MCG Today - Scholarly Commons
Transcription
MCG Today - Scholarly Commons
Introduction Annual Report issue of Medical College of Georgia Today attempts to highlight rhe the school's best and brightest. No MCG, small task. with its 2,200-plus student body (including more than 400 residents) and 6,000-plus employees (including than 1,400 is and part-time full- more faculty), a wellspring of achievement. The subjects included in this magazine are but a representation of the research, MCG has education and patient care excelled at for 160 years, and the people who make People MCG's it happen. like Dr. Francis J. sixth president. Dr. joined the Tedesco, Tedesco MCG faculty 10 years ago as chief of the section of gastroenterology. named Soon thereafter, he then interim dean of the activities, School of Medicine. dent July is was vice president for clinical 1. His life He became on and off presi- campus profiled. People like Dr. Gloria Clayton, a School of Nursing faculty studying vibrancy old. Her study among member the oldest participants are truly inspiring, as is the confirmation that old age needn't be synonomous with passivity and infirmity. People like Ron Courson, therapy student in who a physical tested his talents the pinnacle of arenas: athletic trainer for the He was an Summer 1988 Olympics held in Seoul, South Korea. Turn the page to meet these three and others like them. — MEDICAL COLLEGE GEORGIA TODAY The Health Sciences University of the State of Georgia USPS Volume 867340 17, Number 3 Contents Profile 21 Commitment to Success Dr. Francis J. Tedesco brings values learned in childhood to his Medical College of Georgia presidency. Education 281 Labor of Love Dr. Ralph McKinney was warned as a student that teaching would never be as lucrative as private practice. But he wasn't motivated by money; he was motivated by the love of academia. 301 Travelin' Man Donald Murphy logs about 25,000 miles a year visiting Georgia health care professionals and offering them the Medical College of Georgia's expertise. Dr. 321 Going for the Gold Physical therapy student Ron Courson attended the 1988 Summer Olympics as an ath- letic trainer. Research 61 Golden Years Dr. Gloria Clayton 121 is studying vibrancy and independence among the oldest old. Breaking Ground in Cancer Research Dr. Alfred Bowles is probing an immunotherapeutic approach to curing brain tumors, and preliminary results are impressive. 251 Digging Deeper Dr. Wesley Covitz wants to know why patients with sickle cell anemia often have related heart problems. The answer may hold hope for treatment. Patient Care 91 Seeing the Light A freak accident injured Todd Canady's eye, jeopardizing his eyesight and entire future. But with the help of the Medical College of Georgia, Todd's future is back on track. 341 Living Proof Anne Moore Jones' chances of surviving a malignant tumor at age 11 were slim. But thanks Robert Parrish and what was then a new pediatric surgery program, Mrs. Jones now a healthy, happy adult— has lived to tell her story. to Dr. Benchmark 131 Executive Editor: Bruce L. Howerton and Public Relations: George H. Foster Director of Marketing Editor: Christine Deriso Address changes should be mailed The Medical College System Data Update Office EA-100 Alumni House Medical College of Georgia Augusta, Georgia 30912 Art Director: Brent D. Burch to: of Georgia is the health sciences university of the University of Georgia. Focusing on health care education, research and patient care, the Augusta-based institution consists of MCG Hospital, more than 80 support clinics, statewide outreach programs and the Schools of Allied Health Sciences, Dentistry, Graduate Studies, Medicine and Nursing. Medical College of Georgia Today (USPS) is sponsored by grants from MCG Foundaand produced by the Division of Institutional Relations, Medical College of tion Inc. Photographers: Elizabeth H. Watkins William A. Willner Georgia, Augusta, Georgia 30912. Published quarterly, friends of MCG without charge. Second-class postage it is is furnished to alumni and paid at Augusta, Georgia. The ohn Tedesco's motto was work hard and success He was living proof. He came to the United Italy, a teen- ager leaving behind his family for the opportunities of his way up to manager this copper mill facone of the largest in of a tory; eventually bought a liquor store, made wise property investments. John Tedesco also made wise personal investments. He met and married Lena Tufano. Together they brought Connecticut; and into the world four sons: John, Tedesco thought about law school and business The family business was his if he wanted it. 'I believe in my heart that if I'd chosen to be a lawyer or a businessperson, I would have been successful at that.' His father had taught him the basic ingredient of commitment to whatever task. 'In medicine, it turned out to be very, very easy. It's a very rewarding field, because not only do you have the intellectual stimulation which I think is very important, but Dr. States from country. He worked Dominick, Francis Joseph school. ' ' the fact that and Michael. "It They were to lose their youngest, Michael, at age 12 from pneumonia. The tragedy left permanent scars. But the family was close and, by nature, strong. John Tedesco was a tough father. There was a joke between the brothers. 'If somebody would ask us if we wanted something to eat, we ended up looking at my father to see if we were hungry. That sounds like it was very tough," said John Tedesco's third son, Francis Joseph. ' it was a very caring environment.' Everyone had chores and responsibilities. But there were also the Sunday afternoon visits to the beach and ' 'But actually summers the shore. at "My father never had a formal education,' Joseph. "The day he died, he still ' said Francis spoke broken English. But he was one of the smartest people I've ever known. very precise at he did He things. give how m^am^mmmmm^^^mmmmmm taught us the value of hard work. also taught us that decision to go to medical school had not been any sort of revelation. will follow. if is it is so rewarding. an incredible high to deal with people, to be able to make relieve their pain or discomfort or actually in which you can alter a difficult problem for The gratitude they express, you can never be compensated for that. That is your biggest reward. I knew early on that I was very content with the decision. 'The more I studied, the more exciting it became.' He was a dutiful student. "I never crammed. I studied every day. I never stayed up late at night studying for an exam.' He loved to study. 'The challenge of learning was incredible. ' ' ' wonderful." He was fortunate, too, to find role models in medicine and education as he had in other aspects of his life. Two such models were Drs. C. Rollins Hanlon and Vallee L. Willman, surgeons on the faculty of St. Louis, who gave extra time to the students, either before the regular He Taking advantage of the you offer necessitated the someone your word, students being at have endured. for Dr. Tedesco. now an executive for Dominick Tedesco, the second son, was an executive with Xerox. He And Dr. is Commitment Francis J. Tedesco the sixth president of the to Success Medical College of Georgia. The all He can be MCG campus long before sunrise. When it came time for a residency, he opted for internal medicine with an specialization. Just four months before his residency ended, he settled on gastroenterology. son already had third That a habit eye toward further died in October. became found on the John Tedesco, the eldest is the hospital about 4 a.m. early rising Bell Telephone. work JHBBMKUBKUBKESBMBBHSBBB^ day began or Saturday mornings. you have to fulfill it.' Lessons learned long ago son, a diagnosis them. That's "I the credits he needed to like the technology associated with gastro- graduate by the end of his enterology. I like doing third year at Fairfield endoscopy. I like doing University things with my in Connecticut. But his father encouraged him to finish the senior year, telling him he could never learn too much. So he took a full load that senior year before beginning St. Louis University of Medicine. 2 School He hands." took a two-year fellowship at Washington University School of Dr. Francis J. Tedesco brings values learned in Medicine in St. Louis. "I liked the teaching It was very be around people environment. childhood to his presidency at the Medical College of Georgia. exciting to always on the cutting edge. It was very stimulating and still is.' These things cemented his decision again to He go into academic to "You don't have to be academic medicine enemas be an outstanding physician or a caring physician, there is no in to was made to teacher, fellow, he was working with a faculty member at Washington University to remove a polyp from colon when he noticed some little bumps in the colon he'd a never seen before. Dr. Tedesco asked his attending about the bumps and Tedesco to remove the polyp and he wished. his He to biopsy the matory process, or colitis, that biotic called clindamycin enemas were the standard method can be caused when an anti- causes an overgrowth of bacteria His findings thrust him into the limelight and early on set a pace for Dr. Tedesco' s career. Senate subcommittee and the Food and Drug Administration about his findings. He was testified before a U.S. invited to give grand rounds at the University of California Los Angeles but couldn't because of a scheduling at conflict. Tedesco learned that while he was at UCLA he was supposed to Later, Dr. see Alfred Hitchcock problems. That finding had an impact on the way medicine is pracmeant that when President Ronald Reagan had his first polyp, Dr. Tedesco was called for a consult. Dr. Tedesco stayed in Miami for three years, but by then he was looking for new challenges. of his old medical school classmates, Dr. him about Within a few months, made gastroenterology at 'I thought it quickly reflect me, It was Tedesco became chief of the section a section that I how I thought about it was a section was everything could make relatively gastroenterology. To had infinite potential.' Tedesco imagined. But after a time, that Dr. became obvious it to Dr. Tedesco that he had accomplished much of what he wanted for the section of gastroenterology. About that time, Dr. Jesse L. Steinfeld was this antibiotic-associated named MCG. He Desk fifth ture the president of began to restruc- MCG administra- and asked Dr. Tedesco be vice president for tion lists drugs, their purposes and their side effects, of MCG. colitis. Reference, which Peter to order. A decade ago Dr. ' J. MCG where he was working. a job opened at MCG that seemed who of having Physician's for But Dr. Tedesco found using colonoscopy, a more invaanywhere from 35 to 40 percent of the time there was some serious problem such as a polyp or cancer in these patients who appeared to have no serious Rissing, told leading to inflammation of the colon. was suspected inflam- sive procedure, that One if This inquisitiveness led to the discovery of an inflam- The enemas or common ticed. It also attending gave the honest reply that he didn't know. He rectal ing the bleeding. to order. he also was touched by the eager, inquisitive minds of students who ask why and why not and daily provide intellectual challenge. As research that indicated diverticulitis, a fairly Single contrast As he moved from learner bumps who had determining whether patients had serious problems caus- Tedesco, academic medicine offered a stimulation and challenge that told Dr. man. mation of the colon. question about that." for Dr. a visible bleeding but had negative single contrast barium medicine. But become looked at hundreds of patients to was clinical activities. modified to include the ' 'That probably me problem Dr. Tedesco found kept related to clindamycin. Tedesco Follow-up led to the in is what Augusta," Dr. said. From third floor of the the MCG discovery that the treat- Administration Building, Dr. ment Tedesco's career for this colitis another was He remained on for a year the faculty of Washington moved to the University of Miami University, then School of Medicine. quickly moved from at MCG became somewhat more antibiotic. global. He became involved in reviewing existing facilities to clinical determine He needs and ways to meet assis- those needs. tant professor to associate professor and co-director of a clinical research unit. Here Dr. Tedesco was The Specialized Care will enhance emergency, trauma and Center, which intensive care capabilities of MCG, and the Ambulatory Care Center, which will consoli- date and enhance outpatient care, are the results of these and carried out by many Dr. Tedesco. These buildings are scheduled for efforts fostered by Dr. Steinfeld people like completion in early 1991. exposure. "I think we are a very major resource in the community. say that because we have things to I But believe that. do to I also know there are our mission as an academic One of those things is to take care and to make sure that we provide the environment for both an outstanding educational program and a Luann and daughter Jennifer talked with wife to make "I didn't respond for a long time," he said of his nomination for the presidency. He liked the challenges of being dean and felt himself to be a very viable candidate for the permanent job. "But as president, I would not only be able to define the directions of one school, but the whole institution. That to He and Mrs. Tedesco made a philosophical decision to stay in administration and accept the potential gamble. of patients program where we can He me is exciting.' fulfill health sciences center. at getting the job. this pivotal decision. He was able to create a patient care policy that clearly denned the need to have a broad spectrum of patients at MCG so that students and residents could get broad-based I wanted the president's job. And he wondered about an insider's chance July recruit the very best people to our 1, he became president. "I think every day decision. faculty. think I am more sure that I made the right going to be challenging, exciting and it's patients, I'm even more convinced that it is going to be successful.' He sees as his most important role the bringing together of people to define common goals and work together to of bring the goals to fruition. "If that interpreted or translated as being is then so be petitive, it. But if we were more com- I to just have referred we would be teaching on a very small component what the graduates are going to have to know when they get into practice.' ' As Dr. Tedesco delved activities at Then into the would be doing it would do it as if I would not just would go on to develop new pro- the rest of maintain status quo. We I my life. We grams and do new things, that I would run the School of Medicine. That's what really happened." The more Dr. Tedesco did the job, the more he loved it. He ' 'I feel in administration, meant it significantly impacted. very strongly for you to be a patient's doctor, you commitment to that patient, not only an emotional commitment, but a time commitment. What I found, even as dean, was that my day was getting to be less and are making a less of call my own. I don't think it's fair to a patient when they their doctor to have to get a call back either the next day or 18 or 20 hours So, first gradually later. as dean, and moved I now into a role feel uncomfortable with that that.' as president, Dr. Tedesco has he defines as expeditor of goes go to is in that direction. to create a The management president also has a different places throughout the state to try to make people understand what MCG is, what MCG does and how it impacts not only the immediate community but the whole state. when you find people as close as who don't really understand what MCG does. And yet, some of our patients come from that area. They come from all over the state. "It's interesting Atlanta, three hours away, "We System decided early to apply for the job permanently. As he became further involved that his time for patient care was think the president's role role to to MCG School of Medicine. with the understanding that 'I team clinical he seemed to find a new home. new challenge surfaced. He was asked serve as interim dean of the it issues of MCG, in 1986, a "I did many cess are the health sciences center for the University of Georgia and for the state of Georgia. will enhance the state's success in Our suc- bringing health care technology to the state, in bringing health-related industry to this area as well as other parts of the state. "I think we should be the group that our legislators, that our health planners turn to when they have difficult issues they have to address related to health care.' So, yes, Dr. Tedesco will be an ambassador for MCG He will meet with alumni, and anyone who wants to talk about MCG. throughout Georgia and beyond. lawmakers, citizens ' 'I tion think Dr. Steinfeld's were on target. I dreams and goals for this institu- think Dr. Steinfeld anticipated the delivered, but changing, not only from either patients or other physicians. I help them outline an approach. That approach may mean also in the attitude of the state toward their educational "I get calls members to see the patient. scheduling some tests. I think I have arranging for one of our faculty It may mean actually the best of both worlds. I still maintain a very good relation- The weaning from saddened him, was gradual. Dr. Tedesco was not long to patient care has not but Dr. Tedesco admits that he As tradition would have it, warm the dean's seat. The opportunity to become is glad it ' educating health care practitioners. somewhat They in are giving us we deserve credit. But they are saying we expect more from an academic health credit for that and is more, sciences center." The mores include scholarly activity such as research as well as enhancing patient care. ' president was is system and the medical college. 'We have always been a very successful school there ship with these patients." in the way health care patient care. 'All those are goals that were carefully and pointed out by Dr. Steinfeld. on target. I critically think every one of those think there were probably double-edged. goals He could apply for the job, not get it and be told by the new president that he did not want as his dean a man who some misunderstandings, some concern about management style.' 4 Medical College of Georgia Today is still right I But Dr. Steinfeld brought a sense of demand that was not MCG before, he said. That sense resulted in development of a master plan at outlining the future goals of It made also MCG. sion, bonds should be issued for the $37 million Specialized Care Center and Ambulatory Care Center, which are The chancellor, the governor all MCG. than I Board of Regents, and the legislators have indicated their support of this effort. becoming a 13-year-old am about being president "I think outstanding support personnel. I have a good student body. ' 'I young lady, a teen-ager, of the medical college. have the background to be president. I I Why I have have a very strong faculty. be nervous? think we have to do more long-range planning, and we should I I think we have to anticipate make bold moves. Make new relationships. I also think we have to become stronger in our research ability. I think we have done a good job, but we already are doing that. We have changes. to have to do a better job. "I would like to believe that we will in I the not-too-distant-future, be one of four very strong, interrelated research centers." enjoyed lot of very it clear communication alumni, legislators and everyone MCG to work with the Georgia Institute of Technology, logical reason for everything we do. Not that we that thoughtful process. Our goal is to Neither sities will "It's We already something that we need. over 60 faculty We need members facilities to to complement the strong goal is to the three vacant dean positions in medicine, dentistry filled and allied health. He to have all positions during this academic we Dr. Tedesco and his wife's own experience with the trauma of a child with cancer has brought this point very close to home. When Jennifer Tedesco was diagnosed in 1985 as having rhabdomyosarcoma, a soft tissue tumor, her parents could — —— kept her at in this country for care. But they MCG. Jennifer is now in remission and " — i n. i . i .. doing well. the country that could have rendered care better don't think I understood I do now, after going through it.' to have been able to share those resources, unlucky needed them. And he feels a commitment deep ensure that to MCG has facilities adequate to meet the needs of throughout Georgia. "I've learned a greater appreciation of the enor- mous talent and resources we have at the medical that college which I as a faculty member didn't know we year. "I want to enhance the accessibility faculty have and the support services for the faculty' parents and children should expect of others.' hopes have that his daughter ever univer- work together One immediate We dedicated to the care of children. Dr. Tedesco feels lucky maximize the resources they are given. There will be more things expected of us and more things that we fill is are the chil- dren's medical center for the state of Georgia. feel a high priority. its MCG nor least of the immediate goals for last construction of a children's medical center. that as well as state has the right to expect that I academic health sciences center. Our goal is not to hurt someone else. I am going to be very available. I don't mind telling people what we do.' I is what we do. But it has been a enhance this as an think they will always understand that than the care she got here. Regents who now "The will think that everyone will always agree with in the most have a chancellor and Board that this I "I'm 100 percent sure is nowhere else expertise. of on campus, with the that there of each university's "I'm content a great love for who has an interest in Georgia State University make learned that I Goals and decisions can be misunderstood. "There r~ and the University of Georgia on collaborative efforts that as dean. who have MCG. have taken her any place Dr. Tedesco wants much people out there the Medical College of Georgia.' be a Dr. Tedesco describes his own presidency as an open one that he takes on calmly. "I am more nervous about the fact that my daughter, Jennifer, is there are a He wants possible the fact that this legislative ses- crucial to the future of gatherings. and relation- had. I would ship of the alumni to the everyone president's office. Georgia." I intend to participate in alumni like to extend that opportunity to in the state of —Toni Baker ' ' M Willingham took ary P. her first plane ride this past July. She flew to Philadelphia to visit her son, the sole survivor of her four children. "I thought the plane would scare me to death, but think otherwise. member of my wasn't so bad,' it she reflected. She wishes her son weren't so she far away, lives alone, Mrs. Willingham's is it's I get very lonely, but not long before somebody's over here to liven things up,' ' she College of Georgia visited her in August, she was looking forward to her birthday. "If I see Thursday' she be 101." live to ' Mandy ed to Wheeler apologizher guests that her apartment— a unit of a low-income housing pro- Athens— was so untidy. The commented that it looked immaculate. Mrs. Wheeler, who lives ject in guests alone, cooks and cleans for herself, despite the fact that she had a leg amputated some 20 years ago and is confined to a wheelchair. ' 'When I had my leg and could get around, everything was spotless," she said. ' Anyone who knew me knew me was neat as a everything around pin." Although housecleaning than it used to be, life in is harder general is considerably easier for Mrs. Wheeler. The daughter of slaves, she spent her childhood working in the fields and She and her brothers and sisters grew up illiterate to this day. is 10 impoverished. "We had to go to church barefooted. We got two pairs of shoes for the year —one for winter, one for summer. If you wore them out, you didn't get no 6 is, Medical College of Georgia Today Goldei jB LW hat are these centenari- I MM M Mm Mm mf mm said. Neighborhood children stop by frequently just to say hello, as do numerous friends and relatives. When she doesn't have company, Mrs. Willingham cooks, cleans, and goes to church and community activities. She likes to watch court shows on television when she isn't busy. When a group from the Medical said, "I'll old she she's closer to 109. I 'Sometimes how but she guesses 106. Her niece thinks never quiet for long. ' "I'm the oldest church.' She's not sure just but even though Athens, Ga., apartment more," she recalled. But with or without shoes, Mrs. Wheeler never missed church. Does she still attend regularly? "Yes, ma'am!" she answered, seemingly shocked that anyone would ans' secrets to living long and living well? ladies The themselves can only speculate: Mrs. Wheeler noted that she drinks prune juice for Dr. Gloria Clayton is studying vibranc breakfast and long ago gave up her of a four-year grant to study lifestyles pipe-smoking habit. Mrs. Willingham of very old people thinks long life spans run but she doesn't know in her family, for sure: mother never knew her folks. ' 'My She was stolen by the white folks (as a slave) and never knew how old she was,' she Yeats said. Basically, both are Lord's let me live on stumped. "The for some reason," Mrs. Willingham said. "I don't Dr. Gloria Clayton, associate pro- fessor and associate dean for the undergraduate program of the d independence among the oldest old. "There MCG is something special and vibrant about individuals who pass the age of 80 full of life and in reasonable health and functioning,' wrote Dr. ' Leonard W. Poon, a principal investigator and chairman of the UGA gerontology department, in his grant proposal. The know why." who've retained their independence. National Institute of Mental Health is giving the researchers about $760,000 to study that vibrancy. Drs. Clayton, Poon and Peter Martin, School of Nursing, wants to find out. assistant professor of child and family She and two University development of Georgia professors are principal investigators at UGA, people in their 80s, and 88 in their group). 60s 88 still in their 100s, (as a control They began April and are their research in selecting participants. Although the research off the study 88 will is just getting ground, Dr. Clayton said several generalizations have already emerged. 'We were ' originally concerned about finding participants in the centenarian (100-plus) group," she said. "But we've learned that it's easy to find them. There are a lot of 100-year-olds who and are cognitively live by themselves intact.' ' One of every 10,000 people lives to age 100, and 38 percent of those live at home, she said. But though they live by themselves, most people that age have a lot of support. "They're very well-buffered," Dr. Clayton said. "It's good news that people that age have a good support system. tive It's clear they're in a protec- environment." Mrs. Wheeler and Mrs. Willingham both have a steady stream of visitors. Jackie Gilmore, a 17- year-old relative of Mrs. Wheeler, stops by two or three times a week, stays for several hours each time and helps cook and clean. Dr. Clayton said people need no motivation to reach out to these elderly. ' 'There's kind of a societal expectation that centenarians need special treatment. It's like a national- monument status," she said. But the researchers have observed Dr. Gloria Clayton chats with Mandy Wheeler in Mrs. Wheeler's home. Annual Report 7 ' Mary P. ' Willingham discusses secrets to her longevity. that a more important element than societal support is the inner strength of the participants. ' ' ' 'The ones we see are still earlier in life. ' A pilot After divorcing a husband who mistreated her, Mrs. Wheeler traveled throughout the country. Mrs. Willingham taught herself to read and write in adulthood, then went to nursing school at night for three years while working and study Dr. Clayton conducted before the research also supports the She and a team of investiga20 octogenarians and eight centenarians. Each completed theories. tors selected questionnaires assessing their adaptational and survival physical and skills, involved in activities— church, social, raising community, etc.," Dr. Clayton said. "They're very engaged in something; that the participants deal well with (Current subjects are given similar there's something critically important loss and change. evaluations and take physical in their lives. These sit around watching TV. There's something that makes them feel seems What that "We're beginning are not people who valuable. her children. The researchers also have found something is to vary.' Both Mrs. Wheeler and Mrs. to see that each mental health, environmental support, time use and individual characteristics. Findings showed the subjects are subject has experienced a great deal of loss," Dr. Clayton said. "But exams before they participate.) physically healthy, very active, inde- I don't recall a single subject that pendent and follow structured, planned seems depressed or grieving. They seem to learn to take loss well.' days. Mrs. Willingham, for instance, Willingham, for instance, are involved Most have friends or relatives who check on them daily. Socioeconomic backgrounds of parand current is with their churches. Mrs. Wheeler's matter-of-fact about the death of three recently gave her a certificate lauding of her children. "I don't think about study vary. her contributions. She's also in touch with current issues: she has a bumper my children anymore," across the strata of socioeconomics,' sticker on her front door that reads, "Say Nope ' 'The Lord took them to be with Him, and I Mrs. Willingham's door is always open to the steady stream of neighborhood children who seem to These seem 'We've talked to people The researchers hope lecting data this doing.' early findings ' Dr. Clayton said. don't ask no questions, 'cause He knows what He's to Dope.' she said. ticipants in both the pilot to bear it fall to begin col- and plan to analyze during the last six months of the out the researchers' hypotheses: that study. In the meantime, each partici- pant regard her as a surrogate grand- independent octogenarians (ages 80 to 89) and centenarians master skills of And both have adaptation and survival; that activities mother. a lot of pride in and opportunities enhance themselves and their surroundings. Mrs. Wheeler insisted on donning a wig and dress before having her pic- and that such factors as personality and religious ture taken. beliefs affect physical They 8 also exhibited independence Medical College of Georgia Today life satis- faction of the elderly; health and life and mental satisfaction. is proving to be a wellspring of in- sight into happy, independent old age. ' 'You just keep on living and do right," ' Mrs. Willingham advised. live long living wrong. 'You sure can't You've got to love everybody and keep on living." —Christine Deriso /t was a freak accident that took seconds to happen. Its result will last a lifetime. Todd Canady was a young man working on his dream. He wanted to fly the big jets and was taking tion in his flight instruc- hometown, Savannah. Dec. 12, 1987, Todd also was working on his 1973 Camaro when a rubber strap popped off and hit him in the left eye. my hands and I my hands because had grabbed the side of my "I opened looked at I face. figured I'd see I blood." Todd iac is a hemophil- and bleeding always is a concern. Pain and inflammation followed the trauma. Within a week his vision was deteriorating and there blood in was the eye. Todd came to the Medical College of Georgia and Dr. Brent C. Norman, an Seeing ophthalmologist with special training in care of the retina and vitreous. In addition to the blood in the front portion of his eye, the pressure inside Todd's the Light eye was elevated. Doctors observed Todd for a few days, but his eye did not improve. Todd was headed for a rocky course that has included five major proce- dures on his eye. pulling the retina During that course he had The blood removed from the and removed from away from the eye wall. retina is the light- front portion of his eye sensitive coating lining the a large clot inner two-thirds of the eye. the base of the eye. The lens of the eye had to be removed and its focusing power replaced with a contact lens. Inside his eye changes It converts light to electrical and transmits the signals through the optic signals nerve to the brain. Trauma that tears the retina, diabetes that were occurring. Where the large clot had been removed, scar tissue was Dr. Brent C. beginning to form, slowly Todd Canady. may Norman discusses treatment with Annual Report 9 result in leaking blood vessels inside the eye, scarring and even opportunistic infections such as can detach AIDS, this vital all mem- brane causing vision loss and even blindness. Todd's detachment likely was caused by an incomplete penetrating injury to his eye that led to scarring, Dr. Norman said. Todd was taken back to the operating room where Dr. Norman tried to remove When this the scar tissue. "The was not possible, a large cut was made in the retina to free it from the scar tissue. ' wanted to try 'It forms one Norman oil said. bubble within the space normally filled The with vitreous. remainder of the eye is filled with fluid produced by the eye. The bubble sits on reattached. 'I less than that oil is of water," Dr. That procedure, called a retinotomy, meant some method would have to be used to get the retina ' specific gravity of silicone and give him a definitive procedure," the surface of the fluid and Dr. Norman provides a permanent, intra- said. So he used a laser ocular tamponade. In other to words, you are putting reattach the retina, then filled with silicone oil, holds the retina a substance which offers a permanent tamponade eye wall giving it ample time More sion to take place.' Microscopic view shows scar tissue which could least, a detachment, traditional i— aph by Mike Stanley. approaches to detached retinas include penetrating The the eye with tiny instru- ments to administer an vitreous jelly has the consistency of Jell-O. It not is silicone fying into tiny bubbles over is the standard of time, the treatment of complicated months. retinal Norman the eye and exerts pressure chance oil is its detachment," Dr. there around the eye to put pressure on the eye wall tends to and even a second time on complicated detachments. But in some cases, such away from the surface of the as Todd's, the need and stop eye actually causing retinal detachment. calls a fluid between the from leaking and the retina more complex, ophthal- tamponade. At most, one type of gas lasts one month; at the 10 is replaced with Norman said. Another advantage only a temporary Medical College of Georgia Today it of getting the retina methods when fail all other to hopefully it to the similarity to the "When reattached with a process the eye attached for 10 to 15 years, Dr. back of the eye. With is fills for will stay it method retina against the wall, but which the is about a 95 percent is as a tamponade, holding the to mologists can combine the in first replace the jelly also works freezing or laser technique vitreous jelly that normally the retina stays jelly The gas bubble used are six to nine what the ophthalmologist permanent tamponade. "We've got another wall. When detachments if emulsi- attached for six months, said. Typically he will try gas Also, oil typically is removed within works as a sort of shock absorber to protect With age, the jelly liquify and can pull oil care in this country for the also place. of con- ble disperses. only nourishes the eye, but to help hold the retina in But because forever. a laser light that sticks the where it belongs. Other approaches are placement of a tight-fitting solid silicone rubber band bubble cerns about the adhesive such as freezing or retina back oil theoretically will last reattached before the bub- "Gas a gas bubble. The gas lasts about seven days. The theory that the retina will have lead to recurrent retinal to heal. in place, thereby allowing the adhe- that holds the retina against the in a substance that mechanically two-thirds of the eye replaces. looking into the eye through a gas bubble, it is hard to see detail silicone oil, it's kind of in the just like looking through a regular can see perfectly. prevent the eye from going eye. to an otherwise blind can see state. new I detail. I can see retinal breaks. I can I Norman performs Dr. intraocular surgery on Todd. see whether the scar tissue is coming back or gives he not. the me better control," In fact, MCG's with the said. The permanent nature the silicone of has caused oil debate over whether the oil is experience part of a national study to At welcome to doctors like Dr. who must deal indicate there is no prob- addition Norman with compli- cated detachments. Some detached yes. attached. ' The in his point, is retinas hope it's 'The retina ter. If functional nothing intact." He and Todd concur tool is a Some early studies said More recent studies it this point, the extra damage by just being eye for such a long period. is it going to get bet- doesn't, there I can do about Todd's parents, Peggy and Jake, say Todd has his ups and downs. They know too well how their son feels the best they could have about not realizing his hoped dream for, that but the worst scenario was that Todd would have had eye removed. simply can't be reattached, to have his of flying. "I'd rather be dead," Todd said bluntly. So Todd refuses to give up. "I'm still but silicone probably sometimes," said Todd, an vinced he the lessens that number, he aggressive 23-year-old. "I if said. want to get through this. I want to get back to work.' Yet he seems to have an uncanny ability to acknowledge what has happened and keep going. month the six- to nine- interval maximum likely has passed, Dr. Norman ' when its said. 'It's just another tool to allow us to stabilize the eye, to get the retina reattached. What we here is retinal he He effectiveness are dealing with oil has seen the salvage at least in an eye that oil some likely vision would have progressed to a blind state. Todd ' 'I is a perfect example. think that basically we the leading edge of are dealing with an other- detachment surgery,' wise blinding disorder,' Dr. said, noting that oil isn't ' Norman said. At this point, ' 'At this point, feel like the I $6 I kind of million man. get up in the morning, put my eyedrops in, go about I am going to do and what going to try to get a license." He's con- "It's depressing lem, but support removal of oil at is it.' the results to date are not with gas. oil the injured left eye. status of the eye, at this compare actually can cause retinal in Todd has some vision only the final solution, progression of the science. It will be successful he can be considered as an individual, not as some statistic. "I believe people should be judged on their own personal performance," Todd said. How he will get those who do grant pilots' licenses to that, he is not yet quite you have an obstacle, you have to try.' sure. "If ' M —Toni Baker Annual Report 11 Breaking in Cancer Ground Research | Medical College culture and in the I of Georgia neuro- mice. Jpgfl surgery resident TNF-alpha combination has discovered an I nude The antibody and proved especially effective immunotherapeutic in destroying the tumors. The two approach to shrinking and are pleased with often curing malignant brain their findings to date but tumors hope in laboratory mice. Dr. Alfred Bowles, who is working on an American Cancer Society fellowship grant, used antibodies com- BRMS are a class of cytokines, communication. This approach to treating usually incurable brain tumors Bowles is new also investigation to drug anti- polypeptides released from cells to orchestrate intercellular They brain tumors. intend to expand their bined with substances called biological response modifiers to shrink the tumors. reproduce the to results in other types of in cancer research, Dr. body conjugants, antibodies bonded to certain molecules so that they deliver the toxin to specific ' 'What's really encouraging for us is cells. the concept of monoclonal antibodies and biological response modifiers seems to be working both in vitro and in vivo (in the body)," Dr. Pantazis said. said. Brain tumors are generally treated with surgery and radiation therapy, but a patient's life may be extended by Phase One clinical trials may be no more than These away, Dr. Bowles said. trials a year would involve assem- sample of about 10 patients whose tumors have only weeks or months, Dr. Bowles said. bling a test Bowles first studied the effects of BRMs on brain tumors in vitro (in a test tube) and later on human brain tumor cells grafted into nude (hairless) mice, also in vitro, which are bred to accept the grafts. Dr. Bowles used two types of BRMs: Tumor Necrosis Factor-Alpha and Interferon-Gamma, both in tissue culture and mouse models. After developing a tissue culture model to measure cellular metabolic activity, he treated the tumors with varying concentrations and combinations of the BRMs. Both BRM types— particularly InterferonGamma were effective in limiting tumor growth in tissue not responded to any other treatment and treating Dr. them with immunotherapy to find an effective dosage. Phases Two and Three would among test the efficacy of that dosage patients with tumors of varying severity. Although the trials before the treatment results are already ment, Dr. Bowles may is require more than work 15 years' sufficiently refined, the initial more promising than standard treat- said. Drs. Cooley Pantazis and Victoria Samuels. Dr. Pantazis, tumors were considered impossible Now, even with surgery and radiation therapy, the tumors are likely to return, Dr. Bowles said. It's difficult to remove all the tumor without leaving behind some cancerous cells. Surgeons may be wary of removing too much brain tissue because it's hard to distinguish normal from malignant cells, he said. Immunotherapy may be the answer because it could be injected directly into the remains of the tumor to kill MCG associate professor of pathology, residual cancer cells and simultaneously to avoid the toxic — culture. Injecting the BRMs into the mice yielded even more impressive results: the tumors not only stopped growing, they also shrank with complete regression. Dr. Bowles then used findings from a separate study by is Dr. Bowles' side effects of systemic treatments such as chemotherapy. sponsor. The study by Drs. Pantazis and Samuels identified cer- growth factors that support and maintain tumor growth. Making use of the identification of these growth factors, monoclonal (specific) antibodies against these growth factors were used as treatment agents and were tain combined with the 12 Until recently, brain to treat. BRMs to treat the tumors in tissue Medical College of Georgia Today No toxicity has resulted from animal studies, and this would be further investigated in the clinical trials. Dr. Bowles has been working on his fellowship for about a year with Dr. Pantazis and research assistant William Wansley. — Gwen Corinth Benchmark Dear Alumni and Friends nally How me myself SUm to introduce in my new capacity. In August Telethon owe generated revenue, private support from alumni, friends, business and industry plays a big role in MCG's suc- much success to your So take pride of their in Many your accom- plishments and help us per- cess. Private giving and petuate the tradition of excel- endowments have ensured an lence. institution that ranks as a the specifics of making a dona- the Medical College of Georgia major health education center tion to and executive director of the in 1 was named I . acting vice president for development at MCG Foundation, John T. succeeding Anderson. to me, I'm is most new on a familiar face to ' MCG also depends on your time and talent. Special fund- Although the position campus and the Southeast. of you. raising events such as the Children's Miracle Network If you're curious about MCG, in detail. efforts. read the thanks for your con- tinued support. I look forward working with each of you. to Very cordially yours, article, 'Medical College of Georgia Gift-Giving Explained," in this edition of Medical College of Georgia Today. Commonly asked questions are answered Bruce L. Howerton Acting Vice President for Development I MCG eight years ago as MCG joined the accountant for the Foundation and was promoted to director of 1986. I planned giving in have an undergraduate degree and master's degree in accounting from Augusta College. My new position is but one MCG. As you know, Dr. Francis J. Tedesco, of the changes at formerly the acting dean of the MCG School of Medicine, named was the school's president in July. I'm excited about the challenges and opportunities that lie ahead. Dr. Tedesco is a dynamic and capable leader. He envisions great things for our institution— things such as a free-standing children's medical center— and we have no doubt he can transform dreams into Enthusiasm it's realities. is running high and Incentives for Excellence possible by your contributions. For while great to be involved with MCG receives finan- tinguished positions through- out their tenure at MCG at such a progressive he quality and reputa- point in the school's tion of the development. College of Georgia private donations to fund pro- inspire colleagues depend on grams to excellence. Of course, you're too, and involved, in a pivotal role. The to attract Medical its ability cial assistance from the state government, and retain excellent it still that bring it relies on distinction. Endowed chairs and profesmay be established at cost of $250,000. These honored The faculty members MCG include the professors and students. sorships ships at 50 percent of the Endowed a Ellington Charles support chairs, endowed and students chairs and professor- state of Georgia provides about total MCG. By their very presence, these Hawes Chair for educational activities at professorships and scholar- funds provide supplemental in Pediatrics, MCG and about 30 percent of ships provide a decisive incen- income Greenblatt Professorship of the funds for hospital and clinic tive for talented faculty operations. Along with inter- students, an incentive and made for outstanding profes- the Robert B. sors. Recipients of chairs and Endocrinology and the professorships retain their dis- Lou Franklin Glover and Katie Sallie Annual Report 13 Getzen Mealing Professorship of Medicine. We are raising funds currently to establish honor Edgar R. Pund and William H. Moretz. chairs to In some cases, named endowments are used for pur- poses other than supplement- The ing salaries. Hames Professorship tice Curtis G. Lectureship and Family Prac- in sponsors a network of research studies oriented toward the patient as a A person. faculty total member is designated to convene a con- sortium of 18 to 20 physicians from across the country. This group meets once a year to develop research programs directed toward family physicians in training at family practice residency programs. The rising cost of medical education has become a seri- ous impediment to many of our best students. To remain competitive with other medical col- leges in the United States, we are striving to increase our funding for scholarships. offers a number MCG of scholarships now. In one case, an anony- mous donor has provided $5,000 each for three medical sudents and one dental student a year. For more information about chairs, professorships scholarships at MCG, and contact David McKay, 404/721-4699. Renovation Progressing More than $800,000 of a $1.2 million been committed toward goal has the renovation of the Old Medical College building. Work is expected to summer and begin by early will span about a year, according to architect Norman Askins. Final plans for the renovation were approved in January by the Old Medical College Renovation Committee made up of III, Whitney C. John C. Hagler O'Keeffe, and William B. Mullins, Plans M.D. call for um is dedicated to as a historic landmark. The main room, library and courtyard have been reserved adapting the by donors. The main room memory is Dr. William seminar room may still be Henry Goodrich, dean from reserved. For more informa- 1923 to 1932. The other tion about the renovation reserved areas ongoing fund-raising campaign will be formally and 153-year-old building for use as dedicated to the Dr. William H. Doughty, dean named by the donors. The foyer, rotunda, con- contact the Medical College of a continuing education center while preserving from 1910 to 1923. The ference room, parlor and 721-4001. 14 its integrity Medical College of Georgia Today of solari- Georgia Foundation at 404/ Medical College of Georgia nificant ing an expenditure from those But we are constantly trying Gift-Giving Explained the educational programs, funds. Annually, the Founda- point out other alternative gifts research and tion is audited by an indepen- to individuals. dent certified public accounting property firm which reviews those for a charitable gift. f i impact on the quality of MCG. early every graduate of of an institution of difference. clinical activities truly It makes a processes. higher education has been approached at one time or another to give money to his alma mater. Deciding to give a personal is how decision and deciding give sometimes confusing. is Many to giving opportunities are Q. How do you make a The gift is is easiest way to through the dation. This entity lished in 1954 to receive, manage and administer of the Medical College of The Foundation Georgia. Fund-raising projects gifts for MCG. administers include restoration of the Old and Medical College building; the division of the college. Children's Medical Center; donor's enhancement of endowments like the Pund Fund, the Moretz Chair, the Ellison to is always a need. Hopefully, there is a project that gift department and any one of these. The Foun- acknowledgement suitable for tax records which signifies the amount, date and designation Howerton, acting vice president for development, helps how to make gifts to and how to get the most How the A. That is tion gift, a the Founda- commitment use the funds according Q. Why give to the Medical donor's intention. to the The Founda- tion notifies the appropriate college officials that funds have MCG have historically provided a programs of excellence to the and margin activities of the school. endowment to be a we invest under professional management and we only spend the investment income from that gift. This ensures a permanent source of funding support to the program These One the Old Medical been donated for specific purposes. Those individuals agree to the terms of the gift and must provide supporting documentation when request- Funds there will spent to pay for those renova- get a larger number Real estate makes a great gift. It is generally very easy to transfer and very marketable. life insurance have become extremely popular in recent years. What makes them so popular is that a donor can know that he is providing a amount of support to The improvements particular the school. the insurance products themselves have also made the gifts more attractive. What kinds of properties make good gifts? A. The most simple and common way to make a gift is by Q. What about giving through a Q. writing a check and will will? A. An easy way of capital to the make to a gift MCG Founda- tion is through one's will. All I think it continue to be that way. that's required is drafting the and naming bequest of will either a specific amount, a per- centage amount or a residual value of the estate to the MCG gifts Foundation. during the college's struggling days kept the college alive. Augusta citizens raised almost Q. Will $42,000 help 1910 to help stave the MCG Foundation manage an alumnus' off the closing of the school. assets? Grants from the Carnegie and A. Certain donors want to Rockefeller Foundations make fol- a donation but need the lowed shortly thereafter. So income giving has had quite an impact to donate. want donor can give money to the Foundation and receive a specific income for the rest of his life. This is good for those on fixed incomes who use it as a supplemental retire- on the early history of the college. More recently, endowments have been created which help attract and support distin- guished professors, develop 3 ,. VVO^OOT of the asset they A ment income. And it money allows tax scholarship funds for worthy savings students and ferred during their lifetime. like initiate programs the Children's Medical Center. I think it is fair to say that charitable gifts have and will of stock each year for it is apparent that significant in Second, the those reasons. in be gift. tion costs. 'The History of the Medical College of Georgia," is We tion. gifts of Gifts of also receive gifts from funding for projects. provide a deduction will donor does not have to recognize a gain on that apprecia- designated by the donor. Having read Phinizy Spalding's ' con- that project. Inc.? and friends of cost of the invests College of Georgia building to College of Georgia Foundation, A. Contributions from alumni it We example makes the donor can deduct rather than spends. research, equipment, etc. a restricted it gift. receives gifts which a very important MCG in value, very tax-wise a greater than the out-of-pocket When a donor makes question. makes This take the form of scholarships, gift? explain benefit from them. the Foundation use has increased the stock rather than his cost. We will donor than six months and that stock First, donors which provide current Q. a What exactly is an endowment? A. The Foundation often gift. appeals to you. This interview with Bruce L. If the current fair-market value of gift can be restricted Any appreciated wonderfully suited is has owned a stock for more dling of these funds. sider an A dation will provide an of the tuents' confidence in our han- Q. charita- almost every program activity, determined by our consti- was estab- ble gifts on behalf of funding, for which there the MCG Foun- being presented to the alumni Chair, etc.; and scholarship make of the program college's fund-raising gift to MCG? A. The success to had continue to have a sig- if the is trans- Sometimes, we can increase income by managing the their asset, possibly eliminating an erosion of their principle. Annual Report 15 Medical College of Georgia Expenditures, and Other Changes Year Ended June 30, 1988 Summary Statement of Current Funds Revenues, (With Comparative Figures for 1987) 1988 Educational and General Unrestricted Auxiliary Enterprises Restricted 1987 TATA T TOTAL TOTAL Revenue General Operations Resident Instruction Student Tuition and Fees $ State Appropriations Indirect Cost Recoveries 4,663,753.00 59,356,513.00 1.816,787.32 $ $ f i 4,663,753.00 59,356,513.00 4,640,024.60 56 "?66 278 00 1,816,787.32 1.957.893.38 167,804.02 102.709.48 167.804.02 Other Sources Departmental Sales and Services Revenues for Program Support Less: Quasi-Revenue Sponsored Operations $ 5,009,724.60 5,009,724.60 (1,897,065.84) (1.897,065.84) 4,349,649.89 (1I \ 628 751 i)l 34) ,U60, 1 • ' 1 . 1 Federal Grants and Contracts 7,744,933.55 7.744.933.55 7,404,404.32 State Grants and Contracts 2,833,873.61 2.833.873.61 485,379.52 485,379.52 3.230,717.09 446,796.28 13,071,786.73 13.071,786.73 12,198,376.68 106,431.44 106,431.44 120,818.84 30,609,412.00 89.261.303.18 30,609.412.00 89,261,303.18 29,438,910.00 79,878,172.45 8,392.55 8,392.55 50,246.03 2,999,012.64 2,782,819.81 (573,731.26) (548,464.62) 5,196,155.00 5.049.233.29 5,533,945.00 5,533,945.00 5,447,886.00 356.959.00 356,959.00 338,350.00 2.044,725.72 2,044,725.72 1,640,390.90 620,455.46 694,191.68 Local Grants and Contracts Private Grants and Contracts Endowment Income Hospital General Operations State Appropriations Sales and Services of Educational Activities Other Sources Departmental Sales and Services Revenues for Program Support Less: Quasi-Revenue Sponsored Operations State Grants and Contracts Family Practice Residency Program General Operations 2,999,012.64 (573,731.26) - 5.196.155.00 State Appropriations Desegregation Program General Operations State Appropriations Georgia Radiation Therapy Center General Operations 1,375.00 State Appropriations Sales and Services of Educational Department Auxiliary Enterprises Student Housing Food Services Stores and Shops Other Service Units 1,658,013.75 622,335.37 585,149.09 1,528,241.65 1,502,382.37 233,168,159.54 217,059,148.28 14,803.376.05 8,151,093.42 61,543,856.63 8,151,093.42 6.738,158.74 42.826.67 6,780,985.41 58,300,666.98 8,160,861.50 6,750,494.12 1.193.923.11 8,058.37 1,201,981.48 1,075,886.52 6,821,925.59 703,926.14 7,525,851.73 6,514,967.20 620,455.46 694,191.68 1.399,403.87 1.658,013.75 TOTAL REVENUE 199,357,534.93 29,438,559.85 46.740.480.58 1,399,403.87 4,372,064.76 Expenditures Educational and General Resident Instruction Instruction Research Academic Support Student Services Institutional Support Operation and Maintenance of Plant Scholarships and Fellowships 7,643,537.11 7,481,991.49 533,124.20 533,124.20 449,924.00 5.196.155.00 112,101,830.41 7,064,884.95 101,630,332.65 8,629.296.72 8,629,296.72 8,140,205.48 5.495.400.69 5,495.400.69 5,332,058.69 7,643.537.11 Hospital Patient Care 106.905.675.41 7,064,884.95 Hospital Support Operation and Maintenance of Plant 6,712,721.39 Family Practice Residency Program Instruction 86,000.00 Scholarships and Fellowships Desegregation Program Instruction Scholarships and Fellowships 257,552.97 99,361.00 257,552.97 99,361.00 242,939.29 1,887,510.69 157,196.00 1,887,510.69 1,514,613.53 157.196.00 127,598.34 616,649.06 874,357.91 603,687.40 1,288.570.16 1,416,907.51 95,352.67 Georgia Radiation Therapy Center Instruction (Patient Care) Operation and Maintenance of Plant Auxiliary' Enterprises Student Housing 616,649.06 874,357.91 1,288,570.16 Food Services Stores and Shops Other Service Units 1,303,733.25 li*y,bo4,yUo.5b fc-xcess ot 4,Uoo,oIU. Jo jy,4oo,55y.M5 Lapsed Surplus Returned— Prior Year Provision for Reserves (99,198.50) Medical College of Georgia Today 1,094,303.32 <o. /y 216,567,342.91 O 491,805.37 1 1 99,198.50 348,218.56 ENDING FUND BALANCES 1,303,733.25 Zoo,ioo, Revenue Over Expenditures Beginning Fund Balance, Adjusted Adjustments Other Than State Audit 16 !}> 19,378.07 $ 90,228.00 $ 835,830.83 / ,joj. / 22,433.12 121,631.62 59,570.40 3,386.23 351,604.79 197,390.42 (99,198.50) (100,072.82) (218,603.23) (199,225.16) 95,970.50 i5 186,198.50 (529,643.12) $ 119,050.25 President's Club Mrs. Grace Dr. Members of the Medical College of Georgia President life- time contributions of $50,000 or more Dr. and Mrs. and have achieved permanent membership in this Hawes giving club. We acknowledge with deep Gordon W. Jackson (Virginia) Estate of Lynn Griffin Johnson Mrs. Mr. Gerry H. Achenbach (Sushila) Mae Lillie Mealing Dr. (Lueilla) Mr. and Mrs. W. Clay Adamson (Darcel) Dr. and Mrs. Marshall B. Allen Harry B. O'Rear. President Dr. and Mrs. Jerry' G. Purvis Jr. Dr. and Mrs. A. Clark (Dorothy) Amos (Elena) L. Amos Sr. Robinson Estate of Dr. Horace D. Smith Emeritus, and Mrs. Dr. William L. Barton Dr. and Mrs. W. Dr. Francis J. Dr. and Mrs. Clark Case (Ola) I Dr. and Mrs. A. Bleakley Gen Steinfeld Sr. Mrs. Amy Tedesco, President, and Zumbro (Pennie) Drs. Taher Abdel M. El Gammal and Betty Sue Brooks The following members of the President 's Club at the Founder's Level have made We greatly appreciate D. Dr. and Mrs. French Marvin F. Mary Anne III and Dr. and Mrs. Curtis G. Hames Mansberger Jr. Drs. E. Dr. Herman F. Flanigin James and Martha McCranie and Mrs. Virgle W. McEver Jr. (Amy) Mr. and Mrs. William Mr. and Mrs. Eugene Fleischer Dr. McGowan Freeman Jr. Morris III and Mrs. William B. Mullins (Ann) Dr. and Mrs. Daniel E. Nathan (Muriel) Drs. James and Mary H. O'Quinn L. Mrs. Nora Pascarella Mrs. Louise Peacock Don Gambrell Dr. and Mrs. R. S. (Sissy) Mrs. Jane Pidcock Glen E. Garrison (Mary) Dr. and Mrs. Lamar Dr. and Mrs. B. (Martha) Donald D. Gold Mrs. Dorothy Royal Gower Mrs. Florence Pratt Dr. Louie H. Griffin Dr. and Mrs. J. Jr. Dr. J. Robert Rinker (Minnie) and Mrs. Beverly B. Sanders Jr. (Charlene) Daniel Hanks Jr. Dr. and Mrs. F. Hunt Sanders (Kim) Dr. and Mrs. Lloyd B. Dr. and Mrs. Billy S. Hardman Dr. and Mrs. Milford B. (Estelle) Hatcher (Marion) Dr. Melvin L. Pilcher (Miriam) Dr. and Mrs. Winford H. Pool Jr. Schnuck Jr. (Barbara) Dr. and Mrs. George P. Sessions (Martha) Haysman and Mrs. Roberta Kamine-Haysman The photographs on pages 17 Dr. and Mrs. W. Jackson Athajr. Mr. and Mrs. R. Eugene Holley (Vivian) Mims (Kitty) Jr. C. Aultman Wayne D. Beveridge Dr. and Mrs. Floyd C. Jarrell (Jody) Dr. and Mrs. Lawson C. Johnson (Sara E.) Dr. raising activities the Medical College of Georgia sponsored in (Louise) Dr. and Mrs. Harold Harrison 4- Dr. and Mrs. Arlie R. through 23 illustrate various fund- Mr. and Mrs. Jack Bandy (Aggie) (Betty) Mr. and Mrs. Lawrence E. Lankford Dr. L.D. Hicks Dr. Tyler Hagler, M.D. Langford (Dorothy) (Ellen) Felker Jr. and Mrs. III F. Dr. Dariush Heidary L. (Robert B.) Greenblatt Mr. John C. Hagler James Mrs. Dorotha Ahlquist C. Goldstein (Rita) School of Nursing more. the generous sup- port of these individuals. Miss E. Louise Grant. Dean Emeritus. J. M.) (Thelma) Dr. lifetime contributions of $10,000 or (Lillian) Dr. M.D. (Adeline) Dr. and Mrs. W. Stewart Flanagin Gwen Sr.. C. Derrick Jr. (Mary Louise) Founder's Level Gordon Davis Jr. (Francis Marion) Mrs. Howard Dr. and Mrs. Chenault W. Hailey (Willie E.) Dr. and Mrs. H. Norman Dr. Fort Dr. Mr. and Mrs. James A. Crockett Dr. Harry E. Dawson Dr. and Mrs. Peter G. Gilbert (Suzy) G. Warren Dr. and Mrs. G. Lionel Gane) Dr. Gan) C. Collins (Caroline) Mrs. Vera C. Wardlow Chandler and Mrs. William (Helen) Mrs. Luann Tedesco (Estelle) Dr. Mrs. Betty Friedman Mrs. Mildred T. Stevens Herman Brooks Dr. and Mrs. Dr. and Mrs. A. Dr. Jesse L. Steinfeld, President Mr. and Mrs. Paul Berney Qoyce) Mr. George H. Lane Mr. Roscoe Coleman (Lucille) (Noma Louise) (Olivia) The Joseph Korn Family Dr. and Mrs. Gune) Eugene Kennedy Mr. and Mrs. Cassius M. Clay Goan H.) Dr. Linda A. Ellis Emeritus, and Mrs. Charlotte O'Rear T. Ms. Sarah Turner Butler (Adelia Emeritus, and Mrs. Laura Moretz and Mrs. (Mary) Dr. and Mrs. Dr. William H. Moretez, President Dr. and Mrs. Russell A. Acree Sr. Mr. and Mrs. William Mahesh Dr. and Mrs. Virendra Dr. (LoisH.) Mrs. Corrie Ann Maxwell appreciation their generous support. Mr. and Mrs. John B. Mr. and Mrs. Robert G. Bohler (Carolyn) Club hare made 's S. and Mrs. C. Goodrich Henry and Mrs. John Paul Jones (Edna) 1987-88. If interested in participat- ing in future projects, contact the MCG Volunteer Center by calling 404/721-3301. ^ Mm Annual Report 17 Dr. and Mrs. William C. Shirley Sr. Sam Dr. Lamar Dr. and Mrs. Mrs. Margie (Bess) J. Dr. Scott A. Gasiorek Mrs. Frances Dr. S. Starling Dean Steward (Martha) Phung Thi Tho Dr. and Mrs. Render Turner J. Gregory Gay Mr. Z. Walter Granting, Dr. and Mrs. Hollis D. Mr. and Mrs. Edward Dr. and Mrs. Green P. Drs. Charles H. and Betty B. Wray S. Hooks Hughes Henry Dr. and Mrs. The following members of the President 's Pelham S. Jordan Jr. Dr. and Mrs. Robert H. Still Jr. Gane) Georgia Hospital Association (Anne) Glaxo, Incorporated and Mrs. Daniel B. Sullivan Dr. and Mrs. Luther Van C. Knowles (Wesley) Dr. Hiroshi Toyohara Dr. T. Avret (Stella) and Mrs. C. Robert Baisden (Helen) Dr. Dr. and Mrs. F. and Mrs. William B. Bates Dr. Dr. and Mrs. Estol R. Belflower (Beth) Berg (Evelyn) Dr. and Mrs. Joseph L. Mr. and Mrs. Morris E. Binkley (Alice) Bowen (Miriam) Boyd Dr. and Mrs. William S. and Mrs. Edwin D. Bransome Jr. (Mary Jo) Henry H. Butterworth Jr. (Evelyn) Carson Dr. and Mrs. Nelson S. Carswell Dr. Matthew (Marie) Dr. and Mrs. Robert Mays Lamar Dr. and Mrs. S. McGinnis Jr. Dr. and Mrs. Robert A. Carter (Betty) M. Cheney Dr. Spurgeon W. Clark Dr. James R. Clay Mr. and Mrs. David McKay McRae Mr. and Mrs. Paul E. Daniels Gautam Dasgupta Denmark and Dr. J. Digby (Mary) Edeniield Mr. Donald Ellison Gordon D. Allergy and Jr. (Mildred) Harvey M. Newman (June) Assurance III Foundation Patterson-Barclay Memorial Foundation John E. and Aliese Price Foundation, Corporation Incorporated Procter and Gamble Company American Hoechst Corporation Richmond County Jaycees Augusta West Dance Guild Richmond County Medical Society Department Store Bankers Dr. L. Joseph O'Brien Barham-Calhoun Memorial Fund Sandoz Pharmaceuticals Corporation Guy Schering Corporation Lynn L. Ogden (Karen) W. Oliver Jr. Owings Corporation Rich's Bernard Memorial Oncology G.D. Searle and Company Fund I.D. Shapiro I. Boehringher Ingelheim Pharmaceutical. Patterson Jr. F. Edward Payne Jr. Gean) James W. Pilcher Jr. Jr. Mary Allen Lindsey Branan Foundation C. Pope (Susan) Reimer Goyce) Mark Ruplinger Dr. and Mrs. Milton B. Satcher Jr. (Ann) Beckman Corporation South Augusta Ambucs Dorothy Mustin Buttolph Trust Fund Southern Frozen Foods Calloway Foundation. Incorporated S Chambers. Mabry, McClelland and E.R. Squibb and Sons, Incorporated Ciba-Geigy Corporation Citizens and Southern National Civitan International Clarks Hill & P Grading Company Standard Motor Products Brooks James Smith, Kline and French Laboratories Smithkline Incorporated Mr. and Mrs. E.O. Perry Goy) Medical College of Georgia Today T. First Biomet, Incorporated Dr. and Mrs. Mr. Jr. Life Dr. Stephen A. Noller Dr. and Mrs. Jonathan E. Flanders Orthopaedic Associates of Augusta P.A. Osmond of Georgia Association Gail) Dr. and Mrs. Immunology Society American Financial Services Jr. P.C. Olympus Corporation Acuson (Martha) Dr. Alva H. Faulkner & Company, Incorporated Dow Pharmaceuticals Ohmeda Company American Family Mr. and Mrs. Michael Esola 18 Merck Nephrology Association of Macon, Myers Dr. and Mrs. F. Medtronic. Incorporated A.B. Beverage Mulkns Gane) Drs. Robert G. and Lois T. Ellison Sr. Dr. and Mrs. John G. Etheridge (Anita) Nursing Administration Jr. National Hills Lions Club Dr. and Mrs. Winford H. Pool James Dr. and Mrs. Benjamin H. Wofford Faculty Wives Club Medical College of Georgia and groups Moore Jr. Mr. Mark Moran and Dr. Jeannie H. Moran Dr. P. Steven Mote Dr. (Margaret) Dr. and Mrs. Roy Witherington (Louise) Miller Mr. Charles and Mrs. Byron H. Dunn (Betty) Dr. and Mrs. Robert Ohlen Wilson (Martha) Dr. and Mrs. J. Dr. David A. Bowen Devore J. Dr. and Mrs. Pharmaceuticals Medical College of Georgia Merrell (Dolly) Mr. Robert Devore and Donald W. Talbert Williams (Bett) Dr. Frank Dr. and Mrs. Robert Daughtry Denmark M. Maxwell Trust Metropolitan Foundation, Incorporated Dr. and Mrs. Dr. J.W. Richard Davis Dr. and Mrs. Dr. and Mrs. Dr. John R. WyantJr. (Achsah) (Debra G.) Gilbert Mead Johnson Jr. Miles Laboratories, Incorporated (Mary Dr. and Mrs. Morris N. Dalton (Billie) Dr. Margaret B. Curtis Williams The Foundations, businesses Dr. and Mrs. Robert R. Nesbit Dr. Leila A. Marion Laboratories, Incorporated Wike (Candy) Meyer Dr. Cunningham Livingston Foundation, Incorporated F. Dr. and Mrs. Jule C. Neal Mr. John Sr. (Rose) Mr. Thomas H. Coward Dr. Ray and Elizabeth Lee Foundation Mark Whitehead Dr. Carol Dr. and Mrs. David E. III Queen Institute Langford Middle School (Sandra) Mr. H.C. Coward Jr. Dr. Joseph R. J. International Dairy Kiwanis Club of Augusta and Mrs. Richard B. Weeks Dr. and Mrs. Charles C. (Darlyne G.) Hinman Dental Meeting P. Hqechst-Roussel Pharmaceutical The Jobst Bruce D. Walley (Dot) (Iona) Mr. and Mrs. John Mathewes Thomas Institute of International Education C. Wakefield Dr. William B. Jr. (Betty Ann) Mr. Eudine Van Giesenjr. Dr. and Mrs. Sylvester N. Dr. William K. Briones Dr. and Mrs. E. (Sylvia) Dr. Joseph T. Watlington Dr. Herzog Foundation. Hutchens Company Kay Dr. and Mrs. C. III (Julia) Dr. and Mrs. Frank R. Briggs George Turner (Katharine) (Catherine) (Janet) Dr. Larry (Jane) Martin Dr. and Mrs. Wallace D. (Elizabeth) Dr. Madry Jr. J. Incorporated Hewlett Packard CompanyJ. Dr. and Mrs. Robert D. Waller (Hazel) Lesher Jr. (Cathy) Dr. and Mrs. Jack L. J. Dr. Dr. Dr. and Mrs. Robert B. Martin (Rhonda) Dr. and Mrs. John B. (Shirley) (Patricia) Dr. Frank III Dr. and Mrs. Richard (Gail) Leon A. Leonard Dr. and Mrs. John G. Donald Bass Gane) M. Thomas Jr. Heirs of Hattie Pund Dr. and Mrs. Dr. and Mrs. Albert G. Leroyjr. Dr. Charles A. Albers Edwin (Willa) and Mrs. Michael N. Laslie Dr. and Mrs. (Elizabeth) Dr. and Mrs. Lamb (Martha Ann) Dr. and Mrs. William C. Acton Carl Jr. Gane) Dr. and Mrs. Charles C. Educational Foundation Georgia Association of Pathologists Hans J. Knieriem (Ingeborg) of Atlanta (Susan) Dr. Dr. and Mrs. Bank Union Bank of Augusta Still Jr. Dr. and Mrs. generosity. First Jr. M. Dr. and Mrs. Joseph bership through their gifts of $1,000 or It is Staples P. Georgia Academy of Family Physicians Dr. Daniel B. Terry acknowledge their Federated Department Stores Foundation (Mildred) (Patricia) of Textron, Incorporated First National James J. Kirkland (Anne) to Smallwood Smith Jr. P. Dr. and Mrs. our pleasure Exchange Club of Augusta III Graham Smith Jr. Club have attained Partner Level mem- more during fiscal period 1987-88. Simpson S. Dr. and Mrs. Frank H. Stelling (Donna) Dr. Michael C. Jones Company Federal Paper Board, Incorporated Dr. William III (Martha) Partner Level J. Pharmaceutical E-Z-Go Division Dr. and Mrs. Dr. and Mrs. William D. James Dr. and Mrs. H. Wilder Smith (Kathy) (Carolyn) (Doris) Eli Lilly (Mary) Hogan Dr. Dr. and Mrs. Vendie H. Thomas J. Yeh Elan Pharmaceutical Jr. E. Sikes Dr. and Mrs. Henry' C. (Frances) Mr. Weldon Wyatt Dr. and Mrs. Thomas Dr. and Mrs. (Elaine) Thomas Jack Eckerd Corporation (Pauline) (Cinda Jo) Dr. and Mrs. Robert S. Hill (jana) Wong Phillip and Victoria Dreyfus Foundation Evans Middle School Dr. and Mrs. Hall P. Dr. Patricia L. Hartlage (Elizabeth) Sigman (Carol) Mr. Lawrence Hartlage and Crawford and Company Eastman Kodak Company Harry C. Sherman (Ann) Dr. and Mrs. Jr. Dr. David Mr. and Mrs. Schilling Jr. Max Dr. Z. Walter Granting Sr. Mr. and Mrs. Harold Weiner (Lynn) Witham Coulter Electronics, Incorporated W. Dr. and Mrs. Robinson Mr. O.L. Shaffner Mrs. Jeanette M. Vallotton Dr. and Mrs. A. Calhoun Columbia Nitrogen Company (Sarah) (Martha) (Dorothy) Elwyn A. Saunders Dr. and Mrs. (Marceline) Mrs. Linda G. Spooner Dr. Sandra (Sally) Dr. and Mrs. Ronald F. Galloway (Anne) A. Singal Dr. and Mrs. W. Fleming L. Frank Bassmasters Club Car, Incorporated Bank Sunny 105-WZNY Team Toyota Tomco Auto Products Trust Company Bank of Augusta The Upjohn Company Deborah Wendel Foundation Hal] and James West Point-Pepperell Foundation, T. Barenie, D.D.S. William E. Barfieldjr.. D. Douglas Barnard Incorporated Jr. Rodney Bartholomew, M.D. J.B. White, Incorporated Philip Wife-Saver, Incorporated Edwin Women of Georgia Power Company, CSRA Glenn Hughes James Wyeth-Ayerst Laboratories M.D. C. Bartlett, M.D. Bartlett, L. Becton, M.D. M.D. Murray Allen Freedman, M.D. Larry V. Carson, M.D. Mr. and Mrs. Gerald M. Freeman M.Gary William Carter, M.D. Sidney A. Funk, M.D. Charlie's Auto Parts Octavia Garlington, M.S. M.I. Lewis Chisholm, M.D. F. B. Hershel Felton Cofer, M.D. Robert Arthur Gelbart, M.D. Genentech The Georgia Power Grady E. Black, M.D. Allen Costoff, Ph.D. Peter G. Gilbert. M.D. Coulter Immunology Division Donald Martin Gilner, M.D. Russell L. Counts, M.D. Pamela Givens or more during fiscal year 1987-88. It Floyd E. Blivenjr., M.D. William with gratitude that we recognize these Boehringer Ingelheim Ltd. Deknatel Company donors. Gerald Wayne Bohanan. M.D. James Edward Dempsey Blissit, C.S.S. Border, Donald C. Abele. M.D. Charles Hans Werner Adams, M.D. John M.D. M.D. Emory Guy J. Bohler, M.D. Boineau. M.D. P. Talmadge Arton Bowden Jr. M.D. E.I. Henry Man-in Althisar Sr., M.D. American Academy of Dermatology Mac Andrew Bowman. M.D. E.I. James Anaquest, Robert L. Brand Asbell, George Thomas M.D. Astin, M.D. Augusta Jaycees M Braden, M.D. Eagle Asset Management, & & Co.. Co., S.C. Inc. Thomas W.C. Charles Fredrick Brown, M.D. EPICS Charles William Brown, M.D. Carlos L. Esquivia-Munoz. M.D. M. Brown, M.D. Brown Jr., M.D. Kenneth Harvey Farrar, D.M.D. Edward Rodney M. Browne. M.D. RichardS. Field, M.D. Thomas Thomas Morgan Browne, M.D. Michael Clyde A. Burgamy, M.D. Clifford A. Avrettjr. Tillie P Byars H. Caddell, M.D. Chuck Campbell's Wallpapers Hillel Finck, M.D. Guill, M.D. Arthur Ronnie Hagen. M.D. EarlR. Feringa, M.D. Buhl, D.D.S. M.D. M.D. Frank Dempsey Guillebeau, M.D. Walter J. F. Lafayette Griffin, Griffin, Margaret Frank Division M.D. Joe L. Griffeth, M.D. M.D. William M.D. Du Pont De Nemours Pont De Nemours Lois Taylor Ellison, Vickie North Carolina Woodrow Goss, M.D. Frank Bartow Graham III. M.D. Robert C. Grant, M.D. Charles Gray Green Sr., M.D. Charles R. Green, M.D. Mack Varnedoe Greer. M.D. William E. Gregory Jr.. M.D. Edward Bromberg, M.D. Richard Jr., Jr. Du James , Co., Augusta Samuel Melvin Goodrich, M.D. M.S. M.D. Augusta Swim League E. Bailey M.D. 0. Ellegood. III, Augusta Association of Young Children Thomas Sr., Thelma Drake , Inc. Inc. Isaac Goodrich, Robert Sanford Donner. M.D. James Larry Boss, M.D. Jimmy Robert Glaxo Denis, M.D. Charles H. Dickson David Lee Booker. M.D. William Nick Agostas ,M.D. Robert Hoyt Anderson Jr., M.D. Andrew Nickles-Logging Murray Charles Arkin, M.D. Arrow Automotive Industries Lamar Cousins, M.D. Jonathon Glen Dewald. M.D. Amelia Anne Alderman, M.D. Stuart Anderson, M.T., M.S. Garrison, D.M.D. Robert Comer Wiley Singleton Black, M.D. Ann F. Corometrics Medical Systems M.D. Jr., Joseph A. Inc. M.D. JackH. Cohen, M.D. The following members of the Wish— Frances Friedman Garrison, F. Glen E. Garrison, M.D. Beech' Island Bingo Aesculapius Club have contributed $250 Project Alton Cochran, M.D. James William Bennett, M.D. Vincent Finval Bergquist is Emmett Freeman, M.D. Kurt Miller Chambless, M.D. Emerson Robert Reppard Bennett, D.M.D. Aesculapius Club Gerald E. Caplan, M.D. L. Hall Jr., M.D. Gerald Hancock, M.D. Rosalie B. Haraszti, M.D. Margaret Holloway Fitch, M.D. James R. Hattaway, M.D. Waldo E. Floyd Jr.. M.D. R.K. Haugen, M.D. John Ed Fowler, M.D. Preston Pearle Hawkins, M.D. Ned M. Franco. M.D. Gary Stephen Hayes. M.D. Martin J. Frank, M.D. Ronald G. Hayter, M.D. Annual Report 19 Health Center Credit Union John Ell Hendley, M.D. Horace A. Killam. M.D. John M. Heng, M.D. Kiwanis Club of Martinez-Evans HEOPA J. JudsonC. Hickey, D.D.S. Philip Erich Malcolm Kling, Ph.D., D.V.M. Koch, D.M.D. LoyG. Hicks Jr., M.D. Krueger George H Hightower Oh Hillsboro Enterprise Foundation Louis William Landau Hoechst Celanese Corporation Lawrence Lande . B. Ringier, Inc. Kwon, M.D. Jr. Joseph B. Paley, M.D. Hospital Friends OlenE. KitchingsIII, M.D. , D.M.D. MCG Class of 1990 and 1991 MCG Nurses of 7-West Newborn MCG Department of Anesthesiology MCG 8 North Nurses MCG Faculty Wives Club MCG Department of Pediatrics Med-Con Emory W. Holloway Jr., M.D. Russell M. Hostetler Paul Alan Lavietes, Albert R. Howard. M.D. Howard Hudson, M.D. M.D. of Georgia Mu Inc. Sorority. University of Georgia Robert J. Pierce Inc. Jr., Pracon, Inc. Alan D. Lavine George Lane Mathis Price, M.D. Federico E. Lenz, M.D. M.D. M.D. T. Miller Jr., Harold Louis Michael Prisant. M.D. Leon A. Leonard. D.D.S. M. Mims, M.D. James William Minchew Jr. Joseph B. LeRoy, M.D. JohnC. Mitchell, M.D. Albert Wesley Pruitt, M.D. I. Levine, M.D. Project Coordination Services Morgan Road Middle School Morgan Jr. M Nathan Benami Rabhan, M.D. Toby ICI Americas Stuart Marketing M.D. David Michael Lewis, M.D. Daniel Dickerson Moye. M.D. Reid-Rowell Insty Prints of Augusta Charles W. Linder, M.D. Joseph L. MulherinJr., M.D. Susan M. Reimer Internal Medicine Infectious Lions International Club Arnold Investcorp International Corp. Malcolm N. Luxenberg, M.D. Murray Bakery Products Johann R. Manning, M.D. Network Augusta James J &J B. Hurst, M.D. Stanley H. Levine. Corrugated Box Corp. James G. Jackson III. M.D. Ben Jr. D. M William Earl Marks Jr.. M.D. S. S. . Charlotte Neuberg, John Cleon Denton Johnson Jr., M.D. Martin Marietta Aggregates Division Ralph George Newton Milton Irvin Johnson Jr., M.D. Clinton Robert H.Johnson, M.D. William H. Mather, Joseph William E. David Joseph F. , . I ). Johnston, M.D. William B. Johnston, M.D. Saunders Jones Jr. M.D. , Philip John M.Joseph, D.M.D. S. Josey. M.D. Edward Massey, M.D. M.D. Matthews, M.D. Bertram Maxwell Charitable Charles B. May, M.D. William McCollum. M.D. M.D. Raghunatha N. Rao, M.D. D. Turner W. Rentz Inc. Fenwick J. M.D. William Sr., M.D. Leslie Richerson. M.D. Mixon Robinson, M.D. John Anthony Rodriguez-Feo, M.D. Sanfordl. Rosenthal, M.D. Jr., M.D. Tattnall Nichols Jr., M.D. Nichols Sr.. M.D. Nicholson, M.D. P. Don Raleigh Newton, M.D. S. Nipro Foundation . Mulkey Jr.. M.D. P. Roger Pierce Martin, M.D. Wall Jernigan M.D. Metropolitan Woman's Club Monroe John B. Hunt, M.D. Peters, Powers Peterson, M.D. Physicians Practice Group Joseph T. McLamb, M.D. William Hans J. Pharmacia Homer Edward Howell M.D. Phi Marian Freeman Lane. M.D. R. Peel, Guerrant H. Perrow, M.D. Frank W. McKinnon, M.D. W. Larry Hogue, M.D. M.D. James R. James Emory McKinney. M.D. Jacob H.Holley, M.D. L. Lassiter Sr., Robert E. Parham, M.D. Robert A. Parrishjr., M.D. Brown Nipper Jr., D.M.D. Charles A. Ross, D.M.D. Ross Laboratories Rotary Club of Aiken-Sunrise SaulS. Rubin, M.D. Walter Saluda Inc. Thomas Sale, M.D. Wood Company, Inc. George A. Nixon, M.D. Joseph A. Sangster, M.D. AlvinW. North, M.D. Stanley David Satterfield, D.M.D. Nu CP. Savage, M.D. Junior League of Augusta, Inc. Bright McConnellJr., Terry Vern Kelley, M.D. George McDaniel Brien Pharmaceutical. Inc. Schering Corp. GeneM. Opal D. McDaniel Orthopedic Association of Savannah Timothy Totten Schmidt, M.D. John Paul Kendrick, M.D. Harrison R. McDonald, M.D. Osier Institute. Sego Middle School James Randall Kennedy. M.D. MCG 4th Floor Nursing and Owens & Minor Inc. 20 Kelly, M.D. Medical College of Georgia Today Craft Dental Arts Inc. William C. Shelorjr., M.D. Adas Yeshurun Sisterhood Winifred Britton Thomas Walker Cowan Robert Wayne Sims. D.M.I). Aiken High School Key Club Britton Medical Inc. Joseph Lawrence Cowart, D.M.D. Marvin E. Skelton, M.D. SabahJ. Albazzaz, M.D. Jimmy Leighton Brock, D.M.D. Betty Ann Brooks, M.D. William P. Brooks, M.D. Stephen Jeffrey Crews, D.M.D. M. Stanley M.D. Silver. Hilton E. Smith, M.D. Calvin Fenner Allen Edwin Whitaker Allen III. M.D. John Edward Allen Jr.. M.D. Thomas McCall Allen. M.D. James H. Smith, M.D. W.T. Smith, M.D. Walter Aldine Smith Jr., M.D. Jr., M.D. Laurence Cnmmins. M.D. Robert N. Cross, M.D. M.D. Elbert Harry Brown, T. Mr. and Mrs. W.E. Cullum George W. Brown. M.D. Ronald Daitch, M.D. Grady Brown John W. Darden, M.D. William R. Snellingsjr. Andrew Ridgeway Allgood. D.M.D. Alpha Eta A. H.S. Honor Society James Haskell Brown, M.D. South Columbia Elementary School American Society Nelson H. Brown. Melvin Spina, M.D. Martha E. Anderson. B.S.N. Odis Coats Stamps Jr., M.D. Robert Thomas W. Stewart Jr., M.D. Marion R. Annis Mildred R. Bunn Reginald Maurice Davis Cathy L. Armstrong Randolph Thomas Armstrong Medical Industries James W. Burnham Jr., M.D. M.D. William Valdon Smith, Stolkin Temple No. 22 James Russell M.D. Story, Hammond Story III, M.D. Robert McRae Stout, M.D. Stacy M.D. William B. Strong, Thomas Anderton Walter Kenneth Austin Julian Wilson William Sullivan, Sutton, M.D. B.R.E. Medical M.D. D. Swann, M.D. Cummings Tate II, Company Thames Jr. M.D. The New Canaan Lumber Co. The Railroad Avenue Corp. Mary Traylor, M.D. Becton Dickinson United Way of the CSRA Peggy M.S.N. B.S.N. , Eugene Demarque University Urological Association John A. Bell Jr., M.D. University Hospital— Augusta Lee Augustus II, Bell Sr., M.D. M.D. Priscilla Marjorie Bartels Desrosier, B.S.N. M.D. Sara B. Dessauer Robert W. Caldwell, Ph.D. Robert Douglas DeVore, M.D. Dan Callahan, M.D. James Callan William B. Dial, D.M.D. Bell Sr., Molyneux Bence, B.S.N. M.D. David Joe Dickey, D.M.D. Cannon Jr.. M.D. D. Carson, John William Dickey, D.M.D. M.D. Lovick Edsel Dickey, M.D. D.M.D. Robert E. Dicks M.D. III, Harold Alex Carswell, M.D. Stephen K. Dickson. Harvey Richard Carter, M.D. David L. Dill, Thomas E. Dill, M.D. Robert M. Cates. M.D. F. Catrett, Chalker, M.D. Joseph M.D. T. DiPiro Alda Lee Ditchfield M.D. Dopson-Hicks, , M . D. M.D. William E. Check. ASRTH M.D. Charles J. DiPanni Donald C. Chait, M.D. DanK. M.D. Elizabeth Korst DeWitt, Arthur Bleakley Chandler Jr. Sidney A. Bell, M.D. Vanderzalm, M.D. James W. Wade M.D. M.D. C. Jennings Derrick. William C. Belger, University of Texas Medical Branch T. Sr., Kabina Beeson Tobin Barrett Trotter. D.M.D. Thomas Gregory DeLong, M.D. Commercial Corporation Y. Franklin Carter, James Andrew Bedingfield Deen, M.D. T. A. DeLauparier, M.D. M.D. Jeffrey Carl Carstens, JackM. Bates, M.D. James E. Baugh, M.D. Ensemble Johnny C&S Matthew M.D. E. Batayias, M.D. C. Deas, Garland Edward Byron, M.D. Cliff L. M.S.N. L. Barnwell, George Rheney Butler Walter Howell Butler, M.D. Burch G. Cameron, D.M.D. M.D. Barfield, Sr., M.D. JohnH. Deatonjr.. M.D. C. George DeBelly. M.D Burnette C. Daniel Cabaniss, Inc. Samuel Louis Banks, M.D. Joseph Wade Tollison, M.D. Trinity M.D. Jr.. Mark Babcock, D.M.D James Everett , Frank Deaver Thomas. M.D. James Bothwell D. Antonio Jose Ballagas, M.D. TeleScripps Cable Frank Maynard . Melvin O'Neal Baker, D.M.D. M.D. L. WilliamJ. Butler, Frederick C. Sturmer Jr., M.D. T M M.D. Paul C. At water, George J. Austin Jr., M.D. James Lawrence Paul Davis. M.D. Benjamin R. Busbee, M.D. David Manning Stubbs, M.D. James Howell Harry N. Davis, M.D. Solomon K. Brown, M.D. Allie , Daniel N. Davidow, M.D. Richard Allen Brown, M.D. Vivian Martha Ashline, M.S.N. Comer Askew Jr. Marion Nesbit Dasher Jr., M.D. M.D Joseph Allan Arnold. M.D. Fletcher M.D. B. Strozier, L. of Anesthesiologists M.D. III, Jefferson C. Inc. Dorn Douglas Battery Manufacturing Stephen Yung Sheng Cheng, M.D. Joseph R. Downs Katherine Q. Chester Ida Chew Jr.. M.D. III, M.D. Beth Doyle Alan Stephen Waller, M.D. Gertrude Kristine Bennett, M.D. William H. Walton Way Temple Sisterhood Robin R. Bennett, M.D. Bobby Ray Childree, D.M.D. Calvin Dudley, Warren Road PTA Victor Berkovich, George Edwin Chisholm. M.D. James Crawford Dudley Jr. M.D. Donald Waters, M.D. Elizabeth Robert Kin Bong Chong, M.T. Donald Dunagan, M.D. Mark David Chouinard, M.D. James Tommy Roy Gordon Duncan. M.D. D.M.D. Ann Bernhard, D.M.D. Richard Patten Watson Jr., M.D. Berrie Well Drilling Inc. M.D. Alexander H.S. Weaver Jr., M.D. Paul D.Webster III. M.D. Horace E. Weems, M.D. William McLaurin Bethea Jubal R. Watts, DuraMed Medical Equipment Philadelphia United Methodist Church Thomas Cedar Grove Lutheran Church David G. Dye, M.D. & Bilsel Professional Inc. Uriah H. Bodiejr., M.D. Our Redeemer Evangelical Church St. Mark United Methodist Church Jeffrey I. Clark, M.D. William Ashmore Clary, M.D. Gloria M. Clayton, M.S.N. Ed.D. Fred Nelson Clements Jr., D.M.D. Mack Harvey Clements, M.D. Martha Downs Clements, M.D. Stephen D. Clements Jr., M.D. Michael D. Boggan, M.D. Debra Marion Gilbert Bolin, M.D. Thomas Barry Somnate Boonpucknavig, M.D. Charles B. Coff Clyde III M.D. Phillip Blalock, Westside High School Nancy Blancato Roberts. Whitelaw, M.D. J. Michael H. Whittle. M.D. Thomas W. John Francis Williams. M.D. William W. Bledsoe Kenneth Augustus Frederick Bloodworth. M.D. M.D. John W. Williford Arthur Samuel W Willis, M.D. E. Wood, M.D. Theodore M. Richard Blanchard Blanchard. M.D. Jr., M.D. Yates. Paul Yurfest. D.D.S. Richard Neal Boswell, Pete Nicholas Bougas Century Club more during fiscal period 1987-88 entitles donors the to membership Century Club. We gratefully acknowledge their generosity. A. P. Golf Management Company AAJGA Abbott Don Oil Company, Inc. Cassel Abbott, M.D. Joseph D. Adams, D.M.D. in M.D. Jr., D.M.D. , P. Cliatt Joel F. Lees G. Cole William Bozeman, M.D. Durst N. III, D.M.D. Dwyer Conrad H. Easley, M.D. L. Echols Jr., M.D. Mr. and Mrs. Joe Edenfield Herman A. Elder. Margaret DeanC. P. D.M.D Ellen Elliott, M.D. Carrol W. Ellison. M.D. Morris M. Elstein, M.D. HaroldS. Engler. M.D. Douglas Engler Frederick Bennett Epstein, M.D. James W. Estes, M.D. Victor Ivan Etheridge. M. Coleman, M.D. Kathryn Ward Collier. Adams J.W. Eversole, M.D. M.D. John A. Ezzard. M.D. Harry Frank Farmer Jr. M.D. Robert Andrew Bradley, M.D. Chappell Shirley Swint Bradley, B.S.N. Harold Anderson Collins Jr., D.M.D. Leon Farmer James Emmett Jack A. Feldman, M.D. WilliamJ. Brananjr., M.D. D.M.D. James Patrick Evans, M.D. George Jeryl Everidge. M.D. Cohen Margie E. Boyles, M.D. D. Clower, D.M.D. F. George J. Howard J. Cohen, M.D. Alan L. Bowen, M.D. James Gifts of $100 or M.D. AlvinA. Blumenfeld, M.D. Winthrop Pharmaceuticals Duncan, M.D. L. Marion Bimeco T. Williams. . Washington Heights Baptist Church Charles S. Bird M.D. M.D. Jr., M.D. Joseph T. Christmas. M.D. Western III, Christie Dudley Donald E. Biggerstaff, M.S.M.I. West Lake Women's Club William Weston M.D. B. Terry Quinton Beusse, D.M.D. Bilsel Sizzlin Inc. Jr., Augustus Collins Jr., Collins. M.D. M.D. M.D. , Thomas Joseph Jean B. Braun. M.D. Alfred 0. Colquitt Mark Tanner Braxton. D.M.D. Preston Dewitt Conger, M.D. Stuart Mclntyre Finch. Lloyd C. Brewton. M.D. David Hal Conner, M.D. Wallace W. Fleetwood Jr. Glenn J. Bridges Jr., M.D. Stephen Bruce Conner, M.D. Fleming Lions Club Jr.. Ferrelljr. , M.D. M.D , M.D. C. Charlene Cotton, B.S.N. James Dorothy E. Brinsfield, M.D. Shan Mr. and Mrs. Seth A. Folsom Bristol-Myers Pharmaceutical Wesley Covitz, M.D. William Lee Bridges Jr.. M.D. Covitz. M.D. C. Folk Brad Neil Ford, D.M.D. Annual Report Henry J. Ford, M.D. Edward M.Ed. Forester. M.D. B. Forde. Jonathan S. William Russell Kincer, D.M.D. William E. Mr. and Mrs. Randall W. Hatcher Kinetic Concepts Therapeutic Medical College of Georgia Hawes E.W. Horace Harold Foss T. Avery Hayes, M.D. Harry R. Foster Jr., M.D. Rick Haynes Henry Arthur Foster, Van & Henry M.D. Aldo G. Franceschi, M.D. Fred S. Louis James M. Freedman, M.D. Freeman Friedman J. Peggy E. Friel, Jutson Sybil A. Hendrix, B.S.N. Norman Pease Gardner, M.D. John White Garland III, M.D. R.N..C. . Marie Heng, M.D. Kramer F. Krystal Hill, John Roland McKinney. M.D. No. 2 Ray Frederick L. McLean, M.D. LaSala, D.M.D. J. Jean McNair John Reamer Lane Jr. . D.M.D. Kenneth Kirby Hutchinson, D.M.D. William Frederick Lindsey, Robert Daniel Golden, D.M.D. John J. Hyers, M.D. Werner A. Ronald E. Goldstein Robert Paul Jacob Allan Goodrich. M.D. IVAC Corporation Susan Carol M. Goodson, D.M.D. Billy J. Roy Goodwin William Neal Jackson, B.S.N. Georgia Society for Respiratory Therapy Women Power Co. of Georgia A. Harry Germagian, M.S. M.I. John A. Gervase Hugh H. Gibson, M.D. M.D. Isbin Sylvester Giddens. GarnettJ. Gieslerjr, M.D. Raymond Hugh E. L. Gilbert Jr., M.D. Gleatonjr. M.D. Janette B. Goldberg Sally M. Goodwin Jackson W. Deveraux James Furman Gowen. M.D. Harold George GPC Robert J. A. Judson Graves. M.D. Arthur Richard Gray Lowell Jr., M.D. M. Greenbaum, Ph.D. Herbert Greenwald Jr., M.D. S. James R. Gregory M.D. Sr.. Grice's Butcher Shop Inc. Joseph W. M.D. Griffin Jr., Thomas Andrew Nancy E. Gunn III, Gulick Meadows Kenneth J. Mello, D.M.D. Quentin T Lawyers Title Lawson, M.D. David John Lehmiller, M.D. Roger Lenox Optical Microscope Service I^eon Inc. James Leonard. D.M.D. Larry Miller Jay Alan Levin, M.D. Life Systems. M.D. M.D. M.D. M.D. Lockman, M.D. Martha Goddard George Lovell. M.D. C. Lynch, C.M.I. Aurelia S. Jernigan Jo Stanley Jones. Jr. . M.D. Jr., M.D. Lyons. M.D. D. Scott Macleod, E. Insurance M.D. Sr.. John Buck Morton, M.D. The C.V Mosby Company Robert Burgess Moss Jr., D.M.D. Thomas H. Moss Jr., M.D. Youssef Mouna, M.D. William B. Mulherin, M.D. Arnold P. MulkeySr, M.D. Kenneth L. Madge Mag Mutual Moores Morgan Jr., M.D. M.D. Mullis, Muro Pharmaceutical M.D. David L. Maddox, D.D.S. Gordon M.D. Garland Frank Jones Mane Russell Ray Franklin G. M. Elizabeth Morgan, M.D. Anne Burnett Morris, M.D. M.D. Jack Vincent Lyons M.D. Montgomery David H. Moore Lott. M.D. David Richard Montgomery, M.D. Sylvania Lions Club S. III, James W. Mitchener, M.D. Makoto Miyamoto, M.D. Janet W. Robin Markovits Jensen, M.S.M.I. Henderson Johnson Jr. William T. Minter Martinez-Evans Lions Club Edwin Hansford Lynch. M.D. . Oscar M. Mims, M.D. Alexander R. Mitchell. M.D. Inc. Linz. Repair Ph.D. Mills, Dr. and Mrs. Martin G. Levine, M.S.M.I. Gloria L. Lewis, & MidState Golf Cars Thomas M. Lydia Sunday School Class Jr. Meyer, M.D. Robert H. Lester, M.D. Faith Irby Jenkins, B.S.N. William Dickson Jennings P. Fred A. Levin, M.D. Howard Lovett W. Thomas Jenkins. M.D. Merchant, D.M.D. Virginia A. Charles A. Meyer Jr., M.D. AllynM.Lay, M.D. Ruby Louvier M.D. College of Business Hubert W. Merchant, D.D.S. Insurance Corporation Robert Norman Lowe. D.M.D. F. M.D. Aubrey Lanier David M.D. McRae. M.D. McShane, D.M.D. B. Jack Lawler, M.D. Thomas M. Jarrell Sr., Jarrell. Duncan Patrick Kendall Frances L. Livingston, M.S. M.D. Jarratt. Staffan C.G. Johnsson, Nathan M. Grossman, M.D. Col. Marshall A. Guill M.D. Robert Langston, M.D. Jenkins County High School B. Murray Grossan, M.D. Jr.. M.D. Ivey Jacobs, Robert L. Gordon, D.M.D. Civil/HVAC Sec. Plant Vogtle M.D. Silvio Introna. McLeodJr. M.D. Kenneth Arthur McMillan. D.M.D. Betty M. Golden, M.S.N. General 0ffices/3M L. Wallace N. Hayne Lamar Steven R. Goldberg Joseph M. Garrison. M.D. McKinney, M.D. Mr. and Mrs. Rick Kuester Robert B. Lamar M.D. McKie, M.D. Virgil C. Company Mary Kate MacMillan Hires, M.D. Mr. and Mrs. Melvyn F. Holley Albert S. Hollingsworth Jr., M.D. Charles Holmes Mary Louise Holmes William D. Holsonback, M.D. Walter F. Homeyer Jr.. M.D. Sara Goolsby Hoover. M.D. Ralph D. Hopkins Jr., M.D. William Columbus House, M.D. William R. Howard, M.D. Donald E. Hubbard, M.D. David G. Hughes, M.D. Jesse Lindsey Hunt, M.D. Morris William Hutcheson, M.D. David D. Garrison John Lewis McKie Krauss, M.D. S. McGhee, M.D. Phillip L. John Clay McHugh, M.D. M.D. James G. Kuhns, M.D. L. Hinely Jr., M.S.M.I. of Physician Assistant McGahee Jr.. M.D. David OtisMcGee, D.M.D. Paul J. Department Helen A. Korn Winnie Claire Hicks, M.D. Lewis of Pediatrics Faculty Ollie Odell Charles B. Herron James Wayne Department Medical College of Georgia Kroger 368 Julia M.D. M.D. III, Steven Jay Koehler, D.M.D. Jonathan Henderson Ronald Selman Gable, M.D. William H. Galloway, King Knapp, B.S.N. Russell H. Kramer. Thompson Brian B. Gallagher. M.D. F. H.J. William Jackson Henderson, D.M.D. A. Gailey Jr., M.D. B. Frances Mary Morgan Heimburger, M.D. Heinz Company Foundation Darrell Fulmer Jr. F. Spencer Elizabeth Heinz U.S.A. B.S.N. Harry Frohman School of Medicine— Dean's Office Medical College of Georgia Fred Ray Knickerbocker, M.D. Heam III, M.D. B. Aubrey Fred Hedrick Jr., D.M.D. Shirley B. Herbert Haywood, D.M.D. B. King, M.D. P. Charles Robert King, M.D. David L. Hearin, M.D. Co. of Georgia McEnroe John W. Harte Alexander T. Inc Murpheyjr., M.D. H.Jack Murphy, M.D. Company Hurley D.Jones Jr., M.D. Charles G. Magnanjr., M.D. Robert W. Murphy, Darrell W. Murray. Jr. M.D. Warren Jeffrey Jones Jr. M.D. Richard L. Magruder Jr., M.D. Marlon E. Murrell, D.M.D. James E. Haddadjr., D.M.D. Stephen M.Jordan. M.D. Donald Hubert Manning, M.D. John Dorothy Augusta Hahn, M.D. W. Marion Jordan. M.D. John Arlie Mansberger, M.D. Elmer Anthony Musarra Mohamed Allan Marks Jr. David R. Myers. D.D.S. , Riad Hajmurad, M.D. W. Knowlton Hall. Ph.D. John Thomas Hammond M. Josephson, M.D. N.S. International, Frederick W. Martin. M.D. Omar Abdallah Rufus Russell Martin Jr., M.D. Jane Maxwell Neal P. Mason Massey Burch Investment Group William John Neglia, Master Mailing Service, George Joel Nelson, P.A. M Kaplan, M.D. CarlV. Hancock Sherwin Douglas Katz. D.M.D. Kiyoshi Kawano, M.D. Robert A. Hand James Sr., M.D. Bruce Harden, M.D. William E. Harden. Willie Alice Kay Jr., M.D. B. Robert R. Keimjr., M.D. M.D. Alex Rennie Kelly Harden Arthur G. Franklin Douglas Harkrider, M.D. David Kelly, Elliot Jr., M.D. M.D. Kent, M.D. Henry Wilbur Harper Jr., M.D. Lowell Osmah Fred Jason Kight. M.D. Paul Elias Harrell. Howard Harris. Sterling Adair Harris Tom M.D. M.D. Jr.. M.D. Harris Keppjr, M.D. J. Masanori Kikui, M.D. Sarah Helen Killgore. B.S.N. Ann Kilpatrick Mr. and Mrs. David Harrison William H. Kilpatrick, Steven J. Harrison, B.S.M.I., M.S.M.I. Kimberly Clark Corporation 22 Medical College of Georgia Today M.D. Wilson Inc. Najjar, M.D. M.D. Donald Bryce Nelson, D.M.D. Neuren, M.D. Kent Michael Mattison, D.M.D. Alan Stephen C. May Jr., M.D. Prawat Nitiyanant, M.D. JohnD. McArthur, M.D. W. Harold Nixon, M.D. JohnM. McCord. M.D. Larry Patrick McCord. M.D. Augustus A. McCravey, M.D. Sean F. McCue. M.D. James Stuart McDaniel, M.D. Howard C. McDermid, M.D. Donald A. McEachem. M.D. Andy McElmurray M.D. LTD JabezO. Marshall, M.D. JackH. Hancock Jr., D.M.D. Clifford II, Walter W. Kanter, M.D. Flyman M.D. Murtagh Mr. and Mrs. Warren Kaine Masato Hanada. M.D. Jr., Pierce E. P. P. R. David Noel, M.D. Thomas Campbell Mr. and Mrs. J Nolan. M.D. L Norris Christopher Pollard North. D.M.D. James E. Nutt, M.D. Richard Lamar Nutt Sr., M.D. Gerald A. O'Connor Norris L. O'Dell. Ph.D., D.M.D. Mary Hamby O'Quinn, M.D. Petersburg Racquet Club/ Phillip A-Team Charlotte O'Rear Harry Barron O'Rear, M.D. PGA Tour Investments, Kim Diane Robert Thomas Pierce, D.M.D. Thomas N. Pirkle, M.D. Oakley. B.S.N. Albert Grady Oliver, M.D. Joseph L. Oiler. Joel Candler Pittard, M.D. Once Only Club Wood William James M.D. Leland L. Pool. M.D. Orrjr., John Charles Pope III, Allen D. Smith, Mann Ray Roberta Foundation Robinson Skin and Cancer Clinic Cason Conrad Smith. M.D. Chester Morgan Smith Jr., M.D. Rodney M. Cook Agency Gerard Norman Smith. D.M.D. Mary Ann Sprawls Rogers. Joel P. James , M.S.N. D.M.D. NormanJ. Smith, M.D. D.M.D. P. Rollins, Smith Jr., M.D. L. Travis Smith, Susan M. Pope, B.S.N. Barrett Frank Rosen. Clark Lamont Osteen, M.D. Bernard Portman, M.D. Francis GailM. Osterhout, M.D. James M. William Q. Roundtree Harvey G. Ouzts. M.D. Michael E. Powell, M.D. James Ralph Glen Owen, M.D. Leander K. Powers, M.D. Roger R. Rowell, M.D. William Sidney Smith, Frank Graham Pratt Jr., M.D. Rowland Trucking Joseph Snitzer Elizabeth Jeanne Prince, PT. James Roy Rowland Jr. M.D. Lisa D. Snoddy, B.S.N. Susan Q. Sand Willard A. Snyder, Richard Tilden Provine, D.M.D. Malcolm Maynard Sayre, M.D. DavidS. Sowell, Elton S. Osborne Jr., M.D. Owens Jr. M.D. William Franklin , M. Oxford. M.D. William Andrew Packo, William L. Pritchard, Jr. Fred Alvin Padgelek, D.M.D. Edward M.D. Potts, D.M.D. M.D. Randolph R. Smith. M.D. Rossiter Jr.. M.D. P. L. Routon, Richard Curtis Smith, M.D. Samuel R. Smith. M.D. III M.D. Sidney 0. Smith Jr. , M.D. M.D. III, M.D. Clyde Smith, M.D. Robinson, M.D. S. B.S.N. PA. Juanita Sirmans John Franklin Sisley Noreen King Poole, M.S.N. Ortho Pharmaceutical Corp. Rigdon, D.M.D. Toivo Egon Rist, M.D. Robert D.M.D. Gail V. Plauka, M.D. Orrington, D.M.D. L. Inc. Edmund Geraldine Rinker, M.S. III, M.D. M.D. M.D. M.D James E. Pruett, M.D. James Schear. Ph.D. Mr. and Mrs. Carl R. Sparks Palmer Course Design Company Charles V. Pryles. M.D. Sarah H. Schuman Kam M. Edward E Palmer Jr., M.D. Carol John D. Palmer Pryor's Inc. I. Robert L. Pulliamjr., M.D. G.D. Searle Company Nancy H. HokeC. John L. Stapleton, M.D. Paul William James P. Pafford, Pannell. M.D. Allan Panter, P. Pryor, M.D. Quattlebaum Jr., M.D. Julian K. Parkman Leonard William Charles Parrish Sr., M.D. Mr. and Mrs. Howard Parsons Eula H. Pate Rogers, M.D. Julius Rabhan, M.D. Harlan Stephen Patterson, M.D. Parshan S. Albert W. Ray Jr., M.D. James A. Redfearnjr., M.D. Reeder Jr., D.M.D. 0. William Kenneth W. Reeves, M.D. M.D. RosalynF. Peach State Chapter C. Martin Lamar William H. B. Peacock, D.M.D. Ramsingh. M.D. Donna Maria Pavek, B.S.N. Titus D. Payne, M.D. Mark Eugene Peacock, D.M.D. M.D. Segars, James H. Segars Elliott C. Sr., Reilley, M.D. Rhode, M.D. Gowans M.D. T. Stafford, M. Harlan Staible, Starr, M.D. Betti Jo Steele, M.D. Williams S. Allan Stocks. Siegel. M.D. Curt M. Steinhart. M.D. Barbara Shine Jerome H. M.D. Susan M. Steinberg Andrew T. SheilsJr., M.D. Wayne C. Sheils, M.D. Enid Shepeard, M.D. Edwin C. Shepherd. M.D. Carl Willis Sherrer, M.D. Kenjiro Shirasawa, M.D. PA. Gerald Wayne Statonjr., M.D. Serotta M.D. Henry Stephens, D.M.D, Wyndel Murray Stephens. B.S.N. Larry' Ingrid Stergus, M.D. Sterile Design, Inc. Dean Steward. M.D. M.D. Joseph Stoker) Robert H. Shirkey Rhodes Jr., M.D. Sreeram, M.D. Inc. Chester Elizabeth Davenport Sharpe. Rainwater, Rachel R. Paulos M.D. Gene Schwarz, M.D. Kamla Shah, M.D. of Thomasville Payne. M.D. SSI William H. Sessions, Thomas J. Schwartz Radiology Association Michael Paul S. John B. Rabun. M.D. John Warren Patrick, M.D. Dolford Franklin Payne Jr., Louis FredNeal Pylantjr., D.M.D. M.D. Dorothy B. Parkes James Graham Virginia H. Stone Gary Edward Stough, D.M.D. M.D. M.D. Silver Bluff High School George Gregory B. Richard, PT. Michael D. Simmons, D.D.S. Avery' Mr. and Mrs. Tony Pennington Stephen Norris Robert W. Simmons, M.D. Willette Hendricks Strickland. Weems Department WilliamJ. Peeples, M.D. R. Pennington, M.D.A Martha Douglas Perkerson, M.D. David E. S. Perling. Owen M.D. Perry HI Joy 0. Pern- Walter Rice, M.D. Richie. D.M.D. of Family and Children Colquitt Sims Jr.. M.D. Fayette A. Sims Services III, S. Stretcher, Wade Strickland, B.S.N., M.S.N. David G. Stroup. M.D. M.D. Robert R. Ridgway, M.D. Mr. and Mrs. Leroy Sims HalS. Stubbs, M.D. Charles Lewis Ridley Jr., M.D. Richard L. Singletary Jeffrey Lambros C. Rigas. M.D. Charles K. Singleton Sr., M.D. M.D. Robert Stump, D.D.S. Hubert McCrary Suber, M.D. Annual Report 23 Marcia Myers Suber, D.H. Terry Norton Tumlin, D.M.D. Robert M. West, M.D. Woodgate Garden Club Joseph Thomas Sumralljr.. D.M.D. Michael D. Turner, M.D. William Bernard Westwood, M.S. M.I. Gerald W. Woods Richard Sundberg Twin City Lions Club Gordon Edwin Wheeler. D.M.D. BolanP. Woodward. M.D. Support Systems Peter John Ulbrich. M.D. Carl Davis Whelchel Barbara Jean Utermark, D.M.D. Mary Beth Caroline Swanson Sweet Wiles, M.D. III, Mr. and Mrs. John Valleylab Inc. Walter Whitener Wilfong Henry M. Sykes Sylvania Junior Women's Club M.D. Mr. and Mrs. W. Van Der Zalm Dorsey Lee Van Horn, D.M.D. Syntex Laboratories Johnathan Robert Enc F. Paul Swinson, William W. Vallotton, D.M.D. Jensina Inc. P. Vansant, M.D. M.D. Alfred Wilkinson David C. Williams Jr., Stephen Thomas Worsham, M.D. III, M.D. Debra Miles Williams, M.D. Yamaha Motor Corp., U.S.A. Kim Howard J. Williams Jr., M.D. W.L. Yeager Jack B. Williams, M.D. George G. Young, M.D. JohnL. Williams. M.D. Frederick E. Youngblood, M.D. Robert Eugene Tanner. M.D. Albert Volpitto, Dennis Taylor W.V. Wall and Sons Inc. Babs Wagoner Kathryn G. Williams, B.S.N. Harvey C. Walker, M.D. Louis A. Williams, M.D. W. Thomas M. (Employees) Stovall Walker Williams, Willis Timothy Thigpen. A.S.R.T. S. Bradford Reed Thompson, D.M.D. Walter Gamewell Watson, M.D. Olive B. Wills W. Jackson Thompson. M.D. Gary Lane Watts, D.M.D. Frank C. Wilson Joey Threatte Gary A. Waugh, D.M.D. Winthrop Pharmaceuticals WBBQ Wolf Camera and Video BillupsP. Tillman. Trust M.D. Sr., Company Bank Trevor George Williams, M.D. Washington Lions Club Gary Benton Williamson, M.D. Watson Distributing Co.. M.D. Jack K. Tippens. M.D. William Victor Tomlinson. M.D. Ralph A. Tillman Jimmy Walker, D.M.D. Hilton FrazierWall, M.D. Roston M. Williamson of Middle Georgia Inc. Edgar Watson, M.D. Irwin Allen Webb Jr., M.D. M.D. Ensey James notification to: Phillip Willis Medical College of Georgia Today If errors are found, MCG Donor Information Jr., M.D. 30912. We wish to apologize for any inconvenience caused. It is Wong the goal of this publication to give a special who Wood Jr.. M.D. cial MX "thank you" qualified for giving club. to those membership Every gift, donors in a spe- regardless of size, is sincerely appreciated. tions in the small-campus category. The award recognizes achievement in facilities management at college and university campuses. summer. 1,400 member institu- to verify Office; EA-100; Augusta, Georgia Leesa Barnes Woodall, this been made we would request prompt however, James Allen West. M.D. and Colleges 1987-88 donors. Charles E.Willis Jr.. M.D. William A. the Association of Physical Plant effort has the accuracy of this listing of the Charles S. West Jr., M.D. MCG was selected from more than 24 Jr., Every M.D. Marcella DiVenuto Wood, M.D. The Medical College of Georgia Physical Plant received first National Award for Excellence in Facilities Administrators of Universities Jr., Charles Robert Weber. D.M.D. the Management from Wendell Heibert Williams M.D. B. Yancey, Apologia M.D. The Periwinkle Cottage The Frame Shoppe The Instrument House Inc. The Tom Clark Company Thomas L. Theus. M.D. Washington Lodge No. 7 V. George H. Williams Voiture Locale 719 E-Z-Go-Division of Textron Wynn, M.D. Wynne Jr., M.D. Conrad Beverly L. Tanenbaum . William Winfrey David R. Williams, M.D. Curtis Franklin Veal Sr., John Lewis Taylor Jr. M.D. Michael Ralph Worthy. D.M.D. M.D. Ralph George Talman M.D. Woody Workman Mr. and Mrs. James H. M.D. W. Clay Adamson Jr. (above) is the plant director. Wesley Covitz Dr. He is looking for causes. wants to know why he sees changes in the hearts of patients with sickle cell anemia. Sickle cell anemia is a disease in which defective hemoglobin causes oxygen-carrying red blood cells to lose round shape when the their cells give up their oxygen. The resulting sickle-shaped cells clog the body's blood vessel system, causing pain crises, weakness, organ damage and even death. Dr. Covitz, pediatric cardiologist at the Medical College of Georgia, is looking specifically at the effects of disease on the heart and causes this for changes. ' you see that 'All in childhood you if are not a cardiologist looking in a very way detailed whose dual at the heart is an indivi- physical performance is impaired," Dr. Covitz said. ' 'You have to get oxygen to your tissues when you to increase exercise so you have A your heart's output. normal individual who goes from a resting state to a strenuous exercise state has to triple his cardiac output. Sickle cell patients already have a 50 percent higher output just sitting chair. in a Strenuous exercise requires such a high cardiac output that their is strikingly reduced," work capacity he said. The heart's inability to significantly increase its output might go routinely unnoticed. Sickle-cell patients get good at covering up for lack of stamina by not putting themselves tion where sustained in a situa- activity is required. But they significant life. Dr. Most tire more easily. "It has a impact on their quality of of us judge who we are by Wesley Covitz measures Yvonne she rides Harris' blood pressure while a stationary bicycle. Digging Deeper Annual Report 25 ' ' ' what we can do. Physical performance can be anything from being able to participate in sports, dancing up a storm on Saturday night, trying to hold down a job or just getting along,' Dr. Covitz said. When Dr. Covitz began taking a closer look at the hearts of these he found changes patients, in the heart occurring as early as three months He of age. has seen dilatation (enlarge- ment) of the heart's main pumping chamber, the left ventricle. The heart has to eject more blood with each beat because the blood ejected does not have adequate hemoglobin. "What happens in infant studies is that the heart's contractile strength seems to be impaired transiently.' By adolescence, their heart muscle has increased in size and strength because of the extra work. In some patients, however, the contractile become strength of the heart can abnormal. There are signs of injury to the heart from inadequate oxygen. The heart walls get so stiff harder for the ventricle to blood on each beat. The it is even with heart ends up accepting and ejecting so that it fill much blood gets muscle-bound, making the heart less flexible and ejection even more ' MCG, difficult. 'There is a lot of acceptance of the indirect effect of anemia," Dr. Covitz "(But) said. malities that much be explained by just the to anemia we feel that the abnorwe have found are too itself. We believe sickling actually and the heart muscle that the myocardium is injured by the theory and one that Dr. Covitz may end up But he intends to know one way or the implication that if a direct can be identified, treatment devices to see exercise-tested. effects of sickle cell anemia. If so, MCG also participated in the larger Lung and Blood Institute, cause possible. "What I would accomplish like to do, this in the next if I can five years, do something that will allow these people improved physical performance," Dr. Covitz said. is to 26 which just Medical College of Georgia Today at MCG, was on the 10-year MCG. Dr. Milner is Dr. Covitz injects a radioactive while patients exercise to capacity. He measures look specifically at sickle cell patients age 35 and older and problems cardiac output, dilata- and contraction of the ventricles and heart wall thickness. "So you get a complete profile, not only of what they can perform, but how they extending his study to patients can be safely if substance so the heart can be viewed tion Dr. Paul F. Milner, professor of grant at may be complete car- Electrocardiograms and echo- 10-year national cooperative study principal investigator is in for cardiograms are used as screening documenting the are an indirect result of anemia or His main reason for questioning this come tions. an offshoot of a is pathology and medicine they have a more direct cause. Patients sickle cell anemia. the other whether the heart problems if study. diac histories and physical examina- concluded. disproving. are done on each patient in the heart heart abnormalities associated with study, funded by the National Heart, sickling effect as well.' It's a are participating in a study defining the This study causes some clogging of the capillaries of the Yale University, Cornell University and Columbia University deliver it and, if they fail, which of their adaptive mechanisms has ' failed. 'If the patient exercises and his with blood, as the exer- associated with their major organs: ventricle the heart, lungs, liver and kidneys. cise increases, the ventricle has to Meanwhile, Dr. Covitz, is following about 100 patients with sickle cell anemia as part of the focus on the heart. Two studies, five years apart, contract fills more forcefully. In the patients that can't deliver, the heart impaired, contraction and ejection is becomes reduced. less is fibrosis or infarction in the heart muscle. Dr. Covitz noted that a recently reported study showed that on autopsy, evidence of infarction or was found fibrosis percent of in 17 teen-agers and young adults with sickle cell disease. "So the whole thing wide open. is pet project of mine to try It's sort of a and prove that theory. your studies you design If you may prove well, yourself wrong." But he keeps exploring. A unique population in south Georgia has a combination of genetic disorders alpha thalassemia and — sickle cell anemia. This alpha thalassemia modifies the sickle anemia so cell that these people have sickling of cells without the anemia. This population affords the perfect opportunity to see if the well- documented changes the hearts of in sickle cell patients are an indirect anemia or result of the caused by if they are sickling. Dr. Covitz already believes he knows the answer. "We show are going to test them and that even though they are not some of these show which ones they have compared to sickle cell patients of the same age and sex.' If Dr. Covitz can show that the anemic, they still have abnormalities and ' 'That is a response we see Dr. Covitz and medical technicians John Greene and Bonnie Hadden study Ms. Harris' computer readout. in patients without sickle cell anemia, but with coronary disease," Dr. Covitz said. To abnormalities are a direct effect of his surprise, these patients, it he has noted that may in not take a muscle-bound heart for the ventricle to get stiff and ineffective in doing its job. He expected ventricle not wall was the explanation for the filling thick well to and so too be that the rigid to pump effectively. "But there were patients who had the same situation and the wall wasn't thick. So the poor relaxacould not be explained stiffness or tion of the wall solely by thickening," Dr. Covitz said. This observation seems to support Dr. Covitz 's beliefs about direct causes. He theorizes that the tiny capillaries which are fed by the coronary arteries These plugged capillaries can't be approaches to treatment. viewing the heart visualizes the coro- drug that nary arteries and these main arteries heart which may be improved exercise performance So clear, Dr. Covitz said. Dr. Covitz also is using MCG's magnetic resonance imager (MRI) to study hearts of sickle cell patients. These studies are beyond the scope shoot of the 10-year NHLBI study. But that study also only addresses He wants to thicker. allow filling them of the to have for a am talking about getting up and going to work, going to school, playing ball or going out on a date. Being alive." Also, it if sickling is the problem and can be determined damage is done at if what point to the heart, patients understand the mechanism for the gram heart changes with an eye toward blood with blood that does not contain intervention. sickled cells. we presume that there is clogof vessels, we can presume that "If there are areas of the heart muscle are not always I will possible to give a the could be put on a blood exchange pro- which may explain why the heart walls when they time. may be it will effect the effects on the heart. ging stiff "I think of the cooperative heart study, an off- are clogged with sickle-shaped cells, are two sickling, there are at least viewed even with cardiac catheterization because that common method for that might be damaged," he The MRI can said. visualize areas of that replaces some of their own 'That might reduce wear and tear on the heart and might add 10 years to their lives. I don't know. That is the kind of question we will be asking.' ' ' —Toni Baker Annual Report 27 Labor of Love Dr. Ralph McKinney was warned as a student that teaching would never be as lucrative as private practice. But he wasn't motivated by money; he was motivated by the love of academia. I JB Mhen Ralph McKinney IJIm WM Mm m mm opened his eyes. Dr. McKinney wasn't told his dental school new professors he thought teaching assistant he'd like a career as a Bowling Green State University and to teaching— he was a student former teacher was Dr. Judson C. Hickey, the recently retired founding dental educator, he didn't get a lot of an assistant instructor of dental encouragement. 'They told me hygiene at Ohio State. But the experience showed him there was more to dean of the School of Dentistry. "I came here because I knew Jud Hickey at Ohio State. He was one of my teachers and I admired his thoughts as a teacher. He had a lot of dental education than he'd perceived innovative ideas in dental education never drive a Cadillac," said the chairman of the ' Department I'd of Oral Pathology at the Medical College of Georgia School of Dentistry. 'And they told ' me that at in biology at Ohio State, and he realized his true That ambition led him from Rocky I should try private practice for a while.' River to the University of Rochester Try he did. From 1961 to 1965, he had a general practice in Rocky River, in Ohio, a suburb of Cleveland. Nevertheless, he'd been bitten by the teaching bug, and when the oppor- tunity arose at a nearby college, he became an assistant clinical professor of operative dentistry at Western Reserve University's School of Dentistry. The time he spent 28 New Western really Medical College of Georgia Today I thought were different, that own thoughts on I And I had my dental education, too.' fellow in pathology teaching medical During dental school, Dr. McKinney had taken some mental notes. He York. There, as a postdoctoral students, graduate nurses and knew what graduate students, Dr. McKinney experience as a dental student and he believed he would get the best educa- intended to and educating. He stayed in Rochester for five years, and in 1970, a teacher he'd admired from Ohio State contacted his students. tion in training him about joining the at that found very interesting. ambition. faculty at the MCG School of Dentistry. That he'd change about his make things different for "I would have changed the ability to talk with the instructors," he said. 'When I was going through, it was very difficult to get help. I remember ' feeling totally lost, and I thought there Dr. Ralph McKinney discusses career amid memorabilia of his trips to the Grand Teton mountains in Wyoming. should be a way to handle student disease problems, to work with them and encourage them." "We Consequently, the Department of Oral Pathology has an open-door policy. Students are told early quarter to call their in professors at home or to make office appointments when questions arise. ' 'The important thing is that our not well defined,' disease together and put ' the is it ' in their own let a members mentor to as a each of "I try to stimulate the faculty to be achievers, creators, to set goals. class) because the lectures are good, and He is them. McKinney said. 'We want them to come (to they tries to unite the depart- five faculty team, and he in a lecture format," Dr. ' McKinney ment's words.' 'We approach teaching do.' things to improve our curriculum. After 18 years at in for We ways get I education, Dr. MCG and 35 years McKinney is glad he didn't get discouraged by his dental school professors. enjoy education because of the the students. feedback from the students and then 'We go in and tell the students what's expected of them in each course so they can anticipate the quarter," he said. try to be creative with our diversification. approaches," he the same; they each hold different ' Dr. McKinney thinks teaching pathology requires a creative approach. ' 'Pathology is different than other subjects. It's not well defined because said. Aside from teaching responsibilities, help them with their career direction, help them understand what it takes to make it in the academic realm." also thinks educating requires a good deal of listening. "We're constantly looking as well as interesting, for said. the students number-one constituency is our students," he said. So he tries to keep fair, he try to bring the aspects of ' 'I No two days are ever challenges. There's the opportunity to the Department of Oral Pathology has share knowledge with the next a consulting and biopsy service. generation of the profession and the They're also busy with oral cancer and oral implants research. It's a busy department, like many in an academic medical center. But Dr. opportunity to grow in terms of scholarly activities.' But he doesn't have a Cadillac. —Karin Calloway Annual Report 29 Travelin On the road again. Dr. Donald G. headed Dr. Murphy Man is to Milledgeville, Ga. His mission there and throughout Georgia is to ask the prac- nurse and ticing doctor, dentist, need to keep abreast of their respec- tive professions. Then he College He how the Medical of Georgia can meet the need. figures out travels with a ence, a briefcase head full full of experi- of continuing education offerings and an old milk case full of files in the back of his van. His first call that day is on Dr. Luis Samper, a pediatrician and coordinator for the Baldwin County continuing education program. Dr. Samper's face is a familiar one. Ongoing continuing education needs of this health care community bring MCG faculty to town at least every month. 30 Medical College of Georgia Today is throughout Georgia with Georgia's He is assistant director of extension services for the Dr. Samper takes time out the traveling link that health sciences university. allied health professional what they want or Murphy connects these types of needs of his MCG Division of Continuing Education. This job makes him part salesman, busy patient schedule to see Dr. Murphy because he appreciates the ambassador, marketing specialist, need computer operator and traveler. for continuing education. "I am extremely grateful for these programs you do for us,' Dr. Samper said. They help the medical staff keep abreast of the real advances in medicine and basic science, he said. Later that day, Dr. Murphy calls on Baldwin County Hospital and an MCG alum, Dr. James W. Mimbs, who is chief medical officer and director of ' medical education at Central State Hospital. He shows the latest in MCG's con- tinuing education wares and asks how MCG can meet the hospitals' needs. "I think our mission continuing education is is to see that available to the health care providers in Georgia regardless of where they are. 'My particular mission, for those who don't often leave their practice, ' the solo practitioner who stays there and works year after year after year and doesn't take much time off, is to bring him the best through our faculty in his location at a time and a place he designates. ' 'In other words, we are providing up-to-date information to him with the Donald Murphy discusses continu- Dr. ing education programs with James Mimbs W. on least effort in Dr. his part Dr. Mimbs' office. and the least love his job too He disruption of his practice.' Murphy's job Dr. a unique one. is In fact, as best the possible. is Continuing Education and the Accredi- new dure to a group of specialists, and back roads of Georgia. mean Experience has taught him he can Medical MCG is the only Murphy visits. may mean teaching Dr. Murphy rarely makes appointments when he travels the highways Dr. MCG Division of tation Council for Continuing as diverse as the needs of the people much. sure that isn't It a proceit may updating physicians and nurses on the latest in infection control, may mean it school that has a traveling salesman of see most dentists in their offices first thing in the morning, that doctors are teach courses such as advanced car- sorts for continuing education. back from the hospital and diac Education can tell, The salesman averages 25,000 miles a year and wouldn't have it any other way. He likes new horizons. He's a veteran of 21 years Army U.S. the in offices by mid-morning, that the noon hour a is good time to catch hospital support (ACLS). life on (the "It's a lot of extra effort faculty's) part," Dr. Murphy said. It administrators and by the afternoon, may mean juggling doctors and dentists both usually are hundreds of miles in their offices. ing to a relatively small group. He's squeezed medical evacuation flying in their certifying instructors to in between patients schedules, driving in a day and speak- He's sure some people must helicopters in the Korean and Vietnam and viewed mostly as a welcome grimace when he or Norma Robinson, conflicts. sight. administrative coordinator for the was entering my first year of law school in Oklahoma City.' All his friends were being called ' was 1950 and 'It But he does run across physicians I or dentists who program, call. But he brags about are angry with the Medical College of Georgia. a faculty who go help alleviate that situation and then beyond the call of duty in trying to work these continuing education programs into busy schedules. "Without this dedicated faculty, my job would be meaningless and ineffective," he said. That willingness to help combined and figured that would be more fun get back to that physician or dentist or with the diversity of the faculty means than flying a desk. the department will get back to him.' ' to war. The United were losing badly States and the time. at Murphy decided to put in his two years with the Army then go back a helicopter buzzing "It turned out to be a lot of listen to will I him as long come back and go to the appropriate department to around work with the appropriate school and talk .' This But what work. flew into battle to retrieve injured soldiers. He flew flood fire, rescue missions. and moun- He never knew what was coming next and loved it that way, staying on flight status until the was long forgot- part of his ambassador role. am trying to speakers. So About that time, D wight David Eisenhower Army Medical Center was being established as a regional any other sales job, ' Five years ago he made it's a people job. 'We have someone out from the several times every week move in the state,' ' about 24 Georgia hospitals as part of community hospital program. For some of those hospitals, these protheir only continuing educa- I thing different. can work on someI can work with our computer programs. I can go somewhere in the state and speak with people. I can meet someone new.' His wife has told him he just may we have ' 'These talks feel with that need to a size varies for these pro- may be held in a community or 50 physicians. five give your best to a small group,' Murphy said. "But it's Dr. ' a great oppor- physicians will call if face to face so the know someone they they have a question, need a consultation or a referral.' He noted a regular program held Adel, Ga., a small modern community with be geared to hospital and an obvious desire they are dentist can take back to his office the every next morning and implement out of a speaker. practice." Continuing education offerings are to last an hour. Sometimes, four hours those type things that the physician or in his in a to learn. "The program is supposed tion programs. cation. grams can MCG provides regular programs in grams are I education and information.' meet physicians he said. to As such, tunity for our faculty to go out and its the are Georgia's health sciences "It takes dedication to go out and a sales job, but like speaking somewhere MCG Division of Continuing Edu- "Every day it's campus residency programs. Murphy requester find the source that can. Audience our national our faculty to them as to sell the sell programs, our regional programs and national health care organization. Army. He went there in 1974 to open the education office and help build the rare occasion, Dr. help the doctor, hospital or other vide certain things. (Those include) continuing sell education and more specifically con- administrator for a California-based and education center for the On that will responsibility to these people to pro- College of Georgia, to referral MCG providers. were on After retirement, he worked as an rarely gets requests university. tinuing education from the Medical mind. Murphy needs of Georgia's health care ten and education and health care his Dr. cannot meet. "We best suit the continuing education "I then, law school is As a marketing expert and salesman, he's offering the expertise of the MCG faculty in a package designed to day he retired. By and with the chairman or whoever can He saw tain will sit as he wants to talk. school. He "I its allies Don well still going strong. later, They wring last bit of information they can Our people just love to go.' —Toni Baker Annual Report 31 JA m^Bf Bgm onald Wayne C ours on was plucked from his high school peers by a wrestling coach looking to the smallest fill Going for the Gold weight class on his team. The coach and the experience were impressive. Maybe Ron would be a high school coach. Maybe not. "I used to wonder when I was in college," he said. Ron stopped wondering when he learned about a breed called the athletic trainer. "I wouldn't trade for anything," it said the president of the MCG physical therapy class of 1989. In athletic training, sports medicine. requisites for physical therapy. 'Whatever sport you are in, you always have a goal, whether it's to win He worked at the University of Tennessee as a graduate assistant ' Ron works with league championship or to go coaches, combining the opportunity to a prevent injuries the Olympics or to the well-tuned in bodies of athletes with the chance to restore excellent health when injury Every professional team, college When injuries occur, they evaluate, treat and rehabilitate the athlete. work with the food an maximize ' in his health athlete eats to and well-being. 'The vast majority of injuries occur site that can say what is wrong and whether the athlete needs to see a doctor immediately or if it ' can wait,' 'A lot of ' Ron really ade- quately prepared to do that," he said. ' 'And it's not good for a coach to a decision on whether a kid make needs to game when saving his depends on how well the team get back into a job desire to optimize his profes- sional skills led Ron to pursue a Along the way he also worked as an normal Ron lifestyle," exercise technician at Sports Medicine and Fitness Institute in Birmingham, as head student athletic trainer at Samford, as student assistant athletic trainer for the said. The field excites and challenges him. Leagues' Birmingham Stallions and he also took the 27-year-old worked as an amateur athletes each country can at muster. Colts. Ron was an Sept. 17 through Oct. 3 in team really fun," he said of The profes- were just normal people. But with them, he said, it was apparent that sports selected by the United is not only a pleasure, but a business. for the of five physicians and 14 athletic 650 American athletes for the summer games. "I guess it's something you always dream about as a little kid, about getting to go the the Olympics. It's a trainers that served ' of the Indianapolis sional football players Seoul, Committee camp time spent with the Colts. held South Korea. He was athletic training assistant the training "That was athletic trainer for the Summer Olympics which was now- defunct United States Football across the world to the finest once-in-a-lifetime opportunity' does." The a they just want to be able to go back live their program. off-time, Or tional activities they did before. and On weekends and he volunteered as a physical therapy aide at Erlanger Hospital in Chattanooga. athletic to return to their job. Or, States Olympic said. coaches aren't They want It They even competition or practice. You want to have somebody on athletic trainer with the intercollegiate they want to be able to do the recrea- athletic programs now have these athletic trainers. They observe practice, looking for injuries. They use preventive techniques like wrapping and taping to help prevent injuries. make a professional football club," Ron said. "It applies the exact same way to patient. Their goals are just different. transforms athletes to patients. and even some high school little said "His body becomes more important him for that reason,' Ron said. "He has to be healthy in order for him to go out and work.' to ' In the first summer of 1985, Ron taste of the Olympics as got his a selected volunteer athletic trainer for the U.S. Olympic Training Center in the self-described retired athlete. The opportunity was the result of a Ron already has devoted Colorado Springs, Colo. The next physical therapy degree at the Medical lot of effort summer he was College of Georgia. to his profession and to the Olympics. Festival athletic trainer at a national He earned his bachelor of science degree in physical education and event designed to develop and pro- education from Samford University country. "It enhances your credentials. It's going to give me a lot more experi- ence, just a broader education base,' Ron said of the physical therapy degree he is earning. additional training in is And seeking this becoming a trend the world of athletic trainers and 32 Medical College of Georgia Today in Birmingham, then began night course at the University of Tennesseee at Chattanooga toward a master's in work physical education while taking pre- a U.S. Olympic mote amateur Olympics Last year he worked in this in Yugoslavia as a trainer with the U.S. track and team Games. field at the World University has put that that much much work and discipline," applied he said of Olympic athletes. 'They have dedicated themselves to be the very best at something they can be and have put countless hours of work, effort and sweat into it. "I think a lot of Olympic athletes are blessed with natural, God-given talent. But it still takes a tremendous amount of work and desire at that ' because level, it's world-class compe- the very best in the world," the tition, young trainer said. "I'm happy in any way that I can.' Ron to help also sees the athletes as having a task that is perhaps larger than that of the athlete; the role of being an example and a role model for the United States. In July as he looked toward the Olympics and talked about the experi- ence, his itinerary looked like this: Aug. 6 Ron was to Barbara, Calif. the track and , for a fly to Santa mini-camp with field athletes that lasted Then on to Los Angeles for a pre-Olympic stop to check out all track and field athletes until the end of the month. before the flight overseas. Sept. 5 they were to Chio, fly to Japan near Tokyo, for an assembly of the track and field team. Here the athletes got used to the time and climate changes before flying on to Seoul. The Olympic Village in Seoul was designed to offer everything the athletes need from medical care to a post office. Ron, Karen Middleton, an athletic from Birmingham, Ala., and one of the physicians were assigned primarily to the track and field team. They covered all trainer and physical therapist the practices and meets, looking to prevent injuries, conferring with the coaches, evaluating, treating and rehabilitating athletes with injuries, In 1988 he reached the top rung with the once-in-a-lifetime opportunity to work at the Olympic Games. He knew for a full year before the games he'd be working with these premier athletes. This chance will delay his graduation by about six months and was made possible by the flexibility offered by the MCG Physical Therapy Program. Ron is now participating in making sure that pre-competition meals provided the necessary fuel. They also worked in a round-the-clock clinic some designed for the athletes. "It's a once-in-a-lifetime opportu- Ron he extra sports medicine affiliations until nity," he can start school again in January. But all the shuffling appears to be worth it. 'You have to admire somebody who been a boyhood dream. I'm ' said before left. "It's still having trouble accepting the fact that I'm actually going to be able to go.' —Toni Baker Annual Report 33 Dr. Robert A. Parrish (center) operates on child. Jra| nne MM When you correct a congenital Moore Jones has never anomaly in a child, you've got somebody with a potential lifespan of 70 to 75 years. That's nice to know that you forgotten. About being the well-loved Mfmi youngest of three children. About being a mischievous little from Nashville, Ga. far away from had some part girl Advances , home place called Augusta. in a About being an would kill produced miniature and ventilators to breathe for babies made 11- year-old child with a huge malignant tumor that odds said in that.' that intravenous feeding possible widened the scope of help surgeons could offer children. her. Then there were children like Anne. The mass in her belly was a Wilms' "I remember exactly where I was when my stomach started hurting.' She was with her family at her common tumor, a solid tumor of the The grandfather's house in Sparks, near kidney typically found her hometown of Nashville. Her older the child, the less chance of grandfather had been were outside playing. ill. The children They heard Anne cure. He father's house. Hearts pounding, they dormant ' 'When we jumped this ditch, something in my side grabbed me, like when you pull a muscle or something. It started hurting and it hurt until the next day' Her mother tried the ' routine stomach pain remedies. failed. She finally They asked her daughter where it hurt. Anne pointed to her side. Her mother reached to feel a huge lump. It was the beginning of a journey that would lead them first to their family doctor, then to two surgeons in nearby Tifton, Ga. and finally to Dr. Robert A. Parrish and the Medical , College of Georgia. Living Proof When he went Memphis to surgical residency, he added University of Tennessee at Memphis. Dr. Parrish had known almost immediately after he started medical school at that he wanted to be a MCG surgeon. "I liked the idea of surgery, of somebody coming in with an acute problem that you could usually do something about, by operating on them, getting them well, seeing them recover and go home," he said. A required course in dog surgery convinced him, so much so that he spent his summer working as an 34 Medical College of Georgia Today Odds were 11 years old. against her. Dr. Parrish told her parents, Gerald Anne knew the it was touch odds. She'd pretended to sleep while doctors year to his training, focusing on discussed her case before she arrived pediatric surgery and thoracic in surgery. In 1962 he joined the faculty her medical record and saw familiar of his alma mater. words It It was a dynamic time in this The of a recog- larger children's were turning out surgeons the needs of children. specific job to take care of pediatric surgery. "I He wanted like children. the job. There are so many congenital problems with children that can be recognized. .and treated. . Augusta. She also sneaked a look like at tumor and malignant. Maybe it Maybe it was "I really wasn't scared." was because country. was becoming more hospitals for pediatric Two-year fellowships for pediatric surgery began developing. The Journal of Pediatric Surgery was born. Its first editor was Dr. C. Everett Koop. The American Pediatric Surgical Association was founded. Later, a matching program for pediatric surgery fellowships was developed. When Dr. Parrish came back to MCG, he found pediatric surgery patients were seen by surgical faculty on a rotating basis. It was nobody's during his residency training at the But Anne was for his a sixth care for children. surgery radiation rates shot up to about 85 percent. and go. who focused on fallen for pediatric when old University Hospital. goal to provide specialized surgical He'd cent cure rate. Later, and Nancy Moore, that nized speciality. realization of his long-time In the early days, surgical removal of the tumor resulted in a 40 to 50 per- orderly on the surgical wards in the organized pediatric surgery service. was the laid for years. bined with surgery, five-year survival surgery It speculated that her tumor therapy and chemotherapy were com- was March 1973. Eleven months before, Dr. Parrish had been appointed chief of the newly It the oldest child Dr. Parrish has ever seen with this tumor. sirens in the direction of her grand- ran back to the house. still is in babies. of her age. because her family had a strong faith and she was confident of a heaven. Then there was her doctor. "He was kind of like a buddy, a Anne already had been poked and prodded plenty by the time she friend." got to Augusta. She remembers Parrish seeing her for the first Dr. time, dismissing the troop of medical stu- dents and laying his hand gently on her. She remembers fishing Dr. Parrish talking and hunting with her She remembers her a pass so she could eat cafeteria with her mom. She remembers taken father. Dr. Parrish getting in the that the X-rays in Tifton offered little hope the tumor could be surgically removed. ' 'Dr. Parrish said one day to that Anne their Jones, husband Jeff relax at Bartow County home. with quality control for the Cobb County Department of Family and Children Services. She is thinking about going back into social work, possibly with children or, at the other end of the spectrum, a nursing home. She still remembers a tall attractive social worker at MCG who went out to buy her Kentucky fried chicken and mashed potatoes when chemotherapy had robbed her appetite for nearly everything. She, husband Jeff and their two bird dogs live in where they tain the hills of Bartow County moun- fish for trout in the streams, camp, water ski and hunt. Anne seems no worse of her early for the wear life. But the experience left her feeling and a little special. She's thought more than once that maybe there is something she must do with her life. 'There may be just one person somewhere that I could help.' lucky, blessed ' And it has her with a lasting left affection. ' 'If something was really bad wrong I would want to go where Dr. with me, Parrish is. thing and Because he made "Obviously, good,' part ' in it all it fixed every- right." makes you feel Dr. Parrish said of playing a Anne's story and other suc- cessful outcomes. But as those stories yield big gains, unsuccessful ones net big losses. "It's hard to see a child die. You never get used to quit," he said. it. If I ever do, I'll "If it were all left up to us, it would be very, very depressing at times. But we've got help from nursing practitioners, particularly in oncology, that play a vital role in emotional support." This is care also when the team approach to becomes an emotional sup- port group for families and health care providers. 'We have a lot of help. Without them, it would be difficult." Help has grown significantly for the ' Momma, 'Well, miracles out of the "scrawny" do happen.' My mom very strongly believes that as Dr. Parrish said, that it was a miracle that they were even able to operate much less that I am running my one kidney happy as around with lark." When Dr. Parrish took the tumor a 11- year-old, the tumor was large enough to hold in his two hands. Working with Dr. Dorothy Hahn, courses of chemotherapy and radiation therapy were carried out. Today Anne is a 27-year-old social worker by training who is working care of these pediatric patients at MCG since Dr. a faculty Parrish's early days as member. After he began the pediatric surgery service in 1972 , Dr. Parrish esta- blished a 25-bed pediatric surgery nursing unit so the young patients Annual Report 35 ' ' could be grouped. Two Hospital in 1980. years later he residents to rotate through the was back. Now Drs. Parrish and Howell work as a team, dividing up pediatric surgery service. Several of cases and taking He made it possible for surgery the residents have been prompted to go on to pediatric surgery fellowships. Dr. Parrish is who wanted to secure proud that any resident a fellowship has been able one of the competitive the residents who have helped hold Dr. Parrish in an academic setting for ' 26 years. get a sense of accomplishment 'I out of thinking I might have had something to do with training young people to go out and do good first Dr. Parrish eight of his was the only 26 years, pediatric surgeon at MCG. Then in July 1978, Dr. Charles G. Howell, a general surgery resident, was made MCG's first special pediatric surgery fellow. He was given faculty status in 1979 and selected for a pediatric fellowship with Dr. 36 Koop at Philadelphia Children's Medical College of Georgia Today of 1989 a third Robyn Hatley, will return to MCG after a two-year fellowship at Charles G. and family medicine intern Stacie Wong confer about a patient during rounds. grown from a rotational serone-man show to, hopefully, a three-man show," he in trauma patients, cancer patients, neonates with congenital defects and so on. I got some help," Dr. Parrish chuckled. ' 'I think we are bulging at the seams now," he said, noting the phenomenal growth not only in pediatric surgery but in the burgeoning Departof Pediatrics with it has become very obvious utilize that space as a children's A needs assessment for the children's medical center down and is its many winding a master plan for the center already has been developed. "We in that in have a real neat situation here the town private practitioners pediatrics are general pediatricians and the medical school faculty are largely subspecialty pediatricians. think that combination will right ment think more space, but we could better many forms: in "I'm glad 'I everybody that we not only need hospital." said. The numbers also have grown from no more than 200 major procedures a year to 600 major cases per year for Drs. Parrish and Howell. Growth has come ' to it's vice to a subspecialists. Chicago Children's Hospital. increases surgery.' For the summer the left), Howell, senior resident David Rogers pediatric surgery attending, Dr. "So positions. It's By call. Drs. Parrish (from make We a tremendous attraction for a children's where we can all put the children in one place and work facility together.' —Toni Baker Medical College of Georgia Foundation, Inc. Board of Directors Chenault W. Hailey, M.D. Offiicers GA Atlanta, Term Expires 1990 James H. Hamilton, Director Community Bank Marketing & Product Development The Citizens and Southern Corp. Atlanta, GA Harold Harrison, M.D. Atlanta, GA M.D. William C. Collins, 1991 Atlanta Atlanta Robert A. Matthew, M.D. M.D. Albany, GA Term Expires 1989 W. McEver, Jr. M.D. Warner Robins, GA Virgle -r ~ , Term Expires 1991 GA Augusta, GA Newman Gainesville, III, M.D. GA Term Expires 1989 First I 'ice President H. Gordon Davis, M.D. Sylvester, GA Whitney C. O'Keeffe McEver, Jr., M.D. Warner Robins, GA President Trust Company Bank Augusta, Russell A. Acree, Sr., Adel, M.D. GA Arthur C. Baxter Executive Vice President The First National Atlanta, Bank GA Douglasville, GA M.D. Term Expires 1990 Members Executive Director Bruce L. Howerton Augusta William C. Collins. Atlanta, M.D. GA Term Expires H. Gordon Davis, M.D. Sylvester, GA Term Expires 1989 Assistant Secretary Treasurer Larry Tyler Augusta John C. Hagler. Ill Augusta, GA Term Expires 1993 MBA School of Graduate Studies Alumni Association Medical College of Georgia BI H-206 LoisT. Ellison, M.D. President Francis J. Tedesco, M.D. President 1991 GA President GA Officio Augusta, Geraldine Rinker, Term Expires 1993 of Atlanta Ex David Dickey, D.M.D. President Alumni Association TN Term Expires 1992 Alumni Association Medical College of Georgia BI H-203 School of Dentistry Asbury Clark Robinson, M.D. Macon, Walter E. Brown, M.D. Hill. GA William C. Shirley, Term Expires 1990 Spring of Augusta GA Term Expires 1989 Term Expires 1993 BE-123 School of Allied Health Sciences Jerry G. Purvis, M.D. Valdosta. Mary E. Conway, Ph.D., Dean School of Nursing Medical College of Georgia President Term Expires 1989 Elected Members Dean Martha Harrington, M.T. Secretary -Treas urer Virgle Interim AA-152 M.D. Term Expires 1992 Harvey M. Vice President for Research Medical College of Georgia CB 1-D24 School of Medicine Medical College of Georgia Term Expires 1993 William B. Mullins, Lowell M. Greenbaum, Ph.D. Dean, School of Graduate Studies and Charles H. Wray, M.D. Lamar Scott McGinnis, M.D. Atlanta, School of Dentistry AD-109 Vice President Chenault W. Hailey, M.D. AA-168 Medical College of Georgia GA Term Expires Second Dean Acting Dean Milford B. Hatcher, President BiagioJ. Vericella, Ed.D. Interim Leon A. Leonard, D.D.S. Term Expires 1992 Macon, for Development Medical College of Georgia EA-100 School of Allied Health Sciences Medical College of Georgia Term Expires 1992 J. Bruce L. Howerton Acting Vice President Medical College of Georgia AA-311 H. Alan Campbell Vice President for Business and Finance Medical College of Georgia AA-311 School of Medicine Alumni Association Medical College of Georgia BA A-202 Linda Ellis, Ed.D., President School of Nursing Alumni Association Medical College of Georgia BE-150 Medical College of Georgia Division of Institutional Relations Augusta, Georgia 30912 Second Class Postage Paid Augusta, at GA