Alumni News - MSPCA
Transcription
Alumni News - MSPCA
Alumni News JUNE 2008 More Than An Honorable Profession From the Desk of Carter Luke, President A couple of weeks ago, I had the pleasure of attending a literary event of the Cape Cod Writers’ Center. The event was called “Breakfast with the Authors.” There was a panel of four writers who were there to discuss their recent works: a Washington political satirist, the Carter Luke with his author of a charming children’s adopted cat, Lunar. book, someone who wrote about touring America’s churches and a veterinarian. That veterinarian happened to be Dr. Nick Trout from Angell-Boston, talking about his book, “Tell Me Where It Hurts: A Day of Humor, Healing and Hope in my Life as an Animal Surgeon.” All four authors were witty, funny, entertaining and knowledgeable about their topics and themes. As you might imagine, I was more than a little biased towards one particular author. I think Nick’s book is a great portrait of a day-in-the-life. It is very heart-warming and fun in the tradition of James Herriot. He made me smile and extremely proud to be a part of the Angell family. In addition, he has a real gift as a writer. But besides the parts of this event that directly related to writing and authors, I was struck by a couple of subtleties that came from the audience. First, in spite of the presence of the other three very noteworthy and well-known authors, the audience’s questions were almost entirely directed to Nick. You can also guess whose writing hand got the biggest workout from autographing books at the end of the event. It was a reminder that people truly care about animals, and that they like to read and talk about them. The other significant subtle quality I could not help but notice coming from the audience is the enormous respect and trust people have in veterinarians. Veterinary medicine is much, much more than an honorable profession. Veterinarians not only P11 Director’s Message Pain Medicine P2 From the Desk of Richard Roberts, DVM ‘59 Dentistry Update P3 One of the icons of my Angell experience recently passed away. Dr. T. C. Jones came to Angell-Boston to head up the Pathology department in 1957. He had recently retired from the Armed Forces Institute of Pathology and was recruited by then Chief of Staff, Dr. Gerry Schnelle, who knew him from the army. At that time, Angell was located at 180 Longwood Avenue, and one room on the second floor housed the Pathology department, including the clinical path lab. His office was a partitioned space in one corner. Necropsies were performed on the first floor near the Doctors’ room. Within a few years, Dr. Jones designed the construction of an entire wing on the third floor, which housed an extensive clinical lab, a work area where tissues were processed, a necropsy area and several offices. He received a large research grant from the National Institute of Health, which paid for a great deal of equipment, as well as salaries. The grant studied the aging process in dogs, but the interns renamed it the “Why Old Dogs Die” grant. INSIDE CT/MRI at Angell-Boston P4 The Angell Internship Experience P5 Richard Roberts, DVM ‘59 Our internship was 15 months long; each of us spent six weeks in Pathology — two weeks in the clinical path lab and four weeks performing necropsies and reading slides with Dr. Jones. No casual necropsies were permitted. Dr. Jones insisted on a completed requisition that included a pertinent history and laboratory findings. A typical necropsy took most of the day. Each organ was measured, described and weighed; sections were taken and preserved for further histological P5 Pain Medicine Lisa Moses, DVM, DACVIM Dear Fellow Alumni, For those of you who passed through Angell in the past 15 years, it may not surprise you to know I have moved on to directing the new Pain Medicine Service here at Angell-Boston. My self-declared crusade (aka “nagging”) to improve pain management practices at Angell has earned me a regular place on the “walk of shame” for incoming interns. So, I have mostly put my Emergency and Critical Care days behind me and now spend most of my time practicing pain medicine in the outpatient clinic, the surgery/anesthesia department and assisting with high risk anesthesia. Angell’s Pain Medicine Service operates both an inpatient and an outpatient clinic that incorporates a medical acupuncture practice, as well. I am happy to assist any of you with phone or email consults, especially if you practice far from one of the few existing pain services. The service consults on and treats any companion animal species, including avian and exotics species. For those of you wondering what a Pain Medicine Service can do for your patients and owners, it’s relevant to note that the clinic serves several distinct patient populations. The clinic works in conjunction with primary clinicians, not as a substitute. Some of my patients are difficult to diagnose and/or treat for pain because of the complexity of their other medical conditions. For example, I see many dogs with pre-existing liver or kidney disease that desperately need pain relief from their chronic osteoarthritis pain. Since I approach pain management from the perspective of an internist, I integrate their other treatments and modify the pain management plan to reflect this. Another subset of my patient population is Lisa Moses, DVM, DACVIM, certified in veterinary medical acupuncture (Angell intern class ’94) P2 ALUMNI NEWS JUNE 2008 cancer patients, for whom pain management is often the key to extended survival times. The clinic also serves owners and patients with neurological disease either as an adjunct to surgical therapy or as a non-surgical alternative to treatment and rehabilitation from common problems like IVDD or stroke. All patients receive multi-modal pain management, including non-drug therapy such as acupuncture. Perhaps most important is the cost of care by our service is quite reasonable for specialty medicine and can provide a realistic alternative to clients who may not be able to afford expensive diagnostics and surgery, but still want to do what they can to make their pets comfortable. I hope that busy primary clinicians, referring specialists and concerned pet owners see the Pain Medicine Service as a place where the focus is on pain assessment and quality of life management. Do not hesitate to contact me at 617 541-5140 or [email protected] if you have a patient that you think would benefit from pain management. Lisa Moses, DVM, DACVIM, certified in veterinary medical acupuncture (Angell intern class ’94) Pet Lovers Will Enjoy this Heartwarming Insider’s Look at Life in an Animal Hospital. From the frontlines of modern medicine, Tell Me Where It Hurts is a fascinating insider portrait of a veterinarian, his furry patients, and the blend of oldfashioned instincts and cuttingedge technology that defines pet care in the twenty-first century. Dr. Nick Trout takes the reader on a vicarious journey through 24 intimate, heartrending hours in his life. His wry, companionable voice offers enlightening and engaging anecdotes about cuddly (or notso cuddly) pets and their variously zany, desperate and demanding owners. If you've ever had a pet or special place in your heart for furry friends, Dr. Trout's inspiring account of loving and healing animals is for you. Tell Me Where It Hurts, the New York Times bestseller, written by Angell staff surgeon, Dr. Nick Trout. Dentistry Update William Rosenblad, DVM February has come and gone, and with it, another National Pet Dental Health Month. Unfortunately for our patients, dental disease does not occur only in February. Pet owners are becoming more aware of dental disease as pet food companies and producers of chew treats are marketing their products as maintaining dental health. The majority of veterinary schools have been slow to improve the dentistry portion of our education, leaving significant misinformation or lack of information available to pet owners. The following will help you address some of this misinformation. Anesthesia risk can be avoided by hand-scaling cooperative patients in the exam room. This is one of the most common issues in veterinary dentistry. There are even “professional pet teeth cleaners” available to perform these “cleanings” without veterinary supervision. The plain truth is that this type of procedure is more than just not helpful, it is actually harmful. While a great deal of periodontal disease occurs on the outside of the teeth, not all diseased areas can be reached from the outside surface of the teeth. Any scaling (hand instruments or ultrasonic) will leave a microscopically roughened surface and should be polished after the procedure. Gum recession is permanent, so any damage to the gingiva will lead to increased periodontal disease in the future (not to mention causing immediate pain for your patient and potentially anyone within biting range!). Most importantly, it is what is below the gum line that will lead to tooth loss and systemic disease. Subgingival cleaning and dental radiographs cannot be performed in a conscious veterinary patient (I ask my clients if they think that their dog or cat will hold a bite-wing dental film for a radiograph). See the Web site of the American Veterinary Dental College (www.avdc.org) under AVDC Position Statements for “Companion Animal Dental Scaling Without Anesthesia.” Chewing bones will help keep my dog’s teeth clean. Bones are one of the most common causes of tooth fractures in veterinary patients. They may occasionally cause some calculus to crack off, but by the time bones get to the butcher shop, pet store, etc., they are pretty much all mineral. No part of the tooth is that hard, so when something has to give, it is the tooth. Given how most dogs chew, with objects wedged into the back of their mouths, it is no surprise that the maxillary fourth premolar is the most commonly fractured tooth from chewing. In addition, when they fracture the tooth on one side, they often switch sides and fracture the other side. Any bone can be damaging, so I run down the list with my clients: soup bone, shin bone, steak bone, sterilized bone, marrow bone or knuckle. Also in the “too hard” category are Dr. William Rosenblad performing a tooth extraction on his patient, Cosette. hooves and the harder Nylabone products. Chewing non-damaging products can indeed help keep dogs’ teeth and gums healthier due to the mechanical effect of chewing (food or treat particles and saliva working between the inside of the maxillary teeth and outside of the mandibular teeth) and the increased saliva flow with mastication. My pet’s teeth are brushed every time he/she goes to the groomer. Brushing at least once daily is the recommendation for veterinary patients. Plaque builds up daily and mineralizes into calculus within 36 hours. Brushing can remove plaque, but not calculus. There are several reasons dog and cat tooth brushing is easier than most people think. Dogs get caries (cavities) very infrequently and cats do not get them at all (FORL are not cavities). Therefore, a large amount of time for the fluoride in the toothpaste to be in the mouth is not necessary, thus greatly decreasing the time needed to brush. The outside of the maxillary teeth (especially the fourth premolar and first molar) is the most important area to brush and also happens to be the easiest area to reach with the pet’s mouth closed. Most dog and cat teeth can be efficiently brushed in 10-20 seconds, using an appropriately-sized brush, making a circular motion along the outside gum lines, working from back to front, and then following with a reward. Since caries are not a concern, the brushing can be done any time of day, although brushing the same time every day is a good idea for routine. Additional helpful material can be found at PetPlace.com, searching for “What is a ‘dental’ and what does it mean for my pet?” and “How to brush your dog’s [or cat’s] teeth.” P3 like brain tissue, that look relatively homogeneous in CT images. Additional imaging planes are available and the study can be customized to the patient’s particular disease. Most of our MRI studies to date have been done on brains and backs of dogs and cats exhibiting signs of CNS disease or occult lameness. Bony structures typically do not image well in MRI studies, but tumors or inflammatory disease in bone, brain or peripheral nervous tissue, as well as the soft-tissue structures of joints, are much clearer than they are in CT images. A new CT Scanner in the Diagnostic Imaging department at Angell-Boston. CT/MRI at Angell-Boston When routine or contrast radiographic studies (or even abdominal ultrasound exams) are insufficient to diagnose pets that come to Angell-Boston for care, we can offer more advanced cross-sectional imaging modalities of CT and MRI. The Diagnostic Imaging department can perform these studies on in-patients with their in-house CT and MRI scanners, Monday through Saturday, from 8:30am to 5:00pm. Both modalities allow better visualization of internal structures and contrast resolution found in radiographs and require that the pet be under general anesthesia, but have different strengths. Computed Tomography (CT) uses X-rays to obtain images of tissues in a plane that is perpendicular to the scan plane, typically the axis of the spine of the animal being imaged or the length of the long bones of the limbs. Images of varying thickness can be obtained singly, with the table advancing a set distance between scans, or in a series, as the table moves continuously through the plane of the X-ray tube and detectors. Bone detail is excellent, with visible mineralization in some tissues — intervertebral discs, for example — which is undetectable in radiographs. CT studies of the head have almost completely replaced the old radiographic skull series at Angell and are especially useful in imaging the skulls, including the teeth and ears, of our exotic patients. Other situations in which CT is now routinely used in place of or in addition to radiography include animals with chronic nasal discharge or otitis, and suspected elbow dysplasia or intervertebral disc disease. It is also invaluable to decisions on surgical approaches or radiation treatments. Magnetic Resonance Imaging (MRI) relies on tissue responses to magnetic forces and radio waves to generate images without radiation. Soft tissue delineation in MRI is much better for tissues, P4 ALUMNI NEWS JUNE 2008 CT scans are less expensive than MRI studies and typically take less time, which means that anesthesia charges are lower as well, a circumstance that sometimes influences which modality is employed. Diagnostic results can be obtained with both types of axial imaging, however, the radiologists work with the other specialists involved to provide the most appropriate imaging for each patient. Planning for the Future? Did you know... ...that you can provide for your own retirement even as you support the mission of the MSPCA-Angell? If you would like supplemental retirement income, you may wish to explore the benefits of a deferred payment charitable gift annuity. By making the gift now, but reserving the right to receive income at a later time, you can maximize your charitable deduction. By funding the annuity with appreciate assets, such as stock, you can avoid the capital gains tax that would have been due had you sold the stock — and enjoy income based on the full market value! As you make estate plans, please consider a bequest or tax advantage gift for Angell. For assistance or more information, contact Alice Bruce, 617 541-5045, or [email protected]. New Angell Study Underway Angell-Boston is conducting a study on healthy dogs with early renal disease. The objective is to determine the effect of dietary protein on quality of life and longevity in these dogs. Owners are provided with dry dog food, a renal workup on their dogs, monitoring, medications related to kidney disease and stabilization of a uremic crisis. The study, conducted by Rebecca Remillard, PhD, DVM, DACVN (Nutrition); Maureen Carroll, DVM, DACVIM (Internal Medicine); and Greg Rapoport, DVM, DACVIM (Cardiology), lasts for a total of 24 months. To learn more about this study, please contact Dr. Rebecca Remillard at 617 522-7282. Director’s Message P1 examination. Upon completion, the findings of the procedure were demonstrated to Dr. Jones, the Pathology resident and usually the clinician involved in the case. It was an arduous task, but the experience and discipline was a valuable part of the internship. Dr. Jones had a profound impact on many careers. Most notably, he trained Dr. James Carpenter who took over as head of the department in 1973 until his retirement in l994. Two years ago, I had the privilege of accompanying both Jim and Dr. Jones on a tour of the new hospital and adoption center facilities, then under construction. The cost to provide state-of-the-art facilities and equipment for all the disciplines at Angell is staggering. I know that some of you have been turned off by the expanding list on our appeal envelope. I can assure you that we have not lost sight of our mission, which is to support the internship and training program here in any way that we can. Our Emergency Loan Fund is intact, and our intern endowments to help fund the internship are growing; however, I am frequently approached to see if alumni might help with a project or a needed piece of equipment — hence the expanding list. Your help with any of these endeavors would be greatly appreciated. Intern and Resident graduation this year is June 27th and you are invited. Check with me or the hospital office for the time of day. The Angell Internship: A Perspective from the Hole April 1, 2008. 86 days until graduation. Our lives, thus far as Angell interns, have been dominated by lists of all kinds. Problem lists, plans, to-do lists and most invasively, The List. Rather than wax philosophical about the trials and tribulations that we, and all previous classes of Angell interns have endured, we’ve decided to make a few lists of our own in tribute to this past year. Subjective: We are 15 strong and down an average of 8.7#. Objective: HR 60-180, NMA, occasional panic attacks and runs of V-tach. Abd: very soft, flabby, nonpainful. Hungry – always. UG: likely UTI from urine retention. Sexually intact – but what’s the point? EENT: mm dry and tacky. Intermittently blind and deaf. Or just not paying attention. MSI: Severe generalized muscle wasting and weakness noted. Neuro: Permanently altered mentation, periods of unresponsiveness. Assessment: Almost DONE! Exhausted but a heck of a lot smarter and tougher. Plan: Residencies, internships, employment and more! Despite the whining and complaints that are so common among interns, there are also a number of reasons that we’re all glad to be here at Angell. Alumni Update Name Current address Phone number E-mail address Place of work School graduated from and year of graduation Angell intern year of graduation Angell resident year of graduation Type of residency done at Angell If residency done elsewhere, where and year of graduation Specialty boards (if applicable) This information will be used to update the new 2009 Angell Alumni Directory. Please return to: Arlyne Koopman, Angell Animal Medical Center-Boston, 350 South Huntington Ave., Boston, MA 02130 or visit www.angell.org/alumni. Top Ten Best Things About Angell 1. KB Saturdays 2. Constant influx of food to the Hole 3. Closet is actually comfortable – and comes with its own cuddly mouse friend 4. Birthday scrubs 5. Brum’s overflow of Christmas gifts 6. Wednesday rounds in Brum’s office 7. Over 70 residents, specialists and indispensable staff doctors at our fingertips 8. Stellar Nursing staff 9. Dr. Tater stopping by daily “Any derm questions?” 10. Edible presents from clients Top Ten Worse Things About Angell 1. The sparkling new ER 2. Dead computer at 3:01pm – IT is gone 3. Bringing your laptop into the bathroom so you don’t miss the next one on the List 4. ETO policy – then NO ETO policy 5. Diagnosis Codes 6. Your clients bring you relaxation tapes 7. Interpreting staff typing “slightly eosrde n thelfts. N ecfesive ater drining. N ivomtijn or direreha.” 8. “I’m on break” 9. Bermuda Triangle of wireless signal in Rad-land 10. Illegible nursing handwriting P7 P5 News From The Class of 2000 Matt Chandler completed a residency in Ophthalmology at the University of Georgia in August 2003, and became an ACVO diplomate in October 2003. Dr. Chandler moved to Jacksonville, Florida, where he lives with his wife and two awesome children. Dr. Chandler and another ophthalmologist co-own the Jacksonville based Animal Eye Clinics of North Florida along with satellite clinics in Tallahassee and Pensacola. Dr. Chandler says, “I am doing great and often think of my days at Angell (mostly good thoughts).” Lillian Good remained at Angell for an additional three years to complete an Emergency/Critical Care residency. Dr. Good then moved to Santa Cruz, California, and has been practicing at Pacific Veterinary Specialists for the past five years. She enjoys the beachtown lifestyle, with free time spent kayaking, surfing and hiking with her two dogs. Nancy Gustafson became board certified in Radiation Oncology after completing a residency in Radiation Oncology at Colorado State University. She also received a Master's degree (Mammalian Radiobiology). In 2004, Dr. Gustafson was an Assistant Professor of Radiation Oncology at Michigan State University College of Veterinary Medicine. She currently practices at the Regional Veterinary Referral Center in Springfield, Virginia. Julie Klouda spent six years at Danvers Animal Hospital in Danvers, Massachusetts. She married Chris, who she met during her time at Angell (though outside of the hospital) in 2004. In 2006, they moved to southern Maine so Chris can get a Masters in Community Planning and Development from University of Southern Maine. In 2007, Dr. Klouda applied for and obtained her ABVP certification in Canine and Feline Practice. Dr. Klouda currently works at the Emergency Veterinary Clinic of the Seacoast Region in Portsmouth, New Hampshire, and says, “Yes, that means I am back to doing an overnight shift anywhere from one to two times a week!!” Jim Laveley completed a residency in Neurology and Neurosurgery at UC Davis and became board certified. While there, Dr. Laveley met his wife, Kris MacDonald, DVM, PhD, DACVIM, Cardiology. They were married in July 2004 and in November 2007 had a baby girl, Alexis Corinne. Dr. Laveley and his wife both work at the Animal Care Center of Sonoma located in Rohnert Park, California., nestled in wine country about an hour north of San Francisco. Ken Melberger returned to Virginia to a position at Belle Haven Animal Medical Centre in Alexandria. P6 ALUMNI NEWS JUNE 2008 Corey Rider-Mosunic completed an Ophthalmology residency at the University of Georgia and was lucky enough to overlap some of the years while Dr. Chandler was still there. She has been working for the past three years at a specialty hospital, Katonah Bedford Veterinary Center in Bedford Hills, New York, but lives in Easton, Connecticut. Dr. Rider-Mosunic and husband Chris, had their first child this past May, a little girl named Hartson (Hatty for short). Dr. Rider-Mosunic says, “Life is busy but wonderful, everyone is healthy and happy.” Mark Paradise currently resides in Smithfield, Rhode Island with his wife, Danielle (UPENN 99); his two boys, Hunter and Connor; as well as a menagerie of pets. They opened the doors at NorthPaws Veterinary Center in Greenville, Rhode Island in March 2004 and it has grown rapidly to a four doctor practice with a large expansion to occur this summer. They are currently deciding if they want to become a larger practice or whether to open a second hospital next. Dr. Paradise invites everyone to visit their Web site. Jon Spelke is married to Amy and has two children; Max and Cora. He is the co-owner of a four doctor practice in Topsham, Maine and lives right next door to the practice. Dr. Spelke says he misses Angell and his internmates! Jonathan Suber completed a surgical residency at South Carolina Surgical Referral Service. During his residency, he met his wife, Amanda, after repairing a diaphragmatic hernia in her dog, Dixie. They currently live in Columbia, South Carolina where he is a staff surgeon at South Carolina Surgical Referral Service. They have two children; Jack and Izzi and two dogs; Dixie and Dan. Tristan Weinkle reports “After leaving Angell and touring the world in search of the deadly Ebola virus, I stumbled through a residency in small animal internal medicine at Cornell. Ella and I are now living a life of Southern Charm in Columbia, South Carolina with our two-year-old daughter, Naja (pronounced Naiya). After having made it through vet school without adopting any of the one-eyed, one-legged, rabid farm cats taken in by my classmates, we experienced a moment of great weakness and adopted Miles, a miniature schnauzer with a porto-systemic shunt, parenchymal liver disease, IBD, atopy and various neuroses (all limbs and eyes accounted for, however). I am co-owner of a growing referral practice and we are on schedule to open our new facility this summer…which reminds me, we are always looking for new specialists of every kind, if anyone is interested! Best to all!” Akiko Westerhout moved to Seattle after her Angell internship where she works part time in Emergency/Critical Care at an ER specialty hospital called ACCES, commuting by ferry from Bainbridge Island. She also works in general practice locally. Dr. Westerhout reports, “I was married with one child during my internship and that child is going on 11 years old. I don't think he was too scarred having not seen his mother for that year. I also had another boy in 2003 and he just had his fifth birthday. Besides the kids and the husband, the entourage includes a new Newfoundland, a Lab mix and my old cat Manx. With the kids a bit older, we have gotten back to a few hobbies such as snowboarding, kayaking, biking and running, but mostly just trying to keep up with the kids.” Scott Teague currently resides in Providence, Rhode Island. He and his wife live with their dog Zoe and cat Vegas. Scott married Rachel Russo (Tufts ‘06) in Newport, Rhode Island in September 2007. Instead of favors, they gave a donation to the MSPCA-Angell. Scott has been at the VCA Northborough Animal Hospital in Northborough, Massachusetts for the last five years in general practice. Scott says, “My time there has been great and I have had the opportunity to practice great medicine with good people. I have developed a particular interest and niche in dentistry. My long term goals are to move to the North Shore of Massachusetts with my wife and settle into a community to practice permanently.” Ray Cahill-Morasco We have lost track of Ray. Does anyone know where he is? Class of 1999 In last year’s Alumni newsletter we reported on the Class of 1999. We mistakenly omitted Dr. Brooks and we managed to catch up with Dr. Went with whom we had lost contact. Dawn (Tandus) Brooks left Angell and began working at Countryside Veterinary Hospital in Chelmsford, Massachusetts and has been there ever since. She says, “It is a great hospital with everything we need in-house, and we are constantly busy. I never did a residency because I didn't find my passion until a few years ago. I have come to enjoy treating the avian and exotic patients at my practice and would love to pursue ABVP certification when it becomes available for exotics. I live in Westford, Massachusetts with my husband, Robert and my daughters, Syndey and Jordyn. My dog, KC, is almost 13 (yikes!) and doing well. We have one cat, Arlene, who is seven. Right now my life revolves around the girls and their activities, but when I do have time to myself, I enjoy my crafts, reading, photography; anything I can do after they have gone to bed!” Catherine Went reports, “After 12 years of living in Massachusetts, I moved back to Canada in the fall of 2006, dragging along my American husband and two cats. Actually, Darren had been offered a great opportunity at a young biomedical company in Toronto, developing surgical navigation devices for non-invasive procedures. We were both looking forward to giving up our one hour car commutes in Boston and improving our quality of life. I found a great job at a smaller clinic and am really enjoying the cases, clients and staff. We bought a house in the city this fall and had a busy couple of months of renovating before we moved in January. We managed to find the perfect neighborhood where you can walk to the subway, Starbucks and restaurants, yet still have a backyard and deck. I even get to walk to work!” Internship Program P5 One of the most valuable things about being an Angell intern is the opportunity to round on our toughest cases every day with residents and specialists. Of course, not all rounds are created equally. Top Five Rounds Topics Medicine Rounds ECC Rounds Resident’s fashion choices Sepsis Brum’s tie collection Ventilation Pregnancy epidemics at Angell Coagulation cascade ACTH stim – for everyone! PTE “Did you do a rectal cytology?” Acid-base status and fluid choices Here are the Top Ten Quotes of the Year. “They couldn’t even get enough urine for a UA on a PU/PD elephant” Dr. Q “We don’t mind people being honest – we just mind people being stupid” Dr. X “I think I could potentially believe in God if nothing else came in on the list.” Dr. Cindy Talbot “Yes! We got paid!” *Silence* “Now I’m depressed.” Dr. Vanessa Koehler “I have a degree in business and could be making a ton of money right now. Now I am poor… and I have poop on my hands…this is my life.” Dr. Jennifer Short “I want somebody to give me dormitor/torb, hold me close, and tell me I’m a good girl.” Dr. Shelley Smith “Besides his coma, the patient is otherwise very stable” Dr. Chris Willis-Mahn “The colder it gets the higher Florida gets in my rank list” Dr. Tanya Kameneva I have cat pee in my pocket – that’s why I smell!” Dr. Cara Blake “I keep hearing my stomach growl and thinking it’s my pager.” Dr. Jen Short Although we are all crammed into a tiny office with its own climate zone, we’ve managed to make the best of it. Here’s the list of the: Top Five Best Things to Find in the Hole 1. Conspicuously missing fish tank 2. Mysterious bottle of Crown Royal 3. Rat poison in the closet 4. The Hole’s Christmas-Valentine’s Day-St. Patrick’s Day-Easter Tree 5. 100 knives, 65 spoons – 0 forks And, finally, a few numbers to leave you with: Most cases seen in 24 hours at Angell: 88, January 13, 2008 Most pages in 24 hours: 160, Dr. Vanessa Koehler Most overnight cases seen: 256, Dr. Beth Eisenberg Total revenue just based on Emergency fees: Well over a million buckeroos Thank you, Angell! We’re almost there….86…85…84… P7 In Memoriam Thomas Carlyle Jones Dr. Thomas Carlyle (“T.C.” or “Carl”) Jones passed away on December 9, 2007, in Santa Fe, New Mexico, at the age of 95. The veterinary profession credits Dr. Jones with the inception of veterinary pathology as an organized specialty in North America, and he was the founder of veterinary pathology at what was then Angell Memorial Animal Hospital. Dr. Jones received his DVM from Washington State University, and upon graduation, joined the US Army, serving in its Veterinary Corps for 25 years. For several of those years, he was the officer in charge of the US Army Veterinary Research Laboratory, conducting research on the diseases of Army horses. During these years, he made numerous visits to the Army Medical Museum (now the Armed Forces Institute of Pathology) in Washington, D.C., to consult with its medical pathologists. His research work during the years 1939-1946 was given a Legion of Merit award. After returning to civilian life in 1957, Dr. Jones began his second career as director of Pathology of (formerly known as) Angell Memorial Animal Hospital in Boston. Angell did not have a Pathology department before his arrival. He also initiated an Angell program of residency training in veterinary pathology, under the auspices of Harvard University. Dr. Jones retired from Angell in 1967, only to begin a third career as professor of comparative pathology at the New England Regional Primate Center of the Harvard Medical School. He was professor emeritus from 1982 until 1995 but his activity in the field of veterinary pathology continued unabated. In each of his activities, Dr. Jones conducted formal and informal teaching designed to provide a source of veterinary pathologists for the Armed Forces and for civilian employment. Much of his teaching was one-on-one or in small groups — settings in which his quest for perfection could be communicated readily to the students. In the wider circle of the ACVP, he also became an exemplar of high quality in continuing education, in this case by organizing annual seminars on various topics. His influence on these was incalculably high because he could invariably obtain the services of the leading teachers in veterinary and medical school as moderators. He achieved success by perseverance, imagination and hard work, coupled with an engaging manner that excited and inspired others to work for a better ACVP. In 1946, he was appointed Chief of the Veterinary Division of the Armed Forces Institute of Pathology (AFIP) as well as Registrar of the Registry of Veterinary Pathology. He formed many contacts with medical pathologists at the AFIP, some of them the leading figures in human pathology in the country. Observing that the various branches of human pathology were Thomas Carlyle Jones In his remembrance of Dr. Jones, Bruce supported at the AFIP by specialty societies, Williams, DVM, President of the C.L. Davis he began to dream of a similar one for Foundation, says: veterinary pathologists and negotiated the approval of the “He contributed in so many ways to our profession as a researcher, American Veterinary Medical Association for a specialty group of teacher and leader, but what most of us remember about T.C. is veterinary pathologists in 1948. Later that year, he convened a that he was always the consummate gentleman. He had never an meeting of 15 veterinary pathologists in Chicago, and the American unkind word to say, and showed as much deference and respect to College of Veterinary Pathologists (ACVP) was born. He served as the newest veterinary pathology resident as to the leaders of the its initial secretary-treasurer, wrote its constitution and organized its profession. He was never too busy to stop and chat and never missed first examination held in 1951. an ACVP meeting in 50 years.” In the late 1940s, Dr. Jones realized that the Registry of Veterinary Dr. Jones was preceded in death by his wife, Dorothea Anne Jones, Pathology at the AFIP was receiving poor specimens for diagnosis and is survived by his daughters, Sylvia M. Garfield and Anne Jones because of substandard autopsy techniques. He organized a group Willis; his son, Don Carl Jones; his companion, Joyce Blalock; and of experts to collaborate with him on the superbly-illustrated eight grandchildren. His obituary is available online from the Santa volume, Veterinary Pathology (Smith, Jones and Hunt) that has Fe New Mexican at www.legacy.com/santafenewmexican. become a classic, widely-adopted for teaching. The book, which laid Note: Thanks to Leon Z. Saunders, DVM, Ph.D., and his the foundation for veterinary pathologists around the world, Biographical History of Veterinary Pathology, Allen Press, 1996 introduced the word necropsy to the field. P8 ALUMNI NEWS JUNE 2008 Incoming Interns and Residents Future Plans INTERN CLASS 2008-2009 E/CC RESIDENTS Maya Aharon Tufts University Dr. Ryan Wheeler graduated from Ross University and is currently an Angell intern. Cara Blake will begin a residency in small animal surgery at Tufts–Angell. Ashley Davis Virginia-Maryland Thea Doidge Tufts University Anya Gambino Cornell University Kristen Hennessey University of Melbourne Roxanna Khorzad Western University William Mazur Virginia-Maryland Thandi Ngwenyama University of Missori Julie Pera Tufts University Alayson Phelps Western University Cassie Pugh University of Georgia Christine Savidge University of Minnesota Mariana Schlitz Tufts University Natasha Stanke University of California-Davis Nicole Worshum Mississippi State University AVIAN/EXOTIC RESIDENTS Dr. Nobrega-Lee graduated from Tuskegee University and is currently completing a small animal medicine and surgery internship at Tufts University. CARDIOLOGY RESIDENTS Dr. Justin Williams graduated from Colorado State and is currently completing an internship at Wheat Ridge Animal Hospital in Colorado. Dr. Ryan Gershenson graduated from the University of Michigan and is currently at intern at a VCA practice in San Diego. Dr. Stacy Simmonds graduated from Texas A & M and is currently an intern at the Oradell Animal Hospital in New Jersey. INTERNAL MEDICINE RESIDENTS Dr. Cynthia Talbot is a Tufts University graduate and a current Angell intern. INTERNS Elisa Bowyer is planning to move back to California to start a job as an emergency clinician. Beth Eisenberg will begin an Emergency Medicine fellowship at Mass Veterinary Referral in Woburn, Massachusetts. Tanya Kameneva will begin a surgical internship at CARES in Langhorne, Pennsylvania. Vanessa Koehler will begin a surgical internship at Animal Hospital Center, Highlands Ranch, Colorado. Tamara Kremer has not made definitive plans yet, but plans to remain in the Boston area. Dr. Christine Willis-Mahn graduated from the University of Missouri and is a current Angell intern. Gary Puglia will begin a residency in Emergency and Critical Care Medicine at Tufts University. SURGERY RESIDENTS Molly Shepard will be starting an anesthesia residency at the University of Georgia. Dr. Cara Blake graduated from Ross University and is currently an Angell intern. Dr. Julien Cabassu is a graduate from the Maisons-Alfort Veterinary School in France where he also did his internship. He is currently a research associate in the Collaborative Orthopedics Investigations Lab at the College of Veterinary Medicine at Michigan State University. Katarina Reilly will be working locally in general practice and will also be focusing on exotic animal species. Jennifer Short will begin a surgical internship at VCA Darien in Connecticut. Shelley Smith will begin an internship in Emergency and Critical Care Medicine at VCA Veterinary Referral Associates in Gaithersburg, Maryland. Catherine Sumner will begin a residency in emergency and critical care medicine at Tufts/Walpole. Cynthia Talbot is remaining at Angell for an Internal Medicine residency. Ryan Wheeler is remaining at Angell for a residency in Emergency and Critical Care Medicine. Christine Willis-Mahn is remaining at Angell for an Internal Medicine residency. RESIDENTS EMERGENCY/CRITICAL CARE Tara Hammond will be working at Tufts Veterinary Emergency Treatment Services in Walpole, Massachusetts. Nathan Peterson will be working at New York City Veterinary Specialists. Lynel Tocci is considering a few job options and plans to play golf and study for Board exams over the summer! AVIAN/EXOTICS Kimberly Mickley will likely be relocating to Pennsylvania to start her own avian-exotic practice. SURGERY Nicole Amato s considering her options at this time. Jason Balara will be working at Carolina Veterinary Specialists in Charlotte, North Carolina. INTERNAL MEDICINE Stephen Martinez will remain at Angell for a one year fellowship in Internal Medicine. Nicole Pacifico is taking a position at Red Bank Veterinary Hospital in New Jersey. P9 Angell Animal Medical Center Pain Medicine Case Study Department Pain Medicine Clinician Lisa Moses, DVM, DACVIM Patient Currently a 15-year-old mixed-breed dog History and Presenting Concern Kyro is a very tough 15-year-old mixed-breed dog who was adopted from the MSPCA-Brockton Animal Care and Adoption Center as a puppy. Kyro has a long and complex medical history that includes chronic liver enzyme elevations and multiple surgeries at Angell-Boston for both thoracolumbar IVDD and ruptured cranial cruciate ligaments. As a result of his IVDD and ruptured cruciate ligaments, he had chronic pain and immobility of both stifles and his thoracic, lumbar and sacral spine, in addition to osteoarthritis of his coxofemoral joints, his tarsi and both shoulders. Kyro began treatment through the Pain Medicine Service at Angell-Boston to relieve discomfort that developed after years of a complex medical history. running up and down the driveway with the neighborhood kids. Diagnosis/Treatment Similar to other patients of the Pain Medicine Service with a complex medical history, the first step was a comprehensive evaluation of his Within as little as three overall health, organ function, weeks of treatment, Kyro’s current limits on mobility and condition began improving. assessment of pain. After this was accomplished during his initial evaluation appointment, we settled on a multi-modal approach to his problems. He was started on several medications for chronic pain, including a reduced-dose of an NSAID, along with beginning a home exercise program to help improve his balance and proprioception and electro-acupuncture to provide a side-effect-free method of controlling pain and improving vestibular deficits. Follow Up Within three weeks of beginning treatment, Kyro resumed many of the behaviors that he had not been able to perform in the past year. During treatment in the subsequent two months, his owner reported that his attitude and energy level had returned to what they were years ago. After more than six months on treatment with the Pain Medicine Service, Kyro continues to do well. About four months prior to For More Information presentation to the Pain Angell Animal Medical Medicine clinic, Kyro had two Center-Boston’s Pain Medicine episodes of acute vestibular Service is a focused clinic that deficits during both of which offers treatment for companion he fell down stairs at home. animals with discomfort that Although he was not severely negatively affects their quality injured during either fall and Kyro received electro-acupuncture as one of the of life, regardless of their the concurrent nystagmus many parts of his complex treatment. primary diagnosis. Many of our resolved quickly, he was left patients have complex medical issues that complicate treatment for with a head tilt and balance deficits. Based on their examination, pain. Additionally, some types of pain are under-recognized and/or Angell-Boston’s Neurology Service suspected of stroke episodes, incompletely treated by traditional medical care. The Pain Medicine although the owner declined a brain MRI to confirm this. Service aims to serve these types of patients whose owners wish to Dr. Joel Kaye, Kyro’s primary clinician, referred him to the Pain provide comprehensive care to address quality of life concerns. Medicine Service to achieve several goals. Dr. Kaye and Kyro’s Please visit www.mspca.org/painmedicine to learn more owner wanted his osteoarthritis pain managed better, but also about the service. wanted to improve his balance so he could shake without falling To refer a patient to the Pain Medicine Service at over and turn around in a corner. It was anticipated that working Angell-Boston please call Natasha Bureau at on both these goals would allow Kyro to return to some normal 617 541-5140 or e-mail [email protected]. behaviors, such as climbing onto the sofa without assistance and P10 ALUMNI NEWS JUNE 2008 President’s Message P1 provide medical services for important furry family members, but these doctors are also entrusted to interpret our dog’s and cat’s physical, psychological and emotional well-being. A lot of us non-veterinarians “speak” and “understand” the language of dog and cat (and horse and bird, etc.), but we need help from time to time. Truth be told, although we often think we know what is going on with Fluffy and Bonkers, deep down, we are never really sure. But we do know this: veterinarians almost always know the real answers! We trust you… a lot! I could just feel the trust in the room that day at the Writer’s Center event. But every time I am in an Angell exam room as a client with my doctor and technician team, I feel that on a very personal level. As a loving parent of dogs and cats, I trust Angell. Just about everyone reading this newsletter could tell stories that are like those Nick Trout has written about. But although maybe not all of you could write such a great book, you are all people we animal-folks believe, respect and deeply appreciate. Yes, an honorable profession and a whole lot more. Angell Alumni on staff at Angell Back row L to R: Kiko Bracker, E/CC (R05), Megan Whelan, E/CC(I04), Doug Brum, Internal Medicine (I86), Mike Pavletic, Surgery (I75), Rebecca Malakoff, Cardiology (I01, R03) 2nd row L to R: Nancy Laste, Cardiology (R94), Mara Ratnofsky, General Medicine (I04), Jean Duddy, Internal Medicine (I89), Allen Sisson, Neurology (I79), Lisa Moses Pain Medicine, Acupuncture (I94, R96) Front row L to R: Shawn Kearns, Internal Medicine (I04, R06), Angela Mazza, General Medicine (I04), Michelle Turek, Radiation and Medical Oncology (I99), Kathy Tater, Dermatology (I03) Missing: Maureen Carroll, Internal Medicine (I97, R99), Sue Casale, Surgery (I01, R04), Joel Kaye, General Medicine (I91) Cathy Reese, Surgery (I96) FYI Dr. James L. Carpenter, Dr. James L. Carpenter is probably one of the most influential and prominent veterinarians to have been associated with Angell. Jim (or more commonly, “Carp”) was an intern at Angell in 1960-61 and was subsequently asked to stay on the staff. In 1965, Dr. Gus Thornton, Chief of Staff, appointed Jim Director of Clinics, a role he continued for the next nine years. During this time, Jim began his training in Pathology under Drs. T. C. Jones, Charley Gilmore and Irwin Leav, and in 1974 he became the Director of the Department of Pathology. Jim ran the Pathology department for the next 20 years, until he left Boston to return to his native Wisconsin. During his time at Angell, Jim trained many future pathologists and was actively involved in many clinical cases. Initially being trained as a clinician, Jim was always a valuable resource for the clinicians upstairs. When there was a tough diagnostic challenge we could always go down to the “garden level” and talk to Jim. He would take the time to listen, think and give you a fresh perspective and excellent incite on the case. This was a tradition that has thankfully continued through our current pathologist. believe, but he has published almost 100 scientific articles, including some of the earliest work on feline hyperthyroidism, canine lead poisoning and canine neosporosis. He also wrote the largest reports on feline toxoplasmosis and feline and canine thymomas. Of his many awards and honors at Angell, Jim was most proud of receiving the Mary Mitchell Humane Award five times. More recently, Jim was honored with the Harold W. Casey teaching award presented to him in Boston in 2005. This special award is a lifetime achievement award for sustained excellence in teaching Veterinary Pathology. On a personal level, Jim has six children and eight grandchildren. Grace, his wife, retired from nursing in 1994, and the couple will celebrate their 50th wedding anniversary on December 27, 2008. I asked Jim what he thought was special about his time at Angell and he replied, “It was the veterinary staff, including interns, residents and Harvard NIH trainees in Pathology. The people were special.” Jim had already worked at a very high level at Angell for 34 years when he left to go to Wisconsin, and some might think he would slow down; but it was not in his nature. He started working as a diagnostic pathologist at the wellrespected Marshfield Labs in 1994. He worked full-time until a few years ago, and in 2005 he finally cut back to part-time. Dr. Jim Carpenter has been a fixture in veterinary medicine for the past 48 years. It seems hard to P11 Honor Roll $15,000 and Up Richard M. Roberts 59 Gus W. Thornton 58 $10,000 – $15,000 Anonymous Louis B. Pieper, Jr. 77 Morton Wolf 48 $5,000 – $9,999 T.C. Jones Rhea V. Morgan Margret S. Thompson Vernon R. Thornton 69 $2,500 – $4,999 Kathy A. Beck Ray Delano 47 Robin Holtsinger 89 Edward B. Leeds 67 Robert Lewis 62 Thomas McGrath 75 John Parks 71 Stephen W. Russell 67 Carmen S. Scherzo 66 Allen Sisson 79 Erwin Small 58 $1,000 – $2,499 Ken Abrams and Kathleen Pointek 86 Duane T. Albrecht 51 Robert Arrick 77 George T. Blackledge 83 Douglas Brum 86 Leslie P. Bullock 64 Susan Bunch 77 James Carpenter 61 Thomas J. Clarke 63 David and Jennifer Cook 95 Robert B. Cotton 68 Carol J. Curry 78 Richard A. DeVries and Nina Caires 80 Lynn Dgetluck 89 William J. Faircloth 85 Jeffrey Feinman 86 Jeffrey B. French and Barbara Jean French 78 Jack C. Gallagher 91 Paul Gambardella Erin Geshwiler 04 Brenda Griffin 91 Robert C. Griffiths 53 Neil K. Harpster E. Charles Hendricks 64 Ralph Henry Hunt 67 Paul Husted 54 James M. Johnson, Jr. 69 Henry Kellner 72 Peter C. Kennedy 50 Minta Lee Keyes 91 Mark Kopit 82 Julie Kopser 64 Roger Kuhn 69 Edward B. Leeds 67 William V. Lumb 47 Dana R. MacNamee 85 Scott Munson 83 Nicholas Palumbo Lee Patel 62 Donald F. Patterson 55 Wayne R. Renegar 79 Linda Mcelhaney Robinette 71 Rodney L. Robison 66 William Rosenbaum 72 James N. Ross Charles T. Schenck 59 Henry R. Steadman Jr. 47 Andrew L. Suber 72 Peter Theran 62 William Trefz 57 Stanley J. Truffini 79 Sanford von H. Olson 68 Jesse A. Webster 71 John E. Willson 58 Alice M. Wolf 77 James Wylie 69 Miles M. Yoshioka 81 $500 – $999 Anonymous Mark W. Allam 40 Kenneth Arceneaux 94 Henry J. Baker 60 Theodore Bellhorn 74 Michael Bernstein 72 Michael J. Bone 76 Gary M. Bryan 61 Jeffery Christison 70 James M. Clinton 66 Theodore Cohn 76 Larry Lee Congdon 73 Roy Dornfeld 81 Sharon Drellich David Dunn 80 William Fuller 73 Howard Furumoto 51 Kenneth Goddard 58 Jennifer Hanson 90 Sandra L. Higgins 93 Jean Holzworth 51 Walter I. Horne 78 Andrew S. Kestler 83 Michele Kudisch 87 Nancy Laste Linda Lowenstine 74 Elizabeth McNiel 93 Linda M. Mellema 95 Ronda Moore 77 Kenneth Jay Moss 73 Clifford Muddell 66 Robert A. Nizlek Philip Pearson 57 Judson H. Pierce, Jr. 60 L. Thomas Pulley 65 Joan Regan Marvin Rothman 49 Scott Schelling 74 Herbert Schryver 55 Anthony Schwartz Robert G. Sherding, Jr. 74 Lawrence Shinnamon 72 Meredith A. Simon Neale Stock 62 Ruth Barlow Strong 42 Theresa G. Taylor 94 Jack Walkenhorst 81 Randy Willer 86 India C. Wood 01 Joel Woolfson 81 $250 – $499 Florence B. Barton 58 Timothy J. Becker 93 Jerry Berg 59 Lynda J.R. Bond 81 James P. Boulay 82 Robert S. Brown 73 Maureen C. Carroll 99 Susan Cotter and Richard Seder 67 Nancy V. Crowley 93 Jordan R. Dann 55 James Easley 68 Paul Fenster 65 Susan Fisher 75 Carol O’Neill Foil 79 Mark A. Goldstein 79 Carolyn Gunn 79 Jean Hall 83 Stanley Harless 62 Nancy Y. Harrington 82 Lori Hartzband Richard A. Hersman 70 Richard W. Huff 57 Stephanie B. James 96 Sunnie Kenowsky 85 David W. Knapp Robert G. Kyrka 81 Mary Ann Labato Save the Date — Sunday November 9, 2008 CE SEMINAR Sunday, November 9, 2008 8:00am - 4:00pm Munson-Blakely Auditorium 350 South Huntington Ave., Boston, MA 02130 Orthopedic Pain Management and Neck Pain Management This educational seminar on Pain Management is open to veterinarians, veterinary technicians and veterinary students. Speakers include Lisa Moses, DVM, DACVIM; Rebecca Remillard, PhD, DVM, DACVN; Allen Sisson, DVM, MS, DACVIM; Debbie Ruehlmann, DVM, MS, DACVIM; and Andrew Farabaugh, DVM. Additional speakers to be scheduled at a later date. Visit www.angell.org/ce or call 617 541-5192 for more information or to register. ALUMNI NEWS JUNE 2008 Arthur Lage 68 Stephen Lavidor 70 Irwin Leav 66 Robert L. Leighton 42 Fred Levy 99 Barbara McGuire 85 Morton Meisels 46 Kirk Miller 96 Lorraine C. Nielsen 52 Marc Rachofsky 78 Catherine J. Reese 96 Margo Roman-Auerhahn 79 John P. Roumanis 79 Roger A. Rowley 70 Frederick A. Ruecker 71 Susan E. Schrader 76 Leslie Schwarz 93 Jonathan Suber 0 Larry W. Swenberg 71 John De Rouen and Irene Takata-De Rouen 92 Matthew Van Zwieten 74 James Walberg 76 Stuart E. Wiles 61 Sherri Wilson 86 $100 – $249 Lisa G. Alexander 88 Michael G. Aronsohn Clarke Atkins 73 Damon Averill 68 Alan Bachrach, Jr. Curtis Bashor 94 James R. Bassett 95 Christopher Bert 90 Jeffrey L. Berzon 76 John A. Blake 65 Gary Block 92 James J. Brace 72 Dawn T. Brooks 99 Phillip Rand Brown Trey Calfee 99 Elizabeth J. Chittick 96 Tanya Civco-Hall 05 Edward A. Cole 95 Linda Crumley Cowan 84 Sharon L. Daub 92 Jonathan E. Diehl 84 D.H. Ducor Alicia Faggella Ruth Marrion Halenda 92 Lucia Shields Henney 88 Patricia K. Hess 80 Tamara Hunzicker Jean Jarvis 93 Dr. Jeffrey Katuna 78 Belinda LaBarbera 70 Johanna Kaufman 80 Lawrence Kleine 64 Kenneth Knaack 77 Wendy J. Kollar 01 Stephen Kritsick 75 An LaBarre 80 Justine Lee 98 David Lee-Parritz 84 John L. Leonard 65 Julie Kay Levy 90 Alice Liberson 84 Gerald V. Ling 66 Kristen Maloney 92 Karen McClurg 89 James Andrew McKean 99 Marilyn G. Mikiciuk Lynne Morris 92 Nancy Morris 91 Lisa Moses 94 Todd O. Munson James Murphy George D. Myers 74 Kenneth Odrzywolski 85 Donn S. Paulson and Linda Lee Wood 86 Amy Perille 87 Margaret L. Petrak 53 Rodney W. Poling 74 Troy L. Prater 76 Michelle B. Richardson 92 Angell Alumni Association 350 South Huntington Avenue Boston, Massachusetts 02130 www.mspca.org/alumni Robert Rizzitano 91 Damon B. Rodriguez 98 William Rosenblad and Maria Vandis Deirdre Ryan 01 Frank Serra 61 Elizabeth Shurland 93 Linda Siperstein 03 Nina Speyer-Ofenberg 97 Daniel Stobie 91 John Baker Symes 80 George Scott Teague 00 Linda M. Thistle 93 R. Jeff Todoroff Deborah P. Veo Nickerson 96 Carlo Vitale 92 Peter Wadsworth 65 Don Waldron 75 Andrew Weitzman 88 John E. Whitehead 53 Alida Wind 54 Stanley Witzel 58 Steve Zanotti 84 Bernard C. Zook 64 Up to $100 Marta Agrodnia 98 Julie Antkowiak 97 Myron Arlein Kathryn Ann Arrington 90 Arthur A. Barry 49 Lynn Bishop 73 Rosemarie Borkowski 92 Claire L. Bromley 52 Steve Budsberg 84 Deborah Cogan Joseph A. Consigli 99 Donald V. Cramer 67 John Cullen 76 Tracy Duerksen 91 Mary L. Dulisch Christine Fiorello 99 Warren P. Fleming 95 Ann L. Friedhofer 95 Barbara Gores 90 Scott Groper 95 Barbara Heald 88 Christine Heinritz 98 Amina Johnson 01 Jennifer A. Johnson 98 Joan Klassen 96 Julie A. Klouda 00 Joan Harrison Lane 94 Tracey Lehman 99 David E. Malarkey 91 Barbara Mangold 91 Susan Lee Mitchell 96 Robert Murtaugh Connie Orcutt Lori Palley 88 Charles H. Patterson 76 Michael Pavletic 75 Felix D. Prater 47 Rebecca Remillard Harry J. Robertson Eugene Rowe 56 Deborah F. Rubin 96 Paul Scherlie 93 Waltraut Schussman 59 Harrison B. Siegle 42 Carla J. Smith 93 Martha Smith 98 Susan C. Smith 83 Bari L. Spielman Alan F. Stewart 88 Margaret S. Swartout 82 Kathy Tater 03 Julie Thorndyke 92 Regina L. Tobin 95 Elizabeth F. Trainor 50 Michelle Maria Turek Dean Vicksman 87 Lisa Viencek-Markham 93 Sharon B. Westphal 96 Kathryn Wirth 01