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Introduction Contents £ver wonderhow tough itis tobeadmittedto the Medical College ofGeorgia?Tougher 2/ TheBigChill than you might think. In the Inducing hypothermiacan be alifesaverduring surgery. School ofMedicine, for instance, almost 2.000candidates applied forthe 180freshman slots 61 Lights... Camera... Ethics! in 1995. The Medical CollegeofGeorgia turned Hollywood recently tohost the productionof Those odds, whichare reflected in aseriesofvideotapesdealing with research ethics. all fiveofMCG's schools, are some- thingofamixedblessing. The bad news is thatexcellentcandidates mustbe 9/AlumNews tMuCrnGedaway. The goodnews is that News from the five alumni associations. is producing the mosttalented, bright anddedicated healthcareprofes- sionals in its history. Read about the 221 TheBestofInventions MademdiiscsailonCsolplreogceesosfGineotrhigsieadiTtoidoanyo.f Dr. Carl R. HartrampfJr., developeroftheTRAM flapto reconstructabreastusinj Readalsoabout someone who natural tissue, learnedafterlosinghis hearing what it means tobeon the receiving endofamedical miracle. appliedtothe—SchoolofMedicine some 44years ago and very nearly missed thecut. Luckily forMCG. the man who 261 TheRightStuff reviewedDr. Carl R. HartrampfJr.'s application sensedthe makingsofafine Standardsforadmission totheMedical College ofGeorgiaarehigherthanever. physician, less-than-stellartestscores notwithstanding. Today, Dr. Hartrampf isoneofthe best-known reconstructive 281PlannedGiving surgeons in the world. He inventedthe The right questionstoask aboutyourwill. TRAM flap, arevolutionary meansof reconstructingabreast usingexcess tissue fromthe lowerabdomen. Dr. Hartrampfalsois the recipientofa medical miracle: acochlearimplant restored his hearingafteravirus left himcompletely deaf. MCG had more than its normal share MCGPresident: FrancisJ.Tedesco.M.D. Editor: ChristineHurleyDenso ofexcitement last Decemberwhen a ExecutiveEditor. JamesB.Osborne,Ed.D. ArtDirector. BrentD.Burch film crewdescendedoncampustopro- DirectorofMarketingandPublicRelations: Photographers: PhilJones duce aseriesofvideotapesdealing with GeorgeH.Foster JeffMabon researchethics. Learn about MCG's ©1996.MedicalCollegeofGeorgia.TheMedicalCollegeofGeorgiaisthehealthsciencesuniversityofthe involvement in aprojectthat will affect UinnsitvietrustiiotnycSoynssitsetmsooffGMeCorGgiaH.osFpiotcauls,inmgoroenthheaanlt8h0-csarueppeodrutcacltiinoinc,s,ressteaatrecwhidaenodutparteiaecnhtpcraroeg,rathmesAaungdustthea-Sbcahsoeodls studAenntdsdaonnd'tscmiiesnstisotusrncaotvieornwsitdoery., ofAMleldiiedcaHleaClotlhleSgceieonfceGse.orDgeintaisTtordya.yGrisadsupaotnesoSrteuddibeys.gMraendtiscifnreomanMdCNGursFionugn.dation.Inc.andtheMCGSchoolof atruly fascinating reporton inducing MedicineAlumniAssociation.ItisproducedbytheDivisionsofInstitutionalRelationsandHealthCommunication: MedicalCollegeofGeorgia;Augusta.Georgia30912.AdvertisinginquiriesshouldbedirectedtoBrendaCarterat hypothermiaforcertain surgical AugustaMagazine.(706)722-5833.P.O.Box 1405.Augusta.Georgia30903.Publishedquarterly.MCGTodayis procedures. furnishedtoalumniandfriendsofMCGwithoutcharge Theappearanceofadvertisementsinlhi>publicationdoesnot constituteanendorsementbytheMedicalCollegeofGeorgiaoftheproductsorservicesadvertised. THE BIG azel Daviscouldn't topumpblood past theclots. Dr. Scully degrees (Celsius); essentially it's thetem- breathe. alsotold Mrs. Davisthey'd try to finda peratureofan ice-colddrinkcomingout "Ibentoverone day doctorwho would orcould fix herprob- ofthe refrigerator. We cool until thebrain and...I didn'thaveany lem. There was talk that she might have wavesare silent, until the EEG is flat," air. Igrabbeda pole and togotoCalifornia, but Mrs. Davis found Dr. Stone said. "Atthose temperatures, heldonto it until I could someone willing totake the extreme mea- brain metabolism is reduced from normal finally get my breath," sures required tosaveherlife at the toapproximatelyone-quarternormal saidthe48-year-oldwoman whoraises Medical CollegeofGeorgia. metabolism. At that temperature, should chickens with husband Glad in Dr. ChristopherD. Stone, Chiefofthe we needtooperateon blood vesselstothe Dahlonega, Ga. MCG SectionofCardiovascularand brainortooperateonthe aortaorthe pul- She knew about thegenetic condition Thoracic Surgery, needed toremovethe monary arteries (such as in Mrs. Davis' that makes herblood tendtoclot. "My multiple clotsclogging Mrs. Davis' blood case) without any blood inourfield, we fatherdied with it. My sisterhas blood flow. Ironically, he couldn'tdothe are abletooperate safely for30to45 clots." When she was 23, legpain sent painstaking task ifthe blood thatwas in minutes. From45 minutes to an houris hertoadoctorwhotold hershe had a the pulmonary arteriesand surrounding less safe, butstill acceptable." bloodclot in herleg and lotsoftinyones tissueobscured his vision. "It'sthe same principleofgetting in herlungs. "He toldmethat ifhecouldn'tdothe drowned incold waterduring winter," Overtime, theclots madeadeadly surgery, I didn't have any hope; it was said Dr. Ganesh M. Pai,cardiothoracic home in the wallsofthe arteriestoher just amatteroftime." Mrs. Davis said. surgeon who works with the neurosurgery lungs, slowlyclosingoffthearteriesuntil And whathe told heraboutdoing the team in suchcases. "Even though their adequatebloodcouldn't getthrough. surgery waspretty hardto imagine. heart is arrested, inahalfhour, ifthey Thatday in the chicken house, she fig- To get theclearoperating fieldhe can beresuscitated andgradually uredshewoulddie. But Mrs. Davis made needed, he intended tocool herbody tem- warmed, they still survive without much ittoherfamily doctor, Richard A. perature to less than halfits normal 37 lossoffunction." Wherry (classof 1974) whoreferred her degrees Celsius, thendrain mostofher "The limiting factoris thebrain,"Dr. tocardiologistTimothyA. Scully in bloodout. Stone said. "Fromourexperience with nearby Gainesville, Ga. Hetold herabout Technically, she'dbedead. liverand kidney transplantation, we know theextentoftheclots andthedamageto "Deep hypothermiasimply means that that bycooling toaround 15 degrees heroverworked heartthat hadbeen trying wecool the body down toaround 15 centigrade, these organs aregoodforfour 2 MEDICALCOLLEGEOFGEORGIATODAY 1 hours. It'sonly thebrain that limits usto degrees Celsius, then cutoffcirculation equal the bloodpressure. Immediately, all 45 minutes." for 15 minutes. circulation is lostto the brain foratran- Hypothermia is acommontool in the Today, itsuse is hardlyroutine; rather, sientmoment and that's what stopsthe operating room. Cool blankets,cool room thedecision toopt forprofound hypo- bleeding. Ifthere's a lossofa lotof temperatures and ice orslush packed thermiacoupled withcirculatory arrest is blood, a tablespoon ormore, thatcould aroundkey areas such as the headorheart typically madeoutofnecessity. resultin death." routinely are usedtocool patients' tem- "We are very selective. We'vebeen About50percentofpeople with such peraturesby several degreesormore and doing this for 12 years andwe'vehad 1 a bleeddie; in theotherhalf, the blood lowermetabolic function. patients in ourexperience," Dr. Dennis just dissipates. There is noway topredict "In neurosurgery, there is present McDonnell, Chiefofthe MCG Sectionof whichcategory someone will fall into information thateven lowering yourbody Neurosurgery, saidofits role in brain and, afterthe firstbleed, thebiggest temperature 2 to 3 degrees will decrease surgery. "But there arecertain circum- complication within the next24 hours brainoxygenconsumption," said Dr. stances thatwe run upagainst where the is asecondbleed. Stevin A. Dubin. anesthesiologist who problem wouldbe inoperable. Almost all Dr. McDonnell mustremove the weak works with MCG neurosurgeons. "Any these procedures are aneurysms." tissue without puncturingthe balloon decrease in brain oxygen consumption An aneurysm is a weak point in the which is sothin he can literally seethe will giveyou alittle extraprotection wall ofan artery orvein in which thenat- blood swirling through it. Hehad per- during an ischemic period." ural elasticity is lost. Brain aneurysms are formedadissectionjust theday before by During heartbypass surgery, patients slightly morecommon in women and putting aclipon the artery forless than are routinelycooledto25 to 28 degrees smokers and they tendtooccurat five minutes sotheballoongot softerand Celsius. "At thosetemperatures, we're branches inthe vessels. They areparticu- easiertoremove. ableto stopblood flow tothebody for larly devastating in an artery whereblood But somedays, it's notthat straight- periodsofuptofive minutes, perhaps flows underhigh pressure and thecon- forward. "It's amatterofbeing able to even alittle longer, withoutany ill stant poundingcancausethe weakpoint control flow in theartery; that's the effects." Dr. Stonesaid. toballoon out and possibly rupture. issue," Dr. McDonnell saidofhis deci- In 1950, aCanadian surgeon using "The amountofblood that's lost is sion touseprofound hypothermiaandcir- animal models introduced the ideathat probably around ateaspoonorso," Dr. culatoryarrest. Sometimesthe moredramatic reductions intemperature McDonnell said. "Theonly problem is aneurysmsare toolarge orinvolvetoo coupled with stoppingbloodflow might it's insideyourheadandit's lostvery manyblood vesselstoberepaired within beuseful incardiac surgery. Dr. W. G. quickly sothat the pressure insideyour asafe five minutes. Bigelow used surfacecoolingefforts headrises very rapidly duringthosefew Drs. Pai and Dubin use surfacecool- alone to lowerbody temperaturesto20 seconds whenthe bleeding is occurring to ing, such asthecoldblankets, aswell as — — refrigerated intravenous iscomingoutofthe tube so fluids andvasodilatorsto fast it's like agardenhose." override thebody's natural Ironically, the normal responsetocold, which is to anatomy ofthe aortaitselfis constrictbloodvesselsand ariskfactorbecausethe aorta holdheat. constantly twists asblood The sameheartand lung pulsesthrough itwhile the bypass machine usedfor arch remains fixed. This nat- routinecoronarybypass ural stresspoint alsomakes surgery isused inthiscase thearch atargetfortrauma, tofinish lowering the particularly indeceleration patient'scoretemperature injuries such as acarhitting a from anormalofabout37 telephonepole. degreesCelsius tobetween Dr. H. VictorMoore 16to 18 degreesCelsius. remembers a 12-year-oldboy "You shouldbe watching whohadadeceleration injury thecore and skin tempera- that sheeredthe innominate tures," saidDr. Shahnaz k artery offhis aorta. "We Bari,cardiac anesthesiolo- _ ^1 looked athis arteriogram and gistwhoworks with Dr. felt there was notany way Stone. "Youwantuniform that we couldcomfortably coolingbecause uneven control thatvessel forrepair cooling isbadforthebrain." without total interruptionof Atthe desiredtempera- bloodflow tohisbrain,"the ture, the machine is turned pediatric heartsurgeon said. off. thearterial linethat Using profoundhypothermia pumps blood intothebody is andcirculatory arresttoclear clamped and the venous line hisoperating field. Dr. Moore is leftopen somostofthe repairedthe torn vessel in patient's bloodvolumeruns about 20minutes; thechild intothe machine'sreservoir, completely recovered. said Ron Duvall.chiefper- it's atool thatweuse fusionist. Veins andarteries and. knowing its limitations, collapse. "You wanta it'saveryeffectivetool that bloodless field.That'sthe facilitates surgery invery purposeforcirculatory small infants andin very spe- arrest."Mr. Duvall said. cific circumstances where "Everything is at astand- youhave to interruptblood still," Dr. Bari said. "It's the circulationtothebrain," said mostcrucial point, where Dr. Moore, whohasbeen yourwantto limityourtime. using thetool e—ffectively We informthe surgeon and selectively atMCG everyfive minutesorevery one minute in said. "Overtime, the aortawill expand, since 1973. more tense situations." muchlike aweakpartofatire will get Whenhe'soperatingonaheart a "Wegeteverything ready, stitches biggerbecauseofthe pressure. When it small as awalnut, accesscanbearoutine loaded, andwe only workwiththe very expands, itbecomesan aneurysm."The problem; sometimes theheartis sosmall bestpersonnel duringthese casesbecause expansion oftencomes with no symp- that the cannulas inserted forroutine anew personjustcannotkeep up." Dr. toms. When symptomsdooccur, onecan bypasscan get inthe way. Stone said. "Obviously, it'soneofthe bechest pain that mimics the pain of "One oftheearliest reasons touse veryfewtimes in modern surgery where coronary artery disease. But in these profound hypothermiaandcirculatory speedcounts. In most modern surgery, patients, the heartrhythm,trackedbyan arrest was tostopthe heart, pull outall meticulousattention todetail isthe most electrocardiogram, is normal. thecannulas, dothe surgery, then put the important thing." Problems with theaortic arch, abend cannulas backin," saidDr. RobertP. Dr. Stone most often usesprofound in the aortajust before the placewhere Introna.Chiefofthe SectionofPediatric hypothermiaandcirculatoryarrest inhis blood vessels branchofftotakeoxygen- Anesthesiology, who works withDr. high-riskaortarepairprogram. Smoking, rich bloodtothe brain, typically necessi- Moore. "That's whatwedo forthe little, highbloodpressure andbeing amanare tate profoundhypothermiaandcircula- tiny babies." riskfactors. Some peopleareborn witha tory arrest. "Many heart surgeons say that But improvedtechniques andthe weakness inthewall oftheiraorta — the soul is rightthere," Dr. Stone said. miniaturization ofperfusion instruments Abraham Lincoln was among them or He must stopblood flow tothe brain havehelpedthepediatric heart surgery with atoo-narrowaorta. foranextendedperiodin these major teambe even more selectiveintheuseof Problems withthe aorta, the big vessel surgeries, in which he replacesthe dam- thisextreme measure. that takesoxygen-richbloodoutofthe agedaortawithpliable Dacron tubing that "We'vepretty muchtailoredittospe- heartandtothebody, are amongthe most comes inassorted sizes. "Obviously we cificdefects asopposedtopure size." Dr. underdiagnosed in medicine. Dr. Stone can'toperate withbloodflowing. Blood Moore said. Heusesthis approach 4 MEDICALCOLLEGEOFGEORGIATODAY Medial Scrvicvs Before Starting Your Practice, A Consult Specialist As you begin yourpractice, look to St. Paul Medical Services foryour medical liability insurance. With more than 60 years ofspecialized experience, we are the nation's leading medical liability insurer. St. Paul Medical Services. Specialists in medical liability insurance. Fordetails,call Cheryl Schroederat 800.328.2189, ext. 3573. St. Paul Medical Services 385WashingtonStreet St. Paul, Minnesota 55102-1396 St. PaulFire andMarine Insurance Company almostuniversallyon adefectcalledtotal anomalouspulmonary venousreturn, in HIGH-TECH FOR which bloodtakes an ineffective route from the lungsbacktothe right sideof the heartratherthanthe left side which HIGH POTENTIAL wouldtake itouttothebody. "We approachthatrepairfrombehindthe heart, liftthe heartout androtate itup. In T. Howe Price Science 8 Technology Fund investsinthecompanies ordertodothat, you needabloodless responsible fortoday'sbreakthroughproducts, includingthose inthe field."Also, inababy whoweighsless computer, telecommunications, andbiotechnologyindustries. Ourfund than6or7 poundsand hasaventricular- managersevaluate eachcompanycarefullytoidentifythosewith the septal defect, ahole betweenthe two highestpotential forrewardinginvestors. pumpingchambers ofhisheart, "you Morningstars highestrating. Thefundwasawardedafive-star ***** tradecirculatory arrestfor30 minutesto ratingforits overall risk-adjustedperformancebyMorningstar* Thefund be abletotechnicallydotheoperation wasratedamong 1,394and950equityfundsforthe three- andfive-year moreaccurately," Dr. Moore said. "There periods ended 12/31/95, respectively.Ofcourse, itsgreaterpotential also are trade-offs toeverything." Dr. Introna carriesgreaterrisk. $2,500minimum ($1,000forIRAs). Nosales charges. concurred. One very real onetothis surgery is thepotential forbrain injury; Call 24 hours for a free report and prospectus transient seizures and abnormal move- 1-800-541-8467 mentscanoccuraftersurgery.The first twodaysaftersurgery arecritical, with patientsclosely monitoredforheart InvestWith Confident arrhythmias,changes inelectrolytes, T.RoweRice bleeding andclotting. *Morningstar proprietary ratings reflect historical risk-adjusted performance as of 12/31/95. These ratings may "This is surgery,thatisdesperate change monthly. Ratings are calculated from the fund's 3- and 5-yearaverage annual returns in excessof90-day surgery,"Dr. Stone said. "In thepast, Treasury hill returns with appropriate fee adjustments and a risk factor that reflects fund performance below n[omtan1y00ofp]ertcheenste,pbauttieinttussjeudsttodibeed.thIat'tswsetill 9wcia0lt-ledgvaoayrryyTrareenacdseuisrvhyearb5eislsltmarraesyt.urbPneass.twoTprheterhffomuronmrda'ensco3er-lcaeasnnsdnaot5t-rygeeudaaerrmaprntattieionengsftuhatarunerea5tresostruailrgtsis.n.aTlIennpvueprsectrhmcaeesnnettrRoeeftqufuruennsdtasnadinpprraoinsnpcieincpvtaeulsstvwmaieltnuhte didn'teventry. Thereality is we areget- morecompleteinformation, includingmanagementfeesand otherchargesandexpenses. Read itcarefullybefore tingbetterandbetter." vouinvestorsendmonev.T. RowePriceInvestmentServices,Inc.,Distributor. STF02995-1 — TON BAKER I VOLUME24, NUMBER3/SPRING 1996 5 . s twoscientistschatatabar, one asapost.The acquaintancewiththe becomes increasinglyblitzed, Nobel-quality researchdoesn'treallyexist Lights... m w downingonebeerafteranother. atall. Andthe baris actually amakeshift With slurredspeechandblearyeyes, he setonthe secondfloorofthe Medical beginsdishingaboutamutualacquain- CollegeofGeorgiaStudentCenter. MCG tance. Theacquaintancealsoisascien- recently turned Hollywood, Camera. tist; infact, thesaucedresearcheratthe complete withactors,cameras, anassis- barhappenstobereviewinghisgrant tantdirectordoublingas makeupartist, . application. Thescientistconfidestohis awriter/producerand adirectorwhose friendthattheguyhasstumbledon toa congenial disposition began to falterasa majorbiomedicaldiscovery. Thisstuffis train roaredthrough downtown Augusta big. Huge. Nobelmaterial. duringthe barscene. Ethics! Thesoberscientistlistenstohis "How long does ittakethetrainto friend'sdisclosure withaweandenvy. passthrough?" he askededgily as heput Hestayscoolon thesurface, buthismind the videotapingon hold indeferenceto isracing. Why, hisresearch isin the the shriekofthetrain whistle. samearea!Hewasprobably "Dependson how fast it'sgoing... onlyafewstepsawayfrom and how many cars it has,"acrew thefindingsthatareabout memberoffered lamely. tomake thisotherguy Thedirectorshrugged. "At least it's famous.'Infact, sincethis betterthan an earthquake-damagecrew," guy'sfindingsaren'tpub- heconceded. "That's what I usuallyget. lishedyet, hemayjustbeat We'll start filmingandacrewoutsidewill him tothepunch, nowthat startcleaning upearthquakedamage." he's in on thesecret.... True,earthquake-damagecrewsare hard tocomeby in Augusta. But then, so Goodnews: These are national film productioncompanies. guys aren'treally scien- So what's this onedoing here? tists; theyjust play them TheAmerican Association forthe on TV. AdvancementofScienceissponsoringa In fact, the liquid in seriesofvideotapestobedistributedto thedrunk'sbeerbottle is graduate schools nationwide in an attempt water, and he's as sober toprepare studentsand scientists forpoten- tialethical dilemmasthey mayencounter. falsifyingdataandevenplagiarizing." storiesprovokedconsiderabledebate, Thereasontheseries isbeing videotapedat But whereasmanyacademic institu- deliberation and introspection. MCG can betraced largely toDr. Lowell tionsoncecoveredupsuch misconductfor Theyalsocaughttheeyeofanational M. Greenbaurn andhis longstandingcom- thesakeoftheirownreputations, thecli- film producer. Dr. Greenbaurn happensto mitment toinstilling astrong senseof mateiscompletelydifferenttoday. "MCG, beafriendofNew York-basedfilmpro- integrity in his students. Dr. Greenbaurn, forinstance, is very forthrightaboutexpos- ducersAmramNowakand ManyaStarr, a recently retiredDeanofthe School of ingmisconduct," Dr. Greenbaurn said. husband-and-wife team,ofAmram Nowak Graduate Studiesand Vice President for "Wetry toeducate students and faculty Associates. Thecouple was impressed Research,developedandteachesaclasson thattheirprofessional reputationsare with Dr. Greenbaum'sefforts and the MCG MscCienGti—ficacproomjmeucntitchaattiuoltnimaantdeleythliecdstaot ahalswaaynseaftfescttakoen, athnedfauntyurekionfdtohfeiarcccaurseaetri.o"n pSerrovdiuccetsi.onThveaylueensvoifsionedaTemluecvihsiloanrger MCGbeingpivotally involvedinaproject Ofcourse, society as awhole is the audience forDr. Greenbaum's message. tohelpteachethicstoresearchersand biggest loserifresearcherscompromise "My husband and I became very research students nationwide. theirethics. Dr. Greenbaurn stressed. interested in research ethics afteracase in Dr. Greenbaurn, ProfessorEmeritusin "The consequence offraud is not only which awoman in a lab fudgedresultsto the DepartmentofPharmacology and lackofpublicconfidence, but thegreat make herlookgood,"Ms. Starrsaid. Toxicology, has longrealizedthatissues expenseofmoving people in the wrong "The whole issueofethics andpure sci- involving researchethicscome in shades directiontocontinueresearch." Public- enceresearch was interesting to us, and ofgray farmoreoften than in blackand suspicion ofscientistsalsotranslates into we thought it wouldbeofgeneral inter- white. Takethe scenarioabout the twosci- reduced research funding. Andat its est." Sheand herhusband approached the entists in thebar: Sure, people shouldn't worst,compromisedethics in the field of AmericanAssociation forthe Advance- gossipordivulgeconfidential informa- biomedical researchcan actually mean a mentofScienceand requested funding tion...butmanydo. Sure, scientistsshould matteroflife anddeath. foranon-profit series ofvideotapesdeal- be more interested in thepublic trustand Butcan integrity betaught? Dr. ing with researchethicstobedistributed well-beingthan intheirownegos...but the Greenbaurn hasgreatconfidence inthe tograduate schools throughoutthecoun- temptationtotake shortcutsenroute to overall characterofthe scientificcommu- try. The association endorsed the project, fameandgloryexists. Dr. Greenbaurn nity, buthenotedthatevenhighly princi- asdid 17 National Institutes ofHealth wants researchersto be awareofandpre- pledpeople faceethical dilemmas in the institutesand—centers whichcontributed pared forsuch potential mine fields. researchenvironment. Dr. Greenbaurn toits funding atremendous showof "Research bringson thepressure for wantsgraduate students tobe prepared. In support. Dr. Greenbaurn said. promotion, whichcomesby wayofpubli- addition todevelopingtheethicscourse. Thecouplethen contacted Dr. MCG cations, researchgrant support andrecog- Dr. Greenbaurnalsowrote anddirecteda Greenbaurn. and administrators nition," Dr. Greenbaurnsaid. "Inaddition, seriesofmini-plays in 1992 dealing with agreedtohave the videotapesproduced wehaveouregos.We wanttobenation- ethical dilemmas inresearch. Hecastthe on campus. ally recognized, internationally recognized. roleswith studentsandfaculty, hadthem "I think it wasanatural coming- Sowhenthingsaren'tgoinginthedirec- videotapedby MCG'sTelevision Services, together," said Dr. Barry D. Goldstein. tionyou wish, some peoplecan't handle it then presentedthe playstoresearch-affili- MCG Vice President forAcademic andresulttofabricatingexperiments. atedsegmentsofcampus. Ashe hoped, the Affairs. "Dr. Greenbaurn isquite well- VOLUME24, NUMBER 3/SPRING 1996 7 7 known across thecountry forhisefforts Your Buyers Connection to the inpromoting researchethics. I thinkit's goodforMCGtobe associated withany Golden Isles efforttopromote researchethics, andthis will be anothermechanismtodothat.The We have access to all series will be widelydistributed through the marketing mechanismsofthe available properties AmericanAssociation forthe Advance- in the Golden Isles: mentofScience, andwe'revery pleased • Vacation Homes they decidedtodotheworkhere." MCG • DeepWater Properties donatedatemporaryofficeforthe crew,labspaceandotherareasoncampus • Ocean FrontProperties forvideotapingandtheservicesofMCG's • GolfCourse Properties DivisionofHealthCommunications, • Resort Real Estate includingTelevision Services. Actorswere • Investment Properties hiredthroughoutthe Southeast; some 150 MCG auditionedfor25 parts. graduate stu- CALL FOR A dentswererecruitedasextras. Thecrew was in town Dec. 2-13 to FREE BOOKLET videotapethe series. Ms. Starrwrotethe "Real Estate Investments scripts,collaborating with scientists from in the Golden Isles" throughoutthecountry toassure rele- vance andauthenticity. "Throughourdiscussions, I got an JIM JONES ideaofthe different kindsofproblemsof — thegreatest interest things like fudging PRQPERTIE Buyer Representative data," Ms. Starrsaid. "Then I invented characters andstoriesthat wouldbest rj D24i6s7cDocumenrteRRde,aStl.SEiistatIeslaBndr,oGkAer31a5g22e % \-800-940-663 bainrntidenrgheisttthtieinngig,stsrhueeecsocgrtunociliziaafleb.lieIsswtuaoensr.te"ealdShsicetiteaonltsbioests purposely wrote unresolvedethicalcon- flicts intothe scriptstotriggerthought anddiscussion. Theproject went wonderfully T. ROWEPRICEHEALTHSCIENCESFUND: smoothly, she said, notwithstandingafew A DYNAMIC APPROACH TO pricklydetails, suchas noisy equipment in labs used forsets andactors withless- LONG-TERM GROWTH than-flexible schedules. "Mostoftheseactorshaveregularjobs, andwe've hadtodolotsofaccommodat- Introducing the T. Rowe Price Health Sciences Fund. This fund ing. I'musedtoNewYork,whereactors seeks to take advantage of the dynamic changes now shaping the health say, 'Any time, any where, as longasyou sciences field. Baby boomers are aging, and their demand for health- need me,'"Ms. Starrsaidwith alaugh. related goods and services will increase. Technological advances are Theproduction company will edit the reshaping medical treatment and inspiring new research. The future videotapes in New York. The American holds promise of further important developments, offering opportunities Association forthe Advancement of for investors seeking aggressive long-term growth. Scienceis scheduledtodistributethemto The fund invests across a wide range of products, services, and research institutionsthroughout thecoun- — industries in the health sciences field from pha—rmaceuticals and try this spring. The product will be in the biotechnology to nursing homes and agriculture to take advantage formoffivecassettes with an accompa- of these exciting opportunities. nyingbookletexplaining howtousethe The risks of investing in this field are commensurate with the tapesand suggesting pertinentquestions rewards. $2,500 minimum ($1,000 for IRAs). 100% no load. toprodconversation. Dr. Greenbaum stressesthat the video- Call 24 hours for more information, including a prospectus tapesare unlikely topromptapplause. 1-800-541-8466 "Nobody seesthesethingsandcomes awayhappy,"he said. "It's not something people wanttoheargoeson inthispro- Invest With Confidence fession. But I believe ifpeople under- T.RoweRlce stand the pressuresofresearch andthe consequencesofmisconduct, we will Requeslaprospectuswithmorecompleteinformation,includingmanagementfeesandotherchargesandexpenses.Read havepreventeda numberofindividuals ilcarefullybeforevouinvestorsendmoneyT. RowePriceInvestmentServices,Inc.,Distributor. HSF0299S3 from goingast—ray." CHRISTINEHURLEY DERISO 8 MEDICALCOLLEGEOFGEORGIATODAY