Synapse Fall 1990 - University of Nevada, Reno School of Medicine
Transcription
Synapse Fall 1990 - University of Nevada, Reno School of Medicine
Dean's Message Decade III: Advancing the Dream As the University of Nevada School of Medicine moves into its Decade III, our goal is to advance the dream - the early dream of establishing and nurturing a quality medical school for the state of Nevada. The foundation has been laid. Our faculty are wonderful educators, experienced clinicians and renowned researchers. Our students are bright and caring. Our facilities are expanding. We are contributing, as our motto proclaims, "to the good health of Nevada." But we have no wish to rest on the accomplishments that color our past. Instead, we are looking ahead, preparing to seize the opportunities and meet the challenges that will shape our third decade and take us into the 21 st century. This will demand a team effort and will call for some hard decisions. To help us prepare, we have contracted with the Douglass Group, a division of Deloitte & Touche, to chart us through the development of a strategic plan. A team of our chairmen, administrative staff and an advisory board representative are working to answer the question, "What will we look like in the year 1995 and in the year 20007" To answer, we are ~valuating our current strengths and weaknesses; counting current and potential resources - including people, funds and hospitals; and outlining a variety of scenarios that let us capitalize on the best while eliminating or revitalizing the weak. Even in its formation, this strategic plan has drawn notice, some favorable, some not. Observers are concerned that the school might be "moving to Las Vegas" or losing its primary care emphasis. Others are excited about the development of a sophisticated subspecialty group in a clinical education building of the school's own in Las Vegas. Still others voice concern / about the fate o"f primary care medical education and the implications for rural Nevada. These are legitimate observations and questions. As of today, though, I have no answers. What I have learned is that strategic planning is a fluid process. We are making our best guesses about what will work and we are approaching the future with enthusiasm. What we recognize is that constant refinements will most probably have to be made as our teaching environment, our state, and federal involvement in health care delivery change. We approach our planning with care and are convinced of the integrity of the process. We know that a failure to plan is irresponsible, for, as Peter Drucker said, "Long-range planning does not deal with future decisions, but with the future of present decisions." With each step we take, we seek to advance the dream. Your support and your suggestions are welcome. ~~ ~R"P?~~ ~ ///. Fall 1990 Vol. 5, No.4 Pg.4 TABLE OF CONTENTS 2 Calcium: Key Piece in Puzzle by Jill Jorden Researchers in a medical school laboratory are studying cell growth and finding that calcium plays many roles. 8 Adolescent Advocate Treats Turbulent Teens by Lynne D. Williams Dr. Jay Johnson's adolescent medicine program focuses on a largely ignored population in medicine, the adolescent. 12 Brothers & Sisters, Sisters & Brothers by Kristin Fahrenz Felten One measure of success for the School of Medicine is when, based on their experience, alumni encourage their siblings to attend. Pg. 8 17 Donor Section 24 Rural Doctors Receive Awards 26 Student News 28 Alumni News 30 News Briefs 31 Faculty News r Pg. 26 Publisher: Kathleen A. Conaboy Director of Public Relations and Development Editor: Synapse is published quarterly for alumni, parents, friends and faculty of the University of Nevada School of Medicine. Your comments are welcome. Letters to the editor or materials for publication should be sent to the Editor, Synapse, Office of Public Relations, University of Nevada School of Medicine, Savitt Medical Building, Reno, NV 89557-0046. (702) 784-1605. Lynne D. Williams Assistant Director of Public Relations Designer: Communication by Design Synapse is published with the support of our private donors. Photographers: The University of Nevada School of Medicine is an equal opportunity/affirmative action institution. About the cover: The four photographs have been generated in the research being done by Dr. John Sutko (see cover story). The jirstthree slides were stained with fluorescent probes and photographed by a fluorescence microscope. /n the upper left comer are skeletal muscle fibers. In the upper right comer are two different intercellular calcium channels. The lower left shows cells in a chicken cerebellum. The lower right is a computer-generated image ofa ryanodine molecule. Ted Cook, Ron Evenson UNR Instructional Media Services UNLV Telemedia Toru Kawana, Las Vegas Advisory Council: Thomas l. Cinque, M.D., Las Vegas Sachiko St. leor, Ph.D., Reno Donald Pennelle, M.D., Las Vegas Richard Simmonds, D.V.M., Reno Any child who has hastily torn apart a toy and then been hopelessly unable to put it back together has learned the lesson: You need to know how something is put together before you can begin to understand how to fix it when it comes apart. by Jill Jorden Pictured above: Dr. John Sutko (left) and graduate student Philip Walton examine the results of a protein separation, which allows the researchers to identify and quantitate specific problems. 2 Calcium: Key That simple idea is the basis for some very complex research going on in a crowded laboratory at the University of Nevada School of Medicine. Pharmacology Professor John Sutko, Ph.D., is working with a team of researchers to determine how cells are formed---exactly what happens, in what order the steps take place and when each event occurs. Such knowledge could eventually help scientists understand what's going on when a breakdown takes place and how to get the affected system back on track. "Would you ever take your car to a mechanic who didn't know how the engine was put together?" Dr. Sutko asks. "We learn how things are put together and how they work so we know how they can be fixed." The focus of Sutko's research is what happens when calcium is released inside a developing muscle cell or nerve cell. Finding answers is unimaginably difficult. Dr. Sutko describes the process as a sequential jigsaw puzzle that can't be solved unless the player fits the pieces together correctly and locks them together in exactly the right order. The first piece of the puzzle is formed inside an embryo, when developing cells still are ?iece in Scientific Puzzle indistinguishable from one another. Cells grow, duplicate their parts and divide to form new cells. At a certain point, some cells stop dividing and begin to make the proteins that will allow them to specialize and become a certain type of cell-Dr. Sutko is interested in those that become muscle and nerve cells. Proteins assemble into a complex structure and play many different roles in the release of calcium. One protein transfers calcium into the storage site. Another holds calcium inside the storage site. At least one other produces the signal that releases calcium from the storage site into the cell. And yet another forms the pathway that controls calcium release. Before researchers can determine just how big is calcium's role in the drama played inside the human body, they need to understand the process leading to calcium release and how it influences what happens inside developing cells. That means going back to the cell's genesis and studying every step of its development. Dr. Sutko, and the other researchers in his laboratory, use chicken embryos to study how calcium release systems are formed during the development of muscle and nerve cells. If the systems are assembled the same way, there is a general mechanism for cell development. That would allow researchers to apply the information they gather from studying one cell type to all other cell types, making the process much simpler. If each system is assembled differently, however, researchers will be faced with the infinitely more complex task of studying the development of every cell type individually. The Process Dr. Sutko compares the calcium release process to the processes in a computer. 3 "Information is stored and manipulated in a computer by the controlled movement of electrical charges through computer chips. Interestingly, similar events regulate the exchange of information between the cells in our bodies. The movement of sodium, potassium, calcium and chloride ions across the outer membranes of cells provides ways for a cell to communicate with another cell and its surroundings," he explains. In addition, the release of calcium ions stored in muscle cells is necessary for our muscles to contract, allowing us to move an arm or pick up a pencil. There's no doubt calcium release is an immensely important process, but there's still a lot to learn. Why is it, for example, that the release of calcium-depending on when and where it occurs---can trigger so many different events in so many different types of cells? Calcium ions are stored in specific structures inside cells. Calcium release occurs when gates formed by proteins-these are called protein channels-are opened. In addition to the proteins that serve as gates, several other proteins playa part in calcium release: a protein that transfers calcium into the storage site, a protein that holds calcium in the site and one or more proteins that produce the signal that releases calcium from the storage site into the cell. Before calcium can be released, the cell must create all the different proteins and assemble them in a working system. (See Diagram I.) When a messenger-in the form of an ion, a hormone or a nerve signal arrives at a cell, it triggers a variety of biochemical changes, one of them being the release of calcium. The calcium release elicits a response determined by the kind of cell it is-a muscle cell may contract, for example, and a liver cell may secrete proteins. Calcium release influences the formation of nerves and muscles in a developing embryo, it affects the immune system's ability to protect us against infection and it allows for the 4 lv1EDICINE Dr. Sutko rides his bicycle to work each day. rain or shine. A lead to a treatment One branch nf research in Dr. Sntko's laboratory may lead to treatment for irregular heartbeat, or arrhythmia. He is studying how ryanodine, a chemical extracted from the ground stem wood of the South American shrub Ryania speciosa, affects muscle contractions. The research is funded by a three-year $750,000 grant from Glaxo, Inc., an international pharmaceutical company. When ryanodine-found in trees growing on the Caribbean island of Trinidad-is injected into a cell, it binds to proteins that regulate the release of calcium from an intra-cellular storage site and into the cell. In addition to triggering muscle contraction, the calcium released in the process can also affect the electrical activity of the heart or the heart beat. An abnormal calcium release can cause a deadly heart attack. Understanding the role of calcium, therefore, and determining how ryanodine can alter calcium release in a cell, will help develop ways to regulate arrythmia. A highly focused scientist transfer of information throughout the brain as we learn, store information in our memories or move the muscles needed to pick up the telephone. I h n L. Sutko, Ph.D., a pmk"o' of phannacology at the School of Medicine, Looking Inside Cells earned his undergraduate degree in zoology and his master's degree in biology from Researchers need to know when calcium release begins in order to determine whether the timing affects further development of the cell. But because such events are invisible to the human eye, even with the help of a high powered microscope, there has been only one way to detect the formation of a calcium release system and the beginning of calcium release: to measure a cell's calcium level. The level is low when calcium is being stored and higher after it's been released. To determine what's going on in a cell during release-rather than afterwards-Dr. Sutko and other researchers have devised a variety of ways to help them "see" what can't be seen. California State University (CSU) in Long Beach, and his doctorate in pharmacology from Indiana University School of Medicine in Indianapolis. Before accepting the position with Nevada's medical school, Dr. Sutko was a member of the faculty of the Graduate School of Biomedical Sciences and assistant professor of Physiology and Internal Medicine at the University of Texas Health Science Center in Dallas. Dr. Sutko has won numerous honors and awards for his work, including the Young Investigator Research Award from the National Institutes of Health, 1977-80, an Established Investigator of the American Heart Association, 1984-89, and the D.W. Seldin Cardiovascular Research Award, Cardiology Division, from the University of Texas Health Science Center. He also was the Neufield Foundation Visiting Scientist, Department of Physiology at the University of Leicester, Leicester, England; and the organizer and one of the speakers at the "Symposium, Ryanodine: A Probe of Sarcoplasmic Reticular Function in Striated Muscle, American Society of Pharmacology and Experimental Therapeutics," meeting in Indianapolis, Indiana in 1984. "John is a highly focused scientist determined to answer questions of major biological significance," says Department of Pharmacology Chairman David P. Westfall, Ph.D. "He realizes that to get answers to big questions one must use a step wise approach, answering small questions along the way. To do so requires carefully executed experiments that yield unambiguous results. John is a master at adapting techniques-originally designed for other purposes-to help him unravel scientific questions that are of interest to his laboratory group. This systematic yet imaginative approach has a positive effect on those around him. Thus, he is a valued member of the university community, not only because he is 'doing good science,' but because of the way he 'does it.' This is an important lesson for all of us, especially our Cells in a chicken cerebellum He says, "Think of a forming cell as a totally dark room and the genes inside it as men in black suits. A man walking through the room would be invisible, but a man with a flashlight on his belt could be spotted, even though it would be difficult to identify him. A man with lights on his hat and belt and shoes, however, could be easily spotted and identified." So far, researchers have come up with two tools to help them tell exactly when a protein is made: nucleic acid students." 5 probes and antibodies. One way to "tag" the probes and antibodies is to attach them to chemical groups that emit fluorescent light, allowing researchers to see them with a fluorescent microscope. Previously invisible proteins suddenly become visible. t-tubule Muscle ATP The Importance of Ryanodine Researchers also have identified two protein gates in muscle and nerve cells, both of wh ich allow protei n to be released into the cell. The first is stimulated to open by inositol triphosphate, or IP3. When certain hormones or neurotransmitters bind to receptors on the cell's surface, an enzyme splits off the IP3 molecule and triggers the gate to open; calcium to be released. Very little is known about the second protein gate. The gate was identified because it is sensitive to ryanodine, a chemical extracted from the wood of a tree that grows in the tropics. Ryanodine has been used as an insecticide since the 1950s, when researchers discovered it paralyzes insect muscles. What makes it interesting to Dr. Sutko, however, is its ability to bind to protein and open the protein release channel. More Questions Researchers have discovered a great deal in the past decade about how calcium is released inside cells, but each answer leads to a new question. One answer, for example, is that there are two forms of the ryanodine sensitive protein channel in the skeletal muscle of non-mammalian vertebrates, such as frogs, fish and birds, but only one form of this protein is found in the muscle of mammals. The remaining question: why is there a difference? Once researchers find that answer, they'll tackle the question of whether two channel proteins which have been 6 SR TRIAD JUNCTION FP = Foot Protein DHPR = Dihydropyridine Receptor ALDO = ADLOLASE G3DH = Glyceraldehyde-3-Phosphate Dehydrogenase Calsequestrin = storage site for calcium This diagram shows one small section of a skeletal muscle. At the top of the drawing, a nerve releases neurotransmillers which cause electrical charges in the muscle cell membrane. The t-tubule (transverse tubule) allows those electrical charges to move into the muscle cell. Electrical charges are thought to be transmilled by proteins, which causes the foot protein (FP) ion channelro open and calcium, srored by a protein called calsequestrin, is released into the interior of the cell where it activates muscle contraction. identified in both muscle and nerve cells act differently in the two cell types. That will lead to yet another question: there are two channel proteins that occur only in certain brain cells, but why? And how are brain cells with calcium release systems different from those without? Such minute details of cell development may seem inconsequential, but an understanding of them may help scientists answer some critical medical questions. If some developmental steps are out of sequence in an embryo, for example, it can lead to birth defects. When a person has cancer, cells lose their ability to divide correctly and regress from being muscle or nerve cells back to being unspecialized cells. And when an inappropriate release of calcium takes place, it can lead to a deadly herut attack. If researchers know the exact progression of cell development, they'll have a better chance of knowing when something goes wrong and perhaps even find a way to reverse the process. With most of the necessary tools at hand, such answers may not be far off. "We're now at the point where we're beginning to use the tools to get some answers," Dr. Sutko says. "I think we'll learn a Jot in the next couple of years, and then we'll reach a point where we'll need a new set of tools to answer the next question. "You always produce many more questions than you do answers." A World Perspective on the Problem Postdoctoral Fellows Enrique Olivares and Syed Ahmed, analyze the results of receptor binding experiments. The """"ch;n 0,. SUlkn', ,.bo"'tory involm researchers at the School of Medicine and from around the world. It is funded by grants from the National Institutes of Health, the National Science Foundation, the Muscular Dystrophy Association, the American Heart Association and Glaxo Pharmaceutical Co. Judith Airey, M.Phil., Ms.P., Dr. Sutko's co-investigator for the past three years, is working toward a Ph.D. in cell and molecular biology from the University of Nevada, Reno. She is studying how the synthesis of the ryanodine-sensitive channel is controlled in developing muscle cells as well as the production of two forms of the same protein in the vertebrate muscle of non-mammals. Philip Walton, M.S., also working toward a Ph.D. in cell and molecular biology, is trying to determine when the calcium channel proteins are made in developing nerve cells and whether such proteins are important for further development. Steve Tanksley, B.S., a research technician, is looking at how calcium channel proteins are made in embryonic muscle cells after they are placed into culture. He also is investigating how the calcium release channels found in the muscles of the cold-blooded animals, such as fish, differ from those found in the muscles of warm-blooded animals, such as birds. Enrique Olivares, M.D., a postdoctoral fellow from Chile, studies the channel proteins in frog muscle. In particular, he is investigating the difference between two protein gates, each of them sensitive to ryanodine. Marty Baring. postdoctoral associate; student Lee Ann Maynard; Judith Airey, research associate; and Steve Tanksley, lab technician, examine the results of an experiment involving muscle cells maintained in tissue culture. Syed Ahmad, Ph.D., a postdoctoral fellow from India, is working to discover how ryanodine recognizes the calcium release channel proteins and how it affects the channel's ability to open. Marty Baring, Ph.D., a research associate, cares for the lab's cell cultures. She grows and purifies antibody-producing cells, which are extremely important experimental tools. Lee Ann Maynard, a senior at the University of Nevada, Reno, helps everyone in the lab and keeps things running smoothly. Jim Kenyon, Ph.D., associate professor of physiology at the medical school, has collaborated with Dr. Sutko for eight years. He studies how channel proteins open and close to transfer ions across cell membranes and how nerve and muscle cells generate electrical signals. Bill Welch, Ph.D., associate professor of biochemistry, is helping Drs. Sutko and Ahmad use a computer to study the structure of the ryanodine molecule. Dr. Sutko's lab also has collaborators at several other universities. Dr. Mark Ellisman and Tom Deerinck at the University of California, San Diego, are experts in microscopy who help create visual images of the channel proteins and the messenger RNA. Claudia Beck, Ph.D., of the University of Idaho produces antibodies that recognize calcium channels for Dr. Sutko's lab. Drs. Tom Sudhof and Greg Mignery at the University of Texas at Dallas have identified the calcium channel protein affected by IP3 and have produced antibody and nucleic acid probes that recognize both the protein and its messenger RNA.. 7 Adolescent Advocate Treats Turbulent Teens by Lynne D. Williams Dr. Johnson examines a young patient at the UMC pediatrics clinic. Silences on his part are kept to a minimum because he considers open discussions with his teenage patients all important part of the physical examination. "Lyo""g to take o,e" to old to ignore. Gee, I'm almost ready, but.. what... for?" These lines from the Broadway show, "A Chorus Line," are an apt description for adolescence. It is a time of dizzying highs, depressing lows and as yet unnamed longings. For many adults, adolescence was something to endure, like chicken pox, 8 mumps and other childhood illnesses. But for Dr. Jay D. Johnson, this turbulent time of human growth and development is both fascinating and challenging. Jay Johnson, D.O., is director of adolescent care, a newly established section of the University of Nevada School of Medicine's Department of Pediatrics. "Adolescents are my favorite people," he asserts, with genuine enthusiasm. "I usually get some strange looks when I make that statement. People think I'm crazy," he adds, punctuating the statement with a quick laugh. Actually, a more accurate assessment might be that this engaging. good-natured physician has somehow managed to retain those feelings and memories of adolescence which most of us abandon, with a sign of relief, as soon as we can. But adolescence today is fraught with challenges for teenagers and the physicians who try to help them. Dr. Johnson's main areas of concern are teen-age sexuality; tobacco, alcohol and drug abuse and use; violence to self and others; eating disorders; sexually transmitted diseases; pregnancy; and school dysfunction - a laundry list of social ills that goes far beyond childhood illness and diseases. A typical day brings a spectrum of challenges. The last Wednesday in August is fairly quiet. It is the first week of school in Las Vegas. Dr. Johnson's first patient is an overweight l4-year-old girl brought in by her mother, who is concerned that the girl may have glandular problems or diabetes. Both of these diseases, as well as heart problems, run in the family. He jokes gently with the shy girl, eliciting a tiny smile, as he gathers information about the family history. He hears that she has been the butt of cruel jokes at school. "It does get old when people don't let up," he sympathizes, and orders blood tests to determine if there are underlying physiological reasons for her weight gain. He moves behind her and puts his hands around her throat, checking her glands. ''I'm not going to strangle you," he jokes. "Try to swallow. I know it's hard with my hands around your throat, but try. "If] don't find anything wrong that would account for this, would you be willing to go to a nutritionist and go on a weight loss program?" he asks after finishing the examination. "I would do what I have to do," the girl replies softly. Dr. Johnson gives her an encouraging smile at that statement. He confesses that he once weighed 250 pounds and has lost 60 of them. "It's not fun, but it can be done," he says. The girl's smile is a little broader after his confession. He makes an appointment for her with the school's nutritionist and sends her down the hall for a blood test. His second patient is a pretty blonde teenager who is complaining of a sore throat. She says her mother suggested gargling with salt water. Dr. Johnson recoils in mock horror. "You're not a whale, not a dolphin. Get rid of that salt water." He prescribes an over-the counter remedy to sooth her throat. "Just gargle and spit it out," he stresses. These are the easy patients; the more difficult are those who have chronic illnesses, such as arthritis, diabetes, and asthma; congenital problems like a club foot or shortened extremities; and disabilities that have occurred accidentally, such as losing hearing or eye sight, or losing limbs or digits. "The earlier a chronic problem begins, the more likely children are to be able to handle it," he explains. "If the problem occurs anywhere in the early or mid-adolescent phase, it's very disruptive and usually they don't handle it well. Of course, the response depends upon the person, but it is very difficult. "I feel so sorry for kids when a chronic problem happens. I've had situations where I've had to say, "Look, I'm very sorry that you have this problem. It's not fair. I wish you had anything but this problem. I can see why you would be depressed. I can see why you would feel like giving up. But that doesn't change the situation; you still have the problem. It will not going to go away. I can help you but you're the one who makes the final decision.' "I had one patient with diabetes. He was out of control and, of course, mom was nagging him, which was not Larry Winkler helping anything. So I told him, "If you choose not to take your insulin or follow your diet or do your lab tests on a regular basis, there is no point in coming in and seeing me. You're wasting my time and your time. When you're ready to sit down and talk., we'll develop a treatment plan and you get to take care of yourself. If you screw up, hey, that's your problem. All you are hurting is yourself.' About two months later, the kid came back and said, 'OK, I'm ready.' Up until that point, he was out of control; past that point, he was in contro!." Dr. Johnson sighs softly and his smile is rueful. "You have to do that sometimes and you feel awful, even when you know that it's necessary." He explains that adolescent medicine has only been recognized as a specialty for 15 or 20 years and is a relative newcomer on the medical scene. The specialty deals with the developmental problems and aspects of adolescence rather than with specific age groups. As assistant professor of pediatrics at the medical school, he brings a new expertise to the state and is an innovative teacher. The duties Dr. Johnson assumed when he joined the medical school a [ ) year ago are a testiment to the diversity of his field. He teaches adolescent growth and behavior to freshmen medical students, teaches third-year students on their clinical rotations in pediatrics, attends adolescent patients in the Pediatrics Outpatient Clinic at University Medical Center in Las Vegas (UMC), and directs the medical services for the same age group at the Southern Nevada Child and Adolescent Mental Health Services facility. Dr. Johnson suggests that the term "normal adolescent" is an oxymoron. "It's like saying airline cuisine or jumbo shrimp," he tells freshmen medical students during their first week of classes on the Reno campus. As he describes the different stages of development for boys and girls, his delivery is rapid fire, punctuated with liberal doses of humor. The liveliest part of the two-hour lecture occurs after a short break. When he leaves the classroom, the doctor is wearing a plaid shirt with a solid color tie, brown blazer and slacks. When he returns, he is wearing hot pink "baggies" and a tank top emblazoned with a colorful picture. He has captured the medical students' full attention. "You probably thought I was going to tell you how to conduct an interview," he says as he returns to the classroom podium. His grin is pure mischief. "No, you are going to do the interview and I am going to be the adolescent." The class becomes very quiet, each member shrinking just a little in his or her chair. He picks a student and they begin. After a little hesitancy, the student starts to gather information from the recalcitrant "adolescent," who shows little interest in being cooperative or talkative. "Why did your mother bring you in today?" "I don't know." "Are you having any problems?" "Nah." "You know, anything you tell me is just between us," the student interviewer says, with an encouraging smile. The "adolescent" finally begins to open up a little. Gaining information from an adolescent can be very difficult, Dr. Johnson explains at the end of the interview. The stated reason for the visit may, in fact, not be the real problem. He points out that a mother may bring in her daughter who is complaining of a sore throat, but when mother leaves the room, the daughter may admit to drug use or pregnancy. The next student interviewer finds that he is interviewing a "14-year-old girl." "I know it's hard to believe," Dr. Johnson laughs, "but use your imagination." The student tries to find out what's really wrong with the "girl," but, after five minutes of questioning, still seems reluctant to ask the more pointed questions, such as "Do you think you could be pregnant?" Dr. Johnson reassures his two interviewers that it takes time to develop the skills of asking those personal questions. "It took me years," he admits. "Now, there are four questions that I ask every adolescent I see. 'Have you ever used or abused tobacco, alcohol, illicit or licit drugs?' 10 'Are you or have you ever been sexually active? With which sex?' Sometimes they look at me a little funny when I ask that and I explain that I'm not being judgmental. I just want to know what to look for to make sure I'm not missing something in their exam. 'Have you ever thought of, planned or attempted suicide?' It's normal for people to think about suicide on occasion, and I don't want my patients to feel guilty about that feeling, but if they've seriously thought of or planned or attempted suicide, I go into much greater detail. I ask, 'Did you do it because you wanted attention or did you really want to kill yourself? Were you happy or sad that you were still alive?' "/ also ask, 'Have you ever been physically or sexually abused? '" This final question is one that has particular importance at the Southern Nevada Mental Health Programs for Youth facility, where Dr. Johnson maintains an office and sees patients each week. The facility is a group of small, sand colored, single-storied buildings with rusty brown slate shingles and ironwork at the windows that looks more like art work than bars. Inside, the atmosphere is as relaxed and comfortable as the outside. The mental health facility has never had a physician who was trained in adolescent medicine and the team he works with are clearly pleased to have Dr. Johnson on staff. The staffing team includes Psychologist Jonna Triggs, Ed.D., Case Manager Debbie Rhodes, Janice Stisowain, RN, and Nina Gibbs, RN. Debbie Rhodes is quick to voice her gratitude at having a specialist to call upon. "Most of our patients have been abused, either sexually, physically or emotionally and it takes skill to interact with them. What he is able to get from them is amazing," Rhodes stresses. "He learns things that no one else has been able to get from them." Dr. Johnson clearly enjoys the work he does in this setting and with this Sobering Statistics 1. Violence (homicide) is the number one killer of males 15-19 years of age. 2. Accidents and suicide are the num ber one killers of adolescent females. 3. Three times as many girls will attempt suicide as boys; however, of those who make the attempt, three times as many boys than girls will be successful in their attempt. A study has shown that 30 percent of suicides could have been prevented if, during a routine examination, the adolescent was questioned about suicidal ideas, plans or attempts. 4. One in 10 adolescents will become pregnant each year in the U.S. In Nevada, it is one in seven. The state ranks in the top five states in adolescent pregnancies. 5. Five percent of high school seniors report getting drunk on a regular basis; two percent of high school seniors are regular cocaine users. 6. Twenty percent of the adolescents with eating disorders do not respond to treatment; that percentage will not overcome their problem in spite of treatment. 7. Chlamydia is at epidemic proportions and gonorrhea and syphilis are in resurgence in the adolescent population. 8. A recent study found that virtually all adults in their 20s and early 305 who have active AIDS infections contracted the AIDS virus in adolescence. AIDS has been rapidly progressing in different age groups, and is now becoming a serious health problem in the adolescent age group. These are more than just statistics for Dr. Johnson and the Department of Pediatrics. As he sees these adolescents, he gathers data that will, eventually, help him and other physicians do a better job of treating these young people. The department is participating in a substantial faculty development grant received by Drs. John Chappell and Tracy Veach of the Department of Psychiatry and Behavioral Sciences. Under the grant, faculty physicians will learn techniques of handling alcohol and drug abuse in adolescents. Dr. Johnson works with adolescents evelY week at the Southern Nevada Mental Health Programs for Youth facility on West Charleston. Facility provides diagnosis, prevention and treatment to severe emotional adolescents. Dr. Jonna Triggs, the principle psychologist for the Southern Nevada Mental Health Programs for Youth, explains that the facility provides diagnosis, prevention and treatment to children and adolescents who are displaying evidence of severe emotional or behavioral disturbance. Patients range from those needing outpatient services once a week to those who need residential treatment for up to six weeks. There also are group homes in the community, and a program that provides residential care for children and adolescents who are autistic, severely disturbed or abused. "We also provide psychiatric services, recreational therapy, educational classes in conjunction with the Clark County School District, individual and group therapy, family therapy and sex education," Dr. Triggs explains. group of people. "This is an outstanding team," he says, as he relaxes in the front office of the facility. They are enjoying a relatively quiet time, because school is just beginning. There are only three patients; the normal census is 14. "Just wait a few weeks," he says, "when the pressures of school begin to build up." Of course, not all of the pressures that bring adolescents to this facility originate in school; most are caused by living in dysfunctional families. Dr. Johnson recalls one 13-year-old girl who was admitted to the facility after she attempted suicide several times. He quickly discovered that she had been physically and sexually abused, and her problems didn't end there. "I sat down to talk to her one day," he says, "and she looked at me and said, 'I don't know who I should tell this to.' That usually means the patient will tell it to me, so I said, 'You tell me and I will tell you who can help.' "She told me that every time she tried to kill herself it was because she heard voices telling her to commit suicide. She also described frightening shadows that were everywhere. She was even afraid to go into her bathroom. Eventually, I found out that her grandmother had died in the bathtub from an overdose of sleeping pills and the girl had seen her." After further examination, Dr. Johnson discovered that she was schizophrenic but had never been diagnosed. Once she was put on the proper medication, she began to improve. Another patient, a 14-year-old boy, was brought in for attempting suicide, aggressive behavior and running away. "At one point, he asked me to come to his room. He was concerned about his genitals." After some probing, Dr. Johnson found out that the boy had been sexually abused by the man who was living with his mother. "This abuse affected his own sexual functioning," Dr. Johnson explains. "Prior to the abuse, he had engaged in sexual intercourse with his girlfriend, but couldn't function after the abuse began. Once we were able to identify the problem, we were able to take care of the boy and get the man into therapy. "We do have our failures, but I have had good luck." Another colleague at the facility is psychiatrist Rajinder Karwan, M.D. "This is a difficult time for adolescents," he says. 'They are idealists but they are also pragmatists, so they are quick to pick up contradictions." Dr. Karwan explains that if a parent says one thing and does another, children will notice. Even more important, adolescents must know that they are wanted and needed." "If you care, you will be able to do something for them," Dr. Johnson adds. "And they do know if you care." In addition to his "good instincts" in dealing with adolescents, Dr. Johnson brings to his work the experience of a two-yei)r fellowship in adolescent medicine at Fitzsimons Army Medical Center in Denver. He earned his medical degree from the College of Osteopathic Medicine at Oklahoma State University, took an internship in family practice at Martin Army Hospital in Fort Benning, GA, and a pediatrics residency at Brooke Army Medical Center in San Antonio, TX. He is a diplomate of the National Board of Medical Examiners and the American Board of Pediatrics and chairs the Adolescent Medicine Section of the American College of Osteopathic Pediatricians, of which he is a fellow. Really caring for his patients, being himself at all times and looking at life with a rakish sense of humor - it's a simple recipe for success, and it works for Jay Johnson as he settles into this desert community with his wife, Kris, daughter, Kira, and toddler son, Charlie. The adolescents whose lives he touches every day are indeed, "too young to take over and too old to ignore." And they are almost ready. Dr. Johnson is doing his best to see that they are ready for whatever life holds in store for them. • II Brothers & Sisters & Brothers Sisters Med School Becomes Family Tradition by Kristin Fahrenz Felten You do not need the history of centuries to establish tradition. You need values, ideas and a philosophy, meaningful and strong enough to be respected and to endure. It is not places, but the people in those places, who build and carryon a tradition. By some standards, the School of Medicine at the University of Nevada is young. But already, the people who make up the medical school have established a tradition of excellence in their commitment to train new medical doctors and to seek new knowledge. There is no greater testimony to this tradition of excellence than to watch the siblings and children of alumni come to the University of Nevada for their medical education. Following are photographs and some stories of the brothers, sisters and offspring who have and are attending the School of Medicine. Scali Freeman Jed Freeman SCOII Freeman, M.D., graduated from the School of Medicine in 1983 and is on staff at the University of Rochester in New York. Currently he is on a leave of absence doing research in gene therapy at the Nationallnsititutes of Health. His brother, Jed Freeman, M.D., graduated in 1986 and is afellow in hematology and oncology at the University of Cincinnati. Just for fun, Scott Freeman handed his older brother, Jed, four questions from a test he had taken recently during his first week at the University of Nevada School of Medicine. Just for fun, Jed answered the questions ... and got them all right. It was one of the things, led remembers, that got him back on track the medical school track. The other things that counted were watching his brother succeed at medical school and enjoy it. 12 "For led," Scott recalls. "seeing was believing. Medical school was demanding and you worked hard. but at this school, the students took priority. We were cultivated. We were reminded that if we didn't take care of ourselves, we couldn't take care of our patients. We did have time to be individuals as well as medical students." led was taking business courses when his brother started medical school. He wasn't happy in business, however, and although medicine intrigued him, he was apprehensive about four years of formidable demands. "Scott did some selective showing," led admits. "I sawall the good things. But when I got here. they were all true. This was not a competition. You were valued as a person. We were all working together, we were here for each other and our professors' doors were always open. They wanted us to succeed and they were willing to give us whatever time and help we needed to make that happen." Jed remembers Scott as pioneering the way for him at the School of Medicine. But Scott had his own pioneers. He had always been interested in science and the humanities and remembers their family physician as an important role model. "1 knew [ wanted to go into medicine and this was the school I wanted to go to," he said, "but [ had also been accepted at the University of Iowa. So I called a doctor [ knew at Sloane Kettering Memorial Hospital Cancer Center. He was a member of the National Academy of Sciences and r valued his opinion. He encouraged me to go to Nevada. He said [ would get more individual attention, and what I needed first- a good basic medical education." Looking back, Scott believes his medical education provided an excellent foundation. Early interaction with patients and hands-on opportunities at Nevada's medical school taught him, among other things. how to listen well and how to gather critical information in a short time. They are among many important skills that will always serve him well. areas with a lot of problems," he explains, "You don't realize how great it is here until you get away, "The intimacy. the clinical experience and environment are all an advantage," he explains, "But you are judged by how well you do on your boards, You are still judged on performance, This school provides you with an excellent education, It gives you tools, But you have to work hard," For LallY, the hard work during his clinical years was the most stimulating part of his medical education, "You get to do so much," he explains, "I've talked to residents who had not yet done some of the procedures we were trained to do, Clinically, we are a very strong school.·' Tom hopes to return to Nevada when he finishes his residency in maternal fetal medicine. "Someday," he said, "I would like to come back to the medical school to work with the people there, It's important to stay current, and it's always exciting when students are around." Thomas Kelly William Kelly Thomas Kelly, MD" a 1986 graduate of the medical school, is a perinatologist at University of California, San Diego, Medical Center, His brother, William Kelly, MD" who graduated in 1987, completed two years of general surgery and is in his second year in anesthesiology at Ohio State, Lawrence Kelly, MD" graduated this spring and is in an orthopedics residency at Akron City Hospital. Karen Raven Lawrence Kelly, Jr, Tom thought he wanted to be an FBI agent, Larry planned to be a chemical engineer. and Bill knew he wanted to be a doctor. In the end, they all graduated from Nevada's medical school. It took Tom only one semester of the accounting, law and business classes he needed for FBI work to realize that the dream was more interesting than the reality, "I hated business," he recalls, "but I really liked science, After the first sememster, I switched," Larry, who watched his brothers follow the medical road paved by their father, Lawrence J, Kelly, M,D" acting chairman and associate professor for the Department of Obsteuics/Gynecology at the medical school, decided he was not going to fall into the family mold, Instead, he channeled his interest in science into chemical engineering, But his desire to work with patients and confront the kinds of challanges his father and brothers were facing drew him back to the field of medicine, He never questioned where to apply, "When I saw how well Tom and Bill did on their national boards, and saw that they both got the residencies they wanted, I knew I wanted to go here," he says, "At this school, students get one-to-one experience and more hands-on opportunities," Tom recalls, "My basic science years were unbelievably good, My obstetrics experience was unparalled, You could always approach your professors, And if you showed an interest in a certain field, the faculty helped you get the residency you wanted in that field, It makes a difference when your professors know you, "It's easy to blend in at a big school," he continues, "but at a smaller school like Nevada's, you make your own breaks," Bill echoed many of his brother's sentiments about the school, and stressed the importance of the camaraderie that exists on the services during the clinical years, "Residents, students and faculty are a team," he explains, "You felt like you belonged and could be a useful part of that team," He also adds Reno's climate and quality of life to the list of attactions, "Many of the bigger medical schools are in large metropolitan Katherine Rm'en Karen Raven, MD., a 1986 medical school graduate, completed her residency in obstetrics and gynecology at Good Samaritan in Phoenix, AZ and recently moved back to Reno. Her sister, Kathy, will graduate in 1991. She just finished her oh/gyn clerkship in Las Vegas. "I once heard about a medical school where students had to talk to a committee of other students instead of directly to their professors because the school was so big," says Kathy Raven. "I can't even imagine it! In Nevada. the professors encourage you to come in if you have a problem. They are willing to spend whatever time it takes, sometimes literally hours, to help you. They are here for you, no matter what." Kathy had heard about the medical school's caring enviornment from her older sister Karen, with whom she always shared an interest in science and medicine. But when Karen graduated and started her residency, she also told Kathy she was amazed at how well her experience and knowledge compared to that of others, "I initially thought about going out of state to medical school," Kathy recalls, "but the good things I kept hearing about this school from Karen, along with my family ties in Reno. made me want to stay here." Karen explains, "You can get an education anywhere as long as the school is accredited. but the smaller class size here is much better. You know the other kids and you know the professors. It fosters a better atmosphere for learning. It's more supportive, "Because I lived here. I knew a lot about the school already," she continues. "And because it was a state school it was less expensive. That too, was a consideration, When Kathy finishes her residency, she hopes to return to Nevada to practice. Karen, who has returned already, started a group practice in Reno this fall. 13 were that they weren't lazy and they were honest." This important "hard work ethic" was something he and Bill brought to medical school with them, according to Tony. "It is a value my father and mother instilled in us," he explains. "It was one of the reasons we chose medical school, worked hard and excelled." When Tony completes his residency in otolaryngology, he hopes to be "working hard" in Nevada. "We are Nevadans," he says. "This is where I want to practice." Bill Zamboni Tony Zamboni Bill Zamboni, MD., a 1984 graduate of the School of Medicine, has completed five years in general surgery and is finishing his residency in plastic surgery at Southern Illinois University. He will open his own practice in July. His brother Tony Zamboni, MD., who graduated in 1989, is in his second year of residency in otolaryngology at the University of Pittsburgh. Bill and Tony Zamboni both faced a surgeon's knife before they were out of high school. Both found it fascinating. "I liked the surgeon and I liked what he was doing, even though he was doing it to me," recalls Tony, who had a cyst removed from his neck when he was a sophomore. Bill remembers the orthopedic surgeon who repaired his knee after a football injury as caring and very encouraging when he discovered Bill's interest in medicine. When it was time to look at medical schools, one of Bill's first applications went to the school in Nevada. "I was an undergraduate at the University of Nevada, Reno," he recalls. "I had met some of the medical school faculty and [ liked them. Nevada doesn't have the big name like Harvard or Stanford, but at those institutions you are just a number. Here, the small class size gives you close contact with faculty and students. "Your main goal in medical school is to learn as much as you can, and to prepare, so you can get the residency you want," he continues. "This medical school definitely prepared me, and [ found that, clinically, 1 was ahead of my peers." Bill's account of his medical school experience was enough for Tony. "When [ was applying, Bill told me he was as well, if not better trained than his fellow residents, and [ trust my brother implicitly," Tony says. "[ sent a few applications to other schools because I thought that's what you're supposed to do. But 1 had pretty much decided Nevada was it." For Tony, the small class size and strong sense of camaraderie was like a safety net. "We were more of a family, less an institution," he explains. "And since there were only 48 of us, none of us were in competition with each other for residency programs." But what Tony respected most, was the "hard work ethic" which he felt predominated his four years of medical school. "You don't have to worry about intellegience," Tony explains. "You can assume by the time you've been accepted to medical school it's already there. But you do have to be willing to work hard. Ours is nOI an easy school and the clinical years are very difficult. In some medical schools, students are babied. We were not. That is why I believe my classmates and 1 are uniformly harder working than many people we work with." If you were a resident working under Bill's direction, "hard work" was one of the first things you learned about. "I didn't care if they were the smartest residents or were an authority on some obscure disease," Bill explains. "For me, the two most important qualities in a resident 14 Tony DeAngelis Elissa deAngelis Tony DeAngelis, MD., graduatedfrom the school of medicine in 1983 and completed five years ofgeneral surgery and two years of plastic surgery at the University of Wisconsin in Madison. He recently opened his own plastic surgery practice in Billings, MT. His sister, Elisa, started her junior year this fall. "There was no light that suddenly went on." Tony DeAngelis recalls. "My dad always said I should do something with my hands because I was constantly working on models and creating art work. Somehow, by the time 1 was in high school, I seemed to know that I wanted to be a doctor." Nevada's medical school was still a l1edging four-year school and had just started its residency programs when Tony walked through its doors. "I didn't realize it at the time, but I couldn't have gotten a better foundation in good old-fashioned basic medicine and general surgery." he says. "And this was despite the fact that we didn't have a university hospital, a university complex and had never been fully embraced by the legislature. "At that time we didn't even have a national ranking," he adds, "but not one of us was ever short-changed." Tony's enthusiasm was contagious. When his sister, Elisa, started looking at medical schools, the first place she considered was Nevada. "Tony realized what a good school this was when he was doing his residency." she recalls. "He talked about both the excellent training and the personal attention. He urged me to come here. "I feel like the professors are really interested in us," she continues, "They are willing to take us by the hand if we sometimes need it. They want io help." Tony didn't fully realize how well prepared he was or how different his small school was until he was doing his residency. "The selection process at Nevada's medical school is very good," he explains. "When 1 got to Wisconsin, I found about 25 percent of the medical students were really superb, about 25 percent were good or average and the rest of them didn't have the same motivation or concern. I felt all the people I went to school with in Nevada were really motivated to be doctors." The medical school Tony attended 10 years ago is different in some respects than the one his sister attends today. But the philosophy of "students first, open doors, and the emphsis on quality of education has not changed," Tony explains. "They accept good people and they teach them well." Bruce Wilkin Eric Boyden, '88 Jennifer Boyden, '89 Mark Dales, '82 Bret Dales, '91 Josephine Detar, '87 Michael Detar, '89 Gregory Harbach, '94 Todd Harbach, '89 Joseph Wilkin Bruce Wilkin, M.D., was a member of the second class at the two-year School of Medical Sciences. He had to leave Nevada in 1974 to complete his last two years of medical school, which he did at the University of Alabama in Birmingham. Bruce returned to Ely, where he has been in general practice for 13 years. His daughter, Joni, started her first year at the medical school this fall. Joseph graduated in 1976. Joni Wilkin Joni Wilkin grew up watching her father practice medicine. "1 liked the way he treated people .. ,with compassion. Watching how he took care of people made me realize 1 wanted to work as a doctor," she says, Her father, Bruce, didn't think seriously about medicine until after he became a pharmacist and had worked in Utah and Nevada. "1 saw the shonage of physicians in rural areas." he explains, "I applied to medical school with the intent of coming back and working here." He was the first Nevada graduate to ever come back and practice in the state. His brother Joe, was close behind. "He liked what 1 was doing and graduated from the medical school shortly after 1did," Bruce explains. Dr. Joe Wilkin has been practicing in Caliente for more than 10 years. "It has been challanging and rewarding," Bruce explains. "This is a broad range of practice from emergency room to obstetrics, pediatrics and geriatrics. Because you are in a small community. you are closer to your patients and you have a better feeling for different situations. You deal with the whole patient and with their families." Some of his most rewarding work has been with menopausal patients. "Years ago, patients like these with severe problems ended up in institutions," Bruce explains, "We are still in the pioneering stages of our research, but we have seen dramatic changes using hormonal treatment." Joni, who spent three years at Brigham Young University and two years in Norway, is excited about continuing her education at the medical school. "I was looking for a balance, for an overall approach where there is concern about students and patients," she says. "I was nervous the first day of class. 1 wasn't sure what to expect. But it was wonderful. 1 loved it. 1 felt that concern right away." Over the years, Bruce feels he has seen that concern in the medical students he works with on rural rotations. "They are well trained and competent," he says, "and they are dedicated." ~ Dodd M. Hyer, '83 Kevin Hyer, '86 15 .I Kevin Kreisler, '88 Joseph Salomone, '83 Jeffrey Salomone, '90 Neal Shonnard, '84 Paul Shonnard, '90 \ 16 David Mathis, '88 Chris Mathis, '90 John McBride, '77 Stephen McBride, '80 Stacy Mellum, '91 Scott Mellum, '91 Vitas Teng, '90 Francis Teng, '91 J. Cal Noorda, '88 Barry Noorda, '92 Thomas Wong, '81 Jeffrey Wong, '83 Louise Tangredi, '89 Elizabeth Tangredi, '90 Ray Tangredi, '92 th Annivers Annual Fund Breaks Record Le annual 1989-90 campaign provided red letter results and a multitude of an extraordinary 64% increase Tribute Fund, with the goal of over the previous year. raising $250,000 in named New support for students and scholarships for medical students projects came from alumni of the and graduate student stipends, Speech Pathology and Audiology will be put into action. Future Department, and a fund issues ofSynapse will provide campaign during our 20th established in memory of Dr. additional information on these (lnnil'ersary celebration totalled George Bierkamper is well on its projects. more than $55,000. Numerous way to reaching the $10,000 tllIlIlni, faculty, physicians and needed for an endowment for enters its third decade of teaching graduate student stipends. and research, we extend sincere reasons to thank our generous IIpporters. Gifts to the annualfund friends chose to honor the School of Medicine by making generous During the 1990-91 year, two As the School of Medicine appreciation to our many friends contributions to provide funds for new campaigns will be launched. who have offered assistance and library enhancement, equipment, The first is the Dr. Louis E. encouragement by providing and student and faculty Lombardi Endowed generous gifts. Our success development. The largest Professorship in Family Practice, serves as an acknowledgement of increase came in alumni giving- with a goal of $500,000; later, the what thoughtful giving can yield. Schwan's Sales Enterprises, Inc. General Support Gifts Neurology American Medical AssociationlEducation & Research Foundation Gerald Bush, M.D. Dr. & Mrs. Malcolm Colmer Verne Foster Don & Laura Garvin Mrs. Dale Hadfield The Honorable Procter & Barbara Hug Humana Hospital Sunrise Family Medicine Interest Group University of Nevada School of Medicine Le Roy & Ralda Lindstrom Marie Plimpton Rexham Corporation Foundation Alexander Scriabine, M.D.lMiles, Inc. Peter Scully Haze) E. Stone Trust Texaco Philanthropic Foundation (matching gift) Mr. & Mrs. Robert Trimmer Pamela BergerlNorth Shore Transportation Robert Z. Hawkins Foundation Schwan's Sales Enterprises, Inc. Pediatrics Surgery lain Buxton, Pharm.D. Fred & Jean Allegretti American College of Surgeons 1. Malcolm Edmiston, M.D. Genentech, Inc. Las Vegas Emblem Club, #1 14 Mr. & Mrs. Robert Wagner & Dr. Richard Wagner Wells Fargo & Company (matching gift) Savitt Medical Library Research Gifts General Support Dr. H. Kim & Nedra Bean Exxon Educational Foundation (matching gift) Joseph Fayad, M.D. Neophore Technologies, Inc. Northern Nevada Combined Federal Campaign Dr. & Mrs. Ronald Reitz Sandoz Pharmaceuticals Mildred Watnes Anatomy Keith & Kathryn Bassett Venita Wright Cancer Mrs. Loucile Bible Mt. Rose Volunteer First Aid Squad Reno Cancer Center, Inc. Schwan's Sales Enterprises, Inc. Chronic Fatigue Syndrome Donald Bently/Bently Nevada Mattie Wattis Harris Foundation David & Janet Pearl Daniel Peterson, M.D. Colitis Janice Goodhue E. Clifford Potter Ella Savitt Equipment The Robert & Lucille Bick Fund Timken-Sturgis Foundation Heart/Hype rtension Fraternal Order of EagleslMax Baer Heart Fund 18 Sachiko St. Jeor, Ph.D. William Thornton/Cal Neva July 1, 1989 through June 30, 1990 Weight Trends and Nutrition Barbara Scott, R.D., M.P.H. Excellence in Family Practice Phil Eriss The Sonie Weiss Estate Dr. & Mrs. V.A. Salvadorini Excellence in Pathology Endowment Dr. & Mrs. Thomas Conklin Dr. Gerald & Virginia Dales Edward & Louise Folsom Clark Guild, Jr. Dr. Thomas & Irene Hood John Kraft, M.D. Ernie & Blanche Martinelli Larry & Kathleen Metler Dr. & Mrs. Hoyt Miles Leslie Moren. M.D. Dr. John & Jane O'Donnell Dr. Owen & Marie Peck Senator William Raggio Roger Ritzlin, M.D. Mr. & Mrs. Wally Rusk, Jr. Dr. Paul & Rita Ryan Judge Fidel Salcedo Dr. V. A. & Mariam Salvadorini LTC & Mrs. David Salvadorini Paul & Paula Salvadorini Mike & Donna Schellin Frank & Jean Selmi Dr. Ronald & Kathleen Slaughter Jack & Vera Streeter Jackson Streeter, M.D. Great Basin History of Medicine Dr. Anton & Mrs. Arlene Sohn Manville Gallery Anonymous HCA Truckee Meadows Hospital Department of Pediatrics Department of Psychiatry and Behavioral Sciences Barbara SCOlt, R.D., M.P.H. Barbara Artman Pharmacology American Medical AssociationlEducation & Research Foundation Carson/Douglas Medical Society Auxiliary Clark County Medical Society Auxiliary Elko County Medical Society Auxiliary Washoe County Medical Society Auxiliary Bankamerica Foundation (matching gift) Richard Brown Paul Elcano, Jr. Neil Galatz Dr. Joseph & Mrs. Annette Jarvis William & Marian Mogel Northern Nevada Dental Society Beverley Rowley, Ph.D. Ella Savitt Sons of Italy Christopher Columbus Lodge # 1534 Grand Lodge Gu iseppe Verdi Lodge # 1441 Mr. & Mrs. Raymond Zanella Speech Pathology and Audiology Department and Building Fund Bernard Anderson Carolyn Banis Keith & Kathryn Bassett Court Bensen Peter Bing, M.D. Dorothy Bokelmann Dr. Robert & Mrs. Edna Brigham John Brophy, M.D. Nancy Cardenas Castillo Family Dick & Jane Cates Mr. & Mrs. William Clark Jean Curran Roger & Cathy Davin Janet DeCoursey Kathy EdwardslEdwards Building Svc. Joy Erickson Diane Frome Loeb, Ph.D. Marc & Leslie Golberg Tom Greco John Harrah Tony Harrah Carl Herrera, D.D.S. John Iliescu, M.D. Nancy Kuhles Kathy Kusler Marsha Ludwig Orvan & Jolynn Maynard Margery McKenna Diane Miller Dr. William & Mrs. Maureen Mishler Kay Munsterteiger Nevada Bell Nevada Mining Association, Inc. Barbara Patterson William N. Pennington Foundation Lorraine Pierce Dr. Chris & Mrs. Karen Pritsos Nell J. Redfield Foundation Reno Emblem Club 372, Inc. William & Shirley Richards Rhoda Richardson Diane Ross, M.S., CCC Shirley Sachko James & Carol Salika Ella Savitt Stephen & Cheryl Schumacher Sertoma Club of Sparks La Sertoma of Sparks Sierra Sertoma Topaz Sertoma Club Sierra Pathology Associates, Inc. Lindsay Smith, M.D. Dr. Anton & Mrs. ArJene Sohn Esther Sonnenberg Speech Pathologists, Sunshine Committee Terry Ann Stone Thomas & Dianne Stover Geri Taylor Millicent Thompson Mr. & Mrs. Anne Umscheid Edith Wagener Washoe County Medical Society Auxiliary Student Assistance Student Development Fund American Medical Association/Education & Research Foundation, through: CarsonlDouglas Medical Society Auxiliary Clark County Medical Society Auxiliary Elko County Medical Society Auxiliary Washoe County Medical Society Auxiliary Le Roy & Ralda Lindstrom School of Medicine Alumni Association Mr. & Mrs. Fred Steiner, Jr. Bill & Joanne Stout Student Scholarship Fund Clark County Medical Society Auxiliary The Dorothy Ellen Drew Estate Mrs. Eleanor Holloway Dr. Richard & Judith lnskip Nevada State Medical Association Scholarship Fund The James & Irene Rice Trust School of Medicine Alumni Association The Chester M. & Blanche W:ckoff Scranton Estate Drs. Thomas & Juanita White Jerry & Betty Wilson Tn.L t Nell J. Redfield Foundation Ella Savitt Memorial Funds George G. Bierkamper Graduate Student Research Fellowship Dr. Peter Abel Dr. Elias Aizenman David Antonuccio, Ph.D. Gwynne Bierkamper lain Buxton, Pharm. D. Paul Carroll, Ph.D. Kathleen Conaboy Walter Ehrlich, M.D. Dorothy Hudig, Ph.D. Kenneth Kurtz, M.D. Dr. Pedro Urquilla Terry Woodin, Ph.D. Bernadette Bullard Memorial Lionel & Marie Alves Alma Codoni Edward & Jacquelyn Koch Minnie Martin Alice Saecker Bill & Evelyn Schmitt James & Dorothy Soares Dr. Mary Fulstone Memorial Endowment for Excellence in Family Practice Mrs. H. R. Ames Richard & Georgia Fulstone In memory of: Joe Landolt, Jr. Maude Fulstone Knudson Clarence Adrian Shipley Mrs. Leonard Kingsley Frank T. Graham Memorial Robert Autenriethffhe Autenrieth Co. Solon Boydston, Jr. John & Bonnie Dubendorf The Eadington Companies Evert & Renate Harmon Pennwalt Corp., Decco Division Max & June Richie Phoebe A. TaylorlPAT Computers Brent & Jean Wahlberg Raymond Megquier Memorial Don & Catherine Clark Claude & Valora Dale Mary De Celles Dr. Lloyd & Phyllis Diedrichsen Walter Evans Roy & Dorothy Forrester Genty & Mary Harriet Procter & Margaret Hug Al Johnson Malilyn Johnson Mr. & Mrs. James Kelly Frank & V. Jacquelyne Lanning Warren & Janet Lerude R. James Megquier, D.D.S. Janice Pine Helen Rose Joseph & Camille Shaw Sierra Bank of Nevada, Board of Directors Jeanne Treadway & Michele Lee Virginia Von Hatten & Harold Fields Washoe-Lyon Memorial Auxiliary, Post #10247 Robert & Alma Williams Robert Park, Jr., M.D. Memorial Roger Aaron Fred & Delores Antoniazzi David Aronowitz Julianne Crossley Aila Dale Joseph & Lucia DeGuiseppe Barbara Jo Douglass Charles & Jane Dunne Mary Feddis & James Coco Blaine & Diane Fogg Bud & Delele Garaventa Steven & Jodie Garfinkel Joseph & Vivian Halliday Henry & Geraldine Hauptfuhrer Alice Kane Rose Kirkwood Gordon & Judith Koehler Joseph & Phyllis Korff Nancy Lieberman Vincent Loccisano Caroline Lovelace Mary-Ellen Messer Stuart & Orenta Metz Peter Mullen John & Jennie Park Joe & Alice Phillips Phyllis Phillips Mary Dee Pifer Shirley Preiss & James Stack Dr. & Mrs. A. U. Ricciardi Linda Rickman Andrew & Letha Sayre Robert Sheehan Carol Lee Sprague Daniel Stoller David & Dorrie Sykes Henry & Linda Wasserstein General Memorial Gifts Betty Brogan Atilio & Mariellen CapuITo Donald & Frances Cole Mr. & Mrs. Harold Compton The Dales & Sjoberg Families Louis & LOITaine Erreguible Lewis & Kiyoko Fukui Irene Hoover Procter & Barbara Hug Mildred Moller Mary Neff Marie Plimpton Leona Quilici Franklin & Patricia Rahbeck Frank Victor Rueckl, M.D. John & Doris Sheppard Robert & Eileen Short Bill & Joanne Stout 19 The Travel Advisors, Inc. Mildred Watnes Ralph & Ida Weiss Marion Wiseman Gifts-in-Kind Lois Backlund Bally's Hotel & Casino, Reno Carolyn Banis Lucille Boruschko Jim & Bonnie Carter Richard & Georgia Fulstone Margaret Van Dyken, Glaxo Pharmaceuticals Don Griffith Gustav Hamann Donald Pointer, M.D. Ron Wirkus, C.M.R.fLederle Labs Sue McKay-Kellogg Neal & Dawn McKenzie Patricia & Mac Moezzi Barbara Savoy Glenda Smith Mr. & Mrs. Robert Stewart Welda Wallace Gene & Wanda Wheeler Clair Williams Alan & May Wright Annual Fund: 20th Anniversary Achievements and Aspirations 1989 Campaign (July I, 1989-June 30, J990) Alumni Gifts Kay Adams, M.D., '80 Ronald Ainsworth, M.D., '73 Karen Arcotta, M.D., '80 Richard ArdilJ, M.D., '82 Michael Ashcraft, M.D., '73 Leslie Waters Barger, M.D .. '82 Michael Barger, M.D., '82 Matthew BalUlich, M,D., '82 Captain Roger Belcourt, M.D.. '82 Richard Bell, M.D., '77 Edward Bentley, M.D., '76 Steven Berman, M.D., '83 Herve Bezard, M.D., '85 Van Bohman, M.D., '86 Eyla Boies, M.D., '76 Louis Bonaldi, M.D., '77 Eric Boyden, M.D., '88 Kelle Brogan-Lang, M.D., '86 John Brouwers, M.D., '84 Curtis Brown, M.D., '87 Terry Buccambuso, M.D., '84 Dan Burnett, M.D., '89 Todd Burt, M.D., '75 Gerald Bush, M.D., '80 Jerry Calvanese, M.D., '73 Cathy Jo Cantrell, M.D., '76 Christine Carlos, M.D., '77 20 Jay Chamberlain, M.D., '73 D. Clarke Cole, M.D., '75 Patrick Colletti, M.D., '73 Alan Cooper, M.D., '82 Kathie Coopersmith, M.D., '81 Frank Cornett, Jr., M.D., '83 Ronald Cornwell, M.D., '86 Thomas Costello, M.D., '83 Craig Cox, M.D., '83 Susan Weems Cox, M.D., '83 Mark Dales, Jr., M.D., '82 Gregory Damery, M.D., '86 Gregory Dean, M.D .. '84 Kerry Dean, M.D., '84 Scott Denton, M.D., '82 Susan Desmond-Hellman, M.D., '82 Kevin Dinwiddie, M.D., '80 Sherwood Dixon, M.D., '74 Mark Doubrava, M.D., '89 Brian Dunkin, M.D., '89 John Eck, M.D., '89 Richard Edmiston, M.D., '75 Allen Eng, M.D., '75 Harry English, M.D., '81 John Erickson, M.D., '74 Nancy Felsing, M.D., '87 James Ferguson, M. D., '81 Kathryn Flegel, M.D., '81 Dirk Fletcher, M.D., '85 Todd Fountain, M.D., '81 Jed Freeman, M.D., '86 Glen Gabler, M.D., '74 Guy Gansert, M.D., '86 Myron Gomez, M.D ., '80 Catherine Goring, M.D., '84 Susan Gould, M.D., '85 Brad Graves, M.D., '84 Cheryl Graves, M.D., '87 John Gray, M.D., '80 Joseph Griffin, M.D., '85 Ward Gulley, M.D., '76 Wayne Hansen, M.D., '75 Reta Harris, M.D., '75 Richard Helffrich, M.D., '83 Peter Herreid, M.D., '88 David Hirsh, M.D., '76 John Holman, M.D., '87 Cynthia Miley Hong, M.D.. '80 Mark HueftJe, M.D., '82 Cheryl Hug-English, M.D., '82 Michael Humphrey, M.D., '75 Dodd Hyer, M.D., '83 Kevin Hyer, M.D., '86 David Jackson, M.D., '83 Roger Jacobson, M.D., '75 Jennifer Jakway, M.D., '86 Frank James, M.D., '75 Joseph Johns, M.D., '77 Gary Johnson, M.D., '82 Carol Kaehler, M.D., '86 George Kaiser, M.D., '75 Dean Kardassakis, M.D., '85 Samuel Kaye, M.D., '80 Larry Klaich, M.D., '83 Craig Klose, M.D., '82 Melvin Knight, M.D., '74 Sheldon Kop, M.D., '83 John Kremer, II, M.D., '76 Guy Kuo, M.D., '89 Andrea Bynum Lanier, M.D., '81 Kristin Laxalt, M.D., '85 Linda Leckman, M.D., '75 David Lehnherr, M.D., '83 Roger Leverette, M.D., '87 Loren Lewis, M.D., '87 Richard Lewis, M.D., '85 Jon Lieberman. M.D., '85 William Lloyd, Jr., M.D., '73 W. Robynne McWayne Locke, M.D., '84 Richard Loehr, M.D., '77 Stephen Mandaro, M.D., '82 Roger Mathewson, M.D., '89 Robert McBeath, M.D., '88 Terry McCaskill, M.D., '81 Karen McDermott, M.D., '88 Terrence McGaw, M.D., '82 Donald McGee, M.D., '75 Frank McHugh, M.D., '80 Lt. Bruce Meneley, M.D., '86 Susan (Dana) Meyer, M.D., '83 William Michelson, M.D., '74 Mitchell Miller, M.D., '82 Barbara Rizzardi, M.D., '81 Kenneth Misch. M.D., '88 Marisa Moritz, M.D., '85 Daniel Nash, M.D., '88 Neal Nesbitt, M.D., '74 Gray Neuweiler, M.D., '81 James O'Malley, M.D., '81 Edward Ottenheimer, M.D., '82 Kimberly Page Stone, M.D., '87 James Pappas, M.D .. '86 Susan Parker, M.D., '89 Kathryn Pastrell, M.D., '86 Michael Patmas, M.D.. '81 Chris Pederson, M.D., '83 Susan Pierce. M.D., '84 Susan Pintar-Kop, M.D., '81 H. Malin Prupas, M.D., '73 Beverly Publicover, M.D., '89 Fred Redfern, M.D., '83 Galen Reimer, M.D., '77 Patrice Richardson, M.D., '81 Douglas Roberts, M.D., '84 Benjamin Rodriguez, M.D., '82 William Roes, M.D., '76 Christopher Rores, M.D., '82 James Row, M.D., '76 Frank Victor Rueckl, M.D., '74 John Ryan, M.D., '76 Carolyn Schaffter, M.D., '87 Sandra Scheler-Mangiapia, M.D., '84 Valerie Schram, M.D., '89 Jane Simonsen, M.D., '75 Howard Singer, M.D., '80 Naresh Singh, M.D., '85 Lee Snook, M.D., '80 Scott Southard, M.D., '82 Diane Stem. M.D., '87 Michael Stouder, M.D.. '76 Paul Stumpf, M.D., '88 Kristine Thomas, M.D., '88 Robin Titus, M.D., '81 Paul Treadwell, M.D., '83 Brian Trimble, M.D., '84 Martha Turchyn-Mazuryk, M.D., '82 Mary Turner, M.D., '73 Dante Vacca, M.D., '83 Lee Van Epps, M.D., '86 William Von TobeJ, M.D., '81 Daniel Wayman, M.D., '86 Kathy Wayman, M.D., '88 Kim Webster, M.D., '82 Robert White, M.D., '87 Michael Wickersham, M.D., '75 Sandra Wilborn, M.D., '81 Bruce Wilkin, M.D., '74 Kristen Willison, M.D., '88 Kendall Wilson, M.D., '85 Jeffrey Wong, M.D., '83 Chester Wright, M.D., '86 Anita York, M.D., '81 David Young, III, M.D., '75 Friends Donor Eugene DiGrazia Josephine Gezelin Murray Jacobs Ann Kelly Bernice Royse Edwin Savlov, M.D. Flora Topken Introductory ($50 minimum) Stanley Ames, M.D. James Barger, M.D. Lisa Bechtel, M.D. Dr. & Mrs. Allan Burnside Joseph Chambers, D.P.M. EG&G Foundation (matching gift) Paul Fry, M.D. Harold & [rene Herz Frank Jordan, M.D. Dr. Leonard & Joan Kreisler David Lupan, Ph.D. Angus Marshall, M.D. Barbara O'Rourke, M.D. Neila Shumaker, M.D. Dr. Alan & Darlene Steljes Fredric Tietz, M.D. The Travel Advisors, Inc. Frank Wheeler A. M. & Hazel Woodgate Esmail Zanjani, Ph.D. Sponsors (:f100 minimum) David Aberman. M.D. Dr. & Mrs. William Admirand Sean Ahn, M.D. Dr. Robert & Cathryn Andre\\ Dr. & Mrs. M. Ronald A\er) Darrell Bennett. M.D. William Bentley, M.D. The Honorable & Mrs. Louis Bergevin Dr. & Mrs. Fred Boyden R. E. & Margaret Cahill Dr. & Mrs. Edwin Cantlon Dr. & Mrs. Robert Caudill David Charles, M.D. Bashir Chowdhry, M.D. David Dapra, M.D. Hector De Los Santos, M.D. Michael Detmer, M.D. Dr. Lloyd & Phyllis Diedrichsen Ruth Eaton Mr. & Mrs. William Flangas William Ford, M.D. Barry Frank, M.D. G. Sheldon Green, M.D. Clark Guild, Jr. Dr. David & Mrs. Marian Haas Dr. George & Carole Hess Dr. Thomas & Irene Hood Mollie Hyer Edwin Kingsley, M.D. Dr. & Mrs. Alex Lillie Ralph Lillon, M.D. Dr. & Mrs. Louis Lombardi Dr. & Mrs. James Lum Ernest & Catherine Maupin Don & Marilyn McHugh Mildred Moller Peggy (Fern) Moore Leslie Moren, M.D. Mr. & Mrs. Ted Nigro Trevor Nogueira, M.D. Albert Noorda, M.D. Michael Pokroy, M.D. Mr. & Mrs. Howard Pressley Robert Proctor, M.D. Michael Rask, M.D., Ph.D. Robert Ring Donald Romeo, M.D. Dr. & Mrs. Lawrence Russell Dr. V. A. & Mariam Salvadorini John Sande, Jr., M.D. Dr. & Mrs. John Shields Stephen Stempien, M.D. Dr. William & Sally Tappan Joseph Thornton, M.D. William Thornton John Wark, M.D. Harold & Carnetta Warren Benefactor ($250 minimum) Dr. & Mrs. Fred Anderson Mr. & Mrs. Milton Bacon Thomas Barcia, M.D. Donald Bunch, M.D. Mr. & Mrs. H. M. Byars Cardiovascular Surgery Associates John Bell, M.D. James Daugharthy, M.D. Harold Feikes, M.D. Robert Hieb, M.D. Jesse Perry, M.D. Dr. & Mrs. Thomas Conklin Luther Creed, M.D. William Findorff, M.D. Harry Huneycutt, M.D. John Kiley, M.D. Dr. & Mrs. Kent Sanders Joseph Scalley, M.D. Richard Small, M.D. Edward Stevens, M.D. David Young, Jr., M.D. Patron ($500 minimum) John Brouwers, M.D., '84 Dr. & Mrs. James Decker Mead Dixon Allen Eng, M.D., '75 Las Vegas Skin & Cancer Clinic Jeffrey Arenswald, M.D. Lucius Blanchard, M.D. Harold Boyer, M.D. J. Daulet, M.D. Douglas Thomas, M.D. Dr. & Mrs. Erven Nelson Obstetrics & Gynecology, Ltd. Drs. Flanagan, Robinson, Montoya, Kelley, Weaver & Keenan Frank V. Rueckl, M.D., '74 Dr. Gerald & Judith Sylvain Marjorie Uhalde, M.D., Ph.D. Michael Wickersham, M.D., '75 J. Daniel Wilkes, M.D. Friend ($1,000 minimum) Kay Adams, M.D., '80 George & HaITiet Basta John Bowers. M.D. Dr. Albert & Dawn Capanna Dr. Richard & Sherry Colquill Dr. Gerald & Virginia Dales Dr. S.M. & Joan Doubrava Dr. & Mrs. Bernard Feldman Dr. Joseph & Dorothy George Dr. & Mrs. Jay Gibson Dr. John & Claire Kurlinski William Michelson, M.D., '74 Drs. Edson & Susan Parker, '89 Patrice Richardson, M.D., '81 Dr. & Mrs. Thomas Scully Dr. & Mrs. Val Sobczynski Dr. Leon & Faye Steinberg Dr. Joseph & Addie Tangredi Mr. & Mrs. Kenneth Walker Joan Zenan Odyssey Club ($2,500 minimum) Stephen Kollins, M.D. 21 Tribute Fund for Scholarships Eing oontinoing ,hnrtag" in student aid, the School of Medicine will launch a two-year campaign to obtain 25 new scholarships. Under the name "TRIBUTE FUND," the drive seeks donors to name and underwrite scholarships. For a minimum gift of $10,000, the scholarship may be named after the donor, or a friend or loved one-anyone to whom the donor wishes to pay tribute. Donors may also designate their gift to either a medical student or a graduate student. 22 Currently, a flyer is being developed to publicized the TRIBUTE FUND. Two super-stars of the medical school, Jennifer Pohl, a Ph.D. student in pharmacology, and Matt Stein, a third year medical student, graciously agreed to let us photograph them for the flyer. After the photo session ended, they did a bit of clowning, and we snapped the above picture. Although the campaign will not officially begin until early 1991, the school has been telling people informally of this new gift oppol1unity. Two named scholarships have already been received. Alyce and Jeane Jones endowed a scholarship in honor of long-time faculty member, Dr. Owen Peck, and Mrs. Christine Whiddett established the Glen E. Whiddett Memorial Scholarship in memory of her husband. We expect that many friends of the School of Medicine will want to participate in the TRIBUTE FUND campaign. It is a measure of the stature of scientists when their reputations extend to nations around the world. Many School of Medicine researchers have reached that level of success and are sought out to share their expertise at international conferences and meetings throughout the world. It is not possible to include all those who have been accorded those honors; instead, we will highlight four School of Medicine faculty members who have shared their expertise recently with researchers overseas. lain Buxton, D.Ph., and David P. Westfall, Ph.D., pharmacology, attended the 4th International Symposium on Adenosine and Adenine Nucleotides in Japan. Ronald Reitz, Ph.D., biochemistry, made two trips to Japan, once in April 1989 and again in January 1990, and is now on sabbatical in Germany. Finally, Stephen St. Jeor, Ph.D., cell and molecular biology and microbiology, went to Russia to help arrange for exchanges of faculty and students between Reno and Leningrad. The symposium attended by Drs. Westfall and Buxton was convened to bring together researchers at the forefront of purine biology and the action of compounds that serve as messengers within and between cells. It included approximately 120 participants from every comer of the world and was held at Lake Yamanaka. "It has been thought that adenosine triphosphate (ATP) is kept in the cells as a precious source of energy," Dr. Westfall says. "However, over the past 10 years, we have observed that cells also release ATP into the surrounding fluid. This 'extracellular' ATP can carry signals to influence the function of nearby cells." In fact, it was research done by Dr. Westfall in the 1980s that first established that ATP was released by certain nerves as a neurotransmitter, meaning that it canies messages between nerve cells. Dr. Westfall's presentation at the Japanese symposium was an extension of a presentation he gave at an important Philadelphia meeting in 1989. At that meeting, Dr. Westfall proposed a new theory about the regulation of the release of neurotransmitters from nerves. Dr. Westfall challenged participants by suggesting that the accepted theory about the process was based on an incomplete interpretation of research data. "He caused quite a stir," Dr. Buxton says. During the symposium at Lake Yamanaka, Japan, Dr. Westfall presented reinforcement for his claims. While in Japan, he also was invited to present seminars on his research at several Japanese universities, including the prestigious University of Tsukuba. Dr. Westfall was unable to stay for a second meeting, the Satellite Symposium on Adenosine and Adenine Nucleotides, Regulation of Coronary Blood Flow. Because he was advisor to the Class of 1990, he hastened back to Reno to take part in their Hooding Ceremony. Dr. Buxton attended both the symposium and satellite symposium in Kobe, Japan, where he co-chaired a session on heart circulation and the importance of heart lining cells in that process; and gave an invited paper on his work on regulation of blood vessels. Japan also has been the destination for Dr. Reitz on two occasions. A year ago April, he presented a paper at a Japanese Pharmaceutical Society meeting on cancer research, and then was invited back to spend a month in Nagoya City University as visiting scientist. "While I was there, I gave some lectures to students," Dr. Reitz explains. "I also gave a seminar or two and started a research project with a faculty member at the university." Although his month in Japan was exciting and worthwhile, Dr. Reitz has a new project underway at the Max Plank Institute in Gottingen, Germany. He left at the end of September for an eight month sabbatical, during which he will do cancer research with Hans Eibl. Dr. Eibl and Dr. Reitz were postdoctoral fellows at the University of Michigan at Ann Arbor and have known one another for 20 years. Dr. Eibl is one of the foremost cancer researchers in Germany, and recently won the German prize for cancer research and the Wiegand Prize in 1984. "It's going to be very exciting," Dr. Reitz adds. "We have a lot of things planned. I just worry that there won't be enough time to do everything we want." Leningrad was the destination of Dr. Stephen St. Jeor. Dr. St. Jeor - and university representatives William Cathey, PhD., academic vice president; Helen Baker, Ph.D., assistant professor of biology; Baldev Vig, Ph.D., professor of biology; and Sachiko St. Jeor, PhD., director of nutrition education and research - spent 10 days in that city working to arrange an exchange program between Russia and the U.S. The program will give University of Nevada, Reno and School of Medicine scientists and students an opportunity to go to Leningrad to work for three-month periods, and faculty and students from various institutes in that city could come to Reno. "The Russians also were interested in my advice on how they might market their biotechnology products in the United States," Dr. St. Jeor explains. "This trip and our Russian friends furnished us with tremendous chances to interact with the Soviet people, not as tourists but as colleagues." The meeting was so successful that the first group of scientists from Leningrad anived in Reno in October to have further discussions. They spent a week visiting university biology groups and researchers at the medical school to discuss exchanges of scientists with mutual interests. 23 Problem: Too few physicians practicing medicine in rural and underserved areas of Nevada. Prescription: Help repay doctors' educational loans in return for time they practice in such areas of the state. Pro01osis: It's Wor~g. Rural Doctors Receive Awards "There are so many complications when a community tries to recruit a physicianincluding the fact that the physician may be practicing alone. " Drs. Cheryl and James Winder are graduates ofNevada's medical school, Class of 1982, and established the first pediatrics practice in Fallon. In th' 1989 "";00 of the Nmd' Legislature, Assemblyman Joe Dini of Yerington introduced AB 352, a bill designed to solve some of the problems of delivering health care in rural areas. The legislation earmarked funds to 24 repay the educational loans of doctors who would practice for a while in rural areas. The program-called the Nevada Health Service Corps-is administered by the University of Nevada School of Medicine's Office of Rural Health and follows guidelines established by the federal government. The first awards were made in October to Cheryl Winder, M.D. and James Winder, M.D., of Fallon; Richard Ingle, M.D., of Winnemucca; Rodney Phillips, M.D., of Eureka; and Allan Burnside, M.D., of Lovelock. "This is an innovative way to support our physicians in rural areas," says Dean Robert M. Daugherty. 'There are so many complications when a community tries to recruit a physician-including the fact that the physician may be practicing alone, or that there is little opportunity to leave for vacations or continuing education classes, or that there may not be work for his or her spouse, or that there might not be a modern hospital in the community-the list goes on and on." "And," according to Caroline Ford, director of the school's Office of Rural Health, "even when people want to practice in rural communities, it's often hard for them financially to establish a new practice or to keep it going, because the government pays doctors and hospitals in rural areas at lower rates than in urban areas." According to Dr. Daugherty, the average debt of a graduating physician nationally is $40,000. "This has an impact on what specialty new doctors choose to practice and where they locate. Most new physicians also have families-often young families-to support, and they simply can't gamble with their futures." The new program asks doctors for a time commitment to a rural community. For every 18 months they commit, as much as $22,500 of their loans can be paid. Only doctors who are trained as primary care specialists-family physicians, pediatricians, general internists and obstetricians/ gynecologists-are eligible. Dr. Richard Ingle graduated from the School of Medicine in 1985, and has a private practice in Winnemucca. Dr. Allan Burnside is a graduate of the School of Medicine's family practice residency program, and is the health officer for Pershing County. Dr. Rodney Phillips has a private practice, and is with the Central Nevada Rural Health Consortium. 25 CD 26 STUDENT NEWS Welcome, Class of 1994 I. 2. 3. 4. 5. The students of the Class of 1994 have begun their four-year journey toward a medical degree. It is an interesting class, in many respects. According to Dr. Jerry R. May, associate dean for admissions," It is a bright, compassionate and caring class," and includes several examples of role reversals. One of the female students was a reserve police officer and another was a U.S. Anny captain, while a male student was a professional dancer. The class also has extensive research experience; 31 students have been involved in research projects and eight have expressed an interest in the school's M.D./Ph.D. program. "This year we have a good mix of students from throughout the state," says Dr. May. "They come from Washoe County, Clark County and from rural Nevada." The school also saves slots for students from western states that have no medical school. This class has one student from Alaska, three from Idaho and two from Montana. For the first time, the school is pleased to welcome the daughter of a medical school alum; Jam Wilkin's father is Bruce Wilkin, Class of '74. Class members have had an interesting variety of jobs on their way to medical school: iron worker, army medic, real estate, ski patrol, hearse driver, ranch hand, nurse practitioner, chef and firefighter. The students and their hometowns are: James Anthony Bakerink, Las Jonathan Raymond Lucas, Vegas Orvada Jay Lee Ballen, Las Vegas Jeffrey Taylor Mack, Reno Jason 1. Blaser, Rexburg, ID Janine Mangini, Reno Doherty Irene Bresnahan, Las Mark Lavern Mansfield, Fallon Vegas Mitchell Scott Meyers, Carson Claudia Ann Christman, Reno City Douglas Ray Debenham, Craig Randal Miercort, Reno Anchorage, AK Daniel Wells Moullet, Martin Edward Dennis, Stateline Livingston, MT KUlt Otto Doggwiler, Reno Monica Jayne Nitsch, Boulder Onna Jernigan Earle, Fallon City Thomas Brackie Fraser, Las Christine Ann Poulsen, Boulder First-year student Jay Ballen (standing), his wife, Vegas City Twila, and son, Justin, chat with his new classmate Andrew James Gilchrist, Patrick Henry Rask, Las Vegas Ken Truelsen (seated). Bellevue, WA Timothy Thomas Sauter, Las George Hess, M.D., chairman offamily medicine. Kris M. Green, Pocatello, ID Vegas serves new students. Robert Karl Haag, Reno Dan Gary Snow, Reno Dean Robert M. Daugherty (left) displays pancake John Joseph Halki, II, Reno Eugene Chun Somphone, Las making skills for campus food service chefJohn Gregory Paul Harbach, Las Vegas Vegas McEntee. Thomas Joseph Higgins, Jr., Las Audrie Ann Soto, Reno Bryan Canty, second-year medical student, shows off Vegas Michael Thomas Swindell, his burger-making skills to classmate Eric Neal. Hideki Ichino, Reno Boise, ID First-year students (left 10 right) Tim Sauter, Ken Diana Cardwell Johns, Carson Kenneth Todd Thunder, Carson Truelsen and Steven Lampinen get acquainted during orientation breakfast. 6. (clockwise from top left) Second-year students Jean Forsberg, Vince Koletar and Frank Cibulka chat with financial aid officer Barbara Hall-Bellows. 7. Freshmen medical student Janine Mangini and Cliff Kahle sample the fare at the All-School Barbecue. Ci~ Clifford Leroy Kahle, III, Sparks Kirk Alan Kaiser, Reno Tania S. Kellermeyer, Reno Alan John Kelly, Lonepine, MT Steven Douglas Lampinen, Las Vegas Ci~ Kendall Stuart Truelsen, Las Vegas Mark Lawrence Waltzman, Las Vegas Robert Walter Watson, II, Reno Joni Wilkin, East Ely 27 ALUMNI NEWS his wife, Lori, have three children: Kelli, 10, Amy, 8, and Adam, 4. Larry Klaich, M.D., and wife, Debbie are parents of a new son, Connor. Class of '85 Lawrence M. Allen, M.D., and his wife, attorney Kim Mandelbaum, became first-time parents when she gave birth to a son, Blake, in early August. • -- . Gerald D. Bush, M.D., Class of '80 enjoys the summer sun with his daughter, Mary Margaret. Herve Bezard, M.D., was married last summer to Cynthia L. Lewis who is an X-ray technician at St. Rose Dominican Hospital in Henderson. Herve is in practice at the Family Health Centers of Boulder City and Green Valley. Class of '80 Gerald Davis Bush, M.D., has taken a position as a company physician for an engineering firm in Idaho Falls, 10. He and his wife, Susan, have five children; the oldest is 13 and the youngest is 6 months. Class of '82 Richard H. Ardill, M.D., has joined Reno Radiological Associates and specializes in ultrasound and body imaging. Mark G. Heuftle, M.D., has been promoted to chief of magnetic resonance imaging for Washoe Health System and has become a partner in Reno Radiological Associates. Mark has worked as a neuroradiologist at Washoe Medical Center since 1988. He completed six years of radiology training at Case Western University Hospitals in Cleveland, OH, including a two-year followship in neuroradiology and MRI. Class of '83 David N. Jackson, M.D., is the director of perinatal medicine at Sacred Heart Hospital in Eugene, OR. He and 28 J. Michael Scarff, M.D., is going into private practice in obstetrics and gynecology with Dr. Michael Wixted in Las Vegas. Michael J. Hutchins, M.D., is working for University Medical Center's Quickcare Center at the Lakes in Las Vegas. Nancy Long, M.D., has completed her residency training in obstetrics and gynecology at the University of Nevada affiliated hospitals program and has opened a solo practice in Green Valley, NY. She and husband, Michael Chavez, have a 19-month daughter, Shauna; Nancy is expecting her second child next April. Richard J. Moore, M.D., has a general internal medicine practice in San Francisco, CA. Kathryn Pastrell, M.D., is doing an anesthesiology residency at Bellevue Hospital in New York City. Amy C. Ream, M.D., completed her anesthesiology residency at the University of Oregon in Portland last July and is now working at a Kaiser Hospital in the same city. Madeline Waid-Jones, M.D., completed her anesthesiology residency in June at the University of Wisconsin and then moved to Albuquerque with her husband, Kris, and their one-year old daughter, Emily. She is now practicing at the Lovelace Medical Center in Albuquerque. Class of '86 Mark Broadhead, M.D., completed his psychiatry residency at the University of Alabama at Birmingham and married Kathleen O'Connor, M.D., who is in her second year of a pediatric residency at Children's Hospital of Alabama. Mark is now head of the Emergency Psychiatric Services program, which has approximatley 3,000 emergency psychiatric evaluations a year. In his last year of residency, he was chief resident and was named Outstanding Resident in the program. Lauri Kalanges, M.D., is completing a general surgery residency at Ohio State University. Next July, she will begin a two-year plastic and reconstructive surgery fellowship at the same university. Class of '87 Tracey Lane Delaplain, M.D., is chief resident in obstetrics and gynecology at the Oregon Health Sciences University Hospital. She reports that her son, Patrick, "keeps us hopping" and that the family plans to return to Reno in August 1991, where she will enter practice with Drs. Lexey Parker,'71, Susan Schley and Cynthia Crawford. Paul N. McClintock, M.D., has joined the Spanish Springs Medical Group in Sparks, NV, in the practice of family medicine. Gale Rydell, M.D., completed her pediatrics residency at the University of Utah Affiliated Hospitals in June. She ALUMNI NEWS and her husband, Ed Kornbrath, had a daughter, Johannah, in July. Gale is taking time off to stay at home with the baby and plans to return to part-time work in a free-standing pediatric clinic in Salt Lake City in October. The family plans to relocate to Oregon in Spring 1991, "after one more ski season in Utah." Don A. Schultz, M.D., is in his fourth year of a five-year pathology program at the University of Arizona, where he is chief resident for 1990-91. He and his wife, Barbara, have a daughter, Elaine Allison, who was born on July 4, 1988. practice residency at Northridge Hospital in Northridge, CA. Michelle Mango, M.D., will be in private practice with a family medicine physician in Mesa, AZ, for the next year. In July 1991, she begins a radiation oncology residency at Henry Ford Hospital in Detroit, MI. Edward Spoon, M.D., did one year of a surgery residency at Baylor College of Medicine in Houston, and is now doing an obstetrics and gynecology residency in Las Vegas. Class of '90 Class of '89 Christi Bonds, M.D., is doing a family practice residency at the School of Medicine's Family Medicine Center in Reno. Tom Bzoski, M.D., and Lisanne Sims, M.D., are engaged to be married. Lisanne is doing a pediatrics residency at Cedars Sinai Medical Center in Los Angeles and Tom is doing a family Kenneth Kreisler, M.D., is spending a year doing research at the University of Utah, where he was recently a member of a team of physicians who performed cataract surgery on the third oldest living gorilla in captivity. Drs. Patrick McCarthy (left) and Carl Sherwin, both Class of '80, visit at the Alumni Banquet. Christopher Mathis, M.D., married Cynthia 1. Watts on May 25. Chris is taking a medicine residency in Scottsdale, AZ. Kevin Dinwiddie, M.D., Class of '80 arrives at the banquet with his wife, Lisa. Matthew Barulich, M.D" Class of '82, and his wife Susanne, share a table with his former classmate Chen'! Hu -English, M.D. 29 NEWS BRIEFS Dr. Thomas McCalden shares infonnation about collaboration possibilities between the medical school and the business sector with a conference participant. Tom McCalden Energizes Collaboration Efforts The School of Medicine is reaching out to the business community, seeking opportunities for research collaboration. That goal was advanced recently when Thomas McCalden, Ph.D., the school's Director of Research Development, joined forces with Bob Schriver of the Economic Development Authority of Western Nevada (BOAWN) at the 17th International Symposium on Controlled Release, which was held at Bally's Reno. The symposium was organized by the Society for Controlled Release, a phmmaceutical organization. The symposium drew approximately 30 exhibitors and between 700 and 800 participants from all over the world. "Our trade show booth resulted in a significant number of inquiries from the business sector about the school and its research, and we are trying to turn those inquires into collaborations," says Dr. McCalden. The joint effort with EDAWN worked so well that Dr. McCalden and Schriver reserved a booth at the International Biotechnology Exhibition, held in San Mateo in October. This was a major exhibition of biotechnical companies, and approximately 10,000 participants attended. Dr. Scully testifies before U.S. Senate Thomas Scully, M.D., associate dean for student affairs, testified in July before 30 the U.S. Senate on the "Patient Self Determination Act of 1989," which is designed to give people control over their own lives and deaths. The hearing was conducted by the Medicare and Long-term Cm'e Subcommittee of the Senate Finance Committee chaired by Sen. Jay Rockefeller, (D-WV). Dr. Scully's name was submitted to the committee by Sen. Harry Reid. The invitation was based on Dr. Scully's study and writings in biomedical ethics. The bill is jointly sponsored by Sens. John C. Danforth (R-MO) and Daniel Patrick Moynihan (D-NY). After the hearing, Sen. Danforth wrote to thank Dr. Scully. "Your testimony offered the critical perspective of physician, patient, and bioethicist. It is important in any discussion of advance directives to bring personal experience and ethical concepts to bear. Thank you for that contribution." more than 25 years on the Selective Service Board. became president of the Washoe County Medical Society and was chief of staff at Saint Mary's Hospital. During his service as a University of Nevada Regent, Dr. Lombardi recognized that Nevada was one of the few states without a medical school. With a small group of physicians and community leaders, Dr. Lombardi nurtured the creation of a two-year school of medical sciences that later becmne the University of Nevada School of Medicine. Through his vision and dedicated efforts in establishing the medical school, Dr. Lombardi brought great distinction to himself and to the state. In recognition of his many contributions to medicine, his friends are raising $500,000 to establish the Louis E. Lombardi Distinguished Professorship in Family Medicine. An endowed professorship is mnong academia's oldest and most prestigious mechanisms for honoring exceptional contributions. For more information, call Jan Evans at 784-1605. New State Health Plan Expected Louis E. Lombardi, M.D. Med School Mourns Loss of Dr. Lombardi On August 26, the School of Medicine lost a great friend and supporter when Dr. Louis E. Lombardi died. A native Nevadan, Dr. Lombardi received his bachelor's degree from the University of Nevada, Reno in 1929. After receiving his medical degree from St. Louis University Medical School, he returned to Reno and started his clinical practice. During World War II, Dr. Lombardi served with the Navy and Marine Corps, participating in both the Guam and Iwo Jima operations in the Pacific. Following the war, he served for Nearly a year ago, Gov. Bob Miller announced his intent to craft a new state health plan for Nevada. He reinstated the State Health Coordinating Council (SHCC) and appointed a Plan Development Committee (PDC) expressly for the purpose of assessing Nevada's health needs and setting forth policy recommendations for the coming decade. Using consultants from the Centers For Disease Control, the governor's office recently sponsored a two-day training session for the SHCC and PDC at the School of Medicine. Attendees learned of methods and processes that have and have not worked in other states. Dean Robert Daugherty, who serves on the PDC and chairs the Health Status and Prevention subcommittee, praised the Governor's leadership on health issues. "With this initiative we can set quantifiable targets for improving health status and reducing risk factors along with providing better services," says Dr. Daugherty. "It will require a sustained effort, but I am optimistic about our chances for success." FACULTY NEWS We welcome our new full-time faculty members ... Brooklyn, NY and New York Medical College. Gale Louise Craviso, Ph.D., is a research assistant professor of pharmacology. Dr. Craviso earned her master's degree and doctorate in pharmacology from New York University. Before coming to Nevada, she was a faculty member in the Department of Neurobiology and Anatomy at the University of Texas Medical School at Houston. John C. Marino, M.D. Steven 1. Kiel, M.D. Steven J. Kiel, M.D., is a clinical assistant professor in psychiatry and behavioral sciences and is working at the Nevada Mental Health Institute. Dr. Kiel earned his bachelor's degree from Morningside College in Sioux City, lA, and his medical degree from Michigan State University in East Lansing. He completed a psychiatric residency at the University of New Mexico in Albuquerque. John C. Marino, M.D., is a clinical assistant professor in psychiatry and behavioral sciences and is working at the Nevada Mental Health Institute. Dr. Marino earned his undergraduate degree from Alfred University, Alfred, NY; his medical degree from Northeast University Medical School in Tampico, Mexico; and completed post graduate psychiatric training at Downstate University, Lutheran Medical Center, Simmons College in Boston, MA. Most currently, Potter was bibliographic services coordinator at Central New York Library Resources Council in Syracuse, NY. Fauzia Farhana Quddus, M.D., is an associate professor of pediatrics. Dr. Quddus earned her undergraduate degree from Government Frontier College, Peshawar University in Peshawar, Pakistan, and her medical degree from Dow Medical College, Karachi University in Karachi, Pakistan. Prior to accepting this position, she was medical advisor to the United States Agency for International Development, Human Resources Development, Mission to Pakistan. Thomas A. McCalden, Ph.D., is the new director of research development for the medical school. Dr. McCalden earned his bachelor's and master's degrees at Queens University of Belfast, Ireland, and his doctorate from Witwatersrand, Johannesburg, South Africa. Prior to accepting this position, he was scientific director of pharmacology at Liposome Technology Inc., in Menlo Park, CA. David W. Melarkey, III, has received dual faculty appointments in the departments of anatomy and pathology, where he has been a classified employee since the school first accepted students in 1971. During this time, he has taught classes in anatomy, been anatomical pathology curator, assistant director of the anatomical donation program and served in the anatomical pathology service at the Department of Veterans Affairs Medical Center in Reno doing autopsies and surgeries. Laurie A. Potter, M.S., has returned to Savitt Medical Library as medical reference librarian, after a short absence. She earned her bachelor's degree from the University of Illinois in Urbana and her master's degree in library and information science from I Valentina Remig, Ph.D., R.D. Valentina M. Remig, Ph.D., R.D./L.D., is an assistant professor in the nutrition education and research program. Remig earned her undergraduate degree from the College of Mt. St. Joseph-on-the-Ohio in Cincinnati and her master's degree from the University of Houston at Clear Lake, TX. Prior to accepting this position, she was assistant professor in the School of Allied Medical Professions, Ohio State University. Terrence K. Smith, Ph.D., is a research assistant professor of physiology. Dr. Smith earned his bachelor of science and postgraduate 31 FACULTY NEWS certificate in education from Sussex University in the United Kingdom, his master's degree from Brighton Polytechnic, also in Sussex, and his doctorate from Monash University in Victoria, Australia. Before coming to Reno, Dr. Smith was a lecturer, tutor and demonstrator in neurobiology in the Department of Anatomy and Histology, Flinders University of South Australia. ... and other program staff members Carrie Lou Chaney, R. N., M.S., is a nurse practitioner in pediatrics. She received both her bachelor's and master's degrees in nursing from the University of Nevada, Reno. Before taking this position, she worked at Stead Medical Associates, Sierra Nevada Job Corps and Physician's Hospital for Extended Care. specialist with Area Health Education Centers. Foghani earned her bachelor's degree from the University of Nevada, Reno and her master's degree from the University of California, Los Angeles. While completing her coursework at UCLA, she was a provider relations coordinator for Johnson & Johnson Health Management, Inc. Sue Ann Sommer-Gilmore, M.S., CCC-SP, is a new clinical instructor/supervisor for speech pathology and audiology. She received both her bachelor's and master's degrees from the University of Nevada, Reno. For the past year, she has been a speech-language specialist for the Washoe County School District. Kathleen A. Milbeck, M.A., is a family counselor for pediatrics. She earned a B.A. and B.S. at the University of Nevada, Reno and a M.A. in psychology at Notre Dame University. She has been in private clinical practice and has been a psychologist for the Special Chi Idren' s Clinic in Reno and was formerly on the clinical staff of the medical school. Dina Fogliani, M.P.H., is a program 32 Kyung Lee, Ph.D., is a postdoctoral fellow in physiology. Dr. Lee earned his undergraduate degree from Ewha University in Seoul, Korea, his masters from the University of Pittsburgh and his doctorate from the University of Cincinnati. Before coming to Reno, he was a postdoctoral research associate at the Center for Environmental Medicine and Lung Biology at the University of North Carolina, Chapel Hill. Adam J. Rich, Ph.D., is a postdoctoral fellow in physiology. He earned his undergraduate degree in biochemistry and his doctorate in physiology and biophysics from SUNY Stony Brook, NY, where he was a graduate teaching assistant in human physiology for two years. He was elected to Sigma Xi Scientific Research Society in 1988. Rose Yuhos, R.N. Kathleen Milbeck, M.A., M.F. T. Duke University in Durham, NC, and his doctorate in pharmacology from the University of Miami School of Medicine in Miami, FL, where he also was employed as a research associate. Rose M. Yuhos, R.N., is a program specialist for Area Health Education Centers. She earned her nursing diploma at Akron City Hospital's Idabele Firestone School of Nursing. She is chairman of the National Nursing Advisory Committee, and prior to accepting this position, was director of patient services for Community Health Centers of Southern Nevada. ...and postdoctoral fellows Craig Harris Gelband, Ph.D., postdoctoral fellow in physiology, is working with Dr. Joseph Hume. He earned his undergraduate degree from Keith D. Thornbury, Ph.D., is a visiting scientist from Ireland who is doing postdoctoral work in physiology. Dr. Thornbury earned his master's and doctoral degrees from the Queen's University of Belfast, where he also was a lecturer in physiology and a research fellow. He did a surgical/medical internship at the Ulster Hospital Dundonald. His work is supported by a grant from the John E. Fogarty International Center for Advanced Study in the Health Sciences. Faculty receiving Tenure and Promotions ... Grant D. Miller, M.D., psychiatry and behavioral sciences, was promoted to professor. Sachiko St. Jeor, Ph.D., nutrition education and research program, was promoted to professor. FACULTY NEWS John Sutko, Ph.D., pharmacology, received tenure and was promoted to professor. Ilga B. Winocov, Ph.D., microbiology and biochemistry, received tenure. Steven C. Zell, M.D., internal medicine, received tenure and was promoted to associate professor. Faculty are sharing their expertise . . . Jamie Anderson, R.N., M.A., Nevada Area Health Eduction Center, was appointed associate editor, media and reviews, Oncology Nursing Forum, for 1990 - 1993. Jan Carmichael, Pharm.D., internal medicine, was nominated for president elect of the American Association of Hospital Pharmacologists. Bernard H. Feldman, M.D., obstetrics and gynecology, was the program director of the Nevada Perinatal Conference which was held in Las Vegas. Outstanding faculty presented talks addressing current issues facing health professionals involved in perinatal care. The conference had more than 100 participants. Brown, T.A., Horowitz, B., McDonough, A.A., and Farley, R.A. presented "Molecular cloning of a cDNA for the alpha subunit of dog kidney Na,K ATPase. Fed. proc. 45,650a at the Federation of American Societies for Experimental Biology meeting in Las Vegas. Jack Lazerson, M.D., pediatrics, attended meetings of the American Society of Pediatric Hematologists/Oncologists in Chicago,. IL; the Nevada State Medical Association Leadership Conference in Palm Springs, CA; the American Society of Hematology Conference in Atlanta, GA; and the Pacific Southwest Regional Genetic Network meetings. Angus Marshall, M.D., surgery, presented "Head and Neck Cancer" at the American Cancer Society's Cancer Management Center in Reno. Jerry R. May, Ph.D., psychiatry and behavioral sciences and admissions, was interviewed by the New York Times on "Fitness for the Recreation Athlete." He also presented "Clinical Sports Psychology: Skills for Working with Athletes," at the 98th annual meeting of the American Psychological Association in Boston, MA. Stephen C. McFarlane, Ph.D., and Thomas Watterson, Ph.D., speech pathology and audiology, served as faculty members at the Pacific Voice Conference: Voice and Age, in San Francisco. Earlene T. Paynter, Ph.D., speech pathology and audiology, was appointed chair of the 1990-91 Honors and Awards Committee of the American Cleft Palate-Craniofacial Association, and to the Cleft Palate Journal Committee for 1990-91. She also gave an invited presentation, "Issues in Cleft Palate Management," at the Nevada Speech-language-Hearing Association in Las Vegas. Ilga Winicov, Ph.D., microbiology/ biochemistry, has been appointed to chair the American Association for Cancer Research - Nevada State Legislative Committee. Dr. Winicov presented "Gene Expression in Salt Tolerant Alfalfa Cell Cultures and the Salt Tolerant Plants Regenerated from These Cultures," a symposium presentation at the VII International Congress on Plant and Tissue Culture in Amsterdam, the Netherlands. have received honors ... Robert Bruce Bannister, D.O., has successfully completed the American Board of Family Practice Geriatric Medicine Examination and has been awarded a Certificate of Added Qualification in Geriatric Medicine. He also has become a Fellow in the American Academy of Family Physicians. Rodney E. Harrington, Ph.D., biochemistry, was named the University of Nevada, Reno Foundation Professor for 1990-91. Susan Thomas, psychiatry and behavioral sciences, has been elected to the Board of Directors of the Administrators in Academic Psychiatry, a national organization. ... and have published Bannister, R.B., "Rubella," Immunization Guidelines, published by the American Academy of Family Physicians (AAFP), May 1990. Hess, G.H., "Measles," Immunization Guidelines, published by AAFP, May 1990. Horowitz B., and Farley R.A. "Development of a heterologous gene expression system for the NaK=ATPase subunits in the yeast Saccharomyces cerevisiae." Prog. Clin.Biol.Res. 1988.268:85-90. Horowitz, B., Eakle, K.A., Scheiner Bobis, G., Randolph, G.R., Chen, c.Y., Hitzeman, R.A., and Farley, R.A. "Synthesis and assembly of functional mammalian Na,K-ATPase in yeast." J.Biol.Chem. 1990.265,4189-4192. May, J.R., and Brown, L. "Delivery of Psychological Services to the U.S. Alpine Ski Team Prior to and During the Olympics in Calgary." The Sports Psychologist, 1989.3:4:320-329. McKee, D., edited "Mumps" for Immunization Guidelines, published by AAFP, May 1990. Romero, c., Young, H.F., "Haemophilus Influenza Type h," published by AAFP, May 1990. 33