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It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine. \u0026nbsp;Disclaimer: \u0026nbsp;The views presented in this broadcast are the speaker\u0026rsquo;s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.\u0026nbsp;\u003c/p\u003e"]}},"provider":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/aboutus","type":"Agent","label":{"en":["Center for the History of Family Medicine"]},"homepage":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/","type":"Text","label":{"en":["Center for the History of Family Medicine"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/291/697/small/SHAHADYEDWARD%2812-7-21%29.mp4_1758127301.jpg?1758127303","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/160208/file/291697","type":"Canvas","label":{"en":["Media File 1 of 1 - SHAHADY_EDWARD_(12-7-21).mp4"]},"duration":4901.2,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/291/697/small/SHAHADYEDWARD%2812-7-21%29.mp4_1758127301.jpg?1758127303","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/160208/file/291697/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/160208/file/291697/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/291/697/original/SHAHADY_EDWARD_%2812-7-21%29.mp4?1758127271","type":"Video","format":"video/mp4","duration":4901.2,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/160208/file/291697","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/160208/file/291697/transcript/84356","type":"AnnotationPage","label":{"en":["Dr. Edward Shahady Interview Transcript [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/160208/file/291697/transcript/84356/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Daniel Ostergaard, MD: Today is December 7, 2021, and today is the 80th anniversary of the invasion of the Japanese on Pearl Harbor. It's my honor and privilege today to interview Dr. Edward Shahady, who is a Navy veteran, and pretty soon we'll get into some of his thoughts and his experiences in the Navy in Vietnam. But first, this interview is done while Ed is in Delray Beach, Florida, and I, Dan Ostergaard am in my home in Olathe, Kansas, in my home office. It is a sequel, this interview is a sequel to one done by Dr. Bill Ventres with Ed Shahady in 1991, May of 1991.\n\nDaniel Ostergaard, MD: We'll build on that a little bit, but because it's so old, most of what we'll do will be discussion of and great information of the multiple contributions Ed has made to the specialty, to global family medicine, and to the community at large.\n\nDaniel Ostergaard, MD: I've reviewed his CV, and of course it's much too long. Even the things that are where he had a major role, it's much too long to mention all them, but they're all in his curriculum vitae. But I want to read an intro as part of the introduction of Ed that I sent to the University of North Carolina Department of Family Medicine in 2019. In 2019, they honored Ed with an endowment of an Edward Shahady Residents Education Fund. They were kind enough to contact me for some thoughts and some ideas about my knowledge of Ed and his contributions, so I wrote them this.\n\nDaniel Ostergaard, MD: Thanks so much for asking me to share a little about my friend and colleague, Dr. Ed Shahady, whom I also consider one of my heroes in family medicine and life in general. So it's my honor to continue the association with you, Ed, today with this interview of your contributions across your lifetime, basically, and with respect to Bill Ventres's interview of May 1991. Please do, though, start with a little bit about your growing up in West Virginia and take us through med school and up to your time that you did the rotating internship at Akron City Hospital.\n\nEdward Shahady, MD: Thank, Dan. It's a pleasure to be on with you. Consider you one of my oldest and dearest friends. We've been through much together, and I appreciate all the help you've given me over the years. \n\nEdward Shahady, MD: Where I grew up in West Virginia, a small town called Fairmont, West Virginia, and I went to a school called St. Peter's High School, I went through grade school all the way through high school, and was taught by nuns. So Catholic education was strong for me, and growing up in a small town was strong. My father ran a fruit market, and that meant that we worked at the fruit market whether we wanted to or not. But I learned a lot about interacting with people. I learned something, the customer's always right. I think I had to teach that to residents and students, because many times they get upset with patients. And I recalled to them, \"Remember, it's the patient and their disease and their problem, not yours.\"\n\nEdward Shahady, MD: That's what I took away from much of my young years. I went to a Jesuit university, college and being taught mostly by Jesuit priests was a real honor. I think they taught me so many things. Besides the basics of chemistry, history, biology, etc., I think they taught me about understanding myself and understanding my relationship with the world. They informed the foundation of what I call Christian care as a physician. That was very helpful to me.\n\nEdward Shahady, MD: I went from Jesuit training to West Virginia University in Morgantown, and that was a real treat too, because that was the second year of that medical school. They brought in some of the fantastic professors from the University of Minnesota, and I think I was very fortunate to have an excellent medical education.\n\nEdward Shahady, MD: Of course, all along there, I got married. I got married in college to my beautiful wife, Sandra Shahady. We grew up together in Fairmont. We had 6 children, and some of them very early in my career. The children went through my medical education with me, as did my wife.\n\nEdward Shahady, MD: Did my internship in Akron, Ohio. That was a real treat, because I don't know if you are aware of this, Dan, but the first president of the American Academy of General Practice was named Dr. Davis, who was from Akron.\n\nDaniel Ostergaard, MD: Yes.\n\nEdward Shahady, MD: His son was an orthopedist there. General practice was well respected in Akron. That's one of the reasons I chose going to Akron and Akron City Hospital. That was a real treat. In April of my internship, I already was signed up for residency in general practice, I got this nice letter from the United States government. It said, \"You have a choice, Mr. Shahady.\" I was no longer doctor. \"You could go as a medical officer or you go in as a grunt or as a regular guy.\" Of course I chose being a physician, a medical officer.\n\nEdward Shahady, MD: I got my entry delayed for about a month and a half because Sandra was pregnant, and they allowed her to have the baby before I entered. I went to Camp Pendleton, California. We drove all the way from Akron, nice long drive with 5 kids and one of them was a newborn. That was a real treat. The newborn was fine. It's the others that drove us crazy. Typical kids. Typical parents trying to do our best, but it was a nice trip. I had no idea that I was going to be told as soon as I got there, they said, don't plant your winter corn. You're going to be in Vietnam in a couple months.\n\nDaniel Ostergaard, MD: Wow. So, was that a shock? And was that a shock to Sandra with 5 kids including an infant and you'd be going away?\n\nEdward Shahady, MD: It shocked us both. I didn't know what to do. She was in tears, because we made arrangements to move entirely with everything we owned. My father was kind enough to buy us a new car, so we had that. We rented a place, and we talked over what should she do? Now there were other people that we knew, other young physicians with their families. Their families, they were married but no children, so their wives went back to their hometown, but Sandra decided to stay. So she stayed with the kids in Oceanside, California, and I admire her so much for what she was able to do to take care of those kids and do all that.\n\nEdward Shahady, MD\n\n I did a little bit of basic training. They taught me how to sleep on the ground, which was new to me. Taught me how to fire a gun, which I promptly gave up because I figured using that gun, it was very dangerous to me and anybody around me. So I said, \"If it comes time when guns are necessary, that's why I have all these Marines around.\" So-\n\nDaniel Ostergaard, MD: You were the doctor ... As a Navy guy, you were the doctor for the Marines, right?\n\nEdward Shahady, MD: That's correct. I forgot to mention that. Although I was Navy, I was Semper Fi. To me, I thought I was in the Marines, Dan, because there was another doctor who happened to be a classmate of mine and who was the battalion surgeon with me, and the other Navy guy was the pastor, the minister. One a Baptist minister and the other one a Catholic priest, who were great, great people to be with. Marines are wonderful people, but they're there to do a different job than we were.\n\nEdward Shahady, MD: About the Marines, I learned about military life. Scared to death my first two weeks in country, but got used to it after a while.\n\nDaniel Ostergaard, MD: Having talked to you about your time in Vietnam and having seen the website that you set up about the children's hospital that you actually built there, you and the corpsman and marines , I understand how important ... I probably can't really understand, but I think I understand how important that experience in Vietnam was to your life trajectory in service after that. Talk a little bit about that experience and how it formed your life.\n\nEdward Shahady, MD: Well, thank you, Dan, because it really did. When we got there, the Colonel and the rest of the administration said, \"Please go out into the community, out into the villages, and administer care.\" So we did that. We went out, and of course, all we had was some penicillin pills and some aspirin in a box. Of course, the Vietnamese people loved seeing us. DESCRIBED ON THE WEB SITE AT www.hoakhanhhospitalvietnam.com/\n\nEdward Shahady, MD: You see one of the pictures is me administering to the Vietnamese people. What I learned real quick was, I couldn't do much for them with penicillin pills and my care. We had a child that came in severely burned, and we couldn't do much for the child.  We were in a small village 15 miles north of Danang. We tried to take the child to the Vietnamese hospital in Danang. They didn't want to take care of the child, and the child never came back. I presume the child died.\n\nEdward Shahady, MD: So we went to the Colonel, Colonel Dickey, wonderful guy. We said, \"Colonel, could we build a little hospital down there where we could bring the kids in and have them, at least give them IVs, give them food, give them penicillin \" He said, \"Yes, but you need to place it on the periphery and I'll give you Marine guards down there. We went over to the Construction Battalions (Seabees). We asked them to build a building for us. Within two months, the initial 30 beds wasn't enough, and we were stuffing them in. We went to 45 to 50 beds and that was how we started.\n\nDaniel Ostergaard, MD: Ed, of all of those beds were most of them filled by Vietnamese or were some of them filled by Americans?\n\nEdward Shahady, MD: No, all Vietnamese. It was a children's hospital. Of course, the Americans were all adults, and if they were sick where they needed hospitalization, we would take them by ambulance to downtown Da Nang where there was a C medical company and a much larger facility to care for sick Marines.\n\nDaniel Ostergaard, MD: How far was your hospital and your base from Da Nang?\n\nEdward Shahady, MD: 15 miles north. We were on the border where North Vietnamese were, called Hoa Khanh. H-O-A capital-K-H-A-N-H. Hoa Khanh Village.\n\nDaniel Ostergaard, MD: Okay. Spell that website right now so we can get it in and make sure the transcriptionist will get it later.\n\nEdward Shahady, MD: It's Hoa Khanh Children's Hospital. H-O-A, all one word, K-H-A-N-H Children's Hospital dot com. https://www.hoakhanhhospitalvietnam.com/\n\nDaniel Ostergaard, MD: Great. Okay. Keep talking. Fascinating.\n\nEdward Shahady, MD: Okay. Well, we started the hospital. Initially, the parents would drop the child off for a day and then come get the child because they didn't trust us. They didn't know us. One of the things I did to try to help that was learn to speak Vietnamese. I became known as , \"doctor who speaks Vietnamese.\" Now, I didn't speak it very well, but we had two Vietnamese women that worked for us initially just to feed the kids and speak to them, and then they became nurses. We taught them. But one of them was named Nguyen, and on the website you can read about Gwen. I taught her English, she taught me Vietnamese. I just learned basic Vietnamese, “đau “was pain, “đau đầu” was headache, “đau bụng”, abdominal pain. I'd ask people, where are you hurting?\n\nEdward Shahady, MD: The other doctor didn't learn Vietnamese, so I became this doctor that spoke Vietnamese. They'd come and they'd start rattling off to me, and I'd shut up, then look to Gwen and say, \"What did they say?\" But I could tell, I could say, \"Does your belly hurt, đau bụng?\" I still know some of the language. \"Does your head hurt, đau đầu?\" You like that accent, Dan?\n\nDaniel Ostergaard, MD: Yeah, that's great. You're really good. I remember you spoke Spanglish, too, but that's a whole other story.\n\nEdward Shahady, MD: Oh, that is. There you go. You and I both learned Spanglish.\n\nEdward Shahady, MD: I learned it, I learned the culture, and I learned the people. It was real fun because to care of, I think, someone, you have to know the culture. You and I know as family physicians, you not only know the disease, you know the person with the disease. I learned about the Vietnamese, how they value their families, their history. Dan, if you were born in Vietnam, there's a 50% chance you'd be dead within a year from TB or another infectious disease. Well, we were able to cut that in half with just simple hygiene, because that we taught them how to wash. Nutrition was better. Although it was GI food, it was a lot better than what they had to eat. And we had those Vietnamese women who taught us the culture and how to take care of it.\n\nEdward Shahady, MD: You know what that helped me with, Dan? How important culture is to caring for people. You and I know that we learned, everywhere we went, you in Minnesota and Kansas City and myself in Ohio and North Carolina and Florida, there's different culture everywhere. People have their own values. If you don't learn about those values, it's not just simply taking care of a pneumonia. It's a pneumonia and someone that lives in Northeastern Ohio or it's a pneumonia in a Vietnamese child with a Vietnamese culture, and you have to be aware of the culture to practice medicine. I really learned that well in Vietnam.\n\nDaniel Ostergaard, MD: As we have worked in our global health meetings here, a phrase that we have talked about is \"culture eats strategy for lunch.\" We'll never be culturally competent, but we have to be culturally aware. Ed, when you were in that jungle setting, right south of the North Vietnamese border, did you see other weird stuff? I mean, not too weird. Malaria, pneumonic plague, bubonic plague, things like that.\n\nEdward Shahady, MD: Absolutely. Of course, initially, we had, oh, about a seven- or eight-year-old come in. She had a swelling in her groin. We couldn't figure out what that was.\n\nDaniel Ostergaard, MD: It's a bubo!\n\nEdward Shahady, MD: Yeah, little did I know then. Bubo, which in Greek means groin. I learned that later too, Dan. I don't know if you're aware of that, what bubo meant. I gave a talk on this later and I looked it all up. Didn't have the resources in Vietnam to look up all that stuff. But this child ... He wasn't a child. He was about 13 years old, strapping young man. Came in coughing, coughing up blood, died acutely. Couldn't figure it out. Went down to the village, and when we'd go down there, we'd talk to the priest. The priest, he couldn't speak much English, but he said, \"Pestis ,\" made sense, Pasteurella pestis, which was the name of the organism at that time that caused bubonic plague.\n\nEdward Shahady, MD: We started putting two and two together. You could have an infectious disease doctor come up from Da Nang, and he showed us how to aspirate buboes to make the diagnosis. The corpsman were very good with microscopes, so we were making a diagnosis of bubonic plague right there, and there was plenty of it. Now they'd come in mainly not that sick. They would have nodules in their axilla and their groin. That is “buboes”. And they had a fever and they were lethargic. Unfortunately a couple of them died, including the one boy that helped us make the diagnosis.\n\nEdward Shahady, MD: Dan, it was a real, I don't want to use the word treat, but to make a diagnosis of an unusual disease. Of course, we just finishing internship. But we were cocky, and we found out we didn't know anything about those type of diseases. Malaria, plague. We saw, I forget what you would see when somebody had a lesion on their face, but all kinds of unusual diseases, which didn't do us much good when we got back to the United States, except give unusual talks.\n\nDaniel Ostergaard, MD: When you went through these experiences and you became the doctor who speaks Vietnamese, and you obviously developed or continued development of your caring for people in their own setting, how did that inform your decision to go back and become a family physician? Because while you were there, you were a rotating intern GMO, a general medical officer type person, and you went back and you went into what then a possible general practice residency. How did all that make the difference for you to go into family medicine?\n\nEdward Shahady, MD: Well, okay, Dan, when I was in Vietnam, I did primarily pediatrics. So I get back to Camp Pendleton, and I wanted to stay there because my family was there, and we'd be there for a year and then go back to Akron. When I got there, they put me in the general medical officers' clinic. Well, of course you take care of children there too. The pediatric clinic couldn't handle all the kids. So they saw that I was pretty good at handling kids. The pediatricians came over to me with the in a month, said, \"We're overwhelmed over here. Would you be willing to join us in the pediatric department?\" So I spent 11 months as a pediatrician, and that was fun. Because I had those all those excellent pediatricians, and a couple of them were super specialists who were just drafted like from Harvard. Great people, and they taught me a lot of pediatrics.\n\nEdward Shahady, MD: I took what I learned in Vietnam on my own and coupled it with what they could teach me about pediatrics. I think I had the equivalent of a pediatric residency, at least a year to build on, so two years of pediatrics to go back to Akron to do one more year at general practice residency. It was called GP residency then, and we didn't have real family medicine then, but it came pretty quick. I was excited to get my boards in family medicine. I was one of the first groups that took family medicine boards. I was scared. I didn't know if I'd pass them, which I did fine, but scary. Of course I took boards in medical school, but I hadn't taken anything since then, but it was a real honor to be one of the first to be a board certified family physician.\n\nDaniel Ostergaard, MD: Absolutely. You were a charter board member given those times that that you're talking about, but I know you did some practice, and I believe it was right after you finished that GP residency. Tell us where that was, and then after that, as a very young guy, you went back and became program director of the brand new family practice residency, we called it then, at Akron City Hospital. Talk about that.\n\nEdward Shahady, MD: Oh, yes, Dan, that was ... Well, when I was at Akron before, I remembered a couple physicians that were had a practice in Mogadore, Ohio, which was about 15 miles outside of Akron. I liked them. When I was there about six months in my residency, I asked them if they were interested, and they were, so I agreed to join them right out of residency. Mogadore, about 10 or 15 miles outside of Akron. A rural area, a really fascinating area, a lot of Mennonite folks in that area, rural people. So that's where I started my practice.\n\nEdward Shahady, MD: I did OB back then, Dan. In fact, I did OB until I came to Florida, which a lot of us did obstetrics then, so it was a lot of fun, because if you do OB, you're going to do pediatrics. My past history with pediatrics, I was able to care of a lot of kids. In fact, a lot of physicians brought their children to me because of my experience in Vietnam. Of course, I'd give those talks and I'd show pictures of all those kids, and a lot of the pediatricians were asking me about the diseases, because they'd never seen them either. Besides plague, I saw other characteristic diseases of tropical areas.\n\nEdward Shahady, MD: That was that. I spent about two years in Mogadore, Ohio with those two doctors, and then I was made chair of the committee to form a family practice residency, who had a general practice residency. They wanted a family practice residency. My job as chairman was to recommend someone to be the director. Well, the three or four people on the committee recommended me as the first director. With my ego being what it was, I said, \"Great, I'll do it.\" And they paid me fairly well. They paid me the same I was making out there in Mogadore. It was a good beginning. There were two who residents, one third year and one second year. you may know one of our residents, Dave Hoff.\n\nDaniel Ostergaard, MD: Oh, sure.\n\nEdward Shahady, MD: Did you know Dave Hoff from Akron. Yeah. [crosstalk","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/160208/file/291697#t=0.0,1494.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/160208/file/291697/transcript/84356/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"]\n\nDaniel Ostergaard, MD: Yeah, he became a residency director, too.\n\nEdward Shahady, MD: And he went into the service after, and he came back, was my first faculty member. That was fun, Dan. He was really good. He was an excellent resident, an excellent doctor.\n\nDaniel Ostergaard, MD: So, Ed, that obviously put you in the academic environment. As a teacher, administrator, leader. That began, I guess, your academic trajectory, which we'll spend a bit of time talking about now. After, you were PD for I don't remember how many years, but then you went for a short stint to the University of Northeastern Ohio and then onto your main focus and the beginning of your many years at UNC. Talk us through a little bit of that, and then we'll talk about your roles at University of North Carolina.\n\nEdward Shahady, MD: Okay, Dan. When I became the director in Akron, Akron City Hospital soon became part of Northeastern Ohio. I just added the new title as chairman of the family practice group in Northeastern Ohio, which was about four or five hospitals. The residency program was still Akron City Hospital's program, but I was considered department chairman at Northeastern Ohio. It wasn't until a couple years later that the department of family medicine in Northeastern Ohio was formed. I never formally went over and took up space at Northeastern Ohio, because originally they had a Dean and a provost, and it took a while for them to form departments where the department chairman was over there. During my time there, we helped develop a student center. The university and the state gave us money, and Akron City and Akron general and Akron St. Thomas to build something for medical students. That's where the students were going to come over.\n\nEdward Shahady, MD: I just barely taught a little bit over there. By that time, I was recruited by North Carolina because, Dan, there were very few family practice residencies. I was in the first 20. As a residency director with five years experience in 1975, I was unique, and that's why they came after me.\n\nEdward Shahady, MD: I had no quote \"other academic experience,\" but they recruited me at UNC. They made me a full professor. Of course our buddy, your buddy, Tom Stern, said to me, \"Ed, make sure you get a full professorship, because other damn people won't respect you unless you're a full professor.\" So I had negotiate with the Dean, and Tom told me, \"Put your foot down.\" I did. And they wanted me, so he made me a full professor. I didn't know what that meant, but I learned later what it meant.\n\nDaniel Ostergaard, MD: Yeah, that's quite amazing for you to be a full professor without a whole ... Well, now it would be impossible without a whole bunch of scholarly work. But you had a bunch of talks and you obviously talked about and lectured about and were academic about your time in Vietnam and all these things you saw. So, maybe it isn't quite as unusual, but Tom Stern was absolutely right. At that time, to be a full professor. Now, was there a department there before? If so, who started it? I can't remember that.\n\nEdward Shahady, MD: A department where, in North Carolina?\n\nDaniel Ostergaard, MD: Yeah.\n\nEdward Shahady, MD: Absolutely. Bob Smith came from England to be the first chairman. I don't know if you remember him.\n\nDaniel Ostergaard, MD: Yes.\n\nEdward Shahady, MD: Bob was the first chairman.\n\nDaniel Ostergaard, MD: And you took over from him and then stayed for many, many years?\n\nEdward Shahady, MD: I stayed there. I stayed chairman for 10 years, and I stayed another nine years as a full professor.\n\nDaniel Ostergaard, MD: Okay, let's talk about a few other things you did there, if that's okay. I'm going to go back to something that I mentioned at the intro, and that is the letter I sent to the University of North Carolina when they were honoring you with that endowed residency education fund two years ago. One of the things I said to them was, at about the time you became chair there, early in your time as chair at UNC, you and my mentor, the late Dr. Tom Stern, as well as others, traveled the country teaching SOTS (Symposia On Teaching Skills). We were not SOTS, but we taught Symposia On Teaching Skills. Even though I was a young kid, I was part of that team and enjoyed it, and we would do seminars for the practicing docs on teaching techniques. These practicing docs became faculty all over the country. I can't believe I did this, but I sometimes introduced you as the \"mouth from the south.\" Did I really do that?\n\nEdward Shahady, MD: Yeah. You were very good at that. That was a term of endearment.\n\nDaniel Ostergaard, MD: Tell us about some of those things you did for the American Academy while you were the chair at UNC, like the SOTS.\n\nEdward Shahady, MD: Well, it started, Dan, when I was in Akron, because I would go to the yearly thing that the Academy put on for directors of family practice programs. I think after the first year, I think Tom invited me to speak, so I spoke at many of them. That's where I think that people from North Carolina became familiar with me, they heard me speak. We were speaking about, how do you start a family practice residency? How do you maintain it? What are some of the things you do for teaching skills? I was part of the faculty of the AAFP's Residency Directors Program for quite some time in Akron as well as in North Carolina. That was a lot of fun. That's where I got to meet you along with Tom Stern. I think you were Tom's ... You were his valet, I believe.\n\nDaniel Ostergaard, MD: I hope I was more than his valet. I hope we were alter egos, although he had a very stern visage and I tried to smile while he didn't, but I guess I was his alter ego. From that time, I have another anecdote that I wrote that I sent to UNC. I said, and I'll read it. \"I think it was in 1977 when Ed recognized the potential of a skinny UNC med student named Doug Henley and sent him to the AAFP State Officers Conference (SOC) in Kansas City. This skinny student wearing a bow tie looked me up, because Dr. Shahady told him to do so. Ed always encouraged and inspired students and residents in all of his roles.\" And that is one of your lasting legacies.\n\nEdward Shahady, MD: Well, thank you for saying that, Dan, and Doug, I inspired some students in Akron but didn't have the exposure. Once I got to North Carolina, I had a lot of students' exposure because they rotated. Doug Henley's father, who was a pharmacist, was the primary mover to get UNC to have family medicine. He, in fact, when I got there, we didn't have very nice facilities and I asked him to help me get facilities. It took quite some time, over 10 years, but we finally built a $7 million building to house family medicine. Now realize that was maybe 20 years ago, so that much money into a building, it was a beautiful 21,000 square foot building with the administrative site and the clinical site in just a state of the art everything. His dad was very important.\n\nEdward Shahady, MD: Now, I learned that real quick. There was a guy named Archie Johnson. I don't know if you recall that name. Archie unfortunately had a premature death very early in his life, but he was a big help. He was the link to the North Carolina Academy. He was a link to so many people, and he helped me tremendously, because he knew the politics. He knew the people. He and Doug, I think in getting me introduced to the North Carolina Academy, got me introduced to the legislature. Of course, as an academic, you're not supposed to do that, and the Dean reminded of that several times, but Doug and other people with the Academy would bring over legislators, and we would talk to them and tell them why we needed a new building.\n\nEdward Shahady, MD: We finally got that a new building after I was there 10 years, but it took that much time. But Doug Henley was instrumental in that because Doug was not only a medical student and a resident in our program, he was president of the North Carolina Academy. What a friend, what a powerhouse. He was also an outstanding resident. He was the chief resident. People used to say I treated him too good because I allowed him to go to all those meetings, but I figured it was really important that he become familiar with the American Academy and the rest is history.\n\nDaniel Ostergaard, MD: The rest is history.\n\nDaniel Ostergaard, MD: Let me go to another paragraph I sent to the UNC committee in 2019, but before I do that, I need to make an observation about what I said a moment ago. That is about your lasting legacy, one of them, being nurturing residents and students. As I read the hundreds of ... I didn't read the articles, but as I looked through the CV and saw the hundreds of articles and chapter and books you had written, I noticed that a lot of those articles were co-written with med students. Again, I think that for you was an incredible thing about nurturing med students when you were the academic chief and you saw a spark in them like you did with Doug Henley. Just a comment.\n\nEdward Shahady, MD: Yes, Dan. I tell you, it was when I was in North Carolina, it was with residents and faculty that I co-wrote articles. With medical students, we haven't talked about this yet, but I'll introduce it. When I was in Florida State University in Tallahassee, the unique thing about being a faculty member there is you did mostly first and second year students. I taught them in a classroom setting. They would talk to me a lot, we would see them. It was different than a resident. One of the things that I did with them, because they would come to me and they knew I was interested in sports medicine, many of them would come to me with their injuries. I said, \"Why don't we publish this?\" \"What do you mean?\" \"Well, I'll help you write about your hand, about your foot, about your shoulder, how it happened, what we need to do.\"\n\nEdward Shahady, MD: Of course, I ran an elective on sports medicine, which a lot of them came to. It was a great way to teach sports medicine, because they knew about their injury, so I could teach them why is the history important, why is the physical important, and what about the literature? And you know about this because you had the problem. So they loved it, and I loved doing that with them.\n\nDaniel Ostergaard, MD: Well, the paragraph I'm about to read transcends your time in Carolina and your multiple times in Florida, so I'll read it. \"Dr. Shahady was a major North American leader of the ICFM, the International Center of Family Medicine, which was the entity that organized the development of family medicine in Central and South America during the 80s. He and I traveled together to several of those countries, along with others, where he somewhat proudly and sometimes sheepishly tried to speak Spanglish. And then nearly 20 years ago now, Ed was among the very small group of family medicine leaders with global health educational experience who developed what is now the AAFP Center of Global Health Initiatives. After it was created and grew, and we developed the AAFP Global Health Workshop, he threatened to kiss me on the cheek. He was the program director, I mean the content director of the project and the program. He kissed me on the cheek publicly when we exceeded 300 attendees at the Global Health Workshop. When we breached that threshold, I tried to get out of the room and nowhere near you.\n\nEdward Shahady, MD: I came the head of the table and threw a kiss on your cheek and you ran away. I don't know who your assistant was at that time, but I think she can confirm that.\n\nDaniel Ostergaard, MD: I think you're right.\n\nEdward Shahady, MD: Was that Pam Williams?\n\nDaniel Ostergaard, MD: Well, she was ... You know, at that time, I can't even remember. I think it was Diane McDaniel, but Pam Williams was a great helper at everything, but let's go back now to a little bit more to UNC, because that was the main focus. Then we can move on to Florida a little bit. What else can you tell us about your time there? Obviously it was huge building the building, and you helped students as we've talked about. Anything else you'd like to say about that? Or should we move on to-\n\nEdward Shahady, MD: Dan, do you want to go over some of the ... Have we done enough internationally or will you come back to that?\n\nDaniel Ostergaard, MD: Actually, I'm coming back to that, because I want to talk about you being a Lebanese American, about all of your work back in Lebanon. So we'll come back to some international stuff, okay?\n\nEdward Shahady, MD: Okay. What do we want to talk about now?\n\nDaniel Ostergaard, MD: Anything more about UNC? That's where you spent the longest time as chair and were there a long time after that.  \n\nEdward Shahady, MD: Yeah. Well, one of the things, Dan, I learned when I got there, the chairman before me was from England. He didn't relate that well to the family physicians in the state. It was made clear to me when I got there, \"We need someone that appreciates how practicing family physicians relate to the department.\" And of course, that was easy for me because in Akron, that was absolutely, we related to the practicing family docs that came in and precepted for us. I went out to their offices.\n\nEdward Shahady, MD: We also uniquely at UNC, Dan, had other residencies besides the one in Chapel Hill. We had them in Charlotte, North Carolina, Greensboro, and then we created another one in Asheville, North Carolina. Some great people who helped us begin those programs and strengthen those programs. Dave Citron, George Wolff, other people, they were leaders in the state and they were running those residencies.\n\nEdward Shahady, MD: It was very important that as part of my job, and it was clear, was to go visit those residencies once a month. I would precept, but I would talk to the director and the residents, because there wasn't a feeling that they were part of the UNC system, so I helped create that feeling. They were part of the system.\n\nEdward Shahady, MD: We also, with the aid of Dave Citron from Charlotte, developed something in Wild Acres, North Carolina, which was a beautiful retreat center that we'd go once a year with all the faculty that could make it, and we would go on Friday, stay all day Saturday and Sunday morning. We would do academic exercises, discuss family medicine, and then build our relationships with each other. We had something called the ACC. You know there's an ACC basketball and football, but ours was the ACC, the Affiliated Coordinated Consortium. I created that name along with a couple other people because I wanted people to relate to each other, and we would always bring faculty from the outside residencies into Chapel Hill at least once a year to teach and meet with us. It was an excellent relationship. That didn't exist before, but I think it was clear when I went there that's what they wanted. They wanted the programs to relate to each other and be part of each other.\n\nDaniel Ostergaard, MD: Ed, in that world of the development of our specialty, there was another school there, and you mentioned the ACC as the sports entity. Did you have any dealings with Duke or any of the other entities, or wasn't there much cross pollination? You were UNC. Asheville was Asheville UNC. All of your work was UNC, obviously?\n\nEdward Shahady, MD: Well, Dan, absolutely, the relationship with Duke and Wake Forest and also East Carolina. East Carolina, Jim Jones, who you know well, outstanding family physician. Well, before he went there, he came up and talked to me and we bonded with each other, and I tried to be a big help. Jim had a nice little trailer down at the beach, and he allowed me to go down there with my kids, and we could go fishing down there. Jim was a good friend all these years.\n\nEdward Shahady, MD: Over at Duke was Terry Kane, another good friend. I didn't know anything about the antagonism between Carolina and Duke, because I knew Terry, he was a good friend, so we related to each other. We played a softball game yearly against each other. We had a keg of beer for the winner, so I related to Terry very well and to the faculty over there. Block on the guy that was chairman at Wake Forest over there, but we related well.\n\nEdward Shahady, MD: Wake Forest was not as close, because it was a little bit more distance, but Duke was only 11 miles away, so I could go over there and teach. They could come over and teach in our program. I think we had a lot of good relationships because, remember, I haven't brought it up yet, AHEC, Area Health Education Center, they provided a lot of the funding for family practice. In fact, I think we had a $30 million budget over five years to help family practice programs. It was important to them, and I was told when I was recruited, \"Please begin your relationships with Duke and Wake Forest and ECU.\"\n\nDaniel Ostergaard, MD: Well, that's wonderful. I thought that was the case. Therefore from the academic ACC, there were better relationships than between Duke and Carolina than the basketball ACC it sounds like, because as I know from the previously mentioned Doug Henley, he calls Duke Dook, D-O-O-K.\n\nEdward Shahady, MD: Yeah. Yeah, the Dookies. The Dookies, we called them. And they had names for us, too.\n\nDaniel Ostergaard, MD: Ed, I want to go back to the global health stuff, which is so important to both of us, but before that, I want to talk about some of your leadership roles beyond that at UNC. I don't think anybody realizes that you were president of STFM and also the interim executive director at the time that the extant executive director of STFM left. How did you do both?\n\nEdward Shahady, MD: Well, Dan, there was unfortunate incident where we had to part ways with the executive director. One of the first things I did the first week that I was present, I went to STFM, and I interviewed everybody. I became familiar with what the problems were. There were some significant administrative deficiencies. So I decided that that was my highest priority for that year, was straightening those things out. I didn't want to go hire an executive director when I don't even know what the job was.\n\nEdward Shahady, MD: We had to let the executive director go, and I had to work with the other people and I had to make it clear. There were some policies, financial policies that weren't good. Dan, we borrowed $30,000. That's back in 1980, right as I was coming in as president. That's a hell of a debt. I paid it off within the year, but it scared me to death, going to have that debt.\n\nEdward Shahady, MD: I said, they were all ladies, \"We've got to get ourselves on financial good fitting.\" We did. We did. The only way I did it was adding more workshops. We were going for one annual meeting. We added some other workshops, a practice management workshop, a sports medicine workshop, and those were income producing. They also brought more people into the fold for wanting to be part of the membership. I think we almost doubled our membership because of the meetings we were having.\n\nEdward Shahady, MD: Now towards the latter part of my presidency, we said, \"Well, let's get an executive director.\" And that's when we began looking. And that's when I had the great honor and privilege of meeting Roger Sherwood. I was really impressed with Roger, and thank God he agreed to come on. He was head of a fraternity, a group of people, the administrative organization of a fraternities, I'll block the name. But he had a lot of experience in running organizations with people in academic settings.\n\nEdward Shahady, MD: I said, \"You know how we are, Dan.\" Dan. \"You know how we are, Roger. We've got big egos. Can you handle that?\" He says, \"I'm used to it.\" And he proved it right off the bat. He knew how to handle us. He got us on good financial backing. He even found some money, because as I said, we had something unfortunate happening with our finances, and he found out a way to get it back, that we actually had insurance to cover for that. Roger was a godsend.\n\nDaniel Ostergaard, MD: I totally agree, because I was around at that time or showed up at the Academy for a second time about that time. And Roger was a godsend and unknown to you, he's still a godsend. He works as a volunteer for the Center of the History of Family Medicine. This interview is for the Center of the History of Family Medicine, the manager of which is Crystal Bauer. They both will review this oral history. Roger is still very, very active. Now he might dispute some of what we're saying, but he probably knows the truth, too.\n\nEdward Shahady, MD: He knows the truth. If it wasn't for him, we wouldn't have done what we did.\n\nDaniel Ostergaard, MD: Right. Now, again, I know you don't want to blow your own horn, but just in terms of STFM, you were everything STFM. You were the president, you were the executive director, you were the president of the STFM Foundation. You were recipient of the Marian Bishop Fellowship Award. Well, I don't think there are any other other honors-\n\nEdward Shahady, MD: It wasn't a fellowship, it was the Marion Bishop Award. Those were two separate things.\n\nDaniel Ostergaard, MD: Oh yeah, fellowship was different. It was the Marion Bishop Award. Well, and I think you got the award from our dear departed guy from California, whose name escapes me, so we'll have to come up with that for the transcript. Anyway, beyond STFM, you were involved in the other organizations. Were you ever president of the Association of Departments of Family Medicine?\n\nEdward Shahady, MD: No. No, I wasn't.\n\nDaniel Ostergaard, MD: But you were a member?\n\nEdward Shahady, MD: I was part of that, but not president.\n\nDaniel Ostergaard, MD: You were part of that, but not a president. Let's name some people and see what your reaction is to the name. Just give me 30 or 60 seconds. Actually, on my list were both Doug Henley and Roger Sherwood, so we don't need to talk about them. But Jim Jones?\n\nEdward Shahady, MD: Great supporter of family medicine in North Carolina, great friend. Also lent his house to go fishing in with my children.\n\nDaniel Ostergaard, MD: Bob Graham?\n\nEdward Shahady, MD: Bob Graham was a giant. And I remember him as secretary of the Society of Teachers. Then of course in his later roles. I admire him for what he did for family medicine.\n\nDaniel Ostergaard, MD: Well, and he's still doing it. We have the good fortune to see he and Jane frequently. To clarify what you just said, the reason he was probably the first administrator type of the Society of Teachers of Family Medicine is that he was on the AAFP education staff at that time, and as such, the AAFP loaned him to the STFM to be as an administrator or whatever he was called then, secretary, to help get it going. That was his role there, and agreed, he was a giant. What about-\n\nEdward Shahady, MD: Have I mentioned this, Dan? The Academy paid for that. I don't know if you're aware of that. The Academy paid for him, because we were poor. And that's one of the things I wanted to change. I said, \"Let's become fiscally responsible.\" And I feel during my years as president of STFM, that changed. And I think because we became more income productive by having more meetings, because we were just relying on dues and one meeting, and it wasn't enough, so we changed that.\n\nEdward Shahady, MD: If you will note, simple little things at STFM didn't do back then but they do now. They sell a lot of things. For any business, you got to have multiple sources of income. My father ran a market. He taught me how to run that business, because he didn't know if I'd make it in medical school, and I learned that there were various ways that you could make a buck. I initiated those at STFM. When Roger came in, I said to Roger, \"Show me how you're going to do this. This is one of your responsibilities.\" And Roger continued that and made it better. The STFM got on a strong financial footing.\n\nDaniel Ostergaard, MD: Tom Stern.\n\nEdward Shahady, MD: Well, first of all, Tom had that mean look to him, but what a big heart. You know, you were with him a lot. To me, he was family medicine. He represented the best of family medicine. If I thought of family medicine back in those days, I thought of Tom Stern and what he did.\n\nDaniel Ostergaard, MD: Well, he also personified family medicine in the TV show of our early days called Marcus Welby. He was the medical consultant of Marcus Welby, M.D. What about a non-MD, another non-MD in our past, Marian Bishop?\n\nEdward Shahady, MD: Marian Bishop. Of course I knew Marian Bishop a long time. On the STFM board, I bet I was probably 10 years with her on the board. She followed me as president, and of course I was past president. Marian was unique in two ways. One is as a woman and the other as a non-physician. Now she had a lot of ugliness towards her that was indirect, and she had to overcome it and she knew it. But she was the first woman to be president of STFM and the first non-physician. She was so good at it. So good you wouldn't know there was a difference. She understood it because she'd been in academic administration with physicians for a long, long time. So great lady, great leader. So sad that she had to leave us so early in her life.\n\nDaniel Ostergaard, MD: Yeah, we have wonderful, wonderful leaders, predecessors, colleagues in our specialty, and it makes it very, very rich. The international stuff, as you know, is near and dear to my heart and I know it is to yours. I'm so glad you talked about Vietnam and how that formed you in terms of family medicine, in terms of rural health, in terms of global health interest. Talk a little bit about the International Center of Family Medicine and your role there.\n\nEdward Shahady, MD: Well, let me first start off. When I got really interested in international family medicine, my role before was in medicine in another country. International family medicine, I got interested in when I was president of STFM. Julio Ceitlin, who was from Argentina, and at that time he was, I think, in Venezuela. I forget the name of the organization that he represented. He represented medicine in the area.\n\nDaniel Ostergaard, MD: He was in Caracas as a leader, maybe the executive director of the Pan-American Federation of Medical School Associations.\n\nEdward Shahady, MD: Yes, yes, yes. He was the director of that. He came to Kansas City. I met with him. He wanted some involvement of STFM in what he was doing. He was trying to get family medicine started in Latin America. He invited me to come and be a consultant. I did that, and he was still in Venezuela at the time, but Argentina was a big part of that. He eventually moved to Argentina. They started the first residency in family practice. General practice residency before that. Julio was a real leader. I spent many years consulting with him, and then of course there was the International Center of Family Medicine. There was a board, and you were on that board, Dan, with me.\n\nDaniel Ostergaard, MD: Well, about that board]. You were on that board longer than I, and you were the vice president and had other roles, but you ... Well, all of us, had a principal that the president of the International Center of Family Medicine should be one of our colleagues from below the Rio Grande River, so the president was usually Julio Ceitlin or Félix Gruber or somebody else from that part of the world because it wasn't right. I mean, we were very happy to answer their questions and do what they needed, what they thought they needed done, not just what we thought they needed done, but what they thought they needed done, and help them, but they had to be the leaders. And now that is a booming enterprise as it is not only ICFM, but the Ibero-Americana region of the World Organization of Family Doctors. Ed, again, with your leadership back then, there is a global impact of your work and your interest in people of other cultures.\n\nEdward Shahady, MD: Yeah, well, Julio was the driver behind that. And of course he got me involved in their board, and I can remember key people that were presidents, like Tommy Owens was the president. Don Rice from Canada who was CEO of the College of Family Physicians of Canada. Also president from Portugal, I'm blocking on his name. So we had an eclectic group of leaders who were part of that. We'd have a meeting every year in one of those places. I can remember the first meeting was held in Puerto Rico. International Center for Family Medicine in Puerto Rico, and the Puerto Ricans of course were probably proud of that. Jerry Stubbe, you remember Jerry? Jerry's now in the United States, I think in Virginia. A lot of good memories and a lot of good people. Now it's a thriving organization and involves a lot of people and it's been there for, what, 20 years now.\n\nDaniel Ostergaard, MD: Well, no, it's more than that. But you mentioned that first meeting in Puerto Rico. Well, that was kind of an enigma and still is, because Puerto Rico is part of the United States of America, but Puerto Rico also is Spanish speaking and part of Ibero-Americana, if you will. So they're active in both cases, and I do well remember Jerry Stubbe. I'd like to see him again. Let's go now from ICFM because I want to talk about Lebanon.\n\nEdward Shahady, MD: Okay.\n\nDaniel Ostergaard, MD: Well, knowing you are Lebanese American and a Lebanese Christian Roman Catholic, I was very interested to be reminded, going through your CV, that you made multiple consulting trips to Beirut to the American University. Talk about that, and talk about what you did there to help establish family medicine and maybe some of the awards you've gotten in your Lebanese background and Lebanese connection. And what were some of the obstacles?\n\nEdward Shahady, MD: Well, I think I was invited several times to be a consultant to speak at their annual meeting. I can't take any credit for getting them going. I think they're pretty sophisticated in what they do. They've got a history. They're having challenges right now at this very time, but they've had a strong Lebanese family medicine organization over there for quite some time. They've taught general practice and then family medicine for quite some time, and they've had some great leaders. I think I was invited over as a consultant. I don't know how much I led them as much as consulted with them and offered them my thoughts about what they were doing. Vince Hunt did a lot of that too. Vince, of course, you remember his involvement with Bahrain, so that because of the geographic proximity, he did some things with Lebanon too.\n\nEdward Shahady, MD: I think the fact I was Lebanese, I was involved with family medicine, it made it easy for us to relate to other. Now, as far as religion, Lebanon is primarily a Christian country. It's like 55% Christian, but the Muslims and the Christians get along very well. I met many, many Muslim family physicians, many Christian family physicians, and I asked them one time, how do you get along? Says, \"No, no problem. We take care of patients. That's our number one job.\"\n\nDaniel Ostergaard, MD: So you're saying you got along well in the professional role of physicians, whereas in the broader community, obviously they don't get along quite so well between the Christians and the Muslim minority, right?\n\nEdward Shahady, MD: Well, I never saw that. I read about it, Dan, but I never saw it.\n\nDaniel Ostergaard, MD: Wow. That's very interesting. Okay, so you also were part of, as I mentioned earlier, the creation of what now we call the Center for Global Health Iniatives of the AAFP. You were part of the creation of that, as a RAP consultant, a Residency Assistance Program consultant, you traveled all over, and it seems to me that in terms of the international part of those consultations, one time you had a very difficult assignment of going to the Bahamas. Do you remember that?\n\nEdward Shahady, MD: Very well. Want me to talk about that?\n\nDaniel Ostergaard, MD: Well, sure. How did you get such a plum assignment as going to The Bahamas and not North Dakota?\n\nEdward Shahady, MD: Well, I don't know who was making the assignments, whether it was you or somebody else, Dan, but that was at a point that I don't know how many people were traveling or willing to travel. I was known for being willing to get on an airplane and go, and that was a very, very interesting consultation. The Bahamas, their system is based on what goes on in England. It's not based on the American system, but they had a goal and they wanted to make it so graduates through their program could sit for the American Board of Family Medicine. That was their goal and it brought me over. They didn't make up too well known when they asked for the consultation, but they made it known as soon as I walked into the door. And of course I said, \"I don't have any authority to tell you one way or the other. I can tell you what the story is now. If you want to do that, you got to do all the rules and regulations of what the American Board of Family Medicine now states.\"\n\nEdward Shahady, MD: They never did that because they knew they couldn't, but other things that I was able to accomplish with them. I gave them suggestions about how to change their educational system, how to teach residents, some of the things that we did in the United States, and then I think that we were able to get not a RAP consultation, but some of the information that RAP hands out to them, which helped them. I stayed in touch with them for two or three years, and I would see them at academy meetings. I think they were taking advantage of our knowledge. They could never become part of our system, but they copied many parts of our system.\n\nDaniel Ostergaard, MD: Yeah, they did, and I'm so glad that you were an example of people who kept the communication going after you did that consultative activity, because that's what we now call sustainability, that the contact continues, and if asked the nurturing continues. \n\nLet's move to some more of your domestic accomplishments. I know you've written several books, and I know you've written at least one on sports medicine, because I have it, but you also wrote one on retirement. Tell us about your books, and while you're thinking about your books, remember to look around your library at home and let us know if you have books and then Crystal too, let Crystal know if you have books that you have written that we don't have in the Center for the History of Family Medicine library.\n\nEdward Shahady, MD: Okay, would Crystal know what books are there?\n\nDaniel Ostergaard, MD: She'll have to look that up.\n\nEdward Shahady, MD: Okay, I'd have to go look what you have and then we could meet in between, okay?\n\nDaniel Ostergaard, MD: Yeah, tell us about some of the books.\n\nDaniel Ostergaard, MD: I'm interested specifically about the one the Academy published for you on retirement. I remember at the assembly now called FMX, talks you did with Dr. Bob Higgins on retirement and it became a book. How did that come about?\n\nEdward Shahady, MD: Well, I was asked, along with Bob Higgins, to do a seminar on retirement. I think the reason was I'd given some talks on retirement because I was entering retirement. As we gave this talk, I think I was asked by the Academy, I'm blocking on the name of the person who was in the administrative responsibility at that time, said, \"Ed, why don't you write a book?\" I says, \"Can I get help from the Academy?\" He said, \"Absolutely.\" And I got help from one of the members of the staff, which I'm blocking on her name now, Phyllis?\n\nDaniel Ostergaard, MD:V\n\nOh, Phyllis Nolan?\n\nEdward Shahady, MD: Yes. She helped me. What we did was we did multiple interviews, and it got a lot of pearls from retired physicians. And then we also interviewed women physicians and what their issues were, because women have a unique set of issues, because they're not only being a doctor, but they're caring for a family. I got some great advice from them. We got advice from other people, other physicians. If you ever look at the book, and it's online now, just go \"AAFP retirement\" and you find it. There's a lot of simple advice on what to do in retirement by these physicians. They were great sources of information.\n\nDaniel Ostergaard, MD: Well, your academic books from several publishers on sports medicine are also very helpful, and I know you had an interest in sports medicine. You mentioned that specifically during your Florida time at Florida State. I guess you were doing that well prior to that. Do you remember the specific focus of any of those sports medicine books? I do want to have that in the transcript, at least, that you have several sports medicine books.\n\nEdward Shahady, MD: Well, first of all, Dan, let me tell you how I got interested in sports medicine. I go out to a ball game, and there my kids are playing. Somebody gets hurt, and my son says, \"My dad's a doctor,\" so they get me out of the stands. Pretty soon I was on the sidelines, so I was a team doctor in Chapel Hill for 20 years and knew a lot of those athletes. Many of them went on to become college players. That got my interest in sports medicine.\n\nEdward Shahady, MD: Of course, I would bring the residents out with me. Residents would take an elective. I ran a sports medicine clinic at the residency at Chapel Hill, and I would take them out at the ball games, and that's the best way for them to learn. So I practiced sports medicine in a clinic at the residency programs where I was both in North Carolina and in Miami. Then when I was in Tallahassee, excuse me, let me take a swig here. That was straight Coke, nothing else. I think it was a lot of fun and when I would go to a school, I know when I was in Tallahassee, there was a Baptist school, and I got to meet the preacher and the principal, and I became part of that school and part of those people. Of course, I got to know the kids and their families. So it was a great development for me.\n\nDaniel Ostergaard, MD: Well, Ed, we're going to run out of time before too long, but a huge part of your retirement, if you actually ever did really retire, was your work in diabetes. I know you did several things with the Diabetes Association. You used to ride bikes and ask people like me for donations to the ADA, which we were happy to do. You were in the Diabetes Master Clinician Program, and you started something like that in Florida, if I remember. Tell us about all of your work with diabetes, and remembering back to the talks you did at assembly at FMX, you always did diabetes, you did chronic kidney disease, lipids, and everything that relates to all of us that have the metabolic syndrome, so go back to this diabetes work, which I don't think people really know about when they're thinking about Ed Shahady.\n\nEdward Shahady, MD: Well, thank you, Dan. I'm very proud of that. In link with the diabetes was lipids. I am board certified in lipidology. You take a test for that. You've got to take so much education, take a test, and pass the test. I was fortunate and passed the test. Barely, but that's all you got to do is barely, because you you're in competition with a lot of sharp people in diabetes and lipids. So I became very interested in that, but the interest started with diabetes. As you well know, people that are diabetic have a lipid abnormal. For the Florida Academy of Family Physicians, we formed the diabetes master clinician program, which was the educate family physicians in Florida about the care of diabetes and automatically the care of lipids. I would, at academy meetings statewide and nationally, talk about this. I would be invited to go places and help physicians and communities deal with this, because it was a frustration.\n\nEdward Shahady, MD: I'm proud of myself of getting it down to understandable, an understandable issue, where you could take care of it and know how to handle people, because everybody that's got diabetes is going to have metabolic syndrome and many times they have severe lipid problems. As you will know, with lipid problems, you can put them on a statin, and they can't always take it. So what are the alternatives?\n\nEdward Shahady, MD: I think I learned with time to help physicians treat lipid abnormalities, metabolic syndrome, diabetes. I had about 150 physicians who were part of their program where all their diabetic patients would be entered into a database, and at any time, they could look and see which patients weren't at goal. We knew how many of their patients were at goal with LDL. They could go click and here were 50 patients that weren't at goal, and I would help them create plans to get those patients at goal.\n\nDaniel Ostergaard, MD: Wow. Getting to goal in terms of all of those functions, I guess? Glucose control, renal function control, lipid control. Is that still going on?\n\nEdward Shahady, MD: Absolutely, it still goes on. And how it goes on now, I'm not as active, because they have lost interest. But what they know right now, they can look, if they keep their database up to date, if you have 200 diabetic patients and we know the goal for LDL is, say, it was 100, now it's 70. They could look at how many of the patients aren't at goal by clicking and they'll have their record and they can decide, do I want to do something about it?\n\nEdward Shahady, MD: One of the major issues is patients quit coming in. Dan, you and I as family physicians, don't have a memory of every patient and whether they've come in or not. A registry, which we had for them, tells you. They could look on there, see which patients hadn't been in the last six months, look at people who weren't at goal, and it had contact information. Well, here was Ed Shahady. He wasn't at goal for LDL. Here's his contact information. And they also had a staff person who was responsible for following up.\n\nDaniel Ostergaard, MD: The individual family doc had a staff person for following up?\n\nEdward Shahady, MD: Right. One of my medical assistants would do that.\n\nDaniel Ostergaard, MD: Right. Was that a function of the Florida Academy?\n\nEdward Shahady, MD: Initially, it was, yes. And then the Florida Academy no longer wanted to do it, and they said, \"You can do it.\" I was able to get some grants from Blue Cross Blue Shield and continue it. Those grants are almost finished now.\n\nDaniel Ostergaard, MD: Well, and as you told me that you're not going on the road much, so you're not going ... It's got to be online at this point. Well, I hope it keeps going, because as I've watched you do that over all these years of so-called retirement, it looks like it's been a really great service, so too bad if it doesn't continue with grants or whatever it takes to support it.\n\nEdward Shahady, MD: Well, Dan, if I had the energy, I would. You know, 83 and you slow down a little bit. I don't have the energy.\n\nDaniel Ostergaard, MD: Oh, I understand that. Well, let me ask you to think back on what we've just talked about and see what I have forgotten to ask you but that you think we should talk about, because this is your interview. Let's get everything out that Ed Shahady wants on this oral history.\n\nEdward Shahady, MD: Let me just mention one thing about teaching, that over the last year, I went to a residency program in South Florida run by one of my former residents and I taught. I would give a lecture in the morning. I'd go there once a month, give a lecture in the morning, and then run a sports medicine clinic in the afternoon. That was the last time that I was involved with residents. I had to stop at about six months ago, because the energy decreased. I just didn't have the energy anymore, but that was my last involvement, and that was a lot of fun. To be with residents again, teaching them, and I'd love to ... I'd get an hour and a half for the lecture, and I could do hands on teaching. And then I'd go to the sports medicine clinic and I would get a third-year resident who was excited and I'd teach him how to inject knees, inject shoulders.\n\nEdward Shahady, MD: That was my last hurrah, solid 82 years old. I did it up to age 82, where I was able to do it, so I wanted to mention that. I think my involvement with the Academy teaching ended a couple years ago. That's when I said to myself at age 80, I should stop lecturing. Now the staff said, \"There's no evidence that you should stop.\" But I felt that an 80-year-old, I was seeing patients partially, but not like a practicing doctor, and I thought it was time to stop.\n\nDaniel Ostergaard, MD: Well-\n\nEdward Shahady, MD: Right now, medically well I'm doing, but you're helping me remember a lot of stuff about practicing medicine, and I appreciate that.\n\nDaniel Ostergaard, MD: Well, you have done an incredibly good job. Your legacy is clear in so many ways, particularly in international family medicine and your work with students as per the UNC endowment that will take you through with residents, well, forever. Thank you so much, Ed, for agreeing to do this interview. Thank you for all you've done over all those years. Thank you for hanging in there until your early 80s or mid-80s, I guess I might say, and therefore for the end of this interview, this has been with Edward Shahady, MD, of Florida, of Ohio, of North Carolina, of Camp Pendleton, and of Vietnam, and I'm sure there are other places, too. Thanks so much, Ed.\n\nEdward Shahady, MD: Thank you, Dan.\n\nDaniel Ostergaard, MD: Best wishes for a long life.\n\nEdward Shahady, MD: Thank you. Same to you, buddy.\n\nDaniel Ostergaard, MD: Bye.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/2195/collection_resources/160208/file/291697#t=1494.0,4901.2"}]}]}]}