Your SlideShare is downloading. ×
0
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Dunphy
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Dunphy

1,410

Published on

Published in: Health & Medicine, Education
0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,410
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
0
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide
  • Transcript

    • 1. J. Englebert Dunphy: Surgical Icon Frank R. Lewis MD Executive Director American Board of Surgery Department of Surgery Oregon Health Sciences University November 7, 2005
    • 2. Special Thanks to: <ul><li>Geoffrey C. Nunes, MD Presidential Address North Pacific Surgical Association 1994, Coeur d’Alene, ID “The Legacy of J. Englebert Dunphy” Am Jour Surg 1995;169:466 </li></ul><ul><li>Betsy, Mary Jane, and John Dunphy (Sara unavailable) Bath, MI and Eugene, OR August 2005 </li></ul>
    • 3.  
    • 4. <ul><li>Born 3/31/08-Northampton, MA </li></ul><ul><li>1929 – B.A. College of the Holy Cross </li></ul>
    • 5. 1933 – M.D. Harvard Medical School
    • 6. The Wycoff Affair <ul><li>Winter, 4 th yr medical school – responsible for program of undergraduate dinner club. </li></ul><ul><li>Unable to get speaker, so character created – Dr. Wycoff, English obstetrician practicing northern India for 30 years. </li></ul><ul><li>Paper written: “The Protopathic Blood Iodides of Primiparous Women of Northern India” – pompous nonexistent words strung together in meaningless but ringing phrases. </li></ul><ul><li>Dr. Wycoff – powdered hair, ectropion, straggly mustache, pill-rolling tremor, shabby suit. </li></ul>
    • 7. <ul><li>Dunphy was ninth in his class at Harvard (1933) </li></ul><ul><li>Intern matching system - 4 months after all others </li></ul><ul><li>Dunphy described by John Homans as “your average intelligent Harvard medical student” </li></ul><ul><li>Grade card discovered in 1968, noted by Francis D. Moore, MD </li></ul>
    • 8. 1933-1940 – Intern, Asst Resident, Resident Surgeon – Peter Bent Brigham Hosp; 1935-36 - Intern in Pathology; 1938 – Fellow, Lahey Clinic
    • 9. Zollinger and Dunphy <ul><li>Zollinger was Chief Resident when Dunphy was an Intern and Assistant Resident. “How can you have the effrontery to suggest the Professor would be interested in you as an Assistant Resident when you haven’t written a single paper.” </li></ul><ul><li>The paper on mesenteric vascular occlusion (NEJM 1934; 211: 708) was his first, and the subsequent patient guaranteed his future at the Brigham. </li></ul><ul><li>“ A thalamus connected to a pair of gonads” Robert Zollinger, MD </li></ul>
    • 10. The Brigham Surgical Department
    • 11. <ul><li>Dunphy and Nancy Stevenson were married in 1938, while he was still a house officer. </li></ul><ul><li>Nancy was a graduate of Smith College and Columbia School of Nursing </li></ul><ul><li>Both raised in Northampton and acquainted since early school </li></ul><ul><li>Dance card from Smith – “Bert Dunphy” on every line </li></ul><ul><li>Because of religious differences (Catholic-Episcopal) both families refused to attend the wedding. </li></ul>
    • 12. 1942-45 – Active Duty, 5 th Gen Hosp 1943-45 – Chief, Surgical Service
    • 13. A General Hospital in the Normandy Campaign – Bull US Army M Dept 1946 The Army Hospital – NEJM 1950 The Therapy of Shock: Some Lessons from Military Surgery-Postgrad Med 1945 The Effect of Infusions of Bovine Serum Albumin in Experimental Shock – Surg 1943 Shock – Consideration of its Nature and Treatment – BJS 1944 Splenectomy for Trauma – Practical Points in Surgical Technique – AJS 1946
    • 14. CW from top: Dunphy, Emile Holman, Elliott Cutler, Rudolph Matas
    • 15. <ul><li>Presentation of DSC </li></ul><ul><li>Medal to Elliott Cutler </li></ul><ul><li>May 1947 </li></ul><ul><li>L to R-Dunphy, </li></ul><ul><li>Zollinger, Cutler </li></ul>
    • 16. Postwar Activities <ul><li>Returned to PBBH and resumed practice </li></ul><ul><li>1941-47 – Associate in Surgery </li></ul><ul><li>1947-50 – Assistant Professor </li></ul><ul><li>1950-53 – Associate Clinical Professor </li></ul><ul><li>1953-55 – Clinical Professor </li></ul><ul><li>1955-59 – Professor of Surgery </li></ul><ul><li>Bitter disappointment </li></ul><ul><li>August 16, 1947 – Elliott C. Cutler died of metastatic prostate ca </li></ul><ul><li>July 1, 1948 – Francis D. Moore installed as Moseley Professor and Surgeon in Chief at PBBH </li></ul><ul><li>Moore was 6 years younger than Dunphy, only 9 years since med school graduation </li></ul><ul><li>Selection resulted from Moore’s care and study of patients in Coconut Grove fire – Nov 28, 1942, with 492 killed </li></ul>
    • 17. <ul><li>Family thriving and happy– Mary Jane and John born after war </li></ul><ul><li>Academic progress slow </li></ul><ul><li>Decided in 1955 to move to Boston City and restart the Harvard Surgical Service; received private funding for the Sears Surgical Research Lab </li></ul>
    • 18. Middle 1950’s <ul><li>Steady academic output – 5-7 papers/yr from late 40’s onward </li></ul><ul><li>Achieving national recognition – President, SUS 1955-56 </li></ul><ul><li>Developed several areas of interest which were to be focus of the rest of his life </li></ul><ul><ul><li>Wound healing </li></ul></ul><ul><ul><li>Nutrition </li></ul></ul><ul><ul><li>Transplantation </li></ul></ul><ul><ul><li>Natural behavior of cancer </li></ul></ul><ul><ul><li>Lack of effectiveness of radical cancer surgery </li></ul></ul><ul><ul><li>Terminal care of cancer patient </li></ul></ul><ul><ul><li>Medical student and resident teaching </li></ul></ul>
    • 19.  
    • 20.  
    • 21. The Move to Oregon <ul><li>Efforts at Boston City thwarted by city politics in hosp management and infighting among 3 med schools </li></ul><ul><li>Wanted to be chair; no opportunity in Boston </li></ul><ul><li>Offered chairs at several universities, including Michigan, but refused </li></ul><ul><li>In 1959 accepted the Kenneth A. J. Mackenzie Professorship and Chair of Surgery at Univ of Oregon </li></ul>
    • 22. The Oregon Years – 1959-64 <ul><li>Well received and happy in Oregon </li></ul><ul><li>Several residents/fellows followed him from Boston – Fred Belzer, Tom Hunt, Bill Fletcher, Peter Bentley, Stan Jacobs </li></ul><ul><li>Reached extraordinary national prominence </li></ul>
    • 23. The Oregon Years – 1959-64 <ul><li>Am Board of Surgery – 1955-61 </li></ul><ul><li>Chair, American Board of Surgery-1959-61 (DeBakey 1955-60-Dunphy beat him in Chair election) </li></ul><ul><li>President, American Surgical Assn-1961-62 On acceptance of nomination “I want to say you all have made a damn fine choice.” </li></ul><ul><li>President, American Coll of Surgeons-1963-64 </li></ul>
    • 24.  
    • 25. Resigns from Oregon - 1964 <ul><li>Offered $50K/yr at UCSF </li></ul><ul><li>Opportunity to have private practice </li></ul>
    • 26. UCSF – 1964-75 <ul><li>Dunphy was one of a series of department chairs recruited to UC beginning in 1958, with the intent of converting the school from an excellent regional clinical school to the first ranks of academic institutions. </li></ul><ul><li>Julius Comroe had been recruited in 1958 to create the Cardiovascular Research Institute and had brought most of the anesthesia faculty from the Univ of Pennsylvania. They defined most of the fundamental advances in respiratory physiology and anesthesia over the next 10-20 years. </li></ul>
    • 27. UCSF – 1964-75 <ul><li>Lloyd Holley Smith had been recruited from Harvard in 1962 to head the Department of Medicine and was in every way Dunphy’s equal in the internal medicine world. </li></ul><ul><li>These and other recruits laid the foundations of basic research, NIH funding, and construction of laboratory facilities that led directly to UCSF’s seminal role in creating molecular biology, and spinning off Genentech, Chiron, and multiple other companies. </li></ul>
    • 28. UCSF – 1964-75 <ul><li>Dunphy inherited a strong clinical base (Silen @ SFGH, Blaisdell, Lim, Moore @ VAH, Wylie, Galante, Goldman @ Moffitt) </li></ul><ul><li>He brought several of the Boston expatriates plus a new group from Oregon with him – Tom Hunt, Fred Belzer, Don Trunkey, Slate Wilson, Hank Edmunds </li></ul><ul><li>He immediately integrated the VAH program with UC, so it consisted of three hospitals </li></ul>
    • 29. UCSF – 1964-75 <ul><li>Transplantation immediately became world class – John Najarian, Sam Kountz, Fred Belzer </li></ul><ul><li>Vascular surgery already established – Jack Wylie present 10 years – Ron Stoney and Bill Ehrenfeld joined July 1966 </li></ul><ul><li>Bill Blaisdell moved to SFGH July 1966 when Silen left and opened first trauma center in country, within two years had NIH center grant </li></ul>
    • 30. Announcement of Kidney Preservation Techniques
    • 31. Wylie and Dunphy in a hallway consult
    • 32. UCSF Faculty – 1969
    • 33. UCSF Residents – 1969-70
    • 34. UCSF Residents – 1970-71
    • 35. Syme Oration Delivered to Australasian College of Surgeons Aust NZ J Surg 1974; 44:313 <ul><li>Commenting on a quote from William Salicet about the dignity of medicine: “The dignity of medicine indeed! In the USA it has been quite all right for the professor of medicine, pediatrics, or psychiatry to stroll through his wards followed by an uncouth retinue of long-haired, unclean, bizarrely dressed and bare-footed students – but not for surgeons…..No patient wants to be operated on by a troop of baboons!” JED 1974 </li></ul>
    • 36. The Visiting Professor – Zollinger needling Dunphy
    • 37. Maurice Mercadier and Dunphy
    • 38. Mortality and Morbidity Rounds: What the residents remember most
    • 39. The Second Year Physical Diagnosis Course
    • 40. <ul><li>Final Recognition – Chairman, ACS Board of Regents – 1971-73 </li></ul>
    • 41. Writings on Cancer
    • 42. Interactions with Patients
    • 43. On Caring for the Patient with Cancer <ul><li>Death holds no fearful threat. Living without life is Hell. Death is natural; it may be just; it is often easeful and merciful; it ought always to be dignified. Who knows, it may be Paradise. </li></ul><ul><li>JED 1976 </li></ul>
    • 44.  
    • 45.  
    • 46. Peer Recognition <ul><li>President, Society of Univ Surgeons-1955-56 </li></ul><ul><li>Chair, American Board of Surgery-1959-61 </li></ul><ul><li>President, American Surgical Assn-1961-62 </li></ul><ul><li>President, American Coll of Surgeons-1963-64 </li></ul><ul><li>Chair, ACS Board of Regents-1971-73 </li></ul><ul><li>Only one other surgeon – Dave Sabiston - has held all five and only ten have held four (Nunes) </li></ul><ul><li>President, Soc for Surg of the Alim Tr -1970-71 </li></ul><ul><li>President, Harvard Medical Alumni-1974-75 </li></ul>
    • 47.  
    • 48.  
    • 49. Journal Publications <ul><li>35 - New England J of Medicine </li></ul><ul><li>31 - American Journal of Surgery </li></ul><ul><li>22 - Surgery, Gynecology, and Obstetrics </li></ul><ul><li>20 - Surgery </li></ul><ul><li>19 - Annals of Surgery </li></ul><ul><li>9 - Archives of Surgery </li></ul><ul><li>4 - JAMA </li></ul><ul><li>4 - J Trauma </li></ul><ul><li>4 - Surgical Forum </li></ul><ul><li>2 - British J Surgery </li></ul>
    • 50. Titles of Papers <ul><li>The Stars Among Men </li></ul><ul><li>The Fibroblast: A Ubiquitous Ally for the Surgeon </li></ul><ul><li>Not from a Curriculum </li></ul><ul><li>The Good Seed </li></ul><ul><li>No Humbug </li></ul><ul><li>The Cut Gut </li></ul><ul><li>Teachers, Students, and Pipers </li></ul><ul><li>A Man to Match a Mountain </li></ul><ul><li>What Puts the Surge in Surgery </li></ul><ul><li>Look Back for Tomorrow </li></ul>
    • 51. Academic Surgical Chairs <ul><li>William Silen – Beth Israel, Harvard Med Sch </li></ul><ul><li>John Najarian – Univ of Minnesota </li></ul><ul><li>Sam Kountz – SUNY, Downstate </li></ul><ul><li>F. Wiliam Blaisdell - UC Davis </li></ul><ul><li>R. Scott Jones - Univ of Virginia </li></ul><ul><li>Fred Belzer, Univ Wisconsin </li></ul><ul><li>George Sheldon - Univ North Carolina </li></ul>
    • 52. Academic Surgical Chairs <ul><li>Don Trunkey - Univ Oregon </li></ul><ul><li>Tom Gadacz – Medical College Georgia </li></ul><ul><li>David Fromm – Wayne State Univ </li></ul><ul><li>Ted Schrock - Univ California, SF </li></ul><ul><li>Tony Meyer – Univ North Carolina </li></ul><ul><li>Richard Crass – Univ Florida, Jacksonville </li></ul>
    • 53. Other Surgeons <ul><li>Cliff and Karen Deveney – Univ Oregon </li></ul><ul><li>Slate Wilson – Univ Oregon </li></ul><ul><li>Orlo Clark - UCSF </li></ul><ul><li>Larry Cohn – Chief, Cardiac Surg, Brigham-Womens Hosp </li></ul><ul><li>Brent Eastman – Med Dir, Scripps Clinic; Regent of the ACS </li></ul><ul><li>L. Henry Edmunds – Ped Card Surg, CHOP </li></ul>
    • 54. Vascular Surgeons <ul><li>E. J. Wylie – Chief, Vascular Division, UCSF </li></ul><ul><li>William Ehrenfeld, UCSF </li></ul><ul><li>Ron Stoney, UCSF </li></ul><ul><li>Jerry Goldstone, Chief Vasc Div, Case West Reserve Univ </li></ul><ul><li>Wesley Moore – Chief, Vasc Div, UCLA </li></ul><ul><li>Neil Olcott – Stanford </li></ul><ul><li>Jon Mehigan - Stanford </li></ul>
    • 55. <ul><li>Looking back over four decades, one wonders what Dunphy’s true secret has been. That he has demonstrated superior ability in not only the art and science of surgery, but in research, administration, and leadership goes without saying, but others have had some, and occasionally all, of these attributes. Bert Dunphy, in addition, has been blessed with a magnificent sense of the ridiculous. Again and again, he can make the most solemn meeting called to decide the most serious problems ring with healthy laughter. This unusual man has no enemies. Thomas B. Quigley, M.D. 1978 </li></ul>
    • 56. <ul><li>J. Englebert Dunphy March 31, 1908 – December 25, 1981 Master Surgeon, Teacher, Father, Friend </li></ul>
    • 57.  
    • 58.  
    • 59.  
    • 60.  
    • 61.  

    ×