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Duke University
Medical Center
Intercom
VOL. 24, NO. 41
OCT. 14,1977
DURHAM, N.C.
Health Administration Alumni Weekend
Former program head honored
The man who directed Duke's Graduate Program in Hospital
Administration from 1964-67 and was one of the country's
towering educators in that field will be remembered in a
memorial lecture tomorrow.
The first Ray Brown Memorial Lecture will be delivered at 10
a.m. Saturday at Durham County General Hospital in the final
session of a meeting of alumni from the program Brown once
headed.
The lecture will be delivered by Richard D. Wittrup,
executive vice president of Affiliated Hospitals Center, Inc., in
Boston and a member of the Harvard medical faculty.
After leaving Duke, Brovyn had gone to Harvard for three
years and was executive vice president of the McGaw Medical
Center of Northwestern University at the time of his death in
1974. His wife Mary and their daughters will be here for the
lecture.
4th annual alumni meeting
The Brown lecture will cap the 4th annual meeting of alumni
from the program which now goes by the name of Department
of Health Administration. Louis E. Swanson, the medical
certter's director of planning and an associate professor in the
department, is alumni president. President-elect is Ralph H.
Holthouser, associate director of Lakeland (Fla.) General
Hospital.
Sessions are being held at Durham County General Hospital
at the invitation of another alumnus, Thomas R. Howerton,
executive director of the IDurham County Hospital Corporation,
Swanson said.
The program was to begin at 9:30 this morning with a talk on
multi-hospital systems by Dr. Montague Brown, professor of
health administration, followed by an evaluation of
management by Robert Toomey, general director of the
Greenville (S.C.) Hospital System.
Robert Hampton, vice president of Witt & Dolan Associates,
an Oak Brook, 111., consulting firm specializing in executive
recruitment for the health care field, will discuss career
development.
Afternoon session
The afternoon session, concluding with a business session,
will open with a talk by Joel M. Wolarsky, director of health care
planning for the Chicago Hospital Council, on the process and
politics of Health Systems Agency applications.
The second afternoon speaker will be a former assistant
director of Duke Hospital, George Mack, who is senior
associate administrator at University Hospital, Arizona
Medical Center, in Tucson. Mack is expected to make serious
and light comments on the meeting topics.
The Saturday session will begin at 9 a.m. with a talk on health
administration and medical practitioner relationships by Dr.
Christopher Fordham, dean of the medical school and vice
chancellor for health affairs at the University of North Carolina
iri Chapel Hill. The Brown memorial lecture will follow.
IN HIS MEMORY — The first Ray Brown
Memorial Lecture will be deUvered tomoirow
morning as part of Duke’s fourth Hospital and
Health Administration Alumni meeting.
Brown, who died three years ago, was director
from 1964-67 of what was then known as the
Graduate Program in Hospital
Administration.
Non-narcotic drug may be effective pain killer
Physicians at the medical center say a
drug used as a tranquilizer in this
country since the early 1960s shows great
promise as a pain killer with none of the
disadvantages of narcotics.
They believe the drug, known as
haloperidol, can replace narcotics
entirely in some patients suffmng severe
pain and can significantly reduce
required dosages of the traditional pain
killers in others.
Dre. Allan A. Maltbie, Jesse O. Cavenar
Jr., and Gerald L. Logue will begin a
major study of haloperidol this month to
test its effectiveness with cancer patients.
The physiciaits are assistant professor
of psychiatry, associate professor of
psychiatry and assistant professor of
mmimm
sgas
medicine, respectively. All three hold
appointments at the VA Hospital.
"We became interested in the effects of
the drug through medical and surgical
patients who were seen in psychiatric
consultation," Maltbie said. "Many of
these patients had severe physical illness
as well as clinical psychiatric
disturbaiices.
"As we began to treat the psychiatric
disorder with haloperidol, a common
observation was that the patients'
complaints of pain markedly decreased,"
he said. "In some patients narcotics were
no longer required, and complete pain
relief was afforded with haloperidol
alone."
In other cases, the physician added,
the amount of narcotic could be greatly
reduced.
Drugs such as codeine and meperidine
(Demerol) always have been a mixed
blessing for patients with severe pain.
While they do relieve pain, their
numerous disadvantages include
prolonged constipation, the "drugged"
effect they often create in patients and
the ever-present possibility of addiction
and overdose, the doctors said.
(Continued on page 3)
Aging quiz produces low scores
THERE IT IS — Dr. Lany A. Rogers (M.D. '65) of Chailotte pauses during Davison Club
Weekend activitiea to find his rame and those of a number of ooOeagues on the plaques listing
an 220 dub mendwTB. For move pitotaa, aee page duce.
By David Williamson
A medical center researcher who
believes that most Americans are
ill-informed about what it means to grow
old in this country has developed a short
quiz to test his theory.
Dr. Erdman Palmore, professor of
medical sociology, says the quiz can be
used to stimulate discussion of aging
among various groups, to compare
different groups' levels of information
about aging and to measure bias against
older people.
"It is designed to cover the basic
physical, mental and social facts and to
identify the most common
misconceptions about aging," he said.
Those who take the quiz are asked to
decide whether 25 statements about the
aged are trye or false. Among these are
that:
—Older persons tend to become more
religious as they age.
— Most old people have no interest in,
or capacity for, sexual relations.
— Aged drivers have fewer accidents
per person than drivers under age 65.
—The majority of old people are
seldom irritated or angry.
Palmore, citing' research that
demonstrated the first two statements are
false and the last two are true, said that
Chike undergraduates tested averaged
only 65 per cent correct answers.
Graduate students in human
(Continued on page 2)