There
have been a large number of significant clinical research accomplishments
carried out by the faculty of Tulane. The world's first repair
of an aortic aneurysm was performed at Charity by Tulane's renowned
surgery chairman, Dr. Rudolph Matas. Lethion or sulfuric ether
was first introduced at Charity in 1848 as an anesthetic, and
the South's first blood transfusion was given at Charity in
1854 using one of its physicians as a donor. X-rays or skiagraphs
were initially introduced at Charity less than a year after
Roentgen's discovery in 1895. Members of the medical faculty
such as Dr. Aristes Agramonte and Rudolph Matas, were members
of the famed Reed Commission that paved the way for final acceptance
and proof of the mosquito transmission theory of yellow fever
in 1905. Dr. George Burch, Chairman of Medicine at Tulane University
made several discoveries related to the beneficial role of climate
and bed rest on myocardial infarction and of the deleterious
effects of alcohol and viruses on the production of cardiomyopathy.
Other important advances in cardiology were made by Drs. Edgar
Hull and Richard Ashman with regard to their correlation of
electrocardiographic changes in myocardial infarction with left
ventricular hypertrophy based on autopsy findings of patients
at Charity Hospital. Perhaps some of the more internationally
known advances were made by Dr. Gerald Berenson at Tulane who
initiated long-term studies on the natural history and development
of atherosclerosis. These studies helped identify a large number
of risk factors for myocardial infarction and showed that atherosclerosis
was a disease that made its first appearance in very young individuals.
Indeed, large numbers of patients both at Charity Hospital and
in the small town of Bogalusa, Louisiana, are still being followed
as part of Dr. Berenson's renowned NIH-funded "Bogalusa
Heart Study." Dr. Berenson is a member of the CRCA Internal
Advisory Committee. A large number of chemotherapeutic and antifungal
agents used in major invasive fungal diseases such as Histoplasmosis
and Blastomycosis were also first tested clinically on special
Charity Hospital infectious disease wards by Drs. Harry Dascomb
and John Seabury. This special infectious disease service was
initiated by the famed Dr. Lewis Thomas when he was Head of
Infectious Diseases Unit at Tulane Medical Center in the 1940's.
Bagassosis, an important form of hypersensitivity pneumonitis
of world-wide distribution, was first discovered and treated
(and later prevented) by Drs. J. Salvaggio, J. Seabury, and
H. Buechner of Tulane and LSU Medical Schools. Hundreds of these
patients were studied, many on the clinical and research wards
of Charity Hospital. The first regional perfusion therapy to
deliver chemotherapy intravenously to a localized area of tumor
growth (malignant melanoma) was performed at Charity by Dr.
Edward Krementz. Drs. Alton Ochsner and Michael Debakey were
the first to report an excess incidence of lung cancer in patients
who were heavy cigarette smokers. These studies were based on
patients studied during their tenures as head of Tulane's Department
of Surgery. The earliest prototypic heterologous monkey kidney
transplants were first performed at Charity Hospital by Dr.
Keith Reemtsa of Tulane's Department of Surgery. These rudimentary
transplants pioneered the later successful human kidney transplants
by this group and others. Blood from sickle cell patients at
Charity Hospital was used by Dr. Linus Pauling, in cooperation
with Dr. George Burch, in making the famed discovery of the
amino acid differences between SS and AA hemoglobin in this
disease. The environmental form of asthma, known as New Orleans
Epidemic Asthma, which at one time was the most important public
health respiratory problem in the United States was described
by Dr. J. Salvaggio. Other important forms of occupational asthma
caused by simple low molecular weight chemicals or host proteins
altered by chemicals, such as isocyanates and anhydrides were
first studied by Dr. Salvaggio.
Clearly the most important
research done at Tulane was that of Dr. Andrew Schally of
Tulane University, who received the Nobel Prize in 1977 for
his discoveries relating to the synthesis and biologic function
of hypothalamic releasing hormones. Other Tulane physicians
who played an important role in this research were Drs. Cyril
Bowers, Abba Kastin, Akira Arimura and David Coy. These individuals,
all of whom continue to be active at Tulane, have also made
internationally acclaimed discoveries in the broad area of
sequencing and biologic activity of various polypeptide neurohormones
that affect the physiology of multiple organ systems, especially
the brain, pancreas and reproductive organs. More recently,
with the recruitment of Dr. Paul Whelton from Johns Hopkins
to Tulane, where Dr. Whelton is the Senior Vice-President
for the Health Sciences, an internationally recognized program
of clinical research in hypertension has been established.
Dr. Whelton is also very experienced in clinical research
training. While at Johns Hopkins, he was the director of the
Welch Center for Prevention, Epidemiology and Clinical Research,
the Outpatient General Clinical research Center, and the community-based
PRO-Health Research Center at the Johns Hopkins Medical Institutions
in Baltimore. More recently, Dr. Darwin Prockop, an internationally
recognized leader in gene therapy and stem cell research and
a member of the National Academy of Science, has been recruited
to Tulane and is the Director of the Tulane Gene Therapy Program.
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