Synapse Fall 1999 - University of Nevada, Reno School of Medicine

Transcription

SYNAPSE
VOLUME
11, NUMBER 2
1999
FALL
DEAN
Dr. Robert Miller
PUBLISHER
Kathleen A. Conaboy,
Assistant Dean for Planning
and Development
EDITOR
Lynne Williams,
Director ofPublic Relations
LAS VEGAS COORDINATOR
Lori Haley,
Director ofExternal Relations
DESIGN/PRODUCTION
C.
f. Hadley, CJ Enterprises
Julian Stone
PHOTOGRAPHERS
John Ries
Jeff Ross
David Lee Waite
CONTRIBUTORS
Maureen McInaney
Kris Newcomer
SYNAPSE is published with support of
our private donors, for alumni, parents,
friends and faculty of the University of
Nevada School of Medicine.
775-784-8059
FAX 775-784-6096
Comments, letters to the editor or mate
rials for publication are welcome. Please
send Alwnni Notes, with photos if possi
ble, to: Lynne Williams, School of
Medicine, Savitt Medical Building,
University of Nevada, Reno, Nevada
89557. If you would like your photos
returned, please include a stamped, self
addressed envelope.
PRINTED BY A. CARLISLE & Co.
RENO, NEVADA.
CoPYRIGHT ©
2 • SYNAPSE • FALL 1999
1999
Contents
A MAGNIFICENT REIGN ••• 3
NEVADA WOMEN'S FUND.
A great 18 years, thanks to former Dean
Robert Daugherty. By Rollan Melton
Scholarships totaling $42,000.
MAKING A DIFFERENCE ••• 4
Las Vegas has new resource for lung
cancer detection and treatment.
By Kris Nevvcomer
BREATHE EASY! ••••••••
Serving a diverse audience means
training a diverse team of doctors.
FACULTY NEWS ••••••••• 6
QUIT WITH A CASINO ••••
Faculty Recognized By Graduating Seniors
Faculty Share Expertise
Awards & Honors
Las Vegas ALS Clinic
Scoring With The Legislature
Legislators Fund Med Programs
Med School Docs: Las Vegas' Best
UMC Trauma Center Upgraded
Foreign Relations Take A Local Twist
Boyd Gaming helps its employees
quit smoking.
DR. THOMAS KOZEL ••••
15
16
17
18
Unraveling the mysteries of
drug-resistant infections.
By Maureen McInaney
ALUMNI NOTES ••••••••
24
Talking about you.
GROUNDBREAKING •••••
10
The Library/Education Building.
A NEW DEAN'S VISION •• 12
Dr. Robert Miller moves from the
Louisiana delta to the Nevada desert.
He wants to help this strong school grow.
By Lynne Williams
STUDENT NEWS •••
14 & 22
Hooding and graduation, awards and
honors. Seniors Ace National Boards.
DONORS
& GIFTS •••••• 28
The strength behind the
School ofMedicine.
THE CLASS OF
'99
32
A perfect group.
COVER PHOTO
DR. THOMAS KOZEL
© JEFF ROSS
A Magnificent Reign
A great 18 years, thanks to Robert Daugherty.
By Rollan Melton, Reno Gazette-Journal
ow well I remember
episodes, observers felt his
omnipresent common sense,
Robert Daugherty's
his knack of at times admit
arrival in Nevada!
The year was 1981, and the
ting, "I don't know the
State Legislature had just
answer, but I'll get it for you:'
begun its biennial session. Dr.
and his delightful sense of
Daugherty had been thor
humor.
oughly briefed in advance of
His legacy as dean includes
his first visit before lawmak
a quality of paramount
ers. He knew that our Nevada
importance: Dr. Robert
School of Medicine was not
Daugherty has served the
looked upon with favor by
entire State of Nevada. He did
lawmakers.
not fall into the trap of treat
Nonetheless, he was not
ing rural medicine as an
totally prepared for the hostile
orphan. I have been thor
reception. Among the first
oughly impressed at his repu
admonitions for him was to
tation as fair-minded leader
the effect that "You might well
at both the Reno and Las
think twice before buying a
Vegas campuses.
house." The clear inference
In assessing his record, the
was that the new dean would
most accurate measurement
n't be hanging around long.
is the high quality of those
Nor would the medical
persons matriculating from
school, necessarily.
the medical school during his
nearly two decades of leader
What Robert Daugherty
did right off was unpack his
ship. As interns, they have
bag and buy a house. That was
earned unqualified praise
REAL confidence. Real smart.
from their superiors. It is a
What was totally exciting was
"given" that Nevada-educated
Dean emeritus Robert Daugherty kept his sense ofhumor in spite ofa hostile
the way the first-time dean reception when he arrived in Nevada. His wondrous skill as questioner,
physicians rank among the
went about turning the listener and follow-up leader earned deserved applause from his peers.
finest young practitioners in
the land.
school's image around by 180
degrees. He began in case-study style, earned deserved applause from his
No top leader accomplishes missions
carefully soliciting every bitch, moan, peers.
alone. Robert Daugherty shaped and
It has been fascinating to me as a then reshaped a formidable array of fac
gripe and bellyache. He also heard a
glimmer of praise about the school, newspaperman to see, close up, Robert ulty and staff. He put in motion a highly
enough to further fuel his early confi Daugherty's adeptness at interacting respected funding/development compo
dence that, indeed, the University of with legislators, the medical family, the nent. He caused vastly improved rela
Nevada School of Medicine could media and the public. To accurately tionships with essential segments of his
become a model among such learning phrase his management style is to profession and the public, per se. There
declare that he has gone about his dean has been a dramatic proliferation of ser
institutions.
ship/leadership
in the old-fashioned vices and of physical plant. He has
In his result-laden, 18-year watch, he
way.
Pure
and
simple,
sound basics, large enhanced the medical school's image in
has continued to be a great listener, and
of
good
sense,
and surrounding so many ways.
doses
a careful and earnest chief administrator
in his selection of key personnel. He himself with higWy competent, commit
Thankfully, the man from the Mid
crafted a strong beginning, winning the ted faculty and staff and administration.
west came West. To our lasting benefit,
In my countless encounters with his stopover was permanent. His legacy
confidence of the state medical family.
He promptly and thoroughly studied the him, Dean Daugherty has proven time is a University of Nevada School of
challenges. His wondrous skill as ques and again his skill as communicator and Medicine that has soared to its greatest
tioner, listener and follow-up leader visionary. Even in his most challenging heights.•
H
FALL 1999 • SYNAPSE
• 3
Malrlng a Difference
faela Hernandez, a senior med
ical student who plans to
ecome an obstetrician, is able
to dearly explain the need for surgery to
a Spanish-speaking patient.
Archie Perry, a former African
American UNLV football player, is com
pleting his second year as an orthopedic
resident at the Mayo Graduate School of
Medicine in Rochester, Minnesota and
plans to return to Las Vegas to practice.
Nichole Patterson, an African
American woman from Las Vegas, is
completing her sophomore year at UNR
and majoring in biochemistry as she
works toward her goal of becoming a
physician.
Jose Salgado, a high school senior,
enthusiastically explains how HIV
attacks the body's immune system dur
ing a presentation at a medical school
summer program.
Each of these students is making a
difference. The medical school is com
mitted to giving students the opportuni
ty and education to make that
difference. Since its beginnings, Nevada's
medical school has been committed to
providing a medical education to
Nevada residents and physicians for the
state's communities. As Nevada grows,
~
4 • SYNAPSE • FAll 1999
SERVING
DIVERSE
PATIENTS
MEANS
TRAINING
DIVERSE
DOCTORS.
By
ANNE DIGGINS
these physicians see patients who come
from many ethnic and cultural back
grounds. Recruiting students who will
become physicians from these commu
nities and giving all students the educa
tion to work effectively with all patients
is an important mission for the medical
school.
Low application figures for under
represented minorities is an ongoing
challenge nationally and for Nevada's
school. Few Nevada minority students
are majoring in the science courses that
lead to a career in medicine. Last year,
according to Dr. Jerry May, associate
dean for admissions and student affairs,
12,020 Nevada students of all ethnic
backgrounds graduated from high
school. Of those students, only 4,688
entered college-less than 40 percent
one of the lowest rate of college-bound
students in any state in the country,
according to data from the State
Department of Education and the uni
versity system's Chancellor's Office. (See
graphic.)
"The pipeline narrows even further
when you look at the number of minori
ty students who are majoring in the life
sciences;' Dr. May notes. "Last fall, across
all four years of college, UNR had 72
underrepresented minority science
majors who commonly apply to medical
school and UNLV had 92." Obviously,
some of those students are not interested
in medicine and want to continue to
work in their degree field, e.g. biology,
chemistry, etc. And those life science
majors who choose to attend medical
school usually receive multiple accep
tances, Dr. May continues. Nevada has
often accepted minority students, only
to have them recruited away by larger
schools that can offer full tuition schol
arships. Last year, Nevada had only
Dr. William Gerhoffer works with High School
Scholars, left-to-right, Andres Estrada, Charlotte
Torres and Nicole Patterson.
approximately $33,000 in scholarships
available for minority students.
"This complex problem of losing
minority students in the science educa
tion pipeline will not be solved by short
term solutions only," says Dr. Cheryl
Hug, assistant dean and chair of the
admissions committee. "Instead we
believe what we have been doing for
almost a decade-combining short term
and long term efforts-will help solve
this problem."
"We need to increase the number of
interested and qualified minority stu
dents at all stages of the pipeline," Dr.
May asserts. "Young children of all eth
nic backgrounds need to know how
exciting science and medicine are, and to
through 10 attend a one-week science
enrichment program in both Reno and
Las Vegas.
High School: High School Partner
ships: The School of Medicine has long
standing partnerships with three Nevada
high schools: Rancho and Clark high
schools in Las Vegas and Hug High
School in Reno. The program includes
science enrichment, specialized field
trips, career exploration and teacher
training.
Summer Science Seminar: This two
week teacher seminar for high school
science teachers focuses on updating
biomedical science content and the
development of new curriculum.
High School Medical Scholars:
Students are competitively selected for
this one-week residential program
which focuses on helping students real-
W. Chopp in, president of HHMI, in
referring to the schools that were fund
ed, said, "With their wonderful scientists
and research facilities, these institutions
have proven to be an invaluable resource
to schools."
To further its efforts toward diversity,
the School of Medicine will hold its
annual Diversity in Medicine week
November 29-December 3. The event
has been planned by first and second
year medical students, with School of
Medicine faculty and staff.
Those who developed the first pro
gram were Elizabeth Raskin, Dominic
Ricciardi, Ann Diggins, Peggy Dupey,
and volunteer faculty member Dr.
Beverly Neyland, assistant professor of
pediatrics, and Dr. Tyree Carr, ophthal
mologist.
The program focuses on helping
NEVADA COLLEGE PIPELINE
Elementary School (1)
202,351 Students
°80,610 Students
Science Partners Program
Science Education Reform
1998/99
High School (1)
84,605 Students
°28,378 Students
HS Seniors (1)
17,394 Students
°5,487 Students
HS Graduates (1)
12,020 Students
°4,540 Students
High School Medical Scholars
Summer of Discovery
Partnership Programs
Science Teacher Education Programs
College (2)
4,688 Students
°1,364 Students
Science Major (3)
1,436 Students
°164 Students
Science Partners • Advisement •
Advance Program • Physician Shadow •
Freshman Outreach • Research E
.
n apter • PreMed Advisor
Education • Scholarships • Diversity Week •
Committee on Minority Student Affairs
(1) 1998/99 Nevada Department of Education, fall Enrollment; 12) UCCSN Strategic Planning Workshop Undergraduate Access and Growth, 1999;
(3) UNR and UNlV Institutional Analysis of Enrollment, four year current total; * Underrepresented Minority students in medicine-African.American, Hispanic, American Indian.
know that they can become doctors."
The medical school has developed a
series of privately funded programs
reaching out to students and teachers
from elementary school through college.
Dr. May outlines a few of the programs
the medical school has underway:
Elementary School: Science Part
ners: Places college science majors with
elementary school teachers to help pro
vide hands-on science to students in
grades kindergarten through sixth grade
in Clark and Washoe Counties.
Middle School: Summer of Dis
covery: Students in grades seven
ize their ambitions to continue on to
college and enter a career in medicine or
science.
College: Advisement sessions for
minority students, tours, physician
shadowing and research experiences.
These programs received a boost last
spring when the School of Medicine
received a $400,000 grant-one of 35
institutions in the country-from the
Howard Hughes Medical Institute
(HHMI). This grant is the second round
of funding awarded to the school's
Office of Recruitment by HHMI for
outreach education programs. Purnell
medical students learn how to under
stand and work effectively with patients
and their peers in medicine who come
from different cultural and ethnic back
grounds; understand alternative forms
of treatment future patients may access;
learn about how different religious
beliefs impact decisions about health
care; and learn about the needs of
patients with disabilities. _
Ann Diggins is Diredor ofRecruitment.
She coordinates School ofMedicine
outreach programs.
FALL 1999 • SYNAPSE • 5
FaCUlty News
FACULTY RECOGNIZED
BY GRADUATING SENIORS
During graduation week, the Class of
1999 presented awards to the faculty and
departments they felt made outstanding
contributions to their medical education.
Outstanding Full-Time Teacher awards
went to Drs. Nitin Bhatt, Internal
Medicine, in Reno, Kevin Murray,
Surgery, in Las Vegas, and Kenneth T.
Maehara, Pathology, in the basic sciences.
Outstanding Community Teachers were:
Drs. Donald May in Reno and Ralph
Conti in Las Vegas. Internal medicine in
Reno, surgery in Las Vegas, and microbi
ology in the basic sciences were singled
out as Outstanding Departments.
Outstanding Resident awards were
given to Drs. Colleen Capurro, family
practice, in Reno and Warren Volker,
obstetrics and gynecology, in Las Vegas.
The seniors also chose as their class gift a
tree that will be planted in honor of the
late David Melarkey after the new library
is completed.
Faculty Share
Expertise
Colleen Morris, M.D., associate professor
of genetics and pediatrics, and director of
the genetics program, was the keynote
speaker at the International Convention
on Williams Syndrome in Rome. She pre
sented an update on the genetic mecha
nism of Williams Syndrome and
recommendations for treatment to the
Dr. Nitin Bhatt was chosen by the Class of 1999 as the clinical Outstanding Full- Time Teacher for Reno.
The award was presented by Henry Matthew Davis.
400 health professionals and Williams
Syndrome families attending the meet
ing. She also led a discussion on the
pathogenesis of arterial narrowing, which
was simultaneously translated into Italian
and French, as well as a question-and
answer session for families.
Associate Professor Burton Horowitz,
Ph.D., Associate Professor Kathleen Keef,
Ph.D., Professor and Chairman Kenton
Sanders, Ph.D., and Assistant Professor
Sean Ward, Ph.D., faculty members from
the Department of Physiology and Cell
Biology were invited presenters at the
International Symposium on New
Development in Smooth Muscle and
Endothelial Cell Signaling, "Rhythmic
Activity in Smooth Muscle," held in
Nagoya, Japan.
Department of Surgery Chairman
Alex G. Little, M.D., gave two presenta
tions at the 16th annual meeting of the
Japanese Association for Chest Surgery in
Tokyo. Dr. Little presented, "The
Influence of Pulmonary Staple Line Re
Enforcement on the Development of Air
Leaks" and "Intraoperative Lymphatic
Mapping for Non-Small Cell Lung
Cancer: The Sentinel Node Technique:'
Associate Professor Kevin D. Murray,
M.D., surgery, presented his research
work, entitled "The Influence of Pul
monary Staple Line Reinforcement on
the Development of Air Leaks," at the
35th Annual Meeting of the Society of
Thoracic Surgeons held in San Antonio.
Dr. Murray's co-authors were Dr. Alex
Little and Dr. Paul Waters, chief of
Thoracic Surgery at UCLA.
Ralph DePalma, M.D., professor and
associate dean of surgery, has been busy
with lecture commitments, both here and
abroad. In May, he gave an invited lecture
at the 13th Congress of the European
Chapter of the International Union of
Angiology in Rhodes, Greece. His lecture
was entitled "Diagnosis and Treatment of
Venous Ulceration: Improving the result
of SEPS." In June, he presented his lec
ture, "Venous Disease with Surgical
Intervention," at the Society for Vascular
Nursing Annual National Symposium in
Las Vegas.
FaCUlty News
AWARDS
AND
HONORS
MELISSA PIASECKI, M.D., assistant profes
sor of psychiatry, was awarded the presti
gious Nancy C.A. Roeske Certificate of
Recognition for Excellence in Medical
Student Education. The award is given
annually to the outstanding teacher of
psychiatry by the American Psychiatric
Association. Dr. Piasecki has also been
named Teacher of the Year for the
Western Region by the Association for
Academic Psychiatry.
STEPHEN McFARLANE, PH.D., profes
sor and chair of speech pathology and
audiology, has been elected to receive
Honors of the Association by the
American Speech-Language-Hearing
Association. This is the highest award the
national association gives, and is only
accorded to those who have demonstrat
ed "outstanding professional and acade
mic achievement." Dr. McFarlane was
recognized at the ASHA Annual Con
vention in San Francisco.
MILES STANDISH, PH.D., associate pro
fessor of physiology and cell biology, and
associate dean of administration, is one
of the Outstanding Employees named by
the university system. The awards recog
nize "consistently outstanding service to
the university, or recent achievements."
Dr. Standish was one of the medical
school's charter faculty members.
For the second time, one of the med
ical school's physicians has received the
Good Housekeeping Seal of Approval.
Good Housekeeping magazine has
named Surgery Professor and Chairman
ALEX G. LITTLE, M.D., as one of "the 318
Top Cancer Specialists for Women" in
the u.s. in the March 1999 issue. The
magazine says this list is their "exclusive
guide to the country's most renowned
experts for lung, breast, and colon dis
ease." Dr. Little (who made his first
appearance on a Good Housekeeping
"Best" list in 1992) was one of 57 physi-
Surgery Professor Alex G. Little, M.D. , is
one of"the 318 Top Cancer Specialists for
Women" in the United States.
cians named to the list as a top lung can
cer surgeon, as well as the only doctor in
Nevada named to the list. Physicians
were nominated by department chairs
and section chiefs in surgical, medical
and radiation oncology at major medical
centers across the country. Dr. Little also
was named in the "Best of Las Vegas" list.
Two faculty members from Nevada's
medical school were honored by the
Nevada State Medical Association.
TRUDY LARSON, M.D., associate professor
and associate dean for primary care, was
chosen to receive the "Distinguished
Physician Award" and JOHN CHAPPEL,
M.D., professor of psychiatry and behav
ioral sciences, earned the association's
"Community Service Award." According
to Dr. John Scott, who presented the
award to Dr. Larson at the Association's
annual meeting in San Diego, "This is the
highest honor which your colleagues can
bestow." Lawrence Matheis, executive
director of the association, had praise for
Nevada's faculty members. "Obviously,
both of these people are superlative
physicians who have contributed greatly
to medicine and health care in Nevada."
During the same meeting, MITCHELL
MILLER, M.D., Class of 1982, was induct
ed as NSMA president. Dr. Miller is a
clinical assistant professor in the
Department of Internal Medicine, and
practices in Elko, Nev.
Specialty Clinic in Las Vegas
Dedicated to ALS Patients
Dr. Swamy Venketesh
The Department of
Internal Medicine in Las
Vegas has started a
Comprehensive Neuro
muscular Disorders
Program with a specialty
clinic devoted exclusively
to treating patients with
ALS (commonly known
as Lou Gehrig's Disease).
The department held a
reception last spring for
ALS patients, caregivers,
healthcare professionals
and the community at
the school's Las Vegas
Patient Care Center at
1707 W Charleston Blvd.
The Nevada chapter of
the National ALS
Association selected the
school as its "provider of
choice" because ofits med
ical expertise and multi
disciplinary approach to
clinical services and social
support.
Dr. Swamy Venketesh,
director ofthe Neuro
muscular Disorders
Program, was also honored
for his commitment to ALS
patients, and for his efforts
in setting up a unique cen
ter ofmedical specialists in
neurology, speech, physical
and respiratory therapy,
and social service to pro
vide patients with the most
advanced treatment and
care in one setting.
FAll 1999 • SYNAPSE
• 7
Faculty News
Scoring With The Legislature
The School of Medicine was treated very
well by the 1999 Nevada Legislature. First
and foremost, salary savings from the
school's research enterprise that were
originally cut from the budget were
restored to its base budget during joint
hearings of the senate finance and assem
bly ways and means higher education
sub-committees. University of Nevada,
Reno's President Joe Crowley was instru
t7JlfJr\Yl.lH'
complete the telecommunications network
the school set up throughout the state.
Also, a representative from the school will
serve on the planning committee of the
trust fund for public health that is being
established with some of the settlement
funds.
Assembly Speaker Joe Dini, who helped
with the $1 million in matching funds, and
Assemblyman John Marvel, were also able
:
On March 31,1999, a legislative proclamation was introduced in the Assembly by Speaker Joe Dini and
in the Senate by Senator William Raggio, commemorating the School ofMedicine's 30th Anniversary,
which was presented to Dean Emeritus Robert M. Daugherty, Jr., M.D., Ph.D. Legislators in both the
Assembly and the Senate praised Dr. Daugherty for his outstanding leadership and his 18 years ofcom
mitment to building the state's medical school into a successful and respected institution.
mental in having this nearly $900,000
restored to the medical school.
During discussions about uses for
Nevada's tobacco settlement money,
Governor Kenny Guinn proposed a one
shot appropriation of $5 million to help
build the school's health sciences campus in
Las Vegas. Plans are to construct the build
ing on land donated to the school by the
City of Las Vegas in the Technology Center.
Mike Majewski from the City of Las Vegas
and school officials spent time in Carson
City explaining the project to legislators.
Governor Guinn also proposed a
$1 million match to a federal grant the
school received in its Office of Rural
Health. The funds will be used to upgrade
rural emergency medical services and to
to add $230,000 to the school's budget for
rural health. Specifically, the funds will be
used as a state match for federal dollars ear
marked for health service corps placements
in under-served areas; to subsidize the mal
practice insurance of physicians in rural
communities so they can provide prenatal
care and deliver babies; and to purchase
televideo equipment for the Battle
Mountain Hospital.
Last but definitely not least, the School
of Medicine was awarded $4 million
toward the $10.5 million construction bud
get for its library/education building in
Reno. Nearly $4 million had already been
raised for the project, additional donors
came forward, and the school broke
ground for the building in mid-November.
STATEWIDE
PROJECTS
FUNDED
Programmatically, the medical school was
able to secure legislative funding for two
important statewide projects. Working
with the State Health Department,
CoUeen Morris, M.D.,
was able to convince the
legislature to establish
and fund a birth defects
registry. Nevada is one of
the last states in the
nation to establish such a
registry. Opponents of the Dr. Colleen Morris
bill were mistakenly con
cerned about mandated genetic testing
and the possibility of increased abortions.
However, Dr. Morris and her health
department colleagues will use the data
collected to develop intervention and
treatment programs to improve the qual
ity of life for children with genetic defects
and their families.
David Donaldson, M.D., also devel
oped the concept of a statewide pediatric
endocrinology and diabetes program
which was awarded $759,000 for the
biennium. Dr. Donalson, Bemard
Feldman, M.D., and
Henry Arbnan, M.D.,
testified with the
Nevada Diabetes
Council to win support
for the bill. They were
joined in their powerful
Dr. Bemard Feldman
testimony by Skyler
Dillon, a patient of
Kathy Eckert, M.D. The
state money will be com
bined with funds from
University Medical
Center and Sunrise
Hospital to continue the
development of a
statewide rnulti-discipli- Dr. Kathy Eckert
nary disease management
team. Sen. Ray Rawson helped move this
bill through testimony and funding.
Faculty News
MED SCHOOL
DOCS FEATURED
IN LAS VEGAS
IIBEST" LIST
UMC Trauma Center's Stalus
Upgrad_
UNIVERSITY
Hundreds of Las Vegas physicians were
recently asked by professional pollsters
from WoodwardlWhite, "If you or your
loved ones needed a doctor in your spe
cialty, to whom would you refer them?"
Results published in the June 1999 issue
of Las Vegas Magazine, indicated that
physicians from the University of
Nevada School of Medicine were their
doctors of choice in several specialty
areas.
Those who made the "Best Doctor
List" are:
ALEX G. LIITLE, M.D., chairman of
the medical school's department of
surgery and a specialist in thoracic
surgery, was profiled for his work in
lung and esophageal cancer and his role
as a teacher of the next generation of
surgeons.
THOMAS SIDRES, M.D., director of the
medical school's Trauma Research
Institute is working to improve methods
of preventing infection and treating
shock.
ROBERT WANG, M.D., chief of
Otolaryngology, is developing innovative
treatment and research programs for ear,
nose, and throat diseases and problems
such as snoring and hearing loss. He has
also been named to the Task Force for
New Materials sponsored by the
American Board of Otolaryngology
and the American Academy of
Otolaryngology-Head and Neck
Surgery.
Long-time Las Vegas pediatrician
CHARLES S. SNAVELY, M.D., and new
pediatrics faculty member RENU S.
JAIN, M.D., were the only pediatricians
named to the list.
MEDICAL CENTER'S
TRAUMA CENTER,
UNDER THE
LEADERSHIP OF
SURGERY PROFESSOR
DR. JOHN
FILDES,
HAS BEEN
DESIGNATED A
LEVEL I FACILITY
BY THE A.\iIERICAN
COLLEGE OF
SURGEONS. THIS
Dr. John Fildes, seated, reviews the x-rays ofa trauma patient with
STATUS LETS THE
students and residents.
SURGERY DEPART
MENT FOCUS NOT ONLY ON TRAUMA CARE, BUT ALSO ON PREVENTION. THE DESIG
NATION ALSO MEANS THAT THE CENTER HAS MET THE STANDARDS FOR THE HIGHEST
QUALITY OF CARE FOR INJURED PATIENTS, "SIMILAR TO WHAT THEY WOULD EXPECT
TO RECEIVE IN NEW YORK, CHICAGO, OR
Los ANGELES," ACCORDING TO DR. FILDES.
IT IS THE ONLY LEVEL I FACILITY IN NEVADA.
FOREIGN RELATIONS TAKE ALOCAL TWIST
Ifyou have a recently printed atlas, you'll
find Kyrgyzstan tucked directly north of
India and the Gobi Desert, west of China,
and south ofRussia and Kazakhstan. This
small country, about the size ofSouth
Dakota, has four million inhabitants with
many descendants of the legendary Ghengis
Khan. Until they joined the Soviet Union
in the '20s, the people were primarily
nomadic, living in yurts in rural areas,
raising cattle and living offthe land. The
Soviets developed the country's infrastruc
ture, building roads, mining natural
resources, and developing education and
health care systems.
The medical school has entered into a
three-year partnership with the Kyrgyz
State Medical Academy in the capital city
ofBishkek. Funded by the American Inter
national Health Alliance, the project will
pair Nevada faculty with Kyrgyz faculty to
help in the development ofcourses in family
medicine, nursing and health care adminis
tration, and in the development of a clinical
teaching site. The Orvis School ofNursing
is playing a pivotal role in the partnership.
Since the break-up of the Soviet Union,
AIHA has funded partnerships in central
and eastern Europe (CEE) and the newly
independent states ofRussia (NIS). The
NevadalBishkek partnership is supporting
medical education reform as well as
Kyrgyzstan's national health care system
reform program.
Dean emeritus Robert Daugherty is
coordinating the project; faculty on the
steering committee include Drs. Tracy
Veach and Trudy Larson, Susan Ervin,
Kathleen Conaboy, Gerald Ackerman and
Mike Whaley.
FAll 1999 • SYNAPSE • 9
The Sol and Ella Savitt Library will
relocate to the Pennington Building and
has been redesigned as a virtual library for
the new millennium. Open spaces for
group study will be interspersed with indi
vidual study carrels and reading nooks.
Student classes in information technology
will be taught in a multi-station learning
laboratory, where faculty will also learn
how to integrate ever-changing technolo
gies into their teaching. As the medical
resource library for the entire state, the
Savitt Library serves students, faculty
researchers, faculty clinicians, and the pub
lic, making all medical information literal
ly just a mouse click away.
The Landra Reid Center for Women's
Health Studies will also relocate to the
Pennington Building. The Center was
awarded $8.5 million to participate in the
Women's Health Initiative, a 12-year,
nationwide study of women's health
issues, funded by the National Institutes of
Health. The 3,500 Nevada women enrolled
in the study are astounding the national
review committee. They are in the top
three (of the 40 U.S. centers) for the rate of
return-the number of enrollees who
return to participate year after year; they
are in the top three for women who return
for hormone replacement therapy; and
they are tops-lOO percent-for women
who return for observational measure
ments annually. Nevada is the ONLY cen
ter meeting NIH expectations in
controlling diet by controlling fat intake
and having an impact on death from
problems such as heart disease, breast can
cer, and heart attack. •
Groundbrealrlng For
LibrarylEducation Blillding
'I\t the beginning of the 20th century, the
world's knowledge doubled for the first time
in recorded history. By the year 2000,97 per
cent ofwhat is known will have been discov
ered or invented in our lifetimes. It has been
further projected that by the year 2020,
knowledge or information will double every
73 days."-James B. Appleberry, in his pre
sentation, "Public Higher Education
Shaping the Future, Setting the Pace:'
After years of planning and fund nus
ing, the School of Medicine broke ground
in mid-November for its William and
Myriam Pennington Library and Medical
Education Building on its Reno campus.
It is a building designed to help students
and faculty researchers make the most of
this enormous influx of information.
The building is named for William
Pennington and his wife Myriam, who are
the major private donors-with their gift
of $2 million-for this $10.5 million con
struction project. The Nevada Legislature
provided $4 million from its capital
improvement funds, which were augment
ed by $250,000 of planning money appro
priated during the 1997 legislative session.
The rest came from private donors.
The rapid changes taking place today
create real-life challenges for universities.
Today, students must be taught to adapt
not only to the sheer volume of knowl
edge, but also to the velocity of change.
They must become life-long learners. Such
teaching and learning will take place in the
Pennington Building.
The School of Medicine has intro
duced an innovative and forward-looking
curriculum that helps students move
beyond rote learning to become critical
thinkers and problem solvers. Today, much
teaching takes place in small groups, where
faculty mentors use case studies to help
students relate clinical principles to their
basic science knowledge. The Pennington
Building supports this new curriculum:
the new facility will house "smart;' high
tech lecture halls, complimented by break
out rooms for large and small group
interactions. In addition, seminar rooms
equipped with video equipment for long
distance connectivity will unite students in
Reno, Las Vegas, and Elko with their facul
ty mentors and their student peers.
SPECIAL THANKS TO THE DOCTORS' COMPANY
FOR THE PAST SEVEN YEARS,
AND CLINICAL PROGRAMS
ERS AND MEDIA REPRESEN
THE DOCTORS' COMPANY
TO A BROAD STATE AND
TATIVES STATEWIDE ALSO
HAS BEEN A GENEROUS SUP
NATIONAL AUDIENCE.
ARE INCLUDED ON
PORTER OF SYNAPSE MAGA
ZINE,
THE
SCHOOL
THE
THE MAGAZINE IS SENT
LIST, AND THE MAGAZINE IS
OF
TO ALL SCHOOL OF MEDI
SENT TO DEANS AND PUBLIC
MEDICINE'S PREMIER COM
CINE ALUMNI, STUDENTS,
AFFAIRS DIRECTORS AT SE
MUNICATION TOOL. BE
RESIDENTS AND PERSONNEL,
LECTED MEDICAL SCHOOLS
CAUSE OF THEIR SUPPORT,
AND TO ALL NEVADA PHYSI
NATIONWIDE.
NO FUNDS WERE DIVERTED
CIANS, HOSPlTAL ADMINIS
THE MAGAZINE IS PLACED IN
FROM THE OTHER VITAL
TRATORS
SCHOOL PROGRAMS, EQUIP
ALLIED HEALTH CARE PRO
STATEWIDE
MENT OR ACTIVITIES. THE
FESSIONALS, UNIVERSITY OF
PATIENTS.
AND
BOARDS,
MAGAZINE'S PURPOSE IS TO
NEVADA SYSTEM ADMINIS
CARRY THE MESSAGE OF THE
TRATORS,
AS
WELL
AS
FINALLY,
OUR PHYSICIANS' OFFICES
FOR
THEIR
WE GREATLY APPRECIATE
THE DOCTORS' COMPANY
SCHOOL'S WORK, ITS STU
LOCAL, STATE, AND FEDERAL
SUPPORT, WHICH HAS MADE
DENTS, FACULTY, RESEARCH
OFFICIALS. BUSINESS LEAD
THIS POSSIBLE.
e is a lanky southerner, \\i
an easy style, self-depreca'
ing humor, and a forthrigh
manner that invites tru··
He is Robert H. Miller
M.D., age 52, chosen in August to take th
helm of the University of Nevada Scho
of Medicine-only the fifth dean in thl
school's 30-year history. With clinica
experience as a head and neck surgeon,
master's degree in business, administra·
tive duties at Tulane University Medic
Center in New Orleans, teaching a
Baylor College of Medicine, and a year in
Washington, D.C., as a Robert Woo
Johnson Health Policy Fellow, he seem
uniquely suited to lead a medical school
in an era of great change and confusion
as well as great opportunity.
In early visits to the medical school.
during the recruitment process, Dr.
Miller addressed faculty and staff giving
them the opportunity to hear him speak
and ask questions. Why was he interested
in moving to Nevada (many eastern,
southern, and midwestern transplants
recall negative reactions when they
announced their move to Nevada), to
take on the challenges of a relatively
young medical school, with two campus
es and two faculty groups, separated by
450 miles?
With an elbow resting on the podium,
he answered candidly. "I see a small but
strong school that can grow and be even
better," he told the northern faculty mem
bers. He also stated that he would be
based in Las Vegas, but when asked if he
thought the whole school would be
moved south, he stressed that it would be
"foolish to move the entire school to Las
Vegas." He explained that his decision to
reside in the south was because he felt
that, initially, he needed to focus his
efforts there. "Clinical and basic research
is vital to the growth of a medical school,
so we will encourage that in the south:'
Part of the plan to encourage clinical
research would be to establish an acade
mic medical center modeled on the Texas
Medical Center in Houston. Dr. Miller
envisions this center being located in Las
Vegas, ideally on the lO-acre Tenaya prop
erty which was donated to the school by
the City of Las Vegas. He would like to see
the different health-related programs in
the south brought together on that prop
erty-the proposed pharmacy school and
H
A NEW DEAN'S
Dr. RobertMiller movesfrom
the Louisiana delta to the Nevada desert.
He wants to help this strongschoolgrovv.
By Lynne Williams
a multi-institutional cancer center are cially likes Las Vegas, for all its entertain
examples. UNLV is already planning a ment. She finds it exciting. My son, Reed,
dental school as part of that university's is interested in airplanes and things of
campu~, but President Carol Harter
that nature, so, with the air races, he is
agreed that collaboration between the also excited."
two schools would benefit Southern
The School of Medicine is unique in
Nevada students and patients.
that although it is one school, with one
"I understand that [to build on the educational goal, that goal is pursued by a
Tenaya property] is a contentious subject split faculty on two campuses. Bringing
in Las Vegas," Dr. Miller
admits. "It is important
that the school not
overextend itself, and
that the expansion of
programs be in non
competitive areas. We
need to sit with our part
ners and discuss what to
do. Nevada is pretty
much a one-horse econ
omy, so if we could
expand on the idea of a
medical center complex,
it would be one way to
diversify. However," he
adds, "it is important to
be economically viable."
When it comes to
running a school, he
doesn't believe in micro
managing. "I prefer to Welcoming the new dean, from left to right: ludith Ashley, Ph.D.,
give faculty the resources, William Welch, Ph.D., Steve St. leor, Ph.D., and Tom Kozel, Ph.D.
and the freedom to act.
The dean should be a coordinator and Reno and Las Vegas faculty members
facilitator with the faculty."
together is one of the challenges facing
Dr. Miller was first introduced to the new dean.
Nevada when he was a surgery resident at
"One key to improving that relation
the University of California, Los Angeles. ship is to improve communications;' he
''A fi.-iend suggested we go backpacking in suggests. He was encouraged by what he
Desolation Wilderness; I agreed, and we saw happening during the dean search
ended up backpacking in the Tahoe area process. Drs. Tom Kozel and William
every year. A few years later, my wife, Zamboni, co-chairs for the north and
Martha, and I honeymooned at Tahoe. south, respectively, opened new lines of
That's when we bought property there, communications during that process.
which we had for five years. We sold it
"The first thing I want to do is to go
when our kids got too big to fly free."
through a strategic planning process after
He heard about the dean's position the first of the year-after I have figured
opening when the dean at Tulane circu out which end is up," he adds with a
lated a letter from the Nevada search smile. "I want it to be a multi-campus
committee. He applied and, luckily, his process. Even though there may be differ
family was supportive of the move. They ent strategies for each campus, we can
knew he loved Nevada. "Martha was very work them out if we are all in agree
excited;' he says. "My daughter, Morgan, ment-all on the same page-as to
is a high school sophomore, and this is where we are going. I'm hopeful the rela
not usually a time when a high school tionship will improve:'
student would want to move, but after
One thing all faculty members can
our year in Washington, she was interest agree upon is that medical education is
ed in trying another adventure. She espe vastly different now than it was when
most of them attended medical school.
"There is more factual material to learn;'
Dr. Miller stresses. "Genetics, for instance,
is completely different than when I went
to school. But the main focus is still car
ing for patients-what many now call
'professionalism: We must make sure we
don't lose that:'
The other main change that he and
educators in every medical
school in the country
understand is that more of
medical education is being
done in the ambulatory set
ting and physicians' offices,
"rather than by following
physicians around in the
hospital:' Dr. Miller is quick
to acknowledge that Nevada
has a head start in this
aspect of medical education,
having made extensive cur
riculum changes to prepare
its students for the new
medical environment.
Another strength he
sees is that the School of
Medicine is the main source
of physicians for the state,
which is severely under
doctored by national stan
dards. "And, obviously;' he
asserts, "the faculty provide
excellent health care to the citizens of
Nevada, not only in Reno and Las Vegas,
but also in the rural communities, which
is important:'
Dr. Miller also praised the Women's
Health Initiative as a resource for
Nevada's women, and the basic science
facwty who are doing vital research. He
pointed out that the National Institutes of
Health has received a large funding
increase from Congress and that the fac
ulty are poised to take advantage of those
increases. Finally, he wants to encourage
technology transfer, taking research find
ings and pursuing commercial applica
tions.
During one of his first presentations
as the new dean, he referred to the school
as a "stealth medical school. I think a lot
of Nevada citizens do not know what you
have." It is clear he's determined to fly
proud and high.•
Lynne Williams is direaor ofpublic relations
for the School ofMedicine.
• 13
Student News
Graduation week was a time of fun and farewells, when the
Class of 1999 was reunited for the last time as students. It included
a golf tournament of friendly competition between students and
faculty; an Awards Assembly, that recognized students for their
accomplishments; the Dean's Dinner, where students gave out their awards
and thanks to outstanding faculty and departments who made their educa
tion memorable; and, finally, the Hooding Ceremony, where they completed
their journey into the profession of medicine.
# I-Kristina Blohm, Para Behnia, Keith Flowers (behind), and Jeff
Avansino enjoy the humor in Dr. Murray's speech.
#2-James Lowe is hooded by Dr. Kenneth Maehara, the Class of 1999's
choice of Outstanding Pull- Time Teacher
in the Basic Sciences.
#3-The Honorable Joseph E. Dini,
Jr., earned a Dean's Award for "his
friendship and support of the School of
Medicine since its beginnings 30 years
ago, and his invaluable support of educa
tion throughout his 33 years in the
Nevada Assembly."
#4--At the Dean's Dinner, Dr.
Donald Day was presented with the
award for Outstanding Community
Teacher for Reno by Leslie Browder.
Dr. Ralph Conti earned the award for
Las Vegas.
#5-Cari Crogham enjoys a clowning
moment after the ceremony. Cari earned
the Society for Academic Emergency
Medicine's 1999 Excellence in Emergency
Medicine Award.
#6-Brian Rose earned this year's Dean's Scholar Award as the top
student in the class. He also earned the Outstanding Student in
Neuroscience award and was inducted into Alpha Omega Alpha. Only
the top 25 percent of the class are eligible, and of that 25 percent, only six
percent are chosen.
(MORE STUDENT NEWS ON PAGE 22)
Seniors Ace National Boards
Congratulations to all seniors. All who took the national U.S. Medical
Licensing Exam, Step 2, passed, beating the national average. The national
pass rate for this critical exam is 91 percent. This is our first class to have a
100 percent pass rate for both the Step 1 and Step 2 boards.
$42,000
in scholarships
from Nevada
Women's Fund
Nevada Women's Fund has
announced its scholarship recipi
ents for 1999-2000, which includes
16 of our medical students for a
total of $42,000. This exceeds last
year's total by $9,500.
Since 1996, NWF had awarded
$140,500 to women medical stu
dents.
This year's recipients are:
Connie Capurro, Naomi Chaney,
Neda Etezadi-Amoli, Jennifer
Frankovich, Rafae1a Hernandez,
Johanna Jensen, Angelene
Lawrence, Lynn Liu, Claire Leve
Neff, Amanda Nickles, Tara Prokop,
Nerissa San Luis, Andrea Tiffany
Stewart, Moon Su, and Vicki Wall.
• 15
LEFT: Dr. ]. Francis Turner, associate professor o.
medicine and chiefofthe division ofPulmonary
and Critical Medicine, is hoping to improve the
rate at which lung cancers are detected early in
Nevada. The Xillix LIFE-Lung Fluorescence
Endoscopy System, shown here, should help.
RIGHT: Dr. Elizabeth Fildes checks a patient.
She specializes in nicotine dependence. Dr George
Kaiser family medicine chair and program
supporter looks on.
Breathe Easy t
Las Vegas has new resources
for lung cancer detection and treatment.
By Kris Newcomer
T
here is no 10-K run.
No complimentary water bot
tie, no tee-shirt courtesy of a cor
porate sponsor eager to be associated
with the cause.
Celebrities don't appear on public
service announcements. Political candi
dates don't vow their support.
But this is not a popularity contest.
This is lung cancer.
And there is activity at the University
of Nevada School of Medicine.
The medical school and University
Medical Center have launched an
unprecedented attempt to combat lung
cancer, a disease that receives less atten
tion than other cancers but takes more
lives than breast and prostate cancers
combined.
The effort, called the Comprehensive
Lung Cancer Detection and Treatment
Program, brings new state-of-the-art
equipment to Nevada-a new laser and
imaging system that can help find lung
cancer in its earliest, most treatable stages.
The new program also promises oppor
tunities for research in the area of early
detection, an area where controversy
rages among cancer specialists and
health-care agencies in the U.S. and
abroad.
The medical school's comprehensive
lung cancer program also takes new aim
at smoking cessation in Nevada
Ground Zero (or the worst) among west
ern states when it comes to smoking and
lung cancer.
GROUND ZERO
Nationally, lung cancer accounts for
about 14 percent of all cancers. In
Nevada, the percentage is more like 20
percent. The Nevada Health Division
compiled its report on lung cancer earlier
this year and reported a huge increase in
the lung cancer death rate here. In 1991,
Nevadans died of lung cancer at a rate of
46.4 per 100,000 population. In 1997, 78
out of every 100,000 people died of lung
cancer.
More people smoke cigarettes here,
too. Nevada's smoking rate ranks it
fourth among the states. Only Kentucky,
followed by Indiana and Ohio, have high
er smoking rates than Nevada.
EARl.Y DETECTION
Dr.
J.
Francis Turner, associate professor
of medicine and chief of the Division of
Pulmonary and Critical Medicine, is hop
ing to improve the rate at which lun
cancers are detected early in Nevada and.
along with that, public perception of the
disease.
"There's the perception that if you've
got lung cancer, you're going to die;' he
says. Unlike cancer of the breast or
prostate, there's no palpable lump or sim
ple blood test for budding lung cancers.
By the time most patients notice symp
toms-things like persistent cough, chest
pain, and sputum smeared with blood
it's late in the game: the cancer already
has spread beyond surgery's reach.
"The overall five-year survival rate for
lung cancer is only 14 percent. If detected
early, before the disease has spread
beyond its initial site, the picture is much
brighter and the five-year survival rate
jumps to about 50 percent." But, because
a definitive test doesn't exist and, until
now, equipment for early detection was
lacking, only about 15 percent of all lung
cancers are diagnosed at that early, most
treatable stage.
"Once you present with symptoms,
the majority are inoperable," says Dr.
Turner. So the key is identifying the can
cer before the patient knows it's there.
Advances such as the laser technology
acquired for his department by Uni
versity Medical Center are making that
increasingly possible. The Xillix LIFE
Lung Fluorescence Endoscopy System,
which cost about $185,000, consists of a
bronchoscope adapted with a unique
laser and imaging system.
The bronchoscope, made by Olym
pus for Xillix Technologies Corporation
of Canada, is the same type long used to
look into the lungs with ordinary white
light and collect tissue samples for biop
sies. The "LIFE system;' as it is commonly
known, is used for those things too, but is
equipped with a Xillix laser that causes
cancerous and even pre-cancerous lesions
to appear reddish-brown on a special
screen, while normal
tissue looks green. Xillix
releases the equipment
only to physicians spe
cially trained to use it. A
company spokeswoman
said there are about 120
systems in use world
wide, about half of
them in the United
States.
Dr. Turner plans to
use the Xillix system in
research, as well as in
patient care. He is
among a growing group of lung experts
challenging their profession's historic
stance that concludes that mass screening
for lung cancer does no good. According
to previous studies, detecting lung cancer
early does nothing to reduce the mortali
ty rate. "There are a lot of us who don't
believe that;' says Dr. Turner.
It's a hot topic in pulmonary medi
cine. "It's very contro
versial," he admits. If
previous conclusions
about the value of early
detection can be
rethought, a chest x-ray
might someday be as
routine as a mammo
gram or Pap test, and
Dr. Turner might need
more than one Xillix
LIFE-Lung system at his
command.
QUIT WITH A CASINO
three years. With the recent launch of the
Nevada Tobacco Users' Helpline, she will
be able to reach many more people.
Anybody can call, at any time.
She also has started weekly support
group meetings, providing the sort of
consistent support that is believed to be
important in smoking cessation but is
increasingly difficult for doctors to pro
vide.
Doctors
remain the gate
keepers of the lat
est pharmaceutical
stop-smoking
aids, including the
an tidepressan t
drug Zyban, but
they are increas
ingly strapped for
time.
Modern
medical practice is
geared more to
ward the quick fix
than long-term
therapy for a com
plex addiction.
"It takes a long time to quit;' says Dr.
Fildes, who advocates everything from
relaxation techniques, cognitive therapy,
meditation and mental imagery, to the
pharmaceutical line-up of Zyban, nico
tine patches, nasal sprays, inhalers and
nicotine.
"We're using a holistic approach to
smoking cessation;' Dr. Fildes says. More
importantly, she offers all combinations
of the above. "The research shows we
don't intervene as much as we should
because we think it doesn't work," she
adds. "(But) every person wants to do
what is good for them. It just takes a little
while:' _
THE NEVADA
TOBACCO USERS'
HELPUNE IS
877-0684 IN
LAS VEGAS,
SMOKING CESSATION
, -888-86NO-NIC
(866-6642)
One long-standing no tion that remains un
challenged is that the
best way to prevent lung cancer is to pre
vent smoking, which is responsible for
about 90 percent of all lung cancers.
Dr. Elizabeth Fildes, assistant profes
sor of family medicine and addiction
counselor specializing in nicotine depen
dence, is in charge of that branch of the
new lung cancer program. "My goal is to
make smoking cessation services available
to every Nevadan;' says Dr. Fildes.
Her zealotry on this subject is partial
ly an outgrowth of her work with the
medical school's Family Medicine pro
gram, where she and department chair
George Kaiser, M.D. have facilitated the
American Cancer Society's "Fresh Start"
smoking cessation programs for the past
ELSEWHERE.
"Casino" may not be the first word
that comes to mind when one thinks
of smoking cessation. But a major Las
Vegas casino operator is on board with
the School of Medicine's new Lung
Cancer Detection and Treatment
Program, preparing to offer smoking
cessation services to its employees.
"We've tried various types of
smoking cessation programs," says
Larry Greene, director of benefits
administration for Boyd Gaming, "and
they have not worked."
Boyd, which employs 15,000 peo
ple, is betting on the medical school's
new effort because executives were
impressed with Dr. Elizabeth Fildes'
philosophy and her approach to the
addictive powers of nicotine, Greene
says. Her program is long term, recog
nizing that smoking is a complex puz
zle that must be taken apart carefully,
preserving the pieces needed to assem
ble a healthy, long-term ex-smoker.
In Dr. Fildes' program, smokers
always have someone to talk to, as well
as access to the latest pharmaceutical
products to treat nicotine dependence.
Boyd Gaming operates 12 casinos
in the U.S., seven of them in Las Vegas,
including Sam's Town, Main Street
Station, the Stardust, Fremont,
California, Eldorado, and Jokers Wild.
The company's health insurance pro
gram is self-funded.
Greene says the economics of
smoking cessation are fairly straight
forward. "If you can keep somebody
from getting lung cancer, you're going
to save hundreds of thousands of dol
lars:'
Economics aside, Boyd's owners
take pride in the company's health
benefits and have engineered numer
ous prevention programs, including
an effort to encourage pregnant
women to seek prenatal care by lower
ing their out-of-pocket birthing
expenses.
Dr. Fildes praises Boyd's interest in
smoking cessation as "very progres
sive. Indeed;' she says, "it is a breath of
fresh air."-KN
• 17
DOCTOR
lIIis Nevada microbiologist
unravels the mysteries of
dftlg-resistant infections.
Story by Maureen Mclnany
Photo by .Jeff Ross
e have a huge problem with
infectious disease and resistance
to antibiotics:' says Thomas
Kozel, Ph.D., stating in one
sentence the core of the research
he is doing at Nevada's School of Medicine.
As the evidence supports the conclusion that
widespread use ofantibiotics is leading to drug
resistant infectious disease in humans, experts like
Dr. Kozel, professor and chairman of the
Department of Microbiology, are certain that we
have a bonafide public health crisis on our hands.
"People don't adequately appreciate thiS;) he
emphasizes from his laboratory office on the second
floor of the Howard Medical Sciences building)
where he studies the two most common fungal
pathogens that attack people with weak immune
systems.
The problem is compounded in a medical era
with more aggressive approaches to cancer
chemotherapy) bone marrow transplantation) organ
transplantation, and AIDS) says Dr. Kozel. "We have
a growing population ofimmuno-suppressed
patients with a long-term risk for life threatening
18. SYNAPSE. FALL1999
fungal infections." Combine thjs with the
threat of more emerging infections
caused by people encroaching further
into animal habitats and rapid movement
of people around the world, as well as the
threat ofbio-terrorism, and it is clear that
scientists must develop raillcally illfferent
ways of thinking about means to control
infectious diseases.
"We have to consider the larger issues
related to evolution, development and
application of vaccines:' he explains, cau
tioning that without a more comprehen
sive approach, "we could very well end up
with no effective means to prevent or
treat some infectious djseases." Dr. Kozel
is convinced that future scientific
research will demand a much more inter
disciplinary approach-one that will
encourage researchers from different
institutions to pool their resources.
In fact, Dr. Kozel is an active partici
pant in a multi-center study already
underway. Microbiologists in four United
States locations are working together in
the second phase of a nine-year program
project grant (PPG) to study an often
fatal fungus that attacks the internal
organs of patients with weak immune
systems. Though the National Institute of
Allergy and Infectious Disease (NIAlD)
funds many multi-center studies, this
study is one of the first times mycologists
(microbiologists who study fungi) at geo
graphically dispersed sites have organized
their efforts around a single research
question as opposed to multiple investi
gators at a single institution. Dr. Kozel's
team is working with researchers at
Harbor-UCLA Meillcal Center (the prin
cipal research center), Montana State
University and Columbia University to
study Candida albicans and its more viru
lent form-disseminated Candidiasis.
The multi-center project is the culmi
nation of recommendations made by an
NIAID committee convened in 1991 to
improve the study of fungal infections.
Dr. Kozel, who co-chaired the commjttee,
and ills approximately 15 colleagues were
particularly interested in solving one of
the major dilemmas of science: How do
researchers reconcile the needs of their
home institutions-that seek a balance in
disciplinary interests-with the public
health need to focus many investigators
on a narrowly defined problem? One
answer was to develop large virtuallabo
ratories that encompass the best investi
gators needed to attack specific com
ponents of a larger problem-a multi
institutional program project.
Dennis Dixon, Ph.D., Chief of the
Bacteriology and Mycology Branch of the
Division of Microbiology and Infectious
Diseases, NIAlD, explains that program
project grants involve the organized
efforts of groups of investigators who
conduct research projects related to the
Microbiologists in fOllr U.S. locations are working together
in the second phase ofa program project grant to study an
often fatal funglls that attacks the internal organs of
patients with weak immllne systems. These are Candida
cells as seen throllgh a microscope in Dr. Kozel's lab.
overall program objective. Program pro
ject grants are all characterized by being
comprised of three or more projects that
are served by one or more core compo
nents, and that the sum of the efforts rep
resents a product that is more than
simply additive. Thus, program projects
are not an unusual entjty, but can repre
sent a vital complement to a research
program. "However, mycology is a rela
tively small field of study, compared to a
field like virology, or bacteriology. Yet,
now in the case of mycology, the field has
grown to the stature and depth that justi
fies linking different sites addressing
interrelated aspects withill the specialized
discipline." He explains that Dr. Kozel is
well known and respected for ills 20 years
of continuously funded research experi
ence in mycology, and was able to come
together with well-known researchers at
UCLA and Montana and apply for the
multi-project grant. "This group of re
searchers took the lead in recognizing
that a potential exists for developing a
vaccine for Candida:' Dr. Dixon says that
out of the approximately 80 funded
awards in the portion of the NIAID's
mycology portfolio under his direction,
only three are program project grants.
As Dr. Kozel discusses the intense
effort to secure grants, it is clear that he is
in ills element. He has a qwck smile, an
easy laugh, and the patience of a teacher
who is especially at ease with tough ques
tions. "When a student comes to see me
and says, 'I have this horrible problem:
I'm in heaven:' he says, conceding that he
reads scientific journals "for relaxation" at
his Lake Almanor retreat.
In adilltion to time with his students,
Dr. Kozel also enjoys time with his wife
Pat, sons Scott, Rob and Patrick, and his
grandchildren. Passion for cooking and
travel take him and Pat far from the
admittedly competitive arena of science
research. And when he returns to work, it
is evident that he savors the collaborative
aspects of his job.
"We have a lot of fun," he says, reflect
ing on recent meetings that have brought
him and his collaborators to the second
phase of an almost $1 million-per-year
study funded by the NWD.
While Dr. Kozel and his colleagues
focused on how Candida adheres to cells
and tissues in the first phase, their work
in the second phase focuses on fmding a
vaccine for disseminated Candidiasis, an
often fatal form of an infection that starts
in the gastrointestinal tract and travels to
the blood stream to attack internal
organs. "We all have Candida living in
us," explains Dr. Kozel, "but in some
patients with compromised immlme sys
tems, the fungus roots itself deeply in the
cells of internal organs, creating a life
threatening infection:'
Dr. Kozel's team is focusing on how
potential vaccine canilldates will react to
the high levels of the Candida antibody
already present in the human body.
Meanwhile, investigators at Harbor
UCLA Meillcal Center are analyzing pro
teins on the surface of Candida that help
this opportunistic infection adhere to
vascular endothelial cells. The investiga
tors are analyzing mechanisms to block
this adhesion, thereby eliminating the
fungus' ability to attack internal organs.
While studies at Harbor-UCLA and
Montana State University are investigat
ing the vaccine potential of known com
ponents of the Candida surface, the
research unit at Columbia University is
taking an unbiased approach that identi
fies which genes are "turned on" when the
infection occurs, explains Dr. Kozel.
Then they will attempt to determine what
proteins the "turned on" genes encode. If
the protein is produced during an active
infection, it is likely to be important to
the disease process. Such a protein is an
ideal vaccine candidate that might be
missed by more traditional approaches to
vaccine development.
Examination of gene expression dur
ing infection is on the cutting edge,
according to Dr. Kozel, who exudes an air
of excitement and awe when he discusses
the application of this methodology to
the study of fungal pathogens. He pre
dicts that it will be a major strategy in
locating future vaccines. In fact, scientists
at other institutions are already mapping
the entire candida genome, sequencing
every base of the deoxyribonucleic acid
(DNA).
In addition to· its cutting edge
methodology, this multi-center study has
also provided the infrastructure for a
more efficient and creative exchange of
knowledge. "When the study began, we
[the Nevada team] had never worked
with Candida; other members of our
consortium had. We were able to access
their experience. On the other hand, our
work with Cryptococcus neoformans
brought [to their work] experimental
applications that had not been consid
ered for Candida."
Dr. Kozel has been studying Crypto
coccus neoformans for 35 years, since his
undergraduate days at the University of
Iowa. In fact, he has extended this
research so effectively that his long-term
grant from NIH was converted in 1994 to
MERIT (Method to Extend Research in
Time) status, which will fund his research
through 2004. Less than 10 percent of all
NIH-funded grants are MERIT awards.
Dr. Kozel's career earnings from NIH
amount to $8.5 million. In addition to
governmental support, Dr. Kozel has also
received funding for the past 10 years
from the Foundation For Research. He
was the first Nevada researcher to receive
support from the Foundation.
Like Candida, Cryptococcus neofor
mans occurs in patients with weak im
mune systems, primarily AIDS patients.
Currently about five percent of AIDS
patients in the United States acquire life
threatening infections with Cryptococcus
neoformans. This figure jumps to 30 per
cent in Third World countries. At a recent
international conference in London,
researchers discussed the importance of
international collaboration in the study
of Cryptococcus. It's impOltant to estab
lish ties with researchers in under-devel
oped and developing countries, in
particular, he says, because the incidence
of Cryptococcosis is much higher in those
regions than it is in the United States.
Dr. Kozel's current research with
Cryptococcus neoformans focuses on the
polysaccharide (sugar) capsule that sur
rounds the infection yeast. He and his
New
Research
Dr. Kozel and his team will receive fimdingfor
new research that will begin this December.
I1lis research seeks to detennine why some
patients with weak immune systems develop
disseminated Candidiasis, while others do not.
He will fOalS specifically on two mechanisms
used by human beings to resist disease: anti
bodies (proteins that recognize specificforeign
bodies) found in the serum ofmany adults and
an additional protein called mannon binding
lectin (MBL) that recognizes aparticular sugar
on the swface ofCandida. Dr. Kozel believes
MBL may be a substitutefor anti-Candida
antibodies. He is interested in how antibodies
and MEL act individually and together to pre
vent disseminated candidiasis. Given that 20
30 percent ofpeople have low levels of
antibodies for Candida, and 10 percent ofpeo
ple have agenetic deficiency for production of
MBL, the absence ofboth could be the reason
some patients with compromised immune sys
tems develop disseminated Candidiasis. The
researchers will determine if the absence of
both proteins is a significant risk factor.
team are studying this capsule's role in
disease formation and how antibodies
react to this capsule. "Understanding
this;' he says, "is central to the develop
ment of a vaccine:'
As he considers his research, he
emphasizes that striking research results
are born of hard work. "I have insight
now and then;' he says, with matter-of
fact candor, "but insight is largely a func
tion of experience," experience that is
founded on what is learned in the past.
He wants his students to understand that
antibiotics developed in the 1940s dra
maticaIly changed the health status of
people in the United States. "They were
miracle drugs;' he explains, "but bacteria
exist now that are resistant to evelY one of
those drugs, and the list is growing." An
alternative to the use of antibiotics to
treat microbial infections is the develop
ment of safe and effective vaccines that
prevent infections.
"In the very early days of vaccine
development, vaccines were attenuated
bacteria or viruses that were injected into
animals or people to prevent diseases
such as anthrax, small pox and rabies;'
Dr. Kozel explains. "In the next genera
tion of vaccines, we used a more targeted
approach and that relied on an under
standing of how organisms cause disease.
For example, we discovered that diphthe
ria colonizes the mucus membranes of
our upper respiratory tract and exudes a
toxin that is absorbed and spread
throughout the body. Once we under
stood the importance of a toxin in pro
ducing diphtheria, it was a relatively
simple matter to convert the toxin into a
vaccine that could stimulate the immune
system to make antibodies that blocked
the toxin."
Future approaches to vaccine devel
opment will use an unbiased approach.
In the past, vaccines were based on
microorganisms that were grown in cul
ture medium. "We really don't know all of
the structures produced by a microorgan
ism as it grows in the body. We could
really be missing something important."
An alternative strategy is under study by
his colleagues in the Candida program
project who will use a molecular biology
approach to identify Candida genes that
are expressed during infection.
He also notes a trend toward virtual
labs. Within a year, his lab will have
video-conferencing capability with each
of the other centers in the Candida pro
gram project. This will enable researchers
to conduct meetings in which data can be
sent instantaneously, eliminating the
need for conference calls and airport
meetings. For prior meetings, the
researchers have met in a Los Angeles
International Airport conference room.
Dr. Kozel is amused by the fact that
video-conferencing may actually benefit
his Los Angeles colleagues more, since it
sometimes takes them longer to drive to
the airport on traffic-choked freeways in
the City of Angels than it takes Dr. Kozel
to fly from Reno.
One of the greatest ironies facing
modern medicine is that our current
treatments are actually selecting disease
strains that are drug-resistant. For Dr.
Kozel, it is an irony he accepts with a
broad, collegial smile. However, he does
n't accept it casually. This problem is too
compelling for him to resist. •
FALL 1999 • SYNAPSE • 21
Student News
(Continued from page 15)
#8-At the 1999 Hooding ceremony, Dr. Patrice Richardson
announced an alumni class endowment (ACE) pledge in the
amount of$200,000. The fund was recently established to increase
private support for the School ofMedicine.
#9-Dean Daugherty presented the 1999 Thomas f. Scully
Praeceptor Carissimus Award to Dr. Rex Baggett, who has been a
teacher and mentor to the school's students since 1971. Praeceptor
Carissimus means "dear, kind and loving teacher."
#10-The Roland W Stahr Award for Excellence in Clinical
Pediatrics was presented to Venus Moe Wilke by Drs. Bernard
Feldman, left, and Burton Dudding. Venus also earned the Janet M.
Glasgow Memorial Award, and was one ofthe graduates inducted
into Alpha Omega Alpha, the national honorary medical society.
#l1-Kevin Murray, M.D., was chosen by the Class to speak at
their hooding. He said that if they loved science and wanted to help
people, they couldn't go wrong. He also said, "Treat patients with
respect, always do your best," and that "medicine is a contact
sport...enjoy medicine!"
#12-Darrell Wilson presents the Outstanding Resident award
for Reno to Dr. Colleen Capurro, School ofMedicine Class of 1997.
#13-Dr. Jerry R. May presents Edwin Keith Flower with the
Humanism in Medicine from the Healthcare Foundation ofNew
Jersey. Keith was the student who
came up with the idea ofthe Student
Outreach Clinic, where students
could care for under-served patients
in the community while they learned
the basics ofpatient care. Keith also
earned awards as one ofthe
Outstanding Students in the Practice
ofMedicine Clerkship, Outstanding
Students in Special Qualifications in
J
1
T"\'"
NewoHicers
take helm of Alumni
Association
A new slate of officers was elected
for the school's Alumni Association.
Jerry Calvanese, M.D., Class of 1973,
is its new president; Haydon Hill,
M.D., Class of 1974, is vice presi
dent; and George Kaiser, M.D., Class
of 1975, is the secretary/treasurer.
Dr. Jerry Calvanese, a
member of the second class
of the newly-established
medical school in Nevada,
completed his clinical train
ing and received his medical
degree from the University
of Colorado. He is an emer
gency physician at Washoe Medical
Center in Reno, an examiner for the
Nevada State Board of Medical
Examiners, clinical professor at the
School of Medicine, a member of the
Washoe County Medical Society,
and of the A.C.E.P. Jerry was instru
mental in passage of Nevada's 1987
seatbelt Jaw, established poison pre
vention education in Washoe
County Schools, and was a partici
pant in the AIDS Task Force Forum
in 1992.
Dr. George Kaiser, a mem
ber of the school's third
class, completed his med
ical education at the
University of Alabama. He
has worked in Chemical
Dependency Programs
Correctional Health and is
currently chair of the Department of
Family and Community Medicine
for Las Vegas. Before joining the
medical school faculty, he was a
physician at the Carson Valley
Health Center, Urgent Care, and the
medical director for the Nevada
Department ofPlisons. After com
pleting his medicine residency train
ing at Maricopa County General
Hospital in Phoenix, George stayed
on to staff the Chemical Dependency
Program at St. Lukes Behavioral
Health Center and as the Detox Unit
Physician and Primary Care for
Inpatient Unit.
Dr. Haydon Hill, member
of the school's second class,
is a clinical assistant profes
sor in the school's family
and community medicine
and internal medicine
departments. He is cur
rently president of the
Washoe County Medical Society.
Alumni Notes
1973
Ronald Ainsworth, M.D., is a special
ist in obstetrics and gynecology in
Paradise, Calif., where he has had a
private, solo practice for 17 years. He
and wife Geri have five children: Ron
Jr., 27; Paul, 24; Justin, 19; Gretchen,
14; and David, 12. Ron reports that
the family enjoys skiing at Lake Tahoe
and Mt. Bachelor.
Walter G. Carr, M.D., a neurolo
gist, is now semi-retired. He and his
wife, Stevie, have two children: Elena
and Jason. They are enjoying travel
and skiing, and have returned to
Nevada.
Michael G. Kinnison, M.D., after
20 years of private practice, is current
Iya salaried physician working to
improve healthcare access and quality
for the under-served and medically
indigent in his community of Yuba
City, Calif. He and wife, Barbara, have
two children: Steve, 31, and Jeff, 28.
George S. Manning, M.D., retired
from the U.S. Air Force after 25 years
of service, was a family physician in a
medically under-served area in Texas
for seven years, and is now practicing
on the Outer Banks of North Carolina
"between hurricanes." He and wife,
Judi, have three children: Craig, 33;
Kanita, 25; and Kristi, 24.
Wayne Manson, M.D., is a general
surgeon who served in Desert Storm
in the 2nd l\1ASH unit. His wife,
Karen, is a nurse practitioner. The
couple have two children: Katie, 12,
and Jonathan, 16.
Richard Priest, M.D., is an internal
medicine hospitalisl, who is pursuing
family life and de-emphasizing his
career. He and wife, Janean, have a
19-month-old, luna, and are exped
ing twins in January.
1974
William B. Michelson, M.D., reports
that he is "alive and upright." He is an
emergency medicine specialist in
Reno; and he and wife, Judy, have two
children: Andy, 19, and Sunny, 22.
Paul B. Roth, M.D., is the dean of
the University ofNel\' Mexico School
of Medicine in Albuquerque. He
started his career in emergency medi
cine, but became intrigued with
physician leadership as a way to make
major changes. He and wife, Erin,
have two daughters: Rachel, 4, and
Jordan, 2.
Brian Strange, M.D., is pursuing
his specialty ofophthalmology in
Hutchinson, Kan. He and wife,
Debbie, have one son, Adam, 15.
David Zucker, M.D., is a clinical
assistant professor of pediatrics in
Reno. He and wife, Maryann, have four
children: Leah, 22; Jacob, 19; Anna, 16;
and Allison, 10.
1975
Linda Cordell Leckman, M.D., after 14
years of private practice in general
surgery, became vice president of
intermountain HeaJth Care in Salt
Lake City. She is responsible for the
practices of 395 employed physicians
and for clinical quality improvement
for community-based medicine. Linda
and husband, Scott A. Lechman, have
two sons: Matt, 13, and Eric, 10.
1976
Joseph Hollen, M.D., is a clinical assis
tant professor of medicine at Nevada's
medical school, specializing in emer
gency medicine. He and his wife, Robin
Marie, have four children: Eric, 14;
Adam, II; Jacob, 10; and Anna, 7. He
reports that "medical practice is easy
compared to raising kids'"
John Ryan, M.D., is a vascular
surgeon in Reno, and has one child,
age 21.
1977
Dan H. Martin, M.D., is a neuro-radi
ologist, in private practice with
Diagnostic Imaging Northwest in
Tacoma, Wash. He specializes in
orthopedic and spine radiology proce
dures. He and wife, Bobbie Sipes, M.D.,
have one child: Ashley, 9.
Susan (Sue) Regan, MD., is a
retired adult and child psychiatrist.
She is married to Lalit Roy, and the
couple have two children: Monika,
12, and Molly, 10. Sue reports that
she now spends her time taking care
of kids and being a "soccer morn."
She also started two new businesses
this year: an in-home art studio,
where she sells her paintings; and as a
ikken Magnetic and Wellness
Product distributor. She reports that
"There's more to life than medicine!"
1980
Fran (Minsky) Thayer, M.D., is back in
an anesthesiology residency at the
University of California, Los Angeles.
At one point, she was featured in USA
Today as "the windsurfing dOdOr."
Fran is married to Ted Thayer.
Robert L. True, M.D., F.A.C.O.G.,
is part ofan obstetrics and gynecology
group in Arlington, Texas. He and wife
Pam have two children: Kim, 20, and
Robert 13, and they love to travel.
Jeffrey D. Upton, M.D., is a urolo
gist and, after 12 years in the U.S. Navy,
he returned to Nevada and joined the
Capitol Urology group in Carson City.
He served as Regional Commissioner
of the Carson City American Youth
Soccer Organization for seven years,
and area director for the group in
Nevada for three years. He and wife
Nancy have three children: Lynda, 20;
Christie, 16; and Bryan, 13. Lynda is a
junior marketing major at UNR, where
she plays on the golf team. Jeffrey's
hobbies are golf, cooking and wine.
1982
Gary Johnson, M.D., is associate pro
fessor and medical director of the med
ical school's Family Medicine Center in
Reno. He and wife, HoUy, have a
daughter, Mallory, I, and Jasmine is
expected in January. He plays drums in
a local rock band, is a "serious amateur
photographer," and is a single-track
mountain biker.
Stephen L. Mandaro, M.D., has
board certification in occupational
medicine, and is currently with the
U.c. Davis Medical Group in Rancho
Cordova, Calif., where he and his wife,
Patti, also live.
Terrence G. McGaw, M.D., is pres
ident of 13-physician Medical Group of
Northern Nevada, chairs the Nevada
Section of the American CoUege of
Obstetricians and Gynecologists, and
has been appointed to the Governor's
Maternal Child Health Advisory Board.
He is married to Catherine J. Goring,
M.D., Class of 1984, and the couple
have two children: Lyndsay, 18, who is
attending first year ofcollege at
Cogswell Polytechnical College in
SunnyvaJe, Calif., and Erin, 16, who is a
sophomore at Reno High School and
on the swim team.
1983
Richard A. Helffrich, Jr., M.D., is a
pediatric anesthesiologist in
Ponte Vedra Beach, Fla. He is chair
man of the pediatrics department at
the Mayo Graduate School of
Medicine, and works at Nemours
Children's Clinic. He reports that he
enjoys Florida (sailing, water
skiing and scuba diving) but misses
Nevada. He and wife, Maryanne have
one son: Rich, II.
David Lelmherr, M.D., is board
certified in family practice, and cur
rently is in a radiology residency in
Knoxville, Tenn. David is divorced and
has one son, Christopher, IS years old.
Joseph Salomone, M.D., is residency
director and associate professor,
Department ofEmergency Medicine at
the Truman Medical Center and
University ofMissouri, Kansas City,
School ofMedicine. He and wife, Cindy,
have two children: Joe, IS, and Chris, 13.
Dante F. Vacca, M.D., is clinical
assistant professor ofsurgeI)' at
Nevada's medical school. He and wife,
TerI)', have three children: Brandon,
II; Sarah, 9; and Rachel, 8. When not
doing neurosurgeI)', Dante is taking
piano lessons and attending his chil
dren's sporting events and recitals.
HealthSmart's 13-member board has
been exploring innovative methods of
improving the health and well being of
the community. One of its success sto
ries is "Hot Shots," an immunization
program targeting adults and business,
as well as children and families.
1986
1984
Ninon (Germain) Collett, M.D., and
Jonathan D. Feldman, M.D., is in pedi
James Collett, M.D., live and practice
atric critical care in Los Angeles. He is
married to Carla, and the couple have
two children: Kira, 5, and Benjamin, 2.
Ron Jenks, MD., is currently prac
ticing in Bremerton, Wash., but plans
to start the new centU!)' in Chandler,
Ariz. He spent five months last winter
working in Mackay, Australia through
Global Medical Services. He reports
that he learned to scuba dive and
"enjoyed the experience of warm, clear
water and a huge variety of coral."
Jonathan Garey-Sage, M.D., is a
partner in Urologic Surgeons in Reno.
He and wife, Darla, have two daugh
ters: Carol}'11, 10, and Sara, 6.
Brian Trimble, M.D., and his fami
ly moved to Alaska 10 years ago when
he accepted a job with the Indian Heal
Service, working exclusively with
Alaskan Natives. Brian's specialty is
neurology. He and his wife, Mary, will
be celebrating their 25th anniversaI)'
this December, and the couple have
two sons: Sean, 17, and Aaron, 14. He
has traveled all over the state, and is
currently living in Eagle River, 14 miles
from Anchorage.
1985
Stephanie Ball, M.D., is board certified
in internal medicine and currently is
practicing occupational medicine full
time with Sandia National L1boratories
in Albuquerque, N.M. She has two
sons: Chase Buchanan, II, and Rowan
Buchanan, 7. In her spare time,
Stephanie builds furniture-tables,
bookshelves, benches, and cabinet
s in maple; and is busy with her
ren's activities and community.
Dean Kardassakis, M.D.,
.C.A.A.l., is specializing in allergy,
a, and immunology in San
cisco.
Colleen C. Lyons, M.D., after six
ofsolo practice in fanlliy medi
cine, has
joined forces
with John K.
Bower, M.D.,
in Desert Sage
Medical, Ltd.,
in Carson
City. She is
serving as
chair of
HealthSmart,
a Healthy
Community Initiative. Since 1966,
in Las Vegas. Ninon is a psychiatrist,
and Jim is in occupational therapy. The
couple have two boys and a girl, and
live at Mt. Charleston, where they enjoy
the four seasons and the solitude.
Greg DameI)', M.D., recently left a
large multispecialty group and started a
solo obstetrics and gynecology practice
in Sarasota, Fla. He and wife, Linda,
have four children: Lindsay, 7; Jeremy,
15; Jaime, 19; and Krist)" 21.
Robert B. Richeson, JII, M.D.,
completed his internal medicine resi
dency and chief residency at Good
Samaritan Hospital in Phoeni.x, Ariz.:
and a pulmonaI)', critical care, sleep fel
lowship at the University of California,
Davis. He's currently in private practice
in Reno and enjoying life witll his ,,~fe,
Lisa, and their three sons: William, 10:
Phillip, 7; and Patrick, age 4.
1987
Leslie Dale Elder, M.D., is a family
practice physician for Kaiser in
Portland, Ore. She married Charles
Elder, M.D., who is an internist, and
the couple have two sons: Jacob, 7, and
Isaiah, 4. They are involved in their
synagogue, and enjoy kayaking with
their children.
Carlos E. Fonte, M.D., started
Advanced Carcliovascular Specialists in
JanuaI)' 1998 in Las Vegas. He is
involved in clinical research and has
been speaking nationally on interven
tional carcliology, and is an instructor
in the medical school's internal medi
cine department. Carlos is unmarried,
but has a 12-year-old daughter, Tiffany.
Cheryl K. Graves, M.D., is a family
practice physician in Simi Valley, Calif.,
where she works for Southern
California Permanente Medical Group
with six other physicians. She has an 8
year-old son.
John R. Holman, M.D., is a
Commander in the U.S. Navy, now sta
tioned at the Naval Hospital at Camp
Pendleton. He is a family physician,
active in research and faculty develop
ment. He and wife, Mary Ellen, have
five children: Claire, 15: Robert, 13;
Emil}', 10; Sara, 5: and Connor, 4. Since
earning his medical degree, the family
has lived on Guam and near Seattle.
While in the Seattle area, he earned his
master's degree in public health from
the University of Washington.
Gale RydelJ, M.D., bas been a pedi
atrician in Portland, Ore., since 1991.
She is married to Edward Kornbrath,
and the couple have two children:
Hannah 7, and Bennett, 6. They love
outdoor activities, especially skiing,
which they try to do as often as they
can, as well as camping, canoeing and
biking in the swnmer.
1988
Gary J. Grossman, M.D., is a partner in
Internal Medicine Specialists of Nevada
in Las Vegas, where he is working with
a number of his classmates. He and
wife, Tahimi, have three sons: Dyllen,
9: Brandonn, 7; and Parker, 3.
Kay Funclis Neal, M.D., is an anes
thesiologist in Seattle, where she lives
with her husband Joe Neal and six
month-old twins, Pete and Erin.
Pamela Ornellas, M.D., is a famil}'
practice physician in Reno, where she
also is a clinical assistant professor at
the meclica] school. She and husband,
David, have two children: Nic, 7, and
Camille, 3. The family likes to travel,
"usual places for kids, i.e., Disneyland,"
and is involved in soccer, tetherball and
basketball.
Paul Stumpf, M.D., is a partner
with General and Vascular Associates
in Reno, and is a clinical assistant pro
fessor of surgeI)' at the School of
Meclicine. He is on the board of the
Washoe Medical Society and chief of
surgeI)' at Washoe Meclical Center. He
and wife, Ann, are expecting their first
child.
Viviane Ugalde, M.D., and Larry
Paulson, M.D., Class of 1991, are both
doing residencies in physical medicine
and rehabilitation. Viviane is in acade
mic medicine at U.c. Davis and LarI)'
is with Kaiser in Sacramento. They wel
comed their first child, daughter Maya,
on Christmas Day 1998. She reports
that they miss Nevada; "Sacramento is
too hot."
1989
Mark Doubrava, MD., has been in
practice in Las Vegas for the past two
years in ophthalmology cornealJrefrac
tive surgery, and is a clinical assistant
professor at the medical school. He and
his wife, Sabrina, are just moving into
their new house.
Margaret (Peggy) Mair, M.D., spe
cializes in emergency meclicine, while
taking care of her family of three chil
dren, Willis, 7; Sydne}', 4; and Chloe, 7
months. Peggy is married to Patrick
Schafer, M.D., Class of 1987. She
reports that she is a "part-time ER doc,
part-time golf widow, full-time mom,
and full-time happy."
Donald 1. Roberts, M.D., is a peri
natologist in Las Vegas, where he is also
an assistant professor of obstetrics and
gynecology. He is married to Lisa and
tlle couple have two children: Jordan,
8, and Aaron, 4: and are expecting their
third in mid-November.
Kamran Salrrakar, M.D., is a neu
rosurgeon in Sacramento, Calif. He
and wife, Nancy, have two children:
Sebastian, 4, and Alexandra,S. The
family is enjoying all northern
California has to offer, traveling to the
mountains and cities, and participating
in outdoor activities.
Greg Tichenor, M.D., is an emer
gency medicine physician in Southlake,
Texas, where he lives ",~th his wife,
Amy, and Reagan, 16 months old. He
also has earned his private pilot's
license.
Debra Transtrom, M.D., practices
pediatric anesthesiology in Houston,
Texas, and is married to Frank
Hollingshead.
1990
Rick Falkenberg, M.D., is a practicing
anesthesiologist, and is married to
Lynn Kinman, M.D., Class of 1989,
clinical assistant professor of pediatrics
for the medical school. After working
in Los Angeles and Coalinga, Calif.,
they have returned to Nevada, and
have one child, Kelsey, 6.
Kenneth Kreisler, MD., special
ized in anesthesiology \vith a sub
specialty in cardiac anesthesiology.
However, he is practicing in all areas
of that field at West Virginia
University School of Medicine in
',,,
Morgantown, where he is performing
several clinical research projects. He
and wife, Kelly Kreisler, M.D., have a
son, Zachary Ryan, who is 16 months
old. Kelly is completing her intern
ship and plans to do a combined
pediatric/anesthesiology residency at
WVU.
Chandler R. Mann, MD., is an
anesthesiologist with a group of lO
other physicians in Kingwood, Texas.
He is married to Louise Tangredi,
M.D., Class of 1989, and the couple
have three children: Chan Jr., 8;
Ashley, 6; and Kristin, 5.
Mark Mifflin, M.D., is an oph
thalmologist, specializing in corneal
and reli'active surgeI)'. He and wife,
Valerie, have four children: Thomas,
9; Tyler, 6; James 4; and Garrett, 2.
Mark is assistant professor of oph
thalmology at the University of Utah
and medical director of the Utah
Lion's Eye Bank.
(Continued on next page)
• 2S
Alumni Notes
(Continued from previous page)
Yvonne Romero, M.D., is spe
cializing in diseases of the esophagus
and in clirrical epidemiology in
Rochester, Minrr., arrd reports that
she is "still arr active studerrt in gerret
ic epidemiology." She is married to
Jesus Gonzalez Bosquet, M.D., Ph.D.
Rebecca J. Tyre, M.D., finished
residency training in obstetrics and
gynecology in Los Angeles in 1994
and returned to full-time practice in
Las Vegas to be near her family. She
was married to Alexander Stojanoff,
PhD., in 1996, and the couple have
two daughters: Anastasia, 2, and
Sophia, who was born on 9-9-99. The
family enjoys travel, "mostly in
California, but have also traveled to
Australia to visit my in-laws."
Jessica Wang-Rodriguez, M.D.,
completed a combined anatomy/clini
cal pathology residency program and
specializes in transfusion medicine. Irr
1993, she married internist George
Rodriguez, M.D., bought a house in
North Sarr Diego, and the couple now
have two children: Jorrathan, 2, arrd
David,!. Jessica is working at the
Veterarrs Affairs San Diego Health
System as director of the Blood Bank,
and is an assistant professor of clinical
pathology at the University of
California, San Diego, School of
Medicine, where she teaches a second
year medical student hematology
course.
Mitchell Wolf, M.D., and Jean
E. Forsberg, M.D., Class of 1993,
are busy with their respective prac
tices in Oklahoma City, Okla. Mitch
is in private practice and is chair
man of the Department of Family
Practice for Central Oklahoma
Medical Group, where he also
serves on the board of directors. He
continues his irrterest in music, and
his current band, "The Bezoars,"
recently recorded a CD. Jean is the
director of transfusion services at
tl1e University of Oklahoma, and
also serves as the technical director
of the stem cell laboratory for the
bone marrow transplant unit. She
reports that she has "survived and
worked at two Oklahoma City dis
asters (bombing and tornado),"
enjoys exercising and is "working at
perfecting my shopping technique."
1991
Bret Dales, M.D., is an orthopedic
surgeon in Lake Oswego, Ore. He
and wife, Whitney, have two chiJ
dren: Connor, 6, and Brittney, 4.
J. Bryan Ellsworth, MD., is finish
ing his sixth and final year of a urology
residency program in Portland, Ore.,
and still has a two-year obligation with
the U.S. Army in Georgia. He reports
that he has a great famiJy. His wife,
Sherri, is very supportive, and the cou
ple have two children: daughter
Taylor, 5, and son Derek, 3. They have
traveled extensively because of his mili
tary assignments, and love to camp,
fish, and spend ti.n1e at the beach.
Jon R. Fishburn, M.D., is an oph
thalmologist in Boise, Idaho. He and
wife, Leslie have three sons: Evan, 4,
and twins, Zachary and Joshua, age 2.
Since graduation, Jon reports that he
has competed in the 1991 and 1993
World Kayak Championships and
placed in the top five. He's also taken
up piano and dance which provide
him with "peace and comfort," and
his favorite dance partner is Leslie.
Larry A. Levine, M.D., specialized
in physical medicine and rehabilita
tion 'It Ohio State University
Hospitals and then returned to his
hometown of Anchorage, Alaska, to
be near his brothers and parents. His
wife, Karen, obtained her master's
degree in ed ucat.ion whiJe they were
in Ohio, and the couple have three
children: Thomas, 8; Danielle, 4; and
Michael, 2.
Linda Schicker, M.D., has her own
radiat.ion oncology practice, Mohawk
Vailey Radiation Medicine, in Rome,
N.V. She is also chair of the Depart
ment of Radiation Oncology at Rome
Memolial Hospital. She and husband,
Maurice Oehlsen, M.D., who is a
neuro-radiologist, have one son, Brian,
4, and are buying their first house.
Linda has a horse named Phineas,
which she started riding in fox hunts
last year-"No, we don't kill the fox"
and they travel to quite a few confer
ences. They will be scuba di\~ng in
Hawaii ("It really is a conference") in
January. She also enjoys roller-blading,
skiing, fancy goldfish, and has her pri
vate pUot's license.
Sonia Schuemann, M.D., is a
family practice physician in The
DaUes, Ore. She invites classmates to
"come to tl1e Gorge to windsurf."
Roland Sparling, M.D., is a clini
cal assistant professor of family and
community medicine for Nevada's
medical school, practicing in
Henderson, Nev. He reports that the
most in1portant non-medical event
in his life was getting married to
Kathy, and starting a family. "One in
the oven-a girl, we think."
Griffitl1 Conway Steiner, M.D.,
completed an ophthalmology resi
dency at tl1e University of Louisville,
Ky, and a feUowship in cornealexter
nal disease and glaucoma at the
Allegheny Ophtl1aJmic and Orbital
Association in Pittsburg. He married
Laurie Gregory, an estate planning
attorney from Louisville in 1995. The
couple returned to his hometovm of
Anchorage, Alaska, and are expecting
their first chiJd tl1is Thanksgiving.
Griff reports that he is the only
corneal specialist in Alaska.
Robert R. Weaver, Ill, M.D., is
specializing in radiology in
Homosassa, Fla.
1992
Dina S. Burke, M.D., is an internist
in Las Vegas. She is married to
Michael J. Burke, and they don't have
any children yet, but are "working
on it."
Sean Barlow, M.D., is a psychia
trist in Palm Springs, Calif., where he
lives with wife, Janie, and their son,
lach, 8. He reports that tl1ey traveled
to Ireland and Scotland in October,
and that he spends time golfing and
"missing old friends."
Cindy (Zeng) Ferrell, M.D., is
assistant professor of pediatrics at
Oregon Health Sciences Center and a
general pediatrician at Doernbecher
ChiJdren's Hospit.a.l in Portland.
Cindy is also director of the continu
ity clinics at four different sites which
their pediatric residents attend, and
director of the fourth-year student
outpatient experience in general
pediatrics. She is getting certificat.ion
to become a lactation specialist,
"breast feeding is one of my areas of
interest, as well as resident educa
tion." She reports that she has defeat
ed a second round of cancer, and has
been healthy for more than a year.
Cindy is married to James FerreU and
the couple have two children:
Alexandra Grace, 4, and Hayden
James, 2.
Sarah Newton, MD., specializes
in obstetrics and gynecology in Las
Vegas, and reports that she passed
her oral ob/gyn boards in November
1998. Sarah is manied to Da~d
Newton, who is in his second year of
law school at tl1e University of
Nevada, Las Vegas. The couple have
one child, "Thomas, 4, and three cats
and two goldfish." Since earning her
medical degree, she spent two years
on active duty \vitll the Air Force at
Nellis Air Force Base in Las Vegas,
earning a Meritorious Se[\~ce Medal,
and is now in tl1e Air Force Reserves
asa Major.
Patrick J. Osgood, M.D., is in pri
vate practice as an orthopedic SUT
geon, Prutzman and Osgood
Orthopedics, in Reno. He and wife,
Judy, have two sons: Mason, 4, and
James, 3.
Joan (Sanford) Roberts, M.D., is
a pediatric critical care physician in
Seattle, Wash. She is married to Don
Roberts, who is a mechanical
engineer and inventor. The couple
have one child: Eleri, who is 9
months old. The family enjoys hiJk
ing, saiJing and ro\\~ng in the great
Paci.fic Northwest.
Karen Crites Scavetta, M.D., is in
her third year of a cardiology fellow
ship at tl1e University of Colorado
Health Sciences Center in Denver.
Karen is married to Robert Scavetta,
Ph.D., who earned his doctorate in
biochemistry at the University of
Nevada, Reno. The couple is hoping
to move into their new home before
Thanksgiving.
Jeffrey J. Roth, M.D., completed
his general surgery residency in June
1999 at the Medical College of
Pennsylvania-Hahnemann University,
where he served his final year as chief
resident. During his training, he com
pleted a two-year research fellowship,
and his work received the Moyer
Award for best resident paper present
ed at the American Bum Association.
He has authored multiple articles and
book chapters, and recently published,
"The Philadelphia Bllfn Unit
Handbook." Jeffrey also received the
Golden Stethoscope award, given to
the best teaching resident for the class
es of 1999 and 2000. He is continuing
his training with a fellowship in plastic
and reconstructive surgery at the
University of California-San Francisco.
1993
Bradley B. Bailey, M.D., is special
izing in emergency medicine in
Carson City at the Carson-Tahoe
Hospital in Nevada. He also serves
as medical director of both the
Central Lyon County Fire Protec
tion District and the Nevada
Division of Forestry. He and wife,
Susan, have two children: Jacob
Richard, 2, and Al.exis Amy, 4
months.
Brady G. Englestead, M.D., is a
pediatrician, employed by tlle County
Coroner's Office in Fresno, Calif.
Scott Landeck, M.D., is an
emergency medicine physician in
San Francisco, and lives in Marin
County with his wife, Anya, and
three children: Alexander, 3; lan, I;
and infant Sophia. Anya is a der
matologist.
1994
Gerald A. Maccioli, M.D., FCCM,
specializes in anesthesiology and crit
ica care medicine in Raleigh, N.C.
He is Director of Critical Care
Medicine for Critical Health Systems,
Inc., at the Raleigh Practice Center;
and Medical Direct.or of medical/sur
gical ICU at Rex HealtI1Care, also in
Raleigl1. Gerald is married to Sandra
R. (Sandy) Maccioli, who is owner of
Sandy M. Designs, custom residential
design, construction and decoration.
The couple has two children: Gerald
Remington (Remy), 8, and
Alexandra Michelle (Allie), 7. They
enjoy travel, especially to Italy, and
are re-learning Italian.
Patrick Rask, M.D., specializes in
emergency medicine in Portland,
Ore. He recently returned from a
three-week mission to Honduras
with the organization Northwest
Medical Teams. He reports that it
was "an amazing adventure, not to
mention a great tropical medicine
learning opportunity."
1995
Laning Andrews, M.D., is an emer gency medicine physician in Reno,
and reports that during his resi
dency training, he spent his free
time surfing in Baja, Calif., and
that now he goes fly fishing, hunt ing and snow boarding.
Waynea Chen, M.D., is in the
fifth and last year of a pathology
residency at Oregon Health
Sciences University. Her husband,
Ernest Hong, M.D., has just fin
ished his general pathology resi
dency at the same place, and is now
a cytopathology fellow. The couple
have been traveling since their
marriage in 1997, including a hon
eymoon in Kauai, a Caribbean
cruise with family, and they are
planning a Greece/Turkey cruise.
Leslie Greenberg, M.D., and
Mark Stovak, M.D., are currently
in Muncie, Ind. Leslie is teaching
in a family practice residency pro
gram, while Mark completes a pri
mary care sports medicine
fellowship at Ball State University.
Both will be returning to Wichita,
Kan., where they wiJl teach in a
family practice residency program.
Mark will also be director of sports
medicine for two large hospitals,
two four-year universities, 10 high
schools, three professional athletic
teams, and 60 family practice resi
dents. Leslie will teach family prac
tice with obstetrics and advanced
endoscopy. The couple expects
their first child next April.
John Hess, M.D., and Katie
Dolan, M.D., completed their fam
ily practice residencies a year ago
and returned to Reno, where both
are working for Washoe Family
Care. Any spare time they have is
spent "enhancing our back yard
and playing with our son, Harrison
Hess, age 18 months."
Elaine Porter Laraway, M.D., is
a family practice physician in
Redding, Calif. In September 1997,
Elaine married David Laraway,
who is a nurse and musician. The
couple has one daughter, Elisa, age
7 months. Elaine is working full
time at the community health cen
ter, plays saxophone in the
community band, volunteers at the
Women's Shelter and is active in
her ch urch. The couple traveled to
Europe and Alaska in the summer
of 1998.
Katherine (Ring) Shen, M.D., is
in family practice in Salt Lake City,
working part-time for the
Community Health Center, pri
marily with indigent, Spanish
speaking families. She and
husband, Chris Shen, have two
sons, Ian, 2, and Colin Michael,
born September 27, 1999. Kathy
reports that she enjoys travel to
Italy, Mexico, France and Spain, as
well as hiking, skiing, and other
outdoor sports with her husband
and son.
Deborah Sogge-Kermani, M.D.,
currently a family practice physician
in Sitka, Alaska, but, tired of "capital
istic, business-oriented medicine," is
planning to move "very soon" to
Montana. She is married to Mahmud
Sogge-Kermani, and the couple have
five children: Noora, 20; Julia, 18;
Justin, 17; Bahiyyih, 14; and Amin,
12.
Paul T. Wilkes, M.D., is spe
cializing in maternal-fetal medi
cine, and is currently living in
Denver. He and wife, Megan, have
two children: Katie, 4, and Ryan,
16 months. He reports that he still
does triathlons, "but being a full
time dad takes up most of my ener
gy." He is still an instructor for
Nevada's Department of Obstetrics
and Gynecology.
1996
David Cameron, M.D., is finishing
a radiology residency program at
Indiana University Medical Center
in Indianapolis. He and wife, Anne,
have four children: Camille, 5;
Amber, 3; Ben, 2; and Dan, 9
months.
John Wood Grinsell, M.D., and
Randi Fultz Grinsell, M.D., are cur
rently residing and practicing in
Lenexa, Kan. Jolm specializes in
internal medicine/cardiology, and
will be starting a cardiology fellow
ship in July 2000. Randi is in private
practice as a family physician and
"loving it." John enjoys fishing, hunt
ing and family time, while Randi
loves family time and shopping.
Takaji Kittaka, M.D., is a fami
ly practice physician in a group
practice in rural Piketon, Ohio.
During his residency training, he
received the Mead Johnson Award
for Excellence in Family Practice
from the Association of American
Family Practitioners. He and wife,
Becky, have four children: Evan, 8;
Gillian, 5; Hillary, 3; and Logan, 2
months. Takaji is keeping in shape
by "running 5Ks and !OKs with the
family."
Elena Nyhan, M.D., is an inter
nal medicine physician for Washoe
Family Care at its Sparks Clinic in
Nevada. She and husband, John,
have one son, Thomas, age 4,
whom she asserts is a "good-look
ing genius." Elena reports that her
biggest accomplishment is "landing
a job where I work four days a
week with no call!" She is obsessed
with "acquiring real estate and
catching up on lost sleep."
Clint Purvance, M.D., special
izes in emergency medicine at the
Carson Valley Medical Center in
Gardnerville, Nev, where he is
director of emergency services.
Clint married Shawna Buford, "a
native Californian," June 1999.
Shawn a is pursuing a degree in pri
mary education at Sierra Nevada
College. They have three dogs:
Tasha, Ivlaggy, and Tahoe.
Eric A. Sohn, M.D., is currently
"establishing a practice in Spokane,
Wash., with the help of Holy
Family Hospital." He is married to
Kristine, and they have two sons:
Kerry, 2, and Brady, 4 months.
They plan to move into a new
house this coming January.
Matthew G. Weeks, M.D., is
currently on assignment as a family
physician with the U.S. Army
Health Clinic at the Schofield
Barracks in Honolulu. He and wife,
Lanette, have four children:
Garrett, 7; Abram, 5; Landon, 3;
and Addison, l.
Susan E. Wohletz Cochella,
M.D., is currently a family practice
faculty member at the University of
Utah, Department of Family and
Preventive Medicine. She is mar
ried to Chris Cochella, and they
enjoy mountain biking, camping
and running. She reports that she
has run a marathon.
1997
David Fulster Drake, M.D., a third
year resident at the Medical College of
Virginia in Richmond, has been elect
ed national president of the Resident's
Wing of the American Academy of
Physical Medicine and Rehabilitation.
Chris Johnson, M.D., is in an
emergency medicine residency pro
gram at the University ofSouthern
California, Los Angeles County.
Chris reports that he is "living three
houses from Manhattan Beach,"
where he can surf and play volleyball
every day. Since graduation, he has
traveled to Central America to vol
unteer his medical services and, "of
course, to smf."
Leah Lynn Najima, M.D., is in
the third year of her obstetrics and
gynecology residency at the
University of New Mexico School
of Medicine in Albuquerque. She is
a flight surgeon for the New
Mexico Air National Guard, flying
F-16s. She is married to Jim
Najima, and the couple have two
children: Mason, 3, and Madison,
who was born in September.
Lisa A_ (Toeller) Roberts, M.D.,
is doing an obstetrics and gynecol
ogy residency training at the
school's afftliated hospitals in Las
Vegas. She married Donald K.
Roberts, and the couple have three
children: Jordan, 8; Aaron, 4; and
a baby girl due in November.
1998
James (Jim) Nachiondo, M.D., is
an internal medicine specialist
practicing in Portland, Ore. Jim
recently visited classmate Katelynn
Remington, M.D., in New Orleans.
1999
Scott Colson, M.D., is doing his
family practice residency at Cedar
Rapids Medical Center in Cedar
Rapids, Iowa. Scott is married to
Caroline Colson, who is a 1997
graduate ofUNR's Orvis School of
Nursing.
Orthella Ann Jurani, M.D., is
in her first year of family practice
residency at Kaiser Permanente in
Fontana, Calif., and then plans to
return to Las Vegas to be near her
family. Orthella is married to
Miguel G. Zamarripa. Since her
residency started, she hasn't had
much time for her favorite activi
ties: ballroom dancing and com
munity activities with the Filipino
community.
Cindy 1. Kirby, M.D., is doing a
pediatrics residency at Children's
Mercy Hospital in Kansas City, Kan.
Raymond Blaine Rawson,
M.D., is in a neurological surgery
residency program at the
University of New Mexico School
of Medicine in Albuquerque. Since
moving to New Mexico, he and
wife, Lynn, have enjoyed camping
and mountain biking.
Please send your Alumni Note
(and photo) to:
Lynne Williams
School of Medicine
University of Nevada, Reno,
Reno, NV 89557-0046
(If you want your photo
returned, please include SASE)
• 27
DONORS
GENERAL SUPPORT GIFTS
Eleanor A. Clark, M.D., '80
William and Cheryl Clark
Frances Dant Estate
Rick Falkenberg, M.D., '90
Glaxo Wellcome Inc.
Joseph P. Hardy, M.D., '74
Kathy Juarez, M.D., '88
Kern S. Karrasch
Martha Mazuryk, M.D., '82
Daniel Nash, M.D., '88
New Millennium Networks
Dr. and Mrs. Jon Schrage
In Memory of Margaret Scott
The Honorable and Mrs. Procter
Hug
Sierra Health Services, Inc.
Dr. and Mrs. Anton Sohn
Dr. and Mrs. John M. Watson
Wayeth-Ayerst Laboratories
The Thelma B. and Thomas P. Hart
Foundation
Mr. and Mrs. James c. Kuraisa
In Memory of A.J. Lurie
Mr. and Mrs. Orville Golub
Alexander Lurie
Dr. and Mrs. Arthur Lurie
Eliza Lurie
Mr. and Mrs. Jason Lurie
Washoe Medical Center
Dr. and Mrs. M.N. Nagy
The Mae Zenke Orvis Trust
Lorraine Pendal Dickenson Trust
Edward Plecha, M.D.
Thanks to the generous
support of our alumni
and community friends,
fund-raising eHorts
raised more than
$ , .7 million for the
, 998-99 fiscal year.
Because of your
commitment, we are
able to expand the
medical school's
scholarship aid to
students and enrich
GREAT BASIN
research and teaching
HISTORY OF MEDICINE
programs. We are
Jerry H. Mowbray
deeply grateful for your
John Ben Snow Trust
Dr. and Mrs. Anton Sohn
continuing support.
RECRUITMENT
ALUMNI CLASS
ENDOWMENT
Jerry Calvanese, M.D., '73
Kathie Coopersmith, M.D., '81
Todd Fountain, M.D., '81
Anita York Hardy, M.D., '81
James c. Karn, M.D., '81
John Lavin, M.D., '81
Terry McCaskill, M.D., '81
Denise D. McKee, M.D., '81
Michael Patmas, M.D., '81
Edgel W. Richardson
William Von Tobel, M.D., '81
Sandra Wilborn, M.D., '81
CAPITAL CONSTRUCTION
Las Vegas
Joseph Adashek, M.D.
Dr. and Mrs. J. Michael Badgwell
Charles B. Bernick, M.D.
Clark and Sullivan Constructors
Kathleen Conaboy and
John Bardwell
Drs. Robert and Sandra Daugherty
Dr. and Mrs. Bernard Feldman
Richard Wallace Jones, M.D., '93
George Kaiser, M.D., '75
Trudy A. Larson, M.D.
Ambika Rao, M.D.
Ole J. Thienhaus, M.D.
Y. Swamy Venkatesh, M.D.
Donald D. Wicker, M.D.
Jeffrey A. Wrightson, M.D.
Reno
Fritz B. Burns Foundation
Gloria L. Carey
Mr. and Mrs. E.P. Charlton, II
The Honorable Jan Evans
In Honor of Jan Evans
Matthew Q. Callister
Mr. and Mrs. Charles P. Cassidy
Kathleen Conaboy
Leo and Renee Diamond
Fritsi Ericson
Barbara Gianoli
John W. Marvel Family Trust
Steven N. Matles
Nevada Chapter of American
Physical Therapy
Nevada Mining Association, Inc.
Nevada State Medical Association
Northern Nevada Correctional Ctr.
Mr. and Mrs. Sean Oliver
Sierra Health Services, Inc.
State of Nevada Employees Assoc.
Washoe County Medical Society
Senator Valerie Wiener
Lynne D. Williams
Excaliber Medical Foundation
Lonnie Hammargren, M.D.
Martha Jones
Nell J. Redfield Foundation
E.L. Wiegand Foundation
RESEARCH
Alzheimer/Parkinsons
In Memory of Nicholson
Central Legal Staff of the Nevada
Supreme Court
Anti Fungal Drugs
Foundation for Research
Cancer
Ladies Auxiliary Y.EW.
In Memory of Bob Pope
Mildred Watnes
Dr. and Mrs. Ronald Reitz
Cardiovascular
Schwan's Sales Enterprises, Inc.
Colitis
In Memory of Nathaniel Goodhue
Janice Goodhue
Evelyn Dunn Walker
Diabetes
In Memory of Cyril T. Watnes
Mildred Watnes
Hypertension
Internal Medicine
In Memory of Archelus Marker
Mr. and Mrs. Dave Griffith
Plan
Microbiology
Origenix Technologies, Inc
Timken-Sturgis Foundation
Neurology
Nutrition Education
and Research
BASF Corporation
Julianna Kleppe
Barbara Scott, R.D., M.P.H.
Oncology/Hematology
Obstetrics and Gynecology
Dr. and Mrs. Joseph A. Rojas
Pharmacology
Tony Harrah
Physiology
Bernard Brady
Moya Olsen Lear
Radiology
Dr. and Mrs. Thomas C. Barcia
Allen Eng, M.D., '75
Surgery
Fred and Jean Allegretti Foundation
Fraternal Order of Eagles/Max Baer
SAVin MEDICAL LIBRARY
American Medical Association/
Education and Research
Foundation
In Memory of Dewey Lambert
The Burrus Family
Mr. and Mrs. Russell Cain
Dr. Phillip's Office Staff
Mr. and Mrs. Rudy Galli
Mr. and Mrs. Roy Garaventa
Lauritz Lund, Jr.
Mr. and Mrs. Louis Negro
Mary Negro Nelson
Mr. and Mrs. Raymond Pidlypchak
Mary K. Shaffer
Sierra Pacific Power Company
Jeane Jones, head ofRedfield Foundation, with Gerald C. Smith, manager, Redfield Land Co.
Nell J. Redfield took an early interest in the school's speech pathology and audiology program, and over
the years provided financial assistance to many of its students. According to her niece Jeane Jones-now
a trustee for her aunt's Nell J. Redfield Foundation-the foundation provided the $560,000 needed to top
the fund-raising effort to build the School ofMedicine's Department ofSpeech Pathology and Audiology
building, which bears her name. Jones says, "We believe every penny we {the Nell J. Redfield Foundation J
has invested in the medical school has been returned many times through the services and the work that
the medical school has given back to the community."
Dr. and Mrs. James Unger
Joan Zenan, M.L.S.
STUDENT AID/SCHOLARSHIP
Minority Scholars
Gale Starich, Ph.D.
SPEECH PATHOLOGY
Carson Sertoma Club
Mr. and Mrs. Robert Geyer
Tony Harrah
Leonette Foundation
Richard Marx
Moss Family Trust, D.T.D.
Nevada Scottish Rite Foundation
William N. Pennington Foundation
Reno Emblem Club 372, Inc.
Dr. and Mrs. Roderick Sage
Topaz Sertoma Club
Student Development Fund
American Medical Association/
Education and Research
Foundation
Student Scholarship Fund
Leonard Marmor Surgical Foundation
Dixie D. May
Warren Nelson
Barbara O'Rourke Memorial Award
Anonymous
---- _._----------
• 29
It was after a heart transplant in 1995
that E. W. Richardson decided he wanted
some ofhis money to go to medical
schools. Recently, his gift of$100,000 was
gratefully accepted by the School of
Medicine's Alumni Class Endowment
program. He was also a major benefactor
to the library/education building in
Reno, contributing $100,000. Dr. Patrice
Richardson explains her family's
perspective like this: ''Those ofus who
went to state schools like the University of
Nevada School ofMedicine, or to any
medical school, have a duty to give back
to the people who made it possible."
Student Support Gifts
Rexford Chamberlain
R.M. Daugherty Leadership Award
Stephanie Dyer, M.D., '91
In Memory of Larry English
Mr. and Mrs. Donald Cole
Student Outreach Clinic
The Robert Wagner Family Trust
Roberta Boyers
Richard Wagner, M.D.
Marla Puni
Laura Nelson Watkins
In Memory of Jane T. Wingfield
Mary Semenza
Hilda B. Wunner
Scolari Food and Drug Company
In Kind
Tribute Fund
Endowed Scholarships
In Memory of George M. Davies
Beverley Rowley, Ph.D.
Dr. and Mrs. Max Doubrava
Mr. and Mrs. Harold Herz
Michael A. Jones, M.D.
George Kaiser, M.D., '75
In Memory of Louis E. Lombardi
Mr. and Mrs. George Oshima
Charles Marshall, M.D.
Mr. and Mrs. Jack McCloskey
William B. Michelson, M.D. '74
Edward Rose, M.D.
SBC Foundation
In Memory of Paul Segal
Jed Freeman, M.D., '86
Catherine J. Stemmler
In Memory of F. Donald Tibbitts
Michael Van Tuyt M.D., '88
Baskin- Robbins USA
Boulder Station Hotel and Casino
California Hotel and Casino
CasaBlanca Hotel and Casino
Chicago Joe's
Mr. and Mrs. Jack Dack
Desert Inn Country Club
Dr. and Mrs. Lloyd Diedrichsen
Hilton Hotel and Casino, Las Vegas
Hard Rock Cafe
Harrah's Laughlin
Imperial Palace Hotel and Casino
Donald West King, M.D.
Main Street Station
George Manillo, M.D.
Marie Callendar's
Mount Charleston Hotel
Carol L. Mousel
Office Plus
Olive Garden Restaurant
PetsMart
Planet Hollywood Las Vegas
Rancho Florist, Bridal and Gift Shop
Theodore Rasoumoff, M.D.
Dr. T.p. Skaarupp
Texas Hotel and Casino
TGI Friday's
John Woodbridge, M.D.
William A. Zamboni, M.D., '84
SYNAPSE MAGAZINE
The Doctors' Management Company
MEMORIAL FUNDS
General Memorials
Donna F. Bowers
Dr. and Mrs. Edwin L. Cantlon
Mr. and Mrs. Atilio Capurro
Mr. and Mrs. Donald Cole
Josephine Gezelin
Dr. Bruce Hildreth and Mrs. Mary
Crawford
Cheryl Hug-English, M.D., '82
Margaret Ligon
Mildred A. Moller
Vaughn L. Plimpton
Dorothy Reams
Mr. and Mrs. Elmer R. Vacchina
Mr. and Mrs. Al Watson
Alma Westergard
Mary Semenza
Evelyn S. English
Edwin Semenza
Frances Cafferata Brown
Memorial
Alexander Dawson Incorporated
Mr. and Mrs. John M. Blakely
Mr. and Mrs. Mario Borini
Mr. and Mrs. Harry Brandise
Idamae Brandt
Mr. and Mrs. Steven Brown
H. T. Cafferata, M.D.
Mr. and Mrs. Michael K. Cafferata
John V. Cameron
Helen Cannon
Mr. and Mrs. James Costello
Mr. and Mrs. Merle Countryman
Mr. and Mrs. Michael Cowan
Mr. and Mrs. Jerry Crader
Mr. and Mrs. Gary Crowe
Barbara J. Fleming
Mr. and Mrs. Oswald Gutsche
Mr. and Mrs. John C. Hancock
Mr. and Mrs. Harley Harmon
Johnson International, Inc.
Mr. and Mrs. Robert M. Kelley
Diane C. Kneeland
William B. Kottinger
Las Vegas C.C.w'G.A.
William M. Laub
Mary MacKay
Agnes Mason
Mr. and Mrs. Stuart Mason
Lois W. McClanathan
New Las Vegas Country Club
Naomi B. Papworth
Mr. and Mrs. Marc Ratner
Joseph Scalley, M.D.
Nina B. Sharp
Mr. and Mrs. Rayfield E. Stauffer
Mr. and Mrs. A.R. Trelease
Mr. and Mrs. Peter Usgaard
Barbara Wright
Amelia Campbell Memorial
Michael Galli
Mary Gardella
Mr. and Mrs. Eugene Mortara
Mr. and Mrs. Bruno Pincolini
David A. Pincolini
Olga Zunino
Lilah J. Gadda Memorial
Betty Jo Baker
Maurice D. Brennan, TTEE
Sylvia M. Ernst
Ardeth Gadda
Mr. and Mrs. Orsie Graves
Jean Gregory
Wilma D. Horsley
Francine Mannix, M.D.
L.M. Rakaczky
Mr. and Mrs. William C. Walbridge
ANNUAL FUND
ROBERT WAGNER, A
LONG-TIME SUPPORTER
AND FRIEND OF THE
UNIVERSITY OF NEVADA
SCHOOL OF MEDICINE IN
LAS VEGAS, SAYS HE
BELIEVES IT IS BEnER TO
GIVE THAN TO RECEIVE.
"I'M THANKFUL THAT THE
UNIVERSITY GAVE MY
SON, RICHARD LEWIS
WAGNER, AN
OPPORTUNITY IN BOTH
PRE-MED AND THE
MEDICAL SCHOOL TO
STUDY MEDICINE. THE
WAGNER FAMILY FEELS IT
IS AN HONOR AND A
PRIVILEGE TO BACK THE
UNIVERSITY OF NEVADA
SYSTEM, WHICH GAVE
OUR FAMILY A PHYSICIAN
AND A NURSE."
WAGNER'S DAUGHTER,
MARLA, GRADUATED
FROM THE UNIVERSITY
WITH A MAJOR IN
NURSING.
Martin Piccinini Memorial
Mr. and Mrs. Ralph Andreini
Mr. and Mrs. William Balsi
Mr. and Mrs. Brian A. Beecher
Emily Bianco
Mr. and Mrs. Ben Caramella
Mr. and Mrs. Gene Curti
Gladys Curti
Mr. and Mrs. Ben Grissom
Mr. and Mrs. D.G. Heidtman
Cristi Kemp
Mr. and Mrs. John Madsen
Mr. and Mrs. Armando Martini
Dan L. Martini
Mr. and Mrs. Elio Martini
Dr. and Mrs. Harry Massoth
Micro Sight Company
Mr. and Mrs. Kirk Odencrantz
Craig and Tricia Page
Frank and Lorene Page
Alma Westergard
1998 Campaign
(July 1, 1998 - June 30,1999)
Donor ($1 - $99)
Mr. and Mrs. Donald Carrick
Dr. and Mrs. Steven H. Davis
Mr. and Mrs. Louie Gardella
Patricia A. Gerken, Dr.P.H.
Ann S. Kelly
Mildred A. Moller
Somphool Premsrirut, M.D.
Barbara Scott, R.D., M.P.H.
Joan T. Shonnard
Susan Steward
Marion Wiseman
Sponsor ($100 minimum)
Dr. and Mrs. Bill Anderson
Dr. and Mrs. M. Ronald Avery
Dr. and Mrs. H. Treat Cafferata
Dr. and Mrs. Edwin L. Cantlon
Colonel and Mrs. John K. Carr
Dr. and Mrs. Malcolm Colmer
Mr. and Mrs. Arthur Colombo
Dr. and Mrs. Thomas Conklin
Dr. and Mrs. Lloyd Diedrichsen
Mohamed S. Eftaiha, M.D.
Dr. and Mrs. Bernard Feldman
Edward Folsom
Barry S. Frank, M.D.
Mr. and Mrs. Frank Haag
Richard W, Hanke, M.D.
Mr. and Mrs. Harley Harmon
Dr. and Mrs. John W. Heaton
Margo Hendrickson, M.D.
Dr. and Mrs. Thomas Hood
Dr. Dorothy Hudig
Dr. and Mrs. Joseph Hume
Harry C. Huneycutt, M.D.
Ranjit Jain, M.D.
Mr. and Mrs. James Johnson
Frank T. Jordan, M.D.
Edythe Katz
Ardis Kearns
Dr. and Mrs. David Lupan
Scott E. Manthei, D.O.
Mark and Carmen Meerschaert, M.D.
Roger P. Meyer, M.D.
Mr. and Mrs. John T. Moran
Mountain View Hospital
Dr. and Mrs. Sigfrid A. Muller
Georgia Nannini
Dr. and Mrs. David L. Navratil
Mr. and Mrs. Ted Nigro
Gordon Nitz, M.D.
(Continued on page 34)
o
o
o
~
•o·
VI
VI
:i
"
III
Z
...
---- -------
• 33
(Continued from page 31)
Mr. and Mrs. John M. Potter
Howard Pressley
Mr. and Mrs. Franklin Rahbeck
Lawrence Russell
Dr. and Mrs. Peter Scully
June M. Topaz
Marjorie Uhalde, Ph.D., M.D.
Tracy L. Veach, Ed.D.
MaryAnn Warpinski
Mr. and Mrs. Harold Warren
Mr. and Mrs. A.M. Woodgate
Norman B. Young, M.D.
Benefactor ($250 minimum)
Sean Aim, M.D.
Rex T. Baggett, M.D.
Dr. and Mrs. Fred Boyden
Dr. and Mrs. Gerald Dales
Dr. and Mrs. David Dapra
Clark J. Guild, Jr.
Honorable and Mrs. Procter Hug
Jeane Jones, Ph.D.
David A. Mulkey, M.D.
Mr. and Mrs. H. Gregory Nasky
Dr. and Mrs. Joseph A. Rojas
Edward Rose, M.D.
Dr. and Mrs. Gerald Sylvain
Donald D. VanDyken, M.D.
Mr. and Mrs. Harry Van Meter
Dr. and Mrs. Richard J. Wageman
Blanche Zucker-Bozarth
Patron ($500 minimum)
Dr. and Mrs. Thomas C. Barcia
Louetta Bergevin
Ann M. Carlson
Dr. and Mrs. George Hess
Stephen G. Jolley, M.D.
Dr. and Mrs. J. Parker Kurlinski
Francine Mannix, M.D.
Dr. and Mrs. Kenneth Shyrock
Damon L. Stutes, M.D.
Friends ($1,000 minimum)
George and Marie Basta
Dr. and Mrs. Ralph DePalma
Dr. and Mrs. Joseph George
Dr. and Mrs. L. B. Gerow
Dr. and Mrs. David Haas
Dr. and Mrs. Reuben Jones
Dr. and Mrs. Patrick Riley
Dr. and Mrs. Thomas Scully
Dean's Circle ($2,500 minimum)
Joan Zenan, M.L.S.
E.P. Charlton II, The Charlton Foundation, says, "I think that it is important that a person give back a
part ofwhat he or she has accomplished throughout life to the institutions that made it possible. My
Nevada family, The Hood Family ofDoctors, were pioneers in medicine during the early days of
statehood (my step-dad's father had the # 1Medical License issued by the state ofNevada) and they
would want the university to be recognized through our pledges and gifts. Remember ourfamilies by
pledging to a college or university. It will certainly make a difference to them and to the future graduates
ofthe university."
ALUMNI
Donor ($1 - $99)
Martin Jose Arraiz, M.D., '96
Timothy Jon Carrick, M.D., '96
Peter Costa, M.D., '88
Mark N. Critchfield, M.D., '93
Bret Dales, M.D., '91
Gregory Damery, M.D., '86
David F. Drake, M.D., '97
Georgianna Duxbury, M.D., '85
J. Bryan Ellsworth, M.D., '91
John Epperson, Jr., M.D., '98
Jean Elizabeth Forsberg, M.D., '93
Andrew James Gilchrist, M.D., '94
Sarah L. Googe, M.D., '84
Wesley Walker Hall, M.D., '93
Isaac]. Hearne, M.D., '97
Peter Herreid, M.D., '88
John Herrison Hess, M.D., '95
Robert Hopkin, M.D., '90
Joni Wilkin Hougaard, M.D., '94
Jennifer H. Kimmel, M.D., '93
Robert Jack Kimmel, M.D., '93
Yvonne Romero Kozak, M.D., '90
Roger Mathewson, M.D., '89
Daniel McLaughlin, M.D., '87
Jim Moren, M.D., '73
Pamela E. Netuschil, M.D., '93
William Roes, M.D., '76
Jeffrey J. Roth, M.D., '92
Kim Webster, M.D., '82
Robert Whitfield, M.D., '96
Paul Taylor Wilkes, M.D., '95
Mitchell Wolf, M.D., '90
Sponsor ($100 minimum)
Michael Ashcraft, M.D., '73
Roger M. Belcourt, M.D., '82
Steven Berman, M.D., '83
Eyla Boies, M.D., '76
Judy Bourget, M.D., '90
Mark Broadhead, M.D., '86
Curtis Brown, M.D., '87
Mark Brune, M.D., '91
Christine Carlos, M.D., '77
John D. Chambers, Jr., M.D., '91
liTHE 1999 NEVADA LEGISLATURE HAS PROVIDED $9 MILLION IN CAPITAL
IMPROVEMENT FUNDS TO ASSIST OUR CONSTRUCTION PROJECTS, $4 MILLION
HAS BEEN DESIGNATED FOR THE NEW LIBRARY/EDUCATION BUILDING ON THE
RENO CAMPUS, AND $ 5 MILLION FOR THE HEALTH SCIENCES CAMPUS IN LAS
VEGAS. WE APPRECIATE GOVERNOR GUINN'S AND THE LEGISLATORS' VISION IN
HELPING ENSURE ADEQUATE FACILITIES FOR OUR STUDENTS AND PROGRAMS. I I
ROBERT
Daniel Chang, M.D., '90
Kathleen Coffer, M.D., '89
Alan Cooper, M.D., '82
Craig Cox, M.D., '83
Susan Weems Cox, M.D., '83
Kathleen M. Daly, M.D., '88
Kevin Dinwiddie, M.D., '80
Teresa Durbin, M.D., '76
Catherine Goring, M.D., '84
Stella Marie Horton, M.D., '93
Glen A. Hilborn, M.D., '88
Kevin Hyer, M.D., '86
Robert W. Inzer, M.D., '77
Diana Cordwell Johns, M.D., '94
Joseph Johns, M.D., '77
Gary Johnson, M.D., '82
Kenneth Kreisler, M.D., '90
Barbara Latenser, M.D., '85
Kristin Laxalt, M.D., '85
David Lehnherr, M.D., '83
Michael S. Lepire, M.D., '96
Richard Loehr, M.D., '77
Margaret (Peggy) Mair, M.D., '89
Stephen Mandaro, M.D., '82
George S. Manning, M.D., 73
Maureen Betz Marshall, M.D., '89
Terrence McGaw, M.D., '82
Lt. Bruce Meneley, M.D., '86
Neal Nesbitt, M.D., '74
James E. Pollock, M.D., '77
Galen Reimer, M.D., '77
Kathleen Rodriguez, M.D., '91
Patrick G. Schafer, M.D., '87
Sonia Schuemann, M.D., '91
Howard Singer, M.D., '80
Leslie S. Smith, M.D., '76
Alan Hwa Somphone, M.D., '98
Eugene Chun Somphone, M.D., '94
Michael Stanko, M.D., '88
Jennifer Sutton, M.D., '89
Roy Tsuda, M.D., '81
Lee Van Epps, M.D., '86
Robert R. Weaver, M.D., '91
Kendal Wilson, M.D., '85
H. MILlER, MD., DEAN
Robert E. Kane, M.D., '81
Kevin F. Lasko, M.D., '87
Colleen C. Lyons, M.D., '85
Mark Mansfield, M.D., '94
Kay Fundis Neal, M.D., '88
Chris Pederson, M.D., '83
Susan Pierce, M.D., '84
Earl K. Plunkett, M.D., '73
Sharon L. Poon, M.D., '89
Charles A. (Chuck) Prior, M.D., '82
Amy Ream, M.D., '86
Patricia Rosenauer, M.D., '83
Paul Stumpf, M.D., '88
Jeffrey D. Upton, M.D., '80
Dante F. Vacca, M.D., '83
Patrick O. Wagner, M.D., '80
Nevin W. Wilson, M.D., '82
Thomas Wong, M.D., '81
William Pennington and his wife, Myriam, have
been most generous and say, "We are happy to be
in a position to help the School ofMedicine."
Benefactor ($250 minimum)
E. Pendleton Alexander, M.D., '82
Roger Anderson, M.D., '73
Richard H. Ardill, M.D., '82
Mitchell Austin, M.D., '87
Edward Bentley, M.D., '76
Louis Bonaldi, M.D., '77
Cynthia M. Brown, M.D., '83
Terry Buccambuso, M.D., '84
Barbara R. Cafferatti, M.D., '74
Patrick Colletti, M.D., '73
Kathie Coopersmith, M.D., '81
Ronald Cornwell, M.D., '86
Thomas Costello, M.D., '83
Kent C. DiFiore, M.D., '73
Steven T. Dodge, M.D., '73
Richard Edmiston, M.D., '75
Guy Gansert, M.D., '86
Jonathan S. Garey-Sage, M.D., '84
Cheryl Graves, M.D., '87
Patrick Morris Hatfield, M.D., '93
David Hirsh, M.D., '76
Ronald W. Jenks, M.D., '84
Mark Johnson, M.D., '90
Friend ($500 minimum)
Herve Bezard, M.D., '85
Eric Boyden, M.D., '88
Susan Desmond-Hellman, M.D., '82
Allen Eng, M.D., '75
Harry English, M.D., '81
Richard Helffrich, M.D., '83
Mark Hueftle, M.D., '82
Cheryl Hug-English, M.D., '82
David R. Jensen, M.D., '76
Larry A. Levine, M.D., '91
Mitchell Miller, M.D., '82
Christopher Rores, M.D., '82
John Ryan, M.D., '76
Edward Carey Spoon, Jr., M.D., '89
Daniel Wayman, M.D., '86
Kathryn Wayman, M.D., '88
Anita York Hardy, M.D., '81
Patron ($1,000 minimum)
Mitchell Austin, M.D., '87
Jerry Calvanese, M.D., '73
Bradley K. Cruz, M.D., '81
Michael D. Daubs, M.D., '89
Susan Parker, M.D., '89
Benjamin Rodriguez, M.D., '82
Sandra Scheler-Mangiapia, M.D., '84
FAll 1999 • SYNAPSE • 35

Synapse Fall 1999 - University of Nevada, Reno School of Medicine

Transcription

Similar documents

HERE

Important Dates First in Math - Clark

fallon, nevada

Synapse Fall 1990 - University of Nevada, Reno School of Medicine

TOPICS No 27 - Trevallyn Primary School

hints and tips for your las vegas getaway doces ou land rovers?

PDF Monorail Map

TigerTales - Washington Co USD 108

MOUNTAIN POINT

www.tauntonschool.co.uk 26 April 2013 www.tauntonschool.co.uk

PTO Newsletter