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The History of Medical X-ray, Inc.

A brief history of Medical X-ray, Inc. (MXI). MXI is the Cincinnati private practice radiology group that provides exclusive radiology services in Cincinnati, Ohio to Good Samaritan Hospital, Group Health Associates, Beacon Orthopedics, and Evendale Imaging Center and that provides teleradiology services for Neurospine Institute in Eugene, Oregon.

MXI Radiology.com TriHealth.com BeaconOrthopedics
Group Health Associates.com NeuroSpineEugeneOregon PrexusEvendale.com The History Medical X-ray, Inc. by Timothy J. Miller, MD

Number of Radiologists in MXI

Figure Legend:Dr. George Kreylingin 1965 cardioverting a patientat Good Samaritan Hospital in the city's first intensive care unit.

Figure Legend: Good Samaritan Hospital pediatric Radiologyroom approximately 1965.

Figure Legend: Good Samaritan Hospital surgeonsapproximately 1965.

Figure Legend: Sister GraceMarie Hiltz, first president of the Sisters of Charity Health Care System and leader of Good Samaritan Hospital for 17 years.

Figure Legend: Sister Myra James Bradley, head of Good Samaritan Hospital from 1991 to 1998, worked closely with L. Thomas Wilburn, Jr., then president and CEO of Bethesda Hospitals, to create the TriHealth partnership in 1995.

Figure Legend: Good Samaritan Hospital viewed from Clifton Ave. Built in 1915, this photo was taken in 1927 after the addition of the East Wing.

Medical X-ray, Inc. and Good Samaritan Hospital Today

Figure Legend: Good Samaritan Hospital Main Lobby in 2007 addition.

Although not originally affiliated with the Sisters of Charity organization, the building which would eventually become the original Good Samaritan Hospital was built in the 1830'sin downtown Cincinnati at Sixth and Lock streets. It was originallybuilt by the US federal government as the Cincinnati Marine Hospital in order to care for US Marines (rivermen)stationed along the western US rivers including the Ohio River in Cincinnati. It was built from a generic pattern by American Architect, Robert Mills. However, after the hospital was built, it turned out there were insufficient numbers of Marines needing hospital care to open the facility for business. Consequently, the building was largely unused for several decades until the start of the Civil War when there was a need for hospital space.

Early inthe Civil War, there was great need for hospital care near the battlefields close to the Mason-Dixon Line in order to care for the many wounded soldiers. TheCincinnati Marine Hospitalwasused for this temporary purpose and functioned as the Military Hospital of Cincinnati operated by the US Army Medical Department during the Civil War. After the war, the hospital quickly returned to its prewar state of relative disuse. In response, the US government decided to put the building up for sale. In 1866, the hospital building was purchased by two local Cincinnati businessmen as a gift to the Sisters of Charity organizationto be re-opened under new management as the newly named Good Samaritan Hospital.

In 1855, three years after St. Johns Hotel for Invalidsopened, demand compelled the sisters to relocate to a larger building. Four members of the medical staff paid the costs of relocating and renovating an old colonial mansion at the corner of Third and Plum Streets known as the Ruffner Mansionto accommodate 75 beds, and the new facility was named St. John's Hospital. Over the next decade, St. John's Hospital was a busy place.

During this time at St. Johns' Hospital, adestitute man suffering from typhoid fever passed a many-weeks-long recovery at St. Johns, and when he recovered, the sisters gave him a job. A wealthy local banker, Joseph C. Butler, had originally referred the man to the hospital and was tremendously impressed by thefree care the man had received. WhenMr. Butlerattempted to pay the mans bills, the sisters dismissed the charges, explaining that their care was for the love of God.

Wanting to help this effective and charitable organization, Butlerrecruited his friend Louis Worthington, and purchasedthe large military hospital that was being sold by the U.S. Government at the close of the Civil War. In 1866, the deed was presented to the Sisters of Charitywith two conditions: that no one be excluded from the hospital because of his color or religion, and that the hospital be renamed The Hospital of the Good Samaritan, in honor of the sisters kindness. The new 95-bed Good Samaritan Hospital opened at Sixth and Lock Streets, in downtown Cincinnati, in October 1866 under management by the Sisters of Charity.

Good Samaritan Hospital Moves to the CurrentClifton Location

Figure Legend: Radiation Therapyroomapproximately 1915.

Figure Legend: Good Samaritan Hospital Victoria Hall, the student nurse residence, viewed from Clifton Ave. 1927.

Figure Legend: 2007 Good Samaritan Hospital Radiology Department Renovation, MRI Entrance, 5th floor.

TriHealth

Created in 1995, TriHealth is a health care system based in Cincinnati, Ohio. It operates Bethesda North and Good Samaritan hospitals, as well as community-based facilities and home health services. The third hospital in the TriHealth system, Bethesda Oak was closed in 1999 (see figure). In 2008 TriHealth employed 9, 500 people with revenue of $1 billion.

TriHealth combines the strengths of two of Greater Cincinnati's finest health care organizations, Bethesda and Good Samaritan. Formed in 1995, the partnership created an integrated health delivery system whose mission is to improve the health of the people we serve, with an emphasis on prevention, wellness and education. TriHealth is dedicated to delivering the best care possible.

TriHealth institutions have values rooted in spiritual heritage and compassionate services to the community. Bethesda was founded in 1896 by German Methodist deaconesses to care for Cincinnati's sick and poor. A Catholic organization, Good Samaritan Hospital was established in 1852 under the sponsorship of the Sisters of Charity to provide care for the poor and medically underserved. In keeping withtheir early purpose, TriHealth continues to provide uncompensated care to those in need.

Figure Legend: John Prout, President and CEO of TriHealth, Inc., Cincinnati, OH., 2007.

In serving the community's needs, TriHealth offers comprehensive services at more than 50 convenient locations in the Tristate. Sites include two hospital locations and physician office buildings in addition to fitness, rehabilitation, occupational health, and outpatient centers. TriHealth also provides at home and workplacehealth services and delivers care and education cooperatively through community-based organizations, such as churches, schools, clinics and social agencies.

Figure Legend: David Dornheggen, Chief Operating Officer and Vice President of Good Samaritan Hospital 2007.

TriHealth hospitals have been recognized locally and nationally as top-rated in maternity care, neonatal intensive care, cardiac surgery and cardiology, orthopedics, urology, neurology/neurosurgery, and endocrinology.

Figure Legend. November 17, 1999 Business Courier Newspaper article about the decision to close Bethesda Oak Hospital.

TriHealth Mission

Our mission is to improve the health status of the people we serve. We pursue our mission by providing a full range of health related services including prevention, wellness and education. Care is provided with compassion consistent with the values of our organization.

TriHealth Vision

Where people want to work

Where physicians want to practice

And most importantly, where the community wants to go when they need the best quality, service, safety and value in health care.

TriHealth Values

Respect for All People

Stewardship of OurResources

Service Excellence forAll Customers

Response to CommunityNeeds

Respect for Our SpiritualHeritage

Valuing Differences

TriHealth Spiritual Heritage

In 1896, Bethesda Inc. was founded by German Methodist Deaconesses to care forCincinnati's sick and poor. Good Samaritan opened in 1852 with the Sisters of Charity and is now part of Catholic Health Initiatives, a national system of Catholic hospitals. In 1995, TriHealth was created as a partnership between Bethesda Inc. and Good Samaritan Hospital.

Key Service Excellence Messages and Behaviors

Always introduce yourself at every encounter. Give patients your completeattention. Say "please" and "thank you. Ask patient if they have everything they need. Tell patient when you will be back. Tell patient that you want their care to be excellent.

Acknowledge: Speak to patient using their preferred name and title

Introduce: Tell patient your name, dept, position, experience

Duration: Give estimate of time to complete

Explanation: Explain what you are going to do to or for patient

Thank: Thank patient for choosing us for their care, for theircommunication, cooperation

A Prayer for Our Daily Work

Compassionate God let me give attention and respect to the people I meet today. Let me stop to listen to their question, idea, or deep-down concern. In the midst of tasks and distractions help me greet everyone with my most hospitable self. Because webelieve that every person is a treasure, a unity of body, mind and spirit; we commit to living our values today and every day.

TriHealth Strategies

Become market leader in quality, service excellence, patient safety

Increase number of affiliated physicians

Grow tertiary services and academics

Develop broader, more coordinated network of access points

Maintain position of "employer of choice

Figure Legend: R and FRoom completed during the Good Samaritan Hospital Radiology Department renovation 2006.

The use of x-rays to assist in the diagnosis of fractures, tuberculosis, kidney stones, and fetal positioning was tremendously important, and utilization skyrocketted. Soon there were not enough x-ray specialists tocomplete the rapidly growing number of x-ray examinations requested.This rapid growth in medical x-rayutilizationcoincided withthe creation of medical specialties in America. The American Board of Radiology was established in 1934 by a group of academic radiologists who felt that self-taught x-ray uses had grownsufficiently to become an independentmedical specialty. They felt that a specialty board in radiology should be formed tohelp set standards for the training of x-ray doctors, set standards for x-ray uses in the hospital departments, and help set standardsfor radiation units and measurements. Their concepts were comparable to other newly created self-defining medical specialty groups including ophthalmologists, obstetricians, surgeons, and urologists.

Before 1960, most radiologists worked in hospitals under contract with the hospitalsin which the hospitals set the terms, fixed the prices, billed and collected the fees, and paid the radiologists according to their contract agreements. With the enactment of Medicare in 1965, a legislative definition of radiology as an independent medical specialty was first established. Thereby, radiologists began being paid for their services directly by Medicare and other private insurance companies in the same manner asall other doctors were. Medicare would separately reimburse the hospital for the technical fee and reimburse the radiologist for the professional fee. As a result, in the late 1960's, many radiologists at private hospitalssuccessfully negotiated with the hospital administrationand were able to form highly efficient and effectiveprivate practice radiology groupswhich began billing Medicare and insurance companies directly for their services.

With these agreements, radiology groups continued to contract with hospitals to help manage, and to provide radiology services for, the radiology departments, butprivate practice radiologistsbecame largely financially independent from the hospitals. Many of these private practice radiology groups were also able to accept supplemental work from outside the hospital from private doctors offices, private multispecialty groups, private subspecialty physician and surgeon groups, government agencies and clinics, and even other hospitals. Radiologists in academic centers and in newly forming large multispecialty groups mostly remained under contract with the hospital or clinic, allowed the institution to bill globally, and accepted an annual salary and termsthat they negotiated individually.

Figure Legend: Mrs. Vance, Good Samaritan Hospital Radiology Department Nurse instructing students 1965

Figure Legend: Elaine Banzhaf and Patricia Schlosser (behind glass) circa 1965.

Figure Legend: Sister Mary Alice, Good Sam Radiology Department Manager in the 1950's and 60's.

Figure Legend: Patricia Schlosser and Earl Carrico, Good Sam Radiology Technologists circa 1965.

Figure Legend: Good Samaritan Hospital Radiology Technology Graduating Class. Kathy Doherty-Fries top left and Denise Vocke (current Radiology Department Manager) bottom left.

Figure Legend: R and FRoom completed during the Good Samaritan Hospital Radiology Department renovation 2006.

Ultrasonic energy was first applied to the human body for medical purposes by Dr.George Ludwig at the Naval Medical Research Institute, Bethesda, Maryland in the late 1940s. In 1962, after about two years of work, Joseph Holmes, William Wright, and Ralph Meyerdirk developed the first compound contact B-mode scanner. Their work had been supported by U.S. Public Health Services and the University of Colorado. Wright and Meyerdirk left the University to form Physionic Engineering Inc., which launched the first commercial hand-held articulated arm compound contact B-mode scanner in 1963. This was the start of the most popular design in the history of ultrasound scanners. The first demonstration of color Doppler was by Geoff Stevenson, who was involved in the early developments and medical use of Doppler shifted ultrasonic energy.[20]

Figure Legend: 64-slice CT scanner installed in the Good Samaritan Hospital Radiology Department during the 2006 department renovation.

Figure Legend: 1.5 TeslaMRI machine in the Good Samaritan Hospital Radiology Department 2006.

Figure Legend:NuclearMedicine gamma SPECT scanner installed in the GoodSamaritan Hospital Radiology Department during the 2006renovation.

The history of Nuclear Medicine is rich with contributions from gifted scientists across different disciplines in physics, chemistry, engineering, and medicine. The multidisciplinary nature of Nuclear Medicine makes it difficult for medical historians to determine the birthdate of Nuclear Medicine. This can probably be best placed between the discovery of artificial radioactivity in 1934 and the production of radionuclides by Oak Ridge National Laboratory for medicine related use, in 1946.Many historians consider the discovery of artificially produced radioisotopes by Frederic Joliot-Curie and Irene Joliot-Curie in 1934 as the most significant milestone in Nuclear Medicine.

Nuclear Medicine gained public recognition as a potential specialty on December 7, 1946 when an article was published in the Journal of the American Medical Association by Sam Seidlin. The article described a successful treatment of a patient with thyroid cancer metastases using radioiodine (I-131).

Widespread clinical use of Nuclear Medicine began in the early 1950s, as knowledge expanded about radionuclides, detection of radioactivity, and using certain radionuclides to trace biochemical processes. Pioneering works by Benedict Cassen in developing the first rectilinear scanner and Hal O. Anger's scintillation camera (Anger camera) broadened the young discipline of Nuclear Medicine into a full-fledged medical imaging specialty.

In these years of Nuclear Medicine, the growth was phenomenal. The Society of Nuclear Medicine was formed in 1954 in the United States. The development of generator system to produce Technetium-99m in the 1960s became a practical method for medical use. Today, Technetium-99m is the most utilized element in Nuclear Medicine and is employed in a wide variety of Nuclear Medicine imaging studies.

By the 1970s most organs of the body could be visualized using Nuclear Medicine procedures. In 1971, American Medical Association officially recognized nuclear medicine as a medical specialty.[1] In 1972, the American Board of Nuclear Medicine was established, cementing Nuclear Medicine as a medical specialty.

In the 1980s, radiopharmaceuticals were designed for use in diagnosis of heart disease. The development of single photon emission tomography, around the same time, led to three-dimensional reconstruction of the heart and establishment of the field of Nuclear Cardiology.

More recent developments in Nuclear Medicine include the invention of the first positron emission tomography scanner (PET). The concept of emission and transmission tomography was introduced by David Kuhl and Roy Edwards in the late 1950s. Their work led to the design and construction of several tomographic instruments at the University of Pennsylvania. Tomographic imaging techniques were further developed at the Washington University School of Medicine. These innovations led to fusion imaging with SPECT and CT by Bruce Hasegawa from University of California San Francisco (UCSF), and the first PET/CT prototype by D. W. Townsend from University of Pittsburgh in 1998.

PET and PET/CT imaging experienced slower growth in its early years owing to the cost of the modality and the requirement for an on-site or nearby cyclotron. However, an administrative decision to approve medical reimbursement of limited PET and PET/CT applications in oncology has lead to phenomenal growth and widespread acceptance over the last few years. PET/CT imaging is now an integral part of oncology for diagnosis, staging and treatment monitoring.

Medical X-Ray, Inc. (MXI) is a group of top-notch Radiologists in Cincinnati, Ohiofocused on practicing excellent Radiology in the inpatient and outpatient settings. All MXI Radiologists are ABR Board-certified and approximately half hold additional subspecialty fellowship training. All MXI Radiologists practice general Radiology in addition to their subspecialty areas. MXI is well-known for its friendly, approachable Radiologists who all get along well and have fun working together. MXI has long enjoyed excellent relations with the hospital administration and referring doctors. MXI Radiologists understand that there is no better source of satisfaction, and job security, than simply being valuable and doing a good job.

In order to minimize overhead, MXI contracts all ancillary services including billing, retirement, payroll, legal, etc. and employs only Radiologists. Despite increasing work volumes, MXI has been able to hold the number of Radiologists steady, at approximately a dozen, over the past 15 years by maximizing efficiencies utilizing digital dictation, PACS, and teleradiology.

MXI Beginnings

Good Samaritan Hospital opened at its current Dixmyth location in 1915, just prior to the United States entry into World War I. X-rays had been discovered in 1895 in Germany by Karl Roentgen, and when Good Sam Hospital was built 20 years later, several x-ray units were installed in the new hospital.

However, from 1915 to 1930, there was no official Radiology Department at Good Sam. Plain films were taken mostly for fractures or TB and were preliminarily read by the ordering docs and then were officially read by travelling radiologists who would come to the hospital for a just few hours a few days a week.

After WWI, in the 1920s, a boon in radiology occurred with the advent of fluoroscopy which allowed upper GIs and Barium Enemas to become common at many hospitals across the US. By the late 1920s, wanting to keep up with the latest and greatest medical technologies, the Good Sam docs wanted an official Radiology Department and a full-time, on site radiologist to read the films promptly, to be available for consults, and to perform fluoroscopic examinations.

Consequently, in 1931, Good Sam put out an advertisement for their first full-time radiologist and hired Justin McCarthy from St. Louis Hospital in Missouri to create and staff Good Sams first Radiology Department.

Justin McCarthy would later father Gene McCarthy who would come to Good Sam in 1968 as the 5th Radiologist to join Good Sam.

Justin McCarthy worked solo as the only Radiologist at Good Sam Hospital for 23 years at which point he invited a young resident who had done a rotation with him to join him. This resident, of course, was Roland Wintzinger who became the second Radiologist to join Good Sam when he started in 1954.

The two ran the Radiology Department alone for 11 more years until 1965 when they hired a third radiologist, Richard Mulvey and a few years later the fourth radiologist, Donald Gunderson.

Justin McCarthy worked in the Good Sam Radiology Department from 1931 until 1975 (interrupted only by a 4 year stent in the army during WW2) for a total of 44 years.

Roland Wintzinger worked in the Rad Dept from 1954 until 1996 for a total of 42 years.

Figure Legend: MXI Radiologists during Bill Chang's retirement party February 3, 2007. Left to right: Steve Kruis, Jim Meranus, Dave Huelsman, Liz Alexander, Barry Blum, Angie Beckes, Bill Chang, Galen Chun, Chuck Herfel, Frank Schlueter, Tim Miller, Gene McCarthy (retired), and Donald Gunderson (retired).(MXI Radiologists not pictured, but working for MXI at the time, include Terry Frey, Chuck McConnell, and Kim Draud).

MXIis simplya group of Radiologists who came together to provide Radiology services to Good Samaritan Hospital. As such, it really started in 1954 when Dr. Roland Wintzinger joined Dr. Justin McCarthy at Good Sam to become the second Radiologist in the Department. When Drs. Mulvey and Gundersonjoined in 1965, they became four radiologists working together, and shortly thereafter officially incorporated as "McCarthy, Wintzinger, and Mulvey" in 1967. When Dr. Mulvey left the group in 1968, they decided to rename the corporation "Medical X-ray, Inc."

MXI is, and always has been, a group of dedicated Radiologists working together at Good Samaritan Hospital and elsewhere. What follows nextis biographical information on those MXI Radiologists.

Born in Aberdeen, South Dakota 1902

Father worked for rail road company in Aberdeen, South Dakota.

Mother was a homemaker.

3 sisters and 1 brother

His brother, 1 yr older, first became a General Practioner but later switched to Radiology after observing his brother Justins work. He stayed in Aberdeen to practice Radiology.

High School: Aberdeen

Undergraduate: Creighton University for 2 yrs. Creighton is a Jesuit university in Omaha, Nebraska.

Med School: Creighton University for 4 yrs.

1927: Rotating Internship at St Louis Hospital. Interest in Radiology was sparked when he did Radiology elective with the dynamic Chief of Radiology, Dr. LeRoy Sante who was widely known as one of the early radiologists and great teachers of the early 20th century. The academic St. Louis Department of Radiology took form in 1927 at St. Louis City Hospital with the establishment of an approved three-year training program under the leadership of Dr. Leroy Sante. Dr. Sante became Chairman of the Department of Radiology in 1928 (http://radiology.slu.edu/index.php?page=history).

1928: Radiology Residency at St Louis Hospital. The student who was supposed to start the Radiology Residency with Dr. Sante got TB and had to withdraw. Dr. Sante had been impressed with Justin McCarthy during his internship elective the previous year, and Dr. Sante personally recruited Justin McCarthy to take the newly vacated Radiology Residency position. Justin accepted the offer and started his 3-yr Radiology Residency a few months early while still completing his intern year. Dr. Sante was ahead of his time regarding concern for radiation safety. He insisted Radiologists wear lead gloves and a lead apron stating: We dont know what the long term effects of radiation are, but it may be dangerous. This is at a time when they were still regularly using fluoroscopy to fit shoes in department stores.

Figure Legend. Copy of the 1928 book Modern X-Ray Technic by Ed. C. Jerman and personal correspondence letterhead given to Timothy J. Miller by Jack Singer in 1994.

1931: Justin McCarthy accepted the position at Good Samaritan Hospital directly from his Radiology Residency at St. Louis Hospital and became the first full-time Radiologist (and Department Director) at Good Samaritan Hospital.

Ben Felson was working at Cincinnati General Hospital, and there were a handful of other private practice radiologists in town at that time.

Married 1932: Mary Catherine McConn who was working as a nurse at Good Sam.

1931-1933: Justin McCarthy was mostly done with the Good Samaritan Hospital work by noon each day and was looking for other work to keep him busy. He was recruited by 2 Radiologists from Jewish Hospital to share a private practice Radiology office space in downtown Cincinnati on Garfield Place. Archie Fine and Sam Brown hoped that by inviting Justin McCarthy from Good Samaritan Hospital, they might gain access to Outpatients from Good Samaritan Hospital. As was the standard practice at the time, all 3 Radiologists practiced Radiation Therapy in addition to Diagnostic Radiology in their office. To calm patients nervous about radiation exposure during cancer treatments, Dr. Sam Brown would occasionally sit in the room with them during the treatment sessions at the Garfield office.

Justin had 2 children: a son Eugene born 1936 and a daughter Merilyn born 1939.

1942-46: After having worked at Good Samaritan Hospital for 11 years (since 1931), in 1942 Justin McCarthy left Good Samaritan Hospital temporarily and joined the army during WWII. He volunteered at the age of 42 years and moved his wife and 2 young children to Memphis, TN. He worked as a much-needed Radiologist for 3 years stationed at Kennedy General Hospital in Memphis, TN and then for 1 additional year at Fort Benning, GA. His presence was missed at Good Samaritan Hospital. The attitude during the war was Do what you can with what you have. Jack Singer was able to provide some Radiology services during Justin McCarthys four-year absence from Good Sam.

1946: At the conclusion of the war in 1945, the army deemed Justins work as a Radiologist too valuable to give up and kept him working for an additional year. In 1946, he was finally permitted to return to his position as Radiologist and Department Director at Good Samaritan Hospital.

1946-1954: After his 11-year solo-stent at Good Sam, and then a 4-year hiatus in the South for the War, Justin returned to Good Sam for an additional 8-years as a solo-practitioner. In 1954, after 23 years as a practicing Radiologist, having been impressed with a young Radiology resident he had worked with several years previously at Good Samaritan Hospital, Justin McCarthy hired his first Radiologist associate, Dr. Roland Wintzinger.

Good Samaritan Hospital opened at its current Dixmyth location in 1915, just prior to the United States entry into World War I. X-rays had been discovered in 1895 in Germany by Karl Roentgen, and when Good Sam Hospital was built 20 years later, several x-ray units were installed in the new hospital.

However, from 1915 to 1930, there was no official Radiology Department at Good Sam. Plain films were taken mostly for fractures or TB and were preliminarily read by the ordering docs and then were officially read by travelling radiologists who would come to the hospital for a just few hours a few days a week.

After WWI, in the 1920s, a boon in radiology occurred with the advent of fluoroscopy which allowed upper GIs and Barium Enemas to become common at many hospitals across the US. By the late 1920s, wanting to keep up with the latest and greatest medical technologies, the Good Sam docs wanted an official Radiology Department and a full-time, on site radiologist to read the films promptly, to be available for consults, and to perform fluoroscopic examinations.

Consequently, in 1931, Good Sam put out an advertisement for their first full-time radiologist and hired Justin McCarthy from St. Louis Hospital in Missouri to create and staff Good Sams first Radiology Department.

Justin McCarthy worked solo as the only Radiologist at Good Sam Hospital for 23 years at which point he invited a young resident who had done a rotation with him to join him. This resident, of course, was Roland Wintzinger who became the second Radiologist to join Good Sam when he started in 1954.

Figure Legend: Roland G. Wintzinger, MD in 1979 at age 55 years.

In 1942, upon graduating from St.X highschool, Rolandstarted as a Freshman at Xavier University in the armyROTC program which helped fund his college education.

1943 during WW II. In infantry training 1943. Took exam for premed offered. This is when is aspirations to medicine began. inducted in army until 1946

Began premed at Citadel charleston sc 1943-1944 and premed univ maryland

1945 Surgical tech valley forge army hosptial

1945-1946 First yr medical school u penn

Army then dropped program, could not afford to stay.

MD degree from Univ Cincinnati 1946-1949

Rotating Internship Good Sam Hospital 1949-1950

1950-1952 Radiology Residency with Justin McCarthy

1951 May Married. Phyllis was working as a nurse at GHS 1947-1950.

1952 Radiology Resident Cincinnati General Hospital with Ben Felson less than one year when recalled to army.

1952 recalled to military service during Korean War when still a Radiology Resident serving as chief radiologist Fort Rucker army hospital alabama.

1953 First child born in Alabama.

1954 invited to GSH by Justin McCarthy

Second radiologist at good sam 1954-1996.

Was in alabama in army. JM invited him to return and take job. Started delivering flowers as teenager. Worked over 50 years.

License to practice OH, IN, KY

ABR certified 1956

Member ACR, RSNA, OSRS, RSGC, AMA, OSMA, Cincinnati Acad Medicine

Director 1967-90 (23 years) of Radiology Dept

42 yrs at hospital

1990 Senior attending

Retired 1996

Died april 8, 2009 at Naples Community at age of 84.

Survived by wife phyllis married 57 years.

3 daughters: mary helen, sue, carol ann

Filled up paper cup with paper clips youve done your job

Served as director over 20 years

Served in rad dept over 40 years.

Under his leadership, the dept underwent major advancements in CT , US, MR

Roland G. Wintzinger MD in 1995. Second Radiologist to join MXI. GSH Radiology Department Director 1967 to 1990.Toward the end of his career, commonly referred to as "Chief."

Figure Legend. Eulogy found posted ananously on bulletin board in the Good Samaritan Hospital Radiology Department the morning after Dr. Wintzingers death in Florida. One of the Radiology Technologists, Nancy Gates, later claimed credit for writing and posting the tribute.

Figure Legend:2009 Commemorative Plaquededicating the Roland G. Wintzinger Radiology Conference Room in theGood Samaritan Hospital Radiology Department

Figure Legend: Poster from the Physicians' Lounge Advertising Good SamaritanHospital's First-ever "Physician RecognitionAward" Recipients, September 26, 2009. Lifetime Achievement Award for Medical Education and Service recipients: John J. Cranley MD, Frank E. Ellis MD, Donald C. Fischer MD, George H. Kreyling MD, Thomas A. Saladin MD, Richard T.F. Schmidt MD, Richard M. Smith MD, Roland G. Wintzinger MD. (Cranley, Saladin, Schmidt, Smith, and Wintzinger posthumously).

Was shortly joined by a fourth Radiologist, Dr. Donald Gunderson.

Came in as full partner because he had already worked for 5 years as a Radiologist at Christ Hospital.

Figure Legend: Original 1967 Articles of Incorporation for Mc Carthy, Wintzinger, and Mulvey, Inc. When Dr. Mulvey left the group, the named was changed to Medical X-ray, Inc.

Donald Gunderson, MD

Charles E McCarthy MD 1995

Heearned his Medical Doctorate at the University of Cincinnati College of Medicinein 1962. He completed his Internship at Philadelphia General Hospital in 1963. Gene did his Radiology Residency from 1963 until 1966 at Cincinnati General Hospital.

In 1965, Gene married Ann Carola Stark whom he had made while they were working together as cousellors at summer camp.

From 1966 until 1968, Gene enlisted in the air force and was stationed at VandenbergAirForcebase in Santa Maria, California. In 1968, upon completing his time in the Air Force, Gene joined MXI as the fifth radiologist joining Drs. Justin McCarthy, Roland Wintzinger, Richard Mulvey, and Don Gunderson.

In 1970 Good Sam wanted a full time Radiation Therapist to staff the rapidly expanding Radiation Oncology Department. MXI declined and decided to focus on diagnostic radiology, so Good Samaritanrecruited their first dedicated Radiation Oncologist. From that point forward, MXI no longer practiced Radiation Oncology (with the exception of I-131 for thyroid cancer).

Gene worked with MXI at Good Samaritan Hospitaluntil his retirementin 1999.

Charlie Kuntz, MD

6th Radiologist to join MXI.

Barry Blum and William Chang were hired to replace him.

William Chang, MD

William Chang MD 1995

Figure Legend: MXI Radiologists atBill Chang's 2007 retirement party. Left to right: Dave Huelsman, Barry Blum, Bill Chang, Chuck Herfel, Galen Chun.

8th Radiologist to join MXI.

Was hired a few months after Dr. Chang and a few months before Dr. Blum.

Worked one yr, then left for Ft Ham/Hughes to join Stan Ignato

Barry A Blum MD in 2007. MXI President 1992 to 2008 and GSH Radiology Department Director 1998 to 2008.

Barry A Blum MD in 1995

9th Radiologist to join MXI

Born Baltimore, MD

Undergraduate at University of Maryland

1968 MD from University of Maryland

1974 Completed Radiology Residency at Indiana University

Served in the Vietnam War.

Drs. Justin McCarthy and Roland Wintzingerran the Good Samaritan Hospital Radiology Department until 1965 when they hired a third radiologist, Richard Mulvey and a few years later the fourth radiologist, Donald Gunderson.A few years after Dr. Gunderson was hired, Dr. Mulvey left to joins friends at Bethesda Oak where he could be an independently incorporated radiologist, and MXI hired Dr. Gene McCarthy, son of Justin McCarthy.

As demand for special procedures, and especially angiography, increased at Good Sam, MXI hired Dr. Charlie Kuntz who had specialty training in Angio and special procedures. However, Dr. Kuntz soon decided he didnt like the stress of doing special procedures and left MXI to join two colleagues at the newly created Bethesda North hospital.

To address the increasing volume of pediatric radiology at Good Sam Hospital, MXI hired Dr. Bill Chang from the University of Florida in 1975. And, a few months later, to address the need for angio and special procedures, they hired Dr. Barry Blum from Indiana University in September 1975. Dr. Blum had spent an extra year at IU specializing in Angiography for 6 months and Nuclear Medicine for 6 months, so he was well-equipped to fill the position.

Dr. Blum worked at MXI for 34 years specializing in Angiography, special procedures, ultrasound, plain film radiography, and nuclear medicine. In 1992, 17 years after Dr. Blum first started at MXI, Dr. Wintzinger stepped down as president and department head, and Dr. Blum became President of MXI, and in 1998 he also took on the role as Radiology Department Director. He served as President of MXI and Radiology Department Director of Good Sam Hospital for 10 years, until 2008, when he split the jobs and handed them off to Dr. McConnell, who became President/ CEO and to Dr. Huelsman, who became Radiology Department Director.

Dr. Blum continued to work full-time, except nights and weekends, from 2008 until his retirement on Dec 31, 2009.

The radiologists of MXI owe a huge debt of gratitude to Dr. Blum for his 34 years of dedicated service. He was an excellent interventionalist, and he was the go-to guy for ultrasound and nuclear medicine for decades. He was an effective negotiator who increased insurance reimbursement rates, took the MXI corporation from hospital-reimbursed to fee-for-service private billing, and who hiredall of the MXI radiologists over an almost three decade periodstarting withLiz Alexander in 1981inand continuing through to Mike Kreeger in 2009.

Dr. Blumwas instrumental in securing outpatient imaging business for MXI over the years including: NYDIC open MRI, Glenway Open-Sided MRI, GHA Medical Imaging MRI centers, Cincinnati PET and Westside CT centers, Beacon Orthopedics MRI Imaging Centers, and Evendale Imaging Center.

R Terrell Frey MD in 2007.GSH Radiology Department Director 1992 to 1998.

R Terrell Frey in 1995.

Undergraduate education at Xavier University, Cincinnati, OH, Summe cum laude 1969

1973 MD University of Cincinnati

1977 Completed Radiology Residency at University of Cincinnati

1977 Started as a Radiologist with MXI

Radiology Department Director 1992-1998

Member, ACR Board of Chancellors

Elizabeth S. Alexander, MD

University of Cincinnati

University of Cincinnati 1976 MD

University of Cincinnati 1980 Residency

University of CincinnatiFellowship 1981 CT, US, Angio

Section Head, GSH Womens Imaging

Past President, GSH Medical Staff

Joined MXI 1981

Timothy J Miller MD 2007

Timothy J MillerMD 1995

Duke University 1983

University of Cincinnati 1987 MD

Johns Hopkins Hospital 1992 Residency

Johns Hopkins Hospital 1993 Fellowship in Neuroradiology

Director Radiology Graduate Medical Education GSH since 1993

Member, GSH Medical Executive Committee 2007-10.

Radiology Medical Director, NeuroSpine Institute, Eugene, Oregon since 2006

CAQ in Neuroradiology (current)

Voted by physician peers as one of Cincinnati Magazines Top Doctors 2007, 2008

Joined MXI 1993

Figure Legend: Dr. Timothy Miller gives a tour of the newly opened Good Samaritan Hospital fifth floor radiology department February 2006.

Georgetown University 1982

Case Western Reserve 1986 MD

University of Cincinnati 1991 Residency

Consulting Radiologist for the Cincinnati Reds

CAQ in Neuroradiology (prior)

Medical Director, Evendale Medical Imaging since 2007

Voted by physician peers as one of Cincinnati Magazines Top Doctors 2003, 2007, 2008

Joined MXI 1994

Charles "Chuck" T. McConnell, MD

Miami University

Ohio State University 1988 MD

Ohio State University 1993 Residency

Mallinckrodt Institute of Radiology 1993-1995 Fellowship in Neuroradiology

CEO, Medical X-Ray, Inc. since 2008

Medical Director, Glenway Medical Imaging

CAQ in Neuroradiology (current)

Co-Section Head, Neuroradiology since 1995

Joined MXI 1995

Francis Frank J. Schlueter, MD

19th Radiologist to join MXI

University of Notre Dame

University of Cincinnati 1990 MD

Mallinckrodt Institute of Radiology 1995 Residency

Mallinckrodt Institute of Radiology 1996 Fellowship InterventionalRadiology

CAQ in Vascular and Interventional Radiology

Former President, Greater Cincinnati Radiological Society

Section Head, Vascular and Interventional Radiology GSH

Member, Patient Care Committee GSH

Member, TriHealth Oncology Committee GSH

Member, General and Vascular Surgery Teaching Staff GSH

Current Chairman, Multidisciplinary Vascular and Interventional Committee GSH

Joined MXI 1996

David Dave Huelsman, MD

21st Radiologist to join MXI

Miami University

University of Cincinnati 1996 MD

University of Cincinnati 2000 Residency

Chief Resident 1999-2000

Radiation Safety Officer, GSH 2001-2008

Radiology Department Director, GSH since 2008

Joined MXI 2000Join

Angela Angie Beckes, MD

22nd Radiologist to join MXI

University of Evansville

Emory University 1994 MD

University of Cincinnati 2001 Residency

Chief Resident 2000-01

Special Interest in Fetal MRI, Breast MRI, and Body Imaging

Joined MXI 2002

Figure Legend: Jim Meranus and Angie Beckes atBill Chang's 2007 retirement party.

Kimberly Kim S. Draud, MD

24th Radiologist to join MXI

Vanderbilt University

University of Kentucky 1998 MD

Vanderbilt University 2003 Residency

Chief Resident 2002-03

University of California San Diego 2004 Fellowship in MSK

Consulting Radiologist for the Cincinnati Reds

Joined MXI 2005

Hiliary Evans, MD

25th Radiologist to join MXI.

Only stayed with MXI a few months in 2006, then returned to her former practice at McCollough Hyde inOxford.

Steven Steve E. Kruis, DO

26th Radiologist to join MXI

Cornell College 1989

Midwestern University 1993 DO

University of Tennessee 2002 Residency

Chief Resident 2001-02

Former Radiology Department Director, Mercy Mt. Airy Hospital, 2003-06

Former Credentialing Committee Chairman, Mercy Mt. Airy Hospital, 2003-06

Former Medical Detachment Commander, Flight Surgeon and Officer in Charge of an Army Airfield Health Clinic, Germany, 1994-98

Joined MXI 2007

Charles Chuck V. Herfel, MD

27th Radiologist to join MXI

Centre College 1993

University of Kentucky 2002 MD

University of Cincinnati 2007 Residency

Chief Resident 2006-07

Joined MXI 2007

David A. Huelsman, MD and Charles Herfel, MD, MXI Radiologists in Good Samaritan Hospital Radiology Reading Room 2009 Michael Mike Kreeger, MD 28th Radiologist to join MXI Ohio State University 1998 University of Cincinnati 2002 MD University of Cincinnati 2008 Residency Chief Resident 2007-8 University of Washington 2009 MSK Fellowship Joined MXI 2009

Group Health Associates opened April 1, 1974 in Clifton as HMP (Health Maintenance Physicians). Sister Grace Marie Hiltz, SC, president of Good Samaritan Hospitalk, 1962-1979, played a key role in the formation of GHA. By the end of 1974, 11, 000 members had joined the areas first prepaid health care plan. In 1978, the original Springdale office opened with four family doctors and a pediatrician. In 1980, HMP changed names to Group Health Associates, Inc.

Figure Legend: The new GHA logo introduced in 1994.

By 1980, GHA had 25 physicians and 31, 000 patients. In 1985, the Kenwood and Anderson centers opened, and in 1988 the Western Hills center opened. In 1991, the Springdale office moved into the current building. In 1992, the new GHA logo was introduced. By 1994, GHA had over 70 physicians and 550 employees in seven offices.

Figure Legend: One of the Radiography and Fluoroscopyrooms at GHA Clifton office 2008.

In 1996, GHA and Anthem formed an insurance group called Paragon to handle managed care plans in the region. Also in 1996, GHA established a new office in Mason. In 1997, GHA established a online pharmacy. Also in 1997, GHA opened a new office in Finneytown and moved the GHA administrative offices to the current Norwood location. By 1999, GHA had over 100 physicians in 20 specialties. In 2000, the Mason office moved to the new building on Mason-Montgomery Rd. and the Springdale office was the first to go live with EpicCare, a computerized patient records database. In 2002, Paragon was dissolved, and GHA entered the fee-for-service world.

Figure Legend: GHA Clifton office, the original GHA location opened in 1974.

In 2005, GHA became part of TriHealth. By 2009, GHA had more than 120 physicians in 18 specialties with 500, 000 patient visits per year.

Figure Legend: GHA History Poster posted November 2009 toin celebration of 35 years in existence.

GHA extended specialty care on the west side of Cincinnati by opening an office at TriHealth Western Ridgein Fall2010. GHA has plans for a new center in Clifton to open 2011. GHA projects to have more than 140 physicians by 2013.

Figure Legend:Plaque posted bylobby elevatorsat GHAClifton office commemorating"Mac" John McSweeney, Founding Father of GHA.

Batesville

Teleradiology After-hours Radiology Coverage

In 2005, to help with recruitment of new radiologists, and to help cope with the increasing need for after-hours emergent CT scans from the ER and the inpatient floors at Good Sam, MXI first contracted with Diagna Radiology which after a few years changed its name to Virtual Radiology, Inc. The outside teleradiology service covered CT scans, and occasionally MRI scans, from Good Samaritan Hospital between midnight and 6 am, 7-days per week and would fax typed preliminary reports to the ER or inpatient floors. MXI radiologists would then re-read the exams first thing in the morning (generally by 9am) and issue a final dictation and notify the ordering docs about occasional discrepancies with the preliminary read.

Beacon Orthopaedics

Timothy E. Kremchek, M.D. serves as the Cincinnati Reds Medical Director and Chief Orthopaedic Physician. A native of Cincinnati, Dr. Kremchek returned here and began private practice in Orthopaedic Surgery and Sports Medicine in 1993. A 1986 graduate of the University of Cincinnati College of Medicine, Dr. Kremchek completed his orthopaedic residency at Tufts University in Boston, Ma. In 1993, he completed a one year Orthopaedic Sports Medicine Fellowship at the Alabama Sports Medicine Institute in Birmingham AL. under the direction of Dr. James Andrews and DR. Lawrence Lemak. Dr. Kremchek is the orthopaedist for Cincinnatis Archbishop Moeller High School and Wittenberg University in Springfield, OH. Dr. Kremchek serves as an orthopaedic consultant for the Washington Nationals MLB team and the Florence Freedom, Frontier League Baseball team. Dr. Kremcheks professional interests range from advanced arthroscopic repair of the shoulder and knee injuries to total joint reconstructions and joint replacements. He has taken an active role in teaching orthopaedics and sports medicine, which has enabled him to be published in professional journals regarding orthopaedics and sports medicine. Dr. Kremchek has been featured on HBOs Real Sports program regarding youth baseball injuries. He has also been featured in ESPN Magazine, Sports Illustrated and USA Today regarding other medical health topics.

MXI has been the sole provider of radiology services to Beacon Orthopaedics since it inceptionin 2003. MXI provided MRI interpretations, including many stat and after-hours readings, using teleradiology systems only until 2009. In 2009, MXI began providing an on-site Radiologist for the Sharonville center three days per week and covered the remainder of the work and overflow with remote teleradiology systems at other MXI locations.

Opened in 2006 and located in Eugene, Oregon, the NeuroSpine Institute is a regional, certified Ambulatory Surgical Center dedicated to neurosurgical and orthopedic spinal care.

NSIprovides a comprehensive range of treatment options, including the latest minimally invasive surgical techniques, all coordinated by a team of highly skilled medical specialists dedicated topatient care, comfort and recovery.

NSIshares facilities with the surgeons and staff of Orthopedic Spine Associates, further expanding on-site capabilities and providing a full complement of orthopedic and neurosurgical services in one state-of-the-art facility.

When patients feel theres nowhere left to turn, NSI can help them get their lives back.

Figure Legend: Chris Miller shows off his soon-to-be operating room under construction in 2006.

Figure Legend: Catherine Gallo moving into her new office spaceduring NSI construction 2006.

Figure Legend: Shailesh Patel, lead MRI and CT tech for NSI, tests the newly installed CTscanner table.

Figure Legend: One of thepreoperative waiting rooms adjacent to the Japanese Garden at NSI 2006.

References:

Wikipedia online for history of radiology and Good Samaritan Hospital history. http://en.wikipedia.org/wiki/Good_Samaritan_Hospital_(Cincinnati)

Trihealth.com for history of TriHealth. http://www.trihealth.com/aus/loc/loc_index.aspx

Verbal communication with Rae Hartman, Aug 26, 2009

Verbal communication with Phyllis Wintzinger, Charles Eugene McCarthy, William Chang, Barry Blum Sept 07, 2009.

MXI Original Articles of Incorporation. Copy provided by Barry Blum. Sept 2009.

Cincinnati Enquirer. Roland Wintzinger Obituary. April 15, 2009. Copy provided by Barry Blum, Sept 2009.

Cincinnati Business Courier. Article on Closing Bethedsa Oak Hospital. Nov 17, 1999. from http://cincinnati.bizjournals.com