Posts by author:

perspectives

George LeVay

Hungary native George Levay, a Fulbright Scholar, overcame meningitis to develop a prosthetic control.

 

I’m here on a Fulbright scholarship. I work specifically on prosthetics control, and my research involves pattern recognition-based control of prosthetics.

It’s easier to look back now and talk about the meningitis. I was very lucky. I have no internal organ or brain damage from the bacteria. Both my father and mother were constantly there, supporting me, and my friends, too. There were so many things that worked in my favor that I got through it.

By the time I got to the hospital, I was almost completely out of it. They realized my internal organs were shutting down. They put me in an artificial coma.

After a week, they had to wake me up because I contracted pneumonia. That’s when they started removing first the skin, then doing smaller amputations, then larger amputations. The first instinct of the doctors normally would be to cut off everything. But my father—he’s not a doctor but he’s very well versed in medicine—he didn’t let them amputate everything. And after two months, I walked home.

I was basically bandaged all over, but those bandages had to be replaced every two days. I wanted to die a lot of times. But my psychiatrist took me on and took a lot of risks with me; for instance, she ordered the doctors to sedate me every time I was rebandaged.

My depression was over pretty rapidly, in about 7 or 8 months. I reached the point where I had to decide: okay, I’m either going to sit and stare at a wall my entire life—because that was an option, and no one would have faulted me for that—or I do something about it. So I finished my bachelor’s degree and shifted into robotics and control theory.

I was very happy when I got the Fulbright scholarship and was accepted to Hopkins; I'm finishing school in May.

We had a lot of fun developing the hands-free controller. The most enjoyable part was taking it from idea to where it is now. This was the first such experience I’d had, and it was really great. For me, this would be unimaginable in Hungary simply because there isn’t the money or education to allow people to do these kinds of projects and work on them until they’re done.

I think the main takeaway from my time here has been seeing how working on a team, listening to and considering all opinions can lead to creating something that could not have been possible individually. The whole experience will stay with me. It’s been a life changing two years.

 

VN:F [1.9.17_1161]
Rating: 5.0/5 (4 votes cast)
1 Comment

Andrea Brown

I will say this is kind of difficult for me to share, because anybody who knows me knows I’m a very private person. I’m now realizing that in order to help others, I need to be okay with my journey and pay it forward.

I’m a systems administrator in the facilities department. I’ve been working at Hopkins for 10 years. We have a small department within facilities that serves the IT functions of the work management system for the entire hospital.

Last year in March, I found a lump. I got a mammogram and I got a call back. You’re not supposed to get a call back. I was diagnosed with breast cancer. I was petrified. There was no family history of breast cancer. I remember telling myself, I have to go to work and I have to tell my supervisor. I have a daughter. I’m her primary care giver. So it’s a scary situation to be in.

I was also scared because I work at The Johns Hopkins Hospital. I don’t care where you are, you see the side effects of what cancer can do. I told my supervisor, Tom Lentz, about my diagnosis and he was the one who encouraged me to go to the Managing Cancer at Work program.

I went to the very first Managing Cancer meeting, which was the first of each month. While I was nervous, the way the meeting was run put me at ease. Marie Borsellino, the oncology nurse navigator, was so helpful. The disease makes you vulnerable. It exposes you. I remember just tearing up, telling my story, not knowing what to expect. But then the people who were around me were a mix of survivors — those who were going through it, through treatment. People just like me.

I made the choice not to go through the chemo. I didn’t have to do the radiation. I chose a double mastectomy. My biggest fear was not being able to do my job when I came back at the same capacity that I did before I left. There were side effects from the surgery alone. There are times where I’m in pain. One of the challenges is not being able to physically do some of the things that I was able to do prior to surgery. I need help to lift things now.  I used to be fairly independent, and that is a constant reminder that I need help from others.

If you go to work and you don’t have that support, it makes things so much more difficult. I have such a respect my supervisor. I thank him on several occasions. The support was helpful also with the two senior directors. They maintained my privacy, as I wanted. Sometimes they just sat with me. I remember one time I was in the conference room, and I just balled my eyes out. Everybody does not have the benefit of having someone who understands. And I think in the workplace it’s very important because this isn’t something you ask for — to all of a sudden get this life-threatening disease.

My daughter is 13 now. She surprised me because initially I kept everything from her. Now she’s helping with the laundry. She’s helping do things I couldn’t do.

I’m coming up on one year of survivorship. I remember the exact date of my diagnosis was April 14. It will be a year. I’m definitely going to do something to mark that day. Not only that day, but the day I actually had surgery, which was the May 18.

One of my friends sent me a quote: “Cancer is a word, not a sentence.” I remember I kept looking at it. I get it. You have to live your life.

Hear, in Andrea's words, how she will celebrate her first year of survivorship.

Note: If you have been diagnosed with cancer or are a caregiver to someone diagnosed with cancer, and would like to  find out more about Managing Cancer at Work, visit managingcanceratwork.com (employee site PIN-6229, manager site PIN-6229) or call 410-955-6229.

VN:F [1.9.17_1161]
Rating: 5.0/5 (5 votes cast)
1 Comment

Charles Odonkor

"Trying to be nonjudgmental when interacting with patients and finding a common point of shared humanity helps me bond with a patient." Charles Odonkor, M.D.

 

 

'Physical Medicine and Rehabilitation opened up a whole new world for me.'

I left home in Ghana at age 18, by myself, to come to this place with promise and opportunity.

My mom is a caterer in a high school. My Dad is a retired bank clerk. I’m the oldest of five kids, so I always had to lead the way. I am the first person in my family to go to college.

My interest in medicine sort of evolved naturally. My grandfather was knowledgeable in herbal medicine and had an influence. I think that sort of planted the seed for later on — having that curiosity and understanding how medicines work with the human body.

I came from Ghana to Tennessee, then went to Washington University in St. Louis for graduate school. From there, I went to Yale University for medical school.

I had been away from home almost eight years. In my second year at Yale, my dad had a stroke. That put me on a different course. Initially, I thought I would do neurosurgery, but when I went home and saw my dad, he was a shadow of himself. He could not talk. His whole left side was not functional. I asked, “What can we do for him?” I was told: “I’m sorry — it’s an act of God. There’s nothing else to be done.” If my dad had been in the States, a lot could have been done. Unfortunately, by virtue of geography, his options were limited.

That had me thinking again about want I wanted to do with medicine. That’s how I decided to do physical medicine and rehabilitation, which really focuses on function, functional outcomes and quality of life. My dad was actually the impetus for me wanting to go into physiatry.

Since then, I’ve been drawn to patients who have impairments and disabilities. It opened a whole new world for me. I was glad the specialty found me.

I was lucky this past year to be appointed as the national president of the Resident and Fellow Council of the Association of Academic Physiatrists, which is the leading organization for academics, research and mentorship for our specialty. I had the opportunity to go to the Capitol to do some advocacy for disability rights and advocate for more National Institutes of Health funding. That’s one of the things I’m passionate about.

When I came to Baltimore, I found that we didn’t have a very organized group for minority residents. It was really surprising!

I rallied my colleagues, and we started the Diversity Residents and Postdocs group, DRAP, in 2014. One of the ideas we focus on is cultural competency and helping to change the perceptions that may exist. We’re also addressing the mentorship gap with minorities.

I also helped found a group called the PM&R Interest Group at Johns Hopkins. Most people go through four years of medical school, and nobody talks to them about people who have disabilities. There’s such a huge need for it. We have all these veterans who return from war with amputations and chronic pain. Even a simple thing like accessibility, we take it for granted. Medical students must be exposed to these types of things. It also gives us an opportunity to recruit the best of the best in this specialty.

Note: Read Odonkor’s blog posts on the Johns Hopkins University School of Medicine’s Biomedical Odyssey.

Also, listen to Odonkor's story about a patient with whom he built trust and help enhance her care experience.

VN:F [1.9.17_1161]
Rating: 4.7/5 (3 votes cast)
4 Comments

170111 ROBINSON Billy Bizzo_7819

Billy “Bizzo” Robinson, security guard, East Baltimore campus

I needed a job when I came to Baltimore in 1972. Seems like I found a home; I haven’t been anywhere else since.

I get out here at 6 a.m. during the week. I’m outside all day, every day at the corner of Caroline and Jefferson streets. Since I’m getting old now, my legs bother me sometimes, so I try not to spend that much time in the booth. I look out not just for the employees, but everyone in the area.

The biggest thing that really sticks out of my mind? I think this was about 1980 or ’81. I came to work one Sunday morning—it was either Sunday or Saturday because everything was basically dead—that’s when the hotel was there. Before they built CRB I and II, before JHOC, there was a Sheraton hotel.

I got a call to go in front of the hotel. And it was some people from Mexico, and the lady was in labor. When I got up there, the lady at the front desk said, “Bizzo, she’s in labor. She’s about to have a baby!” At that time, when patients came to the hospital, some of them had nurses. One of the patients had a nurse with her. I was the only one with rubber gloves, and the lady said, “You ever delivered a baby before?” I said, “No, ma’am.” She said: “I’m going to tell you what to do. Hold your hands out, when the baby comes out. Just hold it, just hold it.” And as the baby’s feet came out, the ambulance came and I said, “What do I do now?” She said, “Just hold him until the ambulance people get here.” That was a new experience for me.

The other thing that sticks out of my mind: The dialysis unit used to be around the other side before they built CRB I and II, and this man, I used to call him the General—he was a colonel in the Air Force. His nephew brought him here for dialysis treatment. And I hollered: “Hey, General, how you doing, man, how are things going? Give me one of those war stories.” He was talking and then all of the sudden he went down. I called to him, “General, are you all right?” All of a sudden, he just died. We did CPR on him, but it didn’t help any. He died on the spot.

Out of all the things going on in the world, the little things you count are blessings. Sometimes somebody might give me a bottle of water or words of encouragement. I usually say something crazy to get people laughing in the morning—after two cups of coffee, I can usually start working.

When you think you're not influencing people's lives, it's kind of funny what you find out. As you go through this life, if you're not helping or encouraging somebody, you're not really doing anything.

Know someone who'd make a great story for Everyday Hopkins? Send us your idea here.

VN:F [1.9.17_1161]
Rating: 4.6/5 (19 votes cast)
29 Comments

Dr. Paul Ladenson (Endocrinology, Radiology)

"He did not rush through the biospsy procedure. He was caring and cordial, warm bedside manner, he explained to me exactly what to expect. I felt confident and relaxed throughout the procedure."

Jenny Perry (CVISCU Nurse) and Sarah (CVSICU Tech)

"They were so great keeping my husband calm and communicated so he knew what was going on. It is hard to put into words how professional they both were and very compassionate to me."

Meghan Hill (Oncology Nurse)

"Each time we have had her she is attentive, efficient and through her body language we can tell she cares about our daughter. Megan anticipates our daughter’s needs, confirms with her, and then proceeds to see that she gets what she needs. Not only is she kind and compassionate, but her level of expertise excels far above the norm."

Jennifer (CCU Nurse)

"My husband is high maintenance, but Jennifer has remained extraordinarily kind, patient and encouraging. She has gone the extra mile to ensure his comfort by offering to reposition him rather than just offer pain meds. She also has helped to try to maintain his muscle tone  by using the lift to get him in a chair despite many tubes she had to manage. Perhaps less obvious to all is the quality of healing for patient and family members that her kind spirit provides."

Rose (Weinberg 4C Nurse)

"Rose showed tremendous maturity, knowledge, care and compassion toward me. She included my sisters, making them feel an integral part of the healing process."

Weinberg 4C (Krisha Patel, Nick Sacco, and Angela Reed)

"They all treated us as a family member and will be forever grateful."

 

VN:F [1.9.17_1161]
Rating: 0.0/5 (0 votes cast)
No Comments

Transitional Care Services at The Johns Hopkins Hospital

Ms. U was referred to me for transitional care services from the Emergency Department in October 2015. She had presented to the ED after her blood pressure had become dangerously high. The patient confessed that she had run out of her medications one month prior to her visit. Her uncontrolled diabetes led to severe diabetic retinopathy and her vision was significantly impaired. She was evaluated by ED case manager Amy Cammer, who identified many barriers for the patient:

1) She can’t see any of the writing on her pill bottles

2) She has limited knowledge about her medications and only had a fifth-grade reading level

3) She was living alone in a rented room with no family in the state

4) She has no supplies for her glucometer

5) She receives a fixed income (SSDI) and is having difficulty paying for transportation to any of her outpatient appointments

6) She only speaks Spanish. Her medications were filled during her ED visit, a one week pill box was filled, and a referral for Transition Guide (TG) services was placed. It was unclear as to whether or not the patient had a primary care doctor so an After Care Clinic appointment was arranged for the following week.

I met Ms. U in her home for her initial home visit. I am bilingual and was able to communicate directly with the patient. The patient reported that she received primary care at a clinic outside of the Johns Hopkins System. I inquired about her social support system and she reported that her closest relative was her daughter, with whom she had resided with for a period of time, but who lives in out of state. She stated she wanted to have all of her care at Johns Hopkins.

I informed her that she lived within the ElderCare Plus eligible zip codes and would likely qualify for the services of a Medical Day program to assist with transportation, medication administration, and social support. I initiated the referral for two medical day programs that service her area, spoke directly with her primary care provider to obtain referrals for ophthalmology, diabetic testing supplies and an appointment with a mental health provider. I sent a referral to JCHIP because the patient lived within one of the seven eligible zip codes.

She began attending her outpatient appointments and was accepted into the JCHIP program rather quickly. Before attending her first primary care appointment, she was admitted at Johns Hopkins Bayview Medical Center for a condition due resulting from medication non-compliance. After discharge and due to the acuity of the patient’s conditions, skilled home nursing was ordered.

The providers she saw in clinic, Erin Perry, M.D., and Rahul Loungani, M.D., provided detailed emails to everyone involved in her care to provide updates to her plan of care after visits were completed and next steps. Erika Dixon, home care nurse, set up remote-patient monitoring to closely monitor symptoms related to heart failure. Melissa Lantz-Garnish, disease management nurse, monitored to patient’s daily weight, blood pressure and heart rate to assess for acute symptoms that needed immediate medical attention. A pharmacist in the JHOC internal medicine clinic met with the patient regularly to record blood pressures in clinic, provide medication teaching, and fill the patient’s pill boxes based on her most current medication changes. Pharmacist Tara Feller, PharmD, even dropped off the patient’s medications and filled her pill boxes on Christmas Eve, to ensure the patient would have her medications. A Spanish-speaking glucometer, as well as the needed supplies, were also ordered and obtained at a local pharmacy.

Despite our numerous interventions, the patient was admitted for heart failure.After discharge, she was seen in the Heart Failure Bridge Clinic by Johana Almansa, CRNP, where she could receive close cardiology follow-up with a provider that happened to speak her native language.

Her Johns Hopkins Outpatient Center providers gave her the medical records she would need to transfer care and provided a list of those in the area she would be moving to. The patient’s daughter came to pick up the patient, packed up her belongings, and helped her move in with her. I contacted her daughter and provided her detailed instructions about the patient’s current plan of care and how to apply for medical assistance in her state. To date, the patient has obtained medical assistance in her state, established primary care, and is living with her daughter where she received the love and support that she needs.

Each of her providers focused on providing patient-centered care that tailors care to the individual’s unique needs. This type of care provides optimal patient results and despite the complexity of this case, none of this could have been accomplished without the solid and outstanding care-coordination that each of her providers persisted in.

Margaret Elizabeth Arias, M.S., BSN, RN

VN:F [1.9.17_1161]
Rating: 5.0/5 (1 vote cast)
No Comments

I live in Bel Air and have had to take my 86-year-old mother-in-law to the Wilmer Eye Institute twice in the past week. Last week was our first visit. It was a little confusing finding our way around the first time like any big building would be. From our initial stop to check in, to our two appointments at Wilmer, to our visit to both the Outpatient Clinic for blood work as well as the Imaging Clinic for an x-ray, every single Hopkins employee we interacted with could not have been more professional, helpful, and friendly.

My mother-in-law was apprehensive about going "all the way" down to Baltimore, but the way the staff dealt with her disarmed her immediately and made her feel comfortable and relaxed the entire time. I've been to hospitals around the country for a wide variety of reasons. Simply put, none of them comes close to our experience at Johns Hopkins. None. I even witnessed patients helping other patients. In a hospital!

When we were a little lost -- okay, fine, we were a lot lost -- people with Johns Hopkins badges went out of their way to help us find our way. My only regret is not getting the names of everyone who helped us. I've been to high end hotels who don't treat you like we were treated there. So please pass this along to whoever is in charge and include my sincere thanks for everything. As long as I'm in Maryland, I'll never go anywhere else!

Patient, The Johns Hopkins Hospital

VN:F [1.9.17_1161]
Rating: 0.0/5 (0 votes cast)
No Comments

Dear Health Care Team Members:

I am a very happy and pleased Johns Hopkins patient. In January 2011, I was referred to Johns Hopkins for treatment of my lung disease. The only cure for my disease was a bilateral lung transplant, which took place on December 18, 2011. While I have had excellent success with my transplant, I have had the opportunity to return to the hospital (six admissions and nine outpatient procedures requiring anesthesia) and outpatient center (over 100 office visits and over 700 tests or studies) for subsequent medical care.  I realize I will continue to be a Johns Hopkins patient for the rest of my life.

Recently, I had the opportunity to be the patient member on the panel at the Town Meeting on September 8, 2015 discussing Patient and Family Centered Care (Also read the Patient Wish List blog of 10 things a patient would like to share with his or her care team.) One of the questions dealt with the patient survey, which patients receive and answer about their patient experience. As I mentioned in my remarks, one of the key factors that affects my patient experience is my health care team. While I was able to make a few remarks about my team members, I would like to take this opportunity to provide you with a little more information about my health care team. It is a very dynamic health care team composed of many members of Johns Hopkins Hospital and Outpatient Center staff.  I have divided my health care team into two groups: The face to face group and the behind the scene group.

The face to face group is composed of the following team members:

My Admitting Team

  1. The security guard who clears me for entering the hospital and, with colleagues, keeps me, my family and my health care team safe 24/7.
  2. The admitting clerk who process my paperwork to make sure I do not have to spend time with my insurance company or others doing paperwork.

My Patient Room Team

  1. All the physicians including fellows, residents and interns who are responsible for my medical care.
  2. All of my nurses who provide my nursing care and the nurse manager for the unit.
  3. The medical technicians who assist my nurses in my medical care.
  4. The environmental care associates and environmental care technicians who clean my room.
  5. The nutrition assistants who deliver my meals.
  6. The phlebotomists who draw my blood.
  7. The imaging technologists who take x-rays in my room.
  8. The case manager who is planning my discharge.
  9. The transportation specialists who transport me from my room to my procedures/diagnostic tests on time and to the right place.
  10. Administrative staff assigned to my nursing unit.
  11. Anybody else that walks in my room.

My Procedures/Diagnostic Test Team

  1. The receptionist who greets me and makes sure the paperwork matches why I am there.
  2. The physicians who provide my procedure/diagnostic tests.
  3. The radiologist and pathologist who review my results or pathology and interpret the results.
  4. The nurses involved in my procedure/diagnostic test and who try to keep me comfortable throughout.
  5. The technicians involved in my procedure/diagnostic test who are either performing the diagnostic test or making sure the equipment and instruments are ready.

My Telephone Team

  1. The dietary technicians who take my telephone meal order and assure I am ordering the right foods for me.
  2. The administrative staff I contact with all sorts of questions. They know just where to connect me for answers.

My Outpatient Center Team

  1. The physician, nurse practitioner or physician assistant who will be evaluating and taking care of me.
  2. The nurses who will be assisting the provider with their assessments and care.
  3. The medical technicians who is taking my vital signs.
  4. The front desk clerks who process my appointment paperwork.
  5. The discharge clerks who process my discharge and schedule my follow up appointments.
  6. The radiology administrative assistants who match my paperwork for the test.
  7. The radiology technicians who perform my test.
  8. The radiologist who reviews my test and writes a report.
  9. The lab admitting clerks who process my lab order.
  10. The phlebotomists who draw my blood.
  11. The lab technicians who perform the lab study and enter the data in my medial record.
  12. The pathologists who review my laboratory/pathology studies and interpret the results.
  13. The security guards who check me in when I enter the outpatient center and give me directions to my appointment or help guide me if I am lost.
  14. The parking cashiers who process my parking ticket and wish me a good day.

As you can see, this is a large and dynamic health care team, but that is only the face to face group. Let me discuss my behind the scene group. They are throughout the organization.

  1. The food preparers who will be preparing the food to be cooked for me.
  2. The cooks who will be cooking my food.
  3. The servers on the food line who will be preparing my tray.
  4. All the food supervisors who are responsible for my food service team.
  5. The pharmacists who review my medications to prevent negative interactions and side effects.
  6. The pharmacy technicians who prepare my medications for delivery to the floor.
  7. All the pharmacy supervisors who are responsible for my pharmacy team members.
  8. The lab technicians who conduct all my lab analysis and report the findings into my record.
  9. All the lab supervisors who are responsible for my lab team.
  10. The security staff throughout the campus who insure my safety and the safety of my family and those who work here.
  11. The administrative staff throughout the hospital and outpatient center who process my appointments, file my claims, record my payments or any other administrative action I require.
  12. The information technology team who keep all the information technology working together to assure all the data about me connects to those who need it including me (MyChart).
  13. All the supervisors and their supervisors of my health care team members.

When I, a patient, think about my health care experience as I fill out my survey form, all the actions by each member of my health care team members are carefully considered as I evaluate my patient experience. Some of you may not have considered yourself as part of my team, but to me you clearly are team members. Each of you plays a role in my patient experience regardless which group you are in. Naturally, my face to face team members get more of my direct attention, but I have not forgotten about the behind the scene team members and the role you play. Being one of my health care team members is not easy. You have to make sure that everything that I am experiencing works like a finely turned, well organized, coordinated, happy and respectful health care team.

Although, I will never have the opportunity to meet some of you, especially my behind the scene team members; I want you to know I value what you do for me as a member of my health care team. I want to thank each of you for providing me with a great patient experience. You have given me a very special gift – the gift of life – and I sincerely thank all my health care team members for their individual contribution.

Warmest personal regards,

Podge M. Reed, Jr.

Proud Johns Hopkins Patient

VN:F [1.9.17_1161]
Rating: 4.7/5 (7 votes cast)
7 Comments

Did You Know?

Johns Hopkins residents from 1897

JHH Class of 1897

  • Physician-in-Chief William Osler’s (1849–1919) greatest contribution to American medicine was establishing the medical residency program at The Johns Hopkins Hospital.
  • Under Osler's direction, young physicians-in-training lived in the hospital—hence the universal term residents, ensuring their constant attention to patients. (They were initially known as house medical officers.) The residents slept in rooms in the dome of the Billings Administration Building.
  •  Going through the Osler Service of medical residency is recognized as one of the finest training programs in the country. Every Friday, the residents honor his legacy by donning the Osler scarf or tie.
  •  From the school of medicine’s first graduating class of 15 in 1897, 11 men and one woman became interns, or trainees in their first year of residency.

From Neil Grauer, historian and author of Leading the Way: A History of Johns Hopkins Medicine

Other little-known facts

2015-2016 residents

2015-2016 Johns Hopkins Hospital Internal Medicine residents

  • Residents provide the front-line of care for thousands of patients per year. Nearly all documentation is completed by house staff.
  • Currently there are roughly 875 residents and more than 400 fellows at The Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center.
  • Residents are the first responders to "code blue" situations.
  • As a tertiary care center, Johns Hopkins brings in some of the sickest patients with very obscure diseases, constantly challenging our residents.
VN:F [1.9.17_1161]
Rating: 5.0/5 (5 votes cast)
1 Comment

Learn  little-known facts about well-known people.

Katherine Hepburn's father, Thomas Hepburn, graduated from the school of medicine, in 1905. He became the first urologist in Connecticut.

Actor Cary Grant was a patient at Johns Hopkins in the 1950s. He stayed in isolation but not for medical reasons. Back then the hospital would close the entire floor for a complete cleaning. Grant was admitted to one of those floors and had the place to himself.

Milton S. Eisenhower was president of Penn State and the youngest brother of U.S. President Dwight Eisenhower, served two non-consecutive terms in 1956 and 1971 as president of The Johns Hopkins University.

Eight U.S. presidents were patients of William Wilmer, the first director of the Department of Ophthalmology.

F. Scott Fitzgerald lived in Baltimore in the 1930s while his wife was treated at the Phipps Psychiatric Clinic. He suffered from TB and alcoholism and was admitted to Hopkins’ Marburg Pavilion at least nine times.

Hired by the Trustees in 1875, John Shaw Billings began work as the designer of The Johns Hopkins Hospital the following year. He valued Florence Nightingale’s judgment and sent her the sketches of the hospital and the nursing school in 1876 for her feedback. Two months later she sent Billings her recommendations in 12 pages of notes. He agreed with her recommendations.

Source: Leading the Way: A History of Johns Hopkins Medicine by Neil A. Grauer, JHM Historian

VN:F [1.9.17_1161]
Rating: 5.0/5 (1 vote cast)
4 Comments