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Governor's Newsletter—January 1998

Tanya Repka, M.D., F.A.C.P. Chosen as Future Chapter Leader

Tanya Repka, M.D., F.A.C.P., a specialist in hematology-oncology at the University of Minnesota, was recently elected by state ACP chapter members as governor-elect. The governor-elect position runs from April 1998 until April 1999 when Doctor Repka will assume leadership of the Minnesota State ACP Chapter. She has been an active member in our ACP chapter (Scientific Program Chair 1994 and current Chair of ACP Women Physician's Committee). I plan to work closely with Tanya in the upcoming year to make the transition process as easy as possible for her. Please join me in congratulating her and wishing her good luck as our chapter leader in the years ahead. Tanya's e-mail address is repka001@maroon.tc.umn.edu.

We were privileged this year to have another excellent candidate running for governor-elect, Richard Hellman, M.D., F.A.C.P. A staff nephrologist at the Duluth Clinic, Doctor Hellman has been very active in our ACP Chapter (Council Member and ACP State Chapter By-Laws Committee Chair). We will look forward to his continued commitment and enthusiasm for the state chapter in years to come. Even though he did not win this go-around, having two strong candidates active in our state chapter left us with truly a win-win situation.

1997 Minnesota ACP Associates' Competition Award Winners

The following associates and medical students were award winners at the 1997 Minnesota ACP Associates' Competition in November 1997. Although winning first place at our competition Dr. Julia Liu and James Sul to receive automatic wild card invitation to the National Associates' Competition (San Diego April 1998), they both had sent applications to the National Associates' Competition and were chosen in their own right. Congratulations to all of them.

Clinical Vignettes:

First Place:

J. J. Liu, M.D.; D. J. Brandhagen, M.D.; Mayo Clinic and Foundation, Rochester, MN
"Sumatriptan Induced Mesenteric Ischemia"

Award Winners:

M. R. Thomas, M.D.; T. Behrenbeck, M.D.; Mayo Clinic and Foundation, Rochester, MN
"Recurrent Intracranial Hemorrhages in a Patient with Mechanical Mitral and Aortic Prostheses"

R. Vassallo; E. D. Remstein; R. D. Brown; G. W. Petty; J. Parisi; J. Huston; Mayo Foundation; Rochester, MN
"Cerebral Infarction from Non-Bacterial Thrombotic Endocarditis Mimicking Cerebral Vasculitis - A Case Report"

P. Patel, M.D.; S. Ansell, M.D.; R. Phyliky, M.D.; Mayo Clinic and Foundation; Rochester, MN
"Systemic Alcoholic Fermentation and Gas Gangrene: An Unusual Complication of Treatment for Aplastic Anemia"

C. E. Morales, M.D.; L. C. Dale, M.D.; Mayo Clinic; Rochester, MN
"Langerhans' Cell Histiocytosis: An uncommon cause of headache"

P. B. Johnston, M.D.; T. M. Habermann, M.D. and T. W. Bunch, M.D.; Mayo Clinic and Foundation; Rochester, MN
"Capillary Leak as a Presentation of C1-Esterase Inhibitor Deficiency Associated with Non-Hodgkin's Lymphoma in a Patient with Sneddon Syndrome"

E. S. Brilakis, M.D.; H. S. Brilakis, M.D.; J. W. Wilson, M.D.; T. M. Munger, M.D.; Mayo Clinic and Foundation; Rochester, MN
"Pheochromocytoma Presenting as Acute Pulmonary Edema. Dramatic Improvement After Treatment"

H. R. Aslanian, M.D.; Mayo Clinic; Rochester, MN
"Sweet's Syndrome in Association with Systemic Lupus Erythematosus"

J. Henseler, M.D.; Abbott Northwestern Hospital; Minneapolis, MN
"A Confusing Case of Confusion: Creutzfeldt-Jakob Disease"

Joseph J. Howard, M.D.; Dean M. Fox, M.D.; Abbott Northwestern Hospital; Minneapolis, MN
"Chronic Diffuse Intravascular Coagulopathy Secondary to Chronic Aortic Dissection"


First Place:

James H. Sul, M.D.; S. Fredstrom; J. Rank; Department of Medicine, University of Minnesota, Minneapolis, MN
"Tranjugular Intrahepatic Portosystemic Shunts (TIPS) Do Not Result In Long Term Survivors"

Award Winners:

Alireza Falahati, M.D.; Scott W. Sharkey, M.D.; Dane Christensen, M.D.; Matt McCoy; Elizabeth A. Miller; Fred S. Apple, Ph.D.; Hennepin County Medical Center; Minneapolis, MN
"Implementation of Serum Cardiac Troponin I as the Marker for Detection of Acute Myocardial Infarction"

S. H. Bloom, M.D.; A. Pheley, Ph.D.; T. L. Repka, M.D.; Hennepin County Medical Center; Minneapolis, MN
"Quality of Life in Terminally Ill Patients: A Comparison of Physician VS. Patient Assessment"

Medical Students:

First Place Clinical Vignettes:

J. A. Schirger, M.A.; J. A. Grantham, M.D.; M. Jougasaki, M.D.; P. W. Wennberg, M.D.; J. C. Burnett, Jr., M.D.; Mayo Clinic; Rochester, MN
"Vascular Actions of the Natriuretic Peptides in Cultured Vascular Smooth Muscle Cells and in Normal and Atherosclerotic Aorta"

First Place Research:

V. R. Vigen, B.S.; R. D. Brown, Jr., M.D.; J. D. Sicks, M.S.; W. M. O'Fallon, Ph.D.; Mayo Medical School and Mayo Clinic and Mayo Foundation; Rochester, MN
"Incidence and Prevalence of Intracranial Saccular Aneurysms and Aneurysmal Intracrandial Hemorrhage in Olmsted County, Minnesota, 1965 to 1995"

Laureate Award Winner

One of the highlights of every state meeting is the presentation of the Laureate Award. The Laureate Award honors those Fellows and Masters of the American College of Physicians in Minnesota who have demonstrated by their example and conduct an abiding commitment to excellence in medical care, education, research, service to their community, their chapter, and the American College of Physicians. The award is presented each year at our Annual Chapter Luncheon on recommendation of the Awards Committee, with approval of the Council and Governor. The following is a brief summary of the illustrious career of Dr. Gerald Onstad as it was published in the Laureate Award brochure, November 1997.

Gerald R. Onstad, M.D., F.A.C.P.

Dr. Onstad was born April 10, 1936, in Crookston, Minnesota. In 1958, he earned a Bachelor of Arts degree from the University of Minnesota,where he graduated Phi Beta Kappa. He received his M.D. degree from the University of Minnesota in 1961 (Alpha Omega Alpha). His internship was spent at the University of Oregon in Portland. His residency in internal medicine was spent at Mayo Clinic in Rochester, Minnesota. Later, Dr. Onstad became an NIH fellow in gastroenterology at Mayo Clinic. He was awarded the J. Arnold Bargen Award for Exceptional Research in Gastroenterology. He moved to Hennepin County Medical Center in 1966 where he served as Director of the Division of Gastroenterology. In 1968, Dr. Onstad was commissioned as a Major in the Medical Corp of the U.S. Army. He served as an army consultant in gastroenterology in Vietnam. Shortly after he returned to Hennepin County, he became Assistant Chief of Medicine working closely with, then chief, Alvin L. Schultz, M.D., M.A.C.P. (Laureate 1989). In 1991-1992, when called upon, Dr. Onstad took over as Acting Chief of Medicine at Hennepin County Medical Center. He has remained Director, Section of Gastroenterology, Hennepin County Medical Center where he continues his career.

Dr. Onstad has been extremely active in the Minnesota Chapter of the American College of Physicians. He was the Program Chair for two Minnesota regional meetings, has been associated with the Minnesota Governor's Council since 1986, and served as Governor of the Minnesota Chapter from 1991-1995. As his successor, I can attest to the excellence of his management of our state chapter during his years as governor. He also was extraordinarily helpful to me during the transition year when I took over as governor.

Dr. Onstad has served or chaired many important Hennepin County Medical Center committees. He is a member in numerous professional societies. He has an extensive bibliography being published in numerous prestigious journals in a variety of topics and has often been a sought after invited speaker. He is also an avid marathoner (has run in every Twin Cities Marathon since it's inception), devoted husband, father and grandfather.

In spite of all of these accomplishments, Dr. Onstad is best known and appreciated for his clinical enthusiasm and ability to infuse this enthusiasm into the many, many students he has taught through the years. This is best described in the insightful words of one of his former students.

"As a medical student, I was terrified of Dr. Onstad. He was outwardly gruff and I was sure whatever I said would be wrong (and often it was). However, when I later returned to Hennepin County Medical Center as a resident, I got to know him better and appreciate his talents. It took me a while to figure out that Dr. Onstad asked questions to challenge students and residents in hopes of getting them to think for themselves. He did not really care if you knew the exact answer, but he wanted to see that you could think on your feet and reason through a problem. On the hospital wards, Dr. Onstad wanted us to have formulated a plan on the patients, even if later the plan had to be changed. You have a hypothesis, you make a plan, and then you modify that plan based on new data.

Dr. Onstad finds medicine so interesting that he wants others to be engaged in the same way. The only time that he shows genuine disappointment in students or residents is when he sees them not thinking through problems and not challenging either themselves or him. Even now, Dr. Onstad continues to find clinical medicine fascinating and loves to be challenged with puzzles about disease processes and pathophysiology. Gerry Onstad is an outstanding clinician, colleague, mentor, and friend. I am thankful that I have had the opportunity to have worked with and learned from him."

Dr. Onstad exemplifies all of the characteristics for which the laureate is awarded. He is an outstanding teacher who willingly gives continuously of himself to the needs of his students, residents, fellows, and patients. The Minnesota Chapter of the American College of Physicians is pleased to name him as the recipient of its Laureate Award for 1997.

Send Nominations for 1998 Laureate Candidates

Please send nominations (letter and CV) to me for candidates for the Laureate Award to be presented at our November 1998 Chapter Meeting.

Mark Your Calendars: Next State Chapter Meeting November 6-7, 1998

We have booked our Minnesota Chapter ACP Annual Meeting for November 6-7, 1998. This year we will have a change of location and will host the meeting at the Minneapolis-St. Paul Airport Hilton Hotel. The Minneapolis-St. Paul Airport Hilton is located conveniently in the Bloomington area of the "Twin Cities". This full-service hotel offers many deluxe guest rooms and suites at a very reasonable price. Its location is only a couple of minutes away from the Mall of America. This hotel will also offer our attendees easy access to all major freeways and very importantly free and plentiful parking.

The format of the meeting will remain similar to years past. The ACP Women Physician's Committee will meet Friday morning. There will be a continental breakfast for the rest of the membership Friday morning. The Laureate presentation will be at the Friday noon luncheon. Friday will end with the Associates' Poster Competition and a catered reception. The Saturday program will run 1/2 day andwill adjorn by noon. There will be a Saturday night "stayover" option at the hotel for those wishing to enjoy other Twin Cities amenities.

Mark these dates in your calendar. More detailed information will follow as the date draws closer.

ACPW Spring Retreat

The Minnesota ACPW (American College of Physicians Women) will be having another spa retreat this spring. The spa outing will be held on Sunday, April 19, 1998 at The Spa at The Marsh in Minnetonka. We can accommodate 22 women for the retreat, with spots being filled on a first come, first serve basis. For more information about the spa retreat call Beth Fredrickson at 612-347-4059 or Dr. Lorre Ochs at 612-349-8370.

Dates to Remember

November 6-7, 1998:
Minnesota State Chapter ACP Meeting, Minneapolis, MN

Annual Session National Meetings:
April 2 - 5, 199—San Diego
April 22 - 25, 1999—New Orleans
April 13-16, 2000—Philadelphia

Most sincerely,

Scott C. Litin, M.D., F.A.C.P.
Minnesota State Chapter ACP

Contact Information

Heather E Gantzer, MD FACP, Governor, Minnesota Chapter

Chapter Staff:
Katherine Cairns, Executive Director
1043 Grand Ave. #215
St. Paul, MN 55105
Fax: 651-699-7798