cGlLL TRAUMA CENTRE AT THE MONTREAL GENERAL HOSPITALThe Montreal General Hospital has a long history Of excellence in trauma care which datesback to Dr. Fraser B. Gurd, Dr. H. Rocke Robertson and Dr. Fraser N. Gurd. They pioneered

the concept of a trauma team led by a general surgeonwho would co-ordinate all the required surgical special-ists such as neurosurgeons, orthopedic surgeons, plasticsurgeons and cardiothoracic surgeons, as well as manymedical disciplines in a co-ordinated plan of action for

the patient with injuries tomany body systems. They wereguided by their military experi-ence in the Great Wars.

TheMontreal General Hospital_ .

:::I McGill Trauma Centreat TheMGH 1 Achievements Residents& Fellows 13.,. .

_. letters to the Editor 2 l.D. Maclean Day 14a. .II) ~p.c~lT1ing.~v~nts............................. . ..3. .. H.:~.o~k~.R~~e.rt.s~~~isiti~9.Plllf~ssor......... 15

Molson Foundation Grant 3 Honoring Dr.l.D. Maclean 16................................................................ ., " , .

Editorial 4 GeneralSurgery Day 17....................................................................................................................................

Queen Elizabeth Hospital Surgical Excellence 6 Surveyon Surgical Research 17..............................................................................................................................................~~d.dy.~~lT1o.ri.al.~o.sp'it.aIC.I~s.ur~ J..~~sid.~~t~~~.~.ta~~~ck.e.y~al1leHH.H.,. 18Surgical Carein Developing Countries 8 WereYouThere?-1967 20.............................................................................................. " .

SquareKnot on the Intemet 9 WereYouThere?-1968 20....................................................................................................................................

How Goodare you at NameCalling? 9 Answersto HowGoodareyou at NameCalling? 21....................................... . .

RoyalCollegeFinal Qualifying Exam 9 RVHBlue SurgeryTeam 21..................................................................... , " .

Thanks to Donors 9 1963SIMSCommonwealth TravellingProfessor 21......... " ,., .

~u.rg.ical.E.d~c.ati~n.~o.rner'H' HHHH"HH.H ..1~ .. ~~itu.ari~s.HH H H 22Visiting Professors 11 AASBayerResidentResearchAward 22....•.•....• , .....•..••• , ........•........... , ., ,' """"""" .. ,Kudos 12

Trauma Center

atTheMGH

In 1990, when Mr. Marc YvanCote became the Quebec Minis-ter of Health, he appointed aprovincial task force to come togrips with the increasing highdeath rate from trauma ~

(please seeTrauma, pg.5)

DEPARTMENT OF SURGERY

NEWSLmER

McGILL UNIVERSITY

WINTER I SPRING 1997

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~ DearEditor:Although I am not an alumnus of the De-partment of Surgery (Urology) of McGill inthe true sense of the word, I am alwayspleased to receive The Square Knot, ap-parently through my involvement withthe McGill Urology Residency TrainingProgram when I returned to the JewishGeneral Hospital following completion ofmy urology training at the State Univer-sity of New York at Buffalo in 1973.

It was, therefore, with great interest thatI read the "History of Urology" at McGillby Yosh Taguchi in the Fall, 1996 editionofThe Square Knot. It brought back fondmemories of my serving on the executivecommittee with Dr. Ken MacKinnon whowas a wonderful urologist and person,and of my colleagues at the RVH, MGH,and JGH whom I admired and respected.I also fondly remember working with Drs.McClure, Trachtenberg, and Brezenskiamong others who rotated through theJGH as urology residents.

There is, however, one error in Dr.Taguchi's fine article that I would like topoint out. It was I, not Dr.Steve Jacobson,who succeeded Dr. Clarence Schneider-man as Urologist-in-Chief at the JewishGeneral Hospital, a post I held until I leftMontreal in 1977.

Thank you very much for your atten-tion. Please continue your good workwith The Square Knot and please keep

me on your mailing list.

Or.Howard A. Rottenberg - McGil/1967North Atlanta, Georgia, Jan. 9, 1997

DearEditor:I enjoy reading your magazine and pleasekeep up the good work.

I am now the President of the MontrealMedical Chirurgical Society (the Med-Chi)for 2 years, the oldest medical society inNorth America. I am also in the fourthyear of my mandate serving on the Exec-utive of the Quebec Orthopaedic Associa-tion with, of course, a special interest inMcGill medicine and its affiliated hospi-tals, and also dealing with the or-thopaedic presence at CSST meetingswith other involved disciplines (generalpractice, physiatry, psychiatry).

For your readers, here is an amusing story:When Archimedes stepped out of the tuband found that Eureka, his wife, had for-gotten to put out any towels, he flew intoa rage. As she handed him a towel, shesaid to him, "Archimedes, restrain yourself.You should be ashamed of yourself aftersuch an outburst. Calm down". To whichhe could only reply, "Eureka, I lost it!" .•

Or.James O.Sullivan - McGil/1962Orthapaedic Surgeon, St. Mary's Hospital

Dec. 1, 1996

THE SQUARE

:513

~ Upcoming; Events·············································

April 1-3, 1997E.J. Tabah Visiting ProfessorDr. Samuel A.Wells, Jr.Washington University, St. Louis

April 6-8, 1997American Association for EndocrineSurgeonsBaltimore, Maryland

May 12-14, 1997The Society for Surgery of the Alimen-tary Tract - The Annual Meeting will beheld in Washington in conjunctionwith Digestive Disease Week

May 15, 1997Fraser Gurd Day

May 29 - June 1, 1997XXVIIIAnnual Convention - QuebecAssociation of General SurgeonsManoir Richelieu, Charlevoix

June 5, 1996General Surgery Combined Rounds(JGH)

June 12, 1997Stikeman Visiting ProfessorshipDr. John A.WaldhausenPennsylvania State University

........•..••.•.....•.••.•...........•.................•.................•................•.•...................•..............

Dr.David M. Fleiszer has been the recipient of a 3.75 milliondollar grant from the Molson Foundation to explore and de-velop teaching programs using interactive multimedia and the

internet. He is currently headingup the planning committee to es-tablish a national consortium ofall sixteen Canadian Medical

Schools to contribute to this effort. One of the current localprojects involves taking all of the 7000 pages of notes dis-tributed to McGill students over the first two years of medical

school and building them into a website. The next step willbe to enhance these notes with colourful graphics animationsaudio clips, including heart sounds, breath sounds, and videoclips. Eventually, they will also encompass online quizzes andpatient case scenarios. A second project involves establishingthe infrastructure for McGill Faculty to design and developtheir lectures using multimedia and to be able to deliver theselectures in the classroom or over the internet. You may beasked to contribute in the near future! •

MolsonFoundation Grant

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~ in the province of Quebec. The task force was tomake recommendations related to pre-hospital care, hospitalcare and prevention measures for victims of severe injury.

Dr. David Mulder became an important member of this groupand the guidelines for a system for theprovince were devised. The political skill of Dr.Pierre Frechette, President of the QuebecCommittee on Trauma and Director of the

Trauma Services at Hopital de l'Enfant- Jesus in Quebec City,guided this process to its eventual successful conclusion.

Trauma(continued from pg.l)

In 1992, with the first integrated surgical service at McGill Uni-versity, the trauma services presented a proposal to become aLevell Trauma Centre to be housed at the MGHwith the sup-port of McGill University, the Dean of Medicine, the Chairmanof the Department of Surgery, and the Board Chairmen of theRVH and the MGH. The hospital had on site evaluators whofollowed the American College of Surgeons Guidelines, andwere given a full Levell status on condition that constructionbe done in the Emergency Room, the Operating Room, andthe Intensive Care Unit.

In June of 1993, the MGHwas chosen as a Levell Trauma Cen-tre by the Provincial Trauma Committee with increased fund-ing to carry out this mission. A Level I status is the highestlevel of trauma care under a university umbrella and The Mon-treal General Hospital is the only one in the province of Que-bec. The decision had a condition factor that an emergencyO.R. be updated to cover the increased load. It was felt thatin five years, the MGH would receive approximately 500 mul-tiple injured patients per year, with over 3,000 total admis-sions per year of trauma patients.

At that time, a provincial Trauma Registry was devised. Underthe guidance and hard work of Dr. John Sampalis of the De-partments of Surgery and Epidemiology with enormous inputby Dr. David Fleiszer, it continues to flourish and is located atthe MGH. At the present time, 10,000 cases have been en-tered, 4,500 of which come from the MGH Trauma Registry.This has allowed us to see McGill's performance as comparedto other centres in Quebec, as well as using the American Col-lege of Surgeons Data Bank of over 100,000 patients whereoutcome, mortality and morbidity for all injuries are stan-dardized as the reference point.

In the first year, the Trauma Registry revealed that signifi-cant progress was made in approaching the American Col-lege standards. In the past year, the American Collegestandards have been equalled and now, a better outcomethan the standard is achieved.

THE SQUARE,..z

~

5In July of 1996, a formal Trauma Service was formed at TheMontreal General Hospital. The resident team and medicalstudents have worked very hard and provided outstandingcare to these patients. Residents from other Quebec universi-ties are requesting time on this service and are now being ac-commodated. Trauma Rounds are held Monday afternoons at4:00 P.M.which provides an educational form as well as reg-ular monitoring of results from this program.

The old American College Emergency Room Course, whichstarted at the MGH in December of 1971, drew over 250 reg-istrants in 1996. Dr. David Owen is now responsible for thispart of the trauma program. The registrants for this popularand successful course continue to come from all over Canada.

This year marks the eleventh year in which The AdvancedTrauma Life Support Course has been given to medical stu-dents. This course is scheduled to take place in February andthe first week of March 1997 and at that time, 1,000 stude~tswill have been enrolled in the course since its inception. Thisemphasizes teaching of the principles of trauma care just priorto graduation.

Last year, it was with a great deal of pride that an Annual Vis-iting Professorship in Trauma was established, recognizing thegreat contributions in trauma care that Dr. H. Rocke Robertsonmade to the MGH and McGill University. The first H. RockeRobertson Visiting Professor was Dr. Kimball Maull fromChicago. This year, Dr. Thomas Gennarelli from Philadelphia,whose contribution to neurosurgical trauma is recognizedworldwide, was be the lecturer.

The present trauma team at The Montreal General Hospital isco-ordinated by Dr. Rea Brown who is a senior general sur-geon. The key to a successful trauma centre is a high degreeof commitment at every level from administration to nursingand all medical disciplines.

Within a short period of time, this integrated surgical programat McGill has achieved excellence of care, teaching and nowwill work on research. Dr. John Sampalis has had two majorpublications on the epidemiology of trauma on the island ofMontreal, and he has assumed a leadership role in Trauma Epi-demiology. The Minister of Health had requested that themortality rate from trauma be reduced by 20% in five years.At McGill, this has transpired in three years. •

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compleat surgeon to bear on that institution.

St Mary's Hospital also inherits the preponderance of or-thopaedic talent from the Queen E including the flair, ex-perience, judgement and arthroscopic dexterity of LarryCoughlin, and his close associate Larry Lincoln. MitchRubinovitch had long somewhat prophetically gone to theUnited States. His young talented replacement Tim Heronmoved to Hotel Dieu; and Nick Duval transferred to NotreDame Hospital soon after the initial announcement of hos-pital closures.

The Royal Victoria Hospital has taken on a Vascular surgeon,Ron Lewis, as head of the new McGill Division of Vascularsurgery, and Effat "Mac" Macramalla a talented Urologist.The Vascular Surgery experiment brings together surgeonsfrom the RVH, MGH, and QEH in the forefront of a program ofClinical Integration that will forecast the workings of the pro-jected superhospital. It is also an important bridge to the Jew-ish General Hospital whose vascular surgeons are an integralpart of the new Division, and already work closely with thoseat the RVH. In a mileu of dwindling budgets, the challengewill be to find the resources required to establish the new Di-vision on a solid footing. Mac takes to the Vic years of clini-cal research and experience with prostate cancer, and great

THE SQUARE""z:~7

surgical technical dexterity particularly in endoscopic tech-niques and treatment of bladder incontinence.

Of the remaining surgeons, the ophthalmologists were previ-ously affiliated with the MGH, and are continuing their activ-ity at that hospital; so too have the oral surgeons. JorgeSchwartz in Plastic surgery, and Brian Morris in Urologywere on Staff at St Mary's Hospital and have expanded theiractivity there. Joe Gauze and Jack Rothstein in Otolaryn-gology are now affiliated with the Jewish General Hospitaland the Lakeshore.

It is clear from this account that the surgeons of the Queen Ehave been strewn through the hospital system like grains ofsand in the wind. What is gained at the receiving hospitals be-sides the talents of the individual surgeons is a tradition of per-sonalized caring surgery that was the hallmark of the Queen E.What is lost to the community is irreplacable: A unique familyof surgical specialists that blended with family doctors, para-medical personnel, nurses, and other specialists to provide amodel of Community Surgery - just what a patient needs!! •

•.•...........•...•...•...................•.•...•...................................•.•.........•...•.•.........•.......•.....

~ OnFebruary 1,1997, the Reddy Memorial Hos-pital sadly closed its doors after 126 years of service to the

.L community. Many happy memories remain with me from the~ 40 years I have spent there.

The Department ofSurgery, although small,did a significant volumeof cases. We also pio-

neered home care service. We were the first in Canada to domammographies (1955), and one of the first to do laparo-scopic procedures, both in Gynecology and Surgery. Not hav-ing residents in the latter years, the surgeons assisted eachother and we became a cohesive unit. We were not only col-leagues, but close friends. We prided ourselves in doing theusual things unusually well. Now we are all separated.

Closure of The Reddy

Memorial Hospital

Dr.G. Pearl is now at the MGH, Dr. E. Flores at the Lakeshore,Dr. I.Weissglas at the JGH, Dr. G. Daniel will be doing pri-vate consulting, Dr. M. Adle is in the process of finalizing hisplans, and I am retiring from active practice.

In Urology, Dr. E. Macramalla is at the RVH. In PlasticSurgery, Dr. A. Swift is at St. Mary's, and Dr. A. Cloutier willbe doing private practice. In O.T.L., Dr. S. Sierra-Dupont isat Charles Lemoyne. In Orthopedics, Dr. D. Wiltshire is atthe Lakeshore and the Shriners, Dr. J. Kornacki at Verdun,Dr. P. Stephenson at St. Mary's, and Dr. T. Heron at HOtelDieu. Dr. Guy Boileau, our Surgical Oncologist and Presi-dent of the Cancer Research Society is Associate Medical Di-rector of Pfizer Canada.

Even though separated, we plan to meet periodically and keepthe spirit of the Reddy going. Thanks for the memories. •

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THE SQUARE...:z

~

9

How Good Are Youat Name Calling?Associate the following syndromes withthe name of the person responsible forits description.

fatigability, anorexia, nausea, vomit-ing, weight loss, hypotension, ab-dominal discomfort, andhyperpigmentation of the skin andmucous membranes.

o Hypermetabolic state encounteredmore frequently in females, mani-fested by nervousness, rapid pulsewith palpitations, fatigability, weightloss despite good appetite, diarrhea,heat intolerance, menstrual changes,excessive perspiration with warmskin, eye changes and enlargementof the thyroid gland.

(1) Congenital intrahepatic biliary di-latation. This form of cystic diseaseleaves the biliary tree vulnerable tocholangitis and must be differenti-ated from choledochal cysts.

o Painful redness of the arms and legsin young adults most of whom aresmokers. Not associated with dia-betes mellitus, hypercholesterolemiaor heart disease. Affects the arteriesand veins of the extremities.

@ Right upper quadrant abdominalpain, chills and fever, jaundice, men-tal confusion, arterial hypotension.(answers on page 21)

Tcur~nt editionoftheSquareKnot is the third to be featured on the In-ternet at the McGill General Surgery site.

McGill GeneralSurgery has beenon the Internetsince May, 1996and featuring

The Square Knot On Line was one of thefirst priorities in designing our web site.

o Osteomyelitis of the frontal bone,pyrexia, severe pa in and pittingedema of the scalp usually followingimperfectly treated acute frontalsinusitis.

@ Progressive dementia seen in somehypertensive patients due to diffuseloss of predominantly deep hemi-spheric white matter in the brain.

e Hematuria, azotemia, variable pro-teinuria, oliguria, edema and hyper-tension.

o Sudden infarction of the anterior pi-tuitary gland following obstetricshock.A progressive disease inherited as anautosomal dominant in which pa-tients develop jerky, hyperkineticsometimes dystonic movements af-fecting all parts of the body and laterparkinsonian features and dementia.Insidiously progressive weakness,

The Square Knoton the Internet

The Square Knot On Line features colorpictures and links to make it feel likeyou're reading a newspaper. Readers arealso able to send any articles or informa-tion of interest bye-mail or join our on-line alumni roster.

The McGill General Surgery Web Pageserves both the McGill surgical commu-nity as well as Internet users across theworld. I've had communication fromevery continent and at least 22 differentcountries from people who are interestedin coming to McGill or are interested insome of the work being done at McGill.Staff, residents and administrators use itas a means of communication and keep-ing abreast of the latest rounds, confer-ences, deadlines or even the articlespresented at last week's journal club. •

:0···········: 0····...........................................................................

EOM

Royal College Qualifying ExamsFINAL QUALIFYING EXAMINATION IN GENERAL SURGERY

For the first time, these examinations are being offered to Final Year Residents. Thewritten exams will be held in eight centres across Canada on the 12th and 13th ofMay 1997. The oral examinations will begin in Montreal on June 16th, 1997 .•

Pay us a visit at :HTTP://www.mcgill.ca/surgery

Thank You to Our Donors The following have donated more than $100.00:

Dr. Carrol A. LaurinDr. Marvin J. LopezDr. David S. MulderDr. Joel MorrisDr. Harry HimalDr. Isabelle Morency

Dr. Michel GagnerDr. Robert MidgleyDr. Frank M. GuttmanDr. Ken AikinDr. Joseph StratfordDr. Dushyant B. Sahai

E.O.Monaghan

As we go to press, Ms. Maria Bikas informs us that over121 surgeons contributed well over $6,000.00 to ourMcGill Surgery Alumni and Friends.

We are most grateful and this helps us in our activitiesincluding The Square Knot.

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~ are many challenges facing all our postgraduate pro-gram directors and with Judith's energy and commitment, I'msure General Surgery will become a national leader.

SURGERY WORKSHOPOn Jan 21, 1997, we held a workshop designed especially forMcGill's surgery staff with the help of the Faculty DevelopmentOffice under the direction of Dr. Yvonne Steinert. The smallgroup teaching workshop, held from 4:00 pm to 8:30 pm, wasa great success with overwhelmingly positive feedback. Wewould like to acknowledge the following surgeons for takingthe time to improve their learning skills - Drs Caron, Conochie,Emond, Ergina, Fassier, Fleiszer, Laberge, Lenczner, Loutfi,McLean, Meterissian, Milne, Morehouse, Obrand, Shennib, Sig-man, Stein, and Sullivan. We would also like to thank Drs LarryConochie (Ortho) and Judith Trudel (Gen Surg) who wereamong the small group leaders in this workshop along with.

DR. LASAlLE O. LIFFAL~ JR.

RETURNS TO McGILLOn Wednesday, December 4, 1996, Dr. LaSalle D. Leffall, Jr. wasthe Charles R. Drew Visiting Professor at McGill University. It isnoteworthy that the late Dr.Charles R. Drew was a graduate of

McGill University in 1933 whobecame Professor of Surgeryand Chairman of the Depart-

ment at Howard University in Washington, D.C. Dr.Leffall who is the outgoing President of the American

, College of Surgeons was welcomed at McGill by Drs.David Mulder, Jonathan L. Meakins and Lloyd D.Maclean. His address given at the Palmer HowardAmphitheater was on Ethics in Medicine. He was in-troduced by Miss Anne Andermann, President of theMedical Student Society. She had just been awardeda Rhodes Scholarship to Oxford.

Visiting Professors

Dr. Lasalle Leffall

On Thursday, December 5, he gave Surgical GrandRounds at the RVH speaking on the Current Status

of Surgical Oncology.

Dr. Leffall was the 1995 Fraser Gurd Visiting Professor.

THE SQUARE

:!5:11

DIVISION OF SURGICAL EDUCATIONA proposal has been submitted to Dr Mulder and Dean Fuks forthe creation of a Division of Surgical Education at McGill underthe Department of Surgery. The response has been positive anda search committee has been struck for a Division Director.

THE MUHC

The twenty planning panels for the new McGill UniversityHealth Center are busy outlining the future of health care forMcGill and the world for the next 30 to 50 years. There is aseparate committee to study research and education and thiscommittee will begin its mandate this week to study the fu-ture trends and how they will affect McGill's programs. Ourown Dr. Judith Trudel (Gen Surg) will be the lone surgeon onthis twelve member committee. •

CARDIO-THORACIC DIVISION VISITING PROFESSOROR. CHRISTOPHER FEINDEL-Associate Professor, University of Toronto

On January 16th, Dr.Feindel gave Surgical Grand Rounds at theRVH. His topic was Aortic Valve Sparing Surgery.

OR. THOMAS F. O'DONNELL, JR. -Chief Executive Officer and President,Andrews Professor of Surgery,Tufts University School of Medicine, Division of VascularSurgery, New England Medical Center.

At the RVH on January 23rd, Dr. O'Donnel gave Surgical GrandRounds entitled Surgical Management of Venous Disease.

OR. JOHN REX-Associate Professor of Surgery,University of Texas Medical School at Houston, University ofTexas MD Anderson Cancer Center.

On January 30th, he gave Surgical Grand Rounds at theRVH entitled Management of Fungal Infections in the In-

tensive Care Unit. •

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~ has also recently been acceptedas a member of the American SurgicalAssociation.

t1

Dr. Judith Trudel became the ProgramDirector of the McGill General SurgeryPostgraduate Training Program on Janu-ary 1,1997. She replaces Dr. GeraldFried who held the position for the lastfive years .•

v.,.nd Pierretle B.I-asingam (and first son Shankar) are proudto announce the arrival of their second baby

boy (Zavier) weigh-ing 6 pounds, 9ounces on Sept. 29th,1996 at the LaSalleGeneral Hospital.

AchievementsResidents

and FellowsDr. Nabil Barakat,

Resident in Plastic Surgery, successfullypassed his examinations for the AmericanBoard of General Surgery in October, 1996.

For the second consecutiveyear, Dr. Peter Chan receivedthe award of excellence in fun-damental research at the Que-bec Urological Association's21 st Annual Meeting in Mon-treal, November 1996 for hiswork entitled The Use of a Cy-toprotective Lipid PeroxidationInhibitor in Preservation of Pe-nile Erectile Function Post-

Prostatectomy in Rat. The co-author onthis project was Dr. Gerald Brock of theDepartment of Urology, with whom Pe-ter is working on several projects aimedat minimizing erectile dysfunction afterextensive pelvic surgery.

Dr.Peter Chan

Dr. 1.S. Chughtai along with Drs. J.-E.Morin, N. Sheiner, J. Wilson, and D.S.

Mulder presented the following paper atthe meeting of the Central Surgical Asso-ciation in March in Chicago: Bronchial Car-cinoid - 20 Years Experience Defines aSelective Surgical Approach.

Dr. Mohammad Elahi, a Resident inPlastic Surgery, along with Dr. LucieLessard who is Acting Director of PlasticSurgery at the RVH,won Second Prize inthe Poster Session for the AssociationQuebecoise de Fabricant de L'lndustrieMedicale on November 4th, 1996.

Dr. Liane Feldman along with Drs. J.Barkun, A. Barkun, J. Sampalis and L.

Rosenberg presented the following pa-per at the meeting of the Central SurgicalAssociation in March in Chicago: TrackingPost-operative Complications Using a Gen-eral Surgery Outcomes Database: Compari-son with Complications Presented atMorbidity and Mortality Rounds.

Dr. Jonathan Fridell is engaged to Jen-nifer Schwartz, a senior McGill medicalstudent. The wedding will take place inNovember 1997.

Dr. Kent MacKenzie and France Morinare planning their wedding which willtake place on Aug. 30th, 1997.

Dr. Ginette Martin who graduated fromthe General Surgery Residency Programat the Universite de Montreal in 1994 isabout to complete her Fellowship in Sur-gical Oncology at McGill in June 1997.She is also taking her M.Sc. in Epidemiol-ogy and Biostatistics at McGill at the same

Dr.Ginette Martin

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time. She will be working at Pavilion A(Notre Dame) of the Centre Hospitalier del'Universite de Montreal.

Dr. Brian D. Mott (a fifth year GeneralSurgery resident) has been accepted to atwo year, board certified cardiothoracicsurgery residency program at the AlbanyMedical Center in Albany, New York. Hehas also had a chapter entitled DynamicCardiomyoplasty: Multi-Center Clinical Tri-als which will be published in the secondedition of D.K.C.Cooper's book "The Trans-plantation and Replacement of ThoracicOrgans". In addition, he presented a pa-per at the Canadian Cardiovascular Soci-ety entitled Clinical PathologicalCorrelation of Dynamic Cardiomyoplastywhich will be published in the Journal ofHeart and Lung Transplantation.

Steven Paraskevas and Line Vautour areplanning to be wed in early August 1997in Montreal.

Congratulations to Mackenzie Quantzand Melanie Davies who will be marriedon May 17th, 1997 in the McGill Chapel.

Tarek Razek and Karen Brown are en-gaged to be married on July 26th, 1997 inMontreal.

Dr. Andrew Seely and Dr. DanielSwartz along with Dr. Nicolas Christoupresented a paper at the 4th InternationalCongress on the Immune Consequences ofTrauma, Shock and Sepsis in Munich, Ger-many. The title of their paper was BothSpecific (Delayed Type Hypersensitivity[DTH]) and Non-Specific (Phytohemaglu-tinin [PHA] Flare) Skin Test Responses areAssociated with Clinical Outcome.

Dr. Kayvan Taghipour-Khiabani, Re-search Fellow in the Microsurgical Labora-tories of the Division of Plastics andReconstructive Surgery at the RVH, wonthe first prize in the Paul Cartier compe-tition for presentation of his work entitled(continued on page 20) ~

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aLt. to Rt.: Drs. J.L.Meakins, L.D.Maclean, J.R. Gutelius

Lt. to Rt.: Drs. Sholto (ole, Harry Himal, Ed Monaghan

In October, a very emotional reunion of gratitude was held at the RVHin which a good many of Dr. Maclean's patients honoured him. These

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15

Lt. to Rt.: Dr. Harvey Sigman, Ron lelt, Roger Tabah

Former Patients Honour

Dr. l.D. Maclean

Lt. to Rt.: Dr. Peter Maclean, Ms. Barbara Rhodes, Dr. Denis Roy, Dr. Lloyd D.Maclean

formerly obese patients had all had a gastric operation for morbid obe-sity. The reunion was mainly organized by Miss Barbara Rhodes. •

EDM

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uos~.IaqoHa'l,oHeHlenuuvpuolasall!

DR. BERNARDLANGER-

PROFESSOR OF SURGERY, UNIVERSITY OF TORONTO

Dr. Langer obtained his medical degree from the University ofToronto and completed his postgraduate surgical training at the

University of Toronto, atthe M.D.Anderson Hospitalin Houston, Texas and atthe Peter Bent BrighamHospital in Boston, Massa-

chussetts. He was certified in General Surgery and became aFellow of the Royal College of Physicians and Surgeons ofCanada in 1961. He was Chair of the Division of General Surgery,

University ofToronto from 1982 to 1989 andwas the Colonel R.S. McLaughlin Professorand Chairman of the Department of Surgeryfrom 1982 to 1992. He has been on the ed-itorial boards of Advances in Surgery, BritishJournal of Surgery, Canadian Journal ofSurgery, Evidence Based Medicine, HPBSurgery, and the World Journal of Surgery.He served on several grants committees ofthe Medical Research Council of Canada andwas a member of Council from 1971 to 1976,and an executive committee member from1973 to 1976. He is currently a member ofthe Board of Governors and Board of Regentsof the American College of Surgeons, and is

a past President of the Canadian Association of General Sur-geons, the Canadian Association of Clinical Surgeons (Eastern Di-vision) and the Society for Surgery of the Alimentary Tract. Heis currently Council member of the Royal College, Chairman ofthe College's Committee on Specialties, member of the ResearchCommittee, and was Chairman of the Clinician-Scientist Imple-mentation Committee of the College.

General Surgery DayFebruary 13, 1997

Dr. Bernard Langer

The day's events began with Grand Rounds at the MGH andDr. Langer's topic was Hepatocellular Cancer: New Developments.

The following were video presentations from the SherwookDavis+Geck Film Library:

o Pancreatoduodenectomy with Pyloric Preservation for Am-pullary Carcinoma

f} Transhiatal Esophagogastrectomy for Adenocarcinoma ofthe Gastroesophageal Junction

@) Vascular Isolation for Hepatic Resectiono Hepatic Cystectomy (Enucleation) for Large Simple

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17Cyst and Cystadenoma

o The Surgery of Choledochal Cyst(1) Operation for Zenker's Diverticulumo Pylorus Preserving Whipple Procedure for Pancreatic Carci-

noma with Splanchnicectomy for Pain ControlAfter a luncheon with the staff and residents, staff presentationswere as follows:

Dr. David FleiszerStereotactic Incisional Breast Biopsy

Dr. Sarkis MeterissianThe Role of Apoptosis in Colorectal Cancer Progression

Dr. Gitte JensenSignaling via Human L-selection

Dr. Kenneth ShawFetal Enteral Nutrition

Dr. Dickens Saint-ViiChromosomal Anomalies and Survival in Fetuses withOmphalocele

Dr. Lawrence RosenbergIslet Cell Survival and Islet Transplantation

Dr. Rea BrownEvolution of a Trauma Program

Dr. Jeffrey BarkunComparative Efficacy and Outcomes in Inguinal HerniaRepairs

Dr. Judith TrudelToxic Megacolon Secondary to PseudomembranousEnterocolitis

Dr. Gerald FriedDeterminants of Conversion in Laparoscopic Cholecystectomy

Dr. Jean TechervenkovHepatitis B: A Contraindictation to Liver Transplantation?

Dr. Jonathan MeakinsSurgical Infections: A New OpticThe day's events concluded with a dinner held at theUniversity Club.•

Survey onSurgical Research

I want to thank allof those who tookthe time to returnlast issue's Survey

on Surgical Research. The response rate has been excellent.For those who have not had a chance to return the question-naire, your response would be very much appreciated. Thedata is currently being tabulated in order to assess the surgi-cal alumni's view on surgical research training .•

Marc Pelletier

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THE SQUARE...z

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The Blue Surgery Team

-RVH

From Lt. to Rt.: Dr. Gabriela Ghitulesw (Chief Resident), Peter Gholi, Dr. TarekRozek,Dr.Aayed AI-Qahtani,Conrad Sichler, RebeccaCanner Missing: Dr.Mark Martin who was in the O.R.

Were You There? -1963

SIMS Commonwealth Travelling Professor

I

During Ward Rounds at the Royal Victoria Hospital, Mr. Clifford Naunton Morgan, M.S., F.R.CS.(Eng.),Hon.F.A.C.S.,F.R.C.O.G.(centre), 7963 Sims Travelling Professor of the Royal College of Physicians andSurgeons stops to chat with a patient. On the left is Dr. Lloyd D.MacLean, Surgeon-in-Chief, RVHand atright is Dr. Fraser Gurd Surgeon-in-Chief, Montreal General Hospital and Prafessor and Chairman of theDepartment, McGill University.

THE SQUARE...z~21

How Good Are You

at Name Calling?

ANSWERS FROM PAGE 9 :

o Pott's puffy tumour - Sir Percival Pott,English surgeon, 1714-1788.

f) Binswanger's disease - Otto Binswanger,German neurologist, 1852-1929.

e Bright's disease (acute glomerulonephri-tis) - Richard Bright, English physician,1789-1858.

o Sheehan's syndrome - H.L. Sheehan,American pathologist.

o Huntingdon's chorea - George Hunting-don, American physician, 1850-1916.

o Addison's disease - Thomas Addison, Eng-lish physician, 1793-1860. He was a col-league of Bright at Guy's Hospital.

o Graves disease - Robert James Graves,Irish physician, 1796-1853.

(l) Caroli's disease - Jacques Caroli, Frenchphysician born 1902.

o Thromboangiitis obliterans of Buerger - LeoBuerger, New York physician, 1879-1943.

(!j) Reynold's pentad indicative of acute sup-purative (obstructive) cholangitis -Reynolds B.M., and Dargan E.L. - Ann.Surg. 150:299, 1959.

Real Life

Adventures

W/~f:/AW.e/CH V''''G.;{ ..c.;o.~''''''''~-"'"'''''''''''S'''-·-I_J'

Akey part of being effective in a hospitalis problem identification.

(Apologies to Gory Wise and Lance Aldrich)

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THE SQUARE=-=zo......~

E.D. Monaghan, M.D.Editor

Emma LisiAssistant Editor

Marie M. CimonCopy Editor

The Audio VisualDepartment ofThe MontrealGeneral HospitalDesign & Layout

Les Servicesgraphiques, P.R.PrintingWe can't do it

without you ! All photographscourtesy of The McGillSurgery Department

McGILL SURGERYALUMNI& FRIENDSContributions of $35.00 are appreciatedin ensuring the continued publicationof "The Square Knot" and supporting McGillSurgery Alumni activities. Pleasemakecheque payable to the McGill Departmentof Surgery and forward to Maria Bikas,McGill Surgery Alumni & Friends,TheMontreal General Hospital,1650 CedarAvenue, Room: C9169,Montreal (Quebec) Canada H3G1MTelephone: (514) 937-6011, ext.: 2028Fax: (514) 937-5522.

Write to us ! Send us your news !We want to hear from our readers!

If you have any information you want published inTHE SQUARE KNOT, comments about our newsletter

or suggestions, we want to hear from you!Send submissions to:

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Thisedition of THESQUAREKNOTwasmadepossibleby donations from:............................................................................................................................................................................................................................................. ,.

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