Volume 16, Number 3 Spring 1999









From the President

THE ACADEMIC YEAR IS RAPIDLY DRAWING TO A CLOSE, as is my tenure as SMAA's president. It has been a great pleasure to work with Dean Bauer, Associate Dean Bright, the board of governors, and Kaleo Waxman and her staff in the alumni office.

Here are a few highlights of the past year:

We centralized fundraising in the Office of Medical Development; the joint budget planning between Development and SMAA has been a smooth operation which eliminated the confusing mailings to alumni in the past. David Sachs, our renowned treasurer who led us through many budgets and bottom lines, has resigned. We thank him for his dedication and know he will be difficult to replace.

In 1999 we have encouraged support for the Medical Scholars Program, which will lose some federal dollars. This unique program attracts excellent students to Stanford and is worthy of our efforts. Students continue to be the SMAA's focus with the ongoing programs, i.e., SWEAT, the stethoscope ceremony, and the Match Day gala. We also support the gym for house staff.

Travel to alumni chapters around the United States, a new activity by the Dean's office and Development, has been successfully launched this year with meetings in Seattle, New York and Boston.

Plans are in progress for celebrations of the 40th anniversary of "the move" of the Medical School from San Francisco to Palo Alto. More about this later.

The establishment of the Ben and A. Jess Shenson Professorship in the School of Medicine and the appointment of oncologist Charlotte D. Jacobs to this distinguished chair was another high point of this year. Our thanks are extended to School of Medicine alumnus Jess for his generosity and our congratulations to Charlotte as she attains this honor.

I have been looking forward to greeting returning alumni from all the reunion classes with special emphasis on the 25th and 50th year groups. And selecting the subject and speakers for the symposium has been an exciting exercise for me. A stellar group of infectious disease experts has been assembled promising a stimulating morning. Alas, a ruptured Achilles tendon has intervened, which sidelines me from attending.

President elect Roger Peeks will take over and do an excellent job. My best wishes to him as he leads us into the new millennium. My thanks to all SMAA members for the honor of serving you.

A. Lois Scully, MD



Visit the Stanford MEDICAL ALUMNI website at http://med.stanford.edu/alumni/





Bert Johnson fits the profile

of the quintessential cowboy --

and the ideal physician.

How has this 1952 School of Medicine graduate come to weave

two such distinct career strands into one full life?


POSSIBLY MORE THAN A FEW DOCTORS HAVE SHOWN UP IN A STANFORD HOSPITAL OPERATING ROOM WEARING COWBOY BOOTS. But only one has performed surgery there sporting a ruby-studded, Black Hills gold-and-silver Salinas Rodeo belt buckle. Teaching professor Bert Johnson, MD, won his cherished prize last year in the over-50 team-roping contest. An additional bonus was a new license plate from his wife for his pickup truck. It describes the driver simply as "ROPNDOC."

Wearing a scrub cap (his other hat), Johnson has brought thousands of babies into the world. He launched the Los Olivos Women's Medical Center in San Jose, mentored hundreds of medical students and residents, pioneered techniques for the treatment of female urological conditions, and shared his clinical skills in far-flung locations. Founder of Stanford's Center for Pelvic Reconstructive Surgery and Urogynecology, he continues to make his mark on the medical school as a teaching professor. But Johnson has also kept one foot firmly in the world of ranching. In short, he's as comfortable roping a calf that needs doctoring as he is wielding a scalpel for a pelvic incision.

Gazing out over the roping arena on his 20-acre ranch in the South Los Gatos hills, clad in jeans, plaid shirt, Stetson hat, and boots, the tall, lanky Johnson easily fits the profile of the quintessential cowboy. His face bears the creases of an outdoorsman and his laugh comes easily. But the kindly look in his eyes evokes memories of your favorite family doctor. How did this 1952 School of Medicine graduate come to weave two such distinct career strands into one full life?

The roots stretch back to Johnson's childhood in the Central Valley. His mother and Canadian-born father raised Bert and his younger sister, Nancy, in Modesto. "We had a lot of sickness in our family when I was growing up, and the doctor was always big for me," he recalls. "I wanted to be a doctor from early on, and be my own man." But young Bert was also a wanna-be cowboy. He got his first taste of the ranching life at his favorite uncle's nearby dairy farm. Later, as a teen, he savored long days hunting, fishing, and learning his way around horses and cattle with his friend, Bill Lyons, on the 12,000-acre ranch owned by Bill's uncle.

Johnson bought his first horse, a mustang named Smoky, with $40 he received in worker's compensation when he was hit with a golf ball while working at a driving range. "I was horse-crazy. It's an incurable disease, and I've never gotten over it," he says. His sister, Nancy Gross, recalls that her brother "had an extraordinary way around horses and other animals."

Gross remembers him enthralling her and their cousins with his made-up tales of cattle drives in which they all were assigned imaginary roles. He also showed compassion for people early on, she says, bringing home from school -- during those Great Depression years -- kids who hadn't eaten a good square meal in a while.

In 1944 Johnson enlisted in the U.S. Navy Air Corps, and he was starting to fly planes when the war ended in 1946. Under the GI bill, he jumped at the chance to go to Stanford. Always athletic, he'd played basketball at Colorado College during military training, and he continued the sport as a substitute with the Stanford Indians.

He completed his bachelor's degree in 1947 and, following in the footsteps of his uncle, Don Threlfall, MD, he applied to Stanford medical school. To earn room and board he worked for Russell Lee, MD, rounding up horses on Lee's Borunda Farm (now a Palo Alto city park) along with fellow medical student and close friend, Bill Reeves, MD. Johnson got his start at the Salinas Rodeo when he and Reeves partnered up for the team-roping event. Of their life-long friendship Reeves says, "I can only pay him the biggest compliment one cowboy gives another: Bert would do to ride the river with."

Finishing up his clinical requirements at the old Stanford Lane Hospital in San Francisco, Johnson set his sights on becoming a small-town family doctor. A year into the University of Michigan's family medicine program, he narrowed his specialty to obstetrics and surgery and switched to Northwestern University to train under the well-known pelvic surgeon, George Gardner, MD.

"Being an intern was like being a slave. But it wasn't nearly as arduous as my residency in Chicago," Johnson recalls. The program included running the Chicago Maternity Center, a home midwifery service that delivered about 6,000 babies annually. For a year, Johnson and another resident supervised obstetrics training for students from Northwestern University Medical School, and the University of Wisconsin. "We'd give them a basic course and send them out. It was truly on-the-job training."

For a home delivery in that era, the family would be instructed to boil gallons of water and to have on hand a pile of newspapers a foot-and-a-half high. The medical students would bring only a few simple instruments and basic drugs and would call the resident on duty if they ran into problems. In emergencies Johnson even transported patients to the hospital in his old Ford sedan.

The grueling schedule generated some unique humorous moments. One night when Johnson had been up for two nights and then crashed out, he received a call from an intern in need of assistance with a hemorrhaging patient. "I told him, 'Open 1 dr burt johnson the gate and let the cows out of the back pasture,' and hung up on him," Johnson recounts with a laugh. The dismayed intern phoned back the center operator and exclaimed that either he'd reached the wrong guy, or the doctor was totally out of it. A nurse brought Johnson to his senses with coffee, and they went out to help.

At the end of his residency Johnson turned down an offer to stay on and teach at Northwestern and headed back to San Jose to work in the ob/gyn practice of Leon Fox, MD. In 1958, Johnson set up his own office. San Jose was growing fast and his patient load expanded rapidly. Fox and Johnson remained close colleagues. Fox ran the residency program at the Santa Clara County hospital, and Johnson served as the program's vice chairman. "The teaching staff was all volunteer," Johnson notes. "We had the best surgeons in town scrubbing with the residents." Johnson worked in the 1970s with Emmet Lamb, MD, from Stanford to broker the merger of the two institutions' ob/gyn residency programs. The marriage combined Stanford's top-rate academic resources with the county hospital's robust surgery and clinical programs.

In the early 1960s, his practice burgeoning, Johnson's new partner (who happened to be the son of a missionary) lured him on his first overseas medical expedition. Before leaving on the mission to Ethiopia, Johnson received a telegram requesting that he bring a dermatome, for performing skin grafts on children who had suffered burns from falling into campfires. He brought one, but then he couldn't clear it through customs in Addis Ababa without paying an exorbitant duty. So Johnson and the missionary doctor he'd come to assist devised a plan to smuggle in the instrument. At midnight they met at the fence at the airport's outskirts so Johnson could pass the precious dermatome over the fence to the doctor on the other side.

There were other adrenaline-filled moments in Ethiopia. One night as Johnson slept alone in his cabin, he awoke to a scratching at the screen and looked up to see a tall, fearsome warrior with a bone in his nose. Johnson recognized him as a member of the Arussi Galla tribe, which terrorized the region. "I thought I was done for," Johnson recalls. But the man had come for help for his child, who had a seriously obstructed bowel. Unfortunately, it turned out the boy was full of parasites, and Johnson was unable to save him.

In the mid-'60s Johnson spearheaded an effort to build a much-needed hospital on the west side of San Jose. When Good Samaritan Hospital was completed, Johnson became the first chief of obstetrics and gynecology. He and his partners relocated their practice, Los Olivos Women's Medical Clinic, closer to the hospital.

Johnson, who handled the business side of the clinic, sometimes exasperated his partners by taking compensation other than cash in exchange for medical care. "I traded horses, saddles, posthole digging, and even hay," Johnson recalls. "Once I took care of a woman in shock with an ectopic pregnancy. She and her husband had no money or insurance, so I never sent a bill. But he worked for a backhoe company, so to repay me he came out to the ranch with a backhoe and a crew and installed a huge culvert to fix some drainage problems. Problem was the whole bunch got poison oak, and I had six more patients!"

Johnson bought his 20 acres of brush-covered hills near Los Gatos in 1958 and over the years created a working ranch. When he met his wife, Gretchen, 23 years ago, he taught her to ride and rope, and soon had her turned into a full-time cowgirl. Together, they've managed three ranches. Their spacious, rambling house, embellished with tasteful Western-style art and furnishings, reflects a shared affinity for the ranching life. "It's been hands-on," Gretchen says. "We're down to 50 cow-calf pairs now, but we managed 250 pairs at one time, without any outside help." How does Gretchen see her husband? "He's a man who wears two hats, and wears both well," she says. "He has the full respect of his peers in the medical community, as well as the respect of the ranchers and cowboys he knows."

Characteristically, Johnson's involvement in ranching has extended to a larger community. He's chairman of the California Beef Council. And, in recent years he's shared his expertise and advice with the ranching industry, helping the industry respond to consumer concerns in the wake of the outbreak of bovine spongiform encephalopathy in Europe and the E. coli crisis at fast-food outlets.

In 1980 Johnson stopped doing obstetrics to focus exclusively on the emerging field of urogynecology. He boned up on the latest findings and techniques and began definitive testing of patients for incontinence, to better determine the appropriate course of care. To bring state-of-the-art urogynecology to the ob/gyn department at Stanford (where he had been a clinical professor since 1970), in 1994, Johnson started Stanford's Center for Pelvic Reconstructive Surgery and Urogynecology. He soon recruited Stanford graduate Bertha Chen, MD, as co-director.

Chen describes Johnson as "a Renaissance man. He's a venerable professor, a kind of walking history book of obstetrics. But he's also very contemporary and open to trying new things. As a teacher, he has a way of making surgery seem easy, interesting, fun and relaxed. As a colleague he's very nurturing and supportive," she adds.

Johnson's dedication to his patients has often made him a hero. Three years ago, bucked off by a rambunctious filly, he separated his pelvis. "He'd lost a lot of blood and we told him to just stay home and recuperate," Chen recalls. Less than two weeks later, he operated on a patient who was especially counting on him. "We sent the university presidential limousine to pick him up and bring him to the OR and he maneuvered himself into surgery in a wheelchair."

And Johnson remains dedicated to far-flung medical missions. Since 1989 Johnson has participated in more than a half-dozen medical teams that travel by bus to the remote mountain town of Nuevo Progresso in Guatemala. Chen and several other Stanford residents have accompanied Johnson to the Hospital de la Familia there. They set up a "MASH"-like operating arena and power through three weeks of nonstop surgery. Johnson typically performs up to 40 major procedures, treating uterine prolapses, large tumors, and bladder problems. On one visit, the team was packed up and ready to leave when a young woman they had expected sooner finally arrived after an arduous journey. She'd had a Caesarean delivery that had left a hole in her bladder causing urine to leak down her legs. "We unpacked everything and did the surgery," Johnson remembers. "Then she rode on the bus with us, holding her catheter, and we dropped her off close to her village. Happily, she's been dry ever since," he says with a laugh.

On another trip, Johnson brought Stanford resident Dennis Siegler, MD. Witnessing Siegler's remarkable progress while there prompted Johnson to lobby the Stanford Residency Review Committee to grant academic credit to residents who participate in the missions.

Siegler, now in private practice, has become a regular team leader for missions to Hospital de la Familia. He's "eternally grateful [to Johnson] for hooking me on working down there. It reminds you of why you got into medicine in the first place," he says. For Siegler, Johnson is "the single greatest mentor I've had in my career. He's a positive influence emotionally, academically, and clinically. He cares about the whole person." In 1994 the residents named Johnson "Outstanding Teacher of the Year."

Reflecting on his life and the dual careers of medicine and ranching, Johnson finds strong parallels. Many of his ranching friends share the same values that contribute to being a good physician, he says. "There's a reality to being outdoors and ranching that gives you common sense, honesty, and openness -- a real foundation to work from in medicine as well." Johnson draws on these values in advising Stanford residents. "I teach my residents to direct their energies toward the real focus of medicine, that of building an honest, open, and caring relationship with the patient. The bottom line is to take care of sick people." SMD








"I was horse-crazy. It's an incurable disease, and

I've never gotten

over it."


In search of all

Stanford University School of Medicine Alumni

The School of Medicine's Alumni Assciation (SMAA)

office is working with a publisher to produce an up-to-date alumni directory. The new directory, scheduled for release in fall 1999, will include current name, address, phone number, academic data, plus business information (if applicable) for over 7,000 School of Medicine alumni. The last directory was published in 1993.

The company producing the directory -- Bernard C. Harris Publishing Company Inc. -- has mailed alumni questionnaires requesting the pertinent information and in April began phoning alumni who hadn't yet responded.

If you'd like to be included in the School of Medicine's alumni directory, but have not yet submitted your listing information, stay tuned for a phone call from the directory's publisher.

Alumni who prefer not to be listed in the directory should contact the SMAA office in writing as soon as possible. -- ED.








ALUMNI REGULARLY EXPRESS AN INTEREST IN KNOWING WHAT IS GOING ON at Stanford School of Medicine. In response, we have initiated a series of breakfast lectures titled, "Physician to Physician." This will allow SMAA members to learn firsthand from many of the outstanding physicians on the faculty what is new in clinical medicine as well as what is going on in research laboratories.

The format we have developed involves a 7:30 a.m. breakfast followed by the presentation. We plan to keep the group small, on the order of 12 to 15 physicians, to allow for interaction between the speaker and the physicians who attend. The first of these was held on Thursday, April 22, in the Bing Dining Room at Stanford Hospital. The speaker was Dr. Gary Glazer, chair of the Department of Radiology. His subject was "Advances in Imaging Technologies" (see adjacent story).

The next session is scheduled for Thursday, June 24. At that time, Dr. Mildred Cho from the Stanford Center for Biomedical Ethics will speak on the subject of genetic testing for hereditary breast and ovarian cancers. Although these tests have been available for over two years, the demand for them has not met expectations. Dr. Cho will address this issue.

On Thursday, September 30, Dr. Randall Vagelos of the Division of Cardiovascular Medicine will speak on the optimum management of acute myocardial infarctions.

The last session for the year is scheduled for December and we are currently working to develop the topic for that meeting.

We fully realize that holding the first four sessions at Stanford limits the potential audience but are hopeful that, if there is sufficient interest, we will be able to hold future sessions in San Francisco, the East Bay and possibly points further removed from campus.

It would be a great help for those of us planning these programs to hear from as many of you as possible concerning your interest in this sort of teaching tool and regarding specific topics for consideration.

As I am sure you will remember, Dean Bauer and his staff made several appearances last year to alumni groups around the country, including Southern California, Seattle, New York and Boston. These programs will continue this year with a gathering in San Diego on Thursday, June 17, and then in Los Angeles on Saturday, June 19. Additional events are scheduled for Seattle on Thursday, July 15, and plans are now being finalized for sessions in East Coast cities later in the year. These sessions are designed to let association members hear directly from the Dean and staff what is going on at the medical school.

All of these programs aim to enhance communications between alumni and the school. I would appreciate hearing from you; your ideas will help us achieve our goal of keeping in touch.

Ross D. Bright, MD


Stanford University School of Medicine

MEMBERS OF THE Stanford University School

of Medicine Class of 1999

(and a few friends and spouses) gather at the 4th Annual Match Day Champagne Reception Dinner. The event is sponsored by the SMAA and the Office of Medical Development.

Physician to Physician



THE STANFORD MEDICAL ALUMNI ASSOCIATION IS INVITING LOCAL MEDICAL ALUMNI to a series of informal breakfast lectures about recent, clinically relevant developments in a variety of medical fields. The lectures are meant to stimulate personal interaction between Stanford physicians or researchers and a small audience of practicing physicians.

"The main goal of the lectures is to strengthen communications between the medical school and the alumni," says Ross Bright, MD, the associate dean for medical alumni affairs. "Our hope is to get a lot of dialogue and exchange going."

Gary Glazer, MD, professor and chair of the Department of Radiology, opened the series on April 22 with a discussion of recent technological advances in CT and magnetic resonance imaging. Glazer outlined the advantages and disadvantages such technology presents to the practicing clinician. Along with higher resolution and increased speed come massive volumes of digitally encoded data that must be managed and stored. The data obtained allow the physician to practice "virtual" gross pathology by non-invasively imaging the interior of the body from many different perspectives and angles.

"It's changing the nature of physicians' practices," emphasized Bright, who attended the lecture with about a dozen fellow alumni. "Now they can do a CT of the colon and see if the patient has appendicitis." Also, said Glazer, the ability of MR to make temperature maps of patient tissue allows the possibility of image guided therapy, such as freezing tumor tissue with minimal damage to the surrounding area.

The next breakfast will be held on Thursday, June 24, from 7:30 to 9 a.m. in the medical center's Bing Dining Room. Mildred Cho, PhD, senior research scholar from the Stanford University Center for Biomedical Ethics, will discuss the clinical repercussions of progress being made in genetic testing for breast and ovarian cancer. For more information, call the SMAA office at 650-723-5064. SMD



Stanford alums help lead Michigan's cancer center, physical medicine and rehabilitation services.





"The legacy of this cancer center is the most important part of my career," says MAX WICHA, MD, (CLASS OF '74), director of the University of Michigan's Comprehensive Cancer Center since its inception in 1986. Instead of being given multiple appointments, patients with complex problems get a "one-stop" appointment in a multidisciplinary clinic with specialists who work together to develop a plan of action. Signs of success include, over the last 13 years, a 10-fold increase in funding from the National Cancer Institute and a 40-fold increase in private donations, says Wicha.


When she arrived at the University of Michigan five years ago, Stanford alumna J. SYBIL BIERMANN, MD, (CLASS OF '87), was the only orthopedic oncologist. She created the orthopedic oncology program and now works full time with patients of all ages who have bone and soft tissue tumors. "I'm currently developing a bone metastasis clinic, only the second in the nation, and we're really excited about it," says Biermann. The new multidisciplinary clinic is designed for patients to make one appointment and see the appropriate specialists, who work together to develop the best treatment plan.

In addition to directing the University of Michigan's pediatric hematology/oncology program, LAURENCE A. BOXER, MD, (CLASS OF '66), is co-authoring a book describing over 80 classic hematology papers and their impact on medicine. Before joining Michigan's faculty in 1982, Boxer served as a hematology fellow at Children's Hospital Medical Center at Harvard, where he co-wrote a classic paper demonstrating that antibodies from patients with neutropenia could damage normal neutrophils. Prior to this, he worked at Tripler Army Hospital in Honolulu on the diagnosis and treatment of chronic neutropenias and neutrophil dysfunction disorders. In 1997, Boxer was elected into the fellowship of the American Association for the Advancement of Science and in 1998, earned the Midwest Society for Pediatric Research Founders Award.


After investigating human actin genes at Stanford while earning a doctorate, and working at Harvard researching the proto-oncogene TAN-1, HARRY ERBA, MD, PHD, (CLASS OF '88), dramatically changed the focus of his career when he joined the Michigan cancer center in mid-1996 as an assistant professor of internal medicine. "In July '96, I made a very difficult decision: to forgo laboratory research in order to concentrate on caring for patients and doing clinical research," says Erba. "I found that being an effective teacher, laboratory scientist and great clinician is next to impossible in our current health care system, especially for someone like me who wants to be present in his kids' lives." His current clinical research projects include a phase III trial comparing the effectiveness and toxicity of amphotericin with voriconazole, a new anti-fungal with few side-effects; and evaluating the effectiveness and toxicity of an immunotoxin in the treatment of acute leukemia.

"Over the last 13 years, I've been developing a radioisotope tagged to specific antibodies to bring radiation directly to tumor cells in people with lymphoma," says MARK S. KAMINSKI, MD, (CLASS OF '78), director since 1987 of the university's leukemia/lymphoma program. "We think this treatment, called Bexxar, is more effective than other monoclonal antibodies and perhaps even better than chemotherapy, because in addition to its immune effects, it delivers radiation right where it's needed." In a current phase II study of 24 lymphoma patients who have never received any other treatment, 100 percent have had tumor remissions and 71 percent have achieved complete remissions.


The newest Stanford alumnus at Michigan's cancer center, CRAIG OKADA, MD, PHD, (CLASS OF '90), came on board in 1998 after working on immunotherapies for people with B- and T-cell malignancies with professor of medicine Ronald Levy, MD, at Stanford. "In each patient, these malignancies rearrange their antigen receptor genes in a unique way and make a protein with unique features (idiotype), which the immune system can identify," explains Okada. "We make an 'idiotype' vaccine and give it to the patient after chemotherapy." Levy's studies show that patients who respond to the vaccine are in remission six to eight years; normally the disease recurs in two years. Okada hopes to begin clinical trials of immunotherapy for the treatment of B- and T-cell lymphomas in the near future and to develop idiotype vaccines for patients with multiple myeloma who are receiving bone marrow transplants.


A radiation oncologist at Michigan since 1992, ERIC RADANY, MD, PHD, (CLASS OF '84), treats patients with brain tumors and studies basic mechanisms of aging, carcinogenesis and cellular responses to radiation. "We're doing an NIH-funded study using a group of genetically well characterized, but not inbred, mice that have different rates of biological aging to test a widely advanced model of aging: that aging is basically an accumulation of mutations inside cells," says Radany. "My clinical studies include comparing the effectiveness of extremely high doses of radiation delivered with very precise targeting and conventional radiation treatment in adults with malignant brain tumors."


As the chief of adolescent services in the department of Physical Medicine and Rehabilitation at the University of Michigan's C.S. Mott Children's Hospital, VIRGINIA NELSON, MD, (CLASS OF '70), provides inpatient and outpatient services to children with disabilities. "The funnest part of my work is being camp doctor at Trail's Edge, a summer camp for kids, ages 3 to 18, who partially or totally rely on ventilators," says Nelson. "As of June '99, our tenth anniversary, we'll have given many ventilator-assisted children a summer camp experience complete with crafts, swimming, horseback riding, boating and other fun activities." SMD




Spot an alum in the news? SEND A CLIPPING TO ROSANNE SPECTOR, Stanford University Medical Center Office of Communications, 701 Welch Rd., Suite 2207, Palo Alto, CA 94304 (fax: (650) 723-7172; email: medmag at stanford.edu).





J. MAYFIELD HARRIS, '49, who is still practicing "full-half time" orthopedics in Los Altos, notes: "Oddly enough I still enjoy it. Even with HMOs, PPOs, etc."

THEODORE LORING, '46, writes to inform us of the death of Robert Treadwell ('40) in November. In his note, he includes the interesting fact that in World War II the Stanford Unit / 59th Evacuation Hospital Service of (Gen. George S.) Patton's 7th Army had three Stanford graduates from Humboldt County, Bob Treadwell and Chuck Schwartz ('38) and Joe Walsh ('42). He adds: "The reunion in May looks like a very interesting program change. Hope to see you then. Sorry to hear about Roy Cohn."




MARTIN C. JOHNSON, '59, sends his "regards to all." He writes: "After 30 years of private practice as a pediatric neurosurgeon, I have retired. I miss the kids and the surgery, but not the politics and the insurance problems. I am looking around for a new career."




PETER G. BOURNE, '69 (resident and a University alumnus), has been appointed vice chancellor of St. George's University, Grenada, W.I., as of last summer. During his career, he served as a special assistant to President Carter and as an assistant secretary general of the United Nations. He also served in Vietnam as head of the Army's psychiatric research team. His work on the psychological and physiological aspects of combat stress is considered a classic in the field of psycho-endocrinology. He has held faculty posts at Emory and Harvard universities, in addition to St. George's, where he chaired the Department of Psychiatry in the School of Medicine before his appointment as vice chancellor. He served on the jury for the Lasker Awards in the areas of health and biomedical research. Bourne authored two full-length biographies: Fidel: A Biography of Fidel Castro (Dodd, Mead and Co., 1986) and Jimmy Carter: A Comprehensive Biography from Plains to Post-Presidency (Scribners/Simon and Schuster, 1997). His leisure interests include running (he has completed 15 marathons), gardening, fly fishing and farming llamas, bison and red deer in Wales, UK.

Bourne was born and grew up in Oxford, England, and he is a member of the Royal Society of Medicine.





WILLIAM SAGE, '88 (also a Law School alumnus), is an associate professor at Columbia Law School. He received, with Peter J. Hammer, PhD, of the University of Michigan, an Investigator Award in Health Policy Research from the Robert Wood Johnson Foundation, the largest U.S. foundation devoted to health care. The award will finance two years of research on a project called "Competing on Quality of Care: Comparing Antitrust Law to Market Reality." After receiving his Stanford medical and law degrees simultaneously in 1988, he interned at Mercy Hospital in San Diego and went on to a residency in anesthesiology and critical care medicine at Johns Hopkins. He practiced law for three years in the corporate department of O'Melveny & Meyers in Los Angeles. In 1995 he joined Columbia Law School, where he teaches Health Law, Public Policy and Theories of Regulation and Comparative Professionalism.




PAUL FRIEDMAN, '90, is on staff at the Mayo Clinic in Rochester, Minn., as an electrophysiologist. "Recently Paul was named co-director of the cardiology program at Mayo. He runs into Stanford alumni occasionally when they pass through to do a fellowship. He would be embarrassed to know I sent this," his wife, Vicki, writes.

DAVIDA GROSSMAN, '94, completed her residency at Duke University Medical Center Department of Anesthesiology and recently joined West Jersey Anesthesia Associates in Voorhees, N.J. She is a member of the American Society of Anesthesiologists, the International Anesthesia Research Society and the American Society of Regional Anesthesia.

ANDREA HORVATH-LINK, '94, AND RICHARD LINK, '97, (MD/PHD) send this update: "In 1997, we moved to Houston, Texas, where Rich started his residency in urology at Baylor. I joined a pediatrics group closely affiliated with Baylor. We are the proud parents of Kyra Michaela, who just turned one. We'd love to hear from any of our old classmates."

KALPANA (ROSE) M. KUMAR '90, (resident), with husband Scott Woodley, PhD, has founded Integrative Health Systems Inc., of which he is the president and she is CEO. They consult with medical and non-medical organizations to set up integrative health care models that measure cost savings and health outcomes, both objective and subjective. A large component of the model involves stress management, including yoga, chi gong, mindfulness meditation, health education, group support and creative pursuits, nutrition and ecological education and awareness and the effects on health and well-being. An integration of conventional medicine is an important component of the model. "So far our data has been very positive and we plan to publish our results in the near future," she writes.

Visit the Stanford MEDICAL ALUMNI website

at http://med.stanford.edu/alumni/




Foon P. Chin, MD, A PIONEERING INTERNIST AND DEDICATED FAMILY PHYSICIAN IN THE CHINATOWN COMMUNITY OF SAN FRANCISCO, DIED FEBRUARY 26. Chin, class of 1946, served the Chinatown community for more than 53 years and was a benefactor of San Francisco's Chinese Hospital throughout his professional career.

The family requests that anyone wishing to make a gift in his memory send it to Chinese Hospital, 845 Jackson St., San Francisco, Calif. 94133.



During his long association with Stanford School of Medicine, Robson, class of 1934, held several leadership positions in the 1950s, including acting assistant dean and associate dean for academic affairs. He also served on the committees that evaluated the Medical School facilities in San Francisco and guided the 1959 move to the Palo Alto campus.

Robson received his undergraduate and medical degrees from Stanford. After his clinical training he worked in the diabetes and endocrine clinics at Stanford and as part-time epidemiologist with the Department of Public Health, San Francisco.

During World War II, Robson, who achieved the rank of lieutenant colonel in the U.S. Army, served at Winter General Hospital in Topeka, Kan., and at Fort Riley, Kan., as well as in the Philippines and Japan.

In the course of his medical career, he was president of Lane Medical Society, chairman of the medical advisory board for the San Francisco Visiting Nurses Association and a member of the Board of Governors and also president of the Stanford Medical Alumni Association. He practiced internal medicine in San Francisco until his retirement in 1986.

Memorial contributions may be sent to the Stanford School of Medicine, Office of Medical Development, 770 Welch Rd. #400, Palo Alto, Calif. 94304.



Treadwell received his bachelor's degree in chemistry from Indiana University in 1934, after which he and his twin brother, Richard, came to California to attend Stanford School of Medicine, obtaining their medical degrees here in 1940.

Treadwell completed a one-year house officership at San Francisco General Hospital in June 1941 and continued his studies in medicine at Stanislaus County Hospital in Modesto. In April 1942 he joined the U.S. Army and attained the rank of captain as a member of the Stanford Unit / 59th Evacuation Hospital Service in the European­African Mideastern Theater. Following demobilization from the Army in 1945, he continued his studies as a surgical resident at Stanislaus County Hospital.

In 1947 he joined Scotia Hospital, Scotia, Calif., as a staff physician. Except for a brief return to Modesto to establish a group general practice with his brother, he practiced in general medicine in the Scotia­Rio Dell area until his retirement in 1987 at the age of 75.

Memorial contributions may be sent to Hospice of Humboldt Inc., 2010 Myrtle Ave., Eureka, Calif. 95501.

Eureka Appreciation


Eureka, Calif., recently honored one of its most beloved citizens -- a Stanford School of Medicine alumnus TED LORING, MD, (CLASS OF '46) -- by naming a street on the grounds ted loring of the town's original hospital for the physician. Loring, who was Eureka's first board-certified obstetrician-gynecologist when he moved to the town in 1951, had delivered approximately 6,000 babies by the time he retired in 1992. Hundreds of people attended the street-naming ceremony, including many of Loring's former patients.

"When I finished my residency in '51 and told people I was going to Eureka, they couldn't understand why I wanted to leave San Francisco," says Loring, who pursued Stanford's San Francisco ob-gyn residency program after serving two years in the US Army Medical Corps. "But I knew I wanted to practice where I felt more of a need for my services. If I'd stayed in San Francisco, I would have been just another doctor."

His dedication to his community has made Loring a "highly respected, beloved person, in Eureka and elsewhere," says his former classmate Ralph Schaffarzick, MD. When a 1964 flood washed out roads in and around Eureka, Loring took a helicopter to the Hoopa Valley Indian Reservation to help an expectant mother and to bring back a premature infant for hospitalization.

Loring's community efforts include volunteering with the Salvation Army and the Boy Scouts, and helping save one of the town's two hospitals from bankruptcy.

Like Loring's patients, his fellow physicians value his commitment. He was a California Medical Association delegate for 25 years, a California delegate to the American Medical Association, and, in 1988, his accomplishments earned him the California Medical Association's Rural Physician/Frederick M. Plessner Memorial Award.

Now retired and still living in Eureka, Loring remains connected to his former patients and to his adopted hometown. In 1995, he attended the wedding of one member of the first set of triplets he delivered. And last year, he helped establish the Union Labor Health Foundation to provide health care grants for low-income individuals and non-profit organizations. SMD