nteucom
duko. univcusity mcdica.1 cantcR.
VOLUME 23, NUMBER 1(W
MARCH 12,1976f
DURHAM, NORTH CAROLINA
$300^000 froin Health Care Trust
Duke North ER Earns Reynolds Grant
A
LOOKING AHEAD, 1979 —This is part of the medical campus as it is expected to look
by 1979 when Duke Hospital North is completed. Dr. Joseph Moylan, who is
surgeon-in-charge of the Emergency Department and director of the Surgical Trauma
Program, points out the location of the new hospital's Emergency Department, which
has received a construction and equipment grant of $300,000 from the Kate B.
Reynolds Health Care Trust. Moylan is leaning over the Davison Building and his
right hand is on the parking garage. The white dot on the "landscape" near his left
hand is a landing site for helicopters bringing emergencies to Duke.
Service Honors Pathology
Pioneer Dr. Wiley Forbus
A memorial service was conducted.
Sunday in Duke Chapel for Dr. Wiley
D. Forbus, one of the first generation
of Duke medical faculty members,
who headed the Department of
Pathology here for 30 years and
whose impact on his profession was
world-wide. •
Dr. Forbus died March 3 at the age
of 81. At a private ceremony later in
the week, his ashes were placcd in the
Davison Building wall, in an area of
the first-floor lobby set aside as a
memorial for original department,
chairmen. j
“For an entire generation,” said'
Dr. William G. Anlyan, vice president]
for health affairs, “Dr. Forbus was a'
ByJoeiSigler
The Emergency Department in the
new $90 million Duke Hospital
North will benefit from a $300,000
grant from the Kate B. Reynolds
Health Care Trust of Winston-Salem.
The grant will assist in the
construction and equipping of the
emergency care facility scheduled to
open when the new hospital is
cornpleted in the spring of 1979.
Duke treats 40,000 persons a year
through the Emergency Department
which serves the southeast as a major
referral center for seriously ill and
critically injured patients.
In acknowledging the grant. Dr.
William G. Anlyan, vice president for
health affairs, said that the gift
“exemplifies the objectives of the
Kate B. Reynolds Health Care Trust
in seeking ways to extend primary
health care services to the people in
North Carolina.”
The new emergency area will have
separate entrances for walk-ins and
ambulance patients,^ with a
reception-triage area between them.
Triage means identification of
patients by the, jeriousness and
nature of their illness or injury.
The emergency entrance will be on
the east side of the hospital, accessible
by a new road that will be built from
Erwin Road.
A helicopter landing pad will be
constructed near the emergency
entrance so patients can be taken
directly to emergency care facilities
without having to be transferred to
another means of transportation and
handled unnecessarily.
Duke’s emergency care services are
under the direction of Dr. Joseph
Moylan, who came to Duke last year
after directing the Emergency
Medical Service Program at the
University of Wisconsin. He also is a
specialist in the treatment of burn
patients.
“Emergency rooms are serving as
primary facilities for many people
who have not identified a doctor of
their own,” Moylan said. “Ordinarily
dedicated teacher and devoted:
chairman." Anlyan called him “one of
the fathers of modern pathology in
the world."
Among his major contributions
was his textbook. Reaction to Injury,
which met with limited acceptance-
when it was first published ia 1943
but is now regarded as one of the
most influential pathology textbooks
ever published.
Dr. Forbus served as consultant to
many agencies including the Office of
the Secretary of War, the Armed
Forces Institute of Pathology and the
Atomic Bomb Casualty Conmiission.
He also was consultant on medical
education and pathology in China,
Japan, Hong Kong and Indonesia.
(Continued on page 4)
DR. WILEY D. FORBUS.
about 10 per cent of emergency re©m
cases are true, life-threatening
emergencies.”
Moylan explained by that because
the Duke Emergency Department
serves as a referral center for other
hospitals, “about 25 per cent of the
patients at Duke have
life-threatening injuries or illnesses.”
The emergency area will continue
to house Duke’s Poison Control
Center, which alone treats or is called
for emergency consultation on more
than 2,000 cases a year.
It also will contain numerous
trauma (injury) rooms, special rooms
for surgical resuscitation and
treatment of heart attacks, special
examining rooms for psychiatric
(Continued on page 2)
Scientists Seek
New Ovarian
Cancer Tek
By William Erwin
Ani early detection test for two
types of ovarian cancer is taking
shape in a Division of Immunology
lab.
Dr. Jeffrey R. Dawson, an assistant
professor of immunology, has won a
$97,000 grant from the American
Cancer Swiety to develop the test.
He is working with Dr. Stanley A.
Gall, the associate professor of ob-gyn
and cancer center faculty member
who began the study before coming
to Duke.
Their test will be a
radioimmunoassay for an antigen
associated with serous
cystadenocarcinoma and mucinous
cystadenocarcinoma, which together
will kill an estimated 5,600 American
women this year.
Serous cystadenocarcinoma is the
most common form of ovarian
cancer, accounting for 40 per cent of
such malignancies. The mucinous
form accounts for 12 per cent.
“We think the antigen is a
glycoprotein,” said Dawson. “It’s
bound by a Con A Sepharose affinity
column.”
Specificity trials could start as early
as a year from now, he said. If those
trials are successful, the Duke team
will have perhaps the first specific
early detection test for ovarian
carcinoma.
A radioimmunoassay for another
antigen, carcinoembryonic antigen,
turned up the marker in ovarian
carcinomas, but aho in those of the
lung, pancreas, stomach, liver, breast,
prostate and larg^ bowel (for which it
was originally thought to be specific).
The Duke test could brighten
considerably the prognosis for
ovarian carcinoma patients. About 70
per cent of these women have stage 11
cancer or worse by the time their
disease is diagnosed.