Personal Data

 

Current Mailing Address                             

John S. Warner

4428 Sheppard Place

Nashville TN,  37205

 

Email: john.warner@vanderbilt.edu

 

Present Activity Status: Retired          

 

Tell us about your community activities: Throughout the years when I was 35 to 55, I was too busy in clinical practice to devote much time to community actions –I held a few positions such as serving on the local Red Cross Board, the MS Board, etc – My wife was the active community leader – head of the boards of the private elementary school and the girl’s prep school, the main fund raising organization of Vanderbilt Medical School, mayor of our suburban city, to name a few

 

Family Status: Married     Children  3  (2 doctors,1 lawyer)    Grandchildren   6

 

Professional Experience

What path has your career taken since your residency?  Include military service, private practice, academic career, teaching and research accomplishments.

 

Finished residency 1961; from 1961-1963 was the only fully trained neurologist at U.S. Naval Hospital, Portsmouth, Virginia: from 1963-1965 was “instructor” at Duke; from 1965-1987 was in solo private practice in Nashville; in these years did part time volunteer teaching at Vanderbilt University School of Medicine, rising to Clinical Professor of Neurology;  In 1974 was the founder and first president of the Southern Clinical Neurology Society, and organization that holds an annual January meeting and has maintained a membership of about 175 physicians  who are neurologist  in practice or academic positions.  In 1987 moved to Vanderbilt as Professor of Neurology and director of the outpatient neuro clinics – about 1990 started the Vanderbilt Headache Clinic – by about 1992 restricted my clinical practice to headache patients - Wrote multiple articles on headache -Stopped seeing patients in 2001 and since have been Professor Emeritus of Neurology - I still give some of the headache lectures to the third year students and write occasional articles for medical journals.

 

 

Residency Recollections

We are interested in anecdotes and experiences from your residency years.  Include interactions among fellow residents and teaching staff.

 

At the time, the service was small which allowed close contact with the faculty Fernando, Early Nelson,Tony Ianone, Frank Morrel , John Logothetus, having lunch with them almost daily at the University Club and often being a guest in their homes

A highlight of my training was being the only neuro resident (there were no neurosurgical residents and no full time neuro faculty) at the Minneapolis General for 9 months – I recall diagnosing 3 subdural hematomas on one day.  I remember seeing a patient of Abe Baker’s in the first 6 months when Abe was attending – the patient died without a diagnosis - an autopsy was performed – I have forgotten the diagnosis – In the last 2 months of my residency, while rotating on neuropathology, I had to prepare the case for the biweekly (?) CPC conference – I chose this same case, changing the patient identify from white to black and his age from 48 to 52 – Abe was the discussor and he missed the diagnosis the second time. 

 

Looking back, would you do it again?  Gladly 

What would you change?  Nothing if the time was the same

 

Additional Thoughts

Share your thoughts regarding the changes in medicine since your residency.  In your opinion, is Neurology positioned well for the future? 

 

I of course never dreamed of the advances that would occur in the field of neurology It was an interesting challenge keeping up with these advances.  In about 1978, I was selected by the AAN to be the only practicing neurologist on the 9 man committee which for the first time was considering recertification as part of the Board process -  I felt strongly that examinations only measured intelligence and not competence – The other committee members were from academic centers and initially favored  recertification  - after about 5 meetings (over almost 2 years) I was finally able to convince them to vote against recertification – About 12 years later the Board instituted recertification, an action that I still feel is a mistake  How do you give a general neurology examination to the university doctor who does only movement disorders, epilepsy, stroke, headache, etc and might be a leader in one of these narrow areas?

 

 In your opinion, is Neurology positioned well for the future?  yes 

 

Other Comments:

 

In October 1957 Vanderbilt had only one neurologist and there was one in Memphis. These were the only two in the state.

 

I applied for a neurology residency at Harvard, Pennsylvania and Michigan.  Harvard gave me an immediate rejection and Penn gave an immediate acceptance.  Russ Dejong at Michigan asked me up for an all day interview, took me to their University Club for lunch, and offered me a residency that afternoon.  He took me to his home for a late afternoon drink and introduced me to a most attractive daughter.  (I never learned his motive.)

 

At the time I knew nothing about the Minnesota program.  Since I was flying to Ann Arbor, I had made plans to go on to Minneapolis to at least see another program.  I had called Abe Baker's secretary and arranged to meet him the following day.  I did not submit an application or have any references sent to him.

 

I walked into Abe's office at noon as he returned from morning rounds with the students.  I introduced myself and he immediately said he was going to the University Club for lunch and instructed Early Nelson to take me to a neighborhood Italian place.

 

At 1PM when I walked in to meet with Abe, he immediately asked where I had gone to college and medical school. I gave him a brief reply, saying The University of the South at Sewanee, TN for a BS in biology, followed by Vanderbilt Medical School for my MD, followed by an internship and one year residency in internal medicine.  He next asked what my future plans were.  I responded that I wanted to return to the South and teach neurology.

 

At that moment Abe offered me a residency.  I never learned if he had received any word from Early about my table manners.  Abe spent the next two hours showing me the department and introducing me to the twelve or so other members of the neurology faculty.  At 3PM I watched him for the first hour of his two hour third year student conference which was of course total trauma for the students.  As I left for the airport I decided to take the Minnesota residency since Abe was the better teacher.

 

Thus you can see that I was blessed and still have a warm spot in my heard for the Minnesota years.

 

I have enjoyed teaching. I gave a headache lecture to Vanderbilt's third students this past Monday. I stopped seeing patients 4 years ago.

 

If the powers that be at Minnesota would like for me to give a lecture on the diagnosis and treatment of chronic daily headache, I will be happy to do so, at my expense if you can't get commercial sponsorship.  The talk will stress the varied clinical presentations of rebound headache and my method of obtaining 75+% compliance with instructions to sop all analgesic agents and have 75+% reach the goal of once a week headaches.