Remembering a great physician, teacher, and leader

January 13th, 2012

The KU School of Medicine–Wichita and the local medical community lost a great man and physician recently. Dr. Ernest Crow passed away Dec. 26, just shy of his 92nd birthday.

Dr. Crow was one of a core group of physicians who founded the KU School of Medicine–Wichita in 1973. That was quite a challenge to establish a campus here. He also stepped up to serve as the school’s first chair of Internal Medicine and was on the faculty from 1988 to 1998.  

I was privileged to know Dr. Crow. He was a kind gentleman and gifted physician and teacher devoted to the medical school. He was the personification of medicine for this community during his time as a practicing physician. He was a mentor to many students and set a wonderful example of what it means to be a physician. I know many people will attend his memorial service this Saturday at 3 p.m. at University Congregational Church.

Born and raised in Wichita, Dr. Crow was well known and respected. Those qualities made him invaluable in starting the Internal Medicine department. Those who met him appreciated his caring attitude and genuine concern for others. He was an extremely smart cardiologist, a great teacher, and he received the Alumnus of the Year award from the KUMC Alumni Association in 1985.

As Jon Rosell, PhD, executive director of the Medical Society of Sedgwick County, told the Wichita Eagle this week, Dr. Crow was “a very competent physician and well respected among his peers and patients.”

I couldn’t agree more. Dr. Crow will be missed.

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India trip a success

January 11th, 2012

2012 is off to a great start.

I recently returned from a 10-day trip to India where my colleagues – Drs. Paul Harrison, Melissa Gaines, and Sylvia Orozco-Do – and I visited the medical school in Dehradun and participated in a medical symposium.

We went, in part, to develop an exchange program, where some of our students could go over there for a month and some of their students could come here, and get the signatures to start the process. Many medical students study and practice abroad for a month in their fourth year, experiencing places like Haiti, South America, and Africa. The Shri Guru Ram Rai Institute of Medical and Health Sciences will give our students another option.

While I was there, I inspected the quarters where our students would stay. There are no color TVs, no novels on the shelves to be read. But, they’re only going for a month and they’re going to learn a lot!

Dr. Harrison and I also went to the 700-bed hospital across the street. The medicine, surgery, and neurosurgery wards were filled with patients, an environment that will be extremely beneficial to our students.

My trip wasn’t all work though. We also visited a village called Mussoorie (3,000 feet above Dehradun and I got a little sick on the way back down from all of the hairpin turns in the road), saw the Taj Mahal for one day (it was my third time but I’m still amazed by it), and spent two nights in Kathmandu, Nepal.

The trip was pretty fantastic. The Indian people were most gracious. Everybody signed all of the documents we needed for the exchange program, and I brought them back to send to the medical center in Kansas City. It would be a terrific experience for students to see medical practice in India, see many conditions that would be rare here, and observe a different and ancient culture.

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Ending the year with a trip to India

December 14th, 2011

Back in the ‘90s, I went on several trips to Turkmenistan to teach pediatric infectious disease and help develop health care trainers. I witnessed diseases, treatments, and conditions I simply couldn’t have experienced at home. And I came away with a real appreciation for what we have here in the U.S. 

Many of our medical students go on an international rotation in their fourth year, travelling to countries like Vietnam, Mexico, and South Africa. While some already go to India individually, I’m headed to Dehradun, India, with some of my colleagues where we’ll be presenting at a symposium and exploring their medical school (Shri Guru Ram Rai Institute of Medical and Health Sciences) in an effort to develop an exchange program.

As I close out 2011 …
I continue to be excited about further developing our curriculum and expanding the opportunities we give our students in Wichita.

I’m thankful for the opportunity to serve as Dean of the KU School of Medicine-Wichita.

And I’m grateful for the team we have in place, our students, and our supporters.

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In honor of National Rural Health Day

November 17th, 2011

Today, we honor the physicians and caregivers in rural America with the first National Rural Health Day.

Here on the Wichita Campus, we’re committed to educating doctors for Kansas, including rural Kansas. Back in August I wrote about a trip I took to Northwestern Kansas when I visited clinics and hospitals as well as talked with physicians, hospital leaders, and legislators. These happy physicians are filling a vital need and are greatly appreciated in their communities. The lifestyle suits them. The pay is good. And many talk about the opportunities they get to practice in a variety of areas and interests. 

Last month, I traveled to Medicine Lodge, Liberal, Garden City, Scott City, Ness City, and Great Bend, visiting clinics and hospitals and meeting with physicians, nurses, hospital leaders, board members, and legislators. And once again, I met some very happy, proud people who are glad to be practicing in rural Kansas. My thanks to my many hosts who spent time with me.

I want to share one story in particular from that trip that really stuck with me. Dr. Ransom, a surgeon, told me about how he came to practice in Medicine Lodge. From Michigan, Dr. Ransom was contacted by a recruiter about the opportunity in Medicine Lodge. Even though he already had his mind made up to stay and practice in Michigan, he remembered he could get time off from his residency to look at opportunities and accepted the invitation to visit. He and his fiancé requested to take the rental car out for a drive to look around. After driving awhile, Dr. Ransom pulled over to check out the car thinking surely he had a flat tire or there was some other problem. Why? Because friendly Kansans kept waving at him. He took the job and has been taking care of Kansans ever since.

Our thanks to those who are caring for Rural Kansans.

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Health Care Heroes awards recognize Wichita Campus alums and faculty

September 28th, 2011

I’ve always known that Wichita has terrific faculty, staff, students, and residents. And once again, the Wichita Business Journal has recognized several of them with several “Health Care Heroes” awards.

For example, all of the students I’ve spoken with who have rotated with breast cancer surgeon Dr. Terri Cusick say the same thing: she’s involved and engaged with their education and creates a surgical environment that, while stressful at times, fosters learning.

Dr. Barry Bloom, Pediatrics chair and a neonatologist, has challenged people across the country in process improvement and how medical care and patient outcomes can be improved.
 
While most of the awards recognize individuals, our own Wichita Center for Graduate Medical Education (WCGME) was recognized as an educator. All of the winners were recognized at an event Sept. 22 and are featured in the Wichita Business Journal.

Congratulations to all of the winners, especially those from KU Wichita listed here!

KU Wichita Honorees
Lifetime Achievement
Dr. Frederic Chang

Physicians
Dr. Alex Ammar, Wichita Surgical Specialists, PA; KU School of Medicine–Wichita Surgery professor and Chair
Dr. Barry Bloom, Department of Neonatology at Wesley Medical Center; KU School of Medicine–Wichita Pediatrics professor and Chair
Dr. Mark Stovak, Via Christi Health, KU School of Medicine–Wichita resident alum and volunteer faculty
Dr. Francie Ekengren, chief medical officer, Wesley Medical Center, KU School of Medicine–Wichita student and resident alum and volunteer faculty

Health Care Educators
Dr. Terri Cusick, Wichita Surgical Specialists, PA; KU School of Medicine–Wichita clinical assistant professor
Wichita Center for Graduate Medical Education
Dr. David Netherton, Primary Care Associates, KU School of Medicine–Wichita volunteer faculty
Health Care Simulation Training Team

Health Care Innovations
Dr. Phillip Harris, Via Christi Clinic; KU School of Medicine–Wichita volunteer faculty
Dr. Patty Tenofsky, Via Christi Clinic, KU School of Medicine–Wichita student and resident alum and volunteer faculty
Dr. Josh Umbehr, Atlas MD, KU School of Medicine–Wichita resident alum

Health Care Volunteers
Dr. Stanley Capper, Via Christi Clinic, KU School of Medicine–Wichita volunteer faculty

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What I learned this summer

August 27th, 2011

The best way to get to know and understand Kansas and its health care needs is to go out into it and experience it. So, that’s what I did this summer.

Late in the spring I went to Anthony, Dodge City, Kinsley, and Greensburg to visit hospitals and talk with physicians.

This past summer, I toured Hays, Plainville, Stockton, Phillipsburg, Norton, Belleville, Concordia, and Minneapolis, meeting with hospital and clinic administrators, physicians and other health care practitioners, board members, and legislators. I was able to meet with Fort Hays State University President Edward Hammonds and had a terrific conversation. Along the way, I saw beautiful country, and I met a lot of nice people.

Hays
I toured HaysMed and met some of the happiest physicians I have ever seen in my life. A beautiful facility, the physicians were thankful to have state-of-the-art equipment and topnotch care teams.

We talked about medical education and how it’s evolved. Today’s students learn material based on systems and participate in problem-based learning. I’m planning to move to a patient-centered model in Wichita in the next couple of years utilizing small groups and physician leaders.

Dean Wilson visited Hays Medical Center, to learn about what’s happening in their community and what they need from us the medical school. Myron Applequist, Director of Medical Staff Development, provided a tour of the facility and introduced Dean Wilson to physicians.

Dean Wilson visited Hays Medical Center, to learn about what’s happening in their community and what they need from us the medical school. Myron Applequist, Director of Medical Staff Development, provided a tour of the facility and introduced Dean Wilson to physicians.

Starting in the first week of medical school, students will receive a case they’ll study throughout the week along with lectures on biomedical sciences. On Friday, they’ll meet the patient or a similar patient and his or her physician to learn more and ask questions. They’ll learn what it felt like to receive the diagnosis, what the costs were, and about their personal challenges. In addition to learning specific material while problem solving, they’ll go deeper into caring for their patients. And as most of us know, when you have to teach something, you learn it better. In the small groups, they all have to look up answers and teach the others in their groups with the guidance of a faculty member.

It’s a model we developed in North Dakota when I was dean and one that was adopted by Mayo Medical School and is spreading across the country where there are smaller class sizes like in Wichita. The students enjoy learning a lot more, they do extremely well on their tests, and when they begin their hands-on, clinical training in the third year, they hit the ground running.

A 1981 graduate of KU School of Medicine, the patient-centered approach really resonated with CEO Dr. John Jeter, who was very supportive of the approach and the skills students would gain with the new education model.

Dean Wilson started his busy day by meeting with Representative Eber Phelps and Senator Allen Schmidt in Hays.

Dean Wilson started his busy day by meeting with Representative Eber Phelps and Senator Allen Schmidt in Hays.

 I had breakfast with Kansas Rep. Eber Phelps and Senator Allen Schmidt at Pheasant Run in Hays to give them an update on our expansion in Wichita. They both talked about the need for more doctors in their areas and were very supportive of the expansion in Wichita. When I talked about our plans to develop a Regional Simulation Center in Wichita, Senator Schmidt offered military contacts he has in Washington, DC, who might be interested in a partnership with McConnell Air Force Base in Wichita and passed that on to Dr. Paul Uhlig who is leading that effort. Who knows? It might just work.

Plainville
At our next stop, we visited Rooks County Medical Center, a beautiful, new facility. Representative Dan Collins joined Jen Brull, MD; Daniel Sanchez, MD; Mike Oller, MD; and Beth Loney, MD.

A highlight of my travels, Dr. Oller and Dr. Loney had just graduated from their residencies in Family Medicine in Wichita and were recently married. They’ll begin practicing in Plainville before they move into their new $1 million clinic that’s being built up the road in Stockton.
Dr. Loney shared that on the drive to our meeting her husband had turned to her and said, “We’re doing it. We’re living the dream.”
It just doesn’t get any better than that.

Before leaving Plainville to head to Phillipsburg, Dean Wilson gathered with his hosts (left to right) Dr. Beth Loney, KU School of Medicine-Wichita resident alum; Dr. Mike Oller, KU School of Medicine-Wichita resident alum; Dr. Jennifer Brull, volunteer faculty; Dr. Daniel Sanchez, volunteer faculty; and Representative Dan Collins.

Before leaving Plainville to head to Phillipsburg, Dean Wilson gathered with his hosts (left to right) Dr. Beth Loney, KU School of Medicine-Wichita resident alum; Dr. Mike Oller, KU School of Medicine-Wichita resident alum; Dr. Jennifer Brull, volunteer faculty; Dr. Daniel Sanchez, volunteer faculty; and Representative Dan Collins.

Dr. Loney first worked with Dr. Brull the summer between her first and second years of medical school and knew right away she wanted a rural practice. She helped deliver babies, stitched up cuts, and more in the early years of medical school under Dr. Brull’s and Dr. Sanchez’s supervision. She liked getting to “do it all,” the lifestyle, and the people.

In a kind of neat repeat of history, it was working with Dr. Sanchez during medical school that brought Dr. Brull to Plainville.

A Hays native, Dr. Oller didn’t know what he wanted to do. When he learned he could do lots of different things in a rural practice and fell in love with Dr. Beth Loney in medical school, things fell into place. Soon they’ll be able to walk to work, something to which they both look forward.

I’m happy for all of them and their communities and proud that KU School of Medicine played a part in helping them get there.

As I talked with the four physicians and Representative Collins, I saw their support for our expansion and the hands-on education we offer in Wichita. And they confirmed what I already knew, that we’re on the right track in Wichita. It still was great to hear it out in the field from physicians who have been practicing awhile as well as from some who had just finished their residency training.

Phillipsburg
Next stop was Phillipsburg’s Phillips County Medical Center. PA Jennifer Hammons has been working at the center for five years now alongside various physicians. Most recently, she’s been partnered with Ben Stephenson, MD, who is serving as a locum tenens (temporary) physician while they recruit for a couple of new physicians.

At Phillips County Medical Clinic in Phillipsburg Dean Wilson met with medical staff to discuss the medical needs of the county.

At Phillips County Medical Clinic in Phillipsburg Dean Wilson met with medical staff to discuss the medical needs of the county.

 The administration and board expressed frustration at recruiting to a rural area. As I heard throughout my travels, they talked about the importance of truly rural rotations to expose medical students early on to just how rich a practice can be in a rural setting.

Dr. Stephenson, a fairly recent graduate of KU School of Medicine, was practically salivating when I told him about our plans to move our curriculum to a patient-centered model – another powerful endorsement.

I’m sure Phillipsburg will find a match soon, and I’ll gladly recommend the facility and people.

Norton
Then we were off to Norton. I was surprised by how large it was and impressed with the new clinic they’ve built attached to the hospital. Clinic administrator Amy Griffey gave us a tour of the offices, and showed us how they designed just what they wanted in order to maintain privacy and efficiency while delivering great care. I would have loved to have practiced in that environment.

Senator Ralph Ostmeyer and Rich Miller, with Norton Medical Clinic, joined Dean Wilson and others for dinner following their meeting.

Senator Ralph Ostmeyer and Rich Miller, with Norton Medical Clinic, joined Dean Wilson and others for dinner following their meeting.

Busy finishing up their day, the physicians, nurses, and admin-istrators joined us, Rep. Ralph Ostmeyer, and several board members for a meeting and dinner. Again, they seemed very happy – a consistent thread in the rural practices.

Dr. Martin Griffey had been a med tech before going to medical school at KU, knowing he would return to Norton to practice. He took the initiative to go the extra mile to learn procedures the community needed, such as doing colonoscopies and reading echocardiograms.

A passionate family medicine doctor, Dr. Griffey also feels strongly that it’s important to get the medical students out to truly rural practices on their required rural rotations so they can experience firsthand what it’s like.

Belleville
Then we were off to Belleville that evening, driving through some of the most beautiful farmland I’ve seen in Kansas. Of course, it helped that they’ve had a lot of rain up north this year. Still, it was absolutely beautifully.

Dean Wilson visited Republic County Hospital in Belleville where he met with physicians and hospital administration.

Dean Wilson visited Republic County Hospital in Belleville where he met with physicians and hospital administration.

 On my last day out this trip, we started at the Republic County Hospital in Belleville up by the Nebraska border. Dr. Cayle Goertzen met Dr. Nolan Beavers in medical school and chose to join him in Belleville.

Both are passionate about practicing in a rural setting and expressed a lot of appreciation for the many opportunities they have to do procedures outside of what’s typically done by family medicine doctors in a more urban setting.

Our time ended when the two physicians had to leave to do a lap hysterectomy. Proof of what they’d been saying.

And once again, I left happy to recommend the facility and people.

Concordia
On the way to meet with physicians, hospital administrators, and board members in Minneapolis at the Ottawa County Medical Center, we stopped in Concordia to meet with Representative Elaine Bowers. A most gracious and thoughtful businesswoman, the state’s very lucky to have her in office. She listened carefully about our expansion in Wichita and about how medical education is evoloving. She asked smart questions and expressed her support.

On his way from Belleville to Minneapolis, Dean Wilson stopped in Concordia to meet with Representative Elaine Bowers.

On his way from Belleville to Minneapolis, Dean Wilson stopped in Concordia to meet with Representative Elaine Bowers.

Minneapolis
In Minneapolis, Administrator Eric Easey hosted us with a large group of physicians, health care providers, administrators, and board members.

Dean Wilson met with Dr. Kelly Yoxall; Dr. Bruce Labes; and Dr. Trent VanEatonat the Ottawa County Health Center in Minneapolis.

Dean Wilson met with Dr. Kelly Yoxall; Dr. Bruce Labes; and Dr. Trent VanEatonat the Ottawa County Health Center in Minneapolis.

 Three of their physicians – Dr. Bruce Labes, Dr. Kelly Yoxall, and Dr. Trent VanEaton – attended and endorsed both the expansion in Wichita as well as the idea of patient-centered learning.

When asked what drew him to Minneapolis to practice, Dr. VanEaton pointed to his uncle – Dr. Yoxall – and mentioned the quail hunting.
That works, too.

I’ll go again in October
Everywhere I went, I heard support for patient-centered learning and the expansion in Wichita. I met with smart, engaged legislators who care about their constituents and want good health care accessible in their communities. And they all support what we’re doing in Wichita.
Along the way, I had great food at Gella’s in Hays, enjoyed shopping at the very unique CS Posts in Hays, had a nice dinner from Destination Kitchen in Norton, and visited the Feathered Nest in Belleville.

The consistent message from physicians was if medical students would just come out to truly rural settings and see what it’s about, we’d have more choosing to do primary care in rural settings.

And I met some of the nicest, happiest people in rural Kansas.

I kept saying, “We need to do more of this. This is good.” So, Medicine Lodge, Garden City, Tribune, and more, I’ll see you in October.

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Time is flying by

August 16th, 2011

Just over two years ago, I arrived in Wichita and the push was on to expand to a full, four-year campus in Wichita. Three weeks ago, our first class of first-year medical students arrived in Wichita. And from what I can tell, everything is going smoothly. My thanks to everyone involved for making it happen so quickly and for all the hard work. And to our eight new students, welcome and good luck! 

This week, I’m off to western and northern Kansas to meet with physicians, hospital administrators, and legislators in Hays, Plainville, Phillipsburg, Norton, Belleville, and Minneapolis. I’m looking forward to learning about what’s happening in their communities and what they’re needing from us as a medical school. I may even have time to check out a few sites along the way.

Kristie Eubanks, our director of Public Affairs, will be traveling with me and has told me she plans to have photos of the trip posted on our Facebook page if you’d like to follow along: facebook.com/KUSchoolofMedicineWichita. You can also check out photos of our new first-year students on our Facebook page.

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Inspired by our students

June 29th, 2011

It’s always inspiring to see soon-to-be doctors so energized and enthusiastic about the practice of medicine. And, it’s equally exciting to watch someone change her career path because she’s so passionate about becoming a physician. 

Auburn Weber, who works in Rural Health Education and Services here on the Wichita Campus, has always dreamed of becoming a doctor. She’s gone back to school to study pre-med so she can soon apply for medical school.

She’s jumped into the process and has spent her Saturdays the past several months volunteering at the JayDoc Community Clinic, where our medical students work with other volunteers, including physicians who oversee their work, to care for the community uninsured and underserved on Saturdays. Auburn has even created her own blog to share her experiences at the clinic and her road to becoming a physician. Click here to read her blog.

As for current students in Wichita, we once again welcomed a new group of 3rd-year medical students. It’s our largest 3rd-year class ever – 63 students!

On Wednesday night, we had our annual welcome picnic at Eberly Farm, complete with personalized gifts for every student courtesy of the Deans Club. It’s a wonderful chance to spend time with the students and their families, as well as to learn about each one of them. Other highlights from their first week here included knot tying and suturing, where some of the students became rather competitive as you’ll see in some of the photos, and the traditional white coat ceremony with Dr. George Lucas as our guest speaker. Dr. Lucas did an excellent job elucidating the responsibilities of being a physician. Photos from the picnic, the suturing and knot-tying training, as well as white coat can be found on our Facebook page.

New students still to come this summer in Wichita: School of Pharmacy, Master of Public Health, and our first class of freshmen medical students.

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“Friends,” “Likes,” and “Fans,” oh my!

June 24th, 2011

I’ll admit it, I’m new to this terminology and the world of Facebook, but I’m learning and I’m happy to let you know KU School of Medicine–Wichita now has a fan page to help people stay even more connected to the Wichita Campus. Visit Facebook.com/KUSchoolofMedicineWichita. The first year of medical school includes anatomy and by “Like”-ing our page, you’ll help provide Wichita’s first class of freshmen medical students with a bonus skeleton model to enhance their education. Our 4-Wichita Advancement Board graciously pledged $1 for every person who “Likes” our page, up to $1,000, for the purchase. We’re hoping for 1,000 fans in time to have the new skeleton here for Halloween.

On a similar but different note: Have any of you ever heard of Flat Stanley? School children pass around Flat Stanley and learn about his adventures through photos, letters, and journals. To showcase the Wichita Campus’ community-based roots and our hands-on education, Flat JayDoc – appropriately named – will travel with our students, residents, and faculty who will post photos with Flat JayDoc along with captions on our Facebook page. 

Handing off our first Flay JayDoc to Dr. Moser (right).

Handing off our first Flay JayDoc to Dr. Moser (left).

I started Flat JayDoc’s adventures with Dr. Scott Moser of Family & Community Medicine (see the picture to the right). Dr. Moser had five days to take a picture with Flat JayDoc, get his photo posted, and pass it on to another faculty member. His picture is already posted to the Facebook page so check it out. Also, at last night’s welcome picnic at Eberly Farm for the new 3rd-year students, I handed off Flat JayDoc to 3rd-year student Chuck Coffey. I will be interested to see what Chuck comes up with.

As a physician, professor, and administrator, I know what medical school and residency are like. But for those who aren’t doctors or have gone through one of the Wichita programs, Flat JayDoc will be a great way to see what it’s like to be at the KU School of Medicine-Wichita through their eyes.

 So, please “Like” our Facebook page and tell your friends. See, I’m learning.

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Make us proud, graduates

May 25th, 2011

This is a very special time of year at the KU School of Medicine. 

Medical school graduation was this past weekend and as I tell people, next to your marriage and the birth of your children, it’s probably the most important day in a doctor’s life.

I attended the hooding ceremony for medical students Saturday in Lawrence as well as the Master of Public Health and Master of Science in Clinical Research ceremonies in Kansas City earlier that day. Graduation is a tradition I look forward to every year.

Once again, Dr. Atkinson and I took turns hooding the students, and it always makes me think back to my own hooding ceremony. I had walking pneumonia, but I was going to be there no matter what. So even though I didn’t feel very well and I think I had a fever at the time, by golly, I was there to get my hood. It’s such a significant event, I couldn’t miss it.

Congratulations to all of our graduates. To them, I say: “I’m very proud of you and the skills you’ve learned. Go out and make the University of Kansas proud!”

And congratulations to all of the families who supported our students. To them, I say: “Medical school is hard. You are very important in providing a support system to our students.”

With graduation behind us,  I’m now looking forward to welcoming our new class of third years, each of whom will arrive in the next few weeks, and then our first class of freshmen medical students the end of July. The cycle continues.

Associate Dean for Administration Graduates to Retirement
For more than 32 years, Jan Arbuckle has served the medical school, most recently as associate dean for administration. She’s been the glue between the campuses, five deans, many department chairs, professors, and staff. Jan has been a very stable aspect of this campus, so we owe her a great deal of gratitude for her years of service and leadership as she begins her retirement.

This past Monday we celebrated her service with a reception here at the school. Unfortunately, I was unable to attend due to a funeral out of state. Past Deans Joseph Meek and S. Edwards Dismuke were kind enough to host the event. 

Many thanks to Jan for all 32 years of service, and especially for the last two. I wish you all good things in your retirement.

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