1 ntcKcom duke uniucusity mcdicM ccntcR VOLUME 21, NUMBER 39 OCTOBER 18,1974 DURHAM, NORTH CAROLINA Under New Director Growth Sparks Speech and Hearing Center By Margaret Howell Whether it's the buoyancy of the man behind the year-old Center for Speech and Hearing Disorders or the excitement he has given his combined staff of speech pathologists and audiologists or a little bit of both, the center has come into its own since Dr. LuVerne Kunze came to direct it in July of 1973. Kunze is a man who came South not only because of the potential he saw in a combined program for speech and hearing disorders, but also because he's a history buff. ( The South and the East are where it all happened." he says, laughing.) Now Kunze is making a little history of his own. and the pride is showing. He came to the medical center, he'll tell you, "to create and develop a unified speech and hearing clinical program." Now, he says, the program is off the ground. "We've come through the first stage of restructuring the program to make it unified, including all the administrative processes." Before July of last year, Duke's audiology and speech pathology departments were separate. Audiology was headquartered in ENT (ear, nose and throat) and speech pathology in plastic surgery. The year has been filled with the ' day-to-day Orofacial Anomalies Symposium Being Held Here Today and Sat. operations " of combining the two specialties into one department. And, as far as Kunze is concerned, it's all being done with one priority in mind —"better patient service." "Patient service is our principle purpose,” he says. "It is now and I expect is always to be.” Proving his point. Kunze says he still sees patients. "I wouldn't give that up for anything. " The restructuring, as he calls it, has opened the center to patients who need extensive clinical services and counselling. Staffed by specialists knowledgeable in advanced procedures and equipment, the center serves people of all ages, (Continued on page 2) A harelip, a contorted face or even a missing nose needn't be permanently disfiguring. That's the good news 11 specialists will be bringing to the podium today and tomorrow at the Sixth Annual Duke Symposium on Orofacial Anomalies (malformations of the face and oral cavity). More than 150 people are expected to attend the two days of lectures which began at 9:30 this morning in the Hospital Amphitheater. The public is invited. After it began, this year s symposium was named for the man who created it. Dr Raymond Massengill. Jr. associate professor of medical speech pathology. 'It's appalling to think of the number of people who are not aware that something can be done for patients with facial deformities,” said Dr. Massengill. The symposium is held every year, he said, to tell physicians, dentists, speech pathologists, social workers and vocation rehabilitation counselors how patients born with malformations can be given nearly normal appearances. These malformations, such as harelips and cleft palates, occur when bones or muscles fail to fuse together before birth. Dr. Massengill explained. The result can be a gap in the lip or in the roof of the mouth. Dr. Kenneth Pickrell. a professor of plastic and oral surgery, will discuss this afternoon how a cleft lip can be repaired with only a barely visible scar remaining. An artificial device developed at Duke that bridges the gap in a cleft palate will be described by Dr. Galen W. Quinn, also a professor of plastic and oral surgery. Dr. Massengill will report on a technique to detect a cleft palate hidden under normal tissue. Dr Nicholas Georgiarie. professor of plastic and oral surgery, will focus on the latest in prostheses and surgery for the orofacially handicapped. The symposium's guest speaker. Dr. Robert Gorlin, will describe the characteristics of orofacial anomalies. Dr. Gorlin is chairman of the Division of Oral Pathology at the University of Minnesota School of Dentistry. Other specialists presenting reports are: Dr. Boyce Cole, assistant professor of otolaryngology; Dr. Edward Clifford, associate professor of child psychiatry; Dr. John Griffith, associate professor of pediatrics and neurology; Dr. William R. Hudson, professor of otolaryngology; Dr. Douglas Rice, a Durham pediatrician; and Dr. Baxter Sapp, a local dentist. Telephone System Switch-over Delayed The university's new telephone system, originally scheduled to go into operation on Oct. 26. has been delayed, and a new switch-over date. Jan. 4, has been established According to W.K. Howard. Duke's chief engineer and director of special utilities, illnesses.and attrition of key personnel working on the system, unexpected problems with electronic equipment, the inability of outside agencies to furnish tested trunkage on schedule and delays in the delivery of other equipment have all combined to force the postponement. Howard said the additional time will allow his people to verify all telephone circuits and switching facilities and install the delayed equipment as it arrives at the TelCom (telecommunications) Building. The new computerized and electronically controlled system will end the necessity for dialing '9" to reach an outside line and will more than double Duke's current telephone capacity. It will require seven digit dialing on the campus and at the medical center. In most cases. Howard said, offices, labs and dormitories will keep their present four digits and merely prefix those four numbers with the Duke "684 "exchange. Some numbers will be changed, however, and the new telephone directory which includes the changes will be distributed on schedule next week throughout the university. AUDIOMETRY T£ST/A/G—Asone of the three staff audiologists. Linda Sipe uses one of many audiometric devices at the center in working with patients to determine the type and extent of possible hearing impairments. The center's director. Dr. LuVerne Kunze. right, oversees the testing. (Photo by Margaret Howell) Anlyan Presides For Health Center Group Dr. William G. Anlyan is the new national president of the Association for Academic Health Centers (AAHC). Anlyan. vice president for health affairs, was installed as the organization's fourth president at its annual meeting last week in West Palm Beach, Fla. The AAHC membership is made up of persons at the vice president or chancellor level who have senior administrative responsibilities for academic health centers.