Joeseph Resch page sub-links:
Prior to 1946 Neurology was part of the Department of Nervous and Mental Disease. The Department head was Dr. J.C. McKinley, Dr. A.B. Baker was responsible for neurology and Neuropathology and Dr. Burtrum Schiele was responsible for Psychiatry. A Dr. Reynold Jensen was in Child Psychiatry. Dr. Starke Hathaway was a Clinical Psychologist. Of interest is the fact that the widely recognized Minnesota Multiphase Personality Inventory (MMPI) was provided by Dr. McKinley and Hathaway.
In 1946 the Department of Nervous and Mental Disease was changed in name to the Department of Psychiatry and Neurology. Within this department was the division of Neurology and the division of psychiatry. Clinical Psychology was also in this arrangement. Dr. McKinley was disabled at this time and Dr. Donald Hastings was brought in as Head of the Psychiatry and Neurology Department.
Dr. Baker became the head of The Division
of Neurology. Dr. Joe R. Brown joined the Division of Neurology. He served half
time at the
The Department Head of Psychiatry and Neurology, Dr. Hastings also headed the Psychiatry Division. The Neurology Program was largely a clinical and didactic affair. There were two lecture courses in Neuropathology (General Neuropathology and Brain Tumors). Weekly Brain cutting sessions took place at the Neurology Laboratory. After the cutting sessions, slides of the previous week’s case would be reviewed. At the time of brain cutting a brief case summary preceded the procedure.
Ward rounds under Dr. Baker or Brown were
a daily affair on weekdays (not Sat. or Sun). On Saturday there was also a case
conference at the
Neurology Clinics took place in the afternoons. The patients were largely non-private coming in from all over the state. The neurology Service had twenty beds. It was adjacent to the Neurosurgery Station. The Head of Neurosurgery was Dr. W.M. Peyton, Dr. Lyle French was associated with him. (In later years Dr, French became head of Neurosurgery.) There was a close and rewarding cooperative effort between Neurology and Neurosurgery.
Some exposure occurred with town Neurologists who in actuality had practices involving Psychiatry as well as neurology. These clinical faculty members sometimes came to listen to clinical Neurology sessions. I recall Dr. Gordon Kamman, Philip Arzt, Ernest Hammes’s Jr. and one or two other whose names I can’t recall.
Clinical Sessions, aside from general Neurology cases, also had special clinics on two afternoons. One was the convulsive Disorder (Epilepsy Clinic) and the other was the Parkinsonism Clinic.
Neuro-Radiology sessions took place on Friday afternoons. Dr. Harold O. Peterson presided. Neurosurgery and Neurology staff, fellows and students attended.
A brief clinical summary was presented by the relevant neurologic or neurosurgical fellow. A review of the x-rays by Dr. Peterson and discussion by the staff would follow.
In so far as neurosurgery is concerned I would be remiss if I did not mention Dr. Harold Buchstein, a private practitioner. He ran the Neurosurgical program at the V.A. hospital as far as training activities. We had weekly rounds on Pediatric Neurology Cases. Dr. Reynold Jensen the Child Psychiatrist would see the cases and they were seen by Dr. Baker or Brown and the neurology fellows at these rounds.
On an approximately annual basis Neurology fellows had to present a formal discussion or actually review a group of papers of classical nature on some subject e.g. Temporal Lobe Seizures. We could use slides or posters to aid in the presentation. Every few months Neurology fellows singly or possibly with another fellow would see either a full time faculty member or downtown clinical faculty, at the home of the faculty person, for an informal evening conference on general aspects of the program - presumably for an informal evaluation of the fellow’s progress and possibly some input from the fellows on whatever concerns they might have. As already alluded to this was a largely clinical training program. We certainly were trained in the history and examination aspects of Clinical Neurology. The procedures we preformed were Spinal Puncture, Pneumoencephlography, Myelography and visual fields. EEG, EMG, and Angiography were not yet available. Neuroanatomy, at least for the University fellows, was learned by attending Dr. Rasmussen’s lectures to the medical students and then serving as teaching assistants in the student’s Neuroanatomy Laboratory. I recall seeing some Mayo Clinic Neurosurgery fellows at these sessions.
Of note in the 1947/48 era the residency
was skewed somewhat into the Poliomyelitis area in that during the
Concerning Neuropathology. Dr. Fay Tichy took over the laboratory from Dr. Noran. In later years, I don’t recall the exact date, Neurology became a separate department.
Joseph A. Resch M.D.
Follow-up letter of recollections sent to Dr. William R. Kennedy.
This letter was sent by Dr. Joseph Resch, former Head of Neurology,
This is the additional info I thought about –RE: The early residents.
Dr. George W. Holt was there when I
arrived. I had met him in the service. He left the University and went to
Now as to clinical faculty; aside from
Ernie Hammes Jr. from the
I should mention Dr. Russ Anthony again. He came on board as faculty about 1947 with a VA/University set up like Joe Brown. He was trained by a well known lady neurologist out east and was skilled in EEG as well as EMG. In the service he followed a group of peripheral nerve injuries prior to Bill Kennedy’s suggestion that I develop some interest in EMG- was Russ Anthony. However we had no EMG and only a half interest in EEG so Russ went back east and joined a well known psychiatrist. He was a good teacher and friend and there was some thought about my joining him if things turned up there. He was interested in using EMG diagnostically in cases of Lumbo-sacral disk disease. He helped me in a project in which I had a patient rigged up in the EEG set up and whom I then gave an electroshock treatment (It was one of my psychiatry patients) Quite an EEG. I did have approval from Dr. Schiele (Psychiatry Professor) I don’t recall if I did more then one of these procedures and have lost or mislaid the records. I do recall the EEG pattern.
The residency program was quite informal then.
As to neurophysiology, there was a nationally known physiologist whose lectures to students I audited. I think Dave Daly and Fay Tichy may also have done so. I can’t remember his name. He had an EEG and with a lot of arranging he would do a patient. I think his name was Gelhorn. He was famous but aloof and rigid and the Chief and he didn’t interact positively.
Sorry about the wandering about so much but after almost sixty years that’s the way things get.
Joe Resch M.D.
Resident in Neurology, University of Minnesota (1946 – 1948)
Marquette University high school in Milwaukee, Wisconsin
He spent 6 months in rural medical practice in
In that capacity he spent 3-4 months at the Mayo Clinic. One of
his adventures at Mayo was to be a subject in the human centrifuge in studies
on the effects of gravity on the body. This usually comprised being spun in a
huge circle spinning to generate forces of gravity until unconsciousness. The
air force had a strong interest in this topic pilots of dive bombers would
become unconscious at the end of the dive. He became acquainted with Dr. E.J. Baldes of Mayo. He became a station hospital commander in
Dec. 42. The next year he was with a Fighter wing in
Dr. Resch came to the twin cities in May
46 for a Rockefeller fellowship in Neurology at the U of MN at the invitation
of Dr. McKinley. He started while still in service on terminal leave. It was
supposed to be a 2 year residency 1946 – 1948 but he was finished in 1
3/4 yrs. During residency he constantly asked Dr. Baker why the American
neurological Association would not allow young neurologists present papers. It
is thought that this constant irritation was an important stimulus for Dr.
Baker and friends to start the
Dr. Abe B. Baker became head of Neurology at the U of MN after Dr.
McKinley had a fatal stroke in about 1946 or 1947. At about the same time the
Department changed its name from the Department of Nervous and Mental Diseases
to Department of Neurology and Psychiatry. Dr. Donald Hastings (Psychiatrist)
had been recruited to be head. There were 3 divisions, psychiatry, neurology
and clinical psychology. Dr. Baker always retained Dr. Resch
on a staff appointment at the U of MN, 1/2 time then 3/4 time.
He was asked to be interim head of Neurology in 76 when Dr. Baker
retired and became head in 1977.
He retired to
He has been my friend and mentor since 1964 when I arrived out of residency wet behind the ears. He is a man whom I greatly admire. I hope that our faculty, residents, students and staff have the opportunity to become acquainted with Dr. Resch and through him with history and foundation of our department.