Hospital For Joint Diseases And Medical Center
Hospital for Joint Diseasesand Medical CenterNew York City67thANNUALREPORTFOR THE YEAR 1973-:711iilj11-1111fr
Table of Contents1Trustees2Report of the President5Administration6Report of the Executive Director9Report of ActivitiesReport of the President10of the Medical StaffOfficers and Executive Committee17of the Medical StaffProfessional Staff Activities:18Orthopaedic Surgery25Rehabilitation Medicine26Radiology27Laboratories29General Medicine31Pediatrics32General Surgery35Anesthesiology35Radiation Therapy36Community Medicine37Dentistry39Research InstituteWomen's Division:41Report of the Chairman44Executive Committee44Honor Awardees45Senior and Junior Volunteers46Dedicated Areas of the Hospital. 48Endowed Beds .49In Memoriam50Treasurer's Report. 54Milestones .Back CoverAccreditations(Jt
TRUSTEESas of December 31, 1973Trustees of the HospitalAlfred RiceBernard AronsonAlan H. KempnerOscar S. RosnerGeorge M,JaffinDavid L. KleinPaul L. KohnstammHenry Sonneborn, 3rd, Ph.D.Marvin S. TraubRaphael MalsinJ. William RosenbluthMrs. Karl LeubsdorfI lonorary TrusteesPresidentImmediate Past PresidentHonorary PresidentHonorary tVice-PresidentVice-PresidentTreasurerAssociate TreasurerSecretaryLeopold Friedman (1935)Mrs. Herman Plaut(1936)J. Anthony Probst (1953)Harold L. Rosenthal (1955)Herman C. Frauenthal(1941)Abraham Rosenberg,Consultant to the Board of TrusteesAlan H. Kempner (1932)*Oscar S. Rosner (1935)Arnold J. Bernstein (1946)Raphael Malsin (1947)Robert I. Wishnick (1950)J. S. Seidman (1952)Bernard Aronson (1957)Randolph Guggenheimer (1957)George M. Jaffin (1957)Thomas L. Kempner (1957)Mrs. Karl Leubsdorf(1957)Percy Klingenstein, M.D.(1958)Myron Simons(1959)Richard Kaye Korn (1961)J. William Rosenbluth (1961)Mrs. Leonard Herzig (1962)Paul L. Kohnstamm (1964)Marvin S. Traub (1964)Henry Sonneborn, 3rd, Ph.D.(1966)David L. Klein (1967)Harold Lamberg (1967)Richard L. Cash (1968)Harry J. Reicher (1968)Karl Leubsdorf(1969)Alfred Rice (1970)Seymour Waldman (1970)Henry W. Berinstein (1971)Stephen C. Frauenthal(1971)David W. Bernstein (1971)Edward Gottlieb (1971)David Rosenberg (1972)Stanley R. Jaffe (1972)Mrs. Alexander E. Chapro (1973)Philip Davidson (1973)Bernard Spitzer (1973)*Dates in parenthesis indicate year of election to BoardCOMMITTEES OF THE BOARD OF TRUSTEESFor the year 1973I \e,iiti‘eDavid L. Klein, ChairmanBernard Aronson, Vice-ChairmanGeorge M. JaffinPercy Klingenstein, M.D.Paul L. KohnstammRichard Kaye KornMrs. Karl LeubsdorfKarl LeubsdorfRaphael MalsinJ. William RosenbluthHenry Sonneborn, 3rd, Ph.D.Marvin S. TraubRaphael MalsinDavid RosenbergBudget and OfficeRaphael Malsin, ChairmanMarvin S. Traub, Vice-ChairmanHenry W. BerinsteinHarold LambergKarl LeubsdorfHarry J. ReicherDavid RosenbergJ. William RosenbluthNominatingConference Committeeon Medical MattersPercy Klingenstein, M.D., ChairmanOscar S. Rosner, Vice-ChairmanStanley R. JaffeDavid L. KleinRichard Kaye KornHenry Sonneborn, 3rd, Ph.D.I Tan.Bernard Aronson, Co-ChairmanKarl Leubsdorf, Co-ChairmanHenry W. BerinsteinGeorge M. JaffinMrs. Karl Leubsdorf, ChairmanBernard AronsonGeorge M. JaffinMarvin S. TraubSeymour WaldmanBuildingBernard Aronson, ChairmanDavid L. Klein, Vice-ChairmanPhilip DavidsonEdward GottliebGeorge M. JaffinPaul L. KohnstammJ. William RosenbluthBernard SpitzerSeymour WaldmanI .1\\J. William Rosenbluth, ChairmanArnold J. Bernstein, Vice-ChairmanDavid W. BernsteinSeymour WaldmanGeorge M. Jaffin—of counselLaboratories and ResearchHenry Sonneborn, 3rd, Ph.D., ChairmanPercy Klingenstein, M.D., Vice-ChairmanDavid W. BernsteinAlan H. KempnerDavid L. KleinRaphael MalsinNursingRichard Kaye Korn, ChairmanMrs. Karl Leubsdorf, Vice-ChairmanMrs. Alexander E. ChaproStephen C. FrauenthalMrs. Leonard HerzigStanley R. JaffePercy Klingenstein, M.D.SPECIAL COMMITTEESNew TrusteesHarold Lamberg, ChairmanBernard AronsonPercy Klingenstein, M.D.Paul L. KohnstammIrustees Designatedto FederationBernard AronsonOscar S. RosnerAlan H. Kempner—alternateRichard Kaye Korn—alternateAd Hoc Committee on Relationshipwith Beth Israel HospitalGeorge M. Jaffin, ChairmanBernard AronsonDavid L. KleinRaphael MalsinJ. William RosenbluthFrustees Designatedto United Hospital FundPaul L. Kohnstamm, ChairmanMrs. Karl Leubsdorf, Vice-ChairmanMrs. Alexander E. ChaproMrs. Leonard HerzigSeymour WaldmanRobert I. WishnickAd Hoc Committee onFuture of H.J.D. at123rd StreetPaul L. Kohnstamm, ChairmanRandolph GuggenheimerPercy Klingenstein, M.D.Mrs. Karl LeubsdorfSeymour Waldman1
REPORT OF THE PRESIDENTFOR THE YEAR 1973It has been a genuine privilege to serve as President of our Hospital thispast year. I must confess that when I was elected I had little realizationof the problems that would arise and those that are still before us. Icertainly have received a liberal education in hospital economics,procedures and practices. I hasten to add that we are not alone in theproblems facing our institution. Most hospitals throughout the countryare facing similar difficulties. I am convinced, however, that with thekeen awareness and wisdom of our Board we shall overcome and arriveat proper solutions.So as not to burden you with many details, I will just mention a few ofthe highlights of the past year.I had hoped to be able to announce at the Annual Meeting that the NewYork State Commissioner of Health had formally approved our newOrthopaedic Institute at the site of Beth Israel Medical Center. However, there has been a delay and, hopefully, we will receive such formalannouncement within the next 60 days.I have tentatively selected several from among our Board memberswhose backgrounds indicate either expertise or enthusiasm for particular abilities involved in the construction and equipment of our newOrthopaedic Institute. To assist them in a consultative capacity will berepresentatives of the Administrative Staff, the Medical Staff, PlanningOffice and our Consultant to the Board, Abe Rosenberg. I will submittheir names to the Board of Trustees at our next regular meeting. Ihope that at this time next year, I will be able to report that much ofthe"hole in the ground" at Beth Israel Medical Center is filled with thestart of construction of our new Orthopaedic Institute.From the very inception of our agreement with Beth Israel, our relationship with them on every level has been most cordial and cooperative and there is every reason to believe that this will continue in theyears to come.2
I want to thank all the officers of theBoard, to each of whom I am indebted fortheir devotion to the interests of theHospital as well as to each individualtrustee who has given time, work andeffort through their committee activities.Since the last Annual Meeting-we haveadded four trustees to our Board, Mrs.Alexander E. Chapro, Mr. BernardSpitzer, Mr. Philip Davidson and Mr.Alan C. Herzig and we look forward tomany productive years of service fromthem.The 1973 report by Dr. Albert M. Betcher,President of the Medical Staff, in whichhe details the activities of the ProfessionalStaff of which we are so justly proud, isrecorded in the published Annual Report.In appreciation of the many years ofdistinguished service that they have givento the Hospital,the Board appointed Drs.Barnard Kleiger and Cecil A. Frank to thepositions of Consultants in their respectivespecialities, orthopaedics and surgery,upon their retirement from active duty.Likewise, the activities of the Women'sDivision presented by its Chairman, Mrs.Alexander E. Chapro are also recorded inthis year's published Annual Report. Weare all well aware of the day-to-day functions performed by these women and weare truly grateful to all of them.As in the past years, the Federation ofJewish Philanthropies, the Greater NewYork Fund and the United Hospital Fundhave made generous contributions towardour annual deficit. I want to thank all ofour trustees for their contributions and allof the friends of the Hospital, mostparticularly the Helene Fuld Health Trust.All gifts are of course listed in detail in theAnnual Report for 1973.This past year, patients' facilities wereused extensively and these statistics arealso recorded in this year's Annual Report.In this connection, no report would becomplete without commendation of thework of Harvey Machaver, our ExecutiveDirector, Kurt Wehle, Associate Directorand the heads of the various administrative departments. Many of them have beenwith the Hospital a long time and I expressto each of them our gratitude for theirconsistent dedication to our Hospital. Icannot allow this opportunity to passwithout once again commending and extending our gratitude to Abe Rosenbergfor his invaluable aid as Consultant to theBoard of Trustees in the many areas inwhich, by his past experience and contacts,he has facilitated our progress toward therealization of our new OrthopaedicInstitute.3
The year 1973 has been most rewarding tome personally. I have never really workedso hard but I assure you it has been a laborof love. With your help, I look forward,with all of my colleagues on the Board andthe Professional and AdministrativeStaffs, to the year ahead with keenanticipation. I am certain that we willprovide a splendid future for our institution and render a great contribution to thecommunity and to society.Respe tfully subpitted,AlfreicePresident
ADMINISTRATIONas of December 31, 1973Executive DirectorAssociate Director (Director of Fiscal Services)Associate Director (Director ofPlanning)Associate Director (Ambulatory Services Administrator)Associate AdministratorAssistant AdministratorAssistant AdministratorComptrollerDirector of NursingPersonnel DirectorDirector of AnesthesiologyDirector of Community MedicineAttending (Chief of Dentistry)Director of General MedicineDirector of General SurgeryDirector of LaboratoriesDirector of Orthopaedic SurgeryDirector of PediatricsAttending (Chief ofPsychiatry)Attending (Chief of Radiation Therapy)Director of RadiologyDirector of Rehabilitation MedicineDirector of AdmissionsDirector of Support ServicesDirector of Maintenance and ConstructionMedical LibrarianMedical Records LibrarianChiefPharmacistPurchasing AgentDirector of Helene Fuld School of NursingDirector ofSchool of X-Ray TechnologyChief of SecurityDirector of Social ServicesChief Telephone OperatorDirector of VolunteersHarvey Machaver, M.S., F.A.P.H.A.Kurt Wehle, Doctor Juris. M.B.A.Nicholas G. Fanos, B.S.M.E.Ralph G. Fingerle, M.S.Mark E. Baker, M.B.A.Mark W. Finkel, M.P.A.Steven R. Pavlow, M.S.Leo Hellman, B.S.Domenica Spano, M.A., R.N.Mark S. Colman, J.D.Albert M. Betcher, M.D.Stanley Reichman, M.D.Leonard E. Quitt, D.D.S.Jacob Grossman, M.D.Joseph R. Wilder, M.D.Howard D. Dorfman, M.D.Herman Robbins, M.D.Norman J. Sissman, M.D.Karl Easton, M.D.Alexander W. Pearlman, M.D.Alex Norman, M.D.James T. Demopoulos, M.D.Jerome TrapaniCharles ColombarisJohn T. MundyJana MartinFrances Zahler, R.R.A.Edward Prinz, R.Ph.Beatrice CeruMary E. Ahl, M.S., R.N.Kaethe Fengler, L.X.T., R.T.William A. MonroeHerman S. Shepard, M.S., A.C.S.W.Margaret BarthJanice R. Berkeley5
REPORT OF THEEXECUTIVE DIRECTOR FOR 1973In the welter of problems faced by hospitals, with conflicting claims,with optimistic announcements and despairing reports, it is sometimesforgotten that the primary purpose of a hospital is to care for sickpeople. This report will deal with the year 1973 and events thatoccurred at the Hospital for Joint Diseases and Medical Center incaring for those entrusted to our medical skills.During this past year, approximately 7,500 individuals were admittedto our institution. In addition, we experienced over 32,000 EmergencyRoom visits and 13,000 individuals received ambulatory care in the outpatient department. Those large numbers represented individualhuman beings, each of whom came to our hospital with a problem, andto each of whom we attempted to give interested, personal care of thehighest quality.To affirm diagnoses, we performed over 650,000 laboratory tests andexamined almost one quarter of a million x-ray films. When we decidedwhat was wrong,it took over 200,000 prescriptions to meet our patients'pharmaceutical requirements. For those needing surgical intervention,we performed over 4,500 operations. As recently as four years ago, theconcept of using a plastic material for total hip replacement was aradical and experimental idea. In 1973 we performed more than onesuch operation per day at our institution. The exotic had become accepted and was now routine.During this past year a member of the Department of Surgerypioneered an operative development which combines the best of medicine and the most advanced of our electronic technology. There havebeen cases of untreatable, unbearable pain. For many victims of thiscondition, the only prospect after numerous operations was a reductionbut no surcease from suffering. A senior neurosurgeon on our staff hasdeveloped an operative procedure in which he implants a tiny radio receiver in the spine. When the pain begins, the patient sends a radiosignal from a transmitting set the size of a packet of cigarettes, whichthe patient carries with him. This signal breaks the pain cycle immedi-
ately, and the patient has complete andtotal relief. These pioneering efforts existnot only in Orthopaedics, but throughoutour entire institution.1973 was a year when the unthinkable wasfaced. For a decade the thought that astrike would take place in the Hospital wasconsidered so disastrous that one darednot speak of it. Last November, Local1199, in a dispute with the Cost of LivingCouncil, struck the hospitals of New YorkCity.With the dedicated coverage of physicians,nurses, administrative staff and othernonunion personnel, our patients were welland competently treated. The members ofthe Women's Division and volunteersworked with unselfish, heroic efforts tomaintain the Hospital. Not one deathoccurred at our institution, nor one seriouscomplication, due to this unfortunateaction. A confidence has been born that wecan face major disasters if necessary.1973 was a year of financial challenge.Hospital reimbursement rates were limitedby both state and federal guidelines, whileprices charged by suppliers and othersources were not restricted to such guidelines. Nevertheless, I am pleased to reportthat between the Hospital's efforts at costcontainment and the support we receivedfrom the Federation of Jewish Philanthropies and other special contributions, weended the year with a net operating deficitof 265,000. To this deficit our auditorsadvised us that we had to make an adjustment for an Outpatient DepartmentMedicaid advance provided for the years1970 and 1971 of approximately 250,000.Therefore, our official report will show anet operating deficit of approximately 500,000.The actual deficit represents less the lossthat we thought we would face as the yearended. This figure will be further reducedby adjustments we expect to receive in1974 for the losses the Hospital incurredduring the strike.Within 1973, major progress was made inthe long range ability of the Hospital tocontinue to provide care and medicalleadership in the Orthopaedic and nonOrthopaedic communities. First,regarding.the new Orthopaedic Institute,approvals have been obtained from allagencies of government and a final recommendation has been made to the Commissioner of Health to approve the construction of the Institute at 17th Street. Inrelation to the present facility, theapplication for corporate establishmentrecommended by the State is at its last stepbeing considered before the Public HealthCouncil. If it is approved, in due time weshall receive letters of authorization fromthe New York State Commissioner ofHealth to proceed on both projects.The actual work of planning for the newOrthopaedic Institute has been continuingin the sure knowledge that the institutionwill be built. There have been distributedthe functional program and the conceptplans of the new Orthopaedic Institute.These documents represent meetings,compromises and the current state of thedreams and hopes of physicians, planningcommittee members, administrative staffand others served by the institution.Before the building is built, there will bedozens of sets of plans and room and floordesigns torn apart, argued over, andfinally accepted as representing the bestthat the next generation of orthopaedicpatients can hope for.Even as we plan the new OrthopaedicInstitute, changes have been taking placeat the present facility. Appointmentsystems in our Outpatient Departmenthave significantly revised the amount oftime that an individual may spend at ourinstitution to see a doctor. A newpharmacy geared to modern-day drugtherapy needs has been completed.The integration of our schools of registeredand practical nursing into a single HeleneFuld School of Nursing has been effected.With this, plans are being developed toenable our nursing program to grant anAssociate of Science Degree. Our Hospital,which had always been committed tohigher education, will, in the near future,officially become a degree grantinginstitution.1973 was a year in which sadness, too, wasexperienced. We mourn the passing ofAdeline Rosenberg, wife of our belovedConsultant, Abe Rosenberg, and in herown right over these many years, a strongsupporter and contributor to this institution. We also mourn the passing of Dr.Daniel Casten, Consultant Surgeon; Dr.Abraham Kaplan, Consultant Neurosurgeon; and Dr. Joseph B. Weiss,Adjunct Gynecologist.There are so many people to acknowledge,it is difficult to know where to begin. The
department heads of the institution, whobore the brunt of pressure of increasingpatient demands and decreasing resources, acted with dedication incontinually helping to stretch ourresources during this period.The physicians of the staff, dedicated totheir patients and supporting the future ofthe institution, acted in the highest of theirtraditions.The Members of the Board of Trusteeswere available for consutation and supportduring this very difficult period. Themembers of the Women's Division and thevolunteers this year worked harder andwith more compassion than ever before.Since I cannot personally and individuallythank them all, I would like to mention myappreciation to Alfred Rice for his wisecounsel and support during this past year;Raphael Malsin for special support inbudgetary matters; Bernard Aronson forinvaluable work in the planning of the newhospital and for meeting extremely difficult and complex problems in relation tothe present institution; David Klein forspecial help in relation to some knottyprofessional medical problems; BillRosenbluth for continuing help in legalproblems of the Hospital including goingto Albany to discuss matters with the Stateof New York; Paul Kohnstamm who hastaken on the difficult responsibility asChairman of the Committee on the Futureof the 124th Street Facility; and to SueChapro for both her excellent leadership ofthe Women's Division, and her ownpersonal time and efforts on behalf of theinstitution. The members of my adminis-trative staff deserve accolades for their results. Mark Baker, Mark Finkel and StevePavlow have given of themselves unstintingly through crises and at all times. NickFanos has been especially effective in thetechnical end of the planning of our newinstitution. Ralph Fingerle in ourAmbulatory Care Service and Kurt Wehlein fiscal affairs have conscientiouslycarried the burden of their responsibilities.Four other individuals, Ms. DomenicaSpano, Director of Nursing; MarkColman, Personnel Director; LeoHellman, Comptroller; and CharlesColombaris, Director of Support Services,have each creatively and with great love,discharged their departmental responsibilities but have also carried on a varietyof administrative assignments.No hospital can perform well without aneffective liaison between medical andadministrative staffs. Dr. Albert M.Betcher, ou
Bernard Aronson Alan H. Kempner Oscar S. Rosner George M, Jaffin David L. Klein Paul L. Kohnstamm Henry Sonneborn, 3rd, Ph.D. Marvin S. Traub Raphael Malsin J. William Rosenbluth Mrs. Karl Leubsdorf I lonorary Trustees Leopold Friedman (1935) Mrs. Herman Plaut (1936) J. Anthony Probst
Bruksanvisning för bilstereo . Bruksanvisning for bilstereo . Instrukcja obsługi samochodowego odtwarzacza stereo . Operating Instructions for Car Stereo . 610-104 . SV . Bruksanvisning i original
10 tips och tricks för att lyckas med ert sap-projekt 20 SAPSANYTT 2/2015 De flesta projektledare känner säkert till Cobb’s paradox. Martin Cobb verkade som CIO för sekretariatet för Treasury Board of Canada 1995 då han ställde frågan
service i Norge och Finland drivs inom ramen för ett enskilt företag (NRK. 1 och Yleisradio), fin ns det i Sverige tre: Ett för tv (Sveriges Television , SVT ), ett för radio (Sveriges Radio , SR ) och ett för utbildnings program (Sveriges Utbildningsradio, UR, vilket till följd av sin begränsade storlek inte återfinns bland de 25 största
Hotell För hotell anges de tre klasserna A/B, C och D. Det betyder att den "normala" standarden C är acceptabel men att motiven för en högre standard är starka. Ljudklass C motsvarar de tidigare normkraven för hotell, ljudklass A/B motsvarar kraven för moderna hotell med hög standard och ljudklass D kan användas vid
LÄS NOGGRANT FÖLJANDE VILLKOR FÖR APPLE DEVELOPER PROGRAM LICENCE . Apple Developer Program License Agreement Syfte Du vill använda Apple-mjukvara (enligt definitionen nedan) för att utveckla en eller flera Applikationer (enligt definitionen nedan) för Apple-märkta produkter. . Applikationer som utvecklas för iOS-produkter, Apple .
8 Sleep-wake disorders 2 1 1 9 Diseases of the eye and adnexa 117 93 24 10 Diseases of the nervous system 257 232 25 11 Diseases of the ear and mastoid process 22 21 1 12 Diseases of the circulatory system 107 93 14 13 Diseases of the respiratory system 107 95 12 14 Diseases of the digestive system 264 236 28 15 Diseases of the skin 341 284 57 .
metabolic diseases O99.3: Mental disorders and diseases of the nervous system O99.4: Diseases of the circulatory system O99.5: Diseases of the respiratory system O99.6: Diseases of the digestive system O99.7: Diseases of the skin and subcutaneous tissue O99.8: Other specified diseases and conditions
23 Eastman Dental Hospital 24 Royal National Throat, Nose & Ear Hospital 25 The Nuffield Hearing and Speech Centre 26 Moorfields Eye Hospital 27 St. Bartholomew's Hospital 28 London Bridge Hospital 29 Guy's Hospital 30 Churchill Clinic 31 St. Thomas' Hospital 32 Gordon Hospital 33 The Lister Hospital 34 Royal Hospital Chelsea 35 Charter .