Oral history interview with Eddie Powless, November 10, 1993

Oral history interview with Eddie Powless conducted by Michell Wright on November 10, 1993. His wife, Dolly, was present during the interview. Eddie Powless was a campus bus driver between 1942 and 1975. Eddie recollects being hired by Charles Maher and the early days of driving practice teachers in the 40s, driving athletes to and from sporting events, memorable trips to various states, and working with coaches including Buck Read. He also transported students between East Campus and West Campus. He recounts several stories of memoriable students who rode on his bus routes. He discusses how the naming of Eddie’s Lane, a street in Kalamazoo which links Stadium Drive and Oakland Drive, came about through student recommendation. He briefly describes working with each of the WMU presidents and his retirement.No audio available

Pattern of retroperitoneal dissemination of primary peritoneum cancer: Basis for rational use of lymphadenectomy

Introduction: The rationale for lymphadenectomy in primary peritoneal cancer (PPC) is unclear. We sought to define the pattern of lymphatic metastasis in PPC and propose evidence-based rationale for lymphadenectomy in relevant cases. Methods: Patients with PPC undergoing primary surgery at Mayo Clinic were identified. Demographics, tumor characteristics, procedures performed and follow up were analyzed. Results: Forty eight patients with PPC were identified; 39 had stage IIIC (81.2%) and 9 (18.8%) had stage IV. Residual disease (RD) after primary surgery was microscopic in 6 cases (12.5%), less than 1\ua0cm in 33 (68.8%), more than 1\ua0cm in 9 patient (18.7%) with median survivals of 5.8, 3.2 and 1.3\ua0years, respectively. Overall, 24 patients had lymphadenectomy performed (pelvic (PND) or paraortic (PAND) or both). Pelvic nodes were involved in 12/23 (52.7%) cases, while para-aortic nodes were involved in 5/21 (23.8%) of cases. The rate of simultaneously positive pelvic and para-aortic nodes was 20% (4/20). Nodal involvement was a poor prognostic factor with 5\ua0year overall survival 63% vs. 25% (p = 0.014) in node positive vs. negative cases. Compared to patients with primary ovarian cancer (OC), OC cases had a higher rate of positive para-aortic nodes (57.6%: 77/132; p = 0.004). Conclusions: Retroperitoneal lymph nodes are a common site of metastases in PPC, therefore it is logically consistent to perform PND and PAND if a patient can be cytoreduced to microscopic RD in other sites or remove grossly positive nodes in patients with RD < 1\ua0cm