contents Max Bartlett, MD ’54 Daniel H. Bessesen, MD ’82 Alan Best, Student Rep for Class of 2005 J. J. Cohen, MD, PhD, Honorary Ryan Downey, Student Rep for Class of 2006 David A. Dreitlein, MD ’98 Larry S. Fisher, MD ’70 Matthew B. Goodwin, MD ’87, President David S. Gordon, MD ’67 Gerald M. Hickman, MD ’65 Craig Hogan, Student Rep for Class of 2006 Srinivas Iyengar, MD, ’04 Richard Krugman, MD, Dean, Ex Officio Chris May, Student Rep for Class of 2007 Gerald B. Merenstein, MD, Honorary David M. Mills, MD ’57 Christine A. Petersen, MD ’71 Robert Rymer, MD ’68 Angelo Sambunaris, MD ’87 Douglas C. Scott, MD ’81 Gina Soriya, Student Rep for Class of 2005 Ahmed Stowers, MD ’88 Jessica Tennant, Student Rep for Class of 2008 Arthur Waldbaum, MD, ’74 Julie Zimbelman, MD ’94 Robert Zucherman, MD ’55 Dean, School of Medicine Richard D. Krugman, MD Director of Alumni Relations Wende Reoch Art Director Lorie Dehart Photography Casey A. Cass Mike Cobb Mark Groth, Inside Cover All rights reserved. The contents of this magazine may not be reproduced without permission. We are usually able and pleased to extend such permission; please contact the Alumni Office to do so. www.uchsc.edu/alumni CU Medicine Today is published two times a year for alumni of the University of Colorado School of Medicine. Contributions are encouraged. For more information, write to: UCHSC Office of Alumni Relations 4200 E. Ninth Ave., A-080 Denver, CO 80262; E-mail: [email protected] or call 303-315-8832 or toll-free 1-877-HSC-ALUM. The views and opinions expressed in this publication are not necessarily those of the University of Colorado School of Medicine or the CU Medical Alumni Association. The University of Colorado is committed to equal employment opportunity and affirmative action. CU Medicine Spring 2005 Dean’s Message CU in the News 2 4 Leadership Changes, Class Size May Increase, After Hours Callers, and More Alumni Profile 8 Jack Comstock, MD: A Survivor’s Story POW Survivors Doctors at War Faculty Profile 12 14 16 Colleen Conry, MD Bench to Bedside 18 New Cooling Device Saves Lives Legislative Outlook 21 Following Health Care Policy at the Capitol Fitzsimons Update 22 Research Complex Officially Opens CME Calendar President’s Message Class Notes 24 25 26 Alumni Updates and Obituaries Student Column 30 A Summer in Chilé Thank You Alumni Match Day New Beginnings for the Class of 2005 32 33 C O N T E N T S CU Medical Alumni Association Board of Directors 1 dean’s message DEAN’S MESSAGE 2 Perspectives T There are many changes afoot at the University of Colorado. As you may know, University of Colorado President Elizabeth Hoffman has announced that she will step down at the end of the academic year. At the School of Medicine, we have many things for which to be thankful to President Hoffman. Since I joined the faculty 32 years ago, I have seen a lot of presidents of the university. In my opinion, during her first four years, Betsy combined the academic values of Arnold Weber, the energy and outreach skills of Gordon Gee and the political acumen of John Buechner into one person. The events of the last year have clearly been wearing and have taken their toll. In addition, there are a lot of changes going on in the upper levels of administration on campus at the moment. The search is underway for a new Chancellor of the combined University of Colorado at Denver and Health Sciences Center campus. Jim Shore announced his plan to step down no later than October 31, 2005 after six years on the job. Dennis Brimhall, CEO of the University of Colorado Hospital, announced his resignation in February to be effective June 1, 2005. Dennis has been in the job for 17 years, and has been the only CEO the hospital has had since it separated from the Health Sciences Center in 1991. A search is underway for his position as well. What is the impact of so many vacancies in the upper levels of our University and Health Sciences Center administration? Only the future will tell. Yet, as I’ve said time and time again, it is the students, the faculty and the School’s alumni and supporters that make the institution. Given the onslaught of media coverage about the issues in Boulder, perhaps it is time for a fresh start to reinvigorate the University of Colorado. It’s easy for us to draw the distinction between what goes on here on the Health Sciences Center campus and Boulder’s football and drinking issues, but for the general public, the reality is that our reputation has undoubtedly been affected by everything that is swirling in Boulder. That’s why it’s so critical for us at the School of Medicine and for our supporters to focus on the impact we have every day rather than the latest headline in the newspaper. We must continue to build bridges to the community. We must develop new public/private partnerships that leverage the knowledge and innovation of our faculty. Most importantly, we must all stand up for our reputation. Let us not forget that out of all public medical schools, the University of Colorado School of Medicine is currently ranked 4th in the nation by NIH expenditures, according to the American Association of Medical Colleges. Our tagline speaks to our vision: “The School of Medicine: Advancing Science. Improving Care.” We must be proud of that vision, embrace it, and live it each and every day. It is that image of our collective future that drives our daily activities and strategic planning. Now we must simply continue the work we have begun together to bring that vision to fruition. R Speaking of moving forward, we are within months of the roll-out of our new curriculum. The Class is almost selected – it will probably be the best class we have ever enrolled in the history of the University of Colorado School of Medicine – and August 8th they will begin orientation with classes beginning the following week on “The Ides of August”. Nearly a hundred faculty have been involved in the design and construction of the new curriculum. The outline of it is covered accompanying graphic. No effort this large could have happened without the cooperation of all our department chairs, the current course directors and, last but not least, our students. The students have actually funded the cost of the new infrastructure for our curriculum with a 4% surcharge on dean’s message their tuition for the last three years. This additional tuition will generate a million ongoing dollars in our school budget (which is necessary since we have taken cuts over 36% in our state funding over the last few years). R We noted some significant historic events this past winter. On January 26, 2005 the School of Medicine celebrated (quietly) our 80th anniversary on the Ninth and Colorado campus. Prior to that day in 1925, the basic science faculty were in Boulder, and the clinical faculty were in downtown Denver at an early rendition of Colorado General Hospital. On February 25, 2005 we honored the first AfricanAmerican graduate of our School. Dr. Charles James Blackwood, Jr., MD, graduated in 1947 and went on to achieve many other firsts. He was our first AfricanAmerican clinical faculty member and the first African-American on the staff at St. Luke’s Hospital. It was a wonderful ceremony, although long overdue. R We have begun a series of evening gettogethers at the Northern Trust Bank in Denver for our alumni, where two of our faculty discuss or debate a topic of interest. The first one related to pharmaceutical marketing to patients and physicians (the pros and cons of both). Nearly 30 alumni came for the event. I am also planning trips to Phoenix and Kansas City next fall to visit with alumni in those regions to bring them up to date on what is going on here. Speaking of “what’s going on here,” that is the title of a weekly e-mail newsletter that I have started to send out to 1800 members of the School’s faculty every week. If you are interested in receiving a copy, send an e-mail to [email protected] and we will add you to the list. Best wishes for the summer. Richard Krugman, MD Dean P.S. Be sure to read the compelling account of Col. Jack Comstock and his experience as a prisoner of war. 3 cu in the news CU IN THE NEWS 4 CU in the news President Hoffman resigns post ‘in the University’s best interest’ In the wake of 14 months of intense controversy and public scrutiny, CU President Elizabeth Hoffman announced that she is resigning as president, effective June 30 or when the Board of Regents appoints a successor. Dr. Hoffman cited negative attention on her role as leader of the University as the reason for her resignation. “It appears to me it is in the University’s best interest that I remove the issue of my future from the debate so that nothing inhibits CU’s ability to successfully create the bright future it so deserves,” Dr. Hoffman said in her March 7 resignation letter to the regents. Dean Krugman: School of Medicine excelling despite loss of state funds The CU School of Medicine is in excellent shape despite the erosion of state funding for the School, Dean Richard Krugman told faculty at his annual State of the School address. “We have growth in our clinical enterprise, new research facilities and space, and are developing an entirely new curriculum, even though our state funds are eroding,” Dr. Krugman said. “This speaks to the extremely high quality of our talented and energetic faculty.” Dr. Krugman said that the School was ranked fourth in the country among public medical schools in federal research grant and contract awards in the American Association of Medical Colleges institutional goals report for 2002-03, with the School trailing only the University of Washington, University of California, Los Angeles and the University of California, San Francisco. The School of Medicine was ranked 15th among the 126 public and private medical schools in the United States. Even though faculty are adept at bringing research funding and clinical earnings to the campus, dwindling state funding is pushing the School to explore higher tuition and larger class sizes, Dr. Krugman said. The School also is exploring ways to develop and increase its endowment, Dr. Krugman said. “We must develop an endowment to serve as the blood bank when other sources of funding start to hemorrhage,” he said. “We have been great at establishing endowed chairs, but in addition, we need to focus our efforts on building our endowment.” The current goal is to raise $500 million over five years, he added, and he said he has created an impressive council of advisors from business, higher education, health care and philanthropic agencies to aid in building the endowment. CU medical student one of 5 Pisacano Leadership scholars Oswaldo “Ozzie” Grenardo, a fourth-year medical student at the CU School of Medicine, has been selected as one of five 2004 Pisacano Scholars. Scholarships from the Pisacano Leadership Foundation are awarded to highly accomplished students with a strong commitment to family practice, who are expected to become the future leaders of the specialty. Mr. Grenardo is the third CU student to be selected for the program since its inception in 1994. CU School of Medicine class size could increase According to the School’s faculty committee exploring the issue, the School could accommodate an increase in class size of 12-16 students a year, even before the School moves to the Fitzsimons campus. The Ninth Avenue and Colorado Boulevard campus can accommodate only a small increase in the number of students because it has limited basic-science lab space for classes such as anatomy. However, when the School moves to a planned new education complex at Fitzsimons, it will be able to expand the class size by 36 to 40 students. The medical school has not changed its class size, currently capped at 132 students per year, since 1972. Since class size was capped, the state’s population has doubled, from 2.2 million to 4.5 million. The increases in cu in the news population have ratcheted up the number of Colorado residents who qualify to enter medical school, but the School cannot accommodate them. This has resulted in Colorado having one of the lowest medical-student-to-statepopulation ratios in the country. According to the 2004 annual report from the School of Medicine admissions committee, the School received 2,512 applications for its 132 slots. Of those applicants, 589 were Colorado residents, and only 131 Colorado residents were offered admission. In response to a question, Dean Richard Krugman said the school could easily accept 30 to 40 more students “while keeping high student quality.” CU School of Medicine to study online system for Diabetics The University of Colorado School of Medicine was recently awarded a grant from the Robert Wood Johnson Foundation, through its Health e-Technologies Initiative, to study an Internet application called Diabetes System to Access Records (Diabetes-STAR). The $400,000 grant will fund a two-year study of Diabetes-STAR by the School of Medicine’s Colorado Health Outcomes Program. DiabetesSTAR is designed to assist people living with Type II diabetes by providing them with customized information and advice, and by facilitating the patients’ electronic communication with their medical providers. Patients can use Diabetes-STAR to access information in their medical records, send messages to hospital staff, schedule appointments, request referrals and refill prescriptions. Diabetes-STAR will enable patients to maintain diaries of their blood sugar and blood pressure and to track lab test results. It will also assist patients in overcoming barriers that impede their goals for better diet and exercise habits. Beginning Dec. 1, the study will involve 450 patients who are already being treated for Type II diabetes at University of Colorado Hospital’s outpatient clinics. Two versions of the Diabetes-STAR program will be compared in a randomized trial. Results are expected to be announced in September 2006. CU School of Medicine team gets $6.8 million grant to study renal disease Researchers in the School’s Department of Medicine Division of Renal Diseases and Hypertension have been awarded a $6.8 million research grant to further their studies on the regulation of the antidiuretic hormone arginine vasopressin. Robert Schrier, MD, of renal diseases and hypertension has been principal investigator on this program project grant from the National Institutes of Health for the last 25 years, and the current grant is funded for years 26 to 30. Tomas Berl, MD, head of renal diseases and hypertension, and Raphael Nemenoff, PhD, of medicine and pharmacology are co-investigators on the grant. The research involves study of the molecular and cellular mechanisms of perturbations in water metabolism in endocrine disorders including thyroid and adrenal diseases, and the vascular and epithelial actions of vasopressin. CU School of Medicine honors first AfricanAmerican graduate In recognition of Black History Month, the CU School of Medicine held a reception Feb. 25, celebrating the life and accomplishments of Charles James Blackwood, Jr., MD, the first African-American graduate of the CU School of Medicine in 1947. Blackwood also was the first African-American clinical professor of medicine at the School and the first AfricanAmerican on the staff of St. Luke’s Hospital. He graduated from the CU School of Medicine in the top 10 of his class. Barbara Davis Center for Childhood Diabetes celebrates 100,000th patient visit The Barbara Davis Center for Childhood Diabetes at the CU School of Medicine completed the 100,000th patient visit March 10. The center, which opened in 1980, provides clinical services for children, adolescents and young adults with Type I diabetes. Additionally, the center supports substantial clinical and basic science research programs to prevent and ultimately cure this chronic life-threatening disease. The clinical team at the Barbara Davis Center provides care to more than 5,000 registered patients, including 3,400 children seen by the pediatric clinic, making it one of the largest diabetes centers in the world. More than 20 percent of the patients come from outside Colorado, mostly the Rocky Mountain region, but some travel 5 6 cu in the news CU in the news from areas as remote as South Africa, Turkey, Ukraine, Israel, Jordan, China, England and Chilé. The Barbara Davis Center leads the nation in childhood diabetes research, translating the newest discoveries into routine practice. Study shows no correlation in suicide attempts and antidepressant use in teens Researchers at the CU School of Medicine recently concluded an observational study to test the theory that antidepressant use by teens put them at increased risk for attempting suicide. The study, recently published in the international journal CNS Drugs, found no correlation between antidepressant use and suicide attempt in teens after adjusting for many related factors. The study was completed by observing a sample of managed care enrollees across the United States, ages 12 to 18, who were newly diagnosed with major depressive disorder between January 1997 and March 2003. Frequent after-hours callers to family physicians use more resources A new study published in the December issue of the Annals of Family Medicine finds that patients who make frequent after-hours telephone calls to family physicians’ offices use more health resources than other patients. David E. Hildebrandt, PhD, and John M. Westfall, MD, MPH, of the CU School of Medicine, coauthored the study. The study finds frequent callers are predominantly female patients experiencing anxiety, depression, chronic illness or pain. Compared with other patients, frequent callers have three times as many office visits, medical diagnoses, and medication prescriptions and eight times as many hospital admissions. Faculty news UCDHSC Chancellor James Shore announces his 2005 retirement James H. Shore, MD, Chancellor of the University of Colorado at Denver and Health Sciences Center, will resign as chancellor no later than Oct. 31, 2005. Chancellor Shore has given notice of his intent to allow time to complete a search for his successor by the fall of 2005. Dr. Shore, 64, will remain a tenured professor in the Department of Psychiatry at the University of Colorado School of Medicine. Since 1998, Dr. Shore has served as chancellor of the CU Health Sciences Center, during which time the $2.3 billion move to Fitzsimons became a reality and, under his leadership, the timeline was accelerated. Dr. Shore has served as chancellor of CU Denver and Health Sciences Center since the campuses were consolidated in July 2004. During his tenure at the CU Health Sciences Center, Dr. Shore presided over unprecedented growth in institutional revenues, including a doubling of outside research dollars to some $300 million in the last fiscal year. Despite state budget challenges in recent years, the CU Health Sciences Center has continued to grow by all measures – employment, economic impact, number of students, student financial aid and scholarships – as well as an impressive $320 million in private funds. From 1985 to 1999, Dr. Shore was professor and chair of the department of psychiatry and superintendent of the Colorado Psychiatric Hospital. Prior to that, he was professor and chairman of psychiatry at Oregon Health Sciences University. Dr. Shore received his MD degree at Duke University in 1965 and completed his psychiatric residency training at the University of Washington in Seattle in 1969. His work with Native Americans and the Indian Health Service earned him a Commendation Medal from the U.S. Public Health Service. Dr. Freedman elected to Institute of Medicine Robert Freedman, MD, chair of psychiatry and professor of psychiatry and pharmacology at the CU School of Medicine, was recently elected to the Institute of Medicine of the National Academies. Dr. Freedman was one of 65 new members, raising the IOM’s total active membership to 1,416. Members are elected through a highly selective process that recognizes people who have made major contributions to the advancement of the medical sciences, health care, and public health. Election is considered one of the highest honors in the fields of medicine and health. Current active members elect new members from among candidates nominated for their professional achievement and commitment to service. Dr. Freedman was nominated for his work in the treatment of psychotic disorders, including schizophrenia and substance abuse. He co-founded the Institute for Children’s Mental Disorders, and is cu in the news director of the Schizophrenia Research Center and director of mental illness research education at the Denver VA Medical Center. Dr. Freedman and his faculty colleagues received a major grant from the National Institute of Mental Health and are currently working to develop a new treatment for schizophrenia and bipolar disorder through manipulation of chemical responses in the brain. Dr. Freedman’s election to the IOM brings the total number of members from the CU School of Medicine to ten. Others are Frederick C. Battaglia, MD, John J. Conger, MD, Larry A. Green, MD, Richard G. Johnston, Jr., MD, Spero M. Manson, MD, Bernard W. Nelson, MD, Robert W. Schrier, MD, James E. Strain, MD, and David W. Talmage, MD. Paul Bunn, MD is among the highest national oncology thought leaders Dr. Bunn, of the CU Cancer Center has been named a national “Thought Leader” for non-small cell lung cancer, in one of nine BioMedical Insights Inc. Thought Leader Reports. Based on about 600 survey responses from medical practitioners, BioMedical Insights ranked national “thought leaders,” also known as key opinion leaders, for each tumor type. Other tumor types surveyed were breast, colorectal, prostate, head and neck, melanoma, non-Hodgkin’s lymphoma, ovarian and pancreatic. Thought leaders were defined as experienced peers to whom a physician would look for advice and insight, an individual involved in important clinical research or one who is widely published and recognized as an expert in the field. Robert D. D’Ambrosia, MD recognized for lifetime achievement in orthopaedics The New Jersey Orthopaedic Society - the oldest orthopaedic state society - recently bestowed its highest honor, the Goldenberg Lecture Award, upon Dr. D’Ambrosia, at its 29th Annual Fall Symposium. This award is presented annually to a nationally prominent speaker or lecturer in honor of Raphael Goldenberg, MD, a leading orthopaedic surgeon and former chief of orthopaedic surgery at St. Joseph’s Hospital and Medical Center in Patterson, NJ. Dr. D’Ambrosia, a Denver resident, serves as professor and chair of orthopaedic surgery at the CU School of Medicine, where he is actively involved in residency selection, training and mentoring. In addition to serving as editor-inchief of Orthopaedics magazine, he is also the president-elect of the American Section of International Society of Orthopaedic Surgery and Traumatology and pastpresident of the American Academy of Orthopaedic Surgeons. CU-Boulder chancellor accepts position at University of Colorado Hospital Richard L. Byyny, MD, chancellor of the University of Colorado at Boulder since 1997, accepted a position as executive director of a new health policy center at the University of Colorado Hospital at Fitzsimons in Aurora, effective March 1. In addition to his academic and administrative career, Dr. Byyny is a physician specializing in internal medicine. In his new position at the hospital, he will provide leadership for analyzing and formulating policies on hospital care and health care delivery. The newly-established University of Colorado Hospital Health Policy Center will provide a conduit for research and information sharing for the best practices in patient safety and quality of care. Through innovative and creative research, analysis and the most advanced technologies, the center will evaluate hospital care to improve healthcare delivery, policy and education for healthcare professionals. Phillip S. Wolf, MD recognized as a “Gold Doc” by appreciative patients Dr. Wolf, professor of cardiology at the department of medicine at the CU School of Medicine has been recognized as a “Gold Doc” by the New Jersey based not-for-profit Arnold P. Gold Foundation. Dr. Wolf, who was nominated by several of his Denver area patients, was honored at a dinner on December 29th at the home of Lee and Barbara Mendel. The Foundation’s “Gold Doc” program, which recognizes outstanding role model doctors nominated by their patients for “keeping compassionate care prominent in the practice of medicine,” is one of more than 20 innovative medical education programs encouraging and fostering humanism in medicine. n 7 alumni profile: comstock Jack Comstock: A Survivor’s Story by Kenna Br une r B Being assigned to the Phillipine Island of He was stationed at Fitzsimons Army Luzon in the spring of 1941 seemed like an Hospital where he served as ward surgeon idyllic post for Jack Comstock (MD, ’38), a before being assigned as attending surgeon at newly commissioned Army officer. Luzon Sternberg Hospital in the Philippines in May Island was one of the loveliest of the Pacific’s 1941, a desirable post in peacetime. pearls with pristine beaches, tropical On April 9, 1942, Dr. Comstock became a vegetation and sparkling waters all around. prisoner of war of the Japanese and served as Just a few months an attending surgeon after his assignment in a POW camp on began, the dream Luzon’s Bataan became a nightmare. Peninsula, 60 miles Everything changed from Manila. in the Pacific after Beginning the day Pearl Harbor was before the surrender bombed on Dec. 7, until his rescue more 1941. than three years later, Hours after the Dr. Comstock risked bombing, the his life to secretly keep Japanese began an a diary while onslaught of U.S. imprisoned. It is the air bases in the only known diary Philippines. A bitter Dr. Jac k Comstoc k (c ent er in tan unif or m) w ith chronicling real-time fight between Japanese fellow officers. events of a POW in and Allied forces for the Pacific Theater. control of Luzon lasted four months. His remarkable diary describes the Outmanned and outgunned, with food, deprivation, starvation, diseases and atrocities ammunition and medical supplies depleted, of war, as well as how he bartered for food, and and with no relief in sight, the Allies were treated sick and wounded POWs with meager forced to surrender in order to prevent a supplies. The entries include how many men wholesale slaughter of troops. died each day, what he ate, the weather, war After their surrender, American and rumors and how he passed the time. Filipino troops were marched headlong into Dr. Comstock’s dry wit and positive attitude the darkest terrain of human nature on a torturous journey known as the Bataan Death are evident throughout the 130-page diary. Courtesy of the Comstock family. ALUMNI PROFILE 8 March. The ensuing years would test the endurance of Dr. Comstock and the other prisoners of war on the Bataan Peninsula. Jack Arthur Comstock was born Dec. 19, 1914, in Fort Collins, Colo., the youngest of three children. As a boy, the family shuttled between Colorado, Texas and Oklahoma looking for work, finally settling in Boulder before the Depression hit. According to family members, young Jack always wanted to be a doctor. After graduating with honors in chemistry from the University of Colorado at Boulder, he pursued his longtime dream of becoming a doctor by graduating from the CU School of Medicine in 1938. In 1940 he completed an internship at New York City Hospital and joined the Army in 1941. – June 9, 1942 Sunrises and sunsets are very beautiful. Range of mountains to the east make me quite homesick. It would seem that U.S.A. ought to be able to do something about getting us out of here even though the war is not yet won. Red Cross not doing or allowed to do anything yet. 286 dysentery cases. They were already beginning to die an hour later. Robbie told me that on the hike…he was forced to bury men alive. Some were trying to crawl out of the grave. He saw men who fell out shot and hit in the head with shovels. All this amounts to a debt that cannot be collected. alumni profile: comstock Weakened from hunger and disease after months of fighting, an estimated 72,000 troops were marched by the triumphant Japanese military some 65 miles north to prison camps. Along the way the POWs suffered cruelly at the hands of their captors. Men who couldn’t keep up risked disemboweling, emasculation, punitive amputations or decapitation. Figures vary but it’s estimated that at least 600 Americans and 5,000 Filipinos died due to the brutality of their captors on the torturous march through the jungle. The survivors were packed into railroad cars and shipped to prisoner of war camps, where another 1,000 Americans and 16,000 Filipinos died from starvation, disease and mistreatment. Some POWs were loaded into the holds of cargo ships and sent to work as slave labor in Japanese industries. By the war’s end, more than a third of the POWs in the Pacific would be dead. War came on the heels of the Depression which in some ways helped prepare the POWs for the grim conditions in the camps. During the Depression, – June 2, 1942 I have a fourth of the hospital assigned to me. Very bad situation as we have practically no drugs. Many have malaria and we have no quinine. Considerable diarrhea. Like everyone else in the camps, the physician POWs had to improvise in order to provide medical care. They were able to perform surgeries in the camp and even some autopsies. Dr. Comstock and his fellow physicians had the burden of determining which patients would benefit from their very limited medical supplies as opposed to those patients they could only make comfortable. The Japanese guards were afraid to enter the wards because of the contagious diseases, which perhaps is why Dr. Comstock was able to successfully maintain a diary. After decades of keeping the diary in the family, Dr. Comstock’s National Archives – May 30, 1942 Hiked to R.R. station and loaded in freight cars. About 90 in our car. Was hottest time I have ever had. Was almost more than any of us could stand. Got fruit and water once along the way. Will stay in concentration camp in Cabanatuan tonight. No latrines. Flies and maggots terrible. We have a 32 K hike tomorrow. Americans had learned to make do; repair what they had; and improvise what they needed. Their ingenuity served them well in the prison camps, where they trapped rats for food; secretly built radios; and bartered for food and supplies. Ame rican Ex-Pr is one rs of War. nieces, Nancy Wittemyer, BS ED ’64 and Jacquie Kilburn, BA ’71, both of Boulder, wanted to share their uncle’s experiences. Nancy let fellow CU alumni Edward Kinzer, BS Pharmacy ’48, MD ’52 and John Farrington, BA ’49, MD ’52 read it. Drs. Kinzer and Farrington were so moved by Dr. Comstock’s compassion, bravery and tenacity that they consider him a medical hero and want to give him the recognition he deserves. Dr. Kinzer, who served in the U.S. Air Corps during the war, is intrigued by Dr. Comstock’s diary, for the historical significance that documents an event in our history he strongly feels should not go unmarked. A retired physician living in Johnstown, Dr. Kinzer said of Dr. Comstock, “He could be a symbol of the attitude and accomplishments of all of us who served in WWII through what he did.” Dr. Farrington, who served with the 77th Infantry during the war, never met Dr. Comstock, although he has come to know him through the diary. He made the observation that soldiers are not trained to be POWs. “It’s all on-the-job training,” said Dr. Farrington, a retired Boulder physician, about being a prisoner of war. “People rose to the occasion and did what they had to during those difficult times when they found themselves in intolerable situations. They learned to cope from one day to the next. To survive, they had to be tougher than their captors, although they couldn’t show it.” Disease was a relentless problem in the camps. In the first few months, dysentery, starvation and malaria were the primary causes of death. As time passed, the effects of strenuous labor and malnutrition took a dreadful toll on the men. 9 alumni profile: comstock Severe nutritional deficiencies caused a host of debilitating diseases, including scurvy, diphtheria, beriberi, pellegra and rickets. Other conditions Dr. Comstock encountered were pustular dermatitis, acute glomerulonephritis, primary amebic pulmonary abscess and meningitis. When so many POWs were losing their eyes, testicles and limbs to disease-related complications, success stories were few. A letter written in 1972 by a former POW patient expressed gratitude to Dr. Comstock for saving his leg. When the wounded man was brought into the camp hospital, it was feared his lower leg would have to be amputated, but Dr. Comstock refused to give up without a fight. With no anesthetic available, four men held the unfortunate man down while Dr. Comstock cut the wound open, cleaned it out, filled the incision with sulfanilamide powder and then lay him in the sun to recuperate. After repeating the procedure twice more and with a few weeks rest, the man recovered – June 25, 1942 Men on my ward rapidly going down hill. About 60 now having active chills and fever. Number of dysentery cases increasing. Amount of edema increasing. General weakness definitely increasing. No medicines or supplies. Not even any dressings. Quite an epidemic of upper respiratory disease. I believe half will be dead in 4 to 6 weeks if no medicine comes in. 17 diphtheria suspects brought from Camps #2 and #3. Mango beans for supper… Deprived of adequate protein, vitamins and minerals, the men’s bodies shunted nutrients away from non-vital organs, causing their hair, eyes, feet, teeth and nerves to be affected by an array of ghastly conditions, the likes of which a physician may never encounter in a lifetime. – Oct. 23, 1942 6 deaths. Have about 100 corneal ulcers due to vitamin A deficiency present in hospital. Vitamin deficiencies are getting worse and worse. I am afraid much blindness will result from the xerophthalmia, if not death. Scurvy, pellagra, xerophthalmia and beriberi Courtesy of the Comstock family. are as common here now as colds are in winter back home, and not just mild cases, but severe. Dr. Comstock’s POW ration cards. fully. “I have always been very grateful for this…and wish to thank you for all you did for me…,” the man wrote. A POW’s survival depended upon his will to live and the ability to adjust to the daily mayhem and desperate conditions of captivity. – Oct. 16, 1942 7 deaths, including 4 officers. Terrible rice today. Had more worms than usual in it. Have got to the point that I no longer attempt to pick out the worms unless they have an especially pleading look in their eyes. Just as well eat them and get a little protein. Courtesy of the Comstock family. 10 Dr. Comstock’s POW ration cards. Despite the hardships, Dr. Comstock was able to find diversions. He whittled a chess set, using neoprotosil to color the pieces, played the occasional volleyball game and read alumni profile: comstock voraciously, books such as Thin Man, Pocketbook of History, A Man Called Cervantes, and Good Earth, including brief reviews of his books in his diary. Courtesy of the Comstock family. performed in July 1947 on aliens vision and was color blind, but that from a crashed spaceship in New didn’t deter him from growing an Mexico, Dr. Comstock could hardly enviable English garden featuring stop laughing long enough to 42 varieties of dahlias. Every fall he declare, “Preposterous!” could be found in the kitchen In the mid-1950s, he began to dressed in faded army fatigues lose his eyesight due to ocular making jellies and preserves from – April 2, 1943 histoplasmosis perhaps a the apples, blackberries, No deaths. Usual ward work consequence of his imprisonment. raspberries, cherries and pears that in the A.M. Played some chess He retired from the Air Force as a grew around his Victorian home. and slept in P.M. Went to a colonel in 1957. Because of his “He was a person who enjoyed show “Town Hall Tonight” vision loss, he was unable to set up life and went out of his way to after supper. Show was very a medical practice, but continued enrich other people’s lives,” said well done and was very to care for family and friends for Ms. Wittemyer. “He had an ability interesting. Food continues many years. to make ordinary events special. scant. Meat issue is still small After returning to Boulder, How he could have such an and vegetables are greatly Dr. Comstock moved into the unbelievable garden when he was decreased. family home in Boulder to care for blind – that just explains him. And his aging parents. His nieces, Nancy when he got Parkinson’s Disease On Jan. 30, 1945, the 6th Army Wittemyer and Jacquie Kilburn, later in life, he bore that with such Ranger Battalion stormed the POW were quite fond of him. They dignity.” camp in Cabanatuan rescuing remember him as a generous, caring hundreds of American and British continued on page 17 prisoners. A few days later, soldiers man who wholeheartedly embraced life after the war. He made every liberated the camp where Dr. occasion special, they said, whether Comstock was being held. cooking gourmet meals for holiday gatherings or making homemade – Feb. 5, 1945 ice cream and What a day! Americans have lemonade for casual moved into compound with machine guns, rifles, etc….Oh, summer gatherings. “We knew it was wonderful, wonderful bad, but the way he Americans! Just to see these wrote the diary, he soldiers in their green uniforms and with their rifles, didn’t dwell on the hideousness of it,” all well nourished and said Kilburn. “He looking plenty tough… always found something good to After the war, Dr. Comstock continued his medical career in the say in his diary. He came home with a newly created U.S. Air Force and gusto for life.” served in a variety of areas, Unable to drive, including post surgeon at Roswell Air Force Base in New Mexico and he would pedal about town on a deputy air surgeon with the Strategic Air Command in Omaha, clunker of a bicycle with his little dog Neb. He was a medical observer at the first hydrogen bomb test at the Chloe perched in the Bikini Atoll in 1947 and later in life basket to check on elderly neighbors. By was even interviewed about then Dr. Comstock extraterrestrials. When asked only had peripheral WWII Standard Red Cross POW Package. whether an autopsy had been 11 SURVIVORS pow survivors POW 12 POW Survivors by Ste ve n O bole r, MD Denver VA Medical Ce nter M Many Americans’ concept of POW internment was shaped by high budget Hollywood movies about Vietnam POWs and MIAs. Surprising to most is the fact that 98 percent of the 39,025 exPOWs alive on January 1, 2003 were interned during WW II and Korea, with an average age today of 82 years. Unlike most movie depictions, surviving exPOWs don’t see themselves as heroes. Soldiers don’t aspire to become prisoners of the enemy. For a soldier, becoming a POW is a mission failed. In addition to severe deprivation of food, housing, clothing and medical care, POWs face terrible spiritual deprivation – months and even years of little or no contact with the outside world. Winston Churchill (1939), recounting his experiences as a prisoner in 1902 during the Boer War in South Africa, described it vividly: “It is a melancholy state. You are in the power of the enemy…. You must obey his orders, await his pleasure, possess your soul in patience. The days are very long; hours crawl by like paralytic centipedes….” Treatment of POWs has varied greatly from war to war as well as from camp to camp, affected by a variety of factors, including: • Mankind’s varying concept of the value of life; • The economic and logistical capacities of the captors; • The belief that reprisals are a “legitimate” activity; • Adherence to or rejection of international conventions on human rights; • Climate and geography; and • The whim of the individual captor (VA 1980, p 23). These differences in treatment are strikingly reflected in the range of POW deaths in captivity during WW II: from just over one percent among 93,000 European Theater POWs in contrast with 40 percent among 29,000 Pacific Theater internees. American defenders of Bataan were so weak and debilitated from months of heavy combat and restricted rations that there were more POW deaths in the first few weeks following the fall of Bataan and gruesome death march than during the entire war in the European Theater POW camps. Survivors of WW II Pacific Theater internment, including Dr. Comstock, endured some of the harshest treatment ever experienced by American POWs. A question which constantly recurs whenever one considers the POW experience, is why this particular individual or group survived. Fortunately, among WW II Pacific Theater POW survivors, this issue was addressed in a systematic fashion as part of the 1945 “Morgan Board” repatriation exams of over 4,600 Pacific Theater POWs (Morgan, Wright & van Ravenswaay, 1946): “Many factors doubtless played a part in survival. The factor of chance was important, since any man might have been on a torpedoed Japanese prison ship or slain in a fit of temper by some Japanese soldier…. When the prisoners were asked for their opinions in this regard many of them stated that their confreres who had died when the going was difficult had in many instances ‘lacked the will to live.’ The ‘will to live’ is an intangible phrase. It is difficult to define, but the men who did not give up were characterized by some of the following qualifications: 1. They had a never-failing hope of rescue. 2. They were possessed of a high morale and courage. 3. They were individuals who adjusted rather easily to difficult situations. 4. They were nonaggressive or at least were able to control a tendency to pugnaciousness which, if allowed to evidence itself, frequently resulted in summary death. 5. They were willing to eat anything, however disagreeable, if it might contain nutritional value. 6. They were willing to secure food by any and all means.” pow survivors The long-term consequences of this “will to live” exacted a high price from the futures of many survivors of POW internment. The Department of Veterans Affairs now recognizes an extensive list of conditions that are more prevalent among aging POWs than nonPOW combatants, including: Residuals of malnutrition and avitaminosis Residuals of cold injuries Psychosis Any anxiety disorder (including post-traumatic stress disorder) Depression On a personal note, Dr. Jack Comstock was a quiet hero to me. Through his diary and life, he taught me the power of hope and having a positive attitude even in the most desperate of times. This optimism was evident in his very first entry on the day the American and Filipino defenders of Bataan were ordered to surrender: Coronary artery disease Hypertension Cerebrovascular accidents Peptic ulcer disease Traumatic arthritis Peripheral neuropathies Irritable bowel syndrome “April 8, 1942: Nice day. Air raids right after breakfast. Many, many patients all day. Few casualty, but mostly malnutrition, exhaustion and nerves…. Nurses sent to Corregidor about 10:00 pm. We are to stay to run the hospital. No front lines; we are sunk.” Much of Dr. Comstock’s journal is just about daily life, being able to get the weakest men under his care an extra egg or banana, listening to rumors and hoping that he would have the will and strength to survive. Dr. Comstock not only survived, his selfless actions helped n hundreds of others to survive. Number of POWs and MIAs in Five Wars WWI WWII 4,120 130,201 7,140 725 Died While POW 147 14,072 2,701 64 0 16,984 Alive as of 1/1/03 0 36,145 2,264 595 21 39,025 3,350 78,773 8,100 1,903 1 92,127 Captured & Interned MIA Korea Vietnam Gulf Total 21 142,207 Source: Stenger, 2003 References: 1. Stenger, CA (1985): American Prisoners of War in WWI, WWII, Korea, Persian Gulf, Somolia, Bosnia, Kosovo and Afganistan: Statistical Data Concerning Numbers Captured, Repatriated, and Still Alive as of January 1, 2003. Washington, DC: American Ex-Prisoners of War Association. 2. Churchill, WS (1939): A Roving Commission. New York: Charles Scribner & Sons. 3. Department of Veterans Affairs (1980). POW: Study of Former Prisoners of War. Washington, DC: VA Office of Planning and Program Evaluation. 4. Morgan HJ, Wright IS, van Ravenswaay A (1946): Health of repatriated prisoners of war from the Far East. JAMA, 130, 995-999. Steven Oboler, MD: Among many duties at the Denver VA Medical Center, since 1983, Dr. Oboler has been the exPOW Physician Coordinator, working with about 1,000 former POWs and their families. Dr. Oboler completed his residency in Internal Medicine at UCHSC in 1975 and was a fellow in General Internal Medicine in 1976-77. He is Associate Clinical Professor of Medicine. 13 AT W A R doctors at war D O C T O R S 14 Doctors at War: A Piece of Work?© by Robin Pedow itz, MD Denver VA Medical Ce nte r May be reprinted only with permission of author R Reasonable folks understand: Peace is not without conflict. War can bring consensus. Life is beautiful, and ugly. People are contradictory. The Combat Zone Physicians are under attack. There are enemy forces without (and within). The role of doctor is changing. “Only when something has become problematic do we start to ask questions. Disagreement shakes us out of our slumbers and forces us to see our own point of view through contact with another person who does not share it.” R.D. Laing The Politics of Experience (1967) Doctors claim to diagnose, fix, relieve and cure. Historically, they have been expected to put the welfare of the patient above personal and commercial interests. The part of the healer has always been shaped by the moment in time, and the culture. The priestess, the shaman, the “ol’ country doc”, the specialist, all have worked to restore the sick to health. Ailing and needing treatment is part of the human condition; the “business” of healing is inherent to human life. As it happens, “doctors” now treat a great deal more than “mere somebodies”: There are “dent-doctors, lawn-doctors, script-doctors, love-doctors and even doctors of the Universe”. Are doctors healers, business people, scientists, technicians or social servants…? Obviously, doctors have branched out beyond the realm of healthcare. Under Siege Throughout time aggressive outsiders have threatened local groups using force against the outsider, and managing order within the group became the work of the armed person. In many societies, the police officer and the soldier serve this role. They become ill, and wounded; some die. Combat is one of the oldest of settings requiring medical expertise. “Physicians have ‘gone to war’ for thousands of years. This is made necessary by the nature of war. The ‘end’ or goal of war is to achieve control over others…the ‘means’ or method of achieving this control is violence…” W. Madden & B.S. Carter Physician-Soldier: A Moral Profession Militar y Medical Ethics, vol. I (2003) “War is an exceptional crisis situation; not part of the normal life of society.” T. Parsons The Social System (1951) Military physicians are asked to relieve pain and suffering, and at the same time they are sworn members of the profession of arms---soldiering. Is it possible to be a physician and a soldier? It is not an accident that many words of clinical medicine are words of war…a war is being waged against cancer, diseases attack the body…the physician aggressively uses everything in his armamentarium to claim victory for his patient.” W. Madden & B.S. Carter Physician-Soldier: A Moral Profession Militar y Medical Ethics, vol. I (2003) There are similarities between medicine and the military. At times the demands of an organization will outweigh those of any individual. This is the nature of group activity. Military doctors are faced with competing loyalties, but the basics of these obligations are not all that dissimilar from a physician employed by an institution or agency (prisons, schools, government organizations). Even a private-practitioner faces conflicting demands from the patient, the hospital, and the insurer. What is medical necessity? The military doctor “does no harm” in service of “the greater good.” Tough decisions are made. Soldiers are patched-up, and sent back to battle to do harm to others. Medical care is prioritized. Limited supplies, often, limit humanitarian efforts. doctors at war Reasonable folks understand: There are powerful forces balancing the world. Absolutes are rare. A dose of reality is a hard pill to swallow. n Map design: Robin Pedowitz Should physicians refuse to participate in military service and combat settings? They are, at minimum, support staff to a violent war machine, and at times, circumstances require them to be personally “locked and loaded.” In “VAnguard” (Nov/ Dec 2004) Dr. Kenneth Lee, a chief of spinal cord injury at the C.J. Zablocki VAMC in Milwaukee was noted to have received severe shrapnel injuries as a result of a suicide car bombing in Baghdad. Dr. Lee, whose mission was to set-up seven comprehensive medical sites in and around Baghdad, was quoted, “I quickly realized that this was going to be pretty hazardous….Every mission no matter how routine, our weapons were locked and loaded…there were a lot of close calls and quick decisions.” Are medical ethics more important than the ethics of other institutions? Do medical ethics conflict with those of the military or other societal institutions? Are military physicians performing a legitimate service? References: 1. Department of Defense (2003): The Textbooks of Military Medicine: Military Medical Ethics, Volumes 1 and 2. Office of The Surgeon General, Department of the Army, United States of America. [http://www.bordeninstitute.army.mil/pubs.html]. 2. Loewy, EH, Loewy, RS (2004): Textbook of Healthcare Ethics. The Netherlands: Kluwer Academic Publishers. 3. Parsons, T (1951): The Social System. United States of America: The Free Press of Glencoe. 4. Bristol, M (2004): A Close Call. VAnguard, Vol. 1, No.6, 6-7. 5. Laing, RD (1967): The Politics of Experience. New York: Pantheon Books. Robin Pedowitz, MD: Dr. Pedowitz works in the Department of Compensation and Pension at the Denver VA Medical Center. She is also a consultant to businesses specializing in biomedical education and healthcare. 15 P R O F I L E faculty profile F A C U L T Y 16 A Commitment To Care by Kenna Bruner Colleen Conry, MD, ‘84, is a professor and vice chair of the University of Colorado School of Medicine’s Department of Family Medicine. She completed medical school, residency, and chief residency at the CU School of Medicine before joining the faculty in the Department of Family Medicine. As chair of the Commission on Education for the American Academy of Family Physicians, Dr. Conry works at the national level on policy issues and support of family physicians. She completed leadership training with the School’s support from the Executive Leadership in Academic Medicine and sits on a national task force studying the role family physicians play in the care of children. Throughout her career, Dr. Conry has been committed to caring for the underserved. The fact that 11 million children in this country are without access to health care How did you get into Family Medicine? I grew up with a family doctor who took care of everything. A.F. Williams, MD, a physician from Fort Morgan, Colo., delivered my grandmother, so I grew up with that model of a country family doctor. I have practiced at the A.F. Williams Family Medicine Center for 21 years, named after that country physician (as well as a foundation in his name that donates significant funding for our department). When I was a medical student doing a psych rotation, I had a pregnant patient I did short-term counseling for and got to know her really well. I happened to be on OB when she delivered and I got to deliver her baby. The experience was like magic because I knew her so well. I realized I wanted to take care of everybody and family medicine pulled all of that together. What mattered to me was the relationship with the patient. When you know patients over a long period of time, that’s when you start to make a difference in their lives. I have patients I have taken care of for 20 years now and it’s such a wonderful relationship. What has been your career goal? Throughout my career, one of my commitments has been taking care of the underserved and those who don’t have insurance. There are two ways to do that – change the policies and provide care to anyone who needs it. That’s difficult for all of us because we’re in challenging financial times. What is the most important role Family Medicine can play in families’ lives? It’s a specialty that trains physicians to provide continuous comprehensive care for patients of all ages, with all kinds of problems. The most important piece of that is the continuous relationship we have with our patients. Every person in the world should have what we call a medical home, which is a central place where they can go for all their health care needs. If I can take care of four or five problems for you in a single visit, it’s much more cost effective to our system. That doesn’t mean we don’t need our specialists, but we want to integrate care. Also, it’s much less expensive to start with a single physician rather than going from specialist to specialist. There are excellent studies that document this. We see patients with a broad list of problems; therefore, we interact with departments for many patients in many different ways. By collaborating, we’re better together than we are separate. What type of person is drawn to specialize in Family Medicine? Someone who likes people, who likes to think broadly and who doesn’t mind ambiguity. We get presented with the undifferentiated problem. Our job is to take a bunch of symptoms and try to put them together into a story that makes sense. faculty profile What is the most pressing problem facing a Family Medicine practitioner today? This is such a fun time to be in family medicine, but many family docs are struggling because of reimbursement issues. All primary care is less valued now by our payers than other subspecialties. We get paid less for what we do and that’s very challenging because what we do is so very important. It’s hard to attract students to our specialties when they know they can make two to three times more in other specialties. How has the School’s department changed in the past 15 years? I was the sixth faculty member in 1988. The residency and faculty were one and the same. Now we have 122 faculty members. We’ve grown from one residency to three; from one clinical site to four. Why has there been such an increase in Family Medicine? What kind of need are we responding to by expanding Family Medicine departments? Family Medicine saw a great increase in interest during the managed care days of the 1990s. It helped us grow as a department and also helped establish the need for primary care within an academic health system. Our department has also embraced our need to conduct research on the kinds of problems that family physicians see, and have developed the tools necessary to do that research. What does the future hold for Family Medicine? We have to redesign who we are as we move forward. That will include the concept of a medical home. But we also need to change how we practice, communicate with patients and manage health information. That’s going to include using electronic health records and communicating with patients and colleagues electronically. We need to be more patient-centered and less doctorcentered. We should make it easier for patients to have care after hours, email us with questions or schedule their own appointments online. Our health care systems need primary care, so we’re poised to make a real difference. How do you spend your free time? My husband, Steve Huffman, PhD, a mostly house dad and soil scientist, and I are very active with our two kids, Mandy, 17, and Matt, 15, in scouting, hiking and backpacking – the usual Colorado outdoor activities. Our favorite place is our cabin in northern Colorado – complete with an outhouse and no running water! And yes, my family sees a family physician at A.F. Williams Family Medicine Center. Both of my children were delivered by family n doctors. As Drs. Kinzer and Farrington remind us, it matters to acknowledge and honor those who went continued from page 11 through hell and came out the other side. What we – Oct. 13, 1944 are is defined by what we were. Even in the bleakest This probably is last entry, as I am getting moments of our lives, seeds of a brighter future are ready to bury my diaries, and hope I can being sown. recover them after the war. It is a certainty I can’t get them out with me. Probably would – Feb. 22, 1945 mean a lead pellet for me if they were found. …We are supposed to leave in A.M….Future Probably, they have just been a lot of work looks rosy for us from here on out. n for nothing. Much air activity today. Could the Yanks be near? Hope I get to read this after The Alumni Relations Office and the University are the war. exploring ways and means to preserve CU’s “medical Comstock: A Survivor’s Story Cont. Many SOM alumni served in WWII, from infantryman and tank commander to fighter pilot and support personnel. Their stories are equally compelling and poignant. Theirs is the generation that weathered a Depression and won a world war, the war they hoped would finally end all world wars. Too soon, the first-hand accounts will be gone and all that will remain will be diaries, faded photographs and stories passed on. heritage” including collecting and preserving stories of medical heroes like Jack Comstock. If you have a story to share, please write us at: Office of Alumni Relations 4200 East 9th Ave., A-080 Denver, CO 80262 Our goal is to establish a Health Sciences Heritage Center at the new Fitzsimons campus. We’ll be sharing more on this topic with readers in future issues. 17 T O B E D S I D E bench to bedside B E N C H 18 New Cooling Device Tackles Temperature to Save the Lives of Cardiac Arrest Patients by Norman Paradis, MD, Professor of Surgery and Medicine, CU School of Medicine and Kennon Heard, MD, Assistant Professor of Surgery, CU School of Medicine J Just a few short years ago, if a person’s heart were to stop – even for a brief few minutes – there was little chance they would survive the event. Despite the impression left by television programs like ER, history shows in cities like Chicago and New York less than 1 percent of cardiac arrest patients survived. For almost three decades, doctors have known how to restart hearts that have stopped. The problem with reviving patients of cardiac arrest is not the heart, but the brain. The obstacle is to prevent the brain injury that occurs when the heart again begins to pump blood to the brain. Invariably, this “reperfusion” brain injury can subsequently kill or cripple the patient. First, a little background. The most common cause of cardiac arrest is a heart attack – which is a blockage of blood flow in an artery supplying the heart itself. As most people appreciate, heart attacks, which physicians call acute myocardial infarction, occur frequently when a coronary artery is blocked by a build-up of cholesterol. Modern medicine has gotten quite good at treating heart attacks, and the vast majority of patients today suffer only a few days in the hospital before returning to a normal life – hopefully with a healthier lifestyle. But sometimes the blockage can be extensive enough that the heart will stop beating altogether. This condition defines cardiac arrest or sudden cardiac death. In this condition, there is no blood flow throughout the entire body. Our ability to restore such patients to normal function is minimal and sudden cardiac death may be the single largest cause of death today. More than 300,000 people die from sudden cardiac arrest each year. Doctors are able to restore a heartbeat to some, but very few survive with their health, specifically their neurological health, intact. Most of the damage in cardiac arrest patients occurs after the heart is restarted and oxygenated blood flow is restored. When the brain is not receiving blood, the metabolic In the ER of University of Colorado Hospital, Drs. Kennon Heard and Norman Paradis demonstrate the Arctic Sun’s® water-transfer pads that gently adhere to a patient’s body to regulate temperature. The device uses a state-of-the-art pump and refrigeration system to automatically adjust the temperature of water coursing through the pads to safely induce hypothermia in cardiac arrest patients and possibly minimize neurological damage. processes in brain cells stop. When blood flow is restored, the brain cells are not ready to process the oxygen and oxygen-mediated brain damage occurs. The damage isn’t instantaneous, but after the flow of blood and oxygen is restarted, damaging “cascades” immediately begin. After resuscitation from cardiac arrest of any sort, the brain needs time, and importantly assistance, if it is to restore its capacity to care for itself. Most people have heard of antioxidants and believe that they may good for the body. But most people do not fully understand how they might function – why do we need both oxygen and antioxidants to live? We usually think of oxygen as an element that we need to live. We breathe it into our lungs everyday. bench to bedside We know oxygen helps our bodies convert food to energy. But what is often not realized is that our bodies have mechanisms in place to prevent oxygen from oxidizing the body itself. If you think about it, when we want to preserve something, like a valuable painting, we take oxygen out of the air around it. That same thought process can be applied to the human body. As emergency physicians, we have to ask, how can we prevent the secondary damage to the brain that occurs when we restart the heart? Historically, Dr. Henry Swan, Professor of Medicine at the CU School of Medicine, pioneered the use of hypothermia, the threshold of all subsequent developments in open-heart surgery. His techniques proved that inducing hypothermia, or a hibernation-like state in patients resuscitated from cardiac arrest immediately after resuscitation, slowed the body’s metabolic rate and provided a window during which the brain could protect itself. Thus, the theory arose that cooling the body’s temperature might actually slow the oxidization process and minimize the damage to the brain. Initially, these cases were limited to rare anecdotes. Then a pioneering group at the University of Pittsburgh studied the protective effect of cooling in the lab. Physicians trained in this group demonstrated the efficacy of the technique in European clinical trials that had more than half the cardiac arrest patients walk out of the hospital intact – a phenomenal result. In cooperation with an innovative Colorado company, the Resuscitation Research Group at University of Colorado Hospital (UCH) is among the first in the nation to bring the hypothermia technique to patients in the United States suffering cardiac arrest. The Medivance Corporation in Louisville, Colo., developed the Arctic Sun® to be a non-invasive device capable of rapid and precise temperature control. The Arctic Sun® is currently being used at a limited number of facilities in the United States, including UCH. The CU School of Medicine is also coordinating a national clinical trial to evaluate the device, and the hospital is the only one in the Rocky Mountain Region to participate in the clinical trial and use the Arctic Sun®. The device uses a state-of-theart pump and refrigeration system along with water-transfer pads that gently adhere to the patient’s body to induce hypothermia. The temperature of the water coursing through the pads increases or decreases automatically to respond to the patient’s temperature in order to obtain the desired temperature. In the case of cardiac arrest patients, the desired temperature is usually between 92 and 94 degrees. At the time this article was written, two of four patients have walked out of UCH neurologically intact after suffering prolonged cardiac arrest that normally would have left them brain dead. But through the use of the Arctic Sun®, which can both cool or warm a patient as needed, these patients appear to have lost no brain function. No current physician at the hospital can remember such good outcomes in any patient suffering prolonged cardiac arrest – going back many, many years. Each patient was cooled with the device for approximately 24 hours and was maintained in coma to prevent shivering and maintain a low metabolic rate. After 24 hours, the patients were removed from the system and their bodies were allowed to return to normal body temperature. After their body temperature regulated itself, the patients began to breathe on their own, their pupils began responding to light and they began to move their limbs – however, they remained in a stupor-like state. Each patient woke up completely after a few days and was able to walk out of the hospital within a few short weeks. Essentially, a cooling device like the Arctic Sun® could be used on any patient resuscitated from sudden death and having signs of brain injury. While most attention About the Authors Norman A. Paradis, MD, and his colleague, Dr. Kennon Heard, assisted in the design of clinical research for the Arctic Sun® cooling device from Medivance. The hospital is the only site in the Rocky Mountain Region currently participating in a clinical trial using the Arctic Sun® to focus on the potential benefits of rapid therapeutic cooling of the body to minimize the damaging effects of cardiac arrest. Kennon Heard, MD, is the Section Chief of Medical Toxicology and Assistant Professor of Surgery at the CU School of Medicine. Norman A. Paradis, MD, is the Senior Medical Director of the Emergency Department at University of Colorado Hospital and Professor of Surgery and Medicine at the CU School of Medicine. 19 20 bench to bedside has gone to sudden death arising from heart attacks, the syndrome is much broader. Sudden death includes all instances where a patient literally dies in the midst of life and his or her organs are fully capable of functioning if revived. Examples include drowning, drug overdose, asphyxiation or severe asthma attack, hypothermia – the list can go on and on. So far, the outcome of patients in Europe, where the Arctic Sun® is also being evaluated, have shown a clinically important increase in the fraction of cardiac arrest patients leaving the hospital who are able to care for themselves. Use of cooling seems to increase this fraction at least 20 percent. The normal costs associated with treating brain damaged survivors of cardiac arrest is so great that hypothermia – high tech and costly though it may appear – most likely will save health care systems millions of dollars in years to come. Physicians first and foremost hope to prevent disease. Failing that, they hope to cure disease. Resuscitation of patients who have already died is far more challenging. It is our hope that eventually hypothermia can be used immediately on cardiac patients in ambulances after resuscitation, minimizing delay, decreasing reperfusion-related brain damage and saving hearts and brains too good to die. n Friends Make a Difference Joining the Medical Alumni Association allows you to stay involved in the life and growth of the school, remain in touch with other alumni, and have your finger on the pulse of what students and faculty are doing here at CU. Your membership dues make possible: • Reunions and Individual Class Activities • Providing first year medical students with stethoscopes • The Alumni HOST Program (Help Our Students Travel/Train), offering fourth year medical students overnight accommodations during residency interviews in their senior year • Providing Class Composites to graduates • Sponsoring Continuing Medical Education courses in conjunction with Reunion Weekend activities • Publication of CU Medicine Today • Sponsoring a debt management seminar and lunch for first year students at their retreat • Hosting Legislative Day with alumni and Colorado governing officials • And more... I am interested in becoming a member of the CU Medical Alumni Association: Name: ___________________________________________________________________________________ Address: _________________________________________________________________________________ Phone: _________________________________ email:__________________________________________ Annual Member - $50 Lifetime Member - $600 ___ a) Full payment is enclosed ___ b) I wish to pay over three years at $200 per year Check enclosed (made payable to Medical Alumni Association). Please Charge to my n VISA or n MasterCard Card No. _________________________________________________ Expiration date: ________________ Please mail or fax this form and your payment to: Office of Alumni Relations, 4200 E. Ninth Avenue., A-080, Denver CO 80262 Fax (For credit card payment) 303-315-7729. Questions? call 303-315-8832, toll free 1-877-HSC-ALUM. Thank you. Friends Do Make a Difference! legislative outlook by Kirsten A. Castleman Deputy Director, State Government Relations T CU alumni support of this important initiative is paramount. By talking to friends, family, work and community members, you can spread the word that Referendum C is good for Colorado. If you are interested in participating at a grass-roots level, please contact UCDHSC’s state government relations office for more information at 303-315-6623. Several pieces of health care-related legislation have been holding our interest this year as well. After many years of zero increases in Medicaid provider rates, the Joint Budget Committee (JBC) voted this year to increase provider rates by 2% across the board. This increase will help reduce hospital budget shortfalls this year and is great news for CU faculty, alumni, and the University of Colorado Hospital. House Bill 1025 (Stafford-Hagedorn), reinstating a “presumptive eligibility” rule for pregnant women seeking prenatal care while they await Medicaid enrollment, is working its way fairly easily through the legislature. House Bill 1086 (Plant-Tapia), reinstating Medicaid for legal immigrants, passed quickly through the House and Senate and was signed into law by the Governor on February 2. House Bill 1066 (Madden-Sandoval) establishes a pilot program to treat obesity under Medicaid. If passed, the pilot program will be administered by Dr. Jim Hill and his staff at the Center for Human Nutrition at the CU School of Medicine. Tobacco Tax legislation, which implements Amendment 35, when passed will bring hundreds of millions of dollars into health care through expanded Medicaid eligibility and other health-related programs. For a list of and links to all of the legislation we are tracking for UCDHSC, the University of Colorado Hospital, and CU System, go to http://www.uchsc.edu/legislation/Health_care_ legislation_2005.htm. Individuals in Colorado can make a difference when it comes to policy making. Legislators listen to their constituents; voters have a strong voice to educate those in their community. The University and State need your active support. Please feel free to contact my office if you would like to get involved at n 303-315-6623. O U T L O O K The 2005 State legislative session is well past its half-way mark. It has been quite interesting to see the change in leadership with the Democrats taking over both the State House and Senate this year. Led by House Speaker Andrew Romanoff and Senate President Joan Fitz-Gerald (the first woman Senate President in Colorado), the Democrats set as their priority early in the session passing a bipartisan budget fix that would be sent to the voters this fall. Additionally, over 500 bills have been introduced and are making their way through the House and Senate. The University of Colorado at Denver and Health Sciences Center (UCDHSC), the CU System, and University of Colorado Hospital have worked diligently to support legislation for a budget fix, as well as legislation that support the operation and mission of the University. The Colorado Economic Recovery Act, House Bill 1194, sponsored by House Speaker Romanoff (D) and Senator Steve Johnson (R), is probably the most important piece of legislation for CU and the Health Sciences Center campus that will be passed this year. Speaker Romanoff and Democratic and Republican legislative leaders joined with Governor Owens in a press conference to present this important Bill, which is a proposal to restore state services to their prerecessionary levels. House Bill 1194 is expected to pass successfully out of the legislature. It will then head to the ballot this fall as Referendum C. Though the compromise is bi-partisan and is supported by the governor, it will face a big battle in the fall. The restrictions of TABOR and Amendment 23 (K-12 education funding), in conjunction with a recession and growth in federally mandated costs such as Medicaid, have and will continue to squeeze the higher education budget out of existence in Colorado. This fiscal year, the University of Colorado received only 8.7% of its budget from the State. If Referendum C does not pass, the General Assembly will be forced to cut hundreds of millions of additional dollars from the budget this fiscal year. There is no doubt that higher education and health care will be hit hard if that were to occur. L E G I S L AT I V E State Government Relations 21 Research Complex 1 Officially Opens by Kim Glasscock Reprinted with permission of the Silver & Gold Record. T The formal opening of Research Complex 1 at the University of Colorado at Denver and Health Sciences Center’s Fitzsimons campus in Denver marked the first major research structure constructed at the HSC UCDHSC Res earc h Comple x 1. since the Biomedical Research Building opened in 1991 on the HSC’s Ninth and Colorado campus. “This is really wonderful space,” Thomas Blumenthal, PhD, chair of biochemistry and molecular genetics, said about his new office and lab on the ninth and 10th floors in the south building of the complex. “We are pleased to have everyone located in the same building and we have found it to be extremely efficient space.” Dr. Blumenthal said his research and office spaces were in three separate locations on the Ninth and Colorado campus; now his department is located on two floors of the south tower of Research Complex 1. Research Complex 1 consists of two connected buildings: a 12-story south tower and a nine-story north tower, which are linked by pedestrian bridges at the second, fifth and sixth floors. The 600,640-square-foot complex encompasses more than 250 labs and 325 faculty offices. The south building is dedicated to cancer research, while the north building houses biomedical research and also includes education space and two auditoriums. Research Complex 1 cost approximately $216 million to construct. The complex is designed with “very Mike Cobb U P D A T E fitzsimons update F I T Z S I M O N S 22 flexible” lab and office spaces, according to Chief Planning Officer Jerry Scezney of UCDHSC institutional planning. “All the lab components are movable, making it easy to reconfigure labs to suit researchers. This also makes it less expensive and less disruptive when researchers are moving their labs,” he said. Most of the labs follow a generic plan, so they can be used by any researcher, Mr. Scezney added. To enhance flexibility in the laboratories, designers created a movable lab bench, with no fixed cabinetry, that can be set at either desk or counter height. The open lab design also was used to promote interaction between researchers in different labs, which could possibly lead to interdisciplinary research, UCDHSC officials say. The laboratory space in the buildings follows an open design, with minimal separations between lab modules along with shared common facilities. Each floor has a “linear equipment corridor,” which houses ultra-cold freezers and refrigerators, centrifuges, autoclaves, shakers and other “noisy equipment,” Dr. Blumenthal said. “We have learned to share the use of dishwashers and autoclaves and other equipment,” he said. “It seems to be working out all right, because I haven’t heard any complaints, and I would hear them if people were unhappy.” Shared specialty rooms, such as cold rooms and darkrooms, are located off the linear equipment corridor. fitzsimons update Mike Cobb allow us to look at molecules we’ve sciences, light microscopy, never been able to study before.” iodination and pharmacology. Having the ability to design and Researchers from several other universities also will use the build new research space has also machine for their work. The allowed researchers to acquire a $5 million magnet is expected to new piece of equipment -- a 900 be installed in 2005. megahertz nuclear magnetic Faculty moved into their new resonance machine. The machine is a large magnet that is 10,000 times stronger than the earth's gravitational pull, or 500 times stronger than the average refrigerator magnet. The machine weighs about 20,000 pounds and is approximately 13 feet wide and 16 feet tall. “There are only three or four of these Int er ior of a res earch lab. machines in the research space from June through U.S., and we will have one,” said David Jones, PhD, of December, according to UCDHSC pharmacology. “This magnet will Vice Chancellor for Research John Sladek, PhD. “The moves have been going pretty smoothly for the most part,” Dr. Sladek said. He explained that he moved his research lab to the new complex in June, so he could be one of the first faculty to move and could experience any glitches firsthand. “I didn’t find any problems with the building or the move,” Dr. Sladek commented. “But we do need to work on the quality of life issues out here, and add more restaurants and parking on the campus. I would really like to see a place where faculty from all the n schools can mingle.” Southe rn v ie w of cour t yard from inte rior. Mike Cobb Each floor that houses labs and offices has a similar design -offices and dry labs are on the west side of the building while wet labs are on the east side. The offices on each floor share a conference room and break room, which are designed to promote interaction between researchers. The wet lab side of the building has restricted public access. Each building also has a biosafety lab, which requires separate air systems, filters and silicon seals and a higher level of security. Core research facilities are clustered in the complex to make them easily accessible to researchers. Twenty-two core lab facilities are housed in Research Complex 1. They include cytogenetics, DNA sequencing, DNA array, mass spectometry, flow cytometry, immunology, electron microscopy, X-ray crystallography, nuclear magnetic resonance, radiological sciences, tissue culture, tissue procurement, protein chemistry, biophysics core, stem-cell core, transgenic core, biophysical core, radiological 23 24 cme calendar CU School of Medicine Office of Continuing Medical Education CME calendar May through December 2005 MAY 2005 JUNE 2005 AUGUST 12-13 Advanced Obstetrical Ultrasound J.W. Marriott Cherry Creek Denver, CO 26-July 1 51st Annual Family Practice Review YMCA of the Rockies – Estes Park Center Estes Park, CO 3-5 30th Annual Psychiatry Conference Preparing for Change: Philosophy & Techniques of Motivational Interviewing Given Institute Aspen, CO 26 Alumni Reunion Weekend – The Obesity Epidemic: How Should We Respond? 10:00 a.m. - 2:00 p.m. 2nd Floor Lecture Hall - CU School of Medicine Denver, CO The Nature of The Obesity Epidemic, Causes and Public Health Approaches to Addressing It. James O. Hill, PhD Professor of Pediatrics and Medicine Director, Center for Human Nutrition, CU School of Medicine Popular Diets and Successful Losers Vicki Catenacci, MD Instructor and Fellow, CU School of Medicine - Break for Lunch Learnin' to Be Doctors: Early Days at CU School of Medicine Robert H. Shikes, MD Professor and Vice Chair, Department of Pathology and Lecturer in Medical History, CU School of Medicine Pharmacotherapy and Surgical Treatments Dan Bessesen, MD Associate Professor of Medicine Chief of Endocrinology, Denver Health Medical Center JULY 2005 17-22 41st Annual Internal Medicine Program YMCA of the Rockies – Estes Park Center Estes Park, CO 12-15 Practical Ways to Achieve Targets in Diabetes Care Keystone Conference Center Keystone, CO SEPTEMBER 22-24 10th Annual Genetics & Ethics in the 21st Century Given Institute Aspen, CO 25-29 32nd Annual Renal Disease & Electrolyte Disorders Course Given Institute Aspen, CO 31-August 4 7th Annual How to Practice Evidence-Based Health Care Workshop Keystone Resort Keystone, CO 15-17 Fall Orthopaedic Summit on Minimally Invasive Surgery Keystone Resort Keystone, CO 23-24 9th Annual Ophthalmology Symposium Ben Nighthorse Campbell Bldg – Fitzsimons Aurora, CO OCTOBER 31-November 4 51st Annual Family Practice Review CU School of Medicine Denison Auditorium, Denver, CO For more information, visit www.uchsc.edu/cme; e-mail [email protected]; call 1-800-882-9153 or 303-372-9050; or fax 303-372-9065 president’s message M March 17th was Match Day for CU School of Medicine’s Class of 2005...a great milestone for our students, probably as important as acceptance into med school, and perhaps even graduation. For many students it is the first step in a career that takes them away from CU. (Please see Dean Maureen Garrity’s article on page 33 for a detailed description of the class and where they are headed.) The Match Celebration was a splendid affair at the Pepsi Center in downtown Denver -- a long way from my class’ match day at the old Celebrity Sports Center. Most of us stopped thinking about our medical school when we left to begin our careers and start our families. I didn’t think about it until I was invited back to my five year reunion. If the good old days of medical school haven’t crossed your thoughts lately, I want to encourage you to start thinking about our alma mater and “our” students, future fellow alumni. Each year we “pass the torch” to new graduates, welcoming them into the ranks of our profession. They build on traditions we upheld and sometimes broke, in order to make our School a better place. Matthew Goodwin, MD Class of 1987 M E S S A G E Sincerely, S What can you do? Join us for Reunion Weekend and Commencement activities, Thursday through Saturday, May 26-28, 2005. Attend an excellent CME program, tour the new campus, visit the old campus classrooms and labs, enjoy a great meal with friends at the Silver and Gold Awards Banquet and come to graduation. Meet students, old friends, faculty and staff. Be sure to ask lots of questions. I also encourage you to get active in your Alumni Association. If you want to get involved please contact the Alumni Association Office at 1-877-HSC-ALUM. ’ As President of the CU Medical Alumni Association, I want to assure you that we are committed to programs and projects which support our students and our School. We continue to provide stethoscopes to every incoming student, plan graduation and reunion activities, coordinate alumni host homes for students who are traveling for interviews and facilitate student activities. And we are trying to help grow support for our School in a time when traditional funding is slowly disappearing. Our new medical campus at Fitzsimons won’t be complete until we have our students there. Our students deserve to have the best we can offer them not only in the quality of their education and training, but the quality of their lifestyle. P R E S I D E N T Greetings Alumni! 25 13 N O T E S class notes C L A S S 26 1930 S *Helen McCarty Fickel, MD, ’32, Berthoud, Colo., is still enjoying life at ninetyseven years with her five greatgrandchildren. 1940 S Donald L. Becker, MD, ’46, Port Aransas, Tex., retired in June of 1987 after a career as a pathologist in Casper, WY. *Murray S. Hoffman, MD, ’47, Denver, Colo., is now enjoying his second retirement – initially after many years in the private practice of cardiology in Denver – and subsequently after ten years as a faculty member in the division of cardiology at the University of Colorado Hospital. Dr. Hoffman and his wife, Eleanor, divide their time between the Maine Coast and Denver. *Edward B. Liddle, MD, ’46, Colorado Springs, Colo., was the first board-certified thoracic surgeon in Colorado Springs – and at that time (1957) the only one between Denver and Alburquerque. He has been retired from practice for the last 17 years. Dr. Liddle just celebrated his 60th wedding anniversary on December 28th, 2004. Vernon M. Lockard, MD, ’45, Bartlesville, Okla., was awarded the Paul Harris Fellow (Award) from the Rotary International Foundation. This award is presented for “recognition of exceptional service" in support of the work of the Foundation. *William J. Robb, MD, ’43, Steamboat Springs, Colo., practiced in Iowa until 1993 and recently moved to Steamboat Springs. 1950 S *Ronald L. Annala, MD, ’58, Ruidoso, N.M., was awarded “Physician of the Year” in 2003 by the New Mexico Chapter of the American Academy of Family Practice (AAFP). After 45 years of practice, 42 of those years in Ruidoso, N.M., Dr. Annala retired on October 31, 2004. Now, he says, he can ski whenever he wants to. *William G. Davis, MD, ’54, Honolulu, Hi., wrote to tell us he had a great (!) year – open heart bypass in June, removal of duodenal obstruction in August, and replacement of pacemaker in January. Best part of the year, he tells us: in December he became engaged to Caroline Bond. We send best wishes for good health and a happy marriage! *P. Walter Ford, MD, ’51, Bend, Ore., retired from Family Practice at Bend Memorial Clinic in Bend, Ore. in 1986. Since April of 2004 he has worked as a volunteer with Volunteers in Medicine (VIM), a group of retired physicians who care for patients who have no health insurance or money. *Ira J. Gelb, MD, R-’55-56, Boca Raton, Fla., was successful in initiating a new medical school in Boca Raton. The University of Miami School of Medicine at Florida Atlantic University opened August 9, 2004. Dr. Gelb is currently Adjunct Clinical Professor of Medicine at *Indicates CU Alumni Association member. Mount Sinai School of Medicine and Adjunct Professor of Medicine at WeillCornell School of Medicine. *Theodore D. Hiatt, MD, ’53, San Rafael, Calif., published The Power of Kings, a treatise on political economy that traces the origins of combined political and economic power, which Dr. Hiatt asserts has always resulted in the division of societies into a wealthy ruling class and a disenfranchised poor class. His treatise suggests corrections. *Dick Momii, MD, ’53, Denver, Colo., enjoys downhill skiing in the Winter, gardening and golfing in the Spring and Summer, and mushroom hunting in the Fall. He visits children, Keith and Paula in Texas and son George, a radiologist who lives in Las Vegas and still maintains his Colorado Medical License. 1960 S D. J. Beasley, MD, ’66, Boulder, Colo., received the Boulder Daily Camera’s 2004 Boulder County Gold Peoples Choice Award – Runner Up for Best Doctor. Glenn G. Dudley, MD, ’69, Newbury, N.H., is enjoying retirement in New Hampshire with lots of skiing and hiking. He is also writing and published Infinity and the Brain in 2002. He writes that a more “user-friendly” summary of the book and a downloadable PowerPoint slideshow is available on www.GlennDudley.com. class notes Robert W. Gaubatz, MD, ’65, Bellingham, Wash., is now practicing geriatric medicine at the St. Joseph Hospital's Center for Senior Health in Bellingham. The Center has a hospital sponsored clinic to serve the underserved Medicare population and our patient’s ages range from 65 to over 100. He is sorry to say that he will miss this year’s reunion as he is traveling at during that time. 1970 S *Gregory Higgins, MD, ’78, Chico, Calif., was recently elected a Fellow of the American College of Emergency Physicians. In his spare time, Dr. Higgins and his wife run a cat sanctuary on their 8 acres of land after rescuing feral cats that had overrun a city park in Chico. This year he plans to complete ascents of the last remaining state high points – a goal he set while attending medical school in Colorado. 1980 S Jodi Chambers, MD, ’84, Breckenridge, Colo., was appointed chief medical office for St. Anthony Hospitals in February 2005. Board certified by the American Board of Surgery in critical-care surgery, Dr. Chambers is a Fellow in the American College of Surgeons, The American College of Physician Executives and the Southwestern Surgical Congress. *Dell A. Keys, MD, ’82, Moab, Utah, is a member of the U. S. Army Reserve at the 328th Combat Support Hospital in Salt Lake City. Dr. Keys was mobilized and reported for duty in February to Landstuhl Regional Medical Center in Germany. *Rosalyn Knepell, MD, ’82, Colorado Springs, Colo., retired from her practice in January 2005 because of health reasons. She plans to live in Colorado Springs and still enjoy the mountains. *Constantine Saadeh, MD, R’89, Amarillo, Tex., moved to Amarillo after completing his Fellowship at UCHSC and became the Regional Chairman of Internal Medicine at Texas Tech University Health Sciences Center, a position he held until 1998. He is now in private practice at Allergy ARTS and Amarillo Center of Clinical Research. Dr. Saadeh won the Jim Henson Award for small business of the year in 2004. 1990 S *Janet Basinger, MD, ’93, Monte Vista, Colo., Ian, her son born during her 2nd year of medical school is now 14 years old and Evan, born two months before graduation is now nearly 12 years old. Dr. Basinger is currently practicing medicine in the beautiful San Luis Valley of southern Colorado. *Thomas A. Herzog, MD, ’95, Pueblo, Colo., married May 30, 2004. He and wife Paula expect a baby girl in April 2005. Linea A. McNeel, MD, ’90, Galveston, Tex., was President of the Galveston County Medical Society this past year and was recently appointed Clinical Assistant Professor and Medical Director of an Inpatient Psychiatric Unit. Craig G. van Horne, MD, PhD, ’92, Brookline, Mass., was appointed chief of neurosurgery at Caritas St. Elizabeth's Medical Center. Previously Dr. van Horne had been a visiting scientist at McLean Hospital and instructor in neurosurgery at Brigham and Women's and Children's Hospitals. Dr. van Horne is a member of the Society for Neurosciences, the American Society for Neurotransplantation, the American Association of Neurological Surgeons, and the Congress of Neurological Surgeons. Dr. van Horne's clinical research has been published in a number of leading medical journals, including The New England Journal of Medicine, Experimental Neurology, Brain Research, The Journal of Pharmacology and Experimental Therapeutics, Advances in Neurology, Experimental Brain Research, and Cell Transplantation. 2000 S Lynn Bentley Davis, MD, ‘00, Bainbridge Island, Wash., and her husband are taking this year to travel abroad, primarily in Southeast Asia. After graduation, Dr. Davis and her husband moved to Boston for her residency in Ob/Gyn at Brigham and Women’s Hospital, which she completed in June 2004. They then decided to take some much needed time off to travel and explore the world. Since September of 2004 they have visited Hong Kong, China, Tibet, Nepal, India, Sri Lanka and Cambodia. Before they return home in May or June 2005 they’ll visit Vietnam, Laos, Thailand, Malaysia, Singapore, Australia, New Zealand and with luck, the Cook Islands. They are keeping a travel log on the web at www.davisworldtour.com if you are interested in seeing their pictures. Starting in July 2005, Dr. Davis will begin a fellowship in Reproductive Endocrinology at Stanford. *Whitney Swanger Kennedy, MD, ‘01, Denver, Colo., and her husband Sean welcomed daughter Quinn Jocelyn Kennedy to their family. Dr. Kennedy starts her Family Medicine practice March 1, 2005. Steven (Eric) Olyegar, MD, ‘00, Charleston, S.C., is busy planning a move to Mesa, Arizona in September after he completes his radiation oncology residency. Dr. Olyegar, his wife Karen and their two and a half year old daughter, Hannah enjoyed their time in South Carolina but will not miss the humidity and are eager to make the move to the Southwest. 27 28 class notes Douglas G. Orndorff, MD, IN ‘03, Crozet, Va., and his wife Shanan are proud to announce the birth of their daughter, Ava S. M. Prather Ashe, MD, Grace Orndorff. She was born ’43, Denver, Colo., died November 8, 2004. Ava and December 2004 after a lengthy Shanan are both doing well. illness. He is currently in an orthopedic surgery residency Hirsh E. Barmatz, MD, ’63, at the University of Virginia. Denver, Colo., died October 2004. Dr. Barmatz practiced Ophthalmology in the Denver area and is survived by his wife, Alice; his children, Stacy (Andy) Morrison, Mitzi Edgar l. Makowski, MD, (Mike) Camarillo and Heidi Englewood, Colo. And Scottsdale, Ariz., professor and (Tim) Parkhurst; and five grandchildren. Chair, Emeritus of the Department of Obstetrics and Gynecology. Dr. Makowski is Larry J. Findley, MD, ’75, a Trustee of Perinatal Loveland, Colo., died June 16, Resources, Inc., which 2004, at his office. He was 55. conducts two post-graduate Dr. Findley brought national courses per year for over attention to the Loveland area 500 obstetricians and with sleep study research. He gynecologists. He is also published articles on sleep teaching part-time in the studies in nationally acclaimed Department of Obstetrics publications including the and Gynecology at Good New England Journal of Samaritan Hospital in Medicine, the Journal of the Phoenix. American Medical Association, and SLEEP. His career began in Denver and took him to San Barry H. Rumack, MD, R’73, Greenwood Village, Colo., Diego, Calif., and former professor of pediatrics Charlottesville, Va., before he and Director of the Rocky returned to Colorado. The Mountain Poison Center, has first sleep lab in Northern been working as an arbitrator Colorado opened upon Dr. for the American Arbitration Findley’s arrival in Loveland in Association. Dr. Rumack the summer of 1991 and he recently became the mediator continued to research and for the University of publish sleep-related works Colorado’s Privilege and until his death. Dr. Findley Tenure Committee. He also practiced pulmonary continues to do research in medicine in Loveland. He is Toxicology and Pharmacology, survived by his wife, Deborah; primarily in the area of mother, Shirley J. Findley; acetaminophens and has been children Jonathan, Joseph, and an advisor to the FDA. Mary Catherine Findley. MEMORIAM RETIRED FACULTY Stephen Frey, MD, ’80, Elko, Minn., died December 1, 2004, in an automobile *Indicates CU Alumni Association member. accident. Dr. Frey completed a family practice residency at the University of Wyoming and then spent the next three years on active duty with the U.S. Navy in Guam. He returned to the U.S. and practiced family medicine in Washington state and New Mexico before moving to Minnesota three years ago. He is survived by his wife of 26 years, Patricia; children Nathan, Aven, and Elisa. Cynthia Kay Hampson, MD, ’91, died on September 29, 2004, after a three year battle with ovarian cancer. Cindy is survived by her husband, Allan, and their five children, Chris, Rob, Kate, Greg and Andrew; as well as her parents, Felix and Marilyn Beckman; sister, Debra Beckman; and brother, David Beckman. Dr. Hampson was born in Denver in 1956 and grew up in Arvada. She earned a Boettcher Scholarship to Colorado State University where she graduated in 1978 with a degree in biomedical engineering. After marrying Allan, they moved to Tulsa, Okla., where she worked for Oxidental Petroleum for nine years while earning a master's in business administration from the University of Tulsa. During that time, she had two children and decided to become a doctor. In 1991, she graduated with honors from the CU School of Medicine while having kids ages 3 and 4. After her anesthesia residency, and one more child, the family moved to Spokane, Wash. There she served in the U.S. Air Force for four years as a physician and earned the rank of major. The family moved class notes to Fort Collins in 2001 where Dr. Hampson worked with Northern Colorado Anesthesia until the time of her death. Keith Harvey Harris, MD, ’57, Phoenix, Ariz., died September 22, 2004. After graduation from medical school, Dr. Harris completed his general surgery residency at the University of Iowa in Iowa City. He moved to Phoenix to start his general surgery practice with his father, Karl Harris, also a general surgeon. He will be remembered by his peers, patients, family and friends not only for his skillful surgical expertise, but also for his gentle ways as a man. He and his wife, Pinky, shared an avid love for golf, the outdoors and nature. Dr. Harris is survived by his wife, Pinky; his brother, Jack; his children, Karen, Kevin, Christina, and Lisa; and seven grandchildren. Darcey Rothman, MD, ’03, Denver, Colo., died on November 27, 2004. She was in her second year of neurology residency at the time of her death. During her youth, she was involved with the Colorado Children’s Chorale, Kidskits, and various other youth organizations. She was a member of Alpha Chi Omega Sorority and various honor societies. She is survived by her mother, Charlotte Gillespie; her stepfather, Jim Gillespie; a sister, Charner Schmidt; fiancée, Greg Blais and Jack Schmidt, all of Denver. Fred W. Schoonmaker, MD, ’61, Bozeman, Mont., died January 6, 2005. Dr. Schoonmaker served in the U.S. Air Force and rose to the rank of Major as a fighter pilot during the Korean Conflict. After completion of his military service he pursued his desire to become a cardiologist. After graduation from CU School of Medicine, he completed his internship at Duke University Hospital, where he also did post graduate training, was Chief Resident in Internal Medicine and did a fellowship in cardiology at Duke and at the NIH. He returned to Denver in 1967 to St. Luke’s Hospital, where he held various medical, research and management positions until his retirement in 1995. He was a founder, member of the Board of Trustees, and President of the Rocky Mountain Heart Research Institute. Dr. Schoomaker was a member and held leadership positions in many professional societies including fellowships in the American College of Chest Physicians, American College of Angiology and the International College of Cardiology. He is survived by his wife, Janis; five children and fourteen grandchildren. Brandt F. Steele, MD, Faculty, Denver, Colo., died January 19, 2005. He was 97. Dr. Steele was Professor Emeritus of psychiatry and the Kempe Children’s Center. An internationally respected psychiatrist, best known for his work in child abuse prevention, Dr. Steele joined the faculty of the CU School of Medicine in 1958. In 1962, he co-authored, with Dr. C. Henry Kempe, “The Battered Child Syndrome,” an article published by the Journal of the American Medical Association which provided an understanding of how to address and treat cases of child abuse and neglect. The article is still regarded by JAMA as one of the 50 most important contributions to medicine in the 20th century. Dr. Steel was instrumental in the development of the National Center for the Prevention and Treatment of Child Abuse and Neglect, now called the Kempe Children’s Center. Today, the Center is regarded as a world leader in the prevention and treatment of child abuse and neglect. Survivors include two sons, Brandt N. Steele and Thomas Steele, eight grandchildren; and five greatgrandchildren. Stanley M. Weiner, MD, ’50, Vero Beach, Fla., died October 7, 2004. Dr. Weiner practiced cardiology and internal medicine for 30 years in Colorado before moving to Florida. Survivors include his wife of 21 years, Becky; son, Larry; daughters, Debbie and Julie; stepsons, Drew and Ed Hamrick; sister, Ruth Perotin; and five grandchildren. John Tucker Willson, PhD, Faculty, Sheridan, Wy., died on September 19, 2004. Dr. Willson was a professor of Human Anatomy at the CU School of Medicine. He was a member of Alpha Omega Alpha, published numerous research articles, and the originator of the plastics laboratory which formed teaching materials for the study of Human Anatomy. The CU School of Medicine honored him by creating the “Willson Prize” for outstanding performance in Anatomical studies by a medical student. He is survived by his wife, Crete, two sons, John C and Robert Y.; five stepchildren; and 17 grandchildren. Charles Earl Wood, MD, ’63, Rogers, Ark., died October 28, 2004. Dr. Wood served in the Navy and saw action in the Korean Conflict as a crew member of the USS Jenkins DDE-447. He completed his internship and residency at Denver General Hospital and established an Ob/Gyn practice in Casper, Wyoming, in 1967, which he operated until 1984. He and his wife of 44 years, Patricia, lived in Casper for twenty years, where they raised their three children, before moving to Missouri and Arkansas. Beginning in 1990, he served as a locum tenens physician, providing specialized Ob/Gyn care to private practices and hospitals across the U.S. He is survived by his wife; son, Spencer; daughters, Lecia and Christine; and granddaughter Lily. n 29 C O L U M N student column S T U D E N T 30 My Summer in Chilé by Tyler Green, Class of 2007 A Among the many world. Eventually I went appealing aspects of a to our alumni association career in medicine, one office to request a list of of the greatest draws for alumni working in Latin me has always been that America. A couple of it can be practiced weeks later they sent me a anywhere; anywhere in list of about twenty Colorado, anywhere in UCHSC alumni working the US, and anywhere in in various countries the world. Ever since I throughout Latin America. first decided as an I then put together a letter undergrad student that I and sent it off to the wanted to go into doctors on the list letting medicine, I’ve had an them know that I was interest in eventually looking for an opportunity working in other to gain some clinical countries. I’ve always experience and practice seen the opportunity to with the Spanish language work in the setting of a in whatever capacity could different culture, be arranged during my possibly using a different summer vacation. This language, as an turned out to be highly opportunity for an productive. Soon after I added level of sent out these letters I A horseback ride toward the Chilean excitement, challenge, received several responses and enrichment. So last border with Argentina in the Valle from doctors offering to year, as a first year have me in their clinics or Elqui, a beautiful area filled with medical student, I knew vinyards, nice little towns, and hospitals for the summer. early on that I would In the end I decided surrounded by mountains. spend my summer break that I would go to doing something medically related in a Valdivia, Chilé to the Hospital Regional de different country. Since I had recently begun Valdivia, the teaching hospital affiliated with to learn Spanish, this would be the perfect the Universidad Austral de Chilé. Dr. Juan opportunity to build on that foundation Carlos Bertoglio, who completed an somewhere in Latin America. immunology fellowship at the CU School of Over the course of the year, I began to Medicine in 1980 is now a professor of gather information on various opportunities clinical medicine at that hospital, had replied for the summer. I spent many hours reading to my letter offering to incorporate me into about the different international volunteer their introduction to clinical medicine course. programs available to pre-clinical medical It seemed like the perfect opportunity to get a students. I sent out a message on an taste of that international medical experience international medicine listserve looking for I had long yearned for. So after our school contacts. I also attended several lectures put year ended, and the proper arrangements had on by our student-run International Health been made between our administration and Opportunities Program (IHOP), looking for theirs, I packed my bags for the summer contacts through speakers who had done work (winter) in southern Chilé. in Latin America. I soon came to realize that In total I spent about ten weeks of the my fresh knowledge of biochemistry wasn’t summer in Chilé, and I truly couldn’t have exactly in hot demand in clinics around the asked for a better way to spend my summer student column 31 break. I was assigned to a small group of four other students. We met most mornings at 8 o’clock on the internal medicine ward along with an intern to practice our history taking and physical exam skills with the patients before practicing our “B-S” skills with the attending physician who would arrive about an hour later. When the students went home for their winter vacation, I continued to spend about three or four hours per day at the hospital, where the faculty, interns, and patients, made me feel right at home. Some of my most memorable experiences from the hospital come from those few weeks. I had several long conversations with easy-going patients who allowed me to sit with them and practice my Spanish, usually beginning with a medical history and then frequently moving into more meaningful conversations about life in general, our lives in particular, our countries, our families, the state of the world, healthcare, politics, or whatever came up during the course of these conversations. On the weekends I enjoyed visiting other towns in the region along with my girlfriend who was also able to spend the summer in Chilé, or we would spend the weekend hanging out My small group with Dr. Patricio Jimenez on the far with friends right and the intern Carla in front. Then from left to in Valdivia. right: Juan, Armando, myself, Miguel, and Eduardo. Toward the end of the responded to my letter offering to summer we took a few weeks to have me shadow them or others in travel all over the beautiful country their departments. My other of Chilé. In the end it was difficult reason for writing this article is to to leave. We had made several encourage other alumni working good friends in Valdivia, learned a around the world to consider lot about medicine, learned a lot hosting medical students in their about the country, and made some hospitals or clinics. Looking back good progress in Spanish. on the summer it’s amazing to see One reason I wanted to write what a meaningful experience it this article was to thank Dr. was on so many levels. The things Bertoglio I learned last summer are things I and the will certainly take with me other throughout the remainder of my professors medical education, training, and in Valdivia career. who were Every year there are many so students between their first and generous second years looking to spend their as to make summers in other countries this around the world and to gain some possible, clinical experience at the same and also to time. If you are interested in the thank the possibility of arranging such an other opportunity for a medical student, alumni please contact the Office of Alumni who Relations at [email protected]. n Dr. J.C. Bertoglio immediately to the left of the CT scans along with his small group. Y O U A L U M N I thank you alumni T H A N K 32 Thank You CU School of Medicine Alumni! T The CU Medical Alumni Association’s HOST Program (Help Our Students Travel) organizers wish to acknowledge the following alumni who participated in this year’s program by hosting a medical student in their homes. Your generosity is greatly appreciated. Thank you! Jim Bisping, MD ’02 Gerald Chessen, MD, ’56 Steven Goldstein, MD, ’78 Res Gerard Graham, MD, ’98 Robert Hada, MD, ’87 Jim Little, MD, ’98 James Mallow, MD, ’67 Haile Mezghebe, MD ’79 Maya Pring, MD, ’97 Susan Regan, MD, ’79 Julie Sands, MD ’90 Jeffrey Seibel, MD, PhD, ’98 Scott Wagers, MD ’95 Mark Swanson, MD ’75 Marie Wood, MD, ’85 Between October and January, 65 alumni across the country were asked to host a student traveling during their residency interview process. We were gratified by the enthusiastic response to our calls for help. We placed 6 medical students – some requiring as many as 10 (!) different accommodations for the residency specialties they were pursuing – in alumni homes across the country from Vermont to California. It’s a good start for our first year and we hope to double the number of students placed next fall. Just a little background on this program: many alumni may well remember the cost of interviewing for residency programs hits medical students at a financially inopportune time. Juggling interview schedules with their clinical rotations, students often settle for higher travel rates for the sake of expediency. The cost of residency interviews can often push students beyond their financial means or may cause students to cut corners in a way that prevents them from really getting a feel for a prospective new community during a quick visit. The CU-School of Medicine HOST program’s goal is to help students overcome some of these challenges by linking students with alumni hosts across the country. Alumni hosts provide overnight accommodations in their homes for the visiting students, and possibly a spouse. Alumni volunteers may also offer transportation, home cooked meals, guided tours of the area and invaluable professional insight on the regional medical community and the students’ prospective medical centers and specialties. Students also serve as collegiate ambassadors to medical school alumni across the country. For many alumni, visiting medical students provide a link to their alma mater and to their days as medical students. Hosting students is one way to “give back” to their School, while also, through the students’ example, catching a glimpse of the quality of CU’s medical education. One of our 4th year students wrote the following after her residency interviews concluded: I just wanted to give you some follow-up on my alumni host experiences. I stayed with Dr. Scott Wagers in Burlington, VT and Dr. Haile Mezghebe in Washington, D.C. Both were wonderful experiences. I was completely welcomed into their homes, taken out for dinner, made a traditional Eritrean meal and all together taken care of. Both took the time to talk with me about my career goals and choosing a residency, although neither is in my field of interest. Both were also very interested in hearing about the state of affairs at CU and asked about faculty and deans they knew. I think this is a great program and it went well from both sides. The alumni love to have contact with young students and hear first hand our experiences at CU. We in turn get their advice and perspective, in addition to a place to stay to defray travel costs. Thank you for your help in arranging this! Lisa Dillabaugh, Class of 2005 For more information or to participate in the HOST program, contact the Alumni Relations Office, toll-free 877-HSC-ALUM or you may also register on-line at http://www.uchsc.edu/alumni match day by Maureen J. Garrity, PhD Associate Dean for Student Affairs S Class leaders worked hard on the venue for the match celebration. The Pepsi Center was the preferred site and thanks to the work of dedicated students and staff in the Student Affairs office, contracts were signed and final arrangements made. The mother of one of the class members made individual cookies in the shape of a CU buffalo and other cookies with the School and date and these were at each place setting in the banquet room. Helium filled balloons and flowers filled the room as excited and anxious students and family members arrived. The envelopes containing the match information for each student were placed in glass coffee mugs, etched with the CU logo. Dean Krugman arrived in time to count down the final minutes and seconds until 11 a.m. when it was legal for students to open the envelopes. And then the long-awaited moment arrived. Envelopes were ripped open, some opened tentatively, and the Pepsi Center erupted with exclamations from students and family alike. What a joyous moment for all – students, parents, siblings, children, administrators and staff members. A day to be remembered. A total of 128 students participated in the match; 114 will be May 2005 graduates and 14 others had graduated earlier. As usual, Colorado captured the majority of the students with 55 remaining in the state. California will get 15 of our students and the neighboring states of D AY Shouts and Cheers, Laughter and Tears of Joy… Was this a basketball game, a football game? No, it was Match Day 2005 at the University of Colorado School of Medicine. This day was the culmination of weeks and even months of anticipation for members of the graduating class of 2005. The process had started almost four years earlier, in August 2001, when the members of the class arrived for their orientation to medical school. After two years of intensive studies in basic sciences, the students started their first year of clinical rotations in June 2003. As this year progressed, individual students honed in on their career choices. Some students had started medical school “knowing” what they wanted to do with their life in medicine while others ended their third year still undecided. During the summer quarter of 2004, the students did sub-internships in fields of their choice and finalized their decisions. Late summer and into fall was a busy time as students prepared their residency applications, sought letters of recommendation from faculty and scheduled interview trips. Many of our students have spouses, children, fiancés, and significant others and the needs of their family members are an important consideration in the final choice of which residency programs to consider. This is clearly a complicated process! Students who were matching in Neurology, Child Neurology, Neurosurgery, Otolaryngology, Ophthalmology, Urology and the Military had an earlier match process and knew where they would be spending the next several years in January. For the rest of the class members, the Rank Order List was due at 9 p.m. EST on February 23, 2005. Early on that morning, most of the class had finalized their list, although as usual there were a few students who remained undecided until the last minute. Then the lists were in and the waiting period started. M AT C H Match Day 2005 33 34 match day Montana, Utah, New Mexico, Nebraska and Arizona will host another 15 students. A total of 31 students will do their residencies in Medicine, with 30 in the various subspecialties, 17 in Family Medicine, 10 in Pediatrics, 8 each in Emergency Medicine and Obstetrics and Gynecology, 7 in Psychiatry, 5 in Orthopedic Surgery, 4 each in Pathology and Surgery, 3 in Pediatrics/Neurology and 1 in n Family/Obstetrics. Where Are They Going? T These are CU School of Medicine 2005 graduates who are doing residencies next year and the programs they will be going into: Anesthesiology Nicole R. Arboleda, Brigham & Womens Hospital (MA) Caleb A. Awoniyi, Univ. of Florida (FL) Joel L. Bridgewater, Medical Univ. of South Carolina (SC) Mindy N. Cohen, CU School of Medicine Matthew L. Hall, CU School of Medicine Matthew S. Koehler, CU School of Medicine Allison C. Long, CU School of Medicine David Morgan, Univ. of Utah Affil Hospitals (UT) Andrea Orfanakis, Vanderbilt University (TN) Matthew P. Palcso, CU School of Medicine Matthew J. Swan, Univ. of Kentucky Med. Ctr. (KY) Amber D. Tacke, Univ. of Utah Affil Hospitals (UT) Child Neurology Sita Kedia, CU School of Medicine Cameron W. Thomas, University of Cincinnati (OH) Brandon Zielinski, UC San Francisco (CA) Dermatology William R. Howe, CU School of Medicine Megan E. Weber, Mayo Graduate Programs (AZ) Emergency Medicine Elizabeth E. Casner, Carolinas Medical Center (NC) Kelli A. Cleary, Univ. of Illinois-St. Francis Med Ctr (IL) Charles P. Gillespie, University of Arizona (AZ) Aric S. Jorgenson, Carolinas Medical Center (NC) Jeremy Newman, W. Virginia University (WV) Heather Prouty, Denver Health Medical Center (CO) Gina C. Soriya, Denver Health Medical Center (CO) Kristin J. Whapshare, Resurrection Med Ctr (IL) Family Practice David S. Adams, Contra Costa Medical Center (CA) Raymond Adams, St. Mary’s Hospital (CO) James R. Bixler, Stanislaus Health Services (CA) Amy Cook, Exempla St. Joseph (CO) Aaron B. Gale, Exempla St. Joseph (CO) Jacquelynn M. Gould, Ft. Collins Family Medicine (CO) Oswaldo A. Grenardo, CU/Rose Medical Center (CO) Jacob V. Greuel, Montgomery Family Medicine (AL) Aline Hansen-Guzman, UC Davis (CA) Korrey D. Klein, St. Mary's Family Practice (CO) Kelly E. McMullen, Exempla St. Joseph (CO) Deirdre K. McNamer, Montana Family Medicine (MT) Valerie S. Prendergast, Alaska Family Practice (AK) Bryan K. Reichert, Ft. Collins Family Medicine (CO) Kent W. Schreiber, CU School of Medicine Christopher Vialpando, St MaryCorwin Med Center (CO) Rachel L. Yates, Contra Costa Medical Center (CA) General Surgery Shelby S. Best, Naval Medical Center (VA) Michael A. Heller, CU School of Medicine match day Robert Rhodes, CU School of Medicine Joel E. Wilson, CU School of Medicine Internal Medicine Christina L. Adams, CU School of Medicine Lina E. Aguirre, Mayo Graduate Program (FL) Dipesh S. Amin, Brown University (RI) Timothy J. Bedient, Barnes-Jewish Hospital (MO) Prashant D. Bhave, UC San Francisco (CA) Joseph R. Bledsoe, Univ. of Utah Affil Hospitals (UT) Daniel W. Bowles, CU School of Medicine Lilia Cervantes, CU School of Medicine Tom Chau, UC San Diego (CA) DawnRenee Cinocco, Legacy Emanuel/Good Samaritan (OR) Lisa A. Davis, CU School of Medicine Andrew L. Freeman, Univ. of Utah Affil Hospitals (UT) Bryce H. Lokey, CU School of Medicine Lela Mansoori, CU School of Medicine Ian Myles, Ohio State Univ. (OH) Grant Paulsen, Univ. of North Carolina Hospitals (NC) Desi J. Penington, Exempla St. Joseph (CO) Kristen N. Rice, UC San Diego (CA) Eric J. Roeland, UC San Diego (CA) Steven L. Rosinski, Emory University (GA) Loretta V. Sullivan, VA Greater LA Health System (CA) Jennifer Tamblyn, CU School of Medicine Jamie L. Todd, Duke University (NC) Jeannine S. Wallnutt, Univ. of Minnesota (MN) Medicine Internship Gregory T. Baldwin, Exempla St. Joseph (CO) Joshua A. Brauer, CU School of Medicine Shayla Orton Francis, CU School of Medicine Tracey A. Garcia, Advocate Lutheran Gen Hosp (IL) Patrick N. McLaughlin, Univ. of Utah Affil Hospitals (UT) Neurology Laura L. Lehnhoff, Barrow N.I. (AZ) Allen S. Nielsen, CU School of Medicine Kirsten M. Nielsen, CU School of Medicine Steven Zeiler, Johns Hopkins (MD) Obstrectics and Gynecology Elizabeth Brass, CU School of Medicine Jennifer L. Keller, Exempla St. Joseph (CO) Kelley McLean, UVM/Fletcher Allen (VT) Torri D. Metz, CU School of Medicine Michelle Palumbo, SAUSHEC (TX) Candice C. Park, Good Samaritan Reg Med Ctr (AZ) Christina M. Ring, Univ. New Mexico (NM) Jennifer A. Scott, B. I. Deaconess (MA) Opthamology James A. Dixon, CU School of Medicine Orthopaedics Kevin S. Borchard, SAUSHEC (TX) Orthopaedics Surgery Ryan C. Koonce, CU School of Medicine Alex Romero, Univ. of Illinois-Chicago (IL) Selina R. Silva, Univ. New Mexico (NM) Kenneth C. Thomas, Hamot Medical Center (PA) Charles M. Jobin, Columbia University (NY) Otolaryncology Amy de la Garza, Univ. of Utah Affil Hospitals (UT) Keith Michael Ladner, Univ. of North Carolina Hospitals (NC) Michele A. Streeter, Univ. of Kentucky Med Ctr (KY) Pathology Rachel A. LaCount, CU School of Medicine Pamela L. Lyl, Penrose Hospital (CO) Carrie B. Marshall, CU School of Medicine Aaron S. Wagner, Orlando Regional Healthcare (FL) Pediatrics Leigh A. Bakel, CU School of Medicine Sean R. Bennett, Dartmouth-Hitchcock (NH) Patrick H. Diaz, Kaiser PermanenteOakland (CA) Lisa Dillabaugh, UC San Francisco (CA) Ashley E. Jones, CU School of Medicine Dawn D. Kallio, Maine Medical Center (ME) Kristine A. Knuti, CU School of Medicine Julie K. Linderman, Univ. of Texas SW (TX) Kirsten Nelson, CU School of Medicine Margarita S. Saenz, St. Joseph’s Hospital (AZ) Psychiatry Jonathan Boyer, CU School of Medicine Rachel A. Davis, CU School of Medicine Elishia Lintz-Oliva, CU School of Medicine Robert J. Long, Loma Linda Univ. Medical Ctr. (CA) Julia A. Maximon, CU School of Medicine Jason D. McCarl, CU School of Medicine Ethan D. Swift, CU School of Medicine Radiation Oncology Thomas J. Pugh, CU School of Medicine Radiology-Diagnostic Alan C. Best, CU School of Medicine Scott R. Geraghty, University of Virginia (VA) Chia-Li Lai, Creighton University (NE) Jeffrey L. McPherson, Vanderbilt University (TN) Christian S. Van Kirk, Sacred Heart Medical Ctr (WA) Pooja Voria, St. Vincents Hospital (NY) Transitional Glenda B. Robles, Naval Medical Center (CA) 35 36 match day 2005
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