Augusta. Georgia

Medical College of Georgia February, 1972 Vol. 2, No. 5 Orthopedics' staff vvins Tl E contest avvard Last fall a new idea was put into use on nurse, and Rozetta Cohen, nursing assistant, The second change came with the use of the orthopedic floor at MCG's teaching the answer was yes. an electronic thermometer which reduced hospital -- this winter the idea earned its As a result of the study, three changes in the time for taking a temperature to about originators a Special Award of $100 in the the TPR procedure were made. First of all, one minute. "The pulse and respiration rates Tested Idea Exchange (Tl E) Contest. The routine TPR's were scheduled for 8 a.m. and are then added and the nurse is proceeding contest was co-sponsored by the Blue Cross 4 p.m. for each patient. Exceptions became to the next patient within four minutes. This Plans of Georgia and the Georgia Hospital the responsibility of the nursing staff, procedure not only saves time, but it also Association. following certain guidelines. Thus, after minimizes errors by direct charting," Dr. Dr. Floyd E. Bliven, Jr., chief of elevated temperature, surgery, or signs of Bliven said. orthopedics, said, "We asked ourselves: Can infection temperatures would be taken every With the 'old method', TPR's were we improve our temperature, pulse and four hours. A doctor's written order was no recorded on a card by the nursing assistant ·- ·-iiration (TPR) procedure?" After a study longer required. This meant that the overall and transcribed to a temperature sheet at the ._...,J e by Dr. Bliven, Petronella Farkas, RN, number of temperatures taken each day was division desk. Then a secretary transcribed head nurse; Patricia Edgington, RN, team reduced by being selective. the temperature sheet to the graphic record in the patient's chart. This was done every four hours. In the new procedure, TPR's are directly recorded onto a graphic sheet kept on a clipboard at the bedside making it available to all staff involved in care of the patient. Now the secretary does not have to spend valuable time transcribing records. Instead, on Saturday evening graphic sheets are replaced and completed sheets brought to the division secretary for filing in the charts. Dr. Bliven said, "Primary savings are in secretarial time (as much as a half days time in the 24-hour period) and nurse and nursing assistants' time. In terms of salary for the secretary, this is about $5,400 a year. Even after the cost for the electronic thermometer and supplies were subtracted, we still ended up with an overall benefit of about $5,000." "The best benefit of all, however," Dr. Bliven added, "is in the increased quality and effectiveness of patient care." The staff has not yet decided what to do with the money, but they would like to make available a room on the orthopedic floor as a conference room and staff room. All of the award winning ideas from the GOING UP--Workmen are now pouring the framing for the third floor of the Outpatient Clinic una Tl E Contest have now been pub Iished in construction on Gwinnett St. The second floor has been poured, and the building is on schedu le, book form and sent to member hospitals and according to Chris Williams, ass ista nt t o the vice president. He added that the workmen are doing extremely well to be this far along considering the bad weather. The completion date for the clinic is institutions of the Georgia Hospital expected to be in the sp ring of 1973. Association. Hamilton memorial It's not too late to gift given MCG respond to questionnaire In October of last year, all MCG A $10,000 gift to establish the Dr. W. F. employees received a family planning Hamilton Memorial Fund at the Medical questionnaire to complete and return to Dr. College of Georgia has been made by Dr. Edwin Bronstein. Of the 3,500 queries that Philip Dow, professor of Physiology. were sent out, 511 or 14. 6 per cent were Plans are to allow the income to accrue to returned. the fund for a period of not more than 10 The female returns outnumbered the male years and allow others to contribute toward returns by almost a four to one margin. Most making it grow to adequately endow The W. of the females responding were secretaries, F. Hamilton Chair in Physiology. technicians, faculty, research assistants and Dr. Dow, who retired in 1971 as chaifman students. of the Department of Physiology, worked Most of the male respondents were for many years with Dr. Hamilton on students, and faculty and others from cardiovascular physiology projects which education related positions. were internationally recognized for their Two-thirds of the men answering said impact upon health science. they would use a family planning service if it Dr. Hamilton, chairman of the were available in MCG's teaching hospital, department from 1934 until his retirement whereas 57 .6 per cent of the females in 1960, brought Dr. Dow from Yale responsed positively. When asked the same University in 1935 to teach and assist in question in regards to an off-campus service, research. 58.6 per cent of the males and 65.1 per r The work of Dr . Hamilton was recognized of the females responded yes. in 1961 by Modern Medicine, an Dr. Bronstein said he thought it was international medical journal. The magazine Ors. Dow ( L) and Carter with Manometer significant that whether the service was free credited Dr. Hamilton with the basic work or available at a reasonable fee made little which paved the way for modern heart him the Gold Heart Award in 1958. Dr. difference in whether it would be used or surgery. He was also honored in 1959 with Hamilton died December 18, 1964 at the age not. the Gairdner Foundation International of 71. Although 85-90 per cent of the men and Award for developing an effective means of His widow, who lives in Augusta at 2976 women responded that they used some measuring dye output of the heart through Fox Spring Circle, said of the gift by Dr. method of contraception, an average of 25 use of dye dilution. Dow, "Words cannot express my feelings for per cent had still had unplanned pregnancies. He was internationally known for the generosity of Dr. Dow in establishing More than half of the male and two-thirds methods to measure both blood pressure and this memorial fund for my late husband--it is of the female respondents said they were blood flow and for the physiological simply wonderful. My only hope is that the already obtaining family planning service discoveries he made with them. Before the fund will-grow and achieve its purpose--a W. from other seurces. perfection of electrical methods the F. Hamilton Chair of Physiology." "In the negative responses to the use of Hamilton manometer, made at MCG, was James C. Austin, director of the Division family planning service, about 25 per cent of shipped all over the world. of Institutional Relations, through which the the responses had some form of a Dr . Hamilton was instrumental in the gift was handled said, "All of us here are sterilization procedure, either male or formation of the Basic Science Council of inspired and encouraged by this generous female," Dr. Bronstein said. the American Heart Association and served expression by a dear friend and colleague He added, "Those persons who did not as its chairman. The Heart Association who has put so much of himself into the life respond to the questionnaire are in the honored him by requesting him to deliver of this institution. We also feel that this is a group who are in great need of such services. the Conner Lecture in 1953 and awarded noble way to memorialize a great man who We hope that many of these people will still has brought honor and distinction to MCG." come forth with a response which further Dr. Dow earned his doctorate degree in supports the need for a family planning Vol. 2, No. 5 February, 1972 physiology at Yale University and came to service within the confines of the College's Augusta in 1935 planning "to remain one hospital." Norma W. Patterson Editor year." He stayed to teach and do research Through the campus publicafr Intercom, the employee newsletter of the for 37 years. He reaches the mandatory personnel will be kept abreast of ~ Medical College of -Georgia, is published retirement age this year but remains active progress being made toward establishing monthly by the Division of Institutional playing golf, working in his yard and such a program. "In the meantime, if there Relations. Correspondence is invited, and traveling. Last summer he attended the 25th are persons who were unable to respond to may be addressed to Intercom, Room 151, International Congress of Physiological the questionnaire and who are in need of Administration Building. The Medical College of Georgia is an equal employment Sciences in Munich, Germany. While there such services, I hope they will make contact opportunity institution. he presented a paper prepared by him and through my office, extension 506," Dr. Dr. D. L. Davis. Bronstein said. Exploring Health is now MCGSports heard on 111 stations

The Atlanta Braves recently met the It was an hour in which the Vets could An additional 55 Georgia broadcasters Georgia War Vets. associate personally with men who play in have joined the Medical College of Georgia's In opening minutes it was a stand-off akin the game which they remember as being the Exploring Health radio network, bringing to to a generation gap but the common interest national sport long before pro football and 111 the number of stations that have used or topic of baseball saved the day. basketball could draw over a telephone are currently using the series. It wasn't a lack of pol iteness but rather a booth full of fans. The 13-part series of 5-minute weekly ·strained silence as the Braves and the They asked pertinent questions about programs is being used as public affairs patients at the Georgia War Veterans Nursing injuries, travels, statistics, winter jobs, and programming without charge to the Medical Home attempted to find some common '72 hopes for the team. The old spit ball and College, said John W. Stokes, associate ground. the legendary in shoots and out shoots were director of Institutional Relations. Perhaps the audience, composed mainly discussed. The programs were written by Mr. Stokes; of elderly men, had some doubts that these There is no doubt that five Braves will Bill Conkright, television services, serves as young fellows in mod clothing were really , have a private rooting sect ion in the producer/narrator for the series. Georgia's baseball heroes. ·GWVNH this spring and summer. Sonny In addition to the Georgia network, By the same token the Braves seemed a Jackson, centerfielder; Phil Niekro, pitcher; stations in Florida, Louisiana, Mississippi, little ill at ease with an audience which Tom Kelley, a former Cleveland Indian now North and South Carolina, Tennessee, Texas, varied greatly from the usual fare of youth a Braves' pitcher; Marty Perez, shortstop Virginia and West Virginia are using the and young adults more prone to who helped set a Braves' double play record series. hero-worship than men who prefer to be last season, and Cecil Upshaw, towering Georgia stations carrying the series are: -- convinced. pitcher will be fondly remembered by the Before it was all over the Braves and the Vets. WBIT, Adel, WA LG, Al ba ny, WMES, Ashburn, WOOL, Athens, WQXI, At lanta, WYZE, At lanta, -Vets seemed to be tied in their regard for A planned trip by some GWVNH patients WACG, A ugust a, WBBO, August a, WBIA, Augusta each other. An old fashioned baseball gab to Atlanta this summer received a boost an d WGAC, Augusta. fest which would have warmed the heart of when one of the team's officials said there WACX , Austell , WMG R, Bainbridge, WBAF, any fan was fol lowed by an autograph and are special facilities for seating people with Barn esville, WUFE , Bax ley , WBSG, Bl ackshear, personal meeting session. The Braves had to health problems. A physician and nurse are WBBK, Bl akely , WWCC, Bremen, WMOG, Brunswick and WDYX, Buford. slowly work their way to the elevator on duty at the stadium during games. So, the WCGA, Calhoun, WCLB, Camilla, WC HK, through the crowd of happy fans. Braves and the Vets will meet again. Canton , WLBB, Carrollton, WBHF, Cartersvi ll e, WG A A , Ceda rtown, WCLA, Cl axton, WGHC, Cl ayt on, WRWH , Cl eveland and WVMG, Cochran. WJJC, Commerce, WMJM, Cordele, WCON , Cornelia, WGFS, Covington, WSNE , Cumming , WBLJ, Dalton, WTTI , Dalton, WDWD, Dawson, WAVO, Decatur and WGU N, Decatur. WSEM, Donal so nville, WDMG, Douglas, WDGL, Douglasville, WM L T, Dublin, WUFF, East man, WSGC, El be rton, WBHB, Fitzgeral d, WFPM, Fort Valley , WDUN, Gainesville and WKIG, Glennville. WKOG, Gordon, WHIE, Griff in, WKEU, Griffin, WKLY, Hartwell , WCEH, Hawkinsville, WVOH, Hazelhurst , WG ML, Hinesville, WLFA, LaFayett e, WLRP, LaGrange and WLAW, Lawrenceville. WPEH, Louisville, WBBT, Lyons, WYTH, Madi so n, WFDR, Manc hest er, WMA C, Metter, WMVG, Milledgeville, WGSR, Millen , WKUN, M o nroe , WMN Z, Montezuma and WMTM, Moult ri e. WCOH, Newnan , WSI Z, Ocilla, WPGA, Perry, WSFB , Qu itman, WPL K, Rock mart, WRGA, Rome, WROM, Rome, WBLM, Royston and WSNT, Sandersvill e. WSAV, Savannah, WSGA, Savannah, WSOK, Savan nah, WTOC, Savan nah, WXLM, Sava nnah , WGTA, Summerville, WS Y L, Sylva nia, WO GA, Syl ves t er , WSFT, Thomast on and WPA X, Thomasville. WTHO, Thomso n, WWGS , Tifton, WNEG , Toccoa, WJE M, Va ldosta, WVOP, Vidal ia, WLOV, Washi n gto n, WAY X, Waycross, WB R O, Up shaw pleases fans at aut ographing session at the Georgia War Veterans Nursing Home . Waynesboro, WALD, West Point and WI MO, Wi nder. Give the gift of life ... Someone once said "that the good a man public is essential if we are to bring the does, often lives beyond him". Human organ benefits of new and therapeutic advances to donation is a prime example of man doing those members of the community who have continuing good for his fellow man. the misfortune of finding themselves at Dr. George M. Abouna, assistant professor death's door because of failure of one of of surgery, says the need for kidneys is the their vital organs." most demanding at this time with the liver "For generations we have all donated being the second most needed organ for blood for someone whose life is threatened transplantation. by bleeding. We can now donate any or all "Over 4,000 people are alive in the world of our organs for use, after our death, for because of transplanted kidneys", Dr. transplantation into another needy fellow Abouna says. "About another 10,000 human being," the surgeon said. patients in the United States could benefit. By signing the small card (illustrated here) In Georgia alone, 150 to 180 persons wil I die in the presence of two witnesses, any person this year from kidney failure and many of in good health and over 18 years of age can these can be helped by transplantation. So make an organ donation. The card, a part of often these are young people who could, the Uniform Anatomical Gift Act, is a legal given the chance, become useful citizens if document which is valid in Georgia and 44 organs were available for transplantation. other states. Eighty per cent of MCG's kidney transplant The card must be carried on the person at patients are back at work or school." all times. However, there is no national While kidney transplantation has already registry, so should an individual change his quired the status of an established mind about making his gift, all he has to do therapeutic procedure, Iiver transplantation, is tear up the card. having already passed the stages of experi- Dr. Abouna explained that after death is Active duty time is mentation and clinical trials, will soon declared, the kidney must be removed applicable to retirement become equally accepted and proven within one hour and the liver within 15 therapy. Liver disease kills about 28,000 minutes. The organs are removed just as MCG personnel who are members of the people a year in the United States, largely surgery is performed, and the work is done Teachers Retirement System are reminded patients with terminal cirrhosis and chronic very gently and meticulously because the that there is a provision for obtaining up to hepatitis. Over 7 ,000 of these can benefit quality of the organs depend on how five years credit for active duty military from liver transplantation. delicately they are handled. service during periods of national One particular group of patients with Clergymen of Protestant, Catholic, Jewish emergency. complete liver failure are children, Dr. and other religious organizations support This applies to service that was rendered Abouna explained, who are born with a organ donation and transplantation. Dr. during any of the following periods: World congenital biliary atresia (closure of bile Abouna pointed out that it is often through War II (Dec. 7, 1941-Dec. 31, 1946); Korean ducts). Over 95 per cent of these children them as wel I as through physicians that the conflict (June 27, 1950-Jan 31, 1955). and die in infancy or early childhood from liver point is made to the public of the good that the Vietnam era from June 5, 1964 to the failure. However, many of them could be can come about by making such a gift. present. saved if they could get a normal liver. The degree to which one can give to John C. Evers, director of Personnel, Dr. Abouna says there is a great deal of charitable organizations is limited by his pointed out that since this applies only to public ignorance about the nature, objectives financial means, but human organ donation extended active duty, those persons who are and achievements of organ transplantation. has no economic barriers. Rich or poor, now or have been in the military reserves One is sometimes asked if organ everyone in good health can make a gift of may get credit only for that time that they transplantation is really worth it. In kidney life. were on active duty. transplants from Iiving blood relatives, 90 If anyone would like a donor card or In order to obtain credit for military per cent of patients will be doing well after further information about organ donation, service rendered after Jan. 1, 1945, an two years and 76 per cent after five years. please contact Dr. Abouna, Department of individual must pay retroactive member With cadaver (i .e., from a deceased person) Surgery; or Dr . James B. Hudson's office, contributions and accrued interest. · ~ansplants, 70 per cent do well after two headquarters for the Augusta Chapter of the Non-academic employees are not eligible ._.1ars and 50-60 per cent after five years and Kidney Foundation of Georgia, an affiliate to establish credit for military service these results are improving each year. Those of the National Kidney Foundation. Dr. rendered prior to Jan. 1, 1945, according to who need cadaver kidneys are patients with Hudson is in room 645 North, teaching Mr. Evers, since such persons did not no suitable blood relatives and these make hospital, extension 8444. Such cards and become a part of the Retirement System up over 60 per cent of patients. information may also be obtained directly until 1960. What can the average citizen do? "In this from the National Kidney Foundation, 315 Any personnel to whom this benefit kind of medical endeavor," Dr. Abouna says, Park Avenue, South, New York, N.Y. might apply should contact Mr. Evers at "a properly informed and sympathetic 10010. extension 8100. What does it take to get an MD degree? Each student in this year's first year class Liebelt said. in the School of Medicine had a 10 per cent "In all of these experimental programs, chance of being accepted. This means that we are maintaining our regular curriculum so there were 1,003 applicants to fill the 153 that it is responsive to the experimental openings in the class. curriculum," Dr. Liebelt said. "When there An admissions committee composed of are good points in the other two curricula, five faculty members and three medical we attempt to introduce them into the main students chose those applicants whose course of study." overall credentials looked most favorable. This does not mean to imply that the other The conventional course of study runs 36 850 were not qualified. months or four academic years of nine Once these 153 students begin classes, months each. If a- student goes straight what do they go through in their first year at through the program including summers, he the Phase I curriculum." MCG? For an answer to this question we should receive his MD degree in three and a After completing the dissection part of turned to Dr. Robert A. Liebelt, associate half calendar years. Phase I, students have a course in dean for curriculum. "Our faculty has realized people learn at neuro-sciences {i.e., the nervous system), '~First, we have one of the most unique different rates, so those who wish to proceed followed by the study of endocrinology, programs in the country in that we have, not faster can finish earlier," Dr. Liebelt said. where they gain an understanding of how one, but three different curricula in the "This is accomplished by going summers hormones interact and regulate the body. School of Medicine," he said. after the second year and completing the Physiology, the analysis of the There are two experimental curricula program in December instead of the usual organ-systems, is also a part of the bas/ underway at MCG. The first is referred to as June." sciences program. the Physician's Augmentation Program. This curriculum was really the solution to a The first year of the regular curriculum is About halfway through the first year, one problem. The freshman class for the fall of referred to as Phase I. Its objective is to learn half of the class begins a course in Physical 1970 was to have had 136 students, but the new language of the fundamentals of Diagnosis where they actually examine and there was only room for 120 in the facilities human biology. take histories on patients. While they are at that time. Dr. Christopher C. Fordham, Students begin their first year by doing this on Monday and Wednesday then dean of the school, selected at random dissecting a human cadaver, then afternoons, the other half is taking an the 16 extra students and set them up in a microscopically studying the body tissues, elective chosen from a wide range of basic controlled experiment in medical education. the cell structure and how the cell functions. and clinical areas -- ob-gyn, pediatrics, Instead of the conventional curriculum, Using an electron microscope and embryology, nutrition, dermatology, these students began seeing patients in their understanding the interactions of chemical respiratory medicine, neurosurgery, drug first week of classes. The first problem events, they take the body down to its abuse and many more. involved a skin injury succeeded in the molecular organization, hence the section of weeks to come by additional, more difficult medicine called 'cell and molecular biology' In the next issue of Intercom Phases II problems. The students in this program and 111 of the medical curriculum will be become familiar with terminology and learn "In the course of dissecting the body to presented so that all MCG personnel can gain the structure and function of all of the ,the molecular level of organization, students a better understanding of how our students major organ systems as well as the nervous can come to think of man as a bag of become doctors. system. They also attend grand rounds and ch.emicals and enzymes," Dr. Liebelt said. clinico-pathological conferences. The major "To hopefully prevent this, a program in emphasis has been placed on attempting to humanities in addition to the regular develop methods to facilitate problem behavioral science courses are included in solving capabilities early in their medical education. The second experimental program involves 18 students in an accelerated three Last month about 3,400 copies of Intercom were mailed to year curriculum. "Here, students take the MCG employees, faculty, staff and friends at their homes. basic sciences in their first nine months A mailing list with the most up-to-date home addresses was followed in the summer by clinical studies. used. About 150 copies of Intercom came back from the -..-. This means the student is on a clinical Post Office, marked "moved, left no forwarding address." service for three months between his first If you were among this number, or didn't get an Intercom and second years. The following fall, he is RETURNED TO WRITER at home, please check and be sure that your supervisor has back in class studying basic sciences. Then, filed a Personnel Action Request {PAR) in order to change that summer and the remainder of his third your address. year are spent in the clinical sciences, enabling him to graduate in three years," Dr. Dr. Green joins MCG Newcoiners as Neurology chairman Laboratory Mlldlcln• Gener•I M9dlclM Lillie Ahaney Linda Morgan Wiarie Walker Mary Hammond, PhD Odessa White Hem•tology Medic al Technology Ob-Gyn Joseph B. Green, MD, joined the Harriet Eubank Toni Cooke Rebecca A. Cox. BS Pathology Department of Neurology Feb. 1 as Hosplul A... rch and o .....1opment Wil1adine Hood Medic Ina ~rian Gregory Patricia Nolan chairman and professor. Charles H. Emerson. MD Bruce Parker John A . Goldman. MD UbOr•torv MedlclM Dr. Green came to MCG from Indiana John E. Kurnick, MO Warren Garrison Patient Accoun ting Allen D. Labrecque, Ph D Noberto Guzman Stephanie Crawford University School of Medicine where he was Stanley H. Winokur, MO Patricia McNabb professor of neurology, director of the EEG, Vickie Wheeler P9dl8trlc1 O ral Surgery Odeiia'Everett EMG and ERG laboratories, and director of Kei th S. Blevins, ODS M•lnt•nane• Li nda Justice John A. Hann, DDS James A ll en Oarence Shorter the Epilepsy Clinic. He also served as project Deborah Atkins Judy Strader Jack Brinson director for Developmental Disabilities for ~ James Briscoe Matthew T. Howard. MD P.,.ann.i Jesse Brown Margaret Chapman the State of Indiana. James W. McCarthy, MD Benny Fryer Dorothy Tompkins. MD Rita Gil ~ P•.ann.i Sp on10r8d Training The new chairman is a fellow of t he John Griffin James Sikes Psych iatry Joseph Heath American Academy of Neurology, and a John L. Hughes, MO Peter Henderson Pharmeey Charles Ki rkland Mildred Donaldson member of the American Neurological R9dlologv Edward Miller Cirilo Aseron, Jr., MO Leo Paynes Procurement Association and Alpha Omega Alpha. Pedro Pereira Michael Cu rtis Jonathan Rackard School of Medicine (Sa.ic Sci.ncn) James Way Thomas Si mmons Theodore Mellinger , MD Lewis Snodgrass A8dlology Maysie J. Hughes, Ph D Frank Stewart Mary Fulmer Annie Striggles Ja.ne Sk inner School of Nursing Roy T readway Philip E. Delorey, Ed M Thomas Treadway School of Nur9Jng Ernest Williams Say something nice ... Betty H. Hamm, EdD Thomas Magee Mary E. Haring, MN Albert Willis Woodrow Youngblood Sue M. Kidd, BSN St udent Affelr• J. Valerie King, MEd Medlc81 AeeOt"dt Kathie Watson Angel ine B. O'Bryant, MPH Mary Pitchford- Ruby Beatse, an employee in Thor1telc/Cardiac: Neuroairgery Annth"lology Nancy Lane Earl Sanders experimental surgery, was recently a .....__,. Leigh Stubbs Nu r•lnv Servk • T. V. Ae.. rch and Servlc• patient on 7 north in our teaching Geneva Allen Auxiliary Sarvlc" Ea rl Sanders Barbara Daito Masuda Azizi hospital, and she had something nice Bertha Bal lentine V ivarium Brenda Butler "WiiiiaillHamilton Busln.. Sarv\c" to say about the hospital and its staff. Roxanne Church Henry Overton Lucille Lockett Margaret Cole "Talmadge Hospital may not be Molly Coleman GWVNH Cllnlca l Endocrinology Hazel Crosby S•vice Dean Edwards Food brand new and beautiful, but this fv'erle Ellis Agnes O'Tael Mildred Givens Bernice Palmer doesn't matter, what does is the way Dietary Julian Walton Joseph Harris Steven Heinz you are treated there. The entire staff Gayle Loll is Gwendolyn Herri ng Joseph Murray Betty Hill Ma lntenanc• - from those who mop the floors to James Parrish Mary Ho lmes Sullivan Jeter Dorothy Hutson the head of the department -- were so Endocrinology Evelyn Jones Nur9Jnp Service Norma Glover Trinh Lefler Jimmie Dyson Martha Lloyd Betty Greeson good and kind that I didn't suffer for Prince Nichols Carmen Hales FOOd S«vica one thing." Elease Brown Patrtcie Noble Billy Jo hnson Roy Philli ps Dan iel Scott Leanve North Margaret Walker Genevieve Ramey James Wilson

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