ORAL HISTORY PROJECT Stanley J. Dudrick, MD Interviewed by John R. Gosche, MD December 15, 2006 Naugatuck, Connecticut This interview was supported by a donation from the University of Texas Medical School at Houston ©2007 American Academy of Pediatrics Elk Grove Village, IL Stanley J. Dudrick, MD Interviewed by John R. Gosche, MD Preface i About the Interviewer ii Interview of Stanley J. Dudrick, MD 1 Index of Interview 65 Curriculum Vitae, Stanley J. Dudrick, MD 67 PREFACE Oral history has its roots in the sharing of stories which has occurred throughout the centuries. It is a primary source of historical data, gathering information from living individuals via recorded interviews. Outstanding pediatricians and other leaders in child health care are being interviewed as part of the Oral History Project at the Pediatric History Center of the American Academy of Pediatrics. Under the direction of the Historical Archives Advisory Committee, its purpose is to record and preserve the recollections of those who have made important contributions to the advancement of the health care of children through the collection of spoken memories and personal narrations. This volume is the written record of one oral history interview. The reader is reminded that this is a verbatim transcript of spoken rather than written prose. It is intended to supplement other available sources of information about the individuals, organizations, institutions, and events that are discussed. The use of face-to-face interviews provides a unique opportunity to capture a firsthand, eyewitness account of events in an interactive session. Its importance lies less in the recitation of facts, names, and dates than in the interpretation of these by the speaker. Historical Archives Advisory Committee, 2006/2007 Howard A. Pearson, MD, FAAP, Chair David Annunziato, MD, FAAP Jeffrey P. Baker, MD, FAAP Lawrence M. Gartner, MD, FAAP Doris A. Howell, MD, FAAP James E. Strain, MD, FAAP i ABOUT THE INTERVIEWER John R. Gosche, MD Dr. Gosche earned a Doctorate of Medicine from the University of South Florida College of Medicine in Tampa, Florida in 1985. He served as an intern and resident in general surgery at the University of Louisville Associated Hospitals in Louisville, Kentucky from 1985 through 1992 under the direction of Dr. Hiram C. Polk. While at the University of Louisville, Dr. Gosche earned a Doctorate of Philosophy in Cardiovascular Physiology through the Department of Physiology and Biophysics at the University of Louisville School of Medicine. Dr. Gosche then served as a resident in pediatric surgery at the Columbus Children’s Hospital in Columbus, Ohio from 1992 through 1994 under the directorship of Dr. Donald Cooney. In July of 1994, Dr. Gosche joined the faculty of the Yale University School of Medicine as an Assistant Professor of Surgery and Pediatrics in the Division of Pediatric Surgery. In July of 2001, Dr. Gosche assumed the position of Chief of the Division of Pediatric Surgery and Associate Professor of Surgery at the University of Mississippi Medical Center in Jackson, Mississippi. Dr. Gosche presently is Professor of Surgery and Chief of the Division of Pediatric Surgery at the University of Nevada in Las Vegas, Nevada. Dr. Gosche has known Dr. Dudrick since 1994, when both he and Dr. Dudrick were faculty members in the Department of Surgery at the Yale University School of Medicine. Dr. Dudrick has been an influential support throughout Dr. Gosche’s academic career. At the time this interview was conducted, Dr. Gosche was Chief of the Division of Pediatric Surgery at the University of Mississippi Medical Center in Jackson, Mississippi. ii Interview of Stanley J. Dudrick, MD DR. GOSCHE: This interview of Dr. Stanley Dudrick is being conducted for the oral history project, American Academy of Pediatrics. Dr. Dudrick was the 1988 recipient of the [William E.] Ladd Medal from the Section on Surgery of the American Academy of Pediatrics. Today’s date is December 15th [2006]. This interview is being conducted in the home of Dr. Stanley and Mrs. Dudrick in Naugatuck, Connecticut. Dr. Dudrick, thanks again for agreeing to participate in the oral history project. DR. DUDRICK: My pleasure and my honor, John. I’m grateful for your having made the big trip from Mississippi up here today in less-than-ideal conditions, and I’m delighted to spend this time with you. DR. GOSCHE: Thank you. If we may, let’s begin at the beginning. Could you tell us a little about your childhood? DR. DUDRICK: I’m a Pennsylvanian. I was born in Nanticoke, Pennsylvania, in the heart of the hard coal region on the Susquehanna River at the base of Wyoming Valley, below Wilkes-Barre and Scranton. My parents were first-generation Americans. Their parents, my maternal and paternal grandparents, all emigrated from Poland in the late 1800s, early 1900s. They actually had intended, I believe, to be more Midwestern and in the farm country but were attracted to the Pennsylvania coal mine area by many of their friends, who were virtually imported to mine the coal with the experience that they had in Europe. And so my grandfathers both worked in the coal mines of Pennsylvania for more than 40 years, somehow lived into their 80s, but also were self-sufficient. They had farms and essentially raised their own food and had dairy cattle and milk and sheep and did all the things that people did in those days to be self-sufficient. My father and my uncles all had to work in the coal mines from when they were 13, since their parents were almost indentured servants. And when they got to 21, they would leave the coal mines, and my uncle, who was my godfather, and my father both went to University of Pennsylvania after having gotten the equivalent, I guess, of high school degrees on their own, in what we call GED today, I guess. But they both graduated from the Wharton School at Penn [University of Pennsylvania]. My uncle went on to law school. The Depression came about that time, and my father couldn’t continue in law school because of finances, and [he] became an accountant and an insurance broker. And then when I was born, that really sealed the deal, and— But I had a wonderful childhood growing up in that small town of about, at that time, 36,000. Now it’s about half that size. There was a great sense of family. Both sides of my family were all there. My father and mother came from families of seven siblings—six siblings, seven all together, and so being the first-born of either side of the family, I had about 14 sets of parents. Simultaneously, being the first-born son and, quote, “the apple of their eye,” unquote, I also was [chuckles] under close scrutiny all the time, too, so they really invested a lot in my development and education, and I greatly appreciated that. I was educated throughout the city school system; graduated from Nanticoke High School in 1953. I guess I started working on my grandfather’s farm when I was 10, and I remember working six days a week, 10 hours a day for 10 cents an hour, and having a wonderful time. I got to learn about planting seeds and growing crops, and I plowed with the horse. I remember the thrill of having the first tractor in the family and then driving the first tractor. I milked cows. I actually participated in the undesirable things of having to finish off chickens and swine to provide meat. But it was a fascinating growing up, and I learned an awful lot. My father was a jack-of-all-trades. He virtually could do anything. He was competent in electrical wiring, plumbing, carpentry. We built a home, he and I, virtually ourselves, a small four-room home next to our home, I believe as a property investment. I dug the basement by hand with a pick and shovel and a wheelbarrow when I was 12 years old and put the roof on the house virtually by myself, so I had a lot of practical teaching from Dad, who was, as I said, a white-collar worker but a great blue-collar talent and a perfectionist. I guess that’s probably the most important thing in his background with me was he was a perfectionist, and he wouldn’t let me get away with anything less than my best. And he was a strict disciplinarian. He was not an obsessive-compulsive; he was not a workaholic in the sense of being off the deep end, but he worked hard for everything he got in life. He was honest as the day is long, had high moral and ethical values, and really was my first true mentor. I didn’t appreciate him as much at the time as I do now, but— My mom was the most loving type person, salt of the earth, everybody’s best friend, kind—I never heard an unkind word uttered by her. She just loved everybody. She gathered people, young children. The young boys in town just loved to come to our home, and she was kind of a second mother to most of them when they got afoul of their own parents. I’ll never forget her funeral. I think there must have been 300 men at her funeral that were boys growing up with me who remember her. It was a great tribute. She taught me an awful lot. She was the humane side of my life and actually the stimulus for me to go into medicine. When I was six and my first sister was two, my mother contracted rheumatic fever. You have to remember, 2 there was no penicillin in those days, and rheumatic fever was a major killer. She survived, even though my father and my aunts and uncles were preparing me for my mother’s death and reminding me that I would have to take care of my younger sister and I’d have to be a good boy because “your mother is ill.” And I was very impressed at that time by the doctors who came to see my mother, because they made house calls, and I just thought that was what doctors did, and they did in those days. So she had two or three doctors that came to see her, two general practitioners, we called them, and one was a rheumatologist because she got rheumatoid symptoms from the rheumatic fever. Several things impressed me. One, their kindness, the fact that they would come and be nice to me. They always would spend a minute or two with me, and then they would sit administering to my mother’s needs, and I was very impressed with their demeanor, and they were just great role models for me. But even more so, before they would come, whenever they were going to make a house call, my aunts, one of whom was my godmother, would insist that I take a bath and that I had to put on my Sunday-go-to-church clothes because [voice drops to a reverent whisper, in imitation of her tone] the doctors were coming today, and they’d even start to whisper, “The doctors are coming, so you have to clean up and be a good boy." And I thought, Gee, who are these guys? They’re whispering. I have to take a bath; I have to put on my Sunday clothes. They must really be important. And so those were the memories I had. Literally I was six or seven years old when I decided, When I grow up, I want to be one of them. And then, when my mother lived, after I was being literally prepared for her death, my gratitude and my awe about these men who accomplished that, in my mind, just made me want to be like them. And I never wavered from that. Oh, at one point I wanted to be a cowboy, probably a fireman and a policeman like everybody else, but fundamentally I wanted to be a doctor. And I talked about it all the time. I had an aunt who was a nurse, but there were no other medical people in the family. She served on a hospital ship in the Pacific during the war, the Second World War, and she encouraged my obvious interest in medicine by buying me books and doctor kits and things for me to play doctor. I then deviated a bit, because at one point in my high school career, the representative, Dan [Daniel J.] Flood, to the Congress from our district took a shine to me, and he wanted to appoint me to [the United States Military Academy at]West Point or to the [United States] Naval Academy since they have positions that they are allowed to appoint people to, and he thought I’d make a fine officer. I actually took the examinations and went through the 3 pre-admission drills at West Point and was fascinated by that for a while, because of the discipline and the idea of serving the country. I wanted to both be perhaps an officer serving the country and a physician, and I wasn’t quite sure if that was possible, so I had the audacity, as a high school senior, to make an appointment, myself, with the dean of the medical school at the University of Pennsylvania. And he, John McK. Mitchell, a pediatrician by trade and a wonderful being, actually gave me an appointment. So I drove down in the family car, which wasn’t easy in those days, about 120 miles or 130 to Philadelphia, and had an appointment with the dean of the medical school. After a wonderful half hour or so, in which he was completely relaxed and seemed to be enjoying it as much as I was, he said, “Well, what is it, Mr. Dudrick, that you want from me today?” And I said, “Well, I have this West Point appointment or I could go to Annapolis if I would like to, but I think I’d prefer West Point. It’s a free education, and I was wondering if I could get the education there, could I then get into medical school and fulfill my ultimate goal to become a doctor.” And he looked at me, and he paused and looked around the room, and he said, “Well, Mr. Dudrick, if you could rationalize for me spending four years of your life learning how best to kill people and then paying them back the four years you owe them by getting on-the-job training in how to even better kill people in order to then go to medical school to learn how to keep people from dying, I’ll answer your question.” So then I stopped and thought, and I said, “Dean Mitchell, I think you just answered my question.” DR. GOSCHE: [Laughs] DR. DUDRICK: And at that moment, I decided I wasn’t going to go to West Point and that I would pursue a medical career, and I told him that, and he said, “Well, you get yourself a good liberal arts school to prepare yourself for medical school,” and he said, “God willing, if I’m still alive,” he said, “I’d like to see you apply here, and we’ll talk about it.” Well, to finish that story off, I eventually did go to Franklin & Marshall College, a school I had never heard of before Christmastime, about this time of year, of my senior year in high school. But it had such a good reputation for producing physicians—not there, but by getting them into medical schools—that I went down to look at the place, and I fell in love with it, and that’s where I wanted to go, and I matriculated there and had a wonderful education. But for continuity purposes, when I finished there, in getting into my senior year, I of course applied to Penn [University of Pennsylvania School of Medicine] because that’s where I wanted to go; that’s all I heard in my family, was “Penn, Penn, Penn” all the time. And I didn’t hear anything 4 from them. Many of my classmates at Franklin & Marshall were being interviewed at Penn, and I didn’t get an interview invitation. So I called the dean’s office, and I said who I was and didn’t want to be impertinent but I wondered if there could have been a mistake or did I do something wrong that I didn’t get an invitation to be interviewed for a position at Penn. And the same lady [Mrs. Householder], who was the secretary to the dean when I visited three years before, said, “Oh, Mr. Dudrick, we have note in a file that Dean McK. Mitchell made for you when you visited here as a high school senior. He put a note in your file saying that ‘if this young man ever applies to medical school here, take him.’” DR. GOSCHE: [Laughs] DR. DUDRICK: And she said, “I discussed this with Dean McK. Mitchell a few months ago, and he said we don’t need an interview, that his interview with you three years ago would suffice.” DR. GOSCHE: Wow. You were accepted three years earlier. DR. DUDRICK: Yes. And so I said, “Well, golly,” I said, “I really want to go to Penn, and I only applied to Jefferson [Medical College, Philadelphia]. That’s the only other school I applied to, and they’ve already accepted me, and I only have a week or so left on the time that I’m supposed to accept or reject, and I don’t want to be impolite [to Jefferson Medical College], and I don’t want to be impolite to you, either.” And she said, “I’ll mention this to Dean McK. Mitchell. I imagine you’ll be hearing from him soon.” And within 48 hours, I had a telegram from the dean, accepting me to the medical school, which was followed up by a letter, asking me to give him a phone call, which I did. It was just the middle of August, the summer between my junior and senior years, and so I started my senior year at F&M [Franklin & Marshall College] completely free of concern, and had a marvelous last year, filling in with a lot of liberal arts courses and got ready to go to Penn Medical School. But what an influence people like that are on you! When I went to medical school, then Dean John McK. Mitchell was the dean the entire time I was there, and I just loved having him there. He seemed like a surrogate grandfather for me and a wonderful role model: [a] kind, gentle, idealistic person, a true dean in the sense that he was elected by the faculty, which is what the deans in the old days were. Nowadays the dean is virtually an MBA and a whole bunch of other things, and a business manager, and it’s a shame because we don’t have that type of academic chain of command that we used to have. But times have changed. I began working in the Pocono Mountains when I was 16. I actually lied about my age, I’m ashamed to say, and told them I was 18, and I got a job 5 first as a busboy and then as a room waiter and then as a wine steward, which was illegal; you had to be 21 to do that, but it was a private place, Skytop Lodge in the Poconos, and one of the nicest places in the area. And I worked there for five summers and literally paid my way through Franklin & Marshall College by working there. But the big bonus about that was in the third year that I was there, my wifeto-be, Terri (Theresa), also in college at College Misericordia in Pennsylvania, came up for the summer to work as a waitress, and we met and had a marvelous summer together, and then we kept [in] communication with each other for the next four years, and then got married after my freshman year in medical school. So the experiences I gained of, oh, being somewhat independent at a young age and having a wonderful background at home and on a farm and then working in a service organization like a resort hotel, I think, prepared me in a great measure for what we do as physicians. We’re interested in life, we’re interested in high ideals, and we’re interested in service. I inadvertently received three big doses of that as I was growing up. The best years I had in my life, the very best four consecutive years of my life were those that I spent at Franklin & Marshall College. I love that institution. It had a transforming effect on me. I ended up in an idyllic type town, Lancaster, Pennsylvania, which was clean, rural, influenced by the Pennsylvania Dutch [actually Amish and Mennonites of German descent] discipline and ethic and culture; and farms that were out of storybooks: clean and wonderfully maintained in the old style, and having come from a town that was a hard coal, dirty, dusty, smoky, smelly [sulfur from coal mine fires] place, although I love it, I just thought I died and went to heaven when I went to Franklin & Marshall College. Here, it had all this history, founded [as Franklin College] by Benjamin Franklin in 1787, and it was a grand old place. At that time, I think it was the eighth or tenth oldest school in the country. The mentors and the role models that I had there were outstanding. Dean Richard [Honodel] Winters, the admissions dean; [James McCown] “Mac” Darlington, the chair of biology; [Harold] Harry Lane, the professor of anatomy and embryology; Dr. [Fred A.] Snavely, who was in inorganic chemistry; and [Robert Pershing] Bob Cross, the chair of the Department of Chemistry [who] taught us organic chemistry. These men were just superb scientists, educators and so dedicated to us. The entire ethos of Franklin & Marshall College infected me and transformed me from a kid from the coal regions to an avid would-be scholar. They just imbued in me the importance of knowledge, that nothing was more precious than to gain knowledge and then to pass it on to others. 6 I did my first research projects there, of all things, growing tomato plants hydroponically and studying the effects of magnesium doses in the fluid [in Dr. Snavely’s laboratory] and being fascinated by that because I grew thousands of tomato plants on my grandfather’s farm, and then to see these things growing in fluid in a sense later influenced me because I was growing plants in liquid. Subsequently, we grew human beings with liquid. I had no idea that was going to happen at the time. That project was with Fred Snavely. And then, later, I had another project with Harry Lane, in which I was studying the effect of hypoglycemic agents, oral agents, which were brand new, and we worked in conjunction with Eli Lilly [and Company] on a project studying carbutamide, tolbutamide and another agent, and we showed that carbutamide was effective but caused too many congenital defects in chick embryos. We were working in chick embryos with a binocular dissecting microscope, studying blood sugar in the omphalomesenteric veins in the yolk sac. And so, again, here I was, working with these microscopic blood vessels and doing microtechniques and measuring blood sugars. What we learned in that project was that the chick pancreas kicks in with [develops functioning] beta cells on the 13th day [of development as an embryo], which was unknown till that time. We also showed that [neither] the tolbutamide nor the carbutamide would have a hypoglycemic effect until the beta cells matured, so it [the observed hypoglycemia] was not a direct effect on blood sugar and metabolism, but on the beta cell: It stimulated the beta cell. And carbutamide was rejected in part because of our studies, because of the congenital anomalies that it would cause in these chick embryos, which were kind of a cleft palate, and the beaks were different [grossly malformed], and the phocomelia and abnormal feet and wings and feathers. Whereas tolbutamide was well tolerated, and tolbutamide became Orinase®, the first effective oral hypoglycemic agent, and we were one of the 12 or 13—I don’t know—beta sites, I guess you’d call them today—to [help] develop that. Again, I didn’t realize the significance of it at the time, but I did enjoy the technical and metabolic experiences that I had working in a laboratory, but especially the patience and kindness, honesty and brilliance of Harry Lane, the principal investigator and my mentor. We became very good friends. Then I guess I moved on from there to medical school, having graduated from F&M [Franklin & Marshall College] in 1957. That’s a long story about my childhood, I guess, but— DR. GOSCHE: That's why I'm here. Let's change directions. END OF TAPE 1, SIDE A DR. GOSCHE: And your medical school career? 7 DR. DUDRICK: Medical school was also a wonderful experience for me. I was a little more fearful of medical school than I probably needed to be, and that perhaps was more due to lack of self-confidence, but I should have had more confidence in Franklin & Marshall College’s reputation because the fact was that my freshman year of medical school was easier than any of the years at Franklin & Marshall College. So Franklin & Marshall taught us how to study, taught us how to learn, taught us good habits for acquiring knowledge, and hard work and self-discipline. Indeed, in medical school I really thrived. I didn’t have the courage to get married after graduating from Franklin & Marshall College because I was afraid that if I didn’t do well in medical school that perhaps friends and family might blame Terri or say, “It’s because you got married and you got your interests split.” So we patiently waited another year, and right after my freshman year in medical school, Terri and I got married in 1958, and medical school after that was even more fun because I did even better, because I just relaxed and had a wonderful life. We, during medical school, had two children. There weren’t many people married in medical school in those days, and we had a couple of children besides. There were 125 of us in our medical school class. I think there were nine women, which was the most, by far, that Penn ever had. I think the previous high was about four, and that was several years prior to that. And the other thing was that I believe we had eight or nine married students, which was unprecedented at Penn, but it started a new era. The medical school experience for me was, as for everybody else, one of impatience initially, because it’s a continuation primarily of basic science for the first two years and you’re there into your third year before you really are putting your hands on people and learning the craft of medicine. But I kept myself occupied by immediately inquiring about working in the laboratory. At that time, I wanted to be a heart surgeon because that was the new thing. I remember a picture on the front page of Time magazine of Dr. Charles [P.] Bailey of Hahnemann [now Hahnemann University Hospital, Philadelphia] after he had done the first successful mitral commissurotomy after 13 patients in a row had died, and I was just astounded by his courage and his persistence despite failure and despite criticism from his colleagues. And as I read that story in the Time magazine, he immediately became an inspiration for me and actually helped mold my philosophy, because I remember not only the adulation and admiration that people gave him, but I also remember the other half, which was not very complimentary to him, because he lost people. And it taught me that not everything you do was going to be welcomed, even though you had good intentions, and you might eventually get good results. There will always be detractors and critics, and at first that offended me and bothered me. 8 But I learned later on, especially with the help of Jonathan [E.] Rhoads, my major mentor, that some of the best help or some of the best friends you may have will come from or will be critics, and as long as they are not meanspirited, people who criticize what you say or criticize your thoughts or your work hone your thoughts and perhaps encourage you to do even better than you did do, and that still affects me, and I try to pass that on to my students and residents: Never be self-satisfied. There’s always more you can do. You can always do better. And critics help you become better. That’s really important, as you know, when we’re trying to teach our students and residents to prepare manuscripts and present them. But to get back to early days at Penn, I went to a heart surgeon, Charles [K.] Kirby, and asked him if I could work in his laboratory because I knew he had an active laboratory going. He was one of the younger heart surgeons. And he lined me up with Dr. [Lysle H.] Peterson, who was a cardiac physiologist, and between the two of them, I learned a lot about cardiac physiology. I actually learned [virtually] everything that there was to know about cardiopulmonary bypass and the Mayo-Gibbon heart-lung machine [at that time]. Since when I was growing up, in high school, I could take automobiles apart and put them back together, taught by my father, that’s what I did with the heart-lung machine in the laboratory, and eventually I became the main technician running the heart-lung machine while the heart surgeons at Penn performed heart surgery. I eventually taught technicians how to do that with the heart surgeons and with engineers that they had there. But whenever they had a tough case, they’d get me excused from my classes to run the heart-lung machine for them. And I actually made some flow meter contributions and some oxygenation suggestions in the technology, and worked together with the people in the Moore [School of Electrical Engineering] and the Towne[School of Civil and Mechanical Engineering] at Penn and had a wonderful time. My fellow medical students couldn’t believe what I was doing, and neither could some of the other people, but it was just all related to initiative. There was no previous model for what I was doing, but I learned an awful lot. There was a man in the laboratory at that time, Horace MacVaugh, [III], about a third- or fourth-year resident, similar to what we do now at Yale [University], who was in the laboratory also, and I’m grateful to him because he taught me how to operate. He taught me how to use every instrument in the animal laboratory so that as a medical student, I actually put heart valves into cows, [and] into dogs. I actually transplanted hearts in calves, ran the heart-lung machine while operating on these animals, and by the time I got into my internship or residency, they didn’t have to teach me how to operate in terms of how to use the instruments; they just had to teach me the indications and the techniques of the particular operations and the judgment 9 as to when and what to do. But I knew how to do it if they told me, “Sew this in.” I knew how to sew it in. “Cut this out.” I knew how to cut it out. So I had a big advantage over most of the other people in my residency because I already had developed those skills working every summer in the laboratory and working on some of my elective time in the laboratories of the heart surgeons and pulmonary physiologists. I also worked with John R. Senior, who was a prominent gastroenterologist, who was working on intestinal projects, and I actually had done a lot of bowel work with him in bowel adaptation. I remember John Senior asking me to work together with him in trying to show absorption of different nutrients in the small intestine of dogs, and the only way he thought that we could do that would be to take the bowel out of the dog, and we developed a Pyrex chamber to keep the bowel alive and moist and at the right temperature, and I used my knowledge of cardiopulmonary bypass to keep the bowel alive by pumping oxygenated blood through the bowel, and we actually collected lymph and could collect the venous blood to measure the difference in nutrients, and it was a fascinating exercise to keep the bowel alive for up to five or six hours [and study its function] under these artificial conditions. I would suspect that eventually the main thing that caused the bowel to decline was we didn’t have a kidney process to eliminate metabolic wastes. That was going to be the next step we were going to take, but then I got into my residency and internship, and I had to put those experiments aside for the time being, and I never did return to those with John Senior, but we have remained friends to this day. As a matter of fact, he was a co-author with Dr. Rhoads and myself on the very first paper I ever wrote in 1964, and that was actually in the Medical Clinics of North America, on surgical nutrition. But when I started looking at internships in my senior year at Penn, I was fascinated by the new curriculum at Cleveland Clinic, and then I thought a bit about the University of Chicago and UCLA [University of California, Los Angeles] and several other prominent institutions, but every place I went to be interviewed, everybody wanted to know about how Dr. I. S. Ravdin, who had been the chairman during most of my medical school years, in surgery, or Dr. Rhoads did their operations or how did they take care of their patients. I was embarrassed because, in reality, I didn’t know. I was a medical student, and, although I assisted them in procedures, I didn’t have enough experience to discuss what their philosophy was about how they did their major cases. But I was impressed that everybody else around the country thought that they were top drawer. And I got thinking, I better hang around here for a while [chuckles] and find out more about my alma mater before I go elsewhere. 10 Plus by that time, we had had two children, and Terri was pregnant with our third, and although I kind of was titillated by the university hospitals in Cleveland and at Case Western Reserve, because they had this dynamic new curriculum and faculty, I decided to try to stay at Penn, and I actually had a rotating internship. I was one of the last rotators. Shortly after, within a year or two after my internship, Penn went to the straight system. But at the time, I was an intern, and we had a rotating internship. It was a marvelous year. I would do my internship again if they let me. We had pathology and medicine and cardiology and surgery and pediatrics, and we did all kinds of things that kind of polished our rough diamond from medical school. And then I was selected at that time [for residency training in surgery] by Dr. Rhoads, who had taken over the chair from Dr. Ravdin— and both of these men, by the way, were enormous influences on me. Dr. Ravdin is credited by many for being one of the most important people in the country to encourage surgeons to be physiologists. Prior to his time, in the 30s, surgeons were anatomists, pathologists, technicians, and physiology was of interest to some of them, but Ravdin was a strong advocate that you had to be concerned about the pathophysiology that indicated the operation and then the post-surgical physiology that you create in trying to overcome the pathophysiology. And surgeons were not used to thinking that way. Another man who was influential in the country at that time, in the same vein, was Owen [H.] Wangensteen from Minnesota. As a matter of fact, Owen Wangensteen and I. S. Ravdin [virtually] both started the journal Surgery. They’re [two of] the founding editors. And the original purpose of that journal was to report papers on physiology, physiologic surgery. And then, of course, Owen Wangensteen went on to establish a PhD program in surgery, which still exists. But Dr. Ravdin was one of the most powerful influences in American surgery. He obtained the funding for the Harrison Department of Surgical Research at Penn [the University of Pennsylvania], which was the first funded or endowed research surgery department in the country. And there were a lot of firsts at Penn. Penn was the first medical school, 1765. It used Pennsylvania Hospital initially, which was the oldest hospital in the country, 1751. And then, when Penn built the hospital at the University of Pennsylvania [1874] after running out of space in downtown Philadelphia and moved west to its current site, they built the very first medical school hospital. And then Ravdin got the first endowed surgical research department from the Harrisons. The Harrisons were an interesting family, because there was a grandfather, a father and a son, who were all professors in the Department of Chemistry at Penn. And they actually started a company manufacturing chemicals south of the university, and one of them I think rose to become the dean or the 11 president [actually the provost] of the university, and still to this day, the chemistry department in the undergraduate school is [referred to by some as] the Harrison Department of Chemistry. But the interesting piece of history is that the Harrisons’ company became a family company which after a while kind of outgrew them. They were more interested in being academics, and they sold the company to, of all people, the DuPonts. The DuPonts were just down the river, down the Delaware [River], in Delaware, and making dynamite, and they were looking to diversify, and so what allowed DuPont [de Nemours & Co.] to become the company that said, “Better Things for Better Living…Through Chemistry” was when they bought the Harrisons’ chemical works. And, of course, now the DuPont company is very big in pharmaceuticals and many other things. Well, with all the money that the Harrisons made selling their company, Dr. Ravdin tapped into some of that because he had operated on some of them, and they gave millions to endow the department [the Harrison Department of Surgical Research]. And I mention that because it was important that that was where I got the money to begin my studies, from the endowment funds. And then we parlayed that into the basis for NIH [National Institutes of Health] grants and continued support of our nutritional research. So Ravdin started this [emphasis of the relationship of] physiology and surgery, the journal Surgery, the Harrison Department [of Surgical Research], and he was a strong advocate of pre- and post-operative care and nutrition. He was fascinated by anesthesia because he felt that anesthesia allowed us to be surgeons and to do large general surgical procedures. His work was interrupted by the Second World War, when he went into the China-Burma-India theater with the University of Pennsylvania battlefield hospital, and he became a one-star [brigadier] general, working over there in the Pacific theater. He had the best medical outfit in the Pacific, with [General Joseph Warren] Stilwell and the [Wingate's] Raiders and all the over-the-Hump Flying Tigers and all that. He serviced all those people and brought back a fantastic unit of people when he returned after the war, and then he became chairman of the Department of Surgery and ultimately the vice president for health affairs at Penn, and a leader throughout the country. He stressed nutrition because he was impressed that the things we were using for general anesthesia, such as ether, chloroform and then later on agents like halothane and cyclopropane all caused liver damage, and he thought that if we gave better nutritional support, we might reduce the liver damage. And to some extent that was the case with ether and chloroform, but with the more sophisticated agents, there were toxic effects that even nutritional support could not overcome. But those thoughts and ideas were the basis of his early work in the Harrison department. 12 Plus the other thing he was interested in was wound healing. So I was brought up in a very fundamental research environment. Surgeons have to be able to operate with pain-free patients, so you have to be interested in anesthesia; therefore, you have to be interested in pulmonary support, and you have to depend upon adequate wound healing or else you may as well not operate. So these were very fundamental concepts that Dr. Ravdin proposed to us. With that background, he first piqued my interest in nutrition, because as a student I was aware of the major changes that cardiopulmonary bypass caused in patients. Also he was one of the first [clinical investigators for], I guess, beta sites for Lipomul®, which was the first practical fat emulsion that was produced in this country by—the Southern [Regional] Research Laboratories, the U.S. Army Research and Development Command, and the Upjohn Company—together they produced this cottonseed oil emulsion. As a medical student and then later as an intern, Dr. Ravdin had me birddogging the clinical application of intravenous Lipomul®. Well, I have to admit to you, the first time he gave me this bottle of pure white milk-looking stuff and said, “Stanley, I want you to start an IV on patients and give this over a six-hour period, and I want you to take their signs every 10 minutes and record it all on this sheet,” and he gave me the protocol sheet, and I thought, Oh, my God! I’m gonna put this white milky stuff into somebody’s veins. It’s gonna kill ‘em. I remember being terrified at the thought of giving this “milk” by vein. As it turned out, I did dozens of patients in his project, and I then became fascinated by the whole idea that we could put this stuff into people’s veins and they metabolized it, and it just piqued my interest in, you know, what the whole absorptive, digestive and assimilative processes were all about. And that we can bypass digestion and absorption and just give it by vein. Well, the problem was with the Lipomul®, the emulsion was not standardized enough. We found that the droplets, fat droplets in the emulsion were anywhere from one micron to ten microns [in diameter], and of course with the average capillary being seven microns in size, you could see that the larger particles were going to block up the capillaries, and that’s what they did, and it caused people to have pains and aches and renal problems and liver problems, so Lipomul® never made it in the big time as an IV food, so—but Dr. Ravdin stimulated me. And then Dr. Rhoads, when he inherited Dr. Ravdin’s chair, he had also been interested in nutrition and had done work with Vitamin K and wound healing and hypoproteinemia and bone healing and metabolism, so he saw that I had an interest in nutrition and wanted me to continue that. 13 During my internship, a very profound thing happened to me which influenced my life, and that was that I was on Dr. Rhoads’ service in November of my intern year in 1961, and I was in the trench as the on-call person, and that was in the days when we were on [call] every other night and every other weekend, so I was on the whole weekend: Saturday, Sunday and all day Monday. Over the weekend, on Saturday and Sunday, I had a catastrophic experience because three of Dr. Rhoads’ patients died, for various reasons. They were all complicated, reoperative patients. That’s what he would attract. When he came in on Monday, everybody else was busy in the operating room, and I had to take Dr. Rhoads on rounds. He had been away for the weekend, giving a talk someplace. He noticed, I guess, on rounds that I wasn’t as enthusiastic as I usually was, and he said, “Stan, is something bothering you?” And I said, “Well, as a matter of fact, Dr. Rhoads, you’re very perceptive. There is.” He said, “Well, what is it?” I said, “Well,” I said, “I really don’t think I’ve got what it takes to be a surgeon.” And I said, “I’ve been trying to figure out how to tell you that.” And he said, “What do you mean?” He said, “Come over here.” And he took me aside. There was kind of a deacon’s bench there in the hallway of the hospital. And we sat down. He said, “What’s troubling you?” And I said, “Well, you know, I lost three of your patients this weekend.” I said, “All three of these patients died on my watch.” And I said, “I worked as hard as I could possibly work, and fought, did everything I possibly could to keep them alive, and they all died anyway.” And I said, “I helped you with those cases, not very actively, but down at the end of the table, and from my point of view, you did a beautiful job operating on them. I can’t imagine anything technically [that went wrong], and yet they all died.” And I said, “I figure it must be my fault.” And he said, “Oh, no, Stanley,” he said, “it’s not your fault.” I said, “Well, I was the one you left to take care of them. You trusted me, and I didn’t make it.” And I really felt terrible. He said, “Now, wait. Let’s just analyze these patients.” And he logically, systematically taught me first of all that he knew everything there was to know about those patients. Probably the chief resident had kept him informed by phone. And he then went through a litany of each of their case histories, and he said, “Now, if you notice, every one of these cases was a bit on the elderly side. They had had one to three operations before they came here in the previous six months. They were already debilitated from their procedures and their malnutrition, and we had to reoperate on them, and the best chance to operate on people is the first time. And the common denominator was multiple complex problems and malnutrition.” He said, “Those patients died from malnutrition and its complications.” 14 And I said, “Well, Dr. Rhoads, then why didn’t we feed them better?”—a stupid, naïve novice’s question. And he said, “Well, we did the best we could, but it just wasn’t enough.” And I said, “Well, why can’t we give people more?” He said, “Gastrointestinal tracts don’t work, as you know,” and all this. END OF TAPE 1, SIDE B DR. DUDRICK: Well, continuing with my talk with Dr. Rhoads. I said, “Well, Dr. Rhoads, it seems to me that we ought to be able to feed people better by vein,” and he said, “Well, a lot of people have tried,” he said, “including me.” And he said, “We haven’t been able to do it,” and he said, “You can only give so much fluid. You can only give so much concentrated nutrients. We don’t have a lot of sophistication in ways of giving people IV fat or amino acids and protein, and the science just isn’t there.” And I said, “Well, I really think it should be a priority, because,” I said, “I see on the Jack Paar show, he gets a laugh every time he says, ‘Well, the operation was a success, but the patient died.’” And I said, “I don’t think that’s funny.” And I said, “As a matter of fact, it offends me. I like Jack Paar, but,” I said, “I hate it every time he says that because I have a feeling he’s mocking our ineptitude.” And I said, “I think we ought to do something about feeding people so that when they have good operations technically, that they can get through. Otherwise, why are we doing the operations?” He said, “Because that’s all we can do right now.” And I said, “Well, I’m having a hard time accepting that. Maybe I should be doing something else besides being a surgeon. That’s why I mentioned what I did today.” And he said, “If you decided to quit surgery, that would be the saddest day of my life.” That stopped me cold. I thought, My God! This great man cares enough about me, an insignificant intern, enough that if I didn’t go into surgery that would be one of the saddest days in his life? I said—it made me a little ashamed, and it got me thinking. And then he said, “You know, if you really feel that strongly about this, why don’t you plan on taking off a year or two in the laboratory and doing something about it instead of quitting?” Whoo! So first he hits me with “the saddest day in his life,” and then he implies that I might be a quitter. I said—boy, that got my attention. I said, You want a motivator? There it is. And he took me from a low to a want-to-get-up-andfight kind of position. And so I said— [Recording interruption.] DR. GOSCHE: We’re back on. DR. DUDRICK: Well, after Dr. Rhoads fired that one across my bow, I really kind of felt ashamed of myself, and so I put my tail between my legs and thanked him, and as I sauntered off, he said, “Well, why don’t you come 15 down to the office later on this afternoon, and we can talk about some ideas.” So I actually went down later that afternoon, and we sat and talked about how we could get more food into people by vein, and we thought we could increase the concentration peripherally maybe from 5 percent, which is isotonic, to maybe 10 percent. Although we knew that was going to burn the veins, we thought that if we changed the needles regularly—and we had needles in those days, not catheters; we had no catheters—and we thought we’d minimize the phlebitis and the thrombosis, although I was skeptical. And then we decided that we might be able to give more intravenous fluid, to go from two to three liters to maybe four or five, knowing that that would limit us, because not many sick people can take five liters of fluid. So then we decided we would try something like that with the protein hydrolysates that were available. There were two of them. One was a casein-based hydrolysate, and one was a fibrin-based hydrolysate, and both casein and fibrin are complete proteins, so the reason that they are used is the amino acid ratios and quality of the amino acids, the profiles are complete, and it’s logical: If you just drank milk protein, that’s all you’d ever need to live on, and fibrin, for some reason, is also a complete protein. So they had [commercially available] hydrolysates of those. One was an acid hydrolysate, which was the casein, and one was an enzymatic hydrolysate, which was the fibrin. Both of them were supplemented with crystalline amino acids, which are very expensive, to make sure that the mixtures were perfect or as good as they could be [after the hydrolysis process]. But there were also dipeptides and even decapeptides in the hydrolysates, which caused problems. We worked with that for a while, and then we tried—the diuretics that were available at that time were either oral, which were the new ones, DIURIL® and HydroDIURIL®, or they were intramuscular or subcutaneous, which were the mercurial diuretics: Thiomerin® and mersalyl. Now, when we tried to give those diuretics to people who were receiving large volumes of water, they didn’t seem to work. However, if you had somebody who had pulmonary edema and you gave him [or her] Thiomerin®, and that was kind of the diuretic of choice at that time, and they would have a diuresis, which would help their congestive [heart] failure or their pulmonary edema. But when we tried to induce diuresis of exogenously administered water in patients, it didn’t work [effectively for our purposes]. So we went to the laboratory, and actually Jonathan [E.] Rhoads, Jr., who’s been a surgeon trained by [William A.] Altemeier of [the University of] Cincinnati, and he’s been at York [Hospital], Pennsylvania, for years as chairman and program director there—but Jack Rhoads, Dr. Rhoads’s son, was a student, and he spent the summer in our laboratory and actually was studying adult dogs receiving different kinds of diuretics to see what we could do about improving diuresis and using the water as a vehicle to take in 16 the nutrients but then getting rid of the water while retaining the nutrients. That was the theory of that approach. Well, Jack Rhoads couldn’t make the diuretics work in dogs any more than we could make them work in human beings, and so we did learn that, but we were a little taken aback. And about a year later, I saw an article in the New England Journal of Medicine on intravenous HydroDIURIL®, or maybe it was intravenous DIURIL®. That had been developed. And so I thought, Well, maybe we can try this, and it might rejuvenate our experiment and our experience. I tried to call the people in Boston who were working with it, and I couldn’t get through, so I just picked up the phone—I’m a very practical person. I picked up the phone and called the [hospital] pharmacy, and I said to the pharmacist, “Have you ever heard of intravenous DIURIL®?” And he said, “Yeah, Dr. Dudrick. This is an amazing coincidence. We just received our first shipment today. I’m actually unpacking the boxes.” I said, “You gotta be kidding. You have it here?” He said, “Yeah, it’s brand new, just been released, and I’m adding it to the formulary.” I said, “Wow! May I come down and see it?” And he said, “Sure.” So I actually hung up, and I went down to the pharmacy, and he showed me his multi-dose vial of DIURIL®, intravenous chlorothiazide, and I asked him if I could have one of the package inserts, and he said, “Here, you can have a vial.” So he gave me the vial, the box and the package insert, and I read it and I thanked him for his generosity. And so I called up Dr. Rhoads and told him that there was a new intravenous diuretic on the market and he might be interested. So he again asked me to come down [to his office]. Usually it was in the afternoon, at the end of the day—you know, five o’clock or so. Before he’d make evening rounds, why, he usually had a low period when there was a little peace and quiet, so I treasured those hours with him. I went down, and I started telling him about this New England Journal [of Medicine] article. I had gone to the library, because the library always got it before we did, and I went to the library and made a copy of the New England Journal [of Medicine] article, in those days a thermofax copy. We didn’t have Xerox® machines. And I was talking to Dr. Rhoads about it, and he said, “Gosh, if you can get me a copy of that,” and I handed it to him. He always liked that. So I gave him a copy, and he started looking at it. And he said, “Do you think we might be able to get some of this stuff?” And I said, “Yes. As a matter of fact, we have it here. We just got it today in the pharmacy.” He said, “Really!” And I said, “Yeah, here’s some.” I took it out of my pocket and gave it to him, and of course he just loved that kind of stuff, because he loved people to be prepared when they talked to him; he loved people to do their homework, and he hated it when you just brought him problems. He wanted the problem solutions. 17 And so he was, like, literally—I don’t think I ever saw him that happy. He was like a young man or a young boy with a new toy. And he’s looking at this DIURIL®, and we read the package insert together, and we actually sat down, right then and there, and wrote out the constituents of a five-liter program of 10 percent solute, and we decided we’d give DIURIL® in the second and the fourth bottle each day. We didn’t have bags then. Within a few days, I started giving these five liters of 10 percent solution, which had about 2,000 calories and 100 grams of amino acid/peptide equivalent or protein equivalent. And that became known as the "five-liter program." We began using it in people who had cancer. They were the most cachectic. And also another reason for using it in cancer patients is we used it in patients who had nothing else that we could do for them except to maybe give them nutritional support. Even chemotherapy was in its infancy in those days. We had 5-FU [fluorouracil], and we had Cytoxan® and methotrexate; 6-MP [mercaptopurine] was coming along, but there was no really organized medical oncologic, chemotherapeutic program until later on; during the residency, it did develop. But we then actually worked together. They had a nurse who was the chemotherapy administering nurse. She would give the chemotherapy IV to these patients, and so I kind of worked together with her to get suitable candidates who might benefit from nutrition if you could improve their nutrition. And I think we did about 37 to 39 cancer patients. We got a little bit of pulmonary edema in one patient, but that quickly resolved, with appropriate pullback in the dose and increased diuresis. We didn’t permanently hurt anybody. We don’t think we killed anybody. We approached nitrogen balance, but we didn’t get positive nitrogen balance, so we reduced the amount of their weight loss and [the] amount of their continuing negative nitrogen balance, but we really didn't see them recover as impressively as we later did with the more concentrated TPN [total parenteral nutrition]. Although we didn’t have to use a catheter, [and] we didn’t have to give it central venously, it was an enormously labor intensive process that we didn’t think was going to catch on, because surgeons were already pretty overworked. We didn’t have to use an indwelling catheter, but we had to have an indwelling resident, which was me. And I had to make the solutions myself, and we didn’t have a manufacturing pharmacy, and we thought that it might be better to go to a laboratory to see if there were other ways that we might be able to solve this problem. But we were encouraged by the fact that by trying to give more nutrients, we seemed to be decreasing the negativity of the nutritional status and the nitrogen balance. So that gave us hope that we might be able to find some 18 way to do it in the laboratory. And I guess after three and a half or four clinical years in the residency with Dr. Rhoads, I took a year off to go to the laboratory to see if we could show that you could feed adequately by vein. Prior to doing that, I tried to prepare myself by reading everything I possibly could in the literature and in the textbooks, and I actually catalogued more than 600 articles or chapters on five-by-seven cards. We had no computers. And I had a little abstract on every article I had read. I classified them according to the nutrient or whatever and cross-referenced them. I still have those cards someplace up in the attic of this house. I didn’t feel I could go to the laboratory and just try to do experiments. I had to know more about nutrition, and there was nobody [apparent or available] to teach it to me, so I had to teach myself. The dieticians pretty much were [focused on] oral [nutrition]. We didn’t have much enteral nutrition. The enteral nutrition problems were as bad then as the TPN ones became later, because we didn’t know what kind of nutrients to give into the small bowel. We knew what to give to the stomach, but then you couldn’t always use the stomach. Well, at any rate, I went to the lab thinking that we might try to grow animals from birth through adulthood, and that was one protocol we thought we might follow. Another one was to try to feed adult animals and see if we could measure nitrogen balance, but we knew that if we tried to measure weight or nitrogen balance, that most people would be skeptical about it. And then we thought about getting into deuterium and tritium, the heavywater techniques, and then the isotopic carbon and nitrogen molecules that we might measure. But, again, we really felt that surgeons and clinicians were going to be skeptical about anything that they couldn’t really see or feel, and thinking about body composition based on isotopic distribution in the total body water and into various [body] compartments is just not something that, as you know, our surgical colleagues cherish as fact. They’re fascinated by it, but they want to see it [in the form of clinical results]. So we thought if we could have a practical demonstration of the efficacy of IV nutrition, it would be to not only maintain an adult animal for a long period of time, but even better, if we could grow one. However, we knew that if we took an immature animal of any species, it was going to take probably twice as much nutrition per gram of body weight as it would to maintain an adult. As you know, the pediatric neonatal requirements are much higher for protein than they are for people our age, and that meant giving more of the nutrient and maybe more concentration or more water. But at any rate, we thought we would try it. So I spent several months in the laboratory first of all trying to put together intravenous complete nutrient solutions based on what information I had read, to see if I could duplicate, for intravenous feeding, what I presumed might be what was in the portal 19 vein in the way of nutrients after a balanced meal, and then we’d have to give the fat separately, just as the lacteals absorb fat separately and pump it into the subclavian veins or innominates, through the thoracic duct. Simultaneous with trying to get these individual nutrients into solution and trying to find different cationic forms of the necessary anions or different anionic forms of the necessary cations, I had to go through a lot of chemicals in the laboratory, [Harold M.] “Harry” Vars' laboratory. Harry Vars, a wonderful man, was the distinguished professor of biochemistry who worked with us in the Harrison Department. He knew everything there was to know about nutrition and biochemistry, and he was an invaluable asset to me, a walking encyclopedia. I used the resources in his laboratory to literally take chemicals off the shelf and dissolve them and purify them and sterilize them and try to mix them together. And I would spend hours at the Mettler balance or actually the swing balance. We didn’t have the automatic ones then. And just as we did in quantitative analysis, I’d get the right amount of each of the chemicals and then add them to the combination of hypertonic sugar and protein hydrolysate, and sometimes I’d add two, three, four, five, six, sometimes 10 or 15 and then all of a sudden the whole thing would precipitate. DR. GOSCHE: [Chuckles]. DR. DUDRICK: I’d say, Oh, golly. So I’d have to start all over again, either [in different form or] with a different order of adding them. Sometimes I took the individual components and I dissolved them in water first and added them in liquid form rather than adding them in crystal form. I changed the order in which I added them. I changed the salts. I tried a lot of different combinations until I finally got the solution stable. And then I found I couldn’t sterilize it, because if I’d sterilize it, the whole thing turned into caramel. The [Maillard] browning reaction occurred, the esterification of the carboxyl groups with the amino nitrogen groups, and that’s how you make caramel. So it was either the Maillard [browning] or the caramelization. I then knew that I wouldn’t be able to sterilize the solution with the autoclave and that we’d have to find another way of doing it. So at that time, we had the old asbestos sterilization process, where you can make asbestos sheets by adding it to a suction apparatus, and then you could actually sterilize that apparatus and it would filter and provide a sterile fluid, but that was complicated, and of course by that time asbestos was getting a bad name for causing the thoracic— DR. GOSCHE: Mesothelioma. DR. DUDRICK: Mesotheliomas. Thank you. So then I actually consulted the pharmacy, and I asked, “How do you people sterilize the 20 radioactive materials you give for tracer studies?” And they said, “Oh, we have these Millipore® filters.” I asked, “Millipore® filters? What are they?” So they explained to me what Millipore® filters were. They were usually an inch in diameter, in an apparatus that supported them, and they [the radiopharmacists] would draw up their radioactive nuclides in a 10-, 20, 50-ml [milliliter] syringe, and then they’d put this Millipore® filter on it, and then they would squirt the solution through that filter, under mild pressure, into a sterile container, and that’s how they sterilized the radionuclides because you wouldn’t dare put them in a steam autoclave and then disseminate the radioactivity all over the place. And they said, “As a matter of fact, this is how we do prescription eye drops.” Well, I hadn’t ever thought about it, but if you—in the old days, you would write prescriptions for eye drops that would have perhaps various antibiotic[s] in them or mydriatics or whatever, and so you could write an eye drop prescription and it would be usually only 15 or 30 ml. And the way the pharmacists would do that is they’d draw it up in a syringe, according to the prescription, squirt it into a sterile bottle with a sterile dropper, through the Millipore® filter. It was low-volume sterilization of pharmaceuticals. And I was fascinated by that because I had no knowledge of that whatsoever, and I was sure most of my colleagues didn’t have any, either. So I said, Well, gee, that has some application. I said, “Can you get bigger ones so that I can sterilize a liter of solution or so?” They said, “Well, we don’t have it, but, you know, you know the people who use this most? The beer and wine industry.” I said, “Really.” They said, “Yeah.” They said as a matter of fact, if you go back in history, [Louis] Pasteur’s work was subsidized by the French wine industry, and later the German beer industry because they were upset with their beer or their wine spoiling. And his investigation into why it was spoiling led to the association of bacteria with pathologic processes, which was Pasteur’s first contribution. So he said the beer industry and the wine industry have been using Millipore® filters here in this country for years, and so I investigated it, and sure enough, I found out that I could buy a six-inch-in-diameter or bigger [filter], if I wanted it—I didn’t need anything bigger—and a tripod and kind of a pressure cooker apparatus, and you put your TPN solution into this kind of pressure cooker, and although it doesn’t cook, you just increase the pressure, and then it pushes it [the fluid] through this filter, and out the bottom end of the filter comes sterile TPN solution. So I was delighted with that because it solved a major problem for me, and so what we did was with that, we actually could get dry sugar and add it to the liquid five percent hydrolysate solution, which was the highest concentration they had at that time, and that would save us some volume, because otherwise we would have had to add 50 percent sugar, and that would take 21 up more volume. So we were happy with that. And then we added our other nutrients. I sterilized some of them separately, in two different batches, and then I would combine the two sterile batches into one, and I found out that I had less problem with precipitation that way. But that took months of just tedious labor in the laboratory. While doing that, I was also trying to modify and develop a better intravenous swiveled, counterbalanced apparatus for infusing the dogs. We originally were going to try to infuse them by peripheral vein, because Dr. Rhoads felt very strongly that clinicians would never accept central venous feeding. And he said, “I don’t think we should do that.” So I tried to feed the dogs peripherally by hindpaw or forepaw veins, but that was difficult. I added steroids to reduce inflammation. I added procaine or Xylocaine® to the solution. I added heparin. And none of them really did it. And Dr. Rhoads also then said, “Well, Stan, they’re not going to like adding those products to the nutrients, either.” I started to feel stymied, and so I just decided that I was going to go central and see what happens. So I bought a couple of dogs from the pound. They were a couple bucks apiece, and as a trial I put a central [venous] catheter in through the jugular vein. By that time we had a more sophisticated apparatus that we developed. Harry Vars was ingenious in getting collaboration from our Towne School of [Civil and] Mechanical Engineering and the Moore School of Electrical Engineering [both of the University of Pennsylvania], and they had magnificent facilities there for tool and die work, and they made these lovely stainless steel swivels. And then we erected an apparatus over the top of— END OF TAPE 2, SIDE A. DR. GOSCHE: You were saying about the apparatus. DR. DUDRICK: So while we were working on the solubilities and the components and the sterilization, we were also working on the mechanical apparatus. [Recording interruption.] DR. GOSCHE: Go ahead. DR. DUDRICK: We actually tried to feed these two puppies by vein, by central vein, with a catheter placed in the superior vena cava, through the jugular—came out between the scapulae of the dog, and we didn’t have a sophisticated apparatus for those animals. We just tried to keep them quiet in the cages. They were pretty well behaved, and they were small. I actually began to feed them [entirely by vein]. Over the 24-hour period you had to 22 feed them 24 hours to get the maximum amount of food in per day. And I was delighted to see that they were growing. So I actually had them growing for 24 days. Now, they weren’t controlled. They were just two dogs getting intravenous feeding, but they were growing, and I had weight-gain curves and some pictures of them, just candid pictures, and I got some nitrogen balance studies on them. They were in positive balance. We had a Harrison Department of Surgical Research monthly meeting, which we always had on a Wednesday night in the department, and we usually had 40 to 50 people come to the meeting. Dr. Rhoads always ran those meetings, and he always had at least three investigators reporting their work, plus we took care of administrative details and other things. After that meeting, I asked Dr. Rhoads if he would come by and take a look at something I had in the laboratory, so he walked down to my lab, and I showed him these puppies, and I had my graphs and my work all lined out there for him to see, and he said, “That’s very impressive, Stanley.” He said, “Good for you,” he said, “and what peripheral vein are you using?” DR. GOSCHE: [Laughs] DR. DUDRICK: And I thought, Oh, my God! I’m gonna get fired right here tonight. I said, “Well, Dr. Rhoads, I’m using the external jugular as access, but I actually run the catheter down into the superior vena cava.” He said, “Oh, so you’re infusing them by central vein.” I said, “Yes, sir.” I said, “The solution is about 25 to 30 percent solute, and there’s no way you can give it by peripheral vein.” I said, “I’ve actually put it in my own vein,” and I showed him my arm, where I had put some in my own vein, and it still was a bit indurated even two or three weeks later, and I said, “It burns like liquid fire, Dr. Rhoads. We can’t possibly put that in a patient, and you don’t want me to use Xylocaine® or any other local anesthetic. You don’t want to use heparin; you don’t want to use a steroid. So I don’t know any other mechanism for now except central venous, depending upon the dilution there, rapid dilution.” And I said, “I’ve calculated that, judging from blood flow and judging the rate at which we’re giving this [formulation] that the solution is really dissolved, like, 200 or 300 to one per minute.” And I said, “If you’ll excuse the expression, sir, it’s like whizzing in the ocean.” I said, “Everybody does it, but everybody still goes in the ocean.” It just gets diluted. So he said, “Well, I guess you can’t beat success.” I said, “Can I take that as an endorsement to continue, Dr. Rhoads?” He said, “You can”—or “You may.” And I said, “Well, then, I’m going to have to invest in some expensive pedigreed beagles for control, in order to do it right, because these are just mongrel puppies.” And he said, “Well, you better go ahead and put in the order.” Of course, the beagle puppies were, I don’t know, something like 23 $300 apiece, which in those days was a lot of money, but we did buy the puppies eventually. In the meantime, I had to get improvements in the apparatus. I knew I’d have to protect the catheter or the intravenous line coming down through the top of the cage. We originally had a plastic outer covering over the inner plastic catheter or administration tubing, and so I actually went to Pep Boys—Manny, Moe and Jack, the Pep Boys on 43rd or 44th and Market Street. It was walking distance from the laboratory. And I bought some speedometer cables that I thought would be great, and we incorporated [the cable into the swiveled infusion apparatus]—well, while I was there, I was looking at some plastic tubing, and I asked them about the tubing. I had to buy 1,000 feet of Irvington® brand polyvinylchloride tubing that I thought might be a good tubing to run through the speedometer cable. They wouldn’t sell me small amounts; I had to buy [a roll of] 1,000 feet of it. I’ll never forget it: Irvington® brand’s polyvinylchloride tubing, which was designed for insulation for wire. And I never knew that you don’t put insulation around the wire, you actually thread the wire through the tubing, which is some kind of a fascinating thing to me that we have the machinery to do that. But that’s how they do it. So this was an unthreaded, unwired insulation tubing. I then was studying all different kinds of plastic for inflammatory potential, and every piece of plastic that we had, whether it was polyvinyl or polyethylene or the new Teflon® catheters, which were very hard and rigid—couldn’t use them. But I tried every one, and they all caused reactions in the vein, and I actually planted some of them subcutaneously, and they all caused induration in the subcutaneous spaces of both dogs and rats. But I did buy this polyvinylchloride at Manny, Moe and Jack’s and the speedometer cable and went back to the laboratory. I sterilized the polyvinylchloride, which you could do in the autoclave; it will withstand sterilization. And I put it in some veins and some subcutaneous spaces, and it didn’t cause a reaction. So it was the first plastic tube that I could use as a catheter and have confidence that it wasn’t going to be thrombogenic or inflammatory. So I cut it up in little pieces and sterilized them, marked them and then threaded them into the beagle puppies, and it worked beautifully. And eventually we used the very same tubing in the first baby that we fed and in many of our adult patients until industry caught up with us to make what we asked them to make earlier. The Deseret® [Pharmaceutical Company] [now part of Becton, Dickinson and Company] people out in Utah, I guess, provided some of the first catheters that we used for central venous catheterization, and I had to deal with industry, whether I liked it or not. It had nothing to do with their making money, it had to do with their providing for me what I needed 24 for my experiments, and then eventually my experiments in human beings and then for the clinical application of it. I couldn’t live without them. So it was a pure, collaborative effort. And I should say that I never took anything from industry free, nor did I ever take any money from them, so I still have all of the bills that I paid for every bottle of nutrient that I ever gave to any of the puppies. I paid for them because I didn’t want anybody to accuse me of saying that this worked in order for the companies to make a profit. And that really served me well later on, because there were some people who said, “Well, how much money did they pay you, Dudrick, to say that this is a good amino acid solution?” DR. GOSCHE: No conflict of interest. DR. DUDRICK: No, there was absolutely no conflict of interest, and I had all the bills to prove that. Now today that would probably be considered stupid by most doctors, but who knows? I was more interested in maintaining my scientific credibility and my trustworthiness and my honesty with my colleagues than I was in any kind of money or patents, so we never patented anything, and we never took any money for doing that work. There were a couple contract projects that I did years later, which I thought had mutual interest, and I said, “The only way that I can do them is if you pay for the expenses of it,” and I’d get some of my residents or fellows to do the experiments, to try different variations in solutions or technology. But other than that, which was really a pittance compared with what it cost us to do this work, I never, quote, “made any money,” unquote, on the TPN. We had four males in the first set of puppies that we began to feed. They were all littermates. And we tried to get arrangements with the animal supplier, which was a very reputable outfit north of Philadelphia. As a matter of fact, the owner of the animal farm used to deliver the beagle puppies in his Cadillac. I always got a kick out of that, meeting him at the loading dock in his beautiful Cadillac car and getting these puppies out of the back seat that he would deliver, at any rate, freshly separated from the mother. We originally tried to feed puppies from birth, and I actually had pregnant dogs brought to the Harrison Department near whelping, a couple days before they were going to deliver. We’d get the vets [veterinarians] to see them and clear them, and then I actually would stay with the animals or be right close to them so that when the mother would be ready to deliver the puppies, I could be there to help her and to see that she didn’t feed them anything, because I really wanted this to be pure. I didn’t want anything by mouth for these puppies. And they were little puppies. They were 200 to 250 grams, which would be about the size of a big rat. I miniaturized the 25 technology for them and the delivery apparatus, and I began to try to grow the puppies from birth. But then I had problems because I had—first of all, to get the puppies I literally would sleep in the animal quarters with them. I’d set the alarm to wake me up every hour to see if the mother was okay or the mother-to-be was okay, and when I’d wake up I’d have roaches and mice and rats running around my body because they came out at night, and that was kind of fun. And I actually then suspended an Army cot from the ceiling with four piano wires so that I could lie on this cot away from the vermin, but they would crawl [down the wires]—[Chuckles]. I don’t know how they did it, but somehow they’d get on me anyway. So I lived through that a month or two. But it was “fun.” And I tried to grow these puppies, and all of them would die [after] about two to three weeks. I got isolettes from the pediatricians. I got used, old isolettes, but I had to be like a pediatrician or pediatric surgeon. I was there 24 hours a day, sleeping in the laboratory, trying to see the puppies every couple hours to see that they were okay. And they’d all die in two to three weeks, and I autopsied them, and I couldn’t figure out why they died. I noticed that all of them had fluid in their bellies. I also noticed that there was nitrogen in that fluid, but I thought, Well, I guess apparently a [body] fluid has nitrogen in it. And since I had the ability to measure it, I did. The veterinary school was just across the street from our laboratory, and I asked the veterinarians if they’d come over and see my puppies that were dying. And so they came over, and they autopsied the animals with me, and they said, “Well, all these animals have ruptured bladders.” And I said, “Really?” I mean, I didn’t even recognize that these teeny-weeny bladders in the pelvis, that they were ruptured. I just didn’t even notice it, because I wasn’t trained to do it, but the veterinarians picked up on it right away. They said, “All these bladders are ruptured, and this free fluid is probably urine.” Of course, we then confirmed that it was urine, and I felt dumb. But I said, “Why are the bladders rupturing?” And they said, “Well, you’re giving them a big water load.” They said, "Did you ever notice that they had little, teeny-weeny urethras?” I said, “Well, what do you do about that?” They said, “What happens is that the crystals form, uric acid crystals and other crystals form in this little meatus, and it blocks off exit from the bladder, so it’s an external obstruction.” And they said, “Did you ever notice that the mother of puppies licks their genitalia?” And I said, “Yeah, I’ve always seen that.” They said, “Well, that’s why she does it. She licks away the salts from their genitalia so that they don’t get urinary tract obstruction, and it’s an intuitive thing, but that’s what keeps the puppies alive.” And I said, “Well, I want this experiment to work, but I’m their [surrogate] mother and I’m not going to do that.” [Laughs] 26 Of course, we all laughed about it, but I actually then for a while would wash off their urethras every three or four hours with a warm, moist cotton swab, and sure enough, as sure as I washed it off, they’d always provide me some urine. I actually would collect it. But it was such a labor-intensive project, I really realized that my purpose was not to show I could grow puppies from birth, my purpose was to show that you could give adequate nutrition by vein to grow them. So I had to take a step back, because I was trying to do too much. So then we thought the next logical time to do this was after the mother weaned the puppies, which is usually at six to eight weeks, but for beagles it was eight weeks. So at eight weeks I'd get the puppies delivered, then I would feed them for four weeks with a standard puppy oral diet, and I’d watch their growth rates. The owner would tell me what the birth weights of the puppies were, so I had those for the first eight weeks, not sequentially but I knew what they were born at and I knew what they were when I got them, and that’s all that mattered. And then from there I’d weigh them every day for four weeks while they ate an allegedly ideal diet. And then from birth I divided them up as best I could to get them comparable, and I put two of them on intravenous feeding with catheterization of the central vein, and the other two I just continued them on their puppy diet. That seemed to be the next logical point, and that was fine because by that time, the puppies were about two to three kilos in weight, instead of 200 to 300 grams, and bigger and easier to work with. People ask, “Well, why did you pick beagles?” I picked beagles specifically for several reasons. One, I found out in my reading about nutrition that the U.S. government had a pamphlet on animals, and puppies and dogs, and they had one specifically on beagles because the Atomic Energy Commission used beagles as the experimental canine when they set off the atom bomb in Bikini. On Bikini Atoll they had animals of all kinds, and plants, to study the effects of irradiation from the atomic blast. In order to get the maximum data from that, they wanted to know everything there was to know about beagles to start with, so they learned about their body composition and they learned about their nutrient requirements better than any other dog. And obviously you don’t feed a Chihuahua the same thing that you feed a St. Bernard, although they’re both canines. And so beagles have their own little special diets. So I took advantage of having precise information about what beagles need to grow ideally, according to the Atomic Energy Commission. Then I liked beagles because they were not too big. They only get to be about 25 pounds when they’re adults. They have short hair and they’re clean. They’re a pretty standard breed. They do have some dyschondroplasias that come out every once in a while in the breeding process, but usually the 27 owners will get rid of those animals. And they’re well-mannered, friendly. So for many of those reasons, I chose beagles, and it worked out very well. I began to feed them by vein, and they did very well. I knew that if I put a catheter in, that the biggest problem was going to be how do you keep it sterile, because you’re in an animal laboratory first of all, and the catheter goes through the skin and into the central vein, so I was putting antibiotic ointment around the catheters and trying to keep the exit site clean. And I had a couple dogs develop candidemia. I had the veterinarians help me with that. They actually came over and looked in their eye grounds, and they saw hyphae in the eye grounds, so they had candidiasis in that first set. And we decided that the reason they were getting that could perhaps have been because of the high sugar content in the solution, but then I tried to grow fungus in the TPN, and it would grow but not that great. It didn’t seem to be particularly susceptible to fungi if it’s a fungal overgrowth. And so then we thought that it might be because I was sterilizing the external catheter of bacteria and then fungus was growing on the animal’s skin. And sure enough, we cultured around the catheter, and the catheter exit site grew all kinds of fungus. And so then we decided that we should probably put [on] an antifungal [ointment] as well as an antibacterial [ointment], and that seemed to work. Another thing that we did at that point, then, was to put in a final filter, a Millipore® filter, in the apparatus right before the swivel, so the tubing came down through the pump and out to a Millipore® filter, a final filter, before that filter then plugged into the swivel and then down through the speedometer cable to the dog’s back, to the catheter. And we thought just in case there were fungi getting introduced through the lumen, the final filter would filter them out, because fungi are big, much bigger than bacteria. I used the very same final filter that the ophthalmologists or radionuclide pharmacists use to sterilize their solutions. It was a perfect size. And then I subsequently had them make a special stainless steel apparatus for it, because the commercially available ones were in a [relatively fragile] plastic apparatus. The Millipore® filters are .22 microns, [that] is their average pore size, and that’s small enough to filter all bacteria. The only bacteria that can get through a .22-micron filter is a Pseudomonas—some species of Pseudomonas—if the Pseudomonas, being a rod, lines up with the pore. DR. GOSCHE: Properly. DR. DUDRICK: Properly, it can go through. So what the Millipore® people have done technologically is this little, paper-thin wafer actually has kind of a 90-degree pathway. In other words, the pores aren’t straight through, like a sieve; the pores are all angled, so a Pseudomonas can get in, 28 but then can’t make the corner. So we used the final filter, and that was a thought I actually got from the Amoco [Corporation] gas people. The Amoco gasoline company, or petroleum company, had an advertising campaign about: Use the Amoco gasoline; it’s the only gasoline with the final filter, and you will not have problems with your fuel injection system. Now, you may recall about that time, 40 years ago, we started getting these fuel injection systems that the Germans had invented, and that was a much better system than the regular kind of internal combustion mechanism we had in our carburetors. The problem with the fuel injection system is that if you have any particulate matter in your fuel, it’ll block up the little tiny hole in the little spritzer that spritzes the gasoline into your piston chamber. So they said that in the process of processing the gasoline, you might have rubber come off or little pieces of material that get into the gasoline to block your fuel injection system, so if you final-filter your gasoline at the pump, this will not happen to your car. So I thought, Hmm, we’ll get a final filter into the intravenous infusion system, and that’s what we did, and I’m not sure what did it, but we stopped having trouble with the candidemia. I suspect it was more the catheter exit site than the solution because the solution was prepared freshly, and the pharmacists did it eventually for me. I started doing it for the first year, but then the pharmacists began manufacturing it for me, and that was a big boon. DR. GOSCHE: When did you know that you were successful? DR. DUDRICK: I’m sorry? DR. GOSCHE: When did you know? Was there a time when you said, Oh, my God! We’re successful. This is gonna work! DR. DUDRICK: I thought it was going to be successful after about the first two or three months growing the beagle puppies. I knew I was going to have problems with the delivery apparatus, and I knew I was going to have to work out some things, but I knew that the hypothesis that you could put enough nutrients to support growth into enough fluid and then infuse it into the central vein of these dogs over the entire 24 hours, combining all of those prerequisites, that we’d be able to give them enough to grow and develop, because I saw them virtually double in size from two or three kilos to four to six kilos in that time period, and I didn’t have any major trouble except in this one animal with the candidemia. But simultaneous with the trouble I had in that one, I didn’t have trouble in the other one, so I knew it had to be an idiosyncratic thing perhaps related to the catheter rather than the fluid. So from the standpoint of animals, I knew I was going to be successful there, and I felt the excitement of discovery. And people in the laboratory started 29 getting interested in coming around. Everybody was interested in the animals. Everybody likes puppies anyway, so it was—there were some people that said, “Oh, Dudrick’s being mean to these puppies.” And other people said, “No, he’s growing them, and it’s going to mean a lot for medicine and surgery.” But generally it was very positive. A lot of people got excited about it. Even Arthur [E.] Baue, who had a laboratory next to mine. He was studying pig homografts as replacements for aortic valves. He had come from Harvard to Penn, and he then became chairman of the Department of Surgery at Yale. And he’s still here. He lives on Fishers Island [New York] now with his wonderful wife, who’s a minister there. But people like that would come by, looking at my puppies every day and were fascinated by it. And later Arthur did a lot of work with his coworkers on the metabolism in the heart and magnesium and phosphates and used some of the technology that he learned from us. Other people would come by and try to learn how to do this. At any rate, to answer your question more definitively, I guess I knew that we really had something when we grew the baby, because the significance of that baby was that, although we didn’t plan that, it just happened serendipitously that an ideal candidate came to fruition right there in Philadelphia at the right time. It was almost, you know, God’s will, if you will, that this happened. You couldn’t help thinking that there’s some greater force than us giving us this opportunity. DR. GOSCHE: Tell me about the baby. DR. DUDRICK: The baby was a direct application or translation of fundamental basic science and practical basic science in the laboratory to the clinical situation, and although I was motivated by adults requiring the nutrition, when the baby came along after we had already done six adults— END OF TAPE 2, SIDE B. DR. DUDRICK: The baby was born in Vineland, New Jersey, perhaps about 40 miles from Philadelphia, and was brought to Children’s Hospital [of Philadelphia] with a catastrophic congenital anomaly that didn’t allow her to be fed. She had a Christmas tree mesentery, which indicated just a terminal, single vessel with side branches feeding the bowel rather than having the arcades that we normally have. As the bowel twisted around this vessel, it strangulated, and she lost most of her bowel, on an exploratory operation, and then I think she had a second one in which the rest of the bowel was taken so that she just had her duodenum anastomosed to two or three centimeters of terminal ileum. That’s all she had. She also had some sort of a stricture in her rectum, so that a colostomy was brought out to 30 bypass this area. She had a gastrostomy tube to decompress her and to perhaps try to feed her eventually. But after about a month in Children’s Hospital [of Philadelphia], on Dr. “Harry” [C.] Bishop’s service and tended to by Diller [B.] Groff, who’s now a pediatric surgeon of some prominence in the country—Diller Groff was there as a fellow in pediatric surgery, and he and I were interns together at Penn, and you may recall I said we were rotating interns. Diller, also known as Dick, left Penn to go to his home medical school at George Washington, I believe, or Georgetown—I’ve forgotten which—and took his general surgery there, and then finished earlier than I did because I was in the laboratory, and [he] became a fellow with Dr. [C. Everett] Koop at Children’s [Hospital of Philadelphia]. We had maintained our friendship. And he had heard about our puppies, and he was taking care of this baby, and he was watching this baby die, and he knew that they had tried everything they could to feed the baby by vein and by mouth, and it was not working, and she was five and a half pounds when she was born; she was now four pounds, and she was moribund. She was really just pooping along. Diller called me up, and he said, “Stan,” he said, “I’ve heard about your work with the beagle puppies. Would you mind coming down here to Children’s [Hospital of Philadelphia] and giving us a talk on that tomorrow morning?” I said, “Yes, I’ll be happy to.” I was flattered. So I went down, and they had this grand rounds, jam-packed, and I’m showing them my puppy data that I had, which was not complete at that time, but it was enough to be impressive. At the end of it, people had a lot of questions, and Dick asked, “Could you play your puppy trick on a baby that we have here?” That’s how he said it. I’ll never forget: “Can you play your puppy trick on a baby that we have?” And he told me about the baby there, and I said, “Goodness, she sounds like an ideal candidate.” I said, “We’re not in a position to have a technology that we can apply immediately.” I said, “We’d have to feel our way here if you want to do it, though.” But I said, “You know, this is going to be a huge undertaking, and there’s going to be a lot of pluses and a lot of minuses involved with it.” And I said, “If we want to do this, there’s going to be a lot of effort on my part, too, to try to take care of this baby with you four miles from my home plate, and I have other responsibilities up there. But if you can get your staff to buy into this and really support it, I’ll consider coming down and working with you.” And what I had essentially inadvertently done is created an ad hoc institutional review board, because there wasn’t any such thing there at that time. They might have had one at Yale, because I know they had the first one there ever was in the country at Yale, but I didn’t know much about institutional review boards or ethics committees, and I told them that I would be happy to talk to anybody and everybody at Children’s Hospital [of 31 Philadelphia] to explain what we’re [doing] and why, if they wanted us to do it. I said, “I’ll share everything I know.” And so we did. The next day we had the whole day set aside in one of the meeting rooms there, and people came in and out. There must have been 200 or 300 people that came in and out, and I would go over again and again and again what we were doing and why and what the risks were. And I said, “The likelihood of success is almost zero, because there are so many potholes along the way that we don’t know about. It’s uncharted waters.” And I said, “But I need everybody’s support. I can’t have naysayers or I can’t have people who don’t want this to work on the team. It has to be dedicated people who want to make it work. And if at any point in time people aren’t comfortable about it, we’ll meet again, talk about it again, change plans, quit, whatever, but I have to have your support. I can’t have people shooting at me while I’m trying to do this, because I’m a guest here. I’m not even a full member of the staff here. I’m just a resident in surgery at Penn. I was chief resident. And so we got the go-ahead to do it, and so I came down. I brought one of my Manny, Joe and Jack catheters and decided we’d put the catheter in through a jugular, as we did the dogs, and that we would thread the catheter behind the ear and come out in the scalp up here [demonstrates], similar to the dog except out of the scalp rather than the back, because the baby would be lying on her back most of the time. And that would give us a longer catheter tract. I actually got a Kirschner wire that the orthopedic people use when using wires in [fracture of] the fingers and wrists, and was able to thread the catheter over the end of the wire, and then I could run the Kirschner wire subcutaneously and pull it [the catheter] out to do minimal trauma. But we kind of had to use practical things that were available. Once I got the catheter in, I started adding—you know, first we added amino acids into the sugar and, you know, the usual salts: sodium, potassium, some vitamins. And then every day we’d add something more: calcium, then our phosphorus. I actually used glycerophosphate, which was off the [research laboratory] shelf. I brought it down. We didn’t have an organic phosphate, so we had organically tied up calcium, as calcium gluconate, and so I got glycerophosphate, and I could mix them together and they wouldn’t precipitate. We never did use the glycerophosphate in adult human beings; we just depended upon the dilution and the sodium or potassium phosphate not precipitating the calcium, although it does, to some extent, microscopically. Dr. Douglas W. Wilmore, a third year surgical resident, who was working with me at that time in the Harrison department laboratories on an NIH [National Institutes of Health] career development award, eagerly agreed to participate with me in the baby project. A fortuitous bit of serendipity was 32 that he lived fairly close to the Children’s Hospital, and he could check on the baby relatively conveniently and help in monitoring and managing the baby’s treatment. Between the two of us, we virtually made rounds on the baby four or more times a day for several months in addition to our other clinical and laboratory responsibilities at the University of Pennsylvania, in order to ensure the safety of the baby and the efficacy of the intravenous feeding technique. And we got the baby to start growing. We didn’t have any major problems with infection during the first 45 days that we fed the baby. And so at that 45-day period or 47-day period, whatever it was—but it was six weeks—that baby had grown from four pounds to six and a half pounds, and she increased in length two or three centimeters. Her head circumference was [increased by] four or five centimeters; her chest circumference, four or five centimeters; and I guess length [increased] three to four centimeters. I’ve forgotten the exact numbers. And she was vigorous and active and looked normal in every way. And I knew that we had accomplished something. And at that point, we actually were encouraged by people to submit those findings for early publication, which is what we did, as a case report, because it was more than just a simple case report; this was a complex metabolic clinical study. And the people at Children’s [Hospital of Philadelphia] felt strongly that we just couldn’t keep this among ourselves, that we had to let people know that it was possible to keep these children alive and that if we could do it by scraping things together there, that other people could—there were practical, other people motivated to do this at Hopkins or Harvard and other places, Yale. And so in addition, [M.] Judah Folkman was there, spending his six months of pediatric “token” residency to get his [official] credentials as a pediatric surgeon prior to his professorship at Harvard, and he had an intense interest in what we were doing, and when he went back up to Harvard, he got [Robert] “Bob”—oh, I forgot— DR. GOSCHE: Shamberger? DR. DUDRICK: No, the man who eventually went up to Sick Children’s Hospital in Toronto. [Robert M. Filler] His right-hand man came down, and we taught him how to do what we could do with the babies, and he began doing it up at Boston Children’s [Children's Hospital Boston] and then a little bit later John [H.] Seashore was sent by [Robert J.] “Bob” Touloukian from Yale to come, and we taught him how to do it, and he took the technique to Yale. The people from Hopkins—oh, how could I—I’m blocking his name. DR. GOSCHE: Haller. 33 DR. DUDRICK: Haller. [J.] Alex Haller [Jr.] happened to be on an immunologic kind of sabbatical in the Wistar Institute at Penn [the University of Pennsylvania], and he heard about the baby, so he came and took the technique to [the Johns Hopkins] Children’s Center, so it started spreading like wildfire. We had submitted it for publication to the AMA [American Medical Association] journal, and I was astounded because it was printed three weeks later. [Wilmore DW and Dudrick SJ: Growth and development of an infant receiving all nutrients by vein. JAMA 203:860-864, 1968.] They put it on a fast track, because the editor at JAMA [Journal of the American Medical Association] thought that this was important to get out there. That just changed my life. It just [makes sound signifying speed] grabbed me by the ear and swung me around from that time on. I was just overwhelmed with phone calls and letters and all kinds of communications because everybody wanted to know about growing this baby. We knew we still had problems, and we did. For example, we had no way to give the baby fat. So she started getting the kind of redness of the skin and kind of a dandruff [dander] of the skin that you get when you’re fat deficient, dry skin. It looked like she had total-body dandruff, very fine, and when you rubbed it off, it [the underlying skin] was red. And so we started rubbing linoleic acid onto her skin, and that was kind of messy. And we found out that her mother and her father were both O positive, and her type was O positive, so we got the mother and the father to eat a big meal for breakfast of buttered toast, eggs, sausage, milk, and then we drew blood in less than a hour from them after they ate and spun it down, and we got this beautiful, creamy plasma full of fat micelles, and after we spun it down, we packaged the fat into 30 to 60 mls, small packets that they used for platelets and other things for babies, and so we used blood transfusion or blood-bank technology, and then we actually infused the red cells back into the mother and father. We didn’t want them; we wanted to see if we could grow the baby without that [transfusing red blood cells], which we did. And that way, we made a physiologic fat emulsion, so in once-a-month drawing from the mother and the father, we would get enough physiologic fat emulsion to keep the baby in fat nutrients, and the skin cleared up, and the baby continued to grow and develop. Another thing that happened, that we learned was that the baby started acting funny with one of her arms, and it was broken. She had broken her arm. We got an X-ray of it, and she had really very poorly calcified bone, and we were giving her a lot of calcium, but we were not giving her Vitamin D, and the reason we weren’t giving her Vitamin D is [that] there was no Vitamin D available for intravenous use at that time. We subsequently got some. And when we talked to experts in nutrition, they said that Vitamin D is only needed to absorb calcium from the gut, so you don’t have to give intravenous Vitamin D after giving intravenous calcium and phosphorus. 34 Well, that actually was not correct, and we found out inadvertently, by our studies, that Vitamin D is also used to incorporate calcium and phosphorus into the matrix to calcify bone, so that was kind of a little side thing about TPN [total parenteral nutrition]. I never made a big deal about it, but that was one of the first absolute proofs that you needed Vitamin D for more than just absorption [of calcium from the intestine]. So then, when we studied the rest of the baby, we found that she had some tibial plateau microfractures, and she had a rachitic rosary that we had not picked up on, so she had full-blown rickets. And so we added the Vitamin D, and then it helped us figure out how much Vitamin D the babies needed, because that’s different from adults. And so we inadvertently caused a problem which she then helped solve for future babies: how much Vitamin D to give a newborn by vein. And that [dose] was different, so we ended up getting a special vitamin mixture for intravenous-fed babies and a special vitamin mixture for adults, and babies’ therapeutic and maintenance and adult maintenance and therapeutic, so there were four different vitamins [vitamin mixtures] that were generated from that. And then I think over the 22 months that we fed her by vein, we had 14 different catheters, because the catheters either mechanically had problems or we suspected catheter sepsis, and we were learning how to try to minimize that. We learned, in combination with pediatricians, because we were using Polysporin® and—[pauses] an anti-fungal cream—I’m blocking it. I’m having TIAs [transient ischemic attacks] here. DR. GOSCHE: Mycostatin®? DR. DUDRICK: Mycostatin®. So we had Mycostatin® ointment and Polysporin® ointment that we would mix together almost like epoxy around the catheters, and then there were some pediatricians working together with a company that came up with Betadine®. We asked them, “Could you make a Betadine® ointment that would kill all the bugs?” because iodine kills everything, fungi and bacteria; it even kills algae. So all unicellular organisms will be killed by the iodine that’s released when Betadine® breaks down. So we began using Betadine® on the baby, and everybody started using Betadine® ointment on all the catheters, and that was a much better solution [at that time] to the problem. And then, of course, Betadine® became a prep for surgeons and a prep for hands of surgeons, et cetera. So a lot of stuff came out of the TPN [total parenteral nutrition] project. We had all these people that were living proof of the efficacy. As the baby grew and developed, then we learned—we learned more about infant [intravenous] nutrition from that baby than perhaps we learned the next five or six years from all the babies. We probably learned 95 percent of 35 what we know about infant nutrition from that one baby. Subsequently, when they built the new children’s hospital in Philadelphia next to Penn and moved it up there next to Penn, they dedicated the huge atrium, lobby of the hospital, to the baby and to her family. There’s a brass plaque up there that dedicates the lobby to Keleen [Lee] Burgess and her family as the first TPN [total parenteral nutrition] baby grown. That baby—she was an enormous project. And finally, we would have liked to send that baby home on TPN, and we wanted to do that, but the world wasn’t ready for it yet, and by that time we had a more formal ethics committee, and they met and decided that the baby should be fed only by standard of care and no longer experimentally, and they stopped the TPN. As a result of that decision, they just fed her as best they could by mouth—by that time she could take about 40 percent of what she needed by mouth—and by intravenous supplementation, and she died of starvation in a month. That was a very sad moment for me because I did not agree with the decision. I wanted to send her home, but I had to go along with the people who really were in charge of her; I was a guest. What I was doing was as a consultant. If you do that today, you’ll go to jail, but back in those days, 1968 to 1970, that was standard of care. So we’ve come a long way in 35 years or 40. Stop at this point for a second. [Recording interruption.] DR. DUDRICK: I had mentioned the development of Betadine® ointment and its importance in what we do surgically and with TPN, as a stimulus to industry by what we were doing and the way you have to work hand in glove with industry if you want to apply or translate your fundamental research to clinical application. And although the development of the TPN in the laboratory and subsequently with the baby was labor intensive, overall I would say that half of the work was the puppies and the baby, and the other half of the work was to get the puppy knowledge adapted for broad-spectrum use in human beings. And in order to get there, we had to go through industry to provide us with the tools, because we couldn’t do any more mom-and-pop TPN using reagents from the shelves. And actually, we were fortunate to be able to do what we did do at that time. I really consider myself one of the right people in the right place with the right mentors, the right support at the right time to make this work, because you wouldn’t be able to do this today with all the regulations and the IRBs [institutional review boards] and HIPAAs [Health Insurance Portability and Accountability Act provisions] and all of the things that are counter to experimental clinical work. 36 However, a couple items that were of interest to me: I already talked about the Millipore® membrane as a way to sterilize without autoclaving, and although my memory had failed me earlier, I was trying to describe a Seitz [pronounced sites] filter, S-e-i-t-z; a Seitz filter was the asbestos filter that preceded the Millipore® filter and that you could prepare for laboratory use. When I wanted to have final filters produced for use clinically after showing that they worked or appeared to work in the animal laboratory, I called the Millipore® company, which was in Massachusetts, and asked them if I could talk to them about developing a new product that I needed for human use, and I needed them to make it for me. And they were kind, and I got a delegation of three people: an engineer, a finance man and a marketing person. And they came and visited me. I showed them what I was doing in the animal laboratory, and I told them what I wanted and why, to try to get a final filter that we could incorporate or add to intravenous administration lines for adults or babies. And they said that that would require quite a retooling operation in their assembly line and would probably be costly, and they said the major problem that they saw was that there was no market. And I said, “Well, I’m going to create the market.” And they said, “Well, you know, after you create it, it might be easier for us to convince our leadership to do this.” I said, “Well, that’s a chicken or egg thing. You know, you have to take risks,” I said. Of course, they were conservative, and they were kind, and about a week or so later, I got a communication from them, saying that it would cost more than a million dollars front-end investment to use an unproven technology clinically, and maybe no market. I was a little upset about that, but I understood. So I thought, Well, everybody has a boss. I had talked to somebody when I made the phone call, and he referred me to these three people. I wanted to talk to their boss. So I went to the pharmacy, where they have books on all the companies that they deal with, and they have a library of books. I got out the book for filters or filtration or something, and there was Millipore® in there. It had their CEO, it had board members, it had their previous annual report and all that, a lot of stuff about their company. And I looked up the CEO. The CEO was actually the founder of the company, and I’m blocking his name right now, too. [Transcriber’s note: John H. (“Jack”) Bush.] But I found out that he was a bomber pilot in the Second World War; he had flown 24 missions or 25 missions and that he had come back and had started doing something else and didn’t like it, and he somehow got into creating this company, and had built it into a success. And I found out that he was a Haverford graduate, Haverford College in suburban Philadelphia, and I found out not only that, but he was on the Haverford board of trustees. And who do you think was a Haverford graduate and a member of the Haverford College board of trustees but Jonathan Evans Rhoads, my mentor. Not only 37 that, Dr. Rhoads was chairman of the board of trustees. I thought, Oh, that’s interesting. So [chuckles] I asked Dr. Rhoads for an appointment, went over to see him and asked, “Dr. Rhoads, how well do you know John”—I’m blocking his name. He said, “Stanley, I know him very well. How do you know him?” I said, “Well, I don’t really know him except by his Curriculum Vitae.” I said, “I know that he’s the chairman and the founder of Millipore® Corporation, and we use Millipore® products to try to grow our puppies, and we use them in the sterilization of our TPN.” And I said, “I need them to make me a filter to put in the IV lines.” And I said, “I noticed that he’s a Haverford graduate and on the Haverford board of trustees with you, and I was hoping you might introduce me to him or give me a chance to talk to him, unless that sounds too audacious, to see if I can get him to do this for me.” He said, “Well, have you tried anybody else in the company?” I said, “Yes.” I told him the story, and I said, “I already have gone through the other steps that would be appropriate, and I haven’t gotten anywhere. But I don’t want them to shut the door in my face until the boss says so.” And so he smiled and said, “Well, as a matter of fact, Stanley, I’m going to see him tomorrow. We have a board meeting at the college tomorrow.” And I said, “I would really appreciate it if you would give me entrée to him.” I said, “I promise I won’t embarrass you.” And he said, “Of course.” That was a Wednesday I met with Dr. Rhoads. Thursday they had the board meeting. I got a call nine o’clock Friday morning in the lab from the CEO of Millipore®. He said, “Well, Dr. Dudrick” he said, “I saw my good friend Jonathan Rhoads yesterday, and I must say he really thinks highly of you and your work. You come highly recommended.” I said, “Aw, thank you very much.” I said, “Dr. Rhoads is a very generous man.” And he said, “No, no,” he said, “Jonathan said that you had a problem that I might be able to help you with.” So I told him my story, and I told him that I had talked to his people, and I told him what the importance of it was in saving babies’ lives and everything. And on Monday morning, the same three men who had turned me down a month or so before, or a few weeks before, showed up— END OF TAPE 3, SIDE A. DR. DUDRICK: So the following Monday, the same three men who had been to see me a few weeks before called for an appointment. They came—I guess my mother would say with their tails between their legs. [Chuckles] They looked like puppies who had been squirted with a hose or admonished. I felt almost bad for them, because they had a completely different attitude than they had come with the first time. And they listened to me, and we went over it again, and in three weeks I had what I wanted in my hand. 38 I tell that story to show that it’s not just what you do in the laboratory, it’s not just what you do in the library, it’s not just what you do clinically, but that you have to really be involved enough and believe in what you’re doing enough to not let anything stand in your way to get it. I derived a great deal of satisfaction from being able to get a company to change the way it did business, to satisfy my need for my patients and our need as a profession for that service and that product. And I try to use it as a story for students and residents: not to let anything unreasonable stop them from a reasonable goal. A second story is that there were no fat-soluble vitamins. The only fatsoluble vitamin that was available for parenteral use was Vitamin K, and it was crude; it was not an intravenous, it was an intramuscular [form]. AquaMEPHYTON®, I believe, was the name of it. It was a Vitamin K. And there was another one, Synkavite®, and then eventually they got an intravenous form, which was an emulsion, really. We had B-complex and C, and U.S. Vitamin and Upjohn were the two companies that were making it. Upjohn was trying to get out of the vitamin business, the IV vitamin business. U.S. Vitamin was the major supplier of vitamins, and they were bought by a cosmetics company, Revlon. The Revlon name comes from the Revson family, R-e-v-s-o-n, and the Revson matriarch, the mother, was the founder of the company or at least she was running the company, and she had a son, Lance Revson, who liked to race Indianapolis-type cars and indeed, I believe, was in a couple of Indianapolis races. His name was often in the sports pages because he was the scion of a famous, wealthy woman and industrialist. I called the man [sales representative] from U.S. Vitamin to ask him if he could make me some complete vitamins: A, D, E and K in addition to Bcomplex and C. And he said, “Well, I’m just the detail representative.” But I showed him what I was doing, and he was impressed with the puppies growing, and he said, “I’ll see what I can do in my company.” And so he came back and said, “My supervisor doesn’t think that there’s any market for this right now, from what they could tell.” And he said, “I believe in what you’re doing, Dr. Dudrick, and I want to help you, but I can’t go much further.” I said, “What if I go up the line? What if I bypass you guys? Is your boss gonna get mad at us?” He said, “It wouldn’t matter. If you can get the company to go along with it, everybody’s going to line up.” And so I called Lance Revson on the phone. He was out in Hollywood or someplace. He was quite a playboy. And he called me back. I said, “Mr. Revson, I’ve read a lot about you in the sports pages of the paper and I’ve seen you on television, and I have great admiration for your family and what they’ve done to supply us with vitamins.” And I said, “I have a problem. Would you mind listening to me and seeing if you could help me?” He said, “I’ll do the best I can.” He said, “You know, Mom runs the company.” I said, “Yeah, but I have a feeling that you might be able to influence her, and I don’t want to call her directly.” I said, “I’m not a race car driver, but I 39 used to be a bit of a jock,” I said, “You’re a bit of a jock.” And I said, “Obviously you’re a risk taker.” And I said, “I’m obviously a risk taker, and so I thought we might have some common ground to talk, so that’s why I’m talking to you, because it’ll take a risk.” And so I told him what I needed, and he said, “It sounds to me like a very legitimate request.” And he said, “It sounds to me like something that Mom would be interested in.” And so I thanked him very much, and he said he’d be in touch. He never did call me back, but the representative, our representative came by and said, “God, I don’t know how you did it, but,” he said, “you really have the company hummin’ about this new vitamin market.” And I told him what I had done, and he said, “It’s completely different from when I talked to him [his supervisor] before.” And within six months or less, I had the prototype for what is now MVI®, multiple vitamin infusion. They were in, like, 20 ml ampoules, where you cracked off the glass top, and I think he brought me about two dozen of them. I started using them in the puppies, and then subsequently, since they didn’t seem to cause any problems, we started getting more for the babies. But I’ll have to tell you something that I did that you might find hard to believe, but in the dogs, I noticed that they got a bit of fatty acid deficiency and maybe some vitamin deficiency without the fat solubles, and I wasn’t sure—because it’s hard to tell in a dog—that they had kind of funny dander. They had a lot of dander. And I was giving them fat. I was using Lipomul®, the cottonseed oil fat emulsion, in the puppies, so I thought it might be vitamins. And I took Poly-Vi-Sol®, the liquid vitamins that pediatricians use, the .6 ml that you drop into the baby’s mouth or into their milk, and I pushed the Poly-Vi-Sol® through a Millipore® filter, and I gave it IV to the puppies. And it worked and didn’t get them in any trouble that I know of. And I actually did the same thing for the baby. DR. GOSCHE: Really. DR. DUDRICK: Can you imagine doing that today? No way. But about that time, while the baby was still being fed, I got the legitimate U.S. Vitamin product, and then we worked together with them to make it more applicable to babies and to have four different mixtures, therapeutic and maintenance for babies and [therapeutic and maintenance] for adults. And we worked with the AMA [American Medical Association] and the Food and Nutrition Board of the AMA to legitimize the development of that, because we were starting to get into the big time, and people wanted to know what the national controls were, and the AMA helped us, first with the publication and then with their Food and Nutrition Board, which I then became a member of until it was disbanded. 40 I guess another development was the silicone rubber. When we were trying to get longer catheter duration and were thinking about sending people home, we knew that silicone rubber was the least reactive material, but silicone rubber had a couple of disadvantages. One, it was very pliable, and to use it, it was almost like trying to thread wet spaghetti through a keyhole. And it was not radiopaque. And so we wanted them to try to stiffen it up and to make it radiopaque. And they tried putting wires into the catheter, and they tried other techniques to make the catheter radiopaque, but it wouldn’t work. And I said, “Well, why don’t you add something to the rubber to make it radiopaque?” And they said, “Well, everything we add makes it brittle.” I said, “Have you tried barium?” “No.” Thinking about barium enemas, I said, “Have you tried barium sulfate?” And they said, “No, I don’t think we have.” I said, “Why don’t you try adding some barium sulfate to the silicone rubber?” I said, “Certainly it’ll make it radiopaque, because we use that all the time [as contrast material] in radiology. I don’t know what it’s going to do with the physical characteristics of the rubber.” Well, they added the barium, and that’s why we now have white silicone rubber catheters that are radiopaque. It did not change the physical characteristics of the silicone rubber appreciably, except it made it a little stiffer. So by adding the barium for radiopacity, we got a two-fer: we also got it to be a little more substantive so you could thread it better. So we were very happy with that. But that didn’t just happen. We had to participate in the decision-making and in the suggestions for industry to make us a proper catheter. And then later, when we were trying to get the catheter to not migrate and to perhaps be more antibacterial, we thought of putting a Dacron® cuff around it, which was an idea that we got from the cardiovascular surgeons. Actually, I think Michael [E.] DeBakey was the first person to work with Dacron®. He made Dacron® prosthetics for vessels and for valves, and then he got into the Dacron® wool, which is the fuzzy stuff that you put around the silicone rubber catheter for the tissue to grow into it, to secure the catheter, and we hoped to prevent infection, maybe mechanically, by inducing the ingrowth of the tissue into the Dacron® wool cuff, [which] might have impeded the progress of bacteria along the catheter tract. That was the theory, and it seems to work. But that’s how those things came to pass. I always get a big kick or satisfaction out of knowing how that occurred. Most people don’t know and don’t particularly care; they just take it for granted. But I know what it was like before that. I know what the problems were. I knew what we were trying to do to make the technology more effective, and I participated actively with the companies to produce it—again, never taking any money, being grateful that they took the risks and then let them get the reward of 41 profit for taking the risk to help get me what I needed for our patients. And so I figured that was a good enough reward for me. There are many other things that we did to help industry. For example, when we first started in industry, making protein hydrolysates, as I said they were either made by hydrolyzing casein or fibrin with acid or with pancreatic enzymes, and both of them had pluses and both of them had minuses. But they both ended up with products that could support all of the needs for protein substrate. However, people craved to have a crystalline amino acid solution, and so did I, because with crystalline amino acid solutions you could alter the [individual amino acid] doses if you wanted to, and they’d be all crystalline so you’d have precise, reproducible formulations every time. With the hydrolysates, every lot number was a little bit different, but they all seemed to work. So we published our results using hydrolysates, and then people came up with these crystalline amino acid solutions, and they of course wanted me to say that the crystalline amino acid solutions were just as good, and I said, “Well, I can’t say that until I try them. I can’t endorse a new crystalline amino acid solution unless I put it in puppies and run it through the same studies,” because you can’t just assume that the crystalline amino acids are just as good or better than the hydrolysates because that’s your gut feeling. There might be something intangible in the hydrolysates. I gave them my strict scientific evaluation of their thoughts, and I did run a couple crystalline amino acid solutions through the drill, and I found out that a couple of them were not good, and they never did make it on the market. And so I’m glad—you can’t just make the assumption that purifying something will make it better. Subsequently, the Japanese did purify everything, and [we had] crystalline amino acid solutions that were affordable. The way they did it was they tried something like 30,000 species of bacteria [individually] mixed together with a kind of a molasses substrate, and they found out that there were unicellular organisms that would mix, that would metabolize some sort of a molasses substrate, and when they got finished metabolizing it all, and all the bacteria would then die after all of the substrate was used, they could then filter it or distill it and come up with fluid that would be pure glycine or pure phenylalanine or pure arginine, because that was the waste product of the bacteria: very simple organisms, with simple chemical processes that sustain their lives. And so that’s how the crystalline amino acids [are produced] that we use today—they are not synthesized by getting carbon, oxygen, hydrogen and nitrogen and synthesizing them in the laboratory, because it’s too expensive. It would cost us thousands of dollars a bottle to produce amino acids that way for intravenous use. But over in Japan they have these huge—they look like oil tanks full of substrate charged with a certain species of bacteria, and 42 it’s all, I’m sure, a very hush-hush, secret process, but they control the market; 90 percent of the market, they control for amino acids. I think the Germans have about 10 percent. And they do it bacteriologically, so the use of bacteria in medicine is kind of fascinating, and that’s how we get affordable amino acids. Well, to get back to the main part of the story, they then put out a crystalline amino acid solution which was pure, nothing in there but precisely those amino acids and water. They began using it in Japan and Australasia, in Australia and New Zealand. And then I started getting calls from Australia, particularly, saying, “Hey, Dudrick, you never mentioned anything about the zinc deficiency that you cause with TPN.” I asked, “What zinc deficiency?” They said, “Almost all of our patients, long-term patients, get a zinc deficiency, and we make the formula just like you say.” I said, “Well, what are you using?” “We use the same thing you do.” I said, “No, no, tell me what you’re using.” And they were telling me about this new crystalline amino acid solution that they got from Ajinomoto in Japan. Ajinomoto is the biggest supplier of, of— oh, the soy sauce—monosodium glutamate. So glutamate comes from glutamic acid, and that’s how the Japanese got into [the] amino acid [business]. They were making sodium glutamate or potassium glutamate. And Ajinomoto in Japanese means “the essence of taste.” That’s what that word means, “the essence of taste.” So Ajinomoto then, instead of making [only] glutamic acid and glutamate, they started making all the other amino acids. And I said, “Well, I’ve never published anything on that amino acid mixture. All of our publications come from hydrolysates.” Well, one of the cofactors used to make, for example, the enzymes for Aminosol®, which is what my main product was, is zinc. You use zinc and pancreatic enzymes, and in the process—plus the water that they were using in the factory to make amino acid mixtures went through galvanized pipes, just like probably the old pipes in this house. Galvanized iron is zinc and iron. And so zinc was probably leaching out into the water, plus there was probably some zinc left over from the pancreatic hydrolysis, and it turned out that when we measured the zinc in a daily dose of protein hydrolysate, because I never had done that, I’m ashamed to say, it turned out to be about two milligrams of zinc, which was the daily requirement. So I talked to my Australian and New Zealand colleagues and said, “Well, it turns out we’re giving zinc in our hydrolysate. Are you giving any zinc?” And they said, “No, we have no zinc whatsoever.” I said, “That’s the problem.” I said, “I guess we’re going to have to start adding zinc if we’re going to use crystalline amino acids.” 43 But they actually were at first miffed at me and virtually accused me of maybe not being honest in how I reported my results, but we were inadvertently giving enough zinc, serendipitously, to satisfy the zinc requirement. Subsequently, when we began using crystalline amino acids, we had to add zinc, and subsequently, when we switched from the old water pipe type supply to the manufacturing companies—and there were only four of them in the country. There was Abbott [Laboratories], Baxter [Travenol Laboratories, Inc., now Baxter International, Inc.], Cutter [Laboratories]— the "ABC"—and McGaw, Inc. [now a subsidiary of B. Braun Medical, Inc.]—the "ABCM". And some of them switched into plastic tubing, transmission tubing; some of them went to stainless steel; some of them went to glass or glass-lined transmission systems and vessels to make their solutions in. But in the process, as they did that, they reduced all of the contamination, and the solution became so pure that you then had to add everything, and you couldn’t get any [collateral trace element] benefit—and we had to make trace element solutions. At one point, one of the companies had some copper or brass piping [incorporated in their process], and there was too much copper in the solution, and the copper would cause hemolysis in rats and dogs, and we couldn’t use their solution. Then we measured the copper. The copper concentration in their solution was so high that the people in our laboratory said the peak [in their analytic print-out] was probably 20 stories higher than the building. And so we had to get rid of that. We had to get rid of brass and copper fittings and piping and [the] vessels that they mixed the solution in. So it was amazing what we had to do to help industry do the best thing. And in that story, some of the companies got into aluminum pipes because they were cheaper than stainless steel, easier to maintain than glass or other products. So what happened is aluminum starting leaching into the TPN, into some of the additives, including the amino acids. And then aluminum, on the periodic scale, will replace calcium, and what started happening is in the long-term patients and even some kiddos, they started getting demineralization of the bone because aluminum would be incorporated into the matrix, the cartilaginous matrix of the bone rather than calcium. And then during this period in the history of the development of TPN, in order to overcome [the osteopenia]—we didn’t know what was happening for sure, but since there was demineralization, we just added more calcium, and we were adding as much calcium as you possibly could to TPN without precipitating it, and it was sometimes three or four ampoules per liter, which was just bordering on precipitation. And even though we were giving large amounts and there were large amounts coming out in the urine, which we worried about, causing nephrocalcinosis, there was still demineralizing of the 44 bones. And the more calcium we added, the more demineralization there was. So I said, “There has to be a problem here.” So we started analyzing things, and we found out that there were large amounts of aluminum in the hydrolysates and the amino acid mixtures, because they were moving these things through aluminum transmission tubes. And we figured that out, but we still had a problem. Of all places, guess what was also contaminated with aluminum: the calcium. So the more calcium we were giving, the more aluminum we were giving, and we were defeating ourselves until I finally wised up. It took me a few months to go through the analysis of things to come up with the cure that I thought I was giving us the problem. We got them to start making the calcium in other vessels and get rid of the aluminum transmission portion, and then—you don’t hear [as] much about osteopenia now related to TPN as you used to 20 years ago or 10 years ago, and that’s how that problem got solved. And I’m sure there are still other things that, as we get more and more finite information about [it] at the cellular level, we will find other defects in TPN. I do not think it’s perfect by any means. And I think we’re going to find improvements in TPN that are going to take us to the next level. There’s a whole vista for TPN [research]. The problem for me as an investigator now is that a lot of bright, young investigators aren’t interested in working with [the] fundamentals of TPN because they think all the work has been done, but it hasn’t. It’s a Model T Ford, which is better than a horse and buggy, but it’s no Lamborghini and it’s no Mercedes or whatever. And what we need now are conscientious, motivated people to try to finetune the TPN for different disease processes and conditions, for different age groups, the whole geriatric population. We have no idea what we should be doing for people my age, even. All the nutritional data has been based on geriatrics being 50 to 65. Well, that doesn’t even touch me. I think geriatrics is 65 to 100. And we don’t have data for that age group; all we have is extrapolation data, and that’s not good enough. Extrapolation data won’t do it, just like you can’t extrapolate from a child to an adult. There are different sets of requirements in those different age groups. DR. GOSCHE: Stop for a second? END OF TAPE 3, SIDE B. DR. GOSCHE: Can you discuss how your family has affected your career and how your career has affected your family? DR. DUDRICK: I had mentioned earlier the influence of my parents and family in my growing up, but my [immediate] family, consisting of my wife and children, have been quite involved in my research and my career 45 development because without them and their understanding, I wouldn’t have been able to spend the time and effort to get all the work done and still try to fulfill my responsibilities to them. My wife, Terri, is a very special person. I can truly say that she has never, ever interfered in any way with my ability to achieve my potential as a physician, surgeon, investigator, educator. She has always supported me 100 percent. She’s a Latin and English teacher, and she used to say to me, “Quo vadis” when I’d ask her something, and that literally means, I guess, “Wither thou goest,” and she really has lived that type of relationship with me. Whatever I’ve wanted to do, she has supported. When I asked her pointed questions about her opinion, she would tell me, but they were always geared toward the positive, half-full rather than half-empty point of view. She was wise enough, I think, to recognize that if we were going to have interpersonal happiness in a relationship, that I had to be happy in my professional career, because that’s what we spend most of our time doing, which is working and practicing our profession, and if you’re not happy and fulfilled in that aspect of your life, it’s hard to be fulfilled at home, so to speak. And I think she has always realized that and has tried hard to support me. Although I’m sure I’ve tried her patience and tolerance on many occasions, she has never in any way indicated that to me. And so she’s been a great partner. I think she’s also provided an invaluable service by explaining to our children as they were growing up that if I wasn’t there in support of them at an athletic contest or a recital or a concert or some other performance of theirs, it was because some person, perhaps a child, was ill or injured and required my help more than they required me to be there pridefully witnessing their accomplishments. And I think that probably was related, to some extent, with disappointments at times, but Terri always made it okay for me with the kids. The kids never would come up to me and indicate unhappiness with me for not having been there, and I appreciated that greatly, because I never would have willfully not participated with them. Now, having six children and having them pretty close to each other—there were six in seven years—they were like a swarm. They kind of took care of each other, and they mentored each other, monitored each other; they had their own little form of self-governance, and by and large they were good kids. They’ve all turned out very nicely. They have a lot of similar characteristics, but they have enormous individuality. When I was working in the laboratory with the puppies, which took a lot of time, the year I was in the laboratory, I never had any more than three hours’ sleep at a time because I saw the puppies every four hours around the clock every day, seven days a week throughout the time that they were getting TPN or even in between times. I had a lot invested in them. I wanted to make sure that they got optimal care. I wanted to make sure that if the 46 project failed, it didn’t fail from lack of attention by me, that it would have failed only because we made the wrong hypothesis or had no basis or had no resources. But hard work and my availability were not acceptable as an omission for success. And so I had no guilt about that. I paid my dues in terms of taking care of those puppies meticulously and conscientiously. In fact, Terri said on more than one occasion that I have three families. I had a biological family, which was she and the kids; and I had a professional family, which was my own faculty and teachers, my fellow residents and my students and other colleagues in surgery and medicine; and then I had a laboratory family, which were various beagle puppies, rats, mice, sheep, cows, calves, mice—I guess I said that. And my children and my wife had no doubt about the fact that they were number three on the list of families[chuckles], and that clearly during the year in the laboratory the beagles were my No. 1 family. And they really were like family. They had personalities, and they sensed that I was, I guess, a surrogate mother or father to them. They got a lot of attention. I was interested in their wellbeing. A couple of specific areas where Terri was a big help: I had to make harnesses for the puppies, and so I actually used paper, actually the hand towels that they had in the laboratory, as templates to draw out patterns, like a dressmaker, for the harness that would hold a support apparatus on the puppy’s back to support the attachment [of] the infusion apparatus to the catheter. And you have to fit this harness around their legs so that it didn’t cause chafing or pressure phenomena or irritation. After I made the pattern with paper, I then got a soft canvas material, and I kind of hand sewed it, and then put the thing together with some safety pins. (We didn’t have Velcro® in those days. Velcro® would have been nice.) We put safety pins and adhesive tape—surgeons love adhesive tape—to keep things protected and secured, and then as they grew out of the harnesses and—as the experiment succeeded, they actually grew out of their harnesses, and I actually have one slide that shows a succession of six sets of harnesses, showing how much bigger the harnesses had to get in order to accommodate the increasing growth and size of the puppies, as an indirect measurement of success. After I did the first set of the harnesses, Terri saw me fumbling around and said, “I could help you with that.” And so when we made the future harnesses, she actually made them and used her sewing machine and made all those harnesses for us and put fancy edges on them, and the puppies never had it better. And so I appreciated that because it was one less timeconsuming thing for me, and she did it better than I could, anyway. And she enjoyed being part of it. Another contribution she made was inadvertent. I remember one Sunday we were planning on going to church with the kids at about ten, eleven o’clock, and I wanted to take pictures of the puppies, and one of the most difficult 47 parts of that experiment was to get the puppy to stand in front of a wall that had a grid. I had a big cardboard placard with a grid I guess every four inches, behind it, to show the puppy growing, with the grid in the background. To try to get a puppy to stand still long enough to get a photograph is really a feat. I would struggle, trying to distract them, and I’d try to hold the puppy with one hand, and I had a tripod and a camera, a Polaroid camera there, so once I got the puppies lined up, I’d try to quickly take a picture. But it was frustrating. This one particular day, they were really giving me a bad time, and Terri showed up with the kids, to go to church at the time I asked her to meet me, and I was nowhere near ready, and I was exasperated at the puppies, because they were frisky, and she said, “Let’s see if I can help.” So she walked over and just kind of touched the puppy underneath his jowls, and I couldn’t believe it. The puppy just kind of stood there, still. I said, “Wow!” I said, “Can you do that in front of this grid here?” So literally we got all [the] puppies’ pictures taken probably in six shots, and it was bam, bam, bam, bam. She had some kind of a calming effect on those puppies, and I don’t know what it is, pheromones or hormones or a motherly or matronly somehow characteristics that she was able to transmit to them, but we got everything done, went off to church. I was happy as a clam we got those pictures taken, because then I would use the individual pictures in a format that you’ve probably seen, a composite, to show the growth of the puppies. That was probably one of the most effective reports of data for people to see those puppies growing. I asked her if she’d come every week to get those pictures taken, and she did, and it was magic. As soon as she came in, they behaved. To them I was a plaything. Maybe to her they felt responsibility, or this was a mother figure or something, and they behaved. But it was a great contribution that never shows anywhere. People would never think that maybe one of the most difficult parts of the experiment was to take the photographs rather than all the other things we had to do, but it was. And the kids. What I did to try to be humane to the puppies, I released the puppies every day from the intravenous feeding, put a little bit of heparin in that I had calibrated to fill the catheter, put a plug in the catheter, a sterile plug, and I let them run around for about a half an hour. Or I sometimes put leashes on them and I took them outside on the lawn adjacent to the [Alfred] Newton Richards [Medical Research] Building, where we had our laboratories [at the University of Pennsylvania], and I found that the best time to do that was in the evening, because during the day you had a lot of kids on the campus, students, and a lot of distractions, and the puppies attracted attention. 48 I didn’t want them to in any way get disrupted, so I would sometimes take a quick trip home, just a few miles away, get a bite to eat at supper, and then bring the kids down to the lab with me. And they just loved it. They loved to see the puppies. They all would want to take them for a walk outside, and so I’d go with them, of course, to make sure everything was okay and they weren’t doing anything they shouldn’t be doing. To the kids it was a joyful thing, an entertaining thing, and they liked it. They liked to be with Dad and the puppies, and then they understood what I was doing. They understood I was trying to make them grow, and they saw them growing, and they kind of got excited about it, even though they were literally children, two, three, four, five, six years of age. And they appreciated afterward and especially appreciate now that they were there. They had touched those puppies. They had played with them. They saw them growing. They knew what their dad had to do to get them to grow. They have their own little sense of pride in the whole project. I kind of enjoyed that. I think you never can do anything by yourself. Nobody ever does anything by himself. We all, as everybody says, stand on the shoulders of our predecessors, and we all get ideas from each other, and it’s hard to determine who was the first to get an idea or who was the first to do something. I think I was fortunate enough to have a lot of input, a lot of unsolicited and solicited advice from people. For example, I mentioned earlier the Vitamin D thing. Well, when I wanted to learn about Vitamin D, I just went across the wall to Philadelphia General Hospital, and there was Paul György, and Paul György was at that time the world’s expert in calcium and Vitamin D metabolism. And to just walk across the wall and get him to talk to me about everything he knew about [it]; that was fantastic. When I wanted to talk about pediatric requirements for nutrients, I went to [Lewis A.] “Lew” Barness in pediatrics. When I was trying to figure out what to do with hypophosphatemia, which was a problem we were having with puppies and with copper, with red cell hemolysis, I could go to other pediatricians who were actually working in these fields, and they could give me their advice. I got a lot of laboratory studies done by clinical pathologists—Howard Rawnsley, who would do any laboratory test I’d want and wouldn’t charge me, because he knew I had a limited budget. These were all wonderful things that they had at Penn that I’m not sure many places have today, the collegiality, the fellowship, the fraternity, sorority of science and education and scholarly activity. I think we’ve become more Masters of Business Administration-oriented and not enough science for the joy of discovery. I can’t think of anything I’ve done in my life that has given me more satisfaction than discovery. I try to tell that to students and residents, that “you know that when you do something in the 49 laboratory that results in new data that were never before at least recorded by anybody, much less discovered, that for a brief period of time, that research is an educational experience [uniquely] for you.” Research is the ultimate education. There’s not a sharp line between one [and the other]—education segues into research, and research becomes selfeducation by producing new data. And the joy that I used to have for knowing, for a brief period of time, an hour, a day, a week or even longer, that I’m the only person in the world, in all likelihood, that knows this. It just gave me, oh, the feeling that for a while I had the most precious piece of gold or diamond available, and it was all mine until I decided to share it by a publication or a presentation or just telling somebody about it. And I’m not sure that the average medical student or resident has that perception about research and discovery and the joy of adding new, useful knowledge to the body, to the pool, of knowledge available in the universe. I’ve had a lot of other experiences personally taking care of patients, as a clinician, that are different from academic or scholarly experiences, and even more precious because there’s a value to human life that is much beyond gold or diamonds so that it’s a whole different area. But growing the baby or knowing that babies can be supported as a result of some of the fundamental and clinical discoveries that we participated in gives me an enormous satisfaction. Another story: I remember giving a talk at the American Pediatric Surgical Association (APSA), and at that talk, they actually made me an honorary member or elected me to honorary membership in the APSA, and I was the first non-pediatric surgeon to be elected to honorary membership in APSA. All previous honorary members of APSA were pediatric surgeons of international acclaim but were elected by the Americans into the American Pediatric Surgical Association. I’m very proud of that. I’m very, very proud of that. And at that meeting, in introducing me after dinner, the president [Dr. Thomas Santulli] of the American Pediatric Surgical Association said, “Ladies and gentlemen, you remember that story about your dean in school or medical school saying, ‘Look to your right and look to your left because in four years only one of you is going to be here.’ And I want you to do that tonight. We have about 300 or 400 pediatric surgeons here tonight, and I want you to look to your left and look to your right because one of the three of you probably would not be here if it weren’t for the work of our honoree tonight.” He said that he had done some work— [Recording interruption.] 50 DR. DUDRICK: Well, the president of APSA did say for each of the members of the association to look to the member to their left and to the [member to their] right because one of them wouldn’t be there if it weren’t for the work that the honored guest that evening, which was myself, had done on total parenteral nutrition. He said that he had, together with his staff, surveyed the previous year’s pediatric surgical experience, as best he could, in the country, and he said that really one-third of all the major pediatric surgery done probably would not have been able to be undertaken or undertaken successfully without TPN support. So he said, “This is just one measure of [the] impact of somebody’s efforts, and we’re deeply grateful to Dr. Dudrick for having done that.” I had never thought of that, and when he said that to me, it was a bit overwhelming. As a matter of fact, it was difficult for me to get up and begin my talk after that introduction, because he had such an impact on my thought processes. I had never thought of that as a measure of one’s contribution, and I’ve been grateful to him ever since. And I can’t help [but] thinking that the pediatric surgical community really treats me extremely well. Whenever I go anywhere, the people who come up to me who give me the greatest joy are the pediatric surgeons, who always have a story or two to tell me about some great case that they had that they used TPN on in either some new way or a better way or a novel way that was helpful. They’re a very genuine group of people. And I’m enjoying doing this today with you. It’s interesting that, again, the pediatric surgeons would be the ones to ask me to relay a history. DR. GOSCHE: As you look back over your career, is there anything you wish you would have had more time to do or maybe would have done a little differently? DR. DUDRICK: Yes, that is a great question. Clearly for the past five to ten years I have done a lot of thinking about what if, what if, what if. But to go back in my career, so many things in my career I can’t help [but] think were almost predestined in a way, and I don’t mean predestination; I mean that it just seemed to me that the decisions were almost dictated by the circumstances and that I either had to make the right decision and do what was presented to me or make the wrong decision and not do it, because it always seemed to me that things were stacked up in such a way that opportunities came on that I would almost be foolish not to take advantage of, and yet every opportunity I took advantage of was a sacrifice from what I was doing. For example, when I finished my residency at Penn, I had planned on spending a third of my time clinically at Penn, at the hospital [Hospital of the University of Pennsylvania], a third of my time in the laboratory and a third of my time at Philadelphia General [Hospital], which was a city-county 51 hospital that was eventually closed down and their population amalgamated by other teaching institutions. In April of my chief year, Penn was asked by the VA [United States Veterans Administration, now United States Department of Veterans Affairs] to take over total control of the Philadelphia VA Hospital [now Philadelphia VA Medical Center]. Up until that time, five medical schools shared the VA in individual services. That was to be fair to the five medical schools, but in reality, when you take a 488bed hospital and divide it up five ways, nobody has enough of a piece of pie to really care much about it. They did it out of duty, but it was not a significant teaching arm of any of the schools, except one, we found out, and that was Woman’s Medical College of Pennsylvania, which was eventually then changed to Medical College of Pennsylvania and which is now, I believe, part of the Drexel University College of Medicine. However, when Penn was asked to take over the Philadelphia VA because the VA perceived dividing it up into five services was not good for care, Penn agreed, but then Woman’s Medical asked if they could keep their service because they really needed it for lack of teaching material, and Dr. Rhoads, who was the person who had to make the decision in that regard at Penn, kindly invited Woman’s Medical to keep their service so that Penn essentially took over 80 percent of the VA. They took over the whole VA administratively, but there was a Woman’s Medical [College] service. Dr. Rhoads very dutifully offered every member of his surgical faculty the opportunity to be the chairman of surgery at the VA. There were 22 or 23 people on the brass [name] plates in the Department of Surgery office, and Dr. Rhoads went right down by seniority, and every one of them turned the job down because they already had pretty established practices and schedules, and so he came to me [chuckles] and said, “Stan, I’d like you to consider going over to be chairman of the Department of Surgery at the VA.” I said, “Dr. Rhoads, I’m just finishing my chief residency.” He said, “I’m aware of that, Stanley.” [Laughs] And he said, “I’ll be honest with you, I’ve asked everybody else. Nobody wants to go over there, and I’ve already obligated us to take that over.” He said, “I really need your help.” He said, “I need you to go over there.” He said, “I’ll support you all I can, and you can ask anybody to come over in consultation, but,” he said, “I need somebody over there full time.” I said, “Wow.” I said, “If you think I can do the job.” He said, “Of course I do.” So we then had to go down to Washington to find out from the VA [U.S. Department of Veterans Affairs] if they were going to accept us, and they were not too eager to do so because I was, to them, just a kid with no experience, no track record, a chief resident, no board certification, so [chuckles] I’ll never forget the chief of surgery for the VA telling Dr. Rhoads, “Well, Jonathan, if you believe that this boy is the person you want to run the VA [hospital] in Philadelphia, we’ll trust your judgment, but we’ll have to 52 keep a pretty close look at things.” And so with Dr. Rhoads’s assurance that they wouldn’t be disappointed, on June 30th, 1967, I was a chief resident, and [on] July 1st I was chief of surgery of the Philadelphia VA [Hospital]. I never had a chance to grow up. I literally went to work July 1st at the VA. I didn’t get home until July 14th, Bastille Day, you may recall. I thought that was appropriate. I was there for two solid weeks, day and night, because there was nobody there to help me take care of more than 200 surgical patients, no house officers, no students, no faculty. It was me and the nurses. I grew up in a hurry. As it turned out, I eventually got a fourth-year resident and I got an intern, and I was delighted that while the— END OF TAPE 4, SIDE A. DR. DUDRICK: —because nobody was in the research laboratory, and we started building all aspects of the VA, and within a short period of time I really grew up in a hurry with all the experience I had there, and it was a wonderful polish to the diamond, the rough diamond that I got from my training at Penn. So at first I was almost panicky about that opportunity, but it turned out to be wonderful because the five years that I spent at the VA were spectacularly productive years in terms of both basic and clinical research. By the end of the second year at the VA, 95 percent of all the medical students at Penn elected to be on my service at the VA to the point that both Dr. Rhoads and the dean called me in for a conference to find out why that many students would want to come with me at the VA, which was not Penn, proper, and I was the least distinguished member of the faculty. And I said, “I guess it’s because I’m teaching, gentlemen, and that’s what they want.” So that was an interesting meeting for me, to be called to task for too many people wanting to be with me and what am I doing that might not be kosher, so to speak, to get them to come there. And so no good deed goes unpunished, and that was an interesting object lesson for me. I never did regret going to the VA. I really had the run of the place surgically, and I know we had a positive impact on it. As a matter of fact, to brag off a little bit, one year I won the award for making the most outstanding contribution to patient care in the entire VA system, and actually once some executives from the VA came up from Washington to present this to me as a surprise. I was operating and doing a portacaval shunt, and I didn’t show up at the luncheon that they had planned for me to give me this surprise certificate. I ended up finding out that evening, when I got out of the operating room, that I had stood up the hierarchy of the VA, and as a result, they had to stay overnight in a hotel because they wanted to be there to give it to me, and they were planning on giving it to me the next 53 morning, and they hoped I was going to show up this time. [Chuckles] And I said, “Well, if you told me about it instead of trying to make it a surprise”—I said, “I certainly didn’t do it intentionally. I was trying to take care of the patient, doing what I’m supposed to be doing.” They had mixed emotions about that. But those are just little side stories. Subsequently at the VA, there were a lot of people clamoring to get me to come and look at jobs around the country because the TPN gave me such instant, massive notoriety, I guess is the word to use, that people wanted me to come and entertain possibilities for positions. I talked to Dr. Rhoads about them, but I knew that I didn’t want to go from an assistant professor to be a professor in some place without seasoning a little bit more, and I was a bit apprehensive about taking such a giant step, and Dr. Rhoads really wanted me to stay with him until he finished his tenure as chairman, which would have been 1972. I did agree with him that I would stay at Penn at least until he retired, because we had a marvelous relationship. He, in a very paternalistic manner, treating me like a son, just wanted me to be there with him. And I wanted to be with him, too, so we had a great relationship. And he really is my second father. My dad died in 1970 at age 63, and he and Dr. Rhoads were born the same year, within one month of each other, and they actually knew each other; he had operated on my dad. So they both meant an awful lot to me. Then I had an opportunity to be interviewed for a job at the University of Texas as chair of a brand-new medical school [University of Texas Medical School at Houston], and that offer came out of the blue. I was told I was one of the five finalists. I didn’t even know I was being considered, and so I actually almost reluctantly went down to look, but I did. And when I went down to Houston, I was amazed at the opportunity that I thought I saw down there. And, although at that time, in 1972, I had the absolute best and most enviable job in the Department of Surgery at the University of Pennsylvania—I cannot imagine it being better—I had to look at that job. And when I saw it, it turned my head. To be able to be the first chair of a department in a new medical school—it was too titillating from a historical point of view to pass up. I thought I had enough self-confidence that I could pull it off. Plus by that time I had enough experience, I thought, to want to do some things differently than they were being done, and I thought this was a great place to do it. As it turned out, I did make it to the top of the list, and they offered me the job, and then I got the usual cold feet that you get right before you have to make a decision like that, and I delayed my decision, but the dean down there really recruited me hard, and I decided I would take the job. 54 I learned a couple of things from that. It was interesting to me how many people at Penn thought that was a wonderful opportunity for me, but 50 percent felt that I was deserting them, so it was an interesting object lesson for me that half of the people that I considered my friends and colleagues really kind of turned me off as soon as they knew I was leaving. It was fascinating to see that people just treated me like I had snubbed them or that I had rejected them and thought that I was going to someplace better. They didn’t appreciate that I was extending Penn to a whole new medical school, which is what I saw it as. They wanted me down there because [of]what I accomplished at Penn, and they wanted me to bring part of the Ivy League background to the new medical school in Houston. So I weathered that okay. I guess another thing that I learned is I thought that if I went down there, I’d be able to imbue that institution with a philosophy such that everybody would be interested in nutrition and metabolism and that we would have a school that was really going to get into nutrition and metabolism in a big way, because we were going to start it from scratch. Well, that’s what everybody said when we first got there, but pretty soon I realized everybody pursued whatever they were doing before they got there. And although almost all of the people that I recruited to surgery, virtually all of them, had an interest in nutrition and metabolism, that interest was not in medicine or in other specialties. And so my disappointment in my tenure as chair at that school is that I was not able to accomplish as many things as I wanted to in nutrition and metabolism, even thinking I was in control. You’re never in control. You may be the administrative head of something or you might even think you’re governing the philosophy, but you’re not. People have their own inherent motivations and philosophies and knowledge bases and goals and objectives, and temporarily they may work together with you, but then they branch off, appropriately, I suppose, into their own major interests. And so that was a maturation for me. On the other hand, we accomplished some wonderful things down there. To bring in people like [Edward M.] “Ted” Copeland [III], who was my best friend in the residency program and with whom I had wonderful experiences during our training. He was two or three years my junior, but we did a lot of things together. He went off to Vietnam, won the Bronze Star, came back, went to M.D. Anderson [Hospital and Tumor Institute; now M.D. Anderson Cancer Center] in cancer, and he was in Houston while I was being recruited. I got inside information from him about the University of Texas, because he was part of a University of Texas unit. So when I hired him as my first hire, it was the best thing I had done because he was a wonderful colleague, my right-hand man, and eventually became full professor there 55 and then became the professor and chairman at Florida. He trained our oldest son, Paul. When he left to go to Florida, he took five or six of our great people with him, with our blessing: [Timothy] Tim Flynn, who’s now the chairman, I believe, of the American Board of Surgery and had been the president of the Association of Program Directors in Surgery. “Chip” Souba, who was one of our first students and residents out of our program, who became the first surgical oncologist up at Harvard, officially at the MGH [Massachusetts General Hospital]—or the Brigham [and Women's Hospital]; I’m not sure which—both of them; and then subsequently a chair of [the Department of Surgery at Penn State Medical College and surgeon-in-chief] at [the Milton S.] Hershey [Medical Center] and now a dean at Ohio State [University College of Medicine]. We had John Daly, our first intern, who had spent 13 years with me all together, starting at Penn when he was an undergrad at LaSalle, who then became the first surgical oncologist and Jonathan [E.] Rhoads Professor [of Surgery] at Penn after he left us, and then he became the chairman [of surgery] at [Weill Medical College of ] Cornell [University], and he’s now the dean at Temple [University School of Medicine]. Ted Copeland became dean for two years at the University of Florida, and he’s now a director or president of the Shands Cancer Center at University of Florida. So from that faculty and student body that we had, or resident body in that little new school, three distinguished chairs became deans and other chairs. [Thomas A.] “Tom” Miller became chair at [the] University of St. Louis after I gave him his first job in surgery and physiology. So you can go on and on with the great people that we had there. [Bruce D.] Browner, one of our fulltime chiefs of orthopedics, became the chairman of orthopedic [surgery] at UConn [University of Connecticut Health Center]. And [Randolph] “Randy” Bailey was my first chief resident, and he became chief of colorectal surgery and a professor of colorectal surgery on our faculty down there [University of Texas Medical School at Houston]. But last year and a few years before then, we had Ted Copeland as president of the board of regents of the American College [of Surgeons], and Browner and Bailey. Three members of the board of regents were on my faculty. And I only mention that to show the quality of the people that we attracted and had the privilege of working with and helping give them opportunity to achieve their potential. And if you asked me what I derived the greatest pleasure out of doing, it’s doing everything I can to help bright young people achieve their maximum potential. And if I’ve done everything with the resources at my disposal to help somebody achieve their maximum potential, I feel that I’ve done everything I can, and they can’t ask me for much more. And if I don’t do that, then shame on me, and I really take that very seriously. And I hope that all they’ll do is carry that philosophy the next 56 step, and then they might make the whole field and the whole world a little bit better. On the other hand, if I feel that the recipients, the students and residents or junior faculty are not doing everything that they can do to achieve their full potential or maximum potential, that they’re sinning against their creator, whoever or whatever they think that is. With my tongue in my cheek, I tell them that, “when Moses came off the mountain, you might recall he dropped some of the tablets and picked some of them back up and went back up and retrieved some of them, but he missed one, and it’s the 11th commandment, which is: Thou shalt do everything thou possibly can to achieve thy maximum potential. And the extent to which you are not doing that is the extent to which you are sinning against your God. If you want to be a sinner, that’s up to you. But I just want to let you know that I’ll do everything I can to help prevent you from being a sinner.” And I derive no better joy than to see the success of the people that I’ve been associated with. And what a privilege it has been. I guess in other disappointments that I’ve had, I would have liked to see nutrition accepted more readily as a scientific endeavor. Nutrition somehow has a little bit of a stepchild status in science. It’s not pure biochemistry; it’s not pure physiology; I guess it’s not pure, hard science, and somehow people just don’t pay enough attention to food, I guess. Everybody thinks they’re an expert in their diet because they choose their diet. Everybody thinks they’re an expert in food. They like it or don’t like it, eat it or don’t eat it. And maybe the familiarity with food is such that people just don’t give it enough respect. I’m not sure what the reason is. But there’s not enough respect given to nutritional science, in my opinion, and I wish that medical schools would spend more time in their curriculum [on that]. But I think what we’ve done is we have relegated nutrition to the spouse of the patient or to the children, the grandparents. We’ve relegated it to nurses. You have to remember Florence Nightingale was not only the mother of nursing, she’s the mother of dietetics. She was the first dietician and the first nurse. And we relegate food and nutrition to the dietician, and we as physicians don’t take enough personal responsibility for nutritional status and maintaining or restoring it or correcting it. We delegate it, and when you delegate it, you almost imply, by delegating it, that it’s not important enough for you to do yourself. And that whole feeling kind of trickles on down to everybody, and everybody talks about a good game, but they don’t play a good game. So that’s a disappointment for me. On the other hand, when people ask me what is the best thing I think I ever did in the laboratory or with discovery, it’s not that I put a catheter under the clavicle or that we put together a TPN technology that worked; it’s we showed beyond a shadow of a doubt the relevance of nutrition to achieving 57 excellent outcomes, because we took the sickest, most malnourished, critically ill patients that most other people were willing to discard to the morgue, and by feeding them, converted them from impossible risks to reasonable risks, and then went ahead and proved it by operating on them and getting the patient over the operation, rehabilitated and out of the hospital. So to me, that’s the greatest contribution I think I helped achieve. We showed the relevance of nutrition to achieving excellence in clinical outcomes and kind of underlying that every time we get another patient through. I remember at one point in time having overheard a couple residents talking about “the garbage man did it again,” and I asked [the] chief resident, “Who’s this garbage man that I hear people talk about?” And he looked at me with that look on his face, and I said, “They’re talking about me, aren’t they?” And he said, “Yeah, Chief.” I asked, “But why do they call me the garbage man? What have I done to them for them to call me the garbage man?” He said, “Chief, they’re complimenting you, because they say that what everybody else throws into the garbage, you reach in, pull out, rehabilitate them, resurrect them and restore them to life, and everybody else throws them into the garbage.” And so what I thought was an insult ended up being, to me, one of the greatest compliments I ever got from the residents, because they thought I could turn garbage—although you never want to refer to patients as garbage; I know what they were saying, but it’s kind of the vernacular of the night call. [Chuckles] But I guess another disappointment that I’ve had is we have not fulfilled our attempts to show that you can reverse atherosclerosis intravenously as well as we wanted to. That’s kind of an unfortunate regulatory/financial support/industry stockholder interest casualty. I have no doubt in my mind that atherosclerosis is reversible nutritionally. Obviously, it’s easier to reverse it by vein because you can absolutely control the diet, but once you’ve shown that beyond a shadow of a doubt—which I think we’ve done, but it just hasn’t been accepted with validated data of others because nobody wants to support it—then you could convert the IV to an oral equivalent in the reverse order that we converted the oral feeding into an IV equivalent to create TPN. So I know it’s possible, but we just have to figure out what it is we would have to do to special foods or supplements such that after they are digested and absorbed from the gut it will simulate in the peripheral circulation what we can do by direct infusion intravenously. And if we did that, we’d be able to put people on special diets or dietary supplements for months at a time, and those who really wanted to get well and have their atherosclerosis reversed would do the same as people who truly want to lose weight: They would follow the diet, and I think might find that a better answer to their problem than to get stents or angioplasties or coronary bypasses, or to be on a lot of medication. 58 So I think that’s going to be a future challenge, and I think it will come. In what time I have left, I’m going to try to spend some energy and resources in following that up, because I think the field for that kind of research is more fertile now than it was 20 years ago, because I first published on this I believe in 1987, which is almost 20 years ago. It has lain [virtually] fallow since then because of a lack of enthusiastic support, and perhaps I haven’t shown enough leadership either, but that would be a nice thing to follow up. I would have liked to have more surgeons interested in clinical biochemistry than they are, and if we think of nutrition as clinical biochemistry, then perhaps we might have a more sophisticated attitude toward it, and say, Well, I’m really practicing clinical biochemistry, not nutrition support, so I’m not just being a super dietician or a super nutritionist, I’m really practicing clinical biochemistry. And we don’t seem to be ashamed to practice clinical immunology for the support of infectious diseases or for the support of immunosuppression for transplantation, so I think we should be able to provide support for clinical biochemistry and really attempt to maintain oral, enteral and/or IV diets in such a manner that’s commensurate with the high-tech surgical techniques that we’re applying now, with minimally invasive surgery and laparoscopic surgery, videoscopic, et cetera. My ultimate goal, if I could have it, would be to be able to devise a diet or diets, both intravenous and through the alimentary tract, that would provide the nutrient substrates in ideal ratios and quantities to guarantee that each cell in the body would receive optimal substrate in order to perform the functions for which the cells were designed…on call, so to speak, so that if you can get optimal function from optimal substrate, that should lead to optimal health. And wouldn’t that be wonderful if we could come up with diets that will allow maximal performance, cognitively, physically, even in our skin and our complexion, how we look and our attractiveness to each other, our very inner functioning of the digestive tract, the genitourinary tract and the cardiovascular system, the pulmonary system? How wonderful it would be if we ever could take maximum benefit of our potential. We are loaded with so much potential that we don’t use. And I wonder sometimes: Were we created to hold things in reserve? How much reserve should we have? How hard should we work? How hard should we think? When is it enough? These are of course philosophical questions, but I think if you had the physical capacity, the bottom line of which has to be biochemistry, but if you had optimal biochemistry, you [would] have the optimal capacity for cell function, and then nobody could ask us for any more because everybody would be performing at optimal potential or rates or results or outcomes. That might be such an idealistic goal that it might not be attainable, but to my way of thinking, anything is attainable if you think about it. It’s just a matter of working it out with time, 59 resources, priorities, education. It may take generations, but these are the things that bother me at times. And there are so many things. For example, I really feel that everything we’re saying, listening, observing, thinking about right now, you and I together, is governed by a chemical reaction. Every thought is mediated by a chemical reaction, and so we are skin-covered test tubes which contain countless numbers of simultaneous chemical reactions going on, the end result of which we interpret as life. And that sometimes boggles my mind, because you wonder what we are here for, what are we all about, what are we doing, what are we supposed to be doing. Then I have other things that bug me. What is it about tears? What is it about tears that keep our eyes from getting infected? I know they talk about lysozymes, but what are they? Why do we have countless numbers of bacteria hitting our corneas or our conjunctiva every day, and why don’t we have infections of our eyes all the time? When was the last time you had an eye infection? It blows my mind. It has got to be something we’re not taking advantage of. I work with dogs, and dogs don’t have a need for Vitamin C. Vitamin C is not a vitamin for dogs. They don’t need it. Ascorbic acid, they don’t need. However, dogs need PABA. Para-aminobenzoic acid is a vitamin for dogs, and if you don’t provide it to the dogs, their metabolism gets adversely affected. Now, what used to keep me awake at night was thinking about the fact that the very first sunscreen that I ever heard about to block ultraviolet light from burning my skin or causing damage to my skin was PABA. So we used to rub PABA, some dermatologic preparation containing PABA, on our skin and it acted as a sunscreen to block ultraviolet light, that very same— END OF TAPE 4, SIDE B. DR. DUDRICK: — reality, and that just blows my mind at times. And how do we seem to get energy from light? Why do we have depression in the winter when we don’t have enough sun? Is it the sun? It probably emanates from the sun, but is it some other form of energy that’s transmitted to us in ray or microparticulate form that actually goes through our bodies or into our bodies and changes how we act, feel, think, work, perform? I guess other things that blow my mind are to think of molecular structure in our bodies or in anything, even the inanimate things about us, that—you know, 95 to 99 percent of all structure that we think is hard, like [knocks on table twice] this table surface here, is really space, and if you look at the molecules in a piece of wood, for every little atom there’s five to ten times more space in every direction than there is in the mass occupied by the atom. And all of these atoms together form molecules, and then these molecules 60 together form mass, and a mass is mostly space. So our bodies are probably the same at the molecular level, and a lot of things can happen in and out of these spaces. We’re learning more about membranes now and how the membranes work and the importance of the lipid components of membranes for solubility and for transfer in and out of the cell. And maybe I’m being too optimistic or too hopeful to think that that is within the realm of a surgeon, but I firmly believe it is, because I think surgeons, more than any other specialists, are interested in the matter of the human being. We’re interested in matter. We’re interested right now in tangible, solid, physical matter. But if we just keep going down further and further into the components of matter, that’s our business. Just because we can’t cut it with a knife doesn’t mean it’s not surgical; there are other kinds of knives we can cut it with, that we’ll invent if we don’t have them yet, just as we invented minimally invasive and laparoscopic surgery and endoscopy and endovascular ultrasound and endovascular technology for visualizations and capsules that we swallow to take video pictures of the working[s] of our GI tract. There are so many things that need to be done, and we need bright, young people to continue to be challenged by these things and go into surgery to advance us. I guess my biggest regret in life is I will not be around to witness some of the consummation, if you will, or realization of the things that now, to me, are just dreams or fanciful-sounding thoughts, because I think they’re all going to come true some day. You can’t live forever, and you can’t see everything come to fruition, but I can only envy today’s bright young medical students and surgeons for the transformation that they will see in health care and especially in surgery in the next 50 years. And when I just think of what I’ve witnessed in 50 years, because in June of 2007 it will be my 50th year from when I graduated from college and entered medical school, so I’ve actually been associated with medicine for 50 years if you count medical school. And what I have seen in those 50 years and lived through is absolutely phenomenal. And when you think what’s going to happen in the next 50 years, it’s almost beyond my imagination. So I don’t really have any substantial regrets. I don’t think you can look back on your life and say “what if” or “I shoulda, coulda, woulda.” I think you have to live it as it comes, and if you feel that you did the best you could with what you had at the time you had it to make life better not only for you and your family but for your fellow human beings, I’m not sure that you can do much better than that. We each have our own unique ways of making our contributions. But if you want to make the contributions, and you do make them, and you make sacrifices to make the contributions, it’s a very satisfying thing. 61 I tell our students that I don’t do what I do for gratitude, and I never expect any gratitude, and I don’t really want it because gratitude comes with a price. I’m not willing to pay that price. I do what I do for self-gratification, meaning that if I at the end of the day say, I think I did a pretty good job today and these are the good things that happened either to me, because of me, with me, around me or that I might have had something to do with, and I feel good about myself for that day’s activities of life, that’s all the self-gratification I need. I don’t teach people for them to thank me. I don’t take care of patients for them to say how wonderful I am. I’m just doing my job. And if I’m doing my job as well as I can and they’re doing their job, whatever it is, as well as they can, then I think we’re both self-gratified and we don’t need to feel indebted to each other. And yet you feel a bond which is not indebtedness but a bond of both understanding and feeling good and knowing why you feel good about what you do. And so I tell my residents, “Never expect gratitude from any patient or family or from anybody for whom you perform a service, and you’ll never be disappointed. If you’re looking for gratitude, do something else. Maybe you want to be a performer and maybe you enjoy applause, and I know there are people that live for that, but I think those are shallow or superficial objectives in life. A person who’s in medicine should know better and not be disappointed if people don’t thank them, or not be disappointed when people sue them, even when you’ve saved their lives, because that’s human nature, and you can’t change much about that.” I guess being useful and being of service—I think the ethos of service is very important for us to transmit to our students and residents. We as physicians are service organizations. The only thing we create is new knowledge, so that’s an academic or an educational or a research venture. It’s sort of tangible, but by and large we don’t build bridges, we don’t build rockets to go to space, we don’t invent new iPods or energy sources; we are service organizations. We serve the people who do those things, and we try to keep them healthy. When we can’t keep them healthy, we try to restore them to health. When they get into trouble with injury or some other calamitous condition, we try to retrieve them and restore them to health and rehabilitate them, get them through convalescence, et cetera. But we are a service organization, and I think when people go into medicine who don’t understand that they are a service organization, that’s when we get into trouble, because they’re looking for how soon they can get off call, out of work, out of the hospital, out of the operating room. Why would anybody who really loves what they do want to do that? I hate to leave the operating room. I love it there. And my people will tell me they always know when I’ve just returned from the operating room, because they say they never see me happier. I guess by and large that’s true. Every once in a while, things don’t go well in the operating room, and I think another 62 thing I try to let people know is that there are injustices that occur, about which we can’t do much. And that’s important in the philosophy of teaching, that there are days when we play a fantastic game in the sense of we go in the operating room and we do a great operation and everything is just textbook—you wish you had a videotape of it to show to everybody. And the patient goes sour; they have a myocardial infarction, they go into failure, they go into multiple-systems organ failure, they have a wound infection, they have a dehiscence, everything falls apart. No justice. No justice. Another patient comes in with multiple gunshot wounds; he’s a drug addict; he’s drunk; poo-poo all over the belly. We clean it all up the best we can, sew things together, and we’re just happy to get out of the operating room in one piece and say, “Oh, God! Thank God we got him off the table.” The person doesn’t turn a hair. Gets well. He gets up and out of the hospital in a week, and—no justice. And you don’t know why one of these happens and why another one doesn’t. And so you just have to play the game as best you can every time you suit up and know that you played the game as best you can, and then you’ve got to accept, to some extent, things about which you can do no more at this point in time and hope that you can learn something from the bad experiences to get the good judgment that we hope we’ll have in avoiding [problems] in the future. But these are the kinds of thoughts that I like to try to transmit to students and residents, and challenge them. I don’t want them to just do good, I want them to do well, and by doing good they will do well. They won’t have to worry about doing well if they do good, and to enjoy what they’re doing and I guess to appreciate what a privilege it is to be able to walk into a small eight-by-ten room to meet a perfect stranger that you never knew before and by the end of 20 minutes or a half an hour, you end up making a compact or a contract with that stranger, which allows you to render them senseless and to render them out of control of themselves and to violate their bodies. Wow! Wow! Do students ever think about that? They should. What a spectacular act of faith, trust, and what a spectacular privilege for the surgeon to have somebody allow them to do that. And I don’t think there’s any other specialist that gets that kind of instant trust or faith, and that takes talent. That takes people who really care and can transmit their caring to the patients, and I think it should be taken very seriously, and I think that’s what makes surgeons so much different from the average physician, because there’s that tangible thing: We violate their bodies. They allow us to. That, in itself, is great enough. And then to do it and do it in a meaningful, helpful way, with a great outcome, that has got to be self-gratifying beyond anything else I can think of—for me. That’s how I look at the world. [Recording interruption.] 63 DR. GOSCHE: If we may, one final question, Dr. Dudrick. If you were writing your epitaph today, how would you like it to read? DR. DUDRICK: I have thought about that on a few occasions. It’s difficult to try to write a nice, short epitaph when you have so much that you would like to say to let people know how much you appreciated the opportunity to be here and enjoy life and enjoy other people with you. I guess it would be a bit of plagiarism, but I’d have to consider saying that I truly tried to be as useful as I could possibly be for as long as I could be, and that’s, of course, a takeoff on some of the teachings of Benjamin Franklin and Jonathan Rhoads. I guess something else I might want to say is that I always tried to do the best I could with what resources I had available to me, to do good for my family, my friends, my teachers, my students, my patients, and I guess, immodestly, myself. And I hope that I would be remembered as somebody who truly, greatly appreciates the privilege of having spent a wonderful life with wonderful parents, family, teachers, mentors, colleagues, residents, fellows, students, staff, friends and patients, who have contributed so much to enrich my life and to allow me to feel that I might have achieved some of my own goals and aspirations, and whatever the purpose or purposes were of my creator. DR. GOSCHE: Thank you. Thanks again for participating in the oral history project. Thanks also for the honor of being allowed to conduct this interview. I really appreciate it. DR. DUDRICK: John, thank you. It’s been wonderful to spend the day with you, and I appreciate your coming here all the way from Mississippi in less than ideal circumstances to spend the day, and I genuinely hope that this might have some use in your series, and thank you again for your kindness and generosity of time and effort with me. DR. GOSCHE: Thank you. END OF INTERVIEW 64 Index A Abbott Laboratories, 44 Ajinomoto, 43 Alfred Newton Richards Medical Research Building, 48 aluminum, 44, 45 American College of Surgeons, 56 American Pediatric Surgical Association, 50, 51 atherosclerosis, 58 B Bailey, Charles P., 8, 56 Bailey, Randolph, 56 Barness, Lewis A., 49 Baue, Arthur E., 30 Baxter Travenol Laboratories, Inc., 44 Betadine®, 35, 36 Bishop, Harry C., 31 Browner, Bruce D., 56 Burgess, Keleen Lee, 36 Bush, John H., 37 C Children’s Hospital of Philadelphia, 30, 31, 33 Children's Hospital Boston, 33 coal mines, 1 Copeland III, Edward M., 55, 56 Cross, Robert Pershing, 6 crystalline amino acids, 16, 42, 43, 44 Cutter Laboratories, 44 D Dacron®, 41 Daly, John, 56 Darlington, James McCown (Mac), 6 DeBakey, Michael E., 41 Deseret® Pharmaceutical Company, 24 DIURIL®, 16, 17, 18 Dudrick, Theresa, 6, 8, 11, 46, 47, 48 DuPont de Nemours & Co., 12 E Eli Lilly and Company, 7 F Filler, Robert M., 33 five-liter program, 18 Flood, Daniel J., 3 Flynn, Timothy, 56 Folkman, M. Judah, 33 Franklin & Marshall College, 4, 5, 6, 7, 8 Franklin, Benjamin, 6, 64 G Groff, Diller B., 31 György, Paul, 49 H Hahnemann University Hospital, Philadelphia, 8 Haller, J. Alex, Jr., 33, 34 Harrison Department of Surgical Research, University of Pennsylvania, 11, 12, 23 house call, 3 Householder, Mrs., 5 HydroDIURIL®, 16, 17 hydrolysates, 16, 20, 21, 42, 43, 45 hypoglycemic agents, 7 hypophosphatemia, 49 I institutional review board, 31 J Johns Hopkins Children’s Center, 34 K Kirby, Charles K., 9 Koop, C. Everett, 31 L Lancaster, Pennsylvania, 6 Lane, Harold, 6, 7 Lipomul®, 13, 40 M MacVaugh III, Horace, 9 Mayo-Gibbon heart-lung machine, 9 McGaw, Inc., 44 mersalyl, 16 Miller, Thomas A., 56 Millipore® filter, 21, 28, 37, 40 Millipore® filters, 21, 28 Mitchell, John McK., 4, 5 Moore School of Electrical Engineering, University of Pennsylvania, 9, 22 MVI® [multiple vitamin infusion], 40 Mycostatin®, 35 N Nanticoke High School, 2 Nanticoke, Pennsylvania, 1 Nightingale, Florence, 57 65 O Touloukian, Robert J., 33 Towne School of Civil and Mechanical Engineering, University of Pennsylvania, 9, 22 P U Orinase®, 7 osteopenia, 44, 45 Pasteur, Louis, 21 Pep Boys, 24 Peterson, Lysle H., 9 Philadelphia VA Hospital, 52, 53, 54 Pocono Mountains, 5 Polysporin®, 35 Poly-Vi-Sol®, 40 R Ravdin, I. S., 10, 11, 12, 13 Rawnsley, Howard, 49 research as education, 50 Revson, Lance, 39 Rhoads, Jonathan E., 9, 10, 11, 13, 14, 15, 16, 17, 19, 22, 23, 37, 38, 52, 53, 54, 64 RhoadsJr., Jonathan E., 15, 16, 17 rotating internship, 11 U.S. Vitamin, 39, 40 United States Military Academy at West Point, 3, 4 University of Connecticut Health Center, 56 University of Pennsylvania, 1, 4, 5, 8, 9, 10, 11, 12, 22, 30, 31, 32, 33, 34, 36, 48, 49, 51, 52, 53, 54, 55, 56 University of Texas Medical School at Houston, 54, 55, 56 Upjohn Company, 13, 39 US Army Research and Development Command, 13 US National Institutes of Health, 12, 32 V Vars, Harold M., 20, 22 Vitamin D, 34, 35, 49 S W Santulli, Thomas, 50 Seashore, John H., 33 Seitz filter, 37 Senior, John R., 10 Sick Children’s Hospital, 33 silicone rubber, 41 Snavely, Fred A., 6, 7 Souba, Chip, 56 Southern Regional Research Laboratories, 13 Stilwell, General Joseph Warren, 12 Wangensteen, Owen W., 11 William E. Ladd Medal, 1 Wilmore, Douglas W., 32, 34 Winters, Richard Honodel, 6 Wistar Institute, 34 Woman’s Medical College of Pennsylvania, 52 World War II, 3, 12, 37 wound healing, 13 T Thiomerin®, 16 total parenteral nutrition, 18, 19, 21, 25, 28, 35, 36, 38, 43, 44, 45, 46, 51, 54, 57, 58 Y Yale University, 9, 30, 31, 33 Z zinc deficiency, 43 66 CURRICULUM VITAE STANLEY J. DUDRICK, M.D. HOME ADDRESS: 40 Beecher Street Naugatuck, Connecticut 06770 OFFICE ADDRESS: St. Mary’s Hospital 56 Franklin Street Waterbury, Connecticut 06706 DATE OF BIRTH: April 9, 1935 PLACE OF BIRTH: Nanticoke, Pennsylvania MARITAL STATUS: Married: Theresa M. Keen, June 14, 1958 Children: Susan Marie, Stanley Jonathan, Holly Anne, Paul Stanley, Carolyn Mary, Anne Theresa EDUCATION: Nanticoke High School, Nanticoke, Pennsylvania, 1949-1953 Franklin and Marshall College, Lancaster, Pennsylvania, 1953-1957 University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, 1957-1961 DEGREES: B.S., Biology Honors, Cum Laude, Franklin and Marshall College, 1957 M.D., University of Pennsylvania School of Medicine, 1961 M.A., Honoris Causa,Yale University, 1999 INTERNSHIP: Hospital of the University of Pennsylvania (Rotating), July 1961-June 1962 RESIDENCY: Assistant Resident in Surgery, Hospital of the University of Pennsylvania, July 1962June 1966 Chief Resident in General Surgery, Hospital of the University of Pennsylvania, July 1966-June 1967 FELLOWSHIP: Research Fellow, Harrison Department of Surgical Research, University of Pennsylvania School of Medicine, July 1962-June, 1967 MEDICAL LICENSURE: Pennsylvania, July 1962, MD Texas, January 1973 Connecticut, November 1994 CERTIFICATION: American Board of Surgery, January 29, 1968 CURRENT POSITIONS: Professor of Surgery, Yale University School of Medicine, 1995 – 67 Chairman, Department of Surgery, St. Mary’s Hospital/Yale Affiliate, 2004 – Director, Program in Surgery, St. Mary’s Hospital/Yale Affiliate, 2002 – Director, Graduate Medical Education, St. Mary’s Hospital, 2002 – Attemding Surgeon, St. Mary’s Hospital/Yale Affiliate, 1994Attending Surgeon, Bridgeport Hospital/Yale New Haven Health System, 2002 – Attending Surgeon, West Haven VA Hospital, 1998 – Consultant in Surgery, Yale New Haven Hospital, 2004 – PAST FACULTY APPOINTMENTS AND POSITIONS: University of Pennsylvania School of Medicine (1962-1972; 1988-1993) Assistant Instructor in Surgery, July 1962- June 1966 Instructor in Surgery, July 1966-June 1967 Associate in Surgery, July 1967-June 1968 Assistant Professor of Surgery, July 1968-June 1969 Associate Professor of Surgery, July 1969-July 1972 Professor of Surgery, July 1972-Sept 1972 Research Fellow, Harrison Dept of Surgical Research, July 1962-June 1967 Scientific Staff, Harrison Dept of Surgical Research, July 1967-Sept 1972 Chief of Surgery, University of Pennsylvania Division, Philadelphia Veterans Administration Hospital, July 1967-August 1972 Acting Chief of Surgery, Philadelphia Veterans Administration Hospital, July 1968-August 1972 Associate Surgeon, Hospital of the University of Pennsylvania Surgical Staff, July 1967-Sept 1972 Assistant Attending Physician, Philadelphia General Hospital, July 1967-Sept 1972 Clinical Professor of Surgery, Nov 1988 - July, 1993 The University of Texas Medical School at Houston (1972-1988; 1990-1995) Chairman, Department of Surgery, The University of Texas Medical School at Houston, July 1972-Sept 1980 Chairman, Department of Surgery, Hermann Hospital, July 1972-Sept. 1980 Professor of Surgery, The University of Texas Medical School at Houston, July 1972-Jan 1982 Clinical Professor of Surgery, The University of Texas Health Science Center at Houston, Jan 1982-Sept 1995 Chief of Surgical Services, Hermann Hospital, July 1972-Sept 1980 Attending Surgeon, Hermann Hospital, July 1972-June 1988 Surgeon in Chief, Hermann Hospital, Houston, May 1990 - May 1993 Director, Nutritional Support Services, Hermann Hospital, May 1990 - May 1993 Director, Nutritional Science Center, Hermann Hospital, May 1990 - May 1993 Director, Center for Cardiovascular Disease, Hermann Hospital, May 1990 - May 1993 Medical Director, Hermann Nutrition and Human Performance Center, May 1990- May 1993 Active Staff, General Surgery, Hermann Hospital, May 1990- July 1995 68 Senior Consultant in Surgery and Medicine, Texas Institute for Rehabilitation and Research, July 1974-June 1988 Director, Nutritional Support Services, St. Luke’s Episcopal Hospital, Dec 1981-June 1986 Attending Surgeon, St. Luke’s Episcopal Hospital, Sept 1981-June 1988 Attending Surgeon, Texas Children’s Hospital, Sept 1981-June 1988 The University of Texas System Cancer Center, MD Anderson Hospital and Tumor Institute (1972-1988) Consultant in Surgery, Dept of Surgery, July 1972-June 1988 Consultant to the Office of the President (General Surgery), Sept 1982-1988 Pennsylvania Hospital (1988-1990) Chairman, Department of Surgery, July 1988-May 1990 Director, Residency Training Program in General Surgery, July 1988-May 1990 Surgeon in Chief, July 1988-May 1990 Surgeon to the Hospital, Active Staff, July 1988-May 1991 Surgeon to the Hospital, Honorary Staff, October 1991St. Mary’s Hospital/Yale Affiliate (1994 – 2000; 2002-2004) Program Director, Dept. of Surgery, St. Mary’s Hospital, Waterbury, CT Nov 1994 – Jan 2000 Associate Chairman, Dept. of Surgery, St. Mary’s Hospital, Nov 1994 – Jan 2000; Aug 2002 – June 2004 Clinical Professor of Surgery, Yale University School of Medicine, New Haven, CT Jan 1995 - June 1999 Director, Graduate Medical Education, St. Mary’s Hospital, Waterbury, CT Jan 1995 – Jan 2000 Attending Surgeon, St. Mary’s Hospital, Waterbury, CT Nov 1994 – Jan 2000 Bridgeport Hospital/Yale New Haven Health System (2000 – 2002) Chairman, Department of Surgery, Bridgeport Hospital, Bridgeport, CT January 2000 – August 2002 Director of Surgical Education, Bridgeport Hospital, Bridgeport, CT Jan 2000 – August 2002 PRESENT FACULTY APPOINTMENTS AND POSITIONS: Professor of Surgery, Yale University School of Medicine, New Haven, CT January 1995Program Director, Department of Surgery, St. Mary’s Hospital, Waterbury, CT August 2002 Director, Graduate Medical Education, St. Mary’s Hospital, Waterbury, CT August 2002 Adjunct Clinical Professor of Surgery, Quinnipiac College, Hamden, CT Oct 1996PRESENT HOSPITAL APPOINTMENTS AND POSITIONS: Attending Surgeon, Saint. Mary’s Hospital, Waterbury, CT November 1994Attending Surgeon, Veterans Affairs Medical Center, West Haven, CT Aug 1998 Attending Surgeon, Yale-New Haven Hospital, New Haven, CT June 1999 Attending Surgeon, Bridgeport Hospital/Yale New Haven Health System, Bridgeport, CT January 2000 Surgeon to the Hospital, Honorary Staff, Pennsylvania Hospital, Philadelphia, PA Oct 1991 - 69 PRESENT MEDICAL SCHOOL COMMITTEES: Yale University School of Medicine Liaison Committee, Department of Surgery, November 1994 Board of Permanent Officers, July 1997 Surgery Grand Rounds Committee, Chairman, 1998 -2001 Surgical Education Committee, July 1998 – Executive Committee, Department of Surgery, July 1999 – Promotions, Appointments, and Tenure Committee, Department of Surgery, July 1999 – Surgery ACGME Accreditation Committee, February 2000 HOSPITAL COMMITTEES: Saint Mary’s Hospital/Yale Affiliate Institutional Review Board Graduate Medical Education Committee, Chairman OR Committee General Surgery Section Committee Medical Leadership Committee General Surgery Teaching Committee, Chairman Library Committee Surgical Section Chiefs Committee, Chairman Ethics Committee Trauma QA/QI Committee Patient Rights Committee Trauma Service Executive Committee ICU Joint Conference Committee Performance Improvement Plan Committee Quality Assurance/Surgical Pathways Board Planning Committee Performance Improvement Steering Committee Medical Records Committee OR Leadership Committee Medical Executive Committee Infection Control Committee Management/Leadership Council Saint Mary’s Health System: Stategic Planning Committee Bridgeport Hospital/Yale New Haven Health System 2000 Program Directors Planning Committee Cardiology/Cardiovascular Task Force Committee Clinical Risk/Mortality Review Committee Continuing Medical Education Committee Credentials Committee Critical Care Committee Graduate Medical Education CommitteeMain OR Committee Mill Hill Medical Executive CommitteeNutrition Committee Performance Architecture 20005 Committee Primary Care Center Clinical Directors Committee Primary Care Center Operations Committee Professional and Quality Review CommitteeQuality Council CommitteeRadiology/Operating Room Utilization Committee Surgery Department Chairmans Committee Surgical Research Committee Surgical Section Chiefs Committee, Chairman Surgical Services Committee, Chairman Medical Advisory Board of the Peripheral Vascular Institute, Chairman 70 Nutrition, Pharmacy and Therapeutics Committee Southern Connecticut Health Network Medical Management Committee AWARDS AND HONORS: Franklin and Marshall College, Williamson Medal, 1957 (outstanding member of graduating class) Rawnsley Science Prize, 1957 Sparks Medal, 1957, (highest average in Chi Phi Fraternity) Black Pyramid Senior Honorary Society, 1957 Phi Beta Kappa, 1957 Biology Honors, 1957 Permanent Class President, Class of 1957 University of Pennsylvania School of Medicine, Eben J.Carey Award (excellence in anatomy), 1958 President, Class of 1961 President, Undergraduate Medical Association, 1961 Roche Award (outstanding student of medicine), 1961 Intern of the Year, Hospital of the University of Pennsylvania, 1962 Outstanding Young Men of America, 1968 Honorable Mention for Scientific Exhibit, Surgical Division, AMA Scientific Convention, 1968 Sigma Xi, University of Pennsylvania, 1970 AMA Joseph B. Goldberger Award in Clinical Nutrition (co-recipient with Jonathan E. Rhoads, MD), 1970 Veterans Administration Citation for a significant contribution to medical care, 1970 Da Costa Orator, Philadelphia County Medical Society, 1970 James IV Surgical Traveler, 1971, James IV Surgical Association SAMA-Squibb Award for Scientific Exhibit (co-recipient with Ezra Steiger), 1972 Mead Johnson Award for Research in Hospital Pharmacy (co-recipient with Herbert L. Flack John A. Gans and Stanley E. Serlich), 1972 Seale Harris Medal of the Southern Medical Association for important accomplishment in the broad field of metabolism, endocrinology and nutrition, 1972 Alpha Omega Alpha, Honor Medical Society, Founding Member, The University of Texas Health Science Center at Houston, Medical School Chapter, 1975 AMA Brookdale Award in Medicine, "In recognition of his outstanding contribution to the nutritional care of critically ill or injured patients. His development of parenteral nutritional support of patients has been widely accepted as a standard technique and has suggested new areas of research." 1975 Great Texans Award, National Foundation for Ileitis and Colitis, Inc., Houston Gulf Coast Chapter, 1975 Honorary Texas Citizen, awarded by Governor Dolph Briscoe, 1975 Modern Medicine Award for contributions to developing parenteral hyperalimentation and other refinements in nutritional and metabolic support for surgical patients, 1977 Admiral in the Texas Navy, appointed by Governor Dolph Briscoe, 1978 Schaufus Technology Achievement Award of the Parenteral Drug Association, 1978 Honorary Fellowship in the Philippine College of Surgeons, 34th Annual Convention, Manila, Philippines, 1978 First Arvid Wretlind Lecturer-European Society of Parenteral and Enteral Nutrition, Stockholm, 1979 71 Who's Who in the South and Southwest, 1975-1996 Who's Who in America, 1980Who's Who in the World, 1982Who's Who in Cancer: Professionals and Facilities, 1985Who's Who in American Education, 1992Who's Who in Science and Engineering, 1992Who’s Who in the East, 1996Who’s Who in Medicine and Healthcare, 1996Wisdom Hall of Fame, 1980 Men and Women of Distinction, 1980, 1981 WHO Houston, 1980 American College of Surgeons Board of Governors, 1979-1985 Honorary Fellow, American Pediatric Surgical Association, 1980 Distinguished Alumnus Citation, Franklin and Marshall College, 1980 Edward D. Churchill Lecturer, Excelsior Surgical Society, American College of Surgeons, New Orleans, Louisiana, 1981 Southwestern Pennsylvania Chapter of the American College of Surgeons Annual Award for Extraordinary performance as a physician in the service of mankind, 1981 Virginia Kettering Kampf Lecturer-Wright University, Dayton, Ohio, 1981 Frank Stinchfield Award of the Hip Society of the American Academy of Orthopaedic Surgeons (co-recipient with Jack E. Jensen, MD and Taylor K. Smith, MD) for "Nutritional Assessment of Orthopaedic Patients Undergoing Total Hip Replacement Surgery." 1981 Chairman and Course Director, First Pan-American Congress on Parenteral and Enteral Nutrition, Guadalajara, Mexico, 1981 Distinguished Guest Award of the State of Jalisco, Mexico, 1981 Harry M. Vars Award of the American Society Parenteral and Enteral Nutrition (co-recipient with Charles W. Heard, Jr., MD, R. Bryan Griffith, MD, Taylor K. Smith, MD and John M. Daly, MD) for "The Positive Impact of Nutritional Support on Fracture Healing. February, 1982 Samuel David Gross Lecturer, University of Louisville, February, 1982 Gordon Reid Gross Lecturer, Edmonton, Canada, March, 1982 Sommer Memorial Lecturer, The University of Oregon Health Science Center, Portland, Oregon, April, 1982 Grace A. Goldsmith Award of the American College of Nutrition, co-sponsored by the National Dairy Council, Washington, D.C. October, 1982 Outstanding Humanitarian Award, American Society of Nutritional Support Services, Las Vegas, Nevada, January, 1984 Annual Therapeutic Frontiers Award, American College of Clinical Pharmacy, San Diego, June 1984 American Men and Women in Science, 1985University of Pennsylvania Nutrition Alumni Society President, 1985-1986 Jonathan E. Rhoads Lecturer in recognition for major contributions in the field of specialized nutritional support, Annual Clinical Congress of the American Society for Parenteral and Enteral Nutrition, Miami Beach, Florida, February, 1985 Annual Stanley J. Dudrick Research Scholar Award of the American Society for Parenteral and Enteral Nutrition awarded annually and named in Dr. Dudrick's honor in recognition of research leadership and developing TPN, initiated January, 1985 72 Board of Trustees, Franklin and Marshall College, Lancaster, PA, June, 1985Vice Chairman, 1994-2002 Board of Overseers, 1986-1989; Executive Committee, 1989-2002 Development Council, Chairman, 1987-1990 Chairman, Campaign for the College, 1996-2002 Albion O. Bernstein, M.D. Award of the Medical Society of the State of New York, March 1986 The Cosmos Club, elected to membership, June, 1986 Honorary Membership in Dietitians in Critical Care of the American Dietetic Association awarded in recognition of his advocacy of dietitians practicing critical care nutrition and his contribution to the science of nutrition support, June, 1986 Award from the Instituto Mexicano del Seguro Social in recognition of his outstanding scientific and academic achievements and for significant contributions to nutritional support therapy during the 25 years of his professional life, July, 1987 Phi Beta Kappa Associates, 1988 Honorary Fellow, American Academy of Pediatrics, 1988 Ladd Medal, Surgery Section, American Academy of Pediatrics, 1988 University of Pennsylvania Medical Alumni Society Steering Committee, 1989 Thomas Pollock, M.D. Memorial Lecturer, University of Pennsylvania, Department of Surgery, 1990 Honorary Fellow, College of Medicine and Surgery of the Republic of Costa Rica, 1990 Award from The University of Texas Medical School at Houston in recognition of true interest and enthusiasm in the recruitment of able students to the field of medicine, Dec, 1992 Award from the Federacion LatinoAmericana de Nutricion Parenteral Y Enteral in recognition of his contribution to the development of artificial nutrition, Sept, 1993 Award from the Asociacion Mexicana de Alimentacion Enteral Y Endovenosa in Reconocimiento por su Contribucion al Desarrollo de la Nutricion Artificial, Sept, 1993 Reconocimiento por ser pionero en la ciencia de la alimentacion artificial descubrimiento que ha generado nuevas esperanzas y vertido enormes beneficios a la humanidad, en la ciudad de Morelia, Mich., Mexico, C.P. Sergio Magana Martinez, Presidente Municipal, Sept, 1993 Award from the Mexican Association of Enteral and Intravenous Alimentation in recognition of the value of his scientific contribution of the advancement of nutrition in Mexico with much gratitude, V Congreso Nacional, Acapulco, Mexico, October, 1994 Honorary Member, Mexican Association of Enteral and Intravenous Alimentation, October, 1994 Award in Recognition of Excellent and Dedicated Surgical Teaching, Surgical Residents, St. Mary’s Hospital, June, 1995 Hospital of The University of Pennsylvania Surgical Resident Graduate of the Year Award, April, 1996 D. Hayes Agnew Lecturer, University of Pennsylvania Department of Surgery, April, 1996 First Chairman, National Alumni Council, University of Pennsylvania School of Medicine, May, 1996- May, 2001 University of Pennsylvania Medical Center Alumni Service Award, May, 1996 73 American Surgical Association 1997 Flance/Karl Award to Stanley J. Dudrick, M.D. and Jonathan E. Rhoads, M.D. “For their seminal contribution in basic laboratory research as applied to parenteral nutrition.” International Association for Surgical Metabolism and Nutrition “For his outstanding academic achievements that have contributed to the development of surgical metabolism and nutrition.” August, 1997 Roche Visiting Professor - University of Miami School of Medicine, Trauma/Surgical Critical Care, December 1997 Annual Lecturer, Surgical Historical Society, December, 1997 Honorary Guest Lecturer, Seattle Surgical Society, January, 1998 Honorary Member - Seattle Surgical Society, January, 1998 Faculty Recognition Award, Continuing Medical Education, St. Mary’s Hospital, January 1998 Award as Honored Guest Lecturer from the City of Loja, Ecuador, May, 1999 Award in Recognition of Excellent and Dedicated Surgical Teaching, Surgical Residents, St. Mary’s Hospital, June, 1999 The J.D. Ashmore Visiting Lectureship, Greenville Hospital System, Greenville, South Carolina, June, 1999 Venezuelan Society of Parenteral and Enteral Nutrition Award “In Recognition for Pioneering Work in the Field of Clinical Nutrition,” Caracas, Venezuela, October, 1999 Crohn’s and Colitis Foundation of America, Award in Recognition as Founder, Houston Chapter (founded in 1975), November, 1999 Roswell Park Medal Award, Buffalo Surgical Society, March, 2000 Honorary Degree, Master of Arts, Yale University, April, 2000 Nos Magni Nominis Umbra Teaching and Research Award – Yale Residents in General Surgery, 2000 Honorary Membership, Los Angeles Surgical Society, January, 2001 Top Docs, General Surgery, Connecticut Magazine, February, 2001 William J. Pokorny Memorial Surgical Science Lectureship, South Texas Chapter, American College of Surgeons, March, 2001 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2001 Top Doctors: New York Metro Area, Castle Connolly Medical Ltd., March, 2001 The Best Doctors in New York: New York Magazine, June, 2001 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2002 Commencement Speaker, Bridgeport Hospital School of Nursing, Program of Surgical Technology, June 2002 The Best Doctors in New York: New York Magazine, June, 2002 America’s Registry of Outstanding Professionals – Lifetime Member, June, 2002 Alumni Medal of Franklin & Marshall College “For Outstanding Volunteer Service to Franklin & Marshall College”, October, 2002 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2003 Top Doctors: New York Metro Area, Castle Connolly Medical Ltd., March, 2003 The Best Doctors in New York: New York Magazine, June, 2003 Visiting Professor and Lecturer University of Texas Medical Center, June, 2003 The Stanley J. Dudrick, M.D. Surgical Education and Research Fund “In Recognition of Dr. Dudrick’s Teaching and Research Accomplishments”, June, 2003 Honorary Membership in the Polish Society of Parenteral and Enteral Nutrition, September, 2003 Medal of The Polish Lifeline Foundation (Linia Zycia), For the Support of Home TPN Patients, September, 2003 74 American College of Surgeons Fellows Leadership Society – Life Member, October, 2003 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2004 Top Doctors: New York Metro Area, Castle Connolly Medical Ltd., March, 2004 The Best Doctors in New York: New York Magazine, June, 2004 The James H. Foster Lecture, University of Connecticut School of Medicine, October, 2004 The William H. Erb, Sr. Lecture, Philadelphia Academy of Surgery, January, 2005 The Jonathan E. Rhoads Lecture, American Society for Parenteral and Enteral Nutrition, January, 2005 The Walter J. Pories Honor Lecture in Surgical Education, Brody School of Medicine, East Carolina University, March, 2005 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2005 Top Doctors: New York Metro Area, Castle Connolly Medical Ltd., March, 2005 The Best Doctors in New York: New York Magazine, June, 2005 The American College of Surgeons Jacobson Innovation Award, June, 2005 The Association of Mexican Surgeons Lifetime Achievement Award, November 2005 EDITORIAL ACTIVITIES: Editorial Consultant, Journal of Trauma, 1974 Editorial Board, Infusionsterapie and Klinische Ernahrung, 1974 Associate Editor, Nutrition in Medicine, 1975Editorial Board, Annals of Surgery, 1975Senior Member, 2002Editorial Board, Journal of Parenteral and Enteral Nutrition, 1978 Editorial Board, Nutrition and Cancer, Founding Member, 1978-2000 Editorial Board, Practical Gastroenterology, 1978 Editorial Board, Infusion, 1978 Editorial Advisory Board, Correspondence Society of Surgeons, 1978 Co-Editor, Manual of Surgical Nutrition, American College of Surgeons, 1975 Editorial Advisory Board, Nurse's Guide to Drugs, 1978- Intermed Communications, Inc. Horsham, PA. Editorial Council, The Journal of Clinical Surgery, 1980 Editorial Board, Nutrition Support Services, 1980 Editorial Consultant, Nutrition Research, 1981 Editorial Advisory Board, Texas Health Letter, 1981 Editorial Advisory Board, Diseases, 1981,Intermed Communications, Inc., Horsham, PA. Editorial Advisory Board, Diagnostics, 1981,Intermed Communications, Inc., Horsham, PA Editorial Advisory Board, Professional Guide to Diseases, Intermed Communications, Inc., Horsham, PA. Editorial Advisory Board, Drugs, Intermed Communications, Inc., Horsham, PA., 1982 Editorial Advisory Board, Assessment, Intermed Communications, Inc., Horsham, PA., 1982 Editorial Advisory Board, Professional Guide to Drugs, Intermed Communications, Inc., Horsham, PA., 1982 Editorial Advisory Board, Procedures, Intermed Communications, Inc., Horsham, PA., 1982 Editor, Manual of Pre and Postoperative Care, American College of Surgeons, 1983 Editorial Advisory Board, Definitions, Intermed Communications, Inc., Horsham, PA., 1983 75 Editorial Advisory Board, Nursing 83, Drug Hand-book, Intermed Communications, Inc., Horsham, PA., 1983 Editorial Advisory Board, Practices, Springhouse Corp., Springhouse, PA., 1984 Editorial Advisory Board, Nursing Now Series, Shock, Springhouse Corp., Springhouse PA., 1984 Editorial Advisory Board, Nursing Now Series, Hypertension, Springhouse Corp., Springhouse, PA., 1984 Editorial Advisory Board, Nursing Now Series, Drug Interactions, Springhouse Corp., Springhouse, PA., 1984 Editorial Advisory Board, Nursing Now Series, Cardiac Crises, Springhouse Corp., Springhouse, PA., 1984 Editorial Advisory Board, Nursing Now Series, Respiratory Emergencies, Springhouse Corp., 1984 Library Advisory Board, Cine'-Med Incorporated, Woodbury, CT., 1984 Editorial Advisory Board, Nursing 85, Drug Handbook, Springhouse Corp., Springhouse, PA., 1985 Editorial Advisory Board, Nutrition: The International Journal of Applied and Basic Nutritional Sciences, 1985 Editorial Board, Nutrition in Clinical Practice, 1986 Medical Advisory Board, Five Alice Newsletter International Association for Enterostomal Therapy, 1986 Editorial Board, Postgraduate General Surgery, 1992 Editorial Board, Metabolism y Nutricion Artificial, Mexico City, Mexico, 1993Editorial Consultant Board, Handbook of Therapeutic Interventions. Springhouse Corp, Springhouse, PA, 1994 Editorial Board, Journal of Metabolism and Nutrition (Revista de metabolismo Enutricao) Porto Alegre - RS, Brazil, 1994Editorial Board, Current Surgery, 1999 – Editoral Board, Polish Journal of Surgery, 2003MEMBERSHIP IN ACADEMIC, HONORARY PROFESSIONAL MEDICAL AND SCIENTIFIC SOCIETIES NATIONAL COMMITTEES: Alaska State Medical Association, (Honorary) Alpha Omega Alpha Medical Society, University of Texas at Houston, Secretary-Treasurer, 1982 Allen O. Whipple Surgical Society American Academy of Pediatrics, Honorary Fellow American Association for the Advancement of Science American Association for the History of Medicine, Inc. American Association for Laboratory Animal Science American Association for the Surgery of Trauma American Association of University Professors American Board of Surgery Board of Directors, 1974-1984 In-Training Examination Subcommittee, 1974-1978 Multiple Choice Subcommittee (MCS), 1979-1984, Chairman, 1982-1984 Examination Committee, 1982-1984 Committee on Issues (COI), 1979-1984 Ad Hoc Committee Special Competence for Hand Surgery, 1981-1983, Chairman, 1982-1983 Joint Chairman for Surgery of the Hand,1984-1987 76 Senior Member, American Board of Surgery, 1984American Burn Association American Cancer Society Board of Directors, Harris County Unit Medical and Scientific Committee Public Education Committee American Cancer Society, Board of Directors, Philadelphia Unit Professional Education Committee American College of Emergency Physicians American College of Nutrition American College of Surgeons, Fellow, 1971Board of Governors, 1979-1985 Credentials Committee, State of Texas, 1979-1988 Credentials Committee, Eastern Pennsylvania, 1989-1990 Pre- and Postoperative Care Committee, 1974-1980 Executive Committee, 1974-1977 Vice Chairman, 1975-1977 Editorial Subcommittee for Manual of Surgical Nutrition Chairman, Editorial Subcommittee for Manual of Pre- and Postoperative Care, 3rd edition South Texas Chapter, Director, 1977-1986 Committee on Medical Motion Pictures, 1981-1990 SESAP '94-'95, PMP Committee #2, 1991-1993 SESAP '96-'97, MCI Committee #4, 1993-1995 Co-Chairman, 1993-1995 American Federation for Clinical Research American Gastroenterological Association American Institute of Nutrition American Medical Association Council on Foods and Nutrition, Executive Committee Subcommittee on Total Parenteral Nutrition Subcommittee on Quality Control of Parenteral Solutions Ad Hoc Committee on Nutrition Teaching in Medical Schools Council on Scientific Affairs, 1976-1981 Surgical Criteria Project General Surgery Criteria Committee American Radium Society American Society for Clinical Investigation, 1978 American Society for Clinical Nutrition Membership Committee American Society of Contemporary Medicine and Surgery American Society for Nutritional Sciences American Society of Nutritional Support Services, Board of Directors, 1982-1987 President-Elect, 1983-1984 President, 1984-1985 American Society for Parenteral and Enteral Nutrition President, 1977-1978 (Founding President) Board of Advisors, 1978Chairman, 1978-1979 Public Policy Committee, 1984-1986 Research Foundation Study Committee, 1990American Surgical Association 77 Member, Program Committee, 1979-1982 Chairman, Program Committee, 1981-1982 American Trauma Society (Founder's Group) Anatomical Board of the State of Texas Association for Academic Surgery (Founder's Group) Association of American Medical Colleges Association of Program Directors in Surgery, 1988Board of Directors, 1998Association of Veterans Administration Surgeons (Founding Member) Beaumont Medical Club of Connecticut, 1999 College of Physicians of Philadelphia, 1990Collegium Internationale Chirurgiae Digestivae Connecticut Society of American Board Surgeons, 1994Connecticut State Medical Society, 1995Connecticut Society for Parenteral and Enteral Nutrition (CONNSPEN), 1995Crohn's and Colitis Foundation of America Doctors' Club of Houston Ethicon General Surgery Advisory Board Federation of American Societies for Experimental Biology Halsted Society Senior Member, 1986Harris County Medical Society Emergency Medical Services Committee Medical and Scientific Committee Houston Academy of Medicine Texas Medical Center Library Scientific Advisory Committee, Chairman Houston Gastroenterological Society Houston Ostomy Association Houston Surgical Society International Federation of Surgical Colleges International Platform Association International Society for Digestive Surgery International Society for Parenteral Nutrition President-Elect, 1975-1978 President, 1978-1981 Executive Committee, 1975-1984 John Morgan Society, University of Pennsylvania (Honor Society for Medical Research) Lifeline Foundation, Inc. Board of Directors Medical Club of Philadelphia, 1990Minneapolis Surgical Society (Honorary Member) National Cancer Institute, National Institutes Health-Diet, Nutrition and Cancer Program Advisory Committee; Chairman, Diet, Nutrition and Cancer Program National Foundation for Ileitis and Colitis, Houston Gulfcoast Chapter Medical Advisory Board, Houston Gulfcoast Chapter National Institutes of Health Surgery, Anesthesiology and Trauma Study Section, July 1982-June 1986 National Research Council, National Academy of Sciences Food and Nutrition Board Committee on Clinical Nutrition Task Force on Clinical Nutrition New England Surgical Society, 1996 78 New Haven County Medical Association, 1995New Orleans Society of Parenteral and Enteral Nutrition, Board of Advisors New York Academy of Sciences Nutrition Today Society Pan American Medical Association Pan-Pacific Surgical Association Vice President, General Surgery Section, 1985-1988 Philadelphia Academy of Surgery, 1988Philadelphia County Medical Society, 1988-1990 Pennsylvania State Medical Society, 1988-1990 Ravdin-Rhoads Surgical Society Sigma Xi, Rice-Texas Medical Center Chapter Societe Internationale de Chirurgie Society for Surgery of the Alimentary Tract Society of Clinical Surgery Society of Laparoendoscopic Surgeons Society of Surgical Oncology, Inc. Society of University Surgeons American Board of Surgery Representative, 1974-1984 Executive Council, 1974-1978 Councilman-at-Large, 1974-1978 Society for the Advancement of Blood Management, 2002Southeastern Surgical Congress Associate Fellow, 1977 Southern Gut Club Southern Medical Association Section on Surgery, Chairman-Elect, 1983-84, Chairman, 1984-1985 Southern Society of Clinical Surgeons Southern Surgical Association Southwestern Surgical Congress Stanley J. Dudrick Surgical Society (Honorary Member) Surgical Biology Club II Surgical Historical Society, 1997Surgical Infection Society (Charter Member) Membership Committee, Chairman, 1987-1990 Texas Gulfcoast Chapter of the American Society for Parenteral and Enteral Nutrition Texas Medical Association Committee on Nutrition and Food Resources Texas Delegation to the AMA Texas Medical Foundation Texas Surgical Society United Ostomy Association, Houston Chapter United States Pharmacopeia Committee on Revision, Advisory Panel on Electrolytes and Parenteral Therapy University Association for Emergency Medical Services Venezuelan Society of Parenteral and Enteral Nutrition Western Surgical Association MEMBERSHIP IN NON MEDICAL SOCIETIES Alumni Club of Philadelphia, 1989-1990 American Museum of Natural History, Associate Member 79 Association of Governing Boards of Universities and Colleges, 1985Athenaeum of Philadelphia, 1990Chairman of Class Agents, University of Pennsylvania School of Medicine (Medical Annual Giving), 1971-1972 Class Agent, Class of 1961, University of Pennsylvania School of Medicine, 1961Cosmos Club, 1986Ducks Unlimited Franklin Inn Club, Philadelphia, 1990Franklin and Marshall College, Lancaster, Pennsylvania Board of Trustees, 1985First Vice-Chairman, Board of Trustees, 1994-1999 Vice Chairman, Board of Trustees, 1999-2002 Board of Overseers/Executive Committee, 1986Leadership/Major Gifts Committee, 1986-1991 Development Council, Chairman, 1986-1991 Student Life Committee, 1986-1994 William A. Schnader Society, Charter Member, 2000Benjamin Rush Society, 1989Founder, 1989 Honorary Co-Chairman, 1998Trusteeship Committee, 1990John Marshall Society, 1991Alumni Programs and Development Committee, 1991-1994 President's Regional Advisory Council, Southwest Council, 1992-1993 Art Collections Committee, 1994-1996 Education Services Committee, 1994-1996 Committee on the Office of the Presidency, 1996Marketing and Communications Committee, 1994-1998 Finance Committee, 1994-1998 Investments Committee, 1994-1998 Leadership Gifts Committee, 1993Co-Chairman, Physical Sciences Building Committee, 1994-1999 Chairman, Campaign Executive Committee, 1996Academic Investments Committee, 2003Facilities Planning and Public Safety Committee, 2003Co-Chairman, Trustees Campaign Committee, 2003George H. Hermann Society, Hermann Hospital, 1990-1992 Charles Curtis Harrison Society, University of Pennsylvania, 1996Houston Grand Opera Houston Museum of Fine Arts International Platform Association National Cowboy Hall of Fame National Football Foundation and Hall of Fame National Historical Society National Society for Historical Preservation Order of Saint John of Jerusalem Phi Beta Kappa Alumni of Greater Houston Philadelphia Museum of Art Republican Senatorial Inner Circle Smithsonian Society Teikyo Post University – Business Advisory Council, 2003- 80 The Forum Club of Houston The Friends of Franklin, Inc. The Franklin Institute, Member Union League of Philadelphia, 1988-1992 University of Pennsylvania School of Medicine Class Agent-Class '61, 1961-1994 Annual Giving Steering Committee, 1989Trustee Development Committee, 1994The Campaign for the Future of Medicine, 1994-2001 Campaign Steering Committee, 1994-2001 National Alumni Council, 1994Chairman, 1994-2001 Waterbury Symphony Orchestra, Board of Directors, 1999 – Exploratory Committee (Development), Chairman, 1999- PAST MEMBERSHIP IN ACADEMIC, HONORARY, PROFESSIONAL MEDICAL NATIONAL COMMITTEES: American Medical Association Chairman, Committee on Nutrition in Medicine Association for Academic Surgery Co-Chairman, Local Program Committee, Philadelphia Doctors' Club of Houston Board of Governors Second Vice-President Finance Committee, Chairman Entertainment Committee Employees Association of the Veterans Administration Hospital, Philadelphia Pennsylvania State Medical Society Alternate Delegate from Philadelphia Philadelphia County Medical Society Emergency Transportation Committee Nutrition and Metabolic Committee Philadelphia Regional Committee on Trauma Philadelphia Pre- and Postoperative Care Committee Sigma Xi, University of Pennsylvania Chapter Society of Surgical Chairman Trauma Surgeons Advisory Panel, Ethicon, Inc. Veterans Administration National Research Service Merit Review Board of Surgery PAST HOSPITAL ACTIVITIES AND MEDICAL SCHOOL COMMITTEES: Pennsylvania Hospital Executive Committee of the Medical Staff Clinical Chiefs Committee Operating Room Committee Finance Committee of the Board of Managers Kitchen Cabinet of the Board of Managers The University of Texas Medical School at Houston Medical Service, Research and Development Plan, Board of Directors, Chairman, 1973-1975, 1976-1979 81 Vice Chairman, 1975-1976 Laboratory Animal Care Committee, 1976-1978 Administrative Council Clinical Chairmen's Committee CNS Trauma Center Group Clinical Affairs Committee Development Board Policy Review Committee Smith-Klein and French Lectureship Committee, Chairman The University of Texas Medical Associates Board of Directors,Chairman Executive Committee By-laws Committee Fringe Benefits Committee Ambulatory Care Committee Space Committee Long Range Planning Committee Hermann Hospital Ambulatory Care Committee Clinical Chiefs Committee Medical Board Emergency Medical Services Committee Long Range Planning Committee Joint Conference Committee Nutrition Committee, Chairman University of Pennsylvania School of Medicine Advisory Committee to the Curriculum Committee for Introduction to Clinical Problems Bioengineering Committee, University of Pennsylvania Committee for Evaluation of Human Research Faculty Advisory Committee Medical Student Advisor Student Recommendation Committee Task Force on Educational Policy and Professional Manpower Department of Surgery Executive Committee Course Coordinator, Surgery 200 and 300, Pennsylvania Hospital Nutrition Curriculum Committee Veterans Administration Hospital, Philadelphia Budget Committee Dean's Subcommittee for Academic Affairs, Chairman Infection Committee, Secretary Medical Executive Committee Medical Library Advisory Committee Personnel Committee Professional Standards Board Research and Education Committee, Chairman Space Committee Therapeutic Agents Committee Tissue and Transfusion Committee St. Luke's Episcopal Hospital, Houston Admissions and Utilization Committee 82 Dietary Committee Intensive Care Committee Medical Education, Research and Publications Committee Pharmacy and Nursing Services Committee Patient Education Committee PAST MEMBERSHIP IN NON-MEDICAL SOCIETIES AND ACTIVITIES: Foundation for Children, Inc. (Houston) Board of Directors Hunters Creek Elementary Parent Teachers Association Lakewood Yacht Club Memorial Drive Country Club Spring Branch Junior High School Parent Teachers Association University Faculty Club, Inc., Charter Member, The University of Texas 83 BIBLIOGRAPHY 1. Dudrick SJ, Lehr HB, Senior JR and Rhoads JE: Nutritional care of the surgical patient. Med Clin NA 48:1253-1269, 1964 2. Rhoads JE, Rawnsley HM, Vars HM, Crichlow RW, Nelson HM, Spagna RM, Dudrick SJ and Rhoads JE, Jr.: The use of diuretics as an adjunct in parenteral hyperalimentation for surgical patients with prolonged disability of the gastrointestinal tract. Bull Int Soc Surg 24: 59-70, 1965 3. Williams KR, Rogers A and Dudrick SJ: Stainless steel disc valve for cardiac valve replacement. J Thorac Cardiovasc Surg 49:540-549, 1965. 4. Rhoads JE and Dudrick SJ: Hypovolemic shock-current clinical concepts of diagnosis and management. Postgrad Med 39:3-10, 1966. 5. Dudrick SJ, Joyner CR, Miller LD, Eskin DJ and Knight DH: Ultrasound in the early diagnosis of pulmonary embolism. Surg Forum 17:117-118, 1966. 6. Rhoads JE, Dudrick SJ and Miller LD: Colectomy for cancer: technique and pitfalls. Surg Clin NA 46:1163-1177, 1966. 7. Joyner CR, Miller LD, Dudrick SJ, Eskin DS and Knight DH: Reflected ultrasound in the detection of pulmonary embolism. Trans Assoc Am Physicians 78:262-277, 1966. 8. Joyner CR, Miller LD, Dudrick SJ, Eskin DS and Bloom P: Reflected ultrasound in the study of diseases of the chest. Trans Am Clin Climatol Assoc 78:23-37, 1966. 9. Dudrick SJ, Masland W and Mishkin M: Brachial plexus injury following axillary artery puncture: Further comments on management. Radiology 88:271-273, 1967. 10. Itskovitz HD, Dudrick SJ, Dyrda I and Murphy JJ: Plasma angiotensinase activity in hypertensive patients. Arch Int Med 119:24-246, 1967. 11. Dudrick SJ, Vars HM and Rhoads JE: Growth of puppies receiving all nutritional requirements by vein. Fortschritte der Parenteralen Ernahrung, pp 1-4. Symposium der Intl Soc of Parenteral Nutr in 1966. Pallas Verlag, Lochham, bei Munchen, W Germany, 1967. 12. Miller LD, Joyner CR, Dudrick, SJ and Eskin DJ: Clinical use of ultrasound in the early diagnosis of pulmonary embolism. Ann Surg 166:381-393, 1967. 13. Dudrick SJ, Wilmore DW and Vars HM: Long-term total parenteral nutrition with growth in puppies and positive nitrogen balance in patients. Surg Forum 18:356-357, 1967. 14. Wilmore DW and Dudrick SJ: Cannula sepsis. N Eng J Med 227:433, 1967. 15. Wilmore DW and Dudrick SJ: Growth and development of an infant receiving all nutrients by vein. JAMA 203:860-864, 1968. 16. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Long-term total parenteral nutrition with growth, development and positive nitrogen balance. Surg 64:134-142, 1968. 84 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. Dudrick SJ and Wilmore DW: Long-term parenteral feeding. Hosp Pract 3:65-78, 1968. Dudrick SJ, Mackie JA and Serlin O: Surgical exclusion of the colon for chronic hepatic encephalopathy. Am J. Surg 115:57-62, 1968. Wilmore DW and Dudrick SJ: Safe long-term venous catheterization. Arch Surg 98:256-258, 1969. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Can intravenous feeding as the sole means of nutrition support growth in the child and restore weight loss in an adult: An affirmative answer. Ann Surg 169:974-984, 1969. Wilmore DW, Groff DB, Bishop HC and Dudrick SJ: Total parenteral nutrition in infants with catastrophic gastrointestinal anomalies. J Ped Surg 4:181-189, 1969. Tyers GFO, Steiger E and Dudrick SJ: Adenocarcinoma of the small intestine and other malignant tumors complicating regional enteritis: case report and review of the literature. Ann Surg 169:510-518, 1969. Serlick SE, Dudrick SJ and Flack HL: Nutritional intravenous feeding. Bull Parenteral Drug Assoc 23:166-173, 1969. Dudrick SJ, Wilmore DW and Vars HM: Long-term venous catheterization: An adjunct to surgical care and study. Curr Top Surg Res 1:325-340, 1969. Wilmore DW and Dudrick SJ: Effects of nutrition on intestinal adaptation following massive small bowel resection. Surg Forum 20:398-400, 1969. Dudrick SJ, Groff DB and Wilmore DW: Long-term venous catheterization in infants. Surg Gynecol Obstet 129:805-808, 1969. Wilmore DW and Dudrick SJ: An in-line filter for intravenous solutions. Arch Surg 99:462-463, 1969. Wilmore DW and Dudrick SJ: Treatment of acute renal failure with intravenous essential L-amino acids. Arch Surg 99:669-673, 1969. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Long-term total parenteral nutrition with growth, development and positive nitrogen balance. In Egdahl and Mannick (eds): Modern Surgery, Grune and Stratton, New York, 1970. Dudrick SJ: Overview: Long-term total parenteral nutrition with growth, development and positive nitrogen balance. In Egdahl and Mannick (eds): Modern Surgery, Grune and Stratton, New York, 1970. Dudrick SJ, Long JM, Steiger E and Rhoads JE: Intravenous hyperalimentation. Med Clin North Am 54:577-589, 1970. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Growth, weight gain, and positive nitrogen balance with long-term total parenteral nutrition. In Meng and Law (eds): Parenteral Nutrition, Charles C. Thomas Co., Springfield, IL, 1970. Kinney JM and Dudrick SJ: Trauma workshop report: Metabolic response to trauma and nutrition. J Trauma 10:1065-1068, 1970. 85 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. Dudrick SJ, Wilmore DW, Steiger E, Vars HM and Rhoads JE: Intravenous essential amino acids and hypertonic glucose in the treatment of renal failure. Medizin und Ernahrung 11:111-117, 1970. Dudrick SJ, Steiger E, Wilmore DW and Vars HM: Continuous long-term intravenous infusion in unrestrained animals. Lab Anim Care 20:521-529, 1970. Dudrick SJ, Wilmore DW, Steiger E, Mackie JA and Fitts WT, Jr: Spontaneous closure of traumatic pancreatoduodenal fistulas with total intravenous nutrition. J Trauma 10:542-553, 1970. Dudrick SJ, Steiger E and Long JM: Renal failure in surgical patients. Treatment with intravenous essential amino acids and hypertonic glucose. Surg 68:180-186, 1970. Dudrick SJ: Intravenous feeding as an aid to nutrition in disease. Ca-a Ca J for Clin 20:198-211, 1970. Daly JM, Vars HM and Dudrick SJ: Correlation of protein depletion with colonic anastomotic strength in rats. Surg Forum 21:77-78, 1970. Dudrick SJ, Steiger E, Long JM and Rhoads JE: Role of parenteral hyperalimentation in management of multiple catastrophic complications. Surg Clin North Am 50:1031-1038, 1970. Holubitsky IB, Cohn I, Jr, Dudrick SJ, Munro DD and MacBeth RAL: Preoperative diagnosis and preparation: A symposium. Surg 68:724-729, 1970. Dudrick SJ, Wilmore DW, Steiger E, Vars HM and Rhoads JE: The use of carbohydrates and proteolysates for long-term parenteral feeding. In Fox and Nahas (eds): Body Fluid Replacement in the Surgical Patient. Grune and Stratton, New York, 1970. Dudrick SJ, Wilmore DW, Steiger E, Vars HM and Rhoads JE: Intravenous essential amino acids and hypertonic glucose in the treatment of renal failure. In Berg G (ed): Advances in Parenteral Nutrition. Stuttgart, W. Germany, Georg Thieme Verlag, 1970. Steiger E and Dudrick SJ: Adenocarcinoma with regional enteritis. N Eng J Med 283:875-876. 1970. Heller L, Dudrick SJ, Lang K and Wretlind A: Recommendations for parenteral nutrition: Amino acids. J Nutr Sci (Suppl) 9:2-11. 1970. Fekl W, Lohr H and Dudrick SJ: Recommendations for parenteral nutrition: requirements of water and minerals. J Nutr Sci (Suppl) 9:18-20, 1970. Dudrick SJ, Heller L. Coats D and Schultes K: Recommendations for parenteral nutrition-application-velocity of infusion and catheter. J Nutr Sci (Suppl) 9:29-32, 1970. Wilmore DW, Daly JM, Dudrick SJ and Vars HM: Gastric secretions after parenteral fluid administration. Arch Surg 102:509-511, 1971. Dudrick SJ: Rational intravenous therapy. Am J Hosp Pharm 28:82-91, 1971. Dudrick SJ and Rhoads JE: New horizons for intravenous feedings. JAMA 215:939-949, 1971. 86 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. Dudrick SJ: Long-term total parenteral nutrition. Phila Med 67:45-55, 1971. Wilmore DW, Dudrick SJ, Daly JM and Vars HM: he role of nutrition in the adaptation of the small intestine after massive resection. Surg Gynecol Obstet 132:673-680, 1971. Dudrick SJ, Long JM and Steiger E: Principles of intravenous hyperalimentation in the surgical patient. Symposium on Pre- and Postoperative Care. J St Barnabas Med Cnt 8:21-30, 1971. Flack HL, Gans JA, Serlick SE and Dudrick SJ: The current status of parenteral hyperalimentation. Am J Hosp Pharm 28:326-335, 1971. Dudrick SJ and Allen TR: Long-term intravenous hyperalimentation. Del Med J 43:149-154, 1971. Travis SF, Sugerman HJ, Ruberg RL, Dudrick SJ, Delivoria Papadopoulos M, Miller LD and Oski FA: Alterations of red-cell glycolytic intermediates and oxygen transport as a consequence of hypophosphatemia in patients receiving intravenous hyperalimentation. N Eng J Med 285:763-767, 1971. Ruberg RL, Allen TR, Goodman MJU, Long JM and Dudrick SJ:Hypophosphatemia with hypophosphaturia in hyperalimentation. Surg Forum 22:87-88, 1971. Steiger E, Allen TR, Daly JM, Vars HM and Dudrick SJ: Beneficial effects of immediate postoperative total parenteral nutrition. Surg Forum 22:89-90, 1971. Wilmore DW, Holtzapple PG, Dudrick SJ and Cerda JJ: Transport studies, morphological and histochemical findings in intestinal epithelial cells following massive bowel resection. Surg Forum 22:361-363, 1971. Dudrick SJ: Parenteral nutrition. In: Kinney, Egdahl and Zuidema (eds): Manual of Preoperative and Postoperative Care. 2nd Edition, WB Saunders Company, Philadelphia, PA, 1971. Dudrick SJ and Steiger E: Parenteral solutions. In Rabininowitz and Myerson (eds): Topics in Medicinal Chemistry. John Wiley and Sons, Inc., New York, Vol 4, 1971. Dudrick SJ and Rhoads JE: Intravenous hyperalimentation. In Hardy JE (ed): Critical Surgical Illness, WB Saunders Co, Philadelphia, Pennsylvania, 1971. Dudrick SJ, Long JM, Steiger E and Rhoads JE: Technique of long-term parenteral nutrition. In Lang, Fekl and Berg (eds): Bilanzierte Ernahrung in der Therapie (Balanced Nutrition and Therapy). From the International Symp in Nuremberg, April 10-12, 1970, Stuttgart, W. Germany, Georg Thieme Verlag, 1971. Dudrick SJ and Ruberg TL: Principles and practice of parenteral nutrition. Gastroenterology 61:901-910, 1971. Dudrick SJ and Nallinger J: Intravenous hyperalimentation. Intravenous therapy in-service training series, clinical seminar No. 8. Abbott Labs, N. Chicago, IL, 1971. 87 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. Schlappner OLA, Shelley WB, Ruberg RL and Dudrick SJ: Acute papulopustular acne associated with prolonged intravenous hyperalimentation. JAMA 219:877-880, 1972. Steiger E, Vars HM and Dudrick SJ: A technique for long-term intravenous feeding in unrestrained rats. Arch Surg 104:330-332, 1972. Dudrick SJ and Rhoads, JE: Total intravenous feeding. Sci Am 226:763-80, 1972 Dudrick SJ: Forward. In Cowan and Sheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA, 1972. Dudrick SJ, Ruberg RL, Long JM, Allen TR and Steiger E: Uses, non-uses and abuses of intravenous hyperalimentation. In Cowan and Sheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA., pp 110-112, 1972. Dudrick SJ, Steiger E, Long JM, Ruberg RL, Allen TR, Vars HM and Rhoads JE: General principles and techniques of intravenous hyperalimentation. In Cowan and Sheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA, pp 2-14, 1972. Long JM, Dudrick SJ, Steiger E, Ruberg RL and Allen TR: Use of intravenous hyperalimentation in patients with renal or liver failure. In Cowan and Scheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA, pp 146-151, 1972. Steiger E, Daly JM, Vars HM, Allen TR and Dudrick SJ: Animal research in intravenous hyperalimentation. In Cowan and Sheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA, pp 186-194, 1972. Dudrick SJ, Steiger E, Long JM, Ruberg RL, Allen TR, Vars HM and Rhoads JE: General principles and technique of administration in complete parenteral nutrition. In Wilkinson AW (ed): Parenteral Nutrition. From an International Symp in London, April 30-May 1, 1972, Churchill Livingston, London, England, pp 222-223, 1972. Dudrick SJ: Nutritional composition requirements, utilization, toxicology, interrelations, new product suggestions. Symposium on Total Parenteral Nutrition, Nashville, TN, January 17-19, 1972, Council on Foods and Nutrition, AMA. Dudrick SJ: Criteria for measurement of efficacy of total parenteral nutrition. Symposium on Total Parenteral Nutrition, Nashville, TN, January 17-19, 1972, Council on Foods and Nutrition, AMA. Daly JM, Vars HM and Dudrick SJ: Effects of protein depletion on strength of colonic anastomoses. Surg Gynecol Obstet 134:15-21, 1972. Dudrick SJ, MacFadyen BV, Jr, Van Buren CT, Ruberg RL and Maynard AT: Parenteral hyperalimentation: metabolic problems and solutions. Ann Surg 176:259-264, 1972. Dudrick SJ and Rhoads JE: Metabolism in surgical patients: protein, carbohydrate and fat utilization by oral and parenteral routes. In Sabiston DC (ed): Textbook of Surgery, WB Saunders Co, Philadelphia, PA, 1972. 88 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. Daly JM, Steiger E and Dudrick SJ: Postoperative nutrition and colonic wound healing, serum protein metabolism and body weight. Surg Forum 23:38-40, 1972. Van Buren CT, Dudrick SJ, Dworkin L, Baumbauer E and Long JM: Effects of intravenous essential L-amino acids and hypertonic dextrose on anephric beagles. Surg Forum 23:83-84, 1972. Dudrick SJ: Intravenous feeding as an aid to nutrition in disease. In Nutrition and Cancer, Am Ca Society, Inc., New York, pp 18-29, 1973. Copeland EM and Dudrick SJ: Intravenous hyperalimentation. In GI Tract, Warren-Teed Pharmaceuticals Inc, Columbus, Ohio, Vol 3, No. 2, pp 14-19, 1973. Steiger E, Daly JM, Allen TR, Dudrick SJ and Vars HM: Postoperative intravenous nutrition: effects on body weight, protein regeneration, wound healing and liver morphology. Surg 73:686-691, 1973. Rhoads JE and Dudrick SJ: Weight gain, growth and development induced in man by the intravenous administration of pure chemicals. Proc Am Phil Soc 117:152-161, 1973. Daly JM, Steiger E, Prockop DJ and Dudrick SJ: Inhibition of collagen synthesis by the proline analogue Cis-4-Hydroxyproline. J Surg Res 14:551-555, 1973. MacFadyen BV, Jr., Dudrick SJ and Ruberg RL: Management of gastrointestinal fistulas with parenteral hyperalimentation. Surg 74:100-105, 1973. Dudrick SJ and Copeland EM: Parenteral hyperalimentation. In Nyhus LM (ed): Surgery Annual, Appleton-Century-Crofts, New York pp 69-95, 1973. Law DK, Dudrick SJ and Abdou NI: Immunocompetence of patients with protein-calorie malnutrition. Ann Int Med 79:545-550, 1973. MacFadyen BV, Jr., Dudrick SJ, Tagudar EP, Maynard AT, Law DK and Rhoads JE: Triglyceride and free fatty acid clearances in patients receiving complete parenteral nutrition using a ten percent soybean oil emulsion. Surg Gynecol Obstet 137:813-815, 1973. Dudrick SJ, MacFadyen BV, Jr., Copeland EM, Duke JH, Jr and Souchon EA: Parenteral hyperalimentation. 1973 Cine Clinics, Amer College of Surg Mtg, Chicago, IL, Davis and Geck, Danbury, CT, 1973. Law DK, Dudrick SJ and Abdou NI: The effect of dietary protein depletion on immunocompetence: the importance of nutritional repletion prior to immunologic induction. Ann Surg 179: 168-173, 1974. Copeland EM, MacFadyen BV, Jr and Dudrick SJ: Intravenous hyperalimentation in cancer patients. J Surg Res 16:241-247, 1974. Copeland EM, MacFadyen BV, Jr., McGown C and Dudrick SJ: The use of hyperalimentation in patients with potential sepsis. Surg Gynecol Obstet 138:377-384, 1974. Copeland EM, MacFadyen BV, Jr. and Dudrick SJ: Prevention of microbial catheter contamination in patients receiving parenteral hyperalimentation. S Med J 67:303-306, 1974. 89 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. 108. 109. Dudrick SJ and Copeland EM: Nutritional concepts in head and neck cancer. In Neoplasia of Head and Neck, Year Book Medical Publishers, Inc., Chicago, 1974. Dudrick SJ, MacFadyen BV, Jr and Winters RW: Technique of total parenteral nutrition in infants. In Bode HH and Warshaw JB (eds): Parenteral Nutrition in Infancy and Childhood. Plenum Press, New York, 1974. Heird WC, Winters RW and Dudrick SJ: Metabolic complications of total parenteral nutrition. In Bode HH and Warshaw JB (eds): Parenteral Nutrition in Infancy and Childhood, Plenum Press, New York, 1974. Law DK, Dudrick SJ and Abdou NI: The effects of protein calorie malnutrition on immune competence of the surgical patient. Surg Gynecol Obstet 139:257-266, 1974. Schanbacher LM, Johnson LR, Copeland EM, Dudrick SJ and Castro GA: Glucose transport across the small intestine of parenterally nourished rats. IRCS (Research on Alimentary System, Metabolism and Nutrition: Physiology; Surgery and Transplantation) 2:1459, 1974. Castro GA, Johnson LR, Copeland EM and Dudrick SJ: Development of enteric parasites in parenterally fed rats. Proc Soc Exp Biol Med 146:703-706, 1974. Ruberg RL, Steiger E, Van Buren CT and Dudrick SJ: Progress in parenteral protein nutrition. In Brown H (ed): Protein Nutrition, Charles C. Thomas, Springfield, IL, 1974. Jordan HA, Moses H, MacFadyen BV, Jr. and Dudrick SJ: Hunger and satiety in humans during parenteral hyperalimentation. Psychosom Med 36:144-145, 1974. Dudrick SJ and Daly JM: Performing a safe, successful venous cutdown. Hosp Physician 34-36, 1974. Dudrick SJ: Part One: Evaluation of the patient. Criteria for measurement of efficacy. In White PL and Nagy ME (eds): Total Parenteral Nutrition. Acton, MA, Publishing Sciences Group, Inc. 1974. Daly JM, Steiger E, Vars HM and Dudrick SJ: Postoperative oral and intravenous nutrition. Ann Surg 180:709-715, 1974. Dudrick SJ: Total parenteral nutrition: pre-clinical and clinical experience in the newborn and infant. Presented at the Fuel Metabolism in the Fetus and Newborn Mead Johnson Symposium on Perinatal Developmental Medicine, No. 3, Vail CO, June 10-12, 1973, Evansville, IN, Mead Johnson and Co, 1974. Solomon N, Copeland EM, MacFadyen BV, Jr., Dudrick SJ and Samaan NA; Intravenous hyperalimentation and growth hormone in cancer patients. Surg Forum 25:59-60, 1974. Copeland EM, MacFadyen BV, Jr., Lanzotti VJ and Dudrick SJ: Intravenous hyperalimentation as an adjunct to cancer chemotherapy. Am J. Surg 129:167-173, 1975. 90 110. 111. 112. 113. 114. 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. Dudrick SJ: Historical considerations of intravenous hyperalimentation. In Winters RW and Hasselmeyer EG (eds): Intravenous nutrition in the high risk infant. John Wiley and Sons, Inc., New York, 1975. Dudrick SJ: Essential fatty acids. In Winters RW and Hasselmeyer EG (eds): Intravenous Nutrition in the High Risk Infant. John Wiley and Sons, Inc., 1975. Dudrick SJ: Intravenous nutrition in acute renal failure. In Winters RW and Hasselmeyer EG (eds): Intravenous Nutrition in the High Risk Infant. John Wiley and Sons, Inc., New York, 1975. Dudrick SJ and Duke JH, Jr.: Nutritional complications in the surgical patient. In Artz CP and Hardy JD (eds): Complications in Surgery and Their Management, 3rd Edition, WB Saunders Co, Philadelphia, PA, pp 243-276, 1975. Copeland EM, MacFadyen BV, Jr., MacComb WS, Guillamondegui O, Jesse RH and Dudrick SJ: Intravenous hyperalimentation in patients with head and neck cancer. Ca 35:606-611, 1975. Dudrick SJ, Copeland EM and MacFadyen BV, Jr.: Long-term parenteral nutrition: its current status. Hosp Practice 10:47-58, 1975. Daly JM, Ziegler B and Dudrick SJ: Central venous catheterization. Am J Nurs 75:820-824, 1975. Castro GA, Copeland EM, Dudrick SJ and Johnson LR: Intestinal disaccharidase and peroxidase activities in parenterally nourished rats. J Nutr 105:776-781, 1975. Souchon EA, Copeland EM, Watson P and Dudrick SJ: Intravenous hyperalimentation as an adjunct to cancer chemotherapy with 5-Fluorouracil. J Surg Res 18:451-454, 1975. Johnson LR, Copeland EM, Dudrick SJ, Lichtenberger LM and Castro GA: Structural and hormonal alterations in the gastrointestinal tract of parenterally fed rats. Gastroenterology 68:1177-1183, 1975. Johnson LR, Lichtenberger LM, Copeland EM, Dudrick SJ and Castro GA: Action of gastrin on gastrointestinal structure and function. Gastro 68:1184-1192, 1975. Lanzotti VJ, Copeland EM, George SL, Dudrick SJ and Samuels ML: Cancer chemotherapeutic response and intravenous hyperalimentation. Ca Chemother Rep 59:437-439, 1975. Copeland EM and Dudrick SJ: Cancer: nutritional concepts. Seminars in Oncology 2:329-335, 1975. Dudrick SJ and Duke JH, Jr: Parenteral nutrition-intravenous hyperalimentation. In Bockus HL (ed): Gastroenterology, WB Saunders Co, Philadelphia, PA, pp 395-416, 1975. Copeland EM, MacFadyen BV, Jr., Rapp MA and Dudrick SJ: Hyperalimentation and immune competence in cancer. Surg Forum 26:138-140, 1975. Duke JH, Jr and Dudrick SJ: Parenteral feeding. In Ballinger, Collins, Drucker, Dudrick and Zeppa (eds): Manual of Surgical Nutrition, 91 126. 127. 128. 129. 130. 131. 132. 133. 134. 135. 136. 137. 138. 139. 140. Committee on Pre- and Postoperative Care, Amer College of Surg, WB Saunders Co, Philadelphia, PA, pp 285-317, 1975. Ballinger, Collins, Drucker, Dudrick and Zeppa (eds): Manual of Surgical Nutrition, Committee on Pre- and Postoperative Care, Amer College of Surg, WB Saunders Co, Philadelphia, 1975. Copeland EM and Dudrick SJ: Intravenous hyperalimentation as adjunctive treatment in the cancer patient. In Banks G (eds): Clinical Digest, McGaw Laboratories, Vol 5, pp 1-4, 1976. Ames FC, Copeland EM, Leeb DC, Moore DL and Dudrick SJ: Liver dysfunction following small-bowel bypass for obesity. JAMA 235:1249-1252, 1976. Copeland EM, MacFadyen BV, Jr. and Dudrick SJ: Effect of intravenous hyperalimentation on established delayed hypersensitivity in the cancer patient. Ann Surg 184:60-64, 1976. Dudrick SJ, Copeland EM and MacFadyen BV, Jr: Hyperalimentation in infants. In Bilanzierte Ernahrung in der Therapie (Balanced Nutrition and Therapy). From the II International Symposium in Erlangen, Germany, April 11-14, 1973, Zeit Erhnahrungswiss 15:9025, 1976. Castro GA, Johnson LR, Coperland EM and Dudrick SJ: Course of infection with enteric parasites in hosts shifted from enteral to total parenteral nutrition. J. Parasitol 62:353-359, 1976. Moore EP, Copeland EM, Dudrick SJ and Weisbrodt NW: Effect of an elemental diet on the electrical activity of the small intestine in dogs. J Surg Res 20:533-537, 1976. Hill GL, Guinn EJ and Dudrick SJ: Phosphorus distribution in hyperalimentation induced hypophosphatemia. J Surg Res 20:527-531, 1976. Rapp MA, Hilkemeyer R, Copeland EM and Dudrick SJ: Hyperalimentation: Special nutrition therapy for the cancer patient. RN Magazine 39:55-61, 1976. Dudrick SJ, MacFadyen BV, Jr. and Daly JM: Management of inflammatory bowel disease with parenteral hyperalimentation. In Clearfield and Dinoso (eds): Gastrointestinal Emergencies. Thirty-fourth Hahnemann Symposium, New York, Grune and Stratton, pp 913-199, 1976. Dudrick SJ: Minimizing sepsis risk in hyperalimentation. The Surgical Team pp 44-50, April 1976. Dudrick SJ: "Incurable" cancer: When there is hyperalimentation, there is hope. IV Therapy 3:28-32, 1976. Dudrick SJ and Copeland EM: The role of nutrition in the treatment of cancer. Nutrition and the MD 2:1-2, 1976. Dudrick SJ: Total intravenous feeding: When nutrition seems impossible. Drug Therapy 2:11-20, 1976. Souchon EA, Englert DM, Duke JH, Jr. and Dudrick SJ: Intravenous hyperalimentation in 342 surgical patients. Rev Surg 9:297-299, 1976. 92 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. 151. 152. Dudrick SJ: Forward. In Hill GL (ed): Ileostomy, First Edition, Grune and Stratton, New York, 1976. Dudrick SJ: Anesthetic and surgical care of the traumatized patient. The Fifth Annual EA Rovenstine Panel on Anesthetic and Surgical Management of the Traumatized Patient held during the XXIX Postgraduate Assembly in Anesthesiology of the New York Society of Anesthesiologists, December 14, 1975. Anesth Review 8:17-26, 1976. Castro GA, Badial-Aceves F, Smith JW, Dudrick SJ and Weisbrodt NW: Altered small bowel propulsion associated with parasitism. Gastroenterology 71:620-625, 1976. MacFadyen BV, Jr. and Dudrick SJ: The treatment of gastrointestinal fistulas with parenteral hyperalimentation and total bowel rest. In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 437-440, 1976. MacFadyen BV, Jr. and Dudrick SJ: The management of fistulas in inflammatory bowel disease with parenteral hyperalimentation. In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 559-562, 1976. Copeland EM and Dudrick SJ: Nutritional aspects of cancer. In Hickey RD (ed): Current Problems in Cancer. Year Book Medical Publishers, Inc, Chicago, IL, Vol 1, No 3, pp 3-51. September, 1976. Castro GA, Badial-Aceves F, Adams PR, Copeland EM and Dudrick SJ: Response of immunized, parenterally nourished rats to challenge infection with the nematode, Trichinella Spiralis. J Nutr 10:1484-1491, 1976. Copeland EM, Daly JM, Guinn EJ and Dudrick SJ: Effects of protein nutrition on cell-mediated immunity. Surg Forum 27:340-342, 1976. Daly JM, Copeland EM, Guinn EJ and Dudrick SJ: Relationship of protein nutrition to tumor growth and host immunocompetence. Surg Forum 27:113-114, 1976. Copeland EM, MacFadyen BV, Jr., McGown C and Dudrick SJ: Should hyperalimentation be used in the potentially septic patient? In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 675-666, 1976. Copeland EM, MacFadyen BV, Jr., Lanzotti VJ and Dudrick SJ: Intravenous hyperalimentation as an adjunct to cancer chemotherapy. In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 685-694, 1976. Copeland EM, MacFadyen BV, Jr., MacComb WS, Guillamondegui O, Jesse RH and Dudrick SJ: Intravenous hyperalimentation in patients with head and neck cancer. In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 711-719, 1976. 93 153. 154. 155. 156. 157. 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. MacFadyen BV, Jr. and Dudrick SJ: Inflammatory bowel disease - A new method of treatment. In Proceedings of the Inflammatory Society of Parenteral Nutrition. Kyoto, Japan, August 3-9, 1975. Copeland EM, MacFadyen BV, Jr., Lanzotti VC and Dudrick SJ: The nutritional care of the cancer patient. In Clark RL and Howe CD (eds): Cancer Patient Care at M.D. Anderson Hospital and Tumor Institute. Year Book Medical Publishers, Chicago, IL pp 607-628, 1976. Weisbrodt NW, Copeland EM, Thor PJ and Dudrick SJ: The myoelectric activity of the small intestine of the dog during total parenteral nutrition. Proc Exp Biol Med 153:121-124, 1976. Dudrick SJ, MacFadyen BV, Jr., Copeland EM and Duke JH,Jr.: Experimental aspects of total parenteral alimentation. In Manni, Magalini and Scrascia (eds): Total Parenteral Alimentation. From the International Symposium on Intensive Therapy, May 30-June 2, 1975. Excerpta Medica 3-17, 1976. Castro GA, Copeland EM, Dudrick SJ and Johnson LR: Serum and antral gastrin levels in rats infected with intestinal parasites. Am J Trop Med Hyg 848-853, 1976. Pickard LR, Dudrick SJ, Hill GL and Perry JL: Management of patients with modified Hunt pouch esophagojejunostomy after total gastrectomy for carcinoma of the stomach. Southern Med 69:1458-1460, 1976. Thor PJ, Copeland EM, Dudrick SJ and Johnson LR: Effect of long-term parenteral feeding on gastric secretion in dogs. Am J Physiol 232:E39-E43, January 1977. Dudrick SJ: The genesis of intravenous hyperalimentation. JPEN 1:23-29, 1977. Law DK, Dudrick SJ, Abdou NI: The effects of protein calorie malnutrition on immune competence of the surgical patient. Arch Intern Med 137:1364-1365, 1977. Ota DM, Copeland EM, Strobel HW, Daly JM, Gum ET, Guinn EJ and Dudrick SJ: The effect of protein nutrition on host and tumor metabolism. J Surg Res 22:181-188, 1977. Frazier TG, Copeland EM, Khalil DG, Dudrick SJ and Mountain CF: Intravenous hyperalimentation as an adjunct to colon interposition for carcinoma of the esophagus. Cancer 39:410-412, 1977. Dudrick SJ and Long JM, III: Applications and hazards of intravenous hyperalimentation. Ann Rev Med 28:517-528, 1977. Dudrick SJ and Rhoads JE: Metabolism in surgical patients: protein, carbohydrate and fat utilization by oral and parenteral routes. In Sabiston DC (ed): Textbook of Surgery, WB Saunders Co, Philadelphia, PA, pp 150-177, 1977. Dudrick SJ, Daly JM, Castro GA and Akhtar M: Gastrointestinal adaptation following small bowel bypass for obesity. Ann Surg 185:642-648, 1977. Englert DM and Dudrick SJ: Principles of intravenous hyperalimentation. AORN 25:1253-1267, 1977. 94 168. 169. 170. 171. 172. 173. 174. 175. 176. 177. 178. 179. 180. 181. Hill GL, Bowen JC, Copeland EM, MacFadyen BV, Jr. Duke JH, Jr. and Dudrick SJ: Teaching in clinical surgery: At the bedside or in the seminar room? J Med Educ 52:595-597, 1977. Dudrick SJ, MacFadyen BV, Jr., Souchon EA, Englert DM and Copeland EM: Parenteral nutrition techniques in cancer patients. Cancer Res 37:2440-2450, 1977. Copeland EM, Daly JM and Dudrick SJ: Nutrition as an adjunct to cancer treatment in the adult. Cancer Res 37:2451-2456, 1977. Dudrick SJ: Summary of the informal discussion of nutritional management. Cancer Res 38:2462-2468, 1977. Ahnefeld FW, Allgower M, Dick W, Dohrmann R, Dudrick SJ, Lutz H and Schultis K: Parenteral nutrition. Langebaecks Arch Chir 343:251-265, 1977. Copeland EM, Dernbach TA and Dudrick SJ: The role of intravenous hyperalimentation in cancer therapy. Infusion 1:4-12, 1977. Long JM, III and Dudrick SJ: A rationale for glucose as primary calorie source. In Richards and Kinney (eds): Nutritional Aspects of the Care of the Critically Ill, pp 331-334, Churchill-Livingstone, Edinburg, Scotland, United Kingdom, 1977. Ota DM, Copeland EM, Corriere JN, Jacobson K and Dudrick SJ: Effects of protein nutrition on lymphocyte transformation. Surg Forum 28:65-66, 1977. Dudrick SJ, Copeland EM and MacFadyen BV, Jr: The nutritional care of the cancer patient. In: Greep JM, et al (eds): Current Concepts in Parenteral Nutrition, pp 187-216, Nijhoff Martinus, Holland, The Hague. 1977. Dudrick SJ and Long JM, III: Applications and hazards of intravenous feeding. In Greep JM, et al (eds): Current Concepts in Parenteral Nutrition, pp 5-20, Nijhoff Martinus, Holland, The Hague, 1977. Johnson LR, Schanbacher LM, Dudrick SJ and Copeland EM: Effect of long-term parenteral feeding on pancreatic secretion and serum secretin. Am J Physiol 223:E524-E526, 1977. Dudrick SJ, Copeland EM and MacFadyen BV, Jr.: Parenteral nutrition as an adjunct to cancer therapy. Klinishe Anesthesiologie und Intensivetherapie: Fortschritte der Parenteralen Ernahrung, pp 1-12, Berlin, West Germany, Springer-Verlag, 1977. MacFadyen BV, Jr., Copeland EM and Dudrick SJ: The use of intravenous hyperalimentation in the management of patients with malignant diseases. In Richards JR and Kinney JM (eds): Nutritional Aspects of the Care of the Critically Ill, pp 541-556, Proceedings of the Nutritional Symposium, Glasgow, Scotland, November, 1976, London, Churchill-Livingstone, 1977. MacFadyen BV, Jr., Copeland EM and Dudrick SJ: Surgical nutrition. In Schneider HA, Anderson CA and Coursin DB (eds): Nutritional Support of Medical Practice, pp 485-500, Hagerstown, Maryland, Harper and Rowe, 1977. 95 182. 183. 184. 185. 186. 187. 188. 189. 190. 191. 192. 193. 194. 195. 196. Daly JM, Castro GA, Akhtar M and Dudrick SJ: Morphologic and biochemical intestinal changes after jejunoileal bypass. Rev Surg 34:428-431, 1977. Copeland EM, Souchon EA, MacFadyen BV, Jr., Rapp MA and Dudrick SJ: Intravenous hyperalimentation as an adjunct to radiation therapy. Ca 39:609-616, 1977. Weisbrodt NW, Badial-Aceves F, Dudrick SJ, Burks TF and Castro GA: Tolerance to the effect of morphine on intestinal transit. Proc Soc Exp Biol Med 154:587-590, 1977. Ruberg RL and Dudrick SJ: Intravenous hyperalimentation in head and neck tumor surgery: indications and precautions. Br J Plast Surg 30:151-153, 1977. Long JM, III, Dudrick SJ and Copeland EM: Update on parenteral hyperalimentation. In Najarian and Delaney (eds): Critical Surgical Care, pp 459-467, Stratton, 1977. Long JM, III and Dudrick SJ: Metabolism and nutrition in burn patients. In Najarian and Delaney (eds): Critical Surgical Care, pp 631-639, Stratton, 1977. Dudrick SJ and MacFadyen BV,Jr.: Inflammatory lesions of small bowel. In Rhoads Textbook of Surgery-Principles and Practices, JD Hardy (ed): Fifth Edition, pp 1134-1142, JB Lippincott, Philadelphia, PA 1977. Long JM, III and Dudrick SJ: Nutritional education during surgical internship and residency. Am J Clin Nutr 30:806-811, 1977. Ota DM, Copeland EM, Corriere JN, Richie ER, Jacobson K and Dudrick SJ: The effects of a 10% soybean oil emulsion on lymphocyte transformation. JPEN 2:112-115, 1978. Dudrick SJ: A patient on IV therapy need not starve! Consultant pp 142-151, 1978. Copeland EM and Dudrick SJ: The importance of parenteral nutrition as an adjunct to oncologic therapy. In Johnston IDA (ed): Advances in Parenteral Nutrition, pp 473-500, Lancaster, England, MTP Press Limited, 1978. Copeland EM, Souchon EA and Dudrick SJ: Intravenous hyperalimentation as adjunctive oncologic management. In Enker E (ed): Carcinoma of the Colon and Rectum, pp 220-223, Chicago, IL, Year Book Medical Publishers, 1978. Weisbrodt NW, Badial-Aceves F, Copeland EM, Dudrick SJ and Castro GA: Small-intestinal transit during total parenteral nutrition in the rat. Am J Dig Dis 23:365-369, 1978. Adams PR, Copeland EM, Dudrick SJ, Johnston LR and Castro GA: Maintenance of gut mass in bypassed bowel of orally vs parenterally nourished rats. J Surg Res 24:421-427, 1978. Mullen JL, Hargrove WC, Dudrick SJ, Fitts WT, Jr. and Rosato EF: Ten years experience with intravenous hyperalimentation and inflammatory bowel disease. Ann Surg 187:523-529. 1978. 96 197. 198. 199. 200. 201. 202. 203. 204. 205. 206. 207. 208. 209. 210. 211. 212. 213. Kyger ER, Block WJ, Roach G and Dudrick SJ: Adverse effects of protein malnutrition on myocardial function. Surg 84:147-156, 1978. Dudrick SJ: Presidential Address: The common denominator and the bottom line. JPEN 2:13-21, 1978. Ota DM, MacFadyen BV,Jr., Gum E and Dudrick SJ: Zinc and copper deficiencies in man during intravenous hyperalimentation. In Hambridge KM and Nichols BL, Jr. (eds): Zinc and Copper in Clinical Medicine, Spectrum Publications, Inc., New York, New York 1978. Englert DM and Dudrick SJ: Principles of ambulatory home hyperalimentation. Am J IV Ther 5(5): 11-28, 1978. Daly JM, Dudrick SJ and Copeland EM: Effects of protein depletion and repletion on cell-mediated immunity in experimental animals. Ann Surg 188:791-796, 1978. Issell BF, Valdivieso M, Zaren HA, Dudrick SJ, Freireich EJ, Copeland EM and Bodey GP: Protection of chemotherapy toxicities by intravenous hyperalimentation. Cancer Treat Rep 62:1059-1063, 1978. Daly JM, Copeland EM and Dudrick SJ: Effects of intravenous nutrition on tumor growth and host immunocompetence in malnourished animals. Surgery 84:655-658, 1978. Copeland EM and Dudrick SJ: Concetti sulla nutrizione in concerologia. Oncologia Clinica 4:84-96, 1978. Daly JM, Reynolds HM, Rowlands BJ, Baquero GE, Dudrick SJ and Copeland EM: Nutritional manipulation of tumor-bearing animals: effects on body weight, serum protein levels and tumor growth. Surg Forum 29:143-144, 1978. MacFadyen BV, Jr. and Dudrick SJ: Total parenteral nutrition of the critically injured patient. Dietetic Currents 5:1-6, 1978. Copeland EM and Dudrick SJ: The role of nutrition in the treatment of cancer. In McKee G (ed): Selections from Nutrition and the MD, Mervyn G. Oakner Publisher, pp 33-36. 1978. Souba WW, Long JM, III and Dudrick SJ: Energy intake and stress as determinants of nitrogen in rats. Surg Forum 29:76-77, 1978. Kirkland J, Ben-Menachem Y, Dudrick SJ, Akhtar M and Marshall R: Islet-cell tumor in the newborn: Diagnosis by selective angiography and histological findings. Pediatrics 61:(5)790-791, 1978. Copeland EM, Daly JM and Dudrick SJ: Nutritional concepts in the treatment of head and neck malignancies. Head and Neck Surg 1:350-363, 1979. Ota DM, Copeland EM, Corriere JN and Dudrick SJ: The effects of nutrition and treatment of cancer on host immunocompetence. Surg Gynecol Obstet 148:104-111, 1979. Dudrick SJ, Englert DM, MacFadyen BV, Jr and Souchon EA: A vest for ambulatory patients receiving hyperalimentation. Surg Gynecol Obstet 148:587-590, 1979. Daly JM, Dudrick SJ and Copeland EM: Evaluation of nutritional indices as prognostic indicators in the cancer patient. Cancer 43:925-931, 1979. 97 214. 215. 216. 217. 218. 219. 220. 221. 222. 223. 224. 225. 226. 227. 228. Copeland EM and Dudrick SJ: Cancer: Nutritional concepts-hyperalimentation. In Druse LC, Reese JL and Hart LK (eds): Cancer: Pathophysiology, Etiology and Management. CV Mosby Co, St. Louis, MO, pp 378-385, 1979. Copeland EM, Daly JM and Dudrick SJ: Nutritional concepts in the treatment of head and neck malignancies. Head and Neck Surg 1:350-363, 1979. Dudrick SJ, Englert DM, Van Buren CT, Rowlands BJ and MacFadyen BV, Jr.: New concepts of ambulatory home hyperalimentation. JPEN 3:72-76, 1979. Copeland EM, Daly JM, Ota DM and Dudrick SJ: Nutrition, cancer and intravenous hyperalimentation. Cancer 43:2108-2116, 1979. Castro GA, Copeland EM, Dudrick SJ and Ramaswamy K: Enteral and parenteral feeding to evaluate malabsorption in intestinal parasitism. Am J Trop Med Hyg 28:500-507, 1979. Daly JM, Copeland EM and Dudrick SJ: Chemotherapy in tumor bearing animals: Effects of oral versus intravenous nutrition. Acta Chir Scand Supp 494:178-180, 1979. Copeland EM, MacFadyen BV, Jr. and Dudrick SJ: Effect of nutrition on immunocompetence in cancer patients. Acta Chir Scand Supp 494:181-182, 1979. MacFadyen BV, Jr., Dudrick SJ, Copeland EM, Gum ET and Baquero G: Clinical and biological changes in liver function during intravenous hyperalimentation. Acta Chir Scand Supp 494:173-174, 1979. Souba WW, Long JM, III and Dudrick SJ: Effect of calorie intake and stress on nitrogen excretion. Acta Chir Scand Supp 494:115-117, 1979. Dudrick SJ: Preface. In Manabe H and Okada A (eds): Total Parenteral Nutrition and Intravenous Hyperalimentation, Asakura Publishing Company, Tokyo, Japan, 1979. Daly JM, Reynolds HM, Dudrick SJ and Copeland EM: Effects of nutritional repletion on host and tumor response to chemotherapy. Curr Surg 36:138-142, 1979. Dudrick SJ: Common bile duct exploration and cholecystectomy. In: Current Surgical Techniques, Surgical Communications, Inc for Schering Corp, Kenilworth, NJ, Vol 2, No 4, 1979. Floyd D, Ota D, Corriere JN, Dudrick SJ and Copeland EM: Effect of protein depletion on serum factors for lymphocyte transformation. Surg Forum XXX:57-60, 1979. Copeland EM, Rodman CA and Dudrick SJ: Nutritional concepts of neoplastic disease. In Van Eys J, Seeling MS and Nichols BL, Jr. (eds): Nutrition and Cancer, pp 133-156. Proceedings of the 18th Annual Meeting of the American College of Nutrition, June 1977, New York SP Medical and Scientific Books, 1979. MacFadyen BV, Jr. and Dudrick SJ: Hyperalimentation in the critically ill patient. In Krehl WA, Moss NH (eds): Clinical Nutrition in Health Care 98 229. 230. 231. 232. 233. 234. 235. 236. 237. 238. 239. 240. 241. 242. Facilities, pp 18-20, George F. Stickley Company for The Academy of Sciences at Philadelphia, PA, 1979. Dudrick SJ: Men who changed therapeutics: solving the riddle of hospital starvation-total parenteral nutrition. In Plese NK, Passaretti AB, Weems ME (eds): Therapaeia, A Supplement to Medical Tribune, pp 4-9, Dec 1979. Dudrick SJ: Nutritional therapy in burned patients. J Trauma 19:908-909, 1979. MacFadyen BV, Jr., Dudrick SJ, Baquero G and Gum ET: Clinical and biological changes in liver function during intravenous hyperalimentation. JPEN 3:438-443, 1979. Dudrick SJ, Copeland EM, Daly JM, Long JM,III, Duke JH, MacFadyen BV, Jr., Rowlands BJ, Van Buren CT, Corriere JN, Jr., Kahan BD, Ota DM, Englert DM and Jensen TG: A clinical review of nutritional support of the patient. JPEN 3:444-451, 1979. Copeland EM, Guillamondegui OM and Dudrick SJ: Prevention of nutritional complications. In Conley J. (ed): Complications of Head and Neck Surgery, Saunders Publishing Co, Philadelphia, PA pp 308-316, 1979. Ryan GP, Dudrick SJ, Copeland EM and Johnston LR: Effects of various diets on colonic growth. Gastroenterology 77:658-663, 1979. Dudrick SJ, Copeland EM and Daly JF: Cancer and immunocompetence. Proceedings of First European Congress of Parenteral and Enteral Nutrition. Edited by JH Wahren, Stockholm, Sweden. Acta Chir Scand Supp 498:146-149, September 2-5, 1979. Dudrick SJ: Current status of total parenteral nutrition. Proceedings of First European Congress of Parenteral and Enteral Nutrition. Edited by JH Wahren, Stockholm, Sweden. Acta Chir Scand Supp 498:12-19, September 2-5, 1979. Daly JM, Reynolds HM, Rowlands BJ, Dudrick SJ and Copeland EM:Tumor growth in experimental animals: nutritional manipulation and chemotherapeutic response in the rat. Ann Surg 191:58-64, 1980. Dudrick SJ and Englert DM: Total care of the patient receiving total parenteral nutrition. Psychosomatics 21:109-110, 1980. Copeland EM, Daly JM and Dudrick SJ: Intravenous hyperalimentation, bowel rest and cancer. Crit Care Med 8:21-28, 1980. Dudrick SJ: Forward. In: Grant, JP(ed): Handbook of Total Parenteral Nutrition. WB Saunders Co, Philadelphia, PA pp VII-VIII, 1980. Copeland EM and Dudrick SJ: Intravenous hyperalimentation in inflammatory bowel disease, pancreatitis and cancer. In Nyhus L (ed): Surgery Annual-1980, Appleton-Century-Crofts, New York NY, pp 83-101. Daly JM, Copeland EM, Dudrick SJ and Delaney JM: Nutritional repletion of malnourished tumor-bearing and nontumor-bearing rats: effects on body weight, liver, muscle and tumor. J Surg Res 28:507-508, 1980. 99 243. 244. 245. 246. 247. 248. 249. 250. 251. 252. 253. 254. 255. 256. 257. Reynolds HM, Daly JM, Rowlands BJ, Dudrick SJ and Copeland EM: Effects of nutritional repletion on host and tumor response to chemotherapy. Cancer 45:3069-3074, 1980. Khalil SN, Dudrick SJ, Mathieu A, Rigor BM, Sr and Fody EP: Low level of pseudocholinesterase in patients with Crohn's disease. Lancet, 267-268, August 2, 1980. Daly JM, Dudrick SJ and Copeland EM: Total parenteral nutrition: Techniques and indications. In: Day SB (ed): Integrated Medicine, A Companion to Life Sciences, Van Nostrand Reinhold, New York, NY, pp 566-579, 1980. Daly JM, Dudrick SJ and Copeland EM: Intravenous hyperalimentation: Effect on delayed cutaneous hypersensitivity in cancer patients. Ann Surg 192:587-592, 1980. Johnson LR, Dudrick SJ and Guthrie PD: Stimulation of pancreatic growth by intraduodenal amino acids and HCl. Am J Physiol 239:G400-G405, 1980. Daly JM, Dudrick SJ and Copeland EM: Parenteral nutrition in patients with head and neck cancer: Techniques and results. Otolaryngol. Head Neck Surg 88:707-713, 1980. Dudrick SJ, Englert DM, Rowlands BJ, Barroso AO and MacFadyen BV, Jr.: Ambulatory Home Hyperalimentation, 31st Cine Clinic, American College of Surgeons 66th Annual Clinical Congress, 1980. Dudrick SJ, Jensen TG and Rowlands BJ: Nutritional support: Assessment and Indications. In Deitel M (ed): Nutrition in Clinical Surgery, pp 19-27, Williams and Wilkins, Baltimore, MD, 1980. Deitel M, Lang AM, Dudrick SJ, Faintuch J, Frost PG, Kay RM and Ruderman RL: Organization of hyperalimentation in the community hospital: Panel discussion. In Deitel M (ed): Nutrition in Clinical Surgery, pp 151-160, Williams and Wilkins, Baltimore, MD., 1980. Dudrick SJ, Speir AM and Englert DM: The short-bowel syndrome and ambulatory home hyperalimentation. In Deitel M (ed): Nutrition in Clinical Surgery, pp 209-214, Williams and Wilkins, Baltimore, MD. 1980. Dudrick SJ, Van Buren CT and Ota DM: New horizons in intravenous alimentation. In Deitel M. (ed): Nutrition in Clinical Surgery, pp 261-271, Williams and Wilkins, Baltimore, MD., 1980. Jensen TG, Long JM, III and Dudrick SJ: Nutritional support of the burn patient. Nutrition and the MD, 7:1-3, 1980. Perl M, Hall RCW, Dudrick SJ, Englert DM, Stickney SK and Gardner ER: Psychological aspects of long-term home hyperalimentation. JPEN 4:554-560, 1980. Rowlands BJ, MacFadyen BV, Jr., DeJong P and Dudrick SJ: Monitoring hepatic dysfunction during intravenous hyperalimentation. J Surg Res 28:471-478, 1980. Dudrick SJ: What's new in surgery-shock and metabolism. Bull Am Coll Surg, , Vol 66, No 1, January 1981 100 258. 259. 260. 261. 262. 263. 264. 265. 266. 267. 268. 269. 270. 271. 272. 273. Daly JM, Reynolds HM, Copeland EM and Dudrick SJ: Effects of enteral and parenteral nutrition on tumor responses to chemotherapy in experimental animals. J Surg Oncol 16:79-86, 1981. Copeland EM and Dudrick SJ: Nutritional complications in postsurgical patients. American Surg 47:(2)67-71, February, 1981. Daly JM, Dudrick SJ and Copeland EM: Total parenteral nutrition: techniques and indications. In Day SB (ed): Integrated Medicine: A Companion to the Life Sciences, pp 566-579, Van Nostrand Reinhold Co, New York, 1981. Dudrick SJ: A Clinical review of nutritional support of the patient. Amer J of Clin Nutr 34:1191-1198, June 1981. Daly JM, Copeland EM and Dudrick SJ: Nutritional management of patients with head and neck malignancies. In Suen JY and Myers E (eds): Cancer of the Head and Neck, pp 63-69, Churchill Livingstone Publishing Co, New York, 1981. Moore RA, Feldman S, Treuting J, Bloss R and Dudrick SJ: Cimetidine and parenteral nutrition. JPEN 5:(1) 61-63, 1981. Dudrick SJ: What's new in surgery, shock and metabolism. Emerg Med 13:(5)160-167, 1981. Miller TA and Dudrick SJ (eds): The Management of Difficult Surgical Problems. University of Texas Press, Austin, 1981. Dudrick SJ and Copeland EM: Nutritional support of the cancer patient. In Miller TA and Dudrick SJ (eds): The Management of Difficult Surgical Problems, pp 201-215, University of Texas Press, Austin, 1981. Dudrick SJ and Englert DM: Management of the short bowel syndrome. In Miller TA and Dudrick SJ (eds): The Management of Difficult Surgical Problems, pp 225-235, University of Texas Press, Austin, 1981. Daly JM, Reynolds HM, Copeland EM and Dudrick SJ: Effects of enteral and parenteral nutrition on tumor response to chemotherapy in experimental animals. J Surg Oncology 16:79-86, 1981. Dudrick SJ, Englert DM, Barroso AO, Jensen TG, Pacinda-Ortiz C, Lee PA and Rowlands BJ: Update on ambulatory home hyperalimentation. Nutr Supp Serv 1:(1)18-21, 1981. Copeland EM, Daly JM and Dudrick SJ: Nutrition and cancer. In Murphy GP (ed): International Advances in Surgical Oncology, Allan R. Liss, Inc, New York, Vol 4, 1-4, 1981. Copeland EM, Daly JM and Dudrick SJ: Parenteral hyperalimentation of the cancer patient. In Newell G and Ellison N (eds): Nutrition and Cancer: Etiology and Treatment, Raven Press, New York, pp 393-410, 1981. Issell BF, MacFadyen BV, Jr., Gum ET, Valdivieso M, Dudrick SJ and Bodey GP: Serum zinc levels in lung cancer patients. Cancer 47:(7)1845-1848, 1981. Johnson LR, Guthrie PE and Dudrick SJ: Effects of luminal gastrin on the growth of rat intestinal mucosa. Gastroenterology 81:(1)71-77, 1981. 101 274. 275. 276. 277. 278. 279. 280. 281. 282. 283. 284. 285. 286. 287. 288. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Nutrition classics: Long-term total parenteral nutrition with growth, development and positive nitrogen balance. Nutr Reviews 39:(7)278-281, 1981. Rhoads JE, Vars HM and Dudrick SJ: The development of intravenous hyperalimentation. Surg Clin North Am, 61:(3)429-435, 1981. Lane HW, Dudrick SJ and Warren DC: Blood selenium levels and glutathione-peroxidase activities in university and chronic intravenous hyperalimentation subjects. Proc Soc Exp Biol 167:383-390, 1981. Jensen TG, Englert DM and Dudrick SJ: Interpretation of nutritional assessment data. Nutr Supp Serv 1:(4)14-20, 1981. Dudrick SJ and Rhoads JE: Metabolism in surgical patients: protein, carbohydrate and fat utilization by oral and parenteral routes. In Sabiston DC, Jr., (ed): Davis-Christopher Textbook of Surgery, pp 144-171, WB Saunders Co, Philadelphia, PA, 1981. Jensen TG and Dudrick SJ: Implementation of a multidisciplinary nutritional assessment program. JAMA 79:258-266, 1981. Daly JM, Copeland EM, Johnson DE, Van Buren C, Massar E and Dudrick SJ: Uric acid: effects on serum and urine levels in patients receiving intravenous dextrose, fat, and/or amino acid solutions. J Surg Res 31:98-104, 1981. Perl M, Peterson LG and Dudrick SJ: TPN and the anorexia nervosa patient. Nutr Supp Serv 1:(6)13-15, 1981. Kapelanski DP, Daly JM, Copeland Em and Dudrick SJ: Doxorubicin pharmacokinetics-the effects of protein deprivation. J Surg Res 30:(4)331-337, 1982. Daly JM, Wang YM, Kapelanski D, Frazier OH, Copeland EM and Dudrick SJ: Systematic thermochemotherapy: toxicity and pharmacokinetics. Surg Forum XXXII:448-450, 1981. Daly JM and Dudrick SJ: Administration of intravenous nutrition: Intravenous hyperalimentation at The University of Texas Medical School at Houston. In Hill GL (ed): Nutrition and the Surgical Patient. Churchill Livingstone, New York, New York, pp 134-141, 1981. Daly JM and Dudrick SJ: Results of intravenous nutrition: Results of intravenous nutrition in cancer patients. In Hill GL (ed): Nutrition in the Surgical Patient, Churchill Livingstone, New York, New York, pp 191-195, 1981. Perl M, Peterson LG and Dudrick SJ: Psychiatric problems encountered during intravenous nutrition. In Hill GL (ed): Nutrition in the Surgical Patient, Churchill Livingston, New York, New York, pp 309-318, 1981. Perl M, Peterson LG, Dudrick SJ and Benson DM: Hyperalimentation at home: Psychiatric effects. Psychosomatics 22:(12)1047-1063, 1981. Rowlands BJ and Dudrick SJ: Nutritional support of the infected patient. In Powanda MC and Canonico PG (eds): Infection: The Physiologic and Metabolic Responses of the Host, Elsevier/North-Holland Biomedical Press, pp 359-397, 1981. 102 289. 290. 291. 292. 293. 294. 295. 296. 297. 298. 299. 300. 301. 302. Jensen TG, Dudrick SJ and Johnston DA: A comparison of triceps skinfold and upper arm circumference measurements taken in standard and supine positions. JPEN 5:(6)519-521, 1981. Lane HW, Barroso AO, Dudrick SJ, Englert DM and MacFadyen BV, Jr.: Selenium status of seven IVH patients. Proceedings of the Fourth International Symposium on Trace Element Metabolism in Man and Animals. Edited by Howell J and Gawthoren JM, Western Australia, pp 30-33, 1981. Englert DM and Dudrick SJ: Infection control in total parenteral nutrition. ASEPSIS, The Infection Control Forum 3:(6)3-4, Nov/Dec 1981. Jensen JE, Smith TK, Jensen TG, Dudrick SJ, Butler JE and Johnston DA: Nutritional assessment of orthopaedic patients undergoing total hip replacement surgery. In Klein EA (ed): The Hip, Volume 9, Mosby Times Mirror, St. Louis, MO, pp 123-135, 1982. Daly JM, Smith G, Frazier OH, Dudrick SJ and Copeland EM: Effects of systemic hyperthermia and intrahepatic infusion with 5-Fluorouracil. Cancer 45: (6)1112-1115, 1982. Dudrick SJ: Forward, Professional Guide to Diseases. Intermed Communications, Horsham, PA, pp xx-xxi, 1982. Van Buren CT and Dudrick SJ: Total parenteral nutrition. In van Nagell JR, Jr. and Barber HRK (eds): Modern Concepts of Gynecologic Oncology, John Wright and Sons Ltd, Bristol, England, pp 571-588, 1982. Daly JM, Massar E, Giacco G, Frazier OH, Mountain CF, Dudrick SJ and Copeland EM, III: Parenteral nutrition in esophageal cancer patients. Ann Surg 196: (2)203-208, 1982. Lane HW, Barroso AO, Englert D, Dudrick SJ and MacFadyen BV, Jr.: Selenium status of seven chronic intravenous hyperalimentation patients. JPEN 6:(5) 426-431, 1982. Jensen JE, Jensen TG, Smith TK, Johnston DA and Dudrick SJ: Nutrition in orthopaedic surgery. J of Bone and Joint Surg 64A:(9)1263-1272, 1982. Dudrick SJ, Baue AE, Eiseman B, MacLean LD, Rose MI and Sheldon GF (eds): Manual of Preoperative and Postoperative Care, WB Saunders Company, Philadelphia, PA 1983. Dudrick SJ: Parenteral nutrition. In Dudrick SJ, Baue AE, Eiseman B, MacLean LD, Rowe MI and Sheldon GE (eds): Manual of Preoperative and Postoperative Care, WB Saunders Co, Philadelphia, PA, pp 86-105, 1983. Copeland EM, Dudrick SJ, Daly JM and Ota DM: Nutritional changes in neoplasia. In Fischer JE (ed): Surgical Nutrition, Little, Brown and Company, Boston, MA, pp 515-534, 1983. Dudrick SJ and O'Donnell JJ: Central venous lines: Inserting them safely and minimizing complications. Contemporary Ob/Gyn, pp 95-103, March 1983. 103 303. 304. 305. 306. 307. 308. 309. 310. 311. 312. 313. 314. 315. 316. 317. Jensen TG, Englert DM, Dudrick SJ and Johnston DA: Delayed hypersensitivity skin testing: response rates in a surgical population. JADA 82:(1)17-23, 1983. Massar EL, Daly JM, Copeland EM, III, Johnson DE, Von Eschenbach AC, Johnston D, Rundell B and Dudrick SJ: Peripheral vein complications in patients receiving amino acid/dextrose solutions. JPEN 7:(2)159-162, 1983. Dudrick SJ and Jackson D: The short bowel syndrome and total parenteral nutrition. Heart & Lung-The J of Critical Care 12:(2)195-201, 1983. Daly JM, Massar E, Copeland EM, III, Johnson DE, Bracken B, Samaan N, Barlow AL and Dudrick SJ: Adaptation to amino acid infusion in patients undergoing operation. Surgery 93(4):512-517, 1983. Floyd CM, Ota D, Corriere J, Jr., Dudrick SJ and Copeland EM: Effect of serum source on protein-free diet lymphocyte blastogenesis. J Surg Res 35:243-248, 1983. Dudrick SJ, O'Donnell JJ and Clague MB: Nutritional rehabilitation of the cancer patient. Proceedings of the 13th International Cancer Congress, Part D, Seattle, Washington, 1982, pp 161-170, 1983. Dworkin B, Daly J, Massar E, Alcock N, Dudrick SJ and Copeland EM: Intravenously administered amino acids with dextrose or lipid as nutritional support in surgical patients. Surg Gynecol Obstet 156:577-581, May, 1983. MacFadyen BV, Jr., Copeland EM and Dudrick SJ: Surgery and oncology. In Schneider HA, Anderson CE and Coursin DB (eds): Nutritional Support of Medical Practice, Harper and Row, Philadelphia, PA., pp 611-628, 1983. O'Donnell JJ, Clague MB and Dudrick SJ: Percutaneous insertion of a cuffed catheter with a long subcutaneous tunnel for intravenous hyperalimentation. J of Bloodless Med and Surg 1(2):7-12, 1983. O'Donnell JJ, Clague MB and Dudrick SJ: Percutaneous insertion of a cuffed catheter with a long subcutaneous tunnel for intravenous hyperalimentation. Southern Med J 76:(11)1344-1348, 1983. Hunt D, Barroso A, Lane HW, Lee P, Ardila C, Rowlands BJ and Dudrick SJ: Iron status of home TPN patients. Nutr Supp Serv 3:12:31-41, 1983 Jensen TG, Englert DM and Dudrick SJ: Manual of Nutritional Assessment, Appleton-Century-Crofts, E. Norwalk, CT, 1983. Dudrick SJ, O'Donnell JJ, Englert DM, Matheny TG, Blume ER, Nutt RE, Hickey MS and Barroso AO: 100 patient-years of ambulatory home total parenteral nutrition. Transactions of the Southern Surg Assn XCV:280-291, 1983. Jensen JE, Jenson TG, Dudrick SJ and Smith TK: Nutrition and orthopaedic surgery. Nutr Supp Serv 4:(2)27-39, 1984. Dudrick SJ: Treatment of inflammatory bowel disease with bowel rest and total parenteral nutrition. Uplook-Newsletter of the National Foundation for Ileitis and Colitis 3:(1), Winter 1984. 104 318. 319. 320. 321. 322. 323. 324. 325. 326. 327. 328. 329. 330. Dudrick SJ and Matheny RG: Intravenous hyperalimentation in the surgical patient. In Cameron JL (ed): Current Surgical Therapy, pp 568-573, CV Mosby Company, St. Louis, MO, 1984. Dudrick SJ, O'Donnell JJ, Englert DM, Matheny RG, Blume ER, Nutt RE, Hickey MS and Barroso AO: 100 patient-years of ambulatory home total parenteral nutrition. Ann Surg 199:(6)770-781, 1984. Daly JM, Copeland EM, and Dudrick SJ: Preparation of the patient. In Nyhus LM and Baker RG (eds): Mastery of Surgery, pp 3-18, Little, Brown, Boston, MA, 1984. Dudrick SJ, O'Donnell JJ, Hickey MS, Matheny RG and Brandt ML: Long-term alimentation by a new indwelling tube gastrostomy technique. Southern Med J 77:(12)1506-1508, 1984. Dudrick SJ, O'Donnell JJ, Matheny RG, Daly JM and Copeland EM: Nutritional support of the cancer patient. Proceedings of the International Symposium on Parenteral and Enteral Nutrition, Kochi, Japan, pp 356-371, Elsevier Science Publishers, 1984. Stevenson RE, Ben-Menachem Y, Dudrick SJ and Howell RR: Hepatocellular carcinoma in Type I glycogen storage disease. Proceedings of the Greenwood Genetic Center. Edited by Robert A. Saul, Jacobs Press, Inc., Clinton, SC, Vol III, pp 39-46, 1984. Dudrick SJ, O'Donnell JJ and Englert DM: Catheters for chronic parenteral nutrition. In Ravitch MM (ed): Problems in General Surgery: Complications with Mechanical Devices, JB Lippincott Co, Philadelphia, PA, 2:(1)93-106, 1985. Dudrick SJ, O'Donnell JJ, Raleigh DP, Matheny RG and Unkel SP: Rapid restoration of red blood cell mass in severely anemic surgical patients who refuse transfusion. Arch Surg 120:721-727, 1985. Weisbrodt NW, Green GM, Levan VH and Dudrick SJ: Effect of pancreatic secretions on transit in bypassed loops of intestine in rats. Digestive Disease and Sciences 30:(1)78-81, 1985. Jensen TG, Long JM, III, Dudrick SJ and Johnston DA: Nutritional assessment indications of postburn complications. JAMA 85(1):68-72, 1985. Dudrick SJ: Second Symposium on Wound Healing. In Sparkman RS (ed): The Healing of Surgical Wounds, Taylor Publishing Company, Dallas, TX, pp 68-114, 1985. Dudrick SJ, O'Donnell JJ, Englert DM, Matheny RG, Blume ER, Nutt RE, Hickey MS and Barroso AO: One hundred patient-years of ambulatory home total parenteral nutrition. In: Schwartz SI, Najarian JS, Peacock EE, et al (eds): The Year Book of Surgery, Year Book Medical Publishers, Inc., Chicago, IL, pp 54-55, 1985. Dudrick SJ, O'Donnell JJ, Weinmann-Winkler S, Jensen TG: Nutritional assessment: Indications for nutritional support. In: Deitel M. (ed): Nutrition in Clinical Surgery, Williams and Wilkins, Baltimore, MD, pp 24-37, 1985. 105 331. 332. 333. 334. 335. 336. 337. 338. 339. 340. 341. 342. 343. 344. 345. Dudrick SJ, O'Donnell JJ and Englert DM: Ambulatory home parenteral nutrition for short-bowel syndrome and other diseases. In: Deitel M (ed): Nutrition in Clinical Surgery, Williams and Wilkins, Baltimore, MD, pp 276-287, 1985. Dudrick SJ, Matheny RG and O'Donnell JJ: New horizons in intravenous alimentation. In: Deitel M. (ed): Nutrition in Clinical Surgery. Williams and Wilkins, Baltimore, MD, pp 380-391, 1985. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Nutrition Classic: Long-term total parenteral nutrition with growth, development, and positive nitrogen balance. Nutrition International 1:(1)11-19, 1985. Dudrick SJ, Englert DM and Clague MG: Ambulatory home hyperalimentation. In: Kaminski MV (ed): Hyperalimentation: A Guide for Clinicians. Marcel Dekker, Inc., New York, NY, pp 607-638, 1985. Weinmann-Winkler S and Dudrick SJ: Enteral nutrition history: past, present, future. Nutritional Support Services 6:(2A)7, 1986. Rhoads JE, Dudrick SJ and Vars HM: History of intravenous nutrition. In: Rombeau JL and Caldwell MD (eds): Parenteral Nutrition: Clinical Nutrition, Volume 2, WB Saunders Co, Philadelphia, PA. pp 1-8, 1986. Poindexter SM, Dear WE, Dudrick SJ: Nutrition in congestive heart failure. Nutr in Clin Practice 1(2):83-88, 1986. Dudrick SJ, O'Donnell JJ, Matheny RG, Unkel SP, Raleigh DP: Stimulation of hematopoiesis as an alternative to transfusion. Southern Med J 79(6):669-673, 1986. Meguid MM and Dudrick SJ (eds): The Surgical Clinics of North America, Nutrition and Cancer I, WB Saunders Co, Philadelphia, PA 1986. Meguid MM and Dudrick SJ: Forward. In: Meguid MM and Dudrick SJ (eds): The Surgical Clinics of North America, Nutrition and Cancer I, WB Saunders Co, Philadelphia, PA, 66(5):xi-xii, 1986. Meguid MM and Dudrick SJ (eds): The Surgical Clinics of North America, Nutrition and Cancer II, WB Saunders Co, Philadelphia, PA, 1986. Meguid MM and Dudrick SJ: Forward. In: Meguid MM and Dudrick SJ (eds): The Surgical Clinics of North America, Nutrition and Cancer II, WB Saunders, Co, Philadelphia, PA, 66(6):xi-xii, 1986. Dudrick SJ, O'Donnell JJ, Weinmann-Winkler S: Nutritional Management of Head and Neck Tumor Patients. In: Thawley, Panje, Batsakis, Lindbert(eds): W.B. Saunders Company, Philadelphia, PA, pp 14-24, 1986. Dudrick SJ, Raleigh DP: Hyperalimentation. In: Garcia C, Mikuta JJ and Rosenblum NG (eds): Current Therapy in Surgical Gynecology, BC Decker, Philadelphia, PA, pp 14-20, 1987. Lane HW, Lotspeich, CA, Moore CE, Ballard J, Dudrick SJ and Warren DC: The effect of selenium supplementation on selenium status in patients receiving chronic total parenteral nutrition. JPEN 11(2):177-182, 1987. 106 346. 347. 348. 349. 350. 351. 352. 353. 354. 355. 356. 357 358. 359. Dudrick SJ and Van Buren D: Parenteral alimentation in gastrointestinal nutritional support. In: Scott HW and Sawyers JL (eds): Surgery of the Stomach, Duodenum, and Small Intestine, Blackwell Scientific Publications, Boston, MA, pp 841-855, 1987. Dudrick SJ: Regression of atherosclerosis by the intravenous infusion of specific biochemical nutrient substrates in animals and humans. Ann Surg 206: 296-315, 1987. Dudrick SJ, Adams PR, Englert DM, Feste AS: Experimental and clinical atherosclerosis: Their experimental reversal. Transactions & Studies of The College of Physicians of Philadelphia, Bicentennial Issue, Series V. Volume X. Nos. 1-4, pp 35-61, 1988 Dudrick SJ, Adams PR, Englert DM Feste AS: Experimental and clinical atherosclerosis: Their experimental reversal. In: Maulitz RC (ed): Unnatural Causes - The Three Leading Killer Diseases in America. Rutgers University Press, New Brunswick, NJ pp 35-61, 1988 Dudrick SJ, Mock TC: Enterocutaneous fistula. In: Cameron J, (ed): Current Surgical Therapy - 3, BC Decker, Inc. Philadelphia, PA pp 35-61, 1988 Dudrick SJ: Regression of atherosclerosis by the intravenous infusion of specific biochemical nutrient substrates in animals and humans. In: Barker, CF, Daly JM (ed): Jonathan E. Rhoads Eightieth Birthday Symposium. JB Lippincott Co, Philadelphia, PA, pp 148-174, 1989. Ford EG, MacFadyen BV, Dudrick SJ: Management of gastrointestinal fistulae. Contemporary Gastroenterology 2:101-105, 1989. Dudrick SJ:Past, present and future of nutritional support: the inevitable evolution of total parenteral nutrition. Tanaka T, Okada A (eds): Nutritional Support in Organ Failure, Elsevier Science Publishers (Biomedical Division), pp xix-xxv, 1990. Dudrick SJ, Adams PR, Englert DM, Latifi R, Feste A: Arrest and regression of atherosclerosis by intravenous infusion of specially formulated nutrient substrates. Tanaka T, Okada A (eds): Nutritional Support in Organ Failure, Elsevier Science Publishers (Biomedical Division), pp 103-115, 1990. Weisbrodt NW, Green GM, Belloso RM, Biskin LC, Dudrick SJ: Effect of acetylcysteine on intestinal smooth muscle after small bowel bypass in rats. J Gastrointestinal Motility (1):60-64, 1990. Maeda J, Dudrick SJ: Rapid Spectrophotometric Determination of Plasma Carnitine Concentrations. JPEN Vol 3(5), 527-532, 1991 Dudrick SJ (ed): The Surgical Clinics of North America, Current Strategies in Surgical Nutrition, Vol 71, No 3, WB Saunders Co, Philadelphia, PA, 1991. Dudrick SJ: Preface. In: Dudrick, SJ (ed): The Surgical Clinics of North America, Current Strategies in Surgical Nutrition, Vol 71, No 3, WB Saunders Co, Philadelphia, PA, 1991. Dudrick SJ: Past, present and future of nutritional support. Surg Clin North Am 71:439-448, 1991. 107 360. 361. 362. 363. 364. 365. 366. 367. 368. 369. 370. 371. 372. 373. 374. 375. 376. 377. 378. 379. Latifi R, Killam R, Dudrick SJ: Nutritional support in liver failure. Surg Clin North Am 71:567-578, 1991. Latifi R, McIntosh J, Dudrick SJ: Nutritional management of acute and chronic pancreatitis. Surg Clin North Am 71:579-595, 1991. Dudrick SJ, Latifi R, Schrager R:Nutritional management of inflammatory bowel disease. Surg Clin North Am 71:609-623, 1991. Dudrick SJ, Latifi R, Fosnocht D: Management of the short bowel syndrome. Surg Clin North Am 71:625-643, 1991. Dudrick SJ, Latifi R, Adams PR: Arrest and reversal of atherosclerosis with parenteral nutrition. Surg Clin North Am 71: 665-675, 1991. Dudrick SJ: Preface. In:Baumgartner, TG (ed): Clinical Guide to Parenteral Micronutrition, (2nd ed). Fujisawa USA, Inc., Deerfield, IL, 1991. Kirby DF, Dudrick SJ: Nutrition in Clinical Practice Series (eds): Pract Gastroent XV, 1991-1992. Kirby DF, Dudrick SJ: Nutrition in Clinical Practice: The final frontier? Pract Gastroent XV, No 8:17, 1991. Dudrick SJ, Latifi R: Total parenteral nutrition in the treatment of atherosclerosis. In: Van Way CW (ed):Handbook of Surgical Nutrition. JB Lippincott Co., Philadelphia, PA, pp 259-271, 1992. Daly JM, Copeland EM, Dudrick SJ: Preparation of the patient. In: Nyhus LM (ed): Mastery of Surgery, (2nd ed). Little Brown, Boston, MA. pp 3-23, 1992. Dudrick SJ: Forward. In: Rothkopf MM and Askanazi J (eds): Intensive Homecare, Williams and Wilkins. Baltimore, MD, 1992. Dudrick SJ, Latifi R: Total parenteral nutrition (Part I): Indications and techniques. Pract Gastroent. XVI, No 6:21-29, 1992. Dudrick SJ, Latifi R: Total parenteral nutrition (Part II):Administration, monitoring and complications. Pract Gastroent. XVI, No 7:29-38, 1992. Dudrick SJ, Latifi R: Total parenteral nutrition in surgery - Current status. Contemp Surg 41:41-54, 1992. Dudrick SJ, Latifi R: Surgical Nutrition (eds): Postgraduate General Surgery. Vol 5, No 1, 1993. Dudrick SJ, Latifi R: Nutritional support of short bowel syndrome: Commentary. Postgrad Gen Surg. 5:5-10, 1993. Latifi R, Florence L, Dudrick SJ: Total parenteral nutrition in the management of Crohn's disease: Presentation. Postgrad Gen Surg.5:1921, 1993. Dudrick SJ, Latifi R: Regression of atherosclerosis by intravenous amino acid solution. Postgrad Gen Surg. 5:34-41, 1993. Dudrick SJ, Wilmore, DW, Vars HM, Rhoads JE: Long-term total parenteral nutrition with growth, development, and positive nitrogen balance. Postgrad Gen Surg. 5:56-60, 1993. Rhoads JE, Dudrick SJ: History of Intravenous Nutrition. In: Rombeau JL and Caldwell MD (eds): Clinical Nutrition - Parenteral Nutrition (2nd ed). W.B. Saunders Co., Philadelphia, pp 1-10, 1993. 108 380. 381. 382. 383. 384. 385. 386. 387. 388. 389. 390. 392. 393. Mason GR, Kahrilas PJ, Otterson MF, Lang IM, Telford GL, Telford SW, Sarna SK, Cowles VE, Koch TR, Debas HT, Gittes G, Jaffe BM, Dudrick SJ, Latifi R, Castro GA: The Digestive System. In: O'Leary JP (ed): The Physiologic Basis of Surgery. Williams and Wilkins, Baltimore, MD, pp 340-375, 1993. Dudrick SJ, Latifi R, Castro GA: Digestion and Absorption. In: O'Leary JP (ed): The Physiologic Basis of Surgery. Williams and Wilkins, Baltimore, MD, pp 365-373, 1993. Dudrick SJ: Prologo. In: Villazon A, Arenas H (eds): Nutricion Enteral YParenteral InterAmericana/McGraw-Hill, Atlampa, Mexico, pp IX-X, 1993. Dudrick SJ, Latifi R: Surgery and Nutrition. In: O'Donnell PD (ed): Geriatric Urology. Little, Brown and Company, Boston, MA, pp 105-112, 1994. Dudrick SJ, Latifi R: Nutritional Support: General Principles, Indications, and Techniques. In: Quigley EM, Sorrell MF (eds): The Gastrointestinal Surgical Patient - Preoperative and Postoperative Care. Williams & Wilkins, Baltimore, MD, pp 175-220, 1994. Gould KL, Martucci JP, Goldberg DI, Hess MJ, Edens RP, Latifi R, Dudrick SJ: Short-term Cholesterol Lowering Decreases Size and Severity of Perfusion Abnormalities by Positron Emission Tomography After Dipyridamole in Patients With Coronary Artery Disease: A Potential Noninvasive Marker of Healing Coronary Endothelium. Circulation 89:1530-1538, 1994. Latifi R, Dudrick SJ:Hepatic Encephalopathy: Metabolic and Nutritional Implications of Amino Acids. In: Latifi R (ed): Amino Acids in Critical Care and Cancer. R.G. Landes Company, Austin, TX, pp 125-136, 1994. Kirby DF, Dudrick SJ (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, 1994. Kirby DF,Dudrick SJ: Preface, In: Kirby and Dudrick (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, 1994. Dudrick SJ, Latifi R: Total Parenteral Nutrition. In: Kirby and Dudrick (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, pp 135-164, 1994. Latifi R, Dudrick SJ: Nutrition in Surgical Patients. In: Kirby and Dudrick (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, pp 165-182, 1994. 391. Dudrick SJ, Latifi R: Management of Patients With Short-Bowel Syndrome. In: Kirby and Dudrick (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, pp 215-226, 1994. Dudrick, SJ. Foreword. In: Professional Handbook of Diagnostic Tests. Springhouse Corporation, Springhouse, PA, 1995. Latifi R, Dudrick SJ (eds): Surgical Nutrition: Strategies in Critically Ill Patients. R.G.Landes Company, Austin, TX, 1995. 109 394. 395. 396. 397. 398. 399. 400. 401. 402. 403. 404. 405. 406. 407. 408. Dudrick SJ, Latifi R: Introduction. In: Latifi and Dudrick (eds): Surgical Nutrition: Strategies in Critically Ill Patients. R.G. Landes, Company, Austin, TX, 1995. Dudrick SJ, Latifi R: Amino Acids in Critically Ill Patients: Current Concepts. In: Latifi and Dudrick (eds): Surgical Nutrition: Strategies in Critically Ill Patients. R.G. Landes, Company, Austin, TX, pp 3143,1995. Latifi R, Dudrick SJ: The Effects of Nutrient Substrates in Acute Pancreatitis. In: Latifi and Dudrick (eds): Surgical Nutrition: Strategies in Critically Ill Patients. R.G. Landes, Company, Austin, TX, pp 147-151, 1995. Meguid MM, Bessey PQ, Dawson J, Dudrick SJ, Howard LJ, Sax H. Total Parenteral Nutrition: An Update. Contemporary Surgery, 46(3) 157168, 1995. Dudrick SJ: The Role of Nutrition in Wound Healing. In:Cernaianu AC, DelRossi AJ, Spence RK (eds): Critical Issues in Surgery, Plenum Press, New York, NY, pp 1-12, 1995. Latifi R, Dudrick SJ (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX , 1996. Latifi R, Dudrick SJ: Preface. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX, 1996. Latifi R, Dudrick SJ: Total Parenteral Nutrition: Current Concepts and Indications. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX, pp 45-55, 1996. Latifi R, Dudrick SJ: Nutrition Support of Acute Pancreatitis. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX, pp 225-237, 1996. Latifi R, Burns GA, Dudrick SJ: Nutritional Management of Chronic Pancreatitis: Current Concepts. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX pp 239-249, 1996. Dudrick S, Zarif A, Latifi R: Nutritional and Metabolic Management of Short Bowel Syndrome. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX, pp 303-315, 1996. Daly JM, Barie PS, Dudrick SJ: Preparation of the Patient. In: Nyhus, Baker and Fischer (eds): Mastery of Surgery, 3rd ed. Little Brown and Company, Inc. pp 22-49, 1996. Willis AL, Dudrick SJ, Torosian MH: Unique Presentation of Crohn’s Disease during Treatment of Hodgkin’s Disease. Oncology Reports 3: 939-942, 1996 Mason GR, Kahrilas PJ, Otterson MF, Lang IM, Telford GL, Telford SW, Sarna SK, Cowles VE, Koch TR, Debas HT, Gittes G, Jaffe BM, Dudrick SJ, Latifi R, Castro GA: The Digestive System. In: O'Leary JP (ed): The Physiologic Basis of Surgery, 2nd ed. Williams and Wilkins, Baltimore, MD, pp 406-440, 1996. Dudrick, SJ: Foreword. In: Shikora and Blackburn. Nutrition Support Theory and Therapeutics. Chapman & Hall, New York, NY, 1997. 110 409. 410. 411. 412. 413. 414. 415. 416. 417. 418. 419. 420. 421. 422. 423. 424. 425. Sawmiller CJ, Turowski GA, Sterling AP, Dudrick SJ: Extraarticular Pigmented Villonodular Synovitis of the Shoulder. Clinical Orthopaedics and Related Research, 335: 262-267, 1997. Dudrick SJ: Foreword. In: Rothkopf MM (ed), Standards and Practice of Homecare Therapeutics, 2nd ed. Williams and Wilkins, Baltimore, MD,1997. Dudrick SJ, Daly JM: Jonathan Evans Rhoads, M.D., Renaissance Man of the Twentieth Century. Cancer, 79(9):1737-1739, 1997. Dudrick, SJ: Preface. In: Baumgartner TG (ed), Clinical Guide to Parenteral Micronutrition, 3rd Edition. Fujisawa USA, Deerfield, IL, 1997 Dudrick SJ: Book Review. Of: Shikora SA, Blackburn GL (eds), Nutrition Support: Theory and Therapeutics. Chapman and Hall Publishers, New York, NY, 1997, Am J Clin Nutr, 67:742, 1998 Zahir KS, Quin JA, Brown W, Thomson JG, Dudrick SJ: Trends in Upper Extremity Soft Tissue Malignancies: A 40-Year Review of the Connecticut State Tumor Registry, Connecticut Medicine 62(1): 9-14, 1998 Vouyouka AG, Powell RJ, Ricotta J, Chen H, Dudrick DJ, Sawmiller CJ, Dudrick SJ and Sumpio BE: Ambient Pulsatile Pressure Modulates Endothelial Cell Proliferation, J Mol Cell Cardiol, 30, 609-615, 1998 Dudrick SJ, Zahir KS, Merrell RC: Total Parenteral Nutrition: Techniques and Complications, Surgical Technology International VII, 174-184, 1998 Sawmiller CJ, Powell RJ, Quader MA, Dudrick SJ, and Sumpio BE: The Differential Effects of Contrast Agents on Endothelial Cells and Smooth Muscle Cell Growth In Vitro, J Vascular Surg, 27(6): 1128-1140, 1998 Zahir KS, Dudrick SJ: Letter to the Editor; Trends in the Incidence of Upper Extremity Soft Tissue Malignancies: A 40-Year Review of the Connecticut State Tumor Registry, Connecticut Medicine 62(5): 311, 1998 Amshel CE, Palesty JA, Dudrick SJ: Are Chest X-Rays Mandatory Following Central Venous Recatherization Over a Wire? The American Surgeon, 64: 499-502, 1998 Dudrick SJ, Brown W, Biggs CG: Nutritional Management of Patients with Head and Neck Tumors. In: Comprehensive Management of Head and Neck Tumors, 2nd ed, Chapter 3, pages 45-58, W. B. Saunders, 1998 Sawmiller CJ, Dudrick SJ, Hamzi M: Postsplenectomy Capnocytophaga canimorsus Sepsis Presenting as an Acute Abdomen. Arch Surg. 133: 1362-1365, 1998 Dudrick SJ, Maharaj AR, McKelvey AA: Artificial Nutrition Support in Patients with Gastrointestinal Fistulas, World J. Surg. 23: 570-576, 1999 Dudrick, SJ: Invited Critique of: Surgical Approaches to Improving Intestinal Function in the Short Bowel Syndrome. Thompson, JS, and Langras, AN. Arch, Surg. 134: 706 – 711, 1999 Zahir KS, Dudrick SJ: Current Overview of Gynecomastia, Curr Surg., 56: 312-315, 1999 Duzgun A, Rasque H, Kito H, Azuma N, Li W, Gahtan V, Dudrick S, Sumpio BE. Mitogen activated protein phosphorylation by 111 426. 427. 428. 429. 430. 431. 432. 433. 434. 435. 436. 437. 438. 439. 440. 441. 442. hyperosmolality with different osmotic agents in endothelial cell. J. Cell Biochem., 76:567-571, 2000 Palesty JA, McKelvey AA, Dudrick SJ. The Efficacy of X-Rays after Chest Tube Removal, Amer J Surg., 179:13, 2000 Woo D, Dudrick SJ, Sumpio BE. Homocysteine stimulates MAP kinase in bovine aortic smooth muscle cells. Surgery, 128:59-66, 2000 Palesty JA, Zahir KS, Dudrick SJ, Tripodi G: Nd:YAG Laser Therapy for the Excision of Pilonidal Cysts: A Comparison with Traditional Techniques, Lasers Surg Med., 26:380-385, 2000 DiLuozzo G, Dhadwal AK, Frangos SG, Chen AH, Jeffries BW, Dudrick SJ and Sumpio BE: Endothelial Cells Exposed to Nicotine Act as a Chemoattractant for Vascular Smooth Cell Migration. Surgical Forum, 51:373-375, 2000 Coppola CP, Dudrick SJ: Total Parenteral Nutrition and Infection, Curr Surg., 58(1):23-28, 2001 Kavic SM, Atweh N, Zimmerman G, Ivy ME, Pineau M, Possenti PP, Fidler PE, Gross RG, Dudrick SJ: Decompressive Craniectomy for Damage Control in Penetrating Head Trauma, Critical Care Medicine, Dec:28(12 Suppl): A143, 2001 Atweh N, Kavic SM, Dudrick SJ: Portal Vein Thrombosis after Splenectomy, J Am Coll Surg, 192(4): 551-2, 2001 Kavic SM, Atweh N, Ivy ME, Possenti PP and Dudrick SJ: Celiac Axis Ligation after Gunshot Wound to the Abdomen: Case Report and Literature Review. J Traum, 50:738-739, 2001 Dudrick SJ, Wilmore DW, Vars HM, Rhoads JE: Long-Term Total Parenteral Nutrition with Growth Development and Positive Nitrogen Balance, Nutr Hosp, 16(6), 286-287 and 287-292, 2001 Kavic SM, Atweh N, Ivy ME, Possenti PP and Dudrick SJ: Renal Artery to Inferior Vena Cava Fistula Following Gunshot Wound to the Abdomen. Ann Vasc Surg 16:665-670, 2002 Atweh N, Lye KD, Kavic SM, Fidler PE, Possenti PP, Dudrick SJ: Closure of Large Abdominal Wounds with an Adjustable Suture-Tension Device, J Am Coll Surg, 195(2) 281-283, 2002 Kavic SM, Dudrick SJ: Rectocele, Curr Surg, 59(2): 162-171, 2002 Dudrick SJ: Foreword In: Nutritional Considerations in the Intensive Care Unit – Science, Rationale and Practice, (eds) Shikora SA, Martindale RG, Schwaitzberg SD, Kendall/Hunt Co., Dubuque, Iowa, 2002 Atweh N, Kavic SM, Dudrick SJ: Letter to the Editor; Portal Vein Thrombosis after Splenectomy, J Am Coll Surg, 195:281-283, 2002 Dudrick SJ, Kavic SM: Hepatobiliary Nutrition: History and Future, J Hepatobiliary-Pancreat Surg, 9:459-468, 2002 Kavic SM, Atweh NA, Ivy ME, Possenti PP and Dudrick SJ: Renal Artery to Inferior Vena Cava Fistula Following Gunshot Wound to the Abdomen: Case Report and Literature Review. Ann Vasc Surg, 16:666-670, 2002 Dudrick SJ, Maharaj AR and McKelvey AA: Artificial Nutritional Support in Patients with Gastrointestinal Fistulas. World J Surg 23: 570- 112 443. 444. 445. 446. 447. 448. 449. 450. 451. 452. 453. 454. 455. 456. 457. 576, 1999 Reprint In: Selected Readings in General Surgery, Miscellaneous Small Bowel Diseases, 29:1-7, 2002 Dudrick SJ: Foreword In: Supplement on Home Parenteral and Enteral Nutrition, 26:S2-S3 J Parenter Enteral Nutr, 2003 Latifi R and Dudrick SJ: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 Latifi R and Dudrick SJ: Total Parenteral Nutrition: Current Concepts and Indications, pp 208-219 In: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 Dudrick SJ, Abdullah F and Latifi R: Nutrition and Metabolic Management of Short Bowel Syndrome, pp 261-274 In: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 Latifi R and Dudrick SJ: Nutrition Support of Acute Pancreatitis, pp 320333 In: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 Latifi R, Perch PG and Dudrick SJ: Nutritional Management of Chronic Pancreatitis: Current Concepts, pp 334-345 In: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 Dudrick SJ, Palesty JA: What We Have Learned about Cachexia and Gastrointestinal Cancer, Digestive Diseases, 21: 198-213, 2003 Dudrick SJ: Early Developments and Clinical Applications of Total Parenteral Nutrition, J Parenter Enteral Nutr, 27: 291-299, 2003 Dudrick SJ: History and Development of Total Parenteral Nutrition, Proceedings of the 61st Congress of the Association of Polish Surgeons, pp 15-20, 2003 Dudrick SJ: Management of Fistulas of the Gastrointestinal Tract Proceedings of the 61st Congress of the Association of Polish Surgeons, pp 24-40, 2003 Palesty JA, Wang XJ, Rutland RC, Leighton J, Dudrick SJ and Benbrahim A: Fifty-five Consecutive Laparoscopic Appendectomy Procedures without Conversion, JSLS 8: 141-145, 2004 Palesty JA, Edwards RE and Dudrick SJ: Geriatric AssessmentMinimizing the Risks, Current Surgery, 61:3 266-267, 2004 Teso D, Edwards RE, Antezana JN, Dudrick SJ and Dardik A: Do Vascular Surgeons Improve the Outcome of Carotid Endarterectomy? An Analysis of 12,618 Elective Cases in the State of Connecticut,Vascular 12:3 155-165, 2004 Jackson LM, Dudrick SJ and Sumpio BE: John Harvey Kellogg; Surgeon, Inventor, Nutritionist (1852-1943), J Am Coll Surg 199:5 817-821, 2004 Rabbi JR, Gersten G, Kiran PR, Dudrick SJ and Dardik A: Early Results with Infrainguinal Cutting Balloon Angioplasty Indicates Limitation of Distal Dissection, Ann Vasc Surg, 18:6 640-643, 2004 113 458. 459. 460. 461. 462. 463. 464. 465. 466. 467. 468. 469. 470. 471. Dudrick SJ: Commentary on the 3rd Edition of Basics in Clinical Nutrition: In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, pp XXI-XXII, 2004 Pertkiewicz M and Dudrick SJ: Ways of Delivering Parenteral Nutrition, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, pp 233-237, 2004 Pertkiewicz M and Dudrick SJ: Central Parenteral Nutrition, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, pp 237-246, 2004 Pertkiewicz M, Sitges-Serra A and Dudrick SJ: Complications Associated with Central Catheter Insertion and Care, pp 246-252, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Prague, Galen, Czech Republic, 2004 Pertkiewicz M and Dudrick SJ: Systems for Parenteral Nutrition, pp 252254, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 Pertkiewicz M, Szczygiel B, Sobotka L and Dudrick SJ: Composition of Nutritional Admixtures and Formulas for Parenteral Nutrition, pp 255260, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 Barnett MI, Pertkiewicz M, Cosslett AG, Muhlebach S and Dudrick SJ: Parenteral Nutrition Admixtures, pp 260-264, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 Pertkiewicz M, Cosslett A, Muhlebach S and Dudrick SJ: Stability of Parenteral Nutrition Admixtures, pp 264-269, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 Szczygiel B, Pertkiewicz M, Naber T and Dudrick SJ: Nutrition Support in Gastrointestinal Fistulas, pp 342-345, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 Pertkiewicz M, Manak J and Dudrick SJ: Nutritional Support During Pregnancy, pp 422-425 In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 Pertkiewicz M, Naber T and Dudrick SJ: Home Artificial Nutrition, pp 462-467, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 Teso D, Edwards RE, Frattini JC, Dudrick SJ and Dardik A: Safety of Carotid Endarterectomy in 2,443 Elderly Patients: Lessons from Nonagenarians –Are We Pushing the Limit?, J Am Coll Surg,:12, 734741, 2004 Kiran PR, Thorisson HM and Dudrick SJ: Current Status of Stents for Arterial Occlusive Disease and Endovascular Aortic Aneurysm Repair, Curr Surg, 62:2, 178-179, 2005 Jackson LS, Wang XJ, Dudrick SJ and Gersten GD: Catheter-Directed Thrombolysis and/or Thrombectomy with Selective Endovascular Stenting as Alternatives to Systemic Anticoagulation for Treatment of Acute Deep Vein Thrombosis. Am J Surg. Dec;190(6):864-8, 2005 114 472. 473. 474. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Dudrick SJ: Rhoads Lecture: A 45-year Obsession and Passionate Pursuit of Optimal Nutrition Support: Puppies, Pediatrics, Surgery, Geriatrics, Home TPN, A.S.P.E.N., et cetera. J Parenter Enteral Nutr. JulAug;29(4):272-87, 2005 Dudrick SJ: History of Vascular Access. J Parenter Enteral Nutr. JanFeb;30:S47-56, 2006 Dudrick SJ and Kavic SM: ASPEN 1975-1980, J Parenter Enteral Nutr, in press ABSTRACTS Dudrick SJ, Lehr HB, Senior JR and Rhoads JE: Evaluation of nutritional care of the surgical patient. Med Dig 11:35, 1965. Dudrick SJ, Vars HM, Rawnsley HM and Rhoads JE: Total intravenous feeding and growth in puppies. Fed Proc 25:481, 1966. Wilmore DW, Dudrick SJ, Vars HM and Rhoads JE: Long-term intravenous hyperalimentation. Fed Proc 27:486, 1968. Miller LD, Joyner CR, Dudrick SJ and Eskin DJ: Clinical use of ultrasound in the early diagnosis of pulmonary embolism. Rev Surg 25:493, 1968. Rhoads JE, Dudrick SJ and Miller LD: Colectomy for cancer: technique and pitfalls. Year Book of Cancer, 1968. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Long-term IV feeding will maintain growth. Mod Med 36:134, 1968. Steiger E, Wilmore DW, Dudrick SJ and Rhoads JE: Total intravenous nutrition in the management of inflammatory disease of the intestinal tract. Fed Proc 28:808, 1969. Dudrick SJ, Wilmore DW, Steiger E and Rhoads JE: Reversal of uremia and body wasting with intravenous essential amino acids. Fed Proc 28:808, 1969. Wilmore DW, Dudrick SJ, Samuels GSA and Vars HM: The role of nutrition in small bowel adaptation following massive intestinal resection. Fed Proc 28:305, 1969. Steiger E, Dudrick SJ, Daly JM, Wilmore DW, Vars HM and Rhoads JE: Growth and development of puppies nourished intravenously with crystalline amino acids as the sole source of dietary nitrogen. Fed Proc 29:364, 1970. Dudrick SJ, Steiger E and Tyers GFO: Adenocarcinoma of the small bowel complicating regional enteritis. Tenth International Cancer Congress, Houston, TX, p 620, 1970. Sugerman H, Travis S, Pollock T, Ruberg R, Dudrick SJ, Delivoria-Papadopoulos M, Miller L and Oski F: Alterations in oxygen transport and red cell metabolism as a consequence of hypophosphatemia in intravenous hyperalimentation. Clin Res 19:487, 1971. Daly JM, Dudrick SJ, Vars HM and Hansell JR: The effects of protein depletion on colonic wound healing in rats. Fed Proc 30:298, 1971. 115 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. Ruberg RL, Dudrick SJ, Long JM, Allen TF, Steiger E and Rhoads JE: Pre- and postoperative nutrition using crystalline amino acid as the sole source of nitrogen. Fed Proc 30:300, 1971. Long JM, Steiger E, Dudrick SJ, Berkowitz HD, Allen TR and Ruberg RL: Total parenteral nutrition in the management of esophagocutaneous fistulas. Fed Proc 30:30, 1971. Steiger E, Dudrick SJ, Daly JM, Vars HM and Allen TF: Effects of postoperative intravenous nutrition on serum proteins, body weight and liver morphology in protein depleted rats. Fed Proc 30:580, 1971. Allen TR, Ruberg RL, Dudrick SJ, Long JM and Steiger E: Hypophosphatemia occurring in patients receiving total parenteral hyperalimentation. Fed Proc 30:580, 1971. Dudrick SJ, Steiger E and Tyers GFO: Adenocarcinoma of the small bowel complicating regional enteritis. In: Oncology, 1970, Clark, Cumley, McCay and Copeland (eds), Year Book Medical Publishers, Chicago, p 620, 1971. Daly JM, Dudrick SJ, Steiger E and Prockop DJ: The proline analogue Cis-4-Hydroxproline specifically inhibits collagen synthesis in healing colon anastomosis in rats. Fed Proc 31:716, 1972. Long JM, Dudrick SJ and Van Buren CT: Intravenous alimentation in renal failure: clinical experimental consideration. Proc International Congress of Nutrition, Mexico City, 1972. Maynard AT, Dudrick SJ, MacFadyen BV, Jr and Ruberg RL: Essential Fatty acid deficiency with intravenous hyperalimentation. Fed Proc 31:717, 1972. MacFadyen BV, Jr. Dudrick SJ, Maynard At, Law D and Rhoads JE: Triglyceride and free fatty acid clearances in patients receiving complete parenteral hyperalimentation with 10% soybean oil emulsion. Fed Proc 31:717, 1972. Van Buren C, Dudrick SJ, Dworkin L, Baumbauer E and Long JM: The influence of essential L-amino acids on nitrogen metabolism in bilaterally nephrectomized dogs. Fed Proc 31:730, 1972. Daly JM, Steiger E, Dudrick SJ and Vars HM: Effects of postoperative intravenous nutrition on colonic wound healing, serum protein metabolism and body weight. Fed Proc 31:730, 1973. Law DK, Abdou NI and Dudrick SJ: Immunocompetence of rats with chronic protein depletion (CPD): effects of protein depletion. Fed Proc 32:942, 1973. Castro GA, Copeland EM, Dudrick SJ and Johnson LR: Decreased intestinal disaccharidase and peroxidase activity in hyperalimented rats. Fed Proc 33:692, 1974. Souchon EA, Copeland EM, Watson P and Dudrick SJ: Tolerance for 5-Fluorouracil (5-FU) in rodents receiving hyperalimentation. Fed Proc 33:692, 1974. 116 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. Copeland EM, MacFadyen BV, Jr., and Dudrick SJ: Intravenous hyperalimentation as an adjunct to therapy in the cancer patient. XI International Cancer Congress, Florence, Italy, 4:874,1974. Daly JM, Steiger E, Much J, Vars HM and Dudrick SJ: Protein sparing efficacy of intravenous amino acid versus dextrose solutions. Fed Proc 33:683, 1974. Johnson LR, Castro GA, Lichtenberger LM, Copeland EM and Dudrick SJ: The significance of the trophic action of gastrin. Gastroenterology 66:718, 1974. Castro GA, Johnson LR, Copeland EM and Dudrick SJ: Altered parasite development and enzyme levels in the small intestine of parenterally fed rats. Gastroenterology 66:672, 1974. Lichtenberger LM, Castro GA, Copeland EM, Dudrick SJ and Johnson LR: The effect of food on rat antral gastrin concentration. Gastroenterology 66:874, 1974. Castro GA, Johnson LR, Copeland EM and Dudrick SJ: Altered development of gut parasites caused by switching the host from oral to parenteral nutrition. Fed Proc 34:901, 1975. Schanbacher LM, Copeland EM, Dudrick SJ, Johnson LR and Castro GA: Glucose transport across the small intestine of parenterally nourished rats. Fed Proc 34:917, 1975. Castro GA, Johnson LR, Copeland EM and Dudrick SJ: Gut parasites: altered development caused by changing the host from oral to parenteral nutrition. Gastroenterology 68:870, 1975. Schanbacher LM, Copeland EM, Dudrick SJ, Johnson LR and Castro GA: Intestinal uptake of glucose in parenterally nourished rats. Gastroenterology 68:871, 1975. Weisbrodt NW, Copeland EM, Thor PJ and Dudrick SJ: Small bowel motility during intravenous hyperalimentation in the dog. Gastroenterology 68:1011, 1975 MacFadyen BV, Jr., Dudrick SJ and Daly JM: The management of inflammatory bowel disease with parenteral hyperalimentation. Tenth International Congress of Nutrition, Kyoto, Japan, August,1975. Souchon EA, Englert DM, Duke JH, Jr. and Dudrick SJ: Intravenous hyperalimentation in 342 surgical patients. Rev Surg 297-299, September, 1976. Daly JM, Copeland EM, Guinn EJ and Dudrick SJ: Relationship of cell-mediated immunity to amino acid/calorie nutrition. Fed Proc 35:344, 1976. Schanbacher LM, Copeland EM, Dudrick SJ and Jonson LR: Effects of total parenteral feeding on pancreatic bicarbonate secretion in the dog. Clin Res 25:13A, 1976. Weisbrodt NW, Badial-Aceves F, Copeland EM, Dudrick SJ and Castro GA: Small intestinal transit during total parenteral nutrition in the rat. Gastroenterology 70:950, 1976. 117 43. 44. 45. 46. 47. 48. 49. 50. 52. 53. 54. 55. 56. 57. 58. 59. 60. Castro GA, Badial-Aceves F, Adams PR, Copeland EM and Dudrick SJ: Response of immunized, parenterally nourished rats to challenge infection with the nematode, Trichinella Spiralis. Gastroenterology 70:868, 1976. Castro GA, Badial-Aceves F, Smith JW, Dudrick SJ and Weisbrodt NW: Altered small bowel propulsion associated with parasitism. Gastroenterology 70:868, 1976. Castro GA, Badial-Aceves F, Adams PR, Copeland EM and Dudrick SJ: Response of immunized, parenterally nourished rats to challenge infection with the nematode, Trichinella Spiralis. Clin Res 24:597A, 1976. Sander LD, Dudrick SJ, Copeland EM and Johnson LR: Effect of restraint stress on serum and antral gastrins and hexosamine synthesis after parenteral alimentation. Gastroenterology 72:A102, 1977. Wiseman DA, Copeland EM, Dudrick SJ and Castro GA: Comparison of gastrointestinal structure and enzyme activity between orally fed rats and rats fed by intestinal infusion. Gastroenterology 72:A128, 1977. Daly JM, Castro GA, Akhtar M and Dudrick SJ: Morphologic and biochemical intestinal changes after jejuno-ileal bypass. Gastroenterology 72:1042, 1977. Ramaswamy K, Copeland EM, Dudrick SJ and Castro GA: Causes of weight loss associated with enteric parasitism. Fed Proc 36:595, 1977. Daly JM, Copeland EM, Guinn EJ and Dudrick SJ: Effects of intravenous hyperalimentation (IVH) on tumor growth and host immunocompetence. Fed Proc 36:1163, 1977. Souba WW, Long JM, III and Dudrick SJ: Energy intake as determinant of nitrogen excretion in rats. JPEN 1:28A, 1977. Souchon EA, Englert DM, MacFadyen BV, Jr., Duke JH and Dudrick SJ: Intravenous hyperalimentation: experience with 500 patients. S Tx Chapt ACS, Austin, TX, January 1977. MacFadyen BV, Jr., Dudrick SJ, Baquero GE and Gum ET: Liver function during intravenous hyperalimentation (IVH): clinical biochemical changes. JPEN 2:(3)38, 1978. Reynolds HM, Daly JM, Copeland EM and Dudrick SJ: Effects of nutritional repletion on host and tumor response to chemotherapy. Fed Proc 38:261, 1978. Englert DM and Dudrick SJ: Total or supplemental ambulatory home hyperalimentation. JPEN 2:242, 1978. Johnson LR, Ryan GP, Copeland EM and Dudrick SJ: Luminal gastrin stimulates growth of distal fat intestine. Fed Proc 37:374, 1978. Copeland EM, Dudrick SJ and MacFadyen BV, Jr.: The effect of nutrition on immunocompetence in cancer patients. JPEN 2:70, 1978. Daly JM, Copeland EM, Guinn EJ and Dudrick SJ: Effects of oral versus IV nutrition on tumor response to chemotherapy. JPEN 2:71, 1978. Igo SR, Kyger ER, III, Lande AJ and Dudrick SJ: Improved intraventricular balloons for isolated rat hearts. ACEMB Proc 21:165, 1979. 118 61. 62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. Copeland EM, MacFadyen BV, Jr. and Dudrick SJ: The cancer patient: Impact of nutrition on immunocompetence. Proceedings of the XIII International Cancer Congress, Buenos Aires, Argentina. The Cancer Bulletin 31:96, May-June 1979. Long JM, III, Souba WW and Dudrick SJ: Effect of calorie intake and stress on nitrogen excretion. JPEN 3:34, 1979 Souba WW, Long JM, III and Dudrick SJ: Effects of stress and diet on nitrogen excretion in growing rats. JPEN 3:34, 1979. Englert DM and Dudrick SJ: Relationship of intravenous hyperalimentation to infectious diseases and sepsis. APIC Journal 7:27, 1979. Dudrick SJ, Englert DM, Speir AM and Ota DM: Intravenous hyperalimentation as the sole treatment for chronic anemia associated with ulcerative colitis in two Jehovah's Witnesses. JPEN 3:507, 1979. Englert DM and Dudrick SJ: A comprehensive instructional program for adults and pediatric ambulatory home hyperalimentation patients. JPEN 3:518, 1979. Perl M, Hall TC, Dudrick SJ, Englert DM and Gardner ER: Psychologic aspects of long-term home hyperalimentation. JPEN 3:522, 1979. Speir AM, Englert DM and Dudrick SJ: Thirty man years'experience with ambulatory home hyperalimentation . JPEN 3:510, 1979. Rowlands BJ, Jensen TG and Dudrick SJ: Serum transferrin, a comparison of two methods of measurement in hospitalized patients. Am J Clin Nutr 32:XIX, 1979. Jensen TG, Dudrick SJ and Johnston DA: A comparison of triceps skinfold and arm circumference values measured in standard and supine positions. JPEN 3:513, 1979. Daly JM, Reynolds HM, Rowlands BJ, Copeland EM and Dudrick SJ: Effects of protein nutrition on body weight, serum protein levels, and tumor growth. Fed Proc 38:864, 1979. Jensen TG, Brooks BJ and Dudrick SJ: Utilization of competency based self-instructional modules for training dietetic technicians in nutritional assessment techniques. JPEN 3:520, 1979. Daly JM, Copeland EM and Dudrick SJ: Effect of IVH on immunocompetence in cancer patients. Fed Proc 39:888, 1980. Dudrick SJ, Rowlands BJ, Speir AM, Ota DM, Henry AC, Englert DM and Coleman CW: Intravenous hyperalimentation (IVH) as the sole treatment for anemia and ulcerative colitis (UC) in two Jehovah's Witnesses. Fed Proc 39:1114, 1980. Souba WW, Long JM, III and Dudrick SJ: Interaction of protein and energy substrates in intravenously fed rats. Fed Proc 39:1114, 1980. Long JM, III, Jensen TG and Dudrick SJ: Obsessive exercise-related cachexia-a new syndrome? Am J Clin Nutr 33:938, 1980. Long JM, III, Jensen TG and Dudrick SJ: Obsessive exercise-related cachexia-a new syndrome? Clin Res 28:579A, 1980. 119 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. Gallardo E, Tulloch BR, Rowlands BJ, Woo J and Dudrick SJ: Changes in serum lipids during intravenous hyperalimentation (IVH). Clin Res 28:(2)230A, 1980. Dudrick SJ, Van Buren CT, Daly JM, Long JM, III and Copeland EM: Parenteral nutrition in the critically ill. J Coll Surg (Aust). Daly JM, Copeland EM, Massar E, Johnson DE, Brachen B, Samman N, Barlow AL and Dudrick SJ: Adaptation to amino acid infusions in surgical patients. Fed Proc 40:3933, 1981. Barroso AO, Rowlands BJ, Tulloch BR, Woo J and Dudrick SJ: Changes in serum total and high density lipoprotein cholesterol during intravenous hyperalimentation in dogs. Clin Res 29:(2)263A, 1981. Rowlands BJ, Barroso A0, Foucar E and Dudrick SJ: Changes in hepatic morphology and liver function tests during intravenous hyperalimentation in dogs. Clin Res 29:(2)421A, 1981. Jensen JE, Jensen TG, Smith TK, Dudrick SJ and Johnston DA: Nutrition in orthopaedic surgery. Orthop Transactions 5:(1)85, 1981. Hunt D, Barroso A, Lee P, Rowlands BJ, Lane H and Dudrick SJ: Iron overload in patients with short bowel syndrome. Fed Proc 41:(3)2075. 1982. Garza JL, Rowlands BJ and Dudrick SJ: Should liver function test abnormalities during prolonged intravenous hyperalimentation (IVH) cause concern? Gastroenterology 82:(5)1041, May 1982. Dudrick PS, O'Donnell JJ, Matheny RG, Yoshimura NN and Dudrick SJ: Failure of enriched branched chain amino acid solutions to improve wound healing in traumatized rats. Fed Proc 43:(4)3299, 1984. Lane HW, Moore C, Lotspeich CA, Ballard J, Dudrick SJ, Halligan R and Warren DC: Selenium supplementation for patients receiving chronic total parenteral nutrition. Fed Proc 43:(4)3402, 1984. Guthrie PD, Drummond RW, Feste AS and Dudrick SJ: Dynamic effects of a high cholesterol diet on plasma lipoprotein levels in rabbits. Fed Proc 43:(9)1330, 1984. Dudrick SJ and Drummond RW: Use of specially formulated parenteral substrate therapy (PNST) in atherosclerotic plaque regression. Fed Proc 43:(7)3538, 1984. Drummond RW, Feste AS, Guthrie PD and Dudrick SJ: Alteration of rabbit plasma lipid relationships in response to a high cholesterol diet. Fed Proc 43:(7)3538, 1984. Feste AS, Drummond RW and Dudrick SJ: The effects of a high cholesterol diet on the plasma concentration and distribution of cholesterol eaters and free fatty acids in rabbits. Fed Proc 43:(7)3540, 1984. Dudrick SJ, Matheny RG, O'Donnell JJ, Dudrick PS and Yoshimura NN: Effect of enriched branched chain amino acid (AA) solutions in traumatized rats. JPEN 8:86, 1984. 120 93. 94. 95. 96. 97. 98. 99. 100. 101. 102. 103. 104. 105. 106. 107. Dudrick SJ, O'Donnell JJ, Matheny RG, Cardoso RJ, Hagemeier KF and Hickey MS: A new concept of long-term indwelling tube gastrostomy feeding. JPEN 8:94, 1984. Dudrick SJ, O'Donnell JJ, Hickey MS, Englert DM, Nutt RE, Blume ER, Barroso AO and Clague MB: Ambulatory home total parenteral nutrition (TPN)-100 patient years. JPEN 8:100, 1984. Dudrick SJ, Drummond RW: Utilization of specific total parenteral nutrition (TPN) in the arrest and reversal of atherosclerosis. JPEN 9:62, 1985. Drummond RW, Feste AS, Guthrie PD and Dudrick SJ: Effects of a high cholesterol diet on atherogenesis in rabbits: Lipoproteins. JPEN 9:63, 1985. Drummond RW, Mazzagatti L, Guthrie PD and Dudrick SJ: Evaluation of a chemiluminescence nitrogen analysis technique for use in nutritional assessment studies. JPEN 10(1):195, 1986. Dudrick SJ, Drummond RW, Belloso RM, Bisken LC, Dudrick PS and Hedberg AM: Practical considerations affecting the accuracy of indirect calorimetry (IC) measurements for nutritional assessment. JPEN 10(1):205, 1986. Drummond RW, Guthrie PD and Dudrick SJ: Evaluation of performance of an automated fluorescence quenching technique (FQT) for measurement of retinol binding protein (RBP), transthyretin (TTY) and transferrin (TRF). JPEN 10(1):215, 1986. Dudrick SJ, O'Donnell JJ, Raleigh DP, Matheny RG and Unkel SP: Intravenous iron for patients refusing transfusion. American Family Physician 33(2):328, 1986. Matheny RG, Biskin LC, Belloso RM, O'Donnell JJ and Dudrick SJ: Stimulation of erythropoiesis in anemic dogs with an intravenous iron/nutrition regimen. Fed Proc 45(3):2582, 1986. Weisbrodt NW, Belloso RM, Biskin LC, Dudrick PS and Dudrick SJ: Effect of acetylcysteine on adaptation of intestinal smooth muscle after small bowel bypass. Fed Proc 45(4):5181, 1986. Dudrick SJ, O'Donnell JJ, Englert DM, Blume ER, Belloso RM and Peters C: 150 patient-years of ambulatory home total parenteral nutrition (TPN) in the management of difficult gastrointestinal disorders. Gastroenterology 90(5):1400, 1986. Dudrick SJ: Management of the Short Bowel Syndrome. J Gastroenterol Surg 27(2):239, 1994. Winston D, Boatwright D, Gustafson D, Monte W, Dudrick SJ: Newly Developed Tube Feeding Formula is Antimicrobial. Clin Res, Vol 42, 3:448A, 1994. Winston D, Boatwright D, Winston DC, Monte W, Dudrick SJ: Tube Feeding Formula With Sorbate is Antimicrobial. FASEB Journal 9:4, A863, 1995. Amshel C, Maharaj A, Palesty JA, Tambarino F, Dudrick SJ: Are Chest X-Rays Mandatory Following Central Venous Recatheterization over a 121 108. 109. 110. 111. 112. 113. 114. 115. Guidewire? Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1996. McKelvey A, Chlosta WF, Palesty JA, Davis MD, Dudrick SJ: Psychological Implication of Needle Localization of Non-Palpable Breast Lesions: Phase II. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1996. Sawmiller C, Sumpio BE, Maitz S, Dudrick SJ: The Effect of Contrast Agents on Smooth Cell Muscle Cell Growth in Vitro. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1996. Palesty JA, Amshel CE, Maharaj A, Dudrick SJ: Are Chest X-Rays Mandatory Following Central Venous Recatheterization Over a Wire? Prospective Data Confirm and Augment Previous Retrospective Data. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1997 McKelvey AA, Palesty JA, Dudrick SJ: Should Chest X-Rays Be Obtained Routinely Following Elective Removal of Chest Tubes? Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 Zdankiewicz PD, Garza JJ, Zahir KS, Dudrick SJ, Alosco T: Two Years Experience with Laparoscopic Versus Open Repair of Ventral Hernias. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 Palesty JA, Zahir KS, Dudrick SJ, Tripodi G: Nd: YAG Laser for the Excision of Pilonidal Cysts: A Comparison with Traditional Techniques. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 Zahir KS, Edwards RP, Vecchia A, Dudrick SJ, Tripodi G: Use of the Nd:Yag Laser Improves Quality of Life and Economic Factors in the Treatment of Hemorrhoids. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 Roros JG, Gosche JR, Seashore J, Dudrick SJ, Touloukian R: Management of Blunt Pancreatic Injuries in the 90’s: A Retrospective Analysis. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 122 116. 117. 118. 119. 120. 121. 122. 123. 124. 125. Palesty JA, McKelvey AA, Dudrick SJ: The Efficacy of X-Rays after Chest Tube Removal. 51st Annual Meting of the Southwestern Surgical Congress, April, 1999 Paszkowiak JJ, Zdankiewicz PD, Wang XJ, Shea VT, Dudrick SJ: The Increased Prevalence of Hypothyroidism in Women Newly Diagnosed with Breast Carcinoma at St. Mary’s Hospital. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 Tittle SL, Palesty JA, Dudrick SJ: Merkel Cell Tumors: A Retrospective Review of the Connecticut State Tumor Board’s Data, 1990-1997. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 Woo DJ, Zdankiewicz PD, Hamzi M, Dudrick SJ: Clark’s Level I and II Cutaneous Malignant Melanoma at St. Mary’s Hospital. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 Edwards RE, Zdankiewicz PD, Dudrick SJ, Dineen JP: Follow-Up Counseling for Trauma Patients with Concurrent Substance Abuse – The Need for Enforcement. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 Rasque H, Duzgun AS, Dudrick SJ, Sumpio BE: Contrast Agents Decrease VSMC Migration and Activate P38. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 Garza JJ, Riley JT, Roros JG, Sawmiller CJ, Quigley W, Dudrick SJ: Acute Cholecystitis in Critically Ill Surgical Patients: Is Incidental Cholecystectomy During Exploratory Laparotomy Indicated? Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 Wang XJ, Chen EL, Willis AI, Dudrick SJ, Sumpio BE, Gahtan V: Focal Adhesion Kinase is Involved in Thrombospondin-1 Induced Cell Migration. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 Kavic SM, Atweh N, Frangos SG, Ivy ME, Possenti PP, Pineau MJ, Fidler PE, Gross RI, and Dudrick SJ: Traumatic Bile Duct Injury: Optimizing Outcome by Individualizing Management. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p17, November, 2000 Frangos SG, Atweh N, Pineau MJ, Kavic SM, Ivy ME, Possenti PP, Bandanza D, Gross, RI, Fidler PE and Dudrick SJ: Hypothermia is a Marker for Adequacy of Resuscitation in Severe Truncal Injury. 123 126. 127. 128. 129. 130. 131. 132. 133. 134. 135. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p69, November, 2000 Koo J, Ivy M, Atweh N, Pineau M, Possenti P and Dudrick SJ: Cardiac Rupture Resulting from Blunt Trauma: A Retrospective Review of One Community Hospital’s Experience. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p73, November, 2000 Christian DJ, Palesty JA, Lahijani SS, Rabbi JF, Dudrick SJ and Brown W: Treatment of Lower Extremity Telangiectasias and Varicose Veins with the Nd Yag Laser. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p69, November, 2002 Mikhaeil HM, Hanna BG, Staib S, Paszkowiak JJ and Dudrick SJ: Impact of Age on Outcome of Motor Vehicle Trauma Patients: A Trauma Level II Community Hospital Experience. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p51, November 2002 Rutland RC, Edwards RE, Rabbi JF, Staib S and Dudrick SJ: Can the Injury Severity Score Alone Predict Outcome In Patients with Pulmonary Contusion? Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p52, November, 2002 Osigweh JM, Palesty JA, Osigweh CAB, Zdankiewicz PD and Dudrick SJ: Rates of Aspiration in Percutaneous Endoscopic Gastrostomy and Percutaneous Endoscopic Jejunostomy. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p58, November, 2002 Paszkowiak JJ, Tittle SL, Jackson LM, Dudrick SJ and Dardik A: Abdominal Wall Endometrioma:Experience with a Rare Entity. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p61, November, 2002 Wang XJ, Paszkowiak JJ, Dudrick SJ and Sumpio BE: Red Wine Polyphenols Inhibit Extracellular Signal-Regulated Kinase 1/ 2 and P38 Activation in Vascular Smooth Muscle Cells. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p64, November, 2002 Mikhaeil HM, Hanna BG, Staib S, Paszkowiak JJ and Dudrick SJ: Impact of Age on Outcome of Motor Vehicle Trauma Patients: A Trauma Level II Community Hospital Experience, Southwestern Surgical Society, p128, 2003 Maloney SP, Edwards RE, Kiran PR, Richi A and Dudrick SJ: Outcomes of Patients Over the Age of 80 Years Treated for a Perforated Viscus in a Community Hospital Setting Over a Ten Year Period. Connecticut Chapter of the American College of Surgeons, p53, November, 2003 Jackson LS, Wang XJ, Gersten G and Dudrick SJ: Nitinol Stents in Superficial Femoral Artery (SFA) Stenosis: A Community Hospital Experience. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p54, November, 2003 124 136. 137. 138. 139. 140. 141. 142. 143. 144. 145. 146. Thorisson HM, Gersten G and Dudrick SJ: Treatment of Postcatheterization Pseudoaneurysm in a Community Hospital Setting. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p39, November, 2003 Rabbi JF, Gersten G, Kiran PR, Dudrick SJ and Dardik A: Early Results with Infrainguinal Cutting Balloon Angioplasty Indicated Limitation of Distal Dissection. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p45, November, 2003 Lahijani S, Rutland RC, Tripodi G and Dudrick SJ: Laparoscopic Splenic Artery Aneurysm Ligation During Pregnancy. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p46, November, 2003 Lahijani S, Wells K, Alosco T and Dudrick SJ: Primary Malignant NonHodgkin Skeletal Muscle Lymphoma: A Case Report. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p48, November, 2003 Shahmohammadi K, Dardik A and Dudrick SJ: Predictors of Mortality After Repair of Ruptured Abdominal Aortic Aneurysm by General Surgeons in a Community Hospital. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p51, November, 2003 Rutland RC, Palesty JA, Edwards RE, Dudrick SJ and Tadros R: TuboOvarian Abscess in a Postpartum Adolescent. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p50, November, 2003 Lahijani S, Castro MG, Dardik A and Dudrick SJ: Does Initial Leukocyte Count Correlate with Trauma Victim Length of Stay in Hospital. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p20, November, 2003 Rabbi JF, Gersten G, Kiran PR, Dudrick SJ and Dardik A: Early Results with Infrainguinal Cutting Balloon Angioplasty Indicates Limitation of Distal Dissection. 14th Annual Winter Meeting of the Peripheral Vascular Surgery Society, February, 2004 Paszkowiak JJ, Teso D, Wang XJ, Kelley L, Sumpio BE, Dudrick SJ and Dardik A; Rapamycin Inhibits Neointimal Hyperplasia in Low Flow States In Vivo Without Affecting Vessel Inward Remodeling. 56th Annual Meeting of the Southwestern Surgical Congress, p122, April, 2004 Teso D, Edwards RE, Fratinni JC, Dudrick SJ and Dardik A: Safety of Carotid Endarterectomy in 2443 Elderly Patients: Lessons from Nonagenarians – Are We Pushing the Limit? 32nd Annual Meeting of the Society for Clinical Vascular Surgery, March, 2004 Castro MG, Kiran PR, Dardik A and Dudrick SJ: Does Intraoperative Thyroid Frozen Section Have Clinical Value in Determining the Extent of Thyroidectomy? Tufts New England Annual Resident Research Day, April, 2004 125 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. Paszkowiak JJ, Teso D, Hamzi M and Dudrick SJ: Recurrent Laryngeal Nerve Schwannoma: A Rare Mediastinal Tumor. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p16, November, 2004 Fancher TF, Golik L, Paszkowiak JJ, Polokoff EG and Dudrick SJ: Breast Cancer Diagnosed in Woman Under the Age of 40 Over the Last Decade. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p18, November, 2004 Osigweh JM, Longo WE, Dudrick SJ and Geibel JP: Calcium Sensing Receptor Modulates Electrolyte Transport in Human Colonic Crypts. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p22, November, 2004 Jackson LM, Wang XJ, Dudrick SJ and Gersten GD: Thrombolysis and Stenting: Alternative to Treating Deep Vein Thrombosis. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p30, November, 2004 Jackson AL, Pimiento JM, Usoh F, Edwards RE, Richi AA and Dudrick SJ: Paraplegia: A Rare Complication Following Abdominal Aneurysm Repair. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p37, November, 2004 Jackson LM, Kopin C, Tripodi G and Dudrick SJ: Urethral Carcinoma: A Rare Presentation. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p38, November, 2004 Panait L, Conklin P, Edwards RE and Dudrick SJ: Surgical Treatment of Perforated Appendicitis in a Community Hospital. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p42, November, 2004 Pimiento JM, Kiran PR, Edwards RE, Hamzi M, Richi AA, Alosco T, Zarif A and Dudrick SJ: Initial Use of Hand Ports in the Community Hospital Setting May Reduce the Slope of the Learning Curve for Laparoscopic Colorectal Resections. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p43, November, 2004 Teso D, Fratini J, Dudrick SJ and Dardik A: Carotid Endarterectomy in 1,650 Patients Under 60 Years Old: Implications for Screening. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p45, November, 2004 Wang XJ, Edward RE, Pimiento JM and Dudrick SJ: Cold Abscess of the Right Buttock: A Rare Entity. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p47, November, 2004 Wang XJ, Jackson LM, Modhwadua M, Bhaliya P, Gersten GD and Dudrick SJ: Thrombolytic Therapy for Acute Limb Ischemia in a Community Hospital. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p48, November, 2004 126 158. 159. 160. 161. 162. 163. 164. 165. 166. 167. 168. 169. Wang XJ, Ravalese J, Alosco T and Dudrick SJ: Right Buttock Sarcoma Following Radiation Therapy for Endometrial Adenocarcinoma. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p51, November, 2004 Qureshi IR, Staib S, Edwards RE and Dudrick SJ: The Relationship of Injury Severity Score with Trauma Outcome of Patient in Urban Versus Rural Trauma Centers. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p62, November, 2004 Rutland RC, Kidd M, Dudrick SJ and Modlin IM: The Treatment of Morbid Obesity- From the Fat into the Frying Pan? Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p63, November, 2004 Teso D, Edwards RE, Antezana J, Dudrick SJ and Dardik A: Do Vascular Surgeons Improve the Outcome of Carotid Endarterectomy? An Analysis of 12,618 Elective Cases in the State of Connecticut. Connecticut Medicine, p622, November/December 2004 Lahijani SS, Castro MG, Ivy M and Dudrick SJ: Unique Approach to Diagnosis of Pott’s Disease. Connecticut Medicine, p624, November/December 2004 Teso D, Edwards RE, Frattini J, Dudrick SJ and Dardik A: Safety of Carotid Endarterectomy in 2443 Elderly Patients; Lessons from Nonagenarians – Are We Pushing the Limit? Connecticut Medicine, p625, November/December 2004 Fancher TT, Malkin BS, Palesty JA and Dudrick SJ: Should Breast Self Examination Really be Optional? Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p27, November, 2005 Osigweh JM, Bell R, Dudrick SJ and Geibel JP: Sodium Hydrogen Transport Regulates PH in Human Small Intestine Villi. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p29, November, 2005 Panait L, Merrell RC, Rafiq A, Dudrick SJ and Broderick T: Virtual Reality Lapparoscopic Skill Assessment in Microgravity. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p31, November, 2005 Cordova AC, Kiran PR, Martin GJ, Dudrick SJ and Nicastri GR: Multiple Bile Duct Hamartomas. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p86, November, 2005 Alam S, Malkan A, Kiran PR, Dudrick SJ and Nicastri GR: Benign Vascular Proliferation as a cause of Intussusception. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p88, November, 2005 Qureshi IQ, Nicastri GR and Dudrick SJ: Superior Mesenteric Artery Syndrome:Review and Case Study. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p90, November, 2005 127 170. 171. 172. 173. 174. 175. Maloney S, Richi AA, Dardik A and Dudrick SJ: Ruptured Abdominal Aorta Aneurysm Repair with Distal Anastamosis to the Inferior Mesenteric Artery: A Case Report. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p92, November, 2005 Jackson LM, Malkan A, Tripodi G and Dudrick SJ: Stump Appendicitis After Laparoscopic Appendectomy: A Case Report. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p94, November, 2005 Vardanyan A, Bradway M and Dudrick SJ: Negelected Giant Condyloma Acuminatum. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p96, November, 2005 Teso D, Palesty JA and Dudrick SJ: Combined Unilateral Upper and Lower Extremity Ischemia Following Crack Cocaine Abuse. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p98, November, 2005 Rutland RR, Westzik H, Maloney S, Palesty JA, Dardik A and Dudrick SJ: Increased Cardiac Complications in Hispanic Patients After Carotid Endarterectomy. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p100, November, 2005 Golek Z, Zarif A and Dudrick SJ: Diaphragmatic Rupture: High Index of Suspicion. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p101, November, 2005 1/27/06 128 CURRICULUM VITAE STANLEY J. DUDRICK, M.D. HOME ADDRESS: 40 Beecher Street Naugatuck, Connecticut 06770 OFFICE ADDRESS: St. Mary’s Hospital 56 Franklin Street Waterbury, Connecticut 06706 DATE OF BIRTH: April 9, 1935 PLACE OF BIRTH: Nanticoke, Pennsylvania MARITAL STATUS: Married: Theresa M. Keen, June 14, 1958 Children: Susan Marie Stanley Jonathan Holly Anne Paul Stanley Carolyn Mary Anne Theresa EDUCATION: Nanticoke High School, Nanticoke, Pennsylvania, 1949-1953 Franklin and Marshall College, Lancaster, Pennsylvania, 1953-1957 University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, 1957-1961 DEGREES: B.S., Biology Honors, Cum Laude, Franklin and Marshall College, 1957 M.D., University of Pennsylvania School of Medicine, 1961 M.A., Honoris Causa,Yale University, 1999 INTERNSHIP: Hospital of the University of Pennsylvania (Rotating), July 1961-June 1962 RESIDENCY: Assistant Resident in Surgery, Hospital of the University of Pennsylvania, July 1962June 1966 Chief Resident in General Surgery, Hospital of the University of Pennsylvania, July 1966-June 1967 FELLOWSHIP: Research Fellow, Harrison Department of Surgical Research, University of Pennsylvania School of Medicine, July 1962-June, 1967 MEDICAL LICENSURE: Pennsylvania, July 1962, MD 028149-L Texas, January 1973, E-0384 Connecticut, November 1994, 034175 CERTIFICATION: American Board of Surgery, January 29, 1968, 15163 2 CURRENT POSITIONS: Professor of Surgery, Yale University School of Medicine, 1995 – Chairman, Department of Surgery, St. Mary’s Hospital/Yale Affiliate, 2004 – Director, Program in Surgery, St. Mary’s Hospital/Yale Affiliate, 2002 – Director, Graduate Medical Education, St. Mary’s Hospital, 2002 – Attemding Surgeon, St. Mary’s Hospital/Yale Affiliate, 1994Attending Surgeon, Bridgeport Hospital/Yale New Haven Health System, 2002 – Attending Surgeon, West Haven VA Hospital, 1998 – Consultant in Surgery, Yale New Haven Hospital, 2004 – PAST FACULTY APPOINTMENTS AND POSITIONS: University of Pennsylvania School of Medicine (1962-1972; 1988-1993) Assistant Instructor in Surgery, July 1962- June 1966 Instructor in Surgery, July 1966-June 1967 Associate in Surgery, July 1967-June 1968 Assistant Professor of Surgery, July 1968-June 1969 Associate Professor of Surgery, July 1969-July 1972 Professor of Surgery, July 1972-Sept 1972 Research Fellow, Harrison Dept of Surgical Research, July 1962-June 1967 Scientific Staff, Harrison Dept of Surgical Research, July 1967-Sept 1972 Chief of Surgery, University of Pennsylvania Division, Philadelphia Veterans Administration Hospital, July 1967-August 1972 Acting Chief of Surgery, Philadelphia Veterans Administration Hospital, July 1968-August 1972 Associate Surgeon, Hospital of the University of Pennsylvania Surgical Staff, July 1967-Sept 1972 Assistant Attending Physician, Philadelphia General Hospital, July 1967-Sept 1972 Clinical Professor of Surgery, Nov 1988 - July, 1993 The University of Texas Medical School at Houston (1972-1988; 1990-1995) Chairman, Department of Surgery, The University of Texas Medical School at Houston, July 1972-Sept 1980 Chairman, Department of Surgery, Hermann Hospital, July 1972-Sept. 1980 Professor of Surgery, The University of Texas Medical School at Houston, July 1972-Jan 1982 Clinical Professor of Surgery, The University of Texas Health Science Center at Houston, Jan 1982-Sept 1995 Chief of Surgical Services, Hermann Hospital, July 1972-Sept 1980 Attending Surgeon, Hermann Hospital, July 1972-June 1988 Surgeon in Chief, Hermann Hospital, Houston, May 1990 - May 1993 Director, Nutritional Support Services, Hermann Hospital, May 1990 - May 1993 Director, Nutritional Science Center, Hermann Hospital, May 1990 - May 1993 Director, Center for Cardiovascular Disease, Hermann Hospital, May 1990 - May 1993 3 Medical Director, Hermann Nutrition and Human Performance Center, May 1990- May 1993 Active Staff, General Surgery, Hermann Hospital, May 1990- July 1995 Senior Consultant in Surgery and Medicine, Texas Institute for Rehabilitation and Research, July 1974-June 1988 Director, Nutritional Support Services, St. Luke’s Episcopal Hospital, Dec 1981-June 1986 Attending Surgeon, St. Luke’s Episcopal Hospital, Sept 1981-June 1988 Attending Surgeon, Texas Children’s Hospital, Sept 1981-June 1988 The University of Texas System Cancer Center, MD Anderson Hospital and Tumor Institute (1972-1988) Consultant in Surgery, Dept of Surgery, July 1972-June 1988 Consultant to the Office of the President (General Surgery), Sept 1982-1988 Pennsylvania Hospital (1988-1990) Chairman, Department of Surgery, July 1988-May 1990 Director, Residency Training Program in General Surgery, July 1988-May 1990 Surgeon in Chief, July 1988-May 1990 Surgeon to the Hospital, Active Staff, July 1988-May 1991 Surgeon to the Hospital, Honorary Staff, October 1991St. Mary’s Hospital/Yale Affiliate (1994 – 2000; 2002-2004) Program Director, Dept. of Surgery, St. Mary’s Hospital, Waterbury, CT Nov 1994 – Jan 2000 Associate Chairman, Dept. of Surgery, St. Mary’s Hospital, Nov 1994 – Jan 2000; Aug 2002 – June 2004 Clinical Professor of Surgery, Yale University School of Medicine, New Haven, CT Jan 1995 - June 1999 Director, Graduate Medical Education, St. Mary’s Hospital, Waterbury, CT Jan 1995 – Jan 2000 Attending Surgeon, St. Mary’s Hospital, Waterbury, CT Nov 1994 – Jan 2000 Bridgeport Hospital/Yale New Haven Health System (2000 – 2002) Chairman, Department of Surgery, Bridgeport Hospital, Bridgeport, CT January 2000 – August 2002 Director of Surgical Education, Bridgeport Hospital, Bridgeport, CT Jan 2000 – August 2002 PRESENT FACULTY APPOINTMENTS AND POSITIONS: Professor of Surgery, Yale University School of Medicine, New Haven, CT January 1995Program Director, Department of Surgery, St. Mary’s Hospital, Waterbury, CT August 2002 Director, Graduate Medical Education, St. Mary’s Hospital, Waterbury, CT August 2002 Adjunct Clinical Professor of Surgery, Quinnipiac College, Hamden, CT Oct 1996PRESENT HOSPITAL APPOINTMENTS AND POSITIONS: Attending Surgeon, Saint. Mary’s Hospital, Waterbury, CT November 1994Attending Surgeon, Veterans Affairs Medical Center, West Haven, CT Aug 1998 Attending Surgeon, Yale-New Haven Hospital, New Haven, CT June 1999 - 4 Attending Surgeon, Bridgeport Hospital/Yale New Haven Health System, Bridgeport, CT January 2000 Surgeon to the Hospital, Honorary Staff, Pennsylvania Hospital, Philadelphia, PA Oct 1991 PRESENT MEDICAL SCHOOL COMMITTEES: Yale University School of Medicine Liaison Committee, Department of Surgery, November 1994 Board of Permanent Officers, July 1997 Surgery Grand Rounds Committee, Chairman, 1998 -2001 Surgical Education Committee, July 1998 – Executive Committee, Department of Surgery, July 1999 – Promotions, Appointments, and Tenure Committee, Department of Surgery, July 1999 – Surgery ACGME Accreditation Committee, February 2000 HOSPITAL COMMITTEES: Saint Mary’s Hospital/Yale Affiliate Institutional Review Board Committee, Chairman OR Committee Committee Medical Leadership Committee Committee, Chairman Library Committee Committee, Chairman Ethics Committee Patient Rights Committee Committee ICU Joint Conference Committee Committee Quality Assurance/Surgical Pathways Performance Improvement Steering Committee OR Leadership Committee Infection Control Committee Council Saint Mary’s Health System: Stategic Planning Committee Bridgeport Hospital/Yale New Haven Health System 2000 Program Directors Planning Committee Force Committee Clinical Risk/Mortality Review Committee Committee Credentials Committee Graduate Medical Education Committee Mill Hill Medical Executive Committee Performance Architecture 20005 Committee Directors Committee Primary Care Center Operations Committee Review Committee Graduate Medical Education General Surgery Section General Surgery Teaching Surgical Section Chiefs Trauma QA/QI Committee Trauma Service Executive Performance Improvement Plan Board Planning Committee Medical Records Committee Medical Executive Committee Management/Leadership Cardiology/Cardiovascular Task Continuing Medical Education Critical Care Committee Main OR Committee Nutrition Committee Primary Care Center Clinical Professional and Quality 5 Quality Council Committee Radiology/Operating Room Utilization Committee Surgery Department Chairmans Committee Surgical Research Committee Surgical Section Chiefs Committee, Chairman Surgical Services Committee, Chairman Medical Advisory Board of the Peripheral Vascular Institute, Chairman Nutrition, Pharmacy and Therapeutics Committee Southern Connecticut Health Network Medical Management Committee AWARDS AND HONORS: Franklin and Marshall College, Williamson Medal, 1957 (outstanding member of graduating class) Rawnsley Science Prize, 1957 Sparks Medal, 1957, (highest average in Chi Phi Fraternity) Black Pyramid Senior Honorary Society, 1957 Phi Beta Kappa, 1957 Biology Honors, 1957 Permanent Class President, Class of 1957 University of Pennsylvania School of Medicine, Eben J.Carey Award (excellence in anatomy), 1958 President, Class of 1961 President, Undergraduate Medical Association, 1961 Roche Award (outstanding student of medicine), 1961 Intern of the Year, Hospital of the University of Pennsylvania, 1962 Outstanding Young Men of America, 1968 Honorable Mention for Scientific Exhibit, Surgical Division, AMA Scientific Convention, 1968 Sigma Xi, University of Pennsylvania, 1970 AMA Joseph B. Goldberger Award in Clinical Nutrition (co-recipient with Jonathan E. Rhoads, MD), 1970 Veterans Administration Citation for a significant contribution to medical care, 1970 Da Costa Orator, Philadelphia County Medical Society, 1970 James IV Surgical Traveler, 1971, James IV Surgical Association SAMA-Squibb Award for Scientific Exhibit (co-recipient with Ezra Steiger), 1972 Mead Johnson Award for Research in Hospital Pharmacy (co-recipient with Herbert L. Flack John A. Gans and Stanley E. Serlich), 1972 Seale Harris Medal of the Southern Medical Association for important accomplishment in the broad field of metabolism, endocrinology and nutrition, 1972 Alpha Omega Alpha, Honor Medical Society, Founding Member, The University of Texas Health Science Center at Houston, Medical School Chapter, 1975 AMA Brookdale Award in Medicine, "In recognition of his outstanding contribution to the nutritional care of critically ill or injured patients. His development of parenteral nutritional support of patients has been widely accepted as a standard technique and has suggested new areas of research." 1975 Great Texans Award, National Foundation for Ileitis and Colitis, Inc., Houston Gulf Coast Chapter, 1975 Honorary Texas Citizen, awarded by Governor Dolph Briscoe, 1975 Modern Medicine Award for contributions to developing parenteral hyperalimentation and other refinements in nutritional and metabolic support for surgical patients, 1977 6 Admiral in the Texas Navy, appointed by Governor Dolph Briscoe, 1978 Schaufus Technology Achievement Award of the Parenteral Drug Association, 1978 Honorary Fellowship in the Philippine College of Surgeons, 34th Annual Convention, Manila, Philippines, 1978 First Arvid Wretlind Lecturer-European Society of Parenteral and Enteral Nutrition, Stockholm, 1979 Who's Who in the South and Southwest, 1975-1996 Who's Who in America, 1980Who's Who in the World, 1982Who's Who in Cancer: Professionals and Facilities, 1985Who's Who in American Education, 1992Who's Who in Science and Engineering, 1992Who’s Who in the East, 1996Who’s Who in Medicine and Healthcare, 1996Wisdom Hall of Fame, 1980 Men and Women of Distinction, 1980, 1981 WHO Houston, 1980 American College of Surgeons Board of Governors, 1979-1985 Honorary Fellow, American Pediatric Surgical Association, 1980 Distinguished Alumnus Citation, Franklin and Marshall College, 1980 Edward D. Churchill Lecturer, Excelsior Surgical Society, American College of Surgeons, New Orleans, Louisiana, 1981 Southwestern Pennsylvania Chapter of the American College of Surgeons Annual Award for Extraordinary performance as a physician in the service of mankind, 1981 Virginia Kettering Kampf Lecturer-Wright University, Dayton, Ohio, 1981 Frank Stinchfield Award of the Hip Society of the American Academy of Orthopaedic Surgeons (co-recipient with Jack E. Jensen, MD and Taylor K. Smith, MD) for "Nutritional Assessment of Orthopaedic Patients Undergoing Total Hip Replacement Surgery." 1981 Chairman and Course Director, First Pan-American Congress on Parenteral and Enteral Nutrition, Guadalajara, Mexico, 1981 Distinguished Guest Award of the State of Jalisco, Mexico, 1981 Harry M. Vars Award of the American Society Parenteral and Enteral Nutrition (co-recipient with Charles W. Heard, Jr., MD, R. Bryan Griffith, MD, Taylor K. Smith, MD and John M. Daly, MD) for "The Positive Impact of Nutritional Support on Fracture Healing. February, 1982 Samuel David Gross Lecturer, University of Louisville, February, 1982 Gordon Reid Gross Lecturer, Edmonton, Canada, March, 1982 Sommer Memorial Lecturer, The University of Oregon Health Science Center, Portland, Oregon, April, 1982 Grace A. Goldsmith Award of the American College of Nutrition, co-sponsored by the National Dairy Council, Washington, D.C. October, 1982 Outstanding Humanitarian Award, American Society of Nutritional Support Services, Las Vegas, Nevada, January, 1984 Annual Therapeutic Frontiers Award, American College of Clinical Pharmacy, San Diego, June 1984 American Men and Women in Science, 1985University of Pennsylvania Nutrition Alumni Society President, 1985-1986 7 Jonathan E. Rhoads Lecturer in recognition for major contributions in the field of specialized nutritional support, Annual Clinical Congress of the American Society for Parenteral and Enteral Nutrition, Miami Beach, Florida, February, 1985 Annual Stanley J. Dudrick Research Scholar Award of the American Society for Parenteral and Enteral Nutrition awarded annually and named in Dr. Dudrick's honor in recognition of research leadership and developing TPN, initiated January, 1985 Board of Trustees, Franklin and Marshall College, Lancaster, PA, June, 1985Vice Chairman, 1994-2002 Board of Overseers, 1986-1989; Executive Committee, 1989-2002 Development Council, Chairman, 1987-1990 Chairman, Campaign for the College, 1996-2002 Albion O. Bernstein, M.D. Award of the Medical Society of the State of New York, March 1986 The Cosmos Club, elected to membership, June, 1986 Honorary Membership in Dietitians in Critical Care of the American Dietetic Association awarded in recognition of his advocacy of dietitians practicing critical care nutrition and his contribution to the science of nutrition support, June, 1986 Award from the Instituto Mexicano del Seguro Social in recognition of his outstanding scientific and academic achievements and for significant contributions to nutritional support therapy during the 25 years of his professional life, July, 1987 Phi Beta Kappa Associates, 1988 Honorary Fellow, American Academy of Pediatrics, 1988 Ladd Medal, Surgery Section, American Academy of Pediatrics, 1988 University of Pennsylvania Medical Alumni Society Steering Committee, 1989 Thomas Pollock, M.D. Memorial Lecturer, University of Pennsylvania, Department of Surgery, 1990 Honorary Fellow, College of Medicine and Surgery of the Republic of Costa Rica, 1990 Award from The University of Texas Medical School at Houston in recognition of true interest and enthusiasm in the recruitment of able students to the field of medicine, Dec, 1992 Award from the Federacion LatinoAmericana de Nutricion Parenteral Y Enteral in recognition of his contribution to the development of artificial nutrition, Sept, 1993 Award from the Asociacion Mexicana de Alimentacion Enteral Y Endovenosa in Reconocimiento por su Contribucion al Desarrollo de la Nutricion Artificial, Sept, 1993 Reconocimiento por ser pionero en la ciencia de la alimentacion artificial descubrimiento que ha generado nuevas esperanzas y vertido enormes beneficios a la humanidad, en la ciudad de Morelia, Mich., Mexico, C.P. Sergio Magana Martinez, Presidente Municipal, Sept, 1993 Award from the Mexican Association of Enteral and Intravenous Alimentation in recognition of the value of his scientific contribution of the advancement of nutrition in Mexico with much gratitude, V Congreso Nacional, Acapulco, Mexico, October, 1994 Honorary Member, Mexican Association of Enteral and Intravenous Alimentation, October, 1994 8 Award in Recognition of Excellent and Dedicated Surgical Teaching, Surgical Residents, St. Mary’s Hospital, June, 1995 Hospital of The University of Pennsylvania Surgical Resident Graduate of the Year Award, April, 1996 D. Hayes Agnew Lecturer, University of Pennsylvania Department of Surgery, April, 1996 First Chairman, National Alumni Council, University of Pennsylvania School of Medicine, May, 1996- May, 2001 University of Pennsylvania Medical Center Alumni Service Award, May, 1996 American Surgical Association 1997 Flance/Karl Award to Stanley J. Dudrick, M.D. and Jonathan E. Rhoads, M.D. “For their seminal contribution in basic laboratory research as applied to parenteral nutrition.” International Association for Surgical Metabolism and Nutrition “For his outstanding academic achievements that have contributed to the development of surgical metabolism and nutrition.” August, 1997 Roche Visiting Professor - University of Miami School of Medicine, Trauma/Surgical Critical Care, December 1997 Annual Lecturer, Surgical Historical Society, December, 1997 Honorary Guest Lecturer, Seattle Surgical Society, January, 1998 Honorary Member - Seattle Surgical Society, January, 1998 Faculty Recognition Award, Continuing Medical Education, St. Mary’s Hospital, January 1998 Award as Honored Guest Lecturer from the City of Loja, Ecuador, May, 1999 Award in Recognition of Excellent and Dedicated Surgical Teaching, Surgical Residents, St. Mary’s Hospital, June, 1999 The J.D. Ashmore Visiting Lectureship, Greenville Hospital System, Greenville, South Carolina, June, 1999 Venezuelan Society of Parenteral and Enteral Nutrition Award “In Recognition for Pioneering Work in the Field of Clinical Nutrition,” Caracas, Venezuela, October, 1999 Crohn’s and Colitis Foundation of America, Award in Recognition as Founder, Houston Chapter (founded in 1975), November, 1999 Roswell Park Medal Award, Buffalo Surgical Society, March, 2000 Honorary Degree, Master of Arts, Yale University, April, 2000 Nos Magni Nominis Umbra Teaching and Research Award – Yale Residents in General Surgery, 2000 Honorary Membership, Los Angeles Surgical Society, January, 2001 Top Docs, General Surgery, Connecticut Magazine, February, 2001 William J. Pokorny Memorial Surgical Science Lectureship, South Texas Chapter, American College of Surgeons, March, 2001 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2001 Top Doctors: New York Metro Area, Castle Connolly Medical Ltd., March, 2001 The Best Doctors in New York: New York Magazine, June, 2001 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2002 Commencement Speaker, Bridgeport Hospital School of Nursing, Program of Surgical Technology, June 2002 The Best Doctors in New York: New York Magazine, June, 2002 America’s Registry of Outstanding Professionals – Lifetime Member, June, 2002 Alumni Medal of Franklin & Marshall College “For Outstanding Volunteer Service to Franklin & Marshall College”, October, 2002 9 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2003 Top Doctors: New York Metro Area, Castle Connolly Medical Ltd., March, 2003 The Best Doctors in New York: New York Magazine, June, 2003 Visiting Professor and Lecturer University of Texas Medical Center, June, 2003 The Stanley J. Dudrick, M.D. Surgical Education and Research Fund “In Recognition of Dr. Dudrick’s Teaching and Research Accomplishments”, June, 2003 Honorary Membership in the Polish Society of Parenteral and Enteral Nutrition, September, 2003 Medal of The Polish Lifeline Foundation (Linia Zycia), For the Support of Home TPN Patients, September, 2003 American College of Surgeons Fellows Leadership Society – Life Member, October, 2003 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2004 Top Doctors: New York Metro Area, Castle Connolly Medical Ltd., March, 2004 The Best Doctors in New York: New York Magazine, June, 2004 The James H. Foster Lecture, University of Connecticut School of Medicine, October, 2004 The William H. Erb, Sr. Lecture, Philadelphia Academy of Surgery, January, 2005 The Jonathan E. Rhoads Lecture, American Society for Parenteral and Enteral Nutrition, January, 2005 The Walter J. Pories Honor Lecture in Surgical Education, Brody School of Medicine, East Carolina University, March, 2005 America’s Top Doctors, Castle Connolly Medical Ltd., March, 2005 Top Doctors: New York Metro Area, Castle Connolly Medical Ltd., March, 2005 The Best Doctors in New York: New York Magazine, June, 2005 The American College of Surgeons Jacobson Innovation Award, June, 2005 The Association of Mexican Surgeons Lifetime Achievement Award, November 2005 EDITORIAL ACTIVITIES: Editorial Consultant, Journal of Trauma, 1974 Editorial Board, Infusionsterapie and Klinische Ernahrung, 1974 Associate Editor, Nutrition in Medicine, 1975Editorial Board, Annals of Surgery, 1975Senior Member, 2002Editorial Board, Journal of Parenteral and Enteral Nutrition, 1978 Editorial Board, Nutrition and Cancer, Founding Member, 1978-2000 Editorial Board, Practical Gastroenterology, 1978 Editorial Board, Infusion, 1978 Editorial Advisory Board, Correspondence Society of Surgeons, 1978 Co-Editor, Manual of Surgical Nutrition, American College of Surgeons, 1975 Editorial Advisory Board, Nurse's Guide to Drugs, 1978- Intermed Communications, Inc. Horsham, PA. Editorial Council, The Journal of Clinical Surgery, 1980 Editorial Board, Nutrition Support Services, 1980 Editorial Consultant, Nutrition Research, 1981 Editorial Advisory Board, Texas Health Letter, 1981 Editorial Advisory Board, Diseases, 1981,Intermed Communications, Inc., Horsham, PA. Editorial Advisory Board, Diagnostics, 1981,Intermed Communications, Inc., Horsham, PA 10 Editorial Advisory Board, Professional Guide to Diseases, Intermed Communications, Inc., Horsham, PA. 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Springhouse Corp, Springhouse, PA, 1994 Editorial Board, Journal of Metabolism and Nutrition (Revista de metabolismo Enutricao) Porto Alegre - RS, Brazil, 1994Editorial Board, Current Surgery, 1999 – Editoral Board, Polish Journal of Surgery, 2003MEMBERSHIP IN ACADEMIC, HONORARY PROFESSIONAL MEDICAL AND SCIENTIFIC SOCIETIES NATIONAL COMMITTEES: Alaska State Medical Association, (Honorary) Alpha Omega Alpha Medical Society, University of Texas at Houston, Secretary-Treasurer, 1982 Allen O. Whipple Surgical Society American Academy of Pediatrics, Honorary Fellow American Association for the Advancement of Science 11 American Association for the History of Medicine, Inc. American Association for Laboratory Animal Science American Association for the Surgery of Trauma American Association of University Professors American Board of Surgery Board of Directors, 1974-1984 In-Training Examination Subcommittee, 1974-1978 Multiple Choice Subcommittee (MCS), 1979-1984, Chairman, 1982-1984 Examination Committee, 1982-1984 Committee on Issues (COI), 1979-1984 Ad Hoc Committee Special Competence for Hand Surgery, 1981-1983, Chairman, 1982-1983 Joint Chairman for Surgery of the Hand,1984-1987 Senior Member, American Board of Surgery, 1984American Burn Association American Cancer Society Board of Directors, Harris County Unit Medical and Scientific Committee Public Education Committee American Cancer Society, Board of Directors, Philadelphia Unit Professional Education Committee American College of Emergency Physicians American College of Nutrition American College of Surgeons, Fellow, 1971Board of Governors, 1979-1985 Credentials Committee, State of Texas, 1979-1988 Credentials Committee, Eastern Pennsylvania, 1989-1990 Pre- and Postoperative Care Committee, 1974-1980 Executive Committee, 1974-1977 Vice Chairman, 1975-1977 Editorial Subcommittee for Manual of Surgical Nutrition Chairman, Editorial Subcommittee for Manual of Pre- and Postoperative Care, 3rd edition South Texas Chapter, Director, 1977-1986 Committee on Medical Motion Pictures, 1981-1990 SESAP '94-'95, PMP Committee #2, 1991-1993 SESAP '96-'97, MCI Committee #4, 1993-1995 Co-Chairman, 1993-1995 American Federation for Clinical Research American Gastroenterological Association American Institute of Nutrition American Medical Association Council on Foods and Nutrition, Executive Committee Subcommittee on Total Parenteral Nutrition Subcommittee on Quality Control of Parenteral Solutions Ad Hoc Committee on Nutrition Teaching in Medical Schools Council on Scientific Affairs, 1976-1981 Surgical Criteria Project General Surgery Criteria Committee American Radium Society American Society for Clinical Investigation, 1978 - 12 American Society for Clinical Nutrition Membership Committee American Society of Contemporary Medicine and Surgery American Society for Nutritional Sciences American Society of Nutritional Support Services, Board of Directors, 1982-1987 President-Elect, 1983-1984 President, 1984-1985 American Society for Parenteral and Enteral Nutrition President, 1977-1978 (Founding President) Board of Advisors, 1978Chairman, 1978-1979 Public Policy Committee, 1984-1986 Research Foundation Study Committee, 1990American Surgical Association Member, Program Committee, 1979-1982 Chairman, Program Committee, 1981-1982 American Trauma Society (Founder's Group) Anatomical Board of the State of Texas Association for Academic Surgery (Founder's Group) Association of American Medical Colleges Association of Program Directors in Surgery, 1988Board of Directors, 1998Association of Veterans Administration Surgeons (Founding Member) Beaumont Medical Club of Connecticut, 1999 College of Physicians of Philadelphia, 1990Collegium Internationale Chirurgiae Digestivae Connecticut Society of American Board Surgeons, 1994Connecticut State Medical Society, 1995Connecticut Society for Parenteral and Enteral Nutrition (CONNSPEN), 1995Crohn's and Colitis Foundation of America Doctors' Club of Houston Ethicon General Surgery Advisory Board Federation of American Societies for Experimental Biology Halsted Society Senior Member, 1986Harris County Medical Society Emergency Medical Services Committee Medical and Scientific Committee Houston Academy of Medicine Texas Medical Center Library Scientific Advisory Committee, Chairman Houston Gastroenterological Society Houston Ostomy Association Houston Surgical Society International Federation of Surgical Colleges International Platform Association International Society for Digestive Surgery International Society for Parenteral Nutrition President-Elect, 1975-1978 President, 1978-1981 Executive Committee, 1975-1984 John Morgan Society, University of Pennsylvania (Honor Society for Medical Research) 13 Lifeline Foundation, Inc. Board of Directors Medical Club of Philadelphia, 1990Minneapolis Surgical Society (Honorary Member) National Cancer Institute, National Institutes Health-Diet, Nutrition and Cancer Program Advisory Committee; Chairman, Diet, Nutrition and Cancer Program National Foundation for Ileitis and Colitis, Houston Gulfcoast Chapter Medical Advisory Board, Houston Gulfcoast Chapter National Institutes of Health Surgery, Anesthesiology and Trauma Study Section, July 1982-June 1986 National Research Council, National Academy of Sciences Food and Nutrition Board Committee on Clinical Nutrition Task Force on Clinical Nutrition New England Surgical Society, 1996 New Haven County Medical Association, 1995New Orleans Society of Parenteral and Enteral Nutrition, Board of Advisors New York Academy of Sciences Nutrition Today Society Pan American Medical Association Pan-Pacific Surgical Association Vice President, General Surgery Section, 1985-1988 Philadelphia Academy of Surgery, 1988Philadelphia County Medical Society, 1988-1990 Pennsylvania State Medical Society, 1988-1990 Ravdin-Rhoads Surgical Society Sigma Xi, Rice-Texas Medical Center Chapter Societe Internationale de Chirurgie Society for Surgery of the Alimentary Tract Society of Clinical Surgery Society of Laparoendoscopic Surgeons Society of Surgical Oncology, Inc. Society of University Surgeons American Board of Surgery Representative, 1974-1984 Executive Council, 1974-1978 Councilman-at-Large, 1974-1978 Society for the Advancement of Blood Management, 2002Southeastern Surgical Congress Associate Fellow, 1977 Southern Gut Club Southern Medical Association Section on Surgery, Chairman-Elect, 1983-84, Chairman, 1984-1985 Southern Society of Clinical Surgeons Southern Surgical Association Southwestern Surgical Congress Stanley J. Dudrick Surgical Society (Honorary Member) Surgical Biology Club II Surgical Historical Society, 1997Surgical Infection Society (Charter Member) Membership Committee, Chairman, 1987-1990 14 Texas Gulfcoast Chapter of the American Society for Parenteral and Enteral Nutrition Texas Medical Association Committee on Nutrition and Food Resources Texas Delegation to the AMA Texas Medical Foundation Texas Surgical Society United Ostomy Association, Houston Chapter United States Pharmacopeia Committee on Revision, Advisory Panel on Electrolytes and Parenteral Therapy University Association for Emergency Medical Services Venezuelan Society of Parenteral and Enteral Nutrition Western Surgical Association MEMBERSHIP IN NON MEDICAL SOCIETIES Alumni Club of Philadelphia, 1989-1990 American Museum of Natural History, Associate Member Association of Governing Boards of Universities and Colleges, 1985Athenaeum of Philadelphia, 1990Chairman of Class Agents, University of Pennsylvania School of Medicine (Medical Annual Giving), 1971-1972 Class Agent, Class of 1961, University of Pennsylvania School of Medicine, 1961Cosmos Club, 1986Ducks Unlimited Franklin Inn Club, Philadelphia, 1990Franklin and Marshall College, Lancaster, Pennsylvania Board of Trustees, 1985First Vice-Chairman, Board of Trustees, 1994-1999 Vice Chairman, Board of Trustees, 1999-2002 Board of Overseers/Executive Committee, 1986Leadership/Major Gifts Committee, 1986-1991 Development Council, Chairman, 1986-1991 Student Life Committee, 1986-1994 William A. Schnader Society, Charter Member, 2000Benjamin Rush Society, 1989Founder, 1989 Honorary Co-Chairman, 1998Trusteeship Committee, 1990John Marshall Society, 1991Alumni Programs and Development Committee, 1991-1994 President's Regional Advisory Council, Southwest Council, 1992-1993 Art Collections Committee, 1994-1996 Education Services Committee, 1994-1996 Committee on the Office of the Presidency, 1996Marketing and Communications Committee, 1994-1998 Finance Committee, 1994-1998 Investments Committee, 1994-1998 Leadership Gifts Committee, 1993Co-Chairman, Physical Sciences Building Committee, 1994-1999 Chairman, Campaign Executive Committee, 1996Academic Investments Committee, 2003- 15 Facilities Planning and Public Safety Committee, 2003Co-Chairman, Trustees Campaign Committee, 2003George H. Hermann Society, Hermann Hospital, 1990-1992 Charles Curtis Harrison Society, University of Pennsylvania, 1996Houston Grand Opera Houston Museum of Fine Arts International Platform Association National Cowboy Hall of Fame National Football Foundation and Hall of Fame National Historical Society National Society for Historical Preservation Order of Saint John of Jerusalem Phi Beta Kappa Alumni of Greater Houston Philadelphia Museum of Art Republican Senatorial Inner Circle Smithsonian Society Teikyo Post University – Business Advisory Council, 2003The Forum Club of Houston The Friends of Franklin, Inc. The Franklin Institute, Member Union League of Philadelphia, 1988-1992 University of Pennsylvania School of Medicine Class Agent-Class '61, 1961-1994 Annual Giving Steering Committee, 1989Trustee Development Committee, 1994The Campaign for the Future of Medicine, 1994-2001 Campaign Steering Committee, 1994-2001 National Alumni Council, 1994Chairman, 1994-2001 Waterbury Symphony Orchestra, Board of Directors, 1999 – Exploratory Committee (Development), Chairman, 1999- PAST MEMBERSHIP IN ACADEMIC, HONORARY, PROFESSIONAL MEDICAL NATIONAL COMMITTEES: American Medical Association Chairman, Committee on Nutrition in Medicine Association for Academic Surgery Co-Chairman, Local Program Committee, Philadelphia Doctors' Club of Houston Board of Governors Second Vice-President Finance Committee, Chairman Entertainment Committee Employees Association of the Veterans Administration Hospital, Philadelphia Pennsylvania State Medical Society Alternate Delegate from Philadelphia Philadelphia County Medical Society Emergency Transportation Committee Nutrition and Metabolic Committee 16 Philadelphia Regional Committee on Trauma Philadelphia Pre- and Postoperative Care Committee Sigma Xi, University of Pennsylvania Chapter Society of Surgical Chairman Trauma Surgeons Advisory Panel, Ethicon, Inc. Veterans Administration National Research Service Merit Review Board of Surgery PAST HOSPITAL ACTIVITIES AND MEDICAL SCHOOL COMMITTEES: Pennsylvania Hospital Executive Committee of the Medical Staff Clinical Chiefs Committee Operating Room Committee Finance Committee of the Board of Managers Kitchen Cabinet of the Board of Managers The University of Texas Medical School at Houston Medical Service, Research and Development Plan, Board of Directors, Chairman, 1973-1975, 1976-1979 Vice Chairman, 1975-1976 Laboratory Animal Care Committee, 1976-1978 Administrative Council Clinical Chairmen's Committee CNS Trauma Center Group Clinical Affairs Committee Development Board Policy Review Committee Smith-Klein and French Lectureship Committee, Chairman The University of Texas Medical Associates Board of Directors,Chairman Executive Committee By-laws Committee Fringe Benefits Committee Ambulatory Care Committee Space Committee Long Range Planning Committee Hermann Hospital Ambulatory Care Committee Clinical Chiefs Committee Medical Board Emergency Medical Services Committee Long Range Planning Committee Joint Conference Committee Nutrition Committee, Chairman University of Pennsylvania School of Medicine Advisory Committee to the Curriculum Committee for Introduction to Clinical Problems Bioengineering Committee, University of Pennsylvania Committee for Evaluation of Human Research Faculty Advisory Committee Medical Student Advisor 17 Student Recommendation Committee Task Force on Educational Policy and Professional Manpower Department of Surgery Executive Committee Course Coordinator, Surgery 200 and 300, Pennsylvania Hospital Nutrition Curriculum Committee Veterans Administration Hospital, Philadelphia Budget Committee Dean's Subcommittee for Academic Affairs, Chairman Infection Committee, Secretary Medical Executive Committee Medical Library Advisory Committee Personnel Committee Professional Standards Board Research and Education Committee, Chairman Space Committee Therapeutic Agents Committee Tissue and Transfusion Committee St. Luke's Episcopal Hospital, Houston Admissions and Utilization Committee Dietary Committee Intensive Care Committee Medical Education, Research and Publications Committee Pharmacy and Nursing Services Committee Patient Education Committee PAST MEMBERSHIP IN NON-MEDICAL SOCIETIES AND ACTIVITIES: Foundation for Children, Inc. (Houston) Board of Directors Hunters Creek Elementary Parent Teachers Association Lakewood Yacht Club Memorial Drive Country Club Spring Branch Junior High School Parent Teachers Association University Faculty Club, Inc., Charter Member, The University of Texas 18 BIBLIOGRAPHY 1. Dudrick SJ, Lehr HB, Senior JR and Rhoads JE: Nutritional care of the surgical patient. Med Clin NA 48:1253-1269, 1964 2. Rhoads JE, Rawnsley HM, Vars HM, Crichlow RW, Nelson HM, Spagna RM, Dudrick SJ and Rhoads JE, Jr.: The use of diuretics as an adjunct in parenteral hyperalimentation for surgical patients with prolonged disability of the gastrointestinal tract. Bull Int Soc Surg 24: 59-70, 1965 3. Williams KR, Rogers A and Dudrick SJ: Stainless steel disc valve for cardiac valve replacement. J Thorac Cardiovasc Surg 49:540-549, 1965. 4. Rhoads JE and Dudrick SJ: Hypovolemic shock-current clinical concepts of diagnosis and management. Postgrad Med 39:3-10, 1966. 5. Dudrick SJ, Joyner CR, Miller LD, Eskin DJ and Knight DH: Ultrasound in the early diagnosis of pulmonary embolism. Surg Forum 17:117-118, 1966. 6. Rhoads JE, Dudrick SJ and Miller LD: Colectomy for cancer: technique and pitfalls. Surg Clin NA 46:1163-1177, 1966. 7. Joyner CR, Miller LD, Dudrick SJ, Eskin DS and Knight DH: Reflected ultrasound in the detection of pulmonary embolism. Trans Assoc Am Physicians 78:262-277, 1966. 8. Joyner CR, Miller LD, Dudrick SJ, Eskin DS and Bloom P: Reflected ultrasound in the study of diseases of the chest. Trans Am Clin Climatol Assoc 78:23-37, 1966. 9. Dudrick SJ, Masland W and Mishkin M: Brachial plexus injury following axillary artery puncture: Further comments on management. Radiology 88:271-273, 1967. 10. Itskovitz HD, Dudrick SJ, Dyrda I and Murphy JJ: Plasma angiotensinase activity in hypertensive patients. Arch Int Med 119:24-246, 1967. 11. Dudrick SJ, Vars HM and Rhoads JE: Growth of puppies receiving all nutritional requirements by vein. Fortschritte der Parenteralen Ernahrung, pp 1-4. Symposium der Intl Soc of Parenteral Nutr in 1966. Pallas Verlag, Lochham, bei Munchen, W Germany, 1967. 12. Miller LD, Joyner CR, Dudrick, SJ and Eskin DJ: Clinical use of ultrasound in the early diagnosis of pulmonary embolism. Ann Surg 166:381-393, 1967. 19 13. Dudrick SJ, Wilmore DW and Vars HM: Long-term total parenteral nutrition with growth in puppies and positive nitrogen balance in patients. Surg Forum 18:356-357, 1967. 14. Wilmore DW and Dudrick SJ: Cannula sepsis. N Eng J Med 227:433, 1967. 15. Wilmore DW and Dudrick SJ: Growth and development of an infant receiving all nutrients by vein. JAMA 203:860-864, 1968. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Long-term total parenteral nutrition with growth, development and positive nitrogen balance. Surg 64:134-142, 1968. 16. 17. Dudrick SJ and Wilmore DW: Long-term parenteral feeding. Hosp Pract 3:65-78, 1968. 18. Dudrick SJ, Mackie JA and Serlin O: Surgical exclusion of the colon for chronic hepatic encephalopathy. Am J. Surg 115:57-62, 1968. 19. Wilmore DW and Dudrick SJ: Safe long-term venous catheterization. Arch Surg 98:256-258, 1969. 20. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Can intravenous feeding as the sole means of nutrition support growth in the child and restore weight loss in an adult: An affirmative answer. Ann Surg 169:974-984, 1969. 21. Wilmore DW, Groff DB, Bishop HC and Dudrick SJ: Total parenteral nutrition in infants with catastrophic gastrointestinal anomalies. J Ped Surg 4:181-189, 1969. 22. Tyers GFO, Steiger E and Dudrick SJ: Adenocarcinoma of the small intestine and other malignant tumors complicating regional enteritis: case report and review of the literature. Ann Surg 169:510-518, 1969. 23. Serlick SE, Dudrick SJ and Flack HL: Nutritional intravenous feeding. Bull Parenteral Drug Assoc 23:166-173, 1969. 24. Dudrick SJ, Wilmore DW and Vars HM: Long-term venous catheterization: An adjunct to surgical care and study. Curr Top Surg Res 1:325-340, 1969. 25. Wilmore DW and Dudrick SJ: Effects of nutrition on intestinal adaptation following massive small bowel resection. Surg Forum 20:398-400, 1969. 20 26. Dudrick SJ, Groff DB and Wilmore DW: Long-term venous catheterization in infants. Surg Gynecol Obstet 129:805-808, 1969. 27. Wilmore DW and Dudrick SJ: An in-line filter for intravenous solutions. Arch Surg 99:462-463, 1969. 28. Wilmore DW and Dudrick SJ: Treatment of acute renal failure with intravenous essential L-amino acids. Arch Surg 99:669-673, 1969. 29. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Long-term total parenteral nutrition with growth, development and positive nitrogen balance. In Egdahl and Mannick (eds): Modern Surgery, Grune and Stratton, New York, 1970. 30. Dudrick SJ: Overview: Long-term total parenteral nutrition with growth, development and positive nitrogen balance. In Egdahl and Mannick (eds): Modern Surgery, Grune and Stratton, New York, 1970. Dudrick SJ, Long JM, Steiger E and Rhoads JE: Intravenous hyperalimentation. Med Clin North Am 54:577-589, 1970. 31. 32. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Growth, weight gain, and positive nitrogen balance with long-term total parenteral nutrition. In Meng and Law (eds): Parenteral Nutrition, Charles C. Thomas Co., Springfield, IL, 1970. 33. Kinney JM and Dudrick SJ: Trauma workshop report: Metabolic response to trauma and nutrition. J Trauma 10:1065-1068, 1970. 34. Dudrick SJ, Wilmore DW, Steiger E, Vars HM and Rhoads JE: Intravenous essential amino acids and hypertonic glucose in the treatment of renal failure. Medizin und Ernahrung 11:111-117, 1970. 35. Dudrick SJ, Steiger E, Wilmore DW and Vars HM: Continuous long-term intravenous infusion in unrestrained animals. Lab Anim Care 20:521-529, 1970. 36. Dudrick SJ, Wilmore DW, Steiger E, Mackie JA and Fitts WT, Jr: Spontaneous closure of traumatic pancreatoduodenal fistulas with total intravenous nutrition. J Trauma 10:542-553, 1970. 37. Dudrick SJ, Steiger E and Long JM: Renal failure in surgical patients. Treatment with intravenous essential amino acids and hypertonic glucose. Surg 68:180-186, 1970. 38. Dudrick SJ: Intravenous feeding as an aid to nutrition in disease. Ca-a Ca J for Clin 20:198-211, 1970. 21 39. Daly JM, Vars HM and Dudrick SJ: Correlation of protein depletion with colonic anastomotic strength in rats. Surg Forum 21:77-78, 1970. 40. Dudrick SJ, Steiger E, Long JM and Rhoads JE: Role of parenteral hyperalimentation in management of multiple catastrophic complications. Surg Clin North Am 50:1031-1038, 1970. 41. Holubitsky IB, Cohn I, Jr, Dudrick SJ, Munro DD and MacBeth RAL: Preoperative diagnosis and preparation: A symposium. Surg 68:724-729, 1970. 42. Dudrick SJ, Wilmore DW, Steiger E, Vars HM and Rhoads JE: The use of carbohydrates and proteolysates for long-term parenteral feeding. In Fox and Nahas (eds): Body Fluid Replacement in the Surgical Patient. Grune and Stratton, New York, 1970. 43. Dudrick SJ, Wilmore DW, Steiger E, Vars HM and Rhoads JE: Intravenous essential amino acids and hypertonic glucose in the treatment of renal failure. In Berg G (ed): Advances in Parenteral Nutrition. Stuttgart, W. Germany, Georg Thieme Verlag, 1970. 44. Steiger E and Dudrick SJ: Adenocarcinoma with regional enteritis. N Eng J Med 283:875-876. 1970. 45. Heller L, Dudrick SJ, Lang K and Wretlind A: Recommendations for parenteral nutrition: Amino acids. J Nutr Sci (Suppl) 9:2-11. 1970. 46. Fekl W, Lohr H and Dudrick SJ: Recommendations for parenteral nutrition: requirements of water and minerals. J Nutr Sci (Suppl) 9:18-20, 1970. 47. Dudrick SJ, Heller L. Coats D and Schultes K: Recommendations for parenteral nutrition-application-velocity of infusion and catheter. J Nutr Sci (Suppl) 9:29-32, 1970. 48. Wilmore DW, Daly JM, Dudrick SJ and Vars HM: Gastric secretions after parenteral fluid administration. Arch Surg 102:509-511, 1971. 49. Dudrick SJ: Rational intravenous therapy. Am J Hosp Pharm 28:82-91, 1971. 50. Dudrick SJ and Rhoads JE: New horizons for intravenous feedings. JAMA 215:939-949, 1971. 22 51. Dudrick SJ: Long-term total parenteral nutrition. Phila Med 67:45-55, 1971. 52. Wilmore DW, Dudrick SJ, Daly JM and Vars HM: he role of nutrition in the adaptation of the small intestine after massive resection. Surg Gynecol Obstet 132:673-680, 1971. 53. Dudrick SJ, Long JM and Steiger E: Principles of intravenous hyperalimentation in the surgical patient. Symposium on Pre- and Postoperative Care. J St Barnabas Med Cnt 8:21-30, 1971. 54. Flack HL, Gans JA, Serlick SE and Dudrick SJ: The current status of parenteral hyperalimentation. Am J Hosp Pharm 28:326-335, 1971. 55. Dudrick SJ and Allen TR: Long-term intravenous hyperalimentation. Del Med J 43:149-154, 1971. 56. Travis SF, Sugerman HJ, Ruberg RL, Dudrick SJ, Delivoria Papadopoulos M, Miller LD and Oski FA: Alterations of red-cell glycolytic intermediates and oxygen transport as a consequence of hypophosphatemia in patients receiving intravenous hyperalimentation. N Eng J Med 285:763-767, 1971. 57. Ruberg RL, Allen TR, Goodman MJU, Long JM and Dudrick SJ:Hypophosphatemia with hypophosphaturia in hyperalimentation. Surg Forum 22:87-88, 1971. 58. Steiger E, Allen TR, Daly JM, Vars HM and Dudrick SJ: Beneficial effects of immediate postoperative total parenteral nutrition. Surg Forum 22:89-90, 1971. 59. Wilmore DW, Holtzapple PG, Dudrick SJ and Cerda JJ: Transport studies, morphological and histochemical findings in intestinal epithelial cells following massive bowel resection. Surg Forum 22:361-363, 1971. 60. Dudrick SJ: Parenteral nutrition. In: Kinney, Egdahl and Zuidema (eds): Manual of Preoperative and Postoperative Care. 2nd Edition, WB Saunders Company, Philadelphia, PA, 1971. Dudrick SJ and Steiger E: Parenteral solutions. In Rabininowitz and Myerson (eds): Topics in Medicinal Chemistry. John Wiley and Sons, Inc., New York, Vol 4, 1971. 61. 62. Dudrick SJ and Rhoads JE: Intravenous hyperalimentation. In Hardy JE (ed): Critical Surgical Illness, WB Saunders Co, Philadelphia, Pennsylvania, 1971. 23 63. Dudrick SJ, Long JM, Steiger E and Rhoads JE: Technique of long-term parenteral nutrition. In Lang, Fekl and Berg (eds): Bilanzierte Ernahrung in der Therapie (Balanced Nutrition and Therapy). From the International Symp in Nuremberg, April 10-12, 1970, Stuttgart, W. Germany, Georg Thieme Verlag, 1971. 64. Dudrick SJ and Ruberg TL: Principles and practice of parenteral nutrition. Gastroenterology 61:901-910, 1971. 65. Dudrick SJ and Nallinger J: Intravenous hyperalimentation. Intravenous therapy in-service training series, clinical seminar No. 8. Abbott Labs, N. Chicago, IL, 1971. 66. Schlappner OLA, Shelley WB, Ruberg RL and Dudrick SJ: Acute papulopustular acne associated with prolonged intravenous hyperalimentation. JAMA 219:877-880, 1972. 67. Steiger E, Vars HM and Dudrick SJ: A technique for long-term intravenous feeding in unrestrained rats. Arch Surg 104:330-332, 1972. 68. Dudrick SJ and Rhoads, JE: Total intravenous feeding. Sci Am 226:763-80, 1972 69. Dudrick SJ: Forward. In Cowan and Sheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA, 1972. 70. Dudrick SJ, Ruberg RL, Long JM, Allen TR and Steiger E: Uses, non-uses and abuses of intravenous hyperalimentation. In Cowan and Sheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA., pp 110-112, 1972. 71. Dudrick SJ, Steiger E, Long JM, Ruberg RL, Allen TR, Vars HM and Rhoads JE: General principles and techniques of intravenous hyperalimentation. In Cowan and Sheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA, pp 2-14, 1972. 72. Long JM, Dudrick SJ, Steiger E, Ruberg RL and Allen TR: Use of intravenous hyperalimentation in patients with renal or liver failure. In Cowan and Scheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA, pp 146-151, 1972. 73. Steiger E, Daly JM, Vars HM, Allen TR and Dudrick SJ: Animal research in intravenous hyperalimentation. In Cowan and Sheetz (eds): Intravenous Hyperalimentation, Lea and Febiger, Philadelphia, PA, pp 186-194, 1972. 24 74. Dudrick SJ, Steiger E, Long JM, Ruberg RL, Allen TR, Vars HM and Rhoads JE: General principles and technique of administration in complete parenteral nutrition. In Wilkinson AW (ed): Parenteral Nutrition. From an International Symp in London, April 30-May 1, 1972, Churchill Livingston, London, England, pp 222-223, 1972. 75. Dudrick SJ: Nutritional composition requirements, utilization, toxicology, interrelations, new product suggestions. Symposium on Total Parenteral Nutrition, Nashville, TN, January 17-19, 1972, Council on Foods and Nutrition, AMA. 76. Dudrick SJ: Criteria for measurement of efficacy of total parenteral nutrition. Symposium on Total Parenteral Nutrition, Nashville, TN, January 17-19, 1972, Council on Foods and Nutrition, AMA. 77. Daly JM, Vars HM and Dudrick SJ: Effects of protein depletion on strength of colonic anastomoses. Surg Gynecol Obstet 134:15-21, 1972. 78. Dudrick SJ, MacFadyen BV, Jr, Van Buren CT, Ruberg RL and Maynard AT: Parenteral hyperalimentation: metabolic problems and solutions. Ann Surg 176:259-264, 1972. 79. Dudrick SJ and Rhoads JE: Metabolism in surgical patients: protein, carbohydrate and fat utilization by oral and parenteral routes. In Sabiston DC (ed): Textbook of Surgery, WB Saunders Co, Philadelphia, PA, 1972. 80. Daly JM, Steiger E and Dudrick SJ: Postoperative nutrition and colonic wound healing, serum protein metabolism and body weight. Surg Forum 23:38-40, 1972. 81. Van Buren CT, Dudrick SJ, Dworkin L, Baumbauer E and Long JM: Effects of intravenous essential L-amino acids and hypertonic dextrose on anephric beagles. Surg Forum 23:83-84, 1972. 82. Dudrick SJ: Intravenous feeding as an aid to nutrition in disease. In Nutrition and Cancer, Am Ca Society, Inc., New York, pp 18-29, 1973. 83. Copeland EM and Dudrick SJ: Intravenous hyperalimentation. In GI Tract, Warren-Teed Pharmaceuticals Inc, Columbus, Ohio, Vol 3, No. 2, pp 14-19, 1973. 84. Steiger E, Daly JM, Allen TR, Dudrick SJ and Vars HM: Postoperative intravenous nutrition: effects on body weight, protein regeneration, wound healing and liver morphology. Surg 73:686-691, 1973. 25 85. Rhoads JE and Dudrick SJ: Weight gain, growth and development induced in man by the intravenous administration of pure chemicals. Proc Am Phil Soc 117:152-161, 1973. 86. Daly JM, Steiger E, Prockop DJ and Dudrick SJ: Inhibition of collagen synthesis by the proline analogue Cis-4-Hydroxyproline. J Surg Res 14:551-555, 1973. 87. MacFadyen BV, Jr., Dudrick SJ and Ruberg RL: Management of gastrointestinal fistulas with parenteral hyperalimentation. Surg 74:100-105, 1973. 88. Dudrick SJ and Copeland EM: Parenteral hyperalimentation. In Nyhus LM (ed): Surgery Annual, Appleton-Century-Crofts, New York pp 69-95, 1973. 89. Law DK, Dudrick SJ and Abdou NI: Immunocompetence of patients with protein-calorie malnutrition. Ann Int Med 79:545-550, 1973. 90. MacFadyen BV, Jr., Dudrick SJ, Tagudar EP, Maynard AT, Law DK and Rhoads JE: Triglyceride and free fatty acid clearances in patients receiving complete parenteral nutrition using a ten percent soybean oil emulsion. Surg Gynecol Obstet 137:813-815, 1973. 91. Dudrick SJ, MacFadyen BV, Jr., Copeland EM, Duke JH, Jr and Souchon EA: Parenteral hyperalimentation. 1973 Cine Clinics, Amer College of Surg Mtg, Chicago, IL, Davis and Geck, Danbury, CT, 1973. 92. Law DK, Dudrick SJ and Abdou NI: The effect of dietary protein depletion on immunocompetence: the importance of nutritional repletion prior to immunologic induction. Ann Surg 179: 168-173, 1974. 93. Copeland EM, MacFadyen BV, Jr and Dudrick SJ: Intravenous hyperalimentation in cancer patients. J Surg Res 16:241-247, 1974. 94. Copeland EM, MacFadyen BV, Jr., McGown C and Dudrick SJ: The use of hyperalimentation in patients with potential sepsis. Surg Gynecol Obstet 138:377-384, 1974. 95. Copeland EM, MacFadyen BV, Jr. and Dudrick SJ: Prevention of microbial catheter contamination in patients receiving parenteral hyperalimentation. S Med J 67:303-306, 1974. 96. Dudrick SJ and Copeland EM: Nutritional concepts in head and neck cancer. In Neoplasia of Head and Neck, Year Book Medical Publishers, Inc., Chicago, 1974. 26 97. Dudrick SJ, MacFadyen BV, Jr and Winters RW: Technique of total parenteral nutrition in infants. In Bode HH and Warshaw JB (eds): Parenteral Nutrition in Infancy and Childhood. Plenum Press, New York, 1974. 98. Heird WC, Winters RW and Dudrick SJ: Metabolic complications of total parenteral nutrition. In Bode HH and Warshaw JB (eds): Parenteral Nutrition in Infancy and Childhood, Plenum Press, New York, 1974. 99. Law DK, Dudrick SJ and Abdou NI: The effects of protein calorie malnutrition on immune competence of the surgical patient. Surg Gynecol Obstet 139:257-266, 1974. 100. Schanbacher LM, Johnson LR, Copeland EM, Dudrick SJ and Castro GA: Glucose transport across the small intestine of parenterally nourished rats. IRCS (Research on Alimentary System, Metabolism and Nutrition: Physiology; Surgery and Transplantation) 2:1459, 1974. 101. Castro GA, Johnson LR, Copeland EM and Dudrick SJ: Development of enteric parasites in parenterally fed rats. Proc Soc Exp Biol Med 146:703-706, 1974. 102. Ruberg RL, Steiger E, Van Buren CT and Dudrick SJ: Progress in parenteral protein nutrition. In Brown H (ed): Protein Nutrition, Charles C. Thomas, Springfield, IL, 1974. 103. Jordan HA, Moses H, MacFadyen BV, Jr. and Dudrick SJ: Hunger and satiety in humans during parenteral hyperalimentation. Psychosom Med 36:144-145, 1974. 104. Dudrick SJ and Daly JM: Performing a safe, successful venous cutdown. Hosp Physician 34-36, 1974. 105. Dudrick SJ: Part One: Evaluation of the patient. Criteria for measurement of efficacy. In White PL and Nagy ME (eds): Total Parenteral Nutrition. Acton, MA, Publishing Sciences Group, Inc. 1974. 106. Daly JM, Steiger E, Vars HM and Dudrick SJ: Postoperative oral and intravenous nutrition. Ann Surg 180:709-715, 1974. 107. Dudrick SJ: Total parenteral nutrition: pre-clinical and clinical experience in the newborn and infant. Presented at the Fuel Metabolism in the Fetus and Newborn Mead Johnson Symposium on Perinatal Developmental 27 Medicine, No. 3, Vail CO, June 10-12, 1973, Evansville, IN, Mead Johnson and Co, 1974. 108. Solomon N, Copeland EM, MacFadyen BV, Jr., Dudrick SJ and Samaan NA; Intravenous hyperalimentation and growth hormone in cancer patients. Surg Forum 25:59-60, 1974. 109. Copeland EM, MacFadyen BV, Jr., Lanzotti VJ and Dudrick SJ: Intravenous hyperalimentation as an adjunct to cancer chemotherapy. Am J. Surg 129:167-173, 1975. 110. Dudrick SJ: Historical considerations of intravenous hyperalimentation. In Winters RW and Hasselmeyer EG (eds): Intravenous nutrition in the high risk infant. John Wiley and Sons, Inc., New York, 1975. 111. Dudrick SJ: Essential fatty acids. In Winters RW and Hasselmeyer EG (eds): Intravenous Nutrition in the High Risk Infant. John Wiley and Sons, Inc., 1975. 112. Dudrick SJ: Intravenous nutrition in acute renal failure. In Winters RW and Hasselmeyer EG (eds): Intravenous Nutrition in the High Risk Infant. John Wiley and Sons, Inc., New York, 1975. 113. Dudrick SJ and Duke JH, Jr.: Nutritional complications in the surgical patient. In Artz CP and Hardy JD (eds): Complications in Surgery and Their Management, 3rd Edition, WB Saunders Co, Philadelphia, PA, pp 243-276, 1975. 114. Copeland EM, MacFadyen BV, Jr., MacComb WS, Guillamondegui O, Jesse RH and Dudrick SJ: Intravenous hyperalimentation in patients with head and neck cancer. Ca 35:606-611, 1975. Dudrick SJ, Copeland EM and MacFadyen BV, Jr.: Long-term parenteral nutrition: its current status. Hosp Practice 10:47-58, 1975. 115. 116. Daly JM, Ziegler B and Dudrick SJ: Central venous catheterization. Am J Nurs 75:820-824, 1975. 117. Castro GA, Copeland EM, Dudrick SJ and Johnson LR: Intestinal disaccharidase and peroxidase activities in parenterally nourished rats. J Nutr 105:776-781, 1975. 118. Souchon EA, Copeland EM, Watson P and Dudrick SJ: Intravenous hyperalimentation as an adjunct to cancer chemotherapy with 5-Fluorouracil. J Surg Res 18:451-454, 1975. 28 119. Johnson LR, Copeland EM, Dudrick SJ, Lichtenberger LM and Castro GA: Structural and hormonal alterations in the gastrointestinal tract of parenterally fed rats. Gastroenterology 68:1177-1183, 1975. 120. Johnson LR, Lichtenberger LM, Copeland EM, Dudrick SJ and Castro GA: Action of gastrin on gastrointestinal structure and function. Gastro 68:1184-1192, 1975. 121. Lanzotti VJ, Copeland EM, George SL, Dudrick SJ and Samuels ML: Cancer chemotherapeutic response and intravenous hyperalimentation. Ca Chemother Rep 59:437-439, 1975. 122. Copeland EM and Dudrick SJ: Cancer: nutritional concepts. Seminars in Oncology 2:329-335, 1975. 123. Dudrick SJ and Duke JH, Jr: Parenteral nutrition-intravenous hyperalimentation. In Bockus HL (ed): Gastroenterology, WB Saunders Co, Philadelphia, PA, pp 395-416, 1975. 124. Copeland EM, MacFadyen BV, Jr., Rapp MA and Dudrick SJ: Hyperalimentation and immune competence in cancer. Surg Forum 26:138-140, 1975. 125. Duke JH, Jr and Dudrick SJ: Parenteral feeding. In Ballinger, Collins, Drucker, Dudrick and Zeppa (eds): Manual of Surgical Nutrition, Committee on Pre- and Postoperative Care, Amer College of Surg, WB Saunders Co, Philadelphia, PA, pp 285-317, 1975. 126. Ballinger, Collins, Drucker, Dudrick and Zeppa (eds): Manual of Surgical Nutrition, Committee on Pre- and Postoperative Care, Amer College of Surg, WB Saunders Co, Philadelphia, 1975. 127. Copeland EM and Dudrick SJ: Intravenous hyperalimentation as adjunctive treatment in the cancer patient. In Banks G (eds): Clinical Digest, McGaw Laboratories, Vol 5, pp 1-4, 1976. 128. Ames FC, Copeland EM, Leeb DC, Moore DL and Dudrick SJ: Liver dysfunction following small-bowel bypass for obesity. JAMA 235:1249-1252, 1976. 129. Copeland EM, MacFadyen BV, Jr. and Dudrick SJ: Effect of intravenous hyperalimentation on established delayed hypersensitivity in the cancer patient. Ann Surg 184:60-64, 1976. 130. Dudrick SJ, Copeland EM and MacFadyen BV, Jr: Hyperalimentation in infants. In Bilanzierte Ernahrung in der Therapie (Balanced Nutrition and 29 Therapy). From the II International Symposium in Erlangen, Germany, April 11-14, 1973, Zeit Erhnahrungswiss 15:9025, 1976. 131. Castro GA, Johnson LR, Coperland EM and Dudrick SJ: Course of infection with enteric parasites in hosts shifted from enteral to total parenteral nutrition. J. Parasitol 62:353-359, 1976. 132. Moore EP, Copeland EM, Dudrick SJ and Weisbrodt NW: Effect of an elemental diet on the electrical activity of the small intestine in dogs. J Surg Res 20:533-537, 1976. 133. Hill GL, Guinn EJ and Dudrick SJ: Phosphorus distribution in hyperalimentation induced hypophosphatemia. J Surg Res 20:527-531, 1976. 134. Rapp MA, Hilkemeyer R, Copeland EM and Dudrick SJ: Hyperalimentation: Special nutrition therapy for the cancer patient. RN Magazine 39:55-61, 1976. 135. Dudrick SJ, MacFadyen BV, Jr. and Daly JM: Management of inflammatory bowel disease with parenteral hyperalimentation. In Clearfield and Dinoso (eds): Gastrointestinal Emergencies. Thirty-fourth Hahnemann Symposium, New York, Grune and Stratton, pp 913-199, 1976. 136. Dudrick SJ: Minimizing sepsis risk in hyperalimentation. The Surgical Team pp 44-50, April 1976. 137. Dudrick SJ: "Incurable" cancer: When there is hyperalimentation, there is hope. IV Therapy 3:28-32, 1976. 138. Dudrick SJ and Copeland EM: The role of nutrition in the treatment of cancer. Nutrition and the MD 2:1-2, 1976. 139. Dudrick SJ: Total intravenous feeding: When nutrition seems impossible. Drug Therapy 2:11-20, 1976. 140. Souchon EA, Englert DM, Duke JH, Jr. and Dudrick SJ: Intravenous hyperalimentation in 342 surgical patients. Rev Surg 9:297-299, 1976. 141. Dudrick SJ: Forward. In Hill GL (ed): Ileostomy, First Edition, Grune and Stratton, New York, 1976. 142. Dudrick SJ: Anesthetic and surgical care of the traumatized patient. The Fifth Annual EA Rovenstine Panel on Anesthetic and Surgical Management of the Traumatized Patient held during the XXIX 30 Postgraduate Assembly in Anesthesiology of the New York Society of Anesthesiologists, December 14, 1975. Anesth Review 8:17-26, 1976. 143. Castro GA, Badial-Aceves F, Smith JW, Dudrick SJ and Weisbrodt NW: Altered small bowel propulsion associated with parasitism. Gastroenterology 71:620-625, 1976. 144. MacFadyen BV, Jr. and Dudrick SJ: The treatment of gastrointestinal fistulas with parenteral hyperalimentation and total bowel rest. In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 437-440, 1976. 145. MacFadyen BV, Jr. and Dudrick SJ: The management of fistulas in inflammatory bowel disease with parenteral hyperalimentation. In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 559-562, 1976. 146. Copeland EM and Dudrick SJ: Nutritional aspects of cancer. In Hickey RD (ed): Current Problems in Cancer. Year Book Medical Publishers, Inc, Chicago, IL, Vol 1, No 3, pp 3-51. September, 1976. 147. Castro GA, Badial-Aceves F, Adams PR, Copeland EM and Dudrick SJ: Response of immunized, parenterally nourished rats to challenge infection with the nematode, Trichinella Spiralis. J Nutr 10:1484-1491, 1976. 148. Copeland EM, Daly JM, Guinn EJ and Dudrick SJ: Effects of protein nutrition on cell-mediated immunity. Surg Forum 27:340-342, 1976. 149. Daly JM, Copeland EM, Guinn EJ and Dudrick SJ: Relationship of protein nutrition to tumor growth and host immunocompetence. Surg Forum 27:113-114, 1976. 150. Copeland EM, MacFadyen BV, Jr., McGown C and Dudrick SJ: Should hyperalimentation be used in the potentially septic patient? In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 675-666, 1976. 151. Copeland EM, MacFadyen BV, Jr., Lanzotti VJ and Dudrick SJ: Intravenous hyperalimentation as an adjunct to cancer chemotherapy. In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 685-694, 1976. 31 152. Copeland EM, MacFadyen BV, Jr., MacComb WS, Guillamondegui O, Jesse RH and Dudrick SJ: Intravenous hyperalimentation in patients with head and neck cancer. In Romieu, Solassol, Joyeux and Astruc (eds): Proceedings of the International Society of Parenteral Nutrition, Montpellier, France, 1974, pp 711-719, 1976. 153. MacFadyen BV, Jr. and Dudrick SJ: Inflammatory bowel disease - A new method of treatment. In Proceedings of the Inflammatory Society of Parenteral Nutrition. Kyoto, Japan, August 3-9, 1975. 154. Copeland EM, MacFadyen BV, Jr., Lanzotti VC and Dudrick SJ: The nutritional care of the cancer patient. In Clark RL and Howe CD (eds): Cancer Patient Care at M.D. Anderson Hospital and Tumor Institute. Year Book Medical Publishers, Chicago, IL pp 607-628, 1976. 155. Weisbrodt NW, Copeland EM, Thor PJ and Dudrick SJ: The myoelectric activity of the small intestine of the dog during total parenteral nutrition. Proc Exp Biol Med 153:121-124, 1976. 156. Dudrick SJ, MacFadyen BV, Jr., Copeland EM and Duke JH,Jr.: Experimental aspects of total parenteral alimentation. In Manni, Magalini and Scrascia (eds): Total Parenteral Alimentation. From the International Symposium on Intensive Therapy, May 30-June 2, 1975. Excerpta Medica 3-17, 1976. 157. Castro GA, Copeland EM, Dudrick SJ and Johnson LR: Serum and antral gastrin levels in rats infected with intestinal parasites. Am J Trop Med Hyg 848-853, 1976. 158. Pickard LR, Dudrick SJ, Hill GL and Perry JL: Management of patients with modified Hunt pouch esophagojejunostomy after total gastrectomy for carcinoma of the stomach. Southern Med 69:1458-1460, 1976. 159. Thor PJ, Copeland EM, Dudrick SJ and Johnson LR: Effect of long-term parenteral feeding on gastric secretion in dogs. Am J Physiol 232:E39-E43, January 1977. 160. Dudrick SJ: The genesis of intravenous hyperalimentation. JPEN 1:23-29, 1977. 161. Law DK, Dudrick SJ, Abdou NI: The effects of protein calorie malnutrition on immune competence of the surgical patient. Arch Intern Med 137:1364-1365, 1977. 32 162. Ota DM, Copeland EM, Strobel HW, Daly JM, Gum ET, Guinn EJ and Dudrick SJ: The effect of protein nutrition on host and tumor metabolism. J Surg Res 22:181-188, 1977. 163. Frazier TG, Copeland EM, Khalil DG, Dudrick SJ and Mountain CF: Intravenous hyperalimentation as an adjunct to colon interposition for carcinoma of the esophagus. Cancer 39:410-412, 1977. 164. Dudrick SJ and Long JM, III: Applications and hazards of intravenous hyperalimentation. Ann Rev Med 28:517-528, 1977. 165. Dudrick SJ and Rhoads JE: Metabolism in surgical patients: protein, carbohydrate and fat utilization by oral and parenteral routes. In Sabiston DC (ed): Textbook of Surgery, WB Saunders Co, Philadelphia, PA, pp 150-177, 1977. 166. Dudrick SJ, Daly JM, Castro GA and Akhtar M: Gastrointestinal adaptation following small bowel bypass for obesity. Ann Surg 185:642-648, 1977. 167. Englert DM and Dudrick SJ: Principles of intravenous hyperalimentation. AORN 25:1253-1267, 1977. 168. Hill GL, Bowen JC, Copeland EM, MacFadyen BV, Jr. Duke JH, Jr. and Dudrick SJ: Teaching in clinical surgery: At the bedside or in the seminar room? J Med Educ 52:595-597, 1977. 169. Dudrick SJ, MacFadyen BV, Jr., Souchon EA, Englert DM and Copeland EM: Parenteral nutrition techniques in cancer patients. Cancer Res 37:2440-2450, 1977. 170. Copeland EM, Daly JM and Dudrick SJ: Nutrition as an adjunct to cancer treatment in the adult. Cancer Res 37:2451-2456, 1977. 171. Dudrick SJ: Summary of the informal discussion of nutritional management. Cancer Res 38:2462-2468, 1977. 172. Ahnefeld FW, Allgower M, Dick W, Dohrmann R, Dudrick SJ, Lutz H and Schultis K: Parenteral nutrition. Langebaecks Arch Chir 343:251-265, 1977. 173. Copeland EM, Dernbach TA and Dudrick SJ: The role of intravenous hyperalimentation in cancer therapy. Infusion 1:4-12, 1977. 174. Long JM, III and Dudrick SJ: A rationale for glucose as primary calorie source. In Richards and Kinney (eds): Nutritional Aspects of the Care of 33 the Critically Ill, pp 331-334, Churchill-Livingstone, Edinburg, Scotland, United Kingdom, 1977. 175. Ota DM, Copeland EM, Corriere JN, Jacobson K and Dudrick SJ: Effects of protein nutrition on lymphocyte transformation. Surg Forum 28:65-66, 1977. 176. Dudrick SJ, Copeland EM and MacFadyen BV, Jr: The nutritional care of the cancer patient. In: Greep JM, et al (eds): Current Concepts in Parenteral Nutrition, pp 187-216, Nijhoff Martinus, Holland, The Hague. 1977. 177. Dudrick SJ and Long JM, III: Applications and hazards of intravenous feeding. In Greep JM, et al (eds): Current Concepts in Parenteral Nutrition, pp 5-20, Nijhoff Martinus, Holland, The Hague, 1977. 178. Johnson LR, Schanbacher LM, Dudrick SJ and Copeland EM: Effect of long-term parenteral feeding on pancreatic secretion and serum secretin. Am J Physiol 223:E524-E526, 1977. 179. Dudrick SJ, Copeland EM and MacFadyen BV, Jr.: Parenteral nutrition as an adjunct to cancer therapy. Klinishe Anesthesiologie und Intensivetherapie: Fortschritte der Parenteralen Ernahrung, pp 1-12, Berlin, West Germany, Springer-Verlag, 1977. 180. MacFadyen BV, Jr., Copeland EM and Dudrick SJ: The use of intravenous hyperalimentation in the management of patients with malignant diseases. In Richards JR and Kinney JM (eds): Nutritional Aspects of the Care of the Critically Ill, pp 541-556, Proceedings of the Nutritional Symposium, Glasgow, Scotland, November, 1976, London, Churchill-Livingstone, 1977. 181. MacFadyen BV, Jr., Copeland EM and Dudrick SJ: Surgical nutrition. In Schneider HA, Anderson CA and Coursin DB (eds): Nutritional Support of Medical Practice, pp 485-500, Hagerstown, Maryland, Harper and Rowe, 1977. 182. Daly JM, Castro GA, Akhtar M and Dudrick SJ: Morphologic and biochemical intestinal changes after jejunoileal bypass. Rev Surg 34:428-431, 1977. 183. Copeland EM, Souchon EA, MacFadyen BV, Jr., Rapp MA and Dudrick SJ: Intravenous hyperalimentation as an adjunct to radiation therapy. Ca 39:609-616, 1977. 34 184. Weisbrodt NW, Badial-Aceves F, Dudrick SJ, Burks TF and Castro GA: Tolerance to the effect of morphine on intestinal transit. Proc Soc Exp Biol Med 154:587-590, 1977. 185. Ruberg RL and Dudrick SJ: Intravenous hyperalimentation in head and neck tumor surgery: indications and precautions. Br J Plast Surg 30:151-153, 1977. 186. Long JM, III, Dudrick SJ and Copeland EM: Update on parenteral hyperalimentation. In Najarian and Delaney (eds): Critical Surgical Care, pp 459-467, Stratton, 1977. 187. Long JM, III and Dudrick SJ: Metabolism and nutrition in burn patients. In Najarian and Delaney (eds): Critical Surgical Care, pp 631-639, Stratton, 1977. 188. Dudrick SJ and MacFadyen BV,Jr.: Inflammatory lesions of small bowel. In Rhoads Textbook of Surgery-Principles and Practices, JD Hardy (ed): Fifth Edition, pp 1134-1142, JB Lippincott, Philadelphia, PA 1977. 189. Long JM, III and Dudrick SJ: Nutritional education during surgical internship and residency. Am J Clin Nutr 30:806-811, 1977. 190. Ota DM, Copeland EM, Corriere JN, Richie ER, Jacobson K and Dudrick SJ: The effects of a 10% soybean oil emulsion on lymphocyte transformation. JPEN 2:112-115, 1978. 191. Dudrick SJ: A patient on IV therapy need not starve! Consultant pp 142-151, 1978. 192. Copeland EM and Dudrick SJ: The importance of parenteral nutrition as an adjunct to oncologic therapy. In Johnston IDA (ed): Advances in Parenteral Nutrition, pp 473-500, Lancaster, England, MTP Press Limited, 1978. 193. Copeland EM, Souchon EA and Dudrick SJ: Intravenous hyperalimentation as adjunctive oncologic management. In Enker E (ed): Carcinoma of the Colon and Rectum, pp 220-223, Chicago, IL, Year Book Medical Publishers, 1978. 194. Weisbrodt NW, Badial-Aceves F, Copeland EM, Dudrick SJ and Castro GA: Small-intestinal transit during total parenteral nutrition in the rat. Am J Dig Dis 23:365-369, 1978. 35 195. Adams PR, Copeland EM, Dudrick SJ, Johnston LR and Castro GA: Maintenance of gut mass in bypassed bowel of orally vs parenterally nourished rats. J Surg Res 24:421-427, 1978. 196. Mullen JL, Hargrove WC, Dudrick SJ, Fitts WT, Jr. and Rosato EF: Ten years experience with intravenous hyperalimentation and inflammatory bowel disease. Ann Surg 187:523-529. 1978. 197. Kyger ER, Block WJ, Roach G and Dudrick SJ: Adverse effects of protein malnutrition on myocardial function. Surg 84:147-156, 1978. 198. Dudrick SJ: Presidential Address: The common denominator and the bottom line. JPEN 2:13-21, 1978. 199. Ota DM, MacFadyen BV,Jr., Gum E and Dudrick SJ: Zinc and copper deficiencies in man during intravenous hyperalimentation. In Hambridge KM and Nichols BL, Jr. (eds): Zinc and Copper in Clinical Medicine, Spectrum Publications, Inc., New York, New York 1978. 200. Englert DM and Dudrick SJ: Principles of ambulatory home hyperalimentation. Am J IV Ther 5(5): 11-28, 1978. 201. Daly JM, Dudrick SJ and Copeland EM: Effects of protein depletion and repletion on cell-mediated immunity in experimental animals. Ann Surg 188:791-796, 1978. 202. Issell BF, Valdivieso M, Zaren HA, Dudrick SJ, Freireich EJ, Copeland EM and Bodey GP: Protection of chemotherapy toxicities by intravenous hyperalimentation. Cancer Treat Rep 62:1059-1063, 1978. 203. Daly JM, Copeland EM and Dudrick SJ: Effects of intravenous nutrition on tumor growth and host immunocompetence in malnourished animals. Surgery 84:655-658, 1978. 204. Copeland EM and Dudrick SJ: Concetti sulla nutrizione in concerologia. Oncologia Clinica 4:84-96, 1978. 205. Daly JM, Reynolds HM, Rowlands BJ, Baquero GE, Dudrick SJ and Copeland EM: Nutritional manipulation of tumor-bearing animals: effects on body weight, serum protein levels and tumor growth. Surg Forum 29:143-144, 1978. 206. MacFadyen BV, Jr. and Dudrick SJ: Total parenteral nutrition of the critically injured patient. Dietetic Currents 5:1-6, 1978. 36 207. Copeland EM and Dudrick SJ: The role of nutrition in the treatment of cancer. In McKee G (ed): Selections from Nutrition and the MD, Mervyn G. Oakner Publisher, pp 33-36. 1978. 208. Souba WW, Long JM, III and Dudrick SJ: Energy intake and stress as determinants of nitrogen in rats. Surg Forum 29:76-77, 1978. 209. Kirkland J, Ben-Menachem Y, Dudrick SJ, Akhtar M and Marshall R: Islet-cell tumor in the newborn: Diagnosis by selective angiography and histological findings. Pediatrics 61:(5)790-791, 1978. 210. Copeland EM, Daly JM and Dudrick SJ: Nutritional concepts in the treatment of head and neck malignancies. Head and Neck Surg 1:350-363, 1979. 211. Ota DM, Copeland EM, Corriere JN and Dudrick SJ: The effects of nutrition and treatment of cancer on host immunocompetence. Surg Gynecol Obstet 148:104-111, 1979. 212. Dudrick SJ, Englert DM, MacFadyen BV, Jr and Souchon EA: A vest for ambulatory patients receiving hyperalimentation. Surg Gynecol Obstet 148:587-590, 1979. 213. Daly JM, Dudrick SJ and Copeland EM: Evaluation of nutritional indices as prognostic indicators in the cancer patient. Cancer 43:925-931, 1979. 214. Copeland EM and Dudrick SJ: Cancer: Nutritional concepts-hyperalimentation. In Druse LC, Reese JL and Hart LK (eds): Cancer: Pathophysiology, Etiology and Management. CV Mosby Co, St. Louis, MO, pp 378-385, 1979. 215. Copeland EM, Daly JM and Dudrick SJ: Nutritional concepts in the treatment of head and neck malignancies. Head and Neck Surg 1:350-363, 1979. 216. Dudrick SJ, Englert DM, Van Buren CT, Rowlands BJ and MacFadyen BV, Jr.: New concepts of ambulatory home hyperalimentation. JPEN 3:72-76, 1979. 217. Copeland EM, Daly JM, Ota DM and Dudrick SJ: Nutrition, cancer and intravenous hyperalimentation. Cancer 43:2108-2116, 1979. 218. Castro GA, Copeland EM, Dudrick SJ and Ramaswamy K: Enteral and parenteral feeding to evaluate malabsorption in intestinal parasitism. Am J Trop Med Hyg 28:500-507, 1979. 37 219. Daly JM, Copeland EM and Dudrick SJ: Chemotherapy in tumor bearing animals: Effects of oral versus intravenous nutrition. Acta Chir Scand Supp 494:178-180, 1979. 220. Copeland EM, MacFadyen BV, Jr. and Dudrick SJ: Effect of nutrition on immunocompetence in cancer patients. Acta Chir Scand Supp 494:181-182, 1979. 221. MacFadyen BV, Jr., Dudrick SJ, Copeland EM, Gum ET and Baquero G: Clinical and biological changes in liver function during intravenous hyperalimentation. Acta Chir Scand Supp 494:173-174, 1979. 222. Souba WW, Long JM, III and Dudrick SJ: Effect of calorie intake and stress on nitrogen excretion. Acta Chir Scand Supp 494:115-117, 1979. 223. Dudrick SJ: Preface. In Manabe H and Okada A (eds): Total Parenteral Nutrition and Intravenous Hyperalimentation, Asakura Publishing Company, Tokyo, Japan, 1979. 224. Daly JM, Reynolds HM, Dudrick SJ and Copeland EM: Effects of nutritional repletion on host and tumor response to chemotherapy. Curr Surg 36:138-142, 1979. 225. Dudrick SJ: Common bile duct exploration and cholecystectomy. In: Current Surgical Techniques, Surgical Communications, Inc for Schering Corp, Kenilworth, NJ, Vol 2, No 4, 1979. 226. Floyd D, Ota D, Corriere JN, Dudrick SJ and Copeland EM: Effect of protein depletion on serum factors for lymphocyte transformation. Surg Forum XXX:57-60, 1979. 227. Copeland EM, Rodman CA and Dudrick SJ: Nutritional concepts of neoplastic disease. In Van Eys J, Seeling MS and Nichols BL, Jr. (eds): Nutrition and Cancer, pp 133-156. Proceedings of the 18th Annual Meeting of the American College of Nutrition, June 1977, New York SP Medical and Scientific Books, 1979. 228. MacFadyen BV, Jr. and Dudrick SJ: Hyperalimentation in the critically ill patient. In Krehl WA, Moss NH (eds): Clinical Nutrition in Health Care Facilities, pp 18-20, George F. Stickley Company for The Academy of Sciences at Philadelphia, PA, 1979. 229. Dudrick SJ: Men who changed therapeutics: solving the riddle of hospital starvation-total parenteral nutrition. In Plese NK, Passaretti AB, Weems ME (eds): Therapaeia, A Supplement to Medical Tribune, pp 4-9, Dec 1979. 38 230. Dudrick SJ: Nutritional therapy in burned patients. J Trauma 19:908-909, 1979. 231. MacFadyen BV, Jr., Dudrick SJ, Baquero G and Gum ET: Clinical and biological changes in liver function during intravenous hyperalimentation. JPEN 3:438-443, 1979. 232. Dudrick SJ, Copeland EM, Daly JM, Long JM,III, Duke JH, MacFadyen BV, Jr., Rowlands BJ, Van Buren CT, Corriere JN, Jr., Kahan BD, Ota DM, Englert DM and Jensen TG: A clinical review of nutritional support of the patient. JPEN 3:444-451, 1979. 233. Copeland EM, Guillamondegui OM and Dudrick SJ: Prevention of nutritional complications. In Conley J. (ed): Complications of Head and Neck Surgery, Saunders Publishing Co, Philadelphia, PA pp 308-316, 1979. 234. Ryan GP, Dudrick SJ, Copeland EM and Johnston LR: Effects of various diets on colonic growth. Gastroenterology 77:658-663, 1979. 235. Dudrick SJ, Copeland EM and Daly JF: Cancer and immunocompetence. Proceedings of First European Congress of Parenteral and Enteral Nutrition. Edited by JH Wahren, Stockholm, Sweden. Acta Chir Scand Supp 498:146-149, September 2-5, 1979. 236. Dudrick SJ: Current status of total parenteral nutrition. Proceedings of First European Congress of Parenteral and Enteral Nutrition. Edited by JH Wahren, Stockholm, Sweden. Acta Chir Scand Supp 498:12-19, September 2-5, 1979. 237. Daly JM, Reynolds HM, Rowlands BJ, Dudrick SJ and Copeland EM:Tumor growth in experimental animals: nutritional manipulation and chemotherapeutic response in the rat. Ann Surg 191:58-64, 1980. 238. Dudrick SJ and Englert DM: Total care of the patient receiving total parenteral nutrition. Psychosomatics 21:109-110, 1980. 239. Copeland EM, Daly JM and Dudrick SJ: Intravenous hyperalimentation, bowel rest and cancer. Crit Care Med 8:21-28, 1980. 240. Dudrick SJ: Forward. In: Grant, JP(ed): Handbook of Total Parenteral Nutrition. WB Saunders Co, Philadelphia, PA pp VII-VIII, 1980. 241. Copeland EM and Dudrick SJ: Intravenous hyperalimentation in inflammatory bowel disease, pancreatitis and cancer. In Nyhus L (ed): 39 Surgery Annual-1980, Appleton-Century-Crofts, New York NY, pp 83-101. 242. Daly JM, Copeland EM, Dudrick SJ and Delaney JM: Nutritional repletion of malnourished tumor-bearing and nontumor-bearing rats: effects on body weight, liver, muscle and tumor. J Surg Res 28:507-508, 1980. 243. Reynolds HM, Daly JM, Rowlands BJ, Dudrick SJ and Copeland EM: Effects of nutritional repletion on host and tumor response to chemotherapy. Cancer 45:3069-3074, 1980. 244. Khalil SN, Dudrick SJ, Mathieu A, Rigor BM, Sr and Fody EP: Low level of pseudocholinesterase in patients with Crohn's disease. Lancet, 267-268, August 2, 1980. 245. Daly JM, Dudrick SJ and Copeland EM: Total parenteral nutrition: Techniques and indications. In: Day SB (ed): Integrated Medicine, A Companion to Life Sciences, Van Nostrand Reinhold, New York, NY, pp 566-579, 1980. 246. Daly JM, Dudrick SJ and Copeland EM: Intravenous hyperalimentation: Effect on delayed cutaneous hypersensitivity in cancer patients. Ann Surg 192:587-592, 1980. 247. Johnson LR, Dudrick SJ and Guthrie PD: Stimulation of pancreatic growth by intraduodenal amino acids and HCl. Am J Physiol 239:G400-G405, 1980. 248. Daly JM, Dudrick SJ and Copeland EM: Parenteral nutrition in patients with head and neck cancer: Techniques and results. Otolaryngol. Head Neck Surg 88:707-713, 1980. 249. Dudrick SJ, Englert DM, Rowlands BJ, Barroso AO and MacFadyen BV, Jr.: Ambulatory Home Hyperalimentation, 31st Cine Clinic, American College of Surgeons 66th Annual Clinical Congress, 1980. 250. Dudrick SJ, Jensen TG and Rowlands BJ: Nutritional support: Assessment and Indications. In Deitel M (ed): Nutrition in Clinical Surgery, pp 19-27, Williams and Wilkins, Baltimore, MD, 1980. 251. Deitel M, Lang AM, Dudrick SJ, Faintuch J, Frost PG, Kay RM and Ruderman RL: Organization of hyperalimentation in the community hospital: Panel discussion. In Deitel M (ed): Nutrition in Clinical Surgery, pp 151-160, Williams and Wilkins, Baltimore, MD., 1980. 40 252. Dudrick SJ, Speir AM and Englert DM: The short-bowel syndrome and ambulatory home hyperalimentation. In Deitel M (ed): Nutrition in Clinical Surgery, pp 209-214, Williams and Wilkins, Baltimore, MD. 1980. 253. Dudrick SJ, Van Buren CT and Ota DM: New horizons in intravenous alimentation. In Deitel M. (ed): Nutrition in Clinical Surgery, pp 261-271, Williams and Wilkins, Baltimore, MD., 1980. 254. Jensen TG, Long JM, III and Dudrick SJ: Nutritional support of the burn patient. Nutrition and the MD, 7:1-3, 1980. 255. Perl M, Hall RCW, Dudrick SJ, Englert DM, Stickney SK and Gardner ER: Psychological aspects of long-term home hyperalimentation. JPEN 4:554-560, 1980. 256. Rowlands BJ, MacFadyen BV, Jr., DeJong P and Dudrick SJ: Monitoring hepatic dysfunction during intravenous hyperalimentation. J Surg Res 28:471-478, 1980. 257. Dudrick SJ: What's new in surgery-shock and metabolism. Bull Am Coll Surg, , Vol 66, No 1, January 1981 258. Daly JM, Reynolds HM, Copeland EM and Dudrick SJ: Effects of enteral and parenteral nutrition on tumor responses to chemotherapy in experimental animals. J Surg Oncol 16:79-86, 1981. 259. Copeland EM and Dudrick SJ: Nutritional complications in postsurgical patients. American Surg 47:(2)67-71, February, 1981. 260. Daly JM, Dudrick SJ and Copeland EM: Total parenteral nutrition: techniques and indications. In Day SB (ed): Integrated Medicine: A Companion to the Life Sciences, pp 566-579, Van Nostrand Reinhold Co, New York, 1981. 261. Dudrick SJ: A Clinical review of nutritional support of the patient. Amer J of Clin Nutr 34:1191-1198, June 1981. 262. Daly JM, Copeland EM and Dudrick SJ: Nutritional management of patients with head and neck malignancies. In Suen JY and Myers E (eds): Cancer of the Head and Neck, pp 63-69, Churchill Livingstone Publishing Co, New York, 1981. 263. Moore RA, Feldman S, Treuting J, Bloss R and Dudrick SJ: Cimetidine and parenteral nutrition. JPEN 5:(1) 61-63, 1981. 41 264. Dudrick SJ: What's new in surgery, shock and metabolism. Emerg Med 13:(5)160-167, 1981. 265. Miller TA and Dudrick SJ (eds): The Management of Difficult Surgical Problems. University of Texas Press, Austin, 1981. 266. Dudrick SJ and Copeland EM: Nutritional support of the cancer patient. In Miller TA and Dudrick SJ (eds): The Management of Difficult Surgical Problems, pp 201-215, University of Texas Press, Austin, 1981. 267. Dudrick SJ and Englert DM: Management of the short bowel syndrome. In Miller TA and Dudrick SJ (eds): The Management of Difficult Surgical Problems, pp 225-235, University of Texas Press, Austin, 1981. 268. Daly JM, Reynolds HM, Copeland EM and Dudrick SJ: Effects of enteral and parenteral nutrition on tumor response to chemotherapy in experimental animals. J Surg Oncology 16:79-86, 1981. 269. Dudrick SJ, Englert DM, Barroso AO, Jensen TG, Pacinda-Ortiz C, Lee PA and Rowlands BJ: Update on ambulatory home hyperalimentation. Nutr Supp Serv 1:(1)18-21, 1981. 270. Copeland EM, Daly JM and Dudrick SJ: Nutrition and cancer. In Murphy GP (ed): International Advances in Surgical Oncology, Allan R. Liss, Inc, New York, Vol 4, 1-4, 1981. 271. Copeland EM, Daly JM and Dudrick SJ: Parenteral hyperalimentation of the cancer patient. In Newell G and Ellison N (eds): Nutrition and Cancer: Etiology and Treatment, Raven Press, New York, pp 393-410, 1981. 272. Issell BF, MacFadyen BV, Jr., Gum ET, Valdivieso M, Dudrick SJ and Bodey GP: Serum zinc levels in lung cancer patients. Cancer 47:(7)1845-1848, 1981. 273. Johnson LR, Guthrie PE and Dudrick SJ: Effects of luminal gastrin on the growth of rat intestinal mucosa. Gastroenterology 81:(1)71-77, 1981. 274. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Nutrition classics: Long-term total parenteral nutrition with growth, development and positive nitrogen balance. Nutr Reviews 39:(7)278-281, 1981. 275. Rhoads JE, Vars HM and Dudrick SJ: The development of intravenous hyperalimentation. Surg Clin North Am, 61:(3)429-435, 1981. 42 276. Lane HW, Dudrick SJ and Warren DC: Blood selenium levels and glutathione-peroxidase activities in university and chronic intravenous hyperalimentation subjects. Proc Soc Exp Biol 167:383-390, 1981. 277. Jensen TG, Englert DM and Dudrick SJ: Interpretation of nutritional assessment data. Nutr Supp Serv 1:(4)14-20, 1981. 278. Dudrick SJ and Rhoads JE: Metabolism in surgical patients: protein, carbohydrate and fat utilization by oral and parenteral routes. In Sabiston DC, Jr., (ed): Davis-Christopher Textbook of Surgery, pp 144-171, WB Saunders Co, Philadelphia, PA, 1981. 279. Jensen TG and Dudrick SJ: Implementation of a multidisciplinary nutritional assessment program. JAMA 79:258-266, 1981. 280. Daly JM, Copeland EM, Johnson DE, Van Buren C, Massar E and Dudrick SJ: Uric acid: effects on serum and urine levels in patients receiving intravenous dextrose, fat, and/or amino acid solutions. J Surg Res 31:98-104, 1981. 281. Perl M, Peterson LG and Dudrick SJ: TPN and the anorexia nervosa patient. Nutr Supp Serv 1:(6)13-15, 1981. 282. Kapelanski DP, Daly JM, Copeland Em and Dudrick SJ: Doxorubicin pharmacokinetics-the effects of protein deprivation. J Surg Res 30:(4)331-337, 1982. 283. Daly JM, Wang YM, Kapelanski D, Frazier OH, Copeland EM and Dudrick SJ: Systematic thermochemotherapy: toxicity and pharmacokinetics. Surg Forum XXXII:448-450, 1981. 284. Daly JM and Dudrick SJ: Administration of intravenous nutrition: Intravenous hyperalimentation at The University of Texas Medical School at Houston. In Hill GL (ed): Nutrition and the Surgical Patient. Churchill Livingstone, New York, New York, pp 134-141, 1981. 285. Daly JM and Dudrick SJ: Results of intravenous nutrition: Results of intravenous nutrition in cancer patients. In Hill GL (ed): Nutrition in the Surgical Patient, Churchill Livingstone, New York, New York, pp 191-195, 1981. 286. Perl M, Peterson LG and Dudrick SJ: Psychiatric problems encountered during intravenous nutrition. In Hill GL (ed): Nutrition in the Surgical Patient, Churchill Livingston, New York, New York, pp 309-318, 1981. 43 287. Perl M, Peterson LG, Dudrick SJ and Benson DM: Hyperalimentation at home: Psychiatric effects. Psychosomatics 22:(12)1047-1063, 1981. 288. Rowlands BJ and Dudrick SJ: Nutritional support of the infected patient. In Powanda MC and Canonico PG (eds): Infection: The Physiologic and Metabolic Responses of the Host, Elsevier/North-Holland Biomedical Press, pp 359-397, 1981. 289. Jensen TG, Dudrick SJ and Johnston DA: A comparison of triceps skinfold and upper arm circumference measurements taken in standard and supine positions. JPEN 5:(6)519-521, 1981. 290. Lane HW, Barroso AO, Dudrick SJ, Englert DM and MacFadyen BV, Jr.: Selenium status of seven IVH patients. Proceedings of the Fourth International Symposium on Trace Element Metabolism in Man and Animals. Edited by Howell J and Gawthoren JM, Western Australia, pp 30-33, 1981. 291. Englert DM and Dudrick SJ: Infection control in total parenteral nutrition. ASEPSIS, The Infection Control Forum 3:(6)3-4, Nov/Dec 1981. 292. Jensen JE, Smith TK, Jensen TG, Dudrick SJ, Butler JE and Johnston DA: Nutritional assessment of orthopaedic patients undergoing total hip replacement surgery. In Klein EA (ed): The Hip, Volume 9, Mosby Times Mirror, St. Louis, MO, pp 123-135, 1982. 293. Daly JM, Smith G, Frazier OH, Dudrick SJ and Copeland EM: Effects of systemic hyperthermia and intrahepatic infusion with 5-Fluorouracil. Cancer 45: (6)1112-1115, 1982. 294. Dudrick SJ: Forward, Professional Guide to Diseases. Intermed Communications, Horsham, PA, pp xx-xxi, 1982. 295. Van Buren CT and Dudrick SJ: Total parenteral nutrition. In van Nagell JR, Jr. and Barber HRK (eds): Modern Concepts of Gynecologic Oncology, John Wright and Sons Ltd, Bristol, England, pp 571-588, 1982. 296. Daly JM, Massar E, Giacco G, Frazier OH, Mountain CF, Dudrick SJ and Copeland EM, III: Parenteral nutrition in esophageal cancer patients. Ann Surg 196: (2)203-208, 1982. 297. Lane HW, Barroso AO, Englert D, Dudrick SJ and MacFadyen BV, Jr.: Selenium status of seven chronic intravenous hyperalimentation patients. JPEN 6:(5) 426-431, 1982. 44 298. Jensen JE, Jensen TG, Smith TK, Johnston DA and Dudrick SJ: Nutrition in orthopaedic surgery. J of Bone and Joint Surg 64A:(9)1263-1272, 1982. 299. Dudrick SJ, Baue AE, Eiseman B, MacLean LD, Rose MI and Sheldon GF (eds): Manual of Preoperative and Postoperative Care, WB Saunders Company, Philadelphia, PA 1983. 300. Dudrick SJ: Parenteral nutrition. In Dudrick SJ, Baue AE, Eiseman B, MacLean LD, Rowe MI and Sheldon GE (eds): Manual of Preoperative and Postoperative Care, WB Saunders Co, Philadelphia, PA, pp 86-105, 1983. 301. Copeland EM, Dudrick SJ, Daly JM and Ota DM: Nutritional changes in neoplasia. In Fischer JE (ed): Surgical Nutrition, Little, Brown and Company, Boston, MA, pp 515-534, 1983. 302. Dudrick SJ and O'Donnell JJ: Central venous lines: Inserting them safely and minimizing complications. Contemporary Ob/Gyn, pp 95-103, March 1983. 303. Jensen TG, Englert DM, Dudrick SJ and Johnston DA: Delayed hypersensitivity skin testing: response rates in a surgical population. JADA 82:(1)17-23, 1983. 304. Massar EL, Daly JM, Copeland EM, III, Johnson DE, Von Eschenbach AC, Johnston D, Rundell B and Dudrick SJ: Peripheral vein complications in patients receiving amino acid/dextrose solutions. JPEN 7:(2)159-162, 1983. 305. Dudrick SJ and Jackson D: The short bowel syndrome and total parenteral nutrition. Heart & Lung-The J of Critical Care 12:(2)195-201, 1983. 306. Daly JM, Massar E, Copeland EM, III, Johnson DE, Bracken B, Samaan N, Barlow AL and Dudrick SJ: Adaptation to amino acid infusion in patients undergoing operation. Surgery 93(4):512-517, 1983. 307. Floyd CM, Ota D, Corriere J, Jr., Dudrick SJ and Copeland EM: Effect of serum source on protein-free diet lymphocyte blastogenesis. J Surg Res 35:243-248, 1983. 308. Dudrick SJ, O'Donnell JJ and Clague MB: Nutritional rehabilitation of the cancer patient. Proceedings of the 13th International Cancer Congress, Part D, Seattle, Washington, 1982, pp 161-170, 1983. 45 309. Dworkin B, Daly J, Massar E, Alcock N, Dudrick SJ and Copeland EM: Intravenously administered amino acids with dextrose or lipid as nutritional support in surgical patients. Surg Gynecol Obstet 156:577-581, May, 1983. 310. MacFadyen BV, Jr., Copeland EM and Dudrick SJ: Surgery and oncology. In Schneider HA, Anderson CE and Coursin DB (eds): Nutritional Support of Medical Practice, Harper and Row, Philadelphia, PA., pp 611-628, 1983. 311. O'Donnell JJ, Clague MB and Dudrick SJ: Percutaneous insertion of a cuffed catheter with a long subcutaneous tunnel for intravenous hyperalimentation. J of Bloodless Med and Surg 1(2):7-12, 1983. 312. O'Donnell JJ, Clague MB and Dudrick SJ: Percutaneous insertion of a cuffed catheter with a long subcutaneous tunnel for intravenous hyperalimentation. Southern Med J 76:(11)1344-1348, 1983. 313. Hunt D, Barroso A, Lane HW, Lee P, Ardila C, Rowlands BJ and Dudrick SJ: Iron status of home TPN patients. Nutr Supp Serv 3:12:31-41, 1983 314. Jensen TG, Englert DM and Dudrick SJ: Manual of Nutritional Assessment, Appleton-Century-Crofts, E. Norwalk, CT, 1983. 315. Dudrick SJ, O'Donnell JJ, Englert DM, Matheny TG, Blume ER, Nutt RE, Hickey MS and Barroso AO: 100 patient-years of ambulatory home total parenteral nutrition. Transactions of the Southern Surg Assn XCV:280-291, 1983. 316. Jensen JE, Jenson TG, Dudrick SJ and Smith TK: Nutrition and orthopaedic surgery. Nutr Supp Serv 4:(2)27-39, 1984. 317. Dudrick SJ: Treatment of inflammatory bowel disease with bowel rest and total parenteral nutrition. Uplook-Newsletter of the National Foundation for Ileitis and Colitis 3:(1), Winter 1984. 318. Dudrick SJ and Matheny RG: Intravenous hyperalimentation in the surgical patient. In Cameron JL (ed): Current Surgical Therapy, pp 568-573, CV Mosby Company, St. Louis, MO, 1984. 319. Dudrick SJ, O'Donnell JJ, Englert DM, Matheny RG, Blume ER, Nutt RE, Hickey MS and Barroso AO: 100 patient-years of ambulatory home total parenteral nutrition. Ann Surg 199:(6)770-781, 1984. 46 320. Daly JM, Copeland EM, and Dudrick SJ: Preparation of the patient. In Nyhus LM and Baker RG (eds): Mastery of Surgery, pp 3-18, Little, Brown, Boston, MA, 1984. 321. Dudrick SJ, O'Donnell JJ, Hickey MS, Matheny RG and Brandt ML: Long-term alimentation by a new indwelling tube gastrostomy technique. Southern Med J 77:(12)1506-1508, 1984. 322. Dudrick SJ, O'Donnell JJ, Matheny RG, Daly JM and Copeland EM: Nutritional support of the cancer patient. Proceedings of the International Symposium on Parenteral and Enteral Nutrition, Kochi, Japan, pp 356-371, Elsevier Science Publishers, 1984. 323. Stevenson RE, Ben-Menachem Y, Dudrick SJ and Howell RR: Hepatocellular carcinoma in Type I glycogen storage disease. Proceedings of the Greenwood Genetic Center. Edited by Robert A. Saul, Jacobs Press, Inc., Clinton, SC, Vol III, pp 39-46, 1984. 324. Dudrick SJ, O'Donnell JJ and Englert DM: Catheters for chronic parenteral nutrition. In Ravitch MM (ed): Problems in General Surgery: Complications with Mechanical Devices, JB Lippincott Co, Philadelphia, PA, 2:(1)93-106, 1985. 325. Dudrick SJ, O'Donnell JJ, Raleigh DP, Matheny RG and Unkel SP: Rapid restoration of red blood cell mass in severely anemic surgical patients who refuse transfusion. Arch Surg 120:721-727, 1985. 326. Weisbrodt NW, Green GM, Levan VH and Dudrick SJ: Effect of pancreatic secretions on transit in bypassed loops of intestine in rats. Digestive Disease and Sciences 30:(1)78-81, 1985. 327. Jensen TG, Long JM, III, Dudrick SJ and Johnston DA: Nutritional assessment indications of postburn complications. JAMA 85(1):68-72, 1985. 328. Dudrick SJ: Second Symposium on Wound Healing. In Sparkman RS (ed): The Healing of Surgical Wounds, Taylor Publishing Company, Dallas, TX, pp 68-114, 1985. 329. Dudrick SJ, O'Donnell JJ, Englert DM, Matheny RG, Blume ER, Nutt RE, Hickey MS and Barroso AO: One hundred patient-years of ambulatory home total parenteral nutrition. In: Schwartz SI, Najarian JS, Peacock EE, et al (eds): The Year Book of Surgery, Year Book Medical Publishers, Inc., Chicago, IL, pp 54-55, 1985. 47 330. Dudrick SJ, O'Donnell JJ, Weinmann-Winkler S, Jensen TG: Nutritional assessment: Indications for nutritional support. In: Deitel M. (ed): Nutrition in Clinical Surgery, Williams and Wilkins, Baltimore, MD, pp 24-37, 1985. 331. Dudrick SJ, O'Donnell JJ and Englert DM: Ambulatory home parenteral nutrition for short-bowel syndrome and other diseases. In: Deitel M (ed): Nutrition in Clinical Surgery, Williams and Wilkins, Baltimore, MD, pp 276-287, 1985. 332. Dudrick SJ, Matheny RG and O'Donnell JJ: New horizons in intravenous alimentation. In: Deitel M. (ed): Nutrition in Clinical Surgery. Williams and Wilkins, Baltimore, MD, pp 380-391, 1985. 333. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Nutrition Classic: Long-term total parenteral nutrition with growth, development, and positive nitrogen balance. Nutrition International 1:(1)11-19, 1985. 334. Dudrick SJ, Englert DM and Clague MG: Ambulatory home hyperalimentation. In: Kaminski MV (ed): Hyperalimentation: A Guide for Clinicians. Marcel Dekker, Inc., New York, NY, pp 607-638, 1985. 335. Weinmann-Winkler S and Dudrick SJ: Enteral nutrition history: past, present, future. Nutritional Support Services 6:(2A)7, 1986. 336. Rhoads JE, Dudrick SJ and Vars HM: History of intravenous nutrition. In: Rombeau JL and Caldwell MD (eds): Parenteral Nutrition: Clinical Nutrition, Volume 2, WB Saunders Co, Philadelphia, PA. pp 1-8, 1986. 337. Poindexter SM, Dear WE, Dudrick SJ: Nutrition in congestive heart failure. Nutr in Clin Practice 1(2):83-88, 1986. 338. Dudrick SJ, O'Donnell JJ, Matheny RG, Unkel SP, Raleigh DP: Stimulation of hematopoiesis as an alternative to transfusion. Southern Med J 79(6):669-673, 1986. 339. Meguid MM and Dudrick SJ (eds): The Surgical Clinics of North America, Nutrition and Cancer I, WB Saunders Co, Philadelphia, PA 1986. 340. Meguid MM and Dudrick SJ: Forward. In: Meguid MM and Dudrick SJ (eds): The Surgical Clinics of North America, Nutrition and Cancer I, WB Saunders Co, Philadelphia, PA, 66(5):xi-xii, 1986. 48 341. Meguid MM and Dudrick SJ (eds): The Surgical Clinics of North America, Nutrition and Cancer II, WB Saunders Co, Philadelphia, PA, 1986. 342. Meguid MM and Dudrick SJ: Forward. In: Meguid MM and Dudrick SJ (eds): The Surgical Clinics of North America, Nutrition and Cancer II, WB Saunders, Co, Philadelphia, PA, 66(6):xi-xii, 1986. 343. Dudrick SJ, O'Donnell JJ, Weinmann-Winkler S: Nutritional Management of Head and Neck Tumor Patients. In: Thawley, Panje, Batsakis, Lindbert(eds): W.B. Saunders Company, Philadelphia, PA, pp 14-24, 1986. 344. Dudrick SJ, Raleigh DP: Hyperalimentation. In: Garcia C, Mikuta JJ and Rosenblum NG (eds): Current Therapy in Surgical Gynecology, BC Decker, Philadelphia, PA, pp 14-20, 1987. 345. Lane HW, Lotspeich, CA, Moore CE, Ballard J, Dudrick SJ and Warren DC: The effect of selenium supplementation on selenium status in patients receiving chronic total parenteral nutrition. JPEN 11(2):177-182, 1987. 346. Dudrick SJ and Van Buren D: Parenteral alimentation in gastrointestinal nutritional support. In: Scott HW and Sawyers JL (eds): Surgery of the Stomach, Duodenum, and Small Intestine, Blackwell Scientific Publications, Boston, MA, pp 841-855, 1987. 347. Dudrick SJ: Regression of atherosclerosis by the intravenous infusion of specific biochemical nutrient substrates in animals and humans. Ann Surg 206: 296-315, 1987. 348. Dudrick SJ, Adams PR, Englert DM, Feste AS: Experimental and clinical atherosclerosis: Their experimental reversal. Transactions & Studies of The College of Physicians of Philadelphia, Bicentennial Issue, Series V. Volume X. Nos. 1-4, pp 35-61, 1988 349. Dudrick SJ, Adams PR, Englert DM Feste AS: Experimental and clinical atherosclerosis: Their experimental reversal. In: Maulitz RC (ed): Unnatural Causes - The Three Leading Killer Diseases in America. Rutgers University Press, New Brunswick, NJ pp 35-61, 1988 350. Dudrick SJ, Mock TC: Enterocutaneous fistula. In: Cameron J, (ed): Current Surgical Therapy - 3, BC Decker, Inc. Philadelphia, PA pp 35-61, 1988 49 351. Dudrick SJ: Regression of atherosclerosis by the intravenous infusion of specific biochemical nutrient substrates in animals and humans. In: Barker, CF, Daly JM (ed): Jonathan E. Rhoads Eightieth Birthday Symposium. JB Lippincott Co, Philadelphia, PA, pp 148-174, 1989. 352. Ford EG, MacFadyen BV, Dudrick SJ: Management of gastrointestinal fistulae. Contemporary Gastroenterology 2:101-105, 1989. 353. Dudrick SJ:Past, present and future of nutritional support: the inevitable evolution of total parenteral nutrition. Tanaka T, Okada A (eds): Nutritional Support in Organ Failure, Elsevier Science Publishers (Biomedical Division), pp xix-xxv, 1990. 354. Dudrick SJ, Adams PR, Englert DM, Latifi R, Feste A: Arrest and regression of atherosclerosis by intravenous infusion of specially formulated nutrient substrates. Tanaka T, Okada A (eds): Nutritional Support in Organ Failure, Elsevier Science Publishers (Biomedical Division), pp 103-115, 1990. 355. Weisbrodt NW, Green GM, Belloso RM, Biskin LC, Dudrick SJ: Effect of acetylcysteine on intestinal smooth muscle after small bowel bypass in rats. J Gastrointestinal Motility (1):60-64, 1990. 356. Maeda J, Dudrick SJ: Rapid Spectrophotometric Determination of Plasma Carnitine Concentrations. JPEN Vol 3(5), 527-532, 1991 357 Dudrick SJ (ed): The Surgical Clinics of North America, Current Strategies in Surgical Nutrition, Vol 71, No 3, WB Saunders Co, Philadelphia, PA, 1991. 358. Dudrick SJ: Preface. In: Dudrick, SJ (ed): The Surgical Clinics of North America, Current Strategies in Surgical Nutrition, Vol 71, No 3, WB Saunders Co, Philadelphia, PA, 1991. 359. Dudrick SJ: Past, present and future of nutritional support. Surg Clin North Am 71:439-448, 1991. 360. Latifi R, Killam R, Dudrick SJ: Nutritional support in liver failure. Surg Clin North Am 71:567-578, 1991. 361. Latifi R, McIntosh J, Dudrick SJ: Nutritional management of acute and chronic pancreatitis. Surg Clin North Am 71:579-595, 1991. 362. Dudrick SJ, Latifi R, Schrager R:Nutritional management of inflammatory bowel disease. Surg Clin North Am 71:609-623, 1991. 50 363. Dudrick SJ, Latifi R, Fosnocht D: Management of the short bowel syndrome. Surg Clin North Am 71:625-643, 1991. 364. Dudrick SJ, Latifi R, Adams PR: Arrest and reversal of atherosclerosis with parenteral nutrition. Surg Clin North Am 71: 665-675, 1991. 365. Dudrick SJ: Preface. In:Baumgartner, TG (ed): Clinical Guide to Parenteral Micronutrition, (2nd ed). Fujisawa USA, Inc., Deerfield, IL, 1991. 366. Kirby DF, Dudrick SJ: Nutrition in Clinical Practice Series (eds): Pract Gastroent XV, 1991-1992. 367. Kirby DF, Dudrick SJ: Nutrition in Clinical Practice: The final frontier? Pract Gastroent XV, No 8:17, 1991. 368. Dudrick SJ, Latifi R: Total parenteral nutrition in the treatment of atherosclerosis. In: Van Way CW (ed):Handbook of Surgical Nutrition. JB Lippincott Co., Philadelphia, PA, pp 259-271, 1992. 369. Daly JM, Copeland EM, Dudrick SJ: Preparation of the patient. In: Nyhus LM (ed): Mastery of Surgery, (2nd ed). Little Brown, Boston, MA. pp 3-23, 1992. 370. Dudrick SJ: Forward. In: Rothkopf MM and Askanazi J (eds): Intensive Homecare, Williams and Wilkins. Baltimore, MD, 1992. 371. Dudrick SJ, Latifi R: Total parenteral nutrition (Part I): Indications and techniques. Pract Gastroent. XVI, No 6:21-29, 1992. 372. Dudrick SJ, Latifi R: Total parenteral nutrition (Part II):Administration, monitoring and complications. Pract Gastroent. XVI, No 7:29-38, 1992. 373. Dudrick SJ, Latifi R: Total parenteral nutrition in surgery - Current status. Contemp Surg 41:41-54, 1992. 374. Dudrick SJ, Latifi R: Surgical Nutrition (eds): Postgraduate General Surgery. Vol 5, No 1, 1993. 375. Dudrick SJ, Latifi R: Nutritional support of short bowel syndrome: Commentary. Postgrad Gen Surg. 5:5-10, 1993. 376. Latifi R, Florence L, Dudrick SJ: Total parenteral nutrition in the management of Crohn's disease: Presentation. Postgrad Gen Surg.5:1921, 1993. 51 377. Dudrick SJ, Latifi R: Regression of atherosclerosis by intravenous amino acid solution. Postgrad Gen Surg. 5:34-41, 1993. 378. Dudrick SJ, Wilmore, DW, Vars HM, Rhoads JE: Long-term total parenteral nutrition with growth, development, and positive nitrogen balance. Postgrad Gen Surg. 5:56-60, 1993. 379. Rhoads JE, Dudrick SJ: History of Intravenous Nutrition. In: Rombeau JL and Caldwell MD (eds): Clinical Nutrition - Parenteral Nutrition (2nd ed). W.B. Saunders Co., Philadelphia, pp 1-10, 1993. 380. Mason GR, Kahrilas PJ, Otterson MF, Lang IM, Telford GL, Telford SW, Sarna SK, Cowles VE, Koch TR, Debas HT, Gittes G, Jaffe BM, Dudrick SJ, Latifi R, Castro GA: The Digestive System. In: O'Leary JP (ed): The Physiologic Basis of Surgery. Williams and Wilkins, Baltimore, MD, pp 340-375, 1993. 381. Dudrick SJ, Latifi R, Castro GA: Digestion and Absorption. In: O'Leary JP (ed): The Physiologic Basis of Surgery. Williams and Wilkins, Baltimore, MD, pp 365-373, 1993. 382. Dudrick SJ: Prologo. In: Villazon A, Arenas H (eds): Nutricion Enteral YParenteral InterAmericana/McGraw-Hill, Atlampa, Mexico, pp IX-X, 1993. 383. Dudrick SJ, Latifi R: Surgery and Nutrition. In: O'Donnell PD (ed): Geriatric Urology. Little, Brown and Company, Boston, MA, pp 105-112, 1994. 384. Dudrick SJ, Latifi R: Nutritional Support: General Principles, Indications, and Techniques. In: Quigley EM, Sorrell MF (eds): The Gastrointestinal Surgical Patient - Preoperative and Postoperative Care. Williams & Wilkins, Baltimore, MD, pp 175-220, 1994. 385. Gould KL, Martucci JP, Goldberg DI, Hess MJ, Edens RP, Latifi R, Dudrick SJ: Short-term Cholesterol Lowering Decreases Size and Severity of Perfusion Abnormalities by Positron Emission Tomography After Dipyridamole in Patients With Coronary Artery Disease: A Potential Noninvasive Marker of Healing Coronary Endothelium. Circulation 89:1530-1538, 1994. 386. Latifi R, Dudrick SJ:Hepatic Encephalopathy: Metabolic and Nutritional Implications of Amino Acids. In: Latifi R (ed): Amino Acids in Critical Care and Cancer. R.G. Landes Company, Austin, TX, pp 125-136, 1994. 52 387. Kirby DF, Dudrick SJ (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, 1994. 388. Kirby DF,Dudrick SJ: Preface, In: Kirby and Dudrick (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, 1994. 389. Dudrick SJ, Latifi R: Total Parenteral Nutrition. In: Kirby and Dudrick (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, pp 135-164, 1994. 390. Latifi R, Dudrick SJ: Nutrition in Surgical Patients. In: Kirby and Dudrick (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, pp 165-182, 1994. 391. Dudrick SJ, Latifi R: Management of Patients With Short-Bowel Syndrome. In: Kirby and Dudrick (eds): Practical Handbook of Nutrition in Clinical Practice, CRC Press, Boca Raton, FL, pp 215-226, 1994. 392. Dudrick, SJ. Foreword. In: Professional Handbook of Diagnostic Tests. Springhouse Corporation, Springhouse, PA, 1995. 393. Latifi R, Dudrick SJ (eds): Surgical Nutrition: Strategies in Critically Ill Patients. R.G.Landes Company, Austin, TX, 1995. 394. Dudrick SJ, Latifi R: Introduction. In: Latifi and Dudrick (eds): Surgical Nutrition: Strategies in Critically Ill Patients. R.G. Landes, Company, Austin, TX, 1995. 395. Dudrick SJ, Latifi R: Amino Acids in Critically Ill Patients: Current Concepts. In: Latifi and Dudrick (eds): Surgical Nutrition: Strategies in Critically Ill Patients. R.G. Landes, Company, Austin, TX, pp 31-43,1995. 396. Latifi R, Dudrick SJ: The Effects of Nutrient Substrates in Acute Pancreatitis. In: Latifi and Dudrick (eds): Surgical Nutrition: Strategies in Critically Ill Patients. R.G. Landes, Company, Austin, TX, pp 147-151, 1995. 397. Meguid MM, Bessey PQ, Dawson J, Dudrick SJ, Howard LJ, Sax H. Total Parenteral Nutrition: An Update. Contemporary Surgery, 46(3) 157168, 1995. 398. Dudrick SJ: The Role of Nutrition in Wound Healing. In:Cernaianu AC, DelRossi AJ, Spence RK (eds): Critical Issues in Surgery, Plenum Press, New York, NY, pp 1-12, 1995. 53 399. Latifi R, Dudrick SJ (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX , 1996. 400. Latifi R, Dudrick SJ: Preface. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX, 1996. 401. Latifi R, Dudrick SJ: Total Parenteral Nutrition: Current Concepts and Indications. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX, pp 45-55, 1996. 402. Latifi R, Dudrick SJ: Nutrition Support of Acute Pancreatitis. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX, pp 225-237, 1996. 403. Latifi R, Burns GA, Dudrick SJ: Nutritional Management of Chronic Pancreatitis: Current Concepts. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX pp 239-249, 1996. 404. Dudrick S, Zarif A, Latifi R: Nutritional and Metabolic Management of Short Bowel Syndrome. In: Latifi and Dudrick (eds): Current Surgical Nutrition. R.G. Landes Company, Austin, TX, pp 303-315, 1996. 405. Daly JM, Barie PS, Dudrick SJ: Preparation of the Patient. In: Nyhus, Baker and Fischer (eds): Mastery of Surgery, 3rd ed. Little Brown and Company, Inc. pp 22-49, 1996. 406. Willis AL, Dudrick SJ, Torosian MH: Unique Presentation of Crohn’s Disease during Treatment of Hodgkin’s Disease. Oncology Reports 3: 939-942, 1996 407. Mason GR, Kahrilas PJ, Otterson MF, Lang IM, Telford GL, Telford SW, Sarna SK, Cowles VE, Koch TR, Debas HT, Gittes G, Jaffe BM, Dudrick SJ, Latifi R, Castro GA: The Digestive System. In: O'Leary JP (ed): The Physiologic Basis of Surgery, 2nd ed. Williams and Wilkins, Baltimore, MD, pp 406-440, 1996. 408. Dudrick, SJ: Foreword. In: Shikora and Blackburn. Nutrition Support Theory and Therapeutics. Chapman & Hall, New York, NY, 1997. 409. Sawmiller CJ, Turowski GA, Sterling AP, Dudrick SJ: Extraarticular Pigmented Villonodular Synovitis of the Shoulder. Clinical Orthopaedics and Related Research, 335: 262-267, 1997. 410. Dudrick SJ: Foreword. In: Rothkopf MM (ed), Standards and Practice of Homecare Therapeutics, 2nd ed. Williams and Wilkins, Baltimore, MD,1997. 54 411. Dudrick SJ, Daly JM: Jonathan Evans Rhoads, M.D., Renaissance Man of the Twentieth Century. Cancer, 79(9):1737-1739, 1997. 412. Dudrick, SJ: Preface. In: Baumgartner TG (ed), Clinical Guide to Parenteral Micronutrition, 3rd Edition. Fujisawa USA, Deerfield, IL, 1997 413. Dudrick SJ: Book Review. Of: Shikora SA, Blackburn GL (eds), Nutrition Support: Theory and Therapeutics. Chapman and Hall Publishers, New York, NY, 1997, Am J Clin Nutr, 67:742, 1998 414. Zahir KS, Quin JA, Brown W, Thomson JG, Dudrick SJ: Trends in Upper Extremity Soft Tissue Malignancies: A 40-Year Review of the Connecticut State Tumor Registry, Connecticut Medicine 62(1): 9-14, 1998 415. Vouyouka AG, Powell RJ, Ricotta J, Chen H, Dudrick DJ, Sawmiller CJ, Dudrick SJ and Sumpio BE: Ambient Pulsatile Pressure Modulates Endothelial Cell Proliferation, J Mol Cell Cardiol, 30, 609-615, 1998 416. Dudrick SJ, Zahir KS, Merrell RC: Total Parenteral Nutrition: Techniques and Complications, Surgical Technology International VII, 174184, 1998 417. Sawmiller CJ, Powell RJ, Quader MA, Dudrick SJ, and Sumpio BE: The Differential Effects of Contrast Agents on Endothelial Cells and Smooth Muscle Cell Growth In Vitro, J Vascular Surg, 27(6): 1128-1140, 1998 418. Zahir KS, Dudrick SJ: Letter to the Editor; Trends in the Incidence of Upper Extremity Soft Tissue Malignancies: A 40-Year Review of the Connecticut State Tumor Registry, Connecticut Medicine 62(5): 311, 1998 419. Amshel CE, Palesty JA, Dudrick SJ: Are Chest X-Rays Mandatory Following Central Venous Recatherization Over a Wire? The American Surgeon, 64: 499-502, 1998 420. Dudrick SJ, Brown W, Biggs CG: Nutritional Management of Patients with Head and Neck Tumors. In: Comprehensive Management of Head and Neck Tumors, 2nd ed, Chapter 3, pages 45 - 58, W. B. Saunders, 1998 421. Sawmiller CJ, Dudrick SJ, Hamzi M: Postsplenectomy Capnocytophaga canimorsus Sepsis Presenting as an Acute Abdomen. Arch Surg. 133: 1362-1365, 1998 422. Dudrick SJ, Maharaj AR, McKelvey AA: Artificial Nutrition Support in Patients with Gastrointestinal Fistulas, World J. Surg. 23: 570-576, 1999 55 423. Dudrick, SJ: Invited Critique of: Surgical Approaches to Improving Intestinal Function in the Short Bowel Syndrome. Thompson, JS, and Langras, AN. Arch, Surg. 134: 706 – 711, 1999 424. Zahir KS, Dudrick SJ: Current Overview of Gynecomastia, Curr Surg., 56: 312-315, 1999 425. Duzgun A, Rasque H, Kito H, Azuma N, Li W, Gahtan V, Dudrick S, Sumpio BE. Mitogen activated protein phosphorylation by hyperosmolality with different osmotic agents in endothelial cell. J. Cell Biochem., 76:567-571, 2000 426. Palesty JA, McKelvey AA, Dudrick SJ. The Efficacy of X-Rays after Chest Tube Removal, Amer J Surg., 179:13, 2000 427. Woo D, Dudrick SJ, Sumpio BE. Homocysteine stimulates MAP kinase in bovine aortic smooth muscle cells. Surgery, 128:59-66, 2000 428. Palesty JA, Zahir KS, Dudrick SJ, Tripodi G: Nd:YAG Laser Therapy for the Excision of Pilonidal Cysts: A Comparison with Traditional Techniques, Lasers Surg Med., 26:380-385, 2000 429. DiLuozzo G, Dhadwal AK, Frangos SG, Chen AH, Jeffries BW, Dudrick SJ and Sumpio BE: Endothelial Cells Exposed to Nicotine Act as a Chemoattractant for Vascular Smooth Cell Migration. Surgical Forum, 51:373-375, 2000 430. Coppola CP, Dudrick SJ: Total Parenteral Nutrition and Infection, Curr Surg., 58(1):23-28, 2001 431. Kavic SM, Atweh N, Zimmerman G, Ivy ME, Pineau M, Possenti PP, Fidler PE, Gross RG, Dudrick SJ: Decompressive Craniectomy for Damage Control in Penetrating Head Trauma, Critical Care Medicine, Dec:28(12 Suppl): A143, 2001 432. Atweh N, Kavic SM, Dudrick SJ: Portal Vein Thrombosis after Splenectomy, J Am Coll Surg, 192(4): 551-2, 2001 433. Kavic SM, Atweh N, Ivy ME, Possenti PP and Dudrick SJ: Celiac Axis Ligation after Gunshot Wound to the Abdomen: Case Report and Literature Review. J Traum, 50:738-739, 2001 434. Dudrick SJ, Wilmore DW, Vars HM, Rhoads JE: Long-Term Total Parenteral Nutrition with Growth Development and Positive Nitrogen Balance, Nutr Hosp, 16(6), 286-287 and 287-292, 2001 56 435. Kavic SM, Atweh N, Ivy ME, Possenti PP and Dudrick SJ: Renal Artery to Inferior Vena Cava Fistula Following Gunshot Wound to the Abdomen. Ann Vasc Surg 16:665-670, 2002 436. Atweh N, Lye KD, Kavic SM, Fidler PE, Possenti PP, Dudrick SJ: Closure of Large Abdominal Wounds with an Adjustable Suture-Tension Device, J Am Coll Surg, 195(2) 281-283, 2002 437. Kavic SM, Dudrick SJ: Rectocele, Curr Surg, 59(2): 162-171, 2002 438. Dudrick SJ: Foreword In: Nutritional Considerations in the Intensive Care Unit – Science, Rationale and Practice, (eds) Shikora SA, Martindale RG, Schwaitzberg SD, Kendall/Hunt Co., Dubuque, Iowa, 2002 439. Atweh N, Kavic SM, Dudrick SJ: Letter to the Editor; Portal Vein Thrombosis after Splenectomy, J Am Coll Surg, 195:281-283, 2002 440. Dudrick SJ, Kavic SM: Hepatobiliary Nutrition: History and Future, J Hepatobiliary-Pancreat Surg, 9:459-468, 2002 441. Kavic SM, Atweh NA, Ivy ME, Possenti PP and Dudrick SJ: Renal Artery to Inferior Vena Cava Fistula Following Gunshot Wound to the Abdomen: Case Report and Literature Review. Ann Vasc Surg, 16:666-670, 2002 442. Dudrick SJ, Maharaj AR and McKelvey AA: Artificial Nutritional Support in Patients with Gastrointestinal Fistulas. World J Surg 23: 570576, 1999 Reprint In: Selected Readings in General Surgery, Miscellaneous Small Bowel Diseases, 29:1-7, 2002 443. Dudrick SJ: Foreword In: Supplement on Home Parenteral and Enteral Nutrition, 26:S2-S3 J Parenter Enteral Nutr, 2003 444. Latifi R and Dudrick SJ: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 445. Latifi R and Dudrick SJ: Total Parenteral Nutrition: Current Concepts and Indications, pp 208-219 In: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 446. Dudrick SJ, Abdullah F and Latifi R: Nutrition and Metabolic Management of Short Bowel Syndrome, pp 261-274 In: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 57 447. Latifi R and Dudrick SJ: Nutrition Support of Acute Pancreatitis, pp 320333 In: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 448. Latifi R, Perch PG and Dudrick SJ: Nutritional Management of Chronic Pancreatitis: Current Concepts, pp 334-345 In: The Biology and Practice of Current Nutritional Support, 2nd Edition (eds), Landes Bioscience, Georgetown, Texas, 2003 449. Dudrick SJ, Palesty JA: What We Have Learned about Cachexia and Gastrointestinal Cancer, Digestive Diseases, 21: 198-213, 2003 450. Dudrick SJ: Early Developments and Clinical Applications of Total Parenteral Nutrition, J Parenter Enteral Nutr, 27: 291-299, 2003 451. Dudrick SJ: History and Development of Total Parenteral Nutrition, Proceedings of the 61st Congress of the Association of Polish Surgeons, pp 15-20, 2003 452. Dudrick SJ: Management of Fistulas of the Gastrointestinal Tract Proceedings of the 61st Congress of the Association of Polish Surgeons, pp 24-40, 2003 453. Palesty JA, Wang XJ, Rutland RC, Leighton J, Dudrick SJ and Benbrahim A: Fifty-five Consecutive Laparoscopic Appendectomy Procedures without Conversion, JSLS 8: 141-145, 2004 454. Palesty JA, Edwards RE and Dudrick SJ: Geriatric AssessmentMinimizing the Risks, Current Surgery, 61:3 266-267, 2004 455. Teso D, Edwards RE, Antezana JN, Dudrick SJ and Dardik A: Do Vascular Surgeons Improve the Outcome of Carotid Endarterectomy? An Analysis of 12,618 Elective Cases in the State of Connecticut,Vascular 12:3 155-165, 2004 456. Jackson LM, Dudrick SJ and Sumpio BE: John Harvey Kellogg; Surgeon, Inventor, Nutritionist (1852-1943), J Am Coll Surg 199:5 817-821, 2004 457. Rabbi JR, Gersten G, Kiran PR, Dudrick SJ and Dardik A: Early Results with Infrainguinal Cutting Balloon Angioplasty Indicates Limitation of Distal Dissection, Ann Vasc Surg, 18:6 640-643, 2004 458. Dudrick SJ: Commentary on the 3rd Edition of Basics in Clinical Nutrition: In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, pp XXI-XXII, 2004 58 459. Pertkiewicz M and Dudrick SJ: Ways of Delivering Parenteral Nutrition, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, pp 233-237, 2004 460. Pertkiewicz M and Dudrick SJ: Central Parenteral Nutrition, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, pp 237-246, 2004 461. Pertkiewicz M, Sitges-Serra A and Dudrick SJ: Complications Associated with Central Catheter Insertion and Care, pp 246-252, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Prague, Galen, Czech Republic, 2004 462. Pertkiewicz M and Dudrick SJ: Systems for Parenteral Nutrition, pp 252254, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 463. Pertkiewicz M, Szczygiel B, Sobotka L and Dudrick SJ: Composition of Nutritional Admixtures and Formulas for Parenteral Nutrition, pp 255260, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 464. Barnett MI, Pertkiewicz M, Cosslett AG, Muhlebach S and Dudrick SJ: Parenteral Nutrition Admixtures, pp 260-264, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 465. Pertkiewicz M, Cosslett A, Muhlebach S and Dudrick SJ: Stability of Parenteral Nutrition Admixtures, pp 264-269, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 466. Szczygiel B, Pertkiewicz M, Naber T and Dudrick SJ: Nutrition Support in Gastrointestinal Fistulas, pp 342-345, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 467. Pertkiewicz M, Manak J and Dudrick SJ: Nutritional Support During Pregnancy, pp 422-425 In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 468. Pertkiewicz M, Naber T and Dudrick SJ: Home Artificial Nutrition, pp 462-467, In: Basics of Clinical Nutrition, 3rd Edition, (ed) Sobotka, Galen, Prague, Czech Republic, 2004 469. Teso D, Edwards RE, Frattini JC, Dudrick SJ and Dardik A: Safety of Carotid Endarterectomy in 2,443 Elderly Patients: Lessons from Nonagenarians –Are We Pushing the Limit?, J Am Coll Surg,:12, 734741, 2004 59 470. Kiran PR, Thorisson HM and Dudrick SJ: Current Status of Stents for Arterial Occlusive Disease and Endovascular Aortic Aneurysm Repair, Curr Surg, 62:2, 178-179, 2005 471. Jackson LS, Wang XJ, Dudrick SJ and Gersten GD: Catheter-Directed Thrombolysis and/or Thrombectomy with Selective Endovascular Stenting as Alternatives to Systemic Anticoagulation for Treatment of Acute Deep Vein Thrombosis. Am J Surg. Dec;190(6):864-8, 2005 472. Dudrick SJ: Rhoads Lecture: A 45-year Obsession and Passionate Pursuit of Optimal Nutrition Support: Puppies, Pediatrics, Surgery, Geriatrics, Home TPN, A.S.P.E.N., et cetera. J Parenter Enteral Nutr. JulAug;29(4):272-87, 2005 473. Dudrick SJ: History of Vascular Access. J Parenter Enteral Nutr. JanFeb;30:S47-56, 2006 474. Dudrick SJ and Kavic SM: ASPEN 1975-1980, J Parenter Enteral Nutr, in press 60 ABSTRACTS 1. Dudrick SJ, Lehr HB, Senior JR and Rhoads JE: Evaluation of nutritional care of the surgical patient. Med Dig 11:35, 1965. 2. Dudrick SJ, Vars HM, Rawnsley HM and Rhoads JE: Total intravenous feeding and growth in puppies. Fed Proc 25:481, 1966. 3. Wilmore DW, Dudrick SJ, Vars HM and Rhoads JE: Long-term intravenous hyperalimentation. Fed Proc 27:486, 1968. 4. Miller LD, Joyner CR, Dudrick SJ and Eskin DJ: Clinical use of ultrasound in the early diagnosis of pulmonary embolism. Rev Surg 25:493, 1968. 5. Rhoads JE, Dudrick SJ and Miller LD: Colectomy for cancer: technique and pitfalls. Year Book of Cancer, 1968. 6. Dudrick SJ, Wilmore DW, Vars HM and Rhoads JE: Long-term IV feeding will maintain growth. Mod Med 36:134, 1968. 7. Steiger E, Wilmore DW, Dudrick SJ and Rhoads JE: Total intravenous nutrition in the management of inflammatory disease of the intestinal tract. Fed Proc 28:808, 1969. 8. Dudrick SJ, Wilmore DW, Steiger E and Rhoads JE: Reversal of uremia and body wasting with intravenous essential amino acids. Fed Proc 28:808, 1969. 9. Wilmore DW, Dudrick SJ, Samuels GSA and Vars HM: The role of nutrition in small bowel adaptation following massive intestinal resection . Fed Proc 28:305, 1969. 10. Steiger E, Dudrick SJ, Daly JM, Wilmore DW, Vars HM and Rhoads JE: Growth and development of puppies nourished intravenously with crystalline amino acids as the sole source of dietary nitrogen. Fed Proc 29:364, 1970. 11. Dudrick SJ, Steiger E and Tyers GFO: Adenocarcinoma of the small bowel complicating regional enteritis. Tenth International Cancer Congress, Houston, TX, p 620, 1970. 12. Sugerman H, Travis S, Pollock T, Ruberg R, Dudrick SJ, Delivoria-Papadopoulos M, Miller L and Oski F: Alterations in oxygen transport and red cell metabolism as a consequence of hypophosphatemia in intravenous hyperalimentation. Clin Res 19:487, 1971. 61 13. Daly JM, Dudrick SJ, Vars HM and Hansell JR: The effects of protein depletion on colonic wound healing in rats. Fed Proc 30:298, 1971. 14. Ruberg RL, Dudrick SJ, Long JM, Allen TF, Steiger E and Rhoads JE: Pre- and postoperative nutrition using crystalline amino acid as the sole source of nitrogen. Fed Proc 30:300, 1971. 15. Long JM, Steiger E, Dudrick SJ, Berkowitz HD, Allen TR and Ruberg RL: Total parenteral nutrition in the management of esophagocutaneous fistulas. Fed Proc 30:30, 1971. 16. Steiger E, Dudrick SJ, Daly JM, Vars HM and Allen TF: Effects of postoperative intravenous nutrition on serum proteins, body weight and liver morphology in protein depleted rats. Fed Proc 30:580, 1971. 17. Allen TR, Ruberg RL, Dudrick SJ, Long JM and Steiger E: Hypophosphatemia occurring in patients receiving total parenteral hyperalimentation. Fed Proc 30:580, 1971. 18. Dudrick SJ, Steiger E and Tyers GFO: Adenocarcinoma of the small bowel complicating regional enteritis. In: Oncology, 1970, Clark, Cumley, McCay and Copeland (eds), Year Book Medical Publishers, Chicago, p 620, 1971. 19. Daly JM, Dudrick SJ, Steiger E and Prockop DJ: The proline analogue Cis-4-Hydroxproline specifically inhibits collagen synthesis in healing colon anastomosis in rats. Fed Proc 31:716, 1972. 20. Long JM, Dudrick SJ and Van Buren CT: Intravenous alimentation in renal failure: clinical experimental consideration. Proc International Congress of Nutrition, Mexico City, 1972. 21. Maynard AT, Dudrick SJ, MacFadyen BV, Jr and Ruberg RL: Essential Fatty acid deficiency with intravenous hyperalimentation. Fed Proc 31:717, 1972. 22. MacFadyen BV, Jr. Dudrick SJ, Maynard At, Law D and Rhoads JE: Triglyceride and free fatty acid clearances in patients receiving complete parenteral hyperalimentation with 10% soybean oil emulsion. Fed Proc 31:717, 1972. 23. Van Buren C, Dudrick SJ, Dworkin L, Baumbauer E and Long JM: The influence of essential L-amino acids on nitrogen metabolism in bilaterally nephrectomized dogs. Fed Proc 31:730, 1972. 62 24. Daly JM, Steiger E, Dudrick SJ and Vars HM: Effects of postoperative intravenous nutrition on colonic wound healing, serum protein metabolism and body weight. Fed Proc 31:730, 1973. 25. Law DK, Abdou NI and Dudrick SJ: Immunocompetence of rats with chronic protein depletion (CPD): effects of protein depletion. Fed Proc 32:942, 1973. 26. Castro GA, Copeland EM, Dudrick SJ and Johnson LR: Decreased intestinal disaccharidase and peroxidase activity in hyperalimented rats. Fed Proc 33:692, 1974. 27. Souchon EA, Copeland EM, Watson P and Dudrick SJ: Tolerance for 5-Fluorouracil (5-FU) in rodents receiving hyperalimentation. Fed Proc 33:692, 1974. 28. Copeland EM, MacFadyen BV, Jr., and Dudrick SJ: Intravenous hyperalimentation as an adjunct to therapy in the cancer patient. XI International Cancer Congress, Florence, Italy, 4:874,1974. 29. Daly JM, Steiger E, Much J, Vars HM and Dudrick SJ: Protein sparing efficacy of intravenous amino acid versus dextrose solutions. Fed Proc 33:683, 1974. 30. Johnson LR, Castro GA, Lichtenberger LM, Copeland EM and Dudrick SJ: The significance of the trophic action of gastrin. Gastroenterology 66:718, 1974. 31. Castro GA, Johnson LR, Copeland EM and Dudrick SJ: Altered parasite development and enzyme levels in the small intestine of parenterally fed rats. Gastroenterology 66:672, 1974. 32. Lichtenberger LM, Castro GA, Copeland EM, Dudrick SJ and Johnson LR: The effect of food on rat antral gastrin concentration. Gastroenterology 66:874, 1974. 33. Castro GA, Johnson LR, Copeland EM and Dudrick SJ: Altered development of gut parasites caused by switching the host from oral to parenteral nutrition. Fed Proc 34:901, 1975. 34. Schanbacher LM, Copeland EM, Dudrick SJ, Johnson LR and Castro GA: Glucose transport across the small intestine of parenterally nourished rats. Fed Proc 34:917, 1975. 63 35. Castro GA, Johnson LR, Copeland EM and Dudrick SJ: Gut parasites: altered development caused by changing the host from oral to parenteral nutrition. Gastroenterology 68:870, 1975. 36. Schanbacher LM, Copeland EM, Dudrick SJ, Johnson LR and Castro GA: Intestinal uptake of glucose in parenterally nourished rats. Gastroenterology 68:871, 1975. 37. Weisbrodt NW, Copeland EM, Thor PJ and Dudrick SJ: Small bowel motility during intravenous hyperalimentation in the dog. Gastroenterology 68:1011, 1975 38. MacFadyen BV, Jr., Dudrick SJ and Daly JM: The management of inflammatory bowel disease with parenteral hyperalimentation. Tenth International Congress of Nutrition, Kyoto, Japan, August,1975. 39. Souchon EA, Englert DM, Duke JH, Jr. and Dudrick SJ: Intravenous hyperalimentation in 342 surgical patients. Rev Surg 297-299, September, 1976. 40. Daly JM, Copeland EM, Guinn EJ and Dudrick SJ: Relationship of cell-mediated immunity to amino acid/calorie nutrition. Fed Proc 35:344, 1976. 41. Schanbacher LM, Copeland EM, Dudrick SJ and Jonson LR: Effects of total parenteral feeding on pancreatic bicarbonate secretion in the dog. Clin Res 25:13A, 1976. 42. Weisbrodt NW, Badial-Aceves F, Copeland EM, Dudrick SJ and Castro GA: Small intestinal transit during total parenteral nutrition in the rat. Gastroenterology 70:950, 1976. 43. Castro GA, Badial-Aceves F, Adams PR, Copeland EM and Dudrick SJ: Response of immunized, parenterally nourished rats to challenge infection with the nematode, Trichinella Spiralis. Gastroenterology 70:868, 1976. 44. Castro GA, Badial-Aceves F, Smith JW, Dudrick SJ and Weisbrodt NW: Altered small bowel propulsion associated with parasitism. Gastroenterology 70:868, 1976. 45. Castro GA, Badial-Aceves F, Adams PR, Copeland EM and Dudrick SJ: Response of immunized, parenterally nourished rats to challenge infection with the nematode, Trichinella Spiralis. Clin Res 24:597A, 1976. 64 46. Sander LD, Dudrick SJ, Copeland EM and Johnson LR: Effect of restraint stress on serum and antral gastrins and hexosamine synthesis after parenteral alimentation. Gastroenterology 72:A102, 1977. 47. Wiseman DA, Copeland EM, Dudrick SJ and Castro GA: Comparison of gastrointestinal structure and enzyme activity between orally fed rats and rats fed by intestinal infusion. Gastroenterology 72:A128, 1977. 48. Daly JM, Castro GA, Akhtar M and Dudrick SJ: Morphologic and biochemical intestinal changes after jejuno-ileal bypass. Gastroenterology 72:1042, 1977. 49. Ramaswamy K, Copeland EM, Dudrick SJ and Castro GA: Causes of weight loss associated with enteric parasitism. Fed Proc 36:595, 1977. 50. Daly JM, Copeland EM, Guinn EJ and Dudrick SJ: Effects of intravenous hyperalimentation (IVH) on tumor growth and host immunocompetence. Fed Proc 36:1163, 1977. 52. Souba WW, Long JM, III and Dudrick SJ: Energy intake as determinant of nitrogen excretion in rats. JPEN 1:28A, 1977. 53. Souchon EA, Englert DM, MacFadyen BV, Jr., Duke JH and Dudrick SJ: Intravenous hyperalimentation: experience with 500 patients. S Tx Chapt ACS, Austin, TX, January 1977. 54. MacFadyen BV, Jr., Dudrick SJ, Baquero GE and Gum ET: Liver function during intravenous hyperalimentation (IVH): clinical biochemical changes. JPEN 2:(3)38, 1978. 55. Reynolds HM, Daly JM, Copeland EM and Dudrick SJ: Effects of nutritional repletion on host and tumor response to chemotherapy. Fed Proc 38:261, 1978. 56. Englert DM and Dudrick SJ: Total or supplemental ambulatory home hyperalimentation. JPEN 2:242, 1978. 57. Johnson LR, Ryan GP, Copeland EM and Dudrick SJ: Luminal gastrin stimulates growth of distal fat intestine. Fed Proc 37:374, 1978. 58. Copeland EM, Dudrick SJ and MacFadyen BV, Jr.: The effect of nutrition on immunocompetence in cancer patients. JPEN 2:70, 1978. 59. Daly JM, Copeland EM, Guinn EJ and Dudrick SJ: Effects of oral versus IV nutrition on tumor response to chemotherapy. JPEN 2:71, 1978. 65 60. Igo SR, Kyger ER, III, Lande AJ and Dudrick SJ: Improved intraventricular balloons for isolated rat hearts. ACEMB Proc 21:165, 1979. 61. Copeland EM, MacFadyen BV, Jr. and Dudrick SJ: The cancer patient: Impact of nutrition on immunocompetence. Proceedings of the XIII International Cancer Congress, Buenos Aires, Argentina. The Cancer Bulletin 31:96, May-June 1979. 62. Long JM, III, Souba WW and Dudrick SJ: Effect of calorie intake and stress on nitrogen excretion. JPEN 3:34, 1979 63. Souba WW, Long JM, III and Dudrick SJ: Effects of stress and diet on nitrogen excretion in growing rats. JPEN 3:34, 1979. 64. Englert DM and Dudrick SJ: Relationship of intravenous hyperalimentation to infectious diseases and sepsis. APIC Journal 7:27, 1979. 65. Dudrick SJ, Englert DM, Speir AM and Ota DM: Intravenous hyperalimentation as the sole treatment for chronic anemia associated with ulcerative colitis in two Jehovah's Witnesses. JPEN 3:507, 1979. 66. Englert DM and Dudrick SJ: A comprehensive instructional program for adults and pediatric ambulatory home hyperalimentation patients. JPEN 3:518, 1979. 67. Perl M, Hall TC, Dudrick SJ, Englert DM and Gardner ER: Psychologic aspects of long-term home hyperalimentation. JPEN 3:522, 1979. 68. Speir AM, Englert DM and Dudrick SJ: Thirty man years'experience with ambulatory home hyperalimentation . JPEN 3:510, 1979. 69. Rowlands BJ, Jensen TG and Dudrick SJ: Serum transferrin, a comparison of two methods of measurement in hospitalized patients. Am J Clin Nutr 32:XIX, 1979. 70. Jensen TG, Dudrick SJ and Johnston DA: A comparison of triceps skinfold and arm circumference values measured in standard and supine positions. JPEN 3:513, 1979. 71. Daly JM, Reynolds HM, Rowlands BJ, Copeland EM and Dudrick SJ: Effects of protein nutrition on body weight, serum protein levels, and tumor growth. Fed Proc 38:864, 1979. 66 72. Jensen TG, Brooks BJ and Dudrick SJ: Utilization of competency based self-instructional modules for training dietetic technicians in nutritional assessment techniques. JPEN 3:520, 1979. 73. Daly JM, Copeland EM and Dudrick SJ: Effect of IVH on immunocompetence in cancer patients. Fed Proc 39:888, 1980. 74. Dudrick SJ, Rowlands BJ, Speir AM, Ota DM, Henry AC, Englert DM and Coleman CW: Intravenous hyperalimentation (IVH) as the sole treatment for anemia and ulcerative colitis (UC) in two Jehovah's Witnesses. Fed Proc 39:1114, 1980. 75. Souba WW, Long JM, III and Dudrick SJ: Interaction of protein and energy substrates in intravenously fed rats. Fed Proc 39:1114, 1980. 76. Long JM, III, Jensen TG and Dudrick SJ: Obsessive exercise-related cachexia-a new syndrome? Am J Clin Nutr 33:938, 1980. 77. Long JM, III, Jensen TG and Dudrick SJ: Obsessive exercise-related cachexia-a new syndrome? Clin Res 28:579A, 1980. 78. Gallardo E, Tulloch BR, Rowlands BJ, Woo J and Dudrick SJ: Changes in serum lipids during intravenous hyperalimentation (IVH). Clin Res 28:(2)230A, 1980. 79. Dudrick SJ, Van Buren CT, Daly JM, Long JM, III and Copeland EM: Parenteral nutrition in the critically ill. J Coll Surg (Aust). 80. Daly JM, Copeland EM, Massar E, Johnson DE, Brachen B, Samman N, Barlow AL and Dudrick SJ: Adaptation to amino acid infusions in surgical patients. Fed Proc 40:3933, 1981. 81. Barroso AO, Rowlands BJ, Tulloch BR, Woo J and Dudrick SJ: Changes in serum total and high density lipoprotein cholesterol during intravenous hyperalimentation in dogs. Clin Res 29:(2)263A, 1981. 82. Rowlands BJ, Barroso A0, Foucar E and Dudrick SJ: Changes in hepatic morphology and liver function tests during intravenous hyperalimentation in dogs. Clin Res 29:(2)421A, 1981. 83. Jensen JE, Jensen TG, Smith TK, Dudrick SJ and Johnston DA: Nutrition in orthopaedic surgery. Orthop Transactions 5:(1)85, 1981. 84. Hunt D, Barroso A, Lee P, Rowlands BJ, Lane H and Dudrick SJ: Iron overload in patients with short bowel syndrome. Fed Proc 41:(3)2075. 1982. 67 85. Garza JL, Rowlands BJ and Dudrick SJ: Should liver function test abnormalities during prolonged intravenous hyperalimentation (IVH) cause concern? Gastroenterology 82:(5)1041, May 1982. 86. Dudrick PS, O'Donnell JJ, Matheny RG, Yoshimura NN and Dudrick SJ: Failure of enriched branched chain amino acid solutions to improve wound healing in traumatized rats. Fed Proc 43:(4)3299, 1984. 87. Lane HW, Moore C, Lotspeich CA, Ballard J, Dudrick SJ, Halligan R and Warren DC: Selenium supplementation for patients receiving chronic total parenteral nutrition. Fed Proc 43:(4)3402, 1984. 88. Guthrie PD, Drummond RW, Feste AS and Dudrick SJ: Dynamic effects of a high cholesterol diet on plasma lipoprotein levels in rabbits. Fed Proc 43:(9)1330, 1984. 89. Dudrick SJ and Drummond RW: Use of specially formulated parenteral substrate therapy (PNST) in atherosclerotic plaque regression. Fed Proc 43:(7)3538, 1984. 90. Drummond RW, Feste AS, Guthrie PD and Dudrick SJ: Alteration of rabbit plasma lipid relationships in response to a high cholesterol diet. Fed Proc 43:(7)3538, 1984. 91. Feste AS, Drummond RW and Dudrick SJ: The effects of a high cholesterol diet on the plasma concentration and distribution of cholesterol eaters and free fatty acids in rabbits. Fed Proc 43:(7)3540, 1984. 92. Dudrick SJ, Matheny RG, O'Donnell JJ, Dudrick PS and Yoshimura NN: Effect of enriched branched chain amino acid (AA) solutions in traumatized rats. JPEN 8:86, 1984. 93. Dudrick SJ, O'Donnell JJ, Matheny RG, Cardoso RJ, Hagemeier KF and Hickey MS: A new concept of long-term indwelling tube gastrostomy feeding. JPEN 8:94, 1984. 94. Dudrick SJ, O'Donnell JJ, Hickey MS, Englert DM, Nutt RE, Blume ER, Barroso AO and Clague MB: Ambulatory home total parenteral nutrition (TPN)-100 patient years. JPEN 8:100, 1984. 95. Dudrick SJ, Drummond RW: Utilization of specific total parenteral nutrition (TPN) in the arrest and reversal of atherosclerosis. JPEN 9:62, 1985. 68 96. Drummond RW, Feste AS, Guthrie PD and Dudrick SJ: Effects of a high cholesterol diet on atherogenesis in rabbits: Lipoproteins. JPEN 9:63, 1985. 97. Drummond RW, Mazzagatti L, Guthrie PD and Dudrick SJ: Evaluation of a chemiluminescence nitrogen analysis technique for use in nutritional assessment studies. JPEN 10(1):195, 1986. 98. Dudrick SJ, Drummond RW, Belloso RM, Bisken LC, Dudrick PS and Hedberg AM: Practical considerations affecting the accuracy of indirect calorimetry (IC) measurements for nutritional assessment. JPEN 10(1):205, 1986. 99. Drummond RW, Guthrie PD and Dudrick SJ: Evaluation of performance of an automated fluorescence quenching technique (FQT) for measurement of retinol binding protein (RBP), transthyretin (TTY) and transferrin (TRF). JPEN 10(1):215, 1986. 100. Dudrick SJ, O'Donnell JJ, Raleigh DP, Matheny RG and Unkel SP: Intravenous iron for patients refusing transfusion. American Family Physician 33(2):328, 1986. 101. Matheny RG, Biskin LC, Belloso RM, O'Donnell JJ and Dudrick SJ: Stimulation of erythropoiesis in anemic dogs with an intravenous iron/nutrition regimen. Fed Proc 45(3):2582, 1986. 102. Weisbrodt NW, Belloso RM, Biskin LC, Dudrick PS and Dudrick SJ: Effect of acetylcysteine on adaptation of intestinal smooth muscle after small bowel bypass. Fed Proc 45(4):5181, 1986. 103. Dudrick SJ, O'Donnell JJ, Englert DM, Blume ER, Belloso RM and Peters C: 150 patient-years of ambulatory home total parenteral nutrition (TPN) in the management of difficult gastrointestinal disorders. Gastroenterology 90(5):1400, 1986. 104. Dudrick SJ: Management of the Short Bowel Syndrome. J Gastroenterol Surg 27(2):239, 1994. 105. Winston D, Boatwright D, Gustafson D, Monte W, Dudrick SJ: Newly Developed Tube Feeding Formula is Antimicrobial. Clin Res, Vol 42, 3:448A, 1994. 106. Winston D, Boatwright D, Winston DC, Monte W, Dudrick SJ: Tube Feeding Formula With Sorbate is Antimicrobial. FASEB Journal 9:4, A863, 1995. 69 107. Amshel C, Maharaj A, Palesty JA, Tambarino F, Dudrick SJ: Are Chest X-Rays Mandatory Following Central Venous Recatheterization over a Guidewire? Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1996. 108. McKelvey A, Chlosta WF, Palesty JA, Davis MD, Dudrick SJ: Psychological Implication of Needle Localization of Non-Palpable Breast Lesions: Phase II. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1996. 109. Sawmiller C, Sumpio BE, Maitz S, Dudrick SJ: The Effect of Contrast Agents on Smooth Cell Muscle Cell Growth in Vitro. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1996. 110. Palesty JA, Amshel CE, Maharaj A, Dudrick SJ: Are Chest X-Rays Mandatory Following Central Venous Recatheterization Over a Wire? Prospective Data Confirm and Augment Previous Retrospective Data. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1997 111. McKelvey AA, Palesty JA, Dudrick SJ: Should Chest X-Rays Be Obtained Routinely Following Elective Removal of Chest Tubes? Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 112. Zdankiewicz PD, Garza JJ, Zahir KS, Dudrick SJ, Alosco T: Two Years Experience with Laparoscopic Versus Open Repair of Ventral Hernias. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 113. Palesty JA, Zahir KS, Dudrick SJ, Tripodi G: Nd: YAG Laser for the Excision of Pilonidal Cysts: A Comparison with Traditional Techniques. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 70 114. Zahir KS, Edwards RP, Vecchia A, Dudrick SJ, Tripodi G: Use of the Nd:Yag Laser Improves Quality of Life and Economic Factors in the Treatment of Hemorrhoids. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 115. Roros JG, Gosche JR, Seashore J, Dudrick SJ, Touloukian R: Management of Blunt Pancreatic Injuries in the 90’s: A Retrospective Analysis. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, December, 1998 116. Palesty JA, McKelvey AA, Dudrick SJ: The Efficacy of X-Rays after Chest Tube Removal. 51st Annual Meting of the Southwestern Surgical Congress, April, 1999 117. Paszkowiak JJ, Zdankiewicz PD, Wang XJ, Shea VT, Dudrick SJ: The Increased Prevalence of Hypothyroidism in Women Newly Diagnosed with Breast Carcinoma at St. Mary’s Hospital. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 118. Tittle SL, Palesty JA, Dudrick SJ: Merkel Cell Tumors: A Retrospective Review of the Connecticut State Tumor Board’s Data, 1990-1997. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 119. Woo DJ, Zdankiewicz PD, Hamzi M, Dudrick SJ: Clark’s Level I and II Cutaneous Malignant Melanoma at St. Mary’s Hospital. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 120. Edwards RE, Zdankiewicz PD, Dudrick SJ, Dineen JP: Follow-Up Counseling for Trauma Patients with Concurrent Substance Abuse – The Need for Enforcement. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 121. Rasque H, Duzgun AS, Dudrick SJ, Sumpio BE: Contrast Agents Decrease VSMC Migration and Activate P38. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 71 122. Garza JJ, Riley JT, Roros JG, Sawmiller CJ, Quigley W, Dudrick SJ: Acute Cholecystitis in Critically Ill Surgical Patients: Is Incidental Cholecystectomy During Exploratory Laparotomy Indicated? Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 123. Wang XJ, Chen EL, Willis AI, Dudrick SJ, Sumpio BE, Gahtan V: Focal Adhesion Kinase is Involved in Thrombospondin-1 Induced Cell Migration. Combined Annual Meeting of the Connecticut Chapter of the American College of Surgeons and The Connecticut Society of American Board Surgeons, November, 1999 124. Kavic SM, Atweh N, Frangos SG, Ivy ME, Possenti PP, Pineau MJ, Fidler PE, Gross RI, and Dudrick SJ: Traumatic Bile Duct Injury: Optimizing Outcome by Individualizing Management. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p17, November, 2000 125. Frangos SG, Atweh N, Pineau MJ, Kavic SM, Ivy ME, Possenti PP, Bandanza D, Gross, RI, Fidler PE and Dudrick SJ: Hypothermia is a Marker for Adequacy of Resuscitation in Severe Truncal Injury. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p69, November, 2000 126. Koo J, Ivy M, Atweh N, Pineau M, Possenti P and Dudrick SJ: Cardiac Rupture Resulting from Blunt Trauma: A Retrospective Review of One Community Hospital’s Experience. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p73, November, 2000 127. Christian DJ, Palesty JA, Lahijani SS, Rabbi JF, Dudrick SJ and Brown W: Treatment of Lower Extremity Telangiectasias and Varicose Veins with the Nd Yag Laser. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p69, November, 2002 128. Mikhaeil HM, Hanna BG, Staib S, Paszkowiak JJ and Dudrick SJ: Impact of Age on Outcome of Motor Vehicle Trauma Patients: A Trauma Level II Community Hospital Experience. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p51, November 2002 129. Rutland RC, Edwards RE, Rabbi JF, Staib S and Dudrick SJ: Can the Injury Severity Score Alone Predict Outcome In Patients with Pulmonary Contusion? Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p52, November, 2002 72 130. Osigweh JM, Palesty JA, Osigweh CAB, Zdankiewicz PD and Dudrick SJ: Rates of Aspiration in Percutaneous Endoscopic Gastrostomy and Percutaneous Endoscopic Jejunostomy. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p58, November, 2002 131. Paszkowiak JJ, Tittle SL, Jackson LM, Dudrick SJ and Dardik A: Abdominal Wall Endometrioma:Experience with a Rare Entity. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p61, November, 2002 132. Wang XJ, Paszkowiak JJ, Dudrick SJ and Sumpio BE: Red Wine Polyphenols Inhibit Extracellular Signal-Regulated Kinase 1/ 2 and P38 Activation in Vascular Smooth Muscle Cells. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p64, November, 2002 133. Mikhaeil HM, Hanna BG, Staib S, Paszkowiak JJ and Dudrick SJ: Impact of Age on Outcome of Motor Vehicle Trauma Patients: A Trauma Level II Community Hospital Experience, Southwestern Surgical Society, p128, 2003 134. Maloney SP, Edwards RE, Kiran PR, Richi A and Dudrick SJ: Outcomes of Patients Over the Age of 80 Years Treated for a Perforated Viscus in a Community Hospital Setting Over a Ten Year Period. Connecticut Chapter of the American College of Surgeons, p53, November, 2003 135. Jackson LS, Wang XJ, Gersten G and Dudrick SJ: Nitinol Stents in Superficial Femoral Artery (SFA) Stenosis: A Community Hospital Experience. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p54, November, 2003 136. Thorisson HM, Gersten G and Dudrick SJ: Treatment of Postcatheterization Pseudoaneurysm in a Community Hospital Setting. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p39, November, 2003 137. Rabbi JF, Gersten G, Kiran PR, Dudrick SJ and Dardik A: Early Results with Infrainguinal Cutting Balloon Angioplasty Indicated Limitation of Distal Dissection. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p45, November, 2003 138. Lahijani S, Rutland RC, Tripodi G and Dudrick SJ: Laparoscopic Splenic Artery Aneurysm Ligation During Pregnancy. Scientific and Annual 73 Meeting of the Connecticut Chapter of the American College of Surgeons, p46, November, 2003 139. Lahijani S, Wells K, Alosco T and Dudrick SJ: Primary Malignant NonHodgkin Skeletal Muscle Lymphoma: A Case Report. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p48, November, 2003 140. Shahmohammadi K, Dardik A and Dudrick SJ: Predictors of Mortality After Repair of Ruptured Abdominal Aortic Aneurysm by General Surgeons in a Community Hospital. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p51, November, 2003 141. Rutland RC, Palesty JA, Edwards RE, Dudrick SJ and Tadros R: TuboOvarian Abscess in a Postpartum Adolescent. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p50, November, 2003 142. Lahijani S, Castro MG, Dardik A and Dudrick SJ: Does Initial Leukocyte Count Correlate with Trauma Victim Length of Stay in Hospital. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p20, November, 2003 143. Rabbi JF, Gersten G, Kiran PR, Dudrick SJ and Dardik A: Early Results with Infrainguinal Cutting Balloon Angioplasty Indicates Limitation of Distal Dissection. 14th Annual Winter Meeting of the Peripheral Vascular Surgery Society, February, 2004 144. Paszkowiak JJ, Teso D, Wang XJ, Kelley L, Sumpio BE, Dudrick SJ and Dardik A; Rapamycin Inhibits Neointimal Hyperplasia in Low Flow States In Vivo Without Affecting Vessel Inward Remodeling. 56th Annual Meeting of the Southwestern Surgical Congress, p122, April, 2004 145. Teso D, Edwards RE, Fratinni JC, Dudrick SJ and Dardik A: Safety of Carotid Endarterectomy in 2443 Elderly Patients: Lessons from Nonagenarians – Are We Pushing the Limit? 32nd Annual Meeting of the Society for Clinical Vascular Surgery, March, 2004 146. Castro MG, Kiran PR, Dardik A and Dudrick SJ: Does Intraoperative Thyroid Frozen Section Have Clinical Value in Determining the Extent of Thyroidectomy? Tufts New England Annual Resident Research Day, April, 2004 147. Paszkowiak JJ, Teso D, Hamzi M and Dudrick SJ: Recurrent Laryngeal Nerve Schwannoma: A Rare Mediastinal Tumor. Scientific and Annual 74 Meeting of the Connecticut Chapter of the American College of Surgeons, p16, November, 2004 148. Fancher TF, Golik L, Paszkowiak JJ, Polokoff EG and Dudrick SJ: Breast Cancer Diagnosed in Woman Under the Age of 40 Over the Last Decade. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p18, November, 2004 149. Osigweh JM, Longo WE, Dudrick SJ and Geibel JP: Calcium Sensing Receptor Modulates Electrolyte Transport in Human Colonic Crypts. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p22, November, 2004 150. Jackson LM, Wang XJ, Dudrick SJ and Gersten GD: Thrombolysis and Stenting: Alternative to Treating Deep Vein Thrombosis. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p30, November, 2004 151. Jackson AL, Pimiento JM, Usoh F, Edwards RE, Richi AA and Dudrick SJ: Paraplegia: A Rare Complication Following Abdominal Aneurysm Repair. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p37, November, 2004 152. Jackson LM, Kopin C, Tripodi G and Dudrick SJ: Urethral Carcinoma: A Rare Presentation. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p38, November, 2004 153. Panait L, Conklin P, Edwards RE and Dudrick SJ: Surgical Treatment of Perforated Appendicitis in a Community Hospital. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p42, November, 2004 154. Pimiento JM, Kiran PR, Edwards RE, Hamzi M, Richi AA, Alosco T, Zarif A and Dudrick SJ: Initial Use of Hand Ports in the Community Hospital Setting May Reduce the Slope of the Learning Curve for Laparoscopic Colorectal Resections. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p43, November, 2004 155. Teso D, Fratini J, Dudrick SJ and Dardik A: Carotid Endarterectomy in 1,650 Patients Under 60 Years Old: Implications for Screening. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p45, November, 2004 156. Wang XJ, Edward RE, Pimiento JM and Dudrick SJ: Cold Abscess of the Right Buttock: A Rare Entity. Scientific and Annual Meeting of the 75 Connecticut Chapter of the American College of Surgeons, p47, November, 2004 157. Wang XJ, Jackson LM, Modhwadua M, Bhaliya P, Gersten GD and Dudrick SJ: Thrombolytic Therapy for Acute Limb Ischemia in a Community Hospital. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p48, November, 2004 158. Wang XJ, Ravalese J, Alosco T and Dudrick SJ: Right Buttock Sarcoma Following Radiation Therapy for Endometrial Adenocarcinoma. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p51, November, 2004 159. Qureshi IR, Staib S, Edwards RE and Dudrick SJ: The Relationship of Injury Severity Score with Trauma Outcome of Patient in Urban Versus Rural Trauma Centers. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p62, November, 2004 160. Rutland RC, Kidd M, Dudrick SJ and Modlin IM: The Treatment of Morbid Obesity- From the Fat into the Frying Pan? Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p63, November, 2004 161. Teso D, Edwards RE, Antezana J, Dudrick SJ and Dardik A: Do Vascular Surgeons Improve the Outcome of Carotid Endarterectomy? An Analysis of 12,618 Elective Cases in the State of Connecticut. Connecticut Medicine, p622, November/December 2004 162. Lahijani SS, Castro MG, Ivy M and Dudrick SJ: Unique Approach to Diagnosis of Pott’s Disease. Connecticut Medicine, p624, November/December 2004 163. Teso D, Edwards RE, Frattini J, Dudrick SJ and Dardik A: Safety of Carotid Endarterectomy in 2443 Elderly Patients; Lessons from Nonagenarians – Are We Pushing the Limit? Connecticut Medicine, p625, November/December 2004 164. Fancher TT, Malkin BS, Palesty JA and Dudrick SJ: Should Breast Self Examination Really be Optional? Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p27, November, 2005 165. Osigweh JM, Bell R, Dudrick SJ and Geibel JP: Sodium Hydrogen Transport Regulates PH in Human Small Intestine Villi. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p29, November, 2005 76 166. Panait L, Merrell RC, Rafiq A, Dudrick SJ and Broderick T: Virtual Reality Lapparoscopic Skill Assessment in Microgravity. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p31, November, 2005 167. Cordova AC, Kiran PR, Martin GJ, Dudrick SJ and Nicastri GR: Multiple Bile Duct Hamartomas. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p86, November, 2005 168. Alam S, Malkan A, Kiran PR, Dudrick SJ and Nicastri GR: Benign Vascular Proliferation as a cause of Intussusception. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p88, November, 2005 169. Qureshi IQ, Nicastri GR and Dudrick SJ: Superior Mesenteric Artery Syndrome:Review and Case Study. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p90, November, 2005 170. Maloney S, Richi AA, Dardik A and Dudrick SJ: Ruptured Abdominal Aorta Aneurysm Repair with Distal Anastamosis to the Inferior Mesenteric Artery: A Case Report. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p92, November, 2005 171. Jackson LM, Malkan A, Tripodi G and Dudrick SJ: Stump Appendicitis After Laparoscopic Appendectomy: A Case Report. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p94, November, 2005 172. Vardanyan A, Bradway M and Dudrick SJ: Negelected Giant Condyloma Acuminatum. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p96, November, 2005 173. Teso D, Palesty JA and Dudrick SJ: Combined Unilateral Upper and Lower Extremity Ischemia Following Crack Cocaine Abuse. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p98, November, 2005 174. Rutland RR, Westzik H, Maloney S, Palesty JA, Dardik A and Dudrick SJ: Increased Cardiac Complications in Hispanic Patients After Carotid Endarterectomy. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p100, November, 2005 77 175. 1/27/06 Golek Z, Zarif A and Dudrick SJ: Diaphragmatic Rupture: High Index of Suspicion. Scientific and Annual Meeting of the Connecticut Chapter of the American College of Surgeons, p101, November, 2005