| George Race (Figure
1)
was born in Everman, Texas, on March 2, 1926. He
grew up in a 2-room house with running water but
without plumbing and usually without a father. He
graduated from high school in 1942. After a year
at Texas Wesleyan College and a second year at
Baylor University, he had acquired enough
premedical credits to enter medical school at The
University of Texas Southwestern Medical School,
where he graduated in June 1947 at age 21. He was
allowed to complete medical school in 36
consecutive months because the USA wanted to
avoid a physician shortage during the war. He
interned in pathology at Duke University and in
surgery at the Boston City Hospital. On July 1,
1949, he entered the US Air Force at Alamogordo,
New Mexico, becoming a flight surgeon and
spending time in Korea. After nearly 3 years in
the armed services, he returned to Duke
University, completing his pathology residency in
1953. He then moved to Harvard Medical School and
Peter Bent Brigham Hospital in Boston, where he
was a faculty member for a year. In 1954, he went
to St. Petersburg, Florida, as chief of the
pathology department at St. Anthony's Hospital;
he stayed for a year before returning to Dallas
and Southwestern Medical School, where he was
appointed to the pathology faculty in 1955. In
1959, he became chief of pathology at Baylor
University Medical Center, a position he held
until 1986. George Race was responsible
for building the splendid laboratories at Baylor
University Medical Center. He has published
extensively. His book, Laboratory Medicine
(written at Baylor), is a 4-volume loose-leaf
publication that was updated regularly through 13
revisions. He has published 165 articles in
peer-reviewed journals and nearly as many
abstracts. He was instrumental in starting the A.
Webb Roberts Center for Continuing Education and
was its first dean. He was also chairman of the
Baylor Research Foundation from 1986 to 1989, and
during that period founded BUMC Proceedings
and received the Distinguished Achievement Award
from Baylor University. Along the way, George
Race studied anthropology at Southern Methodist
University and, for 1 year, law at the evening
law school of the same university.
George and his lovely wife, Anne, also a
physician, have traveled extensively. His
interest in animals has led him to acquire many
species on his ranch in Lampasas. He and Anne are
the parents of 4 living children, all of whom are
physicians. Through the years, Dr. Race has
received many awards and honors, including the
presidencies of the North Texas Society of
Pathologists, The University of Texas
Southwestern Medical School Alumni, the Dallas
Academy of Pathology, the Texas Society of
Pathologists, the American Cancer Society of
Dallas County, the Texas Division of the American
Cancer Society, the Dallas Southern Clinical
Society, and the Society of Medical College
Directors of Continuing Medical Education. He has
been chairman of the Explorers Club, Texas
Chapter, and vice president for chapters and a
board member of the Explorers Club, New York. His
many hobbies, wide travels, keen insights, and
incredible memory make him a fascinating man from
whom we can all learn.
William Clifford Roberts, MD (hereafter,
WCR): Dr. Race, I appreciate your
willingness to speak to me and therefore to the
readers of BUMC Proceedings. Could we
start by discussing your upbringing, your
parents, and your siblings?
George Justice Race, MD, PhD, MSPH
(hereafter, GJR): I was born and grew up in
Everman, Texas, a little country town in Tarrant
County between Fort Worth and Burleson (Figure 2).
I lived near my late grandparents' farm on the
south side of the I-35 Expressway in Fort Worth,
where the Miller Brewing Company is now located.
That was back when dirt was farmed by teams of
mules. Raising cotton was common. My mother was a
schoolteacher; my father, a carpenter, house
builder, and sometime farmer. In that environment
I wasn't strictly on the farm, but I was
certainly adjacent to the farms, and a lot of
farm kids came to the grade school and the high
school that I attended. Everman School was the
grade school, the middle school, and the high
school. I graduated from high school in 1942. The
class consisted of 13 students. I played a little
basketball in the school, but I was too little,
too short, and too underdeveloped. When I entered
the army in World War II, I weighed 127 lb and
was 5 feet, 9 inches tall. I continued to grow to
be 6 feet, 1 inch and now weigh >200 lb.
I have enjoyed animals all my life. Growing
up, I had a horse and I was in the 4H Club. I
raised some animals, including a pig and a goat,
for showing at the Tarrant County Stock Show, and
I always had 2 or 3 dogs. I enjoyed seeing the
animals grow up.
I never had any luxuries in this depression
era. My father was gone most of the time and
eventually left altogether, leaving my mother to
rear my sister and me. I had 4 grandmothers but
no grandfathers. The grandmothers doted on me as
the little boy who would run any errand for them.
As a youngster I was indoctrinated into taking
care of the needs of my family--particularly the
multiple female family members. There were a lot
of them: Aunt Pearl, Aunt Gamma, Aunt Conn, Aunt
Ada, Aunt Annie Lee, my mother Lila, my
grandmother Bunch, my grandmother Race, my
great-grandmother Farmer, and my
great-grandmother Race. They had all grown up in
farm families in the area south of Fort Worth.
Most settled in that area before and just after
the Civil War. The Farmer family on my father's
side had come into the area when Fort Worth was a
fort and had a store selling goods to the
soldiers. The Farmer brothers were sellers,
purveyors of goods, and had some land south of
town which they farmed.
After the Civil War the Race family came into
the Texas area from Kentucky and Tennessee.
Before and after that the Bunch family came in
from western North Carolina and settled at
Lampasas. In Everman there were probably 400
people, maybe 100 different families. At that
time there was a drug store, a doctor, and a
filling station (selling gasoline at 13 cents a
gallon and Cokes for 5 cents). It was a very
tight community. Everybody more or less took care
of and gossiped about everybody else. It was hard
to have very much private business.
As a skinny little kid, I was the runt of the
class. I got into a few fights over that, but I
learned that I did better with my talking than I
did with my fighting.
I enjoyed learning. From an early age I liked
to read. As a result, my third grade teacher told
the principal and my mother she'd been giving me
fourth grade lessons and felt that I should skip
to the fourth grade, which I did. I graduated
from an 11-year high school in 10 years at the
age of 16. It turned out that that probably saved
my life, because I completed 2 years of college
before I was 18, which gave me an acceptance to
medical school at the time I went into the army.
Some of my teachers influenced me greatly. I
remember Mr. N. D. Butts, who demonstrated to the
class the pressure of the atmosphere (14.7
lb/in2). He took an old turpentine can, held it
over a boiling kettle of steam until the interior
of the can was nothing but steam, and then
quickly took it out and screwed the lid on. He
said, Now watch the can as I cool the
steam. The can will be crushed by the outside air
pressure. We all watched as he put the can
under cold water. As the temperature came down in
the can the steam condensed, creating a vacuum,
and the can crinkled completely due to outside
air pressure. It was an absolutely stunning but
simple experiment. He did things like that. He
also showed us what a foot-pound really was. He
had us fire a 22-gauge rifle into a 1-lb block of
wood and we measured how far it moved. We then
calculated the amount of energy that went into
the wood. That sort of thing fascinated me. He
also was a good shop teacher who taught us how to
turn table legs on a lathe, make miter joints and
interdigitated file drawers, and prepare
cabinetmaking drawings. He was an unsung hero to
me.
WCR: How old were you then? What grade
was that?
GJR: That was probably in the eighth
grade. I would have been 12 or 13 years old. The
other teachers in that school were honest and
dedicated, particularly an English teacher who
was very precise and gave lessons that were easy
to do. I did most of my lessons during study
period. I'd write them up and put them in my desk
so I didn't have to take any books home. That
caused me some pain, because the other kids would
tease me about not taking books home. I preferred
to do other things at home. I built things.
Initially, as a real small boy, I liked to build
Tinker Toy sets, and I built a bicycle out of
parts of scrap. A little later, after my father
was gone, I learned to work on my mother's 1936
Chevrolet. I learned about the ignition, the
spark gap, the condenser, the coil, the wiring of
the spark plugs, and what it took to make it run.
She thought I was a genius for doing that. There
wasn't too much complexity to that engine.
Following graduation from high school, I went
to Texas Wesleyan College in Fort Worth. I only
went there because they gave me a full
scholarship and the school was close to home. I
completed the first year of college there and
encountered one of those fabulous teachers, a
young woman who taught biology. She explained
such things as digestion, reproduction, a little
bit of embryology, and seeing and hearing. It was
absolutely fascinating. Right then, she turned me
to premed without my realizing it, because all I
was interested in was biology and chemistry. I
had a good old-fashioned chemistry teacher who
liked to demonstrate things like how solid sodium
exploded when it came into contact with water.
One student blew up part of the lab, but that
didn't deter the teacher much. It did deter the
dean of the school a great deal. Chemistry was
stimulating, but biology was more interesting to
me. The math, including calculus, left me
standing high and dry. I was only 16 years old in
my first year of college. I was taking everything
I could because I wanted to complete as much
premed as possible before I was called to the
army. I managed to finish 45 semester hours in
that 1 year.
After joining the enlisted reserves at age 17,
with my mother's permission, I joined the Army
Specialized Training Reserve Program. The army
said that I could go to Oklahoma A&M at
Stillwater or Louisiana State University (LSU) at
Baton Rouge. I picked Louisiana and traveled 2
days by train through East Texas at a snail's
pace and on a ferry train across the Mississippi
River on a barge. (Groups of about 5 or 6 rail
cars were driven onto a barge, ferried to the
other side, and pulled onto another train.) At
LSU, I found myself in the middle of an
engineering group studying calculus. I told them
that I was premed and was told, You're in
the army now, son. The army says you're going to
be an engineer. The sergeant major for LSU
was an old sergeant from World War I with about
20 stripes on his sleeve who had been recalled
into World War II from retirement. He advised
that I talk to the colonel about it. The colonel
was an old World War I colonel with all kinds of
stars and ribbons from World War I battles (the
Muse, Argonne, France, etc.) that I recognized. I
told him, You know I'm premed and I only
have the rest of this year to get the remainder
of the premed curriculum. I've got to take
organic chemistry and physics. All you've given
me are math courses and I can't use them.
He said the same thing. You're in the army
now, son. That's the way it is. This is
war. As I walked out, the old sergeant
pulled me aside and said, Look, you don't
need to listen to that old guy. You are in here
as a volunteer, you're not 18 years old, and
you're not on active military status. If you want
to leave, just leave. Just write a letter of
resignation and leave. That's what I did. I
told the sergeant I had only $2 in my pocket and
he said, Here's $3 more. Go hitchhike back
to Fort Worth. I finally arrived back in
Dallas with 50? left, which was enough to ride
the interurban to Fort Worth. My mother came and
got me at the bus station.
Then I looked at which colleges were
available. Baylor University in Waco was on a
quarter system, October to December and January
to March, and all other colleges started in
September. It was then October, so I went to
Baylor and tried to register for the premed
course. I got into a big hassle because they told
me that I couldn't take advanced physics before I
had prerequisites in primary physics. I said,
I've got to take advanced physics and
primary physics at the same time because that's
the only way I can get it done before I'm 18
years old. I've got to take that and one other
premed course. I was persistent enough that
this old codger finally said, Look, why
don't you just take whatever you want to, and I
will assign you not as a regular student but as
an occasional student [or whatever title they
had]. You will have to sign this paper that you
will never want a degree from Baylor University,
but that you can take whatever courses you want
to at Baylor University. I said,
Fine, I'll sign. I took advanced
physics at the same time I took primary physics,
organic chemistry, biology, and French. That
allowed me to get most of the essential premed
done before March 1944, when I knew I would go
into the army when I turned 18.
Sure enough, on my 18th birthday I had orders
to report to Camp Wolters and the 106th Division (Figure 3).
I was standing in the drizzling rain at 4:30 am
when the sergeant called my name over the
loudspeaker. I learned that I had been ordered to
go to the Army Specialized Training Unit in
Dallas because my name was on a list of acceptees
to medical school, and that sprung me from the
106th Cactus Patch Division in the infantry. Most
of those young men were killed in the Battle of
the Bulge.
The army was very good to me. They paid me $50
a month plus my tuition. At that time, I was
young, shy, and inexperienced. I tried not to be
noticed because I just didn't feel comfortable
reciting.
At some point in my second year of medical
school, I went to a dance at the old Dallas
Country Club that various Southern Methodist
University sororities had arranged. I noticed a
girl who was wearing a pirate's costume with a
very short skirt. There were not enough chairs,
and a lot of people were sitting on the floor.
She wouldn't sit down because her skirt was too
short. I met her there and learned her name was
Anne Rinker. About 2 days later, I saw her
walking down the hall of the old medical school
shacks behind old Parkland Hospital. She was a
first-year medical student. I latched onto her
something fierce. My grades went from A's to C's.
I spent all my time not studying, but constantly
thinking about her. We decided to get married.
She was in her second year and I was in my third.
I was going to leave, and she decided to drop out
of medical school at the end of her second year
to accompany me to Duke, then to Boston for a
year, and then in the air force for 2+ years,
then back to Duke, then back to Boston, and then
to Florida (Figure
4).
In the interim we had 3 sons, and I came back
to Dallas on the Southwestern Medical School
faculty as an assistant professor of pathology in
August 1955. I had been gone 8 years since
graduation in 1947. Dr. Jim Gill, the dean at
Southwestern, remembered Anne very well. He asked
her, Why don't you come back to medical
school? She replied, I don't remember
anything. He said, Oh yes, you know
more than you think you do. They readmitted
Anne to the junior class in 1956. She started on
clinical pediatrics. That turned out to be very
good because she could handle children well. She
was asked on rounds once how she would treat a
child with congenital syphilis. She answered,
606--arsphenamine salvarsan, which
she remembered from her pharmacology nearly 10
years earlier. That made everybody laugh. She is
very smart and was able to catch up quickly. She
graduated in 1958. I wanted her to go into
pathology and do cytology, a subject that was
started in 1943 or 1944 by Dr. Papanicolaou and
got into the clinical laboratory in the 1950s.
Anne would have none of that. She liked
psychiatry and liked to deal with people. I have
often said that she is a people
person and I'm a thing person.
I like machinery, equipment. I like understanding
how things work. Her approach to everything
was--how do you feel, how does it affect you,
what is the relationship? In that sense I guess
we are a good match, complementing one another.
I loved medical school, but I was so shy. I
was very inexperienced and very unsure of myself.
Over the years I've changed to where people
sometimes think I'm bombastic. On occasion, they
are right.
WCR: How old were you when your father
left home?
GJR: I was 6 or 7.
WCR: Do you remember him at all?
GJR: I remember him very well. He was a
big, tall, good-looking, nice, quiet, strong, and
smart man. His arms and legs were very sturdy.
One of my earliest memories of him was seeing him
in the back yard standing over a Model A Ford
engine and lifting the engine out of the engine
cradle. The car, which was his pride and joy, had
been in a wreck, and he pulled the engine out to
straighten the frame. As he physically lifted
that engine, I thought of him as Superman or
Hercules. He had great intelligence in terms of
construction and building. He could build
anything out of wood or steel. He had only a half
year of college (at Texas Christian University).
He was self-taught in building and engineering
and took some courses in a Chicago engineering
school that rated him as an engineer. As a
result, he ended up in World War II in the
Seabees, building air fields, docks, and housing
in the South Pacific.
During the depression years he did anything he
could to earn money, including working with the
sheriff and tax revenuers to raid alcohol stills
near Mansfield. My father was kindhearted. He
found a couple there too old to get out, and he
started buying their groceries and taking care of
them because they were starving. He had a good
humanitarian streak.
WCR: What did he go on to do?
GJR: He worked in construction in West
Texas. During the depression, he helped build the
Midland, Texas, courthouse and post office, plus
a lot of public works projects. He joined the
engineering corps as a reserve navy construction
engineer, the beginning of the Seabees. As soon
as Pearl Harbor was attacked, they were sent to
the Solomon Islands, Guadalcanal. He was there
and in the Florida Islands in 1942 during the
fighting there. The Marines took a little island,
then the Seabees came in to build some docks. The
Marines moved to another island, leaving the
Seabees to finish the docks, and the Japanese
came back. The Seabees went into the jungle. My
father was reported missing for about 18 months.
During those 18 months the Japanese lived on the
island, and in order to survive the Seabees
worked out a deal to prevent the Japanese from
hunting them--exigencies of war. The Seabees
raided the Japanese commissary at night and
killed people to get food. If a Japanese soldier
wandered out alone, he would get killed.
Eventually, the Japanese started leaving food on
the trail to keep the Seabees from raiding for
food at night and killing. That plan worked, and
the 2 groups developed a symbiotic, unspoken
relationship whereby everybody lived without
killing one another. Finally, the Marines
returned and retook the island. My father came
home and was sent to Camp Perry Williamsburg at
Norfolk, Virginia, and taught jungle survival to
navy personnel. In 1945, he was sent back to
Okinawa at the time of that invasion and finished
the war as an aide to the military governor.
After the war he farmed for a little while at
Alvord, north of Fort Worth, and then went back
into construction work in Fort Worth, principally
working for the Leonard brothers (the department
store people) building things for their ranches.
He married a very nice widowed lady who had
several children. Their father, a Mr. McCullough,
had worked for him in construction. That marriage
turned out to be very good for my father. One of
his wife's sons is Dr. Mike McCullough, a
Dallas internist. I had invested in a little farm
in the North Garland/Richardson area of Dallas,
where they eventually moved, and she later died
there. After I sold that property, I bought a
ranch at Lampasas, and my father moved to the
ranch. He was doing fine down there but
unfortunately died unnecessarily. He was found
unconscious by a ranch hand, and the cause of
death proved to be a pulmonary embolus.
WCR: When was your father born?
GJR: He was born in June 1898 and died
in February 1987.
WCR: You kept up with him all his life.
GJR: Yes. The period in which I had
virtually no contact with him was between age 7
or 8 and age 16, when I graduated from high
school. At high school graduation, I saw him
standing at the back of the auditorium. He told
the McCullough kids that he was sorry that he
hadn't spent more time with me.
WCR: Did your mother ever marry again?
GJR: No.
WCR: When was your mother born?
GJR: She was born on March 9, 1902, and
died on January 1, 1994. She lived 92 years.
WCR: What was your mother like?
GJR: She was very industrious, smart,
and totally dedicated to teaching. Her father was
a Texas scrabble farmer who didn't make it in
Haskell County, Texas, and moved to a 50-acre
plot south of Fort Worth, where he grew
vegetables and sold them at the Fort Worth
market. He was a very nice man. His wife, my
grandmother, was a Baggett. The Baggetts had
come to Galveston, Texas, from Holland and
England and moved to the Temple area. My
grandmother Baggett married a Mr. Bunch, one of
the Bunches who came from North Carolina. My
mother was born in the country near Belton,
Texas. Her grandfather had settled in Lampasas
County in 1892, having come from Arkansas. He was
an old-style man who had 7 kids with
his first wife; when she died in childbirth, he
married a younger woman and had 4 more children.
His second wife also died in childbirth when he
was 52 years old. He elected to come to Texas
alone to seek a new wife. He found a new wife in
Belton, Lampasas County, and homesteaded there
until he died at 96 as a result of a hunting
accident. The family wondered whether he fell on
his gun accidentally or purposely. His son, who
was my grandfather, was the vegetable truck
driver and produce farmer.
My mother's family were very poor. Both my
mother's and grandmother's great ambition was for
us to get an education: You don't want to
farm all your life; get an education, they
told us. And that took. My mother's older brother
became a Baptist preacher trained at the seminary
in Fort Worth. My mother went to school at Texas
Christian University and got her teacher's
certificate, which you could get after 1 year at
that time. Her younger brother had no interest in
education. He was a happy-go-lucky guy and liked
to drink beer on the Mansfield highway. The
fourth child, a daughter, went to college and
married a very nice fellow. My mother took care
of my sister and me and enjoyed all of the things
about school. She went to every school kid's
party. All of the students liked her. When she
died, there was an outpouring from her students
who paid her a great tribute.
WCR: What did she teach in school?
GJR: Originally she taught first/second
grade and then fifth grade and eighth grade.
After a number of years, she left the Everman
area and taught in the White Settlement schools
in west Fort Worth. They were full of kids,
offspring of people working in the Fort Worth
Consolidated Vultee bomber plant making B-24s.
There was an influx of people into west Fort
Worth when they built that bomber plant. She
eventually taught special education there. She
ended up being school principal, getting a
certificate and a master's degree. I ran across
one of her contracts with the Everman School
District dated about 1935 or 1936. Her total
annual salary was $900, paid at $100 a month. If
the school ran out of money before May, they'd
just stop school and stop paying everyone. She
liked education, education, and education. That
was her whole thrust, along with children,
children, children. Everybody admired her. I sort
of felt that she spent more time with the school
children than she did with me. On the other hand,
I had 2 grandmothers who really liked me, and I
related to them very well and enjoyed them.
I'll never forget my grandmother Race. When I
was about 5 or 6, before I started school, she
was making lye soap out of ashes in a big black
pot with a fire around. It was one of those
cold norther days, and the wind was
blowing. I kept going on the downwind side of the
fire because it was warmer. She warned me,
Now don't get over there. You're going to
get burned. And sure enough, a big piece of
burning paper came off and stuck to the fronts of
both of my legs. I was screaming and jumping up
and down. I can still remember the pain. She came
over and put the fire out. She took me in, rocked
me for a while, washed my burned legs, put some
ointment on them, and wrapped them. When I
finally quit crying and felt pretty good, she
said, Now, I told you not to get around
behind that, and you disobeyed me. She took
me outside and gave me a paddling. She had a
country lady's judgment. She did a good job.
WCR: George, what kind of house did you
live in when your father was home and after he had left?
GJR: Before he and my mother had gotten
married, he had built a little 2-room house on a
2-acre piece of land that he'd bought. It was
about a mile from the Everman School. We lived in
that house and eventually built another room on
it. The little house was clapboard and the inside
was wallpapered. The wallpaper was thin and
wouldn't seal; when the cold northers hit, the
wind came through the outer clapboard. It was
warm enough because we had good natural gas and
open flame gas heaters. It wasn't that dangerous,
because the house wasn't tight enough to build up
much carbon monoxide. The house leaked like
crazy, so any fumes just got washed out. We
cooked with a gas stove--no fireplace. There was
no indoor plumbing.
My room was a little closed-in side porch.
Although it might be cold, I was warm under a big
comforter. Our water was from a neighbor's well
and it came up in the back in a cast iron pipe.
The water faucet was on the back porch, and we
took water into the kitchen. In the cold winter
the pipe would freeze and burst, and then we had
no water. The pipe was totally exposed. When it
burst we would get an old inner tube and wrap it
really good and put baling wire around it and
tighten it up rather than replace the pipe. When
it leaked again we replaced the inner tubes. That
was a great engineering solution. Inner tubes
were expansible.
WCR: You had no shower in the house?
GJR: We took baths in a #3 wash tub. We
would boil water on the kitchen stove, pour it in
that tub, mix in some cold water until it got to
a good temperature, and then jump in it and take
a bath. It was all right. There was only one #3
tub for my mother, my sister, and me.
WCR: It sounds like you had a lot of contact
with women while growing up. Your father had left when you
were relatively young, leaving your sister and your mother
and your 4 grandmothers. You must have been a hero to all
these women.
GJR: I was the little boy who would run
any errands and fix things. They drove me nuts,
always wanting me to fix this or to do that. But
I learned to fix things. I guess there's a bad
side to that. I had Uncle Pug and Uncle Henry, my
father's brothers. Uncle Pug's name was Earl, but
they called him Pug Race for pugnacious. He
worked construction primarily, but he didn't like
to work too well and he always had 3 or 4
girlfriends. He never married until after his
mother (my grandmother) died. Pug liked
honky-tonks. Uncle Henry was a big, good-looking
kid in school. He married a schoolteacher about 5
years older. That was the best thing that ever
happened to him, because she more or less
directed him into buying an auto parts business
in Fort Worth. The public school in Crowley is
named after his wife, the Bess Race Elementary
School. I didn't see much of him.
My mother had 2 brothers. One of them was
Uncle Justice, a Baptist preacher who was very
rigid and pious. His belief was The Lord
will take care of me. Of course, as the
years went by, the Lord took care of
him through my mother, who gave him money.
Then she'd ask me for money and I'd say,
What happened to all your money?
Well, Justice had to get his car
fixed or Justice had to. . . .
He and his wife ended up living with my mother in
Dallas, and she took care of them until they
died. My other uncle on my mother's side, Uncle
Wyatt, never had much use for schooling or
anything else. He was a pretty good auto mechanic
but preferred the honky-tonk on the Mansfield
highway south of Fort Worth. As a result, I
didn't respect many of the men in the family.
There was one, Uncle George, for whom I was
named. He was my great-grandmother Farmer's son
on my father's side. He had all these sisters who
never got married because my great-grandmother
(my father's grandmother), Julia Cynthelia
Adeline McFarland, thought no suitor was ever
good enough for her girls. My grandmother only
got married because she apparently went off with
my grandfather, Willie Race (James William Martin
Race) and stayed out too late, and the family
decided that they should get married.
This great-grandmother McFarland was tough as
nails and really Scottish. As a little girl, she
had been in Tennessee when Sherman's Union troops
came through. These troops burned down the house
and the barns and stole all the cattle and
horses. The women and children hid out in the
cornfield until it was over. That was all they
had--the corn in the field. Her family packed up
and came to Texas. After my dad was rescued in
1944 and came back to the states from the South
Pacific in his chief petty officer uniform, which
is a double-breasted navy blue suit and beautiful
white cap, he went to see my great-grandmother
McFarland. She said, Well, Claude, I'm so
glad to see you. You look so handsome. I like
everything about you except the color of your
suit. It ought to be gray. Real Civil War!
She didn't like his blue suit because it was
Union Army color.
WCR: George, tell me a little more about
growing up in the small house. You walked to school?
GJR: Yes. We had an old 1936 Chevrolet
that my mother drove to school. I'd get up after
she was gone and fix my breakfast, which usually
consisted of Karo Syrup and peanut butter stirred
up into a thick mix, put on a piece of bread and
toasted. It was really good. At lunch, I'd go
over to my grandmother's house by the school and
make a sandwich or something. My mother was
always busy in the school. She had to supervise
all the teachers' meetings. At night she would
come home and make a big stew out of potatoes,
carrots, chunks of meat, and whatever was
available. It was good and healthy. We always had
a garden. She had a green thumb and liked to
garden, as did her mother. I had to help make the
garden. She grew tomatoes, carrots, turnips, and
onions. We usually had vegetables from the garden
most of the year. I was always fixing flats on
our old cars because we never bought a new tire.
When one tire would blow out and couldn't be
fixed, we would buy a used tire for a couple of
bucks and start over again.
WCR: When you came home from school, what
did you do? Did you come straight home from school?
GJR: I usually came right home from
school. I had a horse and I rode it frequently.
When I was a little boy (in the late 1930s or the
early 1940s), a rich man from Fort Worth bought a
plot of land close to the Everman Cemetery. He
fenced it with a high fence, planted pecan trees,
and kept it scrupulously clean of weeds. It was a
beautiful place. Once I was riding my horse
through that area to see a friend from school
about a mile or two away. I didn't have a saddle,
so I had to ride bareback. I always resented that
because it's easy to fall off. I was loping that
horse bareback across a pasture or field and he
stepped in a hole. The horse and I went down. My
head really hurt but I got back on the horse and
went back home. I lay down in bed but I didn't
feel good. I began to see double. I saw double
for a week or two, and I never talked to any
doctor about it. As a result of that head injury,
my right pupil is bigger than my left. I always
worried about being in an accident and some
surgeon opening up my head because I had
dissimilar-sized pupils. I'm sure I had a little
intracranial hemorrhage. In all my pilot
physicals since 1949, I've had a tendency for
some hyperopia and exophoria. If I get under the
red light during the pilot's exam, one of my eyes
will be doing this and the other one will be
doing that. I'm sure the injury to the nucleus of
Edinger Westphal and damage to the optical muscle
is related to that fall from the horse.
WCR: As a little boy, did you read a lot?
GJR: Yes. I read mostly cowboy books,
Zane Grey novels. I'd go to the school library
and get books. I was totally enamored with the
stories of the West and the hijackers, cowboys,
and Indians. I remember a fantastic story of
Wetzsel, who was, I guess, a trapper, a
mountaineer. He lived among the Indians and never
got killed. Those were pretty heady novels of
those times.
WCR: Your mother actually wrote a book,
I gather with your help. Tell me about that.
GJR: Right. She was interested in the
genealogy of the Race, Bunch, Farmer, and Baggett
families. She began to collect material from
Southern Methodist University's library, from the
genealogy societies, and from the Mormon Church,
and quickly put it together. It contained a
tremendous amount of information.
WCR: When was the book published?
GJR: It was published about 1976.
WCR: Your mother had moved to Dallas by
that time?
GJR: My mother moved to Dallas about
1965. I bought a little house on University for
$25,000 and moved her into it. She promptly moved
my Uncle Justice and his wife there and took care
of them forever. I later moved her into a bigger
house on Mockingbird, and she stayed there until
she went to the nursing home. She always wanted
to live in a 2-story house, and she lived
eventually in a 2-story house in Highland Park
and liked that. That was status for her.
WCR: Your mother went to college for 1
year only?
GJR: Originally. But she went every
summer that I can remember. She would go up to
Denton, which was then North Texas State
Teacher's College. Now, it is called The
University of North Texas. My sister and I rented
a room in somebody's home. It was always hot. I
loved it because the North Texas campus had a
bunch of goldfish and a big central area where
kids could play. Dr. Lester Matthews' father was
president of that institution, and although we
didn't know each other as children, we probably
played together. My mother finally got her
bachelor's degree and then her master's degree.
She spent a summer in New York at Columbia
University finishing her master's degree. For 40
years she continually educated herself a little
bit at a time every summer.
WCR: I gather when you were growing up
that you didn't have money enough to travel anywhere.
GJR: The first time I ever left Texas
was on that train going to LSU in World War II.
The farthest I had traveled was with the Boy
Scout troop in Everman. I was active in scouting
and enjoyed it. I had a great scoutmaster who is
still alive. I see him occasionally. I went to
Boy Scout camp on the Brazos River west of
Mineral Wells for 2 or 3 summers, and that was
great. That's where I got to like the Hill
Country. I went to West Texas one time when I was
a boy. My father was in town and took me with him
to Lubbock in an old Model A Ford. I remember the
narrow concrete highway just wide enough that 2
Model A's could pass.
WCR: When you went to college at age 16,
did you live at home?
GJR: My mother had changed schools in
1942 from Prairie Grove School south of Everman
to Fort Worth White Settlement. When she sold the
house with 2 acres and we moved into the city, it
was a different existence. There were no animals
around. We moved into an area southwest of Fort
Worth, which was closer to the White Settlement
school. Also, it was within walking distance to
Texas Wesleyan, formerly Woman's College, which
my sister and I both attended.
WCR: You had a full scholarship. That must
have been quite a new experience, not only leaving your country
home, but also coming into the town. Were most of your classmates
from that area?
GJR: Most students were from Eastland
or Abilene or someplace close by, and they lived
in the dorm. I worked at an upholstering company
on East Lancaster Street that made ranchhouse
furniture. The owner, Augustus Brandt, a German,
employed mostly Germans, and many spoke German. I
was hired there as a trimmer or a helper or a
springer. The trimmer does the outside of the
chairs and the backs. A springer nails in the
springs. I made 40 cents an hour in the summer.
That was $16 a week, for which they took out 3
cents for Social Security.
WCR: You worked during that freshman college
year?
GJR: Yes. I worked and made a little
money while going to school. That experience
turned out to be a great thing, because when I
was at Baylor later in 1944, I told a Waco
upholsterer that I could upholster, spring, and
trim. He said, All my workers went into the
army. You can come in here, kid, any day or
night, if you want to. Work and keep your hours,
and we'll pay you. I picked up some
spending money. It has been very useful ever
since.
WCR: You worked the year at Baylor also.
GJR: I worked always as a waiter in the
girls' dorm (very embarrassing) until I got into
medical school, and then there wasn't time to do
anything except study. It was study every
day--morning, noon, and night. All students would
get drunk at the fraternity house on Saturday
night, get up Sunday, and start studying again.
WCR: Where did you live in medical school?
GJR: The medical school had 4
fraternities, and each one of them had a house.
The Phi Chi alumni bought an old house at 2512
Maple, right across from the Crescent Hotel. I
liked the Phi Chi people. I had known 2 of them
at Baylor, where they had rushed me. I lived in
that old house on Maple Avenue with 4 guys to the
room. There was an old servant's quarters out
back with another 6 or 8 guys, probably 20 to 25
people total. We hired a maid who cooked the
meals but didn't bother with the rooms. A house
manager bought the food, managed the money, and
charged everybody a portion of the expenses.
There was no particular rent, but we had
assessments for food every time we bought it.
Food went bad, and everybody got mad at the house
manager, so he quit. Eventually, I became the
house manager. I was the least experienced, but
it was a good deal because I didn't have to pay
the food assessment. I enjoyed buying the food.
Once I came across a tremendous spill on the
corner of Maple Avenue and Cedar Springs. As we
were walking to the pharmacy to get some coffee,
a bread truck rounded the corner, the rear door
flew open, and out came a continuous stream of
pound cakes on the concrete and sidewalk. The
driver kept going. We gathered that stuff up and
took it back to the fraternity house and ate
those pound cakes and Mrs. Baird's bread for
weeks--until everybody was tired of it.
WCR: When you were growing up, did your
mother and dad push you to go to church?
GJR: My dad didn't because he had long
since fallen out with the church and wasn't
really churchified. My mother went
every Sunday morning, Wednesday night, and Sunday
night. I was more or less forced to go to the
Baptist Young People's Union Sunday nights and to
Sunday school on Sunday mornings. Sometimes I
played hooky. My uncle's
hell-fire-and-brimstone theology
didn't sit well with me. My church experience was
more negative than positive.
WCR: Let's go back to medical school. When
were you in medical school at Southwestern?
GJR: I started in March 1944 and
graduated in June 1947.
WCR: Southwestern started in 1943, right?
GJR: Southwestern started on July 1,
1943, in the Alex Spence Junior High School with
the residual faculty of Baylor College of
Medicine who refused to move to Houston. Most
chairmen of the old Baylor departments stayed in
Dallas. All of the clinicians stayed because they
were in private practice. The salaries were just
minuscule--the chairmen received maybe $400 a
month, a full professor maybe $300 a month.
Nobody else was paid. All of the clinicians were
practitioners, and they all did clinics at
Parkland, Baylor, St. Paul, and Methodist. The
Department of Biochemistry had a budget of
$11,000 a year. Pitiful. Pathology had $20,000;
obstetrics and gynecology, $5,000; surgery, $875.
Southwestern was primarily affiliated with
Parkland Hospital.
WCR: How many were in your class?
GJR: It may have been 60 originally. I
think 51 or 52 graduated.
WCR: Did you apply anywhere else to medical
school?
GJR: Yes. I applied to Baylor Houston
and to The University of Texas Medical Branch in
Galveston. UTMB wrote back and said, We
will not accept applications from anyone under 18
years of age. I was 17. I got an acceptance
from Baylor Houston and from Southwestern. I
chose Southwestern because it started in March
1944 and I was turning 18 in March 1944. Baylor's
new class didn't start until September 1944, and
I would have been long gone with that 106th
Division in Europe. They trained only 3 months in
the USA and then went to Europe.
WCR: How did medical school strike you?
GJR: It was very hard. In high school I
did not take any books home. In college I had to
take books home and study if I was going to make
good grades. In medical school I had to study
around the clock, and I barely kept my head above
water. The avalanche of material coming every day
was so much that I couldn't afford not to study
every day. I was in classes until 4:30 pm. When
the labs were finished, I went back to the
fraternity house, listened to the news, had
supper, and then studied. About 10:00 pm I'd walk
down the street to the Stoneleigh Pharmacy on
Maple Avenue and get some coffee. I went back and
studied a little more and then went to bed. I got
up at 6:30 or 7:00 am, had breakfast, and rushed
over to the shacks behind the old Parkland
Hospital for the morning call
required by the military. At 8:00 am I was back
in class. Most classes were an hour lecture and
then 2 or 3 hours of laboratory. The medical
school curriculum was in blocks--anatomy and
biochemistry in one quarter, then the same thing
with physiology and bacteriology.
Anatomy was an afternoon course that usually
had a lecture and then lab. In the anatomy lab
the corpses were in phenol and formaldehyde. When
I took a body out of the vat, I got the phenol
all over me. My fingers absorbed the phenol, and
I smelled like phenol all the time. Labs were not
air-conditioned. When I would dissect the leg or
another area, I couldn't tell a nerve from a
vein, from an artery, or from the origin of the
muscle. Eventually, I was reduced to taking
string and tying it along the saphenous vein. It
was not a good way to learn anatomy. Years later
when in Galveston waiting for one of my sons, I
watched a tape in the Truman Blocker Library
there and learned more anatomy of the leg in 30
minutes than I learned in a month of monkeying
around not knowing what I was doing. Anatomy lab
was a terrible waste of effort. A doctor over at
Southwestern has the whole pathology course on
the computer now, all interactive. You can sit
there, take the quiz yourself, look at slides on
the screen, and make a diagnosis.
WCR: What did you enjoy in medical school?
GJR: I enjoyed physiology
most--respiration, circulation of the blood,
seeing, and hearing. Pathology was interesting
enough, but I never understood the histology well
enough to really get with it. I liked
bacteriology and infectious disease. I absolutely
hated obstetrics/gynecology. I had an old
professor who later went to Illinois. He was a
poor teacher--vindictive and mean.
WCR: What about when you started rotating
through medicine and surgery?
GJR: I liked to see surgery performed
and to understand what was going on. In medicine,
I was less inclined. I liked cardiology, but a
lot of the other stuff I didn't get deep into. I
didn't particularly like patient handling. I was
timid. I didn't like obstetrics. However, we had
a call service for delivering babies in homes,
and I delivered babies in homes around Dallas.
The mechanical aspect of orthopaedics appealed to
me. I suppose physiology, microbiology,
parasitology, surgery, and orthopaedics were the
things that most appealed to me. Strangely
enough, pathology wasn't one of them. Pathology
was hard, and it wasn't fun because I didn't
understand the microscopic sections well enough.
WCR: Who influenced you a great deal in
medical school?
GJR: There is no question about that:
Tinsley Harrison and Carl Moyer. Dr. Harrison was
a fantastic teacher. He was a short, active man,
and he could mimic all the heart sounds. He'd
say, lub dub geeee, lub dub geeee, lub dub
geeee. What is that? That was aortic
insufficiency. He'd say, brpp, brpp, brpp.
What's that? That was mitral stenosis. He
knew all these sounds, and he was so animated and
enthusiastic. Dr. Harrison required excellence of
everybody. The reason the Southwestern Medical
School is great is that Tinsley Harrison and,
after him, Carl Moyer, the surgeon from Michigan,
absolutely demanded excellence. You had to learn,
you had to be able to recite, and you had to be
able to think on your feet. I'm sure the reason
that I got my appointment at Duke was because of
the recommendations of Carl Moyer and Jim Gill.
In clinic, Carl Moyer showed a patient with a
great big arm and said, Listen over
here. I listened with the stethoscope,
obviously a bruit. I could feel it. Then he
started quizzing me. What is it? It
had to be an arteriovenous fistula. The heart was
fairly rapid, the arm was swollen, and the veins
were distended. Then he'd ask, How do you
get those? That nearly stumped me. I said,
I don't know. I suppose that you have to
have some connection made, maybe
congenital. He said, This patient's
arm wasn't this way last year, so it's not
congenital. It finally hit me that the man
had a scar. It was a stab wound. Dr. Moyer was
that kind of teacher. He would make you stay
there until you figured out what was going on.
Then he would discuss other kinds of
aneurysms--dissecting aneurysms, fusiform
aneurysms--and before you got through, you had
learned aneurysms in a very short period of time.
That man was the single smartest teacher I've
ever seen.
WCR: Did any of your classmates in medical
school become fairly prominent?
GJR: Yes. Joe White, a close friend of
mine, went into anesthesia in Iowa and became the
dean of medicine at Oklahoma, the dean of
medicine at Galveston, and then the vice
president of the University of Missouri and later
president of the Chicago Medical School. He came
back to Dallas to be the dean of continuing
education at St. Paul. Tom Shires was a classmate
who graduated a year late because he did a year
of physiology with Tinsley Harrison. He then went
to Boston and was trained by Carl Moyer. He
became the chairman of surgery at Southwestern
and later chairman at the University of
Washington in Seattle, then chairman of surgery
at Cornell in New York, and then the dean of
Cornell. He is now director of the trauma center
in Las Vegas. In the class behind me was Jules
Hirsch, who is now the president of Rockefeller
University. His classmate, Tom Nesbit, a
fraternity brother, became president of the
American Medical Association. He trained at
Michigan in urology, went to Nashville, and
became president of the Tennessee Medical
Association. Tom was always very much a
politician. Another classmate who has done very
well is Sylvan Stool, who has been the chairman
of otolaryngology at Jefferson in Philadelphia.
He is a major national authority in ear, nose,
and throat problems. He is a tremendous man.
WCR: I gather that while you were in medical
school you were gaining a good deal of confidence. You were
not quite as timid as you had been earlier in your life. Did
you make friends with the teachers there?
GJR: I made some lifelong friends. I
would say I earned the respect of others. One
teacher who has always astonished me is Gladys
Fashena, a major figure in pediatrics in Dallas
for 40 years and also a great pathologist. She
was from New York and had married Floyd Norman, a
local Dallas doctor. She was a great teacher and
a fountain of information in pediatrics and
acid-base balance in the same way that Carl Moyer
was so bright as a physiologist. Moyer had
trained under Lester Dragstedt and Carl
Dragstedt, physiologists and surgeons at Michigan
and Chicago, before going into surgery at the
Massachusetts General Hospital. Moyer was a great
physiology teacher, as was Gladys Fashena. The
school was incredibly blessed in having these
fantastic teachers who demanded excellence. Such
a culture of excellence still exists: it is
passed from one person to another in a
department. That's what has made the school
great.
WCR: What was Parkland Hospital like at
that time?
GJR: It was on Maple Avenue. The
building is still there. It had open wards, a
central pharmacy, and a central laboratory. It
was a nice enough building with terrazzo floors
and brick, but it was not air-conditioned. On the
far north part was a wing for polio patients. I
remember seeing probably 20 iron lungs in there
pumping away. I nursed those polio patients
because I needed to make money. I figured I was
exposed to polio growing up in the country and
never got into trouble.
Parkland was a good intellectual environment.
Tinsley Harrison said in so many words, many
times, I can teach you medicine in the
alley. You don't have to have a good building.
You have to have a good teacher and receptive,
bright students who want to learn. And, of
course, he was right. When I went to Duke as an
intern, I was very apprehensive about whether or
not I had had a good medical education. In
pathology, one intern was from Johns Hopkins, one
was from Duke, and one was from Washington
University. I found out rapidly that I knew as
much as any of them and that I had also done
more. I'd delivered babies, sewed up wounds, and
helped with an appendectomy. I decided that
Southwestern as a school was good. Bryan Williams
and I wrote to Duke and to Harvard about applying
to the junior class to repeat the last 2 years of
medical school because we thought that
Southwestern might not survive, and that would be
very embarrassing. But it did survive.
WCR: Southwestern was a private school
when you were there as a student?
GJR: Yes. It was private and sponsored
by Southwestern Medical Foundation from July 1,
1943, to September 1, 1949, when it became a
division of The University of Texas. It went
through several name changes--Southwestern
Medical School of The University of Texas, then
The University of Texas Southwestern Medical
School, then The University of Texas Health
Science Center, and then back to The University
of Texas Southwestern Medical Center. It never
had a nursing school. The need for nursing
education and support was supplied by Texas
Woman's University in Denton.
WCR: How did you decide to go to Duke?
What was your thought process in doing internships in both
pathology and surgery?
GJR: I was apprehensive that
Southwestern wasn't going to make it and that I
was going to graduate from a defunct medical
school. After listening to Dr. Moyer, who had
been at the Massachusetts General Hospital in
Boston, and Dr. Harrison, who had been at The
Johns Hopkins Hospital in Baltimore and others, I
wanted to go to a well-known school to intern. I
didn't know quite what I wanted to do, so I
applied to Duke in pathology because Dr. Gill,
who had come from Duke in pathology, talked about
how great Duke was and how pretty North Carolina
was. I applied to Duke in pathology, to Michigan
in internal medicine, to Denver General for a
rotating internship, and to the Massachusetts
General Hospital in surgery. I didn't get an
interview at Massachusetts General, but I did get
accepted to Denver and to Duke. I applied to the
University of Chicago Clinics in surgery but
didn't get an interview.
As I was finishing the pathology internship at
Duke, I still was interested in surgery and
applied for surgical internships at Massachusetts
General, at Peter Bent Brigham Hospital, at the
University of Chicago Clinics, at Johns Hopkins,
and at Boston City Hospital. I got the University
of Chicago and the Boston City positions, and I
took the Boston City job, which was a mistake.
The internship in surgery was a year of scut for
the second surgical service--drawing all the
blood, doing all the lab work. I lost interest in
surgery as a result of that. I was kind of
attracted to anesthesiology because of Peter
Voorheis, who was head of anesthesia and was very
intellectual and directed the nurses' anesthesia
school. I rotated with him for a month, and soon
he had me giving anesthesia. I didn't like it. He
said, You're better than the nurses
and used me for the complicated surgical cases
during the month. I also spent a month in
thoracic surgery with Dr. Carl Streider and Dr.
Dwight Harken, a month in neurosurgery with Dr.
Donald Monro and Dr. Derrick Denny-Brown (a
neurologist), and a month in infectious disease.
There was an open ward at the Boston City called
South House. The patients had
diphtheria, tuberculosis, amebiasis. I remember a
patient coughing up amoebas from a liver abscess
that had come through the diaphragm into the
lungs. I had never seen heart failure from
diphtheria or smallpox before. That South
House was brutally educational. I had to
make up my mind whether I was going to be a
surgeon or a pathologist. I decided that
pathology was much more intellectual and a lot
more fun and required a lot less hand scrubbing.
I decided to go on into the army instead of
continuing with the surgery residency.
WCR: When was that?
GJR: July 1949.
WCR: You had to get that army service.
GJR: Yes. I went into the army and was
all set to go to Europe and spend a wonderful 2
years at Weisbaden. Then suddenly they changed my
orders to Alamogordo, New Mexico. I called the
man in Washington and asked, Why are you
changing it? All of our household goods have
already gone to Germany. He said,
It's an economy measure. We went through
the list and found that everybody going to
Germany was married, and they pulled them
off and sent only unmarried men so they could
live in the bachelor officers' quarters. I went
to Alamogordo Air Base and loved it there. It is
now the F-117 Stealth Fighter base. Alamogordo
was 1 mile from the army's White Sands Proving
Grounds. Werner von Braun and other Germans were
there making rockets, and the air force was
making rockets at Alamogordo. It was a very
relaxed base--half the people there were civilian
engineers. It was a wonderful experience. One of
the colonels asked me, Why don't you go to
San Antonio for 3 months and become a medical
examiner flight surgeon? I did, and I loved
that. We went back to Alamogordo and spent the
rest of the year there with wonderful trips
flying. They were shooting off every kind of
missile. I went out to the atomic bomb site.
Permission had to be obtained to go there.
I was due to get out after having served 2
years, but in July 1950 the Korean War started.
My time was extended to July 1951. Somebody in
Washington called the adjutant on the base and
said, Now listen carefully and write these
servicemen numbers down. We think you have 5 jet
pilots capable in F-86s, 3 jet mechanics, and 1
flight surgeon. We will give you their names,
ranks, and serial numbers. You cut the orders for
them to travel to Travis Air Force Base by noon
tomorrow from Alamogordo. Find your own
transportation, whatever is available on the
base. I was sitting in the clinic listening
to squalling kids, which I didn't like. I
answered the phone and was told, Stop
whatever you're doing, clean out your desk, and
turn anything you're doing over to somebody else.
Go by the legal office and sign powers of
attorney to your wife, go home and pack, and be
on the flight line at 4 in the morning. We're
going to go to Travis Air Force Base by noon and
then to Korea (Figure 5).
We got to Travis. We never stopped. We walked
off the plane, and they were shooting us with
encephalitis and typhoid vaccines. We walked out
of one plane and got on another one, flew all day
and all night to Anchorage, then to Adak, to
Shemya, to Yokohama, and down to southern Japan
to Fukuoka. I stayed there about a week and then
went over to the Tague K-2 Airstrip at the Pusan
Korea perimeter. I got there in August. It was
really hot. Every night it was boom, boom, boom.
We were leaving and then not leaving. We put
gasoline drums in every camp or building, and all
the records were packed up and put on a C-47.
This went on for about 3 weeks and suddenly
MacArthur made his move north. The North Koreans
left when MacArthur landed. That was an
interesting period. All the pilots were World War
II pilots. They were unusual guys. Somebody would
get killed, and they'd have a big send-off party
and never mention the death again. We were losing
people right and left.
WCR: How long were you there?
GJR: Altogether I was there about 6
months of the first year of the war and 6 months
in Japan.
WCR: What did you actually do over there?
GJR: I ran the medical hospital clinic
on the air base, and I was a flight surgeon for
the 49th Fighter Bomb Group and for the 6147th
Tactical Control group. Basically, I held sick
call and took care of those guys. Just outside of
our base were Lieutenant Colonel Tender, MC, and
Colonel Michaelis of the Wolfhound Regiment, who
had a little hospital unit manned by former
surgical residents from Kansas City General, San
Francisco General, and Parkland Hospitals. Some
of them ended up in Korea in civilian clothes.
The colonel organized them to form a mobile army
surgical hospital (MASH). He told Generals Walker
and Partridge: If you'll just give me about
6 or 8 trucks and some good motorpool mechanics,
we will create a mobile operating room that can
be moved wherever there is a fight. That
was Colonel Michaelis' and Colonel Tender's idea,
and General Walker said, Great!
WCR: Back to your internship. How did Duke
hit you? That's really the first time you were away.
GJR: It hit me very positively. Seeing
those pictures on the wall in Duke Medical School
of Sir Charles Sherrington, Sir William Osler,
John Hunter of Guy's Hospital and famous English
physicians was something I really was interested
in. Duke had a great library. Every time I got a
good case at autopsy I worked it up. I got a case
of Klippel-Feil syndrome with achondroplasia,
dwarfism, and achondroplastic thoracic cage and
found that the neck was broken. I studied the
neurological and embryological literature and
reported the case. I think that case ended up
with an autopsy report of 200 pages. I still have
it, and it's an excellent reference work for the
old German literature on Klippel-Feil. Most of
the Duke faculty had been trained at Hopkins, and
they had a learn, learn, learn attitude. It was
wonderful for me. The Boston City Hospital
experience, in contrast, was a terrible letdown
after being at Duke.
WCR: You enjoyed the intellectualism of
pathology that year.
GJR: The intellectualism of pathology
was fantastic. I couldn't get over how much I
enjoyed it. Although I didn't like Boston City
Hospital, it was good training for the Korean
War. I had learned how to repair a wound to the
Adam's apple, for example, and that experience
was repeated in Korea, where I did some cranial
burr holes and closed thoracic sucking wounds.
WCR: You had been in Asia for quite a while
and now you were back in the USA and you decided to go into
pathology. What happened?
GJR: While sitting in the airport in
Tokyo with a set of orders to come home and 60
days' leave, I decided to get the first plane out
and go home rather than go around the world,
which I had an opportunity to do. When arriving
at McChord Airbase, Washington, my superiors
said, We don't know what to do with you.
Nobody gets out of this war. We'll query
Washington. Washington came back and said,
Get rid of this guy. He's not even in the
army. His commission expired some time back. All
of those people in Korea whose commissions had
expired and who had over 2 years' service as a
doctor, get rid of them. They issued me
go home papers.
I came back to Dallas and saw my 8-month-old
son for the first time. The 3 of us stayed in
Dallas about a week, then got in a borrowed car
and started driving back to Durham, North
Carolina, to Duke, so that I could begin a
pathology residency. I worked hard learning
pathology with help from the 2 or 3 pathologists
still there from my internship. I have always
been blessed by the fantastic teachers to whom I
have been exposed. First were Dr. Tinsley
Harrison and Dr. Carl Moyer, my great heroes, and
then Dr. Forbus at Duke and all of the Duke
faculty, and later Dr. Arthur Hertig in Boston.
The first year back was like heaven. Anne and
I had some good friends in the area, and every
weekend we went to Washington, DC, or to
Williamsburg, Virginia, or to Myrtle Beach, or to
Pinehurst, North Carolina. It is beautiful
country, and we learned about the economy of
tobacco. The Liggett Myers plant, which produced
Chesterfield cigarettes, was in the middle of
Durham, and the whole town smelled like tobacco.
The Washington Duke Hotel was downtown and was
evidence of the Duke tobacco money.
A big new Veterans Administration hospital was
being built, which was needed and became one of
the better VA hospitals. Dr. Forbus, as chief of
pathology at Duke, wanted to recommend me for a
Markle scholarship, but pathology friends in
Boston--Dr. Jack Mickley and Dr. Robert Teabeaut
from Duke--encouraged me to go to Boston.
Dr. Hertig would like to have you at
Harvard. He'll make you an instructor and then an
assistant pathologist at the Peter Bent Brigham
Hospital. The Peter Bent Brigham was the
place to go. That's where the best intellects in
Boston were: Dr. George Thorne, professor of
medicine; Dr. Francis Moore, professor of
surgery; Dr. Dwight Harken, who had come over
from the Boston City Hospital in thoracic
surgery; and Dr. Gus Dammin, chief of pathology,
who had come from St. Louis. It was a great
intellectual milieu. Every day at noon I could
hear a fantastic visiting physician speak in the
hospital and was often mesmerized by them. Dr.
Homer Smith, the renal physiologist from New
York, said, The most intelligent organ in
the body is the kidney, not the brain or the eye
or the heart. It has more intelligent decisions
to make. It was a thrill to see somebody
whose publications I had read.
One incident has always stood out for me as an
illustration of Dr. George Thorne's teaching of
ethics in medicine. He was the chairman of
medicine at Harvard and physician in chief.
Dwight Harken, a bombastic guy, presented 2
patients in whom he had done closed mitral valve
commissurotomy. He showed movies of the
operations. In one, the blood went sky high onto
the light in the operating room. Everybody was
taking off their glasses because they couldn't
see. The patient was sitting there in the
conference, bug-eyed, seeing the film of his own
surgery. Dr. Thorne got up and thanked both
patients for coming to the conference and told
them that the doctors learned so much from their
cooperation. As soon as the patients were out of
the room, he ripped into Harken something fierce
in front of the whole staff and said, This
is the most despicable type of management of
patients I've ever seen. You should never scare a
patient to death by showing him all of this, and
you should never do it in public. You might let a
patient see this in private in your office.
Harken was so upset that he left the room with
his face flushed and was gone for a week or two.
I thought he would never come back. Dr. Thorne
gave a lesson in ethics to that entire staff and
all those houseofficers. That was a lesson never
to be forgotten. The Brigham was a wonderful,
intellectually stimulating time for me.
I did research on the adrenal gland in Boston.
I was trying to determine from which adrenal
cells aldosterone, cortisone, and androgens were
coming. I could walk across the street to the
medical school and talk to the world leaders,
particularly experts in electron microscopy of
the various cells of the adrenal gland. I wrote
some papers showing aldosterone coming from the
outer cortex, the zona glomerulosa, and cortisone
coming from the midzone.
Before leaving Duke, I'd had a high bilirubin
(1.5 mg/dL) with some kind of a skin rash and was
diagnosed with hepatitis. It may have been
infectious mononucleosis. Later in Boston, after
a gastrointestinal consult, they put me to bed.
It was wonderful because I could study all day
for my pathology boards. I took the indexes of
major textbooks, Anderson's Pathology for
example, and would ask myself what I knew about
the various topics encountered. If I didn't know
about a topic, the page numbers were there and I
would flip back and refresh myself. It was a
wonderful study effort. I didn't want to get well
fast because I was learning a lot.
I took the boards at Northwestern University
Pathology Laboratory in Chicago. A funny thing
happened in the clinical pathology part of it.
They had set up a bunch of pieces of filter paper
with stool, yellow crystals, and whatever on
them, and I was supposed to identify each. They
had a microscope beside the specimens. It was in
the middle of summer, there was no
air-conditioning, and the windows were open. A
big puff of wind came in and blew the various
specimens off the table and onto the floor. They
were not numbered, and nobody knew which one came
from which microscope. The examiners gave each
examinee a passing grade in this section.
Winter in Boston is terrible. Although Drs.
George Thorne, Arthur Hertig, Gus Dammin, and
Francis Moore wanted me to stay at the Brigham, I
just couldn't take the cold weather, and I had a
wife and now 3 little boys and no money. I was
making $200 a month as an instructor at Harvard
and $300 a month as an assistant pathologist at
the Brigham. Five hundred a month was not much to
live on in Boston. I was trying mightily to
decide what to do. We lived in Natick, 2 blocks
off of the Worcester-Boston Turnpike. I had to
get down to the turnpike each morning. They
plowed the turnpike, and I could drive it without
chains, but to get from my house down 2 blocks in
a foot or so of unplowed snow, I had to put on
chains. I had to jack up the back of the car, get
chains out, and put them on the back wheels. I'd
drive to the turnpike, get out, take them off,
put them back in the trunk, get on the turnpike,
and go to work. That was every morning and
sometimes in the dark to get there early enough
to do frozen sections for surgical pathology. One
morning while I was under the back of this old
Mercury putting on the chains, an enormous blob
of black snow from under the fender fell, hit me
right in the face, and spread all over me. I said
to myself, That's it. I'm not staying
here. That may seem trivial, but that one
incident made it easy for me to leave.
I told everybody I was leaving and going to
Florida to try to get out of debt, which I did in
1 year at St. Anthony's Hospital in St.
Petersburg. We were used to living on $500 a
month, and I made $3000 a month in St.
Petersburg. We had so much money we couldn't
spend it. I bought a station wagon and an old
Lincoln. I bought a house at 3508 Princeton in
Dallas' Highland Park for $22,400.
I finished the year in Florida and moved to
Dallas as assistant professor at the medical
school with Dr. Ernest Muirhead, who was one of
Dr. Caldwell's students at the old Baylor. He had
been in hematology and blood banking with Dr. Joe
Hill and was doing renal research. He was tying
off dogs' ureters and doing the chemistry on what
happens in uremia. He showed that, if the kidneys
are removed, hypertension does not occur. That
fit with Dr. Page's renin hypothesis of
hypertension. Dr. Muirhead was a great intellect,
a great researcher, an incredible man, totally
enthusiastic, and hyperkinetic. (He drank a lot
of coffee.) He had a million ideas streaming out
of his head and much research work going on. I
was fascinated with him.
I had loved Florida--the beaches, the weather,
and the people were great--but I didn't care for
the transient people. There were people coming
and going, and all had some horror story about
New Jersey or New York state. You couldn't talk
to them without hearing bad stories. There was
one funny guy who ran the filling station near
where I lived. Some nights he'd close and some
nights he wouldn't. Frequently at night I'd gas
up, and once I asked him, How do you decide
when to close? He said, I don't know.
I don't have a watch. I lost my watch when I came
down here and never bought another one. I just
close up when I get tired of standing around
here. And if I want to go have a beer or
something, that's when I close the station.
Coming from the highly precise, technical
background in Boston and Duke to such a
laissez-faire operation was interesting. The
attitude was different than in Durham and Boston.
WCR: How did it come about that you went
to St. Petersburg?
GJR: I had some friends there from
Duke--one in West Palm Beach and 2 or 3 in St.
Petersburg. They recruited me. I went to both
places. I liked West Palm Beach, but I didn't
like the deal. I liked St. Petersburg principally
because I could run my own lab, and I wanted to
do that. It was in a Catholic hospital. The
technician was a nun who slept in the lab. She
was always there. That's the most wonderful
arrangement I have ever had in 40 years of
pathology--to have somebody whom you could trust
in the lab all hours of the day and night. Any
time something came up she'd call me and say,
Can I do this or should I do that? It
saved me an enormous amount of effort. She also
drew blood and ran the blood bank. The
convenience was just unbelievable. I grew to love
her. She was very kind to my children, and she
was understanding of the fact that I was a
Baptist and didn't understand the Catholic
church. They were wonderful people, all of them,
except the old mother superior who was
dominating. I guess that's how she got to be the
mother superior.
WCR: You came to Florida from the very
intellectual environment of Peter Bent Brigham Hospital in
Boston, and suddenly you were at St. Anthony's Hospital in
St. Petersburg, a nonacademic hospital. How did it hit you?
GJR: It stunned me because I was doing
things I really hadn't done at Duke or at
Brigham. When I had to do an autopsy, I had to
open the head. In Durham or Boston, a diener
would do that. I had to draw blood, cross-match
it, and look at it. I'd take blood from one
patient and put it in another one. Extreme care
was critical.
I hadn't done many bone marrow aspirations,
but I had read about the Turkel needle and its
little sawtooth cutting edge. Instead of just
jamming a needle into the sternum I could slowly
rotate it and it would cut itself right into the
marrow. I was always worried about the risk of
going through the sternum into the aorta. Doing
an iliac crest aspiration is difficult because
the bone there is so heavy. Doing a tibial
aspiration is the same way. I didn't like doing
it but I had to because I was the only one there
who could do it. I had to interpret the results
after I did the aspirations.
I started smoking cigars at the Brigham
because Dr. Gus Dammin did. I was copycatting my
superior, and I thought it looked manly to smoke
cigars. In the hospitals in those days, you could
walk down the hall smoking a cigar. I did a bone
marrow once in an old lady. I said, This is
not going to hurt. I'm going to do this very
gently. It will only hurt when I draw the needle
out. I had smoked a cigar as I had walked
down the hall before going into her room. I put
it out in the hall sandbox, and then put the
remaining portion in the side pocket of a brand
new sports coat I had on. I went into the room
and hung the sports coat on the chair in the
room. I got on my gloves and got everything laid
out on the tray to do the bone marrow aspiration.
I got the needle in the lady's sternum, and I
looked over at my coat and saw a curl of smoke
coming up. I did the marrow aspiration and pulled
out fast and she said, I thought you were
going to do it gently. I said, Sorry.
Hold this over the spot there. I grabbed
the coat, went back in the hall, and put the
thing out before I wrecked the whole coat.
As a pathologist, I was asked to be medical
examiner whether I liked it or not. Pinellas
County did not have a medical examiner in those
days, and I had to cover. That was heartrending
at times. Many autopsies were of old folks. One
old lady trying to make a left-hand turn didn't
make it and went up in the yard and into the
living room of somebody's house through plate
glass on the front. She died immediately. Another
time I got called to go see an old man who was
yellow as a gourd and weighed about 70 lb, with a
pretty big frame indicating he had been a big
man. I thought, What is this? He had
to have a stone in the common duct. I took my
hand and reached through his paper-thin abdominal
wall and felt the gallbladder. It was a sack full
of stones the size of your hand. I could squish
and rub the stones around through the skin. It
was a natural death from common duct obstruction
from cholelithiasis--untreated. You just don't
see that very often.
Another heartrending incident was when I went
out to the beach to see a beautiful baby dead as
a hammer. His mother and 2 or 3 other mothers
were just playing there and didn't notice he had
wandered into the surf. The 2-year-old child was
dead. I tried to console the mother, but there
wasn't any consoling. I never felt worse. Another
case touched me emotionally. An old man whose
wife had died was living alone in St. Petersburg,
and he had taken a car out to the beach for the
Christmas sunrise. He was dead, with a hose from
the tailpipe coming in through the back window
and the music on the radio still going. It was
very sad to see how he decided to end his life on
Christmas morning.
One of those medicolegal cases I was forced
into involved an 18-year-old girl found dead in
bed. She had been healthy previously. She'd been
out dancing the preceding night and reportedly
had quite a bit to drink. An autopsy was
necessary. I found a little blood streak at the
aortic valve and some blood in the pericardial
sac. She had died of cardiac tamponade from this
pinhole leak. I traced the pinhole leak through
the anterior chest wall and out to the skin. Then
I could see that there was a tiny hole on the
skin. I didn't know what had happened to her.
When I talked to the policeman about it, he said,
I can tell you what happened. She got into
a fight with another girl over some man and the
other girl hit her. We've been out to talk to the
other girl and recovered an ice pick with a point
about 2 inches long on it. The other girl had
concealed the ice pick in her hand, and nothing
showed except the 2-inch point with which she was
stabbing her in the chest. It was a murder.
The policeman solved it. I solved the cause of
death, but I didn't know how the stab wound could
have been inflicted. Apparently, a sharpened-down
ice pick was a common weapon to carry for
protection.
WCR: You essentially went to Florida because
you needed the money and were tired of Boston's cold weather.
What made you decide to leave St. Petersburg after only 1
year there and return to Dallas?
GJR: Before I left Boston I had made an
agreement with Ernest Muirhead to be an assistant
professor at Southwestern. I told him I would
come a year later. That was agreeable to him. I
arrived back in Dallas on August 1, 1955.
WCR: It sounds like the year in St. Petersburg
was an eye-opening year for you.
GJR: It was a tremendous eye-opener for
10 different reasons. I saw people in practice
there I'd known at Duke, and I saw the practice
of cardiology, surgery, general internal
medicine, and obstetrics/gynecology in a way I
had never been exposed to. These were
high-quality practitioners. It was an interesting
intellectual group of young doctors and young
lawyers who descended on St. Petersburg to get
their fortune and fame. They liked living there.
It was a wonderful town. I loved the people and
still have a friend there who's an orthopaedist.
We were close during that year. However, I had
been trained in academic institutions, had
research interests, and wasn't going to be
satisfied just to do surgical pathology and
autopsies for the county for the rest of my life.
My contract with Southwestern in Dallas was
for $7200 a year. I went from $35,000 a year to
$7200 a year, again. I was able to supplement
that with another $5000 doing pathology for the
Children's Hospital. I enjoyed the intellectual
stimulation of pathology at Southwestern.
Unfortunately, the dean, A. J. Gill (also a
pathologist), and Ernest Muirhead (chairman of
pathology) had major disagreements. The
Department of Surgery was run by Dr. Ben Wilson,
a friend of Dr. Muirhead. Dr. Muirhead, being a
researcher, was opposed by some of the faculty
and by Dr. Gill, who thought too much money and
time were being spent on research and favored
more teachers and more teaching facilities. It
was a difference of opinion about which direction
medicine at Southwestern should go. Recently, I
went on a site visit to a New York medical
college with Dr. Muirhead just before he died. He
said, The day I decided to leave
Southwestern and go to Detroit, I was told that I
spent too much time in research and that all I
needed to know was right in the library. Of
course, that's an absurd statement. There was a
conflict of intellectual points of view from
senior people--one group thinking that you needed
to teach and read and the other thinking that you
needed to spend most of your time with dogs and
rats and push back the frontiers (that is, do
research).
In 1956, I started doing work in Fort Worth
with Terrell Laboratories. I learned a lot from
Dr. T. C. Terrell, one of the first pathologists
in Texas who established Terrell Laboratories. He
had contracts with All Saints' Hospital and St.
Joseph's Hospital and every hospital in town at
one time. He also subsidized pathologists in
Amarillo (Dr. Churchill) and in El Paso (Dr.
Maynard Hart) to start up subsidiary
laboratories. He had 2 small oil companies and
there were wells drilled on his ranch. He owned
and operated a medical supply business in the
Medical Arts Building in Fort Worth. He also had
a couple of radiologists working for him doing
radiology for All Saints' and St. Joseph's
hospitals. He was a businessman. I asked him one
time, How did you get all of these
contracts with All Saints'? He said, It was
in the middle of the depression, and they were
going broke and had a bunch of bonds out they
couldn't pay. I bought their bonds, and I hold
all the bonds on All Saints' Hospital. When I
want to have a pathology contract I have it, and
when I want the radiology contract I have it, and
when I want the medical supply contract I have
it. He taught me a lot about business.
Basically, you sign things up and you do
them--follow them through.
Dr. Terrell's only son was killed in World War
II. The son was going to take over his ranch, oil
companies, and businesses. His son's loss was
devastating. He was telling me that when he was a
young man he went to the Terrell School near
where the Swiss Avenue Bank now is. He wanted to
go to the Naval Academy and was accepted. His
father said, You cannot do that. There's no
money, no career, and no family in the navy. I
forbid you to do that. His father sent him
to The University of Texas Medical Branch in
Galveston to be a doctor. T. C. Terrell was a
good doctor and a smart doctor, but he never
really was all that interested in medicine. He
was interested in the business of medicine, and
he taught me about business.
Dr. Terrell constantly hired people and
promised them future partnership. It never
transpired. Dr. May Owen, the pathology associate
who was later president of the Texas Medical
Association, asked me, Do you think Dr.
Terrell ought to make me a partner? I said,
Dr. Owen, he should have made you a partner
in 1939 after you'd been there 10 years.
She was a wonderful lady who worked her whole
career for Dr. Terrell in Fort Worth on a salary.
They have the May Owen room in the Texas Medical
Association building in Austin. She was a very
good all-around pathologist and a good teacher.
WCR: It sounds like your association with
Terrell Laboratories was a very good experience for you.
GJR: It was a learning experience. It
was a wonderful time because I hadn't been in
Fort Worth since I was 16 or 17 years old. I also
renewed acquaintances with family.
The Fort Worth medical milieu was a general
practice milieu. Everything in town was
controlled by general practitioners--all the
hospital staffs, the county medical society.
Gradually, Harris Hospital and the specialty
groups became the leaders. The experience was
different from St. Petersburg, where most doctors
had specialty training at Duke, Georgia, Emory,
Medical College of South Carolina, or Tulane.
Dallas was a specialty milieu like St.
Petersburg. Everything was controlled by surgeons
and internists, and there were 4 big institutions
(Methodist, St. Paul, Baylor, and Parkland).
Later, Presbyterian became the fifth of the big
hospital groups.
WCR: Did you move to Fort Worth when you
worked the year there?
GJR: No, I didn't, and that became very
irritating. That was before the Dallas-Fort Worth
turnpike was built. Driving was slow. I had to go
out 183 or Valley View or old US 81, going
through stoplights in Grand Prairie and
Arlington. I bought a Piper Tripacer airplane and
got my commercial instrument certificate and
commuted. I kept a car at the little airport on
the south side of Fort Worth and a car here at
Highland Park Airport. I commuted back and forth
by plane every day if the weather was good. I'd
jump in the car, drive out to Highland Park
Airport, have a nice 30-minute ride looking at
the countryside. I did that for over a year. I
put about 450 hours or so in that little
Tripacer. That was something that was fun and
wasn't dangerous in good weather. Occasionally, I
got trapped in bad weather, and then it was
dangerous and not fun.
I came back to Dallas as a full-time associate
professor at Southwestern Medical School because
Dr. Muirhead had left and gone to Detroit and Dr.
Charles Ashworth was the current chairman. Dr.
Ashworth, who was Dr. George T. Caldwell's first
assistant and proudest offspring at Baylor,
became chairman of pathology at Southwestern. Dr.
Ashworth was a great teacher and a great surgical
and autopsy pathologist. He had a hot temper and
was at times difficult to work for. I'd see him
in the hall and he'd scowl at me, and I'd ask
myself, What did I do? I'd go talk to
his secretary and say, Why is Dr. Ashworth
mad at me? She'd say, He's not mad at
you. He couldn't get the door to part of his
cabinet open and he was pretty upset about
it. I said, Thanks. I'm glad to know
that. He was a difficult man to work with
because he saw everything as black or white. He
was from Kaufman, Texas. He'd married early, had
several children, worked his way through Baylor
College of Medicine, and went into pathology. He
was a wonderful teacher in every respect.
At that time (1959), Dr. J. M. Hill had been
the director of laboratories at Baylor Hospital
on Gaston since 1933. There was a lot of turmoil.
Dr. Hill spent all his time in the Wadley
Research Institute, and the laboratories were in
poor shape. The surgeons called the labs
the meat house, and they didn't trust
the surgical pathological diagnoses. The
clinicians also were upset with the clinical lab,
which was being run by technicians. There was a
strong movement to change the director of
laboratories. They turned Dr. Hill out.
My friends Dr. Jack Edwards, a Dallas
internist, and Dr. Jesse Thompson, a surgeon,
started recommending me for that job. At the same
time, I was having some tremendously lucrative
job offers back in St. Petersburg and West Palm
Beach. They said, Come on back down here
and this time we'll pay you even more. Mr.
Boone Powell, Sr., was the executive director at
Baylor Hospital. I liked him. He was a very
energetic, intelligent man, and he had a lot of
ideas. He said, If you'll come over here
and build us a lab, I'll give you what you want
in the way of support and money. We want a good
lab. We want a full-service lab. Although I
liked Florida and going to Baylor was not going
to be much better than Florida intellectually,
Baylor was in Dallas and both Anne and I had many
relatives and friends in the area. Mr. Powell
kept saying, You've got to make the
decision, but if you come, we'll really support
you. I finally accepted. I left the medical
school to become chief of pathology at Baylor on
September 1, 1959 (Figure 6).
Mr. Boone Powell, Sr., became my mentor and
friend (Figure
7).
The first thing I did was to examine how
surgical pathology was operating and beef it up.
I spent every morning doing frozen sections. The
surgeons just loved it. They were a wonderful,
very supportive, top-notch group who greatly
appreciated the help. The only pathologists when
I went to Baylor were Theo Anjus, a pathologist
from Turkey without a US license, and Fred
Preuss. Fred Preuss was an excellent surgical
pathologist trained in Europe. There were only
the 3 of us. Surgical pathology was upgraded
rather quickly with the help of the chief
histology technician, Freida Carson, later Dr.
Carson. We encouraged her to go to graduate
school, and she received her PhD in anatomy. She
was superb and produced excellent histology
sections. Then I focused on autopsies. There were
200 autopsies in the record book for which there
were no records. I tried to complete those 200
records. No histology sections were available on
most of the cases.
I was trying at the same time to recruit
staff, and I couldn't succeed because Baylor
Hospital had a poor reputation then. Everybody
said, Don't go to Baylor Hospital.
Pathology is so screwed up, and Dr. Hill is going
to bother you. The administration won't support
you. Nevertheless, I recruited Dr.
Gwendolyn Crass, a former hematology technician
who had gone to medical school at Galveston and
received pathology training there. Dr. Marie
Shaw, who was in Lubbock, wanted to come back to
Dallas. Dr. Shaw had been a class ahead of me in
medical school and had trained at St. Paul under
Dr. Goforth. Therefore, I was able to recruit 2
board-certified women pathologists. I got Dr.
Gwen Crass to run the bone marrow and hematology
service. Sol Haberman, PhD, who was already there
in microbiology, did a wonderful job in that
area. Robert Speer, PhD, ran the chemistry
department very well. With Drs. Crass and Shaw we
staffed surgical and autopsy pathology and were
able to enlarge the Baylor laboratories.
WCR: What was day-to-day life like as a
pathologist in your early years at Baylor, say about 1965?
GJR: It was a lot different than I
believe it is today. First, it was getting there
by 6:30 or 7:00 am because the surgeons would be
either having a meeting at 6:30 am and wanted the
pathologist there or else would be starting their
operations and frozen sections at 7:00 am. I
spent a lot of time in the operating rooms. I'd
spend all morning in a scrub suit working in and
out of the operating rooms--going in the room and
looking at the pancreas or the lung or whatever
and talking about which biopsy to do. That was
great fun, and I shot the breeze with the
surgeons all the time about everything. Because
I'd had a year of surgery, I knew enough surgical
technique that I could talk their lingo. I
enjoyed that tremendously. At that time, our lab
had a 3-day reporting cycle on surgical
specimens. I said, That's not necessary. At
Terrell they're reporting results
overnight. We'd cut the gross one day, do
the tissue that night, cut the section the next
morning, and provide the report usually the next
day. Quickly, we cut the reporting time from 3 to
2 days. The surgeons loved that.
As soon as the morning surgical pathology and
the frozen sections were over, I made lab rounds
and did administrative work. There were noon and
afternoon meetings every day. I always said that
the chairmen of the committees and the
administration decided what you were going to do
and then got the committee together to rubber
stamp it. Baylor had good strong central
administration with Mr. Powell, Sr., and Mr.
David Hitt, who was Mr. Powell's right hand. Mr.
Hitt later became the president of
Methodist-Dallas. The administration got involved
in everything in the hospital.
The radiologists were expanding, buying new
equipment and providing new services. The
orthopaedic surgeons wanted to have some stored
bone chips, and that had to be done aseptically.
We had to set up that system. Cytopathology was
just burgeoning and everybody was interested in
it, and we started a cytopathology laboratory. We
started a virology lab because I knew that Duke
had started one and it was going strong. We also
started an immunology laboratory. We got a
commitment from Mr. Powell and from Mr. Charles
Sammons. One of Mr. Sammons' first gifts to
Baylor was funding for the virology lab and the
electron microscopy lab (Figure 8).
He gave us $200,000 to $300,000 and we bought all
the equipment. Then we looked for somebody to run
it and hired first Dr. Abbas Bebehani and later
Dr. Dighton Rowan from Stanford in California. We
got Dr. Clayton Loosli, a Nobel Prize winner and
dean of the University of Southern California
School of Medicine, to speak at the dedication of
the virology laboratory. There was a lot of
hullabaloo and pictures. As things happened, he
came with one suitcase and one suit for one day's
stay. He went into the surgical pathology lab
where we had the big old-style cutting microtome
with its razor-sharp blade, which was sticking
out. He was talking and expostulating and kept
backing up until he backed into this blade, which
cut right through his coat, right through the
bottom of his pants, and into his buttocks. He
started bleeding, and it was a catastrophe of
several magnitudes (clothes and injury). We got
him patched up with a stitch or two, and some of
the ladies mended the back of his coat and his
pants. He went on to give his speech. That was a
wonderful dedication with pictures in the Dallas
Times Herald and The Dallas Morning News.
A little later we got the electron microscopy
lab started at Baylor. We were able to buy the
electron microscope, get some space, and get it
set up. We hired Jim Martin, who was then an
electrician, to help us with it. He later got a
PhD from Baylor University. Dr. Martin ran the
electron microscopy lab at Baylor for 20 years,
and he became a dear friend of mine. He helped me
enormously with many things. He was from East
Texas, and whatever Jim thought was right, that's
what we would do.
We recruited Joe Lynn, MD. Joe, who had been
at the University of Chicago for a year and
wanted to get out of the cold climate, came to us
as a resident but was already a well-trained
electron microscopist. He published a lot of
papers at Baylor. Every time I saw somebody like
that who could be recruited as a resident, I'd
try to get him or her. One was Dr. Samih Alami, a
native of Palestine (the Gaza Strip) and from a
prominent family. His father had been shot in
front of him as a boy. His family were all
refugees. He had deep scars from his painful
experiences. He came to the University of
Oklahoma and got a PhD and then an MD. With Dr.
Alami we started the immunology lab, which later
with Dr. Joe Newman was transferred over to Dr.
Marvin Stone. The immunology lab still exists,
but it's not in the pathology department. Dr.
Alami was a wonderful man who went back to the
American University of Beirut, where he became
chairman of the Department of Pathology there.
His wife was pregnant when he was a resident in
Dallas. He sent her back to Beirut so the little
boy, Walid, could be born in Lebanon and have
Lebanese citizenship. Walid grew up, however,
mainly in the USA, went to Baylor College of
Medicine, became naturalized, and is now a
nephrologist at the University of Washington.
We appointed many good people: Dr. Tony
D'Agostino, a neuropathologist from Southwestern;
Dr. Bill Kingsley, a surgical pathologist trained
at Rochester, New York; Dr. Mac Nickey, a
surgical pathologist from the air force; Dr.
Norman Helgeson, a microbiologist and surgical
pathologist from Massachusetts General Hospital,
who had a graduate degree from Wisconsin in
microbiology, his main interest; and Stephan
Ritzmann, an immunologist and immunochemist who
later took over the chemistry laboratory.
WCR: You got to the hospital quite early.
What time would you go home?
GJR: Sometimes I could get out by 5:00
or 5:30 pm. A lot of times the internists wanted
their meetings at 6:00 or 6:30 at night after
they had made their rounds. I got in a box of
having to be there at 6:30 am for the surgical
meetings and 6:30 pm for the internal medicine
meetings. It was a lot of time and a lot of work.
I finally started dividing up the meetings among
the staff. Everybody worked on Saturdays. The
Doctor's Club always met at noon on Saturday, and
they often asked me to join. I said, I
can't join because there is surgery going on at
Baylor until 2:00 or 3:00 pm on Saturday and we
have to do frozen sections. I never did
join. On Saturdays I got off about 3:00 or 3:30
pm.
WCR: Although you started in pathology
at Baylor, you were involved in a number of different things
there. You started the continuing medical education department,
you started the Baylor Research Institute, you started BUMC
Proceedings. How did these other activities evolve?
GJR: I always thought that Baylor was
the Massachusetts General Hospital of Dallas and
that it could function in that capacity
independently if it would just make its
connections and get enough really good things
going. To that end, Mr. Powell, Sr., David Hitt,
and the others organized the Baylor Foundation, a
fundraising arm. Mr. Powell, Sr., ran it and
raised a lot of funds. When Mr. Powell, Jr., came
in 1981, he recruited Gordon Caswell to run the
foundation, and Mr. Powell, Sr., became engaged
in other efforts.
We started the Baylor Research Foundation with
the help of Dr. Larry Wilsey. The idea there was
not to raise money but to establish a research
institute. Mary Crowley donated a large amount to
fund cancer research, and Louis Beecherl donated
$250,000 in cash to launch the research
institute. We obtained space in the building on
3812 Elm Street. My idea was to set up some basic
science laboratories, and that is what we did.
Dr. Les Matthews was heavily involved. Les
was very interested in getting patents on blood
processing projects that he had.
Mr. Powell was the first chairman of the
Baylor Research Foundation (now Institute), and I
was the second. In September 1989 I was feeling
quite tired of meetings and administrative duties
and Mr. Beecherl said to me, If you step
down we will try to recruit a prominent person
from Boston. The person never accepted the
job, and after a year Dr. John Fordtran was made
president instead of chairman. Dr. Fordtran
completely reorganized the Baylor Research
Institute (BRI). He removed Boone Powell, Sr.,
Lawrence Wilsey, Les Matthews, myself, and others
from the founding board and appointed Drs. Dan
Foster and Jonathan Uhr from the medical school.
Mr. Powell, Sr., strongly objected to removing
these founding members from the board, but he let
it pass. BRI went in a different direction. Most
of the laboratories that had been established in
the preceding 3 years were eliminated. I've had
nothing to do with BRI since September 1, 1989,
when I retired after 30 years.
WCR: Not only did you start BRI, but you
also started BUMC Proceedings. How
did that come about?
GJR: During the 1960s we displayed
electron microscopy exhibits at various national
pathology meetings. At one, David Miller, a book
publisher at Harper and Row, asked me if I would
do a book. The result was the 6000-page Laboratory
Medicine, a green loose-leaf volume that we
edited and updated through 13 revisions. Rose
Kraft worked assiduously preparing manuscripts
for Laboratory Medicine and other
publications. She worked with the senior editors
at Harper and Row and learned all about their
routine for editing, cutting, indexing, and
referencing. Rose ended up guiding the 6000 pages
and 2000 illustrations for the Laboratory
Medicine volumes.
As a result of this experience, residents and
others at Baylor wanted to publish. I suggested
that we publish a small journal as part of BRI.
Rose agreed, and we put together a journal (Figure 9).
We gathered manuscripts from staff and
residents and published the first issue of BUMC
Proceedings. How did we decide on the name?
We looked at the Mayo Clinic Proceedings,
at the Michael Reese Hospital publication, the
Henry Ford Hospital publication, the Mount Sinai
publication, the Cleveland Clinic publication,
and the New England Journal of Medicine. We
decided the name would be Baylor University
Medical Center Proceedings. The origin of the
journal really can be traced back to the origin
of the Laboratory Medicine book with
Harper and Row.
Some BRI directors did not support the
journal. Dr. Fordtran did not like the journal
and tried to kill it 2 or 3 times, but Boone
Powell, Jr., would never agree to discontinue it.
One day in a vote in BRI about killing the
journal, Bill Hutchison, who was on the BRI board
and had given all the money to fund the Hutchison
lab, which Dr. Charles Roe now runs for metabolic
disease, said, I don't know why you all are
talking about killing it. I'm on the board of
Presbyterian Hospital and they're talking about
starting one: `If Baylor does this and it's so
good, why can't we do it?' I don't know why you
would kill it. About that time Boone
Powell, Jr., stood up and said, Yes, we'll
continue it. It has continued ever since
but was taken out of BRI. The articles are better
and better. It has won several awards. I think
it's in the league with the Mayo Clinic and the
Cleveland Clinic journals.
WCR: How did you get the A. Webb Roberts
Center for Continuing Education going?
GJR: The continuing medical education
(CME) topic was coming up everywhere. Physicians
were wanting CME credit and asking if Baylor
could provide it. A. Webb Roberts, who had given
us money for the lab, was interested in
continuing education because as a banker he found
no place to obtain training: I had to learn
the banking and real estate businesses on the job
and lose money when I didn't need to. Medicine
needs that but it's got to be not just for
doctors, but for nurses and technicians,
too. We agreed. He said that he would give
us $1 million to start an A. Webb Roberts Center
for Continuing Education (Figure 10).
That was December 1972. He gave us title to some
property that didn't produce much and still had a
note on it, but we had the income from it. We
only got about $60,000 a year out of it, but it
was enough to get started. We got space for the
office in an area between the dental school and
the Baylor library. We hired a number of people.
We accommodated Mr. A. Webb Roberts with a
symposium on the foot and ankle because he had
hurting feet. Dr. Leon Ware organized that
course. Orthopaedic surgeons at that time did not
have a subspecialty of feet. They do now. We had
a wonderful meeting. Dr. Robert Sparkman wanted
to bring together all the great surgeons who had
trained at Hopkins under the Alfred Blalock
tradition, and he was able to put together a
symposium on Blalock Contributions to American
Surgery. Surgeons who spoke included Drs. Mark
Ravich, Rainey Williams, Warren Cole, Michael
DeBakey, Lester Dragstedt, John Gibbon, Charles
Hufnagel, Charles Huggins, David Hume, Alton
Ochsner, and Owen Wangensteen. They are listed on
the board outside of the dean's office.
We had many gifts for the A. Webb Roberts
Center that had been given to the
foundation--$50,000 from Albert D'Errico,
neurosurgery chief, for a neurosurgical program,
and others in many other specialties, including
nursing programs. We then set about to get the
center accredited and went through the usual
problem of confusion with Baylor College of
Medicine in Houston and Baylor University in
Waco. We finally got the accreditation, which was
separate from that of the medical school. The A.
Webb Roberts programs and the medical school
programs were run together the first 3 years
because I was the director of both. I mixed the
staff and faculty until a state auditor said we
couldn't spend money outside of the institution
for programs at Baylor. We had to separate the
finances. We still continued to have a staff at
the medical school and a staff at Baylor, and
they complemented one another. If either had a
big program, the other would help out. The
programs at Baylor were mainly organ related
(breast cancer, for example), and the medical
school programs were directed more at what was
new in obstetrics/gynecology, or in surgical
pathology, or in nephrology. As the associate
dean at Southwestern and the dean at Baylor, I
accredited them whichever way was appropriate.
When we first started the A. Webb Roberts
Center, Ralph Tompsett and I went to Los Angeles,
Seattle, and Minnesota to see their programs. At
UCLA, a retired surgeon ran the program as a
private venture. At the University of Southern
California, the program was operated out of the
alumni office in Los Angeles. Seattle's program
was operated out of the regional medical program,
and the big beer makers in Washington state
sponsored the program. The man who was running it
was the son of the president of one of the beer
companies. The program at Madison, Wisconsin, was
operated out of the agriculture department. They
had an office in every county in Wisconsin. I,
with Dr. Phil Manning and 20 others, ended up
helping start the national organization, the
Society of Medical College Directors of
Continuing Medical Education, along with other
people in California. It was originally made up
of mostly MDs, some of them full-time faculty,
some clinical faculty. It later evolved to
include a number of PhDs in education, who made
it really strict, which it is now. It is now
virtually totally controlled by PhD education
specialists. The Society for Medical College
Directors has been a good thing. CME was the name
that we gave it and they changed the name
recently to the Academic CME Society.
WCR: George, you've obviously done a lot
of different things at Baylor. As you look back on your Baylor
years, what are you most proud of?
GJR: I would say the most
proud thing was building the great Baylor
laboratories that exist today. Boone Powell, Sr.,
my friend and mentor, also was most proud of the
laboratories (Figure 11).
He told me shortly before he died, We
really created something in those labs. He
thought that the labs were the thing that made
Baylor. He recognized early that Baylor must have
top-notch laboratories and radiology support.
The second thing probably is starting BRI and
the journal. I think the journal is here to stay.
Although BRI didn't go the way I would have run
it after I left, I think the idea of having a
research institute is great. And the transplant
services that Dr. G?ran Klintmalm organized are
great.
I never got heavily involved in Baylor staff
politics, partly because I didn't think I was
suited. I frequently made people mad by saying
what I thought about things. I was never that
politically oriented, and as a result I was never
president of the staff or chairman of the medical
board. The Dallas Southern Clinical Society also
promoted CME, which led into the starting of CME
at the medical school. Baylor eclipsed the Dallas
Southern Clinical Society, and that organization
ceased when we started doing all the CME in the
hospitals. I've been remiss in not spending more
time with the Dallas County Medical Society. It
is a great medical society, but I was always
involved in Baylor or Southwestern or something
else.
WCR: George, how were you able to keep
your connection to the medical school going while you were
so busy at Baylor?
GJR: When I left the medical school to
go to Baylor, it was quite a close relationship.
We had meetings of the Baylor lab and the medical
school lab staffs, and everything was pretty good
for a while. As Baylor grew, our pathology
residency program grew. I wanted a pediatric
pathology rotation and a forensic medicine
rotation for the Baylor residents. Dr. Arthur
Weinberg at Children's Hospital agreed to take
our residents. We eventually sent our forensic
pathology residents to Feliks Gwozdz, MD, and to
the Fort Worth Medical Examiner system. We also
sent some residents to Fort Worth Children's
Hospital.
Because the pathology staff was heavily
involved in teaching at the Baylor Dental School,
for a period of time I was chairman of pathology
in the Baylor Dental College. I found that
teaching pathology to dental students is very
different from teaching it to medical students.
The dental students were far more interested in
the head and neck than in liver and kidney
disease. That, I thought, was kind of sad.
You asked how I kept in touch with the medical
school. With the commencement of the A. Webb
Roberts Center, Mr. Powell, Sr., talked to
Charles Sprague, MD, president of Southwestern at
the time, and both decided that continuing
education at both institutions should be directed
by George Race. That was a tremendous gift to me
because it automatically meant that I became an
associate dean at Southwestern, which gave me
tenured status. The appointments were officially
made on January 1, 1973. I knew a lot of people
at the medical school from the time I was in
pathology there. I later learned that Charlie
Sprague took my CV and passed it around at the
faculty council and said, We're going to
get George back to do continuing education and I
want to know if any of you have any objections to
this. We'll have to grant him tenure and figure
out how he can be in 2 places at once. He
apparently passed that CV around and I later
heard from 3 or 4 people secondhand, I
can't believe you did that many papers after you
left Southwestern. I had 100 or more
publications, including that big book, at that
time. Dr. Sprague appointed me associate dean and
professor of pathology, and Baylor made me the
dean of the A. Webb Roberts Center. I directed
them together. Every day, I was at both Baylor
and Southwestern, sometimes going back and forth
2 or 3 times a day. That was very strenuous, but
it was fun. CME just blossomed throughout North
Texas and rapidly became a major deal.
WCR: Here you were running a very busy
lab at Baylor, expanding it. You were involved in all these
committees with meetings that you had to attend. You had your
large family. How did you keep up your investigative endeavors?
GJR: The investigative endeavors ceased
during the publication of the book. I just
couldn't do any more. I turned over a lot of the
running of the Baylor labs to very competent
staff. This was an action I shouldn't have taken,
because in retrospect it created an unfortunate
rift in the pathology group. During 1979, 1980,
and 1981, I was working for Governor William P.
Clements as the chairman of the Higher Education
Committee to study all of the Texas schools of
higher education and make recommendations. That
project was fascinating but very time-consuming.
The Texas university systems, the A&M system,
the state system, the community college system,
and the Texas State Technical Institute system
were all competing. The committee included Rita
Clements; Charles Sprague; Norman Hackerman, the
president of Rice; Abner McCall, the chancellor
of Baylor; and Dan Williams, a University of
Texas regent. The people involved in that study
were absolutely spectacular. They made
recommendations that have since been followed for
the most part: grouping some of these schools
under the A&M system and increasing
collegiality between North Texas and Texas
Woman's University, whose administrations would
hardly speak to one another at that time but have
since instituted common libraries and common
payrolls and saved a lot of money. The same thing
happened in West Texas and in South Texas.
The other thing I did at Governor Clements'
request was to head the brucellosis campaign. At
that time brucellosis in cattle was a terrible
problem. The federal government policy was that
any animal that had a Rose-Bengal card test
positive for Brucelli antigens should be shot and
the farmer paid $40. That was not a popular
program. Nobody wanted to have their prize cows
shot for $40. There was a heated protest by the
cattle industry. Dealing with these crusty Texas
ranchers was fun but time-consuming. That
gradually took me more and more away from
pathology and from CME. However, neither Boone
Powell, Jr., at Baylor nor Charles Sprague at the
medical school objected to it because it was
dealing with the public policy of Texas. The only
people who objected to it were my partners in
pathology, because they thought I was spreading
myself too thin. I got out of pathology and went
forward in these other areas.
WCR: You have a lot of hobbies. Tell me
about some of your nonmedical interests.
GJR: I like animals. As a boy, I had a
horse, a goat, and a pig. I had a farm in North
Dallas that I later sold, and then I bought the
ranch in Lampasas. I got interested in raising
exotic deer. I now have herds of axis deer and
blackbuck antelope (Figure 12).
I've always liked to fly, ever since I was a
little boy and saw barnstormers land and take off
in pastures close to my grandmother's house. I
always thought that was grand. While at flight
surgeon school in 1949, I flew T-6s. I learned
much ophthalmology, more otolaryngology, more
high-altitude physiology (oxygen, hyperbaric
medicine) at the Randolph course. In Korea I flew
all the time (10 combat missions) and received an
Air Medal and an Army Commendation Medal,
sometimes evacuating the wounded and sometimes
taking care of major injuries in my tent. The
MASH hospital was started right next to my tent
on the Korean K-2 Airstrip. The laissez-faire,
unregulated operation produced good medicine but
terrible military. They established that fabulous
operation. They could move within 2 hours.
When I got back to Dallas I started flying
again and bought the Tripacer Piper aircraft and
commuted to Fort Worth. I sold the Tripacer
because, while filling out the log book after a
flight with the engine idling, I didn't notice
that one of my sons had gotten out the door and
was walking right toward the propeller. I managed
to kill the engine with a switch, and it stopped
just as he got there. I sat there in a cold
sweat. I could hardly get out of the airplane. I
never flew it again. I sold it where it sat. I
didn't fly for 10 years. Fred Wendorf, the
chairman of anthropology at SMU, was flying a
Cessna 182. He wanted to buy another 182 and knew
that I had a pilot's license. I went in halves
with him and started flying again. I eventually
bought him out and I've had an airplane ever
since. I got depressed in 1994 after I retired. I
thought my life was over. I sold my airplane and
gave away some of my guns. It was a mistake. I
sold a really good airplane, which I shouldn't
have done, and I've been sorry ever since. I
bought another one and flew it and then sold it.
I bought another one that turned out to be a dud.
I still have one, but it's not much of an
airplane. There's solitude when you're up there.
I can look at the crashing sea waves and the wild
animals on King Ranch or the Armstrong Ranch.
It's also easy to get from Redbird Airport to
Rockport in 2 hours and to South Padre Island in
3.
WCR: Do you fly now to your ranch?
GJR: I don't because I can't get this
current airplane fixed mechanically.
WCR: How many acres do you have in your
ranch?
GJR: About 3000.
WCR: How many animals do you have there?
GJR: I don't know, but I'd guess 200
blackbuck antelope, 50 axis deer, 25 Barsinger
deer, maybe 5 red deer, 5 sika deer, and I don't
know how many white fallow deer. I also have
about 25 scimitar oryx, those big old white
animals with big curved horns. They are
wonderful. I had some eland but found they were
hard to handle. I bought them as babies, but the
male grew into an 1800-lb animal. I was afraid of
him and got rid of them. I also have some
ostriches. I enjoy seeing the animals grow,
develop, and multiply. I like to photograph them.
The problem is that they proliferate so quickly
that now I have too many. Running the ranch plus
running the cattle and exotic animals on the
ranch with another man has become a 2-day-a-week
job. I own about 300 beef cows. My cow man and I
split the cost of feed and the sale of calves. I
furnish the land and he furnishes the labor.
I've done a lot of buying and selling of real
estate and I've tried to farm, but it is
impossible if you're not living on the place and
dealing with the US government. I disagreed with
the Department of Agriculture and its control of
land. I believe that the land ought to be run by
whoever owns it for the time they own it. The
environmentalists say you can't kill your
coyotes. I disagree: the coyotes are killing our
baby goats, our baby deer, our baby blackbuck.
All these counties have a coyote killer, a paid
hunter who works for the county. That's all the
man does, go around and set traps for coyotes.
You never hear anything about it from Greenpeace,
but they wouldn't like it. I forbid the hunters
to set any cyanide guns. They set up bait and
when the coyote eats it a dart gun goes off in
its throat and the dart is full of cyanide and
that's the end--too dangerous to use.
WCR: You are obviously a multifaceted man
with a lot of hobbies. You've spoken about flying and your
love of animals and your ranch. Would you discuss your love
of traveling and how that has altered your life?
GJR: I have always been curious. My
interest started in World War II. I was 14 or 15
years old and saw these places in the newspapers
and newsreels at the movie theaters. I determined
that I'd like to know about the Middle East, the
Ottoman Empire, Greece, Egypt, and the pharaohs.
I had this acute interest but no time and no
money. As a result, I started taking in an awful
lot of pictures. I had an old Argus C-3 camera
with a roll of Kodachrome film in it. Everywhere
I went I took pictures. I suspect that I've
probably got 12,000 Kodachromes from various
travels. I fell in love with seeing something new
and different when I first went to Baton Rouge
and New Orleans. East Texas and Louisiana were
very different from where I had grown up, with
all the trees, the moisture, and the green grass.
I always carried a camera with me and took
pictures of everything in sight. I was doing that
in the middle of the Korean War. I was saving my
film in my tent. Marguerita Higgins, a Time-Life
photographer, was there and she'd come in every
night with a bag full of exposed film. I said,
Don't you waste a lot of film? She
looked at me as if to say, How stupid can
you be? She said, I take every
picture of everything in all directions, unposed.
And then I send them to New York, and the next
time I see the picture it may be on the front of Time
or Life magazine. They pick out the good
stuff. It's only when I go back to New York that
I can sit down and look at all of the pictures
I've taken that weren't used. That was a
good point. Film is cheaper than travel expenses.
I learned early that if you're traveling, take
pictures right and left and throw the bad part of
it away. As a result, I've accumulated a lot of
film. It's been fun to do that.
One of the first things I wanted to do when I
had any money at all was to see London. In 1955,
Anne and I flew to London, went up to Coventry,
bought a TR2 sports car, and drove it all over
England, Scotland, Germany, Switzerland, and as
far as Naples in Italy. We brought it home along
with tons of pictures of France, the Riviera,
Paris, Rome, the great cities. We were just
enthralled with that. That whetted our appetite,
and within the next few years, we went to Greece
and the Greek islands. Later we took a trip with
all the children to Egypt--Luxor, Abu Simbel,
seeing the pyramids, Cairo, and photographing
everything. We went to Kenya and the Olduvai
Gorge to see the Leakey Man Australopithecus type
of people. We wanted to understand what the Great
Rift Valley was in the middle of Africa; how
Africa could have generated so many animals, so
many species of everything, including humans; and
what the migration routes of humans were up the
Nile and into and around the Mediterranean Sea.
Every chance I got we made a trip. We went to
Vienna and Berlin to see the opera. We also
traveled to New Zealand, Australia, Java, Hong
Kong, Japan, and Korea. Those were just wonderful
trips.
In more recent years, I went on a hiking trip
with Trammell Crow and some of his people to the
outbacks of China--Kunming, for example, which
was where the American volunteer group, The
Flying Tigers of World War II, was located while
protecting Burma and fighting the Japanese. We
also went to the Himalayas and the rest of those
mountains, where travel was nearly impossible. We
walked on paths that were no more than 18"
wide along the mountainside, with a 2000-ft drop
down into a gorge. You don't stumble there, and
you always lean in toward the inside. When we
entered this area I had to give up my passport,
which I didn't want to do in the middle of
nowhere in China. The Chinese Communist Army had
a good reason. They said, If you don't come
out of there, we'll come in and get you.
That area is not controlled by the Chinese
government; it's controlled by various tribes.
China has a number of internal ethnic tribes that
came out of Thailand or Vietnam and even one
Caucasian group, left over from Marco Polo with
Italian ancestry, that have maintained local
tribal areas under their own governments.
Trekking through the rice paddies was really
wonderful, and there's always a military highway
not too far away on the sides of the mountains.
My desire to travel came from an insatiable
curiosity. Having an interest in flying has
always made me follow military aviation. I have
hundreds of tapes of flying and bombing--World
War I, World War II, Korea, Vietnam, and Iraq. I
have a 16-mm film of the Korean War with strafing
and bombing. I'm leaning over the side taking
Kodachromes and 8-mm movie film. I was curious
about war. I determined that war was total
confusion. Mostly nobody knew what was going on.
There were a bunch of soldiers out there going in
a general direction supporting one another. The
actions may be planned razor sharp, but once
you're on the ground, you're on your own, doing
whatever you can do to defeat the enemy or keep
from getting killed yourself. That's a very
different look-see. One of my friends in Korea
said that he was having fun in this wonderful war
until he saw these little dustballs jumping
around his feet and realized somebody was
shooting at him. He said, Those people are
trying to kill me. It was a great
revelation; it changed my whole outlook.
I think those types of experiences are fun to
look back on, but they weren't fun at the time,
particularly the below-freezing weather. All the
roads were gravel and dusty. It would be snowing
at 16?F, and you'd be breathing in dust and snow
off the road. It was bitterly cold. The motor
pool mechanics would take a 55-gallon drum and
set it up as a stove and put a piece of pipe in
through a hole. They'd put a curl in the pipe,
connect the pipe to a gasoline drum outside, and
heat the pipes. The hot pipe would begin to
vaporize the gasoline and it would blow out a
beautiful well-heated flame into the barrel. Once
I got up next to it when it was red hot and
burned the whole back out of my only overcoat.
We had the 3 older boys and then 2 little
girls. They were the center of my life. One
daughter died of leukemia. That was very
traumatic. I would have liked to go into the
space program and was offered a position with the
air force as a major to head the pathology
laboratory and work with the aviation group in
San Antonio in 1958. I really couldn't see the
children being uprooted and moved. They had a
grandmother in Dallas and a grandmother in Fort
Worth. The children had Texas roots. I turned it
down. If I had been single, I would probably have
done that and gone on through flight training,
fighter pilot school, and maybe into the
astronaut program. I kept finding I had to turn
down things.
About that time, I saw some petechiae on my
daughter's back. I thought she must have really
hurt herself. Then she was getting petechiae
everywhere. She had rampant acute lymphocytic
leukemia, the type that goes wild in children.
Having been at the Brigham Hospital in Boston, I
knew Dr. Sidney Farber (Slick Sid)
who later started the Farber Cancer Institute and
Children's Hospital Cancer Center in Boston. I
knew Dr. Farber was starting to treat some of
those cases massively with drugs and radiation. I
also knew that there had never been a survivor of
leukemia of that type. Dr. Eugene Frenkel and all
the powers that be in Dallas all looked at her
and said, What do you want to do? We
decided to treat her as best we could here. She
got sicker and sicker and then died at home in
bed. I've always been sorry that I didn't take
her back to see Dr. Farber.
WCR: How old was she when she died?
GJR: She was 8 years old.
WCR: How long was she sick?
GJR: About 18 months. She got one good
remission out of it with drugs, and we took a
nice trip with all of the children to Mexico to
see the pyramids at Teotihuacan, Monte Alb?n,
Uxmal, and Chichen Itza and all those fantastic
archeological sites.
Elizabeth, our younger daughter, is now a
physician on the faculty at Parkland. She spent 4
years in Boston and has been back in Dallas for
about 3 years now. She said that she felt guilty
for a long time about her sister. Later, in
Boston, she saw some of those surviving early
patients from the Farber Cancer Center treated
for leukemia. At that time they were basically
35-year-old dwarfs, deformed, without secondary
sex characteristics, very odd-looking people. She
said she quit feeling guilty about her sister's
not surviving. That was very painful to all of
us. Each son thought he might have done something
that had caused her leukemia, like hitting her in
the stomach. Our younger daughter assigned a
guilt to herself for being the survivor when her
sister died. I don't understand the
psychodynamics of that. That was a sad day for
our family.
We kept on going and traveling and taking
pictures. I wanted the kids to have a pony. I
bought a little piece of land in the North
Garland/Richardson area for $250 an acre. Anne's
big rancher cousins in DeKalb said, What do
you want that old worn-out North Texas farm for?
That's no good for anything. I wanted it
because it had an old house we could fix up; we
could camp out and keep a horse. Of course, his
idea was that it was no good as farm land. I
wanted a place for a pony. As it turned out, we
bought some more land, and it was a great
investment. The land went from $250 to $20,000 an
acre. I wished I had bought more. I tried to get
all my friends to come in with me, but none of
them did. I essentially traded 1 acre in
Garland/Richardson for 20 acres in Lampasas
County. Pricewise it was about a 20-to-1 trade. I
ended up with a nice ranch in Lampasas County,
northwest of Austin, southwest of Waco, in the
Hill Country. I go down there every week. That's
where I have all the animals.
WCR: When was that?
GJR: It was about 1983 when I moved out
of the north Garland/Richardson property and
established a ranch at Lampasas.
That trip to Egypt, Nairobi, and Kenya got me
interested in anthropology, and I started taking
courses at SMU in anthropology with Dr. Fred
Wendorf. He was a boy from Terrell who was
bright. In World War II his left hand was shot
up. He ended up in Boston being taken care of by
Dr. Henry Beecher of Massachusetts General fame
as a surgeon and anesthesiologist. At the same
time, he was going to Harvard and obtained a PhD
in anthropology. Fred is the only faculty member
of SMU who is a member of the National Academy of
Sciences. We jointly wrote some papers. Fred was
studying Egyptian prehistory archeology before
the Aswan Dam was flooded as part of a consortium
of European and American archeologists. He was
the director of this consortium, and his friend
was the Egyptian director. He's gone back every
year. Two years ago I went with my daughter
Elizabeth and the registry museum people at his
suggestion, and we examined some burials in the
desert. These were common people burials, not
tomb burials. Common people, when they died, were
taken away from the river and buried in the dry
Egyptian sand.
Also, I went to evening law school at SMU for
a year, where I learned about contracts, torts,
legislation, and government. That knowledge has
been very valuable. It makes me a lot less afraid
of lawyers and a lot more able to cope with
signing contracts. I was interested in that. I
did not like the law with all its confrontational
argument about every case. My idea was the
medical one: let's get all the information we can
and put it together and see if it makes sense.
I'm more of a builder, scientist, and organizer
than I am a confrontational adversary, in spite
of the fact that because of my size and gruff
voice people think I'm very harsh.
WCR: George, let me ask you about your
family. You and Anne had 5 children. You mentioned the unfortunate
leukemia in one of your daughters. That left you 4 children.
I understand that all of them became physicians. Both you
and Anne must have had an enormous impact on them. What did
you try to instill in your children?
GJR: The number one thing we tried to
instill was to paddle your own canoe,
be honest, and think for yourself. The idea is
that you are on the mountaintop by yourself and
you have to survive. What are you going to do?
Make your own decisions. One reason the children
went into medicine was that they heard us talking
about it. Anne and I were probably always talking
about interesting medical cases or things that
happened that were fun. I think that the osmosis
to the kids was that a) medicine is interesting,
and b) you can make a good living at it and it is
a worthwhile endeavor. Three of them went to The
University of Texas Medical School at Galveston
and one went to The University of Texas at
Houston. They've all done well (Figure 13).
The oldest, Bill, went through a psychiatry
residency in Dallas at Timberlawn and practices
in Austin. He has now gone into administrative
medicine and is the executive vice president of
the medical staff at St. David's Hospital in
Austin. Clark, our second son, is an orthopaedist
in Austin. He trained in orthopaedics at
Parkland. The third one, Mark, went through the
physical medicine rehabilitation program in San
Antonio at a time when there weren't many
physical medicine and rehabilitation doctors. He
went to Tyler as the only person in that
specialty there. He then became the medical
director for the Texas Rehabilitation Commission
in Austin. For about 18 months he traveled all
over the state looking at all the rehabilitation
projects, but he preferred practice. His wife,
Deborah, is an attorney in Tyler and she didn't
like his traveling back and forth. He went back
to Jacksonville (near Tyler), where he practices.
WCR: What does your daughter do now?
GJR: Elizabeth is a clinical assistant
professor of internal medicine at Southwestern.
She is in the infectious diseases section. She
had her undergraduate education at Stanford and
then went to England for a year and jointly
authored some good research papers, which helped
her be admitted to medical school. After her
residency in internal medicine at Parkland she
went to Boston and did 2 years of fellowship in
infectious disease, had 2 years of public health,
and ended up coming back to Southwestern and
Parkland with a master's degree from Harvard in
public health and a master's of science.
WCR: All your children are married?
GJR: Yes. Bill's wife, Randy (Elizabeth
Randolph), is an interior designer. Clark's wife,
Annie (Anne Morris), is a registered nurse.
Mark's wife, Deborah (Johnson), is an attorney.
Elizabeth's husband, Estil (Estil Vance III), is
an internist.
WCR: How many grandchildren do you have?
GJR: Eight and 2 great-granddaughters.
Bill and Randy have 3 sons: Josh, who's at
Stanford Law School; Eric, who's at Emerson
College in Boston; and Ryan, who's at Worcester
College. Clark and Annie have 5 children: Gray,
who married Page and has a daughter, Addie, in
Austin; Berkley, who married Jay Dyer and has a
daughter, Jane-Perry, in Austin; Chandler, who's
at The University of Texas at Austin; Brandon,
who's at the Citadel in Charleston; and McKinley,
who's at St. Stephen's School in Austin.
WCR: Do you ever sleep?
GJR: I frequently stay up at night but
usually go to bed at 11 or 12. I can go 3 or 4
nights with fairly little sleep and then I have
to sleep. My normal sleep requirement is 8 hours
to really feel good.
WCR: Do you read a lot?
GJR: I do not read a lot; I'm more of a
visual person. I enjoy the History Channel. I see
a lot of documentary films. One reason I like
surgical pathology is that I like looking at
tissues and making the diagnosis with the visual
connection--swimming in the
microscope, so to speak. That's been a
great deal of my fun. I never liked
administration, although I've done a lot of it. I
get my kick out of looking at the slides and not
out of arguing for a new piece of equipment for
the chemistry lab. I did that huge book on
laboratory medicine, but I wouldn't do it again.
That's too much work and not that rewarding.
WCR: Do you have any regrets? Are you glad
you spent most of your career professionally at Baylor versus
the medical school? You had many options and I understand
that you were offered the chairmanship of at least one medical
school pathology department.
GJR: I am glad to have spent my career
at both Baylor and Southwestern (30 years at
Baylor and 21 years at UT Southwestern Medical
School). I was offered and accepted the
chairmanship of the department of pathology at
Oklahoma and then ended up not going. I realized
I had more residents, more departmental backing,
more department money, and more personal money at
Baylor than I would have had at OU. I interviewed
for the University of Tennessee chairman's job
one time. I've been offered nonchairman jobs at
Kansas, Georgia, Duke, and Harvard. The
attraction of Dallas was that Anne's parents were
here; my parents were here; and there was a root
of culture in the Southwest that we both wanted
to maintain and to instill in the children. We
are rooted to this area geographically because of
our past ties. I came up in the departments of
pathology at Duke and at Harvard. After that one
is supposed to become chairman, particularly at
Duke. I really felt guilty about that, when I
left that year to go to Florida to get out of
debt.
WCR: What year were you offered the chairmanship
of pathology at the University of Oklahoma?
GJR: 1964.
WCR: It looks like your capacity for friendship
is very good. You have a lot of friends around Dallas.
GJR: I like doctors. My
other-than-doctor friends are few, but they
mostly have come to be my friends through Anne's
being friends with their wives or having gone to
school with them. Also, living here in the Park
Cities for 35 years allowed contact with certain
people, and friendships resulted. My friends are
mostly in the medical field. Jack Edwards, Jack
Grammer, James Holman, Bryan Williams, and I were
in school together. Jack Hyland, Herb Steinbach,
and I were at Baylor with John Denman, Jesse
Thompson, and Shields Livingston. Fred Wendorf
and Frank Sogandares and I were at SMU together.
Those are long-term associations that I cherish.
Most of the friendships with couples have been
Anne's friendships, and I go along. Yes, I've had
some very good friends, some from high school,
and particularly from medical school. I want to
recognize and cherish my greater teachers and
mentors, including Tinsley Harrison, Carl Moyer,
George Caldwell, Jim Gill, Wiley Forbus, Gus
Dammin, Arthur Hertig, and lastly Boone Powell,
Sr.
WCR: George, I want to thank you not only
for myself, but on behalf of the readers of the journal which
you started, namely Baylor University
Medical Center Proceedings. It's really been a pleasure
to get to know you and Baylor and this community better through
your stories.
GJR: Thank you.
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