UNIVERSITY OF PENNSYLVANIA MEDICAL CENTER■ SUMMER 2003

The Bullet as Pathogen PHYSICIAN AND POET SPRINGTIME RITES Editor’s Note

Rubenstein, M.B., B.Ch., executive vice president of the University of Pennsylvania for the Health System and dean of the School of Medicine, and by Roderick Eckenhoff, M.D., director of the Center for Research in Anesthesia. As Eckenhoff put it, Longnecker was chair “during a time of change in our discipline” but managed to raise the standards in a way that few other institutions could match. Longnecker also was able to manage the department’s budget efficiently and ingeniously enough to support the creation of the new facility. According to Eckenhoff, the facility, Robert Clink Longnecker (l.) and Eckenhoff. with 8,000 square feet, ranks among the best in the country. For his part, Dean Rubenstein Academic Anesthesia In his remarks at the dedication noted that Penn has long had one of ceremony, David Longnecker, M.D, the most respected anesthesia pro- he dedication of the David E. now senior vice president and chief grams. Its history includes Roderick Longnecker Anesthesia medical officer of the University of Eckenhoff’s father, James E. Eckenhoff, Research Facility in June was Pennsylvania Health System, made M.D. ’41. The senior Eckenhoff did Tan occasion for looking ahead and, as a similar point about Anesthesia’s his training in anesthesia at Penn and is often the case, of looking back. In place in academic medicine. Long- was a mainstay of the Department addition to honoring the person who necker emphasized how important of Anesthesia for 21 years. He was served as chair of the Department of it was that the Department of Anes- also one of the editors of Introduction Anesthesia from 1988 to 2002, the thesia “integrate research efforts into to Anesthesia, one of the most popular School of Medicine was taking the University proper and the School textbooks in the field. The other two another important step in bolstering of Medicine proper.” He cited Anes- editors of the early editions were one of its programs. Yet the speakers thesia’s close ties with Biochemistry, Robert Dunning Dripps, the long- at the event also referred freely to Chemistry (in the University), the time head of Penn’s department, Penn’s history and tradition. brain injury and brain trauma pro- and Leroy Vandam, who later served Anesthesia (at Penn, formerly grams, Neurosurgery, Neurology, as chair of anesthesia at Harvard. Anesthesiology) has been a formal Pathology and Laboratory Medicine, As Rubenstein pointed out, the department of the School of Medi- the Institute on Aging, and other tradition and continuity remain cine since 1966. Before that, it was a departments and programs. Anes- strong – David Longnecker, the division of the Department of thesiologists, said Longnecker, are Robert Dunning Dripps Professor Surgery. At one point in his history not just studying muscle relaxants – of Anesthesia, is coeditor of the text- of Penn’s medical school, Two Cen- “We need to do more than that.” book’s eighth edition. turies of Medicine (1965), George W. Stanley Muravchick, M.D., Ph.D., Rubenstein quoted from a letter Corner notes some of the new sub- the department’s interim chair, written by Julius H. Comroe Jr., a jects added to the curriculum in opened the formal part of the dedi- Penn pharmacologist who was the 20th century. These included cation. The new facility on the third known for combining clinical and anesthesiology in the Department floor of the John Morgan Building, basic-science teaching. In 1945, he of Surgery. As Corner puts it, “The he said, offered an opportunity “to wrote to James Eckenhoff, trying to latter innovation vividly exemplifies formally and permanently acknowl- persuade him to apply for a research the close interrelation of medical edge David’s contributions.” In par- fellowship: “Anesthetists in most science and practice, for anesthesi- ticular, he praised Longnecker’s hospitals and medical schools are ology is a branch of physiology as “vision and determination” as chair considered as technicians. I believe well as of surgery, and its leader at in reaffirming that “Penn Anesthesia we will have a research organization the University of Pennsylvania, is an academic department.” That in anesthesia which will be second Robert D. Dripps, received much of theme was echoed by Arthur H. to none in the country.” his research training in the Depart- Clearly, that remains the depart- ment of Pharmacology with Alfred ment’s goal. As Longnecker put it, Newton Richards.” “teachers must be scholars.” ■

Cover: C. William Schwab, M.D., is one of the founders of the Firearm Injury Center at Penn. Photograph by Tommy Leonardi UNIVERSITY OF PENNSYLVANIA MEDICAL CENTER / SUMMER 2003 / VOLUME XVI, NUMBER 1

CONTENTS FIGHTING THE BULLET C. William Schwab, M.D., and Therese S. Richmond, By Dina Greenberg Ph.D., C.R.N.P., had seen more than enough in the 6 trauma centers – several hundred victims of gunshot wounds, year after year. Schwab and Richmond wanted to halt the violence, but they knew they needed impeccable scientific data to support inter- vention efforts and policy changes. So they created FICAP, the Firearm Injury Center at Penn.

MAMMOTH SCALE An exhibition at the Wistar Institute, Penn’s long- time neighbor, highlights the large-scale anatomi- 13 cal sculptures of William Rush. A sculptor of ship figureheads, Rush created the wooden models at the request of Caspar Wistar, for use in medical lectures at Penn in the early 19th century.

DAVID MOOLTEN’S vital and David Moolten, M.D. ’87, G.M.E. ’91, is a medical di- ‘SECRET EXERCISE’ rector for the American Red Cross. A typical project 14 By Carole Bernstein might involve collaborating with hospitals that need to collect stem cells for use in high-dose cancer therapy. truths Moolten is also a poet, published in many prestigious literary magazines. Although his two main pursuits are largely separate, the temperament in his poems often Beneath all approaches that of a forthright, clear-eyed physician. DEPARTMENTS EDITOR’S NOTE Inside Front ALUMNI NEWS 20 Academic Anesthesia The Rites of Spring Match 2003 LETTERS 2 Where They Went: Taking a Reading VITAL SIGNS 3 Progress Notes A New CEO Joins the Health System School of Medicine Ranks High THE LAST WORD Inside back Helping the Helpers University Resources Two Faculty Members Are Awarded Major Grants from Bristol-Meyers Squibb One-Year Study of Atkins Diet Shows Surprising Results STAFF JOHN R. SHEA, Ph.D. Editor LEWIS & NOBEL DESIGN Design / Art Direction

ADMINISTRATORS REBECCA HARMON Chief Public Affairs Officer

MARCIA BATTISTA Director of Medical Alumni Relations and Institutional Events

Penn Medicine is published for the alumni and friends of the University of Pennsylvania Medical Center by the Office of Public Affairs. © 2003 by the Trustees of the University of Pennsylvania. All rights reserved. Address all correspondence to John Shea, Penn Medicine, 2018 Penn Tower, University of Pennsylvania Medical Center, Philadelphia, PA 19104-4385, or call (215) 662-4802, or e-mail [email protected]. Visit Penn Medicine’s web site: http://www.uphs.upenn.edu/prnews/publications/

2003/SUMMER ■ 1 VitalSigns

LETTERS A PROBLEM TO CORRECT? The inside back page of the Winter ‘MINDFULNESS’ VS. ‘MINDLESS’ 2003 Penn Medicine carries a cheer- ful wish that Penn become more On receiving my mail last week, enlightened about how it treats I glanced at the new cover of Penn women in medicine. Unfortunately, Dr. Rubenstein need not look far Medicine with great excitement. It ■ UNIVERSITY OF PENNSYLVANIA MEDICAL CENTER WINTER 2003 seemed that the same robotic atti- for problems to correct. tude about surgery that I recalled Beginning on page 23 of the as a medical student at Penn was same issue is a story on the medical still occurring, but the enlightened class of 1952 which (dare I say it?) surgery department had begun us- shocked and awed me in its han- ing mindfulness to address this dling of women. If I count correctly, neglected problem in patient care! it describes 58 class members, nam- Imagine my disappointment, when, ing the wives of 42 of them by only moving a covering magazine, I re- their first names. Of the 7 whose alized that no such conclusion last names are given, 3 appear to could be drawn from the text I had have their own degrees so their last misread. name use is “justified,” leaving 4 I still appreciate your featuring whose last name is given without mindfulness as a cover story an associated title. So the conde- Benefits of Mindful Meditation PREVENTING THE SPREAD OF AIDS [“Changing Their Minds”]. And, ROBOTIC SURGERY scending, belittling, patronizing on reading the article on “robotic old-boy habit of addressing patients, surgery,” I discovered a new surgical particularly women, by only their procedure that seems to require care- first name has been expressed here ful attention to successfully accom- by about 42 to 4. How disappoint- plish. Sadly, that leaves the problem ing! How incorrect in today’s society! of “mindless” surgical procedures The writers and editors should unresolved. Perhaps the surgery have included the maiden surnames department might pick up your hint. getting all sorts of grants from I of all the spouses, and should have taken appropriate steps to Ron Milestone, M.D. ’71 don’t know who. I think it’s im- proper, anti-science, anti-medicine.” obtain those names if they didn’t have them. As a middle-level ge- Editor’s Note:“Changing Their nealogist and family researcher, I Minds,” Carole Bernstein’s article on WHICH HAND? feel that it is not only proper, but Michael Baime, M.D. ’81, and his important that full names be used program of mindfulness meditation In reference to the article on in printed material. Someone 100 in the Winter 2003 issue, provoked Helene D. Gayle, M.D. ’81 [Winter years from now might be reading divergent views from readers who 2003], page 11, I thought it was “raise Penn Medicine looking for genealog- called the magazine’s office. Amy your ‘right’ hand and repeat after ical clues, and it would be nice to Kanner, M.D. ’82, who described me . . .” May I assume the photo have full names of spouses show- herself as excited by the article, negative was reversed? ing! Have some mercy on those called about getting another copy Walter H. Kearney, M.D. ’66 who follow! for a like-minded colleague. Kanner was pleased to see Baime’s program John D. Leith, M.D. ’56 “not in place of but as an adjunct Editor’s Note: The photographs of Newton, Mass. to” more traditional methods of Dr. Gayle were provided on disk health care. James C. Rich, M.D., by the Bill and Melinda Gates Editor’s note: The text for “Catch- G.M.E. ’66, a retired anesthesist in Foundation and were not reversed. ing Up with the Class of 1952” was Las Vegas, was also a fan. “I thought based on the reunion questionnaires it was terrific,” he said, noting that AN OSLER FAN sent out by the Medical Alumni he had used hypnotherapy as a way Relations office. The members of that of dealing with his patients’ “pre- I was pleased to receive my copy class answered the questions infor- op anxiety.” On the other hand, a of your fine magazine and to recall mally and as they chose. They re- physician who completed his Penn your reference [in Penn Medicine sponded as individuals, not as offi- training in 1968 left a voice-mail Winter 2003] to Dr. Osler in your cial representatives of the School of message likening mindfulness issue in the spring of 2000. Keep Medicine. Since patients were not meditation as a tool in health care up the fine work. involved, there doesn’t seem to be to “one of these alternative-medi- C. B. Holman, M.D. ’43A enough evidence to justify charac- cine scams. . . . These people are terizing the respondents’ attitude quacks, charlatans, and they’re toward patients.

2 ■ PENN MEDICINE on issues affecting the Medicare program. Since the 1990s, Muller’s voice “has been at the forefront of the national dialogue and debate on important health-policy issues,” said Rubenstein. Muller joined Penn after serving as a director of Stockamp & Asso- ciates, a national firm that specializes in helping non-profit health insti- tutions improve their revenues and patient-care programs. As CEO of Penn’s Health System, Muller is responsible for its opera- tional effectiveness and financial health and will work closely with Rubenstein to implement the strate- gic plan for PENN Medicine. Muller also hopes to further strengthen Penn’s integrated organization and work with other health-care, research, and industry groups, as well as government leaders and business coalitions. In addition to having observed closely the financial ups and downs of Penn’s Health System over the past several years, Muller also in- tends to build on a successful work- ing relationship he developed with Rubenstein, a former long-time chair of the Department of Medicine at Chicago. During Muller’s 15 years of leading UCHHS, the system made significant improvements in patient- A New CEO Joins the In announcing Muller’s appoint- care services and raised patient- Health System ment, Arthur H. Rubenstein, M.B., satisfaction levels. Muller also over- B.Ch., executive vice president of saw a significant expansion of the Ralph W. Muller spent 15 years as the University of Pennsylvania for UCHHS complex and established president and CEO of the Univer- the Health System and dean of the the University of Chicago Hospitals sity of Chicago Hospitals and Health School of Medicine, cited Muller’s Academy. This in-house center for System (UCHHS), so he arrives as long-time dedication to patient- employee training has become a the new chief executive officer of centered care and his effectiveness national model for staff education. UPHS with a wealth of experience in building and leading a world-class Muller has a B.A. degree in eco- in leading a large, urban-based ac- clinical delivery organization like nomics, magna cum laude, from ademic health system. At UCHHS, the University of Chicago Hospitals Syracuse University, and an M.A. Muller confronted large deficits & Health System. Rubenstein also degree from Harvard University. from uncompensated charity care highlighted Muller’s leadership in In his memo announcing Muller’s and the devastating impact of the national and state legislative affairs appointment, Rubenstein also Balanced Budget Act of 1997, yet and health-care policy organiza- praised the leadership of Robert managed to lead an impressive fi- tions. For example, Muller served Martin, which “has been crucial in nancial turnaround. Now the top as chairman of the Association of restoring financial health to our officials of PENN Medicine and the American Medical Colleges from clinical operation.” ■ University are counting on Muller 1999 to 2000 and was also chair of to continue Penn’s remarkable re- its Council of Teaching Hospitals School of Medicine covery from its own recent budget and Health Systems. Currently, Ranks High crisis. Muller took office on May 1, Muller is a member of the Medicare succeeding Robert D. Martin, Ph.D., Payment Advisory Commission Penn’s School of Medicine has who earlier this year had announced (MedPAC), an independent federal again been ranked as one of the his intention to step down. body that advises the U.S. Congress top research-oriented medical

2003/SUMMER ■ 3 VitalSigns

schools in America, according to the “We plan on using this funding world clinical situations, from check- annual survey of graduate schools to expand our services and purchase ups, to tuberculosis screenings, to by U.S. News & World Report. For more medical supplies,” said med- seeing that your patient gets follow- the sixth year in a row, Penn was ical student Richard Vidal. Vidal up care,” said Harvey Rubin, M.D., listed among the top five, this year and Diane Li serve as the clinic’s Ph.D., associate dean for student tied for fourth out of more than 125 medical coordinators, supervising affairs at Penn’s School of Medicine. schools. Harvard University was week-to-week operations. “We are “It is valuable in helping students highest ranked, followed by Johns also looking to work with colleagues gain a deeper appreciation of the Hopkins and Washington University at the Penn School of Dental Medi- challenges that they will face as in St. Louis in a tie for second. Duke cine to provide more dental care practicing physicians, and it is en- was tied with Penn. Penn was also and education – a pressing need tirely their energy that keeps the ranked in the top ten in five specialty for our local community.” clinic moving.” programs by deans and faculty at (The UCCP is one of two Philadel- peer institutions: pediatrics (1st), phia clinics run by Penn medical women’s health (2nd), drug/alco- students that were featured in the hol abuse (tied for 4th), internal Spring 2001 issue of Penn Medicine. medicine (5th), and AIDS (10th). See http://www.uphs.upenn.edu/ In addition, for the 5th year in a prnews/publications/Penn_Medicine/ row, the School of Medicine ranked Spring01_Penn_Med.pd) second in total funding among the Earlier this spring, Vidal was medical schools that receive re- named a 2003 Paul and Daisy Soros search funds from the National In- New American Fellow, one of 30 stitutes of Health. Eleven of Penn’s recipients out of nearly 1,100 ap- departments ranked among the top plicants. Established in 1997 to as- five: Biostatistics and Epidemiology; sist “new Americans” further their Dermatology; Medicine; Neurology; careers through graduate education, Obstetrics and Gynecology; Oph- the fellowship provides a stipend thalmology; Pathology and Labo- of up to $20,000 plus half-tuition for ratory Medicine; Pharmacology; as many as two years of graduate Physiology; Psychiatry; and Radi- study at any institution of higher ology with Radiation Oncology learning in the United States. Vidal (combined by the NIH). All told, was born in Miami to Cuban par- the School of Medicine received ents. He founded the International nearly $348 million from NIH. ■ Medical Outreach program, which organizes and supports missions Helping the Helpers Richard Vidal to deliver medical service to under- served areas in Latin America and Students at Penn’s School of the Caribbean. At Penn, he is pur- Medicine have received a “Caring Founded by Penn medical stu- suing a joint M.D./M.B.A. degree. ■ for Community” grant from the dents in 1996, the United Commu- Association of American Medical nity Clinics Project offers free basic Colleges in support of the United medical care and preventive health Two Faculty Members Are Community Clinics Project. The screening, social services and coun- Awarded Major Grants UCCP provides free basic medical seling, medical referrals, and health from Bristol-Myers Squibb care, referrals, and counseling to res- education. Although the clinic is idents of West Philadelphia. run by medical students, direct pa- Mitchell A. Lazar, M.D., Ph.D., The four-year supplemental grant tient care is supervised by School and Virginia M.-Y. Lee, Ph.D., each is one of eight proposals awarded of Medicine faculty. In addition, received a $500,000 grant from the this year by the AAMC, in collabo- Penn students in dentistry, nurs- Bristol-Myers Squibb Unrestricted ration with the Pfizer Medical Hu- ing, and social work also staff the Biomedical Research Program to manities Initiative. The “Caring for clinic, volunteering their time and support their work in the fields of Community” program provides expertise to help the disadvantaged metabolic and neuroscience research. funding for community health proj- find the medical care and social The unrestricted nature of the grants ects initiated, developed, and run services they need. Each year, ap- allows researchers to put the sup- by medical students. The United proximately 600 patients come to port where it is most needed and Community Clinics Project program the clinic, located in the First African gives scientists the freedom to pur- will receive $7,685 this year and, Presbyterian Church on Girard Av- sue uncharted paths. when they meet their pre-established enue in the East Parkside section of “It is a wonderful honor for an goals, will be eligible to apply for West Philadelphia. institution to count a single recipi- additional funding over the next “Every Monday night, these stu- ent of a Bristol-Myers Squibb re- three years. dents learn how to deal with real search grant among its faculty, let

4 ■ PENN MEDICINE were given a copy of Dr. Atkins’ New Diet Revolution and asked to follow the diet as described. The conventional diet group was given instructional materials on a 1,200- 1,500 calories/day (women) or 1,500- 1,800 calories /day (men) diet that consisted of 60% carbohydrate, 25% fat, and 15% protein based on the Food Guide Pyramid. At three months, Atkins participants had lost an average of 14.7 pounds com- pared with 5.8 pounds in the con- ventional group; at six months, 15.2 pounds versus 6.9 pounds; and at 12 months, 9.5 versus 5.4 pounds. At one year, Atkins participants had greater increases in HDL cho- lesterol (18% vs. 3%) and greater reductions in triglycerides (-28% vs. 1%) than did those following a

Sally Sapega conventional diet. Neither group Left to right: Rubenstein; Lee; Lazar; Simeon Taylor, M.D., Ph.D., and Frank Yocca, M.D., of Bristol- showed changes in LDL (bad) cho- Meyers Squibb. lesterol at one year. “Widely recommended low-car- bohydrate approaches may be pre- alone two such researchers honored One-Year Study of Atkins Diet mature, but our initial findings in a single year,” said Arthur H. Shows Surprising Results suggest that such diets may not Rubenstein, M.B., B.Ch., executive have the adverse effects that were vice president of the University of A three-center study led by re- anticipated,” said Foster. “The real Pennsylvania for the Health System searchers at the Weight and Eating issue is whether low-carbohydrate and dean of the School of Medicine. Disorders Program of the Univer- approaches help patients maintain “Mitchell Lazar and Virginia Lee sity of Pennsylvania School of their weight loss better than con- represent the spirit of medical sci- Medicine reports the results of the ventional approaches. It will also ence at Penn -- they each excel at first randomized, controlled trial be important to determine whether studying the basic molecular un- of the Atkins Diet. The Atkins Diet the effects of the diet on choles- derpinnings of a disease, yet still limits carbohydrates but permits terol are the same during weight manage to focus on translating unrestricted amounts of protein maintenance as they are during their findings into medical practice.” and fat. Results of the study suggest weight loss.” Lazar, a professor in Penn’s de- that low-carbohydrate diets may Similar findings for a low-carbo- partments of Medicine and Genetics, not be as harmful as anticipated. hydrate diet by another group of is chief of the endocrinology, dia- The study, published in the May Penn faculty working at the Philadel- betes, and metabolics division and 22 issue of The New England Journal phia Veterans Affairs Medical Center director of the Penn Diabetes Center, of Medicine, was led by Gary Foster, were also reported in the same issue An expert in nuclear hormone re- Ph.D., associate professor of psy- of NEJM. In their six-month study, ceptors and the regulation of gene chiatry and clinical director of Frederick Samaha, M.D., and col- transcription, he will use his re- Penn’s Weight and Eating Disorders leagues found that a low-carbohy- search grant to support his ground- Program. Samuel Klein, M.D., of drate diet was associated with breaking research into hormone Washington University in St. Louis, greater weight losses, reductions regulation of gene expression. and James Hill, Ph.D., and Holly in triglycerides, and improvements Lee, a professor in Penn’s Depart- Wyatt, M.D., of the University of in insulin sensitivity compared to ment of Pathology and Laboratory Colorado, were the lead investiga- a low-calorie, high-carbohydrate Medicine and director of the Cen- tors at the other centers. The study diet. The study involved 132 pa- ter for Neurodegenerative Disease investigated 63 obese men and tients who were 53 years old and Research, is a world leader in the women who were 44 years of age weighed 288 pounds. field of Alzheimer’s disease and and weighed an average of 216 Foster and his colleagues at dementias. Her discoveries in the pounds. Washington University and the biochemistry and pathophysiology All participants met with a regis- University of Colorado are currently of these diseases have contributed tered dietitian initially and at 3, 6, and enrolling participants for a large, to the understanding of how these 12 months. Those in the Atkins group NIH-funded, five-year study of diseases develop and progress. ■ low- and high-carbohydrate diets. ■

2003/SUMMER ■ 5 Fighting t

6 ■ PENN MEDICINE he Bullet By Dina Greenberg

William Schwab, M.D., sees about 2,000 .patients a year – and Cnearly 400 of those are victims of gun violence. Chief of Penn’s Division of Traumatology and Surgical Critical Care, Schwab has made it his mission to “provoke change” and reduce this figure significantly. According to the Centers for Disease Control and Prevention, 28,663 Americans died from firearm-related injuries in 2000 (the most recent figures available). Handguns caused the majority of deaths. In a country where 40 percent of households contain a gun, Schwab knows he has his work cut out for him. Schwab’s immediate goal is to amass a national force of medical professionals – trauma surgeons like himself, as well as others directly involved in the care of gunshot victims – to systematically re- duce what he calls the “epidemic” of injury and death related to firearms in the United States. This group, as he sees it, is “uniquely and expertly qualified” to start a grass-roots movement across the country. Careful to avoid seeming like a zealot, Schwab has methodically built a foundation on which to pursue his vision: a time in the not-too- distant future when uniform handgun legislation is enacted nationwide. Ten years ago, during an address to the Eastern Association for the Surgery of Trauma, Schwab designated the year 2015 as this potential milepost. Back then, he reasoned that it would take another 20 years to convince “our frightened Congress that guns – like the automobile, like cigarettes, like alco- hol – kill, and the best interest of society is and will be served with severe restrictions on them.” Today his views on the matter have not changed. Photographs of FICAP personnel by Tommy Leonardi He calls the handgun bullet “the most prevalent

2003/SUMMER ■ 7 Steve Prezant Corbis/StockMarket and preventable pathogen” in- we stop this? What can we do fecting our nation, and he ad- before lives are destroyed?’” As vocates taking a public-health Richmond puts it, “We’re ex- approach to eradicate it. perts at trauma care, but we’re Schwab is no stranger to really coming into the picture contentious issues. As a 36- too late.” year-old trauma surgeon at the For Richmond and Eastern Virginia Medical School, Schwab, the first step to reduc- he first took on the American ing gun violence was to collect giants of labor and industry in a uniform data: to know who was crusade for car safety. He be- being injured, how, and by came active in organizations whom. They envisioned an in- like the American Association tellectual center that would en- of Automotive Medicine, which courage an interdisciplinary ap- pushed for seat-belt laws, air proach and collaboration be- bags, and road improvements. tween researchers and local Because of his leadership, Esquire leaders and would apply a magazine named him among public-health approach such as 272 honorees in 1984 for its in- was taken with other multi- augural register of “Men and causal “epidemics” like auto Women Under 40 Who Are deaths, smoking, and drug ad- Changing America.” Since ar- diction. Penn, they agreed, would riving at Penn in 1987, Schwab provide an ideal setting for this has directed his attention – with endeavor. The next step was to equal intensity – to a far broad- situate FICAP in the Division of er and more complex issue, the Traumatology and Surgical Criti- reduction of gun violence, while cal Care, bridging the medical Dr. Therese S. Richmond founded FICAP with Schwab. managing to skirt some major and nursing schools. Today, the political landmines. center collects data on the cir- As Schwab describes it, when it ology are perhaps a natural product cumstances leading to gun vio- comes to any discussion of firearms, of his professional training and his lence and explores the incidence of there are two distinct camps: the witnessing of the daily passage of long-term, rehabilitative care for far left and the far right. “The far shooting victims through HUP’s surviving victims. The Joyce Foun- right will of course talk about Sec- emergency bay. “When you work dation (a private benefactor with a ond Amendment rights. The far at a trauma center, as opposed to a major focus on the reduction of left wants to get rid of all guns – regular hospital,” says Schwab, “you firearms-related violence) and the this is virtually impossible to do in a see injuries of a magnitude much American Trauma Society provided country that has 220 million guns. . . . higher than usual.” The impulse to funding for initial planning grants. If I talk to someone on the far right, do something about the epidemic After its initial grant of $600,000 in as soon as they hear physician and brought him into contact with a 1998, the Joyce Foundation award- firearms in the same sentence, they growing national network of like- ed FICAP an additional grant of automatically think I’m talking gun minded advocates. In 1993, his re- $1.2 million in June of 2001. The control – banning guns entirely.” search and testimony helped win center’s mission statement is bold Schwab’s experience suggests that passage of the Federal Brady Bill and hopeful: “To create safer com- a middle position, supported by that required background checks munities through the systematic solid surveillance methodology and for gun buyers. reduction of firearm injury and its epidemiological reporting, is the Then, in 1997, with Therese S. repercussions to the individual, most effective way to bring about Richmond, Ph.D., C.R.N.P., Schwab family, and society . . . best accom- change. He believes that even the founded the Firearm Injury Center at plished by empowering health-care staunchest opponents to any form of Penn (FICAP). The two met while providers with scientific data and gun control understand the urgency working on a federal panel in the successful strategies within their of the issue and would support a early ’90s. Richmond, associate pro- communities.” positive outcome that could be repli- fessor of trauma and critical-care As early as the 1980s, the CDC cated. According to Schwab, re- nursing at Penn’s School of Nursing, recognized gun violence as a public- framing firearm violence – not as a is also a research associate in the health problem. In 1983, the CDC political issue, but as a public health Division of Traumatology and Sur- established a violence epidemiology concern – is the first step. “They’ve gical Critical Care at UPHS. “You branch to apply public-health pre- heard about the epidemic,” he says can’t spend decades working as a vention strategies to problems of “and they can listen from this per- nurse – taking care of patients child abuse, homicide, and suicide, spective.” who are shot – without picking up and it began to list violence under Schwab’s philosophy and method- your head and saying, ‘How can the heading of “disease.” It would

8 ■ PENN MEDICINE take almost 20 years, however, for data on the bigger picture — child and interventions specific to the com- the idea of a national surveillance abuse, domestic violence — firearms munity in order to interrupt what system on violent deaths — one that data will emerge.” Dunfey also as- Dunfey calls the “causal pathways” would incorporate data like that serts that a more global view of vi- to violence. One MPAP project is collected by FICAP — to be slated as olence will help to “remove some to create a data model illustrating a federally funded and coordinated of the political hurdles.” these pathways. Using the termi- program. In 1999, the Harvard Injury nology of public health, Dunfey Control Center launched the National t didn’t take long for FICAP to es- explains that the “firearm event” Violent Injury Statistics System, a tablish itself within the national can be viewed as a series of “vec- working group that is testing a pilot network. During its infancy, tors” that come together to pro- of a national data system at 30 sites. ISchwab and Richmond developed duce the injury or fatality. “If any Each site is collecting uniform data the Medical Professionals as Advo- of the vectors can be interrupted, encompassing detailed information cates Program (MPAP), an initiative then prevention is more probable,” on victims and offenders — the that designated three firearm injury says Dunfey. In Philadelphia Weekly circumstances leading to the inci- control sites, each in the trauma cen- this spring, Charles Branas, Ph.D., dent and a number of demographic ter of a small or medium-sized city FICAP’s epidemiologist, used sim- factors. The Firearm Injury Center at (Youngstown, Ohio; Bethlehem, Pa; ilar terms in comparing firearm vi- Penn is contributing to this project. and Iowa City, Iowa). At each center, olence to more conventional disease: The data will ultimately be evaluated trauma surgeons and other health- “In injury prevention, particularly by the CDC, which plans to incor- care professionals were trained to with firearms, we’re trying to porate this design into the proposed lead a public-health campaign to demonstrate an analogous rela- National Violent Death Reporting lower the toll of firearm violence tionship which involves a gun as the vector, a bullet as the disease, and the shooting victim as the host. And there’s also an environment Agents: Firearm & Ammunition which fosters the spread of the Firearm disease.” According to Richmond, Intent to arm Environments: Social, Physical, careful analysis of the initial data and Others at the MPAP sites revealed some Host(s): Carrier Shooter distinct differences between com- Intent to Injure munities. For example, in one com- munity, suicides by elderly males was prevalent; in another, homicide Injured was a larger problem. Host(s): At-Risk It also made sense for FICAP to form a partnership with the Med- ical College of Wisconsin’s Firearm Public-Health Model of Firearm Injury Incident Injury Center and the Harvard In- jury Control Research Center. All System (NVDRS). within their own communities. These three academic medical centers, in The NVDRS would then gather centers serve as hubs providing in- concert with the CDC, were work- uniform data on the circumstances formation and expertise for the sur- ing toward the same goal – to tie of all violent deaths nationwide. The rounding rural population. Schwab together all of the data regarding prototype system is modeled after and Richmond’s strategy was to link violent death, using a system like the National Highway Traffic Safety Penn’s sophisticated resources with the one used to report traffic fatali- Administration’s longstanding Fa- community-based Level II trauma ties. Within the larger network, tality Analysis Reporting System, centers in smaller cities. “We don’t FICAP would play an important which collects detailed data on each know what accounts for the differ- role in research design. of the nation’s 40,000 motor vehicle ence between small cities and big deaths each year. The data on violent cities,” says Schwab, “but we do till, Schwab and others in the death that FICAP and its counter- know that a scientific approach to organization are explicit about part organizations provide will be- [assessing] the increase in firearm vi- what FICAP can and cannot do. come even more useful, according to olence in the places where most S“We’re taking a very middle-ground Maura Dunfey, FICAP’s research Americans live -- small and mid- approach, speaking from the per- and communications coordinator. sized cities -- is the only way to come spective of injury prevention, not “It’s not just about the gun,” she up with effective prevention and re- gun control,” says Melissa Seide, says. “Ultimately the data will duction strategies.” FICAP’s project manager. “We never confirm that the majority of vio- So far, MPAP has collected five use the phrase ‘gun control.’” Even lent deaths involve firearms, and years’ worth of data at each site. The so, Richmond acknowledges that among firearm deaths, the majority program is now in its second grant some pro-gun factions think that re- will be handguns. So while gathering cycle. The aim is to develop policies framing firearm injury as a public-

2003/SUMMER ■ 9 health issue is a “thinly disguised there is no middle-ground approach. maneuver to continue gun-control Even advocates for tighter firearm efforts.” controls acknowledge that guns per- According to groups like the meate American culture. “As a na- HELP Network (Handgun Epidemic tion, we won our independence from Lowering Plan), the public is se- Britain with guns,” says Schwab. verely misinformed about firearm- “Guns are a part of the fiber of this related incidents. Schwab agrees country.” Ambiguity about whether with this assessment, and he blames we are safer with or without guns the media, in part, for perpetuat- remains a difficult hurdle to policy- ing this myopic view. “All we have making. Lawrence W. Sherman, is truly the tip of the iceberg, and Ph.D., director of Penn’s Fels Cen- what’s interesting is that the part ter of Government, acknowledges of the iceberg that’s sticking out is the complexity of reducing firearm so dominated by urban America violence. For instance, he questions that nobody has any idea of what’s the “safe gun” strategy of theorists happening in suburbia or rural who claim that firearm safety fea- America,” Schwab stated in a Penn tures are central to reducing injuries Current article in 2001. As reported (by keeping guns from being fired in the HELP Network Fact Sheet, by anyone other than the owner). the beliefs that guns are only used Still, Schwab feels that mandat- A recent meeting of FICAP staff included (from the left) Maura by “criminals” and that most fatal- ing safety features on firearms as a and Charles Branas. ities occur in major cities are not means of restricting access to chil- supported by the statistics. In fact, dren merits further study. “You can et al., published in the Annals of guns are used in only a small per- make sure that if a gun is in the Emergency Medicine, the authors re- centage of America’s crimes, yet they home, then that gun is locked – ported that “an American child dies are used in 61 percent of all suicide that a child can’t accidentally fire it,” of gunshot wounds every one and attempts, virtually all of them suc- says Schwab. “One kid a day dies one-half hours, and every two days, cessful. In homes with guns, the from this type of accident. That’s a 30 children – the equivalent of a homicide of a household member lot and we need to lower that toll.” school classroom – lose their lives is three times more likely to occur A 1999 study conducted through to guns.” Schwab is adamant that than in homes without a gun. the Harvard Injury Control Research “if we can land a space shuttle in There are likely to be some groups Center by Deborah Azrael et al., the ocean, we can devise a person- that will not be persuaded. John found congruent results. Lead in- alized gun.” He theorizes that a Lott Jr., Ph.D., is one of the most vestigators determined that 42 per- gun outfitted with features that al- fervent opponents of gun control, cent of the 434 households (with low only the gun owner to fire it as suggested by the title of his re- 252 gun owners) surveyed contained would significantly reduce the cent book More Guns, Less Crime: guns, and that 21 percent of gun deaths cited by Powell. Although Understanding Crime and Gun Control owners (married males with chil- Schwab’s “smart gun” hypothesis Laws (University of Chicago, 2000). dren under the age of 18) reported may seem feasible to some injury According to Lott, “90 percent of that a household gun was stored prevention advocates, others find adult murderers already have a loaded; nine percent reported that a it lacking; the latter argue that re- criminal record.” His findings di- household gun was stored loaded striction on gun ownership is a rectly contradict the CDC, the HELP and unlocked. The investigators more urgent concern. Network, and others who have been concluded that households with collecting firearm data. For instance, children under the age of 13 “were lthough FICAP’s Richmond in 1992, the U.S. Bureau of Justice significantly less likely to store a is thrilled with the support Statistics reported that two-thirds gun loaded and unlocked than were from administrators at of felony weapons offenders had households with teenagers only.” Penn’sA schools of Medicine and no prior felony conviction. While This outcome is still somewhat un- Nursing, she reports that some of her Lott feels that the news media’s settling, considering that the same peers beyond campus were not quite depictions of violence are, indeed, study cites 175 suicides (with a so enthusiastic. Richmond reports distorted, he claims that this is be- firearm) among children under the that “more than one irate letter” ar- cause they focus exclusively on age of 15 each year from 1991 rived in response to what she calls “a tragic outcomes while ignoring tragic through 1996. Perhaps most dis- very balanced article” she had writ- events that have been avoided. Lott tressing is the investigators’ analy- ten for the Journal of Trauma. In her advocates for the “defensive use” of sis that the vast majority of “non- article, Richmond articulated FICAP’s guns by law-abiding citizens, who gun owners,” married women, middle-ground appeal to the medical are able to scare off would-be attack- were not aware that guns were community regarding injury preven- ers simply by brandishing a gun stored in their homes that way. tion. Picked up by Reuters, the ar- “98 percent of the time.” For Lott, In a 1996 article by E. C. Powell, ticle drew quite a bit of criticism.

10 ■ PENN MEDICINE media and at symposiums and senting cases in that period were conferences across the country, very low (373 and 1,337 respective- Schwab consistently prods other ly). Another study placed total re- medical professionals to establish search dollars for violence preven- programs based on the MPAP tion at $31 million in 1993, as com- model. pared to $794 million for cancer, From a legislative perspective, $441 million for heart, lung, and advocates are looking to the federal blood-related disease, and $697 government for an overarching set million for AIDS. of laws (since individual state laws Additional personnel have broad- are often nonexistent). They are ened FICAP’s scope and capacity. forcefully pushing for uniform data While Dunfey tracks all of FICAP’s collection on violent death, and they research projects and works at the believe that the federal government federal, state, and local levels to should ultimately pick up the tab. set up coalitions and collaborative According to recent polls by the projects, Seide manages each of the Just the Facts Campaign, coordinated MPAP sites, meeting regularly with through the Harvard Injury Control site coordinators and directors. Research Center, 81 percent of re- Charles Branas joined FICAP as the spondents across the nation agreed organization’s resident epidemiol- Dunfey, Douglas Wiebe, Rose Cheney, Janet Weiner, that the federal government should ogist. An assistant professor in the be responsible for collecting state- Department of Biostatistics and based information on violent deaths. Epidemiology, he is working with “When you touch on a very political The people at FICAP believe FICAP on a geographical analysis area like this, you’re going to have to that the public-health model would of the three MPAP sites, comparing deal with a lot of fallout,” says Rich- be most effective. It encourages fatality statistics to large cities in mond. movement “up” from the community each region. Branas has published One of the main challenges that and “down” from the government. studies on topics as diverse as the injury-prevention advocates like The model brings together collabo- analysis of mass casualty incidents; Schwab and Richmond face in re- rators from law enforcement, the the impact of responses by emer- cruiting their peers is the reality of medical community, education, and gency medical service personnel limited time – theirs and others. other diverse disciplines. Once the on morbidity rates; and the corre- Trauma surgeons, says Schwab, data are in, Schwab and Richmond lation between helmet laws and are keenly aware of the issues. Yet, believe, federal and state laws and motorcycle rider deaths. He also he explains, “On a day-to-day, regulations will follow. has an NIH grant directly related month-to-month basis, there are Building upon FICAP’s initial to FICAP’s concerns: to study the not many trauma surgeons who success, Schwab and Richmond correlation between firearm vio- will have eight or 12 hours a week were soon able to fill several im- lence and alcohol outlets in the City to dedicate to advocacy, so they portant posts. Rose Cheney, Ph.D., of Philadelphia. may be ready and willing, but not formerly director of Violence Pre- While Branas works from the necessarily able.” vention Programs at the non-profit perspective of statistics, Richmond is How Schwab manages his own Philadelphia Health Management asking questions that focus on out- schedule is a mystery. In the past Corporation, joined FICAP as ex- comes at a personal level: What couple of years, he served as con- ecutive director. She is responsible happens to a person after a trau- sultant to NBC television’s Law for collaborating with different matic injury? How does the trauma and Order, helping to develop an schools and disciplines across the affect the individual’s life, his fam- episode that depicted a fictional university and leads FICAP’s de- ily, and his community? Richmond school shooting following the real- velopment effort. is studying the factors leading up life shooting at Columbine High As Dunfey explains, “There is a to the death or injury, in order to School. He has appeared on the huge discrepancy between re- get an idea of “the whole story” CBS Evening News with Dan Rather search dollars awarded by the surrounding the incident. “The im- and helped to develop and launch NIH to ‘disease prevention’ and to portance of this study is that it the Learning Channel’s Trauma: ‘injury prevention.’” According to provides a dialogue,” adds Dunfey. Life and Death in the ER, now syn- FICAP, in the 30-year period in- “This is not something that you dicated worldwide. In March, he cluding 1973 through 2002, a total can derive from a fatality report.” was featured in an article in Rolling of 3,131,075 shootings took place, While collecting accurate data is Stone on the devastating cost of yet the NIH awarded only two crucial to FICAP’s mission, Rich- gunshot wounds. Also this spring, grants for prevention research. mond insists that the individual FICAP and Schwab were profiled During the same period, cholera details pertaining to each victim in Philadelphia Weekly. Reporting was the focus of 101 grants and are equally important. “Being in- on FICAP’s progress through local diphtheria 54, although the pre- jured and winding up in the hos-

2003/SUMMER ■ 11 pital is only one short chapter of the One group that concerns both ballistics and wounding patterns story,” says Richmond. Health-care Richmond and Schwab is the elderly. of firearm injuries, another explored providers, she adds, “often don’t know “I’m a baby boomer,” says Schwab. the psychosocial factors involved in what sort of factors lead up to the “Within the next 10 years, 37 mil- firearm violence and youth develop- event. We only know the end result.” lion people will be retiring. I want ment. Speakers have included my physician to be aware of the Michael L. Nance, M.D., assistant ne important component of symptoms of depression” that could professor of surgery at Penn’s School this dialogue will include potentially lead to suicide. Schwab of Medicine; Mary Harkins-Schwarz, what Richmond calls the and Richmond are developing a M.P.H., project director for the O“suicide narratives” from MPAP model that would provide primary- Philadelphia Interdisciplinary Youth sites. Richmond is piecing together care physicians with a profile of a Fatality Review team; and Raymond these stories from medical examin- typical retiree suffering from de- Lorion, Ph.D., of Penn’s Graduate ers’ reports, as well as more detailed pression. Richmond will also begin School of Education. information derived from witness re- work on a five-year study on “Major The center also provides pilot ports and family interviews. The Depression after Injury.” The study, research grants within Penn’s aca- result, Richmond believes, will be a funded by the NIH, will examine demic and medical communities, much clearer picture that will reveal outcomes including Post-Traumatic as well as at the MPAP sites. FICAP the exact circumstances leading up to Stress Disorder and chronic dis- provides seed money for projects the suicide. “I’m not a suicide expert, that are “in sync” with the center’s but when we looked at the data from mission, to create safer communities. our three sites, there were an over- “The focus of these projects is to whelming number of suicides. Out promote research for firearm injury, of 1,000 firearm-related deaths, there repercussions, and prevention,” were 600 suicides. So as a scientist, says Dunfey – for example, what you go where the data leads.” is the ripple effect of gun violence? The issue of suicide also con- “There are so many research topics cerns Schwab. As he puts it, “Sui- waiting to be explored and many cide is right in the center of firearm different communities that can fatalities – 58 to 60 percent – and if benefit from that research. If fear is you look at suicides, most are not pervasive in the community, then attributable to true mental illness; ability. Richmond intends to explore we want site directors to design they’re more likely attributable to how both psychological and physi- projects that will help to kindle ap- crisis, to depression, to binge drink- cal factors affect the recovery process. propriate solutions and interven- ing. Then you throw in a gun and She points out that because of im- tions.” (For the latest on FICAP’s this is the fatal element. Ninety per- proved surgical techniques, more initiatives, check its web site at cent of suicide attempts with a gun patients are surviving traumatic www.uphs.upenn.edu/ficap/) In will be successful. Any other mech- injuries. The study will examine the June, FICAP sponsored a two-day anism is far less successful. For many factors that help one victim survive retreat to foster interdisciplinary physicians, suicide isn’t even on their while another does not. research “to reduce intentional injury radar screen. These victims go to and improve outcomes.” Dunfey the morgue. We don’t see them.” stablishing FICAP as an intel- notes that Penn researchers “from Schwab believes that projects lectual center within the Penn all different backgrounds” attended. like Richmond’s will save lives at community is another impor- At its annual meeting in March, both ends of the age spectrum: at- Etant goal for Schwab and Richmond. the Pennsylvania Division of the risk youth and the elderly. By sep- To that end, last year they estab- American Trauma Society recog- arating potential suicide victims lished the FICAP Forum, a series of nized the efforts of the FICAP staff into subsets based upon various monthly lectures that draws a di- in support of “quality trauma pre- risk factors, Richmond explains verse audience from many schools vention and care.” At the same that the study “will help to create across Penn’s campus, as well as lo- meeting, Schwab received the Dis- a taxonomy.” As she puts it, “Be- cal law enforcement and ATF offi- tinguished Service Award for his low the big label of suicide, there cers, advocacy groups, and medical leadership and dedication to trau- are so many subheadings.” The students – in short, anyone con- ma prevention and treatment. With study’s hypothesis is that learning cerned with the issue of reducing Schwab and Richmond as the guid- the circumstances leading to each gun violence. As important as it is to ing forces, the FICAP group intends suicide will help physicians to rec- get information out to this audience, to continue to “provoke change” ognize symptoms earlier and will Schwab and Richmond believe that in the name of preventing injury. create a road map that lays out “clear feedback from participants is a vital As great as the challenges are, they intervention points.” The taxonomy element of the program. The series is feel they have the skills and strength that Richmond envisions will help designed to take full advantage of to make a difference. ■ practitioners to identify “modifi- Penn’s interdisciplinary environ- able risks” in potential suicides. ment. While one session addressed Dina Greenberg is editor of PennPulse.

12 ■ PENN MEDICINE MAMMOTH SCALE Photography by Candace diCarlo

Center: Temporal Bone with Labyrinth of the Inner Ear. Painted pine; 30” x 19” x 22” and 3” x 9” x 6” Clockwise from top: Right Maxilla. Painted pine; 24” x 12” x 25” Sphenoid (side of the skull). Painted pine; 38” x 21” x 17” Inner Ear. Painted pine; 13” x 9” x 6” Models of the Eye.Painted wood and leather; 6 1/2”x 6 5/8”x 7 1/2” diameters

In the early 1800s, Caspar Wistar, who succeeded William Shippen as the second chair of anatomy in Penn’s medical department, asked the sculptor William Rush to make large-scale wooden versions of anatomical models. Teaching classes with as many as 500 students, Wistar found it impossible to demonstrate minute anatomical structures to his large audiences. To solve that problem, he commissioned Rush, known primarily as a maker of civic statuary and ships’ figureheads, to create the oversized models. The sculptures Rush created for Wistar were long believed to be lost. “Mammoth Scale: The Anatomical Sculptures of William Rush,” an exhibition at the Wistar Institute, includes all known surviving models, which belong to the Wistar Museum Collections. The exhibition runs through October 17 at the Wistar Institute, 36th and Spruce streets. Telephone: 215-898-3716.

2003/SUMMER ■ 13 David Moolten’s “Secret

It was... the year of the bad grades, Of Bio 7, pithing frogs, and shucking The durable exoskeleton of crayfish. It was the year of Mr. Gordon, Who pioneered us through each prosection And made clear the vital and multitiered truths Photographs by Robert H. Clink Beneath all the slaughter.

-- from “Bio 7” by David Moolten From Plums & Ashes. Copyright 1994 By David Moolten. Reprinted with the permission of Northeastern University Press.

14 ■ PENN MEDICINE avid Moolten, M.D. ’87, G.M.E. ’91, straddles two worlds: Exercise” science and art. As a medical director for the Penn-Jersey by Carole Bernstein Region of the American Red Cross in Philadelphia, he col- Dlaborates with hospitals and biotechnology companies on delivering and developing new treatments for cancer and other diseases. And in his other, literary life, Moolten is that rare animal, a poet who has ac- tually been published and acclaimed. His 1994 book Plums & Ashes won Northeastern University’s prestigious Samuel French Morse Poetry Prize for that year. The judge, poet David Ferry, described Moolten’s collection as “a true book by a true writer.” Moolten has re- ceived awards for his writing, including a Pennsylvania Council on the Arts Fellowship Grant in Literature, and even a partial list of the literary magazines in which he has been published would make an aspiring poet salivate: Boulevard, Georgia Review, Poetry, Shenandoah, Kenyon Review, Prairie Schooner. He is currently at work on a second collection of poetry, entitled Especially Then. How does a doctor arrive at writing poetry, or a poet arrive at being a physician? As one Edward Berdoe expressed it in 1883, “We are surprised if the doctor, by stealing some hours from his daily avoca- tions, attains even moderate eminence in the path of literature.” But Moolten follows in some illustrious literary footsteps. The great Russian author Anton Chekhov was a doctor. So was William Carlos Williams, who practiced for forty years as a physician in Rutherford, N.J., while helping to define the landscape of modern poetry. Williams, in fact, earned his medical degree from Penn in 1906. Today, there are apparently a sufficient number of health profes- sionals who write creatively to sustain a literary magazine: Mediphors, based in Bloomsburg, Pennsylvania. There is also the Journal of Medical Humanities, put out by Kluwer Academic Publishers, in which Moolten himself has poems forthcoming. Still, it is not exactly the rule with doctors to be able to devote themselves to a passion A physician who outside of medicine. writes poetry. Moolten began writing while a pre-med undergraduate at Harvard. He admits to composing – as many writers have done – “some A published poet rather bad poetry over a love affair.” But then, he says, he was who works for the “seized with a kind of perfectionism, thinking, ‘I’ll be good at this.’” The derision of a group of English majors had the opposite of its American Red intended effect. “They thought it was very humorous to see a pre-med Cross. Alumnus carrying around the Norton Anthology of English Literature and David Moolten is reciting poetry at the dinner table. I decided I’d be damned if I didn’t stick with it.” His early bent toward writing was not particularly both of these welcomed by his family, either. His father, grandfather, and grand- things, and he has mother had all been doctors. When Moolten decided to take a year off between college and medical school, his parents “saw that, and enjoyed success poetry, as a potential threat. So writing was really a ‘secret exercise’ while managing to for me.” balance these two Moolten gives some credit to the University of Pennsylvania for helping him remain a poet despite the demands of a physician’s aspects of his life. training. Penn, he says, was a place that valued diverse interests.

2003/SUMMER ■ 15 For example, he remembers being to the materials it interprets.” Al- alerted to a contest sponsored by though Ferry does not make the the publisher F. A. Davis for artists connection explicit, it is tempting and writers in medical school. to view the poetry’s plainness and “Penn clearly made an effort to steadiness as characteristics of the bring in people who didn’t just ideal physician as well. To some spend all their time in college extent, it demonstrates what Osler studying. But of course what hap- famously called “Aequanimitas.” pens is you get to medical school After graduating from Penn’s and you have to memorize four School of Medicine in 1987, Moolten different phone directories the first stayed on at Penn for a residency year. It would’ve been easy to stop in pathology. He did a fellowship writing. The fact that art was hon- at Jefferson, which was partly at ored in that way is special.” the American Red Cross, before While still an undergraduate, joining that organization. Today, Moolten also had the good fortune among his projects as director of to study poetry with two now- clinical services is a collaboration renowned poets, Seamus Heaney with hospitals that need stem cell and Derek Walcott. Both offered support for high-dose cancer ther- encouragement. Another major in- apy. “The Red Cross has become fluence, at Penn this time, was poet involved more and more in the last Daniel Hoffman – now the Felix five years in cell therapy in general,” Schelling Emeritus Professor of says Moolten. He explains that with English – who saw great promise in some cancer patients, the Red Cross the young medical student’s poems. can collect cells -- formerly from “He insisted I have real expectations bone marrow, but now from periph- of myself and took me seriously. eral blood using a device called an He was tremendously important apheresis machine -- which can be At an apheresis lab, David Moolten is flanked by Tina Mattes to me.” Hoffman even took the infused again after treatment to trouble to discuss Moolten’s creative help counteract the toxic effects of talents with the medical school’s chemotherapy. vice dean for medical education, While Moolten’s work has less Dr. Fred Burg, and show him some to do with independent basic sci- Chemistry Set of the student’s poems. Moolten ence research than with facilitating recalls being mystified by a subse- and collaborating, he adds, “Any- In the basement, by the bright eye quent call to report to the dean’s thing you do for cancer is in a sense Of the strung, bare light bulb, I’m office: it turned out the dean was investigational because few thera- favorably impressed and wanted to pies are perfect. So we’re always Seven years old, and I’m making things, discuss Hoffman’s visit. (“I thought collecting data, trying to refine and Scraping tannic acid, sodium bismuth maybe there was a problem with improve, and sharing our informa- Into plastic flasks, or a little my tuition check.”) tion with hospitals. The Red Cross Baking soda I mix with vinegar Dan Hoffman characterizes wants to catalyze making these kinds Moolten’s student-era poetry as of therapies available.” To “see what happens” again and again, “accomplished, original, and tech- Moolten also collaborates with Dumb luck when nothing bursts into flame. nically expert,” also commenting biotechnology companies to develop The periodic table hangs like a strange that he delivered good – and tactful therapies. He and his colleagues Alphabet on the wall, I read textbooks (which is always important) – cri- are manufacturing what may prove tiques of others’ work. Did Moolten a groundbreaking new vaccine for About elements and atoms, everything seem conscious of his difference as the Dendreon Corporation, called I discover makes sense and fits together. a medical student? “No, it was the Provenge, for treating prostate can- I’m lost in my own little world kind of class where the students cer. The work is based on Dendreon’s taught each other,” says Hoffman. research that suggested that den- As my mother likes to say, and she “We were all poets together.” dritic cells could help fight some Has to yell, “Are you burning things?” In his Introduction to Plums & types of tumors. Part of the immune From the top of the stairs, the way mothers Ashes, David Ferry remarks on the system, dendritic cells can recog- Always detect the undetectable odors plainness of Moolten’s writing, nize an infectious organism such as “painstaking” in its descriptions: a tumor, alert other immune cells, Of childhood. Through the small window “One trusts this writing because, and mount an infection-fighting I hear our half-breed Labrador, who will though far from being unmoved response. The vaccine is now in Soon disappear in the earth, followed by what it sees, it is dispassionate clinical trials. By grandparents, the older uncles, and steady in its gaze, always true Can Provenge actually prevent A chain reaction that begins as slow

16 ■ PENN MEDICINE or cure prostate cancer? Moolten Moolten’s ambivalent feelings about says that while it might one day be his own physician-father’s frequent used that way, currently the more absence and his determination not realistic hope is that the drug will to repeat the pattern with his own help patients with what is termed wife and two young daughters. minimal residual disease. That, he Some readers of the poem “Che adds, would be a milestone in it- Guevara at the San Pablo Leper self. “One hope for cell therapies Colony, 1952,” may be surprised to like this one is that they might be learn that Fidel Castro’s right-hand used after other, more conventional revolutionary was a doctor. “That cancer treatments. If they can stim- was one reason Castro had him ulate an immune response against along,” says Moolten. Che, he adds, any remaining, undetectable tumor “was actually a middle-class kid cells, a relapse of the cancer might from a not-overly-leftist Argentine be prevented.” In February, Den- family. While in medical school, he dreon provided an update, noting traveled around South America by that a patient treated with Provenge motorcycle and had some transfor- for prostate cancer “had a complete mational experiences, including a response and experienced durable visit to a leper colony.” In the poem, remission.” Moolten depicts Guevara as a young While stem cells and prostate man, “before the cigar, the green cancer research have not yet ap- fatigues,” and before he had to peared in Moolten’s poems, images “choose between a first aid kit / And from the medical world do some- a crate of bullets.” Moolten traces times populate his work. Among his fascination with the historical these are three poems forthcoming figure to the fact that “the whole in the Journal of Medical Humanities. Latino thing has crept into some of (left) and Andree Baylor-Lloyd. A pathologist doing an autopsy on my poems.” He is half Puerto Rican a suicide victim is the subject of and half Jewish -- “like Juan Epstein “Weight”: “You put him on the scale in Welcome Back, Kotter,” he jokes. piecemeal, unlike God’s / Infinite Although he grew up in Newton, rectitude, your analysis gross, / Good Massachusetts, he spent part of his to a few digits like a grocer’s . . .” As childhood in Puerto Rico. Both as- Moolten puts it, “Although I don’t pects of his heritage are clearly sig- As rust. I hear the mower quit, do autopsies, something about the nificant to him. Jewish themes ap- Watch my father wipe his sweat and walk idea was resonant for me. For ex- pear in his work, too, in poems like ample, the fact that you have to “Photograph of Liberated Prisoner, From view as he’ll do for good in just weigh the organs. I had the idea of Dachau, 1945,” “Chagall’s Fall of Four years after one explosive crisis examining someone physically, but Icarus,” and “Dybbuk.” Too many – the family better apart, also examining their life.” Still, as with any artist, one has Less combustible, like the women In “Love Potion Number Nine,” to be careful not to assume all of one finds the theme of a doctor’s Moolten’s work is autobiography Who will burn me later or whom I will burn. long hours straining his family re- or history. Writers do like to make But I’m just seven, a neophyte lationships. things up. As Moolten puts it, “I’ve At abstractions like love. “No,” I yell The bedroom door shudders annoyed people at times because To my mother. I have not yet discovered open into light so much of my work seems tanta- And the vowed return of my lizingly likely that they’ll assume Fire, which for me comes at the end father home it’s all true.” For example, Moolten Of the age of reason. I still have From the hospital. All night my has a poem entitled “‘Cuda” (named What she lovingly terms natural mother waited for a 1971 Plymouth Barracuda) in With her candles and shining which the narrator’s brother tele- Curiosity – my face stifled against dishes phones him from a rehabilitation Flasks which do nothing but seltzer, And he never came. But now he hospital. “People will ask me how Like each day in the little world comes my brother’s doing – I don’t have Repeating the same blind experiment, In his long white coat swooping a brother.” toward us His commitment to poetry was Hardly science – unaware that knowledge Like an angel with blood- one reason Moolten chose patholo- Itself is mostly trial, mostly error. stained wings, my father gy, a medical field he felt was not The doctor who visits every as demanding as some others house . . . would have been. Research was an The poem stems partly from early interest but ultimately he From Plums & Ashes

2003/SUMMER ■ 17 questioned his ability to devote hitchhikers, teenagers daring each Motorcycle Ward himself to it. “The zeal or passion, other, and young men damaged rather than the time, really, was so by life in the fast lane. I can’t say much about Richie Savalo, consuming I wouldn’t have been Besides shaping his career path, able to keep up. There seemed to Moolten’s encounter with cancer A boy scraped out from under an eighteen- be other people who could give permanently affected his feelings wheeler, 150 percent of themselves.” There about medicine and health care. Except that he owned a Harley 650 was another, totally unexpected “As a medical student I thought And at sixteen I thought I couldn’t live factor as well: in his last year of surgeons were difficult people. As medical school, the young student a patient facing a laparotomy, I Without one. I can’t say I knew him made the shocking discovery that found that surgeons were terrific, Beyond a ride or two and the day I joined he had Hodgkin’s disease. The ex- in a way that felt genuine. Julius The other seniors who paraded to say goodbye perience changed him forever. Mackie at HUP was my general “When you’re a medical student surgeon – gruff, but a wonderful On the trauma floor. A surgeon – you think you’ve got everything. doctor.” (Mackie is an alumnus of Who tried to convince us that we didn’t need Then I put up my own chest x-ray the School of Medicine, Class of All that verb from a stoplight, -- I’d had a cough for a while, and 1950.) Being a patient counteracted All that mind-altering power and open air was interested in radiology – and I some of the cynicism Moolten feels saw a large mass. I didn’t need a he and many residents fall prey to, Like skinnydipping or TV made wild whole lot of learned consultation an attitude brought on by pressures And electric without the glass – proclaimed it to tell me I was not in good shape.” like exhaustion, chronically ill pa- The motorcycle ward. We saw everything: (In the poem “Flying,” from Plums & tients who aren’t compliant, and The long halls, the nurses passing sadly, Ashes, Moolten writes of a man diseases that don’t respond to any with cancer thinking about his treatment. “Here were physicians Each room identical, patients already chest x-ray and the tenuousness of who saved my life. It renewed my Partly embalmed in their casts. When we looked his life: “Driving to work he recalls idealism a little, which is something They squinted back as though in some the view box / Shimmering – his that hasn’t gone away.” Moolten’s lungs translucent / As the fragile radiation therapist, whom he goes chrome glare wings of something / Endstage back to see every couple of years, Beneath the syllabic drips of I.V.s – and transient, like the shadflies / owns a copy of his book. The poet That is, if they could surface through the Which shower his car in a swirled inscribed it this way: “Next to my morphine. galaxy / Off the steaming woods.”) parents, you’re more responsible Once Moolten was diagnosed, the for my being around to write this We found Richie, who they never quite remaining “days and hours” of his than anyone else.” Pieced together with pins and prayer. medical training “suddenly had a Even though Moolten has pub- The day made me as green as when I first whole different meaning.” “I think lished a prize-winning volume of Tried cigarettes. After that there would be how many people get through res- poetry and his work appears regu- idency is they say, ‘I’ll do this for larly in literary magazines, his po- No bike, just a long line of slow-witted cars. several years, and then it’ll be over etry to some extent remains a “se- I can’t say other effects were lasting and I’ll have the rest of my life.’ I cret exercise.” That is true of most Although I did have nightmares for a while, couldn’t look at it that way. That contemporary poets, barring per- was pivotal for me in deciding to haps a few names like Maya An- Not precisely about Richie or motorcycles, go into pathology, which allows a gelou, Billy Collins, or Robert Bly. The darkness more visceral than cinematic, more generous amount of time.” Moolten does have contact with Which was perhaps merely the closeness While feeling in a sense lucky other poets and gives readings, but To the dead that comes with fear, that his disease was Hodgkin’s his professional and literary lives and “not something worse,” rarely blend day to day. He says A sleeping empathy. There was only Moolten still feels a little haunted, that although some of his col- The hair-trigger escape, the hurtling as anyone might, by the specter of leagues know he’s a poet, “it’s not Upwards or away from whatever bore down future health problems. He has re- their focus so it doesn’t come up On me until I felt that torque tained the sense of carpe diem that very much.” He adds, “I’m kind of his brush with death brought him. a hermit when it comes to writing. Which the moment of waking brings “Which from a writing standpoint,” Sometimes that can be a little lonely, And over the dark terrain of the bedclothes, he explains, “makes me feel it’s to be honest.” I had outrun everything but a strange now or never. I’ve refused to have Anyone reading even a handful a delayed-gratification approach.” of Moolten’s poems becomes quickly Realization of luck and a terrible narration He adds that this idea of living for aware of a powerful social con- In the thrumming cylinders of my heart. the moment, acting on impulse, in- science. Moolten comments that it forms the poems in Plums & Ashes. is “no accident” that he works at From Plums & Ashes In a section entitled “Motorcycle the Red Cross, a humanitarian, Ward,” one finds poems about non-profit organization, “as op-

18 ■ PENN MEDICINE erous people, doing absolutely heroic and terrific things. On the other hand, it’s a big bureaucracy.” He points out that while the organi- zation is a charity, it has to support itself so it can continue to exist. This sometimes leads to problems such as the controversy and “painful publicity” surrounding the collection of blood and funds for the 9/11 res- cue effort. And while Moolten believes the stated goals of the American Red Cross are certainly genuine, he sometimes “feels torn in terms of the pragmatics.” He gives the ex- ample of a product the Red Cross developed a few years ago in con- junction with profit-making com- panies, called solvent-detergent- treated plasma. This was plasma treated to be safe from viral dis- eases including HIV and hepatitis C. A great idea, says Moolten -- but some Red Cross physicians found it problematic that they were ex- pected to encourage the use of the product. “Not everyone was com- fortable doing that, promoting or selling something. Because if you’re a charity, people trust you more.” All doctors have ethical obligations, Physician and poet make room for the family man: David Moolten holds his daughter Shira while his but being a physician in the Red wife Sharon and his daughter Odette gather round. Cross, he feels it more keenly as part of a humanitarian organization with ambitious responsibilities. “How to practice medicine and do posed to, say, the biotech industry.” clude a large apheresis program. the right thing by people in that As he explains, “I’d have discom- Moolten explains that this proce- context is what I sometimes have fort personally with being too ori- dure, used for a variety of diseases, to wrestle with.” The special status ented toward making a profit.” involves exchanging part of the of the Red Cross notwithstanding, “Part of our mission is to try to blood for either fresh blood com- Moolten acknowledges that many be responsible, as a community or- ponents or some kind of replace- doctors face a similar dilemma. “I ganization, for the entire communi- ment. For example, the autoantibody think the idea of medicine being a ty,” says Moolten. His job does that causes myasthenia gravis can business, as a necessary evil, is truer sometimes bring him into small be mechanically removed to control than ever for many physicians. A lot community hospitals to see pa- the disease. This procedure might of doctors these days have to be- tients, which has given him “a per- be used in addition to drug thera- come part-time executives.” spective on the difference in care py or by inpatients who have diffi- So is it doctor? Poet? When all is from one institution to another – I’d culty tolerating medications. And said and done, which would Moolten be lying if I said you get the same in acute leukemia, “you can have a want to be remembered for? “Any- quality of care anywhere.” He life-threatening sludging of white thing involving patients I have an notes that the Red Cross actually cells in the blood vessels of the lungs absolute obligation to,” he says. “But moves machines to the hospitals to or brain. Simply mechanically re- in the end, I’m with William Car- perform treatments on-site. Many moving some of the white cells can los Williams, who said that medi- of these treatments, he says, are allow the patient to go on to cine was merely his avocation; po- otherwise available only in large chemotherapy.” etry, his life’s work.” ■ institutions that have the “Working for the Red Cross has Carole Bernstein, a Philadelphia free-lance writer, economies of scale to make it been fascinating,” comments is also the author of Familiar, a collection of poems. worthwhile. Moolten. “On the one hand, it has She last wrote for Penn Medicine on Michael These “hands-on” therapies in- some absolutely astonishingly gen- Baime, M.D. ’81 (Winter 2003).

2003/SUMMER ■ 19 AlumniNews

The Rites of PRING

Award recipients, clockwise from upper left: Robert B. Daroff, M.D. ’61; Stanley Lorber, M.D. ’43 A; H. Franklin Bunn, M.D. ’61; and David Y. Cooper III, M.D. ’48, G.M.E. ’55.

ach May, the Development and Alumni Relations office manages to pack more events into a weekend than mere mortals would think possible. Then, after the annual meeting of the Medical Alumni Society, the society’s luncheon, Ethe Dean’s Dinner, faculty round tables, the alumni picnic, the parade of classes (with a contingent of mummers on hand to lend color and noise), quinquennial reunion dinners, trolley tours of historical Philadelphia, and a visit to the Barnes Foundation on Friday and Saturday – after all that, there are the School of Medicine’s Commencement exercises and reception on Sunday. All of it is to celebrate the school’s past, present,

Photographs by Robert Clink

20 ■ PENN MEDICINE and future. For many returning Bunn also noted, with a touch of neurology with a conference that alumni and the graduating class, justifiable pride, that his service at brought together more than 50 of the these three days are given over to Harvard and Brigham and Women’s world’s most distinguished experts rites of passage that reaffirm tradi- Hospital has had a “peripheral” im- in those fields. tion and friendship. pact on Penn’s School of Medicine. In his remarks, Daroff pronounced This year, Medical Alumni Week- Among his residents were such himself unsympathetic to what he end began in earnest with the an- current members of Penn’s medical sees as a burgeoning of psychoso- nual meeting of the Medical Alumni faculty as Harvey Rubin, Mitchell cial and humanistic courses at the Society. At that event, Arthur H. Lazar, and Craig Thompson. Among expense of science training. During Rubenstein, M.B., B.Ch., executive his fellows were Stephen Emerson, his experiences at Penn’s medical vice president of the University of David Porter, and Andrew Schafer, school, said Daroff, “we learned by Pennsylvania for the Health System who recently finished his first year example.” For instance, Dr. Isidore and dean of the School of Medicine, as chair of Penn’s Department of Ravdin, the chair of surgery, always presented the Distinguished Grad- Medicine. sat down next to a patient on rounds. uate Awards. These are considered Robert B. Daroff, M.D., also from Ravdin, said Daroff, always seemed the highest awards that the medical the Class of 1961, was the second “unrushed and personal.” school bestows on its alumni, hon- recipient of the Distinguished Daroff also took the opportunity oring their outstanding service to Graduate Award. Daroff is professor to offer some advice: Don’t waste society and to the profession of of neurology and associate dean of time or energy complaining, “just medicine. Case Western Reserve University play out the hand.” In this context, H. Franklin Bunn, M.D. ’61, the School of Medicine. He also serves he praised cognitive therapy, devel- first recipient, is professor of medi- as chief of staff and senior vice oped at Penn by Aaron Beck, M.D. cine at Harvard Medical School This form of psychotherapy attempts and director of hematology re- to show patients how certain think- search at Brigham and Women’s ing patterns are causing their symp- Hospital. Throughout his career, toms, often by giving them a dis- Bunn has made major advances in torted picture of their lives. the understanding of red blood In accepting the Distinguished cells and anemia, focusing first on Graduate Award, Daroff gave every hemoglobin and later on erythro- indication of having his own think- poietin, the hormone responsible ing patterns in order. He related an for regulating red blood cell forma- anecdote about a man who had just tion. As an educator, Bunn direct- received a major honor. Musing in ed the Harvard-Markey program front of the mirror, the man asked in biomedical sciences, designed to his wife, “Dear, how many great give graduate students intensive men do you think there are in the training in human biology. president for academic affairs at world?” Her answer: “One fewer Bunn’s professional awards in- University Hospitals of Cleveland. than you think.” clude three from the National In- An internationally recognized stitutes of Health: the Research leader and pioneer in the field of he 2003 Alumni Service Develop Career Development neuro-ophthalmology, Daroff has Awards went to David Y. Award, the Fogarty Scholar-in- served as president of the American Cooper III, M.D. ’48, G.M.E. Residence Award, and the MERIT Neurological Association, chair of T’55, and Stanley Lorber, M.D. ’43A. Award. He is a fellow of the Amer- the Medical/Scientific Advisory As Dean Rubenstein put it, Cooper ican Academy of Arts and Sciences. Board of the Myasthenia Gravis is a member of “a special fraternity Two years ago, he was awarded Foundation of America, and presi- within our faculty . . . a small but the Henry M. Stratton Medal from dent of the American Headache vitalgroup of physicians who have the American Society of Hematology Society, a position he holds currently. been at Penn for more than 50 years for his contributions to the specialty. As an undergraduate at Penn, – and counting.” A tireless advocate He serves on the editorial boards Daroff served as editor-in-chief of for the School of Medicine, Cooper of six medical journals. The Daily Pennsylvanian, and the served on both his 50th and 55th re- In his remarks, Bunn recalled his experience seems to have come in union committees. As a member of sense of biomedical research back handy: in his professional career, the 21st Century Endowed Scholars in the 1950s: “so little could be taken Daroff has been on the editorial advisory committee, he assisted in to the bedside,” he said, adding boards of most major journals fo- raising record amounts of support that “the big challenge” was to turn cused on neurology and neuro- for both the Welsh Challenge and the research into something that could ophthalmology. Gamble Challenge. He has also been help patients. Patients, he empha- Two years ago, the New York a consistent supporter of the Medical sized, were “the major motivating Academy of Sciences honored Class of ’48 Scholarship Fund. force” for the kind of research he Daroff’s 30 years of contributions Cooper is professor of surgical wanted to do. to the study of eye movements and research at Penn. The highlight of

2003/SUMMER ■ 21 AlumniNews

Upper right: Luigi Mastronianni Jr., M.D., professor of obstetrics and gynecology. Lower left: Earl C. Joyner Jr., M.D. ’83.

22 ■ PENN MEDICINE his research career was his discovery on the stage. Soon after, a cheer a professor of medicine, saluted of cytochrome P-450, an enzyme erupted when the students appeared this year’s graduating class as rep- that helps the body metabolize and filled the first several rows of resentative of the 50 Year Reunion drugs. Said Rubenstein, “Anyone seats in the orchestra. Gail Morrison, Class. The next speaker was Roger here who has taken medication to M.D. ’71, G.M.E. ’77, vice dean for E. Stumacher, representing the ease the discomfort of a myriad of education, greeted the students, as- Class of 2003. Before he began his ailments has David to thank for its serting that “today represents a life- remarks, he saluted his father, Dr. quick-acting effect.” changing event for you.” But, she Russell J. Stumacher, former chief Cooper has also served Penn in added, earning the medical degree of infectious diseases at Graduate a very tangible way as author (with “is only the first step in your journey Hospital, who was very ill. “Thanks Marshall A. Ledger) of Innovation to becoming a physician.” Dean for making it,” said Roger Stumacher. and Tradition at the University of Rubenstein continued the journey His father, in a wheelchair in the Pennsylvania School of Medicine, is- motif, citing a current exhibition at audience, made a triumphant fist. sued by the University of Pennsyl- the College of Physicians of Philadel- (The elder Dr. Stumacher died of vania Press in 1990. As many read- phia devoted to the health and med- pancreatic cancer on June 10.) ers can attest, the book provides a ical aspects of the Lewis and Clark Stumacher, too, used the image compelling anecdotal journey Expedition. Two hundred years ago, of a voyage or journey: “As we through more than 200 years of he noted, Meriwether Lewis came to stand poised on the threshold of the school’s history. Philadelphia to learn from members our next odyssey, let us take in- The second recipient, Stanley of Penn’s medical faculty, such as ventory of what can be said for Lorber, M.D. ’43A, retired in 1991 Benjamin Rush and Caspar Wistar. sure about that which lies ahead. I after 43 years on the faculty at Tem- As Rubenstein told the graduating believe there are two certainties of ple University School of Medicine, class, “Your journey from Penn’s being a physician, and if we re- where he was professor of medi- School of Medicine may not be so member them, not only will they cine and chair of the gastroenterol- dramatic and far-ranging as the keep us going, but they will set the ogy division. His professional honors one taken by Lewis and Clark, but course for every future journey.” include the Physician of the Year it too is a journey of exploration Medicine, he asserted, is indefin- Award from the National Foundation and discovery.” able. “It is at once hard art and for Colitis and Ileitis, and Temple For Risa Lavizzo-Mourey, M.D., fine science. With each individual recently established an endowed M.B.A., this year’s Graduation patient encounter, a physician is chair named in his honor. speaker, the occasion was some- offered the opportunity to blaze an As president of his medical class’s thing of a homecoming. Formerly entirely new trail towards better 50th reunion in 1993, Lorber led the the director of Penn’s Institute on health. Let us embrace this challenge fund drive that refurbished a stu- Aging and the Sylvan Eisman Pro- by opening both sides of our brains dent lounge at the School of Medi- fessor of Medicine and Health-Care to the endeavor.” Many aspects of a cine. A generous supporter of the Systems, Lavizzo-Mourey left Penn person come into play as a physi- both the University and the School, two years ago to join the Robert cian: “And when we realize that he has been a long-standing mem- Wood Johnson Foundation. In Jan- the practice of medicine is based ber of the Benjamin Franklin Society. uary, she became president and more upon the summation of the In addition, Lorber was a member CEO of the foundation. RWJ, which practitioner’s humanness than it is of the National Alumni Council has an endowment of about $8 bil- on the application of technique, during the school’s Creating the lion, concentrates on improving the we may then realize that possibili- Future of Medicine campaign. health and health care of Americans. ties of medicine reflect the possi- While an undergraduate at Penn, Addressing the graduating class, bilities of all human existence.” Lorber played varsity football, Lavizzo-Mourey assured them that The second certainty: “You have lacrosse, and track. Later, he served “you have chosen a wonderful ca- to stick your neck out. Why? Be- for 23 years as team physician for reer . . . grounded in values that go cause, whether we like it or not, the Philadelphia 76ers. As a sup- back more than a thousand years.” whether we get paid like it or not, porter of the School of Medicine, In today’s marketplace, however, Joe and Judy Citizen want us to be said Rubenstein, “Stan has long been those values “have never been superheroes.” The response, con- one of our Most Valuable Players.” more important.” Given the pres- tinued Stumacher, is to become sure to spend less time with patients, “extraordinary,” which means that eard long before they were Lavizzo-Mourey urged the students “you stay later, get your hands seen, five bagpipers and a to “remember the value of altruism.” dirty, put yourself in jeopardy, or drummer led the procession She also discussed what she called break any of the other so-called Hdown the aisle of the Kimmel Cen- her “P values”: perseverance, pas- rules of being a doctor – all in the ter’s Verizon Hall, followed by the sion, productivity, and – if the new name of your patients.” Stumacher bearer of the ceremonial mace, the graduates followed the first three ended by offering an “exhortation dean, the Graduation speaker, and values – pleasure. to all of you future superheroes” faculty members, all in their caps Theodore Rodman, M.D. ’53, who in his graduating class: “Up, up, and gowns. This group assembled retired from Temple University as and away!” ■

2003/SUMMER ■ 23 AlumniNews

Brigham and Women’s Hospital Jacob Greenberg, General Surgery Kyran Mitchell, General Surgery Gabriela Schmajuk, Internal Medicine Su-jean Seo, Medicine (preliminary) Kevin Sheth, Medicine (preliminary) Christine Skiadas, Obstetrics- Gynecology Alexi Wright, Internal Medicine Harvard/Massachusetts General Joint Program Kevin Sheth, Neurology Massachusetts General Hospital Where They Went DISTRICT OF COLUMBIA Michael Gee, Diagnostic Radiology George Washington University Sarah Kent, Medicine (primary) Eugene Rhee, Internal Medicine Following graduation in May, members of David Cowan, Medicine (preliminary) Kathryn Ruddy, Internal Medicine the Class of 2003 are taking their residencies National Capital Consortium-Walter Su-jean Seo, Dermatology at the following sites. Reed Army Medical Center Jacob Turnquist, Pediatrics Tamara Wexler, Internal Medicine ARIZONA Burlington Phoenix ILLINOIS Lahey Clinic St. Joseph’s Hospital Chicago Gretchen Ela, Medicine (preliminary) Erik Ortega, Medicine (preliminary); Children’s Memorial Hospital Neurology Margot Paisley, Pediatrics Charles Peters, Pediatrics Cambridge Louis A. Weiss Memorial Cambridge Hospital CALIFORNIA Meghan McGrath, Transitional Loma Linda Hospital/University of Chicago Mount Auburn Hospital Loma Linda University Ross Levy, Transitional Christopher Dibble, Medicine Pia Luedtke, Diagnostic Radiology McGaw Medical Center/Northwestern University (preliminary) Ross Levy, Dermatology Los Angeles MICHIGAN Cedars-Sinai Medical Center Resurrection Medical Center Ann Arbor Gregory Anderson, Diagnostic Jason Druzgal, Transitional University of Michigan Hospitals Radiology University of Chicago Hospitals Daniel Soto, Radiation Oncology UCLA Neuropsychiatric Institute Siri Atma Greeley, Pediatrics Kosha Thakore, Internal Medicine Marc Burock, Psychiatry INDIANA MINNESOTA San Francisco Indianapolis Minneapolis California Pacific Medical Center Indiana University School of Medicine University of Minnesota Medical Scott Campea, Medicine (preliminary) Daniel Hayford, Pediatrics School University of California-San Francisco Melissa Schmidt, Pediatrics Nadia Krupp, Otolaryngology MARYLAND Baltimore Anupama Narla, Pediatrics MISSOURI Isabelle Von Kohorn, Pediatrics Johns Hopkins Hospital St. Louis James Wall, General Surgery Sara Calvert, Psychiatry David Cowan, Dermatology Barnes-Jewish Hospital Tabassum Ahmed, Diagnostic Radiology Stanford Kenneth Greenberg, Ophthalmology Paolo Marciano, Diagnostic Radiology Stanford University School of Medicine Andrew Krakowski, Pediatrics Washington University Programs Parag Parekh, Ophthalmology Catherine Hwang, Ophthalmology Joyce Fu, Obstetrics-Gynecology Julia Scialla, Internal Medicine Garrick Wang, Psychiatry Timothy Scialla, Internal Medicine Robert Stephens, Internal Medicine NEW HAMPSHIRE Lebanon CONNECTICUT Dartmouth-Hitchcock Medical Center Middletown MASSACHUSETTS Joshua Mancini, General Surgery Middlesex Hospital Boston Peter Steinberg, Surgery (preliminary) Joseph Teel, Family Practice Beth Israel Deaconess Medical Center Christopher Dibble, Diagnostic NEW JERSEY New Haven Radiology Camden Yale-New Haven Hospital Connie Tsao, Internal Medicine University of Medicine and Dentistry Elliot Ellis, Medicine (preliminary) Boston University Medical Center of N.J.-Robert Wood Johnson Yuan Liu, Plastic Surgery Thomas Chacko, Diagnostic Radiology Gretchen Ela, Emergency Medicine Analisa Vincent, Dermatology Sarah Fan, Internal Medicine Michael Gee, Surgery (preliminary) Piscataway Meghan McGrath, Emergency Medicine University of Medicine and Dentistry of N.J. Bradford Tannen, Ophthalmology

24 ■ PENN MEDICINE NEW YORK Ayanna Cooke, Psychiatry Joshua Fosnot, Transitional New York City Christopher Dolinsky, Medicine Alice Ha, Transitional Einstein/Montefiore Medical Center (preliminary); Radiation Oncology Catherine Hwang, Transitional Yossef Blum, Orthopaedic Surgery Beau Duwe, Internal Medicine Paolo Marciano, Transitional Anne Gordon, Pediatrics-Primary Annemarie Gallo, General Surgery Molly Ritsema, Transitional Lenox Hill Hospital Joseph Graham, Family Practice Steven Saland, Anesthesiology Pia Luedtke, Medicine (preliminary) Laurel Graves, Psychiatry Jason Skalet, Transitional New York Presbyterian Hospital/Cornell Alice Ha, Diagnostic Radiology Analisa Vincent, Transitional Medical Center Scott Halpern, Internal Medicine William Carroll, Surgery (preliminary) Gregory Heuer, Neurosurgery Pittsburgh Richard Lee, Surgery (preliminary); Steve Huang, Medicine (preliminary) University Health Center of Pittsburgh Urology Jason Huse, Pathology Tzu-Shang Liu, Orthopaedic Surgery Neal Schamberg, Internal Medicine Carla Keirns, Internal Medicine New York University Medical Center Elizabeth Kim, Plastic Surgery Reading Alexander Golant, Orthopaedic Jeffrey Kohn, Internal Medicine Reading Hospital and Medical Center Surgery John Lawrence, Orthopaedic Surgery Parag Parekh, Transitional Tony Quach, Orthopaedic Surgery Paul Madlock, Oral-Maxillofacial New York University School of Medicine Surgery Upland Scott Campea, Physical Medicine Jaime Martinez, Anesthesiology Crozer-Chester Medical Center and Rehabilitation Rebecca Mazar, Obstetrics-Gynecology Kenneth Greenberg, Transitional Daniel Weil, Medicine (preliminary) Michael Mistretta, Oral-Maxillofacial Bradford Tannen, Transitional Surgery Robert Wong, Transitional NORTH CAROLINA Peggy Myung, Otolaryngology Durham Heather Nardone, Otolaryngology RHODE ISLAND Duke University Medical Center Rebecca Olin, Internal Medicine Providence Carissa Baker-Smith, Pediatrics Eric Ostertag, Pathology Rhode Island Hospital/Brown University Keki Balsara, General Surgery Min Park, Internal Medicine Sarah Kelmenson, Emergency Medicine Carter Paulson, General Surgery Molly Ritsema, Ophthalmology Winston-Salem Eric Ricchetti, Orthopaedic Surgery Women and Infants Hospital of Rhode Wake Forest University Baptist Medical Douglas Seeger, Oral-Maxillofacial Island Center Surgery Stacey Peckham, Obstetrics-Gynecology Germaine Johnson, Diagnostic Radi- Roger Stumacher, Medicine ology (preliminary) TENNESSEE Michael Tracy, Orthopaedic Surgery Jean Tsai, Medicine (preliminary); Nashville Neurology Vanderbilt University Medical Center PENNSYLVANIA Sandra Urtishak, Internal Medicine Mollie Greves, Pediatrics Abington Brian Vannozzi, Orthopaedic Surgery Abington Memorial Hospital Daniel Vining, Emergency Medicine UTAH Jaime Martinez, Medicine (preliminary) Tiffini Voss, Medicine (preliminary); Salt Lake City Neurology University of Utah Affiliated Hospitals Lancaster Daniel Weil, Anesthesiology Jason Druzgal, Diagnostic Radiology Lancaster General Hospital Kareem Zaghloul, Neurosurgery Daniel Schlegel, Family Practice Suzanne Zentko, Internal Medicine VIRGINIA Pennsylvania Hospital Charlottesville Philadelphia Gregory Anderson, Medicine University of Virginia Children’s Hospital of Philadelphia (preliminary) Deborah Chute, Pathology Joshua Blinder, Pediatrics Thomas Chacko, Medicine (preliminary) Julienne Brackett, Pediatrics Scheie Eye Institute/University of WASHINGTON Andrea Chow, Pediatrics Pennsylvania Seattle Cheryl Clarkin, Pediatrics Joshua Fosnot, Ophthalmology Swedish Medical Center Evan Fieldston, Pediatrics Jason Skalet, Ophthalmology Heather Tagliarino, Family Practice Jessica Katz, Pediatrics Robert Wong, Ophthalmology University of Washington Affiliated Jennifer Markowitz, Pediatrics St. Christopher’s Hospital Hospitals Jennifer Melnychuk, Pediatrics Sheldon Stohl, Pediatrics Sara Dow, Pediatrics Audrey Park, Pediatrics Temple University Hospital Bradford Glavan, Internal Medicine Danah Smoger Rios, Pediatrics Christopher Byrne, General Surgery Jonathan Swanson, Diagnostic Radi- Sanjeev Swami, Pediatrics Thomas Jefferson University/Dupont ology Drexel (MCP Hahnemann) Children’s Hospital Virginia Mason Hospital Serge-Emile Simpson, Emergency Karen Rendulich Germaine Johnson, Transitional Medicine University of Pennsylvania Medical Jonathan Swanson, Medicine Hospital of the University of Pennsyl- Center – Presbyterian (prelminary) vania Tabassum Ahmed, Transitional Jaimo Ahn, Orthopaedic Surgery Vashti Christensen, Transitional Matthew Bayley, Medicine (preliminary) Meenakshi Bewtra, Internal Medicine Vashti Christensen, Radiation Oncology Jill Clemmer, Internal Medicine

2003/SUMMER ■ 25 AlumniNews Nuggets from books that have recently Taking a Reading come to Penn Medicine surgeon. He had encountered scurvy on his trips to the Far East, accu- rately recorded the symptoms in 1653, and even suggested the use of citrus fruit, among other medi- cines, for the treatment of the dis- ease. Like so many other medical discoveries, his observations were lost, buried in the literature, before a new generation of physicians, a hundred years later, completed the Medicine Under Sail treatment. As with wound healing, circle, returning to his forgotten (Naval Institute Press, 2002) they knew only that some measures advice. By Zachary B. Friedenberg, M.D., appeared to help and others did Woodall described cures for the G.M.E. ’49 not. How sea surgeons coped this disease that included adding plants Professor of orthopaedic surgery way for nearly three hundred years in the diet: spoon-wort (worm-wood), at Penn is both shocking and inspiring. green ginger, currants, raisins. He also recommended “pure water, A sailing ship on a long voyage good wine, and a fresh diet,” as well offered its crew every opportunity The sailor ill with scurvy is mis- as several lengthy prescriptions, for sickness except fresh contagion, erable. The first symptoms are most of which contain plant mate- and every port of call supplied that. weakness, lassitude, and malaise, rial. In addition, “the blood of Many vessels had no doctors, or all of which were recognized by beasts,” lemon juice, pepper, oil of only poorly trained ones who were surgeons as early as Woodall in vitriol, and various unguents were unable to provide timely treatment the 17th century. The first hemor- listed as curative. . . . He returns to even of the kind considered accept- rhages surrounded the hair folli- the bitter and sour (citrus) medicines able in the period. Against a back- cles. Bleeding spongy gums and and writes of the “juice of lemons, drop of rampant epidemics, wide- loosened teeth were noted next, limes, citrons, and oranges” as giving spread disease, and brutal naval then pinhead-sized skin hemor- the best cure. warfare between the 16th and the rhages known as petechiae devel- Unfortunately, he diluted the early part of the 19th centuries, oped; still later enormous purplish credibility of this statement by as- naval medicine coped with terrible blue discolorations of the skin, ec- serting that any other astringent conditions, with little knowledge to chymoses, spread throughout the could be used. But no solely human support it. Even in this enlightened body and progressed to open sores intervention would succeed in over- period, in which Newton and Har- and ulcers. coming this disease, he warned: vey flourished, doctors had no un- John Woodall served on several “Without invoking the hand of God, derstanding of disease or its effective trips to the East Indies as a barber- no medicine will work.”

Smart Medicine for a Healthy Prostate Unfortunately, my medical col- By contrast, complementary (Avery/Penguin Putnam Inc., 2001) leagues often advise their patients medicine is not well suited to handle By Mark W. McClure, M.D., not to use alternative therapies, acute medical emergencies, but it G.M.E. ’81 claiming that these therapies lack does a much better job of treating Director, Landmark Urology and scientific support. In spite of these chronic illness. For example, con- Complementary Medicine claims, a growing body of scientific ventional drug therapies help only a evidence suggests otherwise. In the third of the men with nonbacterial As a urologist who practices following chapters, I present a wide chronic prostatitis – an ill-defined, both conventional and comple- assortment of “evidence-based” al- non-infectious disease that plagues mentary medicine, I wear two hats. ternative therapies for prostate millions of men. Complementary When I don my conventional med- disease. . . . therapies (such as muscle relax- icine hat, I’m able to offer patients Complementary medicine and ation, stress reduction, and selected state-of-the-art therapies, the best conventional medicine each has its nutritional supplements) help the that modern science has to offer. strengths and weaknesses. For in- majority of these men. But by donning my other hat, I’m stance, conventional medicine ex- The main difference in the success able to offer men complementary cels at handling emergencies such rate between these two therapies therapies that make conventional as trauma, heart attacks, acute bac- can be traced to the fact that con- therapies more effective. In addi- terial infection, and reconstructive ventional medicine focuses on tion, complementary therapies cost surgery. However, it can be less ef- treating the disease, whereas com- less, have fewer side effects, and fective for treating chronic illness- plementary medicine focuses on frequently work when conventional es such as diabetes, heart disease, treating the patient. remedies have failed. cancer, and mental illness.

26 ■ PENN MEDICINE Progress Notes medical students. of Thoracic Surgeons put the ber 20, 2002 issue). Abington book on its web site for use by Hospital, where Star is an or- Compiled by Erin Hennessy C. Theodore Blaisdell, M.D. the general public for patient thopaedic surgeon, announced ’59, G.M.E. ’62, New Tripoli, Pa., information. The Ford-Webber that it would be diverting pa- Send your progress notes to: has retired from practice of Professor of Surgery and chief tients from its trauma center Penn Medicine Development and Alumni Relations anesthesiology. of cardiothoracic surgery for because many of its surgeons 3535 Market Street, Suite 750 Wayne State University, would not have insurance cov- Philadelphia, PA 19104-3309 Stephenson also serves as chief erage. Star and other doctors of cardiothoracic surgery at the are seeking coverage from re- Detroit Medical Center and ciprocal insurance exchanges in 70’s Harper Hospital. He is a former which the insured doctors own Karl Rosenfeld, M.D., G.M.E. faculty member at Penn, where the company. The model is sim- 40’s ’73, was appointed chair of the he held the J. William White ilar to that of mutual insurance William Weiss, M.D. ’44, Department of Surgery at Professorship in Surgery. companies. Philadelphia, emeritus profes- Phoenixville Hospital. At sor of medicine at Hahnemann Phoenixville since 1975, he Eliot B. Siegel, M.D. ’78, is in Edward V. Loftus Jr., M.D. ’88, Medical College (now Drexel previously served as treasurer private practice in ophthalmol- was recently promoted to asso- University), has published a of the medical staff. ogy in Santa Monica, Calif., ad- ciate professor of medicine at short novel called Khaki in a jacent to Saint John’s Hospital. Mayo Medical School and Long White Coat (Dorrance, Bernard Fisher, M.D., G.M.E. He is an associate clinical pro- elected a fellow of the American 2002). Set in a military hospital, ’74, the Distinguished Service fessor at UCLA/Jules Stein College of Gastroenterology. it describes the inefficiency of Professor of Surgery at the Eye Institute. He is a co-chair of the Patient career medical officers in situ- University of Pittsburgh, pub- Education Committee of the ations that often extend to the lished the results of a long-run- Donald E. Fetterolf, M.D. ’79, Crohn’s and Colitis Foundation point of absurdity. ning study of breast cancer treat- M.B.A., Pittsburgh, was recently of America, as well as a consult- ments in the August 22, 2002, named chief medical officer for ant in the division of gastroen- William W. Lander, M.D. ’49, edition of The New England Highmark, Inc. Known in the terology and hepatology of the Bryn Mawr, Pa., a family Journal of Medicine. The study Western part of Pennsylvania Mayo Clinic. practitioner, was elected vice concluded that women who as Highmark Blue Cross Blue president of the Pennsylvania underwent full mastectomies Shield and in the rest of the Vandana S. Mathur, M.D. ’88, Medical Society at its annual were no more likely to survive state as Highmark Blue Shield, is the president of a biotech con- meetinglast year. He will be- their illness than those who the company is one of the na- sulting company in the Silicon come president in 2004. Lander had less radical surgery. The tion’s largest Blue plans, serv- Valley that is involved in clinical is a former president of the study also found that radia- ing more than 3 million mem- drug development, phases I-IV. Montgomery County Medical tion therapy did not increase bers. Fetterolf serves on the An assistant professor of medi- Society. survival rates among cancer advisory committee that se- cine, nephrology, and transplan- patients. Fisher is scientific di- lects recipients of the Grants tation at the University of Cal- rector of the National Surgical for Innovation in Quality Im- ifornia at San Francisco, she has Adjuvant Breast and Bowel provement, a program spon- won numerous teaching and Project. sored by the American Associ- biotechnology awards. 50’s ation of Health Plans and Pfizer James Walker, M.D. ’53, has Richard A. Balderston, M.D. Inc. He was also co-chair of worked in public health at the ’77, G.M. ’82, clinical professor the Medical Informatics Forum University of Connecticut of orthopaedic surgery in Penn’s of the American College of School of Medicine since 1965, School of Medicine and chief Medical Quality. 90’s when he was a founding faculty of the spine service at Pennsyl- Charles H. Adler, M.D., G.M.E. member. He also started the vania Hospital, was profiled in ’90, followed his neurology Department of Community the November 8-12, 2002, edi- residency with a fellowship in Medicine and Health Care and tion of the Philadelphia Business movement disorders in 1991. the Division of Geriatrics. Al- Journal. The article reported 80’s Since then he has been on staff though he retired in 1998, he is that, because of Pennsylvania’s Satoshi Furukawa, M.D. ’84, at the Mayo Clinic in Scottsdale, still involved in the medical escalating malpractice rates, G.M.E. ’93, has been named Ariz., where he is currently community there. Balderston’s practice, Booth, section chief of cardiothoracic professor of neurology, chair of Bartolozzi, Balderston Or- surgery at Temple University the Mayo Clinic division of Carl Belber, M.D. ’58, retired thopaedics, has cut its staff by Hospital and School of Medi- movement disorders, and vice from the active clinical practice 10 percent, recently lost a pri- cine. Furukawa is internation- chair of the Mayo Clinic Scotts- of neurosurgery and as head of mary physician, and had to ally acclaimed in the fields of dale Research Committee. the division of neurosurgery at sever its ties with two mechanical cardiac-assist de- Carle Clinic in Urbana, Ill., on Philadelphia professional vices, heart and lung trans- Gary M. Phillips, M.D. ’92, June 30, 2000. He is still a clini- sports teams, the Eagles and plantation, and lung-volume G.M.E. ’97, was recently ap- cal associate professor at the the Flyers. reduction. pointed corporate vice presi- University of Illinois College of dent for global pharmaceutical Medicine in Urbana and he con- Larry W. Stephenson, M.D., Andrew M. Star, M.D., G.M. and vitreoretinal products at tinues to develop, design, and G.M.E. ’78, is the author of ’87, was interviewed for a Bausch & Lomb in Rochester, present the neurosurgery unit in State of the Heart: The Practical Philadelphia Inquirer article about N.Y. the Surgical Core Curriculum Guide to Your Heart and Heart the rising costs of medical mal- for the third- and fourth-year Surgery. Last year, the Society practice in Philadelphia (Decem-

2003/SUMMER ■ 27 AlumniNews

Rudi L. Laveran, M.D. ’93, is the OBITUARIES John A. Fritchey, M.D. ’29, Donald Lamont McMillan, assistant program director of the South Padre Island, Texas; M.D. ’36, Pittsburgh; Decem- Lankenau Hospital OB/Gyn James Conway, M.D. ’08, La- February 4, 2002. ber 31, 2002. He was a physi- residency program and has a conia, N.H.; December 1977. cian in the U.S. Army during practice in Broomall, Pa. Carleton W. Bullard, M.D., World War II and served as James K. Peden, M.D. ’14, G.M. ’31, Ruskin, Fla.; June 16, commanding officer of he 339th Eric L. Britton, M.D. ’96, is a G.M.E. ’14, Dallas; December 25, 1989. Hospital Unit of the U.S. Army full partner in a family teach- 1993. Reserves, retiring at the rank ing practice in north central Ludwig W. Eichna, M.D. ’32, of colonel. He practiced medi- London that is at the forefront William Kuemmel, M.D. ’22, G.M.E. ’36, Brooklyn, N.Y.; De- cine for 50 years, at Allegheny of providing primary health Mary Esther, Fla.; March 1983. cember 13, 2002. General Hospital and later St. care – in paperless fashion. He Clair Hospital. In addition, he heads the teaching of medical F. William Sunderman, M.D. Joseph A. Porter, M.D., G.M. was team doctor for the Mt. students and participates in ’23, Philadelphia; March 9, 2003. ’32, Clifton Heights, Pa.; Lebanon High School football the training of postgraduate Until recently, he was consid- March 14, 1992. team. physicians. ered the oldest working person in the United States, appearing George N. J. Sommer Jr., M.D. James Miles O’Brien, M.D. ’37, Sean Hennessy, Pharm.D., G.M. daily at the Institute for Clinical ’32, G.M.E. ’39, Yardley, Pa.; Hernet, Calif., ophthalmologist; ’96, an epidemiologist and as- Science at Pennsylvania Hospi- February 6, 2003. Sommer was September 15, 2002. During sistant professor of biostatistics tal, where he was director, to a founding member of the World War II, he served in the and epidemiology at Penn, was read manuscripts and edit the Pennsylvania Society of Tho- U.S. Navy in Guadalcanal and the lead scientist of a study Annals of Clinical and Laboratory racic Surgeons and a long-time on the U.S.S. carrier Kula Gulf published in the November 9, Science, which he founded 30 member of the College of CV108. A former resident at 2002, issue of The British Medical years ago. From 1925 to 1948, Physicians of Philadelphia. the Wills Eye Hospital in Journal. The study found that he was a faculty member of During World War II, he served Philadelphia, he performed re- schizophrenics who had been Penn’s Department of Research in the Army Medical Corps as search at the New England In- prescribed drugs were more Medicine and served as direc- chief of surgery at the 318th stitute for Research, the New likely to have experienced tor of the chemistry division of Station Hospital near Oxford, York Eye and Ear Infirmary, and heart problems than patients the William Pepper Laboratory, England; he earned the Legion the Institute at the Bronx Zoo. with other illnesses. where he developed methods of Merit medal and retired as a for measuring blood cholesterol, colonel. He was head of thoracic Edgar L. Ralston, M.D. ’37, Patricia Harger Holtz, M.D. ’98, glucose, and chloride. During surgery at St. Francis Medical G.M.E. ’41, Haverford, Pa., a Moorestown, N.J., finished her World War II, Sunderman Center in Trenton, N.J., from World War II veteran and for- pediatric residency at The Chil- worked on the Manhattan 1939 until he retired in 1977, mer chair of the Department of dren’s Hospital of Philadelphia Project, developing an antidote excluding the five years he Orthopaedic Surgery at Penn; in 2001 and is now working for nickel carbonyl poisoning. served in the Army. January 13, 2003. During his part-time in private practice as Other places he worked in- 17-year tenure as chair, he es- a general pediatrician. cluded the Cleveland Clinic, John A. Fraunfelder, M.D. ’33, tablished a research laboratory, the M. D. Anderson Hospital Nazareth, Pa.; December 24, expanded the residency pro- Loraine K. Endres, M.D., Cancer Center, and Emory 2001. gram, and increased the faculty G.M.E. ’99, completed her fel- University. Sunderman also and clinical programs. In 2001, lowship in maternal-fetal medi- taught at other Philadelphia V. K. Irvine, M.D. ’33, New Penn established the Edgar L. cine at Northwestern University medical schools, including Jef- Port Richey, Fla.; December 13, Ralston Lectureship in Or- and has joined the faculty at the ferson Medical College, where 1994. thopaedic Surgery. Muskingum University of Illinois at Chicago he was a professor of medicine College recognized him with Medical Center. and director of the division of Dorothea A. Pohlman, M.D. an award for distinguished metabolic research. He was the ’33, Philadelphia; October 5, service in 1975. founder of the Association of 1990. Clinical Scientists. A concert- Donald C. Schlotter, M.D. ’37, level violinist, he performed a Takeo Yamashita, M.D., G.M. Sandpoint, Idaho, a retired 00’s violin duet with his son at ’33, Allentown, Pa.; December anesthesiologist; January 23, Sachin Dheer, M.D. ’01, is do- Carnegie Hall on the occasion 1985. 2003. Schlotter was a founding ing a radiology residency at of his 100th birthday. Sunder- member of the Riverside (Calif.) Thomas Jefferson Hospital. man was an enthusiastic pho- O. Alton Watson, M.D., G.M. Anesthesia Medical Group tographer and wrote exten- ’33, Oklahoma City; October 2, and former president of the John P. Pryor, M.D., G.M.E. sively about chamber music, 2002. Watson was an emeritus Riverside County Medical As- ’01, a trauma surgeon at HUP, travel, and photography. In professor and former chairman sociation. He served as a cap- was profiled in a September 9, 1998, he published his autobi- of the Department of Otolaryn- tain in the U.S. Army during 2002, article in The Philadelphia ography, ATime to Remember. gology at the University of World War II. Inquirer about the rescue and Oklahoma Medical School. He treatment of survivors of the Leo Fink, M.D., G.M. ’26, Min- retired from his medical prac- Harvey H. Seiple, M.D., G.M. 9/11 terrorist attacks on the neapolis; May 1984. tice in 1999 at the age of 92. ’37, Millersville, Pa.; March 10, World Trade Center. Pryor was 1998. actively involved in the rescue Lawrence McHenry, M.D., G.M. John L. Ingham, M.D., G.M., of New York Port Authority ’28, Oklahoma City; June 1985. ’36, Dade City, Fla.; October 28, Jay E. Weidenhamer, M.D. ’37, police officer who was buried 1991. St. Petersburg, Fla.; July 18, 2002. under 30 feet of debris.

28 ■ PENN MEDICINE Milford L. Hobbs, M.D., G.M. created the “Glenn shunt,” used derbilt University; September 1, Association, the American ’38, Evans, Ga.; February 3, to bypass malformed right 2002. After a surgical internship College of Surgeons, and the 1993. chambers of the heart; devel- at Vanderbilt, he served in the International Society of Surgery. oped a technique to treat “blue Army Air Force during World In 1994, the University of William Brewster Mather, babies”; and helped to create War II as a flight surgeon. He Mississippi opened the James M.D. ’38, Wilkes Barre, Pa.; an early model of the artificial then took a residency at the D. Hardy Clinical Sciences January 22, 2003. He worked at heart. New York Ear and Eye Infir- Building. McCosh Infirmary at Princeton mary before opening his prac- University and was camp physi- George R. Gordon, M.D., tice in Nashville and later join- Edward Lillo Crain Jr., M.D. cian at Keewaydin Camp in G.M. ’40, Birmingham, Ala.; ing the medical faculty at Van- ’43A, Houston; January 18, Lake Dunmore, Vermont. April 12 1994. derbilt. 2003. He practiced and taught medicine in Houston for five Joseph F. Raffetto, M.D., G.M.E. Peter J. Keenan, M.D., G.M. ’40, Morton L. Poyas, M.D., G.M. decades. ’38, Bayville, N.J., October 27, Greenbrae, Calif.; November 10, ’41, Trenton, N.J.; December 13, 2002. He was director of pedi- 2002. 1996. John J. Dunphy, M.D. ’43A, atrics at Fitkin Hospital (now Camp Hill, Pa.; April 26, 1988. Jersey Shore Medical Center) Earl B. Wert, M.D. ’40, Mobile, George M. Austin, Jr., M.D. ’42, from 1950 to 1965. He estab- Ala.; July 23, 2001. Wert was G.M.E. ’49, Santa Barbara, Calif.; Carl L. Gamba, M.D. ’43A, lished that hospital’s Pediatric the Mobile County coroner for November 11, 2002. Aiken, S.C.; March 28, 1998. Allergy Clinic. He was an as- nearly 30 years before retiring sistant professor of pediatrics in 1982. He served as a pathol- George Ellis, M.D., G.M. ’42, Hiram E. Gomez, M.D. ’43A, in the allergy section at the ogist in the military during Chevy Chase, Md.; March 1985. Guaynabo, Puerto Rico; De- University of Medicine and World War II and was an in- William T. Gallaher, M.D. ’42, cember 3, 1996. Dentistry in Newark, N.J., and structor at Harvard Medical G.M.E. ’46, Bethany Beach, Del.; maintained a private practice School from 1947 to 1948. He retired obstetrician-gynecolo- Clarence S. Martin, M.D. ’43D, focused on children and adult practiced pathology at the Mo- gist; September 2, 2002. He was Whitefish, Mont.; April 17, 2002. allergy and immunology. He bile Infirmary Medical Center a captain in the U.S. Army served as a lieutenant com- from 1948 to 1986. Medical Corps and received C. Lowry Pressly, M.D. ’43A, mander in the Navy during the Bronze Star and the Purple Charlotte, N.C., a general and World War II. Kenneth Whitmer, M.D., G.M. Heart. He landed on Utah Beach thoracic surgeon; September 3, ’40, Miami; November 1985. on D-Day and participated in 2002. John R. Hannan, M.D. ’39, the 50th anniversary of D-Day Bellevue, Wash.; October 26, Ernest H. Williams, M.D. ’40, in France in 1992. Brooke Roberts, M.D. ’43, 2002. He was a partner in the Greenville, S.C.; August 17, G.M.E. ’50, Bryn Mawr, Pa., Doctors Hill and Thomas Ra- 2002. James D. Hardy, M.D. ’42, emeritus professor of surgery at diology Group in Cleveland, G.M.E. ’51, Jackson, Miss.; Feb- Penn; February 23, 2003. He worked at the Cleveland Clinic, Edward A. Agnew, M.D. ’41, ruary 19, 2003. He was chief of served in the U.S. Army Med- Deaconess and Mentor Hos- Wyomissing, Pa.; January 9, surgery at the University of ical Corps in the U.S. and Ger- pitals, and taught radiology at 2003. He was on the medical Mississippi Medical Center many during World War II. A Western Reserve University. staff of Reading Hospital and from 1955 until his retirement former chief of the division of He served as a captain in the maintained a private practice in 1987. He pioneered several vascular surgery at HUP, he U.S. Army Medical Corps and for 40 years. A veteran of World transplant operations, includ- had also been director of Penn’s helped launch the Army X-ray War II, he served as a flight ing the first animal-to-human fellowship program in periph- Training School during World surgeon, with the rank of ma- heart transplant in 1964, the eral vascular surgery. He helped War II. jor, in the Army Air Corps. He first human lung transplant in develop innovative surgical was a former secretary of the 1963, and a double-lung trans- treatments for aortic aneurysms Edward F. Kerman, M.D. ’39, Berks County Medical Associ- plant that left the heart in place and advocated the use of an- Atlanta; September 30, 1989. ation and received a 50-year in 1987. He served as editor in gioplasty. He was chair of award from the association. chief of the World Journal of HUP’s Medical Board from Andrew J. Panettieri, M.D., Surgery, Surgical Capsule and 1969-71 and served on the G.M. ’39, Delray Beach, Fla.; Charles H. Classen, M.D., Comment, and Advances in boards of Independence Blue January 26, 1999. G.M.E. ’41, Bryn Mawr, Pa., re- Surgery. In addition to editing Cross and the Measey Foun- tired physician and former di- Hardy’s Textbook of Surgery (for- dation. In 1982 he received the Sherman Garrison, M.D. ’40, rector of pediatrics at Bryn merly Rhoads’s Textbook of Strittmatter Award from the Fairton, N.J.; July 8, 2002. Mawr Hospital; January 11, Surgery), Hardy published more Philadelphia County Medical 2003. Classen taught at Penn’s personal books, including The Society. A surgical research Stanley Gerson, M.D., G.M. ’40, School of Medicine and The World of Surgery, 1945-1985: laboratory at HUP was named Paterson, N.J.; July 12, 1994. Children’s Hospital of Memoirs of One Participant for him in 1985, and a surgical Philadelphia. He was a former (1986) and The Academic Sur- chair at Penn Medicine will be William W. L. Glenn, M.D., president of the Philadelphia geon: An Autobiography, issued established in his name. G.M.E. ’40, Peterborough, N.H.; Pediatric Society and of the last year. His honors included March 10, 2003. He was a field Philadelphia Allergy Society. the Distinguished Graduate Lionel “Bud” Shaffer, M.D. surgeon in the U.S. Army Award from Penn’s School of ’43D, Blue Bell, Pa.; September Medical Corps during World William G. Kennon Jr., M.D. Medicine and induction into 24, 2002. He was a family medi- War II and was chief of cardio- ’41, G.M.E. ’45, Nashville, Tenn., the Alabama Healthcare Hall cine practitioner, affiliated with vascular surgery at Yale Uni- clinical emeritus professor of of Fame. He served as presi- Abington Memorial Hospital. versity from 1948 to 1975. He otorhinolaryngology at Van- dent of the American Surgical After retiring from medicine in

2003/SUMMER ■ 29 AlumniNews

1984, he resumed his interest Donald Grant MacKinnon, Bernard Hartnett, M.D., G.M. the SW Pacific Command un- in music, playing the saxo- M.D., G.M. ’46, Rockville, Md.; ’49, Auburn, N.Y.; April 1985. der Gen. MacArthur during phone, clarinet, and flute. In an ear-nose-and-throat special- World War II. He had private 1993, he organized a big band ist and retired U.S. Navy Flight Alan L. Klein, M.D., G.M. ’49, practices in Chandler, Ariz., and of 17 musicians called Main Surgeon; November 30, 2002. San Francisco; March 1994. Long Beach, Calif., and retired Street Sound. He served as a as chief of rehabilitation medi- physician in the U.S. Army, Joseph E. Skladany, M.D., G.M. Bert A. Morrow, M.D. ’49, cine at the VA Hospital of Sal- based in the United States, ’46, Mountain Top, Pa., an oral G.M. ’51, Reading, Pa.; August isbury, N.C. during World War II and the surgeon; September 22, 2002. 27, 2002. Korean War. An Army Air Corps veteran of John B. Harmon, M.D. ’51, Work War II, he reached the John M. Naame, M.D., G.M. Fort Worth, Texas; January 20, Morton Keyser, M.D. ’44, G.M. rank of lieutenant colonel. ’49, Margate, N.J.; January 13, 2003. He was an orthopaedic ’49, Kennett Square, Pa.; De- 2003. Said to be the first full- surgeon and director of the or- cember 3, 2002. He was chief Alfred M. Digiacomo, M.D., time orthopaedic surgeon in thopaedic residency program of the obstetrics and gynecolo- G.M.E. ’47, Ocean City, N.J.; Atlantic County, he worked at at John Peter Smith Hospital gy departments at Wilmington December 28, 1989. the Atlantic City Medical Cen- in Fort Worth until his retire- Medical Center and St. Francis ter, Bacharach Institute for Re- ment in 1982. In World War II, Hospital, and had served on Albert A. Carp, M.D., G.M. ’47, habilitation, and Shore Memo- he was a B-52 bomber pilot for the teaching staff at Jefferson Wynnewood, Pa.; October 16, rial Hospital for more than 50 the U.S. Air Force in the China- Medical School. He served in 1997. years. He had been a major in Burma-India Theater, retiring World War II as a transport William Rosensweig, M.D., the U.S. Air Force, where he as a full colonel. surgeon. G.M.E. ’47, Boca Raton, Fla.; trained in orthopaedic surgery. November 17, 2002. He had a He is featured in the “Legacy Walter L. Henley, M.D. ’51, Edward M. Krusen, M.D. ’44, general practice in Taylor, Pa. of Heroes” of World War II on G.M.E. ’55, the Bronx, N.Y.; Dallas, a pioneer in the field of He served in the Army Med- the web site of the American Summer 2002. neuromuscular disorders; Sep- ical Corps from 1942 to 1946. Academy of Orthopedic Sur- tember 14, 2002. Krusen served Before retiring in 1980, he ran geons (www.aaos.org). Worthy William McKinney, in the U.S. Army Medical Spe- a solo dermatology practice in M.D., G.M.E. ’51, Beckley, cialty Corps in Valley Forge, Wilkes Barre, Pa. for more Robert Raymond Surratt, W.Va.; December 24, 2002. He Pa., and Hot Springs, Ark., im- than 30 years. M.D., G.M. ’49, Jackson, Miss., served as a second lieutenant mediately after World War II. radiologist; January 8, 2003. in the U.S. Army Medical Ad- He established the Physical George N. Stein, M.D., G.M. He was a captain in the U.S. ministrative Corps from 1943 Medicine and Rehabilitation ’47, Largo, Fla., emeritus pro- Army Medical Corps and to 1956. He retired as a colonel Department at Baylor Univer- fessor of radiology at Penn; served in Japan and Korea in from the U.S. Army Reserve sity and served as chief there February 26, 2003. He worked the Korean War. Medical Corps. Affiliated with for 35 years. The annual Carrell- at Graduate Hospital for 20 The Beckley Miners Hospital, Krusen lecture symposium at years. In the late 1960s, he Daniel D. Talley III, M.D., he was in private practice Baylor was established to hon- moved to Presbyterian Hospi- G.M.E. ’49, Richmond, Va.; from 1959 until his retirement or his commitment to improv- tal, where he was head of the August 14, 1993. in 1988. ing the quality of life for peo- radiology department. He was ple with muscular dystrophy. a U.S. Army veteran of World R. Ross Roby, M.D. ’50, Ken- Millard Nobles, M.D., G.M. ’51, War II. nett Square, Pa., retired child Amarillo, Texas, radiologist; Charles N. Christensen, M.D. psychiatrist; November 17, December 23, 2002. He co- ’45, Indianapolis; July 8, 2002. John J. Delaney, M.D. ’48, 2002. Roby was a conscien- founded the Hereford Medical Morristown, N.J.; April 11, tious objector during World and Surgical Clinic in 1946. A Harold R. Horn, Jr., M.D. ’45, 1998. War II and performed his al- major in the U.S. Army with Lincoln, Nebr.; October 24, ternative service at Byberry the 82nd Airborne Division, he 2002. Robert J. Gibbons, M.D., State Psychiatric Hospital. was awarded the Silver Star. G.M. ’48, Pinehurst, N.C.; Au- Elmer L. Macht, Jr., M.D. ’45, gust 25, 2002. Carl R. Ruch, M.D. ’50, Bath, Charles Ratner, M.D., G.M. G.M. ’49, Blue Bell, Pa., retired Pa.; April 23, 2001. ’51, Los Angeles; January 1980. obstetrician and gynecologist; John J. Owen, M.D., G.M.E. December 6, 2002. He served in ’48, Bala Cynwyd, Pa.; Decem- Joseph R. Skyer, M.D., G.M. Kenneth J. Welch, M.D., the U.S. Army at Valley Forge ber 8, 2002. ’50, Palm Beach, Fla.; Novem- G.M.E. ’51, Auburndale, Army Hospital. He practiced at ber 12, 2002. He was an officer Mass.; January 18, 1996. Abington Memorial Hospital Frederick G. Panico, M.D. ’48, in the U.S. Army during in until 1997. Affiliated with Fox Ventnor City, N.J.; November World War II. He practiced in- Milton M. Cahn, M.D., G.M.E. Chase Cancer Center, Jeanes 16, 2001. ternal medicine and rheuma- ’52, Bala Cynwyd, Pa., derma- Hospital, Frankford Hospital, tology until 1987 in a practice tologist; December 27, 2002. At and Lower Bucks Hospital, he Will P. Pirkey, M.D., G.M. ’48, he shared with his wife of 59 84, he continued to work in taught at Temple University Lakewood, Colo.; April 5, years. his Center City Philadelphia Medical School in the 1980s. 1998. office several days a week and Seth Hoagland Douthett, M.D. was a professor of dermatol- R. W. Hillyard M.D. ’46, G.M. Samuel O. Banks, M.D., G.M. ’51, Green Valley, Ariz.; October ogy at Hahnemann University ’50, Jacksonville, Fla.; June 29, ’49, Nashville, Tenn.; August 31, 2002. He served in Arizona’s Medical School and Penn’s 2000. 14, 1995. Bushmaster Infantry Combat School of Medicine. He was a Team and as a captain with former president of the

30 ■ PENN MEDICINE Philadelphia Dermatological Andrew W. Butchko, M.D. in the X-ray department of in maintaining electrolyte bal- Society and a former chairman ’55, G.M.E. ’59, Sharon, Pa.; Bloomsburg Hospital for 23 ance. He published more than of the Dermatology Review November 5, 2001. years and was head of the de- 130 papers and received awards Committee of the Pennsylvania partment from 1978 until his from the American Heart As- Medical Society. He served in John H. Eves, M.D., G.M.E. ’55, retirement in 1996. sociation and the New York the Army Medical Corps in Doylestown, Pa.; December 10, Academy of Science. France during World War II 2002. He was the first board- Seana H. Shaw, M.D., G.M.E. and received the Bronze Star certified otolaryngologist in ’66, Miami; February 6, 2003. Harvey D. Silberman, M.D., in 1945. private practice in Doylestown, An associate professor of psy- G.M.E. ’68, Philadelphia; Au- where he practiced for 40 years chiatry at the University of gust 31, 2003. An otorhino- Thomas A. Hanson, M.D. ’52, before retiring in 1990. He Miami School of Medicine, she laryngologist, he invented the Augusta, Ga., November 1, served as a first lieutenant in helped develop the Women’s Flexible Fiberoptic Nasopharyn- 2002. the U.S. Army in the Korean Mental Health Program, the golarynscope, still in wide use. War and was a colonel in the Psychotherapy Training Pro- He served as a major in the Edward Vansant Dillon, M.D. Pennsylvania National Guard, gram, and a program for eat- Air Force and headed a med- ’52, G.M.E. ’58, Bryn Mawr, 108th Combat Support Hospital ing disorders. In 2000, she was ical department at Homestead Pa., retired surgeon; January Unit. recognized by the University Air Force Base, Fla. He was 23, 2003. A Navy veteran, he of Miami for excellence in chief of the otorhinolaryngolo- served in Guantanamo Bay George W. Lilley, M.D., G.M. teaching and patient care. gy departments at Elkins Park during World War II. He was ’53, Haverford, Pa.; September Hospital, Jeanes Hospital, and chief surgical resident at Bryn 24, 2001. Neville A. Baron, M.D., G.M. the Fox Chase Cancer Center. Mawr Hospital and taught at ’68, Secaucus, N.J., a pioneer Jefferson Medical College until Samuel K. McHutchinson, in the development of plastic Burton L. Williams, M.D., his retirement in 1990. He M.D. ’55, Kasota, Minn.; Janu- contact lenses; October 9, 2002. G.M. ’72, Newtown Square, Pa., served on the board of the ary 31, 2003. He was chief of staff at the retired radiologist; December 2, Bryn Mawr Rehabilitation Meadowlands Hospital before 2002. He served on the faculty Hospital Foundation. Theodore M. Offner, M.D. ’55, his retirement in 1984, having of Penn’s radiology department Philadelphia; November 4, served earlier as co-director of from 1968 until his retirement Anthony J. Palazzolo, M.D. 2002. He was affiliated with ophthalmology. He was the in the 1980s. Earlier, he served ’52, Philadelphia, internist; Holy Redeemer Hospital first African-American physi- in the U.S. Army Medical Corps November 4, 2002. After com- throughout his career and cian licensed to operate an and worked for 20 years as a pleting his residency at the old served as its chief of family ambulatory surgical center in radiologist at the Media Clinic. Philadelphia General Hospital, medicine. He practiced in his New York State. Baron received He was a former chairman of he served in the Air Force dur- home office from 1958 to 1999. patents for an ultraviolet lens the Chester-Wallingford Chap- ing the Korean War. He was sterilization process, for the ter of the American Red Cross on the staff at Jeanes Hospital Donald M. Schlabach, M.D., first procedure to reshape the and a former president of the for 40 years and served as G.M.’56, Erie, Pa.; August 1991. cornea using a laser, and for Media Rotary Club. medical director of The an eye drop that functioned Philadelphia Inquirer and the Stephen J. Prevoznik, M.D. like sunglasses. Charles Dixon Meyers, M.D., Philadelphia Daily News from ’59, G.M.E. ’62, Havertown, Pa., G.M.E. ’78, Mobile, Ala.; Janu- 1958 to 1989. emeritus professor of anesthe- Susan Greenawalt Coblentz, ary 30, 2003. He was the first sia at Penn; November 12, 2002. M.D. ’68, Rye, N.Y.; December clinical director of the Mobile Alden H. Hayden, M.D. ’53, Beginning in 1960, Prevoznik 25, 2002. Mental Health Center. After Pittsford, N.Y.; January 8, 2002. taught and practiced anesthe- retiring from private practice, siology at the Hospital of the David B. P. Goodman, M.D. ’68, he was clinical director of psy- Joseph F. Lutz, M.D., G.M.E. University of Pennsylvania, Ph.D. ’72, Wynnewood, Pa.; chiatry at Searcy Hospital. He ’54, Morristown, N.J.; Septem- becoming a full professor in February 17, 2003. Long asso- served in the U.S. Navy as a ber 24, 2002. He was the direc- 1978 and emeritus professor in ciated with Penn’s School of surgeon. tor and chief of anesthesiology 1994. He had served as clinical Medicine, he served as direc- at Orange Memorial Hospital director and vice chair of the tor of HUP’s endocrinology Mark A. Kessler, M.D. ’80, and later St. Mary’s Hospital. Department of Anesthesia. A laboratory. He completed his Philadelphia, research assistant He was a pioneer in the use of member of several professional internship at HUP in 1972, the professor of neurology at epidural anesthesia and invent- organizations, he was an ex- same year he earned his doc- Thomas Jefferson University; ed the Lutz Epidural Needle, aminer for the American torate in biochemistry from October 13, 2002. In his re- which he demonstrated in the Board of Anesthesiologists. Penn. After four years as a re- search, he achieved break- United States, Europe, and Asia. search associate at CHOP, he throughs in identifying a por- Luis J. Melendez, M.D., G.M.E. taught and conducted research tion of the human gene that Thomas Trunzo, M.D., G.M. ’59, Ponce, Puerto Rico; August in endocrinology at Yale Uni- could be used in treating ’54, Berlin, N.J.; December 1, 20, 2000. versity until rejoining Penn in Parkinson’s disease. He spent 2000. 1980. A professor of pathology 15 years at the University of William G. Gillespy, M.D., and laboratory medicine, he Wisconsin at Madison con- James E. Brennan, M.D., G.M. G.M. ’61, New Castle, Pa.; served for a time as director of ducting research in molecular ’55, Rochester, N.Y.; December 5, May 17, 2000. the William Pepper Laborato- biology. 1997. ry. His research dealt with David W. Knepley, M.D., how hormones and critical vi- Mark E. Rosenthal, M.D. ’80, G.M. ’65, Bloomsburg, Pa.; tamins work in the body, as G.M.E ’84, Dresher, Pa.; Sep- February 1, 2003. He worked well as the role of the kidney tember 19, 2002. He was a car-

2003/SUMMER ■ 31 AlumniNews Finding a Way diologist and director of cardiac surgery at Bryn Mawr Hospital electrophysiology at Abington and Delaware County Memor- Memorial Hospital, known na- ial Hospital, he had a private tionally as an expert in defib- practice on the Main Line. rillators and pacemakers. He Cram also traveled to Malawi, was affiliated with Doylestown Africa, six times to care for pa- Hospital and Presbyterian tients. He was a former presi- Medical Center. He had been a dent of the Philadelphia Or- clinical assistant professor of thopedic Society and the medicine at Penn since 1988. Pennsylvania Orthopedic Soci- ety, as well as a former director Maria Catherine Danaher, G.M. of the Medical Club of ’97, Newark, N.J.; November 15, Philadelphia. He was a fellow 2002. of the American College of ordon W. Webster, M.D. ’58, remembers some- Surgeons. thing his parents said during a discussion about his medical school tuition: “It will be hard,” they FACULTY DEATHS David B. P. Goodman, M.D., G Ph.D. See Class of ’68. said, “but we will find a way.” Rupert Billingham, F.R.S., for- And his parents, an actuary and a homemaker, did just mer chairman of the Depart- James D. Hardy, M.D. See that. Webster went on to earn his medical degree from ment of Medical Genetics; No- Class of ’42. Penn, his parents’ alma mater, after completing his under- vember 16, 2002. As a graduate graduate studies at Brown University. This winter, Gordon student at Oxford, he worked Stephen J. Prevoznik, M.D. and Joan Webster, his wife of 45 years, chose to honor with Sir Peter Medawar on See Class of ’59. his parents’ memory by creating a charitable remainder proving that cells could be in- trust that will ultimately establish the Lindsay M. Webster, duced to tolerate transplants. Edgar L. Ralston, M.D. See C ’25, & Marcia A. Webster, Ed ’29, Endowed Scholarship. He moved to Philadelphia in Class of ’37. “My parents did not have a lot of money, but they were 1959 to head a research group at the Wistar Institute before Brooke Roberts, M.D. See generous and always, always stressed education,” says chairing Penn’s medical genet- Class of ’43. Webster, of Newtown Square, Pa. “Even with his six ics from 1965 to 1971. Among grandchildren – my father gave them a small amount of his most important scientific James M. Sprague, M.S., Ph.D., money each month, which he hoped they would use for papers, he was the first person Berwyn, Pa., emeritus profes- graduate school.” to recognize and describe graft sor of cell and developmental Both of the elder Websters were the first in their families vs. host disease, as well as the biology; December 29, 2002. to attend college. Lindsay graduated with a degree in first to describe effective use of Before coming to Penn, he was English; Marcia became a teacher, then a homemaker. an immunosuppressive agent on the faculty of the Johns They lived in the same house in Drexel Hill for 60 years. (cortisone) to prolong allograft Hopkins School of Medicine “Penn was a large presence in their lives,” says Webster. survival. Although he was a and trained doctors for the basic scientist rather than a cli- military during World War II. In fact, he and Joan, a fellow Brown graduate, met nician, Billingham was a central In 1950 he joined Penn’s med- through his parents’ Penn friends. figure in the development of ical faculty and three years later After graduating from Penn, Webster began an internship Penn’s kidney transplant pro- founded the Institute of Neu- at Lankenau Hospital. Military service in Korea soon fol- gram. In 1971, he moved to the rological Sciences, where he lowed, after which Webster completed one year of medical University of Texas Southwest- served as director. In the 1960s residency at Hartford Hospital and two at Lankenau ern Medical School in Dallas as he discovered the “Sprague ef- Hospital. Webster enjoyed a 33-year career as an internist chair of the Department of Cell fect,” a reversible blindness at Lankenau Hospital with a private practice in Havertown, Biology and Anatomy, retiring caused by lesions on the brain. where Joan was office manager. They retired in 1997. in 1986. Among his many He chaired the Department of The high cost of medical education influenced their de- honors are membership in the Anatomy from 1968 to 1975. Royal Society, London, and In 1983, he was elected to the cision to support scholarships. “Today’s students are in the American Academy of National Academy of Sciences. debt and that is a terrible burden,” says Joan. “We wanted Arts and Sciences, as well as to offer them the same opportunity we had – no debt at an honorary degree from the George N. Stein, M.D. See graduation.” University of Pennsylvania. Class of ’47. The Websters say their philosophy of giving is not related to wealth but to helping other students – and their par- Milton M. Cahn, M.D. See F. William Sunderman, M.D., ents – “find a way”: “We are not rich, but giving to Penn Class of ’52. Ph.D. See Class of ’23. will benefit so many.” Charles H. Classen, M.D. See Burton L. Williams, M.D. See The Websters’ planned gift, with its tax advantages and Class of ’41. Class of ’72. payment stream, helped them find a way to make a Robert H. Cram, M.D.; De- significant gift to scholarships while enhancing their own cember 26, 2002. He became financial future. As you chart your financial future, the clinical professor of or- Planned Giving Office is ready to assist in developing an thopaedics at HUP in 1952. A appropriate strategy. Contact Marcie Merz, J.D., Director former chief of orthopaedic of Planned Giving, PENN Medicine, 3535 Market Street, Suite 750, Philadelphia, PA 19104-3309 or e-mail: [email protected].

32 ■ PENN MEDICINE The Last Word Robert Clink University Resources the graduate and undergraduate levels. For undergraduates, he lthough our School of Medi- reports, “our largest joint venture is cine has particular goals and the Biological Basis of Behavior responsibilities, it shares a major, one of the six largest majors greatA deal of common ground with for undergraduates in the College of other schools. There is enormous Arts and Sciences. Medical School potential for productive collabora- faculty teach in the program and tion. Like the other deans at the create many research experiences in University of Pennsylvania, I feel their labs.” Dr. Preston also cites our fortunate to be part of an intellec- new Department of Medical Ethics tually vibrant institution. as an important resource for inter- At the medical school, we have retain nurses at the hospital. Another school collaboration, pointing out that long sought interdisciplinary collab- collaboration is the Global Women’s it will “contribute an important Con- orations, as demonstrated by the Health Initiative, which we hope will centration to our new Health and many centers and institutes that cross enhance the efficiency and scope of Societies undergraduate major, again departmental and school bound- our faculty’s research and educa- involving valuable undergraduate aries. Early examples include the tional efforts in that area. research experiences.” Our Office of Abramson Cancer Center and the Dr. Alan M. Kelly, dean of the Research and Research Training, in Leonard Davis Institute of Health School of Veterinary Medicine, says Dr. Preston’s words, “has been Economics, which includes scholars Penn has “an awesome opportunity” exceptionally cooperative in these from Medicine, the Wharton School, to be the leader in several important and other teaching collaborations.” Nursing, Dental Medicine, and sev- interdisciplinary areas, such as stem- The Institute for Medicine and eral others. Similarly, the David cell biology, gene therapy, and the Engineering was established in 1996 Mahoney Institute of Neurological interconnected fields of bioterrorism as a way to systematically enhance Sciences draws many faculty mem- and emerging diseases. “It would the research and educational oppor- bers from the departments of Neu- be foolish not to join forces,” he says, tunities between our school and the roscience and Neurology, but also and I heartily agree. As Dr. Kelly engineering school. Recently, its from at least a dozen more medical points out, his school can provide dean, Dr. Eduardo Glandt, Dr. Peter departments. Other members come larger animal models for research F. Davies, director of the IME, and I from the School of Engineering and than our traditional laboratory rats agreed to broaden the institute’s Applied Science (SEAS), the School and mice. He cites the example of reach. As Dr. Davies explains, one of Veterinary Medicine, and the the French “boy-in-the-bubble,” of the institute’s recent initiatives is School of Arts and Sciences (SAS). whose Severe Combined Immuno- in translational research – accelerat- More recently, our school has deficiency Syndrome was apparently ing the application of basic research been involved in the creation of the cured through gene therapy but who to clinical care. Increased half-day Institute for Strategic Threat Analysis subsequently developed leukemia mini-symposia and workshops “cat- and Response, formed in the after- from the treatment. According to alyze interactions between princi- math of the 9/11 tragedy. A Uni- Dr. Kelly, we need models closer to pal investigators in both schools.” versity institute, I*STAR has as humans, such as dogs, to test the Recent examples include such events director Dr. Harvey Rubin, M.D., vectors necessary for delivering as “Applications of Systems Engineer- from our departments of Medicine successful gene therapy. ing in Medicine” and “Interdisci- and Microbiology. Its affiliated faculty Regarding bioterrorism and plinary Tissue Engineering.” There come from our school and all 11 emerging diseases, Dr. Kelly notes have also been more full-scale joint other University schools, creating that – as in the recent case of SARS symposia. Dr. Davies is also keen the rich cross-fertilization that we – the diseases often come from to develop sustained mentoring of hope will produce solutions for some “reservoirs of infection in animals.” junior faculty of both schools, to help of the grave problems of our time. Dr. Kelly, in fact, was among those them develop their careers in inter- In the last few years, our medical who helped develop a proposal for a disciplinary and translational school and hospitals have begun to Center for Emerging Infectious Dis- research. work more closely with Penn’s eases and Bioterrorism, prepared by Given these promising opportu- School of Nursing. Dr. Afaf Meleis, Dr. Robert W. Doms, our chair of nities, it is no surprise that one of Nursing’s dean, and I have spon- Microbiology. “We already do a the principles of our strategic plan is sored a lecture series that brought lot with the medical school,” says closer coordination with the Uni- Dr. Louis Sullivan, former secretary Dr. Kelley, but, given the overlaps versity. All of Penn’s schools stand of Health and Human Services, to in expertise and concerns, the oppor- to gain. ■ Penn to speak on diversity, cultural tunity for closer training of veterinary competence, and health disparities. and medical students is attractive. Arthur H. Rubenstein, M.B., B.Ch. Dr. Meleis also spoke at the unveil- Dr. Samuel H. Preston, dean of Executive Vice President of the University ing of HUP’s Nursing Network SAS, has been eager to increase our of Pennsylvania for the Health System Center, designed to attract and collaborative teaching efforts at both Dean, School of Medicine C. William Schwab, M.D., chief of Penn’s Division of Traumatology and Surgical Critical Care, describes the handgun bullet as “the most prevalent and pre- ventable pathogen” infecting our nation. More than 28,000 Americans die each year from firearm-related injuries. To fight this “epidemic,” Schwab and Therese S. Richmond, Ph.D., C.R.N.P., founded the Firearm Injury Center at Penn (FICAP). As Richmond, an associate pro- fessor in Penn’s School of Nurs- ing, puts it, “We’re experts at trauma care, but we’re coming into the picture too late.”

Non Profit UNIVERSITY OF PENNSYLVANIA MEDICAL CENTER Organization U.S. Postage 2018 Penn Tower 3400 Spruce Street PAID Philadelphia, PA 19104-4385 Phila., PA Permit No. 4097

Address Service Requested