ONROUNDS

AT

CCHSA NEWSLETTER

OF THECOLLEGE OF

COMMUNITY HEALTH

SCIENCESTHE UNIVERSITY OF ALABAMA

Volume 5 No. 3 Summer 1989

New Residents Have Arrived

Tie Family Practice Residency Program wel-;omed 12 first year residents on July 1, 1989. We

were fortunate in having an excellent match whichincludes graduates from medical schools in Texas,Mississippi, and Alabama. Please join us in extend-ing a warm welcome to our new arrivals and theirfamilies.

Joseph Robert (Joe) Barnes is from Enterprise,Alabama. In addition to the M.D. degree from theUniversity of Alabama School of Medicine, Joeholds an A.A. degree from Enterprise State JuniorCollege, a B.A. in Psychology from Auburn Univer-sity, and an M.P.H. in Epidemiology from U.A.B.Having been raised on a farm, Joe's earliest encoun-ters with the medical profession were with rural fam-ily physicians. He is single, enjoys reading, particu-larly mystery novels, sailing and boating and isactive in his church.

Milton Stanhope (Stan) Brasfield, IV is from De-mopolis, Alabama. He attended the University ofAlabama, where he received his baccalaureate degreefrom New College, prior to receiving his medical de-gree from the University of Alabama School of Med-icine. Stan spent his clinical years in Tuscaloosa and

we are pleased to have him and his wife Ilesha stay.The son of a pediatrician, Stan became interested inmedicine at an early age. His interests include waterskiing, camping and gardening.

Gary (Alan) Calhoun has been at Tuscaloosa forhis clinical years of medical school but is originallyfrom Crossville, Alabama. He holds an AssociateDegree from Snead State Junior College, the B.S. de-gree in Biology from Birmingham-Southern College,and the M.D. degree from the University of AlabamaSchool of Medicine. He was exposed to medicine byfamily physicians in the rural area in which he wasraised. Alan, who is single, enjoys horseback riding,water skiing, and softball.

Lisa Dean Columbia is originally from Birming-ham. She received her baccalaureate degree fromBirmingham-Southern with a major in chemistry be-fore attending medical school at the University ofSouth Alabama College of Medicine. Her husbandFrank plans to attend law school in the near future.Lisa's interests include bicycling, needlework andreading.

Edgar Newton (Eddie) Donahoe was raised inIndianola, Mississippi. He received the B.A. degreein biology from Mississippi College in Clinton andthe M.D. degree from the University of MississippiMedical Center in Jackson, MS. Eddie saw the im-portance of the family physician as he grew up in asmall Mississippi Delta farm community. Eddie willbe accompanied to Tuscaloosa by his wife Jana. Helists his interests as gardening, woodworking andcollecting antiques.

John (David) Eaton, a native of Columbus, Mis-sissippi, holds a B.S. degree from Mississippi StateUniversity at Starkville where he majored in bio-chemistry and an M.D. from the University of Mis-sissippi Medical Center in Jackson. Working as anorderly in Columbus, David gained exposure to phy-sicians' roles in the hospital. His wife Beth graduatedon the day he received his medical degree with a de-gree in nursing. David, .who is interested in astrono-my, likes the guitar, fishing and sports.

Everett Cecil McKibben stayed in his hometownof Starkville, Mississippi to attend Mississippi StateUniversity where he earned a B.S. degree in biology.He received his medical degree from the Universityof Mississippi Medical Center. Everett has worked asan operating room technician in Jackson, Mississippiand as a laboratory instructor in comparative anato-my at Mississippi State University. He and his wifeRachelle are expecting their first child in November.Everett, who is active in his church, enjoys photogra-phy, hunting, fishing and herpetology.

Michael Wayne (Mike) Peaden originally hailsfrom Pensacola, Florida. He received the A.A. de-gree from Pensacola Junior College, the B.A. fromthe University of Mississippi at Oxford in Physicsand the M.D. from the University of Mississippi

ON ROUNDS at CCHSMedical Center. He has worked both as a radiologyassistant and scrub assistant. Mike and his wifeRhonda have two sons, Ryan, three years of age,and Jace, who is one. Mike enjoys Softball andbaseball.

Michael (Blane) Schilling is a native of Texar-kana, Texas. He was in a Pre-Medicine curriculumat Northeast Louisiana University in Monroe wherehe earned the B.S. degree, and he earned the M.D.degree from the University of Texas SouthwesternMedical School. He has worked as an intern at Tim-berlawn Psychiatric Hospital and at Parkland Me-morial Hospital, the latter experience in labor anddelivery. Blane, who is married to Elizabeth, enjoysmusic, sports, golf, and camping.

John (David) Tuten is from Shelby, Alabama.He hold a baccalaureate degree in biology from

Samford University in Birmingham and a medical de-gree from the University of Alabama School of Medi-cine. His interest in medicine was enhanced by work-ing as an orderly in the emergency department atShelby Medical Center. He and his wife Cindy have afive-year-old daughter, Amanda. David's interests in-clude hunting, fishing, woodworking and tennis.

Frederick Lee (Fred) Yerby hails from Fayette,Alabama. He earned his baccalaureate degree with amajor in chemistry at the University of Alabama atTuscaloosa and his medical degree from the Universi-ty of Alabama School of Medicine. Fred has chosento stay in Tuscaloosa where he has spent his clinicalyears of medical school. He has worked as a tutor inthe BioPrep Program. Fred enjoys a variety of out-door activities, including softball, hunting, fishingand tennis.Q

Honors Convocation, 1989

The College of Community Health Sciences heldits Thirteenth Annual Honors Convocation for grad-uating seniors on May 20, 1989.Following a welcome and intro-ductory comments by DeanWilmer J. Coggins, the assemblywas addressed by Dr. Richard C.Reynolds, Executive Vice Presi-dent of the Robert Wood John-son Foundation. A graduate ofJohns Hopkins Medical School x

with a background in communityhealth and family medicine, Dr.Reynolds has published widelyin the areas of medical educa-tion, rural health and geriatrics.His address at the Convocationwas entitled "The Values ofMedicine."

After the address, Dr. RolandP. Ficken, Associate Dean for |*Academic Affairs, presided overthe presentation of awards. Dr.Ficken presented the ScholasticAchievement Award to Lynn B.O'Reilly, who had maintainedthe highest grade point average during the clinicalyears. He also presented the Larry Mayes MemorialScholarship to James E. Bailey.

In recognition of their outstanding contributionsto undergraduate medical education, four studentawards were presented by Gary Alan Calhoun, Stu-dent Body President. This year the Faculty Recogni-tion Award (Junior Year) was presented to Dr. Ar-thur (Pete) Snyder, Clinical Associate Professor ofSurgery. The Patrick McCue Award, Faculty Recog-

Dean Coggins and Wiilard A wardRecipentAlan Calhoun

nition (Senior Year) went to Dr. Eugene Mangieri,Clinical Assistant Professor of Surgery (Anesthesiolo-

gy). The Resident RecognitionAward was presented to Dr. Spen-cer J. Coleman. A Senior StudentAward was presented to Terry A.Kurtts for achievement in boththe art and science of medicine.

A number of DepartmentalAwards are presented annually torecognize student excellence in thevarious disciplines. The Robert F.Gloor Award was presented toTerry A. Kurtts in recognition ofhis contribution in providing pri-mary medical care in Trinidad andTobago. Terry Kurtts was also therecipient of both the SurgeryAward and the Research Award.

The Internal Medicine Awardwas shared by Michael A. Blumand Lynn B. O'Reilly. The Pediat-rics Award was presented toCynthia M. Bonner. Susan Selikoffreceived the Teresa Finney Awardpresented annually in Obstetrics

and Gynecology. The Peter Bryce Award in Psychia-try went to Nickie M. Spears.

The Family Medicine Award for 1989 was pre-sented to Gary Alan Calhoun. Calhoun, entereing theTuscaloosa Family Practice Residency Program, wasalso the recipient of the William R. Wiilard Award.The recipient of the Wiilard Award is a senior medi-cal student, elected by full time faculty, for outstand-ing contributions to the goals and missions ofCCHS.a

Summer 1989

New Challenges AwaitCCHS Graduates

The results of the 1989 National Resident MatchProgram are in. All of the graduating medicalschool seniors from CCHS can prepare for newchallenges as they enter residency programs. Fortu-nately for us, many of the students will be staying inAlabama to complete their medical training. Thegraduating seniors, their residencies and specialtychoices are enumerated below.

Of the seven students remaining in Alabama,three will remain in Tuscaloosa. These students,Stan S. Brasfield, Alan Calhoun and Fred Yerby,will enter the Tuscaloosa Family Practice Programof the University of Alabama School of Medicine.All of the other Alabama residents will be in Birm-ingham. Michael F. Blum will be at the Universityof Alabama School of Medicine in Birmingham. Hewill spend his first post graduate year in a generalsurgical residency followed by a year in orthope-dics. Gary E. Holland will pursue a residency in in-ternal medicine at Baptist Medical Center in Birm-ingham. Nicholas T. Braswell will do a surgerypreliminary at Carraway Methodist Medical Centerin Birmingham. He will be joined by Richard Oylerwho will do a surgical preliminary at Carraway be-fore leaving the state for an Emergency MedicineResidency in Jacksonville, Florida.

Three of our students will leave the Southeast tocontinue their medical training. Beth A. Bryant willgo to the far corner of the continent to pursue a resi-dency in internal medicine in Seattle, Washington atVirginia Mason Hospital. Andrea Hataway willtravel almost as far when she goes to Boise, Idaho totake a family practice residency. Terry A. Kurttshas elected a surgical residency for which he will goto the University of Arizona/Tucson Hospital inTucson, Arizona.

The remaining students will enter residenciesacross the Southeast. Renee Burdett will enter apsychiatry residency at the Medical College of Vir-ginia in Richmond, Virginia. Nickie M. Spears willgo to Charlottesville, Virginia to enter a psychiatryresidency at the University of Virginia. LamarPeacock will pursue a career in internal medicineby entering a residency in that field at the MedicalCollege of Georgia in Athens. Lynn O'Reilly haselected a residency in pathology at East CarolinaUniversity Program/Pitt County Memorial Hospitalin Greenville, North Carolina. Patrick O'REILLYhas selected a residency in medicine/pediatrics alsoat the East Carolina University Program. Lee Pridewill begin with an internal medicine preliminary atNorth Carolina Memorial in Chapel Hill, North Car-

olina followed by Neurology at the University of Tex-as Southwestern Medical School, Dallas Texas. BriceWhetstone has selected to go to the University ofTennessee College of Medicine at Memphis, Tennes-see for a residency in medicine/pediatrics.Q

CCHS Spring PicnicThe first ever CCHS staff picnic was held on May

6, 1989 at Holly Springs on Lake Tuscaloosa. It was agreat success. If you were not one of the 110 present,you missed a treat. The picnic committee, chaired byDebbie Wilson, medical receptionist in OB/GYN puta lot of time and energy into planning the event. Theyeven got the rain stopped just in time. It was a beauti-ful day, though a bit windy. Dean Coggins and JamesRussell provided boat rides for all interested partici-pants.

The food was terrific! Head chef Dr. Matthew Ho-gan and his assistants Dr. Len Dippel and Dr. BarryJones, all first year residents, cooked some delicioushamburgers' and hot dogs. All of our good cooks fromthe College brought their favorite dishes to add to theculinary experience.

Members of the committee collected door prizesdonated by local merchants and drug representatives.Sherree Cyr's husband (Sherree is Director of Nursingat CMC) won a free night for two at the CapstoneSheraton and Dr. Gaskin's daughter won a tie for him.There were many prizes and everyone won some-thing.

The picnic was great fun and we have receivedseveral requests that it be made an annual affair.Q

Alumni ReunionThe 5 and 10 year graduates of our residency pro-

gram hails the College's first Alumni reunion on Satur-day May 27th. The reunion was planned in conjunc-tion with the Lampoon festivities also taking place thatweekend. There were 30 former residents who re-turned for the weekend with 10 doctors representingthe classes of 1979 and 1984. Three lectures were fea-tured—Steroids in Athletes by Jimmy Robinson, TheRed Eye by A. George Kudirka, and Lithotripter forGallstones by S.B. Sundar.Q

ON ROUNDS at CCHS

Profile

William F. Simpson, M.D.On July 1, 1989 Dr. William F. Simpson retired

from the practice of Thoracic and CardiovascularSurgery and from the College of Community HealthSciences. Dr. Simpson, who has been active in thecollege, in the broader medical community and inthe Lister Hill Society, will be missed by col-leagues, staff and students alike.

Born in Florence, Alabama in the TennesseeRiver Valley, Dr. Simpson went North to begin hiscollege education at Vanderbilt. His final pre-medical year, however, was spent at the Universityof Alabama foreshadowing the course of his latermedical career. He received the M.D. degree from

Harvard Medical School in 1951.After completing his post graduate education, Dr.

Simpson entered the world of academic medicine as aninstructor in surgery at the Medical College of Ala-bama (later UAB). In 1960 he began the private prac-tice of thoracic surgery in Tuscaloosa while remainingon the clinical faculty in Birmingham. In 1975 hejoined the clinical faculty at CCHS in the Division ofSurgery. Ten years later he became Chairman of thatDepartment, a post he retained until his retirement.

Dr. Simpson held membership, fellowship or dip-lomate status in no less than seven professional medi-cal organizations. In the broader medical communityof Tuscaloosa, he served as Chief of Surgery at DCH,as member of many hospital committees and as con-sultant at Hale Memorial, Bryce and the Veterans Ad-ministration Hospitals. Dr. Simpson was prominent inplanning and implementing the cardiovascular surgicalprogram at DCH which began in 1979. His communi-ty activities have encompassed civic organizations, hischurch and local business emphasizing his genuineconcern for the well-being of the community where hehas lived for thirty years. His son, William F. (Ford)Simpson Jr., M.D., will take his father's place as apartner of Thoracic and Cardiovascular Associates ofTuscaloosa.

Dr. Simpson has devoted much of his time and en-ergy to his work with medical students at CCHS. Hiscontributions to that group were recently recognizedwhen graduating medical students presented him a cer-tificate of appreciation at their Honors Convocation.Faculty and staff had an opportunity to express theirappreciation during a retirement reception held in Dr.Simpson's honor on June 14, 1989.Q

Alumni CornerPatrick B. Atkins, M.D., a 1985 graduate of CCHS, is at the University of Florida Department of Psychiatry

where he will complete a fellowship in forensic psychiatry this summer. Dr. Atkins plans to return toTuscaloosa to establish a private practice in general psychiatry and forensic psychiatry. He will assume the po-sition of Assistant Medical Director at the Crestview Treatment Center at DCH Regional Medical Center begin-ning in August.

We are glad to welcome one of our graduates back to Tuscaloosa. We would like to hear from others whohave graduated from our medical school and residency programs. If you have practice experiences you wouldbe willing to share with us, please let us know by writing or calling:

College of Community Health SciencesPost Office Box 870326

Tuscaloosa, Alabama 35487-0326

Telephone (205) 348-8831

Summer 1989

News BriefsAppointments, Honors and Awards

Lee W. Badger, Ph.D. has been named as a mem-ber of the West Alabama Children's Trust FundCouncil for the Prevention of Child Abuse and Ne-glect.

Ray H. Brown and Brian W. Elrod have been se-lected as Chief Residents for the period July 1989through June 1990 in recognition of their contribu-tions to and leadership of the Family Practice Resi-dency Program.

Carolyn Clark-Daniels, M.P.A., Graduate Re-search Assistant with the Center for the Study ofAging, received the Student Paper Award at theSouthern Gerontological Society's Annual Meetingheld in April 1989 in Charleston, South Carolina.Her paper was entitled "Nurses' Responses to Re-porting Abuse: A Survey of Home Health and Com-munity Health Nurses."

Margaret P. Garner, M.S., R.D., Clinical Nutrition-ist and Assistant Professor of Family Medicine, re-ceived an award as the Outstanding Dietician ofAlabama for 1989 by the Alabama Dietetic Associ-ation in Birmingham in April. Ms Garner is servingas Chair of the Dieticians in Medical and DentalEducation practice group and the Division of Edu-cation/Accreditation Approval of the AmericanDietetic Association. She also served on the SearchCommittee which recently selected a new Chancel-lor for the University of Alabama System.

Riley Lumpkin, M.D., Professor of Family Medi-cine, was elected President-Elect of the Medical As-sociation of the State of Alabama for 1989-1990 atthe Association's annual meeting in Tuscaloosa inApril.

Robert E. Pieroni, M.D., Professor of Internal Med-icine and Family Medicine, was awarded Fellow-ship status through the Clinical Medicine Section ofthe Gerontological Society of America in February1989.

Publications and Presentations

Russell L. Anderson, M.D., Associate Professor ofFamily Medicine, presented a workshop entitled"Faculty Salary Practice Plans" at the ResidencyAssistance Program (RAP) annual meeting in Kan-sas City, Missouri in April 1989.

Lee W. Badger, Ph.D., Assistant Professor of Psy-

chiatry and Julia Hartman, Assistant Director of Bio-Prep, presented "Child Abuse: Alabama's Picture" at theGovernor's Fourth Annual Conference on Child Abuseand Neglect Prevention in March 1989. Dr. Badger alsomade a poster presentation at the annual Society ofTeachers of Family Medicine in Denver, Colorado May1-3, 1989.

Lorin A. Baumhover, Ph.D., Director of the Center forthe Study of Aging and Professor of Behavioral andCommunity Medicine presented "Community BasedLong Term Care: Does it Work?" at the 1989 Mississip-pi Joint Conference on Aging meeting in Biloxi inMarch. Dr. Baumhover and Robert E. Pieroni, M. D.,Professor of Internal Medicine and Family Medicine,presented "Teaching Geriatrics to Medical Students andFamily Practice Residents: Barriers and Stereotypes," apaper co-authored with Colleen Beall, Research Assist-ant, CCHS and Janis Simpson, at the 15th AnnualMeeting of the Association for Gerontology in HigherEducation in Tampa, Florida in March, 1989. Alongwith R. Steven Daniels and Carolyn L. Clark-Daniels,Graduate Research Assistant in the Center for the Studyof Aging, he co-authored a letter, "Abuse of Elders,"which was published in JAMA: The Journal of theAmerican Medical Association.

Harry Goldwasser, M.D., former medical student in theTuscaloosa clinical program and currently a psychiatryresident at the University of North Carolina at ChapelHill and Lee W. Badger, Ph.D., Assistant Professor ofPsychiatry, published "Utility of a Psychiatric ScreenAmong the Navajo of Chinle" in American Indian andAlaska Native Mental Health Research, Spring 1989.

James D. Leeper, Ph.D., Professor and Chair of Behav-ioral and Community Medicine, presented the paper,"Characteristics Associated with Adequacy of Diet Dur-ing Pregnancy Among Low Income Black Women inRural Alabama" at the National Rural Health Associa-tion meeting in Reno, Nevada. The paper was co-authored by Christine Nagy, Ph.D., Director of the Re-search Consulting Lab, and Sandral Hullett, M.D.,Clinical Assistant Professor of Family Medicine andBehavioral and Community Medicine.

Carol Murphree, Student Assistant in the Office of theAdministrator of CMC, presented the paper, "PilotStudy: Evaluation of Dietary Treatment of Obesity in aGroup Practice," which she co-authored with GeorgeTulli, Administrator of CMC, and Margaret P. Garner,M.S., R.D., Clinical Nutritionist and Assistant Professorof Family Medicine, at the 66th Annual Meeting of theAlabama Academy of Science in Birmingham inMarch.

Robert E. Pieroni, M.D., Professor of Internal Medi-cine and Family Medicine, published the textbook,

ON ROUNDS at CCHSMedical Examination Review: Behavioral Sciences,(2nd Ed.), in February 1989. He and Lorin A.Baumhover, Director of the Center for the Study ofAging and Professor of Behavioral and CommunityMedicine, presented "Quackery and the Elderly" ata national conference, Technological Innovationsfor an Aging Population in Orlando, Florida in Jan-uary 1989. Dr. Pieroni presented "Digitalis Toxici-ty: Options for Therapy" at the Fifth InvitationalScientific Symposium of the Medical Associationof the State of Alabama in January 1989. He pre-sented the "White Clot Syndrome" and "A Distribu-tion Analysis of AIDS Seropositivity Rates inSouthern States" which he co-authored with JamesA. Johnson at the 66th Annual Meeting of the Ala-bama Academy of Science in Birmingham inMarch.

Sharena Sanders, Director of Medical Records atCapstone Medical Center, presented "The Differen-ces Between Medical Records Departments in Hos-pitals and Ambulatory Centers" at the 66th AnnualMeeting of the Alabama Academy of Science inBirmingham in March.

Barbara Self, Business Office Manager at CapstoneMedical Center presented "Medicare Area Prevail-ing Fee Guidelines" at the 66th Annual Meeting ofthe Alabama Academy of Science in Birminghamin March 1989.

C. George Tulli, Administrator of Capstone Medi-cal Center had his article, "Public Personnel Policyin a Conservative Era: An Overview," published inthe Winter 1989 edition of the Journal of Healthand Human Resources Administration. Mr Tullipresented "Ambulatory Care in the Western De-mocracies: Policies to Foster its Expansion" at the66th Annual Meeting of the Alabama Academy ofScience in Birmingham in March 1989.

Bradley R. Ware, M.D., Assistant Professor ofFamily Medicine, presented "Demographics of HIVInfections in Alabama" and "HIV Infection: A Dis-ease of Individuals" at the 66th Annual Meeting ofthe Alabama Academy of Science in Birminghamin March 1989. Dr. Ware presented his paper,"Medical Students' Self-Assessment of CommonDiagnoses in a Family Medicine Clerkship," at theannual conference of the Society of Teachers ofFamily Medicine in Denver, Colorado on April 28-May5, 1989.

Grant and Contract Activities

Elizabeth Rand, M.D., Assistant Professor and Act-ing Chief of Psychiatry, and Lee W. Badger, Ph.D.,Assistant Professor of Psychiatry received $2,205

from the University Research Grants Committee tostudy "The Effects of Feedback from the GHQ on Rec-ognition of Mental Disorder: A Validity Study."

Arrivals and Departures

Mary Ann Plant, Ph.D. has joined the Center for theStudy of Aging as a Research Associate. Dr. Plant,whose doctoral degree is in psychology, was most re-cently engaged in evaluation research at Kaiser-Permanente in California.

William F. Simpson, M.D., Professor and Chief, De-partment of Surgery, resigned from CCHS effectiveJuly 1, 1989. Arthur F. (Pete) Snyder, M.D., ClinicalAssistant Professor, has accepted the position of Chiefof Surgery.

Vital Statistics

Bob Grubbs, a second year resident, and his wifePhyllis became the parents of a daughter, Kimberly Al-lison, on February 22, 1989.

Born to medical student Gary Holland, graduatingclass of 1989, and his wife Lesa on March 7, 1989 wasa son, Taylor.

A son, Mattias (Matthew), was born to Dr. DebbeeSidrys, Assistant Professor of Internal Medicine, andDr. Algis Sidrys on January 14, 1989.

First year resident, George Walker, and his wifeMelissa celebrated the birth of a daughter, HelenNapier, on February 17, 1989.

Tim Winkler, a 1988 graduate from CCHS, and hiswife Camille had a son, Asa Bennett, born on March 8,1989.

Community Service

Mark D. Kelley, M.D., Assistant Professor of InternalMedicine, and his wife hosted two medical studentsfrom Guatemala for two weeks in March. During theirvisit the students were able to observe Dr. Kelley'sclinical activities. Dr. Kelley will travel to Port-au-Prince, Haiti, for two weeks to provide medical care tothe poor. Participation in this experience is available asa Medicine elective. Interested persons should contactDr. Kelley for information.

June D. Smith, Graduate Research Assistant in theCenter for the Study of Aging, coordinated anElderhostel program at the University of Alabamaduring the week of Feb 26-March 4. Forty-one olderadults attended courses in Computer Skills, Music Ap-preciation and Southern History.Q

7 Summer 1989

Lister Hill SocietyThe Lister Hill Society wishes to express its sincerest thanks to the people listed below for their

most generous contributions. Our many worthy projects could not be accomplished without them.

James AustinDaniel AveryThomas BartlettWilliam BellGeorge CarlsonWilliam CurryJerry DavisRandy EasterlingWalter FolsomInez FowlerRobert GloorGuillermo GodoyBrent GoodwinLowell HatawayDavid Hefelfinger

ACTIVE MEMBERS

Judith HodgesJames LeeperMichael LinnanJohn MarkushewskiEdward MartinDavid MauritsonMichael McBreartyMorgan MooreChristine NagyRobert NelsonCharles NevelsThomas NolenWilliam OwingsMadeleine PasseriniRobbie Perry

SUSTAINING MEMBERS

Robert PieroniGerald RainerRichard RutlandTumkur ShivashankaraAlice StewartMary Leta TaylorLarry TuckerGeorge TulliMichael WellsGeorge WilsonElizabeth RandLisa RussellCatherine Huggins

Omer BakerJohn BurnumRoland FickenJohn FisherSamuel GaskinsWilliam HillMark Kendrick

Harmon LooneyRiley LumpkinJohn MantleJohn MaxwellGrover MurchisonKermitt PittVictor Poole

William SimpsonRobert SnowJames TempleErnest WilliamsAlexandre TodorovPhillip BoboWilliam deShazo

PATRON MEMBERS

John HollisJohn Nixon

David PartlowReese Phifer

William ShamblinBank of Tuscaloosa

BENEFACTOR MEMBERS

Wilmer Coggins William Winternitz

LIFE MEMBERS

David BaharGordon King

James ThomasEmergency

Management, P.C.

Cynthia Thomas

CORPORATE MEMBERS

AmSouth BankB.F. Goodrich

First Alabama BankSecor Bank

Tuscaloosa News

ON ROUNDS at CCHS 8

Heat InjuriesEach year 4000 people die from heat injury and-

thousands of others suffer from less serious side ef-fects. Although summer is almost over there willstill be several days of 90+ degree heat. Do youknow the symptoms of the three types of heat inju-ries and what to do about them?

They are: 1. Heat Cramps

Characterized by a painful muscle spasm of thearms and legs. This condition is not life threatening,but can be quite painful and incapacitating. The per-son should be given dilute salt and water (1 table-spoon table salt to a quart of water). Ice may be ap-plied to the cramped muscle to relieve pain.

2. Heat ExhaustionHeat exhaustion, although not life threatening, is

sometimes difficult to determine, but the followingsymptoms should be looked for:

ON ROUNDSPublished quarterly by the College of Community

Health Sciences and the Lister Hill Foundation.

Editor in ChiefWilmer J. Coggins, M.D., Dean

Editorial BoardColleen BeallJeanne Long

John Maxwell

Layout by Bobby SelwynMasthead Designed by Anna F. Jacobs

1. Progressive weakness, inability to work, and lossof appetite.

2. Skin is moist and clammy.3. Pupils may be dilated.4. Skin will be pale or ashen gray.5. Temperature is normal or subnormal.6. Fainting may occur.7. Pulse may be more rapid than normal, greater

than 100, and weak.8. Heat cramps may be present.9. Headache

10. Nausea, vomiting, or diarrhea may be present.

Have the person lie in the coolest available place anddrink as much cool liquid as possible. Icy drinks shouldnot be given because they may cause cardiac problems.After the person has sufficiently recuperated, rest andwater replacement is the proper procedure

3. Heat StrokeHeat Stroke is life threatening. Watch for:1. Dizziness, fatigue, confusion or euphoria2. Unconsciousness3. High temperature (105 -109°F rectally)4. Dry skin (because the person ceases to sweat)5. Flushed skin6. Strong and rapid pulse

Make arrangements to get the person to the nearestmedical facility immediately. Remove all clothingand cool the person's body by any means possible. Themost effective way of doing this is to place the personin a cool bath. If the person can cooperate give himcold drinks to aid in heat loss.Q

Source:Basic Emergency Care of The Sick and Injuried,3rd Edition, by Guy S. Parcel

THE UNIVERSITY OF ALABAMACollege of Community Health SciencesPost Office Box 870326Tuscaloosa, Alabama 35487-0326

ADDRESS CORRECTION REQUESTED

Non-profit OrganizationU.S. Postage Paid

Permit No. 16Tuscaloosa, AL 35487

Wilmer J. Coggins, M.D.P.O. Box 870326286 Nott HallTuscaloosa, AL 35487