Unmatched Larry Kaiser on Temple

LEWIS KATZ SCHOOL OF MEDICINE AT TEMPLE UNIVERSITY | TEMPLE UNIVERSITY HEALTH SYSTEM

SUMMER 2017

A PHILLY ICON Why CEO TURNS 125: HAPPY BIRTHDAY, Larry Kaiser TEMPLE UNIVERSITY HOSPITAL Calls Temple HABIT OF THE HEART: Health’s A STORY BY PULITZER PRIZE-WINNING AUTHOR Mission MICHAEL VITEZ Unmatched

AGENDA Temple Health Magazine

EDITOR Giselle Zayon [email protected] Health Magazine

DESIGN & ART DIRECTION B&G Design Studios Temple Health WRITERS & CONTRIBUTORS Magazine JoAnne DeSanto-Bonewicz Christopher Guadagnino Jennifer Lee Meredith Mann Kara Rogers Jeremy Walter

BUSINESS MANAGER Younndia Rush

ADMINISTRATION Alan N. Rosenberg Senior Vice President/ Chief Administrative Officer

Pioneers, Then and Now Christopher Guadagnino, PhD n February 1, 2017, an iconic institution in the City of Brotherly Love Interim Lead, Communications

turned 125: Temple University Hospital. It was founded in 1892 CONTACT US by Russell Conwell, Temple University’s creator, the same year Office of Communications 3509 N. Broad Street Ellis Island began welcoming immigrants to the United States. Philadelphia, PA 19140 It’s almost hard to believe that one of Philadelphia’s busiest hubs of 215-707-4839 Oacademic medicine began with just one physician and one nurse. But that two-person staff had the backing of hard-scrabble North Philadelphians — volunteers who converted TempleHealth.org a house into a 20-bed hospital — and kept on working. Thanks to their sweat equity, 1-800-TEMPLEMED the hospital operated five years without billing a single patient. And grew, fast. By 1902, Lewis Katz School of Medicine at Temple University Samaritan Hospital (as it was then called) had more than 100 beds — and was running a Temple University Hospital school of nursing, a school of pharmacy, and the clinical arm of Temple College’s new Temple University Hospital Episcopal Campus medical school (today’s Lewis Katz School of Medicine). Temple University Hospital “We are striving not only to do our routine work of relieving those in the community, Northeastern Campus Fox Chase Cancer Center but endeavoring to aid the progress of medicine by the development of safer, better, and Fox Chase Cancer Center more scientific methods of practice,” said W. Wayne Babcock, MD, Samaritan’s chief at Buckingham Fox Chase Cancer Center surgeon, in 1908. Medical Group Important missions and motivations don’t change. They’re timeless and timely. Jeanes Hospital Temple Health Oaks Here’s to the pioneers of 125 years ago. And to the pioneers of the modern day. Temple Health Center City Temple Health Elkins Park Temple Health Ft. Washington Temple ReadyCare Temple Physicians, Inc. Temple University Physicians Temple Transport Team

Temple Health refers to the health, education, and research activities carried out by the affiliates of Temple University Health System, Inc. (TUHS), and the Lewis Katz School of Medicine at Temple University. TUHS neither provides nor controls the provision of health care. Larry R. Kaiser, MD, FACS All health care is provided by its member Senior Executive Vice President for Health Affairs, Temple University organizations or independent health care providers affiliated with TUHS member The Lewis Katz Dean at the School of Medicine organizations. Each TUHS member Professor of Surgery, Lewis Katz School of Medicine organization is owned and operated

125: SEAN MCCABE; KAISER: COURTESY KAISER KAISER: COURTESY 125: SEAN MCCABE; President & CEO, Temple University Health System pursuant to its governing documents.

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 1 34 SUMMER 2017 CONTENTS FEATURES 12 Mission Unmatched Larry Kaiser on Temple Health BY GISELLE ZAYON 18 Transformed Yet Unchanged Temple University Hospital at 125 BY VERDI DISESA, MD, MBA 26 The Surgery Bug How Medical Students Catch It BY GISELLE ZAYON 30 Habit of the Heart A physician of science and faith BY MICHAEL VITEZ

DEPARTMENTS

34 Change Agent Bennett Lorber: On Definitions 36 Quest Susan Fisher: Urban Clinical Research 38 Tools of the Trade News for Neuroendocrine Tumors 40 Timeline Vision Quest: Temple Ophthalmology 42 Inside Story Medical Students Get Write to the Point 48 So Noted Quotes & Quips 49 Artful Ending 36 Chevalier Jackson: Hard to Swallow

IN EVERY ISSUE

1 Agenda By Larry Kaiser, MD, FACS 4 Currents News Roundup 44 Impact Alumni News & Philanthropy Notes

ON THE COVER: Temple Health’s CEO, Larry R. Kaiser, MD, 6 42

LEFT: COLIN LENTON; TOP RIGHT: CARDONI; BOTTOM LEFT: SERGE BLOCH; BOTTOM RIGHT: BRIAN CRONIN RIGHT: BOTTOM BLOCH; SERGE LEFT: BOTTOM CARDONI; RIGHT: TOP LENTON; COLIN LEFT: FACS. Photograph by Colin Lenton.

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 3 EDUCATION & ENGAGEMENT RESEARCH & CLINICAL CURRENTS APPOINTMENTS & ACCOLADES CURRENTS

Opioid-Addicted and Pregnant kyrocketing rates of maternal opioid use are leading to medical issues for mothers and infants — and to higher costs of care. To complicate matters, many drug treatment programs do not accept pregnant women addicted to opioids. SYet that is precisely what the Temple Wedge Opioid (TWO) program was designed to do. Funded by a $500,000 grant from the Commonwealth of Pennsylvania, TWO is a collaboration between Temple and the Wedge Center, a community-based drug and alcohol treatment facility based in North Philadelphia. The program will serve approximately 300 women each year, with state-of-the-art services integrating primary care, behavioral health, and addiction treatment. TWO is led by Laura Goetzl, MD, MPH, Professor of Obstetrics, Gynecology, and Reproductive Sciences at the Lewis Katz School of Medicine (LKSOM); Laura Hart, MD, Assistant Professor of Obstetrics, Gynecology, and Reproductive Sciences; and Mary Morrison, MD, Vice Chair for Research in Psychiatry — with the support of other Temple experts, including clinical anesthesiology. As Morrison notes, pain control is an important issue during pregnancy and delivery. “We address our clients’ needs compassionately and competently,” she says. Another partner in TWO is the Maternity Care Coalition, a Philadelphia-based organization that serves women and infants. The Coalition provides peer-coun- seling for TWO’s clients, along with case-management services to connect them to housing, food, clothing, trans- portation, and other resources. Funding for TWO comes from the Commonwealth’s Centers of Excellence initiative to combat opioid addiction across the state. Additional support comes from Health Partners Plans. “I applaud Temple for recognizing that substance use disorder is a disease, not a choice, and I want to thank them for doing their part in battling this epidemic,” said Pennsylvania Governor Tom Wolf.

4 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Photograph by CLINT BLOWERS Can’t Catch the Fox

Only 47 institutions in the U.S. (just two in Philadelphia) hold the Comprehensive Cancer Center designation of the National Cancer Institute — a distinction Fox Chase Cancer Center has maintained since 1974. “This designation is the gold standard in cancer care and research,” says Richard I. Fisher, MD, President and CEO of Fox Chase Cancer Center. “Comprehensive Cancer Centers perform groundbreaking research, provide state-of-the-art education, and create innovative Larry Kaiser, MD, FACS cancer prevention and control programs.” In addition, Fox Chase has again earned full reaccreditation from the Kaiser Named Lewis Commission on Cancer of the American College of Surgeons; was recently Katz Dean designated a National Pancreas Foundation ast fall, Temple University celebrated of Temple University’s school of medicine, Center (the only center the first endowed dean’s position in will extend Katz’s vision. in the Philadelphia region L University history — and installed Larry Katz’s son, Drew Katz, who took his late to earn this distinction); R. Kaiser, MD, FACS, head of Temple Health, as father’s place on the University Board of and was recently listed its inaugural holder. Trustees, said that having his father honored among the “100 Best The endowment for the chair, named in in these ways “means everything to our family. Hospitals and Health honor of the late Temple University Trustee Temple gave my father his start in life,” he Systems with Great Lewis Katz, CST ’62, was directed to the school said, clearly moved to see his father’s name Oncology Programs” by of medicine by Katz before his untimely death and legacy live on. Becker’s Hospital Review. in 2014. It is part of the largest philanthropic Other speakers extolled both Katz and Kaiser donation Temple has ever received. As befits during the celebration, including Steven Houser, the man and his generosity, now both the School PhD, Senior Associate Dean for Research; of Medicine and its Dean’s position are named Amy Goldberg, MD, FACS, the Peters Chair of in Katz’s honor. The school naming was cel- Surgery; and Lindy Snider, Fox Chase Cancer ebrated in the fall of 2015, and the investiture of Center Board member and Dr. Kaiser’s wife. STUDENTS AT THE Kaiser as the Katz Dean last fall. Kaiser, who also serves as Senior Executive LEWIS KATZ “Who better to be named as the Lewis Vice President for Health Affairs at Temple SCHOOL Katz Dean than Larry Kaiser,” said Temple University and President and CEO of Temple OF MEDICINE RUN University Board of Trustees Chair Patrick J. University Health System, spoke last. “The O’Connor during the investiture ceremony. Lewis Katz Dean’s Chair will have a power- “He’s a world-class leader in academic medi- ful impact on my ability — and that of all the 50+ cine. His passion, vision, and ambition have deans who follow me — to advance the School taken Temple to the next level.” of Medicine. To be the inaugural holder of COMMUNITY Temple University President Richard this chair — which was endowed by someone SERVICE GROUPS Englert, EdD, spoke enthusiastically about the who had become a dear friend to me — is one

SAMEER KHAN SAMEER ways in which Kaiser, as the Lewis Katz Dean of the great honors of my life.”

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 5 CURRENTS

Another Big Farm to Families Brain Grant resh food is hard to come by in “Every day, our pediatricians see children Temple University has been North Philadelphia. That’s why, dur- struggling with diet-related illnesses as well selected to help lead a $20 ing medical school, Drs. Brandon as families at-risk for food insecurity,” says million, two-year program for Swed and Matthew Kauffman, 2016 Kathleen Reeves, MD, Senior Associate Dean brain injury research. Col- graduates of the Lewis Katz School for Health Equity, Diversity, and Inclusion at laborators are the U.S. Army Fof Medicine, mounted a campaign to urge the Lewis Katz School of Medicine. Research Laboratory and Temple University Hospital to partner with the More healthy food-related news: Temple the Universities of Southern St. Christopher’s Foundation for Children on University Hospital and Jeanes Hospital California, Southern Mis- “Farm to Families,” a program that provides or- were recently honored at Philadelphia City sissippi, and North Texas. ganically grown produce and meat at discount- Hall for their efforts to reduce and prevent Funding comes from the U.S. ed prices. Their efforts erw e fruitful. Temple chronic disease by serving healthy food to Department of Defense. joined the program. Now Temple physicians patients, employees, and visitors as part of The goal of the program, can give patients access to the program with a the “Good Food, Healthy Hospitals” initia- led by Michele Masucci, PhD, “FreshRx prescription,” a coupon that entitles tive, a voluntary program led by the Common Temple University’s Vice them to pick up fresh fruits, vegetables, meat, Market, a nonprofit local food distributor, in President for Research, is and eggs at discounted prices at the hospital collaboration with the Philadelphia Health to decrease brain injuries every week. Department’s “Get Healthy Philly” program. by creating a new class of materials for use in protec- tive head gear. As such, the research leverages Temple’s expertise in head injury assessment and in advanced materials development. “The project will develop technologies that can be commercialized and brought to market, broadening the benefits to society at large,” says Stephen Nappi, Temple’s Associate Vice President for Technology Commercialization and Business Development. Temple’s research team includes T. Dianne Langford, PhD, Associate Profes- sor of Neuroscience and Neurovirology, who is also helping to lead the largest- ever study of concussion in sports, a landmark $30 million National Collegiate Athletic Association-U.S. Department of Defense initiative called CARE, Concus- sion Assessment, Research and Education. Temple University is internationally recognized for research and educational OCH

innovations in basic and GE BL

translational neuroscience. SER

6 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Block by Block field specialists (L-R) Mariana Pardes, Rosemary Jackson, FACT Secrets and Emily Gibeau. Revealed Researchers at Fox Chase Cancer Center have devised a technique to uncover previously inaccessible DNA in human cells in the laboratory. Now, for the first time, it can be studied. “This breakthrough in basic cancer biology opens the door to the development of a new generation of cancer drugs,” says Vasily Studitsky, PhD, Co-Leader of Cancer Epi- genetics at Fox Chase. The discovery pertains to FACT, a protein involved in many cellular processes, including gene regulation and cancer development. While FACT is a common target of anti-cancer drugs, its mechanism of action remained a mystery until Studitsky’s team determined the way it can unspool DNA coiled together with the proteins (histones) that Block by Block normally keep it packaged inside cell nuclei. Once this olanda Turner of North Philadelphia connect them with health programs and clini- happens, the DNA is then didn’t know about the health benefits cal research opportunities at Temple. Block available for interacting with Yshe could receive at Temple University by Block’s founder, Susan Fisher, MS, PhD, other regulatory proteins Hospital until a research specialist named Temple Clinical Research Institute Director, — a process that could lead Rosemary Jackson of Temple’s Block by Block says the program is enabling Temple to better to the uncontrolled cellular program paid her a visit at home. Now Turner understand the health problems of area resi- replication characteristic calls her experience with Block by Block dents and to address those needs through par- of cancer. Notably, when “life-changing.” ticipation in research and health promotion Studistky’s team removed Going door to door, Jackson and colleagues strategies. Fisher is also the school’s Associate FACT, DNA packaging in the visit residents in 11 zip codes in North Dean of Clinical Research. For more about the cell was normalized. Philadelphia. Their goal is to survey com- program, which has enrolled more than 1,200 “These findings on how munity members’ health and wellness, and participants to date, see page 36. DNA becomes accessible to regulatory proteins in a regulated way could impact cancer research on a national scale — helping scientists Emergency Awards better understand why some The American Academy of Emergency Medicine renamed its academic leadership award in cells become cancerous,” honor of Robert McNamara, MD, MAAEM, FAAEM, Professor and Chair of Emergency Medicine says Studitsky. at Temple. The McNamara Award recognizes an individual who has made an outstanding con- Studies related to the tribution to academic leadership. The organization gives another award named for a Temple research appear in Science faculty member as well: The Joe Lex Educator of the Year Award. Lex is a Clinical Professor of Advances and Nature Struc- Emergency Medicine.

JOSEPH V. LABOLITO V. JOSEPH tural & Molecular Biology.

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 7 T CURRENTS dad isacardiothoracic and always surgeon says drawing is askillworth cultivating. “My calaureate medicalschoolpreparatory program, Graduate Studiesattheschool. is another,” says Shore, AssociateDeanfor artist’s careful attention toformandfunction one thing.Observingtheliving bodywithan a cadaver tolearnaboutthehumanformis to ing, says arttrainingaddsanessentialelement explore renderings ofthe humanform. observing nudemodels. Theyvisitmuseumsto 8 The ArtofDoctoring

| Isaac Wegner, astudent inTemple’s postbac- Scott K.Shore, PhD, whoinitiatedtheoffer the TEMPLE HEALTH MAGAZINE medical schoolcurriculum.“Dissecting students draw thehumanbody, School ofMedicine. Duringclass, students atTemple’s Lewis Katz designed anartclassespecially for emple’s Tyler SchoolofArthas | SUMMER 2017 - by hard sciencealone. meals from scratch. week courseoncreating healthy, affordable Philadelphia took acookingclassthatwas taughtby the 42). Theyevenmedicine workshops (seepage observation andexpression through narrative Temple students candevelop theirpowers of medical students. Inadditiontoartclass drama, anddance—tohelpdevelop their are looking tothehumanities—art,literature, Medicine, medicalschoolsacross thecountry Dean ofStudentAffairsandProfessor of done tosave theirlives.” happening insideofthemandwhat’s tobe going tients,” hesays draws theheartandmajorvalves forpa- Observant, empathetic doctorsare not made According toDouglasReifler,According MD, Associate Inquirer . “Ithelpsthemvisualizewhat’s ’s foodeditor: aneight- , the research. at Mt. Sinaicontributed to the Icahn School of Medicine Jude Children’s Hospital, and The University of Texas, St. therapeutic ramifications. to research withexciting discovery opensnew doors As Balachandran notes, this curb thespread of thevirus. kill themselves, helpingto But withDAI, infected cells tinue producing more virus. influenza-infected cells con- Host &Microbe.DAI, Without Balachandran, PhD Pr virus factory,” said infected cell from becoming a program to prevent the a powerful auto-destruct nizes viral RNA andsets off a protein called DAI, recog infected cells. “This sensor, and rapidly destroys the influenza virusinthelung that senses thepresence of identified a cellular protein Temple researchers have Discovered Mechanism Immune published last October in is lead authorof thestudy, Chase Cancer Center, who and Function program atFox the BloodCell Development ofessor andCo-Leader of COMPREHENSIVE CANCER CENTER YEARS OF NCI CONTINUOUS CELEBRATES FOX CHASE 43 STATUS.

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JOHN CUNEO JOSEPH V. LABOLITO the University ofPennsylvania (44). University At 18, Temple University faculty work —ameasure ofscholarly influence. nationally forGoogle Scholarcitationsof University ranks18thamonguniversities inter toCybermetricsAccording Lab, Temple cancer care. Centers Innovator Award, signifyingexcellence inadvancing the nationtoreceive theAssociationofCommunityCancer Fox ChaseCancerCenterisoneofeightcancerprograms in Medicine Physicians. inaugural fellow oftheNational AssociationofEmergency Medicine atTemple,of Emergency hasbeennamedan Society; andErnest Yeh, MD, FAEMS, AssociateProfessor named aninauguralfellow oftheAmericanBrachytherapy Radiation Oncology atFox ChaseCancerCenter, hasbeen Eric Horwitz, MD, FABS, theGerald HanksChairof TWO FIRST FELLOWS: Director, OutpatientPsychiatry. is AssociateProfessor ofPsychiatry andMedical Professor Training andDirector ofResidency . of Medical StudentEducation.Kovach isAssociate Assistant Professor of ClinicalPsychiatry andDirector received the2017 IrmaBlandCertificate. Gluzmanis Residents 2016 Student Education.Jessica Kovach, MD, received the Certificate ofRecognition forExcellence inMedical Ellen Gluzman,MD, received the2016 honored by theAmericanPsychiatric Association Clinical Psychiatry andBehavioral Sciencehave been Three facultymembers THREE FOR NATIONAL 18 ally forqualityandsafety. tion thatevaluates more than 1, rating from Leapfrog, anationalnonprofit organiza- procedures. Jeanes Hospital also hospitals demonstrate superioroutcomesinselect Healthgrades’ 2016 “ Jeanes Hospital andTemple University Hospital made TWO 1 OF 8NATIONWIDE: Good Numbers TH IN THEWORLD: Irma BlandCertificate NATIONAL . And (19), New York University (25), Nicole Bizamcer, MD, PhD, MPH, 5-STAR AWARDS Five-Star Hospital” Five-Star

APA EXCELLENCE: of Temple’s Departmentof outranks of Excellence in Teaching 800 hospitalsannu- received an“A” Jessica Kovach, MD Ellen Gluzman, MD, and : Princeton Nancy Roeske List. Five-star

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SUMMER 2017 | TEMPLE HEALTH MAGAZINE |

9 P CURRENTS FACCP, ChairandProfessor ofThoracic (TLC) Director Gerard Criner, MD, FACP, Initiative forChronic Obstructive Disease. Lung international symposium ofGOLD, theGlobal 10 TLC GoesGOLD The conference, ledby Temple Center Lung

| TEMPLE HEALTH MAGAZINE specialists gathered forthefirst-ever when 450oftheworld’s leadinglung Pulmonary Disease(COPD)last fall, fight against Chronic Obstructive hiladelphia was ground zero inthe | SUMMER 2017

the nation. ever before,” Crinersays. years, and theresearch ismoving faster than of COPD. the Diagnosis,Management andPrevention the 2017 editionof theGlobalStrategy for best unveilin practicesforCOPDmanagement, g Medicine atTemple, andSurgery focusedon COPD isthethird-leading causeofdeathin “I’ve beentreating COPD patientsfor33

ability to pay.” greatest needand theleast ties, includingthose withthe our neighboringcommuni- high-quality health care for of designing andproviding sity hasbeenattheforefront Englert, EdD, “Temple Univer University President Richard Katz School of Medicine. ate Dean at Temple’s Lewis Reeves, MD, Senior Associ- healthy,” says Kathleen people thecapacity to be life andwork toward giving barriers to livingahealthy Health System. Officer of TempleUniversity Freeman, MD, Chief Medical outcomes,” explains Susan needs thatimpact health health andtheunmetsocial the social determinants of health care costs. and stabilizing andreducing improving health outcomes, reducing health disparities, sustainable approaches to innovative community-based, and Education —to develop munity, Technology,Health, four subcommittees —Com- nity stakeholders together in care providers, andcommu- will bringgovernment, health ment of HumanServices, by thePennsylvania Depart economic opportunities. education, employment, and not onlyhealth, butalso deep poverty can affect North Philadelphia, where recipients inlow-income for nearly 300,000 Medicaid to address health disparities terprise Zone (HEZ), aplan state-sponsored Health En- System ispart of anew Temple University Health the ZoneIn Accordingto Temple “The pointisto look at “The HEZ willaddress The HEZ initiative, created - -

DANIEL BEJAR TOMMY LEONARDI Society. the North American Spine been namedPresident of and Neurosurgery, has sor of Orthopaedic Surgery F. Todd Wetzel,MD, Profes of Dermatology. School of MedicineasChair has joinedtheLewis Katz a leading dermatologist, Sylvia Hsu, MD, FAAD, of Medicine. of theLewis Katz School Peters, MD, a1933 graduate endowed by thelate George Chair inSurgery —aChair George andLouise Peters Chief, hasbeennamedthe Temple Health Surgeon-in- Amy J. Goldberg, MD, FACS, Charitable Trust. endowed by the W.W. Smith Chair inCancer Research — Wikoff Smith Endowed been namedthe William Chase Cancer Center, has FACP Wafik El-Deiry, MD, PhD, Cancer Center. Oncology atFox Chase named Chairof Hematology/ cancer expert, hasbeen a nationallyrenowned lung Martin J. Edelman, MD, In Charge TRANSPLANTATION AMONG THETOP TEMPLE RANKS , Deputy Director, Fox IN THE NATIONIN THE 5% FOR LUNG

- Four forThree CEO of the American College ofPhysicians.CEO oftheAmerican College Medicine andExecutive Vice President and Center; andMoyer isClinical Professor of of Medicine andDirector oftheTemple Lung Thoracic Medicine attheSchool andSurgery University Health System; CrinerisChairof at Temple andSurgeon-in-Chief of Surgery Award.Advocacy GoldbergisthePeters Chair MD, FACP, received theLeadershipinMedical Research Excellence Award. Darilyn Moyer, MD, FACP, FACCP, received theMedical the HumanitarianAward. Gerard Criner, Journal. Amy Goldberg,MD, FACS, received of Distinction” by thePhiladelphiaBusiness Three Temple physicians were named“Doctors 3 DOCS OF DISTINCTION: 3 FOR KAISER: Dimes Kaiser alsoreceived thePennsylvania March of organizations andthecommunitiestheyserve. leadership andclinicalexpertise toimprove their care organizations, demonstrating outstanding sent successfulandprominent nonprofit health Becker’s Hospital Review.Thoselisted repre - Leaders ofHospitals andHealth Systems” by and“Physician Health System CEOstoKnow” one ofthenation’s “Nonprofit Hospital and received three recent honors. He hasbeennamed Larry Kaiser, MD, FACS, head ofTemple H C itizen oftheY

ear A ward , 2016 . ealth, ealth,

and Network Development. Howald isAssociateVice President ofBusiness Cancer Prevention andControl Program; and Director; RaginisAssociateProfessor inthe A recognized with theV Cancer Control Award; andAlanHowald was Award PhD, FACP, received the ScientificResearch Volunteer Awards last fall:Wafik El-Deiry, MD, Cancer Society atthe Greater Philadelphia Cancer Centerwere honored by theAmerican Three facultymembersbasedatFox Chase Surgical Oncology atFox Chase. went toRobertUzzo, MD, FACS, Chairof the 15thInternationalKidneySymposium, Memorial Lecturer A donation. Inaddition,the2016 Andrew Novick resources forkidneytransplantandliving tablish anationalclearinghouse foreducational to participateinaWhiteHouse initiative toes- Assistant Professor ofMedicine, was selected Committee.Advocacy Avrum Gillespie,MD, the AmericanSociety ofNephrology Policy and Community Outreach, hasbeennamedChairof FASN, ChiefofNephrology andVice Chairof Crystal Gadegbeku, MD, FAHA, FACP, 3 FOR KIDNEY KUDOS: 3 HONOREDBY ACS: SUMMER 2017 ward. El-DeiryisDeputyCancerCenter ; CamilleRagin,PhD, MPH,received the | TEMPLE HEALTH MAGAZINE ward olunteer A

Camille Ragin, PhD, MPH , presented during chievement |

11 Larry Kaiser on Temple Health: Mission Unmatched

cademic medicine is a complex, costly, high-risk enterprise under the best of circumstances. Now imagine trying it when your flagship hospital — tradition- ally your main revenue generator — sits inA one of the deepest pockets of poverty in America. Such is the challenge that Temple Health has faced for more than a century. Since 2011, Temple Health has been led by Larry R. Kaiser, MD, FACS, a physician executive and a nationally respected voice in health care market reform. Kaiser has held leadership posts at the University of Pennsylvania and the University of Texas — among other big-name organizations. Despite unrelenting headwinds, Kaiser and his team have transformed Temple Health into a $2 billion enterprise of growing regional and national importance. Difficult circumstances typically impede progress. But they can also inspire it. We asked Kaiser to reflect on what accounts for the difference. And to talk about the difference that Temple makes.

By GISELLE ZAYON Photography by COLIN LENTON

12 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Larry Kaiser, MD, FACS Question:

Before coming to Temple, you were President of the University of Texas Health Science Center at Houston. But before that, you were Chair of Surgery at the University of Pennsylvania, just across town from Temple. You were at Penn for 17 years. So did you know Temple pretty well before you accepted the post? Answer: Yes and no. I thought of Temple as a no-frills kind of medical center, a place to roll up your sleeves and get to work. And it is. But I seriously underestimated the talent and expertise I would find here, the drive and grit. Temple has a moral compass unlike any I’ve seen. There’s a deeply ingrained culture of service at Temple that dates back to its founding days. The University had no wealthy benefactor, no endowment. It was a university built for the people, by the people, a brick at a time. As a result, every dollar counts at Temple. Nothing is taken for granted. Every resource is stewarded well. Faculty and students come to Temple — and often stay — for the chance to work on the cutting edge of science with colleagues who see service as a privilege. This attitude permeates the organization. World-class clinicians buying new winter coats for local low-income school kids. Science with service. That’s the heart of the place.

When you arrived at Temple in 2011, the organization We’ve instituted cost-containment actions, changed our had considerable financial challenges. Give us the bold revenue cycle, and rebuilt our supply chain. We’ve put unremit- strokes of the strategies you used to transform it into a ting focus on quality, safety, and value. Even with the consider- $2 billion enterprise. able investments we’ve made — including $100 million in an Unified management drives greater operational and financial electronic health record system just last year — we were able to efficiency. Therefore, integration was priority one. We as- achieve positive annual operating margins for two years run- sembled the clinical, research, and educational arms of the ning for the first time in 20 years. Yet pressures in the market- enterprise under a single umbrella, crafting interlocking objec- place continue to increase. tives for each. In some areas, we consolidated. In others, we expanded. We’ve hired more than 350 faculty members since In 2011, Temple acquired Fox Chase Cancer Center. I’ve been here, fine-tuning key service lines and transforming a Yes. This partnership is hugely important. Fox Chase is a jewel good enterprise into an even stronger one. of an organization with an extraordinary reputation on all A key strategy entails diversifying Temple’s payer mix and in- fronts: patient care, research, education, and community ser- creasing its high-acuity volume. This helps us sustain Temple’s vice. It is one of just 47 NCI-designated comprehensive cancer outsized commitment to the underserved — and aligns perfectly centers nationwide, and one of the very best in the country. with our educational mission. And it’s worked. Our overall vol- Temple’s association with Fox Chase elevates the Temple ume is up, and our high-acuity volume increased 24.5 percent “brand” in every way. between 2011 and 2016. In 2012, for example, we did 126 organ transplants, and in 2016, we did 296. What about other areas of expansion? Another key strategy is to enlarge Temple’s clinical footprint, We have established new research centers in Population bringing care closer to people in our secondary service area, Health, Translational Medicine, Genomics, Clinical Research, where private insurers reimburse at more reasonable rates. Metabolic Disease, and an Office of Health Equity, Diversity, We operate three multispecialty practice centers and four new and Inclusion. urgent-care centers. As a result of the excellent care patients We’ve launched new educational programs, including a physi- have received at those sites, more are coming to Temple from cian assistant program and the country’s first master’s degree in outside Philadelphia for ongoing care. urban bioethics. Our programs respond to the evolving nature We’ve improved the entire system’s operational efficiency. of medicine. Our students graduate exceedingly well-prepared.

14 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 The New York Times recently featured Temple University Hospital in a front-page story about hospitals bracing for the repeal of the Affordable Care Act (ACA). For decades, Temple has been known nationwide for squaring itself against the toughest health care challenges of the day — and thriving; therefore, the Times wanted our perspective on threats to the ACA. With 20 million people at risk of losing insurance coverage, wholesale repeal of the ACA could incite a bona fide public health crisis in America. Hospitals stand to lose $165 billion through 2026. The stakes are especially high for hospitals that are caretakers of communities in “Deep Poverty,” the Census designation denoting family income of less than half the federal poverty level of $24,300 for a family of four. About a third of the people in Temple University Hospital’s primary service area somehow manage to live on this income. If the ACA is repealed, Temple University Hospital will absorb the cost of caring for uninsured patients to the tune of about $45 million per year. Even with the ACA, the hospital operates on a thin margin. Last fiscal year, Temple Health had revenues of $2 billion, yet netted just $3.6 million. A margin of 0.2 percent, compared to the 5 percent average margin in the state. Why the difference? Payer mix. Left: 2:30 p.m.: In North Philadelphia with Temple Community Medicare and Medicaid contribute a markedly dispropor- Health Worker Eugene Godonou. Top: An 8 a.m. class at the tionate share of Temple University Hospital’s revenue: about medical school on Biochemistry of Hormones of the Thyroid and Parathyroid Glands.Bottom: 5:20 p.m.: The second air- 85 percent. Public programs reimburse at far lower rates transport of the day at Temple University Hospital. than commercial insurers. That makes our margin difficult to maintain. We must deliver high-quality care without out- spending what we recoup. We have made innovative business deals. Our contract Health care financing is a world of shifting sands. The only with GE Healthcare, forging a partnership for radiology predictable factor is this: Temple will continue to embrace service and technology, is a world-first. A contract based patients other hospitals turn away. This makes us indispens- on mutual risk. And it’s producing the intended results. able. A critical access point for public health in the largest We have created world-class American city without a public programs in robotic surgery and hospital. A world-class aca- cardiothoracic surgery; were demic medical center that goes the first in the nation to estab- miles beyond what most public lish a Department of Thoracic I have come to appreciate hospitals do. Medicine and Surgery that inte- Temple crafts population- grates medical care, surgical care, the value, the necessity, based approaches that keep and research; and were the first in patients out of the hospital. the region to establish a familial of social conscience in We’re the leading regional cardiomyopathy program — as health care. It is a moral provider of disaster relief and well as vascularized lymph node emergency medical response. transfer surgery for lymphedema, and professional imperative We educate tomorrow’s health a dedicated Limb Salvage Center, that Temple embodies. care workforce — and lead and a Head and Neck Institute. world-class research that’s We were also the first in the world advancing diagnostics, treat- to excise the DNA of HIV from ments, preventions, and cures. cultured human cells and then live Temple’s biomedical research animals, and to finda link between vitamin D and pancreatic cancer. funding doubled during the past four years. Our faculty members hold leadership positions in major With nearly $80 million in NIH research funding, Temple organizations. And teach. And edit major journals and Health has catapulted Temple University to top-tier Carnegie texts. All while caring for the poor, the rich, and everyone Classification last year, the pinnacle benchmark of research in between. funding productivity, the nation’s top four percent. And with We are in a much stronger position today, yet because of the more than 10,000 employees, Temple’s health system is es- twin challenges of maintaining high-tech and safety-net mis- sential to Philadelphia’s economic engine. sions, Temple Health remains in a fragile state — which makes Recognizing its unique, outsized mission, the ongoing advocacy for its unique role imperative. Commonwealth of Pennsylvania gave Temple University

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 15 TK caption Concurrent with his duties as health system CEO and medical school dean, Kaiser maintains a limited practice in thoracic surgery. Hospital its very first appropriation in 1901 — and has been it included in the 21st Century Cures legislation passed last fall. partnering with us ever since. We are grateful to all who back I’m proud of our expertise. our linchpin roles. Absent sustained investment, could any organization embrace the enormity of Temple’s charge? Tell us about what Temple hopes to tackle. Temple is at the vanguard of some of the most important Your job sounds political. topics that medicine will face in this century. We are build- Academic medical centers are foundries of health care prog- ing on our strengths in urban bioethics and population ress in America. They create new modes of care — and educate health, particularly as health care moves from a reactive new generations of professionals to deliver it. This means stance to an anticipatory one. Increasingly, health care is a keeping expensive facilities, technologies, and experts at-the- business of preventing and managing chronic conditions, ready 24/7. The things that affect academic medicine affect the with the locus of care moving from the inpatient setting to health of all Americans. Lives, the outpatient setting and to quite literally, are at stake. So, the home. We are using tech- yes, my job is political. nology that alerts caregivers With the squeeze on the public to patient-condition changes coffers, health care financing is a Health care financing is a that require intervention — story with a familiar theme: do- often before the patient is ing more with less. Policymakers world of shifting sands. even aware of the change. often see cuts to Medicare and The only predictable factor Going forward, we’re going to Medicaid payments as a means see more digital medicine and to reduce federal costs. For a is this: Temple will continue tele-health, more virtual visits, place like Temple University and at-home monitoring. Hospital, offsetting this loss to embrace patients other We’re exploring new, value- remains a daunting challenge. hospitals turn away. based health care delivery and The actual cost of providing care reimbursement models. And exceeds what public payors re- placing greater focus on criti- imburse. And the cuts continue. cal care, end-of-life care, and Cuts in Medicare support quality of life. We must help for graduate medical education, for example, are causing a patients exercise greater personal responsibility for health. bottleneck in the number of available residency positions Education, for professionals and for patients, is Temple’s nationwide. It won’t matter how many medical students we mission. Education is the key that unlocks all doors. get into the pipeline if hospitals can’t afford to bring on more residents and fellows — thus the physician shortage remains You’re CEO of Temple University Health System; unaddressed. It’s my job to remind lawmakers of things like University Senior Executive Vice President for Health this. Moreover, Medicare payments to hospitals do not cover Affairs; Professor of Thoracic Medicine and Surgery physician costs. We must therefore compensate physicians — and now also hold the first endowed dean’s chair in with alternative revenue streams. Another stark reality: Temple University history. What does it mean to you to be Medicare penalizes hospitals that treat the most vulnerable the Lewis Katz Dean? and medically complex patients. Lewis Katz was one of the greatest friends Temple University — and I — ever had. To serve as the Lewis Katz Dean, to Penalizes? steward his ethos and vision, is one of the great honors of my In 2013, Medicare stopped paying hospitals to treat pa- life. Lewis was a natural philanthropist. His entire life was tients readmitted with the same diagnosis within 30 days of about giving. By elevating opportunity in others’ lives, Lewis discharge from a prior stay. Incentivizing hospitals to keep increased the value of his own. If I can bring to Temple even patients well is a worthy goal, yet a far taller order for hospi- a small portion of the honor and commitment that the Lewis tals whose patients struggle to keep food in the house, a roof Katz name entails, I will be satisfied. over their heads. The playing field in America is far from level. That’s the reality safety-net hospitals — and reimbursement You’ve changed Temple. Has Temple changed you? policies — must address. Working at Temple has brought home more clearly than ever Temple’s population health innovations improve care deliv- before that society’s inequalities are borne out in patterns of ery and reduce costs. Our Community Health Worker program disease, that socio-economic determinants of health actu- helped reduce Temple University Hospital’s 30-day Medicare ally have greater impact on wellness than medical care. I have readmit rate from 25.2 percent to just 16.2 percent. Temple come to appreciate the value, the necessity, of social conscience offers the region's only state-certified training program for in health care. It is a moral and professional imperative that community health workers. Temple embodies. When it comes to addressing the social determinants of health — which affect the poor disproportionately — Temple’s Is there a secret to good leadership? expertise is second to none. We weighed in with Congress on Recasting onerous challenges into distinctive strengths. the need to factor socioeconomic disparities into a more equi- table hospital readmission rate policy — and were pleased to see For an appointment with a Temple physician, call 1-800-TEMPLEMED.

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 17 Temple University Hospital at

1900

1892

1892 12Transformed Yet Unchanged 5 18 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Philadelphia, 1892: The city has yet to see its first automobile. Or establish its public school system. Downtown has been “electrified,” but the outskirts — where Temple University Hospital at Temple University Hospital is about to be born — remain gas-lit. People in search of a better life were pouring into Philadelphia. It was the place to be, the “Workshop of the World,” dominating American manufacturing in every sector from train-building to textiles. But it wasn’t all pretty. Housing was ramshackle 2017 and overcrowded, without plumbing or heat. The Schuylkill and Delaware rivers supplied the city’s drinking water — and also received its unfiltered waste. Between 1860 and 1909, some 28,000 Philadelphians died of typhoid fever alone. In those days, few lived past 50. If childbirth or infection didn’t get you, an industrial accident just might. In 1890, a group of physicians created the North Philadelphia Hospital. But it closed within a year, financially strapped. Low-income families hadn’t the means to pay for medical care. That meant North Philadelphia’s nearest hospitals were several miles away — practically another country, mea- sured by the speed of a horse-drawn ambulance. Something needed to be done. Eyes turned to Reverend Russell Conwell, the North Philadelphia pastor who created Temple College, in his Baptist Temple, in 1884. Conwell agreed to create a hospital that would provide its services at no charge — welcoming all, regardless of race, nationality, religion, or any other factor. He found a site for the hospital: a three-story house at 3403 Broad Street. He raised the funds to purchase it. And persuaded North Philadelphians that, with no revenue, converting that house into a hospital — and keeping it afloat — would depend on volunteer commitment. On Christmas Day 1891, a fund raiser brought in money, furniture, lumber, linen, cooking utensils, and more. People worked unpaid as carpenters, plumbers, and painters to transform the house into a hospital. John Wanamaker (of former 1910 Philadelphia department store fame) donated the drapery for all 50 windows of the hospital. Peter A.B. Widener, magnate of Philadelphia’s largest trolley car manufacturer and founder of U.S. Steel, donated the two horses that would dutifully GROCERY BILL pull the hospital’s am- In 1915, Temple bulance for 10 years. University Hospital’s Management of By VERDI J. DISESA, MD, MBA Dietary Department the new Samaritan spent $703.95 Hospital, as it was President and CEO, Temple University Hospital on ice, $4,222.45 named, was entrusted to a Board composed of on butter and eggs, community members and $499.63 and physicians. Conwell on seafood. was President. The Vice 5 President and Medical 12 ARCHIVAL IMAGES:TEMPLE UNIVERSITY LIBARY SPECIAL COLLECTIONS RESEARCH CENTER Director was W. Frank Haehnlen, MD. A Board of Lady Managers would attend to the hospital’s domestic concerns. The hospital had two paid staff: one physician and one nurse. Its operating budget was $6,000 per year. Samaritan Hospital opened on February 1, 1892. It had 20 beds, an operating room, a dispensary (outpatient clinic), a parlor, kitchen, dining room, and separate wards for women and men. The hospital “presents an appearance, inside and out, of a large private home rather than a hospital — a feature quickly observed and highly appreciated by patients,” noted the Report of Samaritan Hospital, 1892. The tiny hospital logged 202 inpatients and 1,448 outpatients in its first year. Onward and upward it went from there.

Constancy and Change Left: Russell Conwell. The Temple University Hospital story is two sto- Right: Samaritan Hospital, 1892 ries. One about dramatic growth and change, the other about unchanging commitment to mission. “Temple is the birthplace of stereotactic surgery, the field of physical medicine and rehabilitation, and other amazing innovations,” says Temple Health’s CEO, Larry Kaiser, MD, FACS. “At the same time, the hospital has been the iconic ‘family doc,’ at the ready, 24/7 for 125 years.” Balancing change and constancy requires ingenuity. Conwell certainly had that. In fact, he created something that did not exist at the turn of the 20th century: a multi-hospital system. Within six years of founding Samaritan, he opened Temple over Time

Rev. Russell Conwell, With Samaritan’s services When a balcony col- Temple University’s creator, in great demand, Conwell lapses at Philadelphia founds Samaritan Hospital. opens Greatheart, a Baseball Park on August 8, The 20-bed hospital opens on maternity hospital, next Samaritan handles its first February 1, and cares for 202 door to Samaritan. mass-casualty event (the inpatients and 1,448 outpatients worst disaster in American in its first year. sports spectating history).

1892 1898 1903 1893 1902

The School of Nursing Dr. W. Wayne opens at Samaritan. In 1902, Babcock, inventor the hospital also opens a of Babcock forceps school of Pharmacy — and and first to use spinal becomes the clinical campus anesthesia in the U.S., of Temple’s new medical becomes Chair of school. Surgery.

20 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 a maternity hospital next door (Greatheart the largest mass-casualty event in Hospital) and acquired a 75-bed general hospital recent Philadelphia history. Numerous called Garretson Hospital (18th and Buttonwood hospitals responded, but the greatest num- Streets). In 1923, he added the 30-bed Joseph ber of patients (and most severely injured) were Price Maternity Hospital (1810 Spring Garden taken to Temple. Street) to the group, all to meet urgent community The roots of Temple’s services for women and needs — which meant a large focus on maternal/ infants go just as deep. In addition to selecting infant health and emergency care, mainstays of an obstetrician/gynecologist as Samaritan’s first TUH’s expertise today. medical director, Conwell recruited superbly When a factory exploded on February 5, 1892, qualified physicians for women and children, such Samaritan treated its first trauma patients (just as Jesse Arnold, MD, an early expert on eclamp- four days after opening). And mobilized its first Outpatient Clinic, 1895 sia and post-partum hemorrhage; James McKee, mass-casualty response on August 8, 1903 — ad- mitting 70 patients in one hour — after a balcony collapsed at Philadelphia Baseball Park (the worst disaster in American sports spectating history). Surrounded by factories, Garretson Hospital responded to accidents and injuries daily. Baldwin Locomotive Works, a 17-acre plant employing 19,000 workers, was right next door. The factories are long gone, but today Temple University Hospital treats approximately 2,000 trauma patients yearly BEDAZZLING (in addition to 140,000 BED COUNT other emergency room Temple University patients). Temple Hospital opened in was among the first in Pennsylvania to achieve 1892 with 20 beds. Level I trauma certi- By 1905, it had 110 fication, and remains beds. By 1930, it had the only hospital in 370 beds. The peak Philadelphia with a came in 1956, when trauma center and a the hospital had burn unit. This expertise proved indispens- 1,000 beds. able in the wake of the Today it has 732. Amtrak train derail- ment on May 12, 2015,

Dr. John Kolmer Dr. Frank Krusen opens develops one of the the nation’s first physical first treatments for medicine and rehabilita- syphilis — and goes on tion unit. to develop one of the first polio vaccines and one of the first polio clinics in the nation. 1915 1928 1907 1923 1929

Samaritan’s name becomes Conwell acquires the 75- Conwell adds the Temple University Hospital. bed Garretson Hospital Joseph Price Dr. William Parkinson, a 1911 (originally the Medico- Maternity Hospital graduate of Temple’s medical Chirurgical Hospital) (18th and Spring school, becomes Dean and at 18th & Buttonwood Garden Streets) to the chief hospital administrator, Streets. “system.” roles he held for 30 years.

ARCHIVAL IMAGES: MEDICAL SCHOOL MATERIAL AND TEMPLE UNIVERSITY LIBRARIES SPECIAL COLLECTIONS RESEARCH CENTER; BASEBALL PARK: WIKIPEDIA.ORG MD, President of the Philadelphia Pediatric Society (1905); and Harriet L. Hartley, MD, who’d been Chief of Child Hygiene for the City of Philadelphia when Conwell recruited her in 1919. Perhaps Temple’s most famous pediatrician was Waldo Nelson, MD, who wrote Nelson’s Textbook of Pediatrics, still the world’s leading textbook in the field after 75 years. Fast forward to the 1960s, when Temple ran one of just five NIH-funded National Women’s Health Programs in the nation — a comprehensive program that served thousands of women and infants for more than 30 years. Today, as a Blue Distinction Center for Maternity Care, Temple remains a destination for high-risk maternal and infant care. Right now, Temple’s Baby Box program — a program designed to help reduce Philadelphia’s unacceptably high rate of infant mortality — is attracting a flood of media attention. A portable bassinet, complete with infant-care items, THE PRICE the Baby Box is given WAS RIGHT free to all mothers who deliver at the hospi- Temple Tutelage In 1966, Temple Emergency Clinic, 1897 University Hospital tal. Its goal is to give The Baby Box is part of SAFE-T, Sleep Awareness parents a safe place for Family Education at Temple, a patient educa- charged $8.25 for their infants to sleep, as tion program. One of thousands the hospital has a lower leg cast, “co-sleeping” with par- provided over the years. Today, Temple’s patient $5.50 for a pair of ents puts infants at risk. and community education initiatives touch about crutches, $15.60 per Dozens of hospitals 70,000 people yearly. Temple’s violence-prevention day for oxygen, across the nation are education programs have garnered national media now instituting it, and attention and prestigious awards. $20 for an electro- New Jersey and Ohio In the Conwell tradition, Temple University cardiogram, and $33 have enacted universal Hospital also provides opportunity-enhancing to deliver a baby. baby box programs general education, not just health education. For across their states. more than 50 years, for example, the hospital has

Dr. Chevalier Jackson, Dr. John Lansbury Dr. W. Edward inventor of the broncho- establishes the Lansbury Chamberlain, who scope, opens Temple’s Index, the first index invented the technology world-famous Jackson of rheumatoid arthritis that makes X-rays visible, Clinic for diseases of the severity. Dr. Harry wins the AMA silver medal air and food passages. Bacon founds the for the electrokymograph, American Board of Colon used to detect heart and Rectal Surgery. disease. 1930 1935 1941 1933 1938

Drs. O. Spurgeon English, Dr. Temple Fay Gerald Pearson, and pioneers clinical hypo- Edward Weiss open thermia, the controlled clinics for psychosomatic lowering of body tem- medicine and child perature to treat cancer psychiatry — national and other conditions. firsts.

22 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 been introducing local low-income teens to career its medical school in 1901, Samaritan became its paths in science and medicine, giving them road Temple University Hospital, primary clinical training site — and remains so. circa 1930 maps and mentors. Temple’s schools of nursing and pharmacy were The roots of Temple’s Community Health founded at the hospital (in 1893 and 1902). In the Worker program (the only state-certified program 1930s, the hospital launched a then-new concept in in the Delaware Valley) date back to the 1960s, training for physicians: residencies. Today it trains when Temple trained community residents to serve 552 physicians in 39 residency and fellowship pro- as family health workers. These programs extend grams, along with nearly 1,000 students of the Lewis the hospital’s arm into the community to help Katz School of Medicine. patients stay well — and open doors to lifelong em- Temple’s embrace of education exceeds that ployment opportunities for health workers as well. of a traditional hospital. Its approach to health The starring role in education at Temple is, of care does too. Temple was an early adopter of the course, the professional one. When Temple founded “whole-person” view of health, recognizing that

Drs. Ernest Spiegel Dr. John Lachman and Henry Wycis develops the Lachman develop stereotactic Test for ACL instability, surgery, revolutionizing a clinical pearl still used brain surgery. today.

1947 1956 1945 1954 1957

Temple’s Department of Dr. W. Wayne Babcock Comprehensive Medicine is awarded the AMA — an early model integrating Dr. Waldo Nelson pub- Distinguished Service public health, prevention, lishes the world-famous, Gold Medal for outstand- and community engagement still-published Nelson ing contributions to medi- — draws visits from health Textbook of Pediatrics. cine and humanity. leaders worldwide.

ARCHIVAL IMAGES: TEMPLE UNIVERSITY LIBRARIES SPECIAL COLLECTIONS RESEARCH CENTER health is influenced by GALLOP POLL many factors — such as The horses that income and employ- pulled Temple’s first ment status, educational ambulance were level, access to food and shelter. The hospital has donated by Peter A.B. always been an agent for Widener, founder social betterment and of U.S. Steel. The has always worked to hospital staff named keep people healthy and the horses Pete and out of the hospital: in the 1940s with its Institute Widener in his honor. of Public Health and Preventive Medicine, in the 1950s with its Department of Comprehensive Medicine (a program integrating public health, preventive medicine, and community engagement that drew attention from as far away as France, Brazil, and Indonesia); and in the 1960s as part of the North Philadelphia Health Services Study Group. In the 1960s and 1970s, the hospital operated two neighborhood health centers that drew about 79,000 visits per year. Today, Temple is part of the North Philadelphia Health Enterprise Zone, a collaboration to improve community welfare. for the Study of the Internal Secretions (the precur- W. Wayne Babcock, MD sor of endocrinology). In Praise of Pioneers Temple was home to founding members of the The origins of Temple’s contemporary world-class American Board of Surgery, the American Board services date back to early Temple pioneers. of Ophthalmology, the Harvey Cushing Society, The hospital’s founding medical staff in- the American Board of Colon and Rectal Surgery, cluded Judson Daland, MD (1860-1937), editor, and other prominent organizations. International Medical Magazine; Edmund Holmes, For 40 years beginning in 1904, surgery at Temple MD (1851-1905), author, Outline of Anatomy; James was led by W. Wayne Babcock, MD (1872-1963). White, MD (1850-1916), author, American Text Babcock pioneered new surgeries (such as the “pull Book of Surgery, 1896); and Charles Sajous, MD through” operation) and invented dozens of instru- (1853-1929), founding President of the Association ments (including Babcock’s forceps). In 1904, he was

Temple performs Dr. Sol Sherry, soon to Dr. Joseph Torg and Philadelphia’s first heart- become world-famous colleagues open the lung transplant; and for thrombolytic world’s first university- in 1990 Philadelphia’s therapy, becomes Chair based sports medicine first successfulkidney- of Medicine. center. heart transplant and Pennsylvania’s first peripheral blood stem-cell transplant. 1968 1974 1987 1970 1984

Cancer Research, the most frequently cited cancer re- Temple performs search journal in the world, Philadelphia’s firstheart is founded at Temple by transplant. In the mid- Sidney Weinhouse, PhD 1990s, Temple is #1 in (edited at Temple until the nation for adult heart 1991). transplants.

24 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 the first in the U.S. to use spinal anesthesia. Act, requiring hospitals receiving Seminal work was done at Temple in many fields. federal funds to offer free care to those Harry Bacon, MD (1900-1981) is considered a unable to pay, the law made no difference to founding father of colon and rectal surgery. Temple. We’d been doing it all along,” says Robert Ernest Spiegel, MD (1895-1980) and Henry Lux, Temple Health’s Chief Financial Officer. Wycis, MD (1911-1971) developed stereotactic sur- But open arms come at a cost. As the de facto char- gery, which revolutionized brain surgery. ity care hospital in the largest city in America without In 1930, Chevalier Jackson, MD (1865-1958), a public hospital, Temple has faced significant chal- inventor of the bronchoscope, opened Temple’s lenges — and will continue to uphold its commit- world-famous Jackson Clinic for diseases of the air ment, no matter what challenges may lie ahead. and food passages. “It is remarkable to consider the changes that Physical medicine and rehabilitation was born have taken place in the last 125 years, and Temple at Temple. Frank Krusen, MD (1899-1973) created University Hospital has been with Philadelphia the first PM&R Department at Temple in 1928. through it all,” said Congressman Dwight Evans, who Temple’s contributions to cardiology are consider- represents Pennsylvania’s second district. “Temple able. In 1937, Hugo Roesler, MD (1899-1961) wrote is a vital partner that is recognized and appreciated one of the earliest books on cardiovascular imaging. across the region and beyond.” In 1947, the hospital opened one of the first coronary The main hospital campus That is our legacy of the past and our promise for care units. In the 1980s, Sol Sherry, MD (1916-1993) today. the future. revolutionized the treatment of acute myocardial infarction through thrombolytic therapy. In 1984, Temple performed Philadelphia’s first heart transplant — and led the nation in adult heart transplantation in the mid-1990s. Ground has been broken at Temple in many fields. And the quest continues.

Mission and Moxie Temple’s expertise draws regional, national, even international referrals. At the same time, Temple is the leading safety-net provider in Pennsylvania. It sustains its commitment to one of the largest at-risk populations in the nation (it provided more than $39 million in charity and under-reim- bursed care in 2015 alone). “In 1946 when Congress passed the Hill-Burton

Dr. Larry Kaiser US News & World Report becomes the new ranks Temple’s medi- head of Temple cal school the 4th-most Health; Fox Chase applied-to in the nation. Cancer Center joins In 2016, Temple University Temple’s health achieves Tier I Carnegie system (2012). Classification (top 4 percent in the nation). 2011 2014 2000 2012 2017

Episcopal Hospital becomes a Temple faculty are first in the campus of Temple University nation to treat esophageal With 722 beds, a half- Hospital; Northeastern disease with cryotherapy; million patient visits per Hospital becomes a campus excise the DNA of HIV from year, and three campuses, (2009); Jeanes Hospital human cells (2014); and Temple University joins Temple’s health system link pancreatic cancer with Hospital celebrates its (1996). vitamin D (2015). 125th anniversary.

HEART AND LUNG: CLINT BLOWERS; BUILDINGS AND KAISER: JOSEPH V. LABOLITO; 2012 IMAGE COURTESY CSA MEDICAL, INC. (C) TRIDENT POST PRODUCTION

SURGERY How Medical Students Catch THE SURGERY

“DON’T BECOME A SURGEON,” DR. SANJAY REDDY’S parents told him. “Choose another specialty that will enable you to work regular, predictable hours. We want you to have a life.” Did the young physician listen? No. Therefore his life is not what his mother and father (both physicians) envisioned for him. “But I am doing what I’m supposed to be doing. I’m where I belong,” says the young surgical oncologist at Fox Chase Cancer Center, clearly happy with the decision he made about his career. Are his parents disappointed? Far from it. In fact, it’s hard to imagine parents with more pride.

By GISELLE ZAYON Illustration by BILL MAYER

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 27 SURGERY BUG “ SI

DECISION PRECISION In this manner, all clerkships contribute to the develop- n addition to teaching medicine, medi- ment of medical students as well-rounded professionals. And cal school has another important aim: appreciating the various specialties isn’t mere nicety. “Patient To help each student identify the right outcomes depend on how well caregivers across all the fields medical career. of medicine work together as a team,” Peet notes. “Deciding on a specialty is a big decision,” During the two-month surgery clerkship, LKSOM students says Alisa Peet, MD, Associate Dean for learn the basic principles of trauma, critical care, emergency, Clinical Education at Temple’s Lewis Katz and general surgery. They rotate through at least two different School of Medicine. “Some students have surgical services. Throughout they are embedded in a team of always known what they want to do. Others senior, experienced physicians. are interested in many different fields and “You might assume the surgery clerkship teaches students must think about what specialty will be a how to perform surgery, but it doesn’t,” Roberts says. “Instead, good fit, will make them happy and successful in their career.” we teach students the underlying pathophysiology of com- Selecting the field that suits you — and you it — is essential. mon surgical illness. We teach them how to manage patients There has to be natural inclination, natural fit. throughout the continuum of care — before, during, and after Surgery, for instance, isn’t for everyone. Its physical de- surgery. The goal is to instill the principles foundational to mands (dexterity, steadiness, stamina, spatial reasoning abil- excellent patient care.” ity) don’t come naturally to everyone. Likewise its psychologi- The surgery clerkship’s requirements are exacting. Students cal requirements. During surgery, complications can arise fast. must work with pediatric, adult, and geriatric patients — Decisions must be made on the spot, with calm and control. It representing 13 different commonly encountered surgical dis- takes a certain temperament to navigate this kind of pressure eases — across a variety of in- and outpatient clinical settings. and risk. They must master 14 different procedures (such as how to In most areas of medicine, the effects of treatment are place and remove a nasogastric tube or peripheral intravenous revealed over time — but in surgery, results are immediate. line). They must observe more complex procedures, such as Tissue is excised, restored, placing a central line or an en- rerouted. Blockages are cleared, dotracheal tube. “With patient organs transplanted, bones set. safety always the overriding “When the patient does “The field of surgery elicits concern, the level of student re- well, you know you’ve played a sponsibility for each encounter significant role in that result. strong presuppositions,” says or procedure is predetermined,” Likewise, if you make a mistake Roberts. “Students tend to Roberts says. and harm a patient, you have to Surgery is a fast-paced, goal- live with that, too,” says Andrew come to surgery gung-ho — or directed clerkship. Students Roberts, MD, Director of the participate in the evaluation Surgery Clerkship at LKSOM. feel it’s a definite no.” of hospitalized patients with To expose students to the residents in the early morning unique tempo and territory of (pre-rounding), then round with each major specialty, all medical students are required to ro- the full team. They see patients in the pre-operative setting and tate through internal medicine, surgery, pediatrics, psychiatry, in the OR (to observe procedures), then follow their progress obstetrics/gynecology, neurology, family medicine, emergency postoperatively, re-evaluating their progress in the afternoon. medicine, and radiology. In addition to following about four inpatients at a time, stu- These courses, which are called clerkships or rotations, dents see outpatients, “treat” virtual patients online, and work teach students to apply their knowledge and skills to patient with simulated patients (actors trained to present certain care in the clinical setting — and at the same time expose stu- symptoms). They complete assignments that entail medical dents to different options for their careers. literature searches. And write papers and make presentations. “The field of surgery elicits strong presuppositions,” says They even take part in “on call.” Roberts. “Students tend to come to the surgery clerkship To pass the clerkship, students take a 100-question exam gung-ho — or feel it’s a definite no.” on surgical diseases and treatments. They must demonstrate One “definite no” person was Matthew Philp, MD, a 2005 a spectrum of clinical competencies. They must exhibit good graduate of LKSOM. But five minutes after scrubbing in to clinical decision-making. And show they can utilize hospital observe his first surgery during his clerkship, the world took and community resources cost-effectively. on an unexpected glow. “Suddenly, it was clear; this was it for Evaluations go beyond technical knowledge. Is this student me,” recalls Philp, who now, somewhat ironically, is Assistant well-organized? Committed to personal learning and im- Director of the Surgery Clerkship at the school. provement? Advocating for patients in a constructive manner? Does he witness transformations in today’s students? “It’s all about professionalism. We teach students how to Absolutely. “But here’s the important point,” Philp says. interact with patients, families, and colleagues in ways that “Newly inspired to become a surgeon or not, the surgery clerk- build trust and rapport. To be nonjudgmental when address- ship makes a fundamental change in all students. They leave ing sensitive issues. To learn how to deliver bad news. These with a far deeper appreciation, respect, and understanding of are core elements of all clerkships,” says Peet. surgery than they arrived with.”

28 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Left: Sanjay Reddy, MD. Above: Reddy in surgery.

Afterward he was invited to join the faculty. His SURGERY faculty mentors are now his colleagues, part of his extended medical family. “Our team has amazing expertise,” Reddy says. “We put our heads together, look at all factors of each patient’s case to work out what thera- pies will be best, in what order, at what interval. BUG Collaborating, we exercise extremely nuanced judgment.” It’s one of the great lessons of medical school: The team-is-supreme. Dennis Vaysburg, a third-year LKSOM medical student, is a Reddy fan — and ready to join his team. After shadowing a surgeon at Case Western Reserve as an undergraduate, Vaysburg set his sights on becoming a surgeon. Now, having spent “ part of his clerkship with Reddy, he is smitten with surgical GETTING REDDY SIoncology — a field he never considered before. emple students long-set on surgery, “A general surgeon who does emergency appendectomies along with those who catch the sur- will probably never see those patients again, but at Fox Chase, gery bug during medical school (like surgical oncologists develop long-term relationships with Philps), have another chance to delve patients, get to see how their lives are progressing. That really into surgery during fourth-year elec- appeals to me,” Vaysburg says. tive clerkships, which enable students Reddy makes a big impression on students with the ques- to explore additional areas of interest. tions he asks, the observations he makes. “He turns so many Those interested in learning about moments into opportunities to teach. He even asks students surgical oncology spend a month at for feedback so he can do an even better job with future stu- Fox Chase Cancer Center. Some are dents,” Vaysburg says. assigned to Sanjay Reddy, MD, who “Medical students learn that you are not pigeon-holed as a specializes in the surgical treatment of colorectal cancer, surgeon. You can specialize in cancer surgery, trauma surgery, pancreatic cancer, and melanoma and sarcomas. Students love vascular surgery, transplant surgery, thoracic surgery. It’s him because he’s in love with every aspect of his career: patient quite a versatile specialty,” says Reddy. “As my colleague Dr. care, teaching, and research. Jeffrey Farma says, ‘There is not one day that is routine.’ We Reddy completed his general surgery residency at Beth learn something new about patients, life, and cancer on a Israel Medical Center in New York City (under the tutelage daily basis.” of his father). His mother, an anesthesiologist, also spent long “Everything we do is about education,” Reddy continues. hours in the OR; that’s why the Reddys hoped their son would “Education is about expanding, refining, improving, discov- choose something less demanding. But he was born, it seems, ering, and most of all, sharing our knowledge and passion. with the surgery bug. In fact, he wanted to be a cancer sur- Clearly, it can be contagious! ” geon, like his dad. Therefore, after residency, he came to Fox

EDWARD CUNICELLI EDWARD Chase in 2012 for a two-year fellowship in surgical oncology. For an appointment with a Temple physician, call 1-800-TEMPLEMED.

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 29 Habit of the Heart Practicing Medicine with Faith

he other day, while making her rounds at Temple University Hospital, Jocelyn Edathil, MD, went to see a patient, Mrs. Geneva Meade. Meade, 69, an amputee with myriad health problems, most recently a blood clot in her lung, was reading a book, Power Prayers for Women. Meade, it turned out, had been an evangelist for decades. Beneath her white medical coat, Edathil, 37, a hospitalist, wears the white habit of a Catholic nun. In addition to saving lives, Edathil is devoted to saving souls. If she feels a patient would be receptive to prayer — usually the terminally ill, the

By MICHAEL VITEZ Photography by EDWARD CUNICELLI

30 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 SPRING 2017 | TEMPLE HEALTHSister Jocelyn MAGAZINE Edithil, | MD 31 addicts, the lonely, and the lost, or those, like Meade, who are He kept his promise, at least the first part. He saw her at 7:30 open about their faith — she will ask if she can pray with them. a.m. but then left the hospital against medical advice. This is With Meade, it was a little different. common among addicts. The hunger for heroin is too great. “I’m a new sister,” Edathil explained to Meade. “I just took “I am disappointed,” said Edathil. “But I must be faithful, my vows in August. Usually when I pray with patients, I pray not necessarily successful.” for them, but since you have experience, I would be so grateful She calls herself a “baby nun,” new to the religious life, and if you would pray for me.” observing her vows isn’t always easy. With a vow of poverty, “I’d be honored to pray for you, honey.” even buying Starbucks is considered an extravagance. She is The two women held hands. paid a hospital salary, but gives it to her Order. “Pray for my sister, God. I’m asking you to touch her. Keep For Edathil, science and faith have long gone hand in hand. your angels around her, God. She surrendered her life to you.” Edathil’s parents emigrated to the United States in the 1970s After the prayer, a solid five minutes, from Southern India. She was born at Edathil was beaming. And her eyes were Temple University Hospital and raised in moist. She Philadelphia. Her mother, now retired, was “Oh, my God. Thank you so much,” a Respiratory Intensive Care Unit nurse at Edathil said. introduces Temple for 25 years. The family belongs to “Anytime,” said Meade. herself to the Malankara Catholic Church, popular in Southern India. patients as When Edathil was 13, she was at a church SISTER DOCTOR service with a charismatic preacher. “God, he introduces herself to Dr. Edathil. if you’re for real, show me,” she said. The patients as Dr. Edathil. To To her fellow preacher declared that 20 people in the her fellow physicians, she crowd would feel a bolt of electricity and is comfortable just being physicians, stand up. “I felt electricity all through my Jocelyn. Outside the hos- she is body,” Edathil recalled. “I stood up. I’m very S pital, she is Sister Jocelyn scientific. I counted out 19 others.” — “My most important comfortable She went on to Central High School, and title,” she says. just being Villanova University on full scholarship, and She feels fortunate that as her tithe devoted 10 percent of her time to her service to God includes a profession Jocelyn. the campus ministry. She decided to become she loves deeply. “It is a great joy for me Outside the a nun at the end of her senior year, but by after all these years of training to do both,” then was already accepted into a graduate she says. hospital, program in chemistry at the University of She keeps a rosary in each pocket of her she is Sister Pennsylvania, and an MD/PhD program at white coat, and tries to attend Mass every Penn State. She went on to do her residency morning before work. One day recently, Jocelyn — in internal medicine at Temple. she missed, but was working at Temple’s “I saw learning about the human body as Episcopal Hospital campus, where a “My most a type of spiritual exercise,” she said. She Catholic church is next door. She ducked important loves the diagnostic challenge of figuring out in late afternoon when she had a mo- out what’s wrong with patients. “Every day ment to receive the Eucharist. She kneeled title,” is a mystery,” she says. She also loves teach- and prayed, her stethoscope sticking out she says. ing. This was evident during rounds. of her coat pocket, a moment of sublime “The patient has a MRSA pneumonia,” peace. She was radiant as she crossed she quizzed an intern, Lauren Monaco, the parking lot back to the hospital. “It’s outside a patient’s room. “I’m going to give heaven,” she said. daptomycin. You say ‘OK’ or you say ‘no’?” She went to see a patient, Joseph Rios, “I’m going to say no,” said the intern. 24, a heroin addict who, in a rush to escape the police, ac- “Okay, I like it,” said Edathil. “Do you know why?” cidentally injected himself in the hand, which got infected and “Poor lung penetration?” swelled like a boxing glove. He was getting antibiotics. “There’s something that actually inactivates the daptomycin,” Edathil asked him about his life, his addiction. He said he’d the doctor continued. “Do you know what that is?” tried to get into a rehab program but lacked coverage. “I’ll pray Pause. for your insurance to open a door,” she told him. She tried to get Edathil continued. “It’s what premature babies don’t pro- him to imagine a different life, off drugs, working, and told him he duce enough of….” should consider becoming a phlebotomist. “I’ve met quite a few “Surfactant,” said the intern. Yes. addicts who can find a vein anywhere,” she told him. He then told “I was actually surprised at how much Dr. Edathil was like her with pride, “People pay me to find their neck veins.” other attendings,” said one resident. “She asks hard questions She returned that evening to pray with him. She asked him and expects a lot. Don’t let the habit fool you. When she’s in to promise that he would see her in the morning, and work the hospital, she is first and foremost a doctor.” with her on getting clean.

32 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 NUN “RESIDENCY” Absorbed in prayer. n the summer of 2013, Temple was revamping its hospitalist program — hospitalists are physicians who work exclusively in hospitals taking care of “I know,” she said. “But I don’t want you to be using so much patients — and Edathil applied. But she explained weed that you’re not going to dialysis.” to John Davidyock, MD, Chief of the Hospital She prayed for him later when she did her rosary. I Medicine section, that she would be leaving in a Edathil has so many people to pray for, she uses an app on her few months to begin her religious training as a nun. phone to keep track. She swipes through screen after screen, “I didn’t hesitate,” he said. He thought her making sure everybody’s covered. There’s even a green check decision to become a nun only underscored her mark for prayers that are answered. commitment to patients. “I asked her to pray for my mother-in-law who is Presbyterian Edathil worked two months at Temple, then left to complete and had a total knee replacement,” said Rachel Rubin, MD, a fel- her novitiate, what she calls her “nun residency.” For over a year low Temple hospitalist. That prayer got a green check. she spoke only to 12 other nuns in training. “She’s a wonderful physician,” says Rubin, who is Jewish. “She She wears the habit and veil because it is required by her is caring and patient and thoughtful, and keeps the patients’ best religious order. She was worried at first that this might cause interest at heart. Her belief is to love everyone, all her patients problems. “So far, thank God, it hasn’t. The patients are abso- and colleagues. This is a testament to the diversity of Temple. No lutely accepting. Some are thrilled,” she said. one really bats an eye. Everyone is very accepting.” Often when walking the halls, patients and their families Edathil went to see a cardiac patient who was about to be will give her an Arabic greeting, “Assalam Alaikum” (may God discharged to a nursing home. She wasn’t strong enough yet grant you protection and security). She will respond in kind, to go home. She worried that the nursing home her husband “Alaikum Assalam.” picked was too far away. Edathil asked if she could pray with “I have no problem blessing in Arabic,” she explains. the woman as a voice on the television blared: “Is the man I love She went in the other day to see Terry Jenkins, 54. He missed cheating on me with my twin sister?” Patient and doctor were three weeks of kidney dialysis, high on marijuana. Near death, oblivious, absorbed in prayer. his cousin brought him to Temple, where two cycles of dialysis “Lord, as she is about to leave this hospital, prepare a place brought him back. that she’s happy with, that her husband’s happy with. Thank Jenkins is Muslim and assumed Edathil was too. “I thought it you, Lord.” was a Khimar,” a form of Muslim head covering, he said of her veil. Then Edathil was on to see her next patient. It had become clear to her that he used marijuana as a panacea for all his problems. He probably had a lot more pain than he let Michael Vitez, winner of the Putlizer Prize in journalism, directs the Narrative on. She tried to probe, to learn more about him, to find a way to Medicine Program at the Lewis Katz School of Medicine. help him, but had little success. “I just love the weed too much,” he said. For an appointment with a Temple physician, call 1-800-TEMPLEMED.

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 33 CHANGE AGENT

Bennett Lorber, MD, MACP THOMAS M. DURANT PROFESSOR OF MEDICINE PROFESSOR, MICROBIOLOGY AND IMMUNOLOGY

new prospects for prevention and You say you are a physician and a treatment. painter. Not a physician who happens Q: In “Hot tubs, sex, sushi, and infectious to paint, or a painter who happens to diseases” (Pharmacotherapy, 1991) you be a physician. Are these distinctions wrote about striking and interesting changes in patterns of diseases due to you unwaveringly maintain? alterations in lifestyle. A: As social patterns change, we Q For me, painting is not a hobby; rather, it is a recognize new diseases, new clinical calling equal to my calling to be a physician. I manifestations of old diseases, new ecologic niches for traditional patho- & cannot imagine my life without either medicine gens, and new modes of disease or painting. We all have many identities — mine transmission. Even fashion plays a part. include father, husband, teacher, colleague, and In the 1980s, the considerable uptick in friend. The way we define ourselves can enlarge cases of osteomyelitis of the small bones of the foot was due to the propensity of our lives and our possibilities, framing our pseudomonads to thrive in the moist expectations of others, ourselves, and the world. inner layers of the preferred footwear of It’s something I strive to impart to my students. the day: sneakers. A Q: You’ve presented the infectious diseases update at the annual meeting of Q: You believe that art has helped you Fauci of the NIH. You were the first to American College of Physicians four learn to solve diagnostic challenges. note that “the media have largely times; contributed to every edition of Can you explain? ignored…the discovery that transmissible Principles and Practice of Infectious A: I have developed my powers of agents play important roles in diseases Diseases; won two lifetime achievement observation through painting and not suspected of being infectious.” awards, including the one from the analyzing art. Artistic concentration A: So-called emerging diseases like Infectious Diseases Society of America; tunes the senses to nuance and detail in Ebola have been the subject of books, and hold rare Master status in the all settings, including clinical ones. For movies, and television shows for American College of Physicians. What example: I was asked to see a patient with decades, yet little attention has been means the most? a pneumonia that would not abate. A paid — until recently — to the roles that A: Teaching. A student I had 25 years number of physicians had already seen transmissible agents play in diseases ago recently told me: “You remain to me him. When I visited him in his room, I once not suspected of being infectious a model of how to honor the profession noticed a magazine on the bedside table — such as gastric ulcer disease, neuro- of medicine.” That touches me. Former about tropical birds. It turns out he degenerative disease, inflammatory students regularly call me for advice, raised parrots. He had psittacosis, an disease, and cancer. Since this scientific still think of me as their professor. That uncommon pneumonia acquired from revolution began in the 1970s, we touches me, too. parrots. The magazine had been there all continue to identify more “infectious” When I was an undergraduate, I gave a along. I was just the first to take note. causes for diseases formerly thought of presentation to my invertebrate zoology as nontransmissible. In some cases, class. Afterward the professor said, Q: In 1996 you wrote an article called pathogens are causal; in others, they “Bennett, I hope whatever you do will “Are all diseases infectious?” (Annals of trigger an immune reaction that leads to include teaching.” I hadn’t considered Internal Medicine) that caught the disease or functions as a risk factor. teaching before, but a verdant world attention of such luminaries as Anthony Host-pathogen interactions are opening opened to me with that single remark.

34 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Photograph by COLIN LENTON GUTTER CREDIT HERE Bennett Lorber, MD, MACP QUEST

Urban Clinical Research Across the nation, in low-income, mixed-minority studies enrolling participants,” Fisher says, calling Block by Block a commu- urban communities like North Philadelphia, it’s an nity engagement tool that also serves as a research partnership between the uphill battle against diabetes, stroke, hypertension, medical school and its community. and heart disease — for the residents themselves and “Having our beneficiaries invested and the clinicians and scientists who want to help them. involved goes a long way to making a positive impact on urban health. Temple “Entrenched patterns of illness can be changed only provides the best medical care possible with proven interventions,” says Susan Fisher, PhD, to patients in our trials. Minorities need to be a part of that,” says Fisher. Associate Dean of Clinical Research at the Lewis “Most importantly, we are giving North Philadelphians a voice in research. Katz School of Medicine. “Interventions based on Their concerns and insights can send clinical studies that are scientifically sound, bias- scientists in new directions.” free, and demographically relevant.” Urban health experts like Fisher know that a variety of social determinants work against people living in low- Health care is not plug-and-play. An Philadelphians; increase community income, minority urban communities. approach that works for one type of awareness of, and trust in, the clinical This population has historically been community may not for another. When research process; and establish a sus- excluded from clinical studies on which it comes to low-income, mixed-minority tainable, multi-generational cohort of health improvement strategies are built. patients in the inner city, there’s simply area households engaged in the concept not a lot of background research to rely of individual and community health To support Temple’s innovations in on, Fisher says. The population isn’t well- improvement across the lifecycle. urban medicine, Fisher also serves as represented in published clinical studies. founding Chair of the Department of Which is precisely where the Temple Block by Block representatives go Clinical Sciences, which teaches future Clinical Research Institute (TCRI) door-to-door in North Philadelphia to clinical researchers best practices in comes in. It is directed by Fisher — an interview people about their health. clinical research. With curricula that epidemiologist with expertise in biosta- “When we explain how participating cover research methodologies, risk as- tistics and clinical trial design. in Temple’s research efforts will help sessment, data management, biostatisti- improve health in North Philadelphia, cal analysis, regulatory compliance (and Eager to see medicine do more for what we find that people want to be involved,” more), the department is also valued she calls “our most vulnerable com- Fisher says. “More than 1,200 residents by mid-career investigators seeking to munities,” Fisher leads TCRI with a have enrolled since we launched the hone their skills. focus on helping Temple faculty get program in 2015 — significantly more more studies in the pipeline that will than we anticipated. By sitting down “Optimal scientific productivity guided ultimately benefit people in low-income with people in their homes, we’re build- by an ethical, patient-centered approach urban areas. The in-house consultancy ing confidence in Temple and in our — that’s our goal,” Fisher says. “By features staff to guide the clinical re- research.” enhancing Temple’s overall institutional search process every (complicated) step proficiency in clinical research, we’re along the way. It even features a special Block by Block representatives visit working to decrease the human cost of program to boost minority participa- enrollees every six months to gather disease in diverse, underserved commu- tion, Temple Health: Block by Block. health-related information that Temple nities. Temple University is a nationally- This program was designed to help can then use to fine-tune its research recognized research institution commit- Temple better understand and ad- approach. “Home visits also give us ted to urban health improvement. I’m dress the health concerns of North a chance to inform residents about excited to be part of it.”

36 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Photograph by CARDONI Susan Fisher, PhD TOOLS OF THE TRADE

News for NET neuroendocrine tumor (NET) is a cancer that grows in endocrine and nervous-system cells — such as those in the digestiveA tract, pancreas, lung, or glands. About 8,000 Americans are diagnosed with a malignant NET every year. Because NET symptoms can mimic those of other diseases — and because routine imaging tests cannot optimally detect NETs — the cancer is often diagnosed at an advanced stage, making it challenging to treat. “But something new has come along — enabling cancer specialists to assess, monitor, and treat patients with NETs with far greater precision than ever before,” says Rosaleen Parsons, MD, FACR, FSAR, Chair of Diagnostic Imaging at Fox Chase Cancer Center. It’s an innovative imaging technique called Gallium-68 DOTATATE PET/CT. Fox Chase Cancer Center is the first hospital in the greater Philadelphia region to offer it. “In fact, Fox Chase is pursuing designation as a neuroendocrine center of excellence,” says Paul Engstrom, MD, FACP, Special Assistant to the President of Fox Chase, who is IMAGE A: The old method, an octreotide PET scan leading the initiative with Namrata Vijayvergia, MD, Assistant Professor of Hematology/Oncology. Two imaging techniques used in tandem undergird the new technique: positron emission tomography (PET) GOOD-BYE TO A SHADOWY PAST. Image A (above), was produced with the old method for detecting and computed tomography (CT). PET neuroendocrine cancer, a PET scan with an octreotide tracer. Image D (far right) depicts the much- improved new method, which reveals tumors in far greater detail, a boon for diagnosis and treatment. captures images of bodily function. Image D was produced by co-registering two images: A CT scan (Image B) and a PET scan (Image C) CT produces images of body structure. performed with a newly approved tracer, Gallium-68 DOTATATE. Both techniques capture pictures of the body “slice by slice” in three dimensions. Hundreds of images are produced during a session. Physicians positive charge,” says Jian (Michael) injected, swallowed or inhaled, depend- can examine one slice at a time or in Yu, MD, FRCPC, Chief of Nuclear ing on what body part is being studied. stacks to assess the affected anatomy Medicine and PET at Fox Chase. The PET scans depict the body metaboliz- and physiology. signals that produce the images on a ing the tracer, breaking it down. “A PET scan is actually a picture of PET scan are obtained by means of a A new FDA-approved tracer called

a positron, a subatomic particle with a radioactive drug, a tracer. Tracers are Gallium-68 DOTATATE, used in ED GABEL

38 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 IMAGE B: A CT scan + IMAGE C: A PET scan created with Gallium-68 = IMAGE D: The Gallium-68 DOTATATE PET/CT, a clearly superior imaging result.

tandem with PET and CT, is the break- up in higher densities, revealing areas much less time than older methods. The through for NET imaging at Fox Chase. where the cancer has originated and/ old method required a series of scans Gallium-68 DOTATATE reveals or spread.” over three days. Today, three hours of metabolic information about a specific The new Gallium PET/CT scan is scanning produces far better results. cellular receptor for a hormone called proving enormously helpful for diag- In addition, patients are exposed to somatostatin. “NETs usually have a nosing NETs, for staging and grading approximately two-thirds less radiation higher concentration of somatosta- tumors, and for making decisions about than with the old method. tin receptors than normal tissue,” treatment. “We are also using the scan According to Vijayvergia, the Gallium explains Yu. “Therefore, tissues with to monitor patient response to treat- PET/CT scan is significantly improving normal metabolic function appear as ment,” Vijayvergia says, noting that Fox Chase’s ability to care for patients ‘background activity’ in the scan, while treatment decisions are based, in part, with NET. “It will change the course of cancerous tissue — which contains on imaging results. treatment for many patients with neu- more somatostatin receptors — shows As an added bonus, the new scan takes roendocrine cancer,” she says.

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 39 TIMELINE 1892 1906 1917 1933 VISION QUEST he American Board of Ophthalmology — the organization that sets the standards for the certifi- Temple’s founding Temple’s first Chair of After Reber’s premature Mayo Clinic neuro- cation of ophthalmolo- medical staff of seven Ophthalmology is death, Drs. Luther Peter ophthalmologist Walter includes G. Oram Ring, Wendell Reber, MD, and Winfield Boehringer Lillie, MD (1891-1947), Tgists — was established in 1916. It was MD (1861-1933), a FACS (1867-1916), lead Temple’s eye becomes Chair. He the first specialty board in the nation. general practitioner and coauthor, Muscular service. In 1928, pioneer- establishes Temple’s One of its three founding members, ophthalmologist who Anomalies of the Eye ing ophthalmic plastic ophthalmology Wendell Reber, MD, was Chair of later chairs the College (1898). He is surgeon Edmund residency program of Physicians of elected President, Spaeth, MD (1890- (1935) and recruits Drs. Ophthalmology at Temple. Philadelphia’s Section of American Academy of 1976), joins the faculty. Edward Bedrossian and The world’s first reference text on Ophthalmology. Ophthalmology and Spaeth later becomes Glen Gibson to Temple. pediatric ophthalmology was written at Otolaryngology in 1910, a founding member of Temple by a former department chair, and becomes a founder the American Board Robison Harley, MD, PhD. of the American Board of of Plastic Surgery. Ophthalmology in 1916. The Chan wrist rest — a stabilizing device used by eye surgeons around the world — was invented at Temple by former chair Guy Chan, MD. The first ophthalmic surgery in Philadelphia performed with an operating microscope was performed at Temple. Some of the first photos of the ocular fundus were taken at Temple, too. “I’ve led Temple Ophthalmology for nearly ten years now,” says Jeffrey Henderer, MD, the Bedrossian Chair of Ophthalmology, “but I’m still amazed by the groundbreaking advances that were achieved here.” “Temple Ophthalmology was early to RING recognize the impact of diabetes, hypertension, arteriosclerosis, and other sys- LILLIE temic diseases on the retina,” Henderer

says. “In fact, in 1940, our exhibit on the REBER topic won first prize from the American Medical Association.”

“High standards are our hallmark,” SPAETH says Henderer, a fellowship-trained glaucoma specialist. “Temple’s residency program is now in its 81st year. The physicians we’ve trained work all over the country.” With three full-service offices in the Philadelphia region, the department con- ducts research, manages a telemedicine program, and provides a comprehensive spectrum of services to manage ophthal- 1892 mic disease, infections, and eye trauma.

40 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 1934 1947 1966 1974 1978 2008

Temple faculty are After Lillie’s untimely Temple Ophthalmology Robison Harley, MD, Guy H. Chan, MD, FACS Jeffrey Henderer, MD, among the first in the death, Glen Gibson, MD merges with Wills Eye PhD, FACS (1911-2007), (1928-2009), is Chair. joins Temple as the Dr. nation to take (1906-1984), is named Hospital. Arthur is now Chair. Harley’s Chan brings the first Edward Hagop clinical-quality photos Chair. The department Keeney, MD, DSc Pediatric Ophthalmology operating room Bedrossian Chair of of the ocular fundus, now has 15 faculty. (1891-1996), heads is the world’s first microscope to Ophthalmology, a method still used to the combined program reference on the topic Philadelphia (1973); endowed in honor of an examine the retina and until 1973. (1975). Harley is named invents the Chan wrist early faculty member. other structures. President of the rest (1973); and with In 2015 he is named A multi-armed American Association Steven Wong, MD, Secretary of Curriculum ophthalmoscope for Pediatric develops prism scanning Development of the enables nine people Ophthalmology and for patients with low American Academy to observe a single Strabismus in 1977. vision (1982). of Ophthalmology. patient at once. CHAN LILLIE KEENEY GIBSON HARLEY FACULTY HENDERER

2017

SPAETH AND KEENEY, COURTESY WILL’S EYE HOSPITAL; ALL OTHERS: MEDICAL SCHOOL ARCHIVAL MATERIAL INSIDE STORY

Stories of the Human Side of Medicine “THE FACTS ARE WELL-REPORTED: the compassion that motivates many people to enter medicine can erode over time,” says Michael Vitez, the Pulitzer Prize-winning author and Director of Temple University’s Narrative Medicine Program. “Narrative Medicine’s goal is to nurture and protect compassion by teaching storytelling skills that focus on the human side of medicine. Along with the physician’s touch, stories are at the core of the patient-physician relationship. Stories have the power to heal, inspire, build relationships, and change the world,” says Vitez. As these excerpts written by medical students at the Lewis Katz School of Medicine make clear, they also chronicle an amazing inner world.

The Mulberry In the beginning you were nothing but Shall I tell them about the end? How sound, a sound heard by none, not even it wasn’t loud, and it wasn’t mighty. How you. You started in violence. You started you didn’t leave in violence. You left in a in blood. In the sibylline darkness of hurry. Without saying good-bye. No last your mother’s womb came, slowly, a rattling breath, no drowning gurgling rumbling thunder — and suddenly, high lungs, no farewell twitch of a finger. and bright, the mighty clash of your two Nothing spectacular. Nothing to see. halves. Then — the furious boiling of Just silence blooming. How seemly. cells, the roiling of atoms, the mad, How unsuitable. drunk dance of molecules — until finally, So here I am now, at the kitchen table, life, dogged, deliberate, unfolded, limbs eating the berries you bought last week. burgeoned, lungs blossomed, and you, Staring at the ring on the wood you my dear, unfurled. couldn’t get out, no matter how hard you What can I tell them, these curious scrubbed. The berries burst in my mouth, people in their white coats? What can I a flash of tartness, a lingering sweetness. tell them about your life? Shall I tell I swallow. And then nothing, just the them you’re a Libra and not known to taste of my own tongue. You were always make quick decisions? Shall I tell them so good at packing for trips, making lists, you only took cold showers and couldn’t and then lists of lists. But this time you carry a tune? Shall I tell them you were left behind a few things. The shape of always too scared to uncork champagne your hands in the air pouring tea, for Never the Heart and walked too slowly to get anywhere example. A shaft of crumpled sunlight on Adding the word “congestive” to “heart on time? Shall I tell them about our an empty bed. And a whisper, nothing failure” makes it sound more benign than sons, or about the picture on the wall of more than a stirring of the curtains, the it actually is. Like you have the conges- our room of a baobab that you’d always faint echo of the sound you once made, tion associated with a cold, as though the wanted to see, but then we never did? high and bright, when your life first burst solution lies in how many boxes of tissues Shall I tell them about the color of your into time. you can hoard and not in the tiring of that eyes or that you peeled oranges so they — EMILIE ANGELE DECOPPET faithful one-pound pump, tolling your unfolded like a flower? Class of 2020 every minute for 88 long years.

42 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Illustration by BRIAN CRONIN Closing the Loop I am on duty in the Emergency Depart- ment, sewing up a kid’s lacerated hand. He is ten years old and terrified. As I calm and cajole him, I have the strangest sense of déjà vu. I have been here myself — a young boy in my own kitchen with a torn-up hand. The doctor is my father, coaxing me, just like I am doing now. I feel the burn of the lidocaine, the numbness setting in, my father’s deft weaving of knots. Now here I am sewing the same knots, singing the same song, soon to be a doctor myself. My patient is calm now. As I sew, I feel the pinch and the pull in my own hand. I hear my father’s voice in my head. My grandfather’s voice, too, also a surgeon. My patient watches me with trustful eyes as I draw the suture, ensuring the loop of each circle is firmly closed, lending the wound a little more strength before my needle travels on. — MATTHEW TRIFAN Class of 2017 More than Sum or Sin It starts with white. A white body bag over my eyes. A white ceiling above me, sharing my blank expression. White sleeves of lab coats. White strings tied around me, holding my dissected body together. The white of the cheese cloth wrapped around my face, stained with bodily fluids and the red-brown clay of my own dried blood. Students will soon be standing over me again, scalpels, scissors, and forceps in hand, ready to start their daily work. Over these past weeks, they have become more intimate with me than anyone I have ever known. They have dug into recesses that no one could imagine, followed blood vessels and nerves to the furthest points of my body, found parts of me that even I never knew existed. They have palpated and touched and poked and prodded, gaining knowledge. But still have no idea who I am. They will never know me, never come close. But in truth, it is the congestion that struggling to keep time you no longer I could have been a great lover, a kills you. Your heart is flagging, lagging, have. But like a bird fluttering in the wonderful spouse, a good dad, a terrible trudging, the blood sitting heavy in your pericardial sac, like a fish in the net son, an alcoholic, a five-time divorcé who lungs. Fluid leaks across to where breath open-mouthed as it chokes on air, the still believes in love at first sight, a great is meant to be. Until they are lungs full heart gets no help. The ribs, suddenly high school athlete, a Star Trek fan, of you. You drown in yourself. disobedient, are supposed to rise. someone more than the sum of my Like the heart of feelings, the heart They are the failure, not the heart, anatomical parts, someone more than of the body gets bigger the harder it never the heart. the sins they find inside my body. works over time. After so much love, — JENNIFER ALLEN-FUJITA — WESLEY SCHETTLER it’s a red, angry knot of muscle, Class of 2020 Class of 2020

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 43 ALUMNI UPDATES PHILANTHROPY NEWS PARTNERS IN PROGRESS IMPACT 1960s 1970s Arnold Bayer, MD ’70, Emeritus Professor of Rancho Palos Verdes, CA, Pediatrics and Emergency has received the Outstanding Medicine at the Perelman Senior Research Investigator School of Medicine (University Award of the Geffen School of Pennsylvania), was the of Medicine’s Biomedical recipient of CHOP’s 2016 Research Institute (UCLA). Richard D. Wood Distinguished The award recognizes 20-plus Alumni Award. Ludwig is continuous years of NIH fund- a member of the Institute ing for Bayer, a Distinguished of Medicine and a former Professor of Medicine. president of the Academic Pediatric Association. Sandra Harmon-Weiss, Washington Hill, MD ’65, John Pagana, MD ’72, MD ’74, FAAP, Cape May, FACOG, Sarasota, FL, Chair Sunbury, PA, now retired after NJ, has been elected to of Obstetrics/Gynecology a 30-year career in family prac- Temple University’s Board and Director of Maternal- tice, received the 2016 Adam of Trustees. A nationally Fetal Medicine at Sarasota Smith Award for Distinguished known expert in Medicare, Memorial Hospital, was re- Leadership for his service to Medicaid, and uninsured cently named one of the “Top EconomicsPennsylvania, which populations, Harmon-Weiss 100 Black Physicians in the promotes economic and finan- is a former executive of both Country” by Black Enterprise cial literacy in K-12 education. U.S. Healthcare and Aetna, magazine. Hill is also Clinical and has provided counsel Professor of Obstetrics and to the NIH and the Institute Gynecology at the University Michael Emmett, MD ’71, of Medicine. Harmon-Weiss of South Florida. MACP, Dallas, TX, Chief of was the recipient of LKSOM’s Internal Medicine and Director Henry P. Laughlin Alumnus of the Nephrology Laboratory of the Year Award in 2015, at Baylor University School its Alumni Service Award in of Medicine, recently served 2009, and was inducted into as the National Kidney the University’s Gallery of Foundation’s Shaul G. Massry Success in 2004. She is the Distinguished Lecturer. Chair of the Lewis Katz School of Medicine Board of Visitors.

Charles Cutler, MD ’74, Bernard Remakus, MD ’78, MACP, Merion Station, PA, is Hallstead, PA, recently President of the Pennsylvania published his seventh book, Medical Society, a 16,000- The Lame Duck (221 East David Leber, MD ’67, Mechan- member organization. An Publishing), a medical icsburg, PA, has retired after internist who practices with suspense novel that received a 37-year career in plastic the Einstein Healthcare five-star reviews from the and reconstructive surgery Network, Cutler has been San Francisco and Manhattan with the Lancaster Cleft active with the Society — and Book Reviews. Remakus Palate Clinic. Over the years, with other organizations has been the sole practic- he has traveled with the promoting better health ing physician in Great Bend World Surgical Foundation Stephen Ludwig, MD ’71, for Pennsylvanians and the Township, PA, for 36 years. on missions to Ecuador, Thai- Haverford, PA, Senior Advisor nation — for 35 years. He is His three children, Chris, Ali, land, Nepal, and many other for Medical Education a former Chair of the Board and Matt, also earned their countries to serve patients at Children’s Hospital of of Regents of the American medical degrees from Temple

in need. Philadelphia (CHOP) and College of Physicians. University. WHITE & SCOTT BAYLOR COURTESY LEBER; EMMETT: DR. LEBER: COURTESY FLORIDA; SOUTH UNIV. HILL: COURTESY MEDICAL PENNSYLVANIA COURTESY PHILADELPHIA; CUTLER: OF HOSPITAL CHILDREN’S COURTESY LUDWIG: HEALTH; LABOLITO V. JOSEPH HARMON-WEISS: SOCIETY;

44 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Joyce E. Myers, MD ’79, interests include lupus, osteo- Cambridge, MA, is Vice porosis and bone metabo- President of Clinical lism, rheumatoid arthritis, Development at Cognoptix, and vasculitis. Inc., a diagnostics-development company focused on 2000s Alzheimer’s disease. She has held leadership positions at Boehringer Ingelheim and Janssen Pharmaceuticals. 1980s James Fingleton, MD ’85, Stephanie Patel, MD ’97, FACS, Barrington, RI, is Chief FAAHPM, Danvers, MA, is of Cardiovascular Surgery at Vice President and Chief Southcoast Health System Medical Officer of Care and Clinical Assistant Dimensions, the largest Professor of Surgery at the hospice and palliative care Warren Alpert School of provider in Massachusetts. Medicine at Brown University She also serves on the fac- R.V. Paul Chan, MD ’00, in Providence. ulty of Harvard University’s Chicago, IL, is Vice Chair Palliative Care Medicine for Global Ophthalmology Howard Greenfield, MD Fellowship Program and is and Director of Pediatric ’85, Miami, FL, is Founder affiliated with the medical Retina and Retinopathy of and Principal of Enhance staffs of several hospitals, Prematurity (ROP) at the Melodee Lasky, MD ’80, Perioperative & Anesthesia including Cambridge Health Illinois Eye and Ear Infirmary. Annandale, NJ, a fam- Consulting. He is also one Alliance Hospitals. A volunteer with ORBIS ily physician, is Assistant of the founding partners of International, which fights Vice Chancellor for Health Sheridan Healthcare and a David Stuhlmiller, MD ’98, blindness around the world, and Wellness at Rutgers former chief of anesthesiology FACEP, CMTE, Madison, NJ, Chan has visited more than University of the State at Memorial Regional Hospital is Chief Medical Officer of a dozen countries to teach University of New Jersey. in Hollywood, Florida. Air Methods Corporation, a local physicians to recognize global leader in air medical and treat ROP. “Education 1990s transport. Stuhlmiller leads a leads to sustainability,” says James Goldschmidt, PhD team of 70 medical directors Chan, who is a member of ’90, Havertown, PA, is Vice across the U.S., developing the Lewis Katz School of President of Business best practices to advance Medicine Board of Visitors. Development at CASI the air medical health care Pharmaceuticals, Inc., a industry. Susanne Spano, MD ’05, biopharmaceutical company Fresno, CA, is Assistant that develops therapeutics Clinical Professor and for cancer and unmet medical Director of Wilderness needs. He has also worked for Medicine Education at the Macrophage Therapeutics, University of California-San Johnson & Johnson, Wyeth Francisco. She contributes to Gerald Williams, Jr., MD ’84, Pharmaceuticals, and the development of national Villanova, PA, is President of SmithKline Beecham. protocols for delivering pre- the American Academy of hospital aid in wilderness Orthopaedic Surgeons, which David Mauro, MD-PhD ’96, settings. She also volun- represents 39,000 ortho- Washington Crossing, PA, teers on the Fresno County paedic surgeons nationally. is Chief Medical Officer of Sheriff’s Search and Rescue The John M. Fenlin, Jr., MD, Checkmate Pharmaceuticals, Mountaineering Team and Professor of Shoulder and a clinical-stage biopharma- Tamika Webb-Detiege, MD has helped to lead national Elbow Surgery at the Sidney ceutical company focused ’99, New Orleans, LA, is at- conferences on disaster and Kimmel Medical College at on cancer immunotherapy. tending rheumatologist with wilderness medicine. Thomas Jefferson University Previously he served as the Ochnser Health System and a Rothman Institute Executive Vice President and Senior Lecturer and physician, Williams is a past and Chief Medical Officer at Academic Discipline Head NEWS TO SHARE? president of both the Mid- Advaxis Immunotherapies. for Medical Specialties at [email protected] Atlantic Shoulder and Elbow Mauro is a member of the the University of Queensland 215-707-4868 Society and the Pennsylvania Lewis Katz School of Medicine Ochsner Clinical School 800-331-2839

LASKY: COURTESY LARRY MCALLISTER II; WILLIAMS: COURTESY R. NERONI/ROTHMAN INSTITUTE; INSTITUTE; NERONI/ROTHMAN R. WILLIAMS: COURTESY II; MCALLISTER LARRY COURTESY LASKY: WEBB-DETIEGE: DIMENSIONS; CARE COURTESY PATEL: HEALTH; SOUTHCOAST COURTESY FINGLETON: & EAR INFIRMARY. ILLINOIS EYE OCHSNER CLINIC; CHAN: COURTESY COURTESY Orthopaedic Society. Alumni Board. in Australia. Her clinical

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 45 IMPACT

Measey, Unmasked his is a story about a once-debilitating Philadelphia back in 1923. But he made a full recovery and disease and its defining impact on a promi- became inspired to focus his medical career on diseases of nent Philadelphia family. But mostly it’s a the chest. story about gratitude and generosity. It’s During the course of treatment and recovery, Measey rec- the story of the Benjamin and Mary Siddons ognized something. What had really saved Cooper’s life — and Measey Foundation, a charitable fund that, enabled Cooper to save his — was medical education. In fact, for the past 59 years, has done more than had physicians known in 1883 what they knew in the 1960s, any other private foundation to advance medical education in Measey’s mother might have survived. TPhiladelphia. Supporting medical education, Measey realized, would The story begins in Chester, PA, in 1875 with the birth give his charitable foundation true purpose. Helping medi- of William Maul Measey. Growing up an only child, William cal students would significantly impact people’s lives. So in Measey was just eight when his mother contracted pulmo- 1965, Measey amended the foundation’s mission, making its nary tuberculosis and died. The boy was lovingly raised by his focus medical education at the five Philadelphia-area medi- father, a prominent Philadelphia banker and official of the cal schools. Pennsylvania State Treasury. It was his parents who instilled Measey died two years later, at 92. Cooper — a trusted advi- in Measey the importance of familial support and charity from sor to Measey — was appointed Measey Foundation Chair. a young age. Cooper served in the role until his own death in 1970. Measey went on to law school at the University of A succession of pundits — all affiliated with Measey’s alma Pennsylvania. He set up a practice in corporate law with Owen mater, the University of Pennsylvania — have served on the J. Roberts, who later became a Justice of the United States foundation board. Today, the trustees include: Clyde Barker, Supreme Court. MD, FACS (Chair of Surgery and Associate Dean for Clinical In addition to achieving success in his field of study, Measey learned a thing or two about money management from his father. The utility company stocks in which he invested Since 1976, the Measey Foundation has awarded more amassed a small fortune. Measey than $4.5 million in scholarships to students at the became so wealthy, in fact, that after World War II, he retired and focused Lewis Katz School of Medicine. on his true passions: giving to charity, gardening, and traveling. In addition to keeping residence in an Italian-style villa in Haverford, PA, Education); Marshall Blume, PhD (Director Emeritus, Rodney Measey’s travels led him to purchase and live in a 900-year-old L. White Center for Financial Research at the Wharton School); castle overlooking Lake Thun in Oberhofen, Switzerland. The James C. Brennan, Esq. (University of Pennsylvania Law castle, now a recognized historical site, was deeded to the Swiss alumnus and legal affairs manager of the Measey Foundation); government after Measey’s passing. Stanley Goldfarb, MD (Associate Dean for Curriculum); and Measey dedicated his life to his parents. So in 1958 at the Ronald Fairman, MD, FACS (the Clyde F. Barker-William Maul age of 83, he established a charitable foundation to ensure Measey Professor of Surgery). that his charitable practices and parents’ memory would What they have accomplished through the Foundation would outlast him. He named it the Benjamin and Mary Siddons make Measey proud. Measey Foundation. Its founding mission was to provide Half of the foundation’s annual funding supports scholar- scholarships for students enrolled in Philadelphia-area lib- ships for medical students the University of Pennsylvania, eral arts colleges. Jefferson University, Temple University, Drexel University, and Soon after, Measey fell ill with the same disease that claimed the Philadelphia College of Osteopathic Medicine. The other his mother: tuberculosis. He might have died were it not for a half underwrites professorships and innovative projects that lung specialist at the University of Pennsylvania named David improve medical education. A. Cooper, MD. For the past 50 years, the Foundation has, on average, spon- As it turns out, Cooper had nearly succumbed to tubercu- sored up to 50 scholarship recipients a year across all of the losis when he was an intern at the Presbyterian Hospital in medical schools. And since its inception, it has also endowed

46 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 Education, a position dedicated to academic innovation. The Lewis Katz School of Medicine at Temple University boasts an endowed William Maul Measey Chair in Surgery, held by the internationally renowned cardiovascular surgeon Yoshiya Toyoda, MD, PhD. According to Measey Foundation trustee Stanley Goldfarb, MD, innovation is Measey’s “brand.” The trustees have a knack for spotting the most effective emerging methods and techniques of education. In 2005, for example, when the Foundation began funding simulation centers, including the William Maul Measey Institute for Clinical Simulation and Patient Safety at Temple, simulation labs were experimental. Today, they’re required, standard fare in medical education. Since 1976, the Measey Foundation has awarded more than 200 scholarships to students at the Lewis Katz School of Medicine, culminating in over $4.5 million in scholarship awards over the years. “Temple medical students write us thank-you letters. It’s beyond gratifying to see how much our support means to them,” says Goldfarb, describ- ing his trusteeship of the Foundation as “an honor and a privilege.” Arthur Rubenstein, MD, a past dean of the Perelman School of Medicine at the University of Pennsylvania, once described the Measey Foundation as “people utterly committed to the future of med- William Maul Measey, 1875-1967 icine and medical education.” “I couldn’t agree more,” says Larry Kaiser, MD, FACS, the nearly 20 professorships as well as scores of innovative Lewis Katz Dean at the School of Medicine and Temple Health programs that have improved methods and modes of medical CEO. “The Measey Foundation really has an amazing story, education in Philadelphia. full of unlikely turns, all tied to a once-incurable disease. Is Measey professorships are active at the University of there, anywhere in America, a foundation that has done more to Pennsylvania in numerous fields of medicine and surgery, benefit- benefit medical education innovation in Philadelphia than the ting medical education. At Drexel University College of Medicine, Benjamin and Mary Siddons Measey Foundation? Measey’s

STEPHEN GARDNER STEPHEN the trustees endowed the William Maul Measey Chair in Medical commitment is unmatched.”

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 47 SO NOTED

“We must address the problems related Temple to low-income populations if we are going to University improve the health of all Americans.” Hospital – STEVEN HOUSER, PHD, SENIOR ASSOCIATE DEAN FOR RESEARCH; PRESIDENT, AMERICAN HEART ASSOCIATION performed “REDUCING RISK AND IMPROVING OUTCOMES FOR PATIENTS: THAT’S THE GOAL OF TECHNOLOGY.” – BRIAN O’NEILL, MD, ASSOCIATE PROFESSOR OF MEDICINE 296 organ “We embrace humanity at its most diseased, defiant, compliant, transplants and courageous. All comers are welcome. We turn no patient away.” – LARRY KAISER, MD, FACS, DEAN AND CEO in 2016.

LEWIS KATZ SCHOOL OF MEDICINE In 2016, Jeanes In 2016, Temple Hospital achieved an “New truths $80 become University Hospital’s MILLION IN NIH GRANTS “A” RATING Episcopal Campus from Leapfrog, a evident when national nonprofit accommodated 10,000+ organization that new tools ALUMNI evaluates nearly become 2,000 hospitals 48,749 961 annually for quality available.” Emergency STUDENTS – BENNETT LORBER, MD, MACP, and safety. PROFESSOR OF MEDICINE Department 872 visits and FACULTY H H H H H 9,687 92 Twin 5-Stars: Jeanes and Temple University POSTDOCTORAL FELLOWS Psychiatric Crisis Hospital both made Healthgrades’ national 27 “Five-Star Hospital” List for achieving superior Response DEPARTMENTS patient outcomes in select procedures in 2016. Center visits 13 “After obtaining knowledge, the next best RESEARCH CENTERS thing is to pass it on.” 9 – RICHARD GREENBERG, MD, FACS, CHIEF OF UROLOGIC ONCOLOGY, FOX CHASE CANCER CENTER EDUCATIONAL AFFILIATES 5 “Education leads to sustainability.” CLINICAL INSTITUTES – R.V. PAUL CHAN, MD, ALUMNUS, LKSOM CLASS OF 2000

48 | TEMPLE HEALTH MAGAZINE | SUMMER 2017 ARTFUL ENDING

Chevalier Jackson, MD

That’s Hard to Swallow

Temple’s Chevalier Jackson, MD (1865-1958), is reputed to have person- ally extracted more than 5,000 objects lodged in patients’ throats, windpipes, and lungs. In fact, 2,374 of these life- threatening items (buttons, brooches, screws, bolts, dental bridges, small toys, etc.) are on display at Philadelphia’s Mütter Museum. A giant in the field of laryngology, Jackson invented the bronchoscope. He was also the driv- ing force behind the Federal Caustic Poison Act of 1927, requiring that poi- sonous items be labeled with the Skull

JACKSON: TEMPLE UNIVERSITY LIBRARIES SPECIAL COLLECTIONS COLLECTIONS SPECIAL LIBRARIES TEMPLE UNIVERSITY JACKSON: LABOLITO V. JOSEPH CENTER; OBJECTS: RESEARCH & Crossbones symbol.

SUMMER 2017 | TEMPLE HEALTH MAGAZINE | 49 NON-PROFIT Temple HealthMagazine ORGANIZATION Lewis Katz School of Medicine at Temple University U.S. POSTAGE Temple University Health System PAID Office of Communications PHILA, PA 3509Temple N. Broad Street Health PERMIT 5140 Philadelphia, PA 19140 Magazine

Temple Health Magazine

Recreating heart function once thought to be gone forever.

During surgery on a young patient hospitalized with end-stage heart failure, Yoshiya Toyoda, MD, PhD, implants a small heart pump to boost blood circulation. This mechanical assist device will dramatically improve the patient’s quality of life, allowing her to go back to her life as she waits for a heart match for transplantation. This life-saving bridge to heart transplantation is possible because Temple Health is home to renowned cardiovascular surgeons who are utilizing some of the most advanced technology.

Tomorrow is Here.

Temple University Hospital Temple Health Oaks Temple ReadyCare TUH – Episcopal Campus Lewis Katz School of Medicine Temple Health Center City Temple Physicians TUH – Northeastern Campus Fox Chase Cancer Center Temple Health Ft. Washington Temple Transport Team Jeanes Hospital Temple Health Elkins Park

Temple Health, Tomorrow is Here Ad, Toyoda Temple Health Magazine 4C, 7.5”w x 8”h