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10 Alumni Journal - SUNY Upstate Medical University

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<strong>Alumni</strong><strong>Journal</strong><br />

U p s t a t e<br />

Published by <strong>Upstate</strong> <strong>Medical</strong> <strong>Alumni</strong> Association<br />

S p r i n g 2 0 1 0<br />

n AnAtomy lAb technology<br />

n Fighting FireArm violence<br />

n views From hAiti: beFore And<br />

AFter the eArthquAke


20<strong>10</strong> <strong>Medical</strong> <strong>Alumni</strong><br />

Board of Directors<br />

Charles J. Ryan, III, MD ’82, President<br />

Zella Small, MD ’77, Vice President<br />

Debra Buchan, MD ’87, Treasurer<br />

K. Bruce Simmons, MD ’79, Secretary<br />

A. Geno Andreatta<br />

Thomas A. Bersani, MD ’82<br />

Blanche A. Borzell, MD ’73<br />

Richard M. Cantor, MD ’76<br />

Dennis D. Daly, MD ’83<br />

Richard W. Doust<br />

Robert A. Dracker, MD ’82<br />

Mark Erlebacher, MD ’79<br />

Brian J. Gaffney, MD ’72<br />

Sadri Garakani<br />

Diane Green-El, MD ’78<br />

Douglas W. Halliday, MD ’79<br />

Ruth Hart, MD ’80<br />

Karen Heitzman, MD ’83<br />

Kirsten Magowan, MD ’87<br />

Patricia J. Numann, MD ’65<br />

Mark Persky, MD ’72<br />

Andrew J. Rurka, MD ’70<br />

David R. Smith, MD<br />

Ralph L. Stevens, MD ’81<br />

Gregory A. Threatte, MD ’73<br />

Willie Underwood, MD ’94<br />

Jack Yoffa, MD ’69<br />

Ex-Officio Members<br />

Vincent J. Kuss, MBA, MS<br />

Steven J. Scheinman, MD<br />

Julie White, PhD<br />

Student Representatives<br />

Russel Kahmke ’<strong>10</strong><br />

Christopher Pray ’<strong>10</strong> (Binghamton)<br />

Toby Anderton ’<strong>10</strong><br />

Jewel Appleton ’<strong>10</strong><br />

Ambrish Patel ’11 (Binghamton)<br />

Dominick Maggio ’11<br />

Ryan LaFollette ’12<br />

Anthony Rossettie ’13<br />

Emeritus<br />

Frederick R. Davey, MD ’64<br />

E. Robert Heitzman, MD ’51<br />

Michael H. Ratner, MD ’68<br />

Harold H. Wanamaker, MD ’56<br />

Honorary Member<br />

Frederick N. Roberts, MD ’42<br />

On the Cover: C. William Schwab,<br />

MD ’72, chief of the division<br />

of Traumatology and Surgical<br />

Critical Care at the <strong>University</strong> of<br />

Pennsylvania School of Medicine.<br />

Photo by Gregory Benson.<br />

Table of Contents<br />

7 Triggered By Violence<br />

Trauma surgeon Bill Schwab, MD’ 72, is fighting back against the torrent of firearm<br />

injury in America.<br />

12 Room with a View<br />

High-tech video equipment transforms the process of learning gross anatomy.<br />

Departments<br />

2 Courtyard<br />

14 Student Rounds<br />

19 Class Notes<br />

23 In Memoriam<br />

<strong>Upstate</strong> <strong>Medical</strong> <strong>Alumni</strong> <strong>Journal</strong><br />

Spring 20<strong>10</strong> Issue<br />

Published three times in 20<strong>10</strong><br />

in spring, fall, and winter.<br />

Published by the Syracuse (HSC) <strong>Medical</strong><br />

<strong>Alumni</strong> Foundation of <strong>Upstate</strong> <strong>Medical</strong><br />

<strong>University</strong>, Setnor Academic Building #15<strong>10</strong>,<br />

750 E. Adams St., Syracuse, New York<br />

132<strong>10</strong>-9976<br />

Issue Number: 49<br />

Submissions and address corrections should<br />

be sent to Director of <strong>Medical</strong> <strong>Alumni</strong><br />

Relations and Giving, <strong>SUNY</strong> <strong>Upstate</strong> <strong>Medical</strong><br />

<strong>University</strong>, Setnor Academic Building #15<strong>10</strong>,<br />

750 E. Adams St., Syracuse, New York<br />

132<strong>10</strong>-9976<br />

Phone:315/464-4361<br />

Fax: 315/464-4360<br />

Email: Kussv@upstate.edu<br />

7 14 22<br />

Vincent J. Kuss, MBA, MS<br />

Executive Editor<br />

Renée Gearhart Levy<br />

Managing Editor<br />

Sarah Burns<br />

Donna Gataletto<br />

Laura Glose<br />

Lori Murphy<br />

Chere Raven<br />

Contributing Editors<br />

Kiefer Creative<br />

Design and Production<br />

Darryl Geddes<br />

Doretta Royer<br />

Contributing Writers<br />

Gregory Benson<br />

Robert Dracker<br />

Nathanial Herr<br />

Gloria Wright<br />

<strong>Upstate</strong> <strong>Medical</strong> Photography<br />

Photographers<br />

Andrew Rurka, MD ’70, chair<br />

Debra Buchan, MD ’87<br />

Fred Davey, MD ’64<br />

Diane Green-el, MD ’78<br />

E. Robert Heitzman, MD ’51<br />

Willie Underwood, MD ’94<br />

Editorial Board<br />

Just a Click Away<br />

Visit the <strong>Medical</strong> <strong>Alumni</strong> web page at<br />

www.upstate.edu/medalumni for special<br />

event information, excerpts from past<br />

<strong>Alumni</strong> <strong>Journal</strong>s, giving opportunities,<br />

and more. Plus, you can now make secure<br />

financial transactions on our web site!<br />

Career Opportunities<br />

Are you or is someone you know seeking<br />

a new career opportunity? Review faculty,<br />

research, and other positions available at<br />

<strong>SUNY</strong> <strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong> at<br />

www.upstate.edu and click on<br />

“Jobs at <strong>Upstate</strong>.”


<strong>Upstate</strong> Trains Physicians in a Setting of Science and Scholarship<br />

Steven J.<br />

Scheinman, MD<br />

The education we provide<br />

to our medical students is<br />

enriched by the environment<br />

of scholarship and inquiry<br />

created by our productive<br />

faculty. There is a great deal<br />

of groundbreaking research<br />

done at <strong>Upstate</strong>, both by<br />

faculty members of long<br />

standing and others just<br />

recently recruited. There is<br />

too little space here to describe more than a few,<br />

but I want to share with you some of their activities.<br />

Our Department of Microbiology and Immunology<br />

houses a unique SCID mouse facility, in<br />

which immunodeficient mice, engrafted with<br />

human stem and immune cells, are a remarkably<br />

robust animal model with a human immune<br />

system. This allows our faculty to study growth<br />

of human cancers, effects and metabolism of chemotherapeutic<br />

agents, and gene therapy, as well<br />

as antiviral agents and for the study and development<br />

of human vaccines. Led by Drs. Rosemary<br />

Rochford, Gerold Feuer, and Jennifer Moffat, it<br />

is supported by major grants from the NIH and<br />

the NYS Stem Cell Board. Tim Endy, MD, MPH,<br />

chief of Infectious Diseases in the Department<br />

of Medicine, is expressing the human receptor<br />

for dengue virus in these mice rendering them<br />

susceptible to infection and creating an animal<br />

model for human dengue disease.<br />

The SCID facility was one reason that Bill<br />

Kerr, PhD chose to come to <strong>Upstate</strong>. Dr. Kerr is<br />

an Empire Scholar in Microbiology/Immunology<br />

and Pediatrics and the Murphy Professor supported<br />

by an endowment through the Golisano Children’s<br />

Hospital campaign. His work has had a major<br />

impact on our understanding of graft-versus-host<br />

disease in bone marrow transplantation, and childhood<br />

leukemia.<br />

Dr. Ruth Weinstock has built the Joslin<br />

Diabetes program into a substantial center for<br />

research into the delivery of care to diabetics,<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 1<br />

Message from the Dean<br />

with major active trials into new therapies and<br />

approaches, such as using computers and video<br />

connections to manage diabetes from a distance.<br />

Meanwhile, in the laboratory, George Holz, MD,<br />

Empire Scholar and Professor of Medicine, is<br />

studying a new class of glucose-lowering agents,<br />

incretin mimetics, which hold the promise of more<br />

effective and safer therapy for type-2 diabetics.<br />

Our Center for Vision Research comprises<br />

faculty from the departments of Ophthalmology,<br />

Biochemistry, and Molecular Biology working<br />

on retinal function and diseases. Leaders such as<br />

Francesca Pignoni, PhD, our third Empire Scholar,<br />

and Barry Knox, PhD, professor<br />

of Biochemistry and<br />

Molecular Biology, work<br />

on retinal development and<br />

the molecular structure of<br />

photoreceptors. It is is one<br />

of the most significant<br />

vision research programs<br />

in the nation.<br />

On another occasion,<br />

I will fill you in on our<br />

nascent Cancer Research<br />

Institute, headed by our<br />

new chair of Pharmacology,<br />

Francesca Pignoni, PhD<br />

Ziwei Huang, PhD.<br />

Altogether, research at<br />

<strong>Upstate</strong> is growing even at a time of financial<br />

austerity because it is so essential to our identity<br />

as an academic medical center and to the climate<br />

in which we train future physicians. Our research<br />

funding is now at the highest level ever in our<br />

history. Recruitments for researchers are currently<br />

active in most of the basic science departments<br />

as well as in several clinical departments, seeking<br />

investigators who can bring discoveries from the<br />

bench to the bedside—as well as the classroom.<br />

Medicine is a learned profession, and not<br />

merely a trade, and the best physicians—the kind<br />

produced by <strong>Upstate</strong>—are prepared for their careers<br />

in a setting of science and scholarship.<br />

Ruth Weinstock, MD, HS ’85


Gary Johnson, MD<br />

c o u r t y A r d<br />

Gary Johnson, MD, named<br />

Chair of Emergency Medicine<br />

gary Johnson, MD, interim chair of the<br />

Department of Emergency Medicine since<br />

October, was appointed to the permanent position<br />

as of January 1. He succeeds John McCabe,<br />

MD ‘79, who accepted the position of CEO of<br />

<strong>University</strong> Hospital and senior vice president for<br />

Hospital Affairs.<br />

As chairman of the Department of Emergency<br />

Medicine, Dr. Johnson leads the emergency room<br />

at <strong>Upstate</strong> <strong>University</strong> Hospital, one of the area’s<br />

busiest, receiving about 56,000 visits annually.<br />

Johnson has been a member of the university’s<br />

emergency medicine faculty since 1990, after<br />

completing a residency in emergency medicine<br />

at Johns Hopkins Hospital in Baltimore. He has<br />

authored numerous publications, and has served on<br />

the New York ACEP’s (American College of Emergency<br />

Physicians) Board of Directors and serves<br />

on numerous <strong>Upstate</strong> and statewide committees.<br />

career Advisory network dinner. In January, the <strong>Medical</strong> <strong>Alumni</strong> Association sponsored<br />

two Career Advisory Networking Dinners for second- and third-year medical students,<br />

providing an opportunity for them to learn more about the career paths they are interested<br />

in pursuing from faculty, staff and alumni. The dinners were held in Syracuse and on the<br />

Binghamton campus. Pictured clockwise from the bottom left at the Binghamton dinner<br />

are: Daniel Sperry, ’11, Joseph Morgan, ’11, Stephen Gomez, MD, and Natalie Roney, MD ’04<br />

<strong>Upstate</strong> Partnership to Aid North<br />

Country Education Efforts<br />

in late January, <strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong><br />

became the third partner institution in Jefferson<br />

Community College’s Higher Education Center<br />

initiative, which aims to provide increased access<br />

to bachelors, masters and professional certifications<br />

for residents in New York State’s North Country<br />

region. The partnership with <strong>Upstate</strong> will help meet<br />

workforce needs in the healthcare field as well as<br />

provide several in-demand educational opportunities<br />

for current healthcare professionals in the region.<br />

“Dr. Smith and <strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong><br />

have long been supporters of the higher education<br />

center concept,” said Carole A. McCoy, president<br />

of Jefferson Community College. “They recognized<br />

the critical shortage of nurses, physicians and other<br />

healthcare professionals in the Jefferson County<br />

area and the need for advanced education programs<br />

for those currently working in the field.”<br />

Initially, <strong>Upstate</strong> will offer four programs on<br />

JCC’s campus in Watertown: a master of science<br />

degree in family health nurse practitioner, a<br />

master of science degree in family mental health<br />

nurse practitioner, a bachelor of science degree<br />

in respiratory therapy, and a bachelor of science<br />

degree in medical technology. Classes for both<br />

master’s programs began in the fall 2009 semester<br />

and enrollment continues for Summer and Fall<br />

20<strong>10</strong> start dates.<br />

The partnership between Jefferson and <strong>Upstate</strong><br />

<strong>Medical</strong> <strong>University</strong> will have a direct impact on the<br />

North County medical community’s ability to serve<br />

the needs of the region. A comprehensive needs assessment<br />

undertaken by the Fort Drum Regional Health<br />

Planning Organization (FDRHPO) identified that<br />

the single greatest limiting factor in the delivery of<br />

quality healthcare is a critical shortage of health care<br />

professionals and a lack of educational pathways to<br />

support local workers in health occupations.<br />

“The link between our two campuses is not<br />

new,” says <strong>Upstate</strong> President David R. Smith, MD.<br />

“For years, Jefferson students have been among<br />

our very best recruits. This agreement allows us<br />

to expand that relationship in ways that help the<br />

region and support the healthcare needs of the next<br />

2 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


generation. We are very proud to ‘co-brand’ our<br />

campuses and look forward to a long and productive<br />

relationship with Jefferson Community College.”<br />

<strong>Upstate</strong> continues to work with many partners<br />

in the Watertown, Fort Drum, and North Country<br />

region to establish a full branch campus for its College<br />

of Medicine. While a medical school branch<br />

campus would oversee students in the region’s<br />

healthcare facilities, the Higher Education Center<br />

will provide a home for student and administrative<br />

support resources.<br />

<strong>Upstate</strong> Unveils New Bone and Joint Center<br />

in February, <strong>Upstate</strong> unveiled the new 92,000square-foot<br />

<strong>Upstate</strong> Bone and Joint Center.<br />

Located on Fly Road in East Syracuse, the $19.2-million<br />

facility accommodates a complete range of<br />

orthopedic services for patients and houses the<br />

<strong>SUNY</strong> <strong>Upstate</strong> Department of Orthopedic Surgery,<br />

as well as physical therapy and pain management<br />

services. A highlight of the facility is a state-of-the-art<br />

6,000-square-foot conference and training center.<br />

The new state-of-the-art <strong>Upstate</strong> Bone and Joint Center<br />

New System Increases Heart<br />

Attack Positive Outcomes<br />

university Hospital has purchased the<br />

LIFENET System, the first web-based system<br />

that reduces treatment time for patients who experience<br />

a dangerous form of heart attack known<br />

as STEMI (ST elevation myocardial infarction).<br />

c o u r t y A r d<br />

A l U M n i J o U r n A l / sw Pi rn it ne g r 2 0 <strong>10</strong> 0 8 3<br />

STEMI poses a serious threat to the heart muscle.<br />

The quicker patients receive treatment, the more<br />

likely they are to have a positive outcome.<br />

Studies show that the time from onset of<br />

symptoms to treatment—usually stent placement<br />

or angioplasty—is critical to improving survival<br />

and outcomes for these patients. Having this new<br />

system will enable <strong>University</strong> Hospital to better<br />

meet the guideline of treatment in 90 minutes or<br />

less, as recommended by the American Heart Association<br />

and the American College of Cardiology.<br />

The LIFENET System goes beyond just transmitting<br />

a 12-lead ECG to the hospital. It helps<br />

manage care for STEMI patients by alerting care<br />

teams and transmitting diagnostic-quality ECGs<br />

via a secure web-based STEMI alert system to<br />

everyone involved in the patient’s care. <strong>University</strong><br />

Hospital personnel can prepare for the patient’s<br />

arrival while the patient is being transported so<br />

door-to-ballon (D2B) time is reduced and heart<br />

muscle can be saved. (D2B is the amount of time<br />

between a heart attack patient’s arrival at the hospital<br />

to the time he or she receives percutaneous<br />

coronary intervention, such as angioplasty.)<br />

The <strong>Journal</strong> of the American College of Cardiology<br />

(2006) reported that mortality for acute cardiac<br />

events has been shown to increase 40 percent if D2B<br />

time stretches from 90 minutes to 120 minutes.<br />

celebrAting sArAh<br />

loguen FrAser dAy<br />

<strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong><br />

celebrated its sixth annual Sarah<br />

Loguen Fraser Day in February,<br />

honoring one of the nation’s<br />

first African-American women<br />

physicians, and an 1876 graduate<br />

of the Geneva College of<br />

Medicine (a precursor to <strong>Upstate</strong>).<br />

A variety of events were planned<br />

for the day, including the Sarah<br />

Loguen Fraser, MD, 1876 scholarship<br />

presentation. Pictured<br />

above are Nakeia Chambers,<br />

<strong>Upstate</strong> Director of Multicultural<br />

Resources, 2009 scholarship<br />

recipient Farah Daccueil ’12, and<br />

Bruce Simmons, MD ’79.


N. Lynn Eckhert, MD, MPH, DrPH<br />

c o u r t y A r d<br />

<strong>Upstate</strong> Observes 25th Elizabeth<br />

Blackwell Day Celebration<br />

the <strong>Upstate</strong> community celebrated<br />

its 25th observation of Elizabeth<br />

Blackwell Day with a lecture on global<br />

health priorities and a dramatic presentation<br />

of the life of Elizabeth Blackwell.<br />

On February 9, N. Lynn Eckhert,<br />

MD, MPH, DrPH, president of the<br />

Association of American <strong>Medical</strong> Colleges<br />

and director of academic programs<br />

at Harvard <strong>Medical</strong> International, presented<br />

“Global Health: Progress, Priorities<br />

and Pitfalls.” Dr. Eckhert’s talk<br />

addressed changing trends in global<br />

health and its impact on U.S. academic<br />

health centers in improving health<br />

around the world.<br />

Dr. Eckhert is also a playwright, and on the<br />

following day, her play, A Lady Alone, Elizabeth<br />

Blackwell: First American Woman Doctor was<br />

performed by actress Linda Gray Kelley.<br />

medical <strong>Alumni</strong> book distribution. Thanks to the generosity of our alumni, the<br />

<strong>Upstate</strong> <strong>Medical</strong> <strong>Alumni</strong> Foundation was able to provide each of our MSII students with<br />

a copy of the First Aid for the USMLE Step 1 book this past January. Pictured from left to<br />

right are Sam Richter ’12, Zac Williamson ’12, Kasandra Scales ’12, and <strong>Medical</strong> <strong>Alumni</strong><br />

Foundation Executive Director Vince Kuss.<br />

Actress Linda Gray Kelley portrays Dr. Elizabeth<br />

Blackwell in a dramatic performance that was part<br />

of the Elizabeth Blackwell Day observance.<br />

<strong>Upstate</strong> Joins Network to Create<br />

Healthcare Reimbursement Database<br />

upstate <strong>Medical</strong> <strong>University</strong> is one of four New<br />

York academic institutions forming a research<br />

network to create and develop a new healthcare<br />

database for consumer reimbursement and a website<br />

for consumers to compare prices before they<br />

choose doctors.<br />

The research network will be spearheaded by<br />

FAIR Health Inc., a new not-for-profit company<br />

headquartered at Syracuse <strong>University</strong>, and <strong>SUNY</strong><br />

Buffalo, Cornell <strong>University</strong>, the <strong>University</strong> of<br />

Rochester and <strong>Upstate</strong>.<br />

“FAIR Health and the research network headquartered<br />

at Syracuse <strong>University</strong> will bring much<br />

needed transparency, accountability, and fairness<br />

to a broken consumer reimbursement system we<br />

have called Code Blue,” said Attorney General<br />

4 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


Andrew M. Cuomo. “By spending almost $<strong>10</strong>0<br />

million in settlement proceeds from health insurers,<br />

this initiative will create new jobs and contribute<br />

to the development of the upstate economy that<br />

is vital to New York.”<br />

“We are pleased to participate in this collaborative<br />

research project,” says <strong>Upstate</strong> <strong>Medical</strong><br />

<strong>University</strong> President David R. Smith, MD. “The<br />

accurate processing and analysis of health claims<br />

data is extremely important within the healthcare<br />

industry.”<br />

The creation of FAIR Health arises from a<br />

wide-ranging investigation by Cuomo’s office into<br />

how the health insurance industry reimburses consumers<br />

for out-of-network health care charges. The<br />

investigation uncovered a fraudulent and conflict<br />

of interest ridden reimbursement system affecting<br />

millions of patients and their families.<br />

c o u r t y A r d<br />

<strong>Upstate</strong> Becomes Test Site for<br />

Lumbar Spinal Stenosis Device<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 5<br />

upstate <strong>Medical</strong> <strong>University</strong> researchers are<br />

participating in an FDA approved, multi-site<br />

clinical trial to test the safety and effectiveness of<br />

an implantable device to treat moderate lumbar<br />

spinal stenosis. The FDA will evaluate the data<br />

collected from this study to determine whether<br />

the device—the Superion Interspinous Spacer<br />

(ISS)—should be made commercially available in<br />

the United States.<br />

<strong>Upstate</strong>’s study is being conducted by principal<br />

investigator Richard A. Tallarico, MD ’00,<br />

and co-investigators William F. Lavelle, MD, and<br />

Mike H. Sun, MD, of <strong>Upstate</strong>’s Department of<br />

Orthopedic Surgery.<br />

“Superion ISS is a potential alternative to traditional<br />

spinal surgery and has been designed to<br />

relieve leg, buttock, and groin pain resulting from<br />

pressure on the spinal nerve roots that can develop<br />

from walking or standing for long periods,” says<br />

Dr. Tallarico.<br />

The Superion ISS is limited to investigational<br />

use within the United States. It belongs to a new<br />

category of treatments designed to relieve pressure<br />

on the compressed nerve roots while preserving the<br />

patient’s anatomy and ability to maintain motion.<br />

The clinical trial will compare the effectiveness of<br />

Superion ISS to the X-STOP Interspinous Process<br />

Distraction Device, an FDA-approved interspinous<br />

spacer that is implanted in a slightly different<br />

manner. “We are investigating whether Superion<br />

ISS may offer a minimally invasive alternative to<br />

spinal decompression surgery for some patients,”<br />

says Tallarico.<br />

<strong>Medical</strong> Admissions Workshops Offered<br />

t he <strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong> Office of<br />

Admissions will offer an interactive workshop<br />

for “friends” of <strong>Upstate</strong>, children of alumni,<br />

employees, and other supporters. The day-long<br />

workshop will be held on Monday, May 24, and<br />

will provide advice on topics ranging from the<br />

application, to the interview, and even what to<br />

Richard A. Tallarico, MD ’00


c o u r t y A r d<br />

wear. Participants will be able to practice mock<br />

interviews with <strong>Upstate</strong> faculty and staff.<br />

While there is no fee for the workshop, those<br />

interested must register by May 17 by calling the<br />

admissions office at 315 464-4570, or online at<br />

www.upstate.edu/com/admissions/friends_reg.php.<br />

Information sessions for high school students<br />

considering a career as a doctor will be held in<br />

several locations throughout Central New York<br />

in April. No registration is required.<br />

n April 7, 6:30 to 7:30 pm - NOPL - North<br />

Syracuse Public Library<br />

n April 8, 6:30 to 7:30 pm - OASIS at Shoppingtown<br />

Mall<br />

n April 13, 6:30 to 7:30 pm - Baldwinsville<br />

Public Library<br />

n April 28, 6:30 to 7:30 pm - Solvay Public<br />

Library<br />

n April 29, 6:30 to 7:30 pm - <strong>SUNY</strong> <strong>Upstate</strong><br />

<strong>Medical</strong> <strong>University</strong>, Weiskotten Hall, <strong>Medical</strong><br />

<strong>Alumni</strong> Auditorium, 766 Irving Ave.<br />

college oF medicine phonAthon A greAt success!<br />

Thank you to all of our donors who answered their phones during our annual College<br />

of Medicine Phonathon. <strong>Upstate</strong> medical students worked diligently making calls to our<br />

alumni helping to raise funds to increase scholarship awards. As a result of those phone<br />

calls, students engaged in wonderful conversations with alumni of all ages.<br />

<strong>Upstate</strong> Establishes Industry<br />

Relationship Policy<br />

upstate <strong>Medical</strong> <strong>University</strong> has adopted a new<br />

policy that establishes guidelines for university<br />

employees and students in their relationships with<br />

pharmaceutical, medical device, and biotechnology<br />

industries.<br />

“The Policy on Relations with the Pharmaceutical,<br />

<strong>Medical</strong> Device and Biotechnology Industries”<br />

covers almost all aspects of industry relations with<br />

university personnel, from purchasing decisions<br />

and speaking engagements to continuing medical<br />

education and research sponsorship.<br />

Under the new policy, Gregory L. Eastwood,<br />

MD, professor of bioethics and humanities, will<br />

serve as <strong>Upstate</strong>’s Conflict of Interest Officer.<br />

Eastwood said the policy builds on current laws<br />

and policies governing public employees, but<br />

provides even greater transparency in key areas of<br />

the university’s operations.<br />

One example is the requirement that all individuals<br />

teaching at <strong>Upstate</strong> must disclose to students<br />

any relations they have with the pharmaceutical,<br />

medical device, or biotechnology industries at the<br />

beginning of a course.<br />

The new policy also restricts <strong>Upstate</strong> employees<br />

and students from accepting “giveaways and gifts”<br />

from industry representatives, including notepads,<br />

pens, stethoscopes, textbooks, food, conference<br />

fees, or any other hospitality. The policy prohibits<br />

researchers from taking gifts from research sponsors<br />

and puts tighter controls on what industry can<br />

support at continuing education events.<br />

The policy was developed by a group of faculty,<br />

staff, and students across <strong>Upstate</strong> <strong>Medical</strong><br />

<strong>University</strong> under the direction of Kathy Faber-Langendoen,<br />

MD, director of <strong>Upstate</strong>’s Center for<br />

Bioethics and Humanities.<br />

6 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


Triggered by<br />

V olence<br />

Bill SchwaB, MD ’72, iS fighTing To enD<br />

whaT he callS aMeRica’S UnciVil waR –<br />

a “PReVenTaBle ePiDeMic” of fiReaRM injURy<br />

ThaT haS MaDe hiM one of The naTion’S<br />

foReMoST TRaUMa SURgeonS. By renée gearhart levy<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 7


Bill Schwab’s work as a trauma surgeon and advocate for gun safety<br />

have earned him international recognition.<br />

He had to do it too many times—tell a mother her<br />

teenage son was dead from gunshot wounds, after<br />

another senseless shooting. Despite the best surgical<br />

skills and medical technology, nothing could save<br />

her son. Everything was done but all was lost.<br />

That experience, night after night, week after<br />

week, was so emotional for trauma surgeon C.<br />

William Schwab, MD ’72, that he decided to turn<br />

to others for help.<br />

In 1997, Dr. Schwab, chief of the Division of Traumatology<br />

and Surgical Critical Care and Professor of Surgery at the <strong>University</strong><br />

of Pennsylvania School of Medicine, resolved to fight back at<br />

what he calls “a preventable epidemic,” by founding the Firearm<br />

and Injury Center at Penn (FICAP).<br />

“We wanted to do more than the surgery,” says Schwab.<br />

“We wanted to understand the root causes of gun death and<br />

look for interventions that might save these kids.”<br />

The intent was to stimulate a movement among health professionals<br />

to see handgun injury as a public health issue rather<br />

than a political issue, and lend their expertise to evidence-based<br />

prevention. To that aim, FICAP has created a community of<br />

scholars that collect and analyze data on all types of firearm<br />

violence, as well as associated risk factors and repercussions.<br />

These efforts are developed to help create safer communities<br />

with fewer gun injuries and deaths.<br />

“Only through legitimate research will we be able to identify<br />

the causes of violence,” says Schwab. “At the same time, we<br />

need short-term solutions to lower the death toll and live<br />

more safely.”<br />

Schwab emphasizes that FICAP’s focus is on injury prevention,<br />

not gun control, a clarification that focuses on strengthening the<br />

body of effective evidence rather than ideology.<br />

“We’re not an advocacy group. We’re a group that uses<br />

interdisciplinary scholars to examine data and attempts to inform<br />

policy,” he says. “FICAP opposes gun violence, not guns.”<br />

on the front lines<br />

Despite his public policy work, Schwab is first and foremost<br />

a surgeon, one who is known far and wide for developing and<br />

refining techniques to improve survival in multiple gunshot<br />

wounds. In a paradigm shift in trauma surgery,“damage control”<br />

as he calls it, is now being used to save the lives of soldiers<br />

injured in Iraq and Afghanistan.<br />

Through both research and surgical skill, Schwab and his<br />

team have saved many victims of violence in Philadelphia. But,<br />

thousands of miles away, in countries as disparate as Iraq and<br />

Sweden, Schwab is also saving countless lives because of his<br />

unique role in their surgeons’ training. Surgeons from Sweden<br />

and other countries who rarely see gun wounds in their home<br />

communities visit Penn to observe and learn from Schwab. “In<br />

two weeks here, they’ll have more experience than they would in<br />

a lifetime at home,” says the surgeon.<br />

“Throughout history, war has been the greatest stimulus for<br />

the advancement of medicine and surgery,” says Schwab, who in<br />

2006, became the first senior visiting-surgeon at the U.S. Army’s<br />

Regional <strong>Medical</strong> Center in Landstuhl, Germany, operating on<br />

wounded American and Canadian soldiers through a volunteer<br />

program developed by the American Association for the Surgery<br />

of Trauma and the American College of Surgeons’ Committee<br />

on Trauma.<br />

“Whether an injury is from an IED in Iraq or a shooting on<br />

the streets of Philadelphia, the consequences are the same,” says<br />

Schwab. “Surgical techniques such as damage control, originated<br />

in major trauma centers in the United States during the last 15<br />

years” in direct response to urban gunshot injury.<br />

8 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


Dr. Schwab with the Penn STAR Flight team, a program he established in 1987.<br />

According to Schwab, “damage control” is unconventional<br />

surgery used when someone is dying from wounds. Minimal surgery<br />

is done to stop bleeding, limit contamination and save life.<br />

Definitive repair is delayed for several days until organ perfusion<br />

and function is reestablished. Taking the time to perform definitive<br />

surgery immediately often resulted in “a fully repaired but<br />

dead patient,” says Schwab, co-editor of The Trauma Manual<br />

and the recently published text on the subject Damage Control<br />

Management of the Poly Trauma Patient. He and his colleagues<br />

instead began to use this abbreviated resuscitative surgery to halt<br />

the downward death spiral associated with these injuries.<br />

To control bleeding from damaged vessels or restore flow<br />

where needed, they inserted plastic tubes or vascular shunts,<br />

“like a quick fix in a broken plumbing system,” explains Schwab.<br />

They clamped, stapled or sutured bowel ends to control intestinal<br />

spillage and contamination. After packing all raw or dissected<br />

surfaces, they then temporarily closed the abdominal or chest<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 9<br />

wall. Patients were then moved to intensive care. After restoration<br />

of normal physiology and re-examination of all injuries, the<br />

surgeons then did definitive repair surgery a day or so later.<br />

The improvement in survival for gunshot victims was so<br />

profound using these techniques that the U.S. Armed Forces<br />

<strong>Medical</strong> Corps, which directs care on the battlefield, added<br />

damage control as a principle technique. This abbreviated far<br />

forward surgery is felt by many surgeons to provide a significant<br />

improvement in survival. “It’s a way to take what is a terrible<br />

liability in the United States (urban gunshot injury) and translate<br />

it into a survival advantage,” says Schwab. “It is the fulfillment<br />

of the teaching mission of academic medicine—saving lives.”<br />

Innate to being a trauma surgeon, says Schwab, is an interest<br />

in injury prevention. Early in his career as a trauma surgeon at<br />

the Eastern Virginia <strong>Medical</strong> School, where many of his patients<br />

were victims of automobile crashes, Schwab became an advocate<br />

for motor vehicle safety. Working through organizations such as


the Association for the Advancement of Automotive Medicine,<br />

he pushed for seat-belt laws, airbags, and road improvements.<br />

As a result of his work, he was included among 272 honorees in<br />

Esquire magazine’s inaugural register of “Men and Women under<br />

40 who are Changing America” in 1984.<br />

Three years later, Schwab joined the faculty of <strong>University</strong><br />

of Pennsylvania School of Medicine, just as the 9-mm semiautomatic<br />

pistol was released for commercial sale. As a result, the<br />

spectrum of handgun injury changed from single-shot, minimally<br />

destructive wounding to multiple-shot catastrophic wounds,<br />

typically injuring multiple organs.<br />

By the early 1990s, Philadelphia had one of the worst epidemics<br />

of urban firearm injury in the United States, and at times<br />

led the nation in gun homicide. The Hospital of the <strong>University</strong><br />

of Pennsylvania, located in West Philadelphia, was the receiving<br />

center for hundreds of gunshot victims a year, peaking at more<br />

than 500 cases in 1992.<br />

Schwab was uniquely suited to treating such gun violence.<br />

Following medical school at <strong>Upstate</strong>, Schwab joined the U.S.<br />

Navy and did five years of surgical training at the Portsmouth<br />

Naval Hospital in Virginia, where nearly all faculty members had<br />

extensive experience treating combat wounds in Vietnam.<br />

“The very core of surgery at Portsmouth was trauma surgery<br />

and the focus was on how to manage the wounded warrior with<br />

Dr. Schwab looks over a brain scan with a colleague.<br />

“Only through legitimate research will we be<br />

able to identify the root causes of why people<br />

become violent. . . .At the same time, we need<br />

short-term solutions to lower the toll and live safer<br />

in a society that has chosen to live with guns.”<br />

—C. WIllIAM SCHWAB, MD ’72<br />

extensive injuries,” he says. He learned ballistics and triage—how<br />

to make very important decisions about life and death (and to be<br />

comfortable with it) with a minimum amount of data.<br />

It was perfect training for being a future inner-city trauma<br />

surgeon. The only problem was Philadelphia wasn’t supposed<br />

to be a combat zone. Many of the deaths he saw were entirely<br />

preventable. “The number of deaths of young, African-American<br />

males was moving, to say the least,” Schwab says. “All these kids<br />

who had just a few years earlier been seventh or eighth graders<br />

were now dead on the operating room table.”<br />

As a responsible physician, Schwab says he couldn’t continue<br />

to just fix the anatomical injuries and turn the kids back out on<br />

the street. “After awhile, you’ve got to ask, ‘Why is this happening,<br />

and how can we get it to stop?’” says Schwab, whose<br />

research helped inform the passage of the 1993 Federal Brady<br />

Bill requiring background checks for gun buyers.<br />

Schwab viewed the situation as a military surgeon would.<br />

“You have to know something about the war you’re fighting,”<br />

he says. He turned to data on firearm injury as a start. The only<br />

problem was that the data did not exist.<br />

“That was unusual,” says Schwab, considering such statistics<br />

were readily available for death from causes such as motor vehicle<br />

accidents, infectious disease, or drowning. In terms of firearm<br />

injury, the most detailed available information was the FBI<br />

Uniform Crime Reports, because they recorded every crime by<br />

firearm. Although the availability of data has improved, partly<br />

due to FICAP’s efforts, assembling comprehensive data on<br />

firearm injury in the United States remains a challenge. FICAP<br />

helped develop and support the implementation of the Center<br />

for Disease Control’s (CDC) National Violent Death Reporting<br />

System (NVDRS) that is now active in 16 states to study<br />

patterns and risk factors for all violent injury.<br />

In 1997, Schwab and colleague Therese Richmond, PhD,<br />

Associate Professor of Nursing at Penn, created FICAP. They<br />

<strong>10</strong> A l U M n i J o U r n A l / s P r i n g 2 0 1 0


envisioned an interdisciplinary center that<br />

would encourage collaboration between<br />

researchers and local leaders to take a<br />

public-health approach to gun violence,<br />

similar to other multi-causal epidemics<br />

such as smoking, drug addiction, alcoholism,<br />

or auto crash deaths.<br />

None of those issues, however, precipitate<br />

the same political polarization<br />

as guns. “If you use the word ‘gun’ in a<br />

sentence, there is an immediate political<br />

reaction. You’re either a gun advocate<br />

or you’re a gun-control advocate,” says<br />

Schwab. Framing firearm injury as a public<br />

health problem allows FICAP to engage<br />

in data-driven dialogue about decreasing<br />

injury and death, he says, a very different<br />

approach than the classic pro-gun versus<br />

anti-gun debates.<br />

Nonetheless, the politics surrounding<br />

guns present significant challenges. Schwab<br />

points to roadblocks, such as the Tiarht<br />

Amendment, which prohibits the Bureau<br />

of Alcohol, Tobacco, Firearms and Explosives<br />

from sharing information from its<br />

firearms trace database unless for a criminal<br />

investigation. He also points to the national<br />

dearth of funding for study of the issue, and<br />

what he calls a “government gag” against<br />

funding the necessary science to answer the<br />

questions about gun violence and death.<br />

Since 1996, Congress has restricted appropriations<br />

to the Centers for Disease Control<br />

(CDC) for any research that could affect<br />

legislation to restrict the use or purchase<br />

of firearms. Current efforts seek to put similar restrictions on<br />

research supported by the National Institutes of Health.<br />

firearm injury in<br />

the United States*<br />

An AmericAn problem<br />

While it’s initial focus was on gun safety, FICAP now looks<br />

beyond guns to understanding the root causes of and repercussions<br />

from gun violence. The center collects data on the circumstances<br />

leading to gun violence, the impact of exposure to violence, and<br />

explores the incidence of long-term, rehabilitative care for surviving<br />

victims. Researchers are studying the role of alcohol in<br />

firearm injury and have identified the need to address firearm<br />

suicide in rural areas.<br />

n Over the last four decades, the U.S.<br />

averaged 32,000 deaths a year from<br />

firearm injury, the second leading<br />

cause of death from injury after auto<br />

crashes.<br />

n More than half of these deaths<br />

were from firearm suicide.<br />

n The total number of U.S. firearm<br />

injuries (fatal and nonfatal) is<br />

estimated to be <strong>10</strong>0,000 per year.<br />

n Firearm injury is a leading cause<br />

of death for young Americans.<br />

Homicide ranks second and suicide<br />

third among the leading causes of<br />

death for 15-24 year olds; the majority<br />

of both causes are firearm related.<br />

n Among wealthy nations, the U.S.<br />

ranks near the bottom in terms of life<br />

expectancy. Firearm deaths account<br />

for about 27% of U.S. males’ excess<br />

mortality when compared to other<br />

peer nations.<br />

n As of 2001, an estimated 35 percent<br />

of U.S. households had a firearm.<br />

* Data from FICAP’s website: www.<br />

uphs.upenn.edu/ficap and from LDI<br />

Issue Briefs: “Firearm Injury in America”<br />

and “The Effect of Firearm Deaths<br />

on Life Expectancy and Insurance<br />

Premiums in the United States”: www.<br />

upenn.edu/ldi/publications.html<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 11<br />

Interestingly, the risk for gun death<br />

in rural areas is the same as in the inner<br />

city. The difference is the victim and the<br />

mechanism of wounding: older white<br />

males dying by self-inflicted gunshot<br />

wounds (rural suicide) versus young males<br />

shot by others (urban homicide). <strong>Upstate</strong><br />

New York, says Schwab, has a bigger<br />

problem with suicide from guns than<br />

with either unintentional firearm death or<br />

firearm homicide.<br />

“We have worked diligently over the<br />

years to distinguish risk factors for suicide,<br />

so that primary care providers can<br />

identify patients who may be at risk for<br />

suicide, specifically, for suicide by a gun,”<br />

says Schwab. Many of these risk factors<br />

are correctable: a medical condition out of<br />

control, untreated pain, depression, and<br />

social isolation.<br />

Despite FICAP’s efforts, the numbers<br />

of gunshot wounds remain unacceptably<br />

high. Twelve years of asking the question,<br />

“Why?” has led to some answers, although<br />

not enough solutions. “We, as a society,<br />

have chosen to live with guns,” says<br />

Schwab. “We are never going to reverse<br />

that; it’s part of our history and culture.”<br />

Nonetheless, he also believes that as a<br />

society we should balance the right to be<br />

armed with the public’s right to be safe.<br />

“We need to continue to educate<br />

people about gun carrying and ownership,”<br />

he says. “We know from numerous<br />

studies that people living in a home with<br />

a gun have a four to five times increased risk of gun suicide or<br />

homicide.” Another recent study found that, on average, guns<br />

did not protect those who possessed them from being shot in<br />

an assault, suggesting that the probability of successful defensive<br />

gun use may be lower than the public perception, at least for<br />

civilians in urban areas.<br />

“FICAP continues to conduct evidence-based studies with a<br />

goal to make the public safer,” Schwab says. “By understanding<br />

the circumstances surrounding firearm injuries, a community is<br />

more likely to develop policies that address the circumstances<br />

around shootings, identify populations at risk, and intervene<br />

before the trigger is pulled.” n


Room with a View<br />

High-tech video equipment transforms the process of learning gross anatomy.<br />

Fans of early James Bond films may<br />

recall that Bond’s first villain, Dr. No,<br />

survived a gun shot wound to the left<br />

chest because of the unique medical<br />

condition situs inversus, in which all<br />

major visceral organs are reversed or<br />

mirrored from their normal positions.<br />

(The heart, for example, is located to<br />

the right of the thorax instead of the left.)<br />

As this condition occurs in only one<br />

of 22,000 people, it was a unique learning<br />

opportunity when a cadaver with the condition<br />

was discovered in gross anatomy class.<br />

“It was an 87-year-old man who had<br />

fallen off a ladder, so in addition to the situs<br />

inversus, he had a blood clot on the brain<br />

and a broken shoulder. It was a great learning<br />

case,” says N. Barry Berg, PhD, who directs<br />

the <strong>Upstate</strong> anatomy program.<br />

The learning opportunity may have<br />

ended with that group of students had it<br />

not been for the addition of high-definition<br />

video equipment to the lab. The ability<br />

to film the dissection of the situs inversus<br />

“patient” in high definition and show it<br />

on multiple large screens throughout the<br />

lab, preserves the case for future classes of<br />

medical students to come.<br />

“Every person’s body has some variation<br />

and we want the students to understand<br />

that,” says Joseph W. Sanger, PhD, chair of<br />

the Department of Cell and Developmental<br />

Biology. “One in 1,200 people are walking<br />

around with just one kidney. With this<br />

type of camera, we can record the interesting<br />

variations to reinforce this concept<br />

to students.”<br />

If a student discovers something unusual<br />

or interesting in their cadaver, “we can bring<br />

it over to the camera area and display it on<br />

the monitors throughout the lab so that<br />

all students can get a good look and ask<br />

questions. It makes the class much more<br />

interactive,” says Dan Jaeger, laboratory<br />

director. “In addition, the films are saved<br />

for future use.”<br />

While the opportunity to save unique<br />

cases for future generations of students is<br />

undoubtedly valuable, the principle benefit<br />

of this technology is the assistance it provides<br />

in teaching gross anatomy by providing visual<br />

guidance to the students during dissection. A<br />

high-definition video camera and six large flatscreen<br />

monitors placed strategically around<br />

the lab allow the instructor to demonstrate<br />

the dissection of a specific body part while<br />

student groups observe that demonstration<br />

from their own station with their own cadaver.<br />

Instead of having 140 students attempting to<br />

crowd around the instructor and cadaver, the<br />

students are able to watch the demonstration<br />

live on-screen while examining the same body<br />

part on their own cadaver.<br />

“The new system allows every student<br />

to experience one-on-one instruction and<br />

provides the entire class with an ideal viewing<br />

angle and great detail on small structures,”<br />

says first-year medical student Giancarlo<br />

Rondash, who was named one of the top<br />

dissectors in Gross Anatomy last fall.<br />

In the past, students would be given general<br />

instruction and a manual describing the<br />

procedure, and faculty would rotate among<br />

the students offering assistance. With 140<br />

students, that can take awhile. “Instead of<br />

taking three days for a dissection because we<br />

have to go from group to group, the instruction<br />

can be done in half an hour,” says Dr.<br />

Berg, providing better use of time because<br />

students have a better understanding of what<br />

they’re doing.<br />

“Before the students dissect the heart,<br />

for example, we play the video of the heart<br />

dissection on the screen, demonstrating what<br />

to look for. Then we stop and let them begin<br />

the dissection and the faculty and TAs are<br />

there to help them. Then we stop, show<br />

them the next step, and let them continue,”<br />

he explains. “They know what to look for.”<br />

After the dissection, the filmed demonstration<br />

is placed on Blackboard, an<br />

e-learning site that houses lecture notes and<br />

other course materials, so students have it to<br />

refer to after hours.<br />

12 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


StAtE Of tHE ARt<br />

Six years ago, the anatomy lab underwent a<br />

major renovation, updating the space built<br />

in 1953 into a modern state-of-the-art classroom<br />

for learning about the human body.<br />

Although essentially one large room, the<br />

space is organized into five teaching modules,<br />

four containing six dissecting stations<br />

and the fifth used for demonstrations and<br />

presentations to small groups of students.<br />

The video equipment effectively brings all<br />

those spaces together into one. It began as a<br />

gift from Hansen Yuan, HS ’74, former chair<br />

of the <strong>Upstate</strong> Department of Orthopedics<br />

in the name of his son and daughter-in-law,<br />

David Yuan, MD ’99, and Ellen Young,<br />

MD ’99. Dr. Yuan provided funds for the<br />

high-definition digital camera, the only one<br />

on the <strong>Upstate</strong> campus, and the Department<br />

of Cell and Developmental Biology followed<br />

with the purchase of six large flat-screen<br />

monitors, allowing instructors to teach a<br />

particular dissecting procedure to a large<br />

group at once.<br />

The technology has not only expedited<br />

the process but improved the ability to learn<br />

from the dissection.<br />

Once a year, Berg brings in two orthopedic<br />

surgeons who do hip and knee replacement<br />

on an unfixed cadaver. Previously—in<br />

order for all students to see—the procedures<br />

had to be conducted in the ninth-floor<br />

auditorium, which created issues with<br />

body fluids and sterility. Now, the procedures<br />

can be done in the anatomy<br />

lab, allowing students closer access<br />

and the opportunity to interact with<br />

the surgeons.<br />

And it’s not just gross anatomy<br />

students who are benefiting. Students<br />

in the doctorate of physical therapy<br />

and physician’s assistant programs have<br />

summer programs in the anatomy lab.<br />

“The technology allows the instructor<br />

to assist a maximum amount of students at<br />

one time,” says physical therapy graduate<br />

student Maggie Reinhard, who has both<br />

taken anatomy and assisted Berg in teaching.<br />

“When working on dissections in small<br />

groups of five or six, it is incredibly difficult<br />

for the primary instructor and one teaching<br />

assistant to be present and helpful to all the<br />

groups. The use of the technology allows for<br />

the instructor to point out things and teach<br />

the whole class and ensure that everyone<br />

in the class is able to view the dissection.”<br />

It’s also altered the way courses are<br />

taught. “In anatomy, many of the lectures are<br />

purely descriptive (the anatomy of the arm<br />

or leg, for example). This can now be done<br />

in the lab using the video system allowing<br />

lecture time to be used for case studies or<br />

problem-solving activities,” says Reinhard.<br />

Clinical departments—such as orthopedics,<br />

anesthesia, and emergency medicine—<br />

are making use of that same advantage.<br />

“We’ve got clinical departments who now<br />

combine the didactic portion of a lesson with<br />

the lab portion by hooking up a laptop and<br />

showing a PowerPoint presentation on the<br />

screens instead of having to do that across<br />

the hall first,” says Dr. Sanger.<br />

<strong>Upstate</strong>’s facilities are ahead of the curve.<br />

Recently, a contingent from the<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 13<br />

<strong>University</strong> of Rochester paid a visit to get<br />

ideas for their own upcoming lab renovation.<br />

And Berg believes they have only<br />

scratched the surface on how the technology<br />

might be used. “My goal is to make the lab<br />

experience increasingly interactive, so students<br />

not only know how to find structures<br />

but know how to use that information in the<br />

real world,” he says. He envisions projecting<br />

live demonstrations from the anatomy lab<br />

to even larger groups in the ninth-floor<br />

auditorium, and using the technology to<br />

combine the teaching of gross anatomy and<br />

anatomic pathology as future possibilities.<br />

“The dissection laboratory is the most<br />

unique experience medical students are going<br />

to have in at least their first two years,” says<br />

Berg. “We want to maximize the experience<br />

for them and this technology gives us that<br />

capability.” n


helping haiti<br />

the world turned its attention to Haiti<br />

in mid-January after news that a 7.0<br />

earthquake had inflicted mass destruction and<br />

loss of life on capital-city Port au Prince. The<br />

disaster had particular significance for five<br />

<strong>Upstate</strong> <strong>Medical</strong> students—three of whom<br />

are natives of the country—who had just<br />

returned from a two-week medical mission<br />

in Haiti a week earlier.<br />

Although communication was difficult,<br />

Claudy Zulme ’13, Farah Daccueil ’12 and<br />

Marvinia Charles ’12 would soon confirm<br />

that family members were alive (including<br />

Zulme’s wife and children), although all<br />

had lost homes. Loved ones had either fled<br />

to other family in neighboring areas or, like<br />

most residents of Port au Prince, were living<br />

on the streets. “Even if the homes are still<br />

partially standing, it’s recommended by both<br />

the Haitian and American government not<br />

to go back inside because they may not be<br />

stable,” says Charles.<br />

The three Haitian natives, along with<br />

classmates Nathaniel Herr ’12 and Brian<br />

Buckley ’12, spent two weeks over the<br />

December break working in and witnessing<br />

some of Haiti’s most desperate and shortsupplied<br />

conditions.<br />

The trip germinated in early fall, spurred<br />

by the summer experiences of Zulme, who’d<br />

spent part of his summer in Port au Prince<br />

volunteering at the General Hospital, efforts<br />

to give back to a country whose medical<br />

system he viewed as in great decline. A<br />

native of the country, Zulme moved to the<br />

United States at age 20 and came to medical<br />

school after three years in the U.S. Navy.<br />

Over the next several months, four classmates<br />

signed on to join him in a medical<br />

mission over the holiday vacation. They<br />

delivered much-needed medical supplies to<br />

s t u d e n t r o u n d s<br />

Five medical students spent two weeks on a medical mission in haiti.<br />

A week after their return, the earthquake hit.<br />

Nate Herr ’12 and Claudy Zulme ’13 learn the framework for clinically assessing patients and making<br />

rational therapy choices given the limited resources available.<br />

the General Hospital in Port au Prince and a<br />

smaller clinic in Zulme’s home village, where<br />

they also were able to observe and assist the<br />

medical professionals, and visited some of<br />

the countries many orphanages.<br />

These experiences provided a unique<br />

perspective to understand how the earthquake<br />

has overwhelmed an already fragile<br />

healthcare system, where at the best of times,<br />

supplies are low or non-existent, and there<br />

is no ambulance service, fire department or<br />

disaster care. The following are excerpts from<br />

writings Herr made during and after the trip:<br />

general hospital<br />

We’ve been staying at an apartment on the<br />

mountainside overlooking Port-au-Prince.<br />

Some doctors at the public hospital have<br />

been gracious enough to let us round with<br />

them this week and see some serious, dire,<br />

and desperate states of health. For example,<br />

at the public hospital your bed and physician<br />

consult is free. The beds are random, come<br />

with or without sheets, and are packed into<br />

an open-air hall. Health-care professionals,<br />

about three or four per hall, do their best to<br />

round to the patients, examine, and move<br />

the treatment to the next step. If a procedure<br />

or test is needed, it is the patient’s or<br />

their family’s responsibility to go and get<br />

the x-ray, lab results, medication or casting<br />

material from a pharmacy or lab across the<br />

street. There just isn’t the infrastructure or<br />

human resources to provide the connections.<br />

Everything medical is bigger here. People<br />

tend to wait until the very last minute to seek<br />

14 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


care. Due to lack of education and/or money,<br />

voodoo and spiritual reasons are sometimes<br />

explored first. We rounded through the<br />

emergency, internal medicine, and surgical<br />

wards to see many infections with the only<br />

option left being amputation because they<br />

had progressed too far and risked poisoning<br />

the entire body.<br />

At the end of the week we delivered the<br />

donated supplies from <strong>University</strong> Hospital.<br />

The generous amount of supplies ranged<br />

from surgical kits to gloves and were divided<br />

and placed directly into the inventory of six<br />

departments at L’Hopital General: pediatrics,<br />

orthopedic surgery, general surgery, anesthesiology,<br />

emergency, and urology. Thanks to<br />

all, for a desperate need was relieved.<br />

Aside from our experiences at L’Hopital<br />

General, one says that Haiti is like crazy-glue;<br />

once you touch it you’ll always come back.<br />

Today being Christmas, we’ve made the<br />

rounds to family house parties, greeted far<br />

too many aunts and cousins, and had some<br />

thrilling conversations.<br />

Farah Daccueil ’12, Brian Buckley ’12, and<br />

Claudy Zulme ’13 help Dr. Calixte and orthopedics<br />

residents inventory supplies donated by<br />

the <strong>Upstate</strong> community, which were divided<br />

between six departments at the hospital.<br />

s t u d e n t r o u n d s<br />

st. marc<br />

On the weekend, we visited Claudy’s home<br />

village, a moderate two-hour drive north of<br />

Port au Prince. Road conditions varied as<br />

they always do—thankfully we had a 4×4.<br />

Getting out of the city was beautiful, as we<br />

often had a coastal view of the mountains<br />

meeting the Caribbean.<br />

Once in St. Marc, or the small village<br />

outside of it for that matter, we met a childhood<br />

friend of Claudy, who has since become<br />

a doctor in Haiti and uses his salary to run a<br />

weekend clinic in their hometown farming<br />

village. This weekend, however, we had<br />

free medications to fill a month’s worth of<br />

doses, paid for by donations collected prior<br />

to our trip.<br />

We saw close to 200 people, assisting<br />

him in taking vital signs, measuring blood<br />

sugar levels, and learning first-hand the pharmacological<br />

treatment of common maladies<br />

in the area (ranging from osteoarthritis to<br />

hypertension to parasite infections).<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 15<br />

Marvinia Charles ’12 (top left), Nate Herr ’12, Brian Buckley ’12 (top right), and Claudy Zuime ’13<br />

(bottom right) with children at an orphanage.<br />

Resources were limited and we soon<br />

understood a new framework of assessment<br />

and therapy choices when there is no lab,<br />

microscope, or x-ray available. After a long<br />

day that ran three-hours overtime, we swam<br />

away the weariness at the beach and enjoyed<br />

an impromptu joy ride in a passing fisherman’s<br />

boat.<br />

pJs and checkups<br />

The week following Christmas we joined an<br />

American group in Port au Prince that was<br />

traveling to several struggling orphanages.<br />

We were told that Port au Prince alone has<br />

approximately 200 registered orphanages<br />

and a few hundred more off the record,<br />

often struggling for food and money. This<br />

group’s goal is to visit, bring some cheer and<br />

a needed boost of supplies.<br />

I’ve found that most trips have a hallmark<br />

unpredicted event that makes everything<br />

worth it. Ours was meeting Dr. Olivier<br />

Calixte, a young doctor who had just completed<br />

his residency and was supposed to be


taking his vacation before starting his year<br />

of service at L’Hopital General in January.<br />

He welcomed us that previous week at the<br />

hospital and wanted to come along to our<br />

later visits to the orphanages. Now we had a<br />

Haitian doctor at our side to give kids their<br />

checkups, diagnose some serious cases of<br />

malaria and other disease, and arrange for<br />

their admittance to the hospital.<br />

Once the physicals were completed, out<br />

of the suitcase came the pajamas that many<br />

donated in holiday spirit back home. Funny,<br />

no one asked at airport security why I was<br />

travelling with 67 sets of pajamas, a third of<br />

them sporting Sponge Bob.<br />

Under the supervision of a local physician,<br />

<strong>Upstate</strong> medical students Marvinia Charles ’12<br />

and Nate Herr ’12 put their PE skills to good<br />

use performing health assessments at local<br />

orphanages.<br />

thousands of words<br />

The most memorable time of my two-week<br />

visit to Haiti has no pictures, and rightfully<br />

so. One afternoon after visiting an orphanage<br />

in the morning we went to a nutrition center<br />

where more than <strong>10</strong>0 severely malnourished<br />

and developmentally delayed children waited<br />

in cribs as a staff of nuns, staff, and volunteers<br />

rotated through a day of constant feedings<br />

and diaper changes in hopes of getting the<br />

s t u d e n t r o u n d s<br />

Farah Daccueil ’12, Dr Calixte, and Claudy Zulme ’13 arrive at L’Hopital General with medical supplies<br />

donated by the <strong>Upstate</strong> community.<br />

children back into a life of thriving energy<br />

and curiosity. Sadly, the rooms were surprisingly<br />

quiet, as crying in hunger or stress was<br />

too tiresome.<br />

No cameras are allowed inside when the<br />

center opens to the public for two hours<br />

each afternoon. This way the open hours are<br />

not for tourism, but for help in giving the<br />

children something they desperately need,<br />

caring contact and attention. Many, if not<br />

most, suffered from reactive attachment<br />

disorder and couldn’t hold eye contact. It<br />

was striking and unforgettable.<br />

As I approached Rose’s crib, she soon<br />

understood what was happening as I helped<br />

her to her feet—stretching out her arms.<br />

Soon glued to my chest, she found the<br />

plastic flowers hanging from the ceiling to<br />

be hilarious as she reached for them, not<br />

wanting to let go. However, soon she was<br />

deep asleep, arms occasionally twitching.<br />

Just like that we spent the next two hours,<br />

walking slowly around the floor. Later I<br />

discovered the true relief of sitting in a chair<br />

when holding a child.<br />

Too soon it was time to leave and I foolishly<br />

imagined a perfected and supported<br />

transfer of the sleeping Rose back to her crib.<br />

Such was not the case. Not even an inch from<br />

my now sweated shirt, she awoke from her<br />

sleep and instantly cried. Having no other<br />

choice, I had to leave her in her crib, taking<br />

only the solace that she had enough energy<br />

to muster up a loud and emotional wail.<br />

then and now<br />

Reading the breaking headlines about the<br />

earthquake in Haiti has been a shock. It was<br />

a fragile health-care system to begin with,<br />

held together by incredible and intelligent<br />

health professionals who had the biggest<br />

hearts I’ve ever met, something I believe is<br />

essential to be able to work in such conditions.<br />

So much is unknown as most all<br />

communication and infrastructure has been<br />

demolished. Reports trickle in on the news<br />

and social-networking sites. From reading<br />

a combination of primary source blogs and<br />

news articles, I’ve personally concluded that<br />

the General Hospital, where we spent much<br />

time and donated the medical/surgical supplies,<br />

has suffered from severe collapse. After<br />

some initial shock, processing, and rallying<br />

of support and awareness, I’m finding myself<br />

wanting to forget a little and find a distraction—then<br />

the sight of the green paint at the<br />

General Hospital surfaces again on the news<br />

and brings it all back. There is no doubt in<br />

my mind that there is a stark suffering and<br />

immediate need in Haiti, which will require<br />

all of our support and graciousness.<br />

16 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


Tales from the front<br />

robert Dracker, MD ’82, may be back in<br />

Syracuse, but every night, in his dreams,<br />

his thoughts return to Haiti. “It’s like I’m still on<br />

rounds and I still have things to do,” he says.<br />

“I keep seeing the children’s faces and their<br />

smiles and injuries.” And he continues to smell<br />

the country’s distinct odor—a unique mixture<br />

of “burning mahogany, vanilla, spice, and<br />

brown dirt,” he says.<br />

Dr. Dracker, a Syracuse pediatrician and<br />

hematologist/oncologist spent the second<br />

week in February at Sacré Coeur, a hospital<br />

75 miles north of Port-au-Prince, which has<br />

become an epicenter for victims of January’s<br />

devastating earthquake.<br />

In his role as president of the Onondaga<br />

County <strong>Medical</strong> Society, Dracker solicited the<br />

greater-Syracuse medical community in the<br />

immediate aftermath of the Haiti earthquake<br />

to encourage physicians to assist in whatever<br />

way they were able. He was contacted by<br />

gastroenterologist Michael Fitzgerald, MD,<br />

who told him about his involvement with<br />

CRUDEM, a foundation that helps support<br />

Hópital Sacré Coeur in Cap Heitien, which<br />

was receiving the sick and injured from Port<br />

au Prince.<br />

Just a couple weeks later, Dracker traveled<br />

to Haiti with Dr. Fitzgerald and a small group<br />

of other medical professionals. They were<br />

among approximately <strong>10</strong>0 medical volunteers<br />

(physicians, nurses, and dentists) working at<br />

the facility that week from around the globe.<br />

While the initial medical need in Haiti<br />

had been surgical/trauma, by the time<br />

Dracker arrived, the focus was more medical<br />

in nature—treating infections and managing<br />

wounds and amputations. “I had absolutely no<br />

idea what to expect,” says Dracker of his first<br />

glimpse of his patients.<br />

The hospital housed more than 300 adult<br />

patients in tents and 50-60 children in a pediatric<br />

unit.<br />

“Two-thirds of the children had undergone<br />

amputations—arms or legs or both. They were<br />

s t u d e n t r o u n d s<br />

A week in haiti gave robert dracker, md ’82, a new perspective on<br />

medicine and public health policy.<br />

Top: Bob Dracker, MD ’82, treats a patient for<br />

injuries suffered in the Haiti earthquake.<br />

Right: A young patient recovers from an<br />

amputation.<br />

all scattered along the dirty floor on sheets<br />

and mattresses. It was always very noisy,” he<br />

says. “At first it was overwhelming, but we just<br />

dove in and started to provide the care that<br />

was necessary.”<br />

Each day began with a review of the daily<br />

medications with the nursing staff, followed<br />

by examinations of each patient. “We might<br />

examine a wound, or change dressings on<br />

amputation sites,” he says. “Unfortunately,<br />

there was always a lot of pain management<br />

necessary for the wound care of the physical<br />

therapy we made the children perform.”<br />

On top of their injuries from the earthquake,<br />

Dracker said the children were uniformly<br />

protein calorie malnourished and vitamin and<br />

iron deficient, and many had intestinal parasites<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 17


and ascariasis, or roundworm infections. He<br />

had brought 25,000 doses of vitamins and iron<br />

supplements with him, as well as 1,000 tetanus<br />

vaccinations and 500 doses of an immuneglobulin<br />

preparation used to treat tetanus, all of<br />

which he arranged to be donated.<br />

Dracker diagnosed a 16-year-old girl with<br />

both leukemia and malaria and subsequently<br />

arranged for her transport to Santo Domingo,<br />

Dominican Republic, for treatment. He also<br />

recruited a neurosurgeon from Johns Hopkins<br />

to come down to treat three children with<br />

hydrocephalous that would have died without<br />

a specialist’s care.<br />

In addition to medical care, Dracker and<br />

the other volunteers worked hard to buoy the<br />

emotional spirits of the children. “We did a lot<br />

of typical American activities with them, such<br />

as making paper chains, playing hot potato,<br />

and teaching them songs,” he says.<br />

One day, they even held a parade. “We took<br />

all the patients—either carrying them, pushing<br />

them, or helping them to use crutches, and<br />

paraded through the adult tents singing the<br />

taught songs,” he says. “Everyone loved it and it<br />

made the children and the adult patients smile,<br />

something they had not very much of.”<br />

Over and above the sick and injured,<br />

Dracker was struck by the conditions in Haiti<br />

s t u d e n t r o u n d s<br />

Top and right: The pediatric unit at Hópital Sacré Couer in Cap Heitien, Haiti.<br />

itself. “Nearly all the roads are dirt, and in bad<br />

condition. Most of the housing is cement, with<br />

no doors or windows and there are goats,<br />

dogs, chickens and pigs everywhere. There’s<br />

no running water or sewage treatment. There’s<br />

no garbage disposal, so people burn things<br />

to get rid of them,” he describes. “It was fairly<br />

shocking to see the general condition of the<br />

country, even without the further devastation<br />

created by the earthquake.”<br />

The experience has made him view things<br />

at home in a new light. “We complain about<br />

the ‘health care crisis’ in the U.S., but when<br />

you’ve been somewhere where health care<br />

is severely limited or non-existant, our complaints<br />

seem ridiculous,” says Dracker. “The<br />

little I was able to accomplish without modern<br />

facilities or instruments was light-years beyond<br />

what they ever have access to.”<br />

Dracker is currently a student in <strong>Upstate</strong>’s<br />

new MPH program, but since returning from<br />

Hait,i is exploring the possibility of pursuing<br />

a PhD in global health-care planning. “There<br />

are too many rapid decisions being made by<br />

people who are totally uninformed,” he says.<br />

“They mean well but don’t understand the<br />

ramifications or the sufficiency of the decisions<br />

they’re making.”<br />

—Renée Gearhart Levy<br />

upstate medical students Claudy<br />

Zulme, Farah Daccueil, and Brian<br />

Buckley are planning to return to Haiti<br />

this summer to further develop the<br />

burgeoning relationship between<br />

<strong>SUNY</strong> <strong>Upstate</strong> and the State <strong>University</strong><br />

of Haiti’s General Hospital in Port au<br />

Prince. The trio have been in contact<br />

with the administration of the General<br />

Hospital, and, in accordance with their<br />

expressed needs, are collecting medical<br />

supplies and equipment to donate.<br />

In addition, they will also be returning<br />

to Camp Mary, a small town one hour<br />

north, to provide both material and<br />

physical support for the weekly clinics<br />

run by Wilton Cherubin, MD. Any assistance<br />

in acquiring medical equipment<br />

or transporting the donated items to<br />

Haiti would be greatly appreciated.<br />

Support for this effort may be directed<br />

through <strong>Upstate</strong>’s <strong>Alumni</strong> Office.<br />

Please contact Vince Kuss at<br />

(315) 464-4361 or kussv@upstate.edu<br />

for more information.<br />

18 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


Peter J. Adasek, MD ’65<br />

Barry Kutner, MD ’82<br />

12/’43<br />

Joseph J. Gadbaw, of Mayfield, MI, writes<br />

that his son, Joseph Gadbaw, Jr., MD, is head<br />

of infectious disease and chief of medicine in<br />

New London, CT, and his grandson, Michael<br />

Gadbaw, MD, who graduated from UCLA, is<br />

interning at Stanford. He also has daughters<br />

in medicine as nurses, a certified mid-wife,<br />

and an echocardio technician. Dr. Gadbaw is<br />

leaving a legacy.<br />

1958<br />

Richard Schoenfeld, of Bethesda, MD, finally<br />

retired on June 30, 2009. Dr. Schoenfeld is<br />

enjoying his large family and spending much<br />

of his time with nature bird photography.<br />

1959<br />

Sheldon Kapen, of West Bloomfield, MI,<br />

attended Reunion 2009 with his wife, Rachel.<br />

After returning home, Mrs. Kapen wrote a<br />

limerick to express her feelings about the<br />

wonderful weekend.<br />

c l a s s n o t e s<br />

To Celebrate the Great Five-O<br />

To celebrate the great five-o<br />

To Syracuse they came with awe.<br />

And wined, and dined, enjoyed the zoo<br />

And asked old friends: how do you do?<br />

Then said: goodbye, and home they’d go.<br />

1962<br />

Steven N. Berney, of Bala Cynwyd, PA, has<br />

stepped down as chief of the section of<br />

rheumatology at Temple <strong>University</strong> School of<br />

Medicine, but continues to work on a parttime<br />

basis. Dr. Berney is also a master of the<br />

American College of Rheumatology and was<br />

elected again in the Best Doctors in America.<br />

1964<br />

Gene R. Moss, of Vero Beach, FL, writes that<br />

his second book, Inescapable Consequences,<br />

represents the first novel in a generation based<br />

upon behavioral science and the first novel<br />

ever written from the biobehavioral orientation.<br />

Dr. Moss’s first book, Healthcare Reform<br />

D.O.A., received two nominations for national<br />

awards by the American Risk Insurance<br />

Association.<br />

1965<br />

Peter J. Adasek, of Little Falls, NY, lectured on<br />

child abuse at Motol Hospital in Prague, Czech<br />

Republic in April 2009.<br />

1967<br />

Sheldon Cohen, of Miami, FL, writes that he<br />

and Sandy celebrated their 45th Anniversary.<br />

They have two married sons and four wonderful<br />

grandchildren. Dr. Cohen retired in May and<br />

they are now traveling often to be with their<br />

grandchildren.<br />

1972<br />

Hugh D. Curtin, of Wellesley, MA, was presented<br />

by the American Society of Head and<br />

Neck Radiology (ASHNR) with the 2009 Gold<br />

Medal during the ASHNR 43rd annual meeting<br />

in October 2009. Dr. Curtin has lectured widely<br />

both nationally and internationally—almost<br />

350 times—and has received numerous awards<br />

for his teaching excellence. He served as the<br />

head and neck editor of the American <strong>Journal</strong><br />

of Neuroradiology and has served on numerous<br />

committees for at least 14 societies. Dr. Curtin<br />

is a reviewer for at least 11 major journals and<br />

has received many awards for the excellence<br />

of his reviewing. He has authored about 130<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 19<br />

peer-reviewed articles and 71 chapters. Many of<br />

these articles are considered sentinel articles as<br />

they have influenced the way images are interpreted<br />

in head and neck radiology. He is the<br />

co-editor of Head and Neck Imaging, presently in<br />

preparation of the fifth edition.<br />

1975<br />

Glen Mogan, of Short Hills, NJ, was recently<br />

appointed vice president for medical affairs for<br />

the St. Barnabas <strong>Medical</strong> Hospital Outpatient<br />

Ambulatory Care Center. Dr. Mogan’s son,<br />

Doug, is a freshman at Syracuse <strong>University</strong>.<br />

James A. terzian, of Vestal, NY, writes his son,<br />

Jim terzian, MD ’07, is a radiology resident<br />

at Jefferson <strong>Medical</strong> Center in Philadelphia. His<br />

daughter, Susan, is a corporate finance lawyer<br />

in Virginia. Dr. Terzian says his wife of 38 years,<br />

Dolly, is still the love of his life.<br />

1978<br />

Edward f. Higgins, of Mission Hills, KS,<br />

continues to practice vascular and general<br />

surgery. Dr. Higgins went on a medical mission<br />

trip to Ghana, Africa, in January. “Warmest<br />

regards to my classmates,” he writes.<br />

1981<br />

David C. Goodman, of Etna, NH, is the director<br />

of the Center for Health Policy Research<br />

at the Dartmouth Institute for Health Policy<br />

and Clinical Practice, where he co-directs the<br />

Dartmouth Atlas of Healthcare project.<br />

1982<br />

Barry Kutner, of Lakewood, CO, recently<br />

returned from Bulgaria, where he won a Silver<br />

Medal in the World High Speed Telegraphy<br />

Championship. Now that the kids are in<br />

college—Lauren, 20, a psychology/education<br />

major at the <strong>University</strong> of Colorado and<br />

Robin, 18, a chemical engineering major at<br />

the Cooper Union—he sold his suburban<br />

Philadelphia ophthalmology practice and<br />

retired. He and his wife, Holly, recently relocated<br />

to Colorado to continue life as ski bums.<br />

1986<br />

Michele and Marc Simmons, of Westfield,<br />

NJ, write that their daughter, Amanda, 19, is a<br />

freshman at the Medill School of <strong>Journal</strong>ism at<br />

Northwestern <strong>University</strong> and their son, Josh,<br />

16, is a junior in high school. Michele is an<br />

internist in private practice working part-time<br />

near their home and Marc is an attending


Stafford C. Henry, MD ’87<br />

Max, son of Melissa Petras, MD ’05, and David<br />

Zlotnick, MD ’05<br />

Christine Granato, MD ’09, with<br />

her father, Paul Granato, PhD<br />

Jennyanne Parr and Toby<br />

Anderton ’<strong>10</strong><br />

c l a s s n o t e s<br />

radiologist specializing in body imaging at<br />

Memorial Sloan Kettering Cancer Center in<br />

Basking Ridge, NJ.<br />

1987<br />

Stafford C. Henry, of Chicago, IL, writes<br />

that 2009 proved to be a great year. First he<br />

was appointed medical director of the Illinois<br />

Professionals Health Program, an EAP-like<br />

program advocating for physicians who are<br />

either impaired or alleged to be impaired in<br />

the state of Illinois. Secondly, he recertified<br />

with the ABPN in addiction psychiatry, retaining<br />

his status as triple-board certified (also<br />

in general adult and forensic psychiatry). Dr.<br />

Henry’s downtown private practice continues<br />

to thrive, even in these market conditions, with<br />

the addition of some international clients. He<br />

remains quite grateful and pleased regarding<br />

this growth. Henry sold his home in Glencoe,<br />

Illinois, last summer and bought a new one in<br />

the East Lincoln Park area of Chicago. He had<br />

a terrific time spending the holiday with Lisa<br />

freedman, MD ’87, who, amazingly, manages<br />

a sole OB/GYN practice in Syracuse, while<br />

being incredibly available to her three wonderful<br />

children. In the fall, Henry had the opportunity<br />

to have dinner with Martin Heslin,<br />

MD ’87, and Colleen Davis, MD ’86, both of<br />

whom have mastered the balance of being<br />

committed parents and full-time physicians.<br />

Henry is looking forward to the 25th Reunion!<br />

1991<br />

timothy C. Brown, of Randolph, NY,<br />

announces the birth of his daughter, Mallory<br />

Bennett Evans Brown, born on November 4,<br />

2009.<br />

1994<br />

Sharon A. Mcfayden-Eyo, of Salisbury, MD,<br />

completed her MBA program in healthcare in<br />

October 2009 from the George Washington<br />

<strong>University</strong> in Washington, DC. “What a challenge!”<br />

she writes.<br />

1996<br />

Amy and Jeff Green, of Paris, KY, announce<br />

the birth of their second child, Eric James, on<br />

November 22, 2008. He joins big brother Kevin<br />

and all the family pets. Jeff is in private practice<br />

in Paris, KY, and Amy stays home with the<br />

children and works PRN in urgent care in the<br />

Lexington area.<br />

2000<br />

Jennifer Aller Hamm, of Orlando, FL, and<br />

her husband, Jason, welcomed their daughter,<br />

Katherine, into the world in June 2008. Dr.<br />

Aller Hamm is an assistant program director<br />

for the OB/GYN residency at Winner Palmer<br />

Hospital in Orlando and the OB/GYN clerkship<br />

site director for the new <strong>University</strong> of Central<br />

Florida <strong>Medical</strong> School.<br />

2005<br />

Amanda Lloyd, of Webster, NY, is working<br />

in pediatrics in Rochester, NY. Dr. Lloyd and<br />

her husband, Don Henry, welcomed their first<br />

child, Madelyn Grace Henry, born in August<br />

2009.<br />

Melissa Petras and David Zlotnick, of White<br />

River Junction, VT, are proud to announce the<br />

birth of their son, Max, this past July. David<br />

has completed his internal medicine residency<br />

and chief resident year at Dartmouth<br />

Hitchcock <strong>Medical</strong> Center in Lebanon, NH.<br />

He began a fellowship in cardiology this past<br />

July at Dartmouth. Melissa has completed her<br />

residency in pathology at Dartmouth and will<br />

begin a fellowship in transfusion medicine this<br />

coming July, also at Dartmouth.<br />

2009<br />

Christine Granato, of Cicero, NY, married Ben<br />

Cimino on October 17, 2009.<br />

Leo Urbinelli, of New York, NY, writes he is<br />

engrossed in his internship at NYU <strong>Medical</strong><br />

Center. Dr. Urbinelli is in year one of a combined<br />

general surgery/plastic surgery residency.<br />

20<strong>10</strong><br />

toby Anderton, of Syracuse, NY, married<br />

Jennyanne Parr on October 24, 2009, at the<br />

Salt Lake Temple in Utah.<br />

house staff<br />

Serdar Ural, MD, HS’97 attended Johns<br />

Hopkins <strong>University</strong> for maternal fetal medicine<br />

(MFM) fellowship training and then to the<br />

<strong>University</strong> of Pennsylvania, where he ran the<br />

high risk obstetrics clinic. Dr. Ural is currently<br />

the chief of the division of maternal fetal medicine<br />

and the medical director of the labor suite<br />

at Penn State <strong>University</strong> in Hershey, PA, where<br />

he began a MFM fellowship training program<br />

and established an AIUM certified Fetal<br />

Imaging Suite. Dr. Ural has two daughters and<br />

stays in close touch with Larry Orbuch, MD<br />

and David friedman, MD.<br />

20 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


Zaven s. Ayanian, md ‘59<br />

Teacher, Mentor<br />

and leader<br />

in March, Zaven S. Ayanian, MD ’59,<br />

received the American <strong>Medical</strong><br />

Association’s 20<strong>10</strong> Jack B. McConnell,<br />

MD, Award for Excellence in<br />

Volunteerism, an honor presented to<br />

senior physicians who increase access to<br />

health care for underserved and uninsured<br />

patients in the United States.<br />

It was a well-deserved honor for the<br />

retired, Matawan, New Jersey, internist,<br />

who has spent the last decade caring for<br />

underserved populations in his home community.<br />

As the second physician volunteer<br />

to be recruited to launch the Parker Family<br />

Health Center in 2000, Dr. Ayanian has<br />

been there from the beginning. The free<br />

clinic evolved from a walk-in clinic in a<br />

modified trailer open two nights a week<br />

into a six-day-a-week comprehensive<br />

healthcare facility. Ten years later, Ayanian<br />

has helped build an organization that provides<br />

<strong>10</strong>,000 patient visits annually with<br />

support from 200 volunteers.<br />

The Parker Family Health Center differs<br />

from many “free clinics” in that it does<br />

not seek reimbursement from Medicare,<br />

Medicaid or other payers, but operates solely<br />

off the basis of charitable contributions and<br />

fundraising. “There are hard-working people<br />

in low paying jobs who cannot afford insurance.<br />

Some of them are immigrants who are<br />

sending money home to families. These are<br />

not derelicts or ne’er-do-wells, they’re just<br />

working poor,” says Ayanian.<br />

The son of Armenian parents who<br />

escaped the Turkish genocide, Ayanian<br />

grew up in Syracuse understanding that he<br />

had to work hard for what he wanted in<br />

life. He doesn’t remember a day he didn’t<br />

want to be a doctor and worked his way<br />

through Syracuse <strong>University</strong> in three and a<br />

half years. After serving in the U.S. Army<br />

c l a s s n o t e s<br />

during the Korean conflict, he attended<br />

<strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong>, where he met<br />

his wife, Lorraine Chesna, a nursing student<br />

at Syracuse <strong>University</strong>.<br />

After completing his training, he joined<br />

a multi-specialty practice in Matawan, New<br />

Jersey. Shortly thereafter, Ayanian became<br />

involved in the creation of a new acute care<br />

hospital needed by the community, and<br />

upon its opening, became the first medical<br />

staff president of the 225-bed Bayshore<br />

Community Hospital and chairman of<br />

its Department of Medicine. He was later<br />

elected to the hospital’s board of trustees.<br />

But he never forgot his roots. In<br />

1988, following the massive earthquake in<br />

Armenia, Ayanian was contacted by the<br />

Armenian General Benevolent Union, an<br />

international organization that was started<br />

by the diaspora of Armenians who had<br />

escaped the first genocide of the 20th century.<br />

Subsequently, he arranged for four<br />

young people to be brought to Bayshore<br />

Community Hospital. Over a four-month<br />

period, he coordinated their care and rehabilitation,<br />

which included multiple surgeries,<br />

amputations, and rehabilitation. After<br />

his retirement in 1999, he made a pilgrimage<br />

to Armenia to reconnect.<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 21<br />

At the AMA Annual Meeting, Dr Ayanian is pictured with (left to right) leadership award recipient<br />

Maya Babu, a fifth-year MD/MBA candidate at Harvard, Valerie Pronio-Stelutto, MD, assistant<br />

professor of medicine at Harvard <strong>Medical</strong> School, his grandson, Luke Zaven Pereles, his wife<br />

Lori, and his daughter Susan Pereles.<br />

It was following his return that he got<br />

involved with the Parker Family Health<br />

Center, treating patients on Wednesdays<br />

and mentoring third-year medical students<br />

from the Robert Wood Johnson <strong>Medical</strong><br />

School. “For me, it’s intellectually stimulating.<br />

I maintain my medical skills and continue<br />

to think as a doctor. I get satisfaction<br />

and the patient gets quality medical care,”<br />

says Ayanian. He also serves on the board<br />

of trustees of his local YMCA Foundation,<br />

continues as an active emeritus trustee of<br />

the Bayshore Community Hospital, and<br />

with his wife, has endowed scholarships at<br />

<strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong> and Syracuse<br />

<strong>University</strong>. “I’ve always enjoyed giving<br />

back in any way possible. I seem to have<br />

an inborn desire to help anyone who is<br />

attempting to improve his or her lot in life.”<br />

In announcing his award, AMA<br />

Foundation president Richard Hovland<br />

praised Ayanian’s enduring presence with<br />

the Parker Family Health Center and his<br />

commitment to serving the working poor.<br />

“Dr. Ayanian is not only a compassionate<br />

physician,” said Hovland, “he is also a<br />

teacher, mentor and leader.”<br />

—Renée Gearhart Levy


Alan Foster, md, hs ’74<br />

improving with age<br />

when Alan Foster, MD, HS ’74,<br />

won the New York Super Senior<br />

Amateur in September, he became the first<br />

golfer to win the New York State Amateur,<br />

Mid-Amateur, Senior Amateur and Super<br />

Senior Amateur during the course of a<br />

career.<br />

While the unique feat illustrates the<br />

strength of Dr. Foster’s game over more<br />

than 40 years, it was just another tournament<br />

for the Manlius, New York, radiologist,<br />

who holds a handful of national and<br />

international titles and was ranked the top<br />

U.S. senior golfer by Golf Weekly in 2005.<br />

Alan Foster MD, HS ’74 at the New York Senior<br />

Amateur<br />

GlORIA WRIGHT<br />

c l a s s n o t e s<br />

Humble of his talents, Foster attributes<br />

his success primarily to course management<br />

and his ability to limit mistakes under pressure.<br />

“I’m a good putter and driver of the<br />

ball, but so are my competitors,” he says.<br />

Foster actually spends more time off<br />

the course than on. In his professional life<br />

he is the managing partner of St. Joseph’s<br />

Imaging, a prominent Syracuse radiology<br />

practice that provides all imaging services<br />

to St. Joseph’s Hospital Health Center<br />

and through seven offices throughout the<br />

greater-Syracuse area. Although he practices<br />

general radiology, Foster has fellowship<br />

training in nuclear medicine and reads a<br />

lot of PET scans. He is also the group’s<br />

primary mammographer.<br />

Foster took up golf as a youngster,<br />

playing competitively throughout high<br />

school and college at DePauw <strong>University</strong>.<br />

He put away his clubs for almost a<br />

decade—while in graduate school, then<br />

medical school at Indiana <strong>University</strong>, and<br />

as an intern at St. Joseph’s Hospital—but<br />

resumed playing casually near the end of<br />

his radiology residency at <strong>Upstate</strong>. When<br />

he began medical practice, Foster became a<br />

weekend golfer and resumed his competitive<br />

career. Despite his sabbatical from the<br />

game, he won the New York State Amateur<br />

Championship that same year.<br />

Over the next three-and-a-half decades,<br />

Foster aged through the tournament system,<br />

moving from amateur tournaments to<br />

mid-ams, to senior ams, and now qualifying<br />

for super-senior tournaments (for those<br />

over 65). While he qualified four times for<br />

the U.S. Amateur Tournament, three times<br />

for the U.S. Mid-Amateur, and once for<br />

both the British Amateur and the British<br />

Mid-Am, his greatest success has come at<br />

the senior level. In the last five years alone,<br />

Foster has participated in the U.S. Senior<br />

Open (twice), and the British Senior Open,<br />

and won the British Senior Open Amateur<br />

and the British Super Senior Open<br />

Amateur.<br />

Alan Foster MD, HS ’74 celebrates sinking a putt.<br />

Aside from Florida visits during the<br />

winter, he’s done all this primarily as a<br />

weekend golfer playing between April and<br />

October. “When I’m working, I don’t get<br />

out during the week,” says Foster, who’s<br />

had a handicap of +2 (less than scratch)<br />

since 1985.<br />

“It’s a challenge. It’s always different,”<br />

he says of the game’s appeal. “You never<br />

can repeat what you did the day before.<br />

You’re always attempting to improve,<br />

but you usually go sideways or backwards<br />

before you get better.”<br />

At his peak, Foster competed in up to<br />

15 tournaments a year. Now, he’s down to<br />

six or eight.<br />

Regardless of the number, he relishes<br />

the opportunity to travel, meet new people,<br />

and experience different golf courses. Says<br />

Foster, “Most of the people I know really<br />

well, most of my better friends, are all<br />

through golf.”<br />

— Renée Gearhart Levy<br />

22 A l U M n i J o U r n A l / s P r i n g 2 0 1 0<br />

GlORIA WRIGHT


1941<br />

frances A. Harmatuk, of New Bern, NC, died<br />

September 23, 2009.<br />

1942<br />

Howard D. Kelley, of Homer, NY, died<br />

January 23. Dr. Kelley began his medical career<br />

in Tully. In 1952, he opened his own practice<br />

in Cortland, where he served the community<br />

for more than 50 years. He is survived by his<br />

daughters, Susan, Cathy, and Kristina; and<br />

several other relatives.<br />

1945<br />

leon A. harris, of Beverly Hills, CA, died<br />

January 12, 2005.<br />

1946<br />

Jean C. Smith, of Trumansburg, NY, died<br />

January 8. Dr. Smith was a family practitioner<br />

and a member of the Chenango Bridge<br />

<strong>Medical</strong> Group, which served the surrounding<br />

rural and suburban region near Binghamton,<br />

NY. Smith loved her medical practice, and even<br />

after retirement many of her patients still kept<br />

up with her. She served three generations of<br />

many families and numerous patients considered<br />

her part of their family circle. She is<br />

survived by her friend, Betty J. McKnight; and<br />

many relatives.<br />

1947<br />

David L. Poushter, of Rochester, NY, died<br />

January 18. Dr. Poushter completed his residency<br />

at Harper Hospital in Detroit. He then<br />

served as a captain in the United States Air<br />

Force. During more than five decades of<br />

practice as an ear, nose and throat doctor in<br />

Syracuse, he held the positions of chief of staff<br />

at Crouse-Irving Memorial and Community<br />

General Hospitals, president of the Onondaga<br />

County <strong>Medical</strong> Society, president of the<br />

Triological Society and clinical professor at<br />

<strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong>. He is survived by<br />

his daughters, Linda, Susan and Karen; and<br />

many other relatives.<br />

A l U M n i J o U r n A l / s P r i n g 2 0 1 0 23<br />

i n m e m o r i a m<br />

1957<br />

lewis m. neporent, of Kingston, NY, died<br />

September 29, 2009. Dr. Neporent was a<br />

Diplomate of the American Board of Internal<br />

Medicine and a Fellow of the American<br />

College of Cardiology, the American College<br />

of Physicians and the American College of<br />

Geriatrics. He served as Chief of Staff and Chief<br />

of Medicine at both Kingston and Benedictine<br />

Hospitals and on the Board of Directors of<br />

Kingston Hospital. He was a founder of the<br />

Mid-Hudson Rural Family Practice Residency<br />

Program and served there as instructor of<br />

Internal Medicine. He was a member and<br />

President of the Hudson Valley Society of<br />

Internal Medicine and served on the State<br />

Board for many years and served as liason<br />

to Blue Cross/Blue Shield of New York State.<br />

He was a member of the AMA and served as<br />

President of the Ulster County <strong>Medical</strong> Society.<br />

He is survived by his wife, Arlene; his sons,<br />

Mark and Richard; his daughters, Elizabeth and<br />

Jill; and many other relatives and friends.<br />

1965<br />

David t. Armitage, of Silver Springs, MD,<br />

died November 17, 2009. Dr. Armitage,<br />

who was a retired Army colonel, had a long<br />

career as a medical officer before becoming<br />

a senior medical adviser to the Army’s<br />

Physical Disability Agency. He joined the<br />

Army in 1965 after graduating from medical<br />

school. Armitage was board certified in five<br />

specialties: psychiatry and neurology, child<br />

psychiatry, forensic psychiatry, family practice<br />

and hospital administration. He was also a<br />

lawyer and often worked on cases in which<br />

legal and medical issues overlapped. After<br />

early tours of duty in Hawaii, at Walter Reed<br />

and in Germany, Armitage became chairman<br />

of the psychiatry and neurology department at<br />

Dwight D. Eisenhower Army <strong>Medical</strong> Center at<br />

Fort Gordon, GA. He returned to Walter Reed<br />

in 1984 and became associate director of the<br />

Armed Forces Institute of Pathology. At the<br />

same time, he served as co-director of Walter<br />

Reed’s forensic psychiatry fellowship and<br />

associate chairman for forensic sciences and<br />

litigation support at the Department of Legal<br />

Medicine. Armitage retired from the Army in<br />

David T. Armitage, MD ’65


Lanny Taub, MD ’67<br />

Robert Barlow, Jr., PhD<br />

i n m e m o r i a m<br />

1995 but continued to work as a civilian medical<br />

adviser on military disability matters until<br />

his death. He was the co-author of “Principles<br />

and Practice of Military Forensic Psychiatry”<br />

(1997) and served as an expert witness, writer<br />

and consultant. Armitage was also an examiner<br />

for the American Board of Psychiatry and<br />

Neurology. He is survived by his wife, Barri; his<br />

son, David; and several other relatives.<br />

1967<br />

Lanny taub, of Laguna Beach, CA, died<br />

June 28, 2009. Dr. Taub completed his pediatrics<br />

specialty training at the Children’s Hospital<br />

of Los Angeles, where he was the chief resident.<br />

He then served as a major in the U.S.<br />

Air Force and chief of pediatric services for<br />

Turkey and North Africa, before entering into<br />

private practice. He served in many capacities<br />

for a number of hospitals and medical<br />

centers as well as serving as medical director<br />

of the Chapman <strong>University</strong>’s student health<br />

service and consultant for the Orange, Irvine<br />

and Tustin Unified School Districts. He is survived<br />

by his wife, Jane; his sons, Aaron and<br />

Ethan; and other relatives and numerous close<br />

friends.<br />

1972<br />

michael J. walker, of Columbus, OH, died<br />

September 1, 2008.<br />

1973<br />

Chester R. Jarmolowski, of Allison Park, PA,<br />

died November 24, 2009. Dr. Jarmolowski completed<br />

an internship in medicine and received<br />

a fellowship in cardiovascular radiology at<br />

<strong>Upstate</strong>. Later he joined the staff of <strong>Upstate</strong>’s<br />

Radiology Department. He spent the remainder<br />

of his career in Pittsburgh as an interventional<br />

radiologist and was named a Fellow<br />

in the Society of Interventional Radiology,<br />

the American College of Radiology and the<br />

Council on Cardiovascular Radiology of the<br />

American Heart Association. He is survived by<br />

his wife, Nancy; his daughters, Maggie and<br />

Christina; and several other relatives.<br />

Joseph J. Rainone, of Apple Valley, CA, died<br />

September 3, 2009.<br />

2006<br />

Abby M. Ezero, of Williamsport, PA, died<br />

November 2, 2009. Dr. Ezero was accepted<br />

into the Family Medicine Residency Program<br />

at the Williamsport Hospital and <strong>Medical</strong><br />

Center in Williamsport, PA. After completing<br />

her residency in June 2009, she pursued her<br />

dream of being a family practice physician<br />

and began working for Susquehanna Health<br />

System at the Community Health Center in<br />

Williamsport. Ezero was a member of the<br />

American <strong>Medical</strong> Association, American<br />

Academy of Family Physicians, and the<br />

American College of Physicians. She is<br />

survived by her husband Dan; her son, Liam;<br />

her parents, Bob and Lynne Borow; and<br />

several other relatives.<br />

Faculty<br />

Robert Barlow, Jr., PhD, of Jamesville, NY,<br />

died December 24, 2009. After receiving<br />

his doctorate from Rockefeller <strong>University</strong> in<br />

New York City, Dr. Barlow became a scientist,<br />

researcher, and professor at Syracuse <strong>University</strong><br />

for 28 years until the late 1990s, when he joined<br />

the faculty at <strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong>. He<br />

was the driving force to establish the Center<br />

for Vision Research, a group that now numbers<br />

50 people and is the largest clinically focused<br />

research group at <strong>Upstate</strong>. His leadership<br />

was critical in establishing the <strong>SUNY</strong> <strong>Upstate</strong><br />

Foundation’s endowment to support vision<br />

research and the <strong>SUNY</strong> Eye Institute, a collaboration<br />

of all four <strong>SUNY</strong> medical schools performing<br />

vision research. Throughout his career,<br />

Barlow had been the recipient of numerous<br />

awards and held many leadership positions on<br />

several boards. He had been a visiting scholar at<br />

Harvard <strong>University</strong>, <strong>University</strong> of Cambridge in<br />

England, and the <strong>University</strong> of Tsukuba in Japan<br />

and had a long list of invited presentations as a<br />

lecturer. He was featured in many scientific journals<br />

and programs, including Nature magazine,<br />

the Discovery Channel, and the BBC. Barlow’s<br />

work has been published in more than <strong>10</strong>3<br />

scientific papers, and there are five more that<br />

will be published posthumously. Due to his<br />

thoughtful preparation, his important work on<br />

macular degeneration will be continued under<br />

the guidance of his colleagues at <strong>Upstate</strong>. He<br />

is survived by his wife, Patricia; his daughters,<br />

Kimberly and Jill; his son, Jack, and many other<br />

relatives.<br />

24 A l U M n i J o U r n A l / s P r i n g 2 0 1 0


SAVE THE DATE<br />

Reunion Weekend 20<strong>10</strong><br />

october 1 & 2<br />

Classes of<br />

1945 l 1950 l 1955 l 1960 l 1965 l 1970 l 1975 l 1980 l 1985 l 1990 l 1995 l 2000<br />

Information:<br />

call 315-464-4361<br />

Email murphyl@upstate.edu<br />

www.upstate.edu/medalumni<br />

Distinguished <strong>Alumni</strong>,<br />

Outstanding Young <strong>Alumni</strong> and<br />

Humanitarian Award Nominations<br />

Nominate someone you think has “made a difference.”<br />

Supporting information about nominee(s) appreciated.<br />

Nominations must be received by April 23, 20<strong>10</strong><br />

for 20<strong>10</strong> Awards.<br />

Nomination(s) for Distinguished Alumna(us):<br />

Awarded to an Alumna/us who graduated<br />

more than 20 years ago.<br />

Nomination(s) for outstanding Young Alumna(us):<br />

Awarded to an Alumna/us who graduated<br />

within the last 20 years.<br />

Nomination(s) for the Humanitarian Award:<br />

Awarded to an Alumna/us who exceeds normal expectations<br />

in improving the lives of those in need.<br />

For nomination guidelines, please visit our website at:<br />

www.upstate.edu/medalumni. Mail, fax or e-mail nominations<br />

to: <strong>Upstate</strong> <strong>Medical</strong> <strong>Alumni</strong> Office, Setnor Academic Bldg.,<br />

#15<strong>10</strong>, 750 E. Adams St., Syracuse, NY 132<strong>10</strong>. Fax: 315/464-4360.<br />

medalum@upstate.edu.<br />

Awards will be presented at Reunion 20<strong>10</strong>


<strong>Upstate</strong> <strong>Medical</strong> <strong>Alumni</strong> Association/Foundation<br />

<strong>SUNY</strong> <strong>Upstate</strong> <strong>Medical</strong> <strong>University</strong><br />

Setnor Academic Building, Suite 15<strong>10</strong><br />

750 E. Adams St.<br />

Syracuse, New York 132<strong>10</strong><br />

Upcoming 20<strong>10</strong> Regional events<br />

<strong>Medical</strong> <strong>Alumni</strong> Association on the Road<br />

The <strong>Medical</strong> <strong>Alumni</strong> Association will be hosting receptions in the following cities—<br />

Watch for your invitation in the mail.<br />

New York City<br />

Friday, April 16th<br />

Cornell Club<br />

6 East 44th Street<br />

6pm-8pm<br />

San Francisco<br />

sunday, April 18th<br />

The Westin St. Francis - Union Square<br />

Olympic Room<br />

335 Powell Street<br />

6pm-8pm<br />

Buffalo, NY<br />

Friday, June 11th<br />

6pm-8pm<br />

Venue TBD<br />

Huntington, NY<br />

Friday, June 18th<br />

Hilton Hotel<br />

Melville, NY<br />

Route 1<strong>10</strong><br />

6pm-8pm<br />

Washington D.C.<br />

sunday, november 7th<br />

6pm-8pm<br />

Venue TBD<br />

non-PRofiT<br />

oRganizaTion<br />

U.S. PoSTage<br />

PAID<br />

SyRacUSe ny<br />

PeRMiT #994

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