GIFT WRAP 2002 2003 2005 2004 TIME WARP

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					GIFT WRAP                                   Dr. Peter Williamson and Susan                 The Robert Wood Johnson Foundation               Dorothy and Jack Byrne (and                                    Support from Employees                       Alfred and Loralee West (and the West            Jennifer and Peter Brock gave a total        The Theodora B. Betz Foundation made
A list of many of the top givers to         Williamson made the biggest gift ever to       gave a total of $14.4 million during the         the Byrne Foundation) gave                                     of DMS and DHMC—                             Family Foundation) gave $7.9 million to          of $6.5 million during the course of         gifts totaling $5.4 million to support the
                                            DMS and DHMC—$20                               campaign, in support of a number of              $10.5 million, primarily to                                    2,774 of them—                               support psychiatric research by Dr. Robert       the campaign—to support the research         work of Dr. Mark Israel, director of the
the Transforming Medicine Campaign.
                                            million to support                             projects, including the Dartmouth Atlas of       develop the Palliative Care                                    amounted to $8.1                             Drake and colleagues. And Johnson &              capabilities of the Department of Genetics   Norris Cotton Cancer Center
                                            translational research.                        Health Care, smoking cessation education,        Program, and also to support                                   million, not counting the $20-million gift   Johnson gave $6.6 million, primarily to          and to fund medical student scholarships.    and a specialist in the mol-
                                            A to-be-built research                         and research on healthy eating for teens.        the Prouty, the annual bike ride benefiting                     from faculty member Peter Williamson.        fund Drake’s work as well. See page 32 in                                                     ecular and cellular biology
                                            facility will be named in their honor.                                                          Dartmouth’s Norris Cotton Cancer Center.                                                                    this issue for more on one of his projects.                                                   of pediatric brain tumors.

         In ways large and


                                                                                                                                                                                         JON GILBERT FOX
                                                                                                                                                                                                                 n the for-profit world, the prevailing ethos may be “show me the                        tually choosing not to get care,” Lally explains, rather than drive to
                                                                                                                                                                                                                 money.” But in the nonprofit world, it’s “show me what the mon-                         Lebanon. “So here’s a capital campaign that actually saved lives. . . .
      small, philanthropy                                                                                                                                                                                        ey does.” So as the Transforming Medicine Campaign for Dart-                            That’s the kind of impact that this campaign has had.”
                                                                                                                                                                                                           mouth Medical School and Dartmouth-Hitchcock Medical Center                                       Raising more than $250 million in seven and a half years (from July
  has a direct impact on                                                                                                                                                                                   drew to a close recently, the focus was not just on the fact that the                         1, 2002, to December 31, 2009) was not without its challenges. New
                                                                                                                                                                                                           campaign had exceeded its $250-million goal (raising $256,249,194),                           Hampshire and Vermont rank near the bottom in the U.S. for chari-
      academic medicine.                                                                                                                                                                                   but also on the stories of what that money has done and will do.                              table giving. “That’s a big hurdle to overcome,” says Lally. Even big-
                                                                                                                                                                                                               For example, not only does a child born with a cleft lip and palate                       ger hurdles were two recessions—the first in 2001 and the current,
   A recently completed                                                                                                                                                                                    get the corrective surgery she needs, but her parents get the counsel-                        more severe one, which began in 2007. “To actually go over the goal
                                                                                                                                                                                                           ing and broad support they need, thanks to the Face of a Child pro-                           in those environments says an awful lot about the people who care
  campaign is providing                                                                                                                                                                                    gram at the Children’s Hospital at Dartmouth.                                                 about Dartmouth Medical School and Dartmouth-Hitchcock,” says
                                                                                                                                                                                                               A researcher at the Dartmouth Institute for Health Policy and                             Lally. “People have responded in an astonishing way.”
                                                                                                                                                                                                           Clinical Practice has the financial support she needs to study how ef-                            Lally and his staff are already focusing on the future fund-raising
support for the work of
                                                                                                                                                                                                           fectively current systems of care address the needs of the elderly.                           needs of the Dartmouth medical community. “I hate to say it, but our
                                                                                                                                                                                                               And a man with prostate cancer in northern New Hampshire                                  needs are way beyond” what was raised during the Transforming Med-
  numerous Dartmouth                                                                                                                                                                                       doesn’t have to choose between receiving treatment and keeping his                            icine Campaign, admits Lally. “We have really, really big aspirations
                                                                                                                                                                                                           job, thanks to Dartmouth-Hitchcock’s Norris Cotton Cancer Cen-                                as an organization,” he adds. “Philanthropy is not going to be less im-
     scientists, clinicians,

                                            DIRECT IMPACT
                                                                                                                                                                                                           ter-North in St. Johnsbury, Vt.                                                               portant, it’s going to be more important.”
                                                                                                                                                                                                               Brian Lally, chief advancement officer for DMS and D-H, is par-                               The following five vignettes demonstrate a few of the aspirations
    and students, as well                                                                                                                                                                                  ticularly fond of telling the Cancer Center-North story. Several com-                         that the Transforming Medicine Campaign is already helping fulfill.
                                                                                                                                                                                                           munity hospitals and individual donors joined with DHMC to fund
    as benefiting present                                                                                                                                                                                  the $9.1-million facility. It opened in September 2005 to give 114,000                        Cultivating collaboration (with a coffee pot)
                                                                                                                                                                                                           residents of northern New Hampshire and northeastern Vermont ac-                              At Dartmouth’s Lung Biology Center, researchers from a host of de-

                                                                                                                                                                                         WILL ELWELL
      and future patients.                                                                                                                                                                                 cess to advanced radiation therapy and chemotherapy, as well as the                           partments come together to develop new ways to target cystic fibro-
                                                                                                                                                                                                           opportunity to participate in clinical trials.                                                sis, lung cancer, and other diseases. Immunologists, biochemists, phys-
 Here are a few insights                                                                                                                                                                                       “This organization committed to building an outpost of a world-                           iologists, and geneticists work with clinicians and engineers to turn
                                                                                                                                                                                                           class, National Cancer Institute-designated, comprehensive cancer                             their knowledge into potential treatments. The center is just one ex-
      into the campaign’s                                                                                                                                                                                  center in rural [Vermont],” says Lally, who came to Dartmouth in                              ample of the collaborative environment Dartmouth is known for, an
                                                                                                                                                                                                           2000, after working in development at Memorial Sloan-Kettering in                             environment that makes Dartmouth ideally suited for carrying out
  many salutary effects.                                                                                                                                                                                   New York City for 18 years. The new center wasn’t expected to fill its                        translational research, which takes findings from the lab and moves
                                                                                                                                                                                                           schedule for at least four to six months. But four weeks after opening,                       them into patient care.
                                                                                                                                                                                                           the Cancer Center-North was booked solid. Meanwhile, the main                                     That kind of research will only get easier in coming years upon the
For a WEB EXTRA with links to more on
                                                                                                                                                                                                           Norris Cotton facility in Lebanon, N.H., didn’t lose any volume of pa-                        construction of a new building dedicated to translational research.
some of the projects described here, see
                                                                                                                                                                                                           tients. That made it clear that before the new one opened, some peo-                          The building is still in the planning stages, but when it comes to
                                                                                                                                                                                                           ple with cancer in northern New Hampshire and Vermont “were ac-                               fruition it will be thanks to a $20-million donation in 2007 from the
                                                                                                                                                                                                                                                                                                         late Dr. Peter Williamson and his wife, Susan; the facility will carry
  Top, DMS students volunteering in                                                                                                                                                                        This feature—just like the work funded by the campaign recapped here—was a collabo-           their names in recognition of their generosity. “We have a unique op-
                                                                                                                                                                                                           rative effort. It was written by Jennifer Durgin, Amos Esty, and Matthew C. Wiencke—
  a local free clinic. Bottom, a team                                                                                                                                                                      all members of the Dartmouth Medicine staff—as well as Cathy Shufro, a freelance              portunity here at Dartmouth,” Peter Williamson, a professor of neu-
    of Dartmouth prion researchers.                                                                                                                                                                        writer in Connecticut who also contributes regularly to Yale Medicine magazine.               rology at DMS, said in 2007. “Our size and our collegial atmosphere

 2002                                                                                        2003                                                                                                           2004                                                                                          2005
TIME WARP                  On July 1, the            Dr. Ethan Dmitrovsky is     Dr. Alan I. Green       The Dartmouth-                 Dr. James Weinstein is           Dr. Stephen                       Dr. Ira Byock        DHMC gains “Magnet”             DHMC becomes one of the           Norris Cotton Cancer       The public               Dr. Richard               Dr. Joyce DeLeo
                           books open on             named acting dean of        is recruited from       Hitchcock Clinic               named chair of orthopaedics,     Spielberg is                      is recruited         recognition from the            first medical centers in the       Center opens new           phase of the             Reindollar is             is named the
A timeline of some
                           the campaign‘s            DMS. He holds the           Harvard as the          celebrates                     and Dr. Murray Korc comes        named dean                        to Dartmouth         American Nurses                 U.S. to share data such as        facilities located in      campaign is              recruited as chair        Irene Heinz
key events during          quiet phase.              School’s Andrew G.          Raymond Sobel           its 75th                       from UC-Irvine as the Joseph     of DMS.                           as director of       Credentialing                   infection rates and waiting       Manchester, N.H.,          launched at a            of ob-gyn, and            Given Professor
the campaign.                                        Wallace Professorship.      Professor and           anniversary.                   M. Huber Professor and                                             palliative care.     Center.                         times with the public.            and St. Johnsbury, Vt.     May 21 gala.             Dr. Hermes Yeh as         of Pharmacology.
                                                                                 chair of psychiatry.                                   chair of medicine.                                                                                                                                                                                            chair of physiology.

40 Dartmouth Medicine—online at                                                                                                              Spring 2010                             Spring 2010                                                                                              online at—Dartmouth Medicine 41
The Rev. Preston Kelsey and Virginia Rice                 An unrestricted bequest of       Scott and Lisa Stuart gave $2.5 million to       General Louis Frank and Ruth Frank, with      Dr. Norman Payson and Melinda Payson         Richard and Barbara Couch made a gift of                     The John D. and Catherine                       Associates at Wal-Mart and Sam’s Club
Kelsey made a $5-million gift to fund the                    $3.1 million from the         establish a professorship in pediatric           their daughters, made a $2.5-million gift     (and the Kiva Foundation) gave $2 million    $2 million to establish an endowment that                    T. MacArthur Foundation                         stores throughout northern New England
establishment of an endowed chair within                        Estate of William B.       oncology. And Dr. Steven                         to establish an endowed professorship in                   toward scholarship aid—         will support the work on population                          gave $2 million for                             raised $1.9 million to support the
Dartmouth’s Norris Cotton Cancer Center                    Ruger, Sr. is helping to        Gillis and Anne Gillis made                      neuroscience; the emphasis of the chair is                 specifically for students        health, outcomes measurement, disease                        research on depression—including to fund        Children’s Hospital at Dartmouth. And
                                             fund several initiatives, including the       the lead gift to fund an                         on clinical teaching rather than research.                from New Hampshire and for       prevention, and evidence-based medicine                      a clinical trial using regular phone calls to   C&S Wholesale Grocers raised $1.9
                                             Dartmouth-Hitchcock Clinical Trials Office.    endowed chair in honor                                                                                      M.D.-M.B.A. students.           conducted at the Dartmouth Institute for                     connect patients with care managers.            million by sponsoring a golf tournament
                                                                                           of Dr. O. Ross McIntyre.                                                                                                                    Health Policy and Clinical Practice.                                                                         for the benefit of pediatric oncology.

                                                                                                                                                                                                                                                                                    MARK WASHBURN
allow more collaborations than you’d see at larger research endeavors.”                    much. But the aid that Dartmouth offered actually made coming to                                                                                                                                         interact, and more. Given all they have accomplished, it’s hard to be-
    Dr. Alan Eastman is among those who is helping to facilitate trans-                    Hanover more affordable than her state school.                                                                                                                                                           lieve that the Department of Genetics is barely a decade old. In 1999,
lational research, as codirector of Norris Cotton Cancer Center’s Mol-                        A total of $7.6 million in scholarship funds was raised during the                                                                                                                                    DMS established the department with the goal of keeping the School
ecular Therapeutics Program. According to Eastman, collaboration is                        Transforming Medicine Campaign. Among the many donors those                                                                                                                                              at the forefront of the developments in genetics that were, and are,
all about location. “If a lab guy like me wants to work with human tis-                    dollars represent, several stand out: Dr. Norman Payson—a DMS ’73,                                                                                                                                       changing our understanding of how life works and of how to tackle dif-
sue . . . it is critical that I have proximity to the clinicians,” he says.                former CEO of Oxford Health Plans, a member of the DMS Board of                                                                                                                                          ficult diseases such as cancer. But building a new department is not
    For example, DMS immunologists are devising ways to trigger the                        Overseers, and a DMS scholarship recipient himself—and his wife,                                                                                                                                         easy, and the department’s success has been possible thanks in good
immune system to attack cancerous tumors. When one method shows                            Melinda; Peter Fahey—a DC ’68, a retired partner in Goldman Sachs,                                                                                                                                       measure to Jennifer and Peter Brock.
promise in mice, the next step is to test that finding in humans. To                       and a former Dartmouth Trustee—and his wife, Helen; and Virginia                                                                                                                                             Jennifer Brock comes from a family that has long supported DMS
obtain human cells or to start a clinical trial, the immunologist has to                   DeCourcy, a longtime donor to DMS who died in 2008, leaving a gen-                                                                                                                                       and DHMC. Her parents, Robert and Gertrude Mertens, and her aunt,
work with clinicians who see patients with cancer every day.                               erous bequest for DMS scholarships.                                                                                                                                                                      Marion Huber, endowed two professorships at DMS and have sup-
    Peter Williamson died before construction could begin on the Pe-                          It’s such largesse that makes Koff’s job possible. “I was blown away                                                                                                                                  ported hundreds of students with scholarships. The Brocks’ gifts to
ter and Susan Williamson Translational Research Building, but his                          by the generosity I had from the financial aid office,” says Vande Vusse.                                                                                                                                the Department of Genetics—as well as to other areas, including
legacy will live on. The building will house scientists and physicians                     “I’m really grateful that I’m a Dartmouth doctor.”                                                                                                                                                       scholarships—have continued that tradition.
from a number of fields in spaces designed so teams can work togeth-                                                                                                                                                                                                                                    Recent acknowledgement of the genetics department’s rise to
er on areas of common interest, such as tumor immunology.                                  Helping people with two strikes against them                                                   DHMC has one of the nation’s few palliative care programs that makes use of                               prominence came with the election of Dr. Jay Dunlap to the Nation-
    “It is amazing what happens,” Eastman says of collaborations be-                       “Until we met Bob Drake seven or eight years ago, we didn’t think                              volunteers, thanks to a major gift to the Transforming Medicine Campaign.                                 al Academy of Sciences. Dunlap, who has chaired the department
tween physicians and scientists, “when we use the same coffee pot.”                        there was any hope of getting treatment [for our son],” said Loralee                                                                                                                                     since its inception, is grateful for everything the Brocks have done.
                                                                                           West in 2008, shortly after she and her husband pledged $6.8 million                           general population, and almost 90% of people with schizophrenia                                           “The support by Peter and Jennifer Brock for the new Department of
Giving students the wherewithal to study                                                   to Dartmouth’s Psychiatric Research Center (PRC). Like many peo-                               smoke, according to the National Alliance on Mental Illness. People                                       Genetics qualifies as the very best kind of philanthropy,” he says. “It
By the time they earn their M.D.’s, DMS graduates have accumulat-                          ple with severe mental illness, the Wests’ son, who has schizophrenia,                         with serious mental illness who are also addicted to cigarettes often                                     did not simply support the recruitment of faculty—although this is a
ed debt from medical school alone averaging $109,000. As daunting                          was also struggling with addiction.                                                            want to quit smoking, and try to, but without success, explains Dr.                                       tangible and lasting impact—it provided a beacon signifying that this
as that figure may be, it’s considerably less than the average med school                     “Half of all people with mental illness also have substance abuse                           Mary Brunette, who is leading the Chicago study. “Our initial testing                                     vision of an internationally visible new department was a wholly
debt borne by graduates of private U.S. schools: $149,000.                                 problems,” explains Dr. Robert Drake, director of the PRC, “and sub-                           shows that 70% of people who use the [decision-support system] take                                       worthwhile and realizable goal, one worthy of broader support. It aid-
    “It’s because of our generous donors,” says G. Dino Koff, DMS’s di-                    stance abuse makes their lives much worse.” That’s why Drake and                               action to quit smoking over the two months following,” she says. The                                      ed absolutely in transforming the aspiration into the reality.”
rector of financial aid. “We’ve been very lucky to give out such gen-                      others at the PRC study and develop interventions to help people                               Chicago study has also led to other projects, like adapting the system
erous scholarships. That helps alleviate the burden.”                                      with dual diagnoses become and stay sober.                                                     to meet the needs of African Americans and Latinos and trying it in                                       Caring for the psyche as well as the body
    Dr. Jason Kemp, DMS ’04, can vouch for that. Kemp and his wife                            Thanks to the Wests’ contributions, the PRC is testing several psy-                         New Hampshire community mental health centers.                                                            Pain. Fear. Loneliness. These feelings can be among the toughest parts
had two children while he was in medical school, and two more dur-                         chosocial and pharmaceutical treatments for people with co-occurring                               Not all of the PRC’s work is funded through private sources. In                                       of a long hospital stay. Turning such an experience around is the goal
ing his surgery residency at DHMC, where he is now in his sixth year.                      mental health and substance use disorders. For example, PRC inves-                             fact, much of its support comes from the National Institutes of Health.                                   of palliative care. DHMC’s palliative-care team, led by Dr. Ira Byock,
“Having good financial aid was such a relief for us,” says Kemp. “It’s                     tigators are coordinating a four-year study at a mental health agency                          But “it’s very hard to work through the government to do things that                                      helps to treat the total needs of seriously ill patients by managing their
stressful enough with all the things you have to learn … I was able to                     in Washington, D.C. The study will enroll 300 people with co-occur-                            are really creative or innovative, or even that need to get done quick-                                   symptoms and addressing their emotional, social, and spiritual con-
focus on what I wanted to do with my life and on learning what I                           ring disorders and document their progress using various interven-                             ly,” says Drake. And for individuals with serious mental illness, the                                     cerns. All of that is done alongside the delivery of ongoing treatment
needed to learn.”                                                                          tions, such as integrated services, peer support groups, specialized res-                      need for effective treatment is almost always urgent.                                                     of the patient’s illness or injury.
    Koff says 52% of DMS students receive financial aid—grants                             idential settings, medication, and supported employment. (For more                                                                                                                                           “Palliative care is just part of giving the best care possible,” says By-
and/or scholarships. For Lisa Vande Vusse, DMS ’06, “it was a testa-                       on supported employment see page 32.)                                                          Building a department from the ground up                                                                  ock. “We’re treating more than the disease. We’re treating whole peo-
ment to the quality of education at Dartmouth Medical School that                             In a separate study, in Chicago, Ill., PRC researchers are testing an                       Over the past several years, DMS geneticists have investigated the                                        ple and families and trying to meet all of their needs.”
they didn’t want finances to play a role in how we were educated.”                         electronic decision support system for smoking cessation. Adults with                          laws governing the life and death of cells, untangled secrets of circa-                                       Such work is a challenge, because under the current health-care
When she applied to DMS, Vande Vusse expected it would cost too                            severe mental illness smoke at a much higher rate than those in the                            dian rhythms, used state-of-the-art technology to analyze how genes                                                                                              continued on page 59

 2006                                                                                        2007                                                                                          2008                                                                                                      2009
James Varnum,                       DHMC completes its            Hillary Clinton and Orrin Hatch                          Nancy Formella        Dr. James Weinstein succeeds             Dr. William Green is       A second gala                     Dr. Joyce DeLeo is named                        It is announced          Dartmouth-Hitchcock Health,                    The campaign
president of                        Project for Progress:         cochair a 90th birthday party in D.C.                    and Dr. Thomas        Dr. John Wennberg as head of             named dean of DMS          is held as the                    chair of pharm-tox, Dr.                         that Dr. Jim Yong        an integrated system including                 closes on
Mary Hitchcock                      467,000 sq. ft. of new        for Dartmouth’s Dr. C. Everett Koop.                     Colacchio are         Dartmouth’s health policy institute.     and, a few months          campaign passes                   Charles Barlowe of bio-                         Kim will be the          DHMC, is formed, with Dr.                      December 31,
Hospital since                      space, 281,000 sq. ft. of     It’s announced that a new research                       named DHMC            Wennberg is named the most               later, the Elmer R.        $200 million.                     chemistry, and Dr. Gregory                      17th president           Thomas Colacchio as president.                 having raised
1978, retires.                      renovated space, and a        complex at DHMC will bear his name.                      copresidents.         influential health policy researcher of   Pfefferkorn Professor.                                       Holmes of neurology.                            of Dartmouth                                                            more than
                                    540-space parking garage.                                                                                    the past 25 years by Health Affairs.                                                                                                                  College.                                                                $256 million.

42 Dartmouth Medicine—online at                                                                                                               Spring 2010           Spring 2010                                                                                                          online at—Dartmouth Medicine 43
Direct Impact
continued from page 43
payment system, palliative care is “not well
paid,” says Byock. But thanks to support from
Jack and Dorothy Byrne (and the Byrne
Foundation), DHMC’s Palliative Care Pro-
gram has been able to expand its programs
during the past several years. The staff has
grown as well; the team has added a social
worker, a chaplain, a volunteer coordinator,
a director of network development, and a
healing arts/massage practitioner.
    The Byrnes’ gifts to the Transforming
Medicine Campaign went primarily to pal-
liative care. They totaled $10.5 million, in-
cluding $5 million to establish an endowed
chair in palliative medicine. The chair, held
by Byock, allows him to devote time not only
to overseeing patient care, but also to doing
research on palliative care and directing a
number of initiatives.
    One example is the No One Alone pro-
gram, in which volunteers are trained to pro-
vide companionship for seriously ill hospi-
talized patients. It is one of only a handful of
palliative-care programs nationwide that uses
    Byock also started a fellowship program
that trains one resident per year; it is one of
only 53 accredited palliative-care fellowship
programs in the United States.
    And his team provides training and sup-
port for palliative-care programs in small hos-
pitals throughout New Hampshire and Ver-
mont. One aspect of this work involves en-              Naturally Enhancing Your
suring the quality of care for patients being
discharged to home for hospice care—pa-                  Outdoor Living Spaces
tients who “have a high burden of symptoms
from their illness,” says Byock.
    On the drawing board is a training pro-
gram at DHMC for doctors and nurses from
other health-care facilities across northern
New England, offering caregivers a chance
to hone their palliative-care skills.
    All this growth could not have happened
“without the vision and generosity of the
Byrnes,” says Byock. Because of their support,
“we’re able to advance patient- and family-
centered care for people with advanced ill-
ness, even though those services are not cur-
rently reimbursed in the antiquated health         T r e e         T u r f              S o i l             L a n d                F o r e s t
reimbursement structure we’re all living
with.” It has, he adds, made DHMC “one of                     Lebanon 603.448.4800 Meredith 603.279.7400
the national leaders in providing compre-            New London 603.526.4500 Woodstock 802.457.5100
                                                          Accredited: NH Better Business Bureau, A+ Rating & Tree Care Industry Association
hensive hospital-based palliative care.”

Spring 2010                                                                      online at—Dartmouth Medicine 59

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