CLINICAL Sey Raley PER ARTEM/ CONGRESS SAN FRANCISCO, CALIFORNIA 58TH ANNUAL CLINICAL CONGRESS OF THE AMERICAN COLLEGE OF SURGEONS eves ie ¥ WEDNESDAY, OCTOBER 4, 1972 Augusto Larrain is 1972 International Scholar Augusto Larrain, MD, FACS, has been named 1972 International Guest Scholar by the International Relations Committee of the American College of Surgeons. He received $2000 from the Brewer Medical Foundation for a year of graduate study in the United States during a Monday meeting of the com- mittee. Doctor Larrain is associate professor of surgery on the faculty of Medicine of the University of Chile. He is a graduate of the Catholic University in Santiago and completed his internship and residency between 1958 and 1963 under the direction of Professor Jose Aguirre. He has published articles in such journals as Surgery, Gynecology and Obstetrics, Acta Chirurgia, and various Scandinavian and South American journals. In 1970 he pre- sented a film at the ACS Clinical Congress. Doctor Larrain is a founder of the depart- ment of research in gastrointestinal physi- ology at the Faculty of Medicine, University of Chile. The International Guest Scholar Program was formed to allow a surgeon from another country to come to the United States for training under the auspices of the American College of Surgeons. He would then, after completion of his training, return to his na- tive country. PRESENTING $2000 CHECK... Lyman Brewer lil, MD, FACS (second from right) presents to Au- gusto Larrain, MD, FACS, 1972 International Guest Scholar a check for $2000 from the Brewer Medical Foundation. Others pic- tured include (far left), Walter F. Ballinger, MD, FACS, chairman of the In- ternal Relations Commit- tee and (far right) William E. Adams, MD, FACS, ACS assistant director. Much more needs to be done in treating the injured, Shires Many advances have been made in treating the injured patient but more needs to be done, G. Thomas Shires, MD, FACS, told a full audience yesterday in War Memorial Audi- torium., Transportation is one of the first priorities, said Dr. Shires, professor and chairman of the department of surgery, University of Texas Southwestern Medical School and Parkland Memorial Hospital. Dr. Shires de- livered the annual Scudder Oration on Trauma. The nation has responded in time of war, as seen in the remarkable drop in mortality rates for the seriously injured in the Vietnam conflict, he said. “What is appalling is the relative inaction in the transportation and organization of emergency services for the seriously ill in civilian life”, he added. “Clearly outstanding in this area of need is the requirement for more and better trained people”. Another pressing need is more surgeons in- terested in management of the severely in- jured patient. “It is no secret that care of the trauma patient is an inconvenience to the individuals concerned with his care’, said Dr. Shires. “There is nothing elective about the time, place or magnitude of serious injury. Many injuries occur at night. Many injuries occur which interfere with elective schedules. Con- sequently, the availability and concentration of talent with interest and experience to care for the injured patient becomes an even more pressing necessity”. With the era of surgery on the embryo ap- proaching, there is need for more basic bio- logic research, the speaker said. More re- search also is needed in the care of patients and in organizing talented people. He called for combining care and research in a single setting and more rapid dissemination of re- search results so that the time lag after ac- cumulation of new knowledge is reduced. Calling attention to gains from surgical re- search in the past, Dr. Shires said that more patients are surviving severe injuries than ever before. 2-team clinic stresses value of cooperation The Correlative Clinic, a new feature in the Clinical Congress program, will be held this morning at 10 in the War Memorial Audi- torium I, The innovation was a suggestion of past president Owen H, Wangensteen and is designed to demonstrate the importance of cooperation among the surgical specialties and between surgery and other medical disci- plines. Two cases are being discussed during the Correlative Clinic. Each will be presented by a team from one of two institutions. The San Francisco team, moderated by J. Englebert Dunphy, MD, FACS, will present ‘Jaundice and the Surgical Patient”. A gen- eral surgeon, a radiologist and two internists make up the team. The second case, “An interdisciplinary ap- proach to the management of severe trauma”, will be presented by a group from Stanford. Including a surgeon from the general field as well as from cardiology, urology and ortho- paedics, the team will be moderated by Ro- bert A. Chase, MD, FACS, a plastic surgeon. PAGE 2 Ravdin lecture: Prenatal transplants just around corner? This afternoon a leading biologist voices his predictions for the era of organ and tissue transplants in pre- natal surgery. “Ge- netics and Surgery” will be the title of the I. S. Ravdin Lecture in the Basic Sciences being pre- sented at 1:30 to- day in the Main Arena of the Civic Auditorium. H. Bentley Glass, MD, PhD, Stony Brook, New York, will deliver this major ad- dress which is named in honor of the late Dr. I. S. Ravdin, former chairman of the Board of Regents of the College and former chairman of the department of surgery at the University of Pennsylvania. Dr. Glass is a distinguished professor of biology at the State University of New York, Stony Brook. He foresees surgeons of the future involved in operations on cells rather than on organs and tissues, and is concerned with the legality these techniques imply, The presentation, including cloning and introducing cells of different genes to an embryo to predetermine genetic makeup, will also deal with the ethical predicaments both surgeons and geneticists will face. He ex- plores the conflict of saving lives and repair- ing defects when the process also preserves a detrimental gene pool. Dr. Glass will be introduced by James D. Hardy, MD, FACS, of Jackson, Mississippi. ACS first vice president, Lyman A. Brewer III, MD, FACS, Los Angeles, will preside. DR. GLASS we TALKING THINGS OVER ... On a beautiful sunny Monday morning, Peter W. Voges, MD, of Colorado Springs, and Robert A. Harwood, MD, of Brook- field, Connecticut, enjoy chatting for a few mo- ments beside the Civic Center Pool. Both men are members of the ACS Can- didate Group. PEER REVIEW AND QUALITY OF CARE... is the topic of this discussion group, one of ten the ACS Board of Governors held Sunday afternoon. James W. Martin, MD, FACS, Sacramento, chair- man (left) and Sherwood B. Winslow, MD, FACS, Battle Creek, co-chairman, led the group. Hiatal hernia Symposium to feature six fresh techniques The film symposium on surgical correction of hiatal hernia to be presented this afternoon beginning at 1:30 in Larkin Hall in the Civic Auditorium, is a new departure for the ACS Motion Picture Committee. Each of the panel- ists has been asked to record a fresh motion picture showing in detail the specific points in operative technique in which his technique for repair of hiatus hernia differs from others. The concentration in the motion pictures on the details of operative technique allows each of the essayists to make a clear presentation of the vital elements in his favored repair. The motion pictures will be presented with live comments by the panelists, after which there will be a panel discussion with free inter- change among the members of the panel and answers to questions from the floor. Details of the symposium can be found on page 101 of the official program. MEDICAL CARE A first aid room is located in the main lobby of the Civic Auditorium. i 2 - - ’ ae) hi ae nt ‘ ’ ¥ , ” . sees a ¢ Pa . i ACS. CLINICAL CONGRESS NEWS DISCUSSING MEDICARE IN CANADA ... Allan D. McKenzie MD, FACS, (seated) of Vancouver, British Columbia serves as moderator at the panel discussion ‘‘Medicare in Canada: Status and Prospects’’ Monday afternoon, Speaking is panelist Lawrence J. Stephen, MD, of Dauphin, Manitoba. Other panelists were Bernard Perey, MD, FRCS(C), of Sherbrooke, Quebec, and H.O.L. Murry, MD, FRCS(C), of Kamloops, B.C., J. Douglas Wallace, MD, Dauphin, Manitoba. More program changes Meet the professor (Wednesday, 11:30 am, page 16) Mark M. Ravitch, MD, FACS, Pittsburgh is unable to attend the Congress due to illness in the family, therefore his session will not be held. Film symposium on surgical correction of hiatal hernia (Wednesday, 1:30 pm, page 1O1): delete Mark M. Ravitch, MD, FACS, Pittsburgh; add R. Cameron Harrison, MD, FRCS(C), FACS, Vancouver, BC as presiding officer. Otorhinolaryngologic interdisciplinary panel discussion (Thursday, 10:30 am, page 44): delete George E. Shambaugh, MD, FACS, Chicago; add Mark May, MD, FACS, St. Louis, to list of panelists. Surgical Forum session on wound healing and sepsis (Thursday, 8:30 am, page 144): Oxygen tension and wound infection by Thomas K. Hunt, MD, FACS, et al, will be presented as the first paper of the session. CLINICAL CONGRESS NEWS Vol, 23, No. 3. Published daily October 2-October 6, 1972 by the American College of Surgeons OFFICE: Dolores Room, San Francisco Hilton Phone: 441-2011 Gordon L. Briggs, editor Mary Mahaney, asst. editor Dorie Hanson, reporter Marsha Dale WEDNESDAY, OCTOBER 4, 1972 THE VIEW IS BETTER... John B. Murphy (stand- ing at center with hand raised) conducted this “wet clinic’ at the 1913 Clinical Congress. Show- ing may be better than telling, but in this case, Dr. Murphy had to do a great deal of the latter to make up for a lack of the former. Contrast that long distance viewing with today’s Ciné Clinics and other medical motion pictures. Today the interested surgeon is “up front’’ during the en- tire operation, and this is what he sees. From event to Ektachrome : a, » wae i "he 4 ™ 5 2 De. Jonn B.Munrays 4 ‘ AT 2 mye Mercy Hose7TaL The basic idea is the same but the view is “Showing is better than telling” was Dr. Franklin H. Martin’s concept of the first Clinical Congress of Surgeons of North Amer- ica in 1910 when he invited surgeons to gather in Chicago to watch surgeons actually at work. He felt in the medical world of his time “an organized demand for a new form of medical society, a clinical rather than a purely academic” approach to teaching. He apparently was right in his assessment. He invited the 3000 readers of Surgery, Gyne- cology & Obstetrics to attend, and the official registration figure was 1600, although there were many in attendance who did not register. But the “wet clinics” were crowded from the first. In the words of one man attending in 1933, “The Chicago hospitals were open to the members of the Congress and the operat- ing room clinics were well patronized. The Registration facts As of 5:00 pm Tuesday PIOCTOLE IY, alicneeetal bee bie RAVE oie re i Bi be be fe LEBGIGS A Bite causa Gy Sou hie ntelsias 4,914 Industrial exhibitors ........... 1,572 VASTCOLS she OI ters eet hectare Ghee 525 PEBSSTANCINCAI a ea ciTA Fra eoe stare he tees 302 OLALS Cie GUO A err a e es 18,488 a lot better man out for operations had a real good time, provided, of course, he succeeded in seating himself where he could see what was going on”. However, motion pictures were coming into their own as vehicles for conveying surgi- cal teaching. The man in 1933 also said “If one wanted to, he could sit comfortably in a large room and watch and hear described al- most every operation in general and special surgery. The ‘talkie’ film is definitely with us and is bound to hold a big place in the teaching of surgery”. How right he was. The Ciné Clinics, spon- sored by Davis & Geck, Division of American Cyanamid Co., were given a trial run at the 1950, 51, and 52 Clinical Congresses. They turned out to be the best method of conveying information, and 1952 was the last year the ‘wet clinics” were held. At the 23 Congresses since Boston in 1950, a total of 401 Ciné Clinic films have been presented and added to the library of Davis & Geck for distribution. More than a quarter of a million bookings of Ciné Clinic films have been processed. MESSAGES Phone 864-8911, 864-8912, 864-8913 or 864-8914 . bes Bs ‘ee ae tk ran wit PP EO ANTS Dy . hat ba Ags be she ee Vr i - tt hee s Ate & Panel for young surgeons to feature variety of topics A special “Panel for Young Surgeons” will begin this afternoon at 1:30 in Ballroom V of the San Francisco Hilton, Eric W. Fonkals- rud, chairman of the Committee to Study Relationships with Young Surgeons, will moderate the discussion. The panelists are: William P. Longmire, Jr., president-elect of the College; J. Englebert Dunphy, chairman of the Board of Regents; C. Rollins Hanlon, director of the College; Charles W. Mc- Laughlin, Jr., member of the Board of Regents; and Jonathan E. Rhoads, ACS Presi- dent. How to order tapes This year, for the first time, most of the gen- eral and specialty sessions, all of the post- graduate courses, and the six major lectures are being recorded on high quality audio cassettes. ACS/Clinitapes can be ordered now, with delivery approximately six weeks after the Congress. This is not a subscription program; in- terested persons can select only those tapes that interest them. This is the only program that will carry recordings of the 58th annual Clinical Congress. The Tuesday afternoon urology session on cancer of the prostate will also be available on audio cassette, although it is not mentioned in the official program. Place your orders at the ACS/Clinitape booth (#524) in Brooks Hall, or use the re- ply card inserted in the official program. PAGE 4 Today's motion pictures The Motion Picture Exhibition schedule for today will include four sessions, three in the afternoon and one in the evening. At 1:30 p.m. in Larkin Hall of the Civic Auditorium the Film Symposium on Surgical Correction of Hiatal Hernia will be presented and in- clude six films. At the same time, the session featuring nine films on orthopedic surgery will be shown in the Colonial Room of the St. Fran- cis Hotel. The Trauma Special, also at 1:30 p.m., will be held in the War Memorial Audi- torium II. Seven trauma films make up this session. The evening session is the Film Festival made up of five films which highlight previ- ous Ciné Clinics, These motion pictures can be viewed at 7:30 in the Ballroom of the St. Francis Hotel. Today's get-togethers A listing of meetings, receptions, din- ners and other gatherings for the day will appear in each issue of this paper Oklahoma Chapter of the American College of Surgeons 7:30 am Breakfast meeting Sir Francis Drake—Plate of Brass Room Michael Reese Hospital Alumni Association 12 noon - 2:00 pm Luncheon Fairmont — French Room Roswell Park Surgical Society 12 noon - 1:30 pm Luncheon for alumni, members and guests Jack Tar — Gas Buggy—Section B Henry N. Harkins Surgical Society 5:00-7:00 pm Cocktail party for members and surgeons from the State of Washington Caravan Lodge—Room 208 Eddy & Larkin streets Michigan Chapter of the American College of Surgeons 5:30-7:30 pm Reception for members Mark Hopkins—Room 621 Bowman Gray School of Medicine and North Carolina Baptist Hospital Medical Center 5:30-7:30 pm Cocktail! party for residents, former residents and alumni St. Francis — Elizabethan A Lahey Clinic Foundation 5:30-7:00 pm Cocktail party for alumni Fairmont — Vanderbilt Room C. B. Puestow Surgical Society 5:30-7:30 pm Cocktail reception for alumni Fairmont — Pavilion Room ACS CLINICAL CONGRESS NEWS 3 on tv today Three times today viewers will again have the opportunity to observe telecasts of live surgical procedures originating in San Fran- cisco General Hospital and screened in Polk Hall. This morning at 9:30 Victor Richards, MD, FACS, San Francisco, will perform a biliary procedure which will be moderated by Joel W. Baker, MD, FACS, of Seattle. A repeat of this procedure will be screened at 3:15 p.m. for those unable to witness the first telecast. An emergency procedure will be per- formed by F. William Blaisdell, MD, FACS, San Francisco, at 1:00 p.m. This operation will be moderated by Ben Eiseman, MD, FACS, Denver. Two more procedures will be televised tomorrow, and one more on Friday. Fifth (Harvard) Surgical Service—Boston City Hospital 6:00-8:00 pm Cocktail party Hilton—California Room Mathew Walker Surgical Club 6:00 pm Cocktails, dinner, meeting Holiday Inn, Civic Center—Gold Room University of Virginia School of Medicine 6:00-7:30 pm Reception hosted by White McK. Wallenborn Clift Hotel Geary and Taylor streets Grasslands Hospital 6:00 pm cocktails for alumni and staff 7:00 dutch treat dinner Mark Hopkins—Room 736 Columbia P&S Presbyterian Alumni Reunion 6:00-7:30 pm Cocktail reception St. Francis — California East 7:45-11:30 pm __— Dinner St. Francis — Georgian Room obtain dinner tickets at alumni desk in Brooks Hall University of lowa Alumni 6:00-9:00 pm Cocktail party Fairmont — Cirque Room Society of Graduate Surgeons of Los Angeles County Hospital 6:00-8:00 pm Cocktail party Mark Hopkins — Argonaut Room French-Polyclinic Medical School and Health Center, New York City 6:00-9:00 pm Reception hosted by Dr. and Mrs. John Jasaitis Sheraton Palace Hotel — Dr. Jasaitis’ room University of Chicago 6:00 pm__—‘ Reception 7:00-9:00 pm Dinner Mark Hopkins — Room of the Dons Mont Reid Surgical Society 6:00-11:00 pm Reception and dinner Fairmont — French Room WEDNESDAY, OCTOBER 4, 1972 ...a forest of bronchial trees in a snowstorm Fourteen original and unusual paintings— surrealistic interpretations of pathological slides and anatomical structures—will be on exhibit this evening from 5:30 till 8:30 in the Grand Ballroom of the Fairmont Hotel. The artist, Dr. Meyer Emanuel, who has received several art awards outside the medi- cal profession, will be present for discussion. Cocktails will be served. The Seamless/Sterlon division of Dart In- dustries is sponsoring the exhibit and recep- tion. All registrants of the Clinical Congress are invited to stop by to view the art and meet the artist and sponsor. Fourth Auxiliary Surgical Group 6:30-10:00 pm Reception and dinner St. Francis — Essex Room Navy Medical Corps 6:30-10:00 pm Cocktail party for active and retired Navy Medical Corps officers Marine Memorial Club—Crystal Ballroom 609 Sutter Street The Jewish Hospital of St. Louis, Department of Surgery 6:30 pm Cocktail party Fairmont—Room 378 Baylor College of Medicine 6:30-8:00 pm Reception for alumni Castagnola’s Restaurant Fisherman's Wharf Eiseman Society 7:00—cocktails 8:00—dinner University Club—Wine Cellar Powell & California streets Frederick A, Coller Surgical Society 7:00-9:00 pm Cocktail party for members and invited guests Bank America Building—Monterey Room The Jewish Hospital of St. Louis, De- partment of Surgery, will hold its recep- tion tonight —- Wednesday — in Room 378 at the Fairmont Hotel. The News erred in listing it in with Tuesday’s get- togethers and apologizes for the incon- veniences and confusion. Also listed for Tuesday night, and also in the wrong place, was the breakfast meeting of the Oklahoma chapter of ACS. Here, the data was correct, but the positioning should have been under the heading, “And tomorrow morning’s”’.