THE JEWISH NEWS Friday, January 26, 1945 40 Years of Medical Service Story of North End Clinic's Medical Cdre in 'War, Peace An Important Record of Community Service Dating Back More Than 40 Years; 76 Staff Members Are In Service, 50 of Them Serving Overseas By SELMA J. SAMPLINER Director, North End Clinic TAKING CARDIOGRAPH AT NORTH END CLINIC 1 An informed physician has asserted that it often takes 41.8 tong as 10 years for medical discoveries of university re- search laboratories to filter into the practice of the family doctor. The process may be shortened during war years, be- cause of heightened interest in medical advances for which the war is responsible. In times of peace, a practical channel for speeding up the dis- semination of new achievements in medicine is the community- supported Clinic or Out Patient Department. Here young physi- cians come to develop and per- fect their techniques, to work with older physicians, and to demonstrate the practical appli- cation of Science's contributions for the benefit of patient and medical knowledge alike. Such a medical setting North End Clinic has offered to com- munity and physicians of Detroit for more than a quarter of a cen- tury. North End Clinic, a participant in the Community Fund, and a member of the Council of Social Agencies and the Jewish Welfare Federation; has two principal ob- jectives: service to patients and the development of a program designed to offer to its medical staff an opportunity to learn on the post graduate level. Its Aims Achieved The non-sectarian nature of the Clinic's work, though under Jewish auspices, the generosity of friends in appropriating funds for modern equipment, the train- ing and abilities of its personnel, the resourcefulness of its nurses, social workers and technical as- sistants, have been pointed to as evidence of the Clinic's role in Detroit's health program. Through the Clinic's doors sev- eral hundred physicians, non- Jewish as well as Jewish, have come to participate voluntarily in this educational experience. A review of the activities of the North End Clinic Medical Staff, year after year, indicates clearly that the aims of the Clinic's spon- sors have been carried out in its medical program. Standards of Medical Staff Early in its development the nucleus of the present Medical Staff set standards of conduct for its members and insisted on their adherence. Such criteria for accrediting specialists as mem- bership in the American Boards of Medicine, Pediatrics, Surgery, Ophthalmology and Dermatology , were utilized. This happens to be one of the essential standards used as proof of special training by the armed forces and V other government agencies. As the Clinic program began to emerge and the community became increasingly aware of the availability of a wide range of medical service for those who could not afford care from a pri- vate physician or dentist, the board and medical staff took steps to encourage staff physi- cians to enhance their skills. Younger men were assigned to older and more experienced men under whose supervision they re- mained for a length of tire. The program being departmentalized and covering all types of ser- vices, opportunities were offered physicians to rotate through spe- cial departments. Sponsored Study Trips Study trips to various centers of learning in other cities have also been made available. The Departments of Metabol . - ism, Physical Therapy, Urology and Gastro-Enterology, Arthritis, Surgery and Dentistry have reap- ed the benefit from excursions to the Mayo Clinic, the Univer- sity of Pennsylvania, Northwest- ern University, the University of Michigan and Harvard Univer- sity. These trips as well as oth- er experiences at North End Clinic have occasionally led to the appointment of North End Clinic physicians to teaching positions on the faculty of Wayne University and to analogous posi- tions on the staffs of other medi- cal institutions. Publications The staff has been encouraged to record its experiences and ac- complishments.' In the early days, it published at irregular in- tervals brief bulletins designed to record and reflect the scien- tific work done at the Clinic. In October 1940 the North End Clinic Quarterly, an extension of this original project, began its existence. The Quarterly has had a cir- culation of 2,000 doctors in De- troit,—has been well received, and had national recognition. Scanning the list of titles in issues from October, 1940, to the present date, one finds various type's of articles designed to re- port up-to-date treatment of var- ious diseases. A Nurse's Letters Occasionally there is an article contributed from the auxiliary and administrative services. One finds an article on physiotherapy by the technician in charge of that department, another on as- pects of medical social service by the supervising worker, and a series of letters by one of the nurses, Lt. P. Eleanor Stanfield, who joined the armed forces and reports a regular odyssey which took her up and down the Nile, through Egypt, and finally land- ed her in Persia, where the first person she met in the hospital to which she was sent was a Negro soldier who had been a patient at North End Clinic and who liv- ed on Holbrook. By far the most important articles were on, clinical or ori- ginal observations of disease pic- tures or entities in the Clinic. There is an elaborate study on Nocturnal Gastric Secretion, sub- sequently reported at one of the national gastroenterological so- cities. There was a careful study made by one of the younger men on the injection treatment of hernia, a follow up of his cases; another on Estrogenic Hormones and Hyperthyroidism which was subsequently reported in one of the leading journals on Endocri- nology; and several studies on injections of novocaine to re- lieve painful joints or rheumatic manifestations. Prize Winning Essay In 1942 a prize essay contest was conducted and small mone- tary prizes were awarded. Sev- eral of the papers submitted were published in the July 1942 Quar- terly. The article which won the first prize was by Capt. Jerome Mark on the Use of Venography in the Differential Diagnosis of the Per- ipheral Venous Circulation; a Simplified Technique. This in- volved the injection of an opaque solution into the vein at the ankle with an X-ray taken im- mediately to reveal the exact pic- ture of the veins of the leg. This study subsequently appeared in the Annals of Surgery. It was a continuation of some of the methods which Dr. Mark had observed and followed in Bos- ton before he came to Detroit. The most recent issue contain- ed several articles on diarrhea' diseases. One, a study of a mild epidemic nature by Dr,. David J. Sandweiss, received editorial comment in the Journal of the American Medical Association. The January 1943 issue con- tains articles by staff members in the armed services on Emer- gency Treatments of Chemical Warfare Casualties, Experiences in a Septic Ward of an Army Hospital, etc. Bailin Lectures As a memorial to Dr. Max Bai- lin, whose counsel in the early days of the Clinic was inestim- able, the Bailin Lecture Series were inaugurated and continued for nine successiw? seasons under the auspices of the North End Clinic Medical Staff. The onset of the war has interrupted tem- porarily this particular medium for postgraduate instruction. To these lectures were invited all the physicians of Wayne and adjacent counties as well as those of allied professions who were interested in attending. Physi- cians of national reputation con- sented with alacrity to give pa- pers of current Scientific interest. Speakers included: Dr. Solomon Strouse from Chicago, Dr. Rus- sell Haden of Cleveland, Dr. A. C. Ivy of Chicago, Dr. B. B. Vin- cent Lyon of Philadelphia, Dr. Frederick Coller of Ann Arbor, Dr. Nathan Rosenthal of New York, Dr. Raphael Isaacs of Ann Arbor, Dr. Charles Mazer of Philadelphia, Dr. Lewis Pollock of Chicago, Dr. I. S. Ravdin of Philadelphia, Dr. Charles Ges- chickter of Baltimore, Dr. Alton Ochsner of New Orleans. The Bailin Lectures grew in importance, first being held at the Clinic and later in the De- troit Institute of Arts. The Staff and the War The Honor Roll just inside the building's entrance, with its 76 names of doctors, eloquently test- ifies to the staff's participation in the war. Fifty of this number are now serving overseas. The Clinic hears regularly from them and letters, coming from India, New Zealand, Hawaii, Iceland, England and Italy prove again the global nature of this war. Their military ranks—one is a Colonel, two are Lieutenant- Colonels, 14 Majors, six Lieuten- ant-Commanders — "implies the responsibilities imposed on them. Col. William Henry Gordon, Chief of Staff, in command of the 94th General Hospital now in England, was one of the first Colonels commissioned in the Page Nineteen early phases of the war and has a high seniority in the medical corps. With him is Maj. Maurice Meyers, chief of surgical service of this 2,500-bed hospital. War Time Problems The depletion of the medical staff has brought many problems to the Clinic. By curtailment of some of its program, though maintaining basic services, the Clinic functions in behalf of the civilian population with only 35% of the staff it had immed- iately before the war. During the first years of the war ef- fort, these doctors participated in the Red Cross program as first aid instructors, in the Selective Service program by organizing a team at North End Clinic for ex- amining registrants for Board 3, and by helping to man the In- duction Station in the role of consultants for such specialties as Cardiology, Eye, Ear, Nose and Throat,' Psychiatry and Uro- logy. Illustrations Cited A few illustrations will serve to indicate the concern of the Staff for medical progress as re- flected in the medical program. North End Clinic is a coopera- tive center in the Federal pro- gram for the control of Syphilis. This means that its set-up not only has approval but is partially subsidized by Federal and State funds. Patients with gonorrhea are treated with one of the sulfa drugs. When the disease does not respond to this medication then penicillin is given in con- j unction with the Department of Health. Patients are now rapid- ly cured of this disease in about one-third of the time formerly required. The Physical Therapy Service in the scope of its work, is pro- gressive, consistent development, the training of its therapists and the installation of its equipment, ranks well with other centers. The widespread use of physical therapy in the treatment of con- valescent men in Army and Navy Hospitals points to its increasing therapeutic value. The strict ethical code of the medical profession limits the story that can be told. Never- theless, it is good to know that - in Detroit under Jewish com- munity auspices a sizable group of doctors has voluntarily under- taken to plan and implement a thoughtfully evolved program of medical care for over 40 years, a program which has brought comfort to many ill people. More physicians to fill the gaps left by those who go into the Armed Service are sorely needed. Men, Sisterhood Of Temple Israel To Meet on Feb. 6 Fathers -Sons - Daughters Affair, Feb. 18; Children of Servicemen Invited A joint business meeting of the Men's Club and Sisterhood of Temple ISrael, to be followed by entertainment featuring Margar- et Bradfield, portrait painter, will be held Feb. 6 in the Lecture Hall of the Art Institute. Charles L. Goldstein, president of Temple Israel, will introduce the speaker. Mr. and Mrs. David Goldberg will lead in the singing of the Star Spangled Banner. Mrs. Reuben Levine will be chairman of the social hour to follow the program. Maurice Levin, chairman of the Fathers-Sons-Daughters affair of the Men's Club to be held Feb. 18 at the Detroit-Leland, announces that a program of entertainment is being arranged and that a play will be given by the Temple Is- rael Boy Scout Troop. Children whose fathers are in service will be guests at this event. Harry Pliskow, Irving Small and Sol Stein are mem- bers of the committee. The Men's Club is planning active participation in the inter- congregational dinner in March under auspices of the Men's Club of Bnai David. CARD OF THANKS The family of the late Jack Kashtan wish V to express their sincere thanks to their relatives and friends for the kindness shown them in their recent be- reavement. Lamp Repair Service We specialize in the service and repair of FLOOR—TABLE-3-WAY—FLUORESCENT SUN LAMPS and all other types lamps — Old style floor lamps made into beautiful Indirect Lamps and Torchieres. VASES and OIL LAMPS converted to ELECTRIC. Reflector bowls, glass- ware and parts for all lamps. PICK-UP AND DE- LIVERY TO ALL PARTS OF DETROIT and SUBURBS. MAIL ORDERS FILLED LAMP SPECIALTY SERVICE 3201 GRAND AVE., WEST Phone TO 8-5435 PHILIP GRIFFITHS MINERAL or TURKISH BATHS For the Treatment of Rheumatism, Arthritis, Sciatica, Neuritis 10 Baths for $ 1 5 00 • Attendant's Fee 50e each bath Open Day and Night Detroit's Only Natural Mineral Baths Separate Depts. for Men and Women - JUDGE COMMON PLEAS COURT Veteran (Foreign) War 1 SUNDAY SPECIAL COURSE TICKET _ ELECT Until 9 P. M. DAILY or Wayne Baths FOOT 2ND BLVD. Opp. D. & C. BOAT LINES Take Woodward Cars Marked Boat Piers RAndolph 6744