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-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]]
Sent: 16 January 2001 14:55
To: [log in to unmask]
Subject: FW: CLinicopathological Conference

>  -----
> January 12, 2001
>
> The Baltimore VA Medical Center/University of Maryland will convene their
> annual Historical Clinicopathological Conference on Friday, February 9,
> 2001.  The conference will take place in Davidge Hall on the University of
> Maryland School of Medicine campus.  All are welcome.  As in previous
> years, we have an exciting program focusing on the mysterious death of a
> famous historical figure (see attached case history).  The conference will
> last two hours and will include lunch.
>       On Saturday, February 10, 2001 (9:00 a.m. to 1:00 p.m.), we will
> host a companion symposium (see attached program).  Like the Friday
> Historical Clinicopathological Conference, it will be held in Davidge Hall
> and will include lunch.
>
> Sincerely,
>
>
>
>
> Philip A. Mackowiak, M.D.
> Director, Medical Care
> VA Maryland Healthcare System
> Professor and Vice Chairman, Dept. of Medicine
> University of Maryland School of Medicine
> 410-605-7199 (Office)
> 410-605-7849 (FAX)
> E-mail:  [log in to unmask]
>
>
>
>
>
>
>
> VA Maryland Health Care System
>
> Department of Medicine
> University of Maryland School of Medicine
>
> A Special Clinicopathological Conference
>
> With Discussants
>
> William Valente, M.D.
> Richard Talbert, Ph.D.
>
> The Case of
>
> A 64 year-old man with postprandial abdominal pain and vomiting
>
> Davidge Hall
> Lombard and Greene Streets
> From noon to 2:00 p.m.
> Friday, February 9, 2001
>
>
>
>
> VA Maryland Health Care System
> and
>  The Department of Medicine
> University of Maryland School of Medicine
>
> A Special Clinicopathological Conference
> A 64-year old Man with Postprandial Abdominal Pain and Vomiting
>
> William Valente, M.D.
> University of Maryland School of Medicine
>
> Friday, February 9, 2001
> Noon to 2 p.m.
> Davidge Hall
> Lombard and Greene Streets
>
> In the month of October, a 64-year old man developed postprandial
> abdominal pain and vomiting.  He had been feeling well until passing out
> during a banquet in which he had consumed a large quantity of wine and a
> variety of dishes, of which one composed of mushrooms was a long-time
> favorite.  On regaining consciousness a short time later, he complained of
> severe abdominal pain.  He vomited and felt somewhat better.
>       Prior to this illness, the patient had enjoyed reasonably good
> health for over a decade. However, early in life he had been sickly.  He
> was born prematurely (after 7 mos. gestation) and as a child, suffered
> from a succession of obstinate disorders, including milk allergy and
> frequent febrile illnesses.  He is also believed to have had malaria,
> measles (complicated by unilateral deafness), erysipelas and colitis.
> Since early childhood, he had had weakness of both legs so pronounced that
> he limped noticeably and could ambulate no further than short distances
> without assistance.  He had long-standing, intention tics and jerks of his
> head and hands, as well as stammering and drooling, which were most
> pronounced when he was excited.  He was also prone to fits of
> inappropriate laughter.  He regularly ate and drank to excess, rarely
> leaving his dining room until he was both "stuffed and soaked."  Thus, it
> was not unusual for him to fall asleep immediately after dining and have
> to be carried unconscious to his bed.  He had gained considerable weight
> in recent years and had been complaining bitterly of episodes of heartburn
> so frequent and severe that he contemplated suicide as a means of relief.
>       The patient's father died of trauma at age 28; his mother committed
> suicide at age 73.  He had one brother who had died at age 34 of a
> mysterious illness manifested by progressive wasting with terminal
> acrocyanosis and a trunkal rash.  His sister was executed  for adultery at
> age 34.  There was no family history of neurological abnormalities similar
> to the patient's.
>       The patient was born in France, but had spent most of his life in
> Italy.  He had been married four times and had also had numerous
> heterosexual relationships, including several with prostitutes.  He had
> three children, all of whom were alive and well at the time of his
> illness.  He was a politician, and an historian.
>       Physical examination showed an obese man in moderate distress.  The
> temperature was normal.  The eyes were injected.  The hearing was impaired
> unilaterally.  The abdomen was mildly tender throughout.  The voice was
> hoarse and indistinct.  The patient stammered uncontrollably in response
> to questioning with considerable slobbering and rhinorrhea.  The neck
> muscles were enlarged.  The muscles of his upper extremities were well
> developed and strong, whereas those of both lower extremities, especially
> the calves, were weak and atrophied.  When the patient walked, he dragged
> his right foot.
>       A physician induced additional vomiting by placing a feather in the
> back of the patient's throat.  Shortly thereafter the patient's condition
> deteriorated.  He became confused and exhibited signs of unremitting
> abdominal pain and fecal incontinence.  He expired 12 hours after the
> onset of his illness.
>
>
>
> VA Maryland Health Care System
>
> Department of Medicine
> University of Maryland School of Medicine
>
> A Symposium
> Impact of the Julio-Claudians and Their Illnesses on Roman History
>
> With Discussants
>
> Anthony Barrett, Ph.D.
> Gregory Bergey, M.D.
> David Mays, Pharm.D.
> William Carpenter, M.D.
> Sandra Joshel, Ph.D.
>
>
> Davidge Hall
> Lombard and Greene Streets
> From 9:00 a.m. to noon
> Saturday, February 10, 2001
>
>
>
> IMPACT OF THE JULIO-CLAUDIANS AND THEIR ILLNESSES
> ON ROMAN HISTORY
>
> February 10, 2001
>
> PROGRAM
>
>  9:00         Welcome                                 Philip Mackowiak,
> M.D.
>
>  9:05         Legacies of the Julio-Claudians Anthony Barrett, Ph.D.
>                       and Their Disorders
>
>  9:35         Julius and his Seizures         Gregory Bergey, M.D.
>
>  9:55         Augustus and the Politics of Poison     David Mays, Pharm.
> D.
>
> 10:15         Questions                       Judith Hallett, Ph.D.
>
> 10:30         Break
>
> 11:00         Caligula, Nero and The Julio-           William Carpenter,
> M.D.
>                       Claudian Psyche
>
> 11:20         Robert Graves and The Julio-            Sandra Joshel, Ph.D.
>                       Claudian Historical Record
>
> 11:50         Questions                       Judith Hallett, Ph.D.
>
> 12:05         Closing Remarks                 Philip Mackowiak, M.D.
>
> 12:15         Lunch
>
> Y     Davidge Hall, built in 1812, is the second oldest medical school
> building in
>       the United States and the oldest in continuous service.
> Y     This symposium has been generously supported by unrestricted
> educational
>       grants from the Bayer Corporation, Wyeth-Ayerst, and Merck & Co.,
> Inc.
>
> DISCUSSANTS
>
> Anthony Barrett is Professor of Classics at the University of British
> Columbia in Vancouver.  He has written two imperial biographies, on
> Caligula and Agrippina, the mother of Nero, and has completed the
> manuscript of a third, on Livia, the wife of Augustus.  He conducts a
> training excavation at the Lunt Roman Fort (dated to the reign of Nero),
> in the village of Baginton, near Coventry, England.  He is a Fellow of the
> Society of Antiquaries and Fellow of the Royal Society Canada.
>
> Gregory Bergey was a member of the University of Maryland faculty from
> 1983 to 1999.  He is currently a Professor of Neurology and director of
> The Epilepsy Center at the Johns Hopkins University School of Medicine.
> His work over more than 20 years of scientific investigation has
> established him as one of the world's leading experts on the
> pathophysiology and treatment of epilepsy.
>
> David Mays is currently an Associate Professor at the University of
> Maryland, Baltimore (UMB) School of Pharmacy.  He also serves as Director
> of the UMB Drug Information Service in affiliation with the University of
> Maryland Medical System.  He is an active member of the American Society
> of Health System Pharmacy, the American College of Clinical Pharmacy, and
> the American Association of Colleges of Pharmacy.  He recently created the
> world's first University-based, Internet Drug Information Service.
>
> William Carpenter is Professor of Psychiatry and Pharmacology at the
> University of Maryland School of Medicine and director of the Maryland
> Psychiatric Research Center.  His major professional interest has been
> severe mental illness, especially schizophrenia.  He has made fundamental
> contributions in psychopathology, assessment methodology, testing of new
> treatments, and research ethics.  He has authored over 250 scientific
> articles, book chapters and books and was elected to the Institute of
> Medicine of the National Academy of Sciences in 1998.
>
> Sandra Joshel teaches in the Liberal Arts Department at the New England
> Conservatory of Music, an interdisciplinary program for musicians.  She is
> the author of Work, Identity and Legal Status at Rome (University of
> Oklahoma Press, 1992) and articles on slavery and gender.  She is the
> co-editor of Differential Equations: Slaves and Women in Greco-Roman
> Culture (Routledge, 1998) and Imperial Projections:  Images of Ancient
> Rome in Modern Popular Culture (Johns Hopkins, forthcoming, summer, 2001).
>
>
>
>
>
>
>
>