::(::/::::::::::?? : :-:-::::-:- :.:.;.;..... }<).?>::::::::: :::N;jW;?%��/Volume 161909 graduates LEWIS, DOSEFF, BAMBERGER, and BAUGHER intently review Doseff's souvenirs from their Convocation fifty yearsaeo.2 MEDICAL ALUMNI BULLETINREUNIONThe Medical Alumni Reunion Banquetof the University of Chicago was held atthe Hotel Shoreland on June 10. In addition to honoring the 1959 graduatingclass and the 1909 graduates of RushMedical College, it marked a reunion ofthe class of 1949.Fiftieth AnniversaryPresident Henry T. Ricketts presided,and the first business was the presentation of testimonials to the Rush graduates in commemoration of their fiftiethanniversary. Those present were:Arrie Bamberger, who has specializedin surgery and has taught for thirty yearsat the University of Illinois, where he isprofessor of clinical surgery. He is a lifemember of the American College of Surgeons and a member of the AmericanBoard. For thirty-five years he has beenchief of surgery at the Jackson Park Hospital and is now its president.Albert H. Baugher, who took a residency in pathology at St. Luke's Hospital, is now associated with seven Chicago hospitals and clinics as pathologistand is one of the Coroner's Physicians ofCook County. He has lived in the University neighborhood ever since his graduation.Dosu Doseff came to this countryfrom Bulgaria in 1899 and can tell someof the most magnificent stories, not onlyof the hard work and excessive hours involved in getting himself through medicalschool, but of helping other desperateyoung Bulgarians in a strange land unable to find work and food. After hisinternship he visited Vienna for a timeand then returned to practice in Chicago.He worked at the clinics of the Municipal Tuberculosis Sanitarium and in othertypes of public health work until his re-tirement in 1949. 'Arthur J. Lewis, who interned at Passavant Memorial Hospital, establishedprivate practice in Henning, Minnesota,in 1911 and has remained there since. Inaddition to his practice, he has servedas counsel on the school board of thecommunity, as a member of the PublicHealth Office, and as director and president of the First National Bank. One ofhis sons is a physician in practice withhim, one is a dentist, one a geologist, andone a professional pharmacist, and hisdaughter has degrees in medical technology and pharmacy. THE MEDICAL AL.UNION BANQUETTHE UNI. CHICAGOHonoritlg1959 GRADUATING CLASS1909 GRADUATESOF RUSH MEDICAL COLLEGEREUNION OF THE CLASSOF 1949HOTEL SHORELANDJUNE THE TENTH, NINETEIIN HUNDRED fifTY-NINEMary Shutan taught histology at Chattanooga Medical College and took summer courses in bacteriology, chemistry,and anatomy at the University of Chicagobefore she joined the Rush Medical College as a "lone female" and graduated inthis class. She interned at Women's andChildren's Hospital in Boston, taughtphysical diagnosis to the female studentsat Rush, and practiced in the CentralFree Dispensary at Presbyterian Hospital. She is in the private practice ofinternal medicine in Chicago. Edgar Lee White, of Lewiston, Idaho,interned at St. Luke's in Spokane, wentto Lewiston in 1910, and has practicedthere and in neighboring Clarkston eversince except for one year at Camp Lewisduring World War 1. He built the WhiteHospital in 1916 and was its directoruntil 1946. He even conducted a nurses'training school from which twenty-ninewere graduated. 'Testimonials were sent to the othermembers of this class who were not ableto attend the Reunion. They are:Clarence T. Bell, Maryville, MissouriGeorge W. Blatherwick, Los AngelesHarry E. Bryant, Beverly Hills, Cali-forniaAlbert T. Charlton, Whittier, Cali·fornia 'Carl H. Davis, Miami, FloridaHarry E. Flansburg, Lincoln, Ne·braskaThomas E. Flinn, Remer, MinnesotaEverett L. Goar, Houston, TexasErnest M. Johnstone, Santa Cruz,CaliforniaJohn T. Strawn, Vinton, IowaJohn E. Marvel, Waynesville, IllinoisEverett S. McClelland, Los AngelesMilo M. Scheid, Rosendale, WisconsinAppropriate testimonials were sent toC. Willhite, '96, Grant City, MissouriAlfred W. Scobey, '95, St. Petersburg,FloridaDOSEFF of Chicago and WHITE of Idaho enjoy discussion of Chicago medicine withARCHIBALD HOYNE and MRS. DOSEFF.MEDICAL ALUMNI BULLETIN 3GOOD OLD DAYS IN BILLINGS HOSPITALADDRESS AT REUNION BANQUET, JUNE 10, 1959By STEPHEN ROTHMANProfessor of DermatologyWhen it became known that my address tonight would be entitled "GoodOld Days in Billings Hospital," severalof my older friends indicated that apparently I was the victim of a delusion.They hinted that those days, after all,had not been so very good but, in mymemory, simply seemed good to me because I had been so much younger then.In contrast to some ladies, I cheerfully admit that in twenty-one years Ihave become that much older. So, perhaps, I am a victim of a delusion. Certainly, in talking of good old days, I donot want to imply that the new, present,modern mechanized days are not good.Maybe next year a younger speaker willspeak here of the good new days, and Ishall not be surprised. But, by golly,those old days were really good.Medically speaking, things were simpler and more innocent. Everybodylooked at the liver from the front, andnobody thought of studying its profile.Kidney diseases were diagnosed fromthe urine, and nobody tried to pinch outa piece of kidney. We started to havesulfas, but we had no antibiotics, as theyhave nowadays, and no steroids. The"broad spectrum" was not yet invented.Thus, though we had some trouble, ourtroubles did not have such broad spectrum. Except for the dermatologist, nobody knew what lupus erythematodeswas or sarcoid or scleroderma, and, asfar as dermatomyositis was concerned,even the dermatologists knew very littleabout it, although they were supposedto. These were good old days when "disease of the blood" meant syphilis andnot leukemia. There were no psychiatricsocial workers, but the psychiatriststhemselves had a few closed-fist fightswith genuinely crazy patients. Therewas no radioactivity all over the placeit was confined to the X-Ray Department and to Dermatology, where wehad two measly radium plaques. Inhandling them, we were our own healthphysicists without extra pay. The Dean'sOffice periodically checked whether thetwo radium plaques were safe in thelead box but not because of health reaSOns. Rather, they were afraid the precious things might be stolen. This wasan age when the moon was the subjectof lyrical poems and not an object ofthe armed forces. "But, by golly "ParadiseEconomically and socially, BillingsHospital was a paradise. Lunch in thecafeteria cost 27 cents, and, believe it ornot, it was good. When the price wasraised to 29 cents, there was generalprotest, and some of the staff memberswent on a hunger strike. Those who hada car parked it in the bushes behind thebuilding. Nobody, not even the socialscientists, could have predicted theemergence of a privileged elite class ofradioisotopicists with a separate, elegant, well-cemented parking lot in frontof the new Argonne Hospital contrastingwith the non-privileged, not-radioactiveplebeians who, after the merciless removal of the bushes, still park behindthe building on a terrain which competesfavorably with the best roller-coastersin any amusement park.The main feature of serenity was thateverybody had time. Clinics were notovercrowded. There were no big budgets, grants-in-aid, or aids-in-grant. Wenever heard any mention of millions orhundreds of thousands or even tens ofthousands of dollars. Such astronomicalfigures occurred only in counting of bacterial colonies. There was an honest-togoodness penny-pinching policy at theUniversity. One of our head nursescounted the gauze pads put on the trayevery morning. The concept of projects in research was not yet invented. Wedid do some experiments in the laboratory, and, since they had not yet become"projects," we did them ourselves. Wedid not have to write nicely dressed-upquarterly reports to the armed forces orsome other agency. We just bragged tothe guy in the next laboratory how wonderfully the experiments had come out.A blessed small-scale principle permeated the place. The secretaries, technicians, and nurses had plenty of time,most of it spent with the boys. One ofthe technicians subjected the necktiesof the residents to critical analysis everymorning. Once a week the dermatologistsand the ladies went to the horse races inthe afternoon. Card-punching was notyet invented.In order to refute the idea that I enjoyed those days because I was younger,I hasten to emphasize that not everything was so wonderful and that quite afew things have been improved since.For instance, the students were compelled to play poker in small, uncomfortable locker rooms. They did notyet have for this purpose the students'lounge, with its magnificent easy chairsand bookshelves. Also, we did not havethe gift shop, this exquisite loafer's paradise where nobody can find you."The" Junior Medical StudentWhen I came to Billings Hospital in1938, I was deeply impressed with theway the new junior medical student hadto start to deal with patients in perfectignorance of all clinical matters. It vividly reminded me of an early childhoodexperience. I must have been about tenyears old when our family was invitedto visit over a summer week end withfriends who had a nice farm borderingthe Danube River. Our hosts, apparently eager to offer us some spectacle, arranged for the horses to be driven to theriver and to be taken for a swim. Ithappened that there were a few youngcolts in the herd which never before hadbeen in the water. But they came alongand were pushed into the river, so theyhad to swim. They did not know how toswim, but somehow they managed notto drown. They moved awkwardly andcomically, trying this and that. In anycase, they were able to keep their headsout of the water most of the time. See-4 MEDICAL ALUMNI BULLETINing this, I was tremendously impressed,particularly because at that time I hadjust completed ten elaborate swimminglessons in Budapest at the end of whichI was given a diploma as being a safeswimmer. The colts had no diplomas,but they did just about as well as I didin the fairly rapid stream.I had long forgotten this scene, but itemerged again when I first witnessed ajunior student at Billings walking intothe private room of a newly admittedpatient.. There were two personae dramatis facing each other, both scared todeath: the patient, a top executive whowas frightened that something might beseriously wrong with him, and the "doctor" who was scared because he did notknow what to do. The latter had no diploma, but he had to start to swim, andsome way or another he managed it.This was made somewhat easier by thefact that the executive was convincedthat the first doctor to examine him infamous Billings Hospital must be achampion swimmer. I am happy to say-happy for this graduating class andfor all subsequent generations-that thissystem is one of the wonderful thingswhich has survived without change allthe modernization, expansion, and mechanization of our age. The first contactof the patient with the fledgling medicalembryo still is not done via electroniccomputation. Two scared human soulsstill face each other directly withouttechnical interference. The further development of the student in the clinicalyears has equally impressed me. I camefrom Central European schools whereclinical teaching was almost exclusivelydone via lectures and without the thrillof facing the patient alone-of sensingthe development of that peculiar, almostmysterious attraction, called the "patient-doctor relationship," of learning tofeel responsibility and to understandthat in the patient one faces a humanbeing who, no matter what is wrong withhim, is not exactly depicted in any textbook.Each member of this graduating class,I am sure, will realize how much eachof you underwent a remarkable maturation process after having had your firstinterviews with patients in the junioryear. Up to then you were essentiallyschool children. You had acne and seborrhea; you did not dress and wash toocarefully; you studied books and lecturenotes but also found pleasure in cuttingclasses. You started to become adultmen and women when you faced yourfirst oatient. "Dr. Namhtor Nehpets"When I came to Billings Hospital, Iwas unduly impressed with the telepagesystem. I did hear back in Hungary thatin American hospitals doctors are calledthrough a loud-speaker system. But Iwas convinced that this must be the figment of a morbid fantasy because, afterall, such a system would greatly disturbthe patients. Well, as you all know, itdoes disturb the patients, but still it ishere, and it is real. As a newcomer Ilistened with rapture to all the peculiarnames which seemed to me enunciatedwith a peculiar pronunciation. I noticedthat some names were rather frequentlypaged and imagined that these must beby far the most important personalitiesin the place. One often-paged name was"Horse Gezon, Horse Gezon, Horse Gezon." You may have noticed I am fascinated with horses. After all, I am aproduct of the nineteenth century, whichwas quite a century of horses. "What'sthat?" I asked. "Do they even pagehorses here?" It was the name of HoraceGezon, who today is a well-known expertin antibiotic research.Another fascinating name was that ofOmar Fareed. For some reason or other,this name evoked in me all the mysteriesof the Middle East, of the ArabianNights. Omar Fareed-Harun al-Rashid!I would not have been surprised to hearpaged Aladdin and his wondrous lampor Ali Baba and the forty thieves. Lateron, when I met Dr. Fareed in flesh andblood, I was disappointed to see that hewore no turban and did not ride a camel.But I soon found out that he was aformidable tennis player. In the goodold days there were seventy or eightytennis courts on campus, and there wassuch a thing as a "Billings Hospital Tennis Tournament." I told you those werecozy times. I signed up, and OmarFareed beat me 6-0, 6-0 in 17 minutes.Coming back to the telepage, I wouldnot like you to think that I spent all myUniversity time just listening to the telepage. I pursued all kinds of other usefulactivities. One of them was to try to geta raise in salary. I was a beginner, andmy salary was low. This activity was indeed stimulating. It had to be carefullyplanned and prepared, and it definitelysharpened the academic mind."J. P." Rothman vi. AristotleIn my well-conceived campaign I firstwent to see the Head of the Section. Hewas sorry, he told me, but his budgetwould not oermit any raise. Next I went to the Head of the Department. He waa rabid Republican, even worse thaiDick Richter, a real forceful one, thlion-hunter type, if you know whatmean. As often as I met him, he gayme long lessons in political science. Hdiscoursed lengthily about the dangerof socialistic tendencies in the government.When I went to ask him for a raisehe told me that he knew full well thaI was getting less than a truck-driver ilNew York. Unfortunately, what hmeant was not that I was getting tOIlittle but that the truck-drivers were getting too much. And that did not hellme. I just could not afford to go to Ne:York and lead a crusade against thhigh pay of the truck-drivers there. Anyhow, this would not have improved m:finances, only my social status, namelyto be able to say that I was makinmore money than a truckdriver. Obviously, this was of secondary importance.Then I went to see the AssocianDean and the Dean, without results.But like a man who is dedicated tlhis just cause and who will go befonthe Supreme Court if necessary, I decided to go to see Mr. Hutchins. WheI asked him for a raise, he just lockeat me amazed and asked what I needemoney for. "Too much money will corrupt you," he said, and this was the enlof the interview.Needless to say, I finally did get igood raise, but this is another story.When I was invited to give thi:speech, the responsible authorities tollme that my talk should be easy and humorous. After all, it is an after-cocktailafter-dinner speech, and heavy stuff �not well received during the period 01digestion. But, later, I decided that thi:might be a good opportunity to pUIthrough a message to the graduatiaclass. After all, this is part of the COD'vocation, and it would be frivolous no:to take advantage of the opportunityTO OUR S1UDENTS1. Be HonestI do not know how funny I have beerso far, but I promise you that for theshort time left I shall be really seriousThe message I would like to give yOUis threefold. Be honest, do not rush, anilearn as long as you live.The admonition to be honest soun�rather flat and commonplace because, 01course, everybody is violently agaiI15:dishonesty. But. for us doctors, thing:MEDICAL ALUMNI BULLETIN 5Ire not quite so simple. They are simale as far as ethical honesty goes-youiust cannot ever be a good doctor or investigator if you are a crook. But intelectual honesty is violated in medicaloractice time and again.First of all, be honest to yourself andlever try to mask or to rationalize yourgnorance. Never try to tell yourself you:an master the situation diagnosticallyir therapeutically when you cannot. Al,\'ays be certain as to what you knowmd what you do not know. If you thinkthat the next man may know moreeither because he has had more experimce or because he is specialized in theoarticular field, do not hesitate to ask[or consultation even at the risk of losing the patient to him. Never mind losng patients to a colleague, because in.he long run you will profit in reputa:ion, as well as financially, if you call.he right consultant at the right timesnd do not try to paddle along on the;haky raft of a poorly supported tentalive diagnosis. I believe that yourschool has taught you what good medi:al care is when the doctor's activity isin the open, subject to discussion andcriticism at all times, and how admirableit is when the so-called experts get upmd honestly admit their mistakes.You cannot be entirely honest withyour patients in all circumstances. Onoccasions, you even have to tell some ofthem a straight lie. But there is such athing as an honest lie. I mean, again,that you should be clear in your ownmind of what you know, of what is truein your account to your patient andwhat is not, and why in your best judgment it is necessary not to tell the patient all the truth. In other words, whatever you say should be on firm ethicalgrounds so you can go to sleep with aclear conscience, satisfied that you havedone your best for the patient, or, in thewords of the Hippocratic oath, "Whatever houses I may visit, I will come forthe benefit of the sick, remaining freeof all intentional injustice and of allmischief."2. Do Not RushAs far as rushing goes, I believe thishas become one of the worst features ofmodem medical practice. More andmore persons seek medical help, partlybecause of the enlightening health propaganda and partly because of the stuPendous increase of functional complaints. The waiting rooms of most doctors are crowded, no matter whether they are (any) good or not. I appeal toyour good sense never to accept morepatients than you can take care of wellwithout pressure of time. This, too, willpayoff financially in the long run. Thebest doctor cannot do well if he is in ahurry. I am sure you have all kinds ofcomplaints about the shortcomings ofour medical school. But one thing youcertainly must admit: You have beentaught to take your time when you dealwith patients. Nobody ever rushed you,and you can never say that any of yourinstructors cut short the examination ofa patient. I hope this manner of teaching has impressed you and has becomean ingrained habit. Nothing is more repulsive to me than a busy practitionerwho is openly impatient and does nottake the time to answer the questionsof his patients (like some of our colleagues who see a hundred patients aday).3. Learn as Long as You LiveFinally, I implore you to go on withyour education. If you want to be gooddoctors, you will have to learn newthings every day, and, in order to learn,you will have to keep intellectually alertIt is dreadful to watch some physiciansafter they have become successful settling down smugly in some nice routine;to see them learning new things from thedrug salesmen only, otherwise relaxingtheir brains and hearts for the rest oftheir life.I hope you will never relax. I hopeyou will continue to look upon each patient as a new challenge, different fromany other patient as to his organic ailments and his personality. You musthave knowledge, you must think, andyou must be sympathetic with your fellow man who seeks your help.You heard me refer facetiously to thefinancial difficulties of men in the beginning of their academic career. However,my serious point is that those who seekto live in the sphere of the full-timesystem of an academic institution havean ardent devotion, a feeling which isfar more intense and more delightfulthan financial gain can ever give.Your school is unique. All your teachers' time is devoted to teaching and research, and our medical practice is apart of your learning process. In thegood old days of Billings this was a newand revolutionary idea. People on theoutside were bewildered. Some regardedus with suspicion or even hostility. Forme, coming from abroad, where professors reaped large harvests of private in- CLASS GIFTSPresident Ricketts returned to thepodium to introduce Nancy E. Warneras a representative of the class of 1949.She came to the front and, in her usualsuccinct manner, said: "Dr. R., I wouldlike to present to the Medical Alumni thischeck for $405 as an unrestricted giftfrom the class of 1949."EVANSRichard Evans, of the graduatingclass, presented a gift of $127 from the'59-ers made in lieu of dues toward afund to be used by the Association forspecial needs of medical students.come-just because they were professors-this single-minded devotion toteaching was overwhelming. And this ina country reputed to be predominantlymaterialistic.In the meantime our system hasproved its worth" and more and moremedical schools are emulating our example.FOR USFor us here in Billings the generousreturns have been our freedom to teach,the freedom to do research, to treat patients according to the dictates of ourconscience, and to produce physicianswho have intellectual curiosity, whohave learned good medicine and goodethics. If you are certain of your knowledge and thoughtful of your fellow man,whether he will be a patient, a colleague,or, later on, a student, you will be thevery doctors whom we have been hoping to produce ever since the good olddays in Billings Hospital. And we shallbe proud that we have taught you by ourown example.6 MEDICAL ALUMNI BULLETIND.S.A.Dean Coggeshall introduced the menwho presented the candidates for the Distinguished Service Awards:EISELEWright Adams presented C. WesleyEisele as a valued friend and former colleague. Dr. Eisele joined George F. Dickat The Clinics in 1933 and remained hereuntil 1951. His work in the Departmentof Medicine was mainly on studies related to Brucellosis. In 1951 he went tothe University of Colorado as associateprofessor of medicine and director ofpostgraduate medical education. His success in this pioneer development wasrewarded with an .assistant deanship in1957.C. Knight Aldrich presented MauriceFriend, '35. From his initial interests incardiovascular physiology and neurologyhe came to psychiatry, first at Bellevueand then at the New York State Psychiatric Institute. For fifteen years he wason the staff of the Child Guidance Institute of the Jewish Board of Guardians aswell as in the private practice of psychoanalysis. His major contribution has beenteaching the principles of psychiatry tostudents of social work. In recognition ofhis outstanding abilities in this significantarea of teaching, in 1956 he became theMarion E. Kenworthy Professor of Psychiatry of the New York School of SocialWork of Columbia University.One of the most touching moments inthe alumni meeting was when HarryOberhelman, Jr., '47, introduced his father for the Distinguished Service Award.A graduate of Rush Medical College in1921, Harry, Sr., spent several years inpathology. He trained under Lewis,Phemister, and Miller, and, as a surgical COGGESHALL and two OBERHELMANSpathologist at Presbyterian Hospital, hetaught many of the men who have sincetaught his sons at this medical school. In1941 he was made chairman of surgery atLoyola University and Mercy Hospital,where he has continued until his retirement this year. He developed a four-yearsurgical residency and produced a largenumber of able and qualified surgeons.FRlENDLowell T. Coggeshall then presentedErnest L. Stebbins, Rush 1930, professor of public health and dean of theSchool of Public Health and Hygiene atthe Johns Hopkins University. Stebbinswas a surgical intern with Dallas Phemister, took a degree of MPH at Hopkins in1932, went on to Virginia, then to NewYork, and, finally, back to the JohnsHopkins, where he has done a tremendousjob in the School of Hygiene and PublicHealth. IGOLD KEYThis year the Gold Key of the MedicAlumni was awarded to Fred LyrmAdair, Rush 1901, Mary Campau Ryeson Professor Emeritus of Obstetrics alGynecology. A student and associatand our present professor of pathology.Lying-in Hospital, Edith L. Potter, acepted the award for Dr. Adair. She sawe were honoring one of the world's gregentlemen and great scientists, a mrwho made us proud for all the world thhe was on our faculty. She expressed rgret for all of us that we were denied tlhonor of presenting the Key directly Ihim and the stimulation of the presemof this "great red-haired man with tlbushy eyebrows and magnificent smileDr. Adair was graduated from Rush]1901 and went to the University of Milnesota, where he remained until 1929. DPotter knew him there thirty-five yea:ago. He came to the University of Chcago as professor in 1929, became chaiman of the department in 1931, and ntired in 1942. He now resides in Floridand continues his great interest in mate]nal welfare and fetal anatomy and �thology.STEBBINSMEDICAL ALUMNI BULLETIN 7ARMENTROUTSTUDENT AWARDSJoseph J. Ceithaml, Dean of Students,poke of the Borden Award, presentedor outstanding research performed by aenior medical student every year since946. The committee, headed by Davidl'almage, had difficulty choosing amongight wonderful presentations. The eighttudents were presented, and Steven\rmentrout was given the award for hisaper on "Adenine Transaminase." Thenpers of Sanford Krantz and of Colenan Seskind were given honorable menion. Seskind's work received the stulent's award of the American Society of]inical Pathologists and the secondiward in the Student A.M.A. session. The)sler Medal was presented to Richard;rant for his study on "Antyllus, HisIVorks, and the Medicine of His Day,"!'ith honorable mention to Jane Pascale'or "The Dancing Mania."Dean Ceithaml then introduced thoseeniors who would graduate with honorsIt this Convocation. They were Steven�rmentrout, J ames Dahl, RichardEvans, and Gary Friedman.Graduating RICHARD LECK and wifeare fascinated by an illustrated lecture ofCHARLES HUGGINS. BALDWIN SPEAKS FORTHE SENIORSThe graduating class chose Lou Baldwin to represent them at the speaker'stable, and he did a handsome job.He described the talents of the classas ranging from genius and guile toprayer and luck. Of particular delightwas his description of "rounds manship, "as practiced by a select group of his classmates:"All during junior year, we were led onrounds by the attending men who hadthe discomforting habit of asking questions-about the patients, their diagnoses, etc.-which were usually metwith embarrassing silence."Every once in a while, however, oneof these students about whom I amspeaking would get a chance to get tothe library the night before and read allthe available literature on the case tobe presented. This is just the first partof the story."If you volunteer everything you knowthe next morning, that's fine-you haveread on the subject."If you wait until you are asked andgive all this information, you really looksmart."But roundsmanship is something morethan this-you have to draw the professor in, bait the trap, so to speak, andbeat him at his own game."I would like to tell you a story aboutthis, concerning a student sitting outthere now and an attending man, both ofwhom shall remain anonymous."The student happened to be assignedto a case of suspected rabies followingdog bite one day. The next morning hewas asked by the professor, 'What israbies?'"'Well, I think it's a virus, sir,' heanswered in the shakiest voice he couldmuster."Now, roundsmanship at this point isa very delicate proposition. You cannotlook so pitiful that the attending manlets you off the hook. You have to gethim to attack you."The professor then said, 'What doyou mean, you think it's a virus? Don'tyou know, Doctor?'"N ow this word 'doctor,' as appliedby an attending man to a student, isusually so sarcastic and requires suchlong years of practice that I can onlyimitate it."But, at this point, he had the professor where he wanted him. He had gothim to attack his stupidity, to make him BALDWINfeel miserable in his ignorance. He haddrawn him into the trap."'Well, sir,' he began, 'rabies wasoriginally described by Democritus in500 B.C. and again by Aristotle in 322B.C. However, the infectious nature ofthe disease was first made known byZinke in 1804, and in 1881 Pasteur demonstrated the infectious agent in thebrains of rabid animals, but it wasn'tuntil 1903 that Remlinger first showedthe ultramicroscopic nature of the virusby showing that it would pass throughBerkefield filters impervious to bacteria,'and on and on."While victories of this sort do notcome every day, or even every week, itis a real blow on the part of the studentbody. And it helps the student, too."All during the rest of the quarter,every time this student was asked something he did not know, he would put thesame look on his face and say, 'Well,sir, I think it's so-and-so.' Then hewould wait expectantly. He managed tofinish the entire quarter in this fashion,without ever again being challenged."The Oberhelman Clan: MRS. ROBERT,JOHN '57, MRS. 0., HARRY SR., HARRYJR., '47, ROBERT (an M.D. from Srrirch),and MRS. HARRY J R.8 MEDICAL ALUMNI BULLETININSULIN AS A REGULATOR OF CELL FUNCTIONInsulin is an anabolic hormone. Itsfunction is to favor the deposition ofexcess foodstuffs in some storage formand to promote the formation of materials for growth; it is required for thepituitary growth hormone and testosterone to produce optimal anabolic effectsin animals. The present discussion dealswith the mechanisms by which insulinregulates the metabolic activities ofmammalian cells.The Physiological BackgroundThe principal effects of insulin werefirst recognized by the defects which develop when it is deficient in the humanor animal subject, i.e., in diabetes mellitus. In current terms, these defectsare: (1) Subnormal glucose utilizationby tissues. This results in an increasedblood sugar and loss of the non-metabolized sugar in the urine. There may besome increase in glucose production fromnon-carbohydrate sources. (2) Decreasedprotein synthesis. This results in a negative nitrogen balance and, if severeenough, in tissue wastage as well as poorgrowth in juveniles. (3) Abnormalitiesof fat metabolism, such as decreasedfatty acid synthesis, ketosis, acidosiswith sodium loss and dehydration, andexcessive blood cholesterol levels. (4)An increased incidence of vascular disease. All these defects, except perhapsthe fourth, are corrected by administration of insulin.My colleagues and I are interested inthe physiological and chemical mechanisms by which insulin corrects thesedefects and favors anabolism. The results are of interest not only in diabetesbut in relation to other metabolic problems. In general, the technique we use isto remove tissues from suitably preparedanimals and study their response to hormones in vitro or in organ culture.Response of Individual Tissuesto InsulinNot all tissues respond to insulin; ithas no anabolic effects on plant cells oron cells of invertebrates; it increasesthe glucose uptake of certain tumor cells(rat melanoma) but not others (mouse By M. E. KRAHL, PH.D.Professor of PhysiologyKRAHLascites carcinoma). The well-establishedeffects of insulin on isolated mammaliantissues may be summarized as follows:1. Musclea) Excess: Increases glucose uptakeand glycogen synthesis; increasesprotein synthesis. These effects appear immediately in vitro.b) Deficiency: Reverse of excess.2. Adipose tissuea) Excess: Increases glucose uptakeand fat synthesis. These effects appear immediately in vitro.b) Deficiency: Reverse of excess plusvirtual disappearance of fat synthesizing capacity.3. Livera) Excess: Small increases in glycogensynthesis and fat synthesis can beproduced immediately in vitro.b) Deficiency: Decrease in glucose uptake, increase in glucose output,partial disappearance of fat-synthesizing and protein-synthesizing capacity. These defects are correctedby insulin in vitro only in tissues ofmild diabetics. When the diabetes issevere and long-standing, restoration of normal liver metabolism appears to require injection of insulininto the liver donor and lapse ofsome hours.4. Mammary glanda) Excess: Increases fat synthesis fromglucose or acetate in some species,not others.b) Deficiency: not studied. 5. Kidneya) Excess: No definitive effects reoported.b) Deficiency: Increase in glucose output.6. Cartilagea) Excess: Increases incorporation ofS04·into chondroitin sulfate; effe(tappears in vitro.b) Deficiency : Not studied.Insulin and Cellular MetabolicEventsA considerable amount of experimental work has now been carried out inmany laboratories to elucidate the detailed effects of insulin on carbohydrate.protein, and lipid metabolism. The remainder of the present discussion coversonly a few experiments which impingeon our own interests.About ten years ago insulin was shownto favor the entrance of galactose intothe intracellular phase of muscle. Fromthis and related observations it is nowestablished that one effect of insulin isto increase the rate of transport of certain sugars into and out of muscle cells.Our own studies have lately been concerned with the mechanism by which insulin enhances incorporation of aminoacid into protein of muscle and othertissues. In 1952 it was observed by accident that insulin could apparently stimulate incorporation of C14-labeled aminoacids into protein of diaphragm musclefrom fed rats without addition of glucose to the medium. These experimentshave recently been confirmed and great·ly extended. Insulin thus stimulates peptide synthesis by a mechanism whichdoes not depend on increased glucosetransport. The next question was whether the insulin stimulus to peptide synthesis was dependent on enhancement ofthe rate of amino acid transport by thehormone; the answer is that it does not.Insulin added in vitro favors incorporation into protein of radioactive aminoacid accumulated by the muscle in vivoprior to diaphragm removal. Further evidence for this conclusion is found in thefact that insulin added in vitro enhancesincorporation into protein, as amino acid.of C14 from various amino acid pre-MEDICAL ALUMNI BULLETIN 9cursors; no concurrent effect of insulinon accumulation of these substances isrequired.To account for these manifold effectsof insulin, a single mechanism of actionis proposed. According to this scheme,insulin interacts with specific structuralmolecules of extracellular-intracellularboundaries, thereby initiating a series ofintermolecular rearrangements which arepropagated along the boundary and intothe cell interior with the following consequences: First, access of glucose (andpossibly other water-soluble substancesto the intracellular phase is facilitated);second, intracellular barriers betweencertain enzymes and their substrates areremoved (this applies particularly toenzymes concerned in glycogen, protein,and fat synthesis); third, the efficiencyof substrate oxidation and energy transport may be altered (see figure). This action accounts for all the experimentalfindings and includes other current speculative mechanisms, such as facilitationof glucose transport and release of enzymes from inhibition.A SPECULATION ON MECHANISMOf INSUUN ACTION ON MUSCLEINSULIN.-EXlRACELL. INTRACEU..PHASE PHASE6. GlUCOSE MOLECULES8· caJ. BOUNDARYR. RETlCUUJII H. HEXOKINASE. ETC.F. CONTRACTLE ABERM. MITOCHONDRION(FROM KRAHL. 1956)This concept suggests that morphological studies of insulin effects with theelectron microscope might be informative. Such experiments have now beencarried out elsewhere on isolated ratadipose tissue, and substantial changesin cell structure after insulin treatmenthave indeed been demonstrated.To evaluate these speculations, it willbe necessary to develop techniques forlocation of hormones in cells, especiallycell barriers. The problem of explainingthe action of insulin has thus become aproblem of both physiology and solidstate physics. ll111ight Edlllin Q:lark19J 0 "J959CLARKOn July 24, 1959, after an illness oftwo months, Dwight E. Clark, Professorand Chairman of the Department ofSurgery, died of hepatitis in The University of Chicago Clinics. His death atforty-nine was one of the great tragediesin the life of the University. He wasalready one of the most eminent members of the faculty, yet one whose future was still so full of promise that theUniversity had intrusted an importantpart of its future to his plans. And hehad in addition an extraordinary gift forfriendship that made him a living partof all the University and his death apersonal loss to each of us.Dwight was born in Mount Eaton,Ohio, on July 28, 1910, the son of aphysician. He was graduated from Western Reserve University and completedhis medical education at the Universityof Rochester, where he did an extrayear of research in physiology. He cameto the University of Chicago in 1937,and, as a resident two· years later, hemarried Eleanor Melander, a graduateof the University of Chicago College.At the end of his residency he spentthree years in the service at Oak Ridgeand returned as associate professor andsecretary of the Department in 1947. In1958 he was chosen chairman of theDepartment to follow in the footstepsof Dallas B. Phemister and Lester R.Dragstedt, both of whom played majorroles in Dwight's surgical training andacademic development.In his short year as chairman DwightClark quickly and vigorously embarked upon an ambitious long-range plan forthe Department of Surgery. He addedoutstanding men to the staff and waslooking for others. He was reviewingand re-evaluating the teaching programand had great hopes for enlarging theresearch programs of the members ofthe surgical staff. Plans for building anew surgical wing were revitalized, and,ironically, announcement of the newArmour Clinical Research Building wasmade just a few days before Dwight'sdeath.His research, started during his residency on a variety of gastrointestinalproblems, turned to radioisotope studiesafter his interest was aroused at OakRidge. He developed the laboratorymethods for evaluating thyroid functionswhich were first used so successfully infollowing the large number of patientson whom he studied the effects of radioiodine therapy. Superb clinical studieson diseases of the thyroid, especiallyhyperthyroidism and carcinoma of thethyroid, developed from these basic laboratory experiments. He was one of thefirst to define the association betweenradiation in childhood and subsequentthyroid cancer. During the past fewyears he and his associates were usingthese same thyroid-function tests instudies on endocrine-gland homotransplantation.Yet, for all these honors and accomplishments, it will be Dwight Clark theindividual who will be long remembered.Dwight was one of those unusual individuals who helped to make The Clinicsgreat by drawing to it patients whowould have to come to him no matterwhere he was. But it was more than afollowing built upon a great reputationas a surgeon. It was almost a cult, drawntogether by an individual who couldmake others feel that he had some extrapower over life which he used in caringfor them. A patient from Milwaukee returning to Dwight for a once-a-yearcheckup was remembered as clearly asthe patient he was seeing every day inthe wards. Externs who have heardDwight explain such a patient's case willnever forget the patient's look of security and pride as he realized that hislife-its medical history and its humanproblems and interests-had been madea permanent part of the life of his physician. It is little wonder that we whom heknew will feel forever attached to him.Our sense of loss can be only a smallgauge of the immeasurable loss his deathbrings to his wife, Eleanor, and hisdaughters, Judy and Betty.10 MEDICAL ALUMNI BULLETIN1F>clbcrt ftlauritz)5rrgrnstal1917 "1959BERGENSTALDelbert Bergenstal has gone from theworld, a reality still difficult to graspjust as it was difficult in life to appreciate fully the depth of his personalityor the wealth of his talents.Born in Kansas City, Missouri, in1917, he received his college educationat the University of Arkansas. Therefollowed research in biochemistry atPurdue, where he was awarded the Doctor of Philosophy degree in 1943. Hisundergraduate training in medicine wasobtained at the University of Chicago(M.D., 1947), and this was followed bya residency in internal medicine atPresbyterian Hospital, New York. In1949 he returned to Chicago as DamonRunyon Clinical Research Fellow. In1951 he organized and directed the arthritis clinic at the University of Chicago, where he remained until 1955, attaining the rank of associate professorof medicine. He joined the staff of theNational Cancer Institute in 1955 as acommissioned officer of the PublicHealth Service. He was promoted toassistant chief of the EndocrinologyBranch in 1956.These facts are the bare frameworkof his professional career. To them havebeen added professional distinctions, society memberships, prize awards, andpositions of trust-all attesting to thehigh regard in which he was held by hiscolleagues in the medical profession.Without detracting in any way fromhis accomplishments, Delbert Bergenstalwas happiest and most effective when working with co-workers, and an evaluation of his accomplishments proves thathe was a great collaborator. Many ofhis associates were young medical students whom he was training. He contributed much to many programs, usually himself doing most of the work.He was distinguished for his contributions in the following fields.1. Some of the earlier studies on themetabolic influence of ACTH and excessesof cortisone. The characterization of thecatabolic processes induced by adrenal andthyroid hormones.2. The clinical management of adrenalectomy in man.3. The effect of adrenalectomy on advanced breast and prostatic cancer.4. The use of yttrium beads for the destruction of the hypophysis in man as ameans of favorably influencing the growthof metastatic breast cancer.S. Studies of the metabolic influence ofsynthetic steroids with corticoid and progestational activity.6. The demonstration that progesterone isa catabolic and natriuretic hormone.7. The securing of evidence that prolactinmay be protein anabolic in hypopituitaryindividuals.8. Demonstration that the uptake of radioactive sulfur by cartilage could be used asa means of quantitating hormonal action onthe growth of cartilage tissue-in particularpituitary growth hormone.9. Studies on the influence of D.D.D. onadrenal cancer.Delbert first joined the laboratory ofthe writer while he was an undergraduate student of medicine, and his firstwork was the isolation of steroid hormones from urine. He worked prodigiously and effectively and in an instantearned the affection of all his co-workers. Our association was very close forten years. During the period when itwas found out that the adrenal glandscould sustain mammary cancer in human beings, we had conversations lasting at least one hour a day and practically every day of the year. Always hegave the news of his family first andthen his work with the patients and hisnew discoveries; and there was alwaysthe talk of hormones and cancer andendocrinologists. But he would neverdiscuss art or politics or athletic sportsbecause only science and medicine werepure and dean and had validity.Del was a superb clinician with greatability in clinical investigation. He hada sunny personality which attractedfriends who were magnetized to him bystrong bonds of devotion. He was asympathetic physician who was adoredby his patients. He married AliceSchreiner and left two sons, Karl and RESIDENT STAFF NEWS IWalter Arons, '44-'45, is in practice inPalo Alto and a member of the endocrimdivision at Stanford University.Sheldon F. Baum, '55-'56, is cornpletiruresidency in internal medicine at the Hartford Hospital.Anthony Benages, after completing h�residency in radiology, has gone into practice in Terre Haute, Indiana.Robert Carter, '54-'59, is assistant professor of pediatrics at the University ojIowa.Duke Cho Choy, '43-'49, Honolulu, ha:been elected president of the Honolulu Pediatric Society.William Heidenreich went into the arm}after finishing his residency in radiology.Jay Jacoby, '46-'47, has left Ohio StateUniversity to become professor and directorof anesthesiology at Marquette Universityin Milwaukee.Gerald M. Litzky, '56-'57, is in residencyin urology at the University of MinnesotaThe Litzkys recently announced the arrivalof their second daughter, Janet Aileen.H. Relton McCarroll, '33-'34, S1. Louis.is president of the American Academy ofOrthopedic Surgeons.Francis Murphey, '33-'34, Memphis,Tennessee, has been elected vice-presidentof the Harvey Cushing Society.Harry Prosen, after a year in psychiatricresidency here, has returned to the University of Manitoba.Frederick N. Reed, after two years as aresident in orthopedics here, has enteredpractice in Great Falls, Montana.Emmett J. Ryan, '49-'52, was certified bythe American Board of Ophthalmology in19S3 and has practiced in Lynn, Massachusetts, since then.Edward L. Turner, '30-'31, is director ofthe A.M.A.'s new Division of Scientific Activities, which includes the Councils on Mental Health, Scientific Assembly, and Medical Education and Hospitals; the AmericanMedical Education Foundation; and theDepartment of Therapy and Research.Richard; they mourn his loss with hundreds of others.Early in 1957, it was discovered thathe was suffering from an advanced hepatic cirrhosis, possibly related to hislong contact with organic solvents in hisscientific work. He bore with equanimitythe knowledge that he was suffering froma fatal disease. He never complainedhe only worked the harder and with evengreater devotion to alleviating the plightof cancerous man. Death came on September 12. Thus ended a brilliant careerwhich already had permanent impact onhis chosen field of clinical endocrinologyand seemed destined to go to even higher levels of achievement.CHARLES HUGGINSMEDICAL ALUMNI BULLETIN 11Ruth Elaine 1:a�lor1895'1959TAYLORRuth Elaine Taylor was born September 6, 1895, in Emerson, Iowa. She attended Emerson High School and taughtthere for one year after her graduationfrom Parsons College in 1917. She wasgraduated from Rush Medical Collegeand interned at the Presbyterian Hospital until 1924. She was a resident atthe Durand Hospital for Contagious Diseases until 1927 and while there cameunder the inspiration of Drs. RuthTunicliffe and Ludvig Hektoen. Her interest in infections continued for therest of her life, but she became a wellrounded specialist in internal medicine.For many years she worked part timein the Student Health Service and parttime in the Department of Medicine atthe University of Chicago. Before thedays of chest microfilms, she pioneeredin the use of chest fluoroscopies as ascreening technique in the examinationof hundreds of entering students eachfall. It is possible that this radiationexposure hastened her untimely deathfrom leukemia on July 18, 1959.She later entered the private practiceof medicine where she quickly enjoyeda booming clientele of patients who wereto become extremely devoted. Her conscientious care resulted in such pressureof work for her that she finally becameexhausted and returned briefly to student health activities just prior to herterminal illness.Dr. Taylor was greatly interested inmusic and was an accomplished pianist.She frequently entertained and was entertained by her musically minded GIFT TO LIBRARYHONORS DR.FISHBEINA special medical exhibit featuringbooks which laid the foundation formodem-day medicine was presented atHarper Memorial Library.The exhibit, entitled "Great Works inMedicine," was organized in honor ofMorris Fishbein, Rush '12, noted physician and medical columnist. Many ofthe rare volumes on display had beenpresented to the University by Dr. andMrs. Fishbein.The books ranged from sixteen-century essays on self-medication to Edward Jenner's description of his work increating the smallpox vaccine.Jenner's epoch-making book, Inquiryinto the Causes and Effects of the Variolae Vaccinae, is a rare first edition published in 1798. During the exhibit, thebook was opened on the page whichexplained the experiment leading to thedevelopment of the smallpox vaccine.Among the most popular books of itsday was the display's The Treasure ofthe Pore Men, published in 1526 by anobscure printer named Robert Redman.For a bad toothache or for "wormes inthe tethe," a hot brew of pepper and winewas recommended. This formula as apain-killer was so popular that the bookwent through seven editions.One of the rarest books presented inthe exhibit is that of the sixteenth-century Spanish physician Michael Servetus.In 1553 Servetus published Christianismirestitutio, in which he theorized thatblood passes into the heart after beingmixed with air in the lungs. Authoritiesof the day held that the liver was thecenter of blood circulation, so that bothServetus and his books were burned atthe stake.The exhibition was grouped into sections devoted to significant works inanatomy, medicine, obstetrics, pathology,and surgery.friends. Some of these gatherings wereindeed memorable.Dr. Taylor's outstanding characteristic was a great insight into and a capacity for warm human relations. Thisapplied to her many friendships as wellas to her professional work. She wasforthright, but she had tact and a delightful sense of humor. She is sorelymissed by many people.EMMET B. BAY, M.D., Rush '23 PROMOTIONSTo Professor:Herbert S. Anker-BiochemistryWilliam K. Baker-ZoologyBertha Klein-OphthalmologyHelmut P. G. Seckel-PediatricsHewson H. Swift-ZoologyTo Associate Professor:Lawrence H. LanzI-Radiology, ACRHEdward S. Lyon, '53-UrologyMartin B. Mathews-La Rabida & Re-search Assoc., BiochemistryJohn F. Mullan-s-NeurosurgeryHarry A. Oberhelman Jr., '47-SurgeryErnst J. Plotz-Obstetrics & GynecologyHarry Trosman-PsychiatryNancy E. Warner-Pathology & Directorof Surgical PathologyTo Assistant Professor:Ross S. Benham-Medicine; ResearchAssoc., MicrobiologyRobert C. Carson-PsychiatryJoseph A. Cifonelli-La Rabida & Re-search Assoc., BiochemistryHerbert I. Jacobson-Ben May LabCharles Johnson, '54-MedicineJohn E. Kasik, '54-MedicineAlvin Markovitz-e-La Rabida & ResearchAssoc., MicrobiologyThomas S. Nelsen-SurgeryRoger W. Pearson-DermatologySara Schiller-La Rabida & ResearchAssoc., BiochemistryRobert L. Schaffer-BotanyJohn Sommer, '54-UrologyNels M. Strandiord '46-Radiology &Scholar in Radiological ResearchTo Instructor:Michael E. Blaw, '54-Pediatrics & NeurologyStanley P. Balcerzak, Jr.-Medicine &Chief ResidentRobert W. Brown-Medicine & ACRHLouis Cohen, '53-Medicine and FellowLester R. Dragstedt, Jr.-SurgeryEdgar Draper-PsychiatryWalter Feder-MedicinePaul Glickman-MedicineArthur Granston-PathologyHerbert B. Greenlee '55-SurgeryJohn I. Gross, '54-La Rabida & PediatricsRobert W. Harrison-Surgery & ChiefResident (Thoracic)Sumner Kraft, '55-MedicineRobert S. Levine, '55-SurgeryE. Byron O'Neill-OrthopedicsJohn J. O'Toole=-OphthalmologyHerzl D. Ragins-SurgeryKlaus Ranniger-RadiologyCharles R. Robinson-PathologyGeorge E. Scott-MedicineEdward A. Stemmer, '53-SurgeryConrad G. Thurstone, '53-Surgery12 MEDICAL ALUMNI BULLETINDEATHSFACULTY NEWSWilliam E. Adams is president of theAmerican Association of Thoracic Surgeryand secretary of the American College ofSurgeons.Nathaniel S. Apter was elected a councilor of the Illinois Psychiatric Society.Kimball C. Atwood and Howard C.Hopps, '41-'44, University of Texas, havebeen appointed to three-year terms on theselection committee for the senior researchfellowship program of the National Institutes of Health.Percival Bailey, '28-'39, resigned fromthe University of Illinois faculty to becomedirector of research at the new Illinois StatePsychiatric Institute in Chicago.Austin M. Brues, director of Argonne'sdivision of biological and medical research,visited Russian laboratories for a month inthe fall.Paul C. Bucy, '28-'41, Chicago, is president of the Society of Neurological Surgeons.Dean L. T. Coggeshall is a member ofthe A.M.A.'s Committee on Scientific Activities, and Stephen Rothman is a consultant. The committee met in a three-dayconference in September at Hershey, Pennsylvania, to discuss and make recommendations to the Board of Trustees of the A.M.A.on policy involving medical education, research, and science.Following recommendations of the ad hoccommittee appointed for the purpose, theCook County Coroner's office now employsa full-time well-trained forensic pathologist,and the county has given one million dollars to establish an Institute of ForensicPathology. Dean Coggeshall, who was chairman of the committee, anticipates that theUniversity of Chicago will be able to takeadvantage of its facilities for teaching purposes.Lester R. Dragstedt, Rush '21, has accepted an appointment on the surgical staffof the University of Florida College ofMedicine, where his former student, Edward R. Woodward, '42, is chairman. Lastspring Dr. and Mrs. Dragstedt spent amonth in Europe, where he lectured at several universities and received the DoctorHonoris Causa of the University of Lyon.In October Joseph P. Evans participatedin the twenty-fifth anniversary celebrationof the Neurological Institute in Montreal.He is spending the Autumn Quarter in Europe.E. M. K. Geiling, Frank P. Hixon Distinguished Service Professor Emeritus of Pharmacology, has been made head of the Pharmacodynamics Division of the Pure Foodand Drug Administration in Washington,D.C. In June, Dr. Geiling was awarded anhonorary degree from St. John's University,Brooklyn.Ralph Heine is president of the IllinoisPsychological Association.H. Close Hesseltine is president of theIllinois State Medical Society and vicechairman of the Committee on PrenatalCare of the Welfare Council of MetropolitanChicago. Dr. Hesseltine and Ray E. Brown, J. Garrott Allen has been namedProfessor and Executive of the Department of Surgery at the StanfordUniversity School of Medicine atPalo Alto.Dr. Allen has been a real professor,teaching and aiding students and residents; researching on plasma, proteins, irradiation, coagulation, etc.;and performing general surgery withspecial interests in hepatic and vascular surgery.We hope our great loss will meangreat gains for Stanford.Superintendent, are members of a jointcommittee appointed by the American Medical Association and the American HospitalAssociation to study the problem of professional liability.Paul C. Hodges attended the International Congress of Radiologists in Munichlast summer and spent two months visitingradiological institutions and factories inSweden, Holland, Germany, England, andRussia.Charles Huggins has been made Honorary Fellow of the Royal College of Surgeons in Edinburgh.Dwight J. Ingle is a member of the Committee on Clinical Investigation of the National Foundation and of the Board of Scientific Counselors of the National Instituteof Arthritis and Metabolic Diseases.William M. Ironside, '54-'59, has leftthe otolaryngology service to return toBritain, where he will be a member of thefaculty of the University of Leeds.Leon O. Jacobson, '39, has been appointed a permanent member of the advisory panel on radiation of the WorldHealth Organization. He is also a memberof the national advisory committee of theOklahoma Medical Research Foundation.Heinz Kohut is secretary of the ChicagoPsychoanalytic Society.Peter C. Kronfeld, '28-'33, has been appointed head of the Department of Ophthalmology of the University of Illinois.William Lester, '41, is secretary-treasurerof the Chicago Tuberculosis Society.Frank Newell has been appointed to thescientific board of the National Council ToCombat Blindness.John Van Prohaska, '33, is vice-presidentof the Chicago Surgical Society, Robert L.Schmitz, '38, is secretary, and T. HowardClarke, '38-'41, is recorder.David Talmage has been appointed professor of medicine and head of the sectionon immunology and allergy at the University of Colorado. He had been seven yearson our staff.Andrew Thomson, after eight years hereas intern, resident, and on the faculty inmedicine, has left Chicago to practice medicine in Seattle. He is on the clinical facultyof the University of Washington. '95. Jacob Franklin Gsell, Wichita, KaFebruary 12, age 85.Joseph Peter Heinen, Chicago, May Iage 86.'96. Homer P. Dredge, Minneapolis, Nvember 27, 1958, age 89.August F. Huxhold, Denver, j anuatage 89.'97. Harlow O. Caswell, Jefferson, WiMay 12, age 84.Edward G. Greenbaum, Los AngellAugust 21, age 76.'99. Edmund Henely, Osage, Iowa, Ap13, age 85.George F. Thompson, Chicago, Noverber 9, age 84.'00. Rupert A. Davies, Arlington, NelMarch 20, age 84.'01. James W. Barnebee, KalamazoMich., December 19, 1958, age 81.Frank A. Eckdall, Emporia, Kan., Ju31, age 86.John Anthony Gosling, Tiffin, OhiMay 8, age 85.Joseph c. Ohlmacher, Vermillion, S.IJuly 31, age 84.Joseph H. M. Otradovec, Chicago, NIvember 7, age 86.'03. William J. Bardsley, Park CitUtah, June 7, age 89.'04. Rodney W. Bliss, Oklahoma CitJanuary, age 81.Nicholas A. Madler, Greeley, Col., Felruary 6, age 77.Frank T. Potts, Decatur, IlL, July 2age 83.'05. Morris Braude, Chicago, June Iage 75.George Thomas Jordan, VerrnillioiS.D." May 17, age 83.'06. Miriam Bassoe, Evanston, Ill., Octrher 15, age 89.Carl August Heise, Story City, low;March 22, age 78.Harry E. Mock, Ormond Beach, FlaJune 30, age 78.Hall H. Thomas, Denver, February, ag81.'07. Arthur Frederick Byfield, EphrainWis., April 22, age 77.Irvin S. Koll, Beverly Hills, Calif., Ma30, age 75.Edwin C. McMullen, Pine Bluff, ArkMarch 9, age 79.'08. C. J. Fishman, Oklahoma City, Jul26, age 77.'09. John E. Ekstrom, Chicago, Augus24, 1958, age 76.Carl H. Parker, Carmel Valley, CalifMay 8, age 75.'12. Edward Hatton, Evanston, III. , August 15, age 83.Ralph C. Sullivan, Oak Park, Ill. , Apri29, age 72.'13. Helen F. Craig, Boise, Idaho, Aprilage 67.Harry Culver, Chicago, August 5, age 73MEDICAL ALUMNI BULLETIN 13James F. Jolley, Mexico, Mo., May 24,e71.Rey V. Luce, Santa Rosa, Calif., May 30,e 71.Harry Pamment, Toledo, Ohio, 1959,e 74.Rezin Reagan, Sioux Falls, S.D., May 10,.e 76.'14. Edgar W. Bedford, Minneapolis,me 23, age 71.Anders J. Weigen, Lincolnwood, IlL,anuary, age 70.'15. Eerko S. Aeilts, Sibley, Iowa, Junei, age 70.Lang F. Bowman, Wichita, Kan., May3, age 74.'16. Lucile S. Blachly, Oklahoma City,ipril 2, age 76.Martin R. Broman, Evanston, Ill., Auust 17, age 67.John R. Llewellyn, Salt Lake City, Febuary 7, age 72.Isidore Rabens, Lynwood, Calif., July5, age 69.'19. James Houloose, Long Beach, Calif.,anuary 11, age 70.'20. Albert F. Clements, Evansville, Ind.,uly 9, age 64.'21. Herbert E. Landes, Chicago, Septemer 24, age 65.Otis W. Saunders, Green Bay, Wis., June2, age 63.'23. Ernest 1. Jewell, Loganville, Wis.,lovember 22, 1958, age 62.'24. Clarence Cheong Chinn, Lanikai,lawaii, April 29, age 63.Irwin D. Siminson, Mineral Point, Wis.,[anuary 26, age 64.'26. Julius M. Amberson, USN, Laurel,\!d., February 18, 1958, age 63.'27. Nelson F. Fisher, Chicago, April 25,1ge 63.An:hur L. Higbee, Detroit, June 10, agei8.'28. Samuel R. Banfield, Highland Park,111., April 25, age 58.Robert E. Johannesen, Altadena, Calif.,.\pril 2, age 61.'29. Austin P. Lewis, Miami Beach, December 27, 1958, age 58.'30. Arthur A. Thieda, Cicero, Ill., Octoler 21, age 54.'33. E. Francis Egleston, San Francisco,�arch 15, age 54.'35. Thomas O. Cantwell, Harvey, Ill.,luly 9, age 60. /'36. Matsukichi Kanai, Albuquerque,'i.M., November 22, 1958, age 51.Barney I. Malbin, Portland, Ore., MayI, age 49.'37. Adrian 1. Ashworth, Buckhannon,W.va., May 2, age 49.Paul Edward Ross, Ottawa, Ill., April 13,age 53.'38. Frederic M. Kriete, San Francisco,July 25, age 46.FACULTYAdrian H. Vander Veer, pediatric psychiatry, 1940-50, Sharon, Wis., August 13,age 49.Clarence Bernstein, medicine, 1933-35,Orlando, Fla., April 23, age 53. GRADUATE NEWS'34. William B. Tucker, director of Tuberculosis Service in Veterans Administration since 1956, is president-elect of theAmerican Trudeau Scciety. William Barclay, head of the chest service here, is vicepresident., 37. Clinton Compere, associate professorof orthopedic surgery at Northwestern University, is directly responsible for the organization of a new Prosthetic EducationProgram. It will be the first of its kind inthe Midwest.'39. Victor Johnson was deputy president at the Second World Conference onMedical Education held in Chicago duringthe summer. Edward 1. Turner (Intern'30-'31) served as program chairman.'42. Herbert Domke became director ofthe Pittsburgh-Allegheny County HealthDepartment. He is also acting as an associate professor at the Pittsburgh GraduateSchool of Public Health.Robert T. Stormont, director of theA.M.A. Department of Therapy and Research and chairman of its advertising committee since 1950, has resigned to becomevice-president of the Vick Chemical Company.'44. David S. Fox is president of theJackson Park Branch of the Chicago Medical Society.'45. Justin Aalpoel is chief of thoracicsurgery at the VA Hospital in Portland,Oregon. He was certified by the AmericanBoard of Surgery in 1957 and by the Boardof Thoracic Surgery in 1958.'47. Robert Martelle is attending UCLAfor a year on a fellowship in pediatric cardiology. He will return to his pediatric practice in Fullerton, California, after he completes his study.Daniel C. Weaver is assistant professorof anesthesiology at Yale. He formerly waschief of the Anesthesiology Section at Lovelace Clinic in Albuquerque.'49. Walter Francke, of Billings, Montana, was married in June to Sandi Simpson,the former "Miss Vermont," according toWalter Winchell.Samuel Goldfein, Chicago, was marriedlast September to the former Ann Brown,who attended the University from 1946 to1949.'50. Henry N. Gelfand, New Orleans,spent three weeks in Africa last August inaugurating large-scale field trials of Koprowski Type 1 polio virus vaccine in children.The trials were in Leopoldville, BelgianCongo. He also spent some time investigating other polio-virus projects existing in theBelgian Congo and Ruanda Urundi. Beforecoming home, he attended the Sixth International Congress of Tropical Medicine andMalaria in Lisbon.'52. Louis Gluck completed his threeyear residency at Babies Hospital, Columbia-Presbyterian Medical Center, and isnow in charge of the newbern and premature nurseries at Stanford University. Twoof his papers have been published in thePediatrics Journal. '53. E. Russell Alexander, chief residentand instructor in pediatrics at The Clinics,has returned to the Public Health Service.He is stationed at the Communicable Disease Center in Atlanta as a member of theEpidemic Intelligence Service.'54. Thomas F. Dutcher finished his residency in pathology at Bethesda Naval Hospital. He is staying on at the National Institutes of Health to do further research inpathology. He and his wife, Freda, haveadopted a year-old girl, Julianne.'55. William Gillespie, having completedhis residency in dermatology at The Clinics,has entered private practice in Louisville,Kentucky.Kenneth Halprin is stationed at Lackland Air Force Base in San Antonio, Texas.He completed his residency in dermatologyat The Clinics in July.Saul Siegel, former chief resident inpsychiatry at The Clinics, is chief of outpatient psychiatry at Michael Reese Hospital in Chicago.Kenneth R. Wilcox has begun a training program in epidemiology at the University of Michigan.'56. Robert Druyan has been appointedby Harvard Medical School as a researchfellow at Peter Bent Brigham Hospital.Eugene Halpert, recently discharged fromthe army, has returned to Brooklyn to begina residency in psychiatry at Kings CountyHospital. He spent his main tour of dutyat the Mental Hygiene Clinics in Fort Hood,Texas.'57. Billie Lynn Ballard was married lastSeptember to Jerome T. Miller in Richmond,Kentucky. She will resume her work in cardiology in London. Her husband is an executive of the Wrigley Company.'58. Michael F. Golden is attendingWashington University in St. Louis, for ayear on a fellowship in neuropharmacology.He announced the arrival of a daughter,Nancy Ann, in March.Arnold Knepfer is a psychiatric residentat Mount Zion Hospital, San Francisco.John McEnery is in residency at L' Americain Hopital de Paris.Steve Mitchell is in residency at MountSinai, New York City. He is planning ongoing to England next year.Sandy Schreiber is in residency in psychiatry at Yale.Charles S. Tidball was awarded the F. S.Brandenberg Research Award upon completion of his internship at Madison General Hospital. He also spent five months aschief of service for geriatrics and infirmaryservices at Mendota State Hospital. He ispresently assistant research professor ofphysiology at George Washington University. His wife received her Ph.D. in physiology at the University of Wisconsin lastJune and plans to work in the National Institutes of Health in Bethesda.J. M. Whitman finished his internship atCook County Hospital and is in residenceat the Neuropsychiatric Institute at the University of Illinois.14 MEDICAL ALUMNI BULLETINCAREER CONFERENCETo be:A conference on careers in medicine at The University of Chicago Schoolof Medicine on January 30, 1960.For:Exceptionally promising and interested high-school seniors.Purpose:To assist in career planning of young people by exploring the range ofopportunity offered by the profession and the problems of training.How:By invitation of medical alumni and by high-school science advisers. Number limited by our facilities to 250. Admission by ticket only.Program:Small-group participation in selected laboratories engaged in clinical re-search.Small-group conference on problems of medical training, with members ofthe faculty and medical students.Panel discussion by distinguished members of the faculty of medicine onfuture horizons in medical science.RUSH NEWS'10. Johnson F. Hammond, Chicago, iseditor of the Journal oj the American Medical Association.'10. Franklin C. McLean, Chicago, hasbeen elected president of the Institute ofMedicine.'12. Morris Fishbein was honored on hisseventieth birthday at a dinner in the Guildhall of the Ambassador West Hotel in Chicago. Over three hundred friends attendedthe festivities, at which a portrait of Dr.Fishbein was formally presented to the library of the Hektoen Institute for MedicalResearch.'17. Sarah R. Kelman, in private psychiatric practice in New York, attended a meeting of the Carribean Division of the WorldHealth Organization in the Virgin Islandslast spring.LeRoy H. Sloan, emeritus professorof medicine at the University of Illinois,was named a Master in the American College of Physicians for his outstanding contributions to medicine. Masterships havebeen conferred upon only seven physicianssince the founding of the College in 1915.Dr. Sloan, who lives in the Dunes of Indiana, is a past president of the American College of Physicians.'25. Katherine Chapman Malone, ofColorado Springs, Colorado, has returnedfrom a three-year stay in Taiwan. Dr.Malone spent most of her time in ophthalmological research, especially in trachoma,the most frequent disease on the island.'28. Alexander Brunschwig, of NewYork City, was general chairman of the annual congress of the North AmericanFederation, International College of Surgeons, held in Chicago in September.Grace Hiller is director of StudentHealth Services at Goucher College in Towson, Maryland, a suburb of Baltimore.The behind-the-scenes, first-andfaithful Hilger Perry Jenkins, '27,who has worked for the AmericanCollege of Surgeons in much the samefashion as he has always helped theAlumni Association, has been dulyhonored by them. At the time of thepresentation of his DistinguishedService Award from the AmericanCollege of Surgeons, the happiness,spontaneity, and loudness of the ovation from the members of the Collegewas similar to that voiced by ourgroup at the 1959 Reunion when hereceived the Gold Key. The AmericanCollege presented their 1959 Distinguished Service Award to Dr. Jenkinswith the following citation:"For his long and faithful serviceon essential committees of the College; for his contribution as a Governor and a member of the ExecutiveCommittee of that Board; for hisselfless and untiring devotion to theMedical Motion Picture program;and for his dedication to and exemplification of the ideals of the American College of Surgeons." '30. Wayne Gordon, formerly of BillingsClinic, Billings, Montana, is now associateprofessor of medicine at Christian MedicalCollege in Vellore, India. Dr. Gordon hadserved as governor of the Montana chapterof the American College of Physicians andas a member of the State Board of MedicalExaminers.'31. Harold C. Wagner is president of theChicago Society of Allergy.'32. Frank Wood is teaching and practicing at the Presbyterian Mission Hospital atEbolona, French Cameroons.'35. Arthur W. Fleming has been appointed chairman of the pediatrics department at the Little Company of Mary Hospital, Evergreen Park, Illinois. A staff membersince 1950, Dr. Fleming became director ofthe hospital's nursery for premature babiesin 1954.Eva R. McGilvray and her husband aredoing medical missionary work in the Philippine Islands. They have opened a smallhospital in Quezon City, not too far fromManila.'37. Capt. Felix H. Ocko is serving aschief of the neuropsychiatric service at theU.S. Naval Hospital in Oakland, California,the West Coast treatment center for theNavy and Marines.Francis J. Phillips, director of the Greater Anchorage Health District, has beenelected president of the Alaskan Chapter ofthe American Trudeau Society.'38. Arthur Robinson has been grantedthe first combined appointment on the faculty of the University of. Colorado School ofMedicine: assistant professor of biophysicsand assistant clinical professor of pediatrics.'39. Robert M. Potter is vice-president ofthe Chicago Roentgen Society.'40. Clarence V. Hodges, head of theUniversity of Oregon Medical School's Division of Urology, was appointed professor ofsurgery at the university.The new clinic of the MunicipalTuberculosis Sanitorium, to be located at 3525 South Michigan Avenue, has been named in honor of thelate Ernest E. Irons, '03. The clinicwill care for 25 per cent of the tuberculous patients in Chicago.MEDICAL ALUMNI BULLETIN 15NEW APPOINTMENTSADAMSWilliam E. Adams has been namedChairman of the Department of Surgery.He has been the James Nelson and AnnaLouise Raymond Professor since 1954. Thisstarted with an M.D. in 1926 and an internship in 1927-28 at Iowa and a fellowshipand residency to instructor in 1931 at theUniversity of Chicago.He has a talent for being in on, or a primemover in, great events in thoracic surgery,although his modesty has not fostered loudacclaim for them. In 1933 he assisted EvartsGraham when he performed the first successful pneumonectomy for bronchogeniccarcinoma. Dr. Brian Blades's presidentialaddress at the American Association forThoracic Surgery in 1959 showed from hospital records signed "W.E.A." how vital washis care to the success of this venture. In1938, with the help of Dallas B. Phemister,he performed the first primary establishment of digestive-tract continuity withesophago-gastrostomy following esophagectomy for carcinoma. (N.B. Both these patients are still alive.) He pointed out cysticmalformation, rather than bronchiectasis,as a cause of many chronic pulmonary infections in the pre-antibiotic thirties andemphasized the need for surgical therapy.This conclusion was based on beautifulpathological studies performed on large(lobar plus) sections of resected specimens.He has been the leader in studies of pulmonary hypertension as related to surgicalresection of the lung and has provided dataand means to aid the surgeon in judgingtolerance of resection of part or all of onelung in the specific patient.He married Huberta M. Livingstone whenboth completed medical school in Iowa.They teamed at Billings as anesthesiologistsurgeon until she retired from the head ofour section of anesthesiology in 1952. Theirdaughter, Diana Isabella, famous as a Scottish dancer and bagpiper, is now a freshmanat Lake Forest College. Dwight J. Ingle, professor of physiologyin the Ben May Laboratory, has beennamed to the chairmanship of the Department of Physiology.INGLETrained at Idaho and Minnesota, researcher at Minnesota, Mayo Clinic, Pennsylvania, and Upjohn, Dwight Ingle performed initial and continuously vital research on the adrenal cortex and its hormones, especially cortisone and hydrocortisone.He has continued endocrinological studiesin relation to cancer with especial interestin liver relationships and quantitating liverregeneration.In addition to these researches, for whichhe has received prizes and the presidencyof the Endocrine Society, he is editor, withS. O. Waife of Indiana, of the sparkling newjournal, Perspectives in Biology and M edicine.John Howard Rust became professor ofpharmacology and chief of the newly established section of Nuclear Medicine onJuly 1. Dr. Rust was graduated from Kansas State University with a degree of Doctor of Veterinary Medicine in 1932, and in1956 he was granted a Ph.D. degree in pharmacology from the University of Chicago.He is especially fitted to direct the specialstudy of the long-range impact of nuclearenergy on public health. For many yearshe has studied animal physiology, the effectsof whole-body radiation injury, and fissionproduct metabolism in his work with theArmy and as project director in the Department of Food Technology of MassachusettsInstitute of Technology.The Rockefeller Foundation has approvedsupport of the new unit with a grant of$500,000.Dr. Rust is fifty years old, married, andhas four children. HOLADAYDuncan Holaday has come home. He became professor of surgery and head of thesection of anesthesiology on July 1.Duncan Holaday graduated from theUniversity of Chicago in 1940 and stayedon to receive his M.D. degree in 1943. Heleft us then to join the Department of Pharmacology at the Johns Hopkins University,and in 1950 he went to Columbia as assistant professor of anesthesiology. He becameassociate professor and associate attendingman in anesthesiology at the PresbyterianHospital of Columbia University.Throughout his career he has conductedeffective research related to anesthetic agentsin their pharmacological action on the central nervous system and body functions, andhe has also studied respiratory physiologywith systems for constantly monitoringacid-base and electrolyte phenomenathroughout periods of anesthesia.Duncan married Anita Christ when hewas a second-year student and they havefive children.RUST16 MEDICAL ALUMNI BULLETINNew President GEORGE STUPPY closesthe Reunion.MEDICAL ALUMNIOFFICERS FOR1959-60President George William Stuppy,Ph.D. in Bacteriology, 1929, M.D., 1932,is Rush Clinical Associate Professor ofMedicine at the University of IllinoisCollege of Medicine and president of theAttending Staff of the recently mergedPresbyterian-St. Luke's Hospital withits splendid new buildings on the WestSide.Dr. Stuppy came to the University in1928 and taught hygiene and bacteriology while working toward his Ph.D. andlater while he studied medicine. His research interests are in immunity to experimental pneumococcus infections andbacterial hypersensitivity. His specialtiesin internal medicine are allergy and arthritis. He was a lieutenant colonel in theArmy in World War II and in 1948joined the staff of the University of Illinois.With the co-ordination of the twohospital staffs at Presbyterian-St. Luke'saccomplished, he took off for six weeks in *NO MORE DUES!Europe in the early autumn and returnedrefreshed for his added responsibilitiesas Association President.Vice-President Mila I. Pierce, Rush'24, is Professor of Pediatrics. She is especially interested in blood disorders andneoplasms in children. During the warshe worked in Britain, first with the RedCross in a pediatrics hospital evacuatedfrom Liverpool and later as an officer ofthe U.S. Army at Great Ormond StreetHospital in London. She has been on thestaff at Bobs Roberts since 1946.Secretary David Fox is a graduate ofour medical school in 1944. He is in practice at Woodlawn" Clinic.Treasurer John D. Arnold, '46, is Associate Professor of Medicine at TheClinics. He has worked with Alf AlvingThe Medical Alumni Council has voted to discontinue the solicitation of itsmembers for annual dues.Many alumni have been confused by the number of separate requests fordues and gifts that have come to them from the two alumni organizations ofthe University. A series of conferences was held last spring and summer whichresulted in a plan that has been endorsed by the Alumni Foundation Board,the Medical Alumni Council, and the Dean of the Division of the BiologicalSciences.*THE NEW PLANDues: Medical Alumni dues are discontinued. In the future all alumni of TheUniversity of Chicago School of Medicine-Rush and the South Side, includinginterns, residents, and members of the faculty, past and present-will bePERMANENT MEMBERS of the Association. Our Bulletin will go FREEto all Medical Alumni.University Alumni dues will continue. They provide essential support forthe monthly publication of The University of Chicago Magazine.Gifts: From now on you will be asked to contribute to the University in oneappeal from both Alumni Associations. Your gift may be assigned to the Medical School, to specific medical school programs, or to the University generalfund. Wherever it is assigned, your gift will place you on the UniversityHONOR ROLL and, if it is $100 or more, on the CENTURY CLUB ROLLOF HONOR.In the past, annual dues have been used to help support the operatingbudget of the Medical Alumni Association. Life-membership dues, however,have for some time been treated as gifts. They have supplied funds for loansto students, interns, and residents as part of the Medical Alumni Loan Fund.We welcome you as permanent members, and we count on your continuedgenerous support of the Association and the Medical School.*since the Army days on the chemotherapyof malaria and cell growth and metabolism.BULLETINof the Alumni AssociationThe University of ChicagoSCHOOL OF MEDICINE950 East Fifty-ninth Street, Chicago 37, IllinoisVOL. 16 AUTUMN 1959 NO.1EDITORIAL BOARDPETER V. MOULDER, ChairmanWRIGHT ADAMS ROBERT J. HASTERLIKJQHN D. ARNOLD ELEANOR M. HUMPHREYSL. T. COGGESHALL HUBERTA LIVINGSTONEALBERT DORFMAN WALTER L. PALMERJESSIE BURNS MACLEAN, Secretary