Fal 08 - Alumni Association, SMLLU

From the Presidentby Montri D. Wongworawat ’96As we begin a new academic year, I’dlike to highlight the active support fromthe Neufeld Society for the residencyprogram this past year. The ongoingparticipation of the Society is muchappreciated by all the residents.Throughout the year, the NeufeldSociety sponsors journal clubs. Facultymembers moderate these conferencesapproximately once a month, and it isthrough these journal clubs that theSociety maintains a presence within theresidency.The main event of the year wasthe Annual Postgraduate Convention.Together with my co-chair, Dr. AlexChien, the Society sponsored an excellentsymposium on Special DiagnosticModalities in Orthopaedics. Dr. DonaldResnick, the Harold Boyd Lecturer,described anatomy and imaging detailsin very relevant pathomechanical terms.Other speakers contributed significantlyto the seminar as well, providing attendeeswith a better understanding of imagingand electrodiagnostic studies. Some ofthe comments about the seminar werethat an increased understanding ofelectrodiagnostic modalities was providedto the participants and that Dr. Resnickwas an excellent speaker, well-versed inthe subject matter, providing insightfuland relevant discussion.Recently, the residents and facultymembers participated in the 16th AnnualResident Research Seminar. Dr. PeterAmadio served as the guest speaker.He gave four stimulating lectures: TheHistory of the Mayo Clinic, Carpal Instability,Tendon Injury and Repair, and Operations INo Longer Do; challenging us to criticallythink about everything we do in practiceand to work for goals and ideals that arelarger than ourselves.Seven residents presented theirresearch. (See Table 1 on page 4.) NeufeldSociety funds, including the Jarrett Fund,will support resident presentations at theWestern Orthopaedic Association andother meetings.Many residents have gained anincreased depth of experience throughinternational opportunities. We haveactively encouraged residents todevelop their breadth of understandingof orthopaedic problems, not just athome, but also in conditions in thedeveloping world. Dr. Scott Nelson ’96mentors residents during their rotationin the Dominican Republic and Haiti.To date, several residents have joined inthis rotation program. In the upcomingmonths, Dr. Hasan Syed and Dr. RyanMoore will travel with Dr. Paul Burtonand Dr. Jim Matiko ’77 to Nepal,respectively.Back at the home program, Dr.Alan Afsari recently joined our staff asFall 2008 • Neufeld Society Newsletter • 3

From the Chair2007 Orthopaedic Surgery Updateby Christopher M. Jobe ’75-affEditor’s Note: The following articleexcerpted from April-June 2008 issue ofthe Alumni Journal provides a detailedaccount of the activities in the Department ofOrthopaedic Surgery during 2007. Part one ofthe article is printed here. The second part will bereprinted in the following issue of the NeufeldNewsletter.The department of orthopaedicsurgery experienced many positivedevelopments and much change in 2007.In October, Alan M. Afsari, MD,joined our department, specializingin orthopaedic trauma. Dr. Afsariundertook his orthopaedic residencytraining at Wayne State University,Detroit Medical Center in Detroit,Michigan, and subsequently completedan orthopaedic trauma fellowship at theFlorida Orthopaedic Institute in Tampa.In addition, we hired Nakul Karkare, MD,(who will begin with us on October 15,2008). Dr. Karkare’s sub-specialty is totaljoint replacement. Wesley Phipatanakul’98 became the department’s medicalstudent program director.With regard to our orthopaedicsurgery residency training program,on June 30, 2008, we said goodbye toour orthopaedic residency graduates:David Downs ’07-res entered a sportsmedicine fellowship at Kaiser Hospitalin Irvine, California; Mark Schramm ’02entered a hand fellowship at the IndianaHand Center in Indianapolis, Indiana; P.Bertil “Bat” Smith ’07-res entered theprogram at the Idaho Foot and Anklefellowship in Boise, Idaho; and ShaneWilliams ’02 entered private practice asa general orthopaedic surgeon at KaiserPermanente in Riverside, California.On July 1, we welcomed a new groupof residents into our program: ChadBrockardt ’07; George Gendy, MD, fromthe University of Wisconsin, School ofMedicine; Ramon “Ray” Grijalva, MD,from the University of California, Irvine;and Mark Mikhael, MD, from Ohio StateUniversity, College of Medicine.On July 31, we graduated twohand fellows—Martin Janout, MD, whoentered private practice with NorthwestOrthopaedic Specialists in Spokane,Washington, and Alfonso BarnardBarragan, MD, who started a new groupFall 2008 • Neufeld Society Newsletter • 5

practice in Monterey Park, California.Regrettably, these are our last graduatesfrom the hand fellowship program—theprogram closed effective August 1, 2007.Virchel E. Wood, Jr. ’60 started thehand fellowship program in 1974. Sinceits inception, 75 Hand Fellows havegraduated from the program.I am pleased to announce thatafter a last push of fevered fundraisingnear the close of 2006, we successfullyreached our goal of $500,000 for theVirchel Wood Endowment Fund forHand Surgery. The first project that thisfunding will subsidize is the digitizingof Dr. Wood’s teaching slides. This is alarge project as Dr. Wood has thousandsof teaching slides. Once the slides aredigitized, they will be cross-referencedand stored for future use for teachingand research.Here is a synopsis of the seminarsour department hosted in 2007: Ourannual orthopaedic seminar held duringthe Annual Postgraduate Conventiontook place March 4 and 5, 2007. Thetheme was orthopaedic oncology andthe course coordinator was Ronald W.Hillock ’93. The Harold Boyd speakerwas Jeffrey J. Eckardt, MD, of theDavid Geffen School of Medicine atthe University of California at LosAngeles. We had an excellent turnoutand spectacular weather for the seminar.The annual orthopaedic resident/fellowresearch and professional seminar atthe San Bernardino Hilton was held onMay 18, 2007. This meeting combinedresident and fellow presentations withpresentations by a guest professor. Theguest professor was Stephen Burkhart,MD, from San Antonio, Texas.Internationally, Scott C. Nelson ’96continues to work at the CURE Hospitalin the Dominican Republic. Membersof our faculty as well as our orthopaedicsurgery residents visit Scott intermittentlyduring the year. I am sure Scott wouldwelcome visits from other alumni too.To be continued in the next NeufeldNewsletter.The following books are on sale at the Alumni Association!An Incredible Journey: Orthopaedic Surgeryat Loma Linda University inthe 20th CenturyRobert L. Horner, MD, editorGeorge V. Summers, Ph.D., managingeditorPortraits: Loma Linda UniversitySchool of Medicine Honored FacultyS. Wesley Kime, MD, artistRaymond Herber, MD, editorThe Mound City Chronicles: A PictorialHistory of Loma Linda University, A HealthSciences Institution, 1905-2005by Dennis E. ParkForeword by S. Wesley Kime, MDInto All the World: Adventist Hospitals andDental Clinics OverseasJoan Coggin, MD, EditorGeorge V. Summers, Ph.D., managingeditorThe Department of Medicinefrom 1909 to 2000Raymond Herber, MD, editorGery P. Friesen, managing editorCall the Alumni Association for pricing909.558.46336 • Neufeld Society Newsletter • Fall 2008

APC 2008Orthopaedic Surgery Symposium CommentsWhat are the strengths of this conference?Excellent clinical cases, illustrations.Pathophysiology of the knee and shoulder(MRI) was excellent by Dr. Resnick. Dr.Kjellin’s case studies presentation was excellent.Good lectures.Good coverage of MRI and EMG. The Boydlecture was outstanding. Better understandingof Duplex US.Good Harold Boyd Lecture.Boyd Lecture very good! Dr. Lohan’s and Dr.Jacobson’s lectures were very useful.Resnick’s presentations, and Jon Jacobson andDerek Lohan.Good topic. Excellent talks by Dr. Resnick.Excellent presentation of new methods ofdiagnosis and diagnostic tools.Much improved understanding of MSK testing,which will be applied to clinical application.Excellent ultrasound information.Dr. Resnick—extraordinary.Good speakers and cases.Relevant topics. Good speakers.Quality of presentations.Speakers.Explained basics very well.Humble speakers with good/excellent presentations.Suggestions for improvementNoneSuggestions of topics/speakers for APC2009Complex regional pain; chronic musculoskeletalpain.Hand surgery innovations. Suggested speaker:James R. Doyle, MD, Emeritus Professor ofOrthopaedic Surgery at Univ. of Hawaii.Trauma management.New Rx for disc and low back pain.More MRI courses.Will you make changes in the way youdeliver patient care? If yes, please listchanges you will implementRefine my utilization of imaging modalities.Greater use of MRI in some difficult diagnosticcases.More efficient with ordering MRIs and EMGsSearch for 3T MRI unit. Better ordering ofEBX.Look for more and different meniscal pathology;improved rotator cuff pathology understandingand treatment. Will use ultrasound tostudy clinical cases. Review of basic reading ofMRI findings of the knee and shoulder.I will order more venograms.Knowledge of joint imaging will help myneuro. Considering additional use of MRI inexerthonal compartment syndrome.Increases my diagnostic ability.Evaluation and interpretation of knee andshoulder MRI.Use MRI studies more when I have a questionin making a diagnosis.Fall 2008 • Neufeld Society Newsletter • 7

LLUSM Orthopaedic Department/Neufeld SocietyAPC Orthopaedic Symposium Topics1981 - 2008YearTopic/Program Chair1981-1985 Topic unknown/Program planned by the Departmentof Orthopaedics1983 Topic unknown/Gary K. Frykman ’651984 - 1985 Topic unknown/George Wiesseman ’471986 Current Treatment of Acromio-clavicular andSterno-clavicular Dislocations/Gary K. Frykman ’65(Neufeld Society established)1987 Diagnostic and Therapeutic Shoulder Arthroscopy/M. Kenneth Mudge ’70-aff1988 Current Concepts in Spinal Surgery/James Shook ’77-A1989 Diagnosis and Treatment of Problems of the Feet/Philip Reswig ’611990 Current Concepts in Wrist and Hand Problems/K. Robert Lang ’611991 The Acutely Injured Knee/Allan MacKenzie, MD1992 Upper Extremity Pain/S.H. Packard ’73-B1993 Nonradicular Low Back Pain: A ComprehensiveOverview of a Team Approach/David Hanscom ’788 • Neufeld Society Newsletter • Fall 2008

1994 Trauma of the Spine and Lower Extremity/David L. Wood ’80-B1995 Pediatric Orthopaedic Review/William Bunnell, MD1996 Minimally Invasive Orthopaedic Procedures/Leisure Yu, MD1997 Total Joint Replacement in the Managed CareEnvironment/Thomas K. Donaldson, ’841998 Everything You Wanted to Know About SpineRehabilitation and Workers’ Comp/D. Robert Johnson ’611999 The Hottest New Techniques in UpperExtremity Treatment/Virchel E. Wood, Jr. ’602000 Disorder of the Foot and Ankle/William Bunnell, MD2001 Orthopaedics in the Skeletal Immature/M. Kenneth Mudge ’70-aff2002 Trauma and Reconstruction of the Elbow/Christopher M. Jobe ’75-aff2003 Knee Surgery and the Athlete/Ronny G. Ghazal ’872004 Total Joint Replacement/Thomas K. Donaldson ’842005 Evolution and Management of the Adult Spine/James E. Shook ’77-A2006 The Shoulder/Wesley Phipatanakul ’982007 Orthopaedic Oncology/Ronald W. Hillock2008 Special Diagnostic Modalities in Orthopaedic Surgery/Montri Wongworawat ’96 & Alexander ChienFall 2008 • Neufeld Society Newsletter • 9

Haiti Trip—November 16-22, 2007by Scott Nelson ’96There is never a lack of work to bedone in Haiti. After several exhaustingtrips and continually increasing patientloads on each trip, I had resolved last yearto always bring another surgeon alongto help. It was not because of sternwarnings by the U.S. State Departmentthat I set out on this trip with a bit ofanxiety. The surgeon I had arrangedto bring was too busy and decided notto come, leaving all the work up tome and three medical students. Ouranesthesiologist, Dr. Adrian, and NurseHernandez were along on the trip as well.They are tireless workers who never puttheir own desires in front of a patientwho needs an operation. After a 10-hourtrip we passed by the hospital to dropinjuries were considered emergencies byAmerican standards, they often go fordays without proper treatment in Haiti.Several hours later we finished our firstoperation of the week.The following day with nearly 100patients waiting outside the Mondayafternoon clinic, we realized that we weregoing to be busy as usual. After seeingabout one third of the people, a largecommotion arose in the street out front.There were sounds of wailing, confusion,and anger. We were informed that a busfull of Haitians had just been involvedin a multi-vehicle accident. This time itwas not part of an ever-popular joke forthe on-call orthopaedic surgeon. I sendour two second-year medical studentsoff our equipment. We were met by theorthopaedic resident, Dr. Francois, whoinformed us that a patient in the ERhad been hit by a truck and had somesevere open fractures. Although theseout to evaluate the situation. Theyquickly returned and said I better get outthere quickly as there was a guy whosearm was almost cut off, another whowas foaming at the mouth, and several10 • Neufeld Society Newsletter • Fall 2008

others with large open wounds.Armed guards and UN forceswere attempting to controlthe crowds. Dr. Adrian andNurse Hernandez prepared theoperating room. Before beingable to evaluate the patientwho was foaming at the mouth,he expired, probably due toa hemo/pneumothorax orother internal injury. We thenattended to the patient whohad a near amputation of his arm as hehad lost a lot of blood. Unfortunately, itwas not possible to salvage the extremity.Several more patients were seen in theclinic while the OR was prepared for thenext patient. After finishing this case,only about 30 more patients remained inthe clinic. Some of the less severe caseshad become tired of waiting and haddecided to leave. Against all my trainingand will, we were forced to leave anotheraccident victim with an open fractureuntil the next morning. The weekcontinued on ... the rest of the details Iwill leave to your imagination.For the first time in Haitian historywe did not have any intra-operative powerfailures due to the collaborative effortsof CURE and Konbit Sante and theinstallation of a 7.2 kw inverter system.This involves the inverting of the powerof 20 car batteries which provide anuninterrupted AC power supply to theoperating room. We have also installed asystem to provide running water for theOR building. Some of these gifts havenot only made our own work easier andsafer, but continue to function in ourabsence, providing patient safety and abetter work environment for the localstaff. Some of these relatively smallprojects are making a huge difference.A meeting was arranged by the localsurgeons and the regional minister ofhealth to formalize our commitmentto operate at the hospital, plan futureprojects and express gratitude for thosethat we have done.The patients we care for in Haitioften times would not be getting anytreatment at all, or worse getting treatmentfrom local voodoo priests. Althoughthese trips combine all the elements ofadventure and travel that people oftenpay high prices for (excitement, fun, risk,victory and reward) this is not why wedo it. Whether it be working for CUREin Haiti, the Dominican Republic orhaving a high paying job in the UnitedStates, self-reward is an unsatisfying goaland you can’t ever get quite enough. Icertainly am not exempt from the alluresof self-reward, but when you work for thelove of Christ and your fellow man, selfrewardsdo not matter, and you can goon forever having the peace, satisfaction,and freedom that this mindset affords.Thank you CURE family and donorsfor making this possible.Fall 2008 • Neufeld Society Newsletter • 11

G. Carleton Wallace ’562008 Orthopaedist of the YearG. Carleton Wallace was born inMadison, Tennessee, and grew up inTennessee and North Carolina. Whenthe time came for college, he movedto northern California and attendedPacific Union College until he graduatedin 1952. After college he was acceptedto medical school at the College ofMedical Evangelists. On August 16,1953, he married Patricia Helen Shryock,a Loma Linda native, the daughter ofthe University’s beloved teacher HaroldShryock ’34. Dr. Wallace graduated frommedical school in 1956 and interned atSanta Clara county hospital. He spenttwo years in the army, stationed at FortBragg in North Carolina, working asa radiologist. By that time he had twochildren. When child number threeLaney Kent, assistant to the chairand academic manager, Department ofOrthopaedic Surgery, reports that thevast slide collection of Dr. Virchel E.Wood, Jr. ’60 is currently being digitizedfor historical and teaching purposes.Funding for this project is coming fromthe Virchel E. Wood Endowment Fund.Dr. Barry Watkins is supervising thiseffort and will be cataloging the slidesonce digitized. Those who are membersof the Neufeld Society and friends ofthe Neufeld Society may wish to seethis endowment increase beyond itsby Janelle MichaelisVirchel E. WoodEndowment Fund Updatecame along, Dr. Wallace was doing hisresidency at White Memorial. For a timeafter residency he practiced orthopaedicswith the Alonzo Neufeld group in LosAngeles. He also worked at a smallpractice in Whittier, CA. For 40 years hepracticed and lived in Corona. He servedas president of the Alumni Association,School of Medicine of Loma LindaUniversity from 1991 to 1992 and has alsodonated his time to numerous AlumniAssociation committees. He taughtanatomy at Loma Linda and is currentlyco-chair of the Centennial Complex.He enjoys spending time with his threegrown girls and his six grandchildren.His hobbies include writing, reading,crossword puzzles, biking, skiing, fishing,golf, poetry, travel, and camping.existing goal. Please make checks payableto the Alumni Asosciation, School ofMedicine of Loma Linda University.Mark donations to the Virchel E. WoodEndowment Fund, and send to 11245Anderson Street, Suite 200, Loma Linda,CA 92354.Notice to members: Look for thedues mailings, which will be in yourmailboxes shortly. This year theNeufeld Society is looking for extradonations to help with additional projects,which the Neufeld Society hasassisted with this past year.12 • Neufeld Society Newsletter • Fall 2008

Orthopaedist of the Year1989-20081989 ~ Vernon Nickel ’44-A1990 ~ Harold B. Boyd ’32 &Jean S. Boyd ’311991 ~ William F. Brown ’521992 ~ William A. Craig ’431993 ~ Jacqueline Perry, MD1994 ~ The Neufeld Fund—The Alonzo J. Neufeld Family1995 ~ Claran H. Jesse ’44-A1996 ~ Virchel E. Wood ’601997 ~ D. Allan MacKenzie, MD1998 ~ Philip H. Reiswig ’611999 ~ Dana M. Street, MD2000 ~ F. William Wagner, Jr., MD2001 ~ Robert L. Horner, MD2002 ~ M. Kenneth Mudge, ’70-aff2003 ~ William P. Bunnell, MD2004 ~ None2005 ~ Robert B. Nichols ’462006 ~ Terry J. Dietrich ’712007 ~ Gary Fryckman ’652008 ~ G. Carleton Wallace ’56Fall 2008 • Neufeld Society Newsletter • 13

Neufeld Society Life Membersas of November 10, 2008Gerald J. Alexander ‘93Dale R. Anderson ‘71Bradley L. Baum ‘82Kevin C. Booth ‘92Gary D. Botimer ‘80-A† Thomas M. Bowen ‘76-AWilliam P. BunnellThomas R. Burgdorff ‘74George W. Carlson ‘62Gregory D. Carlson ‘87James W. Carlson ‘63Marshall R. Ching ‘70Ian C. ClarkeMichael Coen ‘95-res† William A. Craig ‘43Michael A. Crane ‘66Jeffrey R. Cummings ‘94Clyde L. Davis ‘61Gregory D. Dietrich ‘92Terry J. Dietrich ‘71Wilfred W. Eastman ‘77-BErnesto Fernandez ‘75-resDavid W. Fischer ‘77-AGary K. Frykman ‘65Ronny G. Ghazal ‘87Todd B. Guthrie ‘86John D. Hannah ‘93David A. Hanscom ‘78-BEric C. Hanson ‘83Richard L. Henderson ‘79-BRobert L. Horner ‘53-ADouglas Huene ‘94-resClaran H. Jesse ‘44-AChristopher M. Jobe ‘75-affFrank W. Jobe ‘56Bernarr B. Johnson ‘52D. Robert Johnson ‘61Gerald W. King ‘77-ARandolph A. Knight ‘79-AThomas R. Knutson ‘82Larry L. Kroll ‘65Kaarsten R. Lang ‘87Benjamin Ling ‘76-B† Kenneth L. Lorenz ‘57James D. Matiko ‘77-AEdward B. Miller ‘73-AWendell M.S. Moses ‘82M. Kenneth Mudge ‘70-affJay L. Neil ‘71Scott C. Nelson ‘96Mark L. Nystrom ‘84Steven H. Packard ‘73-BPhilip H. Reiswig ‘61Richard L. Rouhe ‘65Roy M. Rusch ‘65Charles A. Russell ‘66Charles A. Russell ‘78-AHarold D. Schutte ‘84Joseph M. Scoggin ‘91John W. SkubicScott C. Slattery ‘90Sami Srour ‘72David E. Stabel ‘70Thomas A. Stanford ‘55Raymond M. Takahashi ‘66Alan B. Thomas ‘95Dale J. Townsend ‘80-BEdgar O. Vyhmeister ‘73-BG. Carleton Wallace ‘56Barry E. Watkins ‘93George J. Wiesseman ‘47Kirk E. Willard ‘89Alan W. WolfKee P. Wong ‘74Montri D. Wongworawat ‘96David L. Wood ‘80-BVirchel E. Wood ‘60† deceased14 • Neufeld Society Newsletter • Fall 2008

The Neufeld SocietyAnnual MembershipRegular: $100Resident, Retired, Honorary, and First Year in Practice: Dues-FreeLife Membership: $1,500 (Full payment enclosed)OR$500 initial payment enclosed. Bill me $500 annually for thenext two yearsFor a limited time, new Life Members receive a copy of An IncredibleJourney—FREE!DonationsUnrestricted donation to the Neufeld Society (operating budget):$_________Neufeld Society Tietack/Lapel Pin: $30Name________________________________________________________________City__________________________________State______Zip___________________Received MD degree from_____________________________in year_____________Currently a resident at______________________________completing in__________Completed a residency at______________________________in year_____________Complete the above form, make your check payable to “Alumni Association, SMLLU”and mail to: 11245 Anderson Street, Suite 200, Loma Linda, CA 92354Membership Update as ofOctober 31, 2008Annual Members12Life Members77Have you consideredbecoming a life member?Refer to the MembershipForm above.Neufeld SocietyNEWSLETTERThe Neufeld Society Newsletter is produced by the Alumni Association,School of Medicine of Loma Linda University, and is free to all orthopaedists.Your written request will place you on the mailing list. Copyright November2008 by the Alumni Association, School of Medicine of LLU, LomaLinda, CA 92354. Current circulation 500. Website: www.llusmaa.orgPresident: Montri D. Wongworawat ’96Secretary/Treasurer: James Matiko ’77-APresident-Elect: Mike Coen ’95-resDept. Chair: Christopher M. Jobe ’75-affProgram Chair: Alan Afsari, MDProgram Chair-Elect:Membership Chair: Robert L. Horner ’53-APast President: Thomas R. Burgdorff ’74Board Members-at-Large:Ronny G. Ghazal ’87Robert L. Horner ’53-A (2006)Philip H. Reiswig ’61Shane Williams ’02Montri D. Wongworawat ’96David L. Wood III ’80-BNeufeld Society Newsletter:Editor: Dennis E. ParkLayout and Design Editor: Janelle MichaelisAll Neufeld Society correspondence and manuscripts should be directed tothe Editor, Neufeld Society Newsletter, 11245 Anderson Street, Suite 200,Loma Linda, CA 92354Fall 2008 • Neufeld Society Newsletter • 15

Neufeld SocietyLoma Linda University School of Medicine11245 Anderson St., Suite 200Loma Linda, California 92354 USAPhone: (909) 558-4633Fax: (909) 558-4638www.llusmaa.orgAddress Service RequestedNONPROFIT ORG.U.S. POSTAGEPAIDSAN BERNARDINO, CAPERMIT NO. 1279