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vermont medicine U N I V E R S I T Y O F V E R M O N T C O L L E G E O F M E D I C I N E the People behind Clinical Trials S U M M E R 2007 vermont medicine U V M Thank you. C O L L E G E O F M E D I C I N E S U M M E R FROM THE DEAN 2 COLLEGE NEWS 3 A new gift funds loans for Vermont Medical students, the College climbs in national rankings, Commencement 2007 coverage, and more. HALL A PRESIDENT ’ S CORNER CLASS NOTES DEVELOPMENT NEWS OBITUARIES 2 0 0 7 10 THE BEST DEFENSE With a new multi-million dollar grant, a UVM group studies infectious agents that impact the health of millions. by jennifer nachbur 16 27 28 29 31 38 THE PEOPLE BEHIND CLINICAL TRIALS Data drives new improvements in medications, devices, and therapies; but the data of clinical trials comes from the many people — from study participants to administrators — who make the system work. by edward neuert A great university, and a great medical school, is a community of outstanding scholars and students supported by the alumni and friends of the institution. This support has been shown concretely by the tremendous success of the Campaign for the University of Vermont — only the second campaign in UVM history — which this year exceeded its goals for both the University and the College of Medicine. The more than $83 million raised by the campaign at the College will greatly strengthen scholarship and faculty support, and has helped create new 21st Century facilities in which to educate the next generation of physicians and scientists. To everyone who helped the College surpass this important goal, we offer our deep and heartfelt thanks. University of Vermont College of Medicine Medical Development and Alumni Relations Office (802) 656-4014 [email protected] www.med.uvm.edu/giving M A G A Z I N E 22 THE SURGEON WRITER For years, Professor of Surgery Frank Ittleman, M.D., has shared his thoughts on the doctoring life, and life in general, with his fellow surgeons. on the cover: Photograph of clinical trail study participant Leon Strader by Raj Chawla. MARIO MORGADO vermont medicine FROM THE DEAN S U M M E R 2 0 0 7 EDITOR edward neuert As this issue of Vermont Medicine is going to press, the College of Medicine and, indeed, the whole UVM campus, are abuzz with the activity of Commencement 2007. As we prepare to graduate 97 new physicians and 14 new Ph.D.’s, I’m also mindful that, in a few short weeks, the members of past classes will arrive back on campus to celebrate Reunion ’07. It is an interesting physical juxtaposition: to see the graduating class head out to the beginning of their careers and then, so soon, to see earlier classes return to campus as a respite from their busy lives. Many of those who return are, of course, familiar faces. And many are returning for the first time after long, successful careers in medicine. Those who have been away a long time marvel at the changes that have taken place throughout the medical campus. But it seems to us that returning alumni are most interested, not in the buildings, but in an experience. More than anything else, they seem to want to know the answer to this question: what is it like to be a medical student today? They realize as well as anyone the changes medicine has undergone since they graduated, and understand first-hand the reasons behind many of the important changes — like our integrated curriculum — that have been instituted to address the needs of the next generation of physicians. Having just graduated the first class of students to fully experience the Vermont Integrated Curriculum, we are committed to insuring that our students are fully prepared for those challenges. Both the members of the on-campus community and our community at large recognize the importance of the continuing innovation that goes on at our campus from day to day. The clinical trial study participants who appear in this issue are both patients of ours, and active agents in the search for new treatments and therapies that will make better outcomes for not only themselves, but for the patients of the future. And the many researchers in our laboratories and clinics, just a few of whom are seen in the article about our latest Center for Biomedical Research Excellence, focus their lives on the finding of new knowledge that will translate into better care at the bedside. That spirit of constant improvement, committment to excellence, and the continuing discovery of new pathways, are the things one always feels on this campus. It forges a community and creates a feeling of new beginnings that lasts far beyond graduation. 2 V E R M O N T M E D I C I N E RAJ CHAWLA COLLEGE NEWS ASSISTANT DEAN FOR COMMUNICATIONS & PLANNING carole whitaker WRITER jennifer nachbur ART DIRECTOR elise whittemore-hill DESIGN INTERN jessica anderson UNIVERSITY OF VERMONT COLLEGE OF MEDICINE INTERIM DEAN john p. fogarty, m.d. EDITORIAL ADVISORS rick blount ASSISTANT DEAN FOR DEVELOPMENT & ALUMNI RELATIONS marilyn j. cipolla, ph.d.’ 97 ASSOCIATE PROFESSOR OF NEUROLOGY christopher s. francklyn, ph.d. PROFESSOR OF BIOCHEMISTRY $6.8 Million Gift Funds Vermont Medical Student Loans Rebecca Brakeley, a third-year UVM A generous estate gift from Burlington, medical student from Middlebury. Vt. native Elinor Bergeron Tourville “This loan fund will help alleviate the Bennett will establish a perpetual nofinancial stress medical students typicalfee, no-interest loan fund for Vermont ly face after graduation and allow us to students at the College of Medicine. continue focusing on providing excelThe Elinor Tourville Bennett lent care to our patients.” Charitable Trust will continuously proMrs. Bennett was born in Burlington vide annual income to the College of on May 6, 1920, the daughter of the Medicine that will be made available owners of a Cadillac dealership on specifically to Vermont residents Elinor Tourville Bennett North Avenue. A 1938 graduate of Burenrolled as students at the College as loans with a minimum payback period of ten years after lington High School, she worked for years as a dental assistant in the Burlington area. In 1960, she married the student has completed residency training. “This loan fund — made possible by the extraordi- Wilfred Tourville, who passed away in 1969. Then in nary generosity and foresight of Elinor Bennett — will 1976, she married Thomas Bennett, who died in 1979. impact the education of Vermont medical students in Her family had a camp on Appletree Point, which perpetuity,” said Interim Dean John P. Fogarty, M.D., became her main Vermont residence in later years. She when the gift was publicly announced in May. “This retained a strong affinity for Burlington and considwill allow students to more easily manage the burden ered Vermont her home. Mrs. Bennett endured severof educational debt during their earlier years as physi- al serious health issues during the 20 years before her cians.” According to the Association of American death on June 25, 2006. The positive experiences and Medical Colleges, the average 2006 graduate indebted- relationships she developed with the physicians who ness at the College of Medicine is $134,306. cared for her during that time inspired her to bequeath “Mrs. Bennett’s gift is truly remarkable,” said most of her estate to the College of Medicine. james c. hebert, m.d.’ 77 ASSOCIATE DEAN FOR GRADUATE MEDICAL EDUCATION russell tracy, ph.d. SENIOR ASSOCIATE DEAN FOR RESEARCH & ACADEMIC AFFAIRS vermont medicine is published three times a year by the University of Vermont College of Medicine. Articles may be reprinted with permission of the editor. Please send address changes, alumni class notes, letters to the editor, and other correspondence to University of Vermont College of Medicine Alumni Office, Given Building, 89 Beaumont Ave., Burlington, VT 05405. telephone: (802) 656-4014 Letters specifically to the editor may be e-mailed to: [email protected] College Climbs to 7th for Primary Care in 2008 U.S. News & World Report Graduate School Guide The University of Vermont College of Medicine ranked seventh for primary care among the nation’s 125 medical schools according to the U.S. News & World Report 2008 “America’s Best Graduate Schools,” which was published in early April. The College moved up from fourteenth last year, and has consistently ranked in the top 15% of all medical schools in primary care. “We’re proud to be recognized as providing top-quality medical education and training for primary care physicians,” said Interim Dean John P. Fogarty, M.D. “Primary care is an integral part of the health care sys- BOTTOM : RAJ CHAWLA tem in our state and across the nation, and our curriculum provides wonderful opportunities for medical students to understand the critical role of the primary care physician as well as gain experience in a range of clinical settings.” Each year, U.S. News ranks professional-school programs in business, education, engineering, law, and medicine. These rankings are based on two types of data: peer ranking data from medical and osteopathic school leadership and residency program directors about program quality; and statistical indicators that measure the quality of a school’s faculty, students and research activity. The College of Medicine received nearly 5500 applications for the 107 students in the Class of 2010 that entered in fall 2006, and has 425 total medical students in its four classes. S U M M E R 2007 3 COLLEGE NEWS Sanders Earns Fulbright Scholarship & AWARDS Recent graduate Justin Sanders, M.D.’07 has been awarded a Fulbright grant to study in the United Kingdom. A native of Utah, Sanders will be going to University College London in England to conduct research on cultural barriers to the utilization of palliative care services and complete a master’s degree in medical anthropology. Established in 1946, the Fulbright Program is the largest United States international education exchange program. As a Fulbrighter, Sanders joins the ranks of more than 279,000 alumni of the program, many of whom have become heads of state, judges, ambassadors, CEOs, journalists and professors and 36 of whom have received Nobel Prizes. He will work to fulfill the principal purpose of the program: to increase mutual understanding between the people of the United States and those of more than 155 countries currently participating in the Fulbright Program. Notable recipients of the Fulbright include the actor John Lithgow, composer Philip Glass, opera singer Renee Fleming and economist Joseph Stiglitz. “By winning this grant, Justin places himself in a Fulbright scholar Justin Sanders, M.D.’07. very elite group,” said Abu Rizvi, associate dean of the Honors College, associate professor of economics and Sanders’ advisor during the Fulbright application process. “The United Kingdom is the most challenging country in which to win a Fulbright, and this year’s success rate is barely two percent. Justin will bring with him a passion for inquiry and service to the United Kingdom and bring back an understanding of palliative care in a multicultural context that will enrich his residency experience in the U.S.” After completing his master’s degree, Sanders plans to serve a family medicine residency and go on to specialize in palliative care. STUDENTS PRESENT SCHOLARLY PROJECTS Suezie Kim, M.D.’07 presents her research on snowboarding and ski injuries. 4 V E R M O N T With just weeks to go before officially earning their medical degrees, fourth-year students at the College of Medicine were looking forward to the beginning of their professional careers in residency programs across the nation. Many members of the Class of 2007 finished medical school with substantive scholarly research as a part of their accomplishments; these students presented their work to the academic health center community on May 3. Throughout that morning ten senior surgery majors presented on a range of topics in Given’s Hall A — from the relation between peptic ulcer disease and M E D I C I N E coronary bypass survival to the epidemiology of snowboarding and skiing injuries. The Surgery Senior Major Scientific Program is now in its 37th consecutive year, with the goal “to provide students with the opportunity, through library search, patient chart review and/or laboratory investigation, to complete a scholarly project, assemble and prepare data in the form of a scientific article acceptable for publication in a professional journal and present this research at a scientific seminar.” The Vermont Integrated Curriculum Scholarly Project was conceived “to encourage the development of students as physician-scholars by gaining an understanding of the processes and methods involved in scientific inquiry.” Scholarly projects polish inquiry, analytical, and communication skills, and solidify the foundation for lifelong learning by providing a background against which critical evaluation of data can be carried out. Fourth-year students performing a research project may focus on either the basic or clinical sciences. This year, six students presented projects in the Reardon Classroom, followed by a poster presentation in the Medical Education Center Pavilion. RAJ CHAWLA ( 3 ) RECOGNITION UVM College of Medicine Faculty Among 2007-2008 University Scholars Three faculty members with appointments in the College of Medicine have been chosen as 2007-2008 University Scholars, including Charles Irvin, Ph.D., professor of medicine and molecular physiology and biophysics; Martin LeWinter, M.D., professor of medicine and molecular physiology and biophysics; and Stephanie McConaughy, Ph.D., research professor of psychiatry and psychology. An awards ceremony and reception was held on May 15 in Memorial Lounge in honor of the new Scholars. The University Scholars program recognizes distinguished UVM faculty members for sustained excellence in research and scholarly activities. The Scholars are selected by a faculty panel based upon nominations submitted by UVM colleagues. tion’s 2007 Miller-Sarkin Mentoring Award at the Pediatric Academic Societies’ Annual Meeting in Toronto May 6th. According to the Ambulatory Pediatric Association, the Miller-Sarkin Award recognizes the contributions of an individual who has provided outstanding mentorship to learners or colleagues, both locally and nationally, and serves as a model to others who aspire to mentor others as they mature. Community Rounds Johnson Receives Academic participants speak Medicine Executive Leadership Fellowship with Research Julia Johnson, M.D., professor of obstetrics Technician Sandra May. and gynecology and vice chair of gynecology at the College of Medicine/ Fletcher Allen Health Care, has been accepted as a member of the Community Rounds Honored by AAMC 2007-08 class of Fellows in the Hedwig van Community Rounds, a special program of the Ameringen Executive Leadership in Academic College of Medicine and Fletcher Allen Health Care, Medicine (ELAM) Program for Women. ELAM, a pro- has won a 2007 Award of Distinction from the gram of the Institute for Women’s Health and Association of American Medical Colleges Group on Leadership at Drexel University College of Medicine Institutional Advancement. Four times each year, in Philadelphia, is an intensive one-year leadership Community Rounds brings a small group of commutraining program with extensive coaching, network- nity leaders to the academic medical center for two ing, and mentoring opportunities. The program’s days where they witness such activities as openaim is to expand the national pool of qualified heart surgery, neurology clinic, medical team women candidates for leadership in academic med- dynamics, doctor-patient communication and cuticine. Approximately 45 candidates are chosen each ting-edge medical research. Participants — called year through a competitive selection process; appli- “interns” — wear white coats and official-looking ID cations for the 2007-08 class were more than double badges and participate in different clinical rotations throughout the medical campus and off-site. They the number of available spaces. also tour facilities and listen to presentations that UVM/Fletcher Allen Pediatrics Chief Wins provide them with grounding in medical and nursing Prestigious National Mentoring Award education and research. Since 1993, more than two The College of Medicine and Vermont Children’s hundred people have participated. Originally held on Hospital at Fletcher Allen Health Care have an annual or semi-annual basis, the program has announced that Chief of Pediatrics Lewis First, grown so successful it is now held quarterly and M.D., received the Ambulatory Pediatric Associa- includes an annual alumni dinner. 5 COLLEGE NEWS Residency Matches for the College of Medicine Class of 2007 ANESTHESIOLOGY Olga Goldobine Karla Greco Thomas Harris Mark Hoeft Nathan Orgain NEUROSURGERY Dartmouth Hitchcock Med Center Maine Medical Center Ohio State Univ. Med Center Massachusetts General Hospital Univ. of Utah Affil. Hosp (PGY1 – UVM/FAHC) EMERGENCY MEDICINE Jack Chan Audrey Collins Gabrielle Jacquet Alexander Lo Scot Millay Joshua Parker Ryan Paterson Stephen Phan Eric Rosenthal Matthew Schreiber MATCH DAY 2007 Just after noon on March 15, senior medical students at the College of Medicine had the answer to a burning question that had been looming for weeks. At 11:55 a.m., Associate Dean for Student Affairs G. Scott Waterman, M.D., delivered the Match envelopes to the College of Medicine post office, where, with Interim Dean John P. Fogarty assisting, they were quickly stuffed into the mailboxes before the clock struck noon. Then, the envelope-ripping began, followed by shouts, cheers, and relief. The national Match Day event is facilitated annually by a computerized matching system designed to optimize the rank ordered choices of medical students and residency program directors at the institutions where students interviewed. Run by the National Residency Match Program, the Match includes more than 15,000 U.S. medical school seniors. Ninety-four College of Medicine students received match envelopes on March 15; three students in the military received early notice of their residency assignments in January. FAMILY MEDICINE Benjamin Huerth Brad MacKinnon Anjali Mahoney Jeff Newsom Sara Pope Amanjit Sekhon Inderjeet Uppal Giselle Sholler, M.D. giving the opening remarks at the Neuroblastoma Symposium. 6 V E R M O N T M E D I C I N E Eastern Maine Medical Center Tacoma Family Medicine Ventura County Med Center Maine Medical Center Naval Hospital – Bremerton, Wash. UC Davis Med Center O’Connor Hospital – San Jose GENERAL SURGERY Talia Ben-Jacob Kelly Huynh Sarah McPartland Rosiane Alfinito Roeder Jennifer Williams UMDNJ – RW Johnson UC Irvine Tufts-New England Med Center Jackson Mem. Medical Center (Fla.) Brown/Rhode Island Hospital INTERNAL MEDICINE VCC SYMPOSIUM HIGHLIGHTS NEUROBLASTOMA RESEARCH The Vermont Cancer Center (VCC) hosted a conference on March 16 titled “Developments in Neuroblastoma Research Symposium” in the College of Medicine’s Medical Education Center. Chaired by pediatric oncologist Giselle Sholler, M.D., assistant professor of pediatrics, the event attracted over 100 attendees, including scientists, physicians, students and family members of neuroblastoma patients. Symposium presenters included investigators from UVM and the Vermont Cancer Center, as well as physicianscientists from University of Pennsylvania/ Children’s Hospital of Philadelphia, Brown Medical School, Memorial Sloan-Kettering Cancer Center and the University of California at San Francisco. The symposium also offered insight into the patient family perspective. During the program’s opening remarks, Neil Hutchison, the father of a Sparrow Hospital (Mich.) Hennepin County Med Center (Minn.) Denver Health Med Center Univ. of Michigan Baystate Med Center Univ. of Nevada at Las Vegas Denver Health Med Center Univ. of Nevada at Las Vegas Hennepin County Med Center (Minn.) Baystate Med Center neuroblastoma patient, expressed his appreciation for the generosity of physicians and scientists working to identify treatments for children with neuroblastoma. Parent/author Syd Birrell provided closing remarks. Approximately 650 children, most of whom are less than 5 years of age, are diagnosed each year with neuroblastoma. Hutchison and his wife Margot, along with parents John and Catherine London, have established The Penelope & Sam Fund for Neuroblastoma Research at the VCC. Despite the current treatment of chemotherapy, surgery, autologous bone marrow transplant and radiation, survival remains below 30 percent for aggressive forms of neuroblastoma. Sholler and several colleagues at the VCC are currently conducting basic science studies, as well as a Phase 1 clinical trial, to identify new treatments for children with the most aggressive form of the disease. RAJ CHAWLA (4) John Chapin Matthew Coates Maria Dunn David Fishbaugher Lisa Glass Nadezhda Horchner Joe Huang Arooj Hyat Sahir Kalim Kevin Keet Meghan McInerney Chad Mitchell Runna Moussa-Pervane Minh Nguyen Jordan Smith Christina Trillis MEDICINE – PRELIMINARY Ramin Raven Eric Suess MEDICINE Einstein/Montefiore Med Center UVM/Fletcher Allen St. Vincent Hospital (Mass.) Univ. of Iowa Hospital and Clinics Univ. of Michigan Health System UPMC Presbyterian Shadyside Univ. of Washington Boston Univ. Med Center Mount Sinai Hospital (N.Y.) UC San Francisco Maine Medical Center UVM/Fletcher Allen New England Med Center Cedars Sinai Med Center (Calif.) Naval Medical Center – San Diego Case Western Reserve Henry Ford Hospital (Mich.) Maine Medical Center – PRIMARY Benjamin Chan Mia Hockett Cristine Maloney Dartmouth Hitchcock Med Center UVM/Fletcher Allen Yale/New Haven Hospital NEUROLOGY Sharon Yegiaian Adam Polifka OBSTETRICS University of Maryland & GYNECOLOGY Elizabeth Beaton Maria Carracino Lara Kingston Katie Lackritz Ellen Solomon Kathleen Valenton SUNY Upstate Medical Univ. UVM/Fletcher Allen New England Med Ctr LIJ/North Shore Univ. Hospital Case Western/MetroHealth Cedars-Sinai Med Center (Calif.) OPHTHALMOLOGY Kurt Kelley University of Michigan (PGY1UVM/Fletcher Allen) ORTHOPAEDIC SURGERY Suezie Kim Brett Lewellyn NYU Hospital for Joint Diseases Orlando Regional Healthcare System PATHOLOGY Mika Fujiwara Uyen Phuong Le Maria Vergara Stanford Univ. Med Center UVM/Fletcher Allen UC San Francisco PEDIATRICS Sandra Cetl Catherine Cho Anne Coates Gregory Connolly Leah Costello Heather Devlin Rebecca Dixon Heather Fremgen David Gordon Stephanie Joy Monica Kwan Meredith Mowitz Charmaine Patel Payal Patel Renée Rickard Keith Robinson Erin Ryan Jennifer Soares Aimée Velasco Katherine Weingartner Kelly Weirather Leslie Young Julia Davis Hoover PHYSICAL MEDICINE Raiel Barlow Univ. of Nevada School of Medicine Georgetown Univ. Hospital Univ. of Massachusetts Med School Maine Medical Center Univ. of Utah Aff. Hospitals UNM Children’s Hospital Univ. of Massachusetts Med School Univ. of Utah Aff. Hospital UC San Francisco Maine Medical Center UC San Francisco Univ. of Florida-Shands Hospital VCU Dept of Pediatrics Children’s Hospital at Montefiore Connecticut Children’s Med Center UVM/Fletcher Allen Oregon Health & Science Univ. UVM/Fletcher Allen Baystate Children’s Hospital Yale-New Haven Med Center UVM/Fletcher Allen UVM/Fletcher Allen Geisinger Health System & REHABILITATION Boston Univ. Med Center PSYCHIATRY James Rustad S.E. Specter Lari Young Jackson Memorial Hospital – Miami UCLA/San Fernando Valley UVM/Fletcher Allen RADIOLOGY Ryan Crete Peter Assaad Sonya Edwards Jennifer Gillis Samuel Braff Tripler Army Medical Center SUNY Upstate Med Univ. Bridgeport Hospital (PGY1 – Einstein/Montefiore) Univ. of Virginia Health System UVM/Fletcher Allen University of Arizona S U M M E R 2007 7 COLLEGE NEWS RESEARCH MILESTONES Commencement 2007 Interim Dean John P. Fogarty, M.D., officiated during the College’s commencement ceremony on Sunday, May 20, in Ira Allen Chapel. Ninety-seven members of the Class of 2007 received their medical degrees, and 14 people received their Ph.D. in areas including Anatomy and Neurobiology, Biochemistry, Cell and Molecular Biology, Pharmacology and Microbiology and Molecular Genetics. Lori Arviso Alvord, M.D., associate dean for student and multicultural affairs and assistant professor of surgery at Dartmouth Medical School, delivered the commencement address. 8 V E R M O N T M E D I C I N E A member of the Navajo Tribe, Dr. Alvord is the first Navajo woman to become a surgeon. She is the author of The Scalpel and the Silver Bear, an autobiography that details her journey from a Navajo reservation to becoming a surgeon and her work to combine Navajo philosophies of healing with western medicine. Her commencement presentation, titled “Healing: Wisdom from the Native American World,” focused on what it means to heal, from a Native American perspective, and how Native American ceremonies and culture provide a powerful vision of how to be a healer. Among the graduates was Matthew Coates, (middle, right) who became the first graduate of the UVM M.D.-Ph.D. program, the physician-scientist training program that now accepts four students per year. A native of Montpelier, Vt., Coates is the third child of Washington County, Vt., physician John Coates, M.D., to attend the UVM College of Medicine. He and MIDDLE RIGHT: RAJ CHAWLA ; ALL ELSE : ANDY DUBACK his sister Anne both received UVM medical degrees this year. The ceremony also saw an M.D. degree awarded to Mia Hockett of Burlington, a fourth-generation physician and the first female doctor in her family. UVM to Examine Potential New Parkinson’s Disease Treatment as Part of National Study UVM will participate in a large-scale national clinical trial to learn if the nutritional supplement creatine can slow the progression of Parkinson’s disease (PD). While creatine is not an approved therapy for PD or any other condition, it is widely thought to improve exercise performance. The trial is the first large study in a series of NIH-sponsored clinical trials called NET-PD (NIH Exploratory Trials in Parkinson’s Disease). UVM has been affiliated with the program since 2002. According to UVM primary investigator Robert Hamill, M.D., professor and chair of neurology, “The team involved in our movement disorder program is very committed to bringing new and novel therapies to citizens of Vermont and upstate New York who have Parkinson’s disease and being part of this NIH consortium is an important step forward in this regard.” In addition to Hamill, the UVM-based project team also includes James Boyd, M.D., assistant professor of neurology and study co-investigator; Shannon Lenox, clinical research coordinator in neuroloRobert Hamill, gy; and Jeanette Baker, R.N., movement M.D. disorder nurse in neurology. OB/GYN Researcher Receives March of Dimes Grant to Study Prematurity Roughly half a million babies in the United States are born prematurely each year and 50 percent of those premature births have no known cause. With the percentage of premature births up nearly 30 percent since 1983, the need for treatments to prevent prematurity is at a critical level. Thanks to a nearly $400,000 grant from the March of Dimes, Elizabeth Bonney, M.D., associate professor of obstetrics and gynecology at the College of Medicine, will have the opportunity to investigate what factors may play a role in causing premature births. Three known risk factors, including multifetal pregnancies, a past history of preterm delivery and uterine and/or cervical abnormalities, are believed to have a role in premature births. In addition, chronic health conditions such as diabetes, high blood pressure and clotting disorders, as well as infections and smoking and substance abuse are considered possible risk factors. Funded by this three-year grant, Bonney’s research will focus on how infection or inflammation can cause premature births. Bonney is interested in examining which specific cells, either in the immune system or in the placenta or uterus, RIGHT: RAJ CHAWLA are critically involved in the process leading to premature birth. She will be looking at how two key participants in inflammatory processes — called macrophages and T cells — might interact to produce or suppress preterm birth. Bonney and her team hope the results of this research will lead to a better understanding of preterm birth, help identify possible ways to treat patients who experience premature labor, and increase understanding of how the immune system works in general. Understanding Intracellular Genetic Communication Recent research published in the journal Molecular Cell by UVM biochemistry graduate student Ethan Guth and Christopher Francklyn, Ph.D., professor of biochemistry and microbiology and molecular genetics, sheds light on how the accuracy is ensured in genetic events in which cells copy their DNA information into short-lived RNA messages, and then translate those messages into proteins. The focus of the UVM team’s research was transfer RNA (tRNA), a special adaptor molecule that must be matched to each amino acid in the protein manufacturing process. The matching reaction is performed by one of a set of some 20 enzymes, each of which is specialized for an individual amino acid and a limited set of specific tRNA adaptors. Following the matching reaction, the tRNA adaptor with its amino acid in tow “decodes” the RNA message with the help of a complex molecular machine called the ribosome, using the chemical rules of the universal genetic code. The accuracy of protein synthesis depends on the accuracy of the matching reaction, and on the decoding process performed by the ribosome. The paper by Francklyn & Guth addresses the fundamental problem of how the tRNA adaptors are selected by the matching enzymes. Modelling Intracranial Pressure UVM faculty members Paul Penar, M.D., professor of surgery in the division of neurosurgery, and William Lakin, Ph.D., professor of mathematics and statistics, along with Scott Stevens, Ph.D., a UVM graduate alumnus and assistant professor at the Behrend College at Penn State Erie, Paul Penar, M.D. were issued a U.S. patent on February 27, 2007 for a “Whole-Body Mathematical Model for Simulating Intracranial Pressure Dynamics.” Penar and his colleagues began developing their method of mathematically modeling the pressure dynamics of the human body’s intracranial system in the 1990s. the With a new multi- million dollar grant, a UVM group studies best infectious agents that impact the health of millions of people worldwide. by JENNIFER NACHBUR defense In the dimness of an early 1900s laboratory, an immunologist peering into the lens photography by MARIO MORGADO 10 Ralph Budd, M.D., Professor of Medicine and Director of the Center for Biomedical Research excellence in immunology and infectious diseases. of a microscope might be looking at a tuberculosis specimen squirming on the slide. Identified as the leading cause of death prior to the development of antibiotics, TB, as well as other outbreaks during the industrialization era including typhoid fever and dysentery, was closely linked to cramped living conditions and poor sanitation and hygiene. The Centers for Disease Control credits public health initiatives and modern miracles such as penicillin, chlorinated water, sewage disposal, and vaccinations, for bringing these diseases under control. 11 Though many major infectious agents were controlled by the 1950s, a cascade of new challenges have emerged over the past 20 years, among them bioterrorism, antibiotic resistance to microorganisms, and an increase in the incidence of certain autoimmune diseases. Research teams like a new interdisciplinary group led by Ralph Budd, M.D., professor of medicine and director of immunobiology, seek to address these crises and gain a better understanding of several Centers for Disease Control-designated “priority pathogens” and their related immune responses. In recognition of their well-established expertise in basic immunology and medically significant infectious agents such as bacteria, viruses and parasites, Budd and his colleagues recently received an $11.4 million National Institutes of Health Center of Biomedical Research Excellence (COBRE) award to fund the Vermont Center for Immunology and Infectious Diseases at the University of Vermont. Beth Kirkpatrick, M.D., and Ralph Budd, M.D. 4 Ten years ago the UVM immunobiology group needed a National Institutes of Health Program Project grant in order to really grow; but in NIH terms, they lacked the critical mass required to qualify for these larger grants. Determined to get funding, Budd made a creatively bold move. He initiated collaborations with the Trudeau Institute in Saranac Lake, N.Y., a world-renowned center with expertise in mouse models of basic immune mechanisms and infectious diseases. The new alliance clinched the deal; in 1999, the group applied for a program proj- 12 V E R M O N T M E D I C I N E (At left) Mariana Matrajt, Ph.D., Mercedes Rincon, Ph.D., and COBRE Co-Director Gary Ward, Ph.D. (Above) Elizabeth Bonney, M.D., Jonathan Boyson, Ph.D., and Sally Huber, Ph.D. ect grant and received it on the first try. In explaining his program’s collaborative approach, Budd says “We’ve done our best to recruit other immunologists here. They haven’t always been in our department, but we’ve always included them in the Immunobiology Program. That’s why it’s a program, not a division or a department.” Over the past five years, faculty members with immunology expertise were recruited to the departments of medicine, surgery, and obstetrics and gynecology. All immunobiology researchers, regardless of department, were invited to join the weekly lab meeting. The lab meeting, Budd says, is a collaborative and fun exchange. “It works well, because I’m not everyone’s boss; faculty come because they want to.” The more the group met, the more they realized that they could now bring their research to the next level, so they teamed up with clinical and basic science infectious disease specialists and applied for a COBRE award. “COBRE grants are hard to get,” admits Budd. “But we thought we could be competitive, because we had a very strong theme.” Though the group didn’t succeed on their first try, they garnered strong support from UVM and College of Medicine administrators and their second application was successful. Led by Budd and co-principle investigator Gary Ward, Ph.D., professor of microbiology and molec- ular genetics, the COBRE grant funds the research of several junior faculty members chosen for their competitive expertise in immunology and infectious diseases. Each is mentored by two or more senior faculty members. In total, the grant involves faculty from six separate departments and four colleges at UVM and supports technology expansion in two of UVM’s core facilities — proteomics, which allows for high-level protein analysis, and microarray, which allows researchers to look at as many as 15,000 genes simultaneously and zero in on those genes that are critical to the disease process. The research projects concentrate on four infectious agents and the body’s immune response to them. The COBRE research will focus on how the two types of immune systems that humans possess function during different infections. Though they use different strategies, both systems are critical to combating infection. The innate immune system is the evolutionarily older one, and is the one that responds quicker. It is also the type of immune system found in other life forms, including insects and plants. It functions using a limited number of receptors that recognize a discrete repertoire of foreign material in microorganisms. The innate system is fast to respond, albeit rather limited in its scope. The second category of immune response, known as adaptive immunity, is found only in vertebrate animals. It produces millions of different receptors that recognize myriad components of microorganisms. Budd describes the system as “genetically expensive and wasteful,” but adds that it ensures that the body has a good armament against a wide array of pathogens. It is slower to respond than the innate system, but becomes, over time, more fine-tuned to a specific infection. 4 Junior investigator Beth Kirkpatrick, M.D., associate professor of medicine, is conducting research on the body’s innate immune response to Cryptosporidium parvum, a water-borne parasite notably responsible for a 1993 outbreak in Milwaukee, Wisconsin that infected over 400,000 people. An infectious disease clinician who has an NIH Clinical Scientist Development Award, Kirkpatrick is being mentored by Budd, an expert in innate immunity, and Elizabeth Bonney, M.D., associate professor of obstetrics and gynecology, whose research interests include innate immunity at the maternal-fetal interface. Cryptosporidium parvum is considered a major global problem, yet it is poorly understood. It can trigger massive outbreaks of water-borne disease, and causes persistent and chronic diarrhea in children and immunocompromised individuals. Innate immunity is also the focus of research by Jonathan Boyson, Ph.D., assistant professor of surgery. Boyson is examining T lymphocytes known as S U M M E R 2007 13 Natural Killer (NK) T cells. NK T cells play an important role in a variety of immune responses, including infectious disease, anti-tumor responses, autoimmunity, and inflammation. In particular, he is focusing on the molecular activity that controls NK T cell interactions with CD1d — a molecule expressed on the surface of cells involved in the activation of NK T cells. Boyson’s mentors on the project include Budd, Professor of Pathology Huber, Ph.D., who has expertise in the role of CD1 in Coxsackie virus infection, and Bonney. The third leading cause of parasitic death worldwide is Entamoeba histoytica. Through his COBRE project, Christopher Huston, M.D., hopes to gain a greater understanding of the mechanisms involved in infections by this intestinal-based bug. Huston is an assistant professor of medicine who currently also holds an NIH Clinical Scientist Development Award. Common in developing countries, Entamoeba histoytica likes to reside in macrophages — tissue cells involved in the engulfment of bacteria and stimulation of the immune response. Entamoeba possesses a unique ability to kill and ingest its host epithelial and immune cells. Huston’s mentors are Professor of Medicine Cory Teuscher, Ph.D., a leading expert in the genetic basis of the Cory Teuscher, Ph.D., Markus Thali, Ph.D., and Christopher Huston, M.D. 14 V E R M O N T M E D I C I N E immune response in rodent models, and Markus Thali, Ph.D., assistant professor of microbiology and molecular genetics, whose research examines the process of HIV fusion to host cells. Another parasite, Toxoplasma gondii, is the research project of Mariana Matrajt, Ph.D. This organism infects approximately one-third of the United States’ population and is the leading cause of neurological birth defects, affecting about 3000 babies each year. An assistant professor of microbiology and molecular genetics, Matrajt’s objective is to elucidate the genetic basis and mechanisms underlying the transition between the two infectious stages of Toxoplasma gondii, a dormant phase and an actively replicating phase. She hopes to define how this parasite interferes with immune response signaling. “We are trying to understand that process so in the future we can develop drugs against the parasite that would help manage the patient,” says Matrajt, whose mentors include Ward, a Toxoplasma gondii expert, and Associate Professor of Medicine Mercedes Rincon, Ph.D., who specializes in the specific type of immune response signaling Matrajt is studying. 4 “This COBRE is designed to launch these junior faculty and also allow us to immediately begin recruit- ing an additional three or four new faculty,” says Budd. He also hopes their work will attract other grants, including another training grant, and also plans to apply for another Program Project grant. “My job is to bring all these people together to talk about their overlapping interests and to get their creative juices flowing, get us publishing together and collaborating together,” explains Budd, who hosted a mini-retreat last fall and another larger retreat in April. The spring meeting featured what Budd refers to as “challenge talks” — each group member highlighted his or her area of research and how it overlaps with what others group members are doing. The goal of the ensuing discussion was to create a bridge between fields and then propose experiments. Budd hopes to use money from the COBRE for start-up grants to fund these collaborative experiments, which in turn could develop into Program Project grants. The next step for Budd, which he describes as a “work in progress,” is to increase discussion and collaboration between basic research scientists and clinicians. Budd straddles those roles himself. Though he spends most of his time in the lab, he has rheumatology clinic hours each Thursday afternoon and serves on call every three months for two weeks at a time. His vision includes getting access to clinical specimens for research, increasing the number of clini- cians participating in the immunobiology group lab meetings, and exposing Ph.D. students and scientists to clinical aspects of the diseases they are studying. He looks forward to working more with Christopher Grace, M.D., professor of medicine and director of infectious diseases, and Sheldon Cooper, M.D., professor of medicine and director of rheumatology and clinical immunology, on that effort. Budd himself is a good case study for this type of interaction. “I think about things more molecularly when I’m in the clinic, because of my basic science research work,” he says. Budd started his post-medical school career with an internal medicine residency followed by a clinical rheumatology fellowship. Frustrated by a lack of clinical explanations for infectious and autoimmmune diseases and their treatments, Budd switched to lab work and started conducting research. As the list of future COBRE-related goals gets longer — a seminar series, post-doctoral fellowships and improving UVM’s position in the field of bioterrorism research — the momentum for the Center for Immunology and Infectious Diseases continues to build. In driving this effort, says Budd, he’ll rely on the same approach that is central to a COBRE grant — the spirit of collaboration among a talented group of scientists, postdoctoral fellows, VM students, and technicians. THE COBRE TRADITION : Cross-College Research at UVM UVM’s Immunobiology Center of Biomedical Research Excellence joins two other COBREs already in existence on campus that have forged research alliances among different colleges on campus. In 2000, the COBRE in neuroscience was formed with an $11 million grant from the National Institutes of Health. Under the direction of Rodney Parsons, Ph.D., chair and professor of anatomy and neurobiology, and Cynthia Forehand, Ph.D., professor of anatomy and neurobiology, the neuroscience Rodney Parsons, Ph.D., chair and professor of anatomy and neurobiology, and Cynthia Forehand, Ph.D., professor of anatomy and neurobiology THIS PAGE , LEFT: MARIO MORGADO ; RIGHT: FARREL DUNCAN COBRE has supported the work of junior faculty in several different aspects of neuroscience research. Also in 2001, the National Center for Research Resources awarded $10 million to form a COBRE at UVM focused on Professor of Medicine and lung biology. The lung biology COBRE, Director of the Vermont led by Professor of Medicine and Lung Center Charles Irvin, Director of the Vermont Lung Center Ph.D. Charles Irvin, Ph.D., has helped foster the work of junior faculty on topics relating to asthma, cystic fibrosis, and inflammation of the epithelial cells that line the body’s airways. Both these initial COBREs have, since their inception, received significant refunding. S U M M E R 2007 15 the People behind Clinical Trials by EDWARD NEUERT At the core of all scientific discovery is data: hard, factual information that can be reliably used to make well-reasoned conclusions — the information that, in the realm of medicine, drives the adoption of new drugs, novel therapies, and improved devices. Much of the data that brings Leon Strader has traveled nearly 300 miles to Fletcher Allen Health Care every Thursday for the last seven months to participate in a clinical trial. about improvements in health care has its genesis on the laboratory bench; but it’s a long way from a discovery swirling in a beaker to a treatment making a difference in patients’ lives. For that crucial step, there’s the clinical trial, where, every day, the contributions of thousands of people — patients, providers, and administrators — bring forth new data on the safety and efficacy of the latest discoveries in medical science. photograph by RAJ CHAWLA 16 17 on a thursday in mid-april, a little before dawn, Leon and Pat Strader begin their day pretty much the way they’ve began every Thursday since last December, after Leon received his lung cancer diagnosis. They awake at 5 a.m., quickly get washed and dressed, then start up the Camry and begin their long morning’s drive. From their Hannawa Falls home in New York state, about 30 miles east of the St. Lawrence Seaway, they travel northeast along Route 11 in a broad arc over the top of the Adirondack Park. Somewhere along the way, as the morning light settles in, they stop for breakfast at a roadside diner, and then head back out toward the bridge at Swanton, and down the interstate to Burlington. By the time they get to their ultimate destination, Fletcher Allen Health Care, where Leon will receive his chemotherapy at the Hematology/Oncology clinic, they have clocked more than three hours and 150 miles on the road. As Strader checks in at the counter of the Hem/Onc clinic at the Vermont Cancer Center at UVM/Fletcher Allen, he takes on more than just the role of a patient showing up for weekly chemo. He is also one of the thousands of patients across the country who advance the cause of medical science by helping to test new treatments as participants in a clinical trial. For Strader, the role of clinical trial study participant began with the suggestion of his oncologist, Professor of Medicine Steven Grunberg, M.D. “I liked his attitude. He explained that there was a new drug being tested which might help me, in addition to the regular chemo,” Strader says. He did not hesitate. “I figured there was no harm in trying, and a possibility it would give the cancer an extra kick. And it would help them learn more. Personally, I do feel sure it did some good.” He gestures with hands made rough by years of work as the superintendent of grounds at Clarkson College. Strader’s feeling is, of course, instinctive. The study he participates in, like most drug studies, is rigidly “double-blinded” to prevent any unintentional bias in the administration of the drug — neither patient nor clinician knows whether they are receiving study medication or the standard of care. And the three-hour car ride? “I wouldn’t have it any other way,” says Strader. “This is where I feel 18 V E R M O N T M E D I C I N E I’m getting the most up-to-date care, so this is where I’m going to come, ride or no ride.” 4 Testing newly discovered therapies in humans is a critical step to bringing better care to the wider population. A carefully designed and conducted trial is the safest and quickest way to identify treatments that really work, and to gauge the level of their effectiveness; other observational trials allow medical scientists to address health issues in large groups of people in natural settings. Today, nearly 50,000 clinical trials are in progress across the country, according to the Center for Information & Study on Clinical Research Participation. At the College of Medicine and Fletcher Allen, the work of scientists and health care providers who are engaged in approximately 1200 research projects is supported in full range of ways by the College’s Office of Clinical Trials Research (OCTR). “We’re here to support the researchers, to help frame the policies around clinical trials, and to work with other entities on campus to help make sure our trials run as smoothly as possible and in full compliance with all the appropriate rules,” says Kimberly Luebbers, who has directed the office for the past two years. Luebbers, who is an R.N., has many years’ clinical experience and originally joined the OCTR in 2003 as manager. The office itself has existed for the past six years, but clinical research at UVM has a decades-long history. For more than forty years, UVM has been the site for one of the 80 General Clinical Research Centers supported by the National Institutes of Health. “We have many, many stakeholders,” says Robert Shapiro, M.D., Ph.D., the OCTR medical director. “We serve the public, to make sure studies run correctly, and that the public understands their value. We help investigators pursue their research ideas. We help the various sponsors of the studies. And we help the regulatory agencies, in that we make sure things are running in compliance with their rules.” Perhaps the first clinical trial in medical history took place in the mid-18th century, when James Lind, a surgeon with the British East India Company, tested the effect of citrus fruit consumption on the alleviation of scurvy, the dread disease Lt. Col. Lois Diggs fights her own private battle against colon cancer. She visits the medical campus about once a month to participate in a clinical trial. caused by vitamin C deficiency, that at the time caused the deaths of thousands of sailors on long sea voyages. Though it had been casually noticed that sailors who ate citrus fruit had less of a chance of getting scurvy, that knowledge was not widespread. Lind conducted a very systematic experiment on several groups of sailors, rigidly controlling their diets while onboard ship, and proved the effectiveness of a citrus fruit-laden diet. Today, medical researchers in the U.S. conduct their research according to the strict guidelines of the Food and Drug Administration and other government agencies. Most trials are organized by the phase system, in which treatments are first tested on a small group for safety and tolerability (Phase I), then in larger Phase II groups where clinical efficacy is determined. Phase III trials involve the largest numbers of participants and are designed to give a much more definitive judg- ment on efficacy before a treatment is approved for general use. “This is a complicated system, and with good reason,” says Luebbers. “The OCTR is here to help researchers and study participants come together within this safe framework.” For researchers, that means helping them plan the protocol — the document that describes the objectives, methods, and procedures of a study. One of the services the OCTR provides is to liaison with UVM’s Institutional Review Board (IRB). IRBs have become fixtures on campuses across the nation in the past 30 years. The IRB is a committee of local researchers and lay people, appointed by the university’s provost, who volunteer to review all studies in order to ensure that the welfare and rights of human study participants are thoroughly protected. For researchers it works with, the OCTR facilitates IRB approval and helps turn a plan on a piece of paper S U M M E R 2007 19 will oversee the administration of Strader’s therapy, as well as talking to potential participants for this study and others she is helping to manage. “Often a physician who is enrolling participants in a study will, if a patient has shown interest in a study, ask me to come into the examining room and brief them on the details and review the consent document.” The consent document explains to the potential participant the purpose of the study, the methods that will be used, and all the potential risks and side effects that might occur. Research nurses coordinate many aspects of the clinical trial, in addition to providing the clinical skills for various procedures — EKG’s, phlebotomies, patient assessments and gathering of vital signs — as well as the processing of blood samples and other lab specimens. They also help in recruitment efforts by coordinating advertising. “We’re kind of a jack-of-all-trades,” says research nurse Kathy Ferland, R.N. “As a nurse, you have to know a little bit of everything, depending on the study. The variety makes it challenging.” 4 Lois Diggs’s journey to the clinic involves just a short drive, but it is part of a long effort to fight the colon cancer she was diagnosed with five years ago. Fighting cancer is something this into an actual scientific clinical study. William Patten could Lieutenant Colonel does in her typically barely walk several quiet, committed way. A veteran of 30 4 years ago. Now, he is years’ service with the U.S. Air Force, For Leon Strader, the familiar face helping to test new Diggs, who lives with her family in that represents his clinical trial is prob- replacement knee Jericho, Vt., has been a member of the ably that of Laurie Chassereau, R.N., joints that may offer Vermont Air National guard for the past the clinical research nurse who greets a better solution for three years, where she is a detachment him and Pat every Thursday morning patients with his commander. after their long ride. “She’s become condition. “I wanted to do whatever I could to almost like a sister to me over the past fight this cancer,” says Diggs. “So this few months,” says Strader. trial seemed like the right thing to do. If I can get Chassereau has been a research nurse for more one more thing to help me, well, then I’m going to than nine years. On a typical day in the clinic she try it.” If she was not now battling cancer, Diggs 20 V E R M O N T M E D I C I N E would probably be fighting a different fight. “Oh, I’d almost certainly be in Iraq, or have been there,” she says. Her son Sean is serving in the army in the Iraqi city of Ramadi. “It’s been a pleasure and an honor getting to know Lois,” says Jim Fingar, clinical research coordinator on the study Diggs is enrolled in. Fingar and his fellow research coordinators play a vital role in turning the protocol into a working study. Coordinators help put together the consent document and much of the paperwork needed for IRB approval. Once the study is open, they work on patient recruiting, a task that sometimes literally put them in the “hot seat.” “That’s our term for the particular work station in the clinic that the physicians can visit or call with any research questions they have,” Fingar explains. “Six research coordinators rotate this duty. This setup allows the doctors to quickly locate assistance to get a patient enrolled in a trial. The person in the hot seat can locate any required study related information or forms. Typically we need to check the patient's eligibility, gather information to help advise the patient about potential studies, or to actually allow the patient to be consented for a study.” If the person in the hot seat is not able to provide all that is needed, the hot seat person tracks down the colleague who manages the relevant study. “The physicians have found this system helpful for getting patients enrolled,” says Fingar. “After all, with more than 80 open trials in the Hem/Onc area alone, the physicians can’t possibly keep all the details about eligibility in their minds. So it’s really helpful that they can just come around the corner or call the hot seat and see a coordinator.” Fingar, who has been a coordinator for two years, find the position “very busy, but also very satisfying. Coordinating the collection of data is a big thing. You have to get a lot of things right at a lot of different times.” lungs that can be life-threatening for children who, like Emma, have cystic fibrosis. “I was told Emma was a good subject for this study, because she hadn’t tested positive for pseudomonas yet,” says Carol Baker, Emma’s mother. When Emma’s doctor (Assistant Professor of Pediatrics Thomas Lahiri, M.D.) told us about the trial I said ‘sure, we want to do whatever will help the research.’” Study participant William Patten is, at 68, old enough to have several grandchildren around Emma’s age. The need to be there for those grandkids is part of what led him into a clinical trial. After years of intense pain, Patten had knee replacement surgery two years ago. He volunteered to be part of a trial that is testing a new type of replacement joint that will hopefully give recipients more lateral movement. A few years ago, Patten could barely walk. Now, he’s regained his range of movement and actively supervises getting his young grandchildren off to school each weekday in his Vergennes, Vt. home. Patten does not know whether he received the new kind of replacement, or just the standard version. His study is a relatively small one — just 50 participants in all. He returns to the clinic every two years now for a morning of testing, and a long questionnaire administered by Kathy Ferland. “We ask him many questions to determine his quality of life, in addition to the physical data,” says Ferland, who has been a research nurse in the OCTR for more than three years that followed seven years spent as a nurse in the General Clinical Research Center. “My research experience is very broad, and I really feel very connected in this position, a part of everything that’s going on in a particular study. That’s very satisfying. And this study points out the broad nature of what we study. It isn’t just drugs, it’s also devices, and new techniques.” 4 4 Two other clinical trial study participants are examples of the age range of people who take part in trials. Emma Baker, from Wallingford, Vt., is just 5 years old, and she absolutely hates having her blood drawn, but her visits every three months help study whether two medications in combination will help combat pseudomonas, a bacterial infection of the Back in the Hem/Onc clinic, as the Thursday afternoon light slants through the windows, Leon and Pat Strader begin to gather their belongings and walk out to the parking garage to find their Camry and begin the long drive home. But first they say a warm goodbye to Laurie Chassereau. “I just can’t say enough about these people,” Leon says. “They VM really do take things to heart.” S U M M E R 2007 21 In his nearly three decades at the College of Medicine, Professor of Surgery Frank Ittleman, M.D., has treated thousands of patients, and written many words that describe his experiences, personal and professional, across the years. Every W the season for the past several years, his essays have appeared as the “Let’s Close” column in UVM Surgery, the quarterly newsletter of the Department of Surgery. Ittleman has used his column to Surgeon riter Professor of Surgery Frank Ittleman, M.D., temporarily puts down the scalpel and picks up his pen. illustrations by lauren 22 simkin berke explore a range of topics — from a deeply personal reminiscence of his recently deceased physician-father-in-law, to comments on the eternal rivalries of baseball. Most often, he delves into a small but telling facet of the doctor’s life, as in the two recent essays featured here. D eep inside, I always knew that I would be a doctor. Knowing connotes a certain degree of predetermination while wanting or needing speaks to a void that demands to be filled. As a young boy growing up on Long Island, I doubt that I wanted for much of anything. In our youth, my friends and I were guided into manhood in ever so subtle ways. Jokingly, the choices were simple. Be a doctor, a lawyer or an Indian chief. Medicine, for me, seemed to be a settled issue, while the law was the domain of several of my friends whose fathers had already made inroads into their psyches. As for Indian chiefs, the job market for this profession did not seem to be particularly promising on the north shore of Long Island, circa 1960. My father was an old-fashioned general practitioner. Old fashioned by today’s standards, but probably very much up-to-date 50 years ago. When he left our home to make house calls, which he did every day, he would be carrying a large, worn leather bag in his left hand which made him list ever so slightly to the port side. It had pockets and compartments galore that held the secrets of his trade. There was the standard issue sphygmomanometer and 23 ophthalmoscope, an otoscope to extract the errant fly from a child’s ear, bandages and tape and, my favorite, fine glass syringes wrapped in soft cotton cloth. There were pills, elixirs and salves inside for anything that might ail you. He dressed as men did in those days, a starched shirt and tie, a sport coat or suit, an overcoat depending upon the weather and a fedora covering his balding pate. In the driveway was an Oldsmobile 88 equipped with the latest rage, whitewall tires. At the end of each month he would sit at the kitchen table tallying the finances. His bills were handwritten, addressed and stamped by my mother, and rarely did one exceed $25.00. He wasn’t an imposing figure. Above average in height, thick in the chest and waist with slender My mother was told once that talking to her motor vehicle accident and was in need of companionship. A flat tire the day of the trip, my negligence in getting the spare replaced and my blatant lie to my father that all was well with the car led to my downfall. As any psychic worthy of a crystal ball would have predicted, at midnight, in the deepest recesses of the west side, I suffered a flat tire and was stranded with my sick friend. A phone call to my father was met with anger and disappointment and a plea to stay put, he would be there as soon as possible. Hours later, the tire was fixed, my father was asleep, not having stayed up that late in many years and I was standing in the glare of the kitchen light facing the rancor of my diminutive mother. I asked in my most contrite tone, “How bad was it?”, and she replied, “pretty bad.” It wasn’t the flat tire, but the fact that I might have endangered my friend and the lie, the easy deception, that hurt my father the most. To ease my obvious pain, she did let me in on a little secret. Being the great mediator that she was, she looked up with her big, dark Irish eyes, pulled me a bit closer to her face and in her best conspiratorial tone, whispered that “before he went to bed, your father said it was the best time that he has had in years.” My father loved to read. As I was growing up, it was rare that there wasn’t a book from the local lending library sitting on the coffee table waiting to be picked up between appointments. You see, my father’s office was in our home and it was very easy for him to intertwine his two lives. His taste did not run to the great books, those had probably been read and discarded well before I came along, but rather to the latest detective novel whose literary merit would barely measure on the Richter scale. Being your fairly typical full of oneself college freshman home for the holiday, I was not about to let my father’s poor taste in literature go unnoticed. As I volleyed my disappointment at him, he accepted my gentle barbs with grace, never arguing that his Dashiell Hammett wannabes could measure up to the likes of Faulkner or Hemingway. Several weeks later, a letter arrived from my father which consisted of two pages of yellow legalsize paper covered with words that he had gleaned from his paperback novels. The greeting, in his beautiful penmanship, was unmistakable in its thrust. It read, “Dear Frank, see how many of these you know. Love, Dad.” It was one of the shortest, yet most poignant letters that I ever received from my father. Needless to say, I knew very few of those words. I have long forgotten the list, but not the lesson that he wanted me to learn. Somewhere in these remembrances, I went from knowing to wanting. My father loved his work very much and I thought that I would love mine, as well. My mother was told once that talking to her husband was like talking to a priest, only better. I would be foolish to compare the ecstasy of an ecclesiastical dialogue with that of talking to a general practitioner, but now, after years of practice, I know how comforting and reassuring just such a conversation can be. There they are again, those words, some arcane, some simple, all with meaning and nuance, the endless list waiting patiently to be plucked out of the air. “Let’s Close” column, UVM Surgery Newsletter, Fall 2006 husband was like talking to a priest, only better. legs. He always carried more weight than he wanted, but the postwar years were not ones spent on physical fitness. Lean body mass and low carb diets had yet to be invented and cigarettes were ubiquitous even among those who should have known better. To me, he seemed bigger than he was. My measurement was somewhat subjective, my small arms trying to encircle his bare chest for a hug before bed always seemed to be a very comforting challenge. My father’s stature was in his character. He was a gregarious man who made and kept friends easily. He was smart and inquisitive, an enviable combination that led to eclectic hobbies that never ceased to surprise me. One month it was the accordion, another origami, only to be followed by building antique model cars and sailboats in bottles. He had fine hands and I only learned years later that he had planned on being a surgeon until his mother’s illness brought him home. A sacrifice willingly made, but one that I am sure brought a tinge of regret to his life. He did not suffer fools, but he did put up with my youthful foolishness. It was late spring and I was home from school to visit a childhood friend who lived on the upper west side of New York City. He had just been discharged from the hospital after suffering facial injuries in a 24 V E R M O N T M E D I C I N E O ver the years, I have gotten to know the hospital painters quite well. Not necessarily by name, mind you, but certainly by our mutual acknowledgements during my daily walks through the hospital. They can be found almost anywhere and at any time, clad in their paint splattered white coveralls, spackling, sanding and touching up the dents and dings of errant stretchers and wheelchairs. These vehicles, crowding the hallways, are maneuvered like bumper cars at a county fair. The painters are friendly, always willing to stop their work and chat, with paint brush suspended in air, as if the next stroke would finish their masterpiece. They paint endlessly without a drop cloth, much like a high-wire acrobat without a net. We talk about the chosen color because it is forever changing and how this one, as opposed to all the others that came before, S U M M E R 2007 25 really “brightens up” the venue. If I prod a bit, I might get a tip on how to repair the two-inch hole in the sheetrock of our family room that bore the brunt of my fifteen-year-old son’s pursuit of Henry Aaron’s home run record. Ultimately, we conclude with words about layers. The coats and coats of paint that hide the defects and imperfections of age and seal in the memories that have accumulated over decades. It has been said that the age and quality of a great tree’s life, the insults that it has had to bear over time, can be determined by the concentric rings of its trunk; I dare say that the life of an old hospital room, hallway or surgical suite can be defined, metaphorically speaking, by the number of coats of paint that cover its walls. that stairwell late at night from floor to floor putting my patients to bed. I was the chief resident on the cardiothoracic service and a few stairs ahead of me was the medical student on call. I had already weathered over three years of residency and I was well versed in the hierarchal chasm that existed between a senior resident and a junior student. As he neared the landing, the student turned and said, “I am going to turn in now, but wake me if anything really interesting comes in.” Needless to say, I was taken aback by this sudden reversal in the order of things. Too stunned to enunciate the appropriate rejoinder, my feeble reply of acquiescence was lost in the stairwell. As mad as I was then at this innocently disrespectful request, I am now just as proud of this student’s accomplishments as a Professor of Cardiothoracic surgery. The old operating rooms on Smith 2 are gone now, having been reconfigured long ago into office space. The open heart room was number seven, if my memory serves me, and the walls were a combination of light green tile and pale green paint. One night, Jim Demeules and I were doing an emergency bypass procedure. I was the faithful Sancho Panza to his Don Quixote. While Jim was wielding his scalpel at imaginary windmills, the doors of the OR suddenly opened and in ran a young woman wearing nothing but a trench coat (open, of course) that would have done Humphrey Bogart proud. She was running, frantically trying to elude her pursuers who were not far behind. She circled the pump and the operating room table and our heads swiveled like owls pursuing a noiseless sound. She exited from whence she came with Dick Pease, an anesthesiologist, in hot pursuit. The silence that followed was eerie, as if this surreal moment had never occurred. Jim, with great aplomb, leaned over and whispered, “If I told her once I told her a hundred times not to visit me in the hospital.” The glint in Jim’s eyes was unforgettable. The surgical ICU was adjacent to these operating rooms and the doors that marked the only entrance received a fresh coat of red paint every HALL A P R E S I D E N T C L A S S ’ S 28 29 31 38 C O R N E R N O T E S D E V E L O P M E N T N E W S O B I T U A R I E S In 1905, when the College of Medicine completed its third home at the corner of Prospect and Pearl streets in Burlington, the main lecture room where students spent so much of their time was named Hall A. The Hall A magazine section seeks to be a meeting place for all former students of the College of Medicine. . . . the life of an old hospital room . . . can be defined, metaphorically speaking, by the number of coats of paint that cover its walls. The Baird stairwell is now painted beige. Not a particularly inviting color, but nowhere is it written that stairwells need to be hospitable. I was descending that stairwell twenty-five years ago when I was greeted with music wafting up from the landing below. The singer was a patient of mine who still goes by one name (I am not certain if it is his first or last) and with guitar in hand, he was attempting his best Dylan imitation with a rendition of “Hey Mr. Tambourine Man.” His shirt was off, exposing his fresh incision, his hair was in a ponytail and his IV pole was precariously balanced on a step. His audience was a bevy of student nurses who obviously were enjoying the impromptu concert. I retreated from where I came with a smile and a nod, a moment of pleasure after a long day. I believe the walls were light green then. The Smith stairwell is a bit darker now and far less traveled than before. The walls are an off-white or beige, but the chips indicate that coats of paint lie beneath. The railings are solid oak, smooth and secure to the touch. A hidden, but appreciated find amidst the plastic and steel of institutional construction. It was 30 years ago when I was walking up 26 V E R M O N T M E D I C I N E continued on page 37 S U M M E R 2007 27 PRESIDENT ’S CORNER M.D. CLASS NOTES H A L L A H A L L A UNIVERSITY OF VERMONT COLLEGE OF MEDICINE DEVELOPMENT & ALUMNI RELATIONS OFFICE ASSISTANT DEAN On a recent visit to our medical school I couldn’t help but notice many obvious changes that have taken place; but I was reassured to see that the school’s basic qualities remain the same as they were 50 years ago when I was a medical student. One change is that more than well over half of the current students are women, compared to the two women out of the 50 members of my class. In addition, today’s medical curriculum has been totally and successfully revamped. No longer are there familiar, distinct courses such as anatomy, biochemistry, and pathology. Instead, today’s medical student learns all those factors relating to the body’s normal and pathological functions as well as their treatments in a series of comprehensive, integrated units. Physical facilities for teaching, studying, and even for relaxing have been vastly improved and expanded. You have to see them to appreciate them! But of course, in spite of these improvements, studying medicine remains a real challenge for today’s students, much as it was when we were learning our profession’s fundamentals. I can’t tell you how impressed I was to meet two current medical students, Jesse Hahn ’08 and Justin Stinnett-Donnelly ’10, who took part in the most recent meeting of the Alumni Executive committee of the Medical Alumni Association. If they are at all representative of their classmates, the character, intelligence, dedication, and good humor of Jesse and Justin is living proof that the College of Medicine has superb people with whom to work. These students’ sincere enthusiasm for their education at UVM was palpable. It was clear to me that the medical school’s faculty and staff, as always, are doing something right. By the time you read this, some of you will have returned this month to Burlington for your reunion. Those of you who have done so will probably have rediscovered for yourselves these and other aspects of the school to which we owe so much. One thing of which I am especially proud is the fact that a full 41 percent of our alumni contributed financially to the school in the past year. This is a very high level of participation compared to all other medical schools, and it is a tremendously important factor when major corporate, foundation, and governmental entities decide which medical schools to lend their support to. I thank all of you who have contributed to the College of Medicine, and I want to encourage every alumnus to give some financial support, no matter the amount, to improve our already stellar record of participation. It is an act of “paying back” that will go far, and I’m certain you will derive genuine satisfaction from it. Have a wonderful summer! Marv Nierenberg, M.D.’60 28 V E R M O N T M E D I C I N E rick blount DEVELOPMENT OPERATIONS MANAGER ginger lubkowitz DIRECTOR , MAJOR GIFTS manon o ’ connor DIRECTOR , MEDICAL ANNUAL GIVING sarah keblin DIRECTOR , MEDICAL ALUMNI RELATIONS cristin gildea If you have news to share, please contact your class agent or the alumni office at [email protected] or (802) 656-4014. If your email address has changed, please send it to: [email protected]. 1941 1946 John S. Poczabut 62 Doral Farm Road Stamford, CT 06902 (203) 322-3343 J. Bishop McGill 152 Sanborn Road Stowe, VT 05672 (802) 253-4081 [email protected] DEVELOPMENT OFFICER travis morrison ASSISTANTS jane aspinall james gilbert UNIVERSITY OF VERMONT MEDICAL ALUMNI ASSOCIATION ALUMNI EXECUTIVE COMMITTEE 2006–2007 OFFICERS TERMS ) PRESIDENT ( TWO -YEAR marvin a. nierenberg, m.d.’60 (2006-2008) PRESIDENT- ELECT ruth a. seeler, m.d.’62 (2006-2008) TREASURER paul b. stanilonis, m.d.’65 (2006-2008) SECRETARY james c. hebert, m.d.’77 (2006-2008) EXECUTIVE SECRETARY john tampas, m.d.’54 (ongoing) MEMBERS - AT- LARGE : (6-YEAR TERMS ) leslie s. kerzner, m.d.’95 (2002-2008) frederick mandell, m.d.’64 (2002-2008) don p. chan, m.d.’76 (2002-2008) mark allegretta, ph.d.’90 (2003-2010) mark pasanen, m.d.’92 (2004-2010) h. james wallace, iii, m.d.’88 (2004-2010) naomi r. leeds, m.d., ’00 m.p.h. (2004-2010) betsy sussman, m.d. ’81 (2007-2012) carleton r. haines, m.d. ’43 (2006-2012) jacqueline a. noonan, m.d. ’54 (2006-2012) 1943 Francis Arnold Caccavo (M.D. Dec. 1943) 51 Thibault Parkway Burlington, VT 05401 (802) 862-3841 Carleton R. Haines (M.D. Dec. 1943) 88 Mountain View Road Williston, VT 05495 (802) 878-3115 Harry M. Rowe (M.D. March 1943) 65 Main Street P.O. Box 755 Wells River, VT 05081 (802) 757-2325 [email protected] 1944 Wilton W. Covey 357 Weybridge Street Middlebury, VT 05753 (802) 388-1555 1945 Robert E. O’Brien 414 Thayer Beach Road Colchester, VT 05446 (802) 862-0394 [email protected] H. Gordon Page 9 East Terrace South Burlington, VT 05403 (802) 864-7086 R E U N I O N Tuesday, June 19, 2007 Celebration of new McKay Endowment, Health Science Research Facility – Gallery Edward W. Jenkins 7460 South Pittsburg Ave. Tulsa, OK 74136 (918) 492-7960 ’ 0 7 George H. Bray 110 Brookside Road New Britain, CT 06052 (860) 225-3302 Porter H. Dale 5 McKinley Street Montpelier, VT 05602 (802) 229-9258 1948 S. James Baum 1790 Fairfield Beach Road Fairfield, CT 06430 (203) 255-1013 [email protected] 1949 James Arthur Bulen 4198 North Longvalley Rd. Hernando, FL 34442 (352) 746-4513 [email protected] Joseph C. Foley 32 Fairmount Street Burlington, VT 05401 (802) 862-0040 [email protected] Edward S. Sherwood 24 Worthley Road Topsham, VT 05076 (802) 439-5816 [email protected] UPCOMING EVENTS Simon Dorfman 8256 Nice Way Sarasota, FL 34238 (941) 926-8126 1951 1947 Richard E. Pease P.O. Box 14 Jericho, VT 05465 (802) 899-2543 1950 R E U N I O N ’ 0 7 1952 Brewster Davis Martin Box 128 362 VT Route 110 Chelsea, VT 05038 (802) 685-4541 1953 Richard N. Fabricius 17 Fairview Road Old Bennington, VT 05201 (802) 442-4224 [email protected] 1954 John E. Mazuzan, Jr. 366 South Cove Road Burlington, VT 05401 (802) 864-5039 [email protected] 1955 Marshall G. London 102 Summit Street Burlington, VT 05401 (802) 864-4927 [email protected] 1956 June 28, 2007 Inaugural Shackford/Labow Department of Surgery Lecture/Reception Davis Auditorium October 5 – 7, 2007 Campaign Celebration UVM Homecoming & Family Weekend, UVM Campus Saturday, October 6, 2007 Medical Alumni Executive Committee (Fall Meeting), UVM Campus October 8, 2007 American College of Surgeons Reception, New Orleans, LA October 27, 2007 American Academy of Pediatrics UVM Reception: Saturday, San Francisco, CA June 6 – 8, 2008 Medical Reunion 2008 UVM Campus For updates on events see: www.med.uvm.edu/medalum (352) 378-1820 [email protected] R E U N I O N ’ 0 7 1957 Larry Coletti 34 Gulliver Circle Norwich, CT 06360 (860) 887-1450 [email protected] Ira H. Gessner 1306 Northwest 31st Street Gainesville, FL 32605 S U M M E R 2007 29 M.D. CLASS NOTES H A L L A 1958 Peter Ames Goodhue Stamford Gynecology, P.C. 70 Mill River Street Stamford, CT 06902 (203) 359-3340 1959 Jay E. Selcow 27 Reservoir Road Bloomfield, CT 06002 (860) 243-1359 [email protected] 1960 Marvin A. Nierenberg 15 West 81st Street New York, NY 10024 (212) 874-6484 [email protected] Melvyn H. Wolk Clinton Street P.O. Box 772 Waverly, PA 18471 (570) 563-2215 [email protected] 1961 Wilfrid L. Fortin 17 Chapman Street Nashua, NH 03060 (603) 882-6202 [email protected] R E U N I O N ’ 0 7 1962 Ruth Andrea Seeler 2431 North Orchard Chicago, IL 60614 (773) 472-3432 [email protected] 1963 John J. Murray P.O. Box 607 Colchester, VT 05446 (802) 865-9390 [email protected] 30 V E R M O N T M E D I C I N E H. Alan Walker 229 Champlain Drive Plattsburgh, NY 12901 (518) 561-8991 [email protected] 1964 Anthony P. Belmont 211 Youngs Point Road Wiscasset, ME 04578 (207) 882-6228 [email protected] 1965 George A. Little 97 Quechee Road Hartland, VT 05048 (802) 436-2138 george.a.little@ dartmouth.edu Joseph H. Vargas III 574 US Route 4 East Rutland Town, VT 05701 (802) 775-4671 [email protected] Wooly Doane is now semiretired with the ability to telecommunicate from Florida during the winter months so his wife Pat can be warm. During the rest of the year they enjoy being near their children and grandchildren in Maine. Dorothy Indick Eisengart writes: “I am still practicing pediatrics in Waterville, Maine and my husband, Marvin, is practicing neurology. Our son, Charles, is a colorectal surgeon practicing in Trenton, N.J. Our daughter, probably the truly sane member of the family, is a film editor in Los Angeles.” 1966 Robert George Sellig 31 Overlook Drive Queensbury, NY 12804 (518) 793-7914 [email protected] G. Millard Simmons 3165 Grass Marsh Drive Mount Pleasant, SC 29466 [email protected] R E U N I O N ’ 0 7 1967 John F. Dick II P.O. Box 60 Salisbury, VT 05769 (802) 352-6625 Donald P. Goldsmith won the Joseph Lee Hollander, M.D. Award, given for excellence and achievement in the field of rheumatology. He writes that “Paul Dumdry and I recently visited with our classmate Mike Armstrong in Anchorage, Alaska. We were there as part of a trip to see the Iditarod. It was a bit of a pre-reunion; all of us are planning to attend ‘the 40th’.” Myer Rosenthal writes: “Well, this year was time to become and Emeritus Professor at Stanford, although I will continue to work part-time for a few years. I still love teaching students, family is great and I am looking forward to our 40th reunion!” 1968 David Jay Keller 4 Deer Run Mendon, VT 05701 (802) 773-2620 [email protected] Timothy John Terrien 14 Deerfield Road South Burlington, VT 05403 (802) 862-8395 1969 Susan Pitman Lowenthal 200 Kennedy Drive Torrington, CT 06790 (860) 597-8996 susan_w_pitmanlowen [email protected] James M. Betts 715 Harbor Road Alameda, CA 94502 (510) 523-1920 [email protected] Philip L. Cohen 483 Lakewood Drive Winter Park, FL 32789 (407) 628-0221 [email protected] 1974 1970 Raymond Joseph Anton 1521 General Knox Road Russell, MA 01071 (413) 568-8659 [email protected] John F. Beamis, Jr. 24 Lorena Road Winchester, MA 01890 (781) 729-7568 [email protected] 1971 Wayne E. Pasanen 117 Osgood Street North Andover, MA 01845 (978) 681-9393 wpasanen@lowell general.org R E U N I O N 1973 ’ 0 7 1972 F. Farrell Collins, Jr. 205 Page Road Pinehurst, NC 28374 (910) 295-2429 John Bassett received a renal transplant from his sister, Elizabeth, on April 18 at the University of Wisconsin. He hopes to miss singing only one concert of the Minnesota Chorale (since 1977) — aptly to the music of Blake’s, ‘Songs of Innocence and Experience.’ Douglas M. Eddy 5 Tanbark Road Windham, NH 03087 (603) 434-2164 [email protected] Cajsa Schumacher 78 Euclid Avenue Albany, NY 12203 [email protected] 1975 Ellen Andrews 195 Midland Road Pinehurst, NC 28374 (910) 295-6464 [email protected] Alan Kanter was granted “Fellow membership status” in the American College of Phlebology in recognition of his clinical and academic contributions to the field. He was also named an Honorary Fellow by the Australian college of Phlebology as well. 1976 Don P. Chan Cardiac Associates of New Hampshire Suite 103 246 Pleasant Street Concord, NH 03301 (603) 224-6070 [email protected] CLASS AGENTS : UVM MEDICAL PHOTOGRAPHY DEVELOPMENT NEWS DAVIS LECTURESHIP FUNDED Another lectureship in the Department of Surgery has been fully funded, thanks in large part to the generosity of several alumni of the College of Medicine. The John H. Davis Lectureship in Surgery honors a former chair of the department. Dr. Davis was chair of surgery John H. Davis, M.D. for nearly 20 years before his retirement in 1990. The lectureship has been permanently endowed through the leadership of James Hebert, M.D.’77, Richard Gamelli, M.D.’74, and Richard Hubble, M.D.’80. Their donations have been matched by funds from the Department of Surgery. The department thanks the many other donors and continues to seek additional support. The Davis lecture will be presented starting this September. CALDWELL FAMILY CREATES ENDOWED SCHOLARSHIP A noted alumnus from the Class of 1960 and his family have recently created a future endowed scholarship at the College. The Richard G. Caldwell, M.D. Family Endowed Scholarship is a planned bequest that will establish a needbased scholarship in perpetuity at the medical school. Dr. Caldwell’s distinguished career spans more than four decades of service in medicine. He has served as a clinical instructor of surgery at the University of Illinois Research and Education Hospital, and clinical assistant professor of surgery and associate professor of surgery at the University of Chicago. Currently he is director of student surgical education at Lutheran General Hospital in Chicago. Dr. Caldwell has deep roots in the Vermont medical community. He comes from a family of Vermont physicians, two of who were alumni of the College of Medicine. His father, George Caldwell, and uncle Spencer B. Caldwell graduated from the College of Medicine in 1924 and 1921 respectively. Dr. Caldwell and his wife, Carol, live in Northbrook, Illinois. MCKAY TO BE HONORED WITH PEDIATRIC ENDOWMENT One of the foremost names in pediatrics in Vermont will be honored with an endowment named in his behalf by colleagues and friends. A June 19 reception at the College of Medicine will showcase progress on the R. James McKay Jr., M.D., Green & Gold Professor. The first McKay professor will be announced at the reception. Dr. McKay came to the University of Vermont in 1950 as the first full-time pediatric faculty member, and became the first chair of the Department of Pediatrics in James McKay, M.D. 1951. In the course of his 33 years as chair, Dr. McKay recruited the core of the department faculty, and taught, mentored, and inspired scores of medical students and pediatric residents, who learned to memorize his acronym GRUSK, which stood for “Gentleness, Respect, Understanding, Sympathy, and Kindness.” Still an active member of the College community, Dr. McKay will celebrate his 90th birthday this October. Allison Collen and Scott Millay, Class of 2007 agents NEWEST CLASS AGENTS At the Class of 2007 Dinner this March the two newest class agents for medical alumni were named. Allison Collen and Scott Millay will help keep their fellow class members connected during the next phase of their careers — residency, and beyond. M.D. CLASS NOTES CONTINUING MEDICAL EDUCATION H A L L A Matt Zetumer writes: “I am still in full time private practice of adult and adolescent psychiatry in San Diego. I have a wonderful wife and watching three children grown and mature — Siobhan is a fashion editor at Allure, Josh is a screenwriter, and Sam is Princeton class of ’09. I am still mountain climbing with Steve Lampert M.D.’76.” Lee H. Rome writes: “After my two-year tour of duty as Mental Health Authority and Director of Psychiatry at the Wayne County jail in Detroit, I’m now living the life of a clinical and program consultant. Currently I’m consulting at the W.J. Maxey Boys’ Training School (Michigan’s main delinquency treatment program), Wayne County Jail and the Michigan Department of Corrections. If any of my classmates are so inclined, I can be reached at my email address (Lhrome@ comcast.net).” Michael P. Crandell writes: “I am no longer in practice. I am now the medical director of Sanford Health Plan, the insurance division of the State’s largest health system. The hours are better but the work is just as hard in its own way.” R E U N I O N 1977 Mark A. Popovsky 22 Nauset Road Sharon, MA 02067 (781) 784-8824 mpopovsky@ haemonetics.com 32 V E R M O N T M E D I C I N E ’ 0 7 Frederic E. Shaw writes: “After three years at the Texas Department of Health, I came back to CDC in 2001. I worked in global hepatitis B control for three years and then moved to CDC’-s Public Health Law Program, where I did research on the legal aspects of quarantine, immunization, and injuries. In January 2007, I became Editor of CDC’s publication, MMWR: The Morbidity and Mortality Weekly Report. Classmates can find it at www.cdc.gov/ mmwr/. I see Rick Wild, Class of ’77, regularly. Rick and his wife live just a few miles up the road. Best regards to classmates and old friends — please visit if you are in Atlanta.” (304) 691-1094 [email protected] 1982 Richard Powell writes: “I hope that classmates are doing well. I’m keeping busy in Brandon, Florida, in a five-doctor pulmonary/critical-care/sleep medicine practice. Thankfully I have six wonderful grandchildren.” Jim Jarvis writes: “I am still here as director of pediatric rheumatology at the University of Oklahoma. My lab has been a leader in applying systems biology approaches to rheumatic disease in children. I work with and for wonderful people but still miss New England and Vermont especially.” 1978 Richard Nicholas Hubbell 80 Summit Street Burlington, VT 05401 (802) 862-5551 rich.hubbell@ vtmednet.org David Wlody is completing a busy year in which he served as president of the Society for Obstetric Anesthesia and Perinatology, the major specialty organization devoted to the anesthetic care of the pregnant woman. “Since 2002 I have been vice chair for clinical affairs in the SUNYDownstate Medical Center Department of Anesthesiology, where I have recently been promoted to the rank of professor with tenure. I am looking forward to our 25th reunion and can’t wait to see old friends.” Michael N. Pierce is an internist and director of HIV Medicine for a large community-based multispeciality practice in New York City. David M. Maccini is “looking forward to catching up with everyone at the June reunion!” Paul McLane Costello Essex Pediatrics, Ltd. 89 Main Street Essex Junction, VT 05452 (802) 879-6556 Nancy Collins is still working half-time doing child and adolescent psychiatry. She is supervising a clinical nurse specialist who has a caseload similar to her. Her son, Dan will be a freshman at Marquette University in Milwaukee; daughter Meredith will be a senior at Marquette and Katie will be a third-year medical student at Loyola Medical College in Chicago. 1979 Sarah Ann McCarty 1018 Big Bend Road Barboursville, WV 25504 1980 1981 Craig Wendell Gage 2415 Victoria Gardens Tampa, FL 33609 CraigGage@ alumni.uvm.edu Jacques Larochelle writes: “We had a great time at our 25th reunion last June at Bruce and Anne Leavitt’s home. Looking forward to the next one. Very busy as usual with my practice and helping my wife, Carolyn. Three sons in college and three in high school this coming year.” sons continue to grow and explore the world and bring joy to our lives.” 1984 Richard C. Shumway 34 Coventry Lane Avon, CT 06001 (860) 673-6629 rshumway@ stfranciscare.org 1985 Vito D. Imbasciani 1915 North Crescent Heights Blvd. Los Angeles, CA 90069 (323) 656-1316 [email protected] Darrell Edward White 29123 Lincoln Road Bay Village, OH 44140 (440) 892-4681 [email protected] 1983 1988 Diane M. Georgeson 2 Ravine Parkway Oneonta, NY 13820 (607) 433-1620 [email protected] H. James Wallace III 416 Martel Lane St. George, VT 05495 (802) 872-8533 james.wallace@ vtmednet.org Anne Marie Massucco 15 Cedar Ledge Road West Hartford, CT 06107 (860) 521-6120 [email protected] Michael Narkewicz writes: “I have taken on new challenges in the past year. Director of pediatric G.I. fellowship and clinical director of pediatric G.I. at the University of Colorado and med staff president at Childrens. More importantly, my two ’ 0 7 Lawrence I. Wolk 5724 South Nome Street Greenwood Village, CO 80111 (303) 771-1289 lawrence.wolk@ cigna.com 1989 Peter M. Nalin 13216 Griffin Run Carmel, IN 46033 (317) 962-6656 [email protected] Barbara Angelika Dill 120 Hazel Court Norwood, NJ 07648 (201) 767-7778 [email protected] Claudia Goulston writes: “My husband and I have returned after a two-year working sabbatical in New Zealand, China and Namibia and we are now embarking on a return to academia at the University of Utah. So many stories to tell…” Katherine M. “Trina” Hikel’s first book, Dr. Trixie’s Prescriptions is just out this May. 1991 1986 R E U N I O N 2007 CONFERENCE SCHEDULE 1990 John Dewey 15 Eagle Street Cooperstown, NY 13326 [email protected] MaryAnn Montemale LoMonaco writes: “I’m busy with private practice in internal medicine. Enjoying live in “paradise” in Naples, Florida. I welcome any classmates to come and visit. I am married to Robert, and hard to believe, we have a teenage son, Alexander. When did we get old?” R E U N I O N ’ 0 7 1992 Mark Eliot Pasanen 1234 Spear Street South Burlington, VT 05403 (802) 865-3281 mark.pasanen@ vtmednet.org Jennifer Woodson writes: “We continue to live in Naples, Italy. I am still a stay-at-home doctor and Vermont Summer Pediatric Seminar June 14–17, 2007, The Equinox, Manchester, Vt. Advanced Dermatology for The Primary Care Physician September 6-9, 2007, Samoset Resort, Rockport, Maine Dementia & Geriatric Neuropsychiatry Conference September 14-16, 2007, Stoweflake Resort, Stowe, Vt. Primary Care Sports Medicine September 26-28, 2007, Sheraton Hotel, Burlington, Vt. 21st Annual Imaging Seminar October 12-14, 2007, Stoweflake Resort, Stowe, Vt. 5th Annual Northern New England Critical Care Conference October 18-20, 2007, Stoweflake Resort, Stowe, Vt. Northern New England Neuroimmunology Symposium October 26 -28, 2007 Trapp Family Lodge, Stowe, Vt. College of Medicine alumni receive a special 10% discount on all UVM Continuing Medical Education conferences. For information contact: University of Vermont Continuing Medical Education 128 Lakeside Avenue Suite 100 Burlington, VT 05405 (802) 656-2292 http://cme.uvm.edu shuttle four kids around and am busy learning Italian and exploring this diverse and rich country. Ciao! Buona giornata!” Lucy and Dave Holmes are both enjoying their four children, ages 4, 6, 9, 12 and their work. They are both on faculty at SUNYBuffalo, Lucy in the Deptartment of Pediatrics and Dave in the Department of Family Medicine. They recently returned from a medical mission trip to the Dominican Republic. “We took all our children with us, which was a great experience for them as well as us.” Kirsten Wolff writes: “Well, we are getting ready for another big adventure in our lives. Peter, our son Alden and I are leaving Seattle after my nine years of OB/GYN practice and we are moving aboard our recently purchased sailboat, now in Newport, R.I., to set off on a year or two of cruising! We think S U M M E R 2007 33 M.D. CLASS NOTES 2 0 0 7 M E D I C A L A LU M N I A S S O C I AT I O N AWA R D S At this year’s Medical Reunion, eight physicians will be honored for their service to their community and academic achievement. A. BRADLEY SOULE AWARD Ruth A. Seeler, M.D. ’62 Dr. Seeler is Professor of Pediatrics at the University of Illinois College of Medicine at Chicago, and a pediatric hematologist/ oncologist at the University of Illinois Medical Center. Since her introduction to the UVM College of Medicine as the only woman in the class of 1962, Dr. Seeler’s dedication to the College and its mission has never waned. She has been a longtime class agent, and has served multiple terms on the Alumni Executive Committee, currently as its President-Elect. She has been a generous philanthropic supporter of the College and its students, establishing the first endowed Medical Alumni Association Challenge Scholarship, naming a room in the new Medical Education Center, and becoming a member of the Wilbur Society. In addition to her direct support of the College, Dr. Seeler has led by example as an accomplished physician who has contributed greatly to her local and professional communities. In 1998, she was awarded the MAA Service to Medicine & Community Award for her role in founding Camp Warren Jyrch, one of the first summer camps in the nation for boys with hemophilia. AWARD FOR DISTINGUISHED ACADEMIC ACHIEVEMENT Mark Popovsky, M.D. ’77 Dr. Popovsky is a pathologist in the Boston area who has focused his career on improving transfusion medicine and blood banking. He is a leading expert on the transfusion reaction known as TRALI (transfusion-associated acute lung injury), the most common life-threatening complication of transfusion therapy. He is former CEO and Chief Medical Officer of the American Red Cross, New England Region, and has also served as Director of Transfusion & Intravenous Services of the Mayo Clinic. In recognition of his contributions to medicine and blood banking, he was awarded the 2005 Elmer DeGowan Lectureship at the University of Iowa. Dr. Popovsky sits on the editorial boards of several journals of transfusion medicine, and has published extensively in that field. Dr. Popovsky is an Associate Clinical Professor of Pathology at Harvard Medical School and an Adjunct Clinical Professor of Pathology at Boston University School of Medicine, as well as Medical Director and Vice President of Haemonetics Corporation. Aryeh Shander, M.D. ’77 Dr. Shander is an anesthesiologist in Englewood, NJ, and an expert in the field of “bloodless” medicine and surgery— the practice of minimizing patient blood loss during medical procedures in an effort to eliminate or reduce the likelihood of the patient needing a blood transfusion. Dr. Shander is Executive Medical Director of the New Jersey Institute for the Advancement of Bloodless Medicine and Surgery, which is recognized as one of the nation’s leading providers of bloodless surgical services. For his pioneering work in this area, Time magazine featured Dr. Shander as one of their “Heroes of Medicine” in 1997. He has lectured extensively, nationally and internationally, on topics related to blood conservation and surgical blood management, and has written numerous articles and book chapters on these subjects. Dr. Shander is the Chief of the departments of Anesthesiology, Critical Care Medicine, and Pain Management and Hyperbaric Medicine at Englewood Hos- pital and Medical Center, and Clinical Professor of Anesthesiology and Medicine at Mt. Sinai School of Medicine. AWARD FOR SERVICE TO MEDICINE AND COMMUNITY John F. Dick II, M.D. ’67 Dr. Dick is a physician with certifications in internal and critical care medicine. Following in the tradition of his physician father and grandfather, Dr. Dick practices in his hometown of Brandon, Vt., and for the last 35 years has been an integral member of the Rutlandarea medical community. At Rutland Regional Medical Center he has served on numerous committees and held positions including Chair of Medicine, Director of the Intensive Care Unit, and member of the board of directors. In 2006, in recognition of his contributions to the health and well-being of the community, RRMC honored Dr. Dick with their “Physician of the Year” Perkins Community Health Award. Dr. Dick served for two decades as a consultant to the former Brandon Training School for the Mentally Retarded, and he is currently in his 21st year as the Medical Director of Haven Health Care Center nursing home of Rutland. He continues to be a Clinical Instructor of the UVM College of Medicine, a role in which he utilizes house calls to educate students on the proper care of patients. George W. Weightman, M.D. ’82 Dr. Weightman is certified in family medicine. He achieved the rank of Major General in the U.S. Army, and has earned numerous honors for his lifetime of service to country and medicine, including the Distinguished Service Medal; Legion of Merit; Bronze Star Medal; Meritorious Service Medal; Expert Field Medical Badge; and membership in the Order of Military Merit. He most recently served as Commanding General of the North Atlantic Regional Medical Command, where he oversaw the largest region in the U.S. Army Medical System, encompassing over 15 medical treatment facilities in a 21-state area. In 1989 he became the 82nd Airborne Division surgeon and served with them during Operations Just Cause and Desert Shield/Storm, and more recently oversaw medical care in a combat zone as Commanding General of the 3rd Medical Command (Forward) and as Coalition Forces Land Component Command Surgeon for Operation Iraqi Freedom. Dr. Weightman’s military service has also included tours in Panama, Saudi Arabia, and Kuwait. RECENT ALUMNI AWARD L. Lucy Boulanger, M.D.’92 Dr. Boulanger is trained in internal medicine, infectious diseases, and epidemiology, and practices in Santa Fe, N.M. She was inspired to become involved in renewable- and clean-energy issues after serving as a clinician on a Navajo reservation, where she observed negative health effects in the population attributable to the local history of uranium mining and contamination. Dr. Boulanger and her husband, physician Dr. John D. Fogarty, are both board members of Physicians for Social Responsibility, and are co-directors of New Energy Economy, a renewable/ clean energy advocacy organization. Dr. Boulanger has also served as a member of Governor Bill Richardson’s New Mexico Climate Change Advisory Group. Matthew A. Conway, M.D. ’92 Dr. Conway is a general surgeon in Rutland, Vt. As a Major in the U.S. Army Medical Reserve and a member of the 947th Forward Surgical Team he has twice in recent years been called away from home and practice to serve: to Afghanistan in 2002, where he earned a Combat Medic Badge; and to Baghdad in 2003-2004, where he earned an Army Commendation Medal. Closer to home, Dr. Conway is a member of the board of directors of the New England Division of the American Cancer Society; member of the board of directors of Rutland Regional Medical Center; has served as Vermont state chair/liaison to the American College of Surgeons Commission on Cancer; and is a member of the Barstow Elementary and Rutland Northeast Supervisory Union school boards. David M. Holmes, M.D. ’92 Dr. Holmes is a family physician in Buffalo, NY. He played a major role in establishing Good Neighbors Health Center, a clinic in inner city Buffalo that provides free medical care to an underprivileged population. He currently serves as the organization’s medical director. Dr. Holmes has won awards for student mentoring and humanism in medicine from SUNY Buffalo School of Medicine, where he is a Clinical Assistant Professor of Family Medicine and Director of Family Medicine Clerkship and Electives. In June 2007 he will receive the Family Physician of the Year award from the New York State Chapter of the American Academy of Family Physicians. of you all often and hope to catch up with some of you while the East coast this summer.” 1993 Joanne Taplin Romeyn 22 Patterson Lane Durham, CT 06422 (860) 349-6941 1994 Holliday Kane Rayfield P.O. Box 819 Waitsfield, VT 05673 (802) 496-5667 [email protected] 1995 Allyson Miller Bolduc 252 Autumn Hill Road South Burlington, VT 05403 (802) 863-4902 allyson.bolduc@ vtmednet.org Brian Levine’s handbook, Antibiotic use in the Emergency Department was published in November by the Emergency Medicine Residents Association and is distributed to all emergency residents nationwide. 1996 Anne Marie Valente 66 Winchester St., Apt. 503 Brookline, MA 02446 anne.valente@cardio. chboston.org Patricia Ann King, M.D., Ph.D. 832 South Prospect Street Burlington, VT 05401 (802) 862-7705 patricia.king@ vtmednet.org Cassandra Garcia and Vu Tran are doing well in S U M M E R 2007 35 M.D. CLASS NOTES the surgeon writer H A L L A Santa Rosa, California. Vu is practicing Pulmonary Critical Care and Sleep Medicine. Cassandra is in private practice in Family Medicine. Their five year old son, Zachary is enjoying kindergarten. R E U N I O N ’ 0 7 1997 Julie Clifford Smail 10 Proctor Street Manchester-by-the-Sea, MA 01944 (360) 240-8693 jsmail@ fidalgomedical.com 1998 Halleh Akbarnia 4700 Bromley Lane Richmond, VA 23226 (804) 204-2595 [email protected] Scott Musicant writes: “I finally finished training after eight years in Oregon. I am now in San Diego practicing vascular surgery with my father. Carrie and I are expecting our first child in February. Life is good. Let us know if you are ever visiting San Diego (semusicant@ yahoo.com).” Erika T. Fellinger is living in Somerville, Mass., with her husband Eric and 17month-old son, Zachary. She is doing general and laparoscopic surgery at Cambridge Heath Alliance, caring for the underserved of Northern Boston region and teaching Harvard Medical students and residents. “We are enjoying life in the big city.” 36 V E R M O N T M E D I C I N E 1999 Everett Jonathan Lamm 11 Autumn Lane Stratham, NH 03885 (603) 929-7555 [email protected] Deanne Dixon Haag 4215 Pond Road Sheldon, VT 05483 (802) 524-7528 2000 Jay Edmond Allard USNH Yokosuka PSC 475 Box 1757 FPO, AP 96350 [email protected] Michael Jim Lee 71 Essex Lane Irvine, CA 92620 michael_j_lee1681@ yahoo.com Monica Fiorenza married Greg McCormick (Class of ’01) in June of 2006. Monica is enjoying pediatrics at Timber Lane Pediatrics in S. Burlington. Greg has joined Dr. Tom Carin and is staying busy with ophthalmology, corneal and refractive surgery. “We love being back in Vermont!” Christine Waasdorp writes: “After four years in S. Korea I eagerly head to Denver, Colorado to start my peds. G.I. fellowship at Denver Childrens. After traveling much of Asia we look forward to being near family and friends in the U.S.” 2001 Ladan Farhoomand 1481 Regatta Road Carlsbad, CA 92009 (626) 201-1998 [email protected] Joel W. Keenan Greenwich Hospital Five Perryridge Road Greenwich, CT 06830 [email protected] JoAn Louise Monaco Suite 6-F, 5E 4618 Warwick Blvd. Kansas City, MO 64112 (816) 753-2410 [email protected] Heather M.P. Smith’s twins, Kathryn and Mackenzie just turned 3. Heather became board certified in the Fall of 2006, and is in her 3rd year as a hospitalist at Rutland Regional Medical Center in Vt. JoAn Monaco gathered news from her classmates, and sends this report: “Greetings to the Class of 2001! Time has flown since graduation but I’m glad that many of us are still in touch. Here’s the latest from our class…. Karine Ekmekji Mouradian is keeping busy with her husband Ara and their two beautiful boys, Alek and Ayk. Karine is enjoying her work as a pediatrician in sunny Los Angeles. Jenny and Loren Majersik and their handsome son Max are living in Michigan where Jenny is in her second year of a stroke fellowship at the University of Michigan. Jenny recently returned from a trip to Japan presenting her research as a neurotoxin expert after seeing some interesting stuff walk through the ER doors at U of M. Nice work!! Steve Simensky is doing well in Columbus, Ohio where he joined a three-person neurology practice and is keeping busy with resident teaching, inpatient consults and outpatient electrophysiology studies among other things. His wife is a neuropsychologist at the Ohio State University Rehabiltation Hospital and is enjoying her work on the TBI inpatient team. Steve’s daughter just turned 5 and he is working hard at making her as goofy as he is. Adam and Jodi Kanter and their kids have safely returned from a year away in New Zealand and are in the process of finishing up neurosurgery at UVA. Adam will start a spine fellowship at UCSF in July of 2007 and then plans on moving the Kanter clan to Pittsburgh for a position as Director of the Minimally Invasive Spine Center at the University of Pittsburgh. Jodi is currently pregnant with twins and all are excited about expanding their bunch of three to FIVE kiddies. Actually, Adam wrote “God help us!” when describing the arrival to two more little ones! We know Adam and Jodi can handle anything. Good luck to all of the Kanters! Ladan Farhoomand is enjoying life in southern California where she is working for a private anesthesia group in gorgeous San Diego. She sends an open invitation to anyone in southern California to visit. Ladan is doing great! Emily June Ryan and her husband Tim are having fun in sunny Venice, Florida. They are keeping busy with their beautiful daughter June Anne and are making frequent trips to Disney when possible. Emily enjoys being a “baby” in Venice where the mean population age is 68 and her FP practice is keeping her very busy. She evens runs into the occasional Vermont snowbird and enjoys hearing updates on life in Vermont. Good luck to the Ryan family! As for myself, JoAn Monaco, I will be heading home to NYC this June after completing a plastics residency in Kansas City. I’m looking forward to starting an aesthetic fellowship in the city and hopefully finding a job on the east coast somewhere. Life is great on my end! Thanks very much for your emails and glad to hear that everyone is doing well. All the best to the class of 2001 and…until next time! R E U N I O N ’ 0 7 2002 Jonathan Vinh Mai 15 Meadow Lane Danville, PA 17821 (570) 275-4681 [email protected] Kerry Lee Landry (919)732-9876 [email protected] Mary O’Leary Ready [email protected] Maureen Crosby Sarle (248)549-1238 Pearl Riney writes: “I joined a private practice in Cambridge, Mass., in August, and I love it! Our son Penn is a 2-year-old wild man and another Riney is on the way! We look forward to seeing everyone in June!” Jonathan and Laura Dunn Goldberg welcomed a baby girl, Sophia Rhea Goldberg, born February 9, 2007. 2003 Omar Khan 33 Clearwater Circle Shelburne, VT 05482 (802) 985-1131 [email protected] Scott Goodrich 13 Mountain View Blvd. South Burlington, VT 05403 (802) 864-7787 [email protected] 2004 Jillian S. Geider jillian.geider@ vtmednet.org Emily A. Hannon emily.hannon@ hsc.utah.edu continued from page 28 year. Recently, I turned to face Patrick 2 and they, too, were nowhere to be found. The new ambulatory care center is shrouded in glass and full of sunlight. At night, it brightens like a lightbulb. When you drive up to the front entrance, you might, in a moment of fantasy, expect your bags to be checked for a midnight flight to Paris. In fact, the walls are all painted an institutional beige and, if you look closely, you can tell that they are adorned with just one coat. In some hallways, another is already needed. The dents and scrapes are multiplying and my friends are spackling, sanding and painting. The walls have little or no memory. Absent are the bumps and ripples and coats and coats of paint that lock in the collective images of an institution. They lack the patina, the variegated burnish that only comes with the passage of time and the dutiful work of the hospital painters. Like the Velveteen Rabbit, only when your fur is rubbed off, can you know VM that you are really loved. “Let’s Close” column, UVM Surgery Newsletter, Spring 2006 Steven D. Lefebvre fabulous5lefebvre@ hotmail.com 2005 Julie A. Alosi [email protected] Richard J. Parent [email protected] 2006 William C. Eward [email protected] Professor of Surgery Frank Ittleman, M.D. Deborah Rabinowitz debbie.rabinowitz@ uvm.edu S U M M E R 2007 37 OBITUARIES H A L L A FACULTY RAYMOND C . DENSMORE , M . D.’39 Dr. Densmore died in Copley Hospital in Morrisville, Vt., on Nov. 27, 2006, at the age of 92. He was born in Burlington on June 14, 1914. After grammar school, he attended Burlington High School, graduating in 1932. He received his bachelor of science degree at the University of Vermont, where he became a member of Delta Psi, in 1936, and his medical degree cum laude in 1939. His internship was spent at Stamford Hospital in Stamford, Conn., after which he opened a practice in 1941 in Hardwick. On June 2, 1942, he married Sarah Peck of Hardwick, and on Aug. 18, joined the Army Medical Corps with the 36th Division, serving in Naples, Foggia, Rome, Arno, the Northern Appennines and Southern France. He was later assigned to hospitals in Italy, France and North Africa. He received the EAME ribbon with four battle stars, the bronze arrowhead, the victory ribbon and the combat medic badge. He returned to Hardwick on Feb. 6, 1946 and for the next 35 years made house calls throughout the area, visiting nearly every home in the nearby towns. For several years he was a regional medical examiner for the state of Vermont. AVERY P. KING , M . D.’42 Dr. King, a native of St. Albans, Vt., died Jan. 4, 2007, at his home in Roswell, Georgia. He was born May 28, 1919, the son of James Samuel King, M.D., and Harriet C. (Hill) King. He married Mary Agnes Burke of Winooski, in 1942. A veteran of World War II, Dr. King served in the U.S. Army from 1942 to 1956 including the Monte Cassino and Anzio Beachhead battles with duty in a forward surgical field hospital, one of the first MASH units. In 1956, Dr. King retired from the military as a lieutenant colonel and opened his 38 V E R M O N T M E D I C I N E urology practice in Oak Ridge, Tenn. Because of his surgical skills and wartime experience, Dr. King was often surgeon of last resort for serious injuries in the Oak Ridge Hospital emergency room. When he retired in 1995, he had charts on 26,000 patients and had performed an estimated 10,000 surgical procedures over his career. An aviator his entire adult life, Dr. King was rated a commercial instrument multi-engine pilot with some 3,000 hours of flight time. He would use his small, private airplane to fly to the more remote parts of East Tennessee to provide medical services to those in need. JOSEPH CABANZO, M . D.’43 Dr. Cabanzo passed away at his Florida home on January 4, 2007. He was the son of Jose N. Cabanzo and Amelia Laborde, who came to this country from Santander, Spain, a city where his paternal grandfather built the famed Banco De Santander. Born in Montpelier, Vt., he graduated from Spaulding High School and attended the University of Vermont for both his undergraduate and medical degrees. While at school, he was a member of the Lambda Iota Society which was founded in 1836. He served his country as a captain in the U.S. Army in World War II and, after the war, while stationed in South Florida, became the personal surgeon for Gen. Dwight D. Eisenhower. As a surgeon in Tampa, he had privileges at Centro Asturiano and St. Joseph’s Hospital. While at St. Joseph’s, he was chief of staff, chief of surgery and the credentials committee. Dr. Cabanzo envisioned the tremendous growth the city of Tampa would undergo, and he served as the liaison between the Sisters at St. Joseph’s and the acquisition of the land where the present hospital is situated. During those years, he developed the first medical condominium in the area. After retiring from surgery, he became the first medical director of St. Joseph’s emergency room. ROBERT K . WARD, M . D. ’51 Dr. Ward died February 24, 2007 on his 82nd birthday, in Greenwich, Conn. Born in St. Albans, Vt., Dr. Ward was a summa cum laude graduate of the University of Vermont and a member of Phi Bet Kappa before receiving his medical degree in 1951. Dr. Ward served in the U.S. Army as a Japanese interpreter during World War II with the Armed Forces Radio. He then practiced medicine in Rye, N.Y. for many years and was recently honored as a 50 year Distinguished Life Fellow of the American Psychiatric Association. BENJAMIN H . MAECK JR ., M . D.’54 Dr. Maeck was born in Shelburne, Vt., on January 6, 1927, the son of Benjamin Harris and Hannah Edgerton Tracy Maeck. He died peacefully in his San Francisco home with his family on January 22, 2007. Dr. Maeck was a graduate of Northwood School, Lake Placid, and Dartmouth College, before earning his medical degree at the College of Medicine. He interned in surgery at St. Luke’s Hospital, New York, and completed his orthopaedic surgery residency at New York Orthopaedic Hospital, Columbia Presbyterian Medical Center, New York, followed by a fellowship at the Royal National Orthopaedic Hospital, London. He served as a medical corpsman in the United States Navy during WWII. In 1960, Dr. Maeck began his orthopaedic surgery practice at Franklin Hospital, now Davies Medical Center in San Francisco. He is remembered as a caring and dedicated physician, for his warm, ready smile and his quick Vermont wit. JACK E . FARNHAM , M . D.’57 JOHN H . BLAND, M . D. Dr. Farnham died on Wednesday, Jan. 3, 2007 in Mt. Dora, Fla. He was born on Sept. 26, 1931, in Rutland, Vt., and spent his youth in Bennington. He graduated from Bennington High School in 1949. Dr. He received a B.A. from the University of Vermont in 1953 and an M.D. in 1957. Dr. Farnham served his internship and residency at Henry Ford Hospital in Detroit, Mich. His internal medicine fellowships were completed at Lahey Clinic in Boston, Mass., and at the University of Vermont. He was a captain in the U.S. Air Force Medical Corps from 1957 to 1962. He was the Chief of Medicine at the USAF Hospital from 1960 to 1963. Dr. Farnham practiced internal medicine at Chelmsford Medical Associates in Massachusetts from 1963 to 1969. He founded Allergy Immunology Associates in 1969 in Chelmsford. In 1990, Dr. Farnham retired from practice to attend the Harvard School of Public Health, specializing in occupational medicine. In 1992, he earned a master’s of public health from Harvard University where he was named Class Orator. In 1994, he accepted a position at the University of Texas Health Center in Tyler, where he cared for patients and taught medical students and residents. Dr. Farnham retired from the university in 2000. Dr. Bland, who was an emeritus professor of medicine, died March 15, 2007, in Cambridge, Vt. Dr. Bland had lived in Cambridge since 1970. He was born on Nov. 7, 1917, in Globe, Ariz. He graduated from Earlham College and Jefferson Medical College. He served as a captain in the U.S. Army from 1946 to 1948 in Fort Hood, Texas. Dr. Bland’s career elevated him to world recognition in rheumatology; he lectured in 17 countries and was published in every major medical journal. In 1958-59, he was an Honorary Research Fellow at the University of Manchester in England. He was awarded several National Institutes of Health grants for his research in the 1960s. In 1989 he was named a Master of Rheumatology by the American College of Rheumatology, and was also a Fulbright Visiting Senior Scholar in Sydney, Australia. Dr. Bland wrote 14 books, many of which were medical textbooks. His popular Live Long, Die Fast was a best seller. HARVEY RUBIN , M . D.’58 Dr. Rubin died Jan. 19, 2007, at Treasure Coast Hospices in Stuart, Fla. He was 74. He was born in Waterbury, Conn., and, after earning his medical degree, served in the U.S. Navy as a surgeon, holding the rank of lieutenant commander. Before retirement he was a thoracic surgeon at Stamford Hospital in Stamford, Conn. KENNETH R . CUTRONEO, PH . D. Dr. Cutroneo passed away unexpectedly in his Burlington home on April 11, 2007. He was born in Providence, R.I., on Oct. 9, 1943. Dr. Cutroneo received his undergraduate degree from Providence College. He received his master’s and doctorate degrees from the University of Rhode Island. Dr. Cutroneo was a member of the faculty of the Department of Biochemistry for the past 31 years and was posthumously made an emeritus professor of biochemistry. According to his family, Dr. Cutroneo would often be seen driving around town in his convertible, listening to his favorite artist, Bruce Springsteen. Dr. Cutroneo spent many hours researching and developing a new therapy to prevent inappropriate deposition of connective tissue. JOSEPH B . PATLAK , PH . D. Dr. Patlak died on May 10, 2007 at his home in Underhill, Vermont. He earned his Ph.D. from UCLA in 1977, and then did his postdoctorate with Nobel Laureate Erwin Neher. He published numerous articles on the molecular basis of membrane electrical activity and pioneered some of the most innovative technologies for measuring and analyzing data from single ion channels in both muscle and nerve. He was an emeritus professor of molecular physiology and biophysics, and had been a member of the faculty since 1980. He was made an honorary member of the class of 2007 at commencement. Dr. Patlak believed that every student was special and deserved the best, and he was known for his informal classroom style. He led the charge in bringing the Internet to the College of Medicine. As his friend and colleague, Professor and Chair of Molecular Physiology and Biophysics David Warshaw, Ph.D. recalls, “Over the last several years, Joe taught us how to embrace and manage a fatal disease such as Amyotrophic Lateral Sclerosis. Although the outcome of this disease was certain, Joe constantly informed us of its progression. He described its toll from a scientific viewpoint, as only a physiologist could, while infusing his lighthearted persona.” Dr. Patlak is survived by his wife, Elke Pinn, M.D.’89, and sons Johanne and David. S U M M E R 2007 39 P r o f i l e s in g i v i n g Doing what must be done may 2, 2007 12:45 p.m. Medical students in the hallway of the Student Assessment Center prepare for their next session with standardized patients in the center’s examining rooms. When Bellows Falls native Patricia A. Fenn, M.D.’65 arrived to study for her undergraduate degree at UVM in the mid-1950s, the path to earning an M.D. was anything but easy. As she recalled years later, she had wrestled with the question of whether the struggle to gain one of the few seats available to a female medical student was really worth the extreme effort. Finally, a good friend spelled it all out for her: “Pat,” she said, “You know you don’t really have a choice. You have to be a doctor. You just have to do this.” Dr. Fenn publicly recounted that exchange more than 40 years later, when she was the recipient of the A. Bradley Soule Award, the highest alumni honor bestowed by the College of Medicine’s alumni association. By then, the thousands of patients she had helped over the course of four decades’ practice in rheumatology could also attest to Dr. Fenn’s deep personal qualities as a healer. When she passed away this winter, Dr. Fenn left behind a substantial estate bequest to the College. Her undesignated bequest will allow the College the freedom to support the most pressing needs — the things that must be done. It was a gift, and a way of giving, that was so typical of this generous, caring physician. photograph by Mario Morgado medical development and alumni relations office (802)656-4014 [email protected] www.med.uvm.edu/giving 40 V E R M O N T M E D I C I N E MICHAEL SIPE Caring for the future For decades, David M. Babbott, M.D., served as a role model for students and residents he taught as a faculty member at the College of Medicine, before retiring in 1993. Dr. Babbott was known throughout the medical community for his deep commitment to listening to and connecting with each patient as an individual, and for his desire to teach that kind of approach to every student and resident with whom he came in contact. In 2003, Meredith Babbott established the David M. Babbott Caring and Seeing Award to honor the career of her husband, through a generous gift that was matched by the Medical Alumni Association. Since then, every spring, a fourth-year student who, during their clinical education, has demonstrated a deep commitment to seeing the patient as a whole human being receives scholarship support from the Babbott fund. Cristine Maloney is this year’s Caring and Seeing award winner. A native of Bristol, Vermont, Cristine showed her VERMONT MEDICINE 89 Beaumont Ave. Burlington, Vermont 05405 affinity for people throughout her clinical rotations. As one of her faculty evaluators wrote, Cristine “understands the importance of staying connected with both patients and colleagues through sensitive and empathetic interaction.” Your gift to the College of Medicine can, as the Babbotts’ has, shape medical careers in positive ways for years to come. Donors have two new options for creating a named scholarship at the College — either a currently-funded or an endowed scholarship that leverages matching dollars provided by the Medical Alumni Association. For more information on scholarship support, contact: university of vermont college of medicine medical development and alumni relations office (802) 656-4014 [email protected] www.med.uvm.edu/giving Non-Profit Org. U.S. POSTAGE PAID Burlington, VT Permit No. 143