR WCP Page 37 True Health Reform A MAGAZINE 1/4 Page $75 - with appeal to the family of medicine in Wake Tor Dahl Trim Size: 8 1/2” x 11” County and to the larger world beyond bound Page 38 Editor’s Notebook Binding: Saddlestitch together by scientific, intellectual and artistic Assad Meymandi, MD, PhD, DLFAPA glue. (Urbi) For ad placement information contact Page 40 Consultant’s Corner - with the collaboration of the Alliance, bringing Paul Harrison. together Wake County medical families through Lloyd A. Hey, MD, MS Phone: 919.792.3620 Fax: 919.510.9162 words and pictures. To know who dies, who Page 42 The Humanities Corner marries, who gets promoted, and those who go Camera ready artwork for advertise- Gary Comstock, PhD to which medical school. ments should be sent via email to: Page 43 Clinical Corner - a powerful instrument to attract and induct Tina Frost at [email protected] members to organized medicine, particularly Alan Rosen, MD, FACR the WCMS, NCMS and AMA (orbi) Page 44 Galen’s All-Purpose Antidote - read globally in intellectual, spiritual, academ- “The Wake County Physician George W. Houston, PhD ic and business centers beyond Wake County Page 48 Book Reviews Magazine is an instrument of the and North Carolina through online circulation. Assad Meymandi, MD, PhD, DLFAPA Wake County Medical Society; - a globally recognized and credible instrument however, the views expressed are to bridge the gap between medicine, basic Page 52 In Memory not necessarily the opinion of the sciences, ethics and bioethics; the arts, such Back Role Model Worth Emulating as music, opera, dance, poetry; and all of the Cover Melba Watson Woodruff, MD Editorial Board or the Society.” humanities such as philosophy, history, patrio- tism, epistemology, theology and rhetoric. Leon F. Woodruff, Jr., MD President’s Message By Michael Thomas, MD, PhD, FACE aleigh Winston-Salem as Bowman Gray School has had of Medicine. Rthree Although it has been ninety-two years medical since the Leonard Medical School at Shaw schools in University closed and seventy years since its past. The Wake College School of Medicine moved. Leonard Medi- Wake County continues to enjoy a rich cal School at academic medical tradition. Medical resi- and Grand Rounds beyond Wake County Shaw Univer- dents perform their postgraduate training borders. Thus, academic medicine contin- sity was one at WakeMed, and medical students rotate ues to pervade Wake County at multiple of the first black through various medical practices. Many levels. medical schools in the nation, opening Wake County physicians are employed With this in mind, I am pleased to an- its doors to students in 1882. However, by Duke University Medical Center or nounce that the Wake County Medical they eventually closed in 1918. In 1901, University of North Carolina Hospitals, Society will be hosting an evening event the University of North Carolina ap- and some private Wake County physi- on the role of academic medicine in Wake pointed Dr. Hubert Ashley Royster Dean cians have joint academic appointments at County on November 18, 2010, at the of the Raleigh Department of Medicine, University of North Carolina, Duke, and North Raleigh Hilton Hotel, at 6:30 PM. which lasted until closure in 1909, in other institutions. A large proportion of This venue will feature speakers from our order to consolidate the two-year medical Wake County physicians are graduates of two nearby medical schools, Dr. Victor program at Chapel Hill. Nevertheless, local medical training programs. Some Dzau and Dr. William Roper. We will prior to closure of Raleigh Department of individuals, including myself, have had explore what the academic missions of Medicine, eighty-seven students matricu- careers in academic medicine before mov- these institutions are in Wake County, and lated and seventh-six students graduated ing on to private practice in Wake County. the impact they will have in the forthcom- from the capital campus. In 1902, Wake Several of our practitioners are experts ing years. We invite physicians to attend Forest College of Medicine opened and with national and international reputations, and carry on our academic tradition into stayed until 1940 when it relocated to presenting at professional conferences the twenty-first century. § Time to Apply Cutting Edge To the Brain, Nobelists Say James Watson helped figure out the structure of DNA, and now he wants a crash multibillion-dollar research program to figure out the brain. From Wire Services structure of DNA 60 years ago. Writing in the March 26 Science, A research agenda that leads to Watson and colleagues (including he time has arrived for a intensified study of neural circuitry fellow Nobel Prize winners Syd- massive push to explore and sequencing the genomes of ney Brenner, M.B., B.Ch., and Eric Tthe roots of psychiatric 100,000 individuals would push Kandel, M.D.) called for spending illnesses with the latest scientific neuropsychiatric understanding $2 billion over the next decade to tools, according to the scientist who ahead substantially, said James use “a new perspective and a combi- helped define the double-helical Watson, PhD, in an interview. nation of novel tools and analytical [Continued on page 3] WAKE COUNTY PHYSICIAN • JULY 2010 | 1 Editorial Assad Meymandi, MD, PhD, DLFAPA Founding Editor of North Carolina and Research Triangle portunity to develop further understanding Park, in 2003, the fiftieth anniversary of of ourselves, the new science, the science the discovery by having Dr. James Watson of mind, provides us with a powerful amongst us. The understanding of DNA, instrument for further development of the and subsequent expansion of the knowl- field. If the twentieth century was known THINKING ABOUT THINKING, EPISTEME, CHRESTOMATHY TWENTY-FIRST CENTURY THE AGE OF MIND [Excerpts from the lecture to the North Carolina Psychoanalytic Institute, Committee on Research, given on March 20, 2010, at the Lucy Daniels Foundation, Cary, North Carolina—Ed.] n preparing for this essay, obviously I edge and advancement of human genome for the discovery of DNA, genomics and was drawn to psychoanalytic litera- project which was completed in 2003 by epigenetics, the twenty-first century will Iture of the late nineteenth and early Dr.
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