arthur i eidelman, md
TRANSCRIPT
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Arthur I Eidelman, MD
Why are we honoring him today?
Michael Kaplan
Department of Neonatology
Shaare Zedek Medical Center,
Jerusalem.
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Arthur Eidelman: Life Review
• Early period: New York
• Aliyah
• Contribution to neonatology – Shaare Zedek Medical Center
• Contribution to neonatology – national
• Contribution to pediatrics – national front
• Personal reflections
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Early Period: New York
• Born and grew up in New York
• BA Yeshiva College, Yeshiva University• MD Albert Einstein College of Medicine • Yeshiva University, New York
• Pediatrics and Chief Residency, Yale-New Haven Hospital
• Neonatology Fellowship Yale University School of Medicine (Dr Louis Gluck)
• Boards in Pediatrics and Neonatal and Perinatal Medicine
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Hebrew Institute of Boro ParkBrooklyn New York 1951
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Then…
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Arleen
Pilzer
and
Arthur
Eidelman
1960
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…and now..Eidelman Family 2009
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Employment Prior to Aliyah
• Bronx Municipal Hospital Center
• New Rochelle Hospital, New York
• The Hospital of the Albert Einstein College of Medicine, New York
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Neonatology
Fellow
Yale
University
1965-7
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•
1978 – Oleh Chadash!!
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Contribution to Neonatology: Shaare Zedek Medical Center
• Did not let trials and tribulations of Aliya hinder him.
•
• Immediately started work at Shaare Zedek.
• Set up neonatal intensive care unit
• One of the first units in Israel
• Trained nurses and doctors
• Obtained State-of-the-Art neonatal equipment
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Shaare Zedek Hospital
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Progress over 30 years
1978 2008
3000 deliveries 12,000 deliveries
10 beds 30 official beds,
in practice 40-45
2 neonatologists 5 neonatologists
1 resident 2 residents (!)
Night call shared 2 doctors dedicated to
with pediatrics neonatology
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Within Shaare Zedek
• Rapidly promoted to Medical Director
• Allowed him to learn administrative aspects of Israeli medicine and Misrad Habriut at close hand
• Stood him in good stead for subsequent development of neonatology and pediatrics in Israel.
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Contribution to Neonatology in Israel
• Worked to establish Neonatology as an independent sub-speciality
• “Grandfather” committee Prof Reisner, Dr Brish, Dr Zelzer, Prof Eidelman
• 1988 Neonatology recognized as sub-speciality
• Specialization examination
• Approval of neonatal units for training purposes
• Separation of neonatal units from pediatrics
• Many units became independent departments
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Recognition of a baby as an individual patient
• Babies were not individuals in Israeli health services– Same name as mother, – same medical chart as mother, – same discharge letter as mother
• Worked to establish baby as an individual– Own ID number– Own medical chart– Own discharge letter
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Payment for Premature Babies
• Originally was no payment for premature babies
• Prematures not recognized as a sick individual
• Payment to hospital was identical for healthy term newborn and sick premature
• Worked to obtain at least partial remuneration for prematures
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Payment chronicle not yet complete
• 2009
• One time payment of 120,000 shekels
• Each premature < 1750 gm birth weight
However:
• No difference between 1.6 kg healthy baby and 500 gm desperately ill baby
• No payment for babies > 1750 gm, or for sick term infants.
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What does all this have to do with Pediatrics?
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Contribution to Pediatrics
• Played a major part in establishing neonatology and neonatal units as separate and independent units
• Neonatologists are no longer pediatricians with an interest in newborns, but
• Physicians primarily interested in the care and well-being of the newborn
• New status adds expertise and knowledge both to patient care and resident training
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New Horizons to Pediatric Training
• Pediatric resident rotating through neonatology experiences patient care primarily directed at
neonate
• Encounters specially trained doctors
• Experts in neonatal care
• Resident realizes that newborn medicine is a unique and independent sub-speciality
• Modern neonatology adds expertise, experience and knowledge to our pediatric training programs
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Some International Collaborations
• Helped put Israeli neonatology on the international map
• Liason with Section on Perinatal Pediatrics of the AAP
• Editorial board of Journal of Perinatology (official mouthpiece of the Section)
• Co-editor of 2 editions of Clinics in Perinatology. Major contribution of Israeli authors
• American Academy of Breast Feeding
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Arthur Eidelman the Man
• Excellent clinician• Superb teacher• Wide body of medical and general
knowledge• Continuous updating of knowledge• Combined clinical and administrative
duties• Performed and encouraged clinical
research
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2 Major Problems at Shaare Zedek
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Unique population of Shaare Zedek
• Don’t fight with them, try to understand them
• Don’t impose your values on them, rather cooperate with them
• Try to think like they do
• Overall result of this strategy: Better patient care.
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Looking into the future
• Amazing insight of what was going to transpire in the future
• Understanding of the way the world was going
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Primary Driving Force
אם יקום והתהלך בחוץ על משענתו ונקה המכה רק •ורפא ירפאשבתו יתן
שמות כ"א י"ט
: רפא ירפא•
ניתנה רשות לרופא לרפאות-תלמוד בבלי מסכת ברכות
נתנה התורה רשות לרופא לרפאות ומצווה היא - ובכלל פיקוח נפש הוא ואם מונע עצמו הרי זה שופך
דמים.שולחן ערוך