Rush Vs Cobbett the PHAROS of Alpha Omega Alpha Honor Medical Society Autumn 2014
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Alpha Omega Alpha Honor Medical Society Autumn 2014 Rush vs Cobbett THE PHAROS of Alpha Omega Alpha honor medical society Autumn 2014 “Be Worthy to Serve the Suffering” Alpha Omega Alpha Honor Medical Society Founded by William W. Root in 1902 Officers and Directors at Large Editor Richard L. Byyny, MD John Tooker, MD, MBA President Philadelphia, Pennsylvania Editor Emeritus (in memoriam) Robert J. Glaser, MD C. Bruce Alexander, MD Immediate Past President Associate Editor and Helen H. Glaser, MD Birmingham, Alabama Managing Editor Douglas S. Paauw, MD (in memoriam) President-Elect Seattle, Washington Managing Editor Debbie Lancaster Joseph W. Stubbs, MD Secretary-Treasurer Art Director and Illustrator Albany, Georgia Robert G. Atnip, MD Designer Erica Aitken Hershey, Pennsylvania Eve J. Higginbotham, SM, MD Editorial Board Philadelphia, Pennsylvania Richard B. Gunderman, MD, PhD Indianapolis, Indiana Jeremiah A. Barondess, MD Faith T. Fitzgerald, MD Stephen J. McPhee, MD Sheryl Pfeil, MD New York, New York Sacramento, California San Francisco, California Columbus, Ohio David A. Bennahum, MD Daniel Foster, MD Janice Townley Moore Albuquerque, New Mexico Dallas, Texas Young Harris, Georgia Alan G. Robinson, MD John A. Benson, Jr., MD James G. Gamble, MD, PhD Francis A. Neelon, MD Los Angeles, California Portland, Oregon Stanford, California Durham, North Carolina Wiley Souba, MD, DSc, MBA Richard Bronson, MD Dean G. Gianakos, MD William M. Rogoway, MD Hanover, New Hampshire Stony Brook, New York Lynchburg, Virginia Stanford, California Steven A. Wartman, MD, PhD John C.M. Brust, MD Jean D. Gray, MD Shaun V. Ruddy, MD Washington, DC New York, New York Halifax, Nova Scotia Richmond, Virginia Charles S. Bryan, MD David B. Hellmann, MD Bonnie Salomon, MD Columbia, South Carolina Baltimore, Maryland Medical Organization Director Robert A. Chase, MD Pascal James Imperato, MD John S. Sergent, MD Carol A. Aschenbrener, MD Stanford, California, and Brooklyn, New York Nashville, Tennessee Association of American Medical Colleges Jaffrey, New Hampshire John A. Kastor, MD Clement B. Sledge, MD Washington, DC Henry N. Claman, MD Baltimore, Maryland Marblehead, Massachussetts Denver, Colorado Henry Langhorne, MD Jan van Eys, Ph.D., MD Councilor Directors Fredric L. Coe, MD Pensacola, Florida Nashville, Tennessee Lynn M. Cleary, MD Chicago, Illinois Jenna Le, MD Abraham Verghese, MD, DSc State University of New York Upstate Medical (Hon.) Jack Coulehan, MD New York, New York University Stony Brook, New York Stanford, California Michael D. Lockshin, MD Mark J. Mendelsohn, MD Ralph Crawshaw, MD New York, New York Steven A. Wartman, MD, PhD Washington, DC University of Virginia School of Medicine Portland, Oregon Kenneth M. Ludmerer, MD Gerald Weissmann, MD Peter E. Dans, MD St. Louis, Missouri Alan G. Wasserman, MD New York, New York Baltimore, Maryland J. Joseph Marr, MD George Washington University School of David Watts, MD Lawrence L. Faltz, MD Medicine and Health Sciences Mill Valley, California Larchmont, New York Coordinator, Residency Initiatives Suzann Pershing, MD Stanford University Student Directors www.alphaomegaalpha.org Christopher Clark, MD University of Mississippi Medical School Tonya Cramer, MD Manuscripts being prepared for The Pharos should be typed double-spaced, submitted in triplicate, and conform to the format Chicago Medical School at Rosalind Franklin outlined in the manuscript submission guidelines appearing on our website: www.alphaomegaalpha.org. They are also available University of Medicine & Science from The Pharos office. Editorial material should be sent to Richard L. Byyny, MD, Editor, The Pharos, 525 Middlefield Road, Suite Laura Tisch 130, Menlo Park, California 94025. Medical College of Wisconsin Requests for reprints of individual articles should be forwarded directly to the authors. The Pharos of Alpha Omega Alpha Honor Medical Society (ISSN 0031-7179) is published quarterly by Alpha Omega Alpha Honor Medical Society, 525 Middlefield Road, Suite 130, Menlo Park, California 94025, and printed by The Ovid Bell Press, Inc., Fulton, Administrative Office Missouri 65251. Periodicals postage paid at the post office at Menlo Park, California, and at additional mailing offices. Copyright Richard L. Byyny, MD © 2014, by Alpha Omega Alpha Honor Medical Society. The contents of The Pharos can only be reproduced with the written Executive Director permission of the editor. (ISSN 0031-7179) Menlo Park, California Circulation information: The Pharos is sent to all dues-paying members of Alpha Omega Alpha at no additional cost. All correspondence relating to circulation should be directed to Ms. Debbie Lancaster, 525 Middlefield Road, Suite 130, Menlo Park, California 94025. E-mail: [email protected] Menlo Park, California 94025 Telephone: (650) 329-0291 POSTMASTER: Change service requested: Alpha Omega Alpha Honor Medical Society, 525 Middlefield Road, Suite 130, Fax: (650) 329-1618 Menlo Park, CA 94025. E-mail: [email protected] The Pharos • Volume 77 Number 4 • Autumn 2014 In This Issue DEPARTMENTS On the cover Editorial Alpha Omega Alpha Honor Medical Society Autumn 2014 2 The care of the patient See page 10 Richard L. Byyny, MD Cover illustration by Erica Aitken The physician at the movies 41 Peter E. Dans, MD Jersey Boys The Monuments Men The Train (1964) Rush vs Reviews and reflections Cobbett 46 Doctors Without Borders: Humanitarian Quests, Impossible Dreams of Médecins Sans Frontières Genesis of the Salk Institute: The Epic of Its Founders ARTICLES The Teaching Hospital: Brigham and Women’s Hospital and the Evolution of Academic Medicine David Seegal 4 Ic ne wat and other maxims of a master Letter to the editor teacher 50 2014 Fellow in Leadership Awards Peter E. Dans, MD 51 2014 Edward D. Harris 54 Professionalism Award Bleeding by the numbers 2014 Postgraduate Awards 10 Rush versus Corbbett 55 Andrew G. Shuman, MD, Marc Edelman, JD, MA, and Joseph J. Fins, MD Marjorie Sirridge, MD: 1921-2014 55 56 2014 2014 Visiting Professorships How postoperative respiratory distress 18 conspired with friendly fire to kill 2014 Volunteer Clinical Faculty “Stonewall” Jackson 58 Awards Joseph J. DuBose, MD, James I. Robertson, Jr., PhD, and Philip A. Mackowiak, MD 2014 Administrative Recognition 59 Awards Haiti journal Exhibition: “The Surgeon General 60 vs. The Marlboro Man” 26 Ken Barnes, MD POETRY Reflecting on a few well-remembered Perceptions of Ear Disorders medical eponyms 17 Thomas Balkany, MD, FACS, FAAP 34 Martin Duke, MD Breast Exam 25 Trang Diem Vu The Weight of a Marble Lullaby 37 Alyse Marie Carlson 38 Steven Krager Third Year Medical Student 40 Encounter Glenna Martin INSIDE The Robert H. Moser Pharos Editor’s BACK Prize Sandglass COVER 45 Aisha Harris Editorial The care of the patient Richard L. Byyny, MD r. Henry Kempe, author of the seminal “The Battered- and that the “scary dreams” would resolve. Child Syndrome,” was a professor of Pediatrics and Two or more times a day his doctor and other physicians MicrobiologyD and chairman of the Department of Pediatrics would make rounds. Dr. Kempe saw them as being like a at the University of Colorado from 1956 to 1980. In 1978, he school of sharks who would swim in, look at his chart, and finished a hectic and busy day of work, grabbed a full suit- watch the multiple monitors without talking to him, looking case and a heavy briefcase, and caught a flight to New York him in the face, or touching or comforting him. He watched to receive the Aldrich Award of the American Academy of them attentively to try to gain clues about whether he was Pediatrics for contributions in the field of child development. getting better or worse: did they frown, grimace, shake their He arrived at his hotel that evening, exhausted by the long day heads up or down, or yes or no? They would then swim out and travel. Shortly thereafter, he developed shortness of breath with his chart in hand. and hemoptysis. He called a colleague at NYU, who advised One day, a few days after his balloon pump had been him to go to the ER at Bellevue Hospital; he took a cab to the removed, he awoke frightened and crying. He could hear a emergency room and was admitted to the coronary care unit, loud pulsating sound. He was still intubated, so could not ask where they fortunately had an open bed, in cardiogenic shock questions, but deduced that the balloon pump must have been from an acute myocardial infarction with pulmonary edema. reinserted indicating that he was worse. His nurse could see He was intubated and on a respirator, and had a balloon pump his disturbance. She asked, “Is the sound you’re hearing dis- inserted in his aorta to assist in maintenance of his blood turbing you?” She looked at him, held his hand, and said, “That pressure. is the wrecking ball knocking down the rest of the old Bellevue With no recollection of his first two weeks in the coronary Hospital. You didn’t hear the noise on Saturday and Sunday, care unit, Dr. Kempe gradually awakened to pain and confu- but you did hear it on Friday when your aortic balloon came sion. He continued to be very confused and sleep deprived out. That was a bad time. You remember not only how painful by all that was going on in the unit, and was, in addition, that was, but you also remember how the balloon sounded fearful about his memory and reasoning losses and the delu- inside you during those rough days. I bet you are remembering sions and frightening hallucinations he experienced. The only that pain.” With her care and thoughtful reasoning about why good thing about the unit was the nursing staff. They held his he was suffering, and with her explanation, his distress disap- hands, bathed him, oriented him by looking him in the eye to peared. He gradually had fewer flashbacks—when he did the tell him his name, his situation, and where he was and what nurses would comfort and care for him.