Louisville Medicine Volume 61, Issue 9 | Page 16

Book review Eugene Braunwald and the Rise of Modern Medicine Thomas H. Lee, Harvard University Press, 2013 Reviewed by M. Saleem Seyal, MD, FACC, FACP D r. Eugene Braunwald is a very well known and highly respected personality in the Internal Medicine and Cardiology communities throughout the world. He is an extremely prolific author, a renowned researcher, a seasoned clinical trialist and an astute administrator. He is a living legend and a national treasure, now 84 years old and currently in his “still” years as he puts it --- still working, still drawing a salary, still conducting research, still attending meetings and still enjoying it. When I started my cardiology fellowship at the University of Illinois in Chicago in 1981, I purchased his seminal tome, the very newly published (in 1980) “Heart Disease- A Textbook of Cardiovascular Medicine,” half of which was written by him and rest of it by his well-chosen cadre of contributors. This over 30 years old textbook, with underlined and highlighted chapters and dog-eared pages remains very dear to me and has a tremendous nostalgic value. Braunwald was, by then, a well-known editor and later editor-in-chief of the popular “Harrison’s Principles of Internal Medicine” which is now in its 18th edition (2011). Over the course of his uncommonly eminent and illustrious career, he has mentored literally thousands of physicians who became well-known authors, researchers, editors, medical innovators, professors and departments chairmen. These famous people should be called “Braunwald Rabbits” in honor of the number of pathologists/bacteriologists trained by the inimitable Dr. William Welch (the Dean of American Medicine) at the then fledgling Johns Hopkins University at the end of the 19th and beginning of the 20th century. His acolytes spread across the country as teachers and researchers and were lovingly called “Welch Rabbits”. Dr. Lee Goldman, one of Braunwald’s protégés, for example, became a well-known editor and subsequently won the ultimate accolade by getting the eponymous designation of another highly respected reference, the Cecil-Loeb Textbook of Medicine which now is in its 14 LOUISVILLE MEDICINE 24th edition and is called Goldman’s Cecil Medicine. Many accounts have been written about Dr. Braunwald’s life and career over the years. Dr. John Ross, Jr., wrote an early profile of Braunwald almost two decades ago detailing his departure from his native Vienna as a young 9-year-old boy with his family, all refugees in 1938, with their eventual sojourn to Brooklyn, New York, after a year in England.1 He chronicles Braunwald’s early scholastic achievements, his prodigious contributions in cardiology research, his prolific authorship and his enviable capacity as an able and effective administrator. A Viennese immigrant physician, Dr. MG Schlossmacher, who trained at Harvard as a neurologist and is now at the Ottawa Hospital Research institute, chronicled Braunwald’s journey from Vienna, Austria, to the United States and expounded on the long-lasting implications of Austrian Nazism in his well-written essay.2 William C. Roberts, the editor-in-chief of the American Journal of Cardiology, has known Braunwald since 1959 during his own training at the National Institute of Health (NIH) and interviewed him subsequently in 1998.3 Ruth Williams interviewed Dr. Braunwald for the series “Profiles in Cardiovascular Science” and wrote her essay about his life and career in two parts.4,5 In his heartfelt and reverential preamble to Ruth William’s article, Dr. Roberto Bolli of the University of Louisville and the editor-inchief of Circulation Research gave his own personal perspective on this living icon stating that,” Dr. Braunwald has been the epitome of academic cardiovascular medicine for the past 50 years.”6 Dr. Allen B. Weisse talked to Braunwald for his book Heart to Heart—The Twentieth Century Battle against Cardiac Disease and had this to say: “Not since the time of Paul Dudley White has one individual so dominated the field of cardiology over so long a period of time as has Eugene Braunwald.”7 The book Eugene Braunwald and the Rise of Modern Medicine by