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thelog bookCollege of Osteopathic Medicine and SurgeryVOLUME 48 * SUMMER 1970 * NUMBER 1

THE LOG BOOK is published quarterly by the College of Osteo-pathic Medicine and Surgery. Second class postage is paid atDes Moines, Iowa. Address all mail, change of address, or Form3579 to 722 Sixth Avenue, Des Moines, Iowa 50309.

Editorial Staff

Editor .......................................... Suzanne Foster

Editorial Advisor .............................. E. M. Meneough

Graphics ............................. The Graphic Corporation

NATIONAL ALUMNI OFFICERS

President ............................ K. George Shimoda, D.O.

President-Elect ........................... Frank W. Myers, D.O.

Secretary-Treasurer .................... R. Keith Simpson, D.O.

Past-President ................................ B. B. Baker, D.O.

Director ................................... Paul T. Rutter, D.O.

Director .................................. Walter B. Goff, D.O.

Director ............................. Robert W. Johnson, D.O.

Table of Contents

Commencement 1970 ...................................... 3Commencement Challenge .................................. 4Awards Convocation ....................................... 6Graduating Class of 1970 ................................... 8Faculty Facts .............................................. 10Capsule on the Capitol ..................................... 12Special Project Grants ...................................... 13Ground Breaking for the Dietz Diagnostic Center ............... 13N .A.A . .................................. ................ 14

O ur Responsible Youth ...................................... 16What Should Osteopathy Do? ............................... 1 7Iowa Alumni Ass'n. M eeting ................................. 19A lum ni ................................................... 22Harrison Treatment and Rehabilitation Center .................. 24

ON THE COVERCommencement

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COMMENCEMENT1970An academic procession composed of mem-bers of the Board of Directors, faculty, andthe 71 graduating seniors proceeded COMScommencement exercises. Stanley D. Miroyi-annis, Ph.D., Professor of Anatomy andChairman of the Department, once moreheaded the procession as the CollegeMarshal.

Bob Scott, General Association of GeneralBaptists, delivered the Invocation. Scott isspecial program consultant for the HarrisonTreatment and Rehabilitation Center andan Instructor in Psychology on the Collegefaculty.

The honorable George O'Malley, retiringstate senator, was the keynote speaker. (see"Commencement Challenge" on page 4)He and Russell M. Wright, D.O., Detroitathletic physician, were awarded the hon-orary Doctor of Humane Letters Degreefrom the College.

D. R. Celander, Ph.D., Professor of Bio-rhnmictr\i/ inrl rhyirmi n ri f tih rLinirtmintL1 1 II 1~3LI/ 1 y d 1 -I 1 I1 dl l I LII 1 UcI,_l/ l I IIU 1L,

and Robert J. Connair, D.O., Associate Pro-fessor of Osteopathic Principles and Practiceand Director of the Division of PhysicalMedicine and Rehabilitation were the classsponsors.

Following Commencement, the familiesand friends of the new doctors were invitedto relax together at the Faculty Wives' Tea.

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COMMENCEMENTCHALLENGE

Twenty-one years of service as a respectedmember of the state legislature came to a

close this Spring. The Honorable GeorgeO'Malley retired. During his term in office,he has done much to promote the interestof the College and its affiliations. In appre-

ciation, he was asked to deliver the keynoteaddress and receive the honorary Doctor ofHumane Letters degree from the College.

"Challenge and change are the attributesof youth," he began. "Now as the sixtiesend and we march in to the seventies, howdo we assess the challenges and changes?The children of change have established aplace in our society that they did not enjoybefore. They have been prime movers inmany transformations. There is activity,unheard of ten years ago, at all levels ofsociety.

"Most of all, the children of change havebeen responsible for many adult Americansre-examining their way of life and theirsystem of values and becoming seriouslyconcerned about both...

"But I feel there has been very little changein individual man or in man's responsibilityfor moving our world in a direction which Ihopefully feel is foreward...

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"How do we make more certain that ournation moves forward? There is a basic fact Ihave learned in my many years as a legis-lator.

"Eventually, what is good for the publicprevails. In this democratic process of ours,it would seem sometimes we move so very,very slowly. Sometimes, too, it is crystalclear to you and to me that this or that isabsolutely right and proper. There is no needfor time or discussion. The solution whichis best for the public eventually works toeveryone's advantage, whether it be ouroriginal thought or not...

"The seventies are starting out as the sixtiesended. The seventies must have cool andthoughtful solutions applied to the injusticesand inconsistencies of the past decade. As acommunity leader, you can help reach theproper solutions...

"You serve yourself and your profession tothe utmost when you love what you aredoing and you do it well, as you expend yourmaximum professional effort every time forevery individual."

O'Malley first served as a state representa-tive for two years; he has been a senator forthe last 19 years.

Following the conferring of the doctorateson the 71 seniors, O'Malley received thehood for his honorary Doctor of HumaneLetters.

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AWARDSCONVOCATION

The annual Awards Convocation was heldat 1:00 p.m., June 3rd in Moingona Lodge.Samuel Williams, D.O., Dean, was theMaster of Ceremonies.

The five winners of the Mosby ScholarshipBook Awards were John Anderson of Ash-land, Oregon; William Artherholt of WestDes Moines; Alison Clarey of Auburn,Michigan; Paul Forman of Southfield, Michi-gan; and Jeff Perkins of Margate, New Jersey.All five were second year students.1 The Irvin Merlin Award, presented eachyear by a former colleague, Dr. RobertKreamer, is given to an individual in thesenior class who demonstrates qualitiesmost like Irwin Merlin. This year the awardwas given to James Thullen.

A cnecK Tor )IDU Will re given tL juei

Rubin for his winning entry in the MarionLaboratories Scientific Paper Writing Con-test. Rubin's paper, "Destructive Oblitera-tive Pulmonary Emphysema", will entercompetition with the first place winners fromthe other schools for the grand prize of anall expense paid trip to the annual AOAconvention in San Francisco.

Runners-up were Pat Frankl for "ParentalFluid Therapy" and Floyd Jones for "Bron-chosplastic, Bronchiol Obstructive Disease:The Big Three".2 The Upjohn Achievement Award, basedon the highest scholastic average for allfour years, was presented to Joel Nass.

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2

The Russell McCaughan Scholarship, givenin memory of 25 years of service as theExecutive Secretary of the AOA, was awardedto W. H. Haynes, a first year student. Thescholarship carries a $400 stipend.

The Charles Reed Memorial Award wasfirst presented in 1968. It was originated tohonor a member of the class of 1967 whodied before his commencement. Carl Tobenwas the recipient.3 Graduation with Distinction, the highestrecognition given by the College, was givento James Watson. The award is granted onthe basis of scholastic average, clinical apti-tude and service, personality and scientificand literary initiative.4 The "Pacemaker", the school's yearbook,was dedicated by the class of 1970 to DeanWilliams. The dedication read, in part, "Asa friend, as a teacher, as an administrator,Samuel Williams has devoted himself to hisideals of education, living for it, working,and safeguarding it.... He not only deservesour respect, he commands it."

Various student organizations and honorfraternities also awarded their outstandingsenior members.

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GRADUATING CLASSOF 1970

Richard D. ArnottGirard, OhioGerald Leon BerkleyWyoming, MichiganWade BrantleyBenton Harbor, MichiganHarold J. BrinkBancroft, IowaJames A. BudzakMoon Township, PennsylvaniaGary A. BurnsteinDetroit, MichiganGary Lee CastleShenandoah, IowaEarl M. ChernoffChicago, IllinoisPeter J. CiriglianoBrooklyn, New YorkCarlos Felipe CorralesMiami, FloridaWilliam DavidsonDetroit, MichiganRichard EllenbogenDetroit, MichiganJoseph M. EspositoTrenton, New JerseyMichael FailorAda, OhioAnthony FicheraNew York City, New YorkCharles M. FleishBronx, New YorkRobert Fox, Jr.Fort Worth, TexasGerald FriedmanDetroit, Michigan

Youngstown Hospital AssociationYoungstown, OhioGrand Rapids Osteopathic HospitalGrand Rapids, MichiganDes Moines General HospitalDes Moines, IowaU.S. Air Force Medical CenterWright Patterson, Dayton, OhioGreen Cross General HospitalCuyahoga Falls, OhioMartin Place HospitalsMadison Heights, MichiganMercy HospitalDes Moines, IowaPhoenix General HospitalPhoenix, ArizonaSt. Barnabas Medical CenterLivingston, New JerseyOsteopathic General HospitalNorth Miami Beach, FloridaGarden City-Ridgewood OsteopathicGarden City, MichiganZieger/Botsford HospitalsDetroit, MichiganYoungstown Hospital AssociationYoungstown, OhioPontiac Osteopathic HospitalPontiac, MichiganWalter Reed Army Hospital CenterWashington, D.C.Flint Osteopathic HospitalFlint, MichiganOklahoma Osteopathic HospitalTulsa, OklahomaZieger/Botsford HospitalsDetroit, Michigan

James D. GermanDes Moines, IowaAndrew Michael GiulianiDetroit, MichiganHarvey A. GreenLittle Neck, New YorkHoward C. GreenspanBayside, New YorkStephen Ira GreensteinMaplewood, New JerseyGordon L. GrennDetroit, MichiganDonald Warren GrossDetroit, MichiganRobert A. HemphillSaginaw, MichiganMortimer IsaacksonJersey City, New JerseyJames P. JensenWaterloo, IowaRichard KaleGrangeville, IdahoLeroy P. KareusDetroit, MichiganJames C. KellyRock Island, IllinoisDennis KolarikErie, PennsylvaniaRobert L. KraussBrooklyn, New YorkSigmund L. Kulessa, Jr.East Brunswick, New JerseyMichael KwikerDetroit, Michigan

Joseph LatellaSpringfield, Pennsylvania

Mercy HospitalDes Moines, IowaUniversity HospitalsU. of Wisconsin, Madison, WisconsinInterboro General HospitalBrooklyn, New YorkPublic Health HospitalNew York City, New YorkDetroit Osteopathic/Bi-County CommunityHospital, Detroit, MichiganMartin Place HospitalsMadison Heights, MichiganZieger/Botsford HospitalsDetroit, MichiganSaginaw Osteopathic HospitalSaginaw, MichiganMemorial General HospitalUnion, New JerseyFlint Osteopathic HospitalFlint, MichiganDoctors HospitalSeattle, WashingtonPhoenix General HospitalPhoenix, ArizonaDoctors HospitalColumbus, OhioDoctors HospitalColumbus, OhioDoctors HospitalColumbus, OhioLancaster Osteopathic HospitalLancaster, PennsylvaniaPublic Health HospitalNew York City, New YorkCherry Hill Medical CenterCherry Hill, New Jersey

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Members of the 1970 graduating class, their home towns and their internship hospitals are:

Jerold V. LeMarDes Moines, IowaSamuel LizerbramRego Park, New YorkMichael LyszakHuntington Woods, MichiganStephen MargelYoungstown, OhioThomas MayerSan Francisco, CaliforniaAlonzo McLeodHouston, TexasPaul A. MobleyVinita, OklahomaHerbert J. MosbergForest Hills, New YorkEdward MyalYukon, PennsylvaniaJoel NassNorth Bergen, New JerseyRichard G. NewhouseInglewood, CaliforniaJames O'NeillDoylestown, PennsylvaniaStephen PapishWest New York, New JerseyGerald W. Peterson, Jr.Richmond, UtahRodney H. PolingFulton, South DakotaHarvey Lee RaimiDetroit, MichiganDouglas ReeceNew Providence, IowaRichard ReelMount Ayr, Iowa

Des Moines General HospitalDes Moines, IowaMetropolitan HospitalPhiladelphia, PennsylvaniaTraverse City Osteopathic HospitalTraverse City, MichiganDoctors HospitalColumbus, OhioProvidence HospitalSeattle, WashingtonMercy HospitalDes Moines, IowaHillcrest Osteopathic HospitalOklahoma City, OklahomaInterboro General HospitalBrooklyn, New YorkCorpus Christi Osteopathic HospitalCorpus Christi, TexasMetropolitan HospitalPhiladelphia, PennsylvaniaTucson General HospitalTucson, ArizonaWilford Hall, U.S. Air ForceSan Antonio, TexasMetropolitan HospitalPhiladelphia, PennsylvaniaWilliam Beaumont General HospitalEl Paso, TexasRiverside Osteopathic HospitalTrenton, MichiganMartin Place HospitalsMadison Heights, MichiganLakeview HospitalMilwaukee, WisconsinMercy HospitalDes Moines, Iowa

Arthur RendziperisPontiac, MichiganCharles RessegerWillard, OhioLouis ReznickBrooklyn, New YorkEdmund RiederWayland, MichiganCraig A. RoseMuskegon, MichiganRonald RosenBrooklyn, New YorkGene E. RostermundtPhoenix, ArizonaFrank RotellaJersey City, New JerseyDavid Earl RyderNorthville, MichiganAnita SchmuklerPhiladelphia, PennsylvaniaGary M. SilversteinSouthfield, MichiganGeorge D. SmithFort Worth, TexasCharles W. StarbuckWhittier, CaliforniaDavid Alan SteenblockBuffalo Center, IowaJames D. ThullenLowellville, OhioCarl E. TobenWestfield, IowaJames R. WatsonFairfield, Iowa

Pontiac Osteopathic HospitalPontiac, MichiganDoctors HospitalColumbus, OhioFlint Osteopathic HospitalFlint, MichiganMercy HospitalDes Moines, IowaMercy HospitalDes Moines, IowaGreen Cross HospitalCuyahoga Falls, OhioPhoenix General HospitalPhoenix, ArizonaMetropolitan HospitalPhiladelphia, PennsylvaniaGarden City-Ridgewood HospitalsGarden City, MichiganCherry Hill Medical CenterCherry Hill, New JerseyDetroit Osteopathic/Bi-County CommunityHospital, Detroit, MichiganOklahoma Osteopathic HospitalsTulsa, OklahomaWaldo General HospitalSeattle, WashingtonProvidence HospitalSeattle, Washington

Youngstown Hospital AssociationYoungstown, OhioGrand Rapids Osteopathic HospitalGrand Rapids, MichiganUniversity HospitalsIowa City, Iowa

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FACULTYFACTS

George Taylor, Ph.D., Assistant Professor of Anatomy,is spending ten weeks at the Duke University MarineLaboratory in Beaufort, North Carolina. While at theLaboratory, Dr. Taylor will conduct research on thecytochemical and fine structural analysis of celldifferentiation during early embryonic development.

Harry B. Elmets, D.O., Clinical Professor of Osteo-pathic Medicine and Chairman of the Division ofDermatology, presented papers on "Skin Problemsof the Adolescent Girl" and "The Neurodermatidites"during the June 20th program of the annual post-graduate course given following the commencementexercises at KCOS. Dr. Elmets recently completed25 years of lecturing as a member of the Collegefaculty.

Jean LeRoque, D.O., Professor of OsteopathicPrinciples & Practice and Director of the South DesMoines Clinic, was president of the Iowa PublicHealth Association 1969-70. He presided during the43rd annual meeting of the Association held inWaterloo in early May. The program was devoted toimproving communications and the discussion ofcommunity health problems.

George Pipkin, Ph.D., joined the COMS faculty asAssistant Professor of Biochemistry. Dr. Pipkin wasformerly with the Tulane University Medical Schoolin New Orleans.

In 1954, Dr. Pipkin received his Bachelor ofScience degree from Centenary College in Shreveport.He earned his M.S. degree from the University ofArkansas in 1956 and his Ph.D. from Louisiana StateUniversity in 1962.

A member of the Society for Experimental Biologyand Medicine, he was honored as a Fellow in theAmerican Institute of Chemists.

He has published various articles concerning theetiology of urinary bladder cancer.

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Harvey R. Newcomb, Ph.D., Professor of Micro-biology and Chairman of the department, presenteda seminar on "Pollution of the Raritan Bay and Adja-cent Interstate Waters" to the seniors in the Depart-ment of Biology at Drake University.

The seminar was an enforcement project underthe Federal Water Pollution Control Administrationof the U.S. Public Health Service.

Dr. Newcomb, M.D. Newcomb, Ph.D., and Nigelda Silva, Ph.D., attended the 70th annual meetingof the American Society for Microbiology in Boston,Massachusetts.

James A. Orcutt, Ph.D., Professor of Pharmacologyand Chairman of the department; Mearl A. Kil-more, Ph.D., Associate Professor of Pharmacology;J. P. Clark, M.S., Instructor in Pharmacology; andW. H. Terry, B.S., Lab Technician, presented materialon "Comparison of Myocardial Irritability of SelectedAnesthetics" during the 54th annual meeting of theFederation of American Societies for ExperimentalBiology held April 14th in Atlantic City.

Mohinder S. Jarial, Ph.D., Assistant Professor ofAnatomy, was named "Professor of the Year" bythe members of the freshmen class.

Thomas Vigorito, D.O., President, delivered the key-note address, "Options Available to the OsteopathicProfession" at the annual clinical assembly of thePennsylvania Osteopathic Association in May.

Milton J. Dakovich, D.O., Professor of Medicine andDirector of the Heart Station, was elected Presidentof the Polk County Heart Association at its Maymeeting.

As President, Dr. Dakovich is responsible for co-ordinating and directing the Association's publicservice, information, fund raising, and researchactivities.

The Association has 40 volunteer members.

Samuel Brint, D.O., F.A.C.O.O.G., Professor ofObstetrics-Gynecology and Chairman of the depart-ment, is a member of the editorial board of MATER-NAL AND CHILD HEALTH. He recently published"The Diagnostic Enigma of Ovarian Cancer" in theMarch issue of that magazine.

Dr. Brint is also serving his third term as a memberof the examining board for the American OsteopathicBoard of Obstetrics and Gynecology.

In the June issue of MATERNAL AND CHILDHEALTH, Dr. Brint was awarded the "DistinguishedPhysician Award" for his "dedication and coopera-tion" to his profession, specialty, and students.

R. Keith Simpson, D.O., Assistant Professor of Medi-cine and Special Medical Consultant, H.T.R.C.,spoke on "Alcohol, Its Use, Abuse, and TreatmentThereof" during the May Rocky Mountain Osteo-pathic Conference.

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CAPSU [FON THE CAPITOL

These COMS students, representing their colleagues in each of Jim Blessman, Governor Robert Ray, Tom Gillman, Gary Cole,

the four classes, met with the Governor in late April to discuss Richard Louvar. Second row from left: Bill Artherholt, Ed Herold,

the College and its programs. Phil Myer, Bill Manor, Walter Goff, Jim Bates, Fred Burson, Bob

They are, front row from left: Toby Shimoda, Keith Hansen, Collison, and Pat Frankl.

The second session of the 63rd General Assembly ofIowa adjourned sine die. The Iowa Legislature isnow on an annual basis beginning with the firstsession of the 63rd General Assembly held in 1969.The first session of the 64th G. A. will convene 11January 1971.

The second session was not planned to be a"budget" session for consideration of major appro-priations. State funds for the biennium beginning1 July 1971 will be voted during the first session of the64th General Assembly.

Senate Joint Resolution 1005, approved by a

Senate vote of 41-2 and a House vote of 102-0, is ofparticular interest to the College.

The enacting clause of S.J.R. 1005 provides thatthe General Assembly "encourage the College topursue with vigor the fund drives underway and urgethe Sixty-fourth General Assembly to give earlyconsideration to making an appropriation adequateto insure that the new facility will become a reality."

The term "new facility" refers to the medicalcomplex being planned for construction in the oldFort Des Moines area.

SPECIAL PROJECTGRANTSTwo special project grants have beenawarded to the College under the HealthProfessions Educational Improvement Pro-gram.

A grant of $97,783 by the PhysiciansAugmentation Program, which is a supple-mentary program, will be utilized to increasethe full-time first year enrollment to 110 andto increase the basic science faculty tomaintain proper student-faculty ratio.

The second grant of $334,924 will beused to maintain faculty additions made lastyear under a similar grant. This year's grantincludes a cost of living increase.

Special project grants are awarded toschools to improve the quality of theireducational programs through facultyexpansion, curriculum revision and develop-ment, and the planning and implementationof experimental teaching facilities. They areadministered through the Division of HealthManpower Educational Services, NationalInstitutes of Health.

GROUND BREAKINGFOR THEDIETZ DIAGNOSTICCENTERGround-breaking ceremonies for the DietzDiagnostic Center are being planned for lateJuly. Dignitaries from state and city govern-ments are expected to attend.

Bids were opened for the Center 16 June1970. Contracts were awarded to Joe E.Swift Co., Inc.; Johnson Electric Co., Inc.;and Proctor Plumbing & Heating, Inc., all ofDes Moines. The building, valued at over$270,000, was designed by Brooks, Borg,& Skiles, who also are the architects for themajor college facility. Both the clinic and themajor college facility are to be located onFort Des Moines grounds.

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N:EEWS AND DUFS

NATIONAL ALUMNIASSOCIATION

MEMBERSHIP DUESA large influx of dues payments in March and earlyApril was apparently the result of a letter remindingalumni to update their memberships. At press time,591 membership cards for 1970 have been issued.This total includes complimentary membershipcards to the 71 June graduates and the 13 new life-time members. This number compares with 626members for the entire year in 1969.

The final tally for 1968 was 516 memberships, thefinal tally for 1967 was 436.

Those alumni who have not paid their dues areagain requested to do so. Please accompany yourcheck with your name, address, social security num-ber and the year you graduated. The dues are scaledas follows: Class of 1969-$1.00. Class of 1968-$3.00. All others-$5.00. Life memberships-$100.00. Make your checks payable to the NationalAlumni Association.

LIFE MEMBERSHIPSThirteen is usually considered bad luck. However,the 13 new life memberships are good luck becausethey are a larger number than ever before issued inone year.

New life memberships include:Ira L. Pomeroy, M.D., Cypress, California, Class

of 1954.Josephine Kloetzly, D.O., Tampa, Florida, Class

of 1927.Darrell D. Brown, D.O., Des Moines, Iowa, Class

of 1955.Franklin L. Tepner, D.O., Bode, Iowa, Class of

1961.

B. A. Raines, D.O., Seminole, Florida, Classof 1964.

James Jackson, D.O., Muskegon, Michigan,Class of 1960.

Neil R. Kitchen, D.O., Birmingham, Michigan,Class of 1939.

Edward Lake, D.O., Potosi, Missouri, Class of1946.

Earl Purtzer, D.O., Scottsbluff, Nebraska, Classof 1931 (January).

Robert Cohen, D.O., Cherry Hill, New Jersey,Class of 1962.

Charles Roman, D.O., Kings Park, New York,Class of 1962.

Eugene F. Trell, D.O., Columbus, Ohio, Classof 1962.

Elias Yurick, D.O., Corapolis, Pennsylvania, Classof 1958.

ANNUAL MEETINGAll alumni records have been changed to a calendarbasis, rather than the fiscal year basis formerly used.The number of delegates each state is entitled to sendto the House of Delegates at the National conventionis based on the number of active memberships duringthe preceding calendar year. Active membership inthe N.A.A. is limited to those who pay dues annually.

MID-YEAR EXECUTIVECOMMITTEE MEETINGThe Executive Committee of the N.A.A. met 17 June1970 in Des Moines. Committee members presentinclude: K. George Shimoda, D.O.; William Laven-

dusky, D.O.; Frank W. Myers, D.O.; Robert W.Johnson, D.O.; Walter B. Goff, D.O.; and R. KeithSimpson, D.O. Also present were ex-officio members,COMS President Thomas Vigorito, David A. Dancer,Director of Alumni Relations, and E. M. Meneough,Director of Public Relations.

It was reported that $10,000 in alumni associationfunds were used to purchase U.S. Treasury billswhich will mature 13 August 1970.

A change in the procedure for validating alumnifor the House of Delegates was proposed. Ratherthan attempting to certify each delegate, it is sug-gested that business matters assigned to the Houseof Delegates be acted upon by the active alumniassociation members who are present.

Other business included adding Dr. Goff and Dr.Simpson to the nominating committee to pick aslate of candidates for office next year.

The Executive Committee, as directed by themembers of the association, selected Frank W. Myers,D.O., as President-elect for the remainder of thisterm. Dr. Myers, a 1959 graduate of COMS, has ajoint practice with Norman W. Jankowski, D.O.,another 1959 graduate of COMS, in Northfield, Ohio.

He is a member of the Cleveland Academy ofOsteopathic Medicine, the American College ofGeneral Practioners in Osteopathic Medicine andSurgery and is a member of the Board of Trustees ofthe Ohio Osteopathic Association. He is a memberof the board of editors of the "OP" publication andchairman of the department of General Practice atBrentwood Hospital. Dr. Myers is married and hastwo daughters.

When asked about hobbies, Dr. Myers indicateda clinic building presently under construction pre-cluded any hobbies, but he did try singing in thechurch choir.

For the future of the National Alumni Association,Dr. Myer "hopes to explore the possibility of promot-ing interest in the National Alumni Association byadvancing the influence of the Alumni Association inthe direction of the College. This, of course, must beaccompanied by a renewed interest of the alumni inthe financial status of the college."

Dr. Myers is a member of the national, state andlocal osteopathic associations.

To the Members of theNational AlumniAssociation of COMS.You are hereby notified that the regular annualmeeting of the N.A.A. will be held in San Francisco6 October 1970.

The meeting will consist of the annual banquet at12 noon in the Room of the Dons, Mark HopkinsHotel, to be followed by a meeting of the Houseof Delegates.

At least 30 days prior to 6 October 1970, the secre-tary of each divisional (state) society shall certify itsdelegates to the secretary of the national associationin writing (or by wire). Such delegates and alternatesmust be active members in good standing of theassociation.

R. Keith Simpson, D.O.Secretary-TreasurerNational Alumni Association

Certification of DelegatesReturn to:

R. Keith Simpson, D.O.Secretary-Treasurer of C.O.M.S. Alumni Association722 Sixth Ave.,Des Moines, Iowa 50309

This will certify

as a delegate from to the House of

Delegates of the C.O.M.S. Aumni Association.

Alternate delegates are

Secretary

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OURRESPONSIBLE

YOUTHAOA Editorial...George Northup, D.O.

So many adverse comments are beingmade about young people that little attentionis given in the press to the more positivethings in which they engage.

Sometime ago, the Student Council of theKirksville College of Osteopathy and Surgerypassed a resolution concerning the use ofthe title of D.O. Addressed in the form of aletter to the AOA [See p. 10 of the June 1970issue of THE D.O.], the resolution stated:"It is with great concern that the studentsand members of the Student Council of theKirksville College of Osteopathy and Surgeryview the current trend toward merger withthe allopathic profession. To most of us, itappears that a great majority of those seekingthe title of M.D. after their name are doing soto improve their prestige."

They pointed out that the osteopathicphysician who merely lists himself as Dr.John Smith, Physician and Surgeon, dis-credits himself and the profession. In fact,when the D.O. practitioner, whom everyoneadmires and respects, fails to display histitle, the acclaim and praise that "shouldnaturally be credited to the osteopathic pro-fession" is instead credited to the allopathicprofession."

Thus, the members of the KCOS StudentCouncil strongly urged "all osteopathicphysicians to uphold the Osteopathic Codeof Ethics, and to display proudly and con-spicuously the title that they worked so longto achieve-D.O."

With the increasing growth of the pro-fession, the public begins to wonder whythe osteopathic physician is ashamed of histitle when they, the public, are not. Thisreminder from the 1970 Student Council ofKCOS is a fine act of faith and of confidencein the profession. All practicing osteopathicphysicians should respond with the sameself-confidence and should proudly declarethe title of the degree which has made itpossible for them to enjoy the full rights andprivileges of osteopathic medical practice inan overwhelming majority of states.

THE ROLE OF PROFESSIONALCOLLEGES IN WESTERN SOCIETY-OR,

WHAT SHOULDtN &r -N r ATi 1\ /

Ub I tLUA rI

D Omas iorito, D..

by Thomas Vigorito, D.O.

Western CivilizationContemporary Western civilization is acomplex, changeable and constantly chang-ing amalgam of beliefs, values and aspira-tions.

Basic to, and pervading virtually all ourbeliefs, values and aspirations has been theconstant evolution of the Judeo-Christianethos. For more than four thousand yearsthis ethos-this way of thinking about peo-ple, their rights and their responsibilities-has been refined by all of us who live underits influence.

The most obvious single trend in theevolution of this ethical system throughoutthe centuries has been an increasing em-phasis upon the worth of the individual andthe rights of the individual.

This trend is unrelenting. Although theearly years of the industrial revolution causedethical systems and common law alike tooveremphasize the significance of privateproperty as a desirable societal goal, most of

us, since the time of Charles Dickens,accepted as paramount the need to reconcilethe concept of property rights with the rightsof the individual.

The Rights of ManEveryone interested in the activities of theCollege of Osteopathic Medicine and Surgeryshould be vitally concerned with theinalienable rights of our students, faculty,staff, board members and patients.

I would like to discuss each of these con-cerns in detail, but time limitations necessi-tate some selectivity. Accordingly, I willdiscuss only the rights of students and therights of patients, not because they arenecessarily more important, but ratherbecause they will probably have the mostimmediate effect upon our thinking.

Rights of StudentsStudents have the inalienable right to seekas much and as good education as they arewilling and able to get. Each also has theright to seek less education, or to avoideducation. In each instance the society inwhich that student functions will determinewhat benefits accrue to a particular type andquality of education. In general, our society,at this time, definitely rewards more educa-tion and better education.

17

The notion that a political organizaition,such as the Michigan Association of (Osteo-pathic Physicians and Surgeons, can declareas unethical any D.O. who strives toadvance his educational status by taking anM.D. internship is repugnant to me. In fact,M.A.O.P.S. has recently done precisely this.They are morally accountable for that action.

Rights of PatientsPatients, by which term I mean all thosepeople who ever have, or may have occa-sion to seek and/or utilize the professionalservices of physicians, have certain rights.One is the right to have access to healthcare. Another is the right to decide whetheror not they will utilize such access to healthcare. A third right, and the one of immediateinterest to us, is the right to health care whichmeets the highest standards attainable bythe current state-of-the-art. In our affluentsociety, where high standards are attainable,any health care system which does not meetthe prevailing standards must immediatelyupgrade its own standard or cease to func-tion. Failure to do so will cause an increas-ingly sophisticated patient population toavoid that system.

Medical Education as an Academic IssueThere. is an obvious trend toward publicsubsidization of education at all levels.Although this trend should be the subject offurther study at a later date, my main con-cern today is one very specific aspect ofmedical education-the accreditationprocess. Society tacitly endows accreditingagencies with the responsibility and authorityto set educational standards and to enforcethem. Any individual who receives a degreefrom an institution accredited by the appro-priate agency will most likely be acceptedby society as possessing a given level ofcompetence.

Completely disregarding this College'smost recent accreditation visit, which wasan intellectual travesty, not only I, but theofficers of other osteopathic colleges haverepeatedly and publicly voiced our commonopinion that the current system of collegeaccreditation utilized by the osteopathicprofession is totally inadequate. It is basicallya non-academic process which is uncon-

structive. It is repressive and restrictive atbest. In effect, the profession has abandonedthe responsibility of accreditation to theindividual colleges, and I see no likelihoodof change. The question is-who shall setour standards?

Professional Political StrategiesThe obvious strategic objective of the Ameri-can Medical Association, concerning osteo-pathy, is the eventual elimination of theosteopathic profession. The obvious strategicobjective of the American OsteopathicAssociation, concerning the AMA is "toremain separate and distinct."

I must confess that I am not aware of anysound philosophic reasons for either view,both of which have achieved a certain holi-ness among their respective constituencies.

Tactical ConsiderationsThere are, however, cogent tactical reasonswhich explain why the AOA and the AMAmaintain their respective postures.

The AOA seeks to continue to exerciseorganizational autonomy. Many D.O.'senjoy the relative professional shelter andisolation offered by a smaller group. ManyD.O.'s. simply resist any change becausethey have so long been conditioned toavoid change.

The AMA, having as its goal the eradica-tion of the osteopathic profession as a polity,has recently developed a most effectivetactic, namely offering various types of pro-fessional recognition to our young people.Needless to say, this type of recognition hasgreat appeal. Arguments based upon thepremise that large numbers of D.O.'s andstudents are not impressed by such recogni-tion are totally specious.

The single greatest problem confrontingour profession is this issue of professionalrecognition by the AMA. I am greatly con-cerned that if we ignore the obvious fact thatthe AMA is in the process of proselytizingour best young men we will end up with anempty barn. We must either make our ownprograms much more attractive, or becomea part of mainstream medicine. Do we havethe time, the will, and the energy to accom-plish the former?"

IOWA ALUMNIASSOCIATIONMEETING

The Iowa Alumni Association held its annualmeeting during the state convention of theIowa Society of Osteopathic Physicians andSurgeons. Sam Kuramato, D.O., class of1944, Webster City, served as acting presi-dent.

Thomas Vigorito, D.O., COMS president,was the featured speaker. He discussed thepresent state of the building campaign, theDietz Diagnostic Center and then intro-duced a discussion between the alumni, thepresident of the senior class, James Watson,and himself.

A short business meeting followed. Dr.Kuramato was elected president of theassociation; Julius Abramsohn, D.O., Classof 1952, Guthrie Center, was elected Vice-president; Frank Sterbenz, D.O., Class of1967, Des Moines, was elected secretary;and Chester D. Christianson, D.O., Class of1963, Tipton, was elected treasurer. Mem-bers of the House of Delegates will beselected by the Executive Committee at alater date.

19

HAW,

211

MEMBERSHIP REPORTThis map shows the total number of alumni per state and the total numberof Active Members of the N.A.A. Both numbers include the 1970 Intern Class.

15, 1970)

BERS (NAA)

D)

21

ALUMN I1933G. A. Whetstine, D.O., presently of Tucson,Arizona, was honored by the Chamber ofCommerce of Wilton, Iowa, in April for 35years of service there. Dr. Whetstine ismedical director of a hospital located inTucson.

1934Sydney F. Ellias, D.O., F.A.C.O.I., Detroit,Michigan, published "Practical Aspects ofWater and Electrolyte Inbalances in ElectiveSurgery" in the May 1970 issue of theJ.A.O.A.

Dr. Ellias is chairman of the Department ofInternal Medicine at Art Centre Hospitaland Senior Consultant in Internal Medicineat Zieger-Botsford Osteopathic Hospital.He is a Diplomate of the American Osteo-pathic Board of Internal Medicine and hasbeen a member of the faculty at CCO andKCOS.

1939Harvey R. Bridenstine, D.O., Des Moinesis program chairman for the American Osteo-pathic College of Radiology for the 43rdAnnual Clinical Assembly.

1942James N. Fox, D.O., of Dayton, Ohio.recently was elected to the Board of theAmerican Cancer Society.

O. O. Wentling, D.O., Erie, Pennsylvania,has been appointed to serve as a member ofthe Erie County Health Board for a four yearterm effective 5 January 1970. Dr. Wentlinghas been a practicing physician in Erie forthe past 28 years.

1951Myron S. Magen, D.O., discussed "CommonNewborn Pathologies Diagnosis and Treat-ment" during the 8th annual post-graduatecourse in Surgery at the Dearborn Inn May11-23rd.

Dr. Magen is Medical Director and Direc-tor of Medical Education at Zieger/BotsforHospitals and Dean of the Michigan Collegeof Osteopathic Medicine.

Harry I. Simmons, D.O., Trenton, Michigan,is 1970 Program Chairman for the A.C.O.S.Thoracic-Cardiovascular Section of the 3rdannual clinical assembly.

1953J. Dudley Chapman, D.O., North Madison,Ohio, spoke to the "Challenge and ResponseGroup" of the Chapel United MethodistChurch of Madison, Ohio. His topic for theSpring meeting was "Growing Child'sAttitude."

Lee Walker, D.O., of Grand Prairie, Texas,was a featured speaker at the 66th annualOklahoma Osteopathic Association Conven-tion held in Tulsa. He discussed "ForcepsApplication and Misapplication" and"Planned Painless Parturition."

Dr. Walker is a member of the Board ofTrustees of the A.C.O.O.G.; Chairman of thepost-graduate education and post-graduatecourse in Obstetrics-Gynecology of theA.C.O.O.G.; and Chairman of the Depart-ment of OB-GYN at Mid-Cities MemorialHospital, Grand Prairie, Texas.

1955Clifford Sampson, D.O., of Middletown,Ohio, was a featured speaker at the Ameri-can Business Women Association meetingheld recently. His topic was "Use of Drugs."

1956Dale G. Keighley, D.O., of Dayton, Ohio,was elected to the Executive Committee ofthe Central State Osteopathic ProtologicalSociety.

1957Donald E. Glanton, D.O., of Centerville,Ohio, received certification in Ophthal-mology from the American Osteopathic

22

Board of Ophthalmology and Otorhinolaryn-gology during the ceremonial program heldrecently in Columbus, Ohio.

Walter Wilson, D.O., of Tulsa, Oklahoma,published "Techniques of Exploration of theCommon Duct" in the April 1970 issue ofthe Journal of the American OsteopathicAssociation.

1958Gilbert Bucholz, D.O., discussed "Diag-nostic Radioisotopes" during the June semi-nar of the Ohio Osteopathic Association.

Dr. Bucholz, who is certified in radiology,is chairman of the Department of Radiologyat Parkview Hospital in Toledo, Ohio.

He is a member of the Kiwanis Club, theBlue Cross, the American Osteopathic Col-lege of Radiology, the Society of NuclearMedicine, and the local, state, and nationalosteopathic associations.Francis V. Dono, D.O., of Columbus, wasaccepted into membership in the AmericanCollege of Osteopathic Surgeons during the42nd Clinical Assembly held in Chicago.

1959Eugene L. Timmons, D.O., of Trenton, Michi-gan, published "Diagnosis with ContrastMedia in the arterial, venous, and lymphaticsystems" in the May 1970 issue of the JAOA.

1960Ralph Levy, D.O., of Huntington Station,New York, was elected Vice-President of theLong Island Society of Osteopathic Physi-cians and Surgeons during its annual meet-ing held in April. Dr. Levy was also appointedChairman of that organization's Workmen'sCompensation Committee.

1961Donald L. Turner, D.O., of Dayton, Ohiowas appointed to the Institute PlanningCommittee on Child Abuse of the Family andChildren's Conference of the Health andWelfare Planning Council, in cooperationwith the Montgomery County ChildrenServices Board.

Dr. Turner, Saul Bresalier, D.O., also ofDayton, (COMS-1964), and Calvin Dubrow,D.O., (PCOM) opened a Glaucoma Clinic atWayne High School recently under the

sponsorship of the Wayne Township LionsClub.

1962Henry Sonenshein, D.O., Madison Heights,Michigan, received certification in Oto-rhinolaryncology from the American Osteo-pathic Board of Ophthalmology andOtorhinolaryngology during the ceremonialprogram held recently in Columbus, Ohio.

1966Alan Rose, D.O., of Bayshore, New York,was elected Treasurer of the L.I.S.O.P.S.during its annual meeting. Dr. Rose was alsoappointed chairman of the Regional MedicalProgram Committee for the Society.

1968Donald Rochen, D.O., Highland Park,Michigan, is a candidate for membership inthe Osteopathic College of Ophthalmologyand Otorhinolaryngology.

Captain Edward D. Mastromonaco, D.O., isnow with the 173rd Airborne Brigade inVietnam.

1905 Celia Micks, D.O., Glen Falls,New York

1912 E. C. Dymond, D.O., Jackson,Minnesota

1918 B. B. Sturges, D.O., Cheshire,Connecticut

1923 Mabel F. Martin, D.O., Weslaco,Texas

1923 Maisie F. Shideler, D.O., StormLake, Iowa

1927 John E. Cavanaugh, D.O., Belton,Missouri

1929 R. A. Lypps, D.O., Stanton, Michigan1931 Orville Rose, D.O., Des Moines, Iowa1939 Gordon R. Fischer, D.O., Pinellas

Park, Florida1940 H. C. Goeken, D. O., Highmore,

South Dakota1942 H. E. Gegner, D.O., Sioux Falls,

South Dakota

23

thelog book

722 Sixth AvenueDes Moines, Iowa 50309

Second class postage paidat Des Moines, Iowa

HARRISON TREATMENTAND

REHABILITATION CENTER

Iowa Governor Robert Ray conferred withQuentin Hunter during a luncheon spon-sored by the Harrison Treatment and Reha-bilitation Center's Advisory Board May 21st.Mr. Hunter is the Center's Administrator.

Governor Ray toured the facilities andwas oriented to the rehabilitation programoffered by the Center.

The Advisory Board, chaired by JamesWindsor, Assistant Secretary of EquitableLife Insurance Company, is composed ofinterested lay people from the Des Moinesarea.

11%,~~~~~~~~~~~~~

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thelog bookCollege of Osteopathic Medicine and SurgeryVOLUME 48 * FALL 1970 * NUMBER 2

THE LOG BOOK is published quarterly by the College of Osteo-pathic Medicine and Surgery. Second class postage is paid at DesMoines, Iowa. Address all mail, change of address, or Form 3579to 722 Sixth Avenue, Des Moines, Iowa 50309.

Editorial Staff

Editor ................................. Suzanne Foster

Editorial Advisor ........................... E. M. Meneough

Graphics .................... The Graphic Corporation

NATIONAL ALUMNI OFFICERS

President ................................ Frank W. Myers, D.O.

President-elect .......................... Sidney Grobman, D.O.

Secretary-Treasurer .................... R. Keith Simpson, D.O.

Past-President ......................... K. George Shimoda, D.O.

Director ................................... Paul T. Rutter, D.O.

Director...................................W alter B. Goff, D.O .

Director .............................. Robert W. Johnson, D.O.

Table of Contents

Dietz Diagnostic Center .............................. 3Sickle Cell Clinics ................................... 4Drugs: A New Approach ............................. 6Seal Cam paign Starts ................................. 7Faculty Facts........................................ 8New Board M embers ................................ 10O rientation ............... ......................... 10A bstracts ............................................ 11Separate and Distinct. .............................. 22A lu m ni ............................................. 24Placem ent Service .................................... 28

ON THE COVER:The Dietz Diagnostic Center Ground-breaking.

__ _ ___ l__l__a___s___^l________________Y_____�2

(A)

(B)

It was just 10:00 a.m., but the dirt reallybegan to fly. First Roy Swarzman, who hasbeen a COMS Board member for almost 20years, took a turn at the shovel. (A) ThenPresident Thomas Vigorito had his turn. TheIowa Governor's Executive Assistant, JohnMurray, filled in with the shovel for GovernorRobert Ray.

The shovel was then passed around thecrowd to let anyone and everyone get inthe act. (B)

What was the occasion? The July 21stground-breaking for the Dietz DiagnosticCenter. Since then, work has been progress-ing along despite truck strikes and rainyweather.

The $270,000 building is scheduled forcompletion in February.

DIETZDIAGNOSTICCENTER

Almost one in every ten black persons isaffected by a red blood cell condition,Sickle Cell, that makes them totally depen-dent on an adequate oxygen supply. Flyingin an unpressurized air plane or physicalactivity at a high altitude or even surgeryunder a general anesthetic causes the redblood cells in the affected people to forminsoluable "sickles" which clump togetherblocking the blood supply to the vitalorgans. Serious damage and, sometimes,death can result.

Another form of the disease, sickle cellanemia, makes the person more susceptibleto liver, bone and heart diseases, multiplestrokes and general heart deterioration.

A third inherited disorder affecting blackpeople, G6PD, is an enzyme deficiency thatcauses reactions to various non-prescriptiondrugs.

Most physicians do not test for thedisorders.

Four black soldiers, who had the sicklecell disease, died early this year whileundergoing basic training at a base locatedat 4,060 feet. If the Army had tested for thetrait, the deaths probably would not haveoccured. Some third year students at COMS,realizing from this report the need for testing,initiated three sickle cell detection clinics.

The clinics, held on three consecutiveweekends, tested 212 people. Several DesMoines physicians and approximately 35students staffed the clinics which werefinanced by a $1150 grant from the College.

Seventeen of the 212 persons tested hadpositive reactions.

Following the sickle cell clinics, a proposalwas made by Julius Connor, M.D., Directorof the Polk County Health Department, tourge the Iowa Legislature to pass legislationmaking sickle cell testing mandatory.

SICKLECELLDETECTIONCLI MICS

Two senior students, Jim Mitton and GaryRomp, took part in a summer camp programdesigned for diabetic children, CampHertko Hollow.

The Camp, named after a Des Moinesphysician, Dr. Edward J. Hertko, incorporatesall the usual camping activities with specialemphasis on education and diabetes control.

The two students taught informal groupsof campers throughout the week.

5

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S : A F - P PRNi AA woman tries on a dress for a party and hastrouble with the zipper. She goes on a dietusing diet pills instead of will power.

A man has trouble keeping alert duringlong business conferences. He starts takingpep pills-once in a while-until it becomesdaily.

These two people are part of today's"hippie" drug culture.

Most adults regard their pill taking as"acceptable"; their children's they do not.It is difficult, if not impossible, to bridge theopinion-impression gap between adults andyoung people, especially where drugs areconcerned. What better way to bridge allgaps and communicate with young peoplethan through their own peers? Peers whohave been on drugs and are now on the wayto rehabilitation.

A program funded by the Model CitiesOccupational Upgrading Project was estab-lished at COMS this summer to do just that.Fifteen residents of the Model Cities area arebeing trained by the Department of Psychia-try to be drug and alcohol counselors.

Incorporated into the $74,146 programare encounter groups, psychodrama, anddidactic presentations.

In the encounter groups, problems andexperiences are talked out. The psycho-drama, which usually grows out of the groupsessions, provides an outlet in which prob-lems are acted out. Roles are changed toincrease sensitivity to the "other" position.

Didactic presentations are made by mem-bers of the faculty, representatives of com-munity organizations, welfare agencies andthe police. The presentations include train-ing in the physio-pharmaceutical effects ofdrugs, psychology, pharmacology, interviewtechniques and the principles of counseling.

Members of the group also work with thetherapists on the staffs of the HarrisonTreatment and Rehabilitation Center, RealityHouse and the Together House.

The first portion of the program lasts forsix months. The second half of the year willbe a "practicum lab" which gives theparticipants an opportunity to utilize whatthey have learned.

It is hoped that this new approach to theproblem of drug use will result in employ-ment for these rehabilitated Model Citiesresidents.

Their employment as counselors will,hopefully, bridge that communications gapand result in greater empathy for youngpeople on drugs.

SEAL CAMPAIGN STARTS

The 1970 Osteopathic Seal Campaign offi-cially opened October 21 when GovernorRobert D. Ray accepted the first sheet ofosteopathic seals.

Making the presentation on behalf of theNational Osteopathic Foundation were Mrs.Duane Hinshaw (far right), chairman of theCollege of Osteopathic Medicine andSurgery's Students' Wives Club OsteopathicSeal Campaign and (far left) Dave Evans,Vice President, Sigma Sigma Phi, nationalhonorary service fraternity, and Mrs. ArthurWittich, President,' Students' Wives Club.

Mrs. Hinshaw told the Governor that fundsraised by this campaign go to support osteo-pathic student loans and research projects.Since the Osteopathic Seal Campaign startedin 1931, about one in every ten osteopathic

physicians now in practice has been helpedby these loans. Since 1949, the fund hasalso helped support osteopathic research ateach of the profession's six colleges.

"It is the only time of the year," Mrs.Hinshaw said, "that the osteopathic profes-sion goes to the general public for financialsupport of any of its projects".

The Osteopathic Seal Campaign is spon-sored by the National Osteopathic Founda-tion, philanthropic affiliate of the AmericanOsteopathic Association, and administeredby the Auxiliary to the AOA.

In addition to the written solicitation ofalumni, faculty, and friends of the College,Mrs. Hinshaw is making articles to be soldat a bazaar in late November. Proceeds fromthe bazaar will be given to the seal campaign.

FACULTYFACTS

Erie W. Fitz, D.O., Professor of Psychiatryand Chairman of the department, was oneof the speakers during a two week DrugEducation Workshop at Drake University.The Workshop, designed for school nurses,administrators, teachers and others whowork with the drug problem, provided ageneral knowledge about drugs and their useand abuse through understanding drugdefinitions and clarification of terms.

Dr. Fitz's talk, entitled, "Growing Hopeor Grim Illusion" discussed the benefitsand bad points of the withdrawal andmaintenance methadone programs for heroinaddicts.

Robert J. Connair, D.O., Associate Professorof Osteopathic Principles and Practice andDirector of the Division of Physical Medicineand Rehabilitation, passed his written andoral certification examination during theannual meeting of the American OsteopathicBoard of Physical Medicine and Rehabilita-tion. Dr. Connair is now eligible to take thepractical section of the exam during thenext board meeting in 1971.

Harry B. Elmets, D.O., Clinical Professorof Osteopathic Medicine and Chairman ofthe Division of Dermatology, was electedPresident of the American OsteopathicCollege of Dermatology during its annualmeeting last October. He was also re-elected Chairman of the American Osteo-pathic Board of Dermatologists for thetwelfth time.

Dr. Elmets appeared in a panel discussionon "Venereal Disease" on closed circuittelevision during the AOA's annual con-vention.

Mrs. Mary Morrow, COMS Librarian, at-tended the meeting of the Council of theMidwest Regional Health Science Librariansin early October at the University of IndianaMedical Center in Indianapolis.

Jean LeRoque, D.O., Professor of Osteo-pathic Principles & Practice and Director ofthe South Des Moines Clinic, was unani-mously elected Speaker of the AOA Houseof Delegates during the annual meetingin July.

Dr. LeRoque, who has been a member ofthe COMS faculty since 1946, was electedPresident of the Faculty Senate in September.The Faculty Senate is the ruling body ofthe faculty.

Byron E. Laycock, D.O., Professor of Osteo-pathic Principles & Practice and Chairmanof the department, published "Manipulationin musculo-skeletal problems and visceralpathology" in the September issue of"OP/The Osteopathic Physician".

Samuel Brint, D.O., F.A.C.O.O.G., Professorof Obstetrics-Gynecology and Chairman ofthe department, was part of the "Ecology"program at Kirksville College October 21st.Dr. Brint's topic was "The ObstetriciansView of Population Control".

8

-_ _ _ _

Three grant awards totaling over $20,000have been given to three COMS facultymembers to finance on-going research. Theawards, presented by the AOA's Bureau ofResearch, went to David Celander, Ph.D.,Professor of Biochemistry and Chairman ofthe department, for "Osteopathic Manipula-tive Therapy and Factors Regulating BloodPressure"; Mohinder S. Jarial, Ph.D., Assis-tant Professor of Anatomy, "To Investigatethe Ultrastructure of the SubcommissuralOrgan in the Brain of the Mongolian Gerbil";and Mearl A. Kilmore, Ph.D., AssociateProfessor of Pharmacology, for "Hemo-dynamics of Essential Hypertension asAffected by Abdominal Reflexes".

Members of the Department of Pharmacologyattended the Fall meeting of the AmericanSociety for Pharmacology and ExperimentalTherapeutics and presented the followingpapers:

"Interactions of Stress, Food Intake, andDrugs in Producing Peptic Ulcers"-MearlA. Kilmore, Ph.D., Associate Professor,William Noel, B.S., Wayne Terry, B.S., andJames Orcutt, Ph.D., Chairman of theDepartment.

"Cardiac Dynamics of dl-Propranolol,d-Propranolol, and Practolol"-John Clark,M.S., Instructor, Mearl A. Kilmore, Ph.D.,William Noel, B.S., and Wayne Terry, B.S.

The meeting was held at Stanford Uni-versity in Stanford, California.

Samuel Williams, Jr., D.O., resigned as Deanof the Faculty and returned to private practicein Maquoketa, Iowa, this summer.

A personal farewell from Dr. Williams wasprinted in the September issue of "OP/TheOsteopathic Physician." Dr. Williams is amember of the Editorial Consulting Boardof that magazine, specializing in GeneralPractice.

Two 1969 graduates, John A. Weibel, D.O.,and William Reinwasser, D.O., have joinedthe COMS faculty as Assistant Professorsof Osteopathic Principles & Practice andClinic Supervisors.

Dr. Weibel, who earned a bachelor ofscience degree in Education from North EastMissouri State Teachers College in 1964, isoriginally from Chariton, Iowa. Prior to hisenrollment at COMS, he taught elementaryschool in St. Louis, Missouri. He served hisinternship at Des Moines General Hospital.

Dr. Reinwasser, originally from Phila-delphia, Pennsylvania, is known to DesMoines area residents as Bill Reiner, a localradio personality. Dr. Reinwasser was aninstructor at Point Park College and Duff'sCollege while working toward his Bachelorof Arts in Business Administration from theUniversity of Pittsburg in 1965.

He served his internship at RichmondHeights General Hospital in Cleveland, Ohio.

Martin Sachs, Ph.D., joined the faculty thissummer as Assistant Professor of Anatomy.Dr. Sachs received his bachelor of sciencedegree in biology from the University ofMiami and his doctorate in zoology from theUniversity of Massachusetts.

He is the author of various articles onartificial pathenogenisis in certain seacreatures.

Dr. Sachs is a member of the AmericanAssociation of University Professors.

9

ADDNEW

BOARDMEMBERS

During the September meeting of the Boardof Trustees of the College, twelve new mem-bers were selected. They include: JuliusAbramsohn, D.O., (term expires 1973),Guthrie Center, Iowa; Paul E. Emmans, D.O.,(1972) Seattle, Washington; D. V. Goode,D.O., (1973) Bondurant, Iowa; Irwin G.Groff, D.O., (1973), Des Moines, Iowa;Richard M. Kotz, D.O., (1973) Des Moines,Iowa; Max H. Lamb (1973), Des Moines,Iowa; Dorothy V. Mullin, D.O., (1973),Ellsworth, Iowa; Jack Pester, (1973) DesMoines, Iowa; K. George Shimoda, D.O.,(1973) Marshalltown, Iowa; Eugene Sikorski,

D.O., (1973) Pontiac, Michigan; WilliamSteigman, (1973) Chicago, Illinois; DanToriello, D.O., (1972) Des Moines, Iowa.

Drs. Emmans, Goode, Groff, Kotz, Mullin,Shimoda, and Toriello, and Mr. Lamb andMr. Pester are also on the Board of Directors.

All of the physicians are graduates ofCOMS. Mr. Lamb is President of Auto-matique Des Moines Inc.; Mr. Pester isChairman of the Board of Pester's DerbyService, Inc.; and Mr. Steigman is GeneralCounsel for the AOA.

Part III of the National Board Examinationwill be given 15 January 1971. Applications,which may be obtained from the AssistantDean's office at the College, must be sub-mitted 30 days prior to the date of theexamination.

The examination may be taken after com-pletion of six months of internship in a hos-pital approved by the American OsteopathicAssociation.

ORIENTATIONApproximately 113 first year students, thelargest number of incoming students in thehistory of COMS, matriculated during orien-tation September 3-4.

One hundred four freshmen hold at leasta baccalaureate degree; six have earnedtheir masters degrees; one has his doctorate.Two have completed the minimum of three

years of college and have met all pre-medrequirements.

Members of the College administrationand other guest speakers including JohnCisna, D.O., Clinical Assistant Professor ofOsteopathic Principles & Practice and amember of the Polk County Society of Osteo-pathic Physicians and Surgeons, and Ken-neth Clayton, D.O., Spirit Lake, Iowa,President of the Iowa Society of OsteopathicPhysicians and Surgeons, will address thestudents.

Twenty-two freshman are from Iowa.Twenty come from Pennsylvania and Michi-gan respectively. The others' home statesare scattered all over the nation.

-- I -- --------------

ABSTRACTSCOMS faculty members and studentsparticipated in the Fourteenth AnnualResearch Conference of the AmericanOsteopathic Association. Because of theimportance of continuing research tomedicine and medical education, we arereprinting the abstracts of theirpresentations for our alumni.

11

Observations on the ultrastructureof the choroid plexus of theMongolian gerbil MerionesunguiculatusM. S. JARIAL, Ph.D.Department of AnatomyCollege of Osteopathic Medicine and SurgeryDes Moines, Iowa

The ultrastructure of the choroid plexus of theMongolian gerbil has been studied to de-termine its role in the formation of cerebro-spinal fluid. Animals were obtained fromGeneral Biological Supply House, Chicago,maintained at room temperature, and fedcommercially available guinea pig food. Theanimals were anesthetized with chloroformand the brain was removed; the choroidplexuses from the lateral ventricles werefixed at room temperature for 30 minutes in6 per cent glutaraldehyde buffered withphosphate at pH 7.4, and postfixed in 1 percent osmium tetroxide for 30 minutes. Afterdehydration, the material was embedded inEpon 812. Sections were cut on an LKBultratome and stained with uranyl acetatefollowed by lead citrate. The sections wereexamined with a Hitachi 7-S electronmiscroscope.

The choroid plexus was shown to be com-posed of two distinct cell types. The type Acells had extensive narrow infoldings of thebasal plasma membrane and numerous club-shaped microvilli at the lumen border. Manydesmosomes and instances of zonula oc-cludens existed between adjacent cells. Thetype B cells had only a few basal plasmamembrane infoldings, and the microvilliwere absent. They had, instead, a plainlumen border. Both cell types had numerousmitochondria and vesicles of different sizes.When the lateral ventricles were perfusedwith ferritin solution, particles were boundto the membrane at the lumen border of Btype cells and transported in vesicles.

This study indicates that the ultrastructuralfeatures of the type A cells of the choroidplexus are similar to other epithelial cellsconcerned with fluid transport, such as theproximal convoluted tubule of the kidneyand the ducts of the salivary glands. Theobservations suggest that the type A cellsare involved in the secretion of the cerebro-spinal fluid and that the B type cells areengaged in the process of absorption fromthe ventricular fluid. By their combinedfunctions of secretion and reabsorption, thesecells appear to determine the final composi-tion of the cerebrospinal fluid.

Supported by an NIH General Research Support grant.

Morphology of human umbilicalcord vesselsDONALD F. M. BUNCE II, Ph.D.College of Osteopathic Medicine and SurgeryDes Moines, Iowa

Blood vessels in normally distended and incollapsed human umbilical cords at varyingfetal ages were examined by light andelectron microscopy. Spirally orientedsmooth muscle cells formed the main com-ponent of the endothelial-lined vessel walls.Adjacent muscle cells were linked by fibrousstrands, and a variable amount of collagenoccupied the intercellular spaces. The tissuesof Wharton's jelly formed a common tunicaadventitia about the three vessels. Nonervous elements could be demonstratedmore than 1-2 cm. from the umbilical ring.

Elastic fibers were present in increasingnumbers in the inner third of the media of thetwo umbilical arteries from about 5 months toterm. Oxytalin-positive pre-elastic fiberswere first seen in 12- and 13-week fetuses.

12

These fibers cannot be demonstrated byroutine stains for elastic tissue, but theyreact brilliantly with orcein, aldehydefuchsin, or resorcin fuchsin following pre-oxidation. After the fifth fetal month matureelastic fibers appeared and increased pro-gressively to term, while the number ofpre-elastic fibers decreased. The location,distribution, and arrangement of pre-elasticfibers corresponded closely to that of elasticfibers. This suggests that pre-elastic fibersare an immature form of elastic tissue, andthat they become transformed into matureelastic fibers between the fourth and fifthfetal months.

An internal elastic lamina was absent inall cord arteries, but was strongly developedin the umbilical vein. The venous media con-tained a few fine elastic fibers and fibrilssituated in close relation to the lamina. Pre-elastic fibers in the vein developed intomature elastic tissue in the same timesequence as the arteries.

Electron microscopy revealed a number ofdifferences between the fetal smooth muscleof umbilical cord vessels and adult vascularmuscle. The sarcoplasm in fetuses to 4months was filled with sharply definedmyofibrils; these diminished in number after5 months and were difficult to discern interm muscle.

Early fetal muscle cells contained largeamounts of granular endoplasmic reticulum.The number of these channels similarly de-creased progressively up to term. Numerouspinocytotic vesicles and a few multivesicularbodies were present, and the cross-linkingfilaments identified as collagen were asso-ciated with distinctive electron-dense areasin the sarcoplasm. Amorphous, electron-dense material arranged in long strands in

close relation to the basal lamina of themuscle was found in the inner arterial media.Its position corresponded approximately tothe location of the pre-elastic fibers dis-tinguished histochemically by light micro-scopy. Functional mechanisms of theumbilical blood vessels suggested by thesemorphologic findings are discussed.

Electron microscopic studies ofthe effect of tolnaftate onTrichophyton schoenleiniiJ. P. DEVAN, DVM, M.S.,M. D. NEWCOMB, Ph.D., andH. R. NEWCOMB, Ph.D.Department of MicrobiologyCollege of Osteopathic Medicine and SurgeryDes Moines, Iowa

The ultrastructure of several dermatophyteshas been extensively studied during the lastdecade and has revealed both variability andcomplexity in the structural organization ofthese fungi. This paper presents a compara-tive study of the normal fine structure ofTrichophyton schoenleinii with the alteredstructure resulting from the effects of treat-ment with tolnaftate (Naphthiomate-T) inan attempt to elucidate the possible mecha-nisms of action of this topical, antifungaldrug by electron microscopy.

Tolnaftate in 95 per cent ethanol-acetonemixture was added to 4-day-old shake cul-tures of T. schoenleinii (CDC strain) grownin Sabouraud's glucose broth at room tem-perature (25-27 C.). The final concentrationsof the antifungal agent in the cultures were,respectively, 0.08 /cg./ml., 0.16 /ug./ml.,0.31 /tg./ml., 0.62 ug./ml., 1.25 /ug./ml. and

13

_ _ _ _ _ _ � � �I� _g

2.5 /tg./ml. After exposure of the organismto tolnaftate for 4, 24, 48, or 72 hours, thefungal pellets were then fixed in 1 per centPalade's buffered osmium tetroxide at pH 7.4overnight at 4 C. The fixed specimens weredehydrated in a graded series of ethanol,infiltrated and embedded in epon resinmixture of dodecenyl succinic anhydride,Araldite 6005, Epon 812, dibutyl phthalate,and DMP-30. The sections were doublystained, first with uranyl acetate and secondwith lead citrate. The sections of treated anduntreated fungal pellets were examined withthe Hitachi HS-7S electron microscope.

The outer coating of the cell wall of theuntreated fungus is composed of an electron-dense fibriform network. The composition ofthe cell wall appears to consist of electron-lucid fibrils running longitudinally to thehyphal cell and transversely in the septum.The septal granules have the appearance offine fibrillar material and are limited by adistinct membrane. The cytoplasmic mem-brane is a unit membrane structure lining thecell wall, septum, and septal pore. It may bestraight and continuous or may invaginateinto the cytoplasm at various places. Thenucleolus is an electron-dense area of thenucleus usually found close to the nuclearmembrane.

The effect of tolnaftate in vitro on T.schoenleinii was limited to concentrationsranging from 0.62 ,/g./ml. to 2.5 /ug./ml.after its exposure to the agent for a 24-hourperiod or longer. Below these concentrationsof the agent and at less than a 24-hour ex-posure time, no observable effects uponultrastructure were detected. The first andmajor change to occur in the structuralmake-up of the organism was a decrease inthe relative number of ribosomes after 24hours and ultimately their disappearance atthe higher concentrations and longer ex-posure times. The formation of vacuoles and

development of osmophilic electron-denselipid bodies were observed. The indoplasmicreticulum, cytoplasmic membrane, andmitochondria showed distortion or dissolu-tion, or they became granular. Tolnaftateappeared to have no demonstrable effect onthe organization of the cell wall and outercoating of T. schoenleinii.

In view of the apparent differences in drugsensitivity which we have already observedwith various strains of T. schoenleinii, studiesare in progress to attempt to determine possi-ble sites at the ultrastructural level that maybe unaffected by the action of tolnaftate onresistant strains of this organism.

The authors gratefully acknowledge the tolnaftate (Tinactin) furnished bySchering Corporation, Bloomfield, N.J., for this investigation.

Effect of Thiotepa upon clearanceof radioactive gold colloid by thereticuloendothelial systemHARRISON W. PRATT II, M.S.,THOMAS W. BROWN, ELIZABETHBURROWS, D.O., and ROGERSENTY, D.O.

It is known that there is a correlation betweenthe phagocytic ability of an organism asdetermined by its ability to clear foreigncolloids from the blood and its resistance toneoplastic invasion. That is to say, increasedphagocytic ability confers upon the host anadvantage, and similarly decreased phago-cytic ability confers a relative disadvantageto the host in terms of survival. Thiotepa(N, N', N", triethylenethiophosphoramide),which is used in the palliation of variousneoplastic diseases, is a polyfunctionalalkylating agent that is related to the nitro-gen mustards. Because of the relatively high

No significant alterations were observedeither in organ distribution or in plasmaclearance rates (Fig. 1) of the colloid withthe administration of Thiotepa. Also, therewas no evidence of the increased splenic orbone morrow uptake of colloid whichusually accompanies severe RES inhibition.These results suggest that Thiotepa, in thedoses employed, is relatively nontoxic toreticuloendothelial functioning as determinedby collodial 198Au clearance.

These studies were supported by NIH grant #CA-8079-0181. Thiotepawas supplied by Lederle Laboratories Division, American Cyanamid Com-pany, Pearl River, N.Y.

toxicity of this therapeutic agent, it wasdecided to assess its effect upon the reticu-loendothelial system (RES) in light of the roleplayed by the RES in the host's defenseagainst neoplasia.

Thiotepa was given intravenously to mon-grel dogs in doses equivalent to those pre-scribed for humans (0.85 mg./kg.) 2 weeksbefore the clearance studies, with a supple-mental dose equal to half the original dosegiven intravenously 2 hours before the clear-ance study. A bolus of radioactive gold('98Au) colloid was injected into the femoralveins of anesthetized dogs using Rochesterplastic cannulas. Dynamic imaging of the invivo distribution of the colloidal 198Au wasperformed with a Pho/Gamma III scintilla-tion camera and the clearance of colloidfrom the blood was determined by countingsequential plasma samples in a well-typescintillation detector.

Correlation of the etiology andclinical findings of upperrespiratory diseaseRICHARD CONSIDINE, PH.D., andNIGEL DA SILVA, PH.D.College of Osteopathic Medicine and SurgeryDes Moines, Iowa

This comprehensive project was undertakenin an attempt to correlate the clinical pictureof upper respiratory infection (URI) with theetiologic agents involved. The initial phase ofthis work involves the determination of theetiologic agents involved in two differentgroups of patients: pediatric and adult. Twogeneral groups of microorganisms have beenstudied. In the first group, bacteria, the pri-mary emphasis was placed on the role ofStaphylococcus aureus, Streptococcus pyo-genes, Mycoplasma pneumoniae, Haemo-philus influenzae, and Neisseria species inURI. Viruses, which constituted the second

15

group, were detected by means of tissue cul-ture methods and serum antibody titers inacute and convalescing patients.

Results indicate that different etiologicagents can cause similar, if not identical,clinical syndromes. This observation is inaccord with the findings of Evans and Dick.1

In addition, many clinical syndromes appearto be caused by two or more etiologic agentsin some instances. Viruses seem to play themajor role in the URI cases thus far investi-gated. The role of the various virus groupsinvolved in this study is discussed in detail.While a significant percentage of URI-35.9per cent, according to Evans and Dick'-has been reported to be of unknown etiology,thus far in this work only a small percentageof the cases studied has been placed in theunknown etiology category.

1. Evans, A. S., and Dick, E. C.: Acute pharyngitis and tonsillitis in Univer-sity of Wisconsin students. JAMA 190:699-708, 23 Nov. 64

A proposed mechanism forosteopathic manipulative therapyeffects on blood pressureTOM BROWN, B.A.,EVELYN CELANDER, M.S., andD. R. CELANDER, PH.D.College of Osteopathic Medicine and SurgeryDes Moines, Iowa

The effectiveness of soft tissue manipulationapplied to the cervical and thoracic para-spinal muscle masses in reducing blood pres-sure has been studied in 86 patients, 42normotensive and 44 hypertensive. In addi-tion to blood pressure measurements takenas described previously,' -2 a number of

blood studies have been performed to corre-late factors affecting either the viscosity ofblood or those giving evidence of alterationin autonomic activity, with changes inblood pressure.

As reported previously,2 significantly largerproportions of the hypertensive groupshowed a decrease in systolic pressure of 4mm. Hg or more in response to manipulationthan did the normotensive group (Table 1).Corresponding differences in response ofthe diastolic pressure were seen between thetwo groups. Decreases in hematocrit, fibrin-ogen concentration, and cold lytic activity3

and increases in fibrinolysin activator level(as measured by fibrin plate assays4), whichwere seen uniformly in the manipulatedhypertensive subjects, occurred to a lesserextent and less uniformly in manipulatednormotensive subjects. Of particular interestwas the greater incidence of concomitantoccurrence of decreases in fibrinogen con-centration and systolic pressure amongmanipulated hypertensive subjects thanamong manipulated normotensive subjects(Table 2). In untreated representatives ofboth populations, changes in blood pressureand the other factors cited tended to be ran-dom or actually in the opposite direction tothose indicated.

Eight hypertensive subjects have beenstudied for periods of up to 8 weeks, withprolonged salutary effects on blood pressurelevels being observed in 5 of them (averagedecrease of 17 mm. Hg in systolic pressureand 9 mm. Hg in diastolic pressure in thisgroup). At least 2 of these subjects werestudied for periods up to 4 weeks withoutintervening manipulation and both systolicand diastolic pressures were found to havebeen maintained below the starting level.

Of particular interest have been observa-tions made on those who were being main-tained on other medication. Several of thesubjects were receiving drugs of the reser-pine type, either with or without diuretic

therapy. Even though their blood pressurewas in what would be considered the normo-tensive range (that is, less than 140/90), allthese subjects showed further significantreductions in both systolic and diastolicpressures upon manipulation. Two patientswho were receiving ganglionic blockingagents such as Ismelin were found to haveblood pressures well into the hypertensiverange (for example, 160/115) but failed torespond to osteopathic manipulative inter-vention as long as they continued on thismedication. However, their blood pressurewas susceptible to reduction through osteo-pathic manipulation when the drug had beendiscontinued for at least 24 hours. Data onthese patients are presented in Table 3.

Most of the patients studied have beenthose with what could best be described asmild hypertension, a group for which Gifford5

strongly recommended the use of antihyper-tensive drugs. However, he listed precau-tions which must be taken into account foreach of the most widely accepted drugs andat least one or more specific contraindica-tions. The results reported here would seemto provide a basis upon which properly ad-ministered osteopathic manipulative therapymight be considered along with variouspharmacologic agents as a treatment modal ityfor mild to moderate hypertension.

1. Celander, E., Koenig, A., and Celander, D. R.: Effect of osteopathicmanipulative therapy on autonomic tone as evidenced by blood pressurechanges and activity of the fibrinolytic system. IAOA 67:1037-8, May 68

2. Fichera, A. P., and Celander, D. R.: Effect of osteopathic manipulativetherapy on autonomic tone as evidenced by blood pressure changes andactivity of the fibrinolytic system. IAOA 68:1036-8, June 69

3. Guest, M. M., and Celander, D. R.: Fibrinolytic potentiality of bloodplasma. Fed Proc 17 (no. 1, pt. 1) (Abstr. 246):63, Mar 58

4. Astrup, T., and Mullertz, S.: Fibrin plate method for estimating fibrino-lytic activity. Arch Biochem 40:346-51, Oct 52

5. Gifford, R. W.: Report of lecture given at 1969 annual meeting of MaineOsteopathic Association. Osteopathic.News 10:1, Sep-Oct 69

Cardiac dynamics of dl-propranolol(Inderal), d-propranolol, andPractolol (AY 21011, ICI 50172):A preliminary studyMICHAEL VICTOR, B.S., JOHN ALTER, B.S.,WAYNE H. TERRY, B.S., andMEARL A. KILMORE, PH.D.College of Osteopathic Medicine and SurgeryDes Moines, Iowa

In a relatively short period the field of beta-receptor blocking drugs has grown tremen-dously. At present d/-propranolol (Inderal)is that best known and is currently used inpatient therapy in the U.S. However, otherbeta-receptor-blocking drugs which are morespecific in the blocking of beta-receptors arebeing developed; d-propranolol and Prac-tolol are presently being investigated in ourlaboratory and compared to d/-propranolol.For this comparison mongrel dogs weighing10-20 kg. were anesthetized with intra-venous sodium thiopental, intubated with anendotracheal tube, and maintained with 50per cent nitrous oxide and 50 per centoxygen with occasional sodium thiopentalsupplements. The dogs were then preparedto record the following: central arterial pres-sure and central venous pressure by Stathampressure transducers, cardiac output andright coronary blood flow by a Stathamelectromagnetic multiflow meter, myocardialcontractility by a Walton strain gauge arch,and electrocardiogram. A Grass polygraphwas used as the graphic recorder. At presentfive, four, and five dogs have been given,respectively, d/-propranolol, Practolol, andd-propranolol. The drugs were given intra-venously according to the following sched-ule: a dose of 0.1 mg./kg. every 3 minutesfor the first six doses and a dose of 1 mg./kg.every 2 minutes for the last seven doses.d/-propranolol decreased myocardial con-tractility, heart rate, cardiac output, andarterial pressure at the lowest dosage, butincreased venous pressure. It also producedsome fluctuation in the coronary artery flow

17

but no significant change occurred until1 mg./kg. was given and a decreased flowresulted. In contrast, d-propranolol seemedto have little effect on myocardial contrac-tility, heart rate, cardiac output, arterialpressure, and venous pressure when dosesof 0.1 mg./kg. were given. However, coro-nary artery flow tended to increase duringthis time. Doses of 1 mg. /kg. of d-propranololproduced results comparable to those withd/-propranolol. When AY 21,011 was com-pared with d/-propranolol, considerable dif-ferences were noted. Heart rate decreasedinitially but did not decrease further with thesubsequent doses. Venous pressure andcoronary blood flow remained about thesame throughout the experiment irrespectiveof dose. However, myocardial contractility,cardiac output, and arterial blood pressuregradually increased when doses of 0.1 mg/kg. were given, but when doses of 1 mg. /kg.were given, these parameters returned totheir control level.

Supported in part by an NIH General Research Support Grant and AyerstLaboratories.

Effect of an inhibitor of fibrinolysisupon the intravascular clearance offibrin monomer in dogsHARRISON W. PRATT, II, M.S., andD. R. CELANDER, PH.D.College of Osteopathic Medicine and SurgeryDes Moines, Iowa

AMCHA (trans-4-aminomethylcyclohexanecarboxylic acid) is a potent micromolecularinhibitor of fibrinolysin and its activators.'

In our laboratory the clearance of colloidalcarbon from the blood by the reticuloendo-thelial system (RES) of AMCHA-treated ani-mals was inhibited.2 Experiments with thisdrug on the in vivo distribution of 75seleni-um-labeled erythrocytes injected intra-peritoneally indicated that AMCHA alsoproduced an apparent increase in eithercapillary or lymphatic permeability.3 How-ever, notwithstanding the potency ofAMCHA as a fibrinolytic inhibitor, systemicadministration of the drug has been reportednot to produce fibrin deposition or otherhistologic alteration.4 In the light of the fore-going, it was decided to determine the effectsof AMCHA on the in vivo distribution offibrin monomer, an intermediate in the con-version of fibrinogen to fibrin.

Electrophoretically homogeneous fibrino-gen was isolated from fresh canine plasma, 5

dissolved in 0.055 molar sodium citrate, andclotted with thrombin. The clot was woundout on a glass rod, washed with fresh citratesolution, and dissolved in 5 molar urea.Immediately after assay of the fibrinogen,6

the protein was labeled with 1 3 1 iodine7

and stored at 4 C. until ready for use. Experi-mental dogs were given 400 mg. of AMCHAin a meatball twice daily for 2 weeks; theircounterparts, the control dogs, receivedonly a meatball on the same schedule. Inaddition, each of the experimental dogs wasgiven 1 gram of AMCHA in a meatball 12hours before the clearance studies were tobe performed.

After the period of treatment, each dogwas anesthetized immediately prior to intra-venous injection of the labeled urea-solublefibrin monomer. Injection of 5 molar ureaalone in amounts equivalent to those usedin this experiment produced no change inrespiration, heart rate, or blood pressure inanother group of control dogs. Dynamicimaging of the in vivo distribution of thelabeled monomer using the Pho/Gamma IIIscintillation camera revealed no apparentchange in the organ distribution of thecolloid in the treated animals.

The plasma radioactivity was fractionatedinto "free" (TCA-soluble) and "protein-bound" (TCA-insoluble) fractions by theaddition of 10 per cent trichloroacetic acid(10 ml./ml. plasma). The clearance of pro-tein-bounid radioactivity from the blood ofboth treated and untreated animals wasnearly identical, as were the rates of appear-ance of free radioactivity in the plasma(Figures 1 and 2). The differences observedin the three pairs of curves indicate dif-ferences between the two groups of animalsonly in that the total radioactivity in theblood, whether free or bound, was higherin the AMCHA-treated animals in everycase. This is not indicative, however, of a

diminished global phagocytic capacity orincreased ability to metabolize phagocytizedfibrin monomer, but rather that there is asmaller volume of distribution of the labeledfibrin monomer in the treated animals. Infact, the mean hematocrit reading of thetreated dogs was 4 per cent greater than the44 per cent hematocrit reading for the con-trol group, reflecting a relatively smallerplasma volume in the AMCHA animals.These observations are congruent with thosepreviously reported by Koenig and col-leagues,3 who found that AMCHA greatlyincreased the return of intraperitoneallyinjected erythrocytes to the circulation based

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on a presumed increase in capillary or lym-phatic permeability. This latter phenomenoncould well account for the difference inhematocrit reading between the two groupsof dogs.

In summary, prolonged oral administra-tion of large doses of AMCHA has beenfound not to alter the clearance or catab-olism of 131iodine-labeled fibrin monomer,although changes in tissue permeabilityseem likely on this dosage regimen.

1. Okamoto, S., and Okamoto, U.: Amino-methyl-cyclohexane-carboxylicacid: AMCHA. A new potent inhibitor of the fibrinolysis. The Keio J Med11:105-15, Sep 622. Koenig, A., et al.: Effect of aminomethylcyclohexanecarboxylic acid(AMCHA) on the reticuloendothelial system. Fed Proc 26:759, 19673. Koenig, A. I., Celander, D. R., and Pratt, H., Jr.: Effect of aminomethyl-cyclohexane carboxylic acid on the behavior of erythrocytes injectedintraperitoneally. JAOA 67:1063-4, May 684. Steenblock, D., et al.: A histologic study of the systemic effects oftrans-AMCHA. JAOA 65:987-8, May 665. Kazal, L. A., et al.: The preparation and some properties of fibrinogenprecipitated from human plasma. Proc Soc Exp Biol Med 113:989-94,Aug-Sep 636. Swaim, W. R., and Feders, M. B.: Fibrinogen assay. Clin Chem13:1026-8, Nov 677. Pressman, D., and Eisen, H. N.: Zone of localization of antibodies:Attempt to saturate antibody-binding sites in mouse kidney. I Immunol64:273-9, Apr 50

Further studies on thehemodynamics of tension onan abdominal incisionJOHN ALTER, B.S.,MICHAEL VICTOR, B.S., andMEARL A. KILMORE, PH.D.College of Osteopathic Medicine and SurgeryDes Moines, Iowa

It has been reported earlier1 that tension onan abdominal incision can cause a precipi-tious fall in arterial blood pressure. Investiga-

tions are in progress in our laboratory todetermine the hemodynamics of this fall,the stimuli which produce the reflex, andmethods to block the pressure fall.

Experiments were performed on adultmongrel dogs weighing from 10-20 kg. Alldogs were anesthetized with intravenoussodium thiopental, intubated with an endo-tracheal tube, and maintained with 50 percent nitrous oxide and 50 per cent oxygenwith occasional sodium thiopental supple-ments. Preparations for recording centralarterial and venous pressures were made byinserting catheters into the femoral arteryand femoral vein, respectively, and thread-ing them into the thorax. The catheters wereattached to Statham pressure transducersusing a Grass polygraph as a graphic re-corder. After the dogs had been prepared forrecording the blood pressures, a high ab-dominal incision of approximately 4 inchesin length was made on the midline. The in-cision was stretched by hooking either thefingers or a retractor underneath each sideand lifting. This produced an average fallin the mean arterial pressure of 11 mm. Hgand an increase of 1.9 mm. Hg in the centralvenous pressure.

To characterize the reflux further, thethoracic cavity in six dogs was opened toinsert an electromagnetic flow-probe aroundthe ascending aorta to record cardiac output.Also, a Walton Strain Gauge Arch was at-tached to the right ventricle to record myo-cardial contractility. When tension wasplaced on the abdominal incision, the meanarterial pressure again fell an average of11 mm. Hg and venous pressure rose anaverage of 1.7 mm. Hg. Cardiac output fellapproximately 100 cc./minute and myocar-dial contractility decreased 5-10 per cent.An intravenous injection of d/-propranololalone or in combination with tolazolinefailed to abolish the fall in blood pressure.However, when the superior mesentericartery was clamped and tension then ap-plied, the fall in arterial blood pressure was

completely abolished or greatly diminished.Thus, the fall in arterial blood pressure isprobably due to a pooling of blood in theabdominal cavity. The pooling of blood canalso account for the decreased cardiacoutput and decreased myocard ial contract I ity.

1. Rostermundt, C. E., and Kilmore, M. A.: Hemodynamics of tension onan abdominal incision. JAOA 68:1057, Jun 69

Supported in part by AOA Research Grant T-6956.

Effect of stress and restricted foodintake on corticosteroid-inducedulcersWILLIAM K. NOEL, B.S., andMEARL A. KILMORE, PH.D.College of Osteopathic Medicine and SurgeryDes Moines, Iowa

One of the hazards of corticosteroid therapyis peptic ulceration. However, the meca-nism for producing these ulcers has not beenelucidated. Thus, specific prophylactic ther-apy to prevent the peptic ulcers from occur-ring is usually not institued along withcorticosteroids. The aim of our project wasto investigate the interrelationship betweenother factors known to produce ulcers,namely, stress and restricted food intake,and corticosteroid therapy, with the hopethat this investigation would aid in under-standing why the ulcers occur.

Eighty 200-gram male Sprague-Dawleyrats were divided into 8 equal groups andfed Purina Rat Chow ad libitum for 3 weeks.During the last 2 weeks of the feeding periodeach group received daily subcutaneous in-jections with either saline (groups 1 and 7) orvariable amounts of hydrocortisone (groups2 through 6 and 8). At the end of this periodthe susceptibility of groups 1 through 6 to

ulceration was determined by "restraintstress," which is complete immobilizationof the rat. This was accomplished by wrap-ping the rat in a wire mesh and then staplingthe mesh tightly enough to prevent move-ment of the rat but not so tightly as to inter-fere with its breathing. Groups 1 through 6were maintained in this state without foodor water for 24 hours, at which time allgroups were sacrificed. The stomach andduodenum were examined for ulcerationand the ulcers graded 0-8 according toseverity. The results indicated that ulcerseverity increased as the amount of hydro-cortisone increased, and that the super-imposed stress of restraint was a significantfactor in increasing the severity of pepticulceration. In addition, the higher amountsof hydrocortisone caused weight loss whichcould have been due either to the cataboliceffect of the corticosteroid or the reducedfood intake which occurred when increas-ing amounts of hydrocortisone were in-jected, or both.

After completing the first experiment, asecond experiment was performed underidentical conditions except that the rats werefed a restricted diet of one-third the adlibitum daily quantity consumed by the ratsin the previous experiment. In this secondexperiment, the restricted diet plus restraintproduced a marked increase in ulcerationof the animal given saline injections. Therats treated with hydrocortisone and sub-jected to "restraint stress" in this secondexperiment also had a marked increase inulceration as compared to that observed inthe first experiment. Thus, our data suggestthat an inadequate diet during corticosteroidtherapy could be extremely hazardous,especially if additional stress is imposed.

Supported in part by an NIH General Research Support Grant.

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*An Editorialreprintedfrom "ACOS NEWS"July, 1970.

At the recent Congress on Osteopathy,Workshop No. 5 studied "The Profession inthe 70's". A transcript of the remarks madeby the panel members under the chairman-ship of Murray Goldstein, D.O., is not avail-able, but the panel's recommendations havebeen reported.

That the guidelines are in tune with thehealth care trends of the 1970's cannot begainsaid; that some and the import of manyof the suggestions are likely to be shuntedaside or overlooked seems almost a certainty.

Thumb through the pages of history, andyou become increasingly aware of the factthat "leadership" is frequently behind thetrend of the times, behind the inchoatethrought of the mass mind.

"The public is demanding more and betterhealth care."

The workshop formulated this declarativesentence, and it is far more pregnant withimplications for future change than wouldappear on the surface, even though it hasbeen accepted for many years as a massconsensus.

If we accept the axiom that the historicrelation between physician and patientrepresented the finest example of free enter-prise, we must now accept the fact that therelationship of the past has come to any end.

It is not particularly pertinent to this dis-cussion to go into the reasons for its demise,but it is important to note that this changedrelationship has and will continue for some-time to come to affect attitudes, practices,procedures, etc. within this and otherhealth-care professions.

22

IST~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~I INC`&D

~~~~~~JI1~~Ll

The Workshop panel further pointed outsome of these implications in the followingparagraphs:

"The methods by which physicians arepaid for their services are being re-examinedat all levels; national health insurance andthe possibilities of dissolution of the fee forservice reimbursement concept are beingseriously considered.

"The health services delivery system isbeing reconsidered. The system developedby physicians for physicians is no longersacred.

"The role of the physician, D.O. or M.D.,in this system is being questioned. The con-cept of regular periodic relicensing has beenraised. The respective roles of the familyphysician and the specialist are being re-defined; the use of allied health personnelas members and in some areas perhaps evenas leaders of the health team are beingconsidered.

"...the osteopathic physician also isfaced with proposed changes in his relation-ship with non-osteopathic medicine. Thesechanges obviously impinge upon the politi-cal, the functional, and the educationalprecedents of osteopathic medicine."

In its first "guideline" the panel recognizedthe need for professional identification, butnot isolation.

Without this prologue, the title of thisessay might well seem arcane. There is,however, no secret in the fact that this isthe progeny of the osteopathic profession.

It played a significant role in the historyof this profession; it called from the house-tops of the world that osteopathy wasseparate and distinct from all other health-care professions; it built a coterie of followerwho sought its services and who contributedto its growth.

Now our graduates find themselves servingon the battlefields with M.D.'s; both givingto the wounded substantially the same care.

In the small-county community hospitals,D.O.s and M.D.s work side by side.

Rarely does an osteopathic postgraduatecourse or seminar fail to list M.D.s on theirprogram. This could never be were therenot a basic mutual respect.

M.D.s are beginning to invite D.O.s toparticipate in the medical profession'sprograms.

In some instances, M.D.s have beenhonored with membership in osteopathicorganizations.

One could continue ad infinitum the listof cooperative endeavor; the foregoing werelargely voluntary, but the pervasive hand ofgovernment-the only one that can help thepauper pay his $100-a-day hospital bill-most certainly will be the added ingredientthat will insist upon integration, coordina-tion, cooperativeness, in reaching a goal thatall health-care professions will readily agreeis the most effective care that can be giventhe patient.

We are, after all, patient-oriented, and inthe future the profession may find itselfspeaking of separatism and distinctness ina tone of sotto voce.

This can be easily misunderstood. Beingseparate and distinct is not the same asspeaking of it. Psychology broke away fromphilosophy which severed its connectionwith religious teaching; educational coursesbroke away from liberal arts, etc. Certainlythey became separate and distinct, but, aswith all divisions of a previous disciplinea point in history is always reached whenintegration, coordination, and cooperationsupersede the need for ballyhooing theoriginal separateness.

Perhaps that time has come for osteopathy.

23

ALUMN I1927J. Glenn Garton, D.O., who has practicedin Chariton, Iowa, since 1927, will leavethere for Lake Placid, Florida, in earlyDecember.

Dr. Garton has served on the CharitonCity Council and was a member of theRotary Club.

1935John Bumpus, D.O., of Denver, Colorado,participated in the program of the AmericanAcademy of Sclerotherapy during the annualAOA convention.

1937Myron N. Bos, D.O., of Albia, Iowa, servedas an alternate member to the AOA's Houseof Delegates meeting in Atlanta, Georgia,this summer.

1942Roger Anderson, D.O., of Danveport, Iowa,is a member of the six-man board of direc-tors of the Rural American Medial Program.

RAMP is an organized commercial pro-gram designed to assist rural communitiesto help themselves in obtaining qualifiedmedical care. It provides professional ser-vices, (surveys, fund raising, architecturalplans, doctor procurement assistance, andadvice and guidance to the doctor on the es-tablishing of the medical center.)

1943Marvin Hodson, D.O., formerly of Jewell,Iowa, was program chairman for the Ameri-can Osteopathic Academy of Sclerotherapyduring the AOA convention in San Francisco.

1942James N. Fox, D.O., of Dayton, Ohio, de-livered the Trenery Lecture during the 43rdAnnual Clinical Assembly. His topic was"Pediatric Radiology".

1943John R. Shafer, D.O., Denver, Colorado, waschosen as president-elect of the ColoradoOsteopathic Association during its annualmeeting.

Dr. Shafer has served as President of theAmerican Osteopathic College of Proctology,the Western States Society of Proctology, hasserved as Chief of Staff of the Rocky Moun-tain Osteopathic Hospital and is on the AOAcommittee on post-doctoral training.

1943R. William Westfall, D.O., of Boone, Iowa,and his wife were guests of President RichardNixon at the dinner given in honor of Mexi-can President Gustavo Diaz Ordaz at theHotel Del Coronado this summer.

Dr. Westfall and his wife are active inthe lowa-Yucatan Partners of the Allianceprogram.

Dr. Westfall has headed several volunteermedical-dental teams that have flown into re-mote jungle areas of the Yucatan Peninsula.

1948Dorothy Mullin, D.O., of Ellsworth, Iowa,hosted a special meeting of the fourth dis-trict of the I.S.O.P.S. in late September.

Emphasis at the meeting was placed onencouraging young doctors to enter ruralpractice.

Five student doctors and their wives wereguests.

1949G. J. Leuty, D.O., of Earlham, Iowa, attendedthe seventh annual training session of theAmerican College of General Practitionersin Osteopathic Medicine and Surgery thissummer.

The Earlham "Echo" reported that thiswas the first year that Dr. Leuty was able toattend because he has always presented thefireworks display for that area. This year thedisplay was canceled because of conflictwith the Earlham Centennial.

Dr. Leuty also attended the AOA annualconvention in San Francisco and assistedat the Haight-Ashbury Free Clinic.

1950J. B. Baker, D.O., of Greenfield, lowa, wasthe guest speaker at the Adair (Iowa) Com-mercial Club October meeting. He explainedhis "on-the-job" training program for seniormedical students (preceptorship programfrom the College). Senior student Pat Franklaccompanied Dr. Baker.

1958James F. Brown, D.O., of Cuyahoga Falls,Ohio, Chairman of the Section of Urologyat Green Cross General Hospital, published"Subtotal nephrectomy for hypernephromawhy hypoplasia of contralateral kidney" inthe July issue of the Journal of the AmericanOsteopathic Association.

1962Carl W. Otte, D.O., of Greeley, Colorado,took part in a panel discussion of clinicalproblems during the Aspen meeting of theColorado Osteopathic Association.

1963Kae Patrick McCaffery, D.O., Fort Worth,Texas, presented "Pediatric Radiography" tothe Academy of Applied Osteopathy duringthe San Francisco convention of the AOA.

1965John Vargo, D.O., Manitou Springs, Colo-rado, took part in a panel discussion ofclinical problems during the Aspen meetingof the Colorado Osteopathic Association.

1965Jerold M. Lynn, D.O., of Oak Park, Michi-gan, published "Shoulder dystocia" in theAugust issue of the J.A.O.A.

1966Major Louis B. Walk, D.O., was awardedthe Bronze Star for "meritorious achieve-ment in ground operations against hostileforces in the Republic of Vietnam..." onMarch 22, 1970.

Major Walk is currently serving with theGreen Berets of the 5th Special Forces GroupAirbourne, First Special Forces. In additionto the countrywide responsibilities on themedical reaction team, Major Walk has beenresponsible for preventive medicine healthactivities for approximately 3600 U.S. and80,000 mercenary troops and dependents.

1967Glenn Bigsby, jr., D.O., was at the DesMoines college this fall as a part-time facultymember following completion of his militaryservice.

Dr. Bigsby is now at Metropolitan Hos-pital in Philadelphia doing a residency inradiology.

1968David C. Horowitz, D.O., Royal Oak, Michi-gan, was one of the authors of "XanthomaDiabeticorum: Eruptive xanthoma and dia-betes mellitus" published in the August issueof the J.A.O.A. The other authors includeJules Altman, M.D., and Coleman Mopper,M.D., from the Department of Dermatologyat Wayne State University School of Medi-cine.

25

1968Donald Rochen, D.O., Detroit, Michigan,published "Congenital anomalies of theurinary tract in pediatrics: A review of twocases" in the August issue of the J.A.O.A.

1968Captain Burton N. Routman, D.O., is FlightMedical Officer at Nellis Air Force Base nearLas Vegas, home base of the U.S. "Thunder-birds".

As Thunderbird Flight Surgeon, CaptainRoutman's duties often require that he ac-company the team on its cross country ap-pearances as representatives of the entireU.S. Air Force.

Called "America's Ambassadors in Blue",the Thunderbirds recently performed inPuerto Rico, Panama, Caracas and Venzuela.Dr. Routman often flies in the rear seat of theThunderbirds F-4E Phantom II aircraft.

1969Jefferson C. Emery, D.O. has set up practicein Greeley, Colorado.

1969Jack Hufford, D.O., has set up practice inDenver, Colorado.

1969Michael F. Wright, D.O., of Flint, Michigan,was one of the authors of the article, "Ef-ficacy of glucagon therapy in heart failure"published in the July Journal of the AmericanOsteopathic Association. Other authorsinclude Earl E. Congdon, D.O., Traverse City,Michigan and Donald Vixie, D.O., Flint.

Many of our alumni are now serving in theArmed Forces. Below is a list of our alumnithat we were able to collect from varioussources. If you know of an alumnus that isnot included or has completed his militaryservice, please let us know.

Class Name

1954.... Louis H. Eske, Jr., Lt. Cdr.U.S. Naval HospitalF.P.O., New York 09521

1965.... Robert E. Inman, Capt.Detroit Osteopathic Hospital12523 Third Ave.Detroit, Michigan 48203

1966.... Laurence H. Baker, Capt.12th Evacuation HospitalA.P.O.San Francisco, California 96353

1966.... Robert B. Bell, Lt.R#4Hillsdale, Michigan 49242

1966 .... Paul F. Benien, Jr., Capt.2518 Plaza St.Arlington, Texas 76010

1966 .... Jacob Goldberg, Capt.U.S. Army Hospital(W2Q4)Box 394Fort Ord, California 93941

1966 .... Frederick C. Green, Capt.Davenport Osteopathic Hospital1111 W. Kimberley Rd.Davenport, Iowa 52806

1966.... Joel K. Leib, Capt.22171 W. HamptonOak Park, Michigan 48237

1966.... Fred G. Margolin, Capt.4358 Riverside Dr. B#1Dayton, Ohio 45405

26

1966....Alan M. Matez, Lt.104 Old Orchard Rd.Cherry Hill, New Jersey 08034

1966 .... Roger A. Primrose, Capt.2111 Templeton Gap RoadColorado Springs, Colorado 80907

1966.... James E. Tate, Lt.364 N.E. 163rdSeattle, Washington 98155

1966.... Louis B. Walk, MajorHHC FIFTH S.F.G.(A bn.)First Special ForcesA.P.O.San Francisco, California 96240

1966.... George Y.M. Wang, Lt.Naval Station B.O.Q.Room 518F.P.O.San Francisco, California 96610

1967 .. Irving Gold, Capt.21110 HarvardSouthfield, Michigan 48075

1967 . Lawrence M. Horowitz, Capt.Company "B", 4th Med. Btn.4th Inf.A.P.O.San Francisco, California 96265

1967 .... John K. Podgore, Capt.Pediatrics Dept.Brooke General HospitalFort Sam Houston, Texas 78234

1967 .... Michael M. Silverman, Capt.716 Bridgeman TerraceTowson, Md. 21204

1968 .... John R. Kozek, Capt.1313 Pleasant DriveWest Des Moines, Iowa 50265

1968 .... Eugene L. Fealk, Lt.216 El Camino RealOceanside, California 92054

1968.... Burton N. Routman, Capt.2134 Caravelle Ave.Las Vegas, Nevada 89105

1968.... James S. Snow, Jr., Lt.Beaufort Arms ApartmentsApt. 10-DSouthside Blvd.Beaufort, South Carolina 29902

1968 .... Bruce Rosenberg, Capt.M.C.U.S.P.M. F.S.S.Ft. Sam Houston, Texas 78234

1968 .... John W. McDonough, Capt.U.S. Army HospitalFort Devens, Massachusetts 01433

1970 .... Anthony G. Fichera, CaptainWalter Reed Army HospitalWashington, D.C.

__SE

1911 .... Arthur W. Brockway, D.O.Waukesha, Wisconsin

1917 .. .Charles F. Samp, D.O.Des Moines, Iowa

1926 .... David Skidmore, D.O.Detroit, Michigan

1932....William D. Shideler, D.O.Storm Lake, Iowa

1943.... Carl Crow, D.O.Des Moines, Iowa

1944 .... Herbert Harris, D.O.Seattle, Washington

1947.... Dorothy Diener, D.O.Geneva-on-the-Lake, Ohio

0000.... John W. Harper, D.O.Cleveland Heights, Ohio

27

thelog book

722 Sixth AvenueDes Moines, Iowa 50309

Second class postage paidat Des Moines, Iowa

OFFICE OF INFORMATIONKRKSVI LLE COLLEgGE OF

. - : : OSTEOPATHY BK IRKSVI LLE MO 6350

PLACEMENT SERVICECorydon, Iowa: Near Rathbun Damarea, 38-bed hospital with functioningcoronary care unit, potential popula-tion 12,000.

Miss Amy RobertsonPromise City, Iowa

Waterloo, Iowa: Three hospitals, popu-lation 71,755, will be working with twoother physicians.

Charles Waterbury, M.D.915 West Fourth StreetWaterloo, Iowa 50702

Flora, Illinois: Clay County Hospital.Alvin J. Uebinger, AdministratorFlora, Illinois 62839

Winterset, Iowa: Population 4,000, 35miles from Des Moines.

Herbert J. Ehm309 W. CourtWinterset, Iowa

Cherokee, Iowa: County hospital withrecent new addition. State mental hos-pital. Two osteopathic physicians. Of-fice space available. "Community isin dire need of osteopathic physician".Aggressive industrially, culturallystimulating. Population 8,000.

G. J. Fleig, D.D.S.617 ShermanCherokee, Iowa 51012

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theo g b o okf (College of Osteopathic Medicine and Surgery

VOLUME 48 * WINTER 1971 * NUMBER 3

thelog bookCollege of Osteopathic Medicine and SurgeryVOLUME 48 * WINTER 1971 * NUMBER 3

THE LOG BOOK is published quarterly by the College of Osteo-pathic Medicine and Surgery. Second class postage is paid at DesMoines, Iowa. Address all mail, change of address, or Form 3579to 722 Sixth Avenue, Des Moines, Iowa 50309.

Editorial Staff

Editor .. .... ............................... Suzanne FosterEditorial Advisor ........................... E. M. MeneoughGraphics ........................... The Graphic Corporation

NATIONAL ALUMNI OFFICERS

President ................................. Frank W . M yers, D.O.President-elect ........................... Sidney Grobman, D.O.Secretary-Treasurer ....................... R. Keith Simpson, D.O.Past-President ......................... K. George Shimoda, D.O.D irector ................................... Paul T. Rutter, D .O .D irector................................... W alter B. Goff, D.O .Director ............................... Robert W . Johnson, D.O.

Table of Contents

National Alumni Association ............... ......... 3Executive Committee Meeting ................... ...... 5Department of Family Medicine ....................... 5John B. Shum aker ................................... 6"Here Lies"........................................ 6Faculty Facts ............... ........................ 7Doctor In Denmark . ............... ....... . 8Drug Abuse Symposium . ...................... . 10A lum ni................. ...... ...... ................ 12Com s in the Headlines .. ............................ 15"Economy of Giving" ............................... 24

ON THE COVER:Colorful San Francisco, the setting for the National AlumniAssociation Annual Meeting.

NATIONALALUMNIASSOCIATIONANNUALMEETINGA Summation

The alumni association of the Collegemet during the 75th annual meeting ofthe A.O.A. last October in San Francisco.

Dr. Frank Myers, President-elect of theN.A.A., presided over the meeting in theabsence of President K. George Shimoda.Dr. Shimoda was absent because of theillness of his wife. Before the businesssession of the meeting began, both Dr.W. S. Horn, President of the A.O.A., andDr. Marion E. Coy, President-elect of theA.O.A., addressed the meeting.

BUSINESS SESSIONDuring the course of the business session,it was decided to eliminate the roll callsince the state chapters had failed tocertify their delegates. Those alumnipresent were considered qualified totransact all association business.

The minutes of the previous alumnimeeting were approved without beingread.

MEMBERSHIP REPORTDr. R. Keith Simpson, Secretary-Treasurer,reported on the paid-up memberships. Theassociation had 691 paid-up memberships

as of 30 September 1970 compared with652 in 1969, 516 in 1968, and 436 in1967 as reported in the Summer issue ofthe "Log Book". (In addition to the thir-teen life memberships also reported inthat "Log", Robert P. Ogden, D.O.,Wayne, Michigan, Class of 1934; IrvingEpstein, D.O., Moorestown, New Jersey,Class of 1957; and Leonard R. Chapman,D.O., Vista, California, Class of 1905 alsobought life memberships during 1970.)

AMENDMENTS TO ARTICLES OFAGREEMENT AND BY-LAWSOnly a few of the state chapters havebeen active and no one certified theirnational delegates. The legality of theN.A.A.'s actions was questioned. TheExecutive Committee was authorized toappoint a committee to draft amendmentsto the articles and by-laws to be submittedto the 1971 convention for consideration.

ELECTION OF OFFICERSThe following people were nominatedand approved as the N.A.A. slate of offi-cers for 1970-71:

Dr. Frank W. Myers, '59, PresidentDr. Sidney M. Grobman, '61,

President-electDr. R. Keith Simpson, '62, Secretary-

TreasurerDr. Robert W. Johnson, '50, Alumni

member, COMS Board of Trustees,1970-73 term.

CLASS REUNIONSA suggestion was made to arrange for classreunions in conjunction with commence-ment and a post-graduate course. No in-terest was shown by the alumni present.

REPORT BY COMS PRESIDENTDr. Thomas Vigorito discussed variousaspects of the college. He also encouragedthe alumni to find a more workable or-ganizational pattern.

NATIONAL ALUMNI ASSOCIATION FINANCIAL REPORT

RECAPITULATIONOctober 1, 1969 to August 31, 1970

Current Receipts ........................................... $ 5,860.00Current Expenditures ....................................... 4,662.00

General Operation Fund Balance, 31 August 1970...........$ 1,198.00Profit on U.S. Treasury Bills-Matured 14 August 1970......... 157.92

31 August 1970, Total Net Income for 11 Months...........$ 1,355.92

TOTAL ASSETS31 August 1970

Bank Account ......... .. .................. $2,385.08Less: Outstanding Checks................... 409.90

U.S. Treasury Bills Due 12 November 1970 (Cost).

Total..............................Total Assets-1 October 1969...................

Increase in Assets-11 Months..............

$ 1,975.189,845.40

$11,820.5810,464.66

$ 1,355.92

4

- EXECUTIVE 7COMMITFEE :

::MEETING'L S: 7g--, X -; V '\/: ̂̂ ^-:

All members of the executive committeeof the alumni association, except two,met in Des Moines the first Sunday inNovember.

Concern over the apparent inactivitytoward fund raising was expressed. Thefederal grant will expire 1 April 1971unless matching funds are assured. Evenwith prospective state funds, a consid-erable sum of money must still be raised.

It was the consensus of the meetingthat alumni have an obligation to assistwith the funding of the new campus.Without the alumni support, the com-munity and legislature will not act.

A plan to divide the country into 10regions was agreed upon. Each regionwas to be canvassed for pledges by a teamof alumni, with support from the CentralOffice. The goal of the N.A.A. will be $1million. The $1 million will be made upprimarily of $5000 pledges payable overa period of three years. The pledges wouldnot fall due until ground is actually brokenfor the new building.

Other business discussed included thedecision to re-invest the $10,000 in U.S.Treasury bills following their maturation12 November 1970.

It was decided not to allocate specif-ically any more alumni funds, but to usethem for fund-raising expense.

Dr. Lavendusky, Dr. Johnson, and Dr.Shimoda were selected to be on thenominating committee.

President Myers submitted a draft ofamendments to the articles and by-lawswhich he had prepared. After review bythe committee, it was recommended thatthey be considered during the 1971 annualalumni meeting.

The Executive Committee, composed ofDr. Frank Myers, Dr. K. George Shimoda,Dr. Sidney Grobman, Dr. William Laven-dusky, Jr., Dr. R. Keith Simpson, Dr.Walter B. Goff, Dr. Robert W. Johnson,Dr. Paul Rutter, E. M. Meneough, andDavid Dancer will meet again in February.

FORMALIZE DEPARTMENTOF FAMILY MEDICINEThe Executive Committee of the COMSfaculty has established a formal Depart-ment of Family Medicine under the chair-manship of Jean LeRoque, D.O., Directorof the South Des Moines Clinic (fort).

Over the years, the College has main-tained a loosely structured organizationof all clinical physicians, regardless ofspecialty practice, that was coordinatedby the idea of treating the family as acomplete social unit. Fourth year stu-dents on their clinical services have beenassigned families to treat, rather thanspecific diseases.

During the third year, Dr. LeRoqueplans to reinforce the concept of FamilyMedicine through practice-oriented lec-tures. Each specialty department willreview common complaints which wouldbe seen during the normal practice day.In other words, a lecturer in obstetricswould review normal deliveries, breechdeliveries, etc., during this special lecture.

The formalization of the Department ofFamily Medicine places further emphasison the concept of family doctors, whichhas historically been the objective of theCollege.

5

John B. Shumaker, Jr., Ph.D., formerDean and Acting President of theCollege, died of cancer 19December 1970 at Des MoinesGeneral Hospital.

Dr. Shumaker received hisbaccalaureate degree from CornellCollege in 1920 and received hisgraduate degrees from Iowa StateUniversity. He taught at Iowa State,the Des Moines College ofPharmacy, and Drake University.

Dr. Shumaker had been amember of a number of professionalsocieties and fraternal orders,including the American ChemicalSociety, the Iowa Academy ofScience, the American OsteopathicAssociation and the Masons.

The family suggests memorials tothe American Cancer Society or thePolk County Heart Association.

"Here lies the remains of thoseindividuals who bequeathedtheir bodies to the bettermentof science and mankind".

A brief burial service for the ashes of the14 persons whose bodies had been con-tributed to the College was held in lateNovember. The Reverend Kermit Marsh,a Roman Catholic priest who is a coun-selor at the Harrison Treatment and Re-habiliation Center, officiated.

The service, the first of its kind heldby the school, was conducted in GlendaleCemetery at a plot donated by the DesMoines Park Board. A marker denotingthe year will be placed by the granitetombstone shown in the photograph fol-lowing the annual service.

Stanley D. Miroyiannis, Ph.D., Pro-fessor of Anatomy and Chairman of thedepartment, Mohinder S. Jarial, Ph.D.,Assistant Professor of Anatomy, andMichael Barry, Assistant Dean, attendedthe service.

Dr. Miroyiannis said the majority of thefourteen bodies were "unclaimed" bodieswhich were allocated to the school byThe State Department of Health. His de-partment uses between 20 and 25 bodiesa year in its laboratory.

Before this year, the college deliveredashes to undertakers for dissemination.

I··I I

.4" /,

FACULTYFACTS

Robert J. Connair, D.O., Associate Pro-fessor of Osteopathic Principles & Practiceand Director of the Division of PhysicalMedicine and Rehabilitation, was ap-pointed Medical Examiner by the PolkCounty Board of Supervisors during aspecial reorganization meeting in January.

Dr. Connair is replacing Leo Luka, D.O.,a 1944 graduate of COMS, who retiredafter 14 years as county medical examiner.

As medical examiner, Dr. Connair mustinvestigate all deaths that are suspiciousin nature or due to accidents, all peoplewho are unattended at the time of deathor who have not seen a physician for 20days, and all homicides, suicides, etc....

George Taylor, Ph.D., Assistant Professorof Anatomy and Martin Sachs, Ph.D.,Assistant Professor of Anatomy, attendedthe American Society for Cell Biologymeeting last November 19-22 in SanDiego, California.

Harry B. Elmets, D.O., Clinical Professorof Osteopathic Medicine and Chairman ofthe Division of Dermatology, has beenasked to serve on the National Commis-sion on Venereal Disease by Roger O.Egeberg, M.D., Assistant Secretary, De-partment of Health and Scientific Affairs.

The function of the Commission will beto consider the problems of syphilis andgonorrhea from a national standpoint,study ways of bringing public health andprivate medicine into closer workingrelationships, and make recommendationsfor bringing these diseases under control.

Dr. Elmets, who is president of theAmerican Osteopathic College of Derma-tology and Chairman of the AmericanOsteopathic Board of Dermatology, willrepresent the A.O.A. on the Commission.

Both syphilis and gonorrhea continueto be nationwide public health problemsof considerable magnitude. In fact, re-ported infectious syphilis increased 8.5percent last year after four straight yearsof decline since 1965. Gonorrhea con-tinues to increase from 10 to 15 percenteach year.

Thomas Vigorito, D.O., C.O.M.S. Presi-dent, discussed "The Changing EcologyIn Medical Practice" in the October 1970issue of the D.O.

Roger Senty, D.O., Associate Professor ofSurgery and Chairman of the department,published "The current status of treatmentof chronic uremia" in the December 1970issue of the Journal of the American Osteo-pathic Association.

7

DOOFOR IN DENMARK

W~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Roger Senty, D.O., Associate Professor ofSurgery and Chairman of the department,spent a year at the Aarhus Kommun Hos-pital, Aarhus, Denmark, doing post-graduate work in the Department ofUrology. Dr. Senty worked with ProfessorV. Aalkjaer, Chairman of the department.He also worked with hemodialysis andartificial kidneys in the Department ofMedicine. The Aarhus hospital, locatedin the second largest Danish city, has1100 beds.

Dr. Senty went to Aarhus for post-graduate work for several reasons. First,there is some difficulty in arranging forpost-graduate work in Surgery in the States.Secondly, Dr. Senty has wanderlust.

PROFESSIONAL ACCEPTANCEHow were the Senty's received? At first,

in the professional community, Dr. Sentywas regarded with some suspicion. Did hehave proof he was a physician? The reasonfor the lack of acceptance turned out tobe a previous encounter the Danes hadhad with a bogus surgeon. Once his cer-tification was received, there were nomore problems.

The Danish people are friendly, thougha little reserved initially. Dr. Senty recallsa lack of violence in the country which heattributes to the less competitive atmos-phere. The Danes are content to pay hightaxes to support a government which pro-vides them with a college education,central heating, funeral expenses, andmedical care.

amount depends on which of three classi-fications the physician holds. A generalpractioner is allowed returns according tothe number of patients he sees. Patientspay the physician according to their in-come. The government makes up thedifference.

A panel of doctors stands by attheAarhushospital 24 hours a day. Dr. Senty feelsemergency care and the ambulance ser-vice are the best in the world. House callsare still made.

PORNOGRAPHYThe Danish people have a different per-spective of their bodies than we Ameri-cans. Their attitude toward nudity andnear nudity is blase. Pornography ismainly for the tourists. The incidence ofsex crimes dropped with the legalizationof pornography and has continued at acomparatively low level.

The Senty children, Kristin, 5, andLynne, 9, want to go back to Denmark."The Danes think children should learnindependence early. They gear the societyto children."

Dr. and Mrs. Senty and their childrentoured Europe in 1967 after he completedstudies in Urology in Oslo, Norway.

SOCIALIZED MEDICINEMedical care is socialized. Training differsfrom American medical training in thatactual medical school begins right afterthe gymnasium, or high school level.Instead of four years of medical school,the program takes seven or eight years.Hospital staff are on a straight salary; the

9

Public service announcements on radioand television urge parents to learn aboutdrugs for their children's sake. A three-daydrug symposium, sponsored by COMS,was held in Des Moines in mid-Januaryto educate the professional communityfor everyone's sake.

The drug conference, organized anddirected by John Mayes and Marvin Bor-sand, two fourth-year-students, was for-mally named the Mid-Iowa Drug AbuseSymposium. The program featured well-known authorities on most phases of druguse and abuse.

Joel Fort, M.D., Founder of San Fran-cisco's Center for Solving (Special) Socialand Health Problems, began the sympo-sium Wednesday, January 13th, by callingpresent drug abuse laws "hypocriticaland inhumane". Dr. Fort does not advo-cate legalization of drugs, but wants the"de-criminalizing of all private drug use".Alcohol and tobacco, and even aspirinare considered drugs.

Fort said that over 400,000 people dieannually of tobacco smoking. Alcoholannually claims over 55,000 highwaydeaths. Fort attacked all drug misuse.Drugs are a people problem, not a drugproblem.

Fort then participated in a panel dis-cussion regarding the efficacy of metha-done in drug withdrawal. Other panelmembers, Erie Fitz, D.O., Chairman ofthe department of Psychiatry, COMS,Robert Millman, M.D., Director, Rocke-feller University Methadone MaintenanceProgram, and R. Keith Simpson, D.O.,Assistant Professor of Internal Medicine,all concurred. Methadone is the firsteffective treatment for heroin addictionand should be put to wider use.

Alan Matzger, M.D., former Chief ofDrug Treatment Program at the Haight-Ashbury Medical Clinic, told the sympo-sium audience that "persons whose heads

are together and really want to quit sayheroin withdrawal is like a five-day caseof flu". The horror experienced duringwithdrawal is the result "more of the fearthan of the pain".

Roger Smith, Ph.D., Criminologist andfounder of "Open House" described itas a "community" where you can feelgood and like yourself. People do what"turns them on" and help others do thesame. He also said that drug programsought to help people get legitimately highin a non-destructive way instead of aimingfor total abstinence.

Lewis Yablonsky, Ph.D., Professor ofSociology at the University of California,conducted a psychodrama on the use andattitudes of drugs, utilizing members ofthe audience. He describes psychodrama,the acting out of roles, as a vehicle en-abling persons to learn the truth aboutthemselves.

Student doctors Mayes and Borsandalso described their experiences at theHaight-Ashbury Clinic to the audience.They said that the typical clinic patientis a white middle class youth.

Other members of the COMS faculty,civic leaders, and representatives of thefederal, state and local narcotic bureauand police departments also participatedin the symposium.

1. Lewis I2. Joel Fo3. Roger4. Alan Mv

11

[Edward V. Chance, D.O., formerly ofCentral Point, Oregon, was appointed tothe staff of the Knoxville Veterans Admin-istration Hospital, Knoxville, Iowa, andwill participate in the Alcoholism Treat-ment and Rehabilitation Program.

935L. D. Barry, D.O., of Williams, Iowa, wasone of the people credited with savingthe life of a man injured during Iowa'sfirst major blizzard.

A multiple accident on the nearby inter-state caused the injuries, but the heavysnow prevented help from reaching thescene. The heroic efforts of a truck stopemployee and police in bringing the manin and the doctor's all night vigil arecredited with saving the man's life.

1939Neil R. Kitchen, D.O. left Detroit, Mich-igan, for Phoenix where he will go into arestricted private practice after almostthirty years of service on the staff ofDetroit Osteopathic Hospital.

Over the years, Dr. Kitchen has beenChairman of the staff of both DOH andArt Centre Hospital, he has served asChief of the Department of Internal Medi-cine at DOH, President of Wayne CountyOsteopathic Association, Chairman ofthe Board of Medicine of the A.O.A.,President of the American College ofInternists, etc....

1942Roger B. Anderson, D.O., Davenport,Iowa, is a member of the board of direc-tors of the Scott County Health PlanningCouncil. This council is half of the parentcouncils of a two-county area whosefunction is to provide unified health plan-ning. The project has been approved, butnot funded, by the Department of Health,Education, and Welfare.

J 1933

1943K. George Shimoda, D.O., Marshalltown,Iowa, has been named a voluntary in-spector by the committee on post-doctoraltraining and residency training inspectionof approved hospitals of the A.O.A.

Dr. Shimoda will represent the Ameri-can College of General Practitioners inOsteopathic Medicine.

1950Robert W. Johnson, D.O., was elected toa three year term of the Board of Directorsof the Assembly of the Wisconsin Divisionof the American Cancer Society. He alsoaccepted assignment to the medical andscientific committee and the public infor-mation committee of that society.

Dr. Johnson is frequently mentioned onthese pages of the "Log Book" because ofhis activities in the state and local osteo-pathic societies of Wisconsin.

1951Myron E. Magen, D.O., has been ap-pointed Dean and Chief AdministrativeOfficer of the Michigan State UniversityCollege of Osteopathic Medicine effec-tive 1 January.

1952Arden L. Findlay, D.O., of Montreal, waselected president of the newly revisedAmerican Academy of Osteopathy. Theaim of the new constitution is to developthe science of manipulative therapy andto arrange programs to improve the skillof the individual physician.

1953Gerard K. Nash, D.O., Amarillo, Texas,has been elected president of District Iof the Texas Association of OsteopathicPhysicians & Surgeons and president ofthe board of trustees of the SouthwestOsteopathic Hospital.

1953Sara Sutton, D.O., of Fort Dodge, Iowa,was elected Secretary of the AmericanAcademy of Osteopathy during their re-cent meeting.

1955Robert Smick, D.O., of Salem, Wisconsin,is chairman of the 1971 Wisconsin Asso-ciation of Osteopathic Physicians andSurgeons convention program. He plansto touch on ecology, environment, drugproblems, and medical malpractice.

1956Thomas F. Hardin, Jr., D.O., Orange Park,Florida, published "Dextrocardia withtransposition of great vessels and mul-tiple associated abnormalities of viscera"in the December 1970 Journal of theAmerican Osteopathic Association.

1962Henry Sonenshein, D.O., Detroit, Mich-igan, published "The Auditory Malinger"in the November 1970 issue of the Journalof the A.O.A.

1964Saul Breasalier, D.O., of Pennsauken,New Jersey, has begun a joint practice ofOphthalmology with Ralph Lanciano, D.O.

Dr. Bresalier was in general practice inQueens, New York from 1965 to 1967following the completion of his internshipat Interboro General Hospital. He at-tended the Kresge Eye Institute from 1967-68 and did a residency in Ophthalmologyfrom 1968-70 at Grandview Hospital.

He was also appointed recently to the134 member staff of the John F. KennedyMemorial Hospital in Stratford, NewJersey.

13

1965Jerold Lynn, D.O., Detroit, Michigan,published "Intravenous alcohol infusionfor premature labor" in the October 1970issue of the J.A.O.A. The paper wascompleted while Dr. Lynn was doing aresidency in the Department of Obstet-rics-Gynecology at DOH and Bi-CountyHospital. He was the 1968-69 recipientof the National Osteopathic Foundation-Mead Johnson fellowship grant.

1966Arthur J. Cording, D.O., has opened prac-tice in Houston, Texas. Dr. Cordinginterned at Wilden Hospital, took a resi-dency in Internal Medicine at East TownOsteopathic Hospital and is a member ofthe American College of OsteopathicInternists.

1966Eli N. Perencevich, D.O., Columbus,Ohio, has joined the staff of DoctorsHospital in the practice of Internal Medi-cine. He interned at Doctors and wasnamed "Intern of the Year". He completeda three year residency in Internal Medi-cine, also at Doctors, during which hewas a recipient of the 1968-69 NOF-MeadJohnson fellowship grant and the Ameri-can Cancer Society Clinical Fellowship.

A paper, "Aberrant nuclear divisionconfigurations occurring in the bonemarrow of cancer patients", was pub-lished in the October issue of the J.A.O.A.which Dr. Perencevich did during hisresidency.

1967Robert Driscoll, D.O., Cherry Hill, NewJersey, was one of the authors of the article,"Coumadin induced intestinal obstruc-tion: Case report with surgical interven-tion", in the November 1970 issue of theJ.A.O.A. The paper was written with Dr.

Akimasa Hashimoto during Dr. Driscoll'sresidency at Cherry Hill OsteopathicHospital.

9I69Phillip Beyer, D.O., has begun practicein Fort Worth, Texas, following his intern-ship at Oklahoma Osteopathic Hospital.

1969Several classmates have elected to settlein Houston, Texas, although not in a prac-tice together. They include Dr. James LaRose, Dr. Duane Olson, and Dr. JackShepman.

1969Charles Vonder Embse, D.O. is now asso-ciated with R. L. Sliwinski, D.O., in Ash-ville, Ohio.

1969Charles Rudd, D.O., who completed hisInternship at Oklahoma Osteopathic Hos-pital is now in practice in San Antonio,Texas.

1969Richard Schwartz, D.O., of Mercer Island,Washington, published "Injuries on theSlopes" in the November issue of theHEALTH magazine.

1903 Charles Milliken, D.O., Kirksville,Missouri.

1932 Raymond Lamb, D.O., DesMoines, Iowa.

1934 Frederic McAllister, D.O., Chicago,Illinois

1941 Leonard R. Clifford, D.O.,Burbank, South Dakota

Since the 28 September 1970 headline "M.D.'s to helpOsteopaths" blared across the front page of the DesMoines Tribune, there has been a continuing writteninterest in the political and fiscal standing of thisschool. In order to keep our alumni informed and pre-sent a balanced view of what has been reported, weare reprinting the articles and editorials as they ap-peared in both the Des Moines Register and the DesMoines Tribune. Please take the time to read the entirearticle; the headlines are sometimes misleading. Yourcomments are requested.

These articles are reprinted through the permission ofthe Des Moines Register and Tribune Company.

SIGNIFICANT MOVE BYPOLK MEDICAL SOCIETY

M.-/s to Help.0 e

OsteopathsWill Urge State Aid For School

Sept. 28, 1970Des Moines

TRIBUNE

Would AssistIn Training, Too

By George Anthan(Copyright, 1970, Des Moines Register

and Tribune Company)

The Polk County Medical So-ciety will urge the Iowa Legis-lature to appropriate state taxfunds to help finance the Col-lege of Osteopathic Medicineand Surgery here.

This is the latest developmentin a recent series of movesleading toward closer co-oper-ation between medical doctorsand osteopaths.

From a professional stand-point, they hardly spoke to eachother until recent years.

Will Assist AlsoThe Executive Council of the

Polk County Medical Societyvoted recently not only to seekstate aid for the osteopathicschool but to urge its membersto "assist, in any reasonable

way, the clinical training ofstudents attending that school."

The move is expected tohave an important impacton state legislators, many ofwhom are from rural areasand small towns sufferingfrom a doctor shortage.These legislators are impressed

by the emphasis being placed byosteopathic physicians on gen-eral or "family practice." Someare critical of the University ofIowa College of Medicine, say-ing it isn't meeting the needs ofthe state.

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Dr. Ralph Hines, president ofthe Polk County Medical Society,said Wednesday it's hoped themedical doctors' state organiza-tion, the Iowa Medical Society,also will push for state funds forthe Des Moines osteopathicschool.

"This school will benefit theentire state, not just this area,"Hines said.

New CollegeThe state money is being

sought to help build a new $16million College of OsteopathicMedicine and Surgery at FortDes Moines. The college alreadyhas a federal grant of $8.5 mil-lion, but state money also isneeded.

The 1971 Legislature is ex-pected to give serious considera-tion to providing the funds, butit isn't clear now whether theschool would come under statecontrol or remain a private insti-tution.

Support of state aid for theschool from Des Moines areamedical doctors is consideredespecially important because it isexpected the move will be op-posed by officials of the Col-lege of Medicine at Iowa City.

The University of Iowaofficials fear money appro-priated for the Des Moinesschool would be deductedfrom state support of theIowa City facility.The College of Medicine at

Iowa City has developed a neweducation program at Broad-lawns Polk County Hospital hereto help train general practition-ers or "family doctors."

This move is considered bysome as an effort to allay leg-islative criticism and, possiblyto blunt the development of theosteopathic college as a statesupported medical school.

Hines said the decision to sup-

port state aid for the osteopathicschool was a result of the steadyimprovement in the training ofosteopaths and in the school'semphasis on scientific methodsof treating illness.

Its BackgroundOsteopathy was founded by

Dr. A. T. Still, who felt internalmedication did little good andthat permanent cures could beeffected by "mechanical adjust-ment" or manipulation of themuscular-skeletal system. Manymedical doctors at one time re-garded osteopaths as little morethan quacks.

Now, said Hines, "we wantto be allies rather than co-belligerents."Edwin M. Kingery, executive

secretary of the Polk Countygroup, called its support of theosteopathic school "a historicthing, really."

Hines said he hopes the move"does have a significant effecton the Legislature. It's a changein our philosophy. I hope theyrecognize the change."

"Beautiful Thing"

James E. Mebs, executive di-rector of the Health PlanningCouncil of Central Iowa, said,"This was a beautiful thing tocome out of a medical society.It will have some impact."

Mebs emphasized that an im-portant feature of the medicaldoctors' support of tax fundsfor the school is that "therewere no strings attached. Theyendorsed state financing withno exceptions."

Hines said the medicaldoctors hope that sometimein the future the College ofOsteopathic Medicine andSurgery will start grantingmedical degrees.This means that, initially, the

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school could grant both medicaldegrees and osteopathic degrees.

Eventually, the school couldbecome a medical college, grant-ing only medical degrees.

He said "this is a distant futuregoal" and emphasized that themedical doctors aren't pushingfor an immediate change.

College officials are exploringthe feasibility of offering medi-cal degrees, but the proposal ishighly controversial and is op-posed by some osteopaths andby the American OsteopathicAssociation.

Being Drawn In?The president of the school,

Dr. Thomas Vigorito, has saidhe believes osteopathy is on theverge of being drawn into themedical profession.

He said Wednesday, "I thinkthe medical profession is realiz-ing that osteopathy is part ofmedicine and osteopaths arerealizing osteopathy is part ofmedicine."

In other related movesleading to closer co-opera-tion between medical doctorsand osteopaths, the PolkCounty Medical Society hasamended its by-laws to openmembership to qualifiedosteopathic physicians. Thesociety's executive councilalso has adopted a resolu-tion under which osteopathicinterns and residents at ap-proved hospitals can qualifyfor membership.The osteopathic college has

begun using Mercy Hospital asa teaching hospital and Vigoritosaid six medical doctors areactually teaching courses at thecollege itself.

Mebs said the real issue fac-ing the 1971 Legislature on thequestion of financing the DesMoines school will be whetherIowa can afford to lose the gen-

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eral practice doctors the osteo-pathic facility graduates eachyear.

While the school isn't in anyreal financial trouble now, offi-cials say state support will defi-nitely be needed in the futurein order to maintain a highstandard of training.

"Family Practice"School officials say 267 of its

graduates are practicing in 180Iowa cities and towns. Of these,119 are in towns under 3,000population. About 70 per cent ofthe school's graduates enter"family practice."

Mebs said it is believedabout one-half the doctorsentering practice in Iowaeach year are graduates ofthe College of OsteopathicMedicine and Surgery."So the real issue in support-

ing the osteopathic school iswhether the number of doctorsremaining in Iowa will be cutin half," Mebs said.

The whole question of the fu-ture of the college here will bestudied by an 18-member com-mittee whose members repre-sent the medical and osteopathicprofessions, hospitals and busi-ness and civic organizations.

The committee is headed byLuther Hill, jr., an official ofEquitable of Iowa, and will studyseveral proposals.

One calls for the Des Moinesschool to become affiliated withIowa State University. Anotherwould have it become a sepa-rate state-supported school un-der the State Board of Regents.A third would have it becomeaffiliated with the University ofIowa.

Iowa's Growing Doctor ShortageNovember 3, 1970 Des Moines Register

The shortage of doctors in Iowa is serious and getting worse,according to data gathered by the state's Office for ComprehensiveHealth Planning.

The data show that in the last three years the number ofmedical doctors (MDs) and doctors of osteopathy (DOs) prac-ticing in Iowa has declined from 2,911 to 2,614.

In 1967, there were 105 physicians per 100,000 persons inIowa. By 1970, the number of physicians had declined to 100 per100,000. The national ratio for 1967 was 144 physicians per100,000 persons, so Iowa clearly was short of doctors then andis worse off now.

Behind these statistics are oppressive caseloads for many doc-tors. An increasing number of small Iowa communities are withoutconvenient medical service.

While the number of MDs in the state is dropping, the num-ber of DOs has risen slightly. The figures are:

MDs DOs Total1967 ...... 2.............................................2,566 345 2,9111970 . .................................................. . 2,254 360 2,614

This trend lends backing to the proposal that the state ap-propriate funds for the College of Osteopathic Medicine and Sur-gery in Des Moines. The plan recently drew the support of thePolk County Medical Society's executive council.

The presence of the osteopathic college here has helped at-tract students from other states and helped influence some to settlein Iowa. This alone warrants state aid to maintain and expandthe school.

Educating More DoctorsOctober 13, 1970 Des Moines Register

The dean of the College of Medicine at the University of Iowahas expressed concern that state aid for the College of OsteopathicMedicine in Des Moines would result in lowered appropriationsfor his institution. Dr. John Eckstein says the record does not sup-port the notion that "providing state tax funds for the osteopathiccollege . . . will lead to a significantly greater number of familyphysicians for rural Iowa communities." The dean says only 47graduates of the osteopathic school between 1955 and 1969 prac-tice in Iowa.

Medical doctors make a much greater contribution to patientcare in Iowa than osteopaths because medical schools and grad-uates are so much more numerous. Only five schools train osteo-pathic physicians in the U. S., and they graduated only 427doctors last year. Of the 2,911 physicians providing patient carein Iowa in 1967, only 345 were doctors of osteopathy.

Iowa clearly is dependent on medical school graduates for thebulk of its patient care. But it does not follow that pumping money

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exclusively into the College of Medicine at Iowa City is the answerto the Iowa physician shortage.

If graduates of the College of Osteopathic Medicine in DesMoines are prone to leave Iowa, so are graduates of the College ofMedicine in Iowa City. Despite an overwhelming preference forIowa residents in admission to the college, only about a third of thegraduates of the state's medical school practice in Iowa. A majorityof Iowa's medical physicians received their degrees in other states.As of 1967, the Iowa College of Medicine had 3,729 living grad-uates, and 2,429 of them had left the state.

While M.D.s in Iowa received their training elsewhere, 70 percent of the osteopathic physicians were educated at the Collegeof Osteopathic Medicine in Des Moines. This is due in large partto the fact that there are so few osteopathic schools, but thepresence of the school in Iowa unquestionably has helped Iowaattract and retain graduates of the Des Moines schools.

The physician shortage is nationwide, and it is particularlyacute in Iowa. The country and Iowa need all the physicians thatcan be trained. The proposal by the Polk County Medical Society'sexecutive council that the state appropriate funds for the DesMoines osteopathic school has merit, therefore, in our judgment.But this need not, and should not, be at the expense of adequatefunding for the College of Medicine.

State FundsFor School ofOsteopathy ?

Des Moines TribuneDecember 4, 1970

By Norman Brewer

A drive has been launched towin legislative approval for op-erational as well as buildingfunds to enable the College ofOsteopathic Medicine and Sur-gery in Des Moines to becomeIowa's second medical school.

Behind the move is a specialstudy committee of osteopaths,medical doctors and laymen ap-pointed by the Health PlanningCouncil of Central Iowa.

The committee, which willseek council approval of itsrecommendations at a Dec.16 meeting, favors trans-forming the college into a

public institution - provid-ing the college agrees to re-linquish private ownershipof its assets.James E. Mebs, the Health

Planning Council's executive di-rector, said the college's trusteesagreed at a meeting Saturday toturn over its assets if the statewould agree to assume control.

A "Committee of 500" is beingformed to lobby for the proposalin the Legislature, Mebs said.

Polk Society's BidRecently, the Polk County

Medical Society-in another ofseveral moves calculated to closethe traditional gap between med-ical doctors and osteopaths-asked the Legislature to appro-priate state tax funds to supportthe osteopathic college.

The study committee report,citing "a crisis in medical man-power" in Iowa, calls for theLegislature to provide for funds-t ma t'oh i federal rnant now

available to the college.Terms of the grant under the

Health Professions EducationalAssistance Act call for the col-lege to raise $8 million tomatch federal funds for con-struction of a $16-million facil-ity at Fort Des Moines near S.W.Ninth Street.

Inflation's "Bill"

The college, which owns a 24-acre tract there, has raised lessthan $500,000 of the $8 millionin the past two years.

The money must be raisedby Apr. 1, 1971, when it isestimated the cost of the fa-cility may have ballooned to$19 million because of infla-tion.Unless money is appropriated

by the Legislature before theApr. 1 deadline, the report de-clared, "there is small expecta-tion that the matching funds canbe raised in time to meet thedeadline to prevent expiration ofthe grant."

"Clash?"The planning council's special

committee also said the Legisla-ture, if it takes over the college,should support it without dip-ping into funds usually appro-priated for other tax-supportedinstitutions.

The report was presentedThursday to a co-ordinatingcouncil made up of representa-tives of Iowa institutions ofhigher learning, but was not ap-proved by that group.

Some observers foresee aclash between the Univer-sity of Iowa Medical Schooland the Health PlanningCouncil of Central Iowa overusing tax money to takeover the osteopathic school.The only study committee

member disagreeing with thereport's recommendations wasT-r. Tan W FlPkrcst-in Dean of

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the U of I's College of Medi-cine. He cited Board of Regentsopposition to a second state-supported medical school.

Among those supporting therecommendations was Dr. Thom-as Vigorito, president of theCollege of Osteopathic Medicineand Surgery.

The report noted that the col-lege, which has an annual budgetof about $2.8 million, is forcedto operate on "year-to-year basis"because of financial problems.

Which Degree?

The osteopathic college alsofaces the loss of both studentsand tuition income through stu-dent transfers to medical schoolswhere they now are welcome.

The report declared: "Thecreation of a completely newmedical school would bemuch more expensive thanthe preservation of the exist-ing school."

The study committee did notrecommend whether the college,if taken over by the state, shouldoffer D.O. or M.D. degrees.

Committee members have saidit is possible that the collegecould be accredited by both pro-fessions.

The report follows by only aFew days the announcement ofa nationwide effort to merge theosteopathic and medical profes-sions.

That effort is being spear-headed by Dr. Samuel W. Wil-liams, former dean of the Col-lege of Osteopathic Medicineand Surgery, who resigned inJuly. "I feel I'm now free to dowhat I want to do," he saidearlier this week.

Another indication of closernedical-osteopathic relationshipss that several medical hospitals,ncluding some in Des Moines,are now accepting osteopathicnterns.

Iowa now has 100 physiciansper 100,000 population, downfive from 1967. The national av-erage in 1967 was 144.

Not supporting or opposing thereport was committee memberCharles C. Ingersoll, administra-tor of Broadlawns Polk CountyHospital. He contended that thereport does not include alterna-tives to how the number of phy-sicians in Iowa could be in-creased and that such options"deserve full disclosure."

Also abstaining were Dr. Rob-ert Hardin, vice-president ofhealth affairs at the Universityof Iowa Medical School, and Dr.John Rhodes, who has both med-ical and osteopathic degrees.Both are members of an IowaMedical Society committee study-ing the future of the osteopathiccollege.

Supporting the report were:Luther Hill, Jr., committee

chairman and executive vice-president of Equitable of Iowa;Dr. Gordon L. Elliott, repre-senting the Polk County Societyof Osteopathic Physicians andSurgeons; John R. Fitzgibbon,president of the Iowa Des MoinesNational Bank; Kenneth Carroll,representing the Iowa Society ofOsteopathic Physicians and Sur-geons; Dr. Arnold M. Reeve,Iowa commissioner of PublicHealth; Lawrence 0. Ely, repre-senting the Polk County MedicalSociety; Austin E. Schill, a med-ical doctor who chairs the HealthPlanning Council's medical ad-vroiQrnr tnt -mmai-.-. Tl P C T. a.iV lNUl y VUUllllll. IC; . r . i. -lLtL

ner, president of the planningcouncil; Frank R. Furbush, aMeredith Corp. vice-president;Kenneth MacDonald, editor andpublisher, Des Moines Registerand Tribune Company; RobertRiley of the planning councilstaff; Kenneth J. McCarthy, avice-president of Younker Bros.;Calvin W. Aurand, planningcouncil treasurer. and Charles

Duchin, president of YounkeiBros.

Federal law requires healtlplanning councils to be estab-lished to co-ordinate medicalneeds for various areas.

Med SchoolIn D.M. GetsRegent 'No'

Increase in BudgetAsked by Board

Des Moines RegisterDecember 5, 1970

By James Flansburg

The State Board of Regentstold Gov. Robert Ray Fridaythat the board is stronglv against

establishing anew medicalcollege in DesMoines.

"We think itwould be veryunwise for thestate to supporta second medi-cal college atthis time of4-L £;. e--- "I

STANLEY iignt ilnances,REDEKER said Chairman

Stanley F. Redeker.Added board member Mrs. H.

Rand Petersen: "Just say in lightof current financial conditions."

The governor, conducting hear-ings on preparation of his 1971-73 budget, spent the morningwith the regents and asked foran opinion on a proposal totransfer the private College of

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Osteopathic Medicine and Sur-gery in Des Moines into thestate's second medical school.

Ask Increase

The board, in asking Ray fora budget increase for its opera-tions, repeated its earlier oppo-sition to the idea. The regentsoperate the College of Medicineat the University of Iowa in IowaCity.

In discussing the medical col-lege proposal, Chairman Redekertold the governor: "It should berecognized that the State of Iowais doing very well in supportingmedical education."

"But we've done very poor-ly in retaining doctors in thestate," said Ray. Figuresfrom 1967: 2,429 of the 3,729living graduates of the Uni-versity of Iowa medicalschool have left the state."

Dr. Robert Hardin, formerdean at the College of Medicineat the university and now vice-president of health affairs, wasinvited into the discussion atthat point.

"It does appear that the Stateof Iowa would make a finan-cially unwise move in support-ing a second college when thestate already ranks so high insupporting medical education,"said Hardin.

Get to Stay"We are going to educate

enough people to reverse thedrain of physicians away fromthe state," he continued, "if wecan get them to stay here inIowa.

"But the matter of recruitingphysicians is not totally educa-tional, it's a socio-economic prob-lem also."

He did not elaborate, but sur-veys have shown a reluctanceof young doctors to migrate torural areas where there is a doc-tor shortage.

A special study committeeof the Central Iowa HealthPlanning Council made therecommendation that the Os-teopathic College be made apublic institution.

In addition to a downtowncampus, the Osteopathic Col-lege, which has an enrollmentof 387, has control of a 24-acresite at old Ft. Des Moines.

A federal grant of $8.5 millionhas been set aside for construc-tion of a new college on thesite. The grant will expire nextApril unless an $8 million match-ing fund is raised. The collegehas raised about $500,000 thusfar.

The study committee's pro-posal is that the state matchthe grant and take over the col-lege's operation-a $2.8-millionbudget this year.

Hearings Over

The committee recommended

that the state appropriation forthe college be in addition toappropriations for the Collegeof Medicine at Iowa City, whichnow has about 550 students andis operating on a plan to in-crease enrollment to 700.

Governor Ray completed histwo weeks of budget hearingsFriday. In all, his departmentheads asked for about $775 mil-lion a year. That's an increaseof 43 per cent over this year'sbudget of $527 million.

Ray indicated that most ofthe askings are in for a slicing-before he presents them ashis askings to the Legislaturenext month-but he didn't indi-cate the degree of the slice.

He said he plans to meet pri-vately with key departmentheads to determine priorities ontheir needs.

Osteopathic CollegeApproves Step toGrant MD DegreesDes Moines Tribune (MD) degrees along with DODecember 8, 1970 degrees.

The policy resolution is in-

By Arnold Garson tended to strengthen the col-(Copyright, 1970, Des Moines Register lege's plea for state finan-

and Tribune Company) cial aid, Waterbury said,

The Des Moines College of and to let the state knowOsteopathic Medicine and Sur- "where the college stands."gery is no longer bound to grant- He also noted that the policying only the Doctor of Osteo- resolution might be consideredpathy (DO) degree. a victory for the new guard

Dr. Carl Waterbury, chairman osteopaths who have been plug-of the college's board of trustees, ging for closer co-operation withsaid Tuesday that a policy reso- the long-time rival medical pro-lution recently approved by the fession. But until now, the oldboard opens the doors to the guard-osteopaths who have beengranting of Medical Doctor reluctant to co-operate with the

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medical profession-have beenin narrow command of the col-lege's board.

Waterbury said that a signifi-cant factor in convincing theboard to change its policy wasa special study committee ap-pointed by the Health PlanningCouncil of Central Iowa.

PublicThe committee recommended

last week that the college betransformed into a public in-stitution, and a drive to seekstate aid has been launched.

Waterbury said the specialcommittee asked the board toconsider the policy resolution."The question was whetherwe'd give up control of the col-lege," he said.

The resolution says: "Theboard of trustees of the Collegeof Osteopathic Medicine andSurgery reaffirms its long stand-ing commitment to produce well-educated osteopathic physiciansand authorizes college adminis-trators to seek capital financialaid from the State of Iowa, whichaid, in conjunction with federaland private funds, will enablethe college to build sorely needednew facilities.

"The board further recog-nizes that acceptance ofpublic funds may be contin-gent upon acceptance ofsome measure of public con-trol, but the college mustremain an osteopathic col-lege with an osteopathicphysician as dean and grant-ing the DO degree."The crucial part of the policy

statement is that it does notstate that the college must of-fer "only the DO" degree, asprevious policy statements havespecified.

In fact, an amendment to in-sert the word "only" into theresolution failed to gain boardapproval.

Waterbury would not disclosethe vote of the resolution or theamendment, but one board mem-ber said that the policy state-ment was approved, 36-6, andthe "only" amendment was de-feated, 21-19.

AccreditationLast spring, the board reaf-

firmed its previous policy ofgranting only the DO degree.This action was prompted bythe American Osteopathic Asso-ciation which threatened to with-draw accreditation after some ofthe new-guard college boardmembers began investigating thepossibility of granting the MDdegree.

Waterbury said the nationalassociation is aware of the newpolicy statement and has indi-cated its approval.

He said the difference be-tween the action last springand now is that the HealthPlanning Council's specialcommittee has entered thepicture and a major drive towin state aid is now shapingup.Waterbury said the resolution

purposely leaves open the ques-tion of what degree of statecontrol the college would be will-ing to accept along with stateaid.

James E. Mebs, the HealthPlanning Council's executive di-rector, said the college hadagreed to turn over its assets ifthe state would agree to assumecontrol.

No DecisionWaterbury said that decision

has not been made. But he addedthat such a proposal might beput before the board if the statecomes up with full support andthe full $8.5 million needed tomatch a federal constructiongrant by next April.

But he said that if the stateagrees to provide significantlyless aid, the college's boardwould be "irresponsible" to turnover the college's assets to thestate.

Waterbury said the policy state-ment was patterned after oneapproved a few years ago by aprivate osteopathic college inMichigan which was seekingstate aid. That college has beentaken over by Michigan StateUniversity and has become astate-operated and supported os-teopathic college.

Its board of directors is ap-pointed by the governor. Itsdean-an osteopath-is an ex-officio member of the board, asis the dean of the university'smedical college.

Second Medical School?Fri., Dec. 11, 1970 Des Moines Register

The proposal to convert the Des Moines College of OsteopathicMedicine and Surgery into a second state-supported medicalschool, made by a committee of the Health Planning Council ofCentral Iowa, deserves consideration by the Legislature. The com-mittee, chaired by Luther L. Hill, jr., executive vice president ofEquitable of Iowa, contains osteopathic, medical doctor, healthcare and public representatives.

The committee is concerned about the nationwide shortage ofphysicians - particularly acute in Iowa. It cited statistics showingthat Iowa has 100 physicians per 100,000 population, comparedwith a national ratio of 144 per 100,000.

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In recent years, about two of every five physicians trained inIowa have been graduated from the osteopathic college. Thecommittee found that the osteopathic college, a private, non-profit institution, is fighting for survival. Tuition payments pro-vide much of its income. This source is threatened because anumber of regular medical colleges have opened their doors totransfers from osteopathic colleges. The committee said the col-lege must find considerable additional operating funds "or socurtail its program of instruction that it would in fact perish."

The committee's plan calls for a state capital appropriation ofat least $8 million - to match about $8Y2 million in federal funds- which would be used to construct a new medical college. Thenew school probably would have authority to offer both MD andDO degrees.

The proposal has drawn quick criticism from members of theState Board of Regents, which is responsible for public highereducation in the state. Iowa already is paying more per capitafor medical education than most other states, the Regents argued.

This is a logical if somewhat parochial view. State educationpolicy shouldn't be designed just to produce its own doctors,lawyers, engineers and so on. In the course of time, a state maywell develop certain educational specialties.

Although the education of more physicians in Iowa would notnecessarily guarantee completely adequate medical service in thisstate (only a small proportion of the medical and osteopathicgraduates now stay in Iowa), the committee plan should resultin improved medical services.

The Legislature needs to consider also other means of assuringthat medical needs of all Iowans are better served. This gets intothe often-asked question: How do you get doctors to practicein the state's rural counties?

We don't know the answer. It might involve regional medicalcenters which offer well-equipped hospitals, a chance to specializeand continue research. It might involve obtaining a commitmentfrom a portion of each class that they will practice in Iowa for aspecified period after graduation.

It is clear, however, that there is a real need for more doctorsboth in Iowa and the nation. The closing of the osteopathic col-lege in the face of this need would be unfortunate.

Will Lobby for Osteopathic AidIf College Will Relinquish Assets

Des Moines TribuneDecember 16, 1970 day to proceed with a major

By Arnold Garson legislative lobbying effort tomake the private College of Os-

The Health Planning Council teopathic Medicine and Surgeryof Central Iowa agreed Wednes- a public tax-supported institution

-it the college formally agreesto turn over all assets to thestate should the drive for statetax funds succeed.

Council members made it clearat a meeting that they are notfully satisfied with the college'spresent position and that theywill not conduct a legislativecampaign if the college does notmake a firmer commitment onrelinquishing control.

"We've got to have a firmcommitment. Without that, Iwould not go out personally toraise money or to talk with theLegislature," said Calvin W.Aurand, a council member.

College Position

The college, at a recent meet-ing of its board of trustees, ap-proved a resolution saying thecollege "recognizes that accep-tance of public funds may becontingent on some measure ofpublic control ... "

Dr. Carl Waterbury, collegeboard chairman, said earlier thatthe resolution was intended toleave open the question of turn-ing over assets until the Legisla-ture takes a position.

F. P. G. Lattner, HealthPlanning Council president,said that a special committeeof community leaders hastalked about raising $25,000to finance the lobbying ef-fort in next year's GeneralAssembly.But council member A. Paul

Thomposon said that $25,000may not be enough. "I thinkwe're going to have a real fighton our hands," he said.

"2 Strikes"Aurand told council members

that with the Board of Regentsand the University of Iowa Col-lege of Medicine opposed to theidea of public money and con-trol for the osteopathic college,"we've already got two strikesagainst US."

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Dr. Lawrence O. Ely pointedout that this opposition is sig-nificant because the Universityof Iowa's lobbyist, Max Hawk-ins, is paid with funds fromfees earned by doctors at theuniversity's College of Medicine.

The council's action wastaken by approving a recom-mendation from a specialcommittee studying the fu-ture of the osteopathic col-lege.The committee recommended

that "legislation should be en-acted to make the College ofOsteopathic Medicine and Sur-gery a public institution, pro-vided the trustees of the collegeagree to assign and transfer allof the present assets of the col-lege to the public institution."

The special committee recom-mended that the legislation pro-vide both general operating fundsand capital construction fundsneeded to match an $8 millionfederal grant that expires nextApril.

2 AbstainThe recommendation was ap-

proved by voice vote with twocouncil members abstaining.They were Dr. Milton J. Dakov-ich, the only osteopath on thecouncil, and Charles C. Inger-soll, administrator of Broad-lawns Polk County Hospital.

Lattner said that passingthe resolution "might putsome pressure on the col-lege" to approve the condi-tions put forth by thecouncil.The next meeting of the os-

teopathic college board is sched-uled for mid-January.

The Legislature convenes Jan.11 and some council membersnoted that if the issue drags onmuch longer, it may be too lateto mount an effective legislativecampaign in the 1971 session.

Costs of Second State Medical SchoolDes Moines Register January 23, 1971

The backers of a plan for turning the College of OsteopathicMedicine and Surgery in Des Moines into a second state-sup-ported medical school have found a way to cut its immediatecosts.

The special committee of the Health Planning Council of Cen-tral Iowa, which prepared the plan, initially sought at least $8million in state funds to be used, along with matching federalfunds, to construct a new medical school building. However, thetight budget expected for the next biennium, may make it impos-sible to find $8 million.

The committee now is proposing that the Board of Regentsraise the $8 million by issuing revenue bonds which would bepaid off from the medical school's operating income. This wouldreduce the state cost of the medical school to between $1 millionto $1.2 million a year, according to Thomas Vigorito, D.O., presi-dent of the Des Moines college.

This is an astonishingly low figure, compared with estimateselsewhere of the cost of starting new state-supported medicalschools. However, the state would be acquiring a functioningoperation which since 1898 has educated at least 3,300 physicianswith no direct state aid. The college's current budget is $2.8million, derived largely from federal grants-in-aid, student feesand income from clinics.

The college's most pressing problem is its over-crowded, over-age building. If it can obtain federal and state funds to constructa new building, Vigorito believes operating costs can be keptclose to operating revenues.

This could be changed by the decisions of the regents on tuitionand enrollment. The college's tuition and fees are now $2,300annually, compared with the University of Iowa College of Medi-cine's tuition of $870 for residents and $1,600 for non-residents.

The regents might direct the Des Moines college to give firstpreference to Iowa students. A spokesman for the Iowa Citymedical college said it had to turn away 70 to 90 qualified Iowaapplicants last spring.

If preference were given to Iowans and if resident tuition werelowered, then the college's student income would be reduced,requiring a larger state appropriation. But more Iowans would betrained as physicians.

Besides training doctors, the college has been responsive tounmet health needs in the Des Moines urban area which are aschallenging as those in rural Iowa. Its auxiliary activities includetwo clinics, two neighborhood health centers supported by theOffice of Economic Opportunity, the Harrison Center for Alco-holics, the Polk County jail medical service, the Center forCreative Interchange and a new outpatient drug treatment pro-gram.

The continuation of these programs and the training of some100 physicians a year would be a good return on a $1 million ayear investment.

23

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thelog book

722 Sixth AvenueDes Moines, Iowa 50309

Second class postage paidat Des Moines, Iowa

PLACEMENT SERVICEHuntington, Michigan: Office Suite withsix rooms. Will take back a first mortgage."My patients are clamoring for the kindof services I have given over the pastyears and I feel responsible to try to getsomeone who will conscientiously per-form these services".

Frederick Wicks, D.O.15 Dewey StreetHuntington, Michigan

Hudson, Michigan: Over 2,500 popula-tion with area population in excess of10,000. Modern, fully accredited munic-ipal hospital. Excellent school system andabundant recreational facilities.

Douglas Ferman746 N. MapleHudson, Michigan

or: Ralph Commenator201 Division StreetHudson, Michigan

Adams, Minnesota: Present physician willretire February 1, 1971. Population of 850.17 miles from St. Olaf's Hospital, Austin,Minnesota. Clinic building has 14 roomsand dental suite. Four apartments onsecond floor. Air conditioning on firstfloor. Medical unit completely furnished.

P. J. Schneider, M.D.Adams, Minnesota 55909

New Hampton, Iowa: Three year old 50-bed hospital. Four M.D.'s would be happyto have D.O.'s join clinic.

"Opportunities for a young doctor herewould be brilliant".

Robert RiglerState SenatorIowa State HouseDes Moines, Iowa

"Economy of Giving"®

By now, each of you will'have receivedyour first issue of "Economy of Giving"®.

Some of you may be wondering what itis and why it is being sent to you.

"Economy of Giving"® is part of aprogram of planned financial investmentswhich is of mutual benefit to you and tothe school. The tax advantages of givingto education and charity are fully exam-ined by this program.

Each succeeding issue will show youhow you and your families can profitthrough gifts to the school without jeop-ardizing family financial security.

Sound fiscal planning now will savefuture tax dollars!

>~t. ~ ~t ~_- X .,4:7;'z ~.~ ?',, :'_-=- .:O^s , L .-5nC_"._ '. ~'. = .-;: XN.f'.'"~.;;5.i.a.. .-~. =c I_ .. N~. ir:"_ ....~r ' :,, .2¸

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theO*^ n~wf ~ College of Osteopathic Medicine and Surgery

l^ogHI bo^o^kg & ~VOLUME 48 * SPRING 1970 * NUMBER 4

thelog bookCollege of Osteopathic Medicine and SurgeryVOLUME 48 * SPRING 1970 * NUMBER 4

THE LOG BOOK is published quarterly by the College of Osteo-pathic Medicine and Surgery. Second class postage is paid at DesMoines, Iowa. Address all mail, change of address, or Form 3579to 722 Sixth Avenue, Des Moines, Iowa 50309.

Editorial Staff

Editor ................ ................ Suzanne Foster

Editorial Advisor ............................ E. M. Meneough

Graphics ........................... The Graphic Corporation

NATIONAL ALUMNI OFFICERS

President ............................ K. George Shimoda, D.O.

Secretary-Treasurer ....................... R. Keith Simpson, D.O.

Past-President ............. ....... .William Lavendusky, D.O.

Director ................................. Paul T. Rutter, D.O.

Director ............. ........... Walter B. Goff, D.O.

Director ........................... Robert W. Johnson, D.O.

Table of Contents

Dietz Diagnostic Center ..................... ............... 3Senior W eek 1970 .......................................... 5The Pacem aker Ball........................................ 6Senior Banquet ............................................ 7S.O .M .A. United Students ................................... 8Faculty Facts ............................................. 10Harrison Treatment and Rehabilitation Center .................. 12Spring Soviet-American Congress ............................. 14A lu m n i ................................................... 16M edicine M an ............................................. 19Placem ent Service .......................................... 20

ON THE COVER:

Doctor Dora Dietz. See page 4 this issue.

No one likes to face the possibility of wakingat midnight in the fever of some mysteriousdisease, only to have to drive miles formedical care. Towns all over the nation arefinding themselves in the frightening positionof having to face personally the shrinkingnumber of doctors.

The most obvious-and most difficult-solution to this problem is to increase thenumber of medical students. COMS hasbeen trying to do just that. By increasing thenumber of students we enroll, we en-countered the following problems.

DIETZDIAGNOSTICCENTER

PROBLEMSFirst of all, the previous increase in the

first year class has resulted in a need formore laboratory spaces for the second yearclass.

Secondly, the first year class will beincreased again this fall to 110. This neces-sitates a larger lecture room than the presentone (cap. 100).

Thirdly, some of our basic sciencedepartments, in particular, Microbiology,need more area to accommodate on-goingactivities.

3

Fourthly, the increasing patient loadbeing handled at the Fort Des Moines Clinichas resulted in a need for more space there,too. The solution? A new clinic, The DietzDiagnostic Center. How will this solve thespace problems at the college?

CHAIN REACTION SOLUTIONThe new clinic will be approximately

6200 square feet. It will have facilities forradiology, a laboratory, business office,emergency room, as well as 20 clinicaloffices.

Most of the present staffs of College Clinicand the Fort Des Moines Clinic will moveinto the new facility. The administration,with the exception of the Dean and theAssistant Dean, will move into the old FortDes Moines Clinic building. The vacatedadministration office space in the CollegeBuilding will be renovated into a large firstyear lecture room and academic offices forone of the basic science departments.

The semi-vacated clinical area will beused as the office of the Dean and the Assis-tant Dean. In addition, the remaining clinicstaff will operate the College Clinic as a"branch" of the Dietz Diagnostic Center.

This chain reaction of moving will onlymomentarily ease the space problem.

FUTUREThe Dietz Diagnostic Center in no way

changes the plan for a new college facility.It will be located North West of the buildingsite and may ultimately become a rehabilita-tion center.

WHO WAS DORA DIETZ?Funding of the Center comes primarily

from an endowment from the late Dr. DoraDietz. Originally from Middletown, Ohio,she graduated from COMS in 1925 andpracticed in Cedar Rapids most of her life.She died October 13, 1957.

No money will be used for the Centerthat has been ear-marked for the majorcollege facility.

In 1967, a tradition was initiated: COMSSenior Week.

A change in the curriculum of the fourthyear found some seniors out of town almosthalf of the time. Those students who werenot able to attend school functions simplymissed them. In order to correct this situa-tion, all of the activities that took placeduring the school year were combined intoone week.

The banquets given by each of the fra-ternities to honor their senior members, theluncheon during which the other half, (forbetter or for worse), receives her PuttingHubby Through degree, the annual SeniorClass Banquet, and the Pacemaker Ball weremoved to June. The week's activities weretopped by Commencement.

This year's Senior Week pretty muchfollows this format; the only change is thePacemaker Ball will be held after Com-mencement to allow more family membersto attend.

At press time the speaker for Commence-ment had not been announced.

5

PACEMAKERBALL

The annual Pacemaker Ball will feature thenationally known Hines, Hines, & Dad.

This act consists of a father, Maurice(Chink) Hines, Sr., and his two sons, Maurice,Jr., and Gregory. Constantly in motion, thetrio sings, dances, and plays various instru-ments from the drums to the vibes. EverybodydlnlhlIpQ thv arp e 11 talIntpre

Dad is the drummer and organizer of thegroup. He has been a performer for morethan 20 years. During the course of hiscareer, he has accompanied such luminariesas Lena Horne as well as having maderecordings with other top names.

Maurice and Greg have been in the fieldsince they were 14 and 16 years old, whenthey were known as Hines Brothers.

The first big break came when they weresigned to appear at the Moulin Rouge inLas Vegas. The newspapers roared theirapproval and they were promptly bookedat the Dunes and Riviera, both in Vegas.

The group has appeared on televisionand has made numerous nightclub andtheatre engagements in the United Statesand Europe.

Also featured during the Ball will be thecrowning of the Pacemaker Queen fromamong these four women: Mrs. Paul Forman(Karen), Mrs. Richard Louvar (Barbara), andMrs. Stanley Stockhammer (Linda), all ofwhom are married to sophomores, andZoe Kimelman, a first year student.

Don Hoy and his orchestra will againprovide the music.

SENIORBANQU FT

Russell M. W/right, D.).

The featured speaker at the annual SeniorBanquet will be Russell M. Wright, D.O.,team physician for the Detroit Tigers Base-ball Team, Detroit Pistons Basketball Team,and the U.S. Weight Lifting Team.

Dr. Wright, the owner and director of theAthletic Injury and Rehabilitation Center, hasbeen a featured speaker at numerous osteo-pathic medical conventions on the state andnational levels, discussing athletic injuriesand their care.

He is Past-President of the COMS AlumniAssociation and of Sigma Sigma Phi, nationalhonorary fraternity.

He is a member of various sports associa-tions, including serving as president of themedical committee for the InternationalFederation of Weight-Lifting which has over92 member nations.

A member of the national, state, and localosteopathic medical societies, he is a boardcertified member of the A.O.C.P.M.R., and a

member of A.C.O.S. He is former Chief ofStaff and a member of the surgical staff ofDetroit Osteopathic Hospital and the surgicalstaff of Bi-county Hospital.

A 1929 graduate of COMS, Dr. Wrightstill maintains a full time practice. InSeptember, Dr. Wright completed 50 yearsin sports as a player, coach and physician.

A

RESPONSEGeorge W. Northup, D.O., Editor

The problems of medical malpractice andphysician-hospital coverage have become anational crisis. Warnings issued over adecade have grown to catastrophic pro-portions during the past 12 months. At theurging of the American Osteopathic Asso-ciation's Bureau of Insurance chairmanRaymond A. Gadowski, the AOA called thefirst national malpractice conference inChicago on February 7 and 8. There, rep-resentatives from leading medical organiza-tions, legal associations, the insuranceindustry, and purveyor and consumer groupsfaced the problems with candor andobjectivity.

Physicians, lawyers, and insurance com-panies have not always been noted for theirharmonious relationships. However, at thisconference, all three groups found them-selves united by a common problem-namely, the need of securing adequate pro-fessional liability insurance for physiciansin hospitals at a reasonable premium. Itwas generally agreed that if this objectivewas not reached, physicians, and particu-larly specialists, would be driven out ofpractice either because of exorbitant rates,or because there are no longer insurancecompanies willing to take the risks at anycost. As it is, there are only a few companiesleft who will insure hospitals and physiciansin medical malpractice.

The outcome of this conference will bepublished in detail as a cooperative effortby the AOA and the U. S. Department ofHealth, Education, and Welfare. But themost encouraging part of the conference wasthat because of its success, there was over-whelming unanimity that future conferencesbe held. Thus, with the appointment of asteering committee under Dr. Gadowski'sdirection, a cooperative effort has beeninitiated to solve the most urgent problemfacing medicine-and the public-in thisgeneration.

Unfortunately, too few see the medicalmalpractice crisis as a public problem. But itis. As the doctor, aware of his many malprac-tice risks, performs expensive tests and

8

orders prolonged hospitalization and othermedical procedures (under the urgency ofmalpractice protection as much as for diag-nostic and therapeutic efficiency), the costof medical care rises. Thus, as the problemincreases for the physician, it increases forthe public as well.

As malpractice insurance becomes moredifficult to secure and financially prohibi-tive, physicians seek early retirement, in-stitutional positions, or almost anything thatremoves them from public exposure to

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foxm

attack through the courts. Young men take asecond look at the profession of medicineand find it less attractive every year. Thisdoes little to solve the acute manpowershortage among medical professionals.

The positive response taken by the AOA ininitiating and calling the first national con-ference on the medical malpractice crisis isthe type of medical leadership long needed.It is hoped that this positive response tosuch a negative and serious concern will berewarded with positive results.

9

FACULTYFACTS

Floyd E. Dunn, D.O., a 1936 graduate of thePhiladelphia College of Osteopathic Medi-cine, joined the COMS faculty as AssistantClinical Professor of Psychiatry. In thiscapacity, he will supervise the training pro-gram of fourth year students serving psychi-atric clerkships at Knoxville Veterans'Administration Hospital. Dr. Dunn is certi-fied by the American Osteopathic Board ofNeurology and Psychiatry. He has served asChairman of the Division of Neurology andPsychiatry at Kirksville College of Ostepathyand Surgery. He has published numerousarticles dealing with psychiatry.

Elizabeth A. Burrows, D.O., Director ofMedical Education at Des Moines GeneralHospital, has been named a Fellow in theAmerican College of Osteopathic Obste-tricians and Gynecologists.

Dr. Burrows attended the annual meetingof the Directors of Medical Education held inChicago December 4-6. The meeting wassponsored by a grant from the Departmentof Health, Education, and Welfare PublicHealth Service and featured "Communica-tions Programs" as its theme.

Stanley D. Miroyiannis, Ph.D., Professor ofAnatomy and Chairman of the department,represented the College at the December 6thmeeting of the Iowa Conference of theAmerican Association of University Pro-fessors held at Drake University, Des Moines.

Under discussion were the state con-ference's role in Iowa; consideration ofpresent structures of the state conferenceconstitution; duties of officers; legislativeaction in regard to higher education in Iowa;status of interim Committee's proposals;attitudes of regents institutions; role ofprivate colleges and universities; mechanismsfor dealing with future legislative threats toAmerican Association of University Professorsprinciples.

Harry B. Elmets, D.O., Clinical Professor ofOsteopathic Medicine and Chairman of theDivision of Dermatology, has been namedMedical Consultant in Dermatology at theVeterans' Administration Hospital inKnoxville.

Dr. Elmets was also elected a memberof the Advisory Board of OsteopathicSpecialists during its January meeting.

Phillip E. Leveque, Ph.D., joined the COMSfaculty in mid-February. Dr. Leveque wassenior lecturer in the Department of Physi-ology at Makere University, Faculty ofMedicine, Kampala, Uganda before comingto COMS.

Dr. Leveque received a bachelor ofscience degree and a master of sciencedegree, both in biochemistry, from OregonState College; and a master of sciencedegree and a doctorate in pharmacologyfrom the University of Oregon MedicalSchool. While completing his doctoratestudies, Dr. Leveque was awarded a twoyear Park-Davis Fellowship.

He has published over twenty articles inthe area of cardiovascular physiology andpharmacology. At the present time, QuickDrug Reference, is in contract for publicationby McGraw-Hill Book Publishing Company.

Dr. Leveque is particularly interested inthe problems of drugs and drug addiction.

Nelson D. King, D.O., Professor of Pediatricsand Chairman of the department, hasaccepted a position on the Editorial Board ofMATERNAL AND CHILD HEALTH.

Faculty from the departments of OsteopathicPrinciples & Practice from each of the sixcolleges have been holding a series of groupmeetings. The departments are seeking waysfor standardization of teaching methods andnomenclature of osteopathic principles.

One of the series of meetings was heldin Des Moines February 21st. Representa-tives attended from Kansas City College ofOsteopathy and Surgery, Kirksville Collegeof Osteopathy and Surgery, Chicago Collegeof Osteopathy and the Michigan College ofOsteopathic Medicine. Samuel W. Williams,Jr., D.O., Dean, Byron E. Laycock, D.O.,Professor of Osteopathic Principles &Practice and Chairman of the department,and Robert J. Connair, D.O., Assistant Pro-fessor of Osteopathic Principles & Practiceand Director of the Division of PhysicalMedicine and Rehabilitation, served ashosts from C.O.M.S.

Henry J. Ketman, D.O., Professor of Radi-ology and Chairman of the Department,has been notified of his inclusion in theNATIONAL REGISTER OF PROMINENTAMERICANS.

11

HARRISONTREATMENT AND

REHABI LITATIONCENTER

Early this year, Senator Harold Hughes,former lowa Governor, was in Des Moinesto address the Des Moines unit of theNational Council on Alcoholism. Hughes,chairman ot a special Senate sub-committeeon drug abuse and alcoholism, also madeplans for a local meeting of his committee.The meeting took place February 14th.

Among the witnesses called to testifywere R. Keith Simpson, D.O., AssistantProfessor of Medicine and Special MedicalConsultant at H.T.R.C. and Bob Scott,Instructor in Psychiatry and Special ProgramConsultant, H.T.R.C. They both expressedconcern over the practice of hospitals anddoctors informing police of addicts seekinghelp.

With this situation in mind, they alsodiscussed a tentative plan for a drug treat-ment program involving the use of a syntheticdrug. Names of addicts would not be re-ported to the police. More on this will bereported when a formal program is developed.

While governor, Hughes was one of theoriginal supporters of the Harrison Treatmentand Rehabilitation Center.

Senator Har-old Hughes

Father Kermit Marsh

Quentin H. Hunter was named Adminis-trator of the Harrison Treatment and Re-habilitation Center, a hospital for thetreatment of alcoholics, late last year. Mr.Hunter, who has successfully completed theintern therapist training program offered bythe Center staff, graduated from LorasCollege in Dubuque, Iowa, in 1955 with aBachelor of Arts degree in Economics.

A member of the B.P.O.E., he is also amember of the Knights of Columbus and thejunior Chamber of Commerce. He has hadhis pilot's license for over nineteen years.

Mr. Hunter was formerly employed byMobil Oil Corporation as manager of theRetail Development Center.

In early February, Father Kermit Marshjoined the Harrison Treatment and Re-habilitation Center staff as a full-timecounselor. Father Marsh, who was ordainedin 1962, will work with Gene Messenger,Director of the Continuing RehabilitationProgram.

Father Marsh had worked actively withpatients and their families for almost twoyears. In his new position, he will occa-sionally participate in and direct group dis-cussion sessions to establish rapport withthe patients. He will serve a dual role asFamily Contact and Clergy Liaison.

13

IYQuentin H. Hunter

I

:OW MEETS: MEDICINEe Spring Soviet-Americanprehensive Medicine willal seminars in Moscow.*ring enchantment of theBasil's Cathedral and the

of the Kremlin, to thethe leading state medical

/ offers the professionalcientific and an historic

Soviet and American physicians will hearlectures by C.O.M.S. faculty concerningantibiotics, manipulation, alcholism, andpatient care.

Thomas Vigorito, D.O., President, willpresent papers on semi-synthetic penicillins,new tetracyclines, and drug reactions. Dr.Vigorito completed his studies for a Masterof Science degree in Pharmacology atC.O.M.S.

Samuel W. Williams, D.O., Dean, willdiscuss alcholism as a medical problem,the operation of the Harrison Treatment andRehabi I itation Center for treatment of patientswith alcoholism, and Delirium Tremens as apreventable complication of alcoholism.

A professor of Osteopathic Medicine forover 30 years, Byron E. Laycock, D.O.,Chairman of the Department of OsteopathicPrinciples and Practice, will lecture ontechniques of special manipulation and ofappendicular manipulation. He will alsopresent a brief history of OsteopathicMedicine.

Joseph B. McNerney, D.O., ClinicalProfessor of Internal Medicine, will presenta discussion of the management of thepatient with congestive heart failure, themanagement of the patient with myocardialinfarction, and the management of the patientwith gout. Dr. McNerney has been on theC.O.M.S. faculty for 30 years; he alsomaintains a private practice.

The Moscow seminars will be followedby professional visits and conferences inLeningrad, Budapest, and Bucharest. Thetour has been approved by the AmericanCollege of General Practioners in Osteo-pathic Medicine and Surgery for 24 hours ofpost-graduate credit.

FOR YOUR INFORMATION: UnderInternal Revenue Service rules, physiciansmay deduct the expenses of taking trips forreasons related to their practice. If your wifeor other family members accompany you,their expenses are not deductible.

The College of Osteopathic Medicine andSurgery cordially invites you to enjoy post-graduate education in these four magnificentEuropean cities.May 15 through May 30, 1970.

FOR DETAILS, WRITE TO:THOMAS VIGORITO, D.O.PRESIDENTCOLLEGE OF OSTEOPATHIC MEDICINE

AND SURGERY720 SIXTH AVENUEDES MOINES, IOWA 50309

15

IL I -1 I I-' I , I

ALUMN1917L. V. Cradit, D.O., of Amarillo, Texas, hasreceived a life membership in the Osteo-pathic College of Ophthalmology and Oto-rhinolaryngology. Dr. Cradit is also a lifemember of the American OsteopathicAssociation.

He interned at Des Moines General Hos-pital and the U.S. Army General Hospitalat Fort Des Moines.

1927A 94 year old patient of Harold Brown, D.O.,of Oxford, Michigan, was the subject of anarticle in the "Pontiac Press" late last year.In the articles, Lewis A. Haddrill attributedhis health to the 43 years of care fromDr. Brown.

1941Robert D. Berger, D.O., served as the chair-man of the Grandview Hospital committeewhich participated in a research projectconducted by Ohio State University todetermine the use and usefulness of com-puter-assisted instruction in the continuingeducation of health professionals.

1951Harry Simmons, D.O., of Trenton, Michigan,will be a member of a round table conferenceon "Indications for Surgery in Acquired andCongenital Heart Disease" during the 72ndannual convention of the New York StateOsteopathic Society, May 1-2.

1952Joseph Sage, D.O., formerly of Longmont,Colorado, opened offices in Chariton, Iowaat the beginning of this year. Dr. Sage, whospecializes in general surgery, is a memberof Lucas County Hospital and Wayne CountyHospital staffs. He is a member of theAmerican College of Osteopathic Surgeons.

John W. Knable, D.O., resident in InternalMedicine, Brentwood Hospital, spoke on"Medical problems encountered in theEmergency Room" during the fifth annualpost-graduate seminar of the ClevelandAcademy of General Practice held January21-22 in Cleveland.

1960Allan R. Crosby, D.O., Wauwatosa, Wiscon-sin, published "The use of the self-ratingdeparession scale after traumatic injuries"in the November issue of the Journal of theAmerican Osteopathic Association and"Cardiac Injuries produced by contusiveand/or compressive forces" in the January1970 issue of the J.A.O.A.

1962Richard H. Beck, D.O., of Kirksville,Missouri, published "Allergic PulmonaryAspergillosis: Report of a Case" in theJanuary 1970 issue of the J.A.O.A.

I

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1964Kent Rens, D.O., recently opened offices inMilford, Iowa. Dr. Rens, who graduated fromthe University of South Dakota in Vermillionprior to enrolling at COMS, formerly prac-ticed in Custer, South Dakota.

1967M. J. Medeck, D.O., of Sturgis, SouthDakota, attended the Governor's RuralHealth Conference in Pierre. The Healthmanpower of the state and the needs of ruralhealth were discussed. The meeting was thefirst in a series being held to study theproblems.

1968U.S. Air Force Captain Burt Routman, D.O.,is on duty at Nellis AFB, Nevada. He isassigned to the 428th Tactical FighterSquadron.

The Iowa Society of Osteopathic Physiciansand Surgeons sponsored a meeting whererepresentatives of Iowa towns seeking physi-cians were able to personally present theirplea to COMS seniors and interns andresidents at Des Moines General Hospital.

Jack Hannum, D.O., President ofi.S.O.P.S., hosted the February 7th meeting.Towns represented included Rockwell City,Wheatland, Sioux City, Monona, Adair,Davenport, Melcher, Manning, Fontenelle,Bayard, and Greenfield.

During the annual meetings of the stateosteopathic associations, some of our statealumni associations will also be holdingmeetings. A member of the COMS faculty oradministration will be present at most of thestate meetings. They will be happy to helpyou organize your alumni chapter. A manualfor this purpose has been prepared and isavailable from the National Alumni Associa-tion Central Office in Des Moines.

A reminder too that $1.00 of every $5.00paid to the N.A.A. for annual dues is re-turned to your state association. Officers areasked to write to the central office identifyingthemselves and their state chapter.

Officers elected for 1970 at the Decembermeeting of the Polk County Society ofOsteopathic Physicians and Surgeons includeR. Keith Simpson, D.O., Class of 1962,President; Gordon Elliott, D.O., Class of1947, Vice-President; Henry J. Ketman, D.O.,Class of 1937, Treasurer; and Jan Davis,secretary.

Lloyd Ficke, D.O., was elected for a threeyear term to the Board of Trustees of theSociety.

Melvin J. Krant, M.D., Director, OncologyDivision, Lemuel Shattuck Hospital, Boston,Massachusetts, will lecture on "MedicalEducation and the Care of Dying Patients"at an all-school convocation to be heldApril 13th.

Dr. Krant's presentation is sponsoredby the Helen I. McGarry Lectureship whichDr. William Lavendusky initiated in honorof his wife's mother.

SOMAUNITED

STUDENTSCampus turmoil rages across newspaperheadlines. Students disrupt political andmedical conventions. The reasoning behindstudent unrest is ultimately a desire forcommunication. Are our students immune?Prompted by rumors of merger and uncer-tainty over internships, students from four ofthe colleges met late last year in Des Moinesto establish a national effort at student com-munication and representation, StudentOsteopathic Medical Association.

Interim S.O.M.A. officers include KeithHansen, President, COMS; Vice-president,Keith Hindman, KCCOS; Secretary, BarrySiegel, KCCOS; and Treasurer, Ron Tauber,CCO.

The impetus behind SOMA began earlier.During the summer, representatives ofSOMA attended the meeting of the Inter-national Federation of Medical StudentsAssociation. International recognition andmembership in IFMSA resulted. Later in theyear, Don Amerson, KCCOS, was appointeddirector of the standing committee onmedical education and liason officer betweenthe International Federation and WorldHealth Organization, World Medical Asso-ciation, United Nations Education andScientific Consultant Organization, andWorld University Service. A program offoreign externships is also being formalized.

In January, a meeting with students fromall six colleges was held. Plans were madeto hold a national SOMA convention inChicago in March. In addition to the regularbusiness meeting, two symposia, "Environ-mental Pollution" and "Human HealthRights" are planned.

Narrowing the view from the nationalto the local, the Des Moines chapter ofSOMA has initiated several programs. Aspeakers bureau was organized and hasvisited several Iowa campuses and localhigh schools. The topic presented is usuallyosteopathic medicine, but may be an aspectof medicine in which the particular studentis well-versed. A tour program for highschool science clubs, pre-med clubs, andother interested groups, has also provedsuccessful. Plans are also being made for afree clinic in association with the Des MoinesModel Cities Project.

Obviously, our students are not immunefrom the momentum of campus turmoil.They are exercising "preventative medicine"by dealing with the need for communicationbefore it reaches the acute stage.

All osteopathic physicians are invited tobecome honorary members of SOMA andattend the national meeting. For furtherinformation write the national office atS.O.M.A., 5454 South Shore Drive, Chicago,Illinois.

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MEDICINE MANLeonard Crow Dog, Sioux Indian MedicineMan, was in Des Moines in late January todemonstrate the uses of vegetation, likesage and other grasses, and other materials,such as powdered buffalo and deer bone, asIndian medicine.

Crow Dog, who has been a medicineman for over fifteen years, said an "enlighten-ment" at age twelve initiated his career.

Of the 72 different kinds of "medicine"he has available, Crow Dog discussed thepossible uses of only 21. Remedies rangefrom cures for gall bladder problems tobirth control to an herb which reportedlymakes women "good".

Crow Dog's lecture was part of a seriesdesigned to probe drug use and abuse inour society.

Mrs. John HayesMrs. John Hayes, National Students' WivesClub Counselor, visited Des Moines in earlyFebruary. Mrs. Hayes, who had served asAAOA recording secretary since 1966, wasnamed president-elect of the AAOA inOctober.

Each year, the national counselor visitseach of the wives clubs at the colleges.During her stay, Mrs. Hayes took time offfrom her duties to tour the college facilities.

Mrs. Hayes has been active as a volunteerin hospital work, in reading during a storyhour at a local library, as a counselor forteenagers and as a Sunday School teacher.

She knits, sews, and enjoys rose gardening.

- I�E&��I IiIUS] �4 LUJ�Y�

1917 Clarence Sanford, D.O., Hotchkiss,Colorado

1918 Elmer H. Frech, D.O., Lincoln,Nebraska

1940 Edward D. Reese, D.O., Kansas City,Missouri

1940 E. E. Johnson, D.O., Espanola, NewMexico

1943 C. H. Barr, D.O., Fontanelle, Iowa1944 Richard Snyder, D.O., Swea City,

Iowa1951 Paul E. Dunbar, D.O., Paducah,

Kentucky1952 Gilbert Striks, D.O., Detroit, Michigan1964 Kenneth Neff, D.O., Richland,

Michigan

Special condolences to Robert W. Johnson,D.O., in the death of his wife, Ardith. Dr.Johnson is a member of the College Boardof Trustees and is a director of the NationalAlumni Association.

19

thelog book

722 Sixth AvenueDes Moines, Iowa 50309

Second class postage paidat Des Moines, Iowa

PLACEMENT SERVICEIron River, Michigan: Population 10,000-15,000. New 60 bed hospital, located 150miles Northwest of Green Bay. Office space,rent free, office nursing service free for firstfour months.

William C. KoflerAdministratorGeneral Hospital of Iron RiverIron River, Michigan 49935

Monona, Iowa: "A physician could have avery professionally satisfying, fruitful practiceand an enjoyable private life".

Samuel J. CurnowAdministratorCommunity Memorial HospitalPostville, Iowa 52162

Greenfield, Iowa: County-supported hospital.Only one M.D. and two D.O.'s in county.

Jay E. HoweJohnson & HoweAttorneys-at-lawGreenfield, Iowa 50849

Herreid, South Dakota: New 20-bed hospital.Melvin J. RiekerHerreid, South Dakota 57632

Muscatine, Iowa: 23,000 population, countyseat. Medical Clinic located across fromGeneral Hospital.

Harold Rosenberg111 West Second StreetP.O. Box 591Muscatine, Iowa 52761

thel o g b o o kt College of Osteopathic Medicine and Surgery

VOLUME 48 · SPRING 1971 · NUMBER 5

thelog bookCollege of Osteopathic Medicine and Surgery

VOLUME 48 · SPRING 1971 · NUMBER 5

THE LOG BOOK is published quarterly by the College of Osteo-pathic Medicine and Surgery. Second class postage is paid at DesMoines, Iowa. Address all mail, change of address, or Form 3579to 722 Sixth Avenue, Des Moines, Iowa 50309.

Editorial Staff

Editor ...................................... Sue Thomsen

Editorial Advisor ............................ E. M. Meneough

Graphics ........................... The Graphic Corporation

NATIONAL ALUMNI OFFICERS

President................................. Frank W. Myers, D.O.

President-elect ........................... Sidney Grobman, D.O.

Secretary-Treasurer ...................... R. Keith Simpson, D.O.

Past-President ......................... K. George Shimoda, D.O.

Director ................................... Paul T. Rutter, D.O.

Director ................................. Walter B. Goff, D.O.

Director............................... Robert W. Johnson, D.O.

Table of Contents

A Concept of Education .............................. 3AOA Audio Educational Service

Offers Individual Subscription ....................... 4N.A.A. President-elect ............................... 5I.S.O.P.S. Approves Resolutions at National Convention .. 6C.O.M.S. Receives $170,000 .......................... 7Services Given for Donated Bodies .................... 7Medical Trips Aid Needy in Yucatan ................... 8Faculty............................... 12Senty Appointed Dean ........... ............... 13Manipulation Manual Reprinted ....................... 13Takes Leave of Absence to Teach in Africa .............. 14Alumni ....................... .............. 16Women's Lib vs. Women in Medicine .................. 20P.S.G. Sponsors Film for Underprivileged Children ....... 21In Memoriam ...................................... 22Placem ent Service ................................... 22

ON THE COVERThomas F. Vigorito, President of C.O.M.S., received theSidney Weitberg Award at the Lambda Omicron GammaThirty-Seventh Annual Convention banquet April 24, at theShelbourne Hotel, Atlantic City, New Jersey. The award, asilver platter, reads:

"Lambda Omicron Gamma National Fraternity,With Great Affection

Honors for Outstanding AchievementIn the fields of Medicine and Education

Thomas F. Vigorito, D.O.Scholar, Educator and Highly Respected Friend"

April 24, 1971The following speech was given by Dr. Vigorito at theconvention:

1.LEONARD AZNEERThe College of Osteopathic Medicine andSurgery has elected a new president at itsJune 19 Board of Trustees meeting.

He is J. Leonard Azneer, Ph.D., ofYoungstown, Ohio, a professor of educa-tion at Youngstown University, who willtake office July 1.

Dr. Azneer is co-author of a number ofmedical textbooks and articles and serveson the board of directors of the MichiganCollege of Osteopathic Medicine and isan educational consultant to the AmericanMedical Association.

Dr. J. R. McNerney, chairman of theCOMS board, said Dr. Azneer was chosenon his ability to improve and intensify thecollege's educational program, and as aprofessional educator, could serve as "aconciliatory influence" in the controversyover whether the osteopathic and medicalprofessions should remain separate ormove toward a merger.

In an exclusive interview with the DesMoines Register, Dr. Azneer said the DesMoines college "is going to remain anosteopathic institution until the pro-fession, at another level, changes itscommitments."

IS NEWCOMS PRESIDENT

But, he stressed, "we do not seek toisolate ourselves, despite the fact that weinsist upon the integrity of our profession."

He said the school will continue to co-operate "with the entire medical commu-nity" to "provide the highest qualitymedical education that we can possiblyoffer," and pledged a high priority ontraining doctors for family medicalpractice.

Dr. Azneer is a graduate of Yeshiva Col-lege, New York City, and the JewishTheological Seminary of America and isan ordained rabbi He earned a Ph.D. ineducation from the University of Pitts-burgh and has been a staff member ofYoungstown State University since 1951.

His son, Barry, 24, is a student at PCOM,while his daughter Reva, 21, is married toa medical student at Johns Hopkins Uni-versity in Baltimore, Maryland.

Dr. Azneer, his wife, Pearl, and son,Ira, 15, will be moving to Des Moineslater this summer.

3

The AOA AUDIO EDUCATIONAL SER-VICE, which was launched last Septemberwith the aid of grants from three pharma-ceautical companies, has now begun itsfirst full year of distribution on an individ-ual subscription basis.

The first issues of the AOA Service thisyear have included major clinical papersby M.D.'s and D.O.'s from the CaliforniaState meeting and from the ACOOG meet-ing. Future osteopathic meetings that willbe covered by the Service this year in-clude the Eastern and Midwestern StudyConferences, the College of Surgeonsmeeting, the ACOI meeting, the weekendcourses of the New York Post-graduateInstitute, the annual meeting of the Acad-emy of Osteopathy and many of the statesociety meetings.

A special feature of the service to beintroduced later this year will be paneldiscussions by faculty members of theosteopathic colleges. Some of these paneldiscussions will be supplemented by pic-tures and illustrations to be published inthe Journal of the AOA and The D.O.magazines.

The service will be of particular interest

to members of the ACGP, since they areallowed post-graduate credit hours forthe actual time of the cassettes, up to amaximum of 25 hours annually.

The AOA AUDIO EDUCATIONAL SER-VICE is currently being distributed on 90-minute cassettes, and at $75.00 a year ispriced competitively with other audioservices that use 60-minute cassettes.AOA members who wish to subscribe,but do not own cassette recorders, canpurchase one through the service at greatsavings over retail cost.

Special arrangements have been madeto provide a nationally advertised brandcassette recorder to new subscribers foronly $33.00, or a total of $108.00 for therecorder and one-year subscription. Therecorder, incidentally, is identical in fea-tures and quality to recorders being soldto the medical profession by other audioservices for as much as $75.00.

Any D.O. who wishes to subscribe cando so by sending a check for $75.00 (or$108.00 for recorder and subscription) tothe AOA AUDIO EDUCATIONAL SER-VICE, 510 N. Dearborn St., Chicago, III.60610.

AOA AUDIOEDUCATIONAL SERVICE

OFFERS INDIVIDUALSUBSCRIPlION

4

NAAPRESIDENT- ELECT

Sidney M. Grobman, D.O., P.A., has beennamed president-elect of the NationalAlumni Association at their annual meet-ing held in San Francisco last October.

Dr. Grobman is a 1961 graduate ofC.O.M.S. and has a private practice inPedricktown, New Jersey. He is a lifemember of the Alumni Association and isvery active in alumni organizational andfund raising affairs.

5

ISOPS APPROVESRESOLUTIONS AT

ANNUAL CONVENTION

Kenneth R. Carrell, D.O. James Allender, D.O. Herman Walter K. George Shimoda, D.O.President, ISOPS President-elect Secretary-Treasurer DMS-1943

New officers of the Auxiliary to the'l.S.O.P.S. are from left to right: Mrs. Joseph nrior, uavenport,treasurer; Mrs. J. L. Abramsohn, Guthrie Center, secretary; Mrs. i. W. Hatchitt, Des Moines, vice-president; Mrs. Gerald J. Leuty, Earlham, president-elect; and Mrs. W. T. Huls, Blue Grass, president.

The iowa Society of Osteopathic Physi-cians and Surgeons recently held theirannual convention at the Savery Hotel inDes Moines.

Two resolutions were approved whichwould bring about a closer working rela-tionship with the AMA. The first resolu-tion would allow osteopathic physiciansand surgeons to be affiliated with divisionsand subdivisions of both the AOA and theAMA without risking their osteopathicstanding.

The second resolution would permitDO's to receive internships and residen-cies at any accredited hospital approved

by the Bureau of Hospitals of the AOA andthe AMA. This would give students achance to receive advanced training any-where and still be recognized by the AOA.Both resolutions will be presented at theAOA annual meeting to be held in July inDenver for national approval.

Newly elected officers of the I.S.O.P.S.are: Kenneth R. Carrell, D.O., president,Columbus Junction, succeeding KennethL. Clayton, D.O.; James Allender, D.O.,Lorimor, president-elect; K. GeorgeShimoda, D.O., vice-president; andHerman Walter, re-elected secretary-treasurer of the organization.

We are all products of an educationalsystem that purportedly exists in order totrain people to become osteopathicphysicians.

Apparently, no comprehensive and ob-jective analysis of the nature of osteo-pathic education exists. My purpose thisevening is to provoke such an analysis bydescribing briefly several of my personalconcepts of education. Hopefully, otherswill challenge, evaluate and elaborateupon them in the future.

First concept: Colleges of osteopathicmedicine are first and foremost colleges.They are-or should be-associations ofscholars who devote their full energies toelucidating new knowledge, and to trans-mitting existing knowledge to students.Policies concerning admissions, curricu-lum, promotion, graduation, and researchshould be determined by faculty, not bylay administrators nor by external agencies.

The processes of teaching and learningshould be vital, vibrant, and exciting,rather than dull and pedantic. Additionally,colleges have academic, moral and legalcommitments to cooperate with all legiti-mate efforts by students to gain access toadditional educational opportunities. Therefusal of college officials to honor stu-dents' requests for transcripts and lettersof recommendation is illegal and intellec-tually dishonest.

Second concept: Colleges of osteo-pathic medicine are de facto colleges ofmedicine. This fact is attested to by our

ACONCEPTOFEDUCATIONcurricula, federal and state statutes, and,most importantly, by the styles of practiceof our graduates.

The problems and opportunities cur-rently confronting colleges of osteopathicmedicine are virtually identical with thoseconfronting M.D. granting institutions ofsimilar size and structure. Teaching ma-nipulation and the theory and philosophyof osteopathy are interesting, but mostlikely peripheral activities at all ourcolleges.

My third and final concept is: Collegesof osteopathic medicine, although na-tional resources as producers of medicalmanpower, are also heavily dependentupon their local communities for subtleand direct forms of support. In addition,faculty, students and alumni are otherconstituencies that make various demandsof a college. Consequently, every collegeis constantly challenged to balance itscommitments to federal and state govern-ments, local communities, faculty, stu-dents, and alumni.

A college that becomes a pawn of anygovernment, profession, individual orself-serving pressure group, simply cannotfunction as an institution of higher learn-ing. It shall rapidly become a trade school,and its name and published objectivesshould be changed accordingly.

Thank you for your attention. I hopethat I have provoked some of you to un-dertake a further analysis of your ownconcepts of education.

7

MEDICALITRIPS AID

NEEDYIN YUCATA

R. W. Westfall, D.O., Boone, Iowa, be-lieves in getting involved.

Since 1967, Dr. Westfall (COMS 1943)and his wife, Jeanette, have headed tripsto Yucatan, Mexico (in particular, Che-tumal, along the British Honduras border),and have traveled to isolated areas aidingthe natives. Their latest trip in January ofthis year, included a group consisting of awhole medical entourage; physicians,dentists and nurses who traveled to healthclinics giving instruction to the medicalstaff there.

The people in these areas are descen-dants of the ancient Mayans and a ratherinteresting interpretation setup had to beused. Since the natives speak only Mayan,

A. Dr. Westfall treats this young lady for wormscomplicated by pneumonia. "She was so in-fested with worms, she vomited cupfuls ofthem," Dr. Westfall said.

B. One little girl who didn't make it. Sufferingfrom an advanced case of malnutrition, shedied shortly after this picture was taken.

C. The use of manipulation was employedhere. Two gunny sacks full of maize corn wereused as examining tables. "Due to carryingheavy loads on their heads, from early child-hood on, cervical and dorsal spinal lesionswere present in just about every patient weexamined," Dr. Westfall said.

I-··I·�' I I -I I III -· , II-I I I� --- P-l - I- I----

nurses who spoke Spanish and Mayanwere employed to translate instruction tothe patients. Since Dr. Westfall spoke onlyEnglish, the pilot who spoke English andSpanish was needed to translate instruc-tions from doctor to nurse.

The Yucatan medical missions are madein connection with the Partners of theAmericas (Iowa division-lowa-YucatanPartners of America)-an organization setup whereby various states in the UnitedStates obtain a sister country in Latin andCentral America and exchange ideas. Themedical trips are only part of the workdone by Partners of America. Other areasinclude:

education -exchange students from Yu-

catan have been attending Central Col-lege in Pella, Iowa.

agriculture-helping supply the nativeswith protein to offset certain deficiencies,fertilized eggs were sent to be hatchedand egg laying chickens raised by thepeople, new strains of corn were intro-duced, and rabbits were also raised asanother addition to their diet.

cultural-different aspects of culture areexchanged. For example, the Universityof Iowa choir recently performed there,and the Mexican Folk Laureate Ballet hastoured Iowa.

business and tourism-sewing ma-chines were given to the villagers who inturn sent products to Iowa to sell. Trips to

C.

B.

A.

9

Yucatan are promoted to introduce moretourism dollars to the country.

The most prevalent disease conditionsseen and treated by the physicians werevarious forms of nutritional deficiencies.There is a high mortality rate among in-fants and Dr. Westfall said that those whodo manage to survive, suffer mental re-tardation due to lack of protein in the diet.Dr. Westfall also said children would eatdirt to fill their stomachs with mineralsthey needed and in the process ingestedworm eggs. Consequently, parasitic infec-tions (roundworms, pinworms, tap worms,and protozoa) were also rampant in theseareas.

Because of their isolation, however, theintroduction of penicillin to treat diseasewas so successful that Dr. Westfall said itwas possible to obtain "miraculous cures."

One example of this was a little girl wliowas dying from rheumatic fever. "When Isaw her she had a temperature of 105°and her joints were so swollen, shecouldn't even move her little finger," Dr.Westfall said. She was given a massivedose of penicillin and was checked againlater the same evening. "When I cameback later, her temperature was normaland she was sitting up," he said.

Mrs. Jeanette Westfall is quite active inthe Partners of America. At the present

Villages are poor and isolated and little is doneabout sanitation. Malnutrition is prevalent asseen in the bloated stomachs of the childrenpictured here.

time, she is Executive Secretary of thisorganization and has served on the inter-national and national executive commit-tees, and was the only woman to serve onthe International-American Confederationas a representative from Latin and CentralAmerica. She also was the first to investi-gate Yucatan and start the Iowa medicaltrips. When President Nixon recently helda state dinner honoring the President ofthe Republic of Mexico, the Westfallswere one of only two couples from Iowawho were invited to attend.

Besides treating the sick, the physiciansinstructed local personnel in the use of anX-ray unit which had been donated by the

lowa-Yucatan group the previous year andset up a fundamental system of recordkeeping for follow-up checks on patients.

Plans have been made for more trips toYucatan and physicians are needed forthem. Doctors pay their own expensesdown and the Mexican government fur-nishes transportation and interpreterswhile there.

This article is only a small part of thework Dr. Westfall has done in Yucatan.If you desire more information concern-ing these missions please write:R. W. Westfall, D.O.Westfall ClinicBoone, Iowa 50036

Mrs. Jeanette Westfall babysits while Momsees the doctor. Eyes mixed with curiosity andtrust make Dr. Westfall's efforts rewarding andworthwhile.

11

Harry B. Elmets, D.O., Clinical Professorof Osteopathic Medicine and Chairman ofthe Division of Dermatology, attendedseveral conferences recently. Dr. Elmetswas present at the First International Sym-posium on Venereal Disease in St. Louis.He attended the first meeting of the Na-tional Commission on Venereal Diseasein Washington, D.C., and was at theannual board meeting of the AmericanSocial Health Association in Chicago,Illinois.

Samuel Brint, D.O., Chairman of the De-partment of Obstetrics and Gynecology,has been elected President-elect of theAmerican College of Osteopathic Ob-stetricians and Gynecologists at a recentmeeting in Phoenix, Arizona.

John Weibel, former Assistant Professor inClinical Medicine at the college, hasjoined the staff of the West Union MedicalClinic in West Union, Iowa.

R. Keith Simpson, D.O., Assistant Pro-fessor of Medicine and Special MedicalConsultant at the Harrison Treatment andRehabilitation Center, has been travelingextensively and speaking to variousgroups concerning the use and abuse ofdrugs and alcohol.

In April, Dr. Simpson spoke to membersof the Iowa Personnel and Guidance Asso-ciation composed of high school voca-tional and guidance counselors from theCentral District of Iowa, on drugs; theirusage among high school and junior highstudents, and how it relates to the highschool.

In May, he spoke on drug and alcoholabuse at the Annual Meeting of the Wis-consin Association of Osteopathic Physi-cians and Surgeons in Delavan, Wiscon-sin.

Faculty members D. Robert Celander,Ph.D., Robert Connair, D.O., Byron Lay-cock, D.O., and Mearl A. Kilmore, Ph.D.,were speakers at the 73rd Annual Minne-sota State Osteopathic Association Con-vention held in St. Paul, Minnesota,May 5-7.

Dr. Celander and Dr. Laycock spoke on"The Osteopathic Lesion and Osteo-pathic Research," and Dr. Laycock spokeon "Principles of Osteopathy," and "LowBack Evaluation and Management."

"Stroke," "Upper Spine and ShoulderTechnique," and "Manipulation in Gen-eral Diseases" were the subjects of Dr.Connair's speeches and Dr. Kilmoretalked on "Drugs in Cardio-PulmonaryProblems."

re�d�BB�B�W�i�

�B�i�8�sesn�s�L�sP�nra�i�

SENT MANIPULATIONAPPOINTED MANUALDEAN REPRINTED

Roger F. Senty, D.O., has been appointedDean of the College of Osteopathic Medi-cine and Surgery, effective May 1, 1971.

Dr. Senty has been a faculty member atC.O.M.S. since 1964, and has most re-cently been serving as Associate Professorand Chairman of the Department ofSurgery.

He received his undergraduate educa-tion at the University of Wisconsin, andgraduated from C.O.M.S. in 1958. Dr.Senty interned at College Hospital afterwhich he served a three-year residency insurgery at Doctors' Hospital in Columbus,Ohio.

The College of Osteopathic Medicine andSurgery announces the reprinting of"MANUAL OF JOINT MANIPULATION,"by Byron E. Laycock, D.O.

Dr. Laycock has taught and practicedOsteopathic Principles and Practice for32 years at COMS. He has contributed tomore than 200 professional programs rep-resenting the college.

This teaching manual includes bothSpinal and Appendicular Diagnosis andTechniques; 427 pages, mostly pictureson technique in serial sequences.

Available only at the COMS bookstore.$7.00 postpaid.

13

TAKESLEAVE

OFABSENSE

TO TEACHIN AFRICA

Phillip Leveque, Ph.D., Assistant Profes-sor of Physiology at C.O.M.S., recentlytook a leave of absence from his teachingduties here, to Africa where he traveledwith his family to teach Physiology andsurgical procedures to medical studentsat Makerere (ma-care/ee) University inKampala, Uganda.

This trip was no new experience forDr. Leveque. Prior to his association withthe college, he taught at Makerere Uni-versity for two years, with a brief break toteach a course in Pharmacology in Dar-Es-Salaam, Tanzania. The trip was spon-sored by Medical Services Internationalwhich invited Dr. Leveque in 1968 whilehe was an Associate Professor at OhioState University Medical School.

African children follow the Britishschool system having eight years elemen-tary education (English is compulsory andis the only language used after third grade),

six years of high school and three years ofcollege to obtain a bachelor's degree inLiberal Arts. Medical students enter a five-year program upon completion of the fifthand sixth year of high school which isroughly equal to the second year of college.

The first year of medical school studiesin Uganda is comparable to the last twoyears of high school and a 12-month basicscience course is taken to make up for thelack of high school courses which areeither inadequate (offering a minimum ofbiology, chemistry and basic sciences) ornon-existent. "Many students never getinto a laboratory until they are in college,"Dr. Leveque said.

Third, fourth, and fifth year studentsclerk at Mulago hospital, a.1,000 bed fa-cility which is connected with the Univer-sity, and upon graduation receive a MB-ChB degree. Almost all students are ongovernment scholarships and must prac-tice in Africa for five years after gradua-tion, going exactly where the governmentassigns them.

Dr. Leveque's teaching duties centeredupon the first year med students, his mainpurpose being to teach as much as hecould in physiology and surgical proce-dures. His work in Tanzania produced thefirst locally trained physicians in the coun-try, graduating 50 students with the MB-ChB degree. Previous to this time, studentsreceived a degree comparable to a medi-cal assistant-a combination of an Armyor Navy corps medic and a nurse. Hecould do all the things a nurse could, suchas give shots, take blood samples etc., butnot all the things a doctor could do (forexample, he could only perform minorsurgery).

Since dogs are scarce (being either petsof the wealthy Europeans living there ormangy specimens), surgical animals usedin Dr. Leveque's courses consisted ofgoats, rabbits, some rats, monkeys and

baboons. Baboons besides being veryvicious, are extremely intelligent and canpick locks on cages. Consequently, greatcare is taken on security besides care inhandling. One baboon in particular, Char-lie (respectfully called Charles) causedtrouble for Dr. Leveque.

Charlie was a rather large animal-approximately four feet high and weigh-ing close to 65 pounds-and was causinghavoc in the baboon colony. He was sub-sequently ordered to be taken care of andDr. Leveque decided to use him in a surgi-cal procedure class. Four hypodermicshots and four hours later, Charlie was

"Charlie," the baboon who at four feet inheight and weighing in at 65 pounds, wasdefinitely respected by man and beast.

groggy but still not asleep and when hewas brought to the operating table he wastied down securely. In fact, when surgerywas started, he was still conscious, muchto Dr. Leveque's consternation and hesaid he kept checking the ropes to see theywere tight!

Dr. Leveque brought back some inter-esting pictures, slides and souvenirs;among them, dashikis, shirts with vividAfrican decoration. His youngest son,Paul, has returned to Makerere Universityto complete a three year course in An-thropology concentrating on Africantribalism.

Dr. Phillip Leveque shown here with "Charlie"today-obviously a shadow of his former self.

nya

of Kampala, Uganda's capital, stretchesmpass seven hills. Makerere Univer-Mulago Hospital are named after thevhich they are located-Makerere Hillago Hill, respectively.

15

1931Bjarne J. Heian, Detroit, Michigan, was amember of a panel reporting on EENT inthe USSR at the recent annual clinicalassembly of the OCOO held at MountainShadows in Scottsdale, Arizona.

1932John S. Anderson, D.O., has joined thestaff of the Knoxville Veterans' Adminis-tration Hospital. Prior to his appointment,Dr. Anderson was in private practice inRiver Falls, Wisconsin.

1933Edward V. Chance, D.O., has left his pri-vate practice in Oregon to accept a posi-tion as staff physician and also physicianon the Alcoholosim Treatment and Re-habilitation Program at Knoxville Vet-erans' Administration Hospital, Knoxville,Iowa.

1939Neil R. Kitchen, D.O., has recently beennamed to the American OsteopathicBoard of Internal Medicine.

1941"What shall be the fate of osteopathicmedicine?" is the name of the article writ-

ten by Arthur M. Friedman, D.O., in theMarch issue of The Osteopathic Physician.

1941Edythe Gates Varner, D.O., F.A.C.N., hasrecently been elected as President of theAmerican College of Neuropsychiatry. Dr.Varner has also been appointed as a mem-ber of the examining board of the Ameri-can Osteopathic Board of Neurology andPsychiatry.

1943R. L. Gastafson, vice president of the IowaDivision of the American College of Gen-eral Practitioners of Osteopathic Medi-cine, served as program chairman of thisorganization's recent meeting at the Na-tional Motor Inn in Dallas Center, Iowa.

1943Dr. K. George Shimoda recently inspectedtwo hospitals in the Dallas-Fort Wortharea. The inspections were conducted byDr. Shimoda in his capacity as a volun-tary inspector for the committee on post-doctoral and residency training ofapproved hospitals of the AOA. He repre-sents the American College of GeneralPractitioners and is seeking to establisha stronger Department of Family Medicineby GP's in the hospitals.

M

1943President-elect of the Colorado Osteo-pathic Association is John R. Shafer, D.O.,who also served as a panelist at the RockyMountain Osteopathic Conference heldrecently in Colorado Springs, Colorado.Dr. Shafer has been quite active in theprofession having served as president ofthe American Osteopathic College ofProctology, the Western States Society ofProctology, chief of staff of the RockyMountain Osteopathic Hospital, and is onthe AOA Committee for Post-DoctoralTraining.

1947Frederick A. Martin, D.O., has entered theresidency training program in psychiatryat the Cherokee Mental Health Institutein Cherokee, Iowa. Dr. Martin has com-pleted two years of psychiatric training atthe State Hospital in Nevada, Mo., and in-terned at McCormick Hospital, Moberly,Missouri.

1951Edgar J. Rennoe, D.O., has been named tothe Scientific Exhibits Committee and theSpecial Reference No. 5 (Exhibits Ad-visory), at the American College of Osteo-pathic Surgeons.

1952Joseph H. Sage, D.O., has added a newwing to his clinic in Chariton, Iowa, andwill move into the new facilities to makeroom for a new M.D. moving here to openpractice in July.

1952One of the speakers at the recent luncheonof the ACO post-graduate seminar for

osteopathic physicians held in ColoradoSprings, was Arden L. Findlay, D.O., AAOPresident.

1953Lee J. Walker, D.O., ACOOG Chairman,was among those selected to organizecurriculum and select faculty for theACOS Ninth Post-Graduate Course inSurgery held at the Marriott Hotel in Chi-cago in May.

1953Major Gerard K. Nash, D.O., MC-USAR,has been awarded a diploma from theArmy Medical Field Service School forhaving successfully completed the Army'snonresident course in Hospital Ad-ministration.Dr. Nash is the unit medical officer of the422nd Logistics Command in Amarillo,Texas, and also heads the Departmentof Radiology at the Southwest OsteopathicHospital in that city. He is a member of theAerospace Medical Association, the AirMedics, the Civil Aviation Medical Asso-ciation and the Association of Army FlightSurgeons.

1954Recently selected as a member on theboard of the Health Planning Council ofCentral Iowa, is Dr. G. Robert Loerke ofDes Moines, representing the Polk CountySociety of Osteopathic Physicians andSurgeons.

1954L. L. Troester, D.O., has recently beenelected president of the medical staff ofthe Brighton Community Hospital, Brigh-ton, Colorado.

17

1954Dr. Russel Brown of Denver, Colorado,has returned from a medical mission toYucatan, Mexico, where he and eightother physicians traveled to remote vil-lages treating the needy. The trip wassponsored by Docare and 1,000 patientswere treated.

1955Program chairman for the 73rd AnnualConvention of the Wisconsin Associationof Osteopathic Physicians and Surgeonswas Dr. Robert J. Smick.

1957Saul Jeck, D.O., has been elected to theBoard of Directors at Delaware ValleyOsteopathic Hospital in Bristol, Pa., andnamed Chief of the Department of Ob-stetrics and Gynecology there. Dr. Jeckis certified in the Specialty of obstetricaland gynecologic surgery and is also anattending physician in the OB-GYN de-partment at Parkview Hospital inPhiladelphia.

1959Orman Nelson, D.O., has started privatepractice in Jefferson, Iowa. He formerlywas with the Redfield Clinic at Redfield,Iowa, and has been a staff member at DesMoines General Hospital.

1959Charles F. Libell, Columbus, Ohio, was amoderator at the 55th Annual ClinicalAssembly of the Osteopathic College of

Ophthalmology and Otorhinolaryngologyheld recently at Mountain Shadows inScottsdale, Arizona.

1961Robert Campbell, D.O., Inglewood, Colo-rado, visited Iowa (Tama-Toledo) recently.Dr. Campbell has expressed interest insetting up private practice in this area, andthe Tama-Toledo Community MedicalCenter Inc., sponsored the trip for him andhis family.

1962Roger Primrose, D.O., is a new staff mem-ber in Family Practice at The Mamie DoudEisenhower Osteopathic Hospital in Colo-rado Springs.

1962Eugene A. Kopple, D.O., was a facultymember of the Ninth Annual Post-Graduate Course in Surgery, held May10-22 as a member of the panel on the"Treatment of Uterine Carcinomas." Dr.Kopple is a staff radiologist at the DetroitOsteopathic Hospital Corporation, is cer-tified in radiology by the American Osteo-pathic Board of Radiology and is a memberof the Radiation Therapy Advisory Coun-cil in three Michigan counties in the Re-gional Medical Program.

1962Arthur E. Angove, D.O., has been electedto membership in the ACOS, at the 43rdAnnual Clinical Assembly held in Hous-ton in October.

1963Dr. K. P. McCaffery, pediatrician on thestaff of the Forth Worth Osteopathic Hos-pital, was a moderator of discussions con-cerning pediatrics at the Tenth AnnualConvention of the Texas Association ofOsteopathic Physicians' Assistants heldJune 11-13 in Fort Worth.

1965John Vargo, D.O., Manitou Springs, Colo-rado, spoke on "Blood Serum Gases andTheir Significance" at the ACO post-graduate seminar on Osteopathy and Cell-ular Function in Colorado Springs.

1966Eli N. Perencevich, M.S., D.O., publishedan article entitled "Percutaneous lymphan-giography: A clinical study," in the Marchissue of the J.A.O.A.

1966Floyd L. Miller, D.O., spoke on "TraceMinerals and Other Electrolytes" at theACO Post-Graduate Seminar for Osteo-pathic Physicians in Colorado Springs.

1968Berton N. Routman, D.O., flight surgeonfor the Thunderbirds, official aerial demon-stration squadron for the USAF, has writ-ten an article of his experiences with thesquad in the March issue of the OP.

in private practice in Maquoketa, Iowa.Dr. Vasher interned at Detroit Osteo-pathic Hospital and was in private prac-tice in Lansing, Michigan prior to hisassociation with Dr. Williams.

1970Michael J. Lyszak, D.O., recentlypublished an article, "The osteopathicmanagement of congenital muscular tor-ticollis," in the March issue of The DO.Dr. Lyszak wrote the article during histhird year at COMS and it was a secondplace winner in the 1968-69 Marion Lab-oratories Scientific Writing Contest.

New Members In TheIowa Medical SocietyTwo alumni have recently been approvedfor membership in the Iowa Medical So-ciety, the first two osteopathic physiciansin the society's history. They are James N.Dockum, D.O., Monroe, Iowa, class of1950 and Richard E. Vermilion, D.O.,Ogden, Iowa, class of 1960.

The society's House of Delegates hasapproved amendments allowing qualifiedproved amendments allowing qualifiedosteopaths and surgeons to become mem-bers of county medical societies as wellas the Iowa Medical Society.

1968A. B. Vasher, D.O., has joined Dr. SamuelW. Williams, former Dean of C.O.M.S.,

19

WOMEN'S LIBVS.

WOMEN IN MEDICINEMadeline Zak, fourth year student atCOMS, had a lot to say about women inthe medical profession. Her opinions werepart of an interview given recently by alocal radio station doing a program on theWomen's Liberation Movement.

One of the biggest problems confront-ing female students according to Miss Zakis that there are so few of them. "Thereshould be more women just so everybodygets used to it," she said. In this way, shesaid, the woman doesn't come throughlike a "rare duck," but rather like anyother doctor.

However, Women's Lib as Madelinesees it (equal pay for equal jobs) doesn'tseem to be the answer. In fact, she feelsthat there is much less prejudice in themedical profession than in business anddoesn't figure a doctor's fee is based onwhether or not a woman did the job.

Although she doesn't want to liberatethe college, she feels her presence and thepresence of the other two girls in her classdo just that. "With 91 fellas and threegirls you have to stand out, even if youdon't want to," she said. She considers a10% ratio of females to males in a schoolas liberated, but said that as a rule, medi-cal schools don't go past that ten per cent.There is a problem getting into medicalschool, she said, but once there, she feelsit's no more difficult to get through thanfor a man.

Another problem for the female in med-icine is the mental adjustment to her feel-ings as a woman. "The trouble for a femalemed student is that she is a woman firstand foremost," she said. "You want to betreated as a woman, but there must be ablend." "For example, when you have 91men going to class, it is hard for them tostop to let the girls go first."

Madeline is currently doing clinicalwork at Mercy Hospital in Des Moinesand has had no problem with prejudicefrom the male personnel there. Strangelyenough, the nurses seem more uneasyabout her presence. One example of thisshe points out is her presence in the doc-tors' lounge. "I feel as a doctor at Mercy,but the nurses panic when men andwomen personnel mingle, and when I gointo the doctors' lounge." "If they'd stopto realize that maybe five minutes earlierI was giving an examination to a man fora hernia or giving a man a physical, whatdifference does it make if I go into a roomwhere there are male physicians?"

She feels, however, that the concepts ofparamedical personnel of being pre-dominately a women's world is changing.She thinks that doctors and nurses areworking together more as a team in pa-tient care and feels as this becomes morecommon, things will begin to loosen upand nurses will begin to lose their hangupof male doctors in one area and femalenurses in another.

Madeline feels married women canhandle the situation of being both a motherand doctor just as a man is a father anddoctor, and thinks the hesitancy of accept-ing women in med school because of thefear of their getting married and later be-coming pregnant, is unfair. "If a woman ispregnant, she can carry on and can be outof the hospital after the birth of her babyfaster, than say, a man who is out withhepatitis, tonsilitis or a bad cold."

The most complaints by women con-cerning pregnancy occur when she isready to start a residency. She has post-poned long enough and feels she is oldenough to start a family. These women say

residencies ask for too much time. Made-line thinks the hospitals could work withthem, or the woman could choose a moreflexible residency program.

How do men react to a female doctor?Madeline was asked how male patientsrelated to her. She feels that in relating tomale patients, she has an advantage overher male colleagues. "When we go in toexamine an older gentleman, for example,I find he will confide more honestly withme because he feels that I am not compet-ing with him nor do I make him feel inade-quate as a young 24- or 25-year-old male... men just naturally relate to women,especially when they are sick."

PSG SPONSORSFIM FOR

UNDERPRIVILEGEDCHILDREN

On May 15, the members of Phi SigmaGamma of the College of OsteopathicMedicine and Surgery, in conjunctionwith Tiny Tots Inc., Soul Village and ModelCities Program, presented a full lengthcolor film, "The Magnificent Seven" andseveral cartoons.

The film was a public service andthere was no admission charge for chil-dren under 16 from the Model Citiesarea and free popcorn and soft drinkswere furnished.

Elliott Schwartz, director of the projectand a first year student at COMS, obtainedthe films while working as a producer-director for a television station in Syra-cuse, New York, during Easter vacation.Originally, there was to be only one show-ing, but the response was so overwhelm-ing, the film had to be shown three times!

Elliott has other films and there arehopes to make this a continuing program.

21

-' · ill

-I

1930 Owen O. Taylor, D.O., GrandJunction, Colorado. One of thefounders of Mesa MemorialHospital, Grand Junction, Colorado.

1935 C. A. Means, D.O., Marietta,Georgia.

1937 Willis Crews, D.O., Gonzales,Texas.

1951 Sturgis E. Johnston, D.O., LaPorte,Indiana.

1953 R. L. Boysel, D.O., Detroit,Michigan.

1917 C. A. Sanford, D.O., Hotchkiss,Colorado.

1918 V. A. Englund, D.O., Des Moines,Iowa.

1923 John M. Woods, D.O., McCaU,Idaho. He was a member of theCOMS faculty from 1921 to 1957.

1925 William A. Bone, D.O., Marysville,California.

1926 Olaf H. Oslen, D.O., NewCarlisle, Indiana.

PLACEMENTSERVICE

Shenandoah, Iowa: Hand CommunityHospital (58 bed hospital, 48 bed nursinghome), needs 3-4 GP's. Has staff of fourdoctors for town of 7,000 population withnew industry employing 500 starting pro-duction early 1972. "For any doctors com-ing to Shenandoah to establish a practice,

the Hospital Board and Civic organiza-tions will make every effort to help himbecome established. Office space is avail-able and housing can be procured."

Mr. J. C. Rapp,Chm. Doctor's Procurement CommitteeHand Community HospitalShenandoah, Iowa 51601

22

On behalf of the faculty and student bodyof the College of Osteopathic Medicineand Surgery, I would like to express ourgratitude to Dr. Thomas Vigorito for hisefforts at the College as a scientist, teacherand administrator. Dr. Vigorito made hisappearance here at the College of Osteo-pathic Medicine and Surgery in 1964 as astudent of the Graduate School and ob-tained his MS in 1965.

Since this time, Dr. Vigorito has been ateacher and administrator, being respon-sible for more academic changes and im-provements in the faculty than in anyperiod in the history of the College. He isalso responsible for starting the first build-ing on the Fort Des Moines campus, theDietz Clinic. His presence will be missedby us all.

May I say, Thank You!

23

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