CONTENTS 2015 Issue 3

FEATURES 2 Mayo Clinic Sports Medicine 2 Care extends to Minneapolis and Minnesota professional basketball teams • Sports medicine patients 8 • Team physicians 14 • Concussion research 18

Alumni sports medicine • Mark Adickes, M.D. 20 • Nancy Rodriguez, Ph.D. 22

Sports flashback 24 Vintage stories featuring alumni team physician for Los Angeles Dodgers and football shoe developer

Where are they now? 26 William Simmons, M.D.

Mayo Clinic Alumni Association at 100 29 Abundant changes in medicine, Mayo Clinic and the Alumni Association 8 Know your Board of Directors 40 Profiles of representatives

Human Resources 43 Physician and scientist opportunities

26 MAYO UPDATE 44

Obituaries, save the date for International Meeting

ABOUT THE COVER | Nancy Cummings, M.D., and Jonathan Finnoff, D.O., celebrate the arrival of Mayo Clinic Sports Medicine at Mayo Clinic Square in downtown Minneapolis.

29 A Letter from the President

ayo Clinic has been talent will positively affect future instrumental in my generations of physicians. Mprofessional life and I am grateful and honored to personal formation. The benefits have served as your president and are immeasurable. proud to have represented the As Mayo Clinic grows and Mayo name across the country and transforms, we want to make world. It has been heartwarming sure subsequent members of the to see firsthand that you share Juan Sarmiento, M.D. Alumni Association benefit just in this gratitude and pride. The • Associate Director of Surgery as much from this affiliation that best homage we can pay to Mayo Emory University School of Medicine bonds us all. In this issue of Mayo is to excel professionally in our • Director, Hepatopancreatic Clinic Alumni, you’ll see the third own institutions. We are the Biliary Surgery, Emory University installment of the 100-year history personification of Mayo’s values Hospital, Atlanta of the Alumni Association and to the outside world. learn how influential our group I look forward to seeing you has been. I hope you will become at the Biennial Meeting in Arizona or continue to be active in the in October, where I will hand Alumni Association with your the gavel to the next president efforts, time and benefaction. of the Alumni Association, Our contributions of time and Dr. Susheela Bala.

Web-only stories Read the complete vintage stories at alumniassociation.mayo.edu

1 Stanford football team • Described his greatest game as 1 2 physicians Pennsylvania vs. Michigan in Read about Robert Jamplis, M.D. 1915. He played 55 of 60 minutes (S ’51, TS ’52), and Frederick Behling, with a broken nose, scored a M.D. (OR ’56) — alumni who touchdown and wrecked the were team physicians for Stanford opponent’s running game with University football teams. Discover “tackle after slashing tackle.” how they handled concussions and Down by three touchdowns at their views on injury risk, including the half, Pennsylania won 28-21. permanent disability. He received the game ball. (The Mayo Alumnus, October 1967) • Completed a surgical fellowship at Mayo Clinic 2 Guess who? • Focused on chest surgery at Which alumnus: Mayo Clinic • Captained his high school football, • Was nicknamed “Tack” — track and basketball teams short for tackle • Received a medical degree from (The Mayo Alumnus, October 1967)

the University of Pennsylvania Answer: ’20) (S M.D. Harrington, Stuart • Was an All-American in football in 1911−1912

Issue 3 2015 1 Mayo Clinic extends sports medicine care to Minneapolis — and Minnesota professional basketball teams

2 MAYO CLINIC ALUMNI Nancy Cummings, M.D., and Jonathan Finnoff, D.O., are team physicians for the Minnesota Timberwolves and Lynx at the new Mayo Clinic Sports Medicine at Mayo Clinic Square in downtown Minneapolis.

Issue 3 2015 3 Mayo Clinic Square (below) is home to Mayo Clinic Sports Medicine in downtown Minneapolis. The Minnesota Timberwolves and Lynx practice at the new facility (right) and play across the street at Target Center.

Mayo Clinic has extended its Caring for Minnesota’s NBA and WNBA teams expertise to the Twin Cities n addition to having shiny new facilities in (Minneapolis−St. Paul area) with a fresh geographic market, Mayo Clinic is the opening of Mayo Clinic Sports the exclusive medical provider for the NBA Minnesota Timberwolves and two-time WNBA Medicine. This state-of-the-art Champions Minnesota Lynx. Both teams have Ibuilt practice facilities and corporate offices in Mayo facility offers comprehensive Clinic Square. Mayo Clinic specialists diagnose, treat and rehabilitate team members’ musculoskeletal world-class sports medicine care injuries and implement programs for optimal performance and injury prevention. at Mayo Clinic Square (formerly “Mayo Clinic decided that sports medicine is a the site of Block E), across the priority and expanded services in the last couple years in Rochester,” says Jonathan Finnoff, D.O., medical street from Target Center in director of Mayo Clinic Sports Medicine at Mayo Clinic Square, Minneapolis. “When the Timberwolves and Lynx downtown Minneapolis. organizations approached Mayo Clinic to build a sports

4 MAYO CLINIC ALUMNI medicine center in the Twin Cities and become their exclusive medical provider, we were very excited about Team physicians this mutually beneficial opportunity. This relationship Mayo Clinic Sports Medicine at Mayo Clinic Square, Minneapolis provides the teams’ athletes with access to the world-class, comprehensive care that Mayo Clinic is known for.” Jonathan Finnoff, D.O. (SPMED ’00) Dr. Finnoff points out that no other NBA team has a • Medical Director, Mayo Clinic Sports Medicine at complex with practice and game-day facilities, corporate Mayo Clinic Square offices and sports medicine all in one location. • Department of Physical Medicine and Rehabilitation “If a player is injured during practice, he or she • Team Physician, Minnesota Timberwolves and Lynx can walk across the hall for imaging and consultation,” Diane Dahm, M.D. (OR ’97) he says. “And if it happens during a game, our facilities • Department of Orthopedic Surgery are across the street from Target Center where the • Head Orthopedic Surgeon, Minnesota Timberwolves teams play.” >> • Team Physician, Minnesota Twins (MLB)

Nancy Cummings, M.D. (OR ’14) Mayo Clinic decided • Department of Orthopedic Surgery that sports medicine is • Head Orthopedic Surgeon, Minnesota Lynx • Team Physician, Minnesota Timberwolves a priority.” – Jonathan Finnoff, D.O.

Issue 3 2015 5 Extending Mayo Model of Care to Twin Cities All patients in the new center have access to a Michael Stuart, M.D. (OR ’88), Sports Medicine Center comprehensive team in Minneapolis connected to co-director at Mayo Clinic in Rochester and Minneapolis, a larger multidisciplinary team in Rochester. says, “Our partnership with these Minnesota teams “From precompetition nutritional guidance to provides an excellent opportunity to extend the Mayo surgical reconstruction, we’re bringing the same level Model of Care to Twin Cities residents. Through our of care we provide to professional and Olympic relationship with the Timberwolves and Lynx athletes, athletes to people of all ages and athletic abilities,” we hope to inspire the public to learn more about says Dr. Finnoff. “Every year thousands of people from evidence-based fitness and health practices.” the Twin Cities make the 90-mile trip to Rochester for sports medicine and other services. In this new Extending elite athlete expertise to location, we offer Mayo Clinic-quality care closer everyday athletes to the broader Twin Cities population and to the Dr. Finnoff says a high school athlete can be treated by professional teams.” the same medical team that cares for an NBA player.

Mayo Clinic Sports Medicine at Mayo Clinic Square • Minneapolis

• Opened in October 2014 injections of platelet-rich plasma –– Video analysis of baseball and • 22,000-square-foot facility (PRP) and stem cells to treat softball players, runner, golfers • Clinical services: musculoskeletal conditions and other athletes ––Consultations for diagnosing, ––Imaging evaluations with the most ––More than 40 yards of turf for treating and rehabilitating powerful MRI that is commercially functional work musculoskeletal injuries available (3-Tesla MRI), digital ––Anti-gravity treadmill for »» Concussion management radiographs and musculoskeletal athletes returning from injury »» Orthopedic surgery (surgeries ultrasound ––Weight-lifting space take place at Mayo Clinic in • Sport-specific training and • Health and well-being programs Rochester) conditioning for elite and amateur • Injury prevention »» Physical medicine and athletes provided by EXOS, a leader • Orthopedic and sports medicine rehabilitation in human performance training research »» Regenerative medicine services: ––On-site certified strength and • Mayo Clinic concierge to help with ultrasound-guided minimally conditioning and sports dietetics integrated access to Mayo Clinic invasive procedures such as –– Pitching, hitting and golfing cages in Rochester

6 MAYO CLINIC ALUMNI The Sports Medicine Center at Mayo Clinic in Rochester features specialized training for hockey players.

Sports Medicine Center at Mayo Clinic • Rochester

The new Mayo Clinic Sports Medicine sports medicine and performance- artificial grass for turf sports, in Minneapolis is similar to the 2014 enhancement capabilities to train all artificial ice for hockey, specialized Mayo Clinic Sports Medicine Center levels of athletes, with these highlights: lifting platforms 25,000-square-foot expansion at the • Advanced motion analysis and • Premier hockey training center with Dan Abraham Health Living Center strength equipment a Woodway skating treadmill and at Mayo Clinic in Rochester. That • Multiple playing surfaces — stick-handling and shooting-specific center also features state-of-the-art wood for basketball and volleyball, equipment

Issue 3 2015 7 Mayo Clinic Sports Medicine in Minneapolis STILL KICKIN’ ‘I want to move as much as I want to move until my last day’

aekwondo is a big part of Kristin Schantzen’s continue with my sport,” she says. “Dr. Finnoff life. She and her husband, Jay, train in this explained my options, recommended physical TKorean art of unarmed self-defense every therapy and offered me PRP injection therapy [an day. A second-degree black belt, Schantzen ultrasound-guided injection of the patient’s own competes year-round. She’s ranked in the top 10 platelet rich plasma].” in the American Taekwondo Association world Schantzen, who lives in Stillwater, Minnesota, championships for sparring. She describes the sport and works in St. Paul as an anesthetist, had a physical as a whole-body fitness experience — strength, therapy session at Mayo Clinic Sports Medicine and flexibility and “heavy cardio.” learned exercises to do at home to rehabilitate her hip. Earlier in her life Schantzen was a Division I She had a PRP injection and says she could tell within gymnast at the University of Minnesota. a week that it was helping. “Twenty years of gymnastics and several years of “I felt so much relief,” says Schantzen. “My health martial arts have taken a toll on my body,” she says. “I insurance doesn’t cover PRP, but it was worth it. noticed that I had less flexibility as well as pain from Dr. Finnoff and his team explained every step along my hip in the front of my leg. I continued to train and the way. Now I can do my sport without pain, and compete like I always did, but the pain could be intense. I feel better emotionally because a major source of I took [over-the-counter] pain medicine every day.” stress is gone. Schantzen’s husband, an anesthesiologist, had “Elsewhere I’d been made to feel like my hip pain seen Jonathan Finnoff, D.O., medical director of was a result of aging and that I just needed to slow Mayo Clinic Sports Medicine at Mayo Clinic Square, down. I want to move as much as I want to move until for knee pain and recommended him to his wife. my last day. Mayo Clinic took helping me get better “I wanted someone to tell me what my options seriously. I feel like I was treated the same as any were to prolong the use of my hip so I could professional athlete would have been.”

8 MAYO CLINIC ALUMNI Now I can do my sport without pain, and I feel better emotionally because a major source of stress is gone.” – Kristin Schantzen

Issue 3 2015 9 Olympic hopeful Louis Nguyen had ACL reconstruction surgery at Mayo Clinic in Rochester and care before and after surgery, including rehabilitation, at Mayo Clinic Sports Medicine in Minneapolis.

10 MAYO CLINIC ALUMNI Mayo Clinic Sports Medicine SKIES THE LIMIT in Minneapolis ‘When someone you trust on the U.S. Ski Team says Mayo’s the place for you, you go there’

ouis Nguyen of Chanhassen, Minnesota, Chanh Nguyen. “When someone you trust on the started skiing at age 5 and ski racing at 6. U.S. Ski Team says Mayo’s the place for you, you go L“You could tell right away he had something there. From the initial consultation with Dr. Cummings special,” says his father, Chanh Nguyen. to the surgery, everything was easy to schedule and Louis Nguyen, age 16, trains with the U.S. Ski went like clockwork.” Team’s National Training Group and earned a gold Louis Nguyen had surgery in February at Mayo medal in the Rocky/Central U16 (16 and under) Clinic in Rochester and was home the next night. Championships. In 2014 he was the state champion He began a comprehensive physical therapy program in alpine skiing for Chanhassen High School, where at Mayo Clinic Sports Medicine in Minneapolis and, he also is the goalie for the varsity soccer team. according to his father, has met every metric for the Louis Nguyen was injury free until January 2015. ACL return-to-sport protocol. At a U.S. Ski and Snowboard Association (USSA) race “The physical therapist for the Timberwolves and at Spirit Mountain in Duluth, Minnesota, his right ski got Lynx has been working with him on core strength and caught on something and twisted underneath him. his quadriceps and hamstrings,” says Chanh Nguyen. “I saw him go down and thought, ‘come on, get up,’ “He’s doing great and has no pain. We expect as it was really a nothing fall,” says his father. “He was him to be cleared at the six-month mark, and holding his knee, screaming in tremendous pain. I kind we can find on-snow training perhaps of knew what it was but was hoping it wasn’t the case. in Chile. If everything goes well, he It’s devastating to see your child hurt.” can resume full-on training in the The injury, a torn anterior cruciate ligament (ACL) mountains in November.” came at a particularly bad time. February kicks off the Louis Nguyen aims to make season’s big races. The months beforehand lead up to the U.S. Ski Team, compete in the state championships and U16 junior championships, for Olympics and ski on the World which Louis Nguyen qualified. He was expected to be Cup circuit. When his elite skiing on the podium — if not winning — the U16 National days are done, Louis Nguyen is Championships. interested in a career in medicine. The Nguyens got an opinion at an orthopedic Chanh Nguyen says the support center but weren’t confident they were in the right from the ski community has been place. Chanh Nguyen reached out to the USSA medical great. “Parents, coaches and athletes director, Kyle Wilkens, who put them in touch with at the state championship meet and junior Jonathan Finnoff, D.O., medical director of Mayo Clinic championships texted me and said it wasn’t the Sports Medicine at Mayo Clinic Square. Wilkens also same without Louis. This level of skiing is competitive, recommended Nancy Cummings, M.D., Department but you want to race against the best, so you want your of Orthopedic Surgery, to perform the ACL repair. competition to be healthy. “We knew about Mayo Clinic by reputation but “Mayo’s comprehensive program and incredible didn’t know about its sports medicine practice,” says facilities have helped Louis become healthy again.”

Issue 3 2015 11 Mayo Clinic Sports Medicine in Minneapolis HEALTHY VERDICT ‘I feel stronger and motivated to stay strong’

usan Beltz of Minneapolis had pain and Beltz followed her treatment with physical therapy. numbness in her right shoulder for three years, “Physical therapist Aaron Hellem got movement going Sthe result of a fall on the ice. in my shoulders and gave me detailed exercises to do “Six months after the fall I continued to have at home. In a very short time I felt better and wanted persistent sharp pain when doing my regular activities to be stronger. When I asked for a recommendation to — biking, yoga, working out. I received treatment, a personal trainer to improve my strength and avoid including physical therapy and injections in my reinjuring myself, Aaron told me about the EXOS shoulder, but the pain never fully went away. performance training programs.” “Eventually the pain migrated up my neck and down Beltz began working with an on-site EXOS trainer my arm. I noticed I was doing less and not pushing my on full-body weight training, stretches and exercises. body because I was afraid of causing more damage. “I’m in a small group class, and the services are I was frustrated. I didn’t want to live with pain for the tailored to my needs,” she says. “It has been so beneficial. rest of my life. A co-worker recommended the new I am working harder than I did before my injury. And if Mayo Clinic Sports Medicine center.” there are any questions about my abilities, I appreciate Beltz, an attorney who works downtown, saw that my doctor and physical therapist are right there. Jonathan Finnoff, D.O., medical director of Mayo Clinic “Everyone at the clinic is kind and positive. I feel that Sports Medicine at Mayo Clinic Square, and had two they have a genuine interest in my health. The feeling is, ultrasound-guided steroid injections in her shoulder. ‘We want you to be able to move and be active,’ instead “After my first visit, even before I received the shots, I of, ‘We’ll give you a shot or a few stretches and send you left the clinic feeling optimistic,” says Beltz. “Just walking on your way.’ One of my goals was to have a sustainable into the clinic feels energizing. It makes me want to bike, plan for fitness. I have that, and the persistent numb jump, sprint and be strong. The culture of fitness at the feeling and pain in my shoulder are gone. I feel stronger clinic made me hopeful that I would recover.” and motivated to stay strong.”

After my first visit, even before I received the shots, I left the clinic feeling optimistic.” – Susan Beltz

12 MAYO CLINIC ALUMNI Attorney Susan Beltz was treated for a shoulder injury, had physical therapy and now works with a trainer at Mayo Clinic Sports Medicine in Minneapolis.

Issue 3 2015 13 GOLD STANDARD From competitive mountain bike and cross-country ski racing to medical director of new venture

onathan Finnoff, D.O. (SPMED ’00), was sure his career would center on sports. He had been a Jnational-level cross-country skier and bicycle racer in high school and professional mountain bike racer during college. Then he had a life-changing experience. One rainy night after an exam, Dr. Finnoff rode his bike home and came across an injured man lying in his path. Realizing that the pool of liquid surrounding the man was blood from a bullet hole to the head, he rode to a nearby library and called 911. He returned to the man, who was still breathing, and stayed with him until the ambulance arrived. By then, he’d stopped breathing. The wound turned out to be self-inflicted. “I decided I wanted to have the skill set to help people,” says Dr. Finnoff. “Mountain bike racing is very dangerous and often in the back country. I wanted to know some first aid in the event of a serious crash.” He took an EMT class and loved it. He changed his major from business to biology and applied to medical school. He stopped competing as a professional in mountain bike racing but kept a hand in competitive sports, winning the USA Cycling National Mountain Bike Series and National Championships in the masters division in his late 30s.

Jonathan Finnoff, D.O. Start in sports medicine (left), skiing in Lake After completing a sports medicine rehabilitation Tahoe in the run up to the fellowship at Mayo Clinic, he accepted a position at the 2014 Winter Olympics. University of Utah.

14 MAYO CLINIC ALUMNI Dr. Finnoff competing in national cycling championships.

“I was very excited to begin my career in the sports “The program we’ve developed in Minneapolis medicine clinic at the University of Utah, where I had allows the team immediate access to medical facilities completed my residency,” he says. and facilitates communication. The athlete, coach, Soon thereafter Dr. Finnoff accepted a position as trainer and medical team can talk about the treatment head team physician for varsity athletics with Utah State plan for an injury face to face when it happens. This is University, a Division I school. going to become the gold standard in sports medicine While in Utah he served as medical director for the at the professional level.” athlete medical clinics at one venue during the 2002 Winter Olympics in Salt Lake City. There he became Applications to everyday athletes acquainted with the U.S. Ski Team and later became In addition to treating high-caliber athletes, Dr. Finnoff one of the team’s physicians. sees everyday athletes and people with orthopedic Dr. Finnoff moved to Bend, Oregon, to serve as a concerns at the new Mayo Clinic Sports Medicine facility. primary care sports medicine physician for an orthopedic “It’s exciting to apply what we learn from caring for practice closely affiliated with the U.S. Ski Team. elite athletes to all of our patients — from concussion management, physical therapy and strength conditioning Return to Mayo Clinic coaching to regenerative medicine procedures and When Mayo Clinic expanded its Sports Medicine Center orthopedic surgery.” in 2007, Dr. Finnoff returned to Rochester to work in the center for the next four years. Shortly after arriving in Rochester, Dr. Finnoff and Jonathan Finnoff, D.O. his wife had their first child. “My wife missed living near family, so we moved to • Medical Director, Mayo Clinic Sports Medicine at the Lake Tahoe area to be closer to relatives,” he says. Mayo Clinic Square, Minneapolis “But I wanted to be back in an academic setting with • Department of Physical Medicine and Rehabilitation Mayo Clinic, and we wanted to raise our family in the • Team Physician, Minnesota Timberwolves and Lynx Midwest. Fast-forward three years to the opening of the Sports Medicine program in Minneapolis, and I’m back. • Fellow, American Academy of Physical Medicine and Rehabilitation and We love the Twin Cities. American College of Sports Medicine “Working here is like going to work at a candy • Head Team Physician, U.S. Ski and Snowboard Association’s Nordic store every day. I get to do research, be involved in Combined Team (ski jumping and cross-country skiing) the residency program, work with fellows and have an • Team Physician — United States Ski and Snowboard Team; outstanding clinical practice.” 2014 Winter Olympics • Medical Director — 2013 U.S. Freestyle Skiing National Championships; A labor of love and a model program Athlete Medical Clinics, 2002 Winter Olympics; numerous marathons, Dr. Finnoff says working with sports teams often is ultra-distance triathlons, bike races, adventure races a labor of love. • Practiced at Tahoe Orthopedics and Sports Medicine, South Lake Tahoe, “Utah State University had 18 Division I teams,” he California; Mayo Clinic, Rochester; Desert Orthopedics, Bend, Oregon; says. “I was in the training room every evening and Alpine Orthopedic Specialists, Logan, Utah; University of Utah covered home and away games. It’s a seven-days-a- (Salt Lake City), Division of Physical Medicine and Rehabilitation week commitment. You do it because you love taking • Fellowship: Sports Medicine Rehabilitation, Mayo School of Graduate care of athletes and the types of injuries they have.” Medical Education Dr. Finnoff has a special affinity for endurance • Residency: Physical Medicine and Rehabilitation, University of Utah, athletes. “They’re very dedicated to their sports and Salt Lake City often don’t get recognition or money,” he says. Since • Medical School: University of New England, Biddeford, Maine 2002 Dr. Finnoff has worked with the U.S. Ski Team’s • Undergraduate: University of Colorado, Boulder cross-country skiers, Nordic combined athletes and ski jumpers, traveling around the world with them. Now he is caring for injured basketball players.

Issue 3 2015 15 BACK ON THE COURT Head orthopedic surgeon for Lynx has lifelong love of hoops

ancy Cummings, M.D. (OR ’14), has had a lifelong love of basketball. “I had a growth plate Ninjury and trouble with my hip as a kid and spent a year on crutches,” she says. At the end of that year, at 14, she tried out for her school’s basketball team and, to her surprise, was successful. “My high school coach never emphasized what I couldn’t do [run fast]. He focused on what I could do, and that bonded me to basketball and was a great life lesson.” During summers through high school, she worked at a basketball camp in Pennsylvania. The owner of the camp encouraged her to work on her shot rather than worry about her lack of speed. In high school she played on the varsity team. Dr. Cummings played basketball in college and then played on a men’s intramural team and in a men’s league during medical school. She continues to play when she can. “I realized I wouldn’t be a high-level player, but I could help athletes continue to participate at their highest level,” she says. “As a result of my experience as an orthopedic patient and athlete, I decided to become an orthopedic surgeon.”

Team doctor Today Dr. Cummings is the head orthopedic surgeon for the WNBA Minnesota Lynx and a team physician

16 MAYO CLINIC ALUMNI Nancy Cummings, M.D. (right), played high school hoops for the Wethersfield (Connecticut) Eagles.

for the NBA Minnesota Timberwolves at the new Professor of Orthopedics, as a candidate to take care Mayo Clinic Sports Medicine in Minneapolis. of the Lynx and work at Mayo Clinic Square. She provides orthopedic care for the Lynx, including Dr. Berry and Dr. Cummings had been residents preseason musculoskeletal physicals, attends their together at Harvard. preseason camp and travels with them on the road for Dr. Cummings interviewed, and Dr. Berry offered some games. With the team on-site, she can tend to her the job. injuries and concerns immediately. “The timing wasn’t right to do my residency at “This partnership is unique,” she says. “We’re Mayo, but I love it here now,” says Dr. Cummings, providing our expertise to the teams as well as using the who says she has been impressed by the integrated partnership to advance science, education and — most teamwork among Mayo Clinic medical staff. importantly — patient care. We will have Mayo Clinic “I’ve practiced with the tenet ‘the needs of patients residents and fellows in this new facility to learn as we come first’ my whole career. It was how I was treated as analyze athletes and performance.” a pediatric orthopedic patient. It’s nice to have that as the prime institutional philosophy. That, combined with the Regular doctor collaborative spirit, creates the best possible environment Dr. Cummings sees patients of all activity levels and for our patients — whether they are professional, ages for orthopedic concerns at Mayo Clinic Sports collegiate or amateur athletes or just active people with Medicine in Minneapolis and travels to Rochester for orthopedic concerns.” surgery. She specializes in sports injuries, with a focus on the knee and shoulder. “Now that I’m at Mayo Clinic, I have colleagues Nancy Cummings, M.D. who are world experts to treat the conditions I don’t treat as frequently,” she says. “The new Sports Medicine • Department of Orthopedic Surgery, Mayo Clinic Sports Medicine center is a great access point for Twin Cities patients at Mayo Clinic Square, Minneapolis who may not want to go to Rochester for a first look.” • Head Orthopedic Surgeon, Minnesota Lynx • Team Physician, Minnesota Timberwolves Alumni connections Dr. Cummings can understand the reluctance to travel • Fellow of American Orthopaedic Association, American College of Surgeons, to Rochester. American Orthopedic Society for Sports Medicine and American Academy “I actually interviewed for a residency at Mayo Clinic of Orthopedic Surgeons in 1984,” she says. “It was 30 degrees below zero. I was • Former Team Physician — Lowell Spinners, minor league baseball affiliate of impressed by Mayo Clinic but was offered an impossible- the Boston Red Sox; University of Maine, Farmington; Mount Blue High to-turn-down residency at Harvard before the match.” School in Farmington, Maine; and Carrabassett Valley Academy, Maine Thirty years later, Dr. Cummings’ path took a • Practiced orthopedic surgery at Franklin Memorial Hospital in Farmington, different course. Maine; Olympic Medical Center in Port Angeles, Washington; Fairview She attended a conference at Duke University several Hospital in Great Barrington, Massachusetts; Berkshire Medical Center in years ago with Mayo Clinic’s Diane Dahm, M.D. (OR ’97), Pittsfield, Massachusetts; UMass Memorial Medical Center in Worcester; Department of Orthopedic Surgery and team physician and Beth Israel Deaconess Medical Center in Boston for the Timberwolves and Minnesota Twins. The two also • Fellowship: Sports Medicine, UMass Memorial Medical Center, Worcester participated in Duke’s Basketball Experience together. • Residency: Combined Orthopaedic Surgery, Harvard University, “Dr. Dahm and I belong to The Forum, an elite Boston, Massachusetts women’s sports medicine group,” says Dr. Cummings. • Research Fellowship: Department of Orthopaedic Surgery, “I was practicing in Maine when Mayo Clinic and the Massachusetts General Hospital, Boston Timberwolves and Lynx were talking about forming • Medical School: Columbia University College of Physicians and Surgeons, their partnership.” New York City Dr. Dahm mentioned Dr. Cummings to Daniel • Undergraduate: Bates College, Lewiston, Maine Berry, M.D. (ADULT ’91), former chair of the Mayo Clinic Department of Orthopedic Surgery and the L.Z. Gund

Issue 3 2015 17 to collect information about the brain before and after significant head trauma. They hope the study will lead to a longer-term study of the effects of head trauma on athletes who can serve as surrogates for military personnel.

The need “Concussions have increased in combat as a result of IED [improvised explosive device] proliferation and in sport due to increased player size, speed and violence,” says Dr. Smith, principal investigator of the study. “It’s estimated that 15 to 30 percent of athletes and soldiers sustain concussions, but the numbers could easily be two to three times what is reported due to the subjectivity of diagnosis.” Currently, athletic trainers use the Sport Concussion Assessment Tool 3 (SCAT3) when a concussion is CONCUSSION suspected. SCAT3 components query orientation, signs and symptoms, balance, and immediate and delayed recall. Portions of this assessment, according to Dr. Smith, are vulnerable to denial or exaggeration. “Concussed players and soldiers are returned to sport RESEARCH and combat based on subjective, potentially inaccurate criteria,” says Dr. Smith. “We don’t have evidence- Studying head trauma on the ice based concussion protocols. For proper diagnosis, we and field to develop protocols for need an objective, rapid protocol that results in effective objective diagnoses and treatment recognition and treatment of concussions.” Dr. Smith likens the current subjective concussion diagnosis to diagnosing heart attacks decades ago. That, too, was subjective and unreliable but is now supported by valid, objective measures — electrocardiogram (EKG) and blood biomarkers — that also quantify severity. n 2011 Aynsley Smith, Ph.D., saw an article in “Mayo Clinic Sports Medicine aims to study the Harvard Gazette that showed how rat neuron athletes from amateur, collegiate, national and possibly dendrites in a petri dish retracted, failed to make professional teams as combat-troop surrogates to Iconnections and died when exposed to blast understand the effects of repeated head trauma on trauma. The retraction decreased partially in response subclinical and clinical events,” says Michael J. Stuart, to a blocking agent, known as an inhibitor. M.D., co-director of Sports Medicine at Mayo Clinic. “It struck me that this might happen to concussed Ann McKee, M.D., director of Neuropathology Care athletes as well as soldiers — the neurons die and at Boston University, is an expert on chronic traumatic the individual has difficulty making connections in encephalopathy (CTE), or concussion aftermath. “The sequential thinking,” says Dr. Smith, a concussion source of a concussion, whether from a collision on the researcher in Mayo Clinic Sports Medicine in Rochester. playing field or an explosion on the battlefield, is irrelevant “I redirected my research and committed to getting to to affected neurons,” she says. “Research shows a similar Aynsley Smith, Ph.D. the bottom of what happens in athletes’ brains.” axon and dendritic retraction in the neuronal response Mayo Clinic has been involved in concussion research, to mild traumatic and blast traumatic brain injury.” especially as it involves hockey players and other athletes, Dr. Smith says athletes are a more available population for about eight years. Dr. Smith and her research team to study in an in-depth, controlled manner. “We can apply will begin a pilot study this fall, funded by USA Hockey, what we learn about them to military personnel.”

18 MAYO CLINIC ALUMNI The plan The Mayo Clinic study will: • Obtain data from athletes on ice and the playing field, including concussion history, baseline, post-trauma and return to play • Quantitate head-impact events and analyze frequency and magnitude of linear and angular acceleration information from instrumented safety equipment including helmets and mouthguards Mayo Clinic collaborators • Use video reconstruction to study the mechanism of impacts and resulting brain deformation; expose Members of Mayo Clinic Ice Hockey Concussion Team: rat neurons to the same strain magnitudes and • Michael Stuart, M.D. (OR ’88), Co-director of Sports Medicine at Mayo Clinic rates that are measured in objectively diagnosed • David Dodick, M.D. (I-1 ’91, N ’94), Department of Neurology, concussed athletes Mayo Clinic, Arizona • Observe the neuronal response before and after the • Jonathan Finnoff, D.O. (SPMED ’00), Medical Director, Mayo Clinic application of potentially neuroprotective drugs in Sports Medicine at Mayo Clinic Square, Minneapolis this simulated trauma • Cara Prideaux, M.D. (PMR ’11), Sports Medicine, Department of • Identify treatment in a prospective, controlled trial of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester promising FDA-approved pharmacologic agents • Edward Laskowski, M.D. (PMR ’90), Co-director of Sports Medicine at Mayo Clinic Athletes experiencing a potentially concussive blow • Aynsley Smith, Ph.D., Departments of Orthopedic Surgery and will be evaluated with the NeuroCatch, a quantifiable, Physical Medicine and Rehabilitation, Mayo Clinic, Rochester portable electroencephalogram (EEG) that has components • Chad Eickhoff, Mayo Clinic Sports Medicine Center, Coordinator of of the SCAT3 embedded in it; the King-Devick Test of Athletic Training Services, Rochester oculomotor function; and serum biomarkers that indicate • Janelle Jorgensen, Research Coordinator, Mayo Clinic Sports trauma to the cell body and axon. The on-the-sidelines Medicine Center, Rochester components of testing will evolve to take less than four • David Krause, D.Sc., Department of Physical Medicine minutes, and the prognostic biomarkers and metabolomics and Rehabilitation, Mayo Clinic, Rochester profile are expected to be available in 24 to 48 hours. • Andrew Thoreson, Biomechanics Laboratory Dr. Smith says these diagnostic tools will provide a reliable • Kristen Greek, Certified Athletic Trainer, Mayo Clinic Sports mechanism to quickly and objectively diagnose and guide Medicine Center, Rochester concussion management. Other Mayo Clinic physicians on the concussion research team: The objective • Bradley Boeve, M.D. (I-1 ’92, N ’95, N-ACF ’96), Department of Neurology “Our research team hopes to use the data collected • John Huston III, M.D. (R-D ’88, NRAD ’89), Department of Radiology to design a clinical drug trial that investigates • Ronald Petersen, M.D., Ph.D. (MMS ’80, N ’84), Department of Neurology the amelioration of concussion symptoms and a • Nicholas Wetjen, M.D. (NS ’07), Department of Neurosurgery pharmacologic regimen that reduces the severity and time required to recover from a concussion,” says Dr. Smith. “Our research team’s objective is to make sure our External collaborators diagnostic tools on ice and in the field are lightweight and fast and provide definitive results so they can be • University of Minnesota deployed to the front lines, to flight and to military care • Simon Fraser University (Burnaby, British Columbia, Canada) centers. Only when the correct objective diagnoses • Western University (London, Ontario, Canada) are made, the severity evaluated and the prognostics • University of Ottawa (Ontario, Canada) understood can the potential benefits of treatment for • North Dakota State University (Fargo) concussed athletes and warriors be interpreted in a • University of Pennsylvania (Philadelphia) meaningful way.” • Sanford Orthopedics & Sports Medicine (Sioux Falls)

Issue 3 2015 19 CABLE GUY MARK ADICKES, M.D. Catch this alumnus on TV any given Sunday during football season

ny given Sunday during the football season His time at Mayo Clinic you may find Mark Adickes, M.D. (OR ’05), During residency at Mayo Clinic, he says he learned many providing commentary about athletes’ injuries lifelong lessons. “What makes Mayo really special is the Aon ESPN or DirecTV’s Fantasy Zone channel. way physicians from different specialties work with one Dr. Adickes doesn’t just provide the perspective of an another. Every time a consultant got a call from another orthopedic surgeon. He is a former NFL player — an doctor, they always saw that patient right away. I have offensive linesman for the Washington tried to foster that in my practice. If a doctor calls me and Redskins (1990−1993, including the 1991 wants me to see a patient, I see them the same day. Super Bowl Championship Team) and “The doctors at Mayo Clinic had exemplary bedside Kansas City Chiefs (1986-1990) and was an manner. They took the time necessary to take care of All-American player at Baylor University. their patients physically and emotionally. Injury and A back injury ended his professional surgery are scary subjects when you are the patient.” football career. Now he helps others with Adickes also says he learned not to put business injuries and degenerative conditions. before the needs of the patient. “Medicine today can be a very volume-oriented business. Mayo Clinic ingrained His career change in me the diagnostic approach and appropriate “Numerous injuries, surgeries and algorithm for determining who needs surgery and rehabilitations gave birth to the idea to only performing procedures when absolutely indicated. become an orthopedic surgeon,” says This approach has made my practice very gratifying Dr. Adickes. “My teammates thought I and my patients very happy.” PHOTO COURTESY was crazy when I told them I was about to spend 13 OF KANSAS CITY CHIEFS years in school training to become a doctor. I was the His practice second oldest student in my class at Harvard Medical Dr. Adickes treats high school, college and professional School and was married with children when I began athletes and cares for recreational athletes in the my studies.” community. He specializes in minimally invasive

20 MAYO CLINIC ALUMNI Mayo alumnus Mark Adickes, M.D., provides injury analysis for ESPN from his Houston home.

arthroscopic surgery of the knee, shoulder and hip. like for an athlete. I know what the injury, surgery, PHOTO COURTESY He is a former team physician to the Houston Rockets rehabilitation and return to play are like from the OF ESPN (NBA), Houston Comets (WNBA), U.S. Ski Team and athlete’s and physician’s perspective. Athletes respect Houston Rodeo, and current hip consultant to the that I know what it’s like to have your job on the line Houston Texans NFL team. due to a potentially career-ending injury. I’ll always be In 2009 he was chosen by Baylor University a sports fan, and this is a great way to be close to sport sophomore quarterback Robert Griffin III to perform and athletes.” his reconstructive knee surgery in Houston. In 2011, just Dr. Adickes says he’s provided a positive message 11 months after surgery, Griffin returned to play and to his five children, ages 21 to 11. “They know it’s never won the Heisman Trophy while leading the Baylor Bears too late to change your career path in an effort to find to a 10-win season. joy and fulfillment.” During the football season, Dr. Adickes sees orthopedic patients five days a week. He flies to New York City each weekend for his DirecTV Fantasy Zone channel Mark Adickes, M.D. show and returns to Houston early on Monday mornings. • Orthopedic Surgeon, The Ironman Sports Medicine Institute, Houston His broadcasting career • Assistant Professor, University of Texas Medical School, Houston On the subject of his broadcasting career, Dr. Adickes • Injury Analyst, ESPN and DirecTV Fantasy Zone channel says his task is to provide medical insight into injuries. “People find sports medicine interesting, especially • Fellowship: Sports Medicine, The Steadman Clinic, Vail, Colorado when they’re ‘attached’ to a team or player. They want • Residency: Orthopedic Surgery, Mayo School of Graduate Medical Education to know when players will return and if they’ll be able • Medical School: Harvard Medical School, Boston, Massachusetts to perform at a high level. Proper injury analysis is • Undergraduate: Baylor University, Waco, Texas an important part of sportscasting. But just because you treat athletes doesn’t mean you know what it’s

Issue 3 2015 21 FULL PLATE NANCY RODRIGUEZ, PH.D. Alumna has a full plate — including advising others what to put on theirs

s a postdoctoral research fellow at Mayo Clinic in Her work with collegiate and the 1980s, Nancy Rodriguez, Ph.D. (ENDO ’86), professional athletes focused her research on the role of protein Today, as head sports nutritionist in the UConn A in diet. She continues research in that realm Department of Sports Medicine, Dr. Rodriguez applies today and is considered an expert on protein and human her expertise to help prepare collegiate athletes for nutrition. A fellow of the American College of Sports competition including former UConn athletes. They Medicine, Dr. Rodriguez teaches, conducts research and include Maya Moore (Minnesota Lynx, WNBA), Darius provides sports nutrition counseling. Butler (Indianapolis Colts, NFL), Emeka Okafor (former Washington Wizards player, NBA free agent), Kemba Her chocolate milk study Walker (Charlotte Hornets, NBA) and Diana Taurasi In 2010 Dr. Rodriguez’s work gained attention when (Russian Premier League, former WNBA player). a study conducted in her lab at the University of Dr. Rodriguez also has worked with professional Connecticut’s Department of Nutritional Sciences teams in hockey and men’s and women’s basketball. proved chocolate milk to be an effective post-workout She recently completed three years as sports nutrition drink for restoring muscle. The study, “Chocolate milk consultant to the Indianapolis Colts. and endurance exercise recovery: protein balance, glycogen, and performance,” was published in Her work on the President’s Council on Medicine & Science in Sports & Exercise (April 2012). Fitness, Sports and Nutrition “The chocolate milk study validated one of my Dr. Rodriguez also shares her knowledge with a broader first funded projects as an assistant professor, where I audience. In 2014 she was appointed to a three-year investigated the effect of drinking milk during exercise term on the Science Board of the President’s Council on on protein utilization,” says Dr. Rodriguez. “At the Fitness, Sports and Nutrition, and she is the Board’s new time, in the late ’90s, no one could conceive of milk as chair. The Science Board was formed in 2003 to ensure a sports beverage.” the messages and programs of the President’s Council are scientifically sound. Its 13 members include scholars

22 MAYO CLINIC ALUMNI Mayo alumna Nancy Rodriguez, Ph.D., discussed diet and supplements for performance and weight management with former UConn defensive end Lindsey Witten.

who have made significant contributions to the research own projects, but intellectual ownership wasn’t a huge PHOTO COURTESY OF UNIVERSITY OF and science of physical activity, health, sports and concern. The atmosphere fostered a sense of community CONNECTICUT nutrition. Mayo Clinic’s Daniel Hurley, M.D. (I ’83, in contributing and understanding that discussions ENDO ’86), Division of Endocrinology, Diabetes, involving several people from different areas were the Metabolism, & Nutrition, and Internal Medicine, most productive. There is a respect for all people and also is on the Board. acknowledgment that everyone has a role to play. “In this capacity, I’m focused on translating the “I encourage that collegial approach in my work with Council’s message to reduce obesity across the life teams as I counsel athletes, sports medicine physicians, cycle — with a focus on good nutrition and activity for athletic trainers, and strength and conditioning coaches.” healthy aging,” says Dr. Rodriguez, who conducted a recent study of yoga as an exercise for middle-aged adults to maintain muscle. Nancy Rodrigez, Ph.D. “Dan Hurley and I were fellows at the same time at Mayo, so it’s fun working together on the President’s • Director, Sports Nutrition Services, Department of Sports Medicine, Council,” she says. “I find a little bit of Mayo Clinic Division of Athletics everywhere I go.” • Professor of Nutritional Sciences • University of Connecticut, Storrs Her reflection on the atmosphere • NR2 Nutrition Consulting Services at Mayo Clinic

Dr. Rodriguez looks back on her training at Mayo Clinic • Fellowship: Endocrine Research Unit, Mayo School of and credits it with the approach she uses in her Graduate Medical Education research lab today. • Graduate: Ph.D., Biochemistry; Master’s Degree, Nutrition, “In the lab as a fellow in the endocrine unit at West Virginia University, Morgantown Mayo Clinic, I learned the benefits of camaraderie • Undergraduate: Virginia Tech, Blacksburg and intellectual sharing,” she says. “We all had our

Issue 3 2015 23 Dodgers’ center fielder Willie Davis.

SPORTS FLASHBACK Alumnus provided medical care for Dodgers

obert M. Woods, M.D. (I ’41), was a solo Dr. Woods’ duties with the Dodgers included: practitioner in Santa Monica, California, who • Planning for the organization’s medical program became team physician for the Los Angeles • Providing year-round primary medical care to Dodger R Dodgers baseball team from 1958 to 1966. management, employees and players’ families A Mayo Alumnus story in October 1973 described how • Treating and examining Dodgers and visiting team he started working with professional baseball — players, coaches and umpires first with the Los Angeles Angels minor league team: • Overseeing the ballpark’s first-aid station — One night an injured Angels’ player was in need of “When you have 50,000 people or so for a double- medical care. Doctor Woods was called by the Angels’ header,” said Dr. Woods, “it’s like taking care of a city announcer, himself a patient. Soon thereafter, the Angels’ that size for six to eight hours.” management was sending all its players to Bob Woods’ office for treatment, and his official designation as “team physician” came after the Angels asked him “to come on out and see some of the games.” “I just started seeing the players at the ball park then,” Doctor Woods says.

Alumnus Robert Woods, M.D., checked to see how catcher Joe Ferguson’s fractured thumb was healing.

24 MAYO CLINIC ALUMNI Dr. Woods with Dodgers’ manager Walter Alston.

Dr. Woods credited baseball owners and the Major League Baseball Team Physicians Association with creating an identity for sports medicine from the early 1960s to the early 1970s. “Any amount of money an owner spends on an athlete from a medical standpoint is peanuts when you compare the money he’s got invested in the players’ salary and drawing power. We physicians finally impressed upon the owners that if they are going to pay a man $150,000 to $200,000 a year, it behooves them to keep that man in good shape.” Dr. Woods made sometimes-painful decisions about players’ injuries and, thus, their careers. “Medical Alumnus Bruce Cameron, M.D., collaborated with a trainer for the Baltimore Colts to opinions are important in trades. If we have access develop a football shoe — the Wolverine Swiveler — designed to reduce knee injuries. to a player, we will examine him for an opinion as to whether a certain joint is going to give him trouble or a certain illness that he has or has had will be a problem. We give management a straight answer, which they shoe with the assistance of the Baltimore Colts weigh with scouting reports and other information, and trainer, Otho Davis. trades usually develop or fizzle a short time later.” Dr. Cameron said most knee injuries occur because cleated football shoes forced into the turf didn’t allow thigh Read the complete October 1973 Mayo Alumnus story and shinbones to move as a unit. Dr. Cameron’s shoe was online to learn the role Dr. Woods played in Hank Aaron’s called the Wolverine Swiveler, after the manufacturer. pursuit of Babe Ruth’s home run record and his treatment The shoe’s cleat unit was capable of swiveling 360 degrees of Sandy Koufax. alumniassociation.mayo.edu and featured a torsion bar on the heel. “The shoe is good for any sport you change directions in — rugby, lacrosse, even baseball,” said Alumnus designed football shoe Dr. Cameron. “As man becomes a swiveler, he will have moves you can’t make when he has to have cleats in In 1966 Houston orthopedic surgeon Bruce Cameron, M.D. the ground. Anytime you work in science and want an (OR ’50), introduced a new concept of football shoe answer, go back to nature. She already has the answer. designed to reduce knee injuries. He developed the Simulate it and usually you are right.”

Issue 3 2015 25 WHERE ARE THEYNow? William Simmons, M.D., beneficiary of a helping hand lends a hand

illiam Simmons, M.D. medicine was ‘Marcus Welby, “I was a bit behind in school (MMS ’81), arrived at M.D.’ I loved his kindness and when I arrived in New York, but W a medical career in a compassion. When I announced the mother in the family I stayed nontraditional way. A native of South at my eighth-grade graduation with tutored me every night,” says Carolina, he was the first from his that I wanted to be a doctor, the Dr. Simmons. “I passed the state’s school to go to medical school and teachers laughed because it seemed Regents Examinations at the end of one of the few to go to college. He so far-fetched.” 10th grade because of her tutoring. moved across the country in pursuit That rigor set the groundwork for of an education, including two Mayo Moving for opportunities my further development.” Clinic experiences. Having benefited Dr. Simmons attended all-black As a sophomore in high school, from mentorship, beginning at home, schools until ninth grade. A few Dr. Simmons participated in a Dr. Simmons now is reaching back to students were selected to go to health careers program at New York help produce the next generation of a white school in an integration University School of Medical. black American men in medicine. attempt, but he wasn’t among them. After a year he moved to “I was raised by my grand- His opportunity came through the Bozeman, Montana, where he lived parents in rural Charleston County, Earl Jackman Relocation Program with another family during his South Carolina,” says Dr. Simmons. sponsored by the Presbyterian last two years of high school. His “Although my family members Church (U.S.A.) The program participation in the Earl Jackman experienced limited opportuni- placed high-potential black Relocation Program ended when ties, they encouraged me to seek students from segregated Southern he graduated. the highest levels of educational schools with white families in the Then he was off to The College accomplishment. My grandfather, North and West. (The program of Wooster in Ohio for two years. who had one of the largest black- ended in 1972 due to debates about After transferring to Carleton owned farms in the county, made the effects of placing students with College in Northfield, Minnesota, me believe that I could do anything families of a different race.) he participated in a Health Careers I wanted to. Dr. Simmons moved to New York Opportunity Program at Mayo “I liked to dream about the City at age 13 through the relocation Clinic. For each of two summers possibilities. Television was an program after his church pastor during college, he spent 10 weeks outlet. My initial exposure to convinced his family of its value. working in the hematology lab of

26 MAYO CLINIC ALUMNI Paul Didisheim, M.D. (PATH ’65). Fulfilling his dream William Simmons, M.D., an anesthesiologist at UPMC A few years later, he returned to He did “get there” and does indeed Shadyside Hospital in Pittsburgh, is president of Gateway Mayo for medical school. serve poor populations. In addition Medical Society, which has a program dedicated to A 1975 Mayovox profile of to his academic medicine positions, preparing young black males for careers in science, Dr. Simmons as a participant in he is president of Gateway Medical technology, engineering and math. the Health Careers Opportunity Society, a nonprofit organization Program said: in Pittsburgh. Founded in 1963 as He’s on the road again, headed an affiliate of the National Medical for Carleton to complete his collegiate Association, Gateway’s mission is to: • Enhance wellness by providing studies, then on to medical school and • Promote the health and welfare health education to the community perhaps eventually to a clinic of his of black and socioeconomically own making, where he could serve challenged populations in Gateway Medical Society’s poor people. Where his journey into southwestern Pennsylvania primary programs include a the mainstream of American life will • Enhance the quality of health symposium that educates the inner- ultimately take him is uncertain. services by addressing racial city public about prominent medical But he will get there. … disparities in health care problems in their community, a

Issue 3 2015 27 provider symposium that educates Dr. Simmons. “Beyond that a gap because they rarely qualify for the medical professionals about issues develops and widens all the way minimum grade-point average or and changes in medicine that through high school. We were school attendance requirements,” affect their practices, and the motivated to start this program says Dr. Simmons. “All of the nearly Journey to Medicine Academic because black males in Pennsylvania 90 boys in our Journey to Medicine Mentorship Program for African- have a 58 percent high-school program are on track to qualify for American males. graduation rate compared to their Pittsburgh Promise.” “Gateway raises a voice for black white male counterparts, with an physicians, nurses and dentists 85 percent rate.” Giving back what was who care for the socioeconomically Dr. Simmons, who co-chairs given to him challenged and underserved the Retention Committee of the Dr. Simmons’ efforts were patients in the greater Pittsburgh University of Pittsburgh Medical recognized by the University of community,” says Dr. Simmons. Center/University of Pittsburgh Pittsburgh during its 39th annual Physician Inclusion Council and Honors Convocation in February, chairs the University of Pittsburgh when he received the Exemplary Medical School Department of Service Award. He also received the William Simmons, M.D. Anesthesiology Diversity Advisory 2014 Iota Phi Foundation (Omega Committee, references data (The Psi Phi Fraternity) Exemplary Service • Attending Anesthesiologist, UPMC Shadyside New England Journal of Medicine, Award; and the National Medical Hospital, Pittsburgh March 19, 2015) about black Association’s (NMA) 2015 Large • Visiting Associate Professor of Anesthesiology, Americans in medicine: Society of the Year Award for having University of Pittsburgh School of Medicine • The number of black males who inspired and challenged physicians graduate from medical schools and medical professionals nationwide • Fellowship: Pediatric Critical Care and Pediatric has not changed significantly in to address critical issues of health Anesthesiology, UPMC Children’s Hospital of Pittsburgh 30 years. The number of black care and medicine. The NMA is • Residency: Pediatrics, Georgetown University Medical females has increased, and Asians the largest and oldest national Center, Washington, D.C.; Anesthesiology, George of both sexes have increased to organization representing African- Washington University Hospital, Washington, D.C. more than five times that of black American physicians and their • Medical School: Mayo Medical School male graduates. White females patients in the United States. • Undergraduate: Carleton College, Northfield, Minnesota have increased to near parity with Dr. Simmons emphasizes the • Native of: Yonges Island, South Carolina white males. importance of mentorship and the • Sixty-five percent of black role it played in his life. Americans who enter bachelor’s “My grandfather was my first degree programs in STEM-related mentor,” he says. “One person can Mentoring young men on disciplines either drop out of college make a difference in your life if he or the path to medicine or change majors and graduate she motivates you and you don’t want The Journey to Medicine Academic with a degree in a non-STEM field. to disappoint them. I’m fortunate to Mentorship Program was have personally had many mentors. established in 2009. Students are “Of all racial groups in I’m happy to offer mentorship to selected in sixth grade and started Pittsburgh, black American others. Being able to help the young on a six-year path of academic males are the lowest recipients of men in the Journey to Medicine enrichment, augmenting what they scholarships through the Pittsburgh Program is a great joy. When the learn in school and preparing them Promise grant program for college first student from our program for careers in science, technology, funds — a public school initiative — becomes a physician, I’ll be elated.” engineering and math (STEM). “Black and white students perform about the same in the Mayovox published stories about Dr. Simmons in September 1975 and July 1981. first four grades of school,” says Visit alumniassociation.mayo.edu/people to read them in full.

28 MAYO CLINIC ALUMNI THE ALUMNI ASSOCIATION The third quarter-century

The Mayo Clinic Alumni Association marks its 100th anniversary in 2015. Each of the four issues of Mayo Clinic Alumni magazine in 2015 will include special content about the Alumni Association, one quarter-century at a time.

This issue covers the period from 1966 to 1990 when Mayo Clinic was focused on growth and expansion.

Charles “Chuck” William Mayo, M.D.

President Margaret Longo, M.D. (front, left), at the 1987 Biennial Meeting in Orlando, Florida.

Alumni and guests line up outside the U.S. Supreme Court Building for a reception during the 1975 Biennial Meeting.

29 ABUNDANT CHANGES IN MEDICINE, MAYO CLINIC AND THE ALUMNI ASSOCIATION Having determined that the legacy of the Mayo brothers could survive — and, indeed, thrive — without their presence, Mayo Clinic focused on growth and expansion, including establishing Mayo Medical School, Mayo Graduate School, Mayo Clinic in Florida and Mayo Clinic in Arizona. These substantial changes reflected the needs of the time, while still honoring the legacy of the Mayo founders, and altered the character and makeup of the Alumni Association.

Major changes in medicine

The third quarter-century of the Alumni Association changes were afoot in continuing medical education. began amid abundant changes in medicine. Infectious Communicating with and listening to patients was diseases were largely under control. The health care increasingly emphasized. system was dominated by hospitals and based on The Alumni Association, too, enacted change in employment; few Americans were insured for primary or the 1960s. Leaders decided that the interval between outpatient care. Pharmaceuticals were booming. Great national meetings should be two years instead of exploration was underway in transplant surgery and one and that the national meetings should be held in cardiac care. Then Medicare and Medicaid were enacted. different cities across the country, rather than always A doctor shortage was feared, leading to a government- in Rochester. led increase in medical training programs. Major

Harrison Wesson, M.D. President 1966 GROWTH AND 1966-1990 EXPANSION

1966 The new eight-story, 575-bed Rochester Methodist Hospital opened.

1966 30 MAYO CLINIC ALUMNI Growing pains

Among the changes in the Alumni Association was made available for continuing medical education considerable growth in the number of alumni. With that at Rochester. Just as important, however, is our came greater distance between them and the institution responsibility to help maintain the clinic’s reputation that bound them. At the 1966 Alumni Association for high standards of patient care, depth of meeting President Harrison Wesson, M.D. (S ’37), education, and quality and caliber of teaching. exhorted members to renew their interest in Mayo This reputation affects all of us in our association through the Alumni Association and hinted at the topic with fellow doctors at home. du jour — continuing medical education: We also have a substantial moral obligation to I think that extramural alumni — including me — support the Graduate School. We received our must begin to take a more active interest in the affairs graduate training here — in the clinic, in the of the Association. … The standard response to such hospitals, in the laboratories — from men of exhortations is a question: Why should extramural wisdom. When we care for the sick and have the alumni be interested in activities of Mayo Graduate satisfaction of comparing the quality of our training School? The easiest answer is an appeal to self- with that of others, we quickly realize the extent interest: We should hope that facilities will be of the unpayable debt we owe to this institution.

1967 The Alumni 1969 Mayo Clinic and Mayo Association had Foundation merged into Mayo become so large — Foundation, a single legal entity 4,627 members with with three arms — Mayo Clinic, representatives from 60 the Research Administrative foreign countries — that Committee and the Division an executive secretary, of Education. P. Dean Resler, was hired.

1968 Charles “Chuck” William Mayo, M.D. (S ‘31), died. He was a professor of surgery from 1947 until his retirement in 1963, and contributed 375 papers and a book to the medical literature. He was a member of Mayo’s Board of Governors for 30 years and chair of its Board of Trustees from 1953 to 1964. Edward Boland, M.D. Dwight Wilbur, M.D. President 1969 President 1967

Carl Schlicke, M.D. President 1968

1967 1968 1969 Issue 3 2015 31 Request for Mayo-sponsored CME

Mandatory continuing medical education was The committee proposed an experiment to hold widespread by the end of the decade and a game- Alumni Association annual meetings in various regions changer in the profession. A 1968 survey of alumni of the country, perhaps returning to Rochester only in indicated “a virtual mandate” for Mayo to develop new, alternate years. more effective programs in continuing education. In Carl Schlicke, M.D. (S ’42), president of the Alumni response the Alumni Association appointed a committee Association in 1968, addressed alumni about their to study how Mayo’s formidable resources might be connection to Mayo Clinic and their need for “more used more effectively for the continuing education than sentiment” from the organization, including of practicing physicians — its alumni in particular. CME opportunities at meetings: Highlights of the recommendations were: The sense of kinship which exists between those who have had the good fortune to have had part of their • That a department of continuing education be formed training here in Rochester is something which can as an integral part of the Mayo organization never be extinguished. It is well nigh impossible for • That formal postgraduate courses be organized on a Mayo alumnus to attend any sort of a medical specialty and subspecialty lines featuring stellar casts meeting, regardless of size or location, without drawn mainly from outside the active clinic staff finding himself suddenly in the midst of a group • That special consideration be given in planning the of former fellows. I think it may be difficult for the annual meetings of the Mayo Alumni Association and intramural alumni to fully appreciate what a closely to major changes which enhance their attractiveness knit fraternity this is: a group of people united by a and educational value feeling of pride in having been associated with the

1970 Resident stipends, 1971 The Plummer 1971 The first Mayo-authored article after languishing for many Building was named was published in a medical journal. years, took a quantum leap a national historic Today staff members contribute more in 1970 and 1971. landmark. than 6,000 publications to medical literature each year.

1972 Mayo Medical School opened.

1972 Mayo alumni resided in 67 countries and every continent except Antarctica.

Dale Groom, M.D. President 1969−1971

Nicholas Hightower Jr., M.D. President 1971−1973

1970 1971 1972 1973 32 MAYO CLINIC ALUMNI Meeting frequency and geography

Mayo Clinic, a sense of deep appreciation for what The times they were a-changin’. In 1969 the United the Clinic has given them and happy memories of States put a man on the moon, and the Alumni experiences shared in common. Association held its Biennial Meeting in Los Angeles — the first outside of Rochester. The change in location … I am sure the average alumnus would like to was made in part to recognize the geographic diversity have his association based on something more of membership. Many of the 4,737 members were than sentiment. He would like to see a dynamic, organizing in more than 20 regional and specialty purposeful organization which meant something alumni groups. The Texas and Washington, D.C., more than just another certificate on the wall. The groups had existed for years, and the Colorado- problem is: How best can this be accomplished? Wyoming and Greater New York groups were new. What about the annual meetings?

… If nothing else has been accomplished in the past year, at least I feel that the Mayo Graduate School of Medicine has been made aware that the Alumni 1975 Mayo Clinic Association is deeply interested in becoming was among the first medical centers to involved in a program of continuing education. copyright original medical illustrations.

1974 The Guggenheim and Hilton buildings 1975 A new Mayo Clinic necktie opened. sold for $7.50, including postage and handling. The proposal, design and production of the tie took almost three years. The first official tie was presented to outgoing president of the Alumni Association Robert Coffey, M.D. (I ’36, S ’38).

Robert Coffey, M.D. President 1973−1975

1973 Mayo Clinic established named professors, with (from left to right) Raymond Pruitt, M.D. (I ’43), 1976 Health-related Vernon Mattox, Ph.D. (BIOC ’42), John Welch, M.D. expenses of the average and Guy Daugherty, M.D. (I ’44), as President 1975−1977 American had increased Hill Family Foundation Professors of by 450 percent in a Community Health, Biochemistry and 20-year period. Medical Education, respectively.

1973 1974 1975 1976 Issue 3 2015 33 New decade, more upheaval

Change continued to dominate health care in the 1970s. … the Alumni Association will be affected by this The health care system was in crisis, and escalating costs change on the local educational scene. For the first paved the way for HMO legislation. On the positive time provisions must be made for members who may front, President Richard Nixon enacted the National receive the major portion of their graduate education Cancer Act of 1971 to strengthen the National Cancer elsewhere, or who may move directly into practice Institute and efforts against the disease. Technology and without further training. Such persons may well computerization flourished. And the number of women have a different orientation to Mayo with regard to in medicine increased from 9 percent to 25 percent by the their expectations as alumni. Officers and members end of the decade. of the Association must be prepared to welcome such Transformation in medical education, including the new graduates, to respond to the requirements which opening of Mayo Medical School in 1972, meant more they represent, to help instill within them the spirit change for the Alumni Association, the makeup of its of pride in the Mayo traditions, both old and new, membership and their “different orientation” to Mayo. which has been such a significant force in the As John Higgins, M.D. (I ’57), secretary-treasurer of the professional lives of all of us. Alumni Association, observed:

1977 The last baby was 1978 The bronze doors born at Saint Marys Hospital of the Plummer Building Obstetrics Unit. Obstetrics closed in symbolic respect service officially opened on for Harry Harwick, emeritus the third and fourth floors of executive officer of the Board Rochester Methodist Hospital. of Governors and former long-time administrative head of Mayo Clinic. 1977 Alumni Association dues increased to $15, the 1978 Construction first increase since 1968. Harry Harwick began on a $7.9 million eight-story expansion and renovation of the Harwick Building. 1977 The Doctors Mayo Society was launched by the Mayo Alumni Association, with 79 founding members within the first three months.

Murray Hoffman, M.D. President 1977−1979

1977 1978 34 MAYO CLINIC ALUMNI Supreme gathering Plans for the next century

No doubt the 1975 Biennial Meeting in Washington, The 1980s were characterized by jockeying for position D.C., was lofty and memorable for participants. It among health care organizations — a shift toward featured a reception at the U.S. Supreme Court building privatization and corporate status, consolidation and hosted by Chief Justice Warren Burger, Associate Justice integration, and a move into other areas of health care Harry Andrew Blackmun and Associate Justice Lewis business. Medicare shifted to payment by diagnosis Powell Jr. More than 500 alumni and guests filled rather than treatment, and insurance companies moved the 300-seat Court Chamber. After dinner, guests to capitation payment in lieu of fee-for-service. assembled in the Court Chamber. A standing-room- Mayo Clinic was not immune from these changes. only crowd applauded the entering justices. Justices In the mid-1980s a group of Mayo leaders created Burger and Blackmun spoke to the group about the a vision of what Mayo should look like in the next history of the Court, the Court building and routine century. They foresaw that new government edicts and Court procedures. increasing cost-containment measures could threaten the financial stability of Mayo’s core clinical practice and make it increasingly difficult to support research and education activities. They wanted to ensure that 1978 A July flood in Rochester — the Mayo could continue to fulfill its three-fold mission. worst in the city’s history — left five people Their vision led to Mayo’s geographic expansion dead. Southeast Rochester was hardest hit, and the foundations of many homes into Jacksonville and Scottsdale; the merger with Saint were washed away. More than 5,000 Marys and Rochester Methodist hospitals in Rochester; families were affected, and total damage and the creation of a regional health system, with was estimated at $80 million. associate clinics in three Midwestern states. Those leaders also recommended that Mayo diversify its sources of revenue and create the entrepreneurial organization Mayo Medical Ventures. Time validated their predictions. The cost-conscious ’90s brought substantial reductions in Medicare reimbursements and the spread of health maintenance organizations and managed care providers. Other top-tier medical organizations were forced to consolidate operations and cut back on teaching programs. Mayo was able to survive and flourish.

Robert Jamplis, M.D. President 1979−1981

1978 Mayo Graduate School of Medicine 1978 A survey in 1978 of alumni began a three-year family practice training revealed avocations including program to alleviate the physician shortage musicians, a horse breeder, an 1979 Mayo School of Graduate in rural communities in southern Minnesota, ice boat “fanatic,” a racquetball Medical Education introduced the western Wisconsin and northern Iowa. champion, a race-car driver, Clinician-Investigator Training Program Residents combined study at Mayo Clinic authors, a UFO researcher, for physicians who wanted to combine with practice at the nearby Kasson Health marathon runners, a professional patient care with an academic and Facility satellite clinic. photographer and a sculptor. research career.

1979 Issue 3 2015 35 Firsts — O Canada and Distinguished Alumni

In sync with the geographic expansion of Mayo Clinic and groups were invited to hold scientific sessions at the a less Rochester-centric mindset, the Alumni Association meeting, resulting in 13 specialty group sessions that ventured into new territory in the 1980s — its first Biennial qualified for Category I CME credits. Meeting on foreign soil. The 1981 meeting in Montreal, At the meeting, the Alumni Association introduced Canada, was a nod to the international composition of the a new award — the Distinguished Alumnus Award, group, with members engaged in practice, research and which was established to recognize alumni who education in more than 60 countries. The Judd-Plummer made exceptional contributions in medical fields. lecturer was The Honorable Claude Ryan, leader of the The first recipients were John Kirklin, M.D. (S ’50), of Quebec Liberal Party. Birmingham, Alabama, and Dwight McGoon, M.D. In response to a Board of Directors’ decision to (S ’57), of Rochester, Minnesota. expand the scientific program, all alumni specialty

1980 The Mary Brigh Building, 1981 The “Report to the Staff 1983 Applications to with 50 new operating rooms and from the Board of Governors” by Mayo School of Graduate a regional trauma center, opened Board Chair Eugene Mayberry, Medical Education at Saint Marys Hospital. The M.D. (I ’59), included the following: increased by 20 percent. $55.5 million surgical addition was “We are now beginning to see a It had trained almost the largest construction project decline in NIH funding at Mayo, and 11,000 people in virtually in the hospital’s 91-year history. this portends problems for us.” every medical and surgical Gone were the operating room specialty since opening galleries that played a major role in 1915. 1981 The Mayo Referring in the development of Mayo Clinic Physician Office was established. and surgical instruction. 1983 For the first time 1982 The number of in its history, Mayo Clinic consultants at Mayo Clinic decided to establish surpassed 800. patient care facilities far from its native Rochester. Jacksonville, Florida, and an undecided location in John Kelsey Jr., M.D. Arizona were selected by President 1981−1983 the Board of Trustees as the first two sites for new Mayo Clinic group practices.

1983 Mayo Clinic became authorized as an independent degree-granting institution, approved to grant the M.D. degree and Ph.D. degree in biomedical sciences.

1980 Mayo Clinic introduced a Summer Minority Program for high school students. Eugene Mayberry, M.D. (I ‘59)

1980 1981 1982 1983 36 MAYO CLINIC ALUMNI International meetings, a female president and a new home

Interest in the Alumni Association and CME The decade concluded with two notable changes opportunities at its Biennial Meetings boomed. The for the Alumni Association: 1983 meeting in San Diego, California, was the best- • The first female president, Margaret Longo, M.D. (S ’67), attended outside of Rochester. of Lafayette, Louisiana, accepted the gavel from William Alumnus Sanford Roth, M.D. (I ‘65), of Phoenix, Arizona, Manger, M.D., Ph.D. (I ’55), of New York City, New York, commented on the value he derived from the meeting: at the 1987 Biennial Meeting in Orlando, Florida. … I looked at my peers and realized the tremendous • The Alumni Association moved into a new home — resource that Mayo and its alumni have developed the new Mayo Alumni Center in the Siebens Building. within medicine. My friends represented some of the finest private and university institutions in our country At the dedication of the new Alumni Center, Alan and the world. They were active as lecturers, research Sessler, M.D. (ANES ’62), dean of Mayo School of workers, authors and, most importantly, fine clinicians. Graduate Medical Education, said to alumni: This is the ultimate strength of our Mayo heritage. You are our link to the world of medicine and medical education, and we welcome your In recognition of its international nature, the Alumni participation and support. … I also ask you to Association in 1984 introduced international trips — a continue to assist us in other ways as well. For program combined with a tour — in years alternating example, help us recruit outstanding medical with the Biennial Meeting. The meetings allowed students, residents and research fellows. The participants to connect with alumni around the world, competition for the best is rigorous, and the beginning with Austria, Switzerland and West Germany. continuing success of this institution depends The 1985 Biennial Meeting — back in Rochester — on having a considerable segment of the very attracted more than 1,400 alumni and their guests. Aptly best, young medical talent in our programs. titled, “Change,” the meeting’s predominant themes Please help direct them our way. included the transforming health care environment, such as Mayo Clinic geographic expansion. The Judd- Plummer lecturer was J. Alexander McMahon, president of the American Hospital Association. 1985 Scottsdale was announced as the location of the Mayo group practice in Arizona, and ground was broken for construction.

Stephen Rous, M.D. President 1983−1985 1985 Ground was broken for the Jacksonville, Florida, clinic.

1984 The Mayo One helicopter 1985 Silk scarves for women began its first day of service. A helipad were made available through the was built on the roof of the Mary Brigh Alumni Association. Building at Saint Marys Hospital.

1984 1985 Issue 3 2015 37 REFLECTIONS OF PAST PRESIDENTS

Murray Hoffman, M.D. (I ’51) “There was big news at the “The leading thoughts at the Old Orchard Beach, Maine clinic at the time. The first class time were that this was all a pipe President 1977−1979 that entered the new Mayo Medical dream and would never happen. School in 1972 had just graduated in The years as president of the Mayo “I was aware of the very high 1976. Thus, we had a new category Clinic Alumni Association were standards and caliber of those of membership in the Alumni among the highlights of my career, who came before me,” he says. Association — Mayo Medical consisting of 43 years of practice “The Alumni Association was School graduates.” and teaching. I look back on very fortunate in having such Dr. Hoffman describes the period those years with great pride and distinguished individuals leading as a time when informal grassroots happiness,” says Dr. Hoffman, it, and I felt humble to be selected discussions began about the pros who retired as professor of medicine, to follow them. I tried to continue and cons of the possibility of Mayo University of Colorado Anschutz their efforts to form bridges “branch clinics” and in what part of Medical Campus in 2003. between the alumni and the clinic. the country they should be located.

1986 Mayo Clinic Jacksonville opened with more 1986 The first building to than 2,000 patient appointments already scheduled. bear the name Mayo Clinic A satellite telecommunications system enabled — the 1914 Building — was physicians in Jacksonville to share two-way patient taken down. On its site a consultations with colleagues in Rochester, giving 14-story education building patients Mayo medical expertise no matter which would be built. location they chose to visit.

William Manger, M.D., Ph.D. President 1985−1987

1986 Mayo Clinic Rochester, Saint Marys Hospital and Rochester Methodist Hospital integrated and became Mayo Medical Center.

1987 Mayo Clinic opened a new clinic in Scottsdale, 1986 The Saint Marys Hospital Arizona, and St. Luke’s Hospital Sponsorship Board was established in Jacksonville, Florida. to maintain the heritage started by the Sisters of Saint Francis.

1986 1987 38 MAYO CLINIC ALUMNI Stephen Rous, M.D. (U ’63) Alumni Association provides a there are few outside diversions Newport, Rhode Island way to continue that love affair.” in Rochester, so interpersonal President 1983−1985 Dr. Rous, a clinical professor of relationships became all-important, surgery at Brown University Medical or it may have been because the When he trained at Mayo Clinic, School, adds, “I doubt there is any people in Rochester truly were Dr. Rous was president of the meeting that gives me as much (and still are) warmer, more caring Fellows Association, and he chaired pleasure and satisfaction as does the and more genuine than many the Alumni Association’s Committee biennial Mayo alumni get-together. others who populate this earth. For on Development from 1979 to 1982. I say this because there has been whatever reason, the fact remains He describes the Alumni Association no other time in my life when I that it is a great treat for me to come as a link for alumni to the institution have met and befriended as many to Rochester, and I cherish every they love. “At Mayo, you become individuals whom I genuinely care opportunity that the alumni reunion totally imbued with the atmosphere, about than I did during my three offers to see old friends.” the quality of care and medicine years at Mayo. I’m not sure why this practiced the way it should be. The happened. It may have been because

1989 The Charlton 1989 The Siebens Building, Building opened at home to most of Mayo’s Mayo Clinic in Rochester. educational programs and the Alumni Association, opened at Mayo Clinic in Rochester.

1990 Mayo Clinic broadcast a live surgical teleconference using a satellite video communication system to an audience in Leighton Auditorium in Margaret Longo, M.D. the Siebens Building. The program President 1987−1989 Frank Pavel, M.D. focused on six gynecologic procedures President 1989−1991 broadcast from two operating rooms at Rochester Methodist Hospital. Obstetricians from 26 states and Mexico attended the CME course.

1989 Mayo Graduate School was 1987 Margaret Longo, M.D., accredited to grant degrees. 1990 The Human of Lafayette, Louisiana, was Genome Project began. the first female president of 1989 Mayo implemented new the Alumni Association. national internal medicine guidelines limiting resident hours to no more than 1987 Patient registration 80 per week, averaged over four weeks, number 4 million was given out. requiring 24 hours off weekly and limiting call to no more than every third night for inpatient rotations.

1989 1990 Issue 3 2015 39 KNOW YOUR Board Mayo Clinic Alumni Association Board of Directors Provides leadership Makes policy decisions Decides strategic direction and vision

Why did you decide to What was your initial pursue medicine? impression of Mayo Clinic? I developed a love for science at I had been at Mayo a number a fairly early age. That interest of times. My aunt had a kidney increased because of medical transplant there, and I had interactions for me and my family scar revision surgery. It was a members, including a number at completely different feeling going Mayo. In high school I took every into orientation for medical school available science class and was and hearing that first talk about active in forensics and debate. the Mayo milieu. I was struck by a When the time came to choose feeling of grandeur and awe that between law and medicine, I made persists to this day. David Graham, M.D. the best choice for me. (MMS ’87, I ’90, HEMO ’93) How does Mayo Clinic influence Why did you train at your practice? Board Member Mayo Clinic? Two easy words — patient first. • Medical Director, Western At the time I applied to medical From how I dress (no lab coats), Region, Levine Cancer Institute, school, Mayo Medical School was to how I address the patients, to Charlotte, North Carolina still affiliated with the University apologizing if I am late, to still • Fellowship: Hematology/ of Minnesota and took only four trying to figure out the best way to Oncology, Mayo School of out-of-state applicants a year. I maintain personal contact when I Graduate Medical Education applied anyway. Then the school have to spend more and more time • Residency: Internal Medicine, disaffiliated from the university, looking at the computer screen, my Mayo School of Graduate and out-of-state slots jumped to 10. Mayo training impacts all of that. Medical Education I made the waitlist. I got a call • Medical School: Mayo Medical from then-Dean Dr. Roy Rogers What valuable lesson did you School (DERM ’73). My roommate took learn at Mayo Clinic? • Undergraduate: University of the call and thought it was a I learned that no test, lab, scan, South Dakota, Vermillion friend playing a joke because the etc. is infallible. Everything has • Native of: My father was in the Air caller identified as Roy Rogers. false positives and false negatives. Force, so I didn’t live anywhere He finally realized the call was If something doesn’t make sense, more than four years until I moved legitimate and gave me the repeat it if you have to. to Rochester for medical school. information.

40 MAYO CLINIC ALUMNI How do you contribute to his residency. He met my mother the Mayo Clinic Alumni there and got married. After leaving Association? Mayo he had a long, successful I think I can bring a perspective career as an internist in Emporia, of the private practice physician. Kansas. Like a lot of physicians, I’ve Many graduates from all levels of been inspired by my dad. My path Mayo training end up in academic to medicine and Mayo Clinic was practices. That has not been my no doubt a result of that inspiration. path. In addition, my penchant for traveling has given me some Why did you train at perspective of some of the unique Mayo Clinic? international issues my fellow In addition to my father, I was alumni face. Richard Morgan, M.D. encouraged and supported by (CCM-A ’85) Mayo alumni mentors Gene Fibuch, What do you do in your M.D. (ANES ’74), Gene Bode, M.D. spare time? Board Member (ANES ’81), and Jim Mallow, M.D. I read a lot and am a movie buff. • SJ Pain Associates, private (ANES ’74) — smart doctors who I have also started to follow the practice pain management/ pointed me to Mayo to pursue lead of Dr. Joseph Rubin (I ’72, palliative care, St. Joseph Medical critical care. HEM ’74, ONCL ’75), who was the Center, Menorah Medical Center In 1984 pain management chair of the Medical Oncology and Cass Regional Medical may not have been an established department when I was training. Center, Harrisonville, Missouri fellowship. I was accepted to a He took one to two trips overseas • Fellowship: Critical Care and Pain critical care fellowship but asked a year to what seemed at the time Management, Mayo School of if I could spend half my time in like very exotic places. I try and Graduate Medical Education the chronic pain clinic and also get out of the country once or • Residency: Anesthesiology, focus on perioperative pain. My twice a year now. Destinations St. Luke’s Hospital, request was granted. I received have included Portugal, Istanbul, Kansas City, Missouri excellent additional training in Slovenia, Brussels and Croatia. • Medical School: University of injection techniques — at that time I try to reach out to Mayo alumni Kansas School of Medicine, all performed without fluoroscopy. during my travels. Those interac- Kansas City We were taught the importance tions follow the precedent set by • Undergraduate: University of of tactile expertise. Knowledge of Drs. Charlie and Will and can be Kansas, Lawrence anatomy was critical. It was great very rewarding. • Native of: Emporia, Kansas experience.

What would people be Why did you decide to How does Mayo Clinic influence surprised to know about you? pursue medicine? your practice? In the late 1960s my family My father went to Mayo Clinic In addition to my pain experience, lived in Japan. The priest on the immediately after serving as a my time was spent with many military base and some of the physician in World War II to begin excellent staff members in the ICUs kids, including me, were used in a commercial for the Japanese version of Twinkies. It was filmed I was encouraged and supported by Mayo in Nagasaki at Madame Butterfly’s Alumni mentors … smart doctors who house. To this day I cannot eat a Twinkie. pointed me to Mayo to pursue critical care.”

– Richard Morgan, M.D.

Issue 3 2015 41 of Saint Marys and Methodist was working for a while, I missed hospitals. It gave me strong being part of something that experience and knowledge of mattered deeply to people. cardiopulmonary physiology and pharmacology plus technical skills Why did you train at in central access and monitoring Mayo Clinic? that remain key to my knowledge. Mayo Medical School is like the Disneyland of medical schools. What would people be Where else can you learn neurology surprised to know about you? in a class of 10 students, taught My pals will agree that I was a by the physician who wrote your lousy athlete, and I beat myself up textbook? over the years. As a result of the Mary Reynolds, M.D. miracle of modern medicine, I have (MMS ’98) What was your initial an artificial ankle and hip, which impression of Mayo Clinic? have kept me active and improved Board Member I was struck by how enthusiastic my quality of life dramatically. • Family Physician, Rocky our instructors were. We were During these times of frustration Mountain Urgent Care, treated as future colleagues, and in health care, I never lose sight of Westminster, Colorado they loved sharing their knowledge these miracles we take for granted. • Residency: Family Medicine, with us. I learned personally about chronic Medical College of Wisconsin, pain early on. Those joints are a Milwaukee How does Mayo Clinic influence blessing. • Medical School: Mayo Medical your practice? School Mayo taught me to focus on the art What do you do in your • Undergraduate: University and science of medicine first. The spare time? of Notre Dame, Notre Dame, business aspect, while necessary, I’m an avid bicyclist and gardener. Indiana is second. • Native of: Minneapolis, Minnesota What valuable lesson did you learn at Mayo Clinic? Where else can you learn neurology in a class I learned to listen to my patients. The best moments in medicine are of 10 students, taught by the physician who when you make a connection with wrote your textbook?” – Mary Reynolds, M.D. your patient, and both of you come away changed.

Why did you decide to What do you do in your pursue medicine? spare time? Medicine is a second career Most of my free time is spent with for me. Medicine was always a my 3-year-old daughter. I hope to part of my life as a child both get her on the ski slopes this year. because my father is a physician and I have a congenital medical What would people be condition (cleft lip and palate) that surprised to know about you? required frequent doctor visits and I was a writer for TV Guide in hospitalizations. When I went to New York City for three and a half college I swore I would never go years before I went to medical school. near a hospital again. But after I I wrote cable movie listings.

42 MAYO CLINIC ALUMNI Featured physician and scientist positions at Mayo Clinic locations nationwide

For complete descriptions and a list of Mayo Clinic Health System other available opportunities, visit: physicians.mayo-clinic-jobs.com/ Internal Medicine — SE Minnesota Region Board-certified/eligible internal medicine physicians are sought to join the outpatient primary care practice Mayo Clinic in Rochester in Albert Lea. CONTACT: Nakayla Warren, [email protected] Occupational Medicine The Division of Preventive, Occupational & Aerospace Family Medicine — SW Minnesota Region Medicine seeks board-certified/eligible candidates with Full-time board-certified/eligible family medicine expertise in occupational medicine and transportation physicians are sought to join the regional practice in medicine. Patient population includes workers and Springfield, St. James, Mankato and Fairmont. employers seeking assessments for illness or injury CONTACT: Jeannie Green, [email protected] with potential functional limitation, and pilots and commercial motor vehicle drivers seeking medical Hospitalists — NW Wisconsin Region certification examinations. Board-certified/eligible internal medicine physicians are CONTACT: Becky Schulte, [email protected] sought to join an established hospitalist practice in Eau Claire and Menomonie. Mayo Clinic in Arizona CONTACT: Cyndi Edwards, 800-573-2580 or [email protected] Primary Care Physicians — New Location The departments of Internal Medicine and Family General Adult Psychiatrist — SW Wisconsin Region Medicine seek board-certified physicians to expand Board-certified/eligible general adult psychiatrist is service at an ambulatory satellite clinic in the Chandler, sought in La Crosse for a diversified, multidisciplinary Arizona, area. This position includes an academic outpatient and inpatient practice with DBT clinic and appointment with the College of Medicine. residential programs. CONTACT: Adriana Semko, 480-342-2353 or CONTACT: Lindsay Linder, 507-385-5865 or [email protected] [email protected]

Mayo Clinic in Florida Pediatrician — Waycross, GA Full-time or part-time board-eligible/certified pediatrician Neurologist — Multiple Sclerosis is sought to join an established practice in Waycross, The Department of Neurology seeks a board-certified Georgia, integrated with Mayo Clinic Florida. neurologist with subspecialty training in multiple sclerosis CONTACT: Rose Cuenta, 904-953-1539 or and related neuro-immunological disorders to lead a [email protected] clinical program. Applicants should have fellowship training in clinical neuro-immunology/MS and experience with clinical research or basic science in the field. CONTACT: Lavinta Pennington, [email protected]

Issue 3 2015 43 MAYO UPDATE

Obituaries

Harold Berman, M.D. (DERM ’59), Christian Picco, M.D. (S ’87), Jorge Solis-Manjarrez, M.D. died June 28, 2015. died May 20, 2015. (PHYS ’50, S ’53), died April 12, 2015.

William Carpenter, M.D. Jeffrey Piehler, M.D. (TS ’80), William Steffee, M.D., Ph.D. (I ’70, (PATH ’63), died May 21, 2015. died Nov. 14, 2014. NEPH ’72), died March 31, 2015.

Alfred Dally, M.D. (I ’66), Lowell Pincock, D.D.S. (OMS ’54), Paul F. Wilson, M.D. (P ’57), died April 25, 2015. died June 9, 2015. died Feb. 8, 2015.

Robert Delaney, M.D. (I ’69), Herbert Ripley, M.D. (S ’51), Eugene Woroch, Ph.D. (BIOC ’51), died April 10, 2014. died June 27, 2015. died June 20, 2015.

Marten Geitz, M.D. (OR ’65), Rodolfo Herrera Robles, M.D. Complete obituaries and the died Nov. 29, 2014. (OBG ‘60), died Jan. 19, 2015. Update section, with alumni and staff news, are available on the Mayo Robert McKee, M.D. (S ’57), Herbert Seybold, M.D. (U ’55), Clinic Alumni Association website, died Aug. 14, 2014. died Feb. 16, 2015. alumniassociation.mayo.edu/people/.

SAVE THE DATE 2016 Mayo Clinic Alumni Association International Meeting and Tour

JUNE 16–18, 2016 • FAIRMONT CHATEAU WHISTLER WHISTLER, BRITISH COLUMBIA, CANADA

Plan to attend the Mayo Clinic Alumni Association 2016 International Meeting in Whistler, British Columbia, Canada. This is the first time in more than 30 years that the meeting is in North America. Following the Mayo brothers’ tradition, this meeting combines focused learning on current topics in medicine and science with leisure time among colleagues and mentors, in settings that foster innovative thinking. A 2010 Winter Olympics venue, Whistler has stunning year-round natural beauty. Activity abounds for all ages — from golf, hiking and mountain biking to spas, festivals and food from around the world. Check the Alumni Association website for information about pre- and post-conference tours: alumniassociation.mayo.edu

44 MAYO CLINIC ALUMNI Mayo Clinic Alumni magazine is published quarterly and mailed free Alumni Center of charge to physicians, scientists and medical educators who studied 507-284-2317 INFORMATION and/or trained at Mayo Clinic, and to Mayo consulting staff. The Email: [email protected] • Alumni meetings magazine reports on Mayo Clinic alumni, staff and students, and alumniassociation.mayo.edu • Receptions informs readers about newsworthy activities throughout Mayo Clinic. alumniassociation.mayo.edu Physician Referral Please send correspondence Advisory Board Arizona 866-629-6362 and address changes to: Melissa Abrams Florida 800-634-1417 ALUMNI Mayo Clinic Alumni Center Peter Amadio, M.D. (chair) Rochester 800-533-1564 PHILANTHROPY Siebens 5-33, Mayo Clinic Steven Altchuler, M.D., Ph.D. mayoclinic.org/medicalprofs/ Contact: Terri Burkel 200 First Street S.W. Judith D. Anderson 800-297-1185 Rochester, MN 55905 Brigitte Barrette, M.D. Patient Transportation 507-538-0055 Email [email protected] Karen Barrie Mayo Clinic MedAir, [email protected] Telephone 507-284-2317 Eric Edell, M.D. Mayo One Fax 507-538-7442 Richard Hurt, M.D. 800-237-6822 Ryan Ledebuhr mayomedicaltransport.com Executive Editor Margaret Lloyd, M.D. Judith D. Anderson Lonzetta Neal, M.D. Mayo Clinic is committed to creating Debbie Oscarson and sustaining an environment that Managing Editor Steven Rose, M.D. respects and supports diversity in Melissa Abrams Alexandra Wolanskyj, M.D. staff and patient populations.

Mayo Clinic Alumni Randall Krug, Rochester, Minn. Suzanne Tollerud Ildstad, M.D., Association Officers MGS Representative Louisville, Ky. Juan M. Sarmiento, M.D., Atlanta, Ga. Louis (Jim) Maher III, Ph.D., Kennith F. Layton, M.D., Dallas, Texas President Rochester, Minn. Gregory K. Mayer, M.D., Phoenix, Ariz. Susheela Bala, M.D., San Bernardino, Calif. Lonzetta Neal, M.D., Rochester, Minn. Joseph G. Mayo III, M.D., President Elect Brian R. Rodysill, Rochester, Minn. Placentia, Calif. Eric S. Edell, M.D., Rochester, Minn. MMS Representative Richard L. Morgan, M.D., Vice President Steven H. Rose, M.D., Rochester, Minn. Lenexa, Kan. Peter C. Amadio, M.D., Rochester, Minn. Jerry Sayre, M.D., Jacksonville, Fla. Olufunso Odunukan, M.B.B.S., Secretary-Treasurer Leah A. Schmelkin, Rochester, Minn. Jacksonville, Fla. Eric J. Grigsby, M.D., Napa, Calif. MMS Representative MCF-MSGME Representative Past President Mary M. Reynolds, M.D., Judith D. Anderson, Rochester, Minn. Board of Directors Golden, Colo. Director, Alumni Center Carl L. Backer, M.D., Winnetka, Ill. Guillermo Ruiz-Argüelles, M.D., Douglas Chyatte, M.D., Mankato, Minn. Puebla, Mexico Executive Committee S. Ann Colbourne, M.D., Scott R. Ross, D.O., Saranya Balasubramaniam, M.D., Edmonton, Alberta, Canada Colorado Springs, Colo. Rochester, Minn. Theresa S. Emory, M.D., Bristol, Va. Gene P. Siegal, M.D., Ph.D., MCR-MSGME Representative Alan M. Freedman, M.D., Mountain Brook, Ala. George B. Bartley, M.D., Rochester, Minn. Great Neck, N.Y. Marcia J. Sparling, M.D., Dawn Marie Davis, M.D., Erin Garvey, M.D., Scottsdale, Ariz. Vancouver, Wash. Rochester, Minn. MCA-MSGME Representative Sumeet S. Teotia, M.D., Dallas, Texas Medical Director, Alumni Center David L. Graham, M.D., Burkhard W. Wippermann, M.D., Holly Geyer, M.D., Scottsdale, Ariz. Charlotte, North Carolina Hildeshiem, Germany

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