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TIRR [The Institute of Rehabilitation and Research] [1972-1996]
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Disability Rights Organizations
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TIRR [The Institute of Rehabilitation and Research] [1972-1996]
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8
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6
Medical facility's 30th anniversary
occasion for celebrating survival
NE of the happiest parties ever staged in River
Oaks Country Club's ballroom owed its life
Thursday night to TIRR - The Institute of Re-
habilitation and Research.
Party-goers were there to celebrate the 30th anniver-
sary of the internationally famous Houston medical fa-
cility. Everybody, former patients and loyal supporters
Betty
Ewing
Houston Chronicle
alike, toasted survival.
Bearded Don Slocomb, blowing a great sax How High
the Moon solo with his quartet, remembers the early
morning of June 21, 1986, when he almost got knocked to
kingdom come by a drunken driver. Broke both legs,
shattered a hip and worst of all, landed on his head and
was out cold for 2½ weeks with a clot on the brain.
"They (first Ben Taub, then TIRR) saved my life and
then started me back to playing music," Don said. "My
fingers were numb.'
"He saw the accident," said Don, pointing to bass
Monday, Nov. 6, 1989
player Dave Foster. Also providing the cool jazz for
TIRR's 30th anniversary party were drummer Joe Ful-
gham and guitarist Paul Chester.
About this time in the conversation, Don spied a beauti-
ful blonde and threw his arms around her. Turned out to
be Dr. Catherine F. Bontke, director of TIRR's head in-
jury program, which has been selected as a national
Steve Campbell / Chronicle
model. In fact, Bontke will be going to Hawaii soon to
Seen chatting at TIRR's anniversary party were
help a new rehab center there get rolling.
Jerry Johnston Andrew, seated, and daughters,
Beautiful Jerry Johnston Andrew, rolling around the
from left, Cheryl Duff, Kathleen Andrew and Alli-
room in a wheelchair, talked about the quicksilver mo-
son Andrew.
ment at high noon on July 20, 1974, when she was heading
for a reunion with her four young daughters at Camp Ar-
super in silver and black.
rowhead in the Hill Country. A freak head-on collision -
both vehicles were traveling at low speeds - hurled
The brief but emotional program was opened by Dr.
Jerry into the dashboard; and one snap of the neck turned
William Spencer, founder and president of TIRR for 28
her into a quadriplegic.
years. He was named "Physician of the Year" by Presi-
Three of the girls (as youngsters, they were frequently
dent Lyndon Johnson in 1965. Also applauded enthusiasti-
referred to as Houston's Andrew Sisters) - Cheryl (Mrs.
cally were TIRR's president and CEO Harold Taylor and
J. Bradley) Duff, 30; Kathleen Andrew, 25; and Allison
Lex Frieden, executive director of TIRR Foundation.
Andrew, 27 - were buzzing around their mom like beau-
Lex came to Houston after he broke his neck in an auto
tiful butterflies. Karen (Mrs. David) Lawrence, 29, had to
accident while an 18-year-old student at Oklahoma State
miss the party.
University in Stillwater back in 1968.
"I couldn't have survived the change in my life without
the help of family and friends and TIRR," said the still-
After three months at TIRR he returned to Oklahoma
active Jerry, a member of the TIRR board of trustees
and received a degree in psychology from the University
and co-chair of the party with Patricia "Pat" Luther.
of Tulsa but opted to return to Houston for further study
at UH.
Kathleen DeSilva, who suffered a broken neck when
she was a 16-year-old gymnast, also is a quadriplegic
"I liked-the climate and the people," said Frieden, who
who serves as TIRR's in-house lawyer. This courageous
hails from northern Oklahoma where it snows a lot. "A
woman (she has a respirator implant) put herself through
wheelchair in the snow is not easy to handle."
Rice University and law school at the University of
Houston.
TIRR board members spotted in the crowd: Charles C.
Ever-glamorous Nita Weil, a polio victim from Hous-
Beall Jr., Bonnie Brooks, Randall E. Evans, Paul Frison,
ton's epidemic in the 1950s, has served as director of vol-
William K. Lehner, Robert B. Sale Jr., Madeline Schnei-
unteers (she has 225 actives and would welcome more)
der, David D. Stock, Harold Taylor, Howard Wolf and
since TIRR opened. She moves around via wheelchair
Tom Tinsley, son of Houston City Councilwoman Eleanor
too. So does staff member Linda Pickle, who was looking
Tinsley, who also attended.
REHABILITATION
The Institute for
Rehabilitation and Research Systems
VOICE
Fall, 1990
Chalemgers Hyston
TIRR Sports
Team Brings
Home the Gold
p.3
President Bush
Signs ADA
p.4
tiRR
Systems
Photo by Stephen McCarty
BOARD OF TRUSTEES
From the President
TIRR SYSTEMS
productive lifestyles.
Howard Wolf, Chairman
In the past few months, TIRR has been
Charles C. Beall, Jr., President
recognized for the outstanding contributions
R. Edward Carter, M.D.
Paul Frison, Vice Chairman
made to rehabilitation. There are over 6,500
Richard Hardin, Sr.
hospitals in the United States and TIRR has
Pat Luther
recently been named as one of the "Best
Laurence E. Simmons, Secretary/Treasurer
Hospitals" according to a survey conducted
William A. Spencer, M.D.
by U.S. News and World Report. Only 57
facilities were named to this prestigious list -
TIRR FOUNDATION
something for which we all take pride.
William A Spencer, M.D., President
Like the hospital's recent award, TIRR
Jerry Johnston Andrew, Sec./Treasurer
Sports athletes are also being recognized for
Charles C. Beall, Jr.
their outstanding accomplishments. This past
Muffin Clark
Charlie Beall
President, TIRR Systems
July, members of the Houston Challengers
Lex Frieden, Executive Director
competed in Colorado, France and Holland
Richard Hardin, Sr.
Pat Luther
W
hen I step back and look at each
against the world's best athletes with physical
Robert Sale, Jr., Vice President
organization within the TIRR
disabilities and brought home gold, silver and
Allan Shivers, Jr.
Systems structure, I see success stories. Every
bronze medals - breaking world records and
employee working in the four Systems
setting personal bests.
TIRR
companies has made a commitment to be the
A long-awaited project coming to fruition
best and to provide the best care possible. All
is at the corner of Lamar Fleming and
Howard Wolf, Chairman
of this hard work and dedication has paid off
Moursund Avenue in the Texas Medical
Louisa Adelung, Acting President
Jerry Johnston Andrew
in that our patients are returning to work and
Center. Each day as you walk by the
Charles C. Beall, Jr., Vice Chairman
home, to lead more independent and
construction site for the new six-story patient
Bonnie Brooks
tower, you are witnessing the successful
Madeline Schneider-Bunch
fundraising efforts of TIRR Foundation. A
R. Edward Carter, M.D., Vice Chairman
Rehabilitation Voice is a quarterly
total of $4 million has been raised to fund part
Randall Evans, Secretary
William Lehner, Treasurer
publication produced by TIRR Systems, a non-
of this new building.
Robert Sale, Jr.
profit corporation that promotes and assists
The Houston Back Injury Center, a
the rehabilitation and independence of people
Allan Shivers, Jr.
member of TIRR Rehabilitation Centers has
with disabilities through programs in the
William A. Spencer, M.D.
fields of health care and prevention; housing
been demonstrating each day how hard work
David Stock
and home care; vocational preparation and
pays off. It has been operating at capacity and
placement; recreation; environmental
returning injured workers back to their jobs
TIRR SPORTS
modification and adaptive engineering;
professional training and public education;
since its opening almost two years ago. This
John Sparrow, Chairman
product development and basic and applied
fall, a second Back Center will open in the
Charles C. Beall, Jr.
research.
Beaumont area.
TIRR Systems includes The Institute for
Bonnie Brooks, Secretary/Treasurer
Rehabilitation and Research (TIRR), TIRR
TIRR Systems is proud of the many
Ron Pephens
Foundation, TIRR Rehabilitation Centers, TIRR
achievements found in each of the different
Scott Schneider, Vice Chairman
Sports and Rehabilitation Professional
organizations. Every person affiliated with
David Stephenson, President
Services.
the Hospital, Foundation, Rehabilitation
Materials contained herein may be
TIRR REHABILITATION
reprinted only with the permission of TIRR
Centers or TIRR Sports are doing their part to
CENTERS
Systems. Address all correspondence and any
keep the name TIRR synonymous with
address changes to Director of Public
success!
Charles C. Beall, Jr., Chairman
Relations/Editor Melissa Sturgis, Rehabilita-
tion Voice, TIRR Systems, 5100 Travis,
Houston, Texas 77002, 713-528-0123,
Clarlie Beall
Bonnie Brooks, Secretary/Treasurer
David Stock, President
713-528-4554 (fax)
Tom Tinsley, Vice Chairman
Photography by Johnny Airheart.
2
ON THE COVER
TIRR Sports Team Brings Home the Gold
By Kim Leo
T
he Houston Challengers, the
competitive athletic team for TIRR
Sports, were hot on the trail of success this
past summer. Personal bests and medal
honors were captured from continent to
continent this past July.
Ft. Collins, Colorado, was the site of the
1990 Junior National Wheelchair Games and
athletes participating were Sara McLain,
Anna Quartero, Pete Salazar, David Enderli
and Chhay Mak.
McLain, 14, achieved three personal
records in addition to capturing seven medals
- six gold, one silver - in swimming and track
and field events. Anna Quartero, 16, swam to
three personal bests and captured one silver
TIRR Sports athletes, members of the Houston Challengers, gather for a team picture. Photo by
and three bronze medals. David Enderli, 16,
Lynn Trafton.
set a personal best by swimming in three
events, earning all silver medals. Seventeen
year old Willie White took a silver medal in
participated in the World Games for Disabled
year old Chhay Mak qualified for the finals in
the javelin with a hurl of 35.68 meters (117.74
Youth held July 3-10, in St. Etienne, France.
the shotput and in the 200 meter dash.
feet). This distance was only .12 centimeters
Kaiser set personal records and won gold
Pete Salazar, 15, participated in two
short of a gold medal.
medals in all of the events he was entered in -
swimming events and six track and field
Jaronnie Smith, 22, set the World Record
the 60 Meter dash, 200 meter dash and the
events, winning two bronze medals in the 50-
for Powerlifters in the 56 k. weight class,
long jump competition.
yard freestyle and 50-yard backstroke. On the
executing a gold medal lift of 254 pounds!
Setting personal records and winning
other side of the Atlantic, four more athletes
Darrell Fontenot, 22, brought home a gold
medals are tremendous victories for any
took their talents to the World Champion-
medal for the 4 X 100 relay and a silver in the
athlete. The members of TIRR Sports are
ships for the Disabled held in Assen, Holland.
4 X 400 relay. He also captured a bronze in the
winners, not because they frequently bring
Eric Owens, 27, brought home a gold medal
200 Meter dash.
home the gold, silver or bronze medals, but
in the discus with a career best of 21.76 meters
Members of TIRR Sports were found
because they are part of a team that is not
(71.81 feet). In other competitions, 26-year old
journeying all over Europe as Matt Kaiser, 12,
afraid to try.
TIRR Sports Offers Recreation
Opportunities for the Physically Disabled
T
IRR Systems and the Greater
want to compete, a lot of people, disabled or
required, participants have the option to
Houston Athletic Association for the
not, are intimidated by competition," stated
compete through the Houston Challengers
Physically Disabled (GHAA-PD) have joined
David Stephenson, President of TIRR Sports.
program. TIRR Sports will train athletes who
to form TIRR Sports, effective April 1, 1990.
Stephenson, a sports and recreation
choose to compete on the national and
This new organization offers sports and
professional with over ten years experience
international level.
recreation
working with the physically disabled, stresses
TIRR Sports works with over 50 different
opportunities for
that TIRR Sports was established to give
physical disabilities and encourages people
persons with
physically disabled residents, age 6 and older,
of all levels to participate. The program
physical disabili-
an opportunity to take part in a variety of
operates out of the Metropolitan Multi-
ties.
sports and recreation.
Service Center, a City of Houston facility at
"There was
Volunteer coaches help participants learn
1475 West Gray, that was designed specifi-
such a need in the
any of the activities offered, from beginning
cally for the disabled community.
Houston commu-
through advanced levels. These currently
TIRR Sports programs are conducted at
nity for sports and
include bowling, swimming, lawn bowling,
ten different satellite locations around the
TIRR Sports President
recreation for
team handball, weight training, soccer and
Greater Houston area. For more information,
David Stephenson
people who don't
track and field. While competition isn't
call 521-3737.
3
President Bush Makes ADA a Reality
T
he Americans with Disabilities Act, or
the ADA as it is commonly called,
became a reality on July 26, 1990. It is the most
important piece of civil rights legislation since
1964 and taking part in the historical bill
signing on the south lawn of The White House
were a number of Houstonians and former
TIRR patients, all special invited guests of
President Bush.
Lex Frieden was one of 15 Houstonians
invited by The White House to witness the
signing of this important legislation. What
makes this trip special to Lex is the fact that he
helped draft the original bill in 1988 when he
headed the National Council on Disabilities, a
Former TIRR patient Justin Dart, Jr. (Chairman, President's Committee on Employment of
15-member commission appointed by
People with Disabilities - seated right) and TIRR Foundation adviser Evan Kemp (Chairman,
President Reagan.
Equal Employment Opportunity Commission - seated left), look on as President Bush signs the
In a Houston Post article by Barbara Linkin,
Americans with Disabilities Act. Also pictured are Rev. Harold Wilkie and Sandy Parrino.
Lex commented "the law which protects the
Photo by Bob Burgess
disabled from discrimination in employment,
public accommodations, transportation and
appeared that the ADA wasn't going to be
reasonable modifications can be made at
telecommunication signals more than changes
signed into law, that it might be shelved
little or no expense.
in building codes and employment practices.
forever. Concerns from some members of
Final passage of the Act by Congress was
It signals a changing attitude. We have a large
the business community raised questions
achieved on July 13 when the Senate passed
population of people who are unable to work
related to specific language and its potential
the ADA bill by a vote of 91-6. One day
simply because they're labeled as disabled."
effect on the small business owner. How-
earlier, the House voted passage by a margin
More than 200,000 people with disabilities
ever, most business people agree that people
of 377-28.
in Houston and over 43 million in the United
with disabilities can be productive in the
The Americans with Disabilities Act - a
States will benefit from the ADA, yet it almost
workplace and the community, and that
giant first step in the quest for independence!
Sports and Recreation Expo Coming to
Clear Lake This Month
W
ater skiing. Quad Rugby. Sailing.
10 a.m.- 5 p.m. marks the date for this
will be encouraged to participate in the
Tennis. You don't have to be a star
afternoon of free activities.
various demonstrations.
athlete to enjoy these and many more
All members of the disabled community,
Across the street from the Expo, visitors
activities at the Texas Wheelchair Sports
families and children are invited to attend.
can enjoy the Fourth Annual Shrimporee
Festival and Recreation Expo at NASA Clear
Festival T-shirts with the official Expo logo will
featuring a fish fry and shrimp boil, bluegrass
Lake Park. Saturday, September 29, 1990 from
be given out to the first 250 people to enter the
music and a live auction.
gate. The day's events will kick off
The Wheelchair Sports Festival and
with a 5K National Champi-
Recreation Expo is sponsored by the RRTC in
onship Wheelchair Race,
Community-Oriented Services for Persons
beginning at 8 a.m.
with Spinal Cord Injury at TIRR, TIRR Sports,
Expo attendees will
the City of Pasadena Verne Cox Recreation
Center, Southwest Wheelchair Athletic
THE TEXAS AND WHEELCHAIR RECREATION SPORTS EXPO FESTIVAL
have the opportu-
nity to see the
Association (SWAA) and Paraplegics on
latest in adaptive
Independent Nature Trips (POINT).
recreational aids
For more information, contact the
and sports
Department of Therapeutic Recreation at
equipment and
TIRR, 797-5945.
4
Construction
Houston
Corner
Back Injury
TIRR Systems President Charlie Beall
(L), TIRR Foundation Executive Director
Lex Frieden (seated), TIRR Medical Director
Center
William H. Donovan, M.D. (standing C)
and TIRR Acting President Louisa Adelung
Offers Work
(R) are all smiles at the July topping off of the
new six-story patient tower, scheduled to
Hardening
open in the spring of 1991.
The first floor will consist of the Lillie and
Program
Roy Cullen Dining Pavilion which will open
onto a patio at the corner of Lamar Fleming
and Moursund Ave. The second floor will
house a residents call room and Respiratory
Care department. The remaining floors will
O
n any given day, you can drop in at
be designated for patients in the spinal cord
the Houston Back Injury Center
injury program, the Dunn Foundation Brain
(6601 Tarnef in Sharpstown) and see people
Injury Rehabilitation Unit and the pediatric
pounding nails, shoveling gravel or lifting
program.
Nick Guevera, a U.S. Postal carrier, was able
various objects. These people are taking the
to return to work and his gardening thanks
"work as treatment" approach to help them
to the work hardening program.
return to their jobs they are participating in
the Center's Work Hardening program.
In today's competitive workforce, many
growth since their opening in October of 1988
employers are realizing that it takes more
and plans are underway to open up another
than time off at home before an injured
center in Beaumont.
employee can return to their job. "Statistics
The Houston Back Injury Center special-
show that 60 percent of them will get
izes in evaluating and maximizing the
reinjured within the first year," said Sharon
functional capacity of those suffering from
Deshotel, Administrator of the Houston Back
injuries to the back, neck and spine. T.O.
Injury Center, a program of TIRR Rehabilita-
Moore, M.D., a highly-respected orthopedic
tion Centers.
physician with years of experience in back
Employers today are using Work
injury and treatment, serves as the medical
Hardening programs in order to prevent
director of the program.
further injuries among their employees.
It's because of the Back Center's highly
"They combine medical and vocational
qualified staff and dedication to their clients
rehabilitation and retraining, with an overall
that keeps clients like George motivated
goal of getting the employee back to work,"
throughout their therapy program, and more
stated David Stock, President of TIRR
importantly gets them back to work!
Rehabilitation Centers.
The Back Center has one of the best Work
Hardening programs in the city and boasts a
return to work rate of 61.01%. Programs like
these can cut back on employers' costs.
TIRR Named as
Getting the injured worker back on the job
One of the
U.S.News
faster - to help prevent rising costs - is the
goal of the Back Center's Work Hardening
Country's Best
AMERICA'S
BEST
Program, and one that is obviously
Hospitals
successful. After trying numerous programs
HOSPITALS
and therapies, George Simmons, an
TIRR has been named as one of the country's best
EXCLUSIVE RATINGS
electrician who injured his back on the job
hospitals in the April 30 issue of U.S. News and World
Anational guide
came to the center. After completing the
that helps
Report.
you choose
work hardening program he exclaimed, "I
don't know why I wasn't sent here
Of the 6,500 hospitals in the United States, 57 were
sooner why didn't I get treatment like this
honored on the "Best Hospitals" list. U.S. News surveyed
in the first place?"
400 doctors in varying specialities, naming TIRR as the
The Center has experienced consistent
"Best in Rehabilitation."
5
VOICE
TRACKS
Catherine Bontke, M.D., Director of the
Rebecca Clearman, M.D., director of the
Thorkild Engen, C.O., director of
Brain Injury Program has been selected to
Sports Arts Injury Program at TIRR has been
Orthotics for TIRR, was recently honored
serve on the Center for Disease Control,
invited to share her expertise in sports
with the 1990 "N-EMMY Award" for
Division of Injury Control's Rehabilitation
medicine with her foreign counterparts in the
Excellence in Medical Rehabilitation.
Panel. The panel prepares the national agenda
Citizen Ambassador Program of "People to
Presented to him by the Dallas Rehabilitation
for injury control and meets several times a
People International." "People to People" is a
Institute, a member of National Medical
year. Dr. Bontke will be helping set our
non-political organization dedicated to
Enterprises Inc., the award honors Engen's
national priorities in the planning, funding
promoting international understanding. The
significant contributions to the field over the
and implementation of injury research,
Citizen Ambassador Program primarily
past thirty years. Additionally, Engen
training and control programs.
focuses on the desires of professionals to
received the "Research Achievement Award"
share their expertise among colleagues of
for his research contributions to the field of
various cultures. Their primary goal is to
physical medicine and rehabilitation from
R. Edward Carter, M.D., Director of the
bring North American practices in sports
Baylor College of Medicine - Department of
Spinal Cord Injury Program has been re-
medicine to the Eastern European countries as
Physical Medicine and Rehabilitation. Engen
elected for a second term of two years as
well as the Soviet Union.
is an associate professor in the departments of
President of the International Medical Society
orthotics and physical medicine and
of Paraplegia. This society is composed of
TIRR staff will be presenting a "hands-
rehabilitation at Baylor and has been with
over 1000 physicians in 70 different countries.
on" workshop in inhibitory casting September
TIRR since 1954.
Dr. Carter is the second President to be
21-23 for rehabilitation professionals. The
elected from the United States in the 30 year
focus of the three-day workshop is the use of
history of the society.
inhibitory casting as one modality in the
Tom O. Moore, M.D. medical director
management of spasticity for brain-injured
of the Houston Back Injury Center and Sharon
patients. The workshop is a joint effort of the
Deshotel, L.P.T., administrative director, will
Two members of TIRR's Occupational
Education, Occupational and Physical
be featured speakers at the Texas Association
Therapy department are serving on the
Therapy departments and the Brain Injury
of Rehabilitation Professionals in the Private
conference committee for the Texas Occupa-
Program.
Sector (TARPS) workshop, to be held in
tional Therapy Association Annual State
October.
Conference to be held in Galveston, October
11-14, 1990. Pam Lathem, director of
L. Don Lehmkuhl, Ph.D., FAPTA,
Occupational Therapy is co-chairing the
director of Brain Injury Research at TIRR was
exhibits for the conference and Susan Garber,
recently honored at the American Physical
assistant director of research is co-chair for
Therapy Association's annual conference.
publicity.
Named as the "Mary McMillan Lecturer"
Lehmkuhl was honored for his distinguishing
contributions to the field of physical therapy.
6
Variety Club
of Houston
Forms Limb
Bank at TIRR
S
ometimes, 9-year old Amanda Crow
and her twin sister Megan trade places
and try to fool their mother by switching
pajamas. It usually works until one of them
starts giggling.
At a glance, it would have been difficult to
tell the identical twins apart. Although
Amanda has an artificial limb, she does not
believe that it makes her any different from her
sister, much less any other child.
Amanda has a congenital birth defect. She
was born without the portion of her right arm
below the elbow. When she was 9 months old
Amanda was fitted with her first hook-type
prosthesis.
"The main advantage of the limb she has
now is its appearance. The limb makes her look
like the other kids at school," said her mother,
Jamie, who along with her husband, Richard,
and 4-year old son Ricky, live in Hunter's Glen
in Missouri City. "Of course, she was raised no
differently from other children."
There are other benefits of Amanda's
artificial limb, her mother said. For instance,
The Variety Club of Houston presented 10-year-old Amanda Crow with a myoelectric hand. Her
the limb makes it easier for her to participate in
new friends include Darrell Duggan, commander of VFW Post 6010 (L); Diane Atkins, director
two-handed activities at school. Also, Amanda
of the Amputee Program (C) and John Nau, president of Silver Eagle Distributors, Inc. (R).
can use her hand during games at recess.
When Amanda was 9 she received a
artificial limbs.
be held on Thursday, September 27 will get the
myoelectric hand which is more technically
Children between the ages of 1 and 10
bank going strong, said Atkins. "We need at
advanced than the hook-type prosthesis.
outgrow their prosthesis every 18 months to
least $100,000 to get the program off the
"I can hold things better now," Amanda
two years. Non-electric components are
ground." The $100,000 would cover all costs of
said. "I like the way it looks better and it is
generally not used again. The electric compo-
componentry, prosthetic fabrication, training
more comfortable." Amanda can wear more
nents however may benefit up to three or four
in physical and occupational therapy,
types of clothing and the hand requires less
children, said Atkins.
maintenance, repair and eventually, replace-
maintenance, her mother added.
The cost for Amanda's myoelectric hand
ment when the child outgrows it.
Amanda received the myoelectric arm from
was more than $7,000 in 1989, but the cost for
The major sponsors of the event will be the
the Veterans of Foreign Wars, Post 6010 and
myoelectric elbows -- if the arm is missing
Westin Galleria Hotel, American Airlines and
the Variety Club of Houston, which is in the
above the elbow or at the shoulder -- if often
Anheuser Busch, Inc.
process of forming a Limb Bank at TIRR.
over three times that amount. "Because of the
Houston's own Dr. Red Duke is scheduled
"Instead of holding money, this bank will
nature of the expense, many insurance
to be the introductory speaker of the cocktail
hold limbs," said Diane Atkins, director of the
companies won't sponsor electric parts. Also,
party and variety show. Entertainment will be
Amputee Program at TIRR. "When a child
Chronically Ill and Disabled Children (CIDC), a
provided by Larry Gatlin and the Gatlin
outgrows an artificial limb, the bank will be
state-supported agency for families in financial
Brothers with others to be named at a later
able to provide the child with a larger limb at
need, doesn't have the funding for so many
date.
little or no cost."
families," said Atkins.
Tables for 10 will be $1,000, $1,500 or
The Limb Bank would be managed by the
Because of the cost, recycling these parts is a
$2,500. Atkins said the goal for table sales was
Amputee Team at TIRR. Limbs would be
cause that the Variety Clubs International, a
80. For more information on the fundraiser,
available based on psychological, emotional,
worldwide service organization for children,
contact Laura Rowe, chairperson at 525-2288.
medical and financial needs of children
supports.
between 1 and 19 years of age. Children would
Sponsored by the Variety Clubs of Houston,
* Reprinted with permission from Elizabeth L.
be evaluated and followed after they receive
the "Have a Heart, Lend a Hand," fundraiser to
McDavid, The Houston Chronicle, "This Week."
7
PATIENT PROFILE
Beating the Odds:
The John Scarborough Story
J
ohn scorched the beans last night -
Realizing something was wrong, Pat took
his first attempt at cooking in six
John to the hospital on Saturday morning,
months. "I'm not used to an electric stove," he
February 3. It was here that he had his second
explains. But the fact that the beans were stuck
stroke, an extremely violent one. Despite being
to the bottom doesn't matter to John and Pat
strapped to the gurney, six people couldn't
Scarborough. It's a memorable moment that
hold him down.
almost was taken away from them. They were
"The initial thought was that John was
high school sweethearts and like many others,
drunk. As soon as they drew blood they
they married soon after graduation. Life has
realized this was not the case. A CT scan held
been good to Pat and John. They've been
the answer," remembers Pat. "According to his
married for 28 years and are blessed with two
doctors, John's condition was deteriorating
beautiful girls - Jill, 21, an aspiring photogra-
almost hourly."
pher and DiAnna, 27, the mother of twin 17
On Thursday, February 8, John was
month old boys - Pat and John's first grandchil-
LifeFlighted to a hospital in the Texas Medical
dren. They share a beach house in Galveston
Center where his initial assessment was
John leads fellow Challenge Program
with Pat's uncle where they partake in "R&R"
critical. "I was told John would probably have
clients in the newspaper group where
they write, design and layout a
every other weekend.
another stroke - and the next one would be
quarterly newspaper.
Ironically, it was in Galveston, their "get-a-
fatal," said Pat. When arteries rupture in the
way place," where John and Pat's life took a
brain like John's did, they usually don't make
sudden turn for the worse. John was a senior
it to the hospital. Once he had stabilized, a
consultant for C.W. Systems Inc. and had just
shunt was put into his skull to relieve the
accepted a new position in Freeport for Dow
cerebrospinal fluid building up and pressing
Chemical Co., a client of his. John designed a
on his brain. After the vasospasms stopped,
computer system for them and was preparing
(the brain violently reacting to the hemor-
to take on another project when his life was put
rhage), he started to come out of coma.
on hold.
He was beating the odds. Surgery was
"It was Tuesday evening, January 30 when
scheduled for March 2. Initially, Pat was told
John called me from Galveston, to thank me for
John wouldn't make it to surgery and that if he
making the long trip to see him. He seemed to
survived, he'd have the mentality of a 4-6 year
be talking nonsense and kept on thanking me
old and would need years of therapy.
for meeting him but I never left Houston that
Again, he beat the odds. Pat kept a vigil at
day," recalls Pat. "During the conversation,
John's bedside, occasionally leaving the room
John began to complain of a strained neck and
so as not to cry in front of him. It had been a
mentioned that he was up all night vomiting
long, exhausting ordeal but no one was ready
and his back hurt - he thought he had the flu."
to give up hope. With his doctor in the room,
It wasn't the flu - it was a stroke. An
Pat asked John, "Do you know who your
aneurysm to be exact. Incredibly, John went to
doctor is?"
work Wednesday and Thursday, not realizing
"Yeah. Medium height, reddish brown
that his "flu" was actually a life-threatening
hair, black glasses," John replied.
situation. That Friday, February 2, John drove
With this, all mouths in the room dropped
home from Galveston to Houston in the
to the floor. "Get this man into therapy as soon
pouring rain. He was going to Baton Rouge on
as possible," his doctor demanded.
Monday and had to stop at the bank and the
Now came the time to find a rehabilitation
cleaners, running the last minute errands one
program for John. Because John was a good
does before leaving on a trip.
candidate to return to work after his rehabilita-
Finally at home in Houston, John went to
tion, the Texas Rehabilitation Commission
bed in hopes of getting rid of the flu. "It was
accepted him into their program.
the middle of the night and John couldn't stay
After an extensive search for rehabilitation
in bed. He was in SO much pain. Then the
programs, they chose TIRR and John began his
bizarre behavior began. John started putting
therapy in March. His goals were set and
socks on his feet - but there were no socks.
updated every two weeks by the brain injury
He'd light a cigarette and smoke it - but there
program team led by Catherine Bontke, M.D.,
wasn't a cigarette."
and Robert Sawicki, Ph.D. Immediately, John
8
Jill, John and Pat Scarborough
treasure their daily walks
around the apartment
complex.
began his daily regimen of physical, occupa-
and his associate at C.W. Systems, John
tional, and cognitive therapy. He believes his
Raitano, are donating their time and expertise
positive attitude helped him in his recovery.
to designing a computer system for TIRR's
"I'm still young and have more years ahead of
Speech-Language Department. The new
me. I couldn't sit around in my wheelchair in
system will determine the cognitive compe-
self-pity I had to keep myself motivated and
tency level of patients when entering TIRR. It
hopefully set a good example for the other
will also reduce the amount of time spent on
patients," says John. He did set good
testing patients.
examples for other TIRR patients. When a
After spending 139 days in hospitals, John
patient had difficulty using his foot to
and Pat were ready to get on with their lives.
maneuver himself in his wheelchair, at the
Because of the amount of time Pat was away
therapist's request, John gave the patient a
from work, in addition to the industry's
quick lesson and the two men began "cruising
decline, she lost her job. Today she is working
the halls."
part-time for a company that is "emotionally
All of TIRR's programs stress family
supportive and has a positive atmosphere."
participation, as this is critical to the rehabili-
Pat and John reflect on the past six months
tation effort and Pat Scarborough didn't miss
and manage to keep things in a positive light.
a day. John worked hard throughout his
"We feel very lucky. John's aneurysm was
rehabilitation. He was determined to walk out
congenital. This could have happened ten
"With the excellent
of TIRR on his discharge day and he did. On
years ago when we had two young children
programs at TIRR we've
June 22, two days before Pat's birthday, John
to care for or it could have happened ten
Scarborough walked out of TIRR amidst
years from now when John was older and not
learned to problem-solve.
applause, balloons and plenty of smiles. A
a good candidate for TRC's program," reflects
It's a challenge. We talk
video camera captured this important
Pat. "With the excellent programs at TIRR
about the barriers and
moment. "It was the best birthday present I
we've learned to problem-solve. It's a
could ever receive," said Pat.
challenge. We talk about the barriers and
figure out what to do from
The next step in his rehabilitation was
figure out what to do from there."
there."
TIRR's Challenge Program, an outpatient day
Pat makes a point to mention her source of
treatment program for adults with brain
strength John's mother. "She is the most
injuries. What makes this program unique is
inspirational woman I've ever met a role
that it uses everyday experiences as a means
model I'll reach for as long as I live. Her faith
of therapy. The community is a classroom,
and Christianity is not a coat she puts on-it's a
giving clients access to restaurants, banks,
part of who she is. She kept me going. She
grocery stores and the METRO bus.
kept me positive."
John spends three days a week at the
When John asked Pat if she was happy
Challenge Program, preparing for his return
with "what she's brought home," she replied
to C.W. Systems, Inc. and Dow Chemical Co.
with a smile- "I'm very happy with what I've
In between his busy schedule of therapy, John
taken home scorched beans and all."
9
Brain Injury Prevention
THANKS!
Campaign Proves to be a Hit
Many thanks to the following individuals
T
his past July and August, TIRR and
at select Kroger stores and imprinted Kroger
and companies who generously gave of their
the Texas Head Injury Association
grocery bags.
time and talents to the Brain Injury Preven-
embarked on a Brain Injury Prevention Public
Shortly after the bags were printed,
tion Public Awareness Campaign:
Awareness Campaign. The purpose of the
Kroger received this response from a
effort was to educate the public in the
comment card in one of their San Antonio
Stephanie Babb
methods of preventing serious injury. The
stores.
Baylor College of Medicine - Public Affairs
summer months were chosen as the period
"I received a plastic bag to carry my
Bob Green Productions
for the campaign because the incidences of
grocery purchases in that said seat belts and
Mary Ann Board
brain injuries increase during this time.
car seats prevent brain injuries. That bag rode
Catherine F. Bontke, M.D. and the Brain
Using the theme - "The Brain, the part you
home with me in my car. I looked at the
Injury Team
can't replace," the campaign stressed the use
message and thought - what the heck - and
Challenge Program Clients and Staff
of seat belts, car seats and safety helmets as a
put my seat belt on - my wife did the same.
Elizabeth Earhart
means of preventing serious injuries.
After about a mile later we got run off the
Karen Fiffick
During the two month timeframe, the
road in our Volkswagon and the car flipped
Anna May Heser
message was sent out to the public via
over into a ditch. The car was totaled. We
Peggy Kannellos
outdoor advertising (billboards), a 30-second
walked away with a bruised knee and a sore
KPRC Radio
television public service announcement, a 30-
elbow. That public service advertisement
KPRC-TV
second radio spot, staffed information tables
saved my life."
Kroger Stores
Pat Maurer
Patrick Media Group
Pearlman Productions
D. Peterson and Associates
Nancy Pumphrey
Mitch Rappaport
Linda Rock
Ann St. John
Rennie Swift
Texas Head Injury Association
Wright Advertising and Public Relations
The July Brain Injury Prevention Public
Awareness Campaign was a success thanks
to TIRR staff volunteers: Karen Fiffick, RN,
CRRN (L), Mary Ann Board, MSW, CSW-
ACP (C) and Pat Maurer, RN, (R).
Mary Ann Board and Pat Maurer visit with a Kroger customer.
WOW
Can Use
If only your brain was this easy to replace.
r Change
DOUBI
Make
Change!
Institute
Seat belts, car seats and safety helmets prevent brain injuries.
A public service message brought to you by The Institute for Rehabilitation and Research,
the Texas Head Injury Association and Patrick Media Group.
The tongue-in-cheek billboard was one of 25 posted around the Houston area.
10
Dr. Stelly-Seitz Directs
TIRR's Pediatric Program
By: Kim Leo
S
ince her 1989 debut at TIRR,
disabilities are now living longer, more
Charlotte Stelly-Seitz, M.D., has
productive lives. Dr. Stelly-Seitz stresses this
proven time after time how important her
to the parents of her patients and encourages
patients are to her. As Director of the
them to plan for the future. She encourages
Pediatric Rehabilitation Program at TIRR, she
her patients to take steps to embrace not only
sees a multitude of children with disabilities
today, but tomorrow as well. "I try to make
due to injury or illness. Her unique combina-
my patients think ahead and often times this
tion of expertise - she is board certified in
involves the idea of vocational planning at an
pediatrics and has a dual specialty in physical
early age. When these children turn 18, they
medicine and rehabilitation - allows her to
should be prepared to enter the most
meet the special needs of the children. The
independent, productive life possible," she
Pediatric Program Director Dr.
program was developed to meet these
explains.
Stelly-Seitz believes in educating her
growing needs and includes individualized
Dr. Stelly-Seitz stresses that "children
young patients in all aspects of their
treatment programs to help each child
need to receive specific pediatric treatment,
rehabilitation as seen here with
throughout the rehabilitation process.
not adult treatment that has been altered for
Krystal Stockton.
There are many services of the Pediatric
children." In treating children, she empha-
Program that are unique because of the young
sizes that each child is different and should be
patients in the program. Since an injury or
treated according to their particular develop-
illness often disrupts a child's education,
mental age. "It is important to keep in mind
certified special education teachers from the
that pediatric rehabilitation is much different
Houston Independent School District work
than adult rehabilitation. Children are still
with each child. This allows the young
gaining skills, whereas adults have lost skills
patients to continue their studies even though
and have to re-learn," she said.
they are in the hospital.
Her patients' needs aren't forgotten after
Other specialized services TIRR provides
they are discharged from TIRR. She says that
for its young patients include medication
consistent follow-up care and funding are the
supervision, nutritional assessments,
two biggest challenges facing her today. It
occupational therapy, speech-language
isn't uncommon to find Dr. Stelly-Seitz
therapy, physical therapy and therapeutic
meeting with the Texas Board of Health or
recreation to name a few. Clinics which
advocating for Chronically Ill and Disabled
address a child's particular disability are also
Children (CIDC). In addition to these
an integral part of the program.
measures, she also finds time to talk with
The rehabilitation process may seem a bit
support groups.
confusing and upsetting to a young child. Dr.
Each child that visits TIRR is unique to Dr.
Stelly-Seitz feels that this fear is the main
Stelly-Seitz. The patients and their families
reason behind educating the patient and
know they can trust her and feel confident in
family on every aspect of a child's injury or
putting their child in her care. By listening to
illness. "The family is very important when it
and caring for both the patient and family, Dr.
comes to bringing the child to his or her
Stelly-Seitz has proven the importance of
fullest potential following an injury or
family involvement in comprehensive
IN THE NEXT ISSUE:
illness," she said.
rehabilitative care. Each child's hopes and
Because of the recent developments in
dreams are considered when Dr. Stelly-Seitz
research and technology, children with
prescribes treatment.
Spinal Cord Injury
and
Modern Technology
The Sports Arts Center
Celebrates its Second Year
11
IN GRATEFUL ACKNOWLEDGEMENT
The TIRR Systems family our board,
Dr. and Mrs. Michael A. Petitt
Jay Medical, Ltd.
Charter Bancshares
staff and patients, wish to express our
Pharmacia LKB Biotechnology, Inc.
Mr. and Mrs. Don F. McMillian
Clear Creek Golf Course
gratitude to the following individuals,
Rockwell Fund, Inc.
Motion Design
Congregation of St. James the Fisherman
foundations and companies whose
Mr. Alex Segall
Neiman Marcus
Mr. and Mrs. Allen B. Craig
contributions or pledges of money or
Shell Oil Company Foundation
Omni Foundation
Mr. and Mrs. Jim Crowther
equipment have supported our efforts. Such
Dr. and Mrs. William A. Spencer
The Powell Foundation
Ms. Carolyn M. Davidson
donations enable us to provide services or
Texas Commerce Bank
Quickie Wheelchair Manufacturer
Ms. Myrna L. Davidson
to undertake research and educational
Union Texas Petroleum
The Rienzi Foundation, Inc.
Mr. Doug Dwelle
projects that otherwise may not be possible.
Variety Club of Houston, Tent 34
Mr. Stephen W. Schneider
The Endowment Fund of the Jewish
J. M. West Texas Corporation
Mr. and Mrs. O. M. Schoenemann
Community
List includes pledges and contributions
St. Luke's United Methodist Church
Mr. Randall E. Evans
received January 1, 1989 June 30, 1990.
SPONSORS
Mr. and Mrs. David Stock
Ms. Susan Fronek
$5,000 $9,999
Richard Stodder Charitable Foundation
Ms. Susan Garber
FOUNDERS
The Gordon and Mary Cain Foundation
Sysco Corporation
Ms. Clare A. Glassell
$100,000 +
Dr. Denton Cooley
Mr. Robert Wilhite
Mr. Lloyd Green
M. D. Anderson Foundation
Mr. Hartley Hampton
Mr. Howard Wolf
Mr. J. E. Harrell
The Clayton Fund, Inc.
Panhandle Eastern Corporation
Zapata Corporation
Mrs. Leota Meyer Hess
The Cullen Foundation
Al Parker Buick
Mr. and Mrs. Thomas J. Holmes
The Cullen Trust for Health Care
River Oaks Garden Club of Houston
BOOSTERS
Mr. and Mrs. Seth Houck
John S. Dunn Research Foundation
Skandinaviska Enskilda Banken
$500 $999
Mr. and Mrs. Charles Kaiser
The Fondren Foundation
Corporation
Allen Park Inn
Mr. and Mrs. Leonard R. Kallop
Strake Foundation
Tenneco Gas
Mrs. Jerry Johnston Andrew
Mr. and Mrs. Albert B. Kimball
TIRR Auxiliary
Battle Mountain Gold Company
Dr. John F. Lancaster
PARTNERS
Compass Bank
Mills, Shirley, Eckel, and Bassett
BENEFACTORS
$1,000 $4,999
Mr. and Mrs. Joe Hardilek
Mr. and Mrs. Grover B. Nielson
$10,000 $99,999
Amco Medical Services
Mr. and Mrs. Irwin L. Levy and
Ms. Janice Oshensky
R.C. Baker Foundation
Baroid Corporation
Mrs. Gerson Scheps
Pro Form
Botwinick-Wolfensohn Foundation
Ms. Harriet Bath
Muilenburg Prosthetics, Inc.
Raymo Products, Inc.
Mr. Branard Brochstein
Mrs. Billie Bath Perlman
Ms. Phyllis P. Rathbun
Mrs. Mable Rettig
The Galen T. Brown Foundation
Mr. and Mrs. Charles C. Beall, Jr.
SCI Consensus Conference Fund
Roho, Inc.
Compaq Computer Foundation
Ms. Bonnie Brooks
Mr. Allan Shivers, Jr.
Dr. Donald C. Ruthven
Enron Foundation
The George and Anne Butler Foundation
Texas Gas Transmission Corporation
Mr. and Mrs. M. M. Schwartz
The William Stamps Farish Fund
CRS Sirrine, Inc.
Mr. and Mrs. Melvin Simon
Gillson Longenbaugh Foundation
Everest and Jennings, Inc.
PATRONS
SmithKline Beckman
Invacare Corporation
ExtendaCare Health Systems
$100 $499
Mr. and Mrs. George A. Speer
The Ralph A. Johnston Foundation, Inc.
First City, Texas
Adlib, Inc.
Mr. and Mrs. David Stein and Family
Kappa Kappa Gamma Charitable
Fluor Daniel, Inc.
Mr. Issac Arnold, Jr.
Mr. and Mrs. Dallas J. Stephens
Foundation
Mr. and Mrs. Lex Frieden
Mr. and Mrs. Elliot Axel
Texas State Optical Little York
Mr. and Mrs. Homer L. Luther, Jr.
The Garden Club of Houston
Mr. and Mrs. Mike Baker
Dr. and Mrs. Sellers J. Thomas, Jr.
The Meadows Foundation
Hobby Foundation
Banyon Townhouse Association
Weatherford International Inc.
Mitchell Energy and Development
Ms. Lauri Hunter
Ms. Sylvia J. Bartay
Mr. Lionel Wayne White
Corporation
Mary Lou Canter Trust
Non-Profit
tiRR
5100 Travis
Organization
Houston, TX 77002-9742
U.S. Postage
PAID
Systems
713/528-0123
Houston, Texas
Permit No. 3687
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Please return your address label in an envelope to the TIRR Systems
address above.
The
Quality
of Life
Dear Friend:
A major Southwestern firm recently asked one of its executives to review
the activities of the Texas Institute for Rehabilitation and Research to
ascertain (1.) the contribution the Institute was making to this community
and (2.) what support, if any, the company should give the Institute.
We were privileged to see the final report. Believing it accurately presents
the picture of the Institute, we asked and received permission to publish it
in this small pamphlet. We have taken the liberty of adding photographs.
TIRR is a vital regional medical institution deeply involved in the welfare
of mankind. I sincerely hope that you will take these few minutes to
become better acquainted with it.
Sincerely,
R. Rarhan
Charles R. Rathbun, President
Board of Trustees
The product of the Texas Institute for Rehabilitation
and Research is rare indeed. The doctors and nurses
are not debating the questions of life or death,
but rather the quality of the life of their patients.
It is this desire for the quality of life that impressed
me most about the Institute when first I discovered
it located at the geographical heart of the Texas
Medical Center. I had heard much about its work
and accomplishments and decided to learn more
through
visits with patients, volunteers, members of the Institute staff
and administration.
My initial concrete finding was that the Texas Institute for Rehabilitation
and Research is no ordinary medical institution. While I expected to feel
sorry for patients suffering injuries and illnesses crippling them for life, I soon
learned that no one at TIRR wants or needs sympathy. Patients have individ-
ually and collectively conquered what fate handed them, each in his own
way. They are living proof that a handicap need not be a liability.
These aren't handicapped people. .even though they use a battery-powered
respirator for breathing, ride in a wheelchair, or spend hours and days in special-
ized therapy. They are individuals rebuilding a body that has been impaired,
and there is not one of them who does not believe he or she will soon be back
again meeting and succeeding in the day to day chores of life.
The Institute's Director, Dr. William A. Spencer, stated it this way during one
of our conversations: "Many of our patients are young with a long life ahead.
Are they going to spend the rest of their lives in a nursing home or return to
a productive life with the dignity of an individual and the economic freedom
to earn a living in a free society?"
With respect to the staff, 1 have never met people in industry, government, or
private life who are more dedicated in their work or have more faith that the
tasks they are undertaking daily will bring about favorable results.
2
FORMER PATIENT, Nita Weil,
Director of TIRR Volunteers.
one of the battery-powered generation.
F No.: 1 W De
BACKGROUND
The Texas Institute for Rehabilitation and Research is located in the heart of
the famed Texas Medical Center in Houston, Texas. It was created in 1959 as
a voluntary, nonprofit, regional health facility serving patients throughout
the Southwest suffering from:
Extensive paralysis-resulting from spinal cord injury (largely due to auto
accidents and athletic injuries), brain injury or damage from poor circulation
or vascular disease causing a stroke, or diseases of nerves and muscles as with
multiple sclerosis or muscular dystrophy.
Multiple handicapping conditions-due to birth defects, diseases of the
circulatory system, skeletal system deformities, amputations, inflammatory
conditions such as severe arthritis, and diseases affecting the general chemis-
try of the body.
Breathing impairments-due to cystic fibrosis, childhood
illnesses affecting the lungs and circulatory system, or where
there is nerve and muscle damage causing weakness or paralysis
of the breathing muscles.
Compared to the other Texas Medical Center facilities, the
Institute is housed in a small building (84,000 square feet).
It has 59 beds for inpatient care and operates fifteen
individual outpatient clinics. 575 inpatients are cared for per
year and 1,500 outpatients and day care patients.
Late in 1970, TIRR acquired an additional new 40-bed
facility,
near the downtown area, having a basic design compatible with wheelchair
level mobility. It is ideally suited to the paralyzed patient, those in need of
re-evaluation and followup, and those in need of interim extended nursing
and medical services as a part of the total hospitalization. The facility will
provide the Institute the opportunity to extend and expand its present pro-
grams so that an additional 200 people per year may be served on an
A NEW BREATH OF LIFE -
4
as a technician inserts aerosol
medication in nebulizer vial of
inhalation therapy machine.
the
inpatient basis and 250 on an outpatient and day care basis.
The new Annex will also afford a group of quadriplegic young people, who
are former patients of TIRR, the initial opportunity to develop management
experience of a cooperative self-support residence. They will also be respon-
sible for planning and defining the operating requirements of multi-residence
apartment units for both elderly people and the physically handicapped, like
themselves, who are of college or working age.
The full-time staff at TIRR, headed by Dr. William A. Spencer, totals 400
doctors, nurses, other allied health professionals and supporting personnel.
The Institute is closely affiliated with the Baylor College of Medicine. Exten-
sive research is conducted in the prevention
and control of disability and on ways to
restore bodily function and achieve
life adjustment. Nearly 900 physicians
and medical students participate annu-
ally in this combined care, research and
training program. A total of 4,300 allied
health professionals and physicians were
trained in 1970 alone.
The TIRR/Baylor College of Medicine joint program is making an invaluable
contribution to the service afforded by the Institute. Baylor's participation
is underwritten by a special grant from the Social and Rehabilitation Service
of the U.S. Department of Health, Education and Welfare for a regional Re-
search and Training Center in Rehabilitation Medicine. The Institute's finan-
cing is entirely separate and must be derived from patient fees (66%), federal
and state grants (22%), and foundation, industry, and private contributions
(12%). The Institute's annual budget for services to all in need, for research
and educational activities in the early 1970's was approximately $3,500,000.
Since its founding, the Institute has served a total of 8,242 inpatients and
outpatients.
6
LEARN AND TRAIN, a constant program for
thousands of professionals and physicians
visiting and working annually at the Institute.
Q:
CC
Я
To help in evaluating the Texas Institute for Rehabilitation and Research,
one should review four areas of activity - administration, operations, re-
habilitation and research.
ADMINISTRATION
TIRR is governed by the basic philosophy centered on the "quality of life"-
making man productive, while preserving his dignity and usefulness in spite of
physical handicap. Under the direction of Dr. William A. Spencer, the Insti-
tute operates toward three goals:
I.
Service Goal-makes provision for comprehensive rehabilitation to a
maximum number of persons through efficient usage of available resources.
The staff strives to provide a multi-disciplinary program to assist the disabled
patient in adjusting to life-physiologically, psychologically and socially.
Earlier care costs less and achieves more beneficial outcomes.
II.
Research Goal-finds the staff of the Institute striving to understand the
causes and the mechanisms of disability which destroy the health of the indi-
vidual,
his capacity to function and to adapt and cope with daily life-
physically, emotionally and economically. Extensive and
ongoing research is conducted on methods to improve
the effectiveness and efficiency of all Institute services.
III. Educational Goal-The Texas Institute for Rehabi-
litation and Research, under the Baylor College of
Medicine program and with Baylor or Institutional
research grant support, strives to develop new
rehabilitation teaching techniques for physicians,
medical students, and allied health professionals.
The results are then, in turn, implemented for the
benefit of as many disabled individuals as possible.
8
THE DELICATE QUALITY OF LIFE is
administered by a professional staff of 400.
The Institute is structured into four primary areas of operation:
Care, Research, Teaching and Supportive Services. TIRR
is run like a business should be run. Operational expenses
per square foot are the lowest of any institution in the
Texas Medical Center. Free care ranks well above all
Houston area medical facilities, other than those sponsored
by the tax supported charity hospitals.
OPERATIONS
Twenty-three individual departments and programs stand
ready to assist in patient care. For inpatient care, they include
specialized centers for patients with spinal cord injuries and
chronic respiratory conditions, nursing, physical therapy,
occupational therapy, medical social service, orthotics, surgery, clinical labs,
radiology, pharmacy, inhalation therapy, vocational services, psychological
services and educational programs. Ongoing clinical programs are offered in
the specialty areas of neuromuscular disabilities, scoliosis, spina bifida, stroke,
cardiac rehabilitation, arthritis, and for the amputee. On an average, each
patient is served by no less than six employees.
The Institute utilizes advanced electronic data processing (EDP) for the daily
24-hour programming and scheduling of each patient's care according to
individualized objectives and needs. Daily medical conferences and EDP
scheduling insures a highly satisfactory form of quality control over individual
patient care and utilization of services which benefit the patient.
Two hundred volunteers contribute their time and energy assisting the
Institute's permanent staff.
REHABILITATION
In the rehabilitation of a patient, the totality of man is viewed as the problem.
A team consisting of a doctor, nurse, highly trained attendants, medical social
worker, occupational and physical therapists cares for the patient.
10
THE EXCITEMENT OF TAKING THAT
FIRST STEP AGAIN is but one phase of
the physical therapy program.
Until visiting the Institute, I had never thought of the miracle connected with
a man touching his nose once he had lost use of both arms, or the fine tuning
required to re-educate and strengthen muscles which cannot be volitionally
moved because of nervous system disease and injury. The Rehabilitation
teams face these challenges daily in support of the Institute's motto: "In our
society every disabled person deserves the chance to live as a man."
Once a patient is admitted, upon physician referral, the
medical, physical, and psychological rebuilding program begins.
To this end, a patient is afforded highly personalized
attention. It has been found that rehabilitation is a
slow process, but the results in any number of cases
have been exceptional.
A few examples of the work done by the
Institute might prove beneficial:
A young teenager riding in the backseat of a
foreign sportscar was involved in a head-on collision
in March of 1969. She fractured her spine and laid unconscious for nearly
two weeks before being admitted to the Institute, with very little hope for
survival. In August, 1969, she walked out of the Institute wearing specially
designed braces and crutches. By early 1970, she needed only the support of
a cane. One year and four months after the accident she was functionally
independent, riding horseback, and continuing her college education.
A twelve year old boy, just two weeks before Christmas, was accidentally
shot by a neighbor while playing with a new gun. The bullet hit the boy's
liver, spleen, one vertebra, destroyed one kidney and damaged the other.
After many months in a hospital recuperating from two operations, with very
little hope for survival, he was admitted to TIRR. Through combined efforts
of the Institute's team and the boy's parents, the boy survived and, though
in a wheelchair, has gained back most of his original weight, is attending
school and following the routine of an almost normal life.
BUILDING SOMETHING, ANYTHING
12
with the aid of hands powered by artificial
muscles in a well rounded occupational
therapy program.
A young gymnast, captain of her high school team, slipped while doing a
handstand and fell, breaking her neck and becoming paralyzed. After months
of rehabilitation efforts (physical and occupational therapy), she has learned
to write again, breathe normally, and graduated with her high school class,
as her classmates insisted she move her wheelchair to the stage for diploma
presentations. She is now attending college.
The doctors, nurses, and patients have told me that rehabilitation is slow. But
when I see and hear of some of the apparent miracles that have been accom-
plished-rebuilding a practically useless body in less than four months to a
point where a person can function on his own with supportive equipment
and some personal care-1 am truly impressed.
The facilities and equipment are, for the most part, modern. New items are
needed and added when monies become available. From a very practical
point, I found it cost less to rehabilitate a person than to leave him for life in
a nursing home. A recent study of 1,000 patients provided comprehensive
services at the Institute, showed that the average cost for the initial complete
program was $4,376 (excluding physicians' services, which were donated).
Individual care costs vary with the severity of the condition, e.g.,
cost of comprehensive rehabilitation of the spinal cord
injured averages $9,500 with another $1,200 for equip-
ment. If these patients had been relegated to custodial care
in a nursing home for the average life expectancy (25
years) of a spinal cord injured person, it would have
cost someone (probably the taxpayer) at least $5,000
a year or a total of $125,000, not counting innumerable
hospital admissions for acute complications.
In simple terms, the finished product of the Institute
revolves around a human being and the ability to
preserve as many options as possible for his or her
future life. In 1970 more than twenty patients of the
RESEARCH requires time, money
and dedicated professionals to
14
discover new, more effective approaches
to combating disability and hastening
the rehabilitation process.
9
800
700
Institute attended college in wheelchairs. Hundreds of others have been returned
to productive life, to being a taxpayer and to realizing the dignity of man.
And absolutely to my amazement, I tested the Institute's special driver train-
ing equipment upon which one hundred patients-some with little use of their
arms or legs-have learned to drive and pass their
State tests during the past twenty-four months.
The driver training program is a facet of a well-
planned, thoroughly integrated Vocational
Unit dedicated to providing the atmosphere
and training required to make a client
(patient) capable of employment, and then
DRIVER EDUCATION
me INSTUTE FOR
SUBTORY AND RESEARCH
to help him find a job. There are seven
primary programs and activities in the
Vocational Unit-comprehensive
vocational evaluation, work adjustment training,
selective placement and follow-up, client self-support programs,
computer programmer training, driver training program and work evaluation
research. The success of the Vocational Unit is a man or woman utilizing
a different set of skills to successfully gain employment, earn an income and
resume a contributing role in society. More than 40% of the most severely
handicapped adults imaginable have been able to achieve competitive
employment.
Rehabilitation is more then just the goal for the patient. It involves the entire
family-and society. As an integral element of the rehabilitation program, the
Institute initiated in January, 1968, an extensive educational program directed
toward members of the injured patient's family. This program has done much
to reduce the anxieties of both family and patient when the family unit is
brought together again in a home atmosphere.
16
AT TIRR, some people learn
to drive autos with the limited use of
arms or legs
plus ingenuity and desire.
FOR
DRIVER EDUCATION
RESEARCH
The scientific and medical world has for many years looked to the Institute
and its personnel for major technical breakthroughs. One of the most signifi-
cant developments in the area of spinal surgery can be credited to Dr. Paul
R. Harrington, who has successfully perfected internationally acclaimed
spinal instrumentation and fusion techniques for curvature of the spine
(scoliosis). It is amazing to view photographs showing first a person humped
over with a badly twisted spine and then to see the same person standing
erect following Dr. Harrington's surgery in which his technique and instru-
mentation was employed. Additional laboratory tests are currently underway
to further perfect advanced instrumentation in this area.
Dr. Spencer and Danish-born Mr. Thorkild J. Engen have recorded exciting
advances in the development of externally powered upper extremity anthoses.
These devices are, in fact, mechanical carbon dioxide
powered artificial muscles to power paralyzed arms.
Their utilization has allowed over 100 quadriplegic
(totally paralyzed) and other patients to achieve con-
siderable functional independence.
Mr. Engen is presently attacking the problem of
weakened lower extremities. His efforts should eliminate
the need for heavy leather or metal riggings for paralyzed
or weakened legs by the use of modern plastics and
ingenious fabrication techniques. By virtue of a Social
and Rehabilitation Service Research Grant, his accom-
plishments at building a lightweight limb that functions
like the skeletal and ligamentous elements of a human limb, a normal walking
gait is possible for a person with a drop foot after a stroke.
Scientific investigation into the care and rehabilitation of the stroke patient
continues. Current research is being conducted into the feasibility of an elec-
18
BIOMEDICAL INGENUITY - combined
with Physiological Knowledge
creates the devices to let them walk,
move, run, play and live.
trical stimulation device designed to activate nerves and allow a stroke patient
to walk and move more normally. A small cigarette case size electronic de-
vice is carried in his pocket.
Early in our nation's effort to place man in orbit, the Institute conducted ex-
tensive human immobility tests for NASA. The research team was headed by
Dr. Carlos Vallbona (now Chairman of Baylor's Department of Community
Medicine) and Dr. David Cardus, cardiologist and physiologist.
Today, Dr. Cardus has turned his attention to evaluating the
capacity for physical work of those persons having heart disease
so that they may re-enter an active life as soon as possible
after a coronary occlusion. In TIRR's new Work Toler-
ance Evaluation Laboratory, the cardiac patient is
placed under controlled exercise. Through scientific
testing, using an on-line computer and specialized
instrumentation and evaluation, the patient's ability
for work is established and an individual activity
schedule developed, reducing both the physical
and mental anxieties of post-cardiac recovery.
Future research in this area calls for a carefully
controlled exercise program involving physical
therapists for the rehabilitation of people with coronary heart disease.
Many of the extensive research activities are supported by a large rehabili-
tation-engineering program which provides new instruments and blends
engineering technology with medical research. In nearly every field of re-
habilitation, including the physical, psychological, social, and vocational,
new techniques are being tested for the person with spinal cord injury,
stroke, amputation, spine deformities, and the child with cystic fibrosis,
muscular dystrophy, and birth defects.
I have heard for such a long time that results from research take time,
money, and dedication. The dedicated men and women at TIRR need only
20
WORK TOLERANCE TESTS, developed
at TIRR, to test man's capacity for
work following heart disease.
time and money before making yet more significant contributions to this
multifaceted field.
FUTURE
Dr. Spencer daily faces the problem of the future of the Institute. In many
ways the future will be decided by the financial support
forthcoming. I sense that they are trying to define an optimal
operational size that will meet the demand, while allowing the
best utilization of source manpower.
Plans call for:
Doubling the bed capacity and adding research and
education space in the medical center unit within the next
three to four years from 63 beds at present to approximately
100. If done, this will require a major capital investment in
expanded facilities. The recently acquired Annex is envisioned
as the medical hub of a major residential facility for handi-
capped young people of working and college age, and
elderly handicapped persons, capable of independent living.
This will require financing principally for land acquisition.
A major commitment to research. This appears mandatory both by the
professional nature of the Institute's personnel and the realization that
techniques and treatment can be perfected. It is only through research applied
to the problems and needs of handicapped people that the benefits of science
and technology can improve their outcome.
Optimum use of resources. The Institute has achieved better results each
year in its time requirements for patient care. Improved techniques are work-
ing toward the reduction in time spent by a patient in the Institute and
reduced cost to sponsors, and to allow more people to be helped. Current
programs under study should still show more improvement in this area.
22
TO DR. WILLIAM A. SPENCER, Director of the
Texas Institute for Rehabilitation and Research,
"Our goal for each patient is a productive life
with economic freedom and, above all, dignity."
Major developments planned or anticipated through 1976:
Development of "care centers" similar to those already established to provide
programs for those having other impairments such as the multi-handcapped
child, the hemiplegic stroke patient, scoliotic child, and other problem
groups, especially the multiple amputee.
A coordinated multi-institutional stroke program is expected to be in oper-
ation in the next year to afford higher quality services and better access to
the stroke patient.
Expansion of vocational services to provide automated vocational perform-
ance testing and preliminary work to achieve job matching of physically or
educationally handicapped people, as well as, better training and placement
services.
Expand the usage of the computer based hospital information system into
evaluation of the care process to improve its efficiency of delivery and
effectiveness and the definition of requirements for transfer to other
institutions.
CONCLUSION
If one takes pride in a well researched and manufactured product, favorably
praises a well managed and staffed organization with high morale, supports
those projects that reflect well on the community in which one works and
lives; and above all, if one truly believes in the dignity of man and the
economic system that encourages the individual to earn his own way as a
substitute for welfare dependence, then philosophically, morally, and
practically one must be in agreement with the work being done by TIRR
and should consider the extent of its support in this light.
24
BOARD OF TRUSTEES
EXECUTIVE STAFF
Charles R. Rathbun,
William A. Spencer, M. D.,
President
Director
Mrs. S. M. McAshan,
R.E. Carter, M. D.,
Vice President
Director of Patient Care
William A. Spencer, M. D.,
C. G. Breckenridge, M. D.,
Vice President
Director of Education
Chester M. Fulton,
M. J. Fuhrer, Ph. D.,
Secretary
Director of Research
Charles C. Beall, Jr.,
J. M. Lias,
Treasurer
Assistant Director for
Administrative Affairs
Harry I. Battelstein
R.P. Bushman, Jr.
N. C. Hott,
Business Manager
Richard Colt
Peder Monsen
Henry J. N. Taub
James M. Walsh
Texas Institute for Rehabilitation and Research
1333 Moursund Avenue Texas Medical Center Houston, Texas 77025
Dedicated to the Quality of Life
Prometheus Unbound
Symbolic of the goal of the Texas
Institute for Rehabilitation and Re-
search - that every man, regardless of
his disability, deserves the chance to
live as a man and to enjoy the quality
of life.
your ourfirst
TIRR Benefit
Wednesday, November 8, 1972
Texas Institute for Rehabilitation and
Co-Chairmen, Ticket Sales Committee
Research
Mrs. Curtiss Brown
Featuring:
Mrs. Franklin Fisher
Mrs. Aron Gordon
Tony Bennett
Bill Cosby
TIRR Board of Trustees
The Golddiggers
Charles R. Rathbun, president
Music by Ed Gerlach and his
Mrs. S. M. McAshan, vice president
Orchestra
William A. Spencer, M.D., vice president
Sets by Robert Howery Studios of
Chester M. Fulton, secretary
Houston
Charles C. Beall, Jr., treasurer
The Board of Trustees and Executive
Harry I. Battelstein
R.P. Bushman, Jr.
Staff of TIRR express their appreciation
Richard Colt
to the many individuals and organiza-
Peder Monsen
tions who have worked SO diligently to
Henry J. Taub
make the TIRR Benefit possible.
James M. Walsh
DeBakey and Dr. William A. Spencer
met to discuss the idea of establishing
a rehabilitation and research facility
in the Texas Medical Center. Within six
weeks, architectural sketches were
prepared and construction began
soon thereafter. Funds for the Texas
Institute for Rehabilitation and
The Institute serves those who can ben-
Research came from private founda-
efit from early comprehensive care
tions and a federal grant.
and rehabilitation required to restore
From that small beginning, TIRR has
them to a healthier physical and psy-
grown to become one of the nation's
chological condition with the ability to
largest research and training centers
be productive and care for them-
for rehabilitation medicine. Extensive
selves as independently as possible.
research into the prevention and con-
The doctors and nurses at TIRR do
trol of disability and ways to restore
not debate the questions of life and
bodily function and life adjustment is
death but rather the QUALITY of life of
conducted at the Institute. There has
their patients. The patients are not
been no restriction of eligibility due to
handicapped people - even though
income level, place of residence,
they may use a battery-powered res-
Tonight, a great entertainment event
age, race or source of sponsorship.
pirator for breathing, ride in a wheel-
for your enjoyment. The TIRR Benefit is
The only limitations have been the ex-
chair or spend many hours each day
also an important fund-raising effort
tent of donations and the capacity of
in specialized therapy. They are indi-
on behalf of a unique medical facility,
the resources.
viduals who are in the process of re-
world-renowned for its pioneering ef-
Its concept is to be a voluntary, non-
building lives that have been inter-
forts in the areas of research and reha-
profit, regional health facility to assist
rupted by a physical impairment.
bilitation. The Institute had its begin-
the disabled. Its purpose is to provide
The full-time staff of 400 at TIRR,
ning in 1959 in a small meeting of
care for people of all ages, SO af-
headed by Dr. William A. Spencer,
well-known Houstonians. Houston
fected by disease or injury that their
includes doctors, nurses, other allied
financier-philanthropist Ben Taub, the
survival is threatened or who have lost
health professionals and supporting
late Lamar Fleming, Dr. Michael
the ability to take care of themselves.
personnel. The Institute is closely affil-
medical services. The new facility pro-
vides the Institute the opportunity to ex-
tend and expand its present programs
SO that an additional 200 people per
year may be served on an inpatient
basis and 250 on an outpatient and
iated with the Baylor College of Medi-
day care basis.
cine. Nearly 900 physicians and medi-
Major developments planned or
cal students participate annually in
anticipated through 1976 include:
the combined care, research and
Development of additional "care
training programs.
centers" to provide programs for
The Institute serves patients suffering
those having particular impair-
from:
ments - the multi-handicapped
Extensive paralysis
child, the hemiplegic stroke pa-
Multiple handicapping conditions
tient, the scoliotic child, and other
Breathing impairments
problem groups, especially the
Compared to other Texas Medical
multiple amputee.
Center facilities, the Institute is housed
A coordinated multi-institutional
in a small building - 84,000 square
stroke program is expected to be
feet It has 59 beds for inpatient clinic.
in operation in the next year to
Expansion of the usage of the com-
More than 575 inpatients, 1,500 outpa-
afford more specialized services
puter-based hospital information
tients and day care patients are
and better access for the stroke
system into evaluation of the care
cared for each year.
patient.
process, thereby improving its effi-
Late in 1970, TIRR acquired an addi-
Expansion of vocational services to
ciency of delivery and effective-
tional 40-bed facility near the down-
provide automated vocational
ness and the definition of require-
town area having a basic design
performance testing and prelimi-
ments for transfer to other insti-
compatible with wheelchair level mo-
nary work to achieve job matching
tutions.
bility. It is ideally suited to the para-
for physically or educationally
These goals will be accomplished
lyzed patient, those in need of re-
handicapped people, as well as,
through the continuing efforts of the
evaluation and follow-up and those in
increased training and placement
TIRR staff and the continued financial
need of interim extended nursing and
services.
support from the community.
song. Tony Bennett's I Left My Heart In
San Francisco is just one of this super-
star's many hits. Bennett's career got
off the ground in 1950 when his first hit
record Rags to Riches was released.
During childhood, Tony began sing-
ing at church functions, school plays
and operettas. After displaying an un-
usual talent for painting, he enrolled in
New York City's High School of Indus-
trial Arts, commuting each weekend
to nearby Paterson, New Jersey, to
sing in local restaurants for $10 a week.
Following three years of service in
World War II, Bennett made the deci-
sion that singing - not painting - was
to be his career. Then, in 1950 it hap-
pened. Bennett was singing at the
Greenwich Village Inn, in a show star-
ing Pearl Bailey. She heard Bennett
and told the Inn's manager to "Keep
that boy on. I like the way he sings."
Bob Hope, attending one of Miss
The Golddiggers
Bailey's shows, discovered Bennett
As versatile and talented as they are
and signed him on to tour with the Bob
beautiful, the Golddiggers have re-
Hope Show. Mitch Miller heard Ben-
created a unique form of entertain-
nett's demonstration record of
ment. As an eight-girl song and
Boulevard of Broken Dreams and his
dance troupe, they started their rise to
recording career took off.
stardom on the "Dean Martin Show."
Tony Bennett
Hit followed hit. Because of You,
One of the show's main attractions, the
Even if you have never been to San
Cold, Cold Heart and Rags to
Golddiggers' popularity increased
Francisco, you probably feel you've
Riches catapulted Bennett to
phenomenally. They are currently stars
been there largely due to one man's
stardom.
of their own syndicated weekly series.
Bill Cosby
It's only coincidence that "Comedy"
and "Cosby" both begin with the
same letter. Bill Cosby, whose hilarious
ventures into reminiscence have con-
vulsed millions of people for years,
revealed his unique gift for laughter at
an early age.
In the simplest manner possible, he
has become the spokesman of many
people all over America. He's the
street level philosopher who gives the
twist of the ridiculous to everyday
faults, foibles and successes, and
makes them a recognizable slice of
He has also signed to star in "The
happy unhappy life. His appeal, how-
Electric Company", newest experi-
ever, is not restricted to any specific
ment in educational television from
group, as his Chaplinesque qualities
the Children's Television Workshop,
have endeared him to people in all
creators of "Sesame Street". He has
walks of life.
also filmed two half-hour shows for ed-
The versatile Cosby made the transi-
ucational TV networks, "Concern"
tion from standup comic to actor in
which deals with his concern for
the NBC-TV series, "I Spy" and power-
school children, and "Prejudice" in
ful dramatic role in the film, "Man and
which he does an irreverent spoof of
Boy." He has since teamed with his
the hangups of prejudice. Both shows
"I Spy" partner, Robert Culp, for their
were written, directed and produced
first motion picture together, "Hickey
by the star.
and Boggs". He recently left NBC to
Cosby, who has moved with his
sign with CBS for a new weekly come-
family to Massachusetts, is continuing
dy variety show and will star in a
studies toward his doctoral degree in
number of films for that network in the
education at the University of
"CBS Friday Night Movies".
Massachusetts.
If ever it could be said that one man
embodies the spirit and determination
of an institution, that man is Dr. William
A. Spencer, TIRR Director and Chair-
man of the Department of Rehabili-
tation of the Baylor College of
Medicine.
Named "Physician of the Year" in
1965 by the President's Committee on
Employment of the Handicapped, Dr.
Spencer was one of the founding fa-
thers of TIRR in 1959.
Dr. Spencer's philosophy centers
around the premise that many of the
patients can spend the rest of their
lives incapacitated in a wheelchair or
nursing home or they can return to a
productive life with dignity, usefulness
and economic freedom despite a
physical handicap.
A Phi Beta Kappa graduate of
Johns Hopkins Medical School, Dr.
Spencer was elected one of the Ten
Outstanding Young Men in the United
States in 1954 in recognition of his work
in the field of poliomyelitis.
programs at the Institute. Under the di-
rection of Mrs. Nita Weil, Director of
Volunteers, activities of the Auxiliary
Members fall under three areas of
service:
0
Service to Patients and Staff
Fund Raising
Public Relations
Their responsibilities include feeding
the patients, personal shopping, mak-
ing beds, reading to patients, assisting
staff in clinics and the pharmacy,
helping with the recreation program,
providing clothing for the clothes
bank, operating the beauty shop pro-
gram and many other activities which
tional fund of TIRR.
prove invaluable to the Staff.
Public relations activities include
Their fund raising activities include
production of the quarterly Volun-TIRR
the day-to-day operation of the Korner
newsletter distributed to TIRR volun-
TIRR Volunteers
Store, the Short Stop, the Coffee Cart
teers and donors, audio-visual presen-
More than 200 active, associate and
and conducting periodic bake sales,
tations to clubs and organizations and
life TIRR Auxiliary Members donate
raffles and flea markets. All proceeds
preparation of public service copy for
their time and energy to the volunteer
from these activities go to the opera-
radio and television stations.
We also wish to express our appreciation to the follow-
Chester Fulton
ing individuals and organizations including those
Mrs. Bobbie Goggan
W.H. Vaughan, Jr.
Wm. H. Lane
Morris Glesby
whom we were unable to acknowledge here.
Dr. Shalom Vineburg
Tom Leervig
Ed Gerlach
Mrs. Willard Walbridge
Frank Mancuso
Barry Galloway
Jim Walker
Frank Mann
Dick Gottlieb
Bernard Wolf
SPONSORS
GOLD PATRONS
Peder Monsen
Johnny Goyen
Wallace S. Wilson
Mr. & Mrs. Leland Anderson
K. S. "Bud" Adams
Mrs. Carroll Masterson
Mrs. Pat Haggerton
Nita Weill
Automated Business Forms
Stanford Alexander
John J. Moran
Wm. E. Holke
Mr. Dale Wrenick
Isaac Arnold
Reuben Askanase
Joe Moss
Dick Hulbert
Frank Waters
John A. Beck
Mrs. I. Alexander
Mrs. John Martin
Houston Host Hotel
R. W. Wood, Jr.
Brawner Paper Co.
Maurice Aresty
Bob Mathis
Frank Horlock
Jack Wells
Borden Dairy & Services
Harry Battelstein
Richard Mace
Ms. Norma Howard
Joe Weiser
Mr. & Mrs. Cecil N. Cook
Mr. & Mrs. Whitfield Marshall
Leon Jaworski
A. R. Busse & Associates
Louie Welch
Mr. & Mrs. Ben A. Calhoun
Mr. I. S. Brochstein
1. L. Miller
John Jamail
Leilabeth Crispin
Ray Miller
J. Johnson, Jr.
H. Merlyn Christie
Mrs. W. L. (Jane) Barfield
Mrs. S. M. McAshan
Dick John
R. P. Bushman
Public Service Directors of:
Caniff Engraving Co.
Dr. Alice McPherson
Bernard Johnson
Coca Cola Bottling Co.
Lloyd Bentsen III
Larry McKaskle
Mrs. Gaylord Johnson
KHOU TV
Jim Brock
Dunham & Hunter, Inc.
James McConn
Irvin Kaplan
KHTV TV
Mrs. M. M. Feld
Battelstein's, Inc.
James McRae
Leo Kern
KPRC TV
Mr. & Mrs. Hebert J. Frensley
Mr. & Mrs. Thomas Blake
Jim McDonald
Carmen Knebel
KTRH TV
V.W. Frost
Paul Boesch
Ed Noret
Mrs. Jake Kamin
KURL TV
Fulbright, Crooker, Jaworski
Norman Bock
Gus Nelson
Miss Natalie Loehr
Houston Disposal Service
Mr. & Mrs. Ralph Balasco
Jim Olivarri
Nancy Landau
KCOH AM
Mr. & Mrs. L. G. Hubele
Charles Barker
Ms. Dee Osborne
J. Edwardo Lloret
KENR AM
Murrell Johnston
Abe Battelstein
E. Weber Ogden
Jim Lias
KIKK AM
John Jamail Properties
Mrs. J. Curtiss Brown
Linda Pickel
Bubby Levy
KILE AM
The Nathan J. Klein Fund
O. Dean Couch, Jr.
David Pasternack
J. Hugh Liedtke
KILT AM
Louis Kaplan
Richard Colt
Louis Pearce, Jr.
H. L. Lively
KNUZ AM
Mrs. Henry S. Meyer
W. S. Cochran III
Billie Perlman
James E. Lyon
KODA AM
M & M Ambulance Co.
Joe Cassady
S. W. Pearson
Jerry Lamberbeck
KPRC AM
Elizabeth Alexander Price
Mrs. Edward Rotan
Hermon Lloyd
KTRH AM
Elaine Cargill
Mr. & Mrs. C. W. Pierson
Louis Deutser
Ben Rogers
George W. Strake, Jr.
KULF AM
Rice Hotel Laundry
Chas. Rathbun
S. J. Shelby
KXYZ AM
SAM Office Furniture
Renee Danziger
Don Rossi
Jon Schumway
KYOK AM
Leon Davis
Sterling Electronics
Ranger Insurance
Carl B. Sherman
KAUM FM
Stanley Supply Co.
Mylie Durham, Jr.
Judson Robinson, Jr.
Dr. William Spencer
KLOL FM
Schuler & Wohlt
Michael DeBakey
David Read
Joycelene Sawyer
KLYX FM
L. L. D. Tuttle, M.D.
E. C. Dorrah
Virginia Ribb
J. Swann
Jay Traylor
John Dunn
Homer Ford
Texas Commerce Bank
The Houston Chronicle
Tel Tex
Mr. & Mrs. J. M. Edward
Ed Farrell
David J. Turrell
The Houston Post
Mr. & Mrs. David Winterman
Mrs. Fletcher Emerson
Mr. & Mrs. Aron S. Gordon
Robt. F. Tyler
The Houston Tribune
Waldman & Co. Interiors
Mrs. Franklin C. Fisher, Jr.
H. B. Gordon
David M. Underwood
The Westside Reporter
Wilson Fire Equipment
W.S. Farish III
Larry Groce
M.R. Underwood
FUN Magazine
Wilson Stationery
J.R. Frankel
John Gehbauer
Randy Villasana
The Pasadena News
TIRR
this is what
it's all about
On behalf of the TIRR Benefit Cam-
paign Committee, | wish to express our
appreciation to those of you who
have worked SO diligently to make this
first TIRR Benefit possible.
Proceeds from this evening's show
will enable TIRR to continue their pio-
neering efforts and to expand their re-
search and rehabilitation programs.
Thank you again for your interest in the
Institute and your efforts.
Hang d Batulatun
Harry 1. Battelstein
Chairman
"JOUF
ourfirst
Texas Institute for Rehabilitation and Research
1333 Moursund Avenue Texas Medical Center Houston, Texas 77025
GEORGE BUSH
October 18, 1996
Dear Lex,
BUSH LIBRARY PHOTOCOPY - GEORGE BUSH HANDWRITING
For your information, enclosed are copies of letters
I fired off to Bengt Lindqvist, Marca Bristo, and
Susan Parker.
I loved yesterday's luncheon. Well done, my
friend!
Warm regards,
G Bl
Mr. Lex Frieden
Senior Vice President
The Institute for Rehabilitation
and Research
1333 Moursund
Houston, Texas 77030-3405
10000 MEMORIAL DRIVE HOUSTON, TEXAS 77024
P.O. Box 79798
Houston, Texas 77279-9798
ay Bush
Postage and Fees Paid
Mr. Lex Frieden
Senior Vice President
The Institute for Rehabilitation
and Research
1333 Moursund
Houston, Texas 77030-3405