August 8, 2025 • 37 mins
This week we lost one of the true 'nice people' in pediatric cardiology - Dr. Richard J. Golinko who died at the age of 95. Dr. Golinko led the Mount Sinai Pediatric Cardiology Program for many years. He established many of the programs at Sinai that are now fundamental to the program and the care of children with congenital heart disease in the tri-state region. To honor Dr. Golinko's memory, we stretch back over 40 years to review a paper he co-wrote with Dr. Rubin Cooper on balloon angioplasty of aortic coarctation. We speak with Dr. Cooper, the work's first author about the work as well as his remembrances of the man, Dr. Golinko. Also joining us this week is Dr. Anthony Rossi of Nicklaus Children's Hospital and Dr. Rica Arnon of Mount Sinai to share their individual remembrances of this wonderful and warm leader.
doi: 10.1161/01.cir.70.5.903
doi: 10.1161/01.cir.70.5.903
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Episode Transcript
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Speaker 1 (00:16):
Welcome to ped Heart Pediatric Cardiology Today. My name is
doctor Robert Pass and I'm the host of this podcast.
I am Professor of Pediatrics at the Icon School of
Medicine at Mount Sinai, where I am the chief of
Pediatric Cardiology. Thank you very much for joining me for
this three hundred and fifty first episode of p D Heart.
I hope everybody enjoyed last week's extra special three hundred
(00:36):
and fiftieth episode, in which we spoke with doctor Ziata
Jazzi about his life and times. I am sure you
enjoyed it. For those of you interested in the history
of pediatric interventional cardiology in the last forty years, i'd
certainly recommend you take a listen to doctor Hejazzi in
last week's episode three hundred and fifty. As I say
most weeks, if you'd like to get in touch with me,
(00:57):
my email is easy to remember. It's PTI Heart Art
at gmail dot com. This week, we'll be dedicating this
entire three hundred and fifty first episode of Pdheart to
the memory of the former chief of pediatric Cardiology at
my own program at Mount Sinai, doctor Richard J. Galinko,
who died this past week at the age of ninety five.
Doctor Galinko was the chief for roughly fifteen to twenty
(01:20):
years at Mount Sinai, and in a very real sense,
he built the program at Sinai, setting up the bones
of this program and creating a vibrant one at Mount Sinai.
Doctor Galinko was a graduate of New York Medical College
and he did a transitional year of internship at Mount
Sinai from nineteen fifty six to fifty seven, followed by
residency and pediatrics from nineteen fifty seven to fifty nine
(01:43):
at the Children's Hospital Philadelphia. Following this, he completed his
fellowship in pediatric cardiology at Boston Children's Hospital from nineteen
fifty nine to nineteen sixty one, where he trained under
the great cardiologist doctor Alexander Natis. Dick worked at Brookdale
Medical Center in Brooklyn, New York, where he was the
chief until Mount Sinai recruited both he and cardiac surgeon
(02:05):
Ransall Greep to come to Mount Sinai, where he joined
doctor Rika Arnaan and doctor Leonard Steinfeld and building a program.
During his tenure at Sinai, doctor Galinko established a fellowship
training program and recruited some of the best of the best,
including doctor Bruce Gelp, doctor Anthony Rossi, doctor Samuel Ritter,
doctor Robert Summer, and the eminent imaging guru, doctor Ira Parness,
(02:30):
who ultimately became the chief of Cardiology after doctor Galinko
and many more. Doctor Galinko was honored by Mount Sinai
with the endowment of a named professorship at Mount Sinai,
and doctor Ira Parness was the first Richard J. Galinko
Professor of Pediatrics and Cardiology at Mount Sinai and he
held that chair for roughly a decade. As the present
(02:52):
Chief of Cardiology, I am now the Glinko Professor, and
I am honored to hold this chair. On a personal note,
my first exposure to pediatric cardiology came in nineteen ninety
as a visiting medical student doing an away rotation at
Mount Sinai, and that was when I met and learned
from doctor Galenko, and being the wonderfully warm and kind
(03:12):
man that he was, he was always nice to me
and always wanted to know how my career was progressing,
and I know he was always happy to hear that.
The second Galenko Professor, like doctor Parness had also been
a good friend of his. To honor doctor Galenko today,
my plan is to review a paper that he wrote
when he was the chief of pediatric Cardiology at Brookdale
(03:35):
Hospital in Brooklyn, New York, prior to his moving to
Mount Sinai. And I think that those who knew him
will be surprised to see that he was a co
author on a paper on interventional pediatric cardiology. The title
of the work we'll be reviewing is Balloon Dilatation Angioplasty
non Surgical Management of Corretation of the aorta. The authors
of this work were Ruben Cooper, Samuel Ritter, and Richard J.
Speaker 2 (03:58):
Galinko.
Speaker 3 (03:58):
And again this work was published in November of nineteen
eighty four in Circulation. Will briefly review this paper and
then speak with the work's first author, doctor Rubin Cooper,
who is the former chief of pediatric Cardiology at north
Well Health System in Long Island, New York, and will
also briefly hear from doctor Rica Arnon and doctor Anthony Rossi,
who both worked closely with doctor Galenko, to share their
(04:21):
remembrances and so let's venture back in time forty one
years to nineteen eighty four to review this paper. The
work begins by reviewing the fact that in the then
recent past, balloon dilation catheters were made available for the
first time, and they review briefly how percutaneous transluminal angioplasty
in infants and children was gaining traction as a therapeutic
(04:42):
approach for things like pulmonary valves stenosis, aortic stenosis, per
ful pulmonary stenosis SVC or IBC obstruction, and even pulmonary veinstenosis.
They also mention then rare descriptions of aortic cartation dilation.
Given the rarity of these reports at that time, the
authors elected to present their experience with balloon dilation angioplasty
(05:05):
of discrete aortic corortations, reporting out outcomes and also utilizing
then relatively new Doppler echo to assess before and after findings.
The authors review the technique of the five patients who
ranged from eighteen months to seventeen years of age, and
it's interesting when looked at from the perspective of forty years.
The patients were enrolled in an IRB approved research protocol
(05:28):
because of the novelty of this intervention, at that time,
and they explained that a thoracic surgeon was available in
case of complications. All of the patients received a sedation
what was common at that time, the dreaded DPT, which
was a combination of demarrol fennergen and thorazine given thirty
minutes prior to the CAF, and the patients then received
local anesthesia. I'll mention, having started my career at the
(05:51):
very tail end of the use of that agent, that
in my experience it rarely worked, the DPT, and it
didn't adequately sedate patients, and it was also very painful,
and for all those reasons it'd sort of fallen away.
It's of interest that no one received general anesthesia, which
was typical for that era. For those unaware at that time,
there was a certain feeling or belief that a real
(06:12):
catheterizer didn't use an anesthesiologist and did their own sedations.
But I can assure you, having lived in both eras,
that the present approach of normally having an anesthesiologist is
far preferable. In any event, the authors describe performing hemodynamic measurements,
obtaining an antigram, and then choosing the balloon size based
upon the diameter of the aorta above and below the narrowing.
(06:34):
They specifically state that they would choose a balloon that
was one millimeter smaller than the aorta measurement one centimeter
above or below the narrowing. They used a metateech balloon
and these were eight or nine French in diameter, and
they described dilutation using a pressure gauge to get six
to eight atmospheres of pressure with a goal of losing
the balloon waste. They then re checked hemodynamics and completed
(06:57):
the case and add to the results again. There were
only five patients in this.
Speaker 4 (07:01):
Study and three of them were under the age of
five with ranges of eighteen months to three and a
half years, and two were teenagers thirteen and seventeen years
of age. The mean peak systolic gradient was fifty two
millimeters of mercury, ranging from thirty five to seventy and
they showed that after dilation the gradient fell to between
zero and ten and all five patients. The author state
(07:22):
also that there was angiographic improvement in all. They also
incorporated Doppler imaging in all and demonstrated improvement in the
descending aortic Doppler and four or five patients. They explained
that there was no observed postcorrectectomy hypertension or abdominal pain.
There was one serious complication of a patient who needed
a thrombectomy thirty six hours after the procedure, and that
(07:42):
patient was hospitalized for five days, and the authors state
that one to six months following the procedure there were
no recurrences of correctation and all patients were well. In
their discussion, the author's review the pathological studies that preceded
this intervention in humans, explaining that lab studies had shown
that there were intimal and medial tears from dilation that
(08:03):
explained the enlargement that was observed angiographically. The authors explain
that at the time of this paper, there were no
dissections seen in any patient in the literature, though an
aneurysm had already been reported. Of course, we know that
ultimately these two problems, particularly aneurism, was going to become
a much more significant concern with time. The authors review
the fact that there were three deaths reported in the
(08:25):
entire literature using this technique in infants who had transcatheter dilation.
The authors review that the balloon size was in their
view an important concern and review how they chose it,
and also caution against recrossing a dilated segment unless over
a guide wire. They suggested that hepron be given for
these procedures based upon the single case of a patient
(08:45):
needing a thrombectomy, and we all know, of course today
no one would perform this sort of intervention without hepron.
The authors conclude by suggesting that these are to use
their verbiage encouraging results, and that more follow up and
experience will be needed to this intervention. They caution of
its use in small infants due to technical concerns, and
wisely suggest that follow up of these patients looking for
(09:08):
reestenosis or formation of aneurysm would be essential in determining
if this was a viable and safe long term approach
to a order correctation. Well, this is a fun paper
to review when looked at from forty years Hence today,
of course we might wonder how did a paper with
five patients make its way to circulation. Well, the reason
is the novelty of what was done. There were very
(09:30):
few papers at that time on this topic, with many
of them by doctor Locke in Boston, and how brave
and forward thinking were doctors Cooper, Ritter and Galinko to
try and apply this technique to their patients. Today, none
are viewed as interventional experts, but in that time there
really were very few who were, and so their achievement
is even more exceptional to those of us in New
(09:51):
York City. It's perhaps of great interest to see that
this was all done at Brookdale Hospital in Brooklyn, New York.
The reason for the interest is that just a few
years later, doctor Glinko was recruited with doctor Greef to
Mount Sinai, and this sort of started the end of
an invasive and surgical program for children with congel heart
disease in Brooklyn, New York, which was to the benefit
of my own institution, Mount Sinai, but in hindsight is
(10:12):
perhaps somewhat sad given that Brooklyn is one of the
most populous locations in the world, and yet its inhabitants
do need to travel to another location for invasive cardiac
care at this time. Of course, this might result in
a conversation about regionalization of care, but that was not
my intent. However, in general, I do think that it's
fun to look back at how care was given in
(10:32):
the past, and we are very lucky today to be
able to speak with doctor Reuben Cooper, the first author
of this paper, to learn a bit about this work,
but also to share his remembrances of his colleague and friend,
doctor Richard Galinko. Doctor Cooper, as I mentioned previously, is
the emeritus Chief of Pediatric Cardiology at Northwell Health formerly
Long Island Jewish Hospital on Long Island. He is Professor
(10:55):
of Pediatrics at the Zucker School of Medicine at Hofstra University. Welcome,
doctor Coue to Pdhart. I'm here now with doctor Rubin Cooper,
the emeritus Chief of Pediatric Cardiology at Northwell. Rubin, thank
you very much for joining us this week.
Speaker 2 (11:08):
On the podcast. Thanks to be with you, Rob, great pleasure. Rubin.
Speaker 4 (11:12):
You know, as you know, this week we are honoring
the memory of Dick Glinko, who passed last week at
the age of ninety five. Many of us knew him well,
You knew him particularly well. So in this week's episode,
I'm actually reviewing your paper that you co authored with
doctor Glinko and Sam Ritter on angioplasty of coortation, and
so I wanted to start with at least one question
(11:35):
regarding that, which is, how did you and the team
in Brookdale decide to embark on a program of balloon
dialotation of native and other corarroctations?
Speaker 2 (11:42):
Did you?
Speaker 4 (11:43):
I was wondering, did you have anyone come to procter
you or were you basing your interventions just based on
the limited literature that existed at that time?
Speaker 2 (11:52):
Yeah?
Speaker 5 (11:52):
Well, sort of an interesting story. It actually started first
with pulmonary Valvestenosh said Kat. The seven year old found
the ch had severe pulmonary stenosis with the eighty or
ninety milimeters grady and recommended the pulmonary valveotomy to the mother.
The mother, the grandmother lived in Florida and cut out
(12:14):
an article that was in Gainesville paper which described the
doctor gene Con and White doing their first ballooning of
beagles with congenital pulmonary stenosis.
Speaker 4 (12:27):
Wow.
Speaker 2 (12:28):
And she cut out the article and mailed it to
her daughter.
Speaker 5 (12:31):
I'll never forget she walked into my office with the article,
cut it out, and she put it on my She
put it on my desk and she just pointed to
he said, why does my daughter have to have a surgery?
Speaker 2 (12:43):
Why don't you balloon her? Problem.
Speaker 5 (12:45):
So I looked at her like Ralph Grahama, and I said,
I have no idea. But Dick Alenko, to his credit,
you know, within I don't know, two three weeks we
were on a plane down to Baltimore at Hopkins and
we observed the doctor's con and White actually do pulmonary
valvoloplasty ballooning on two kids. And within a month those days,
(13:08):
the IRB wasn't that complicated, but within a month we
were able to bring Gene Conn up and we did
our first two pulmonary balloon valvoloplasts successful, and I think
that sort of launched me a little bit because I
was more of a CAF person in those days. And
Vick was very gracious in terms of, you know, the
(13:29):
TV coverage and all the excitement that went around it.
Speaker 2 (13:33):
He had the first biplane lab.
Speaker 5 (13:35):
In New York City, which was sort of interesting, waybefore
the major centers. And probably within six months after that,
we had read about doctor Laba Bede's work with corortation
of the order, and it was just like that he
contacted Lababdi and the next thing we knew, he Bababdi
(13:59):
was up in our lab and proftering us and that's
when we started doing the native co roortations with balloons.
We weren't that sophisticated as to what the measurements were
pre impost angiogram, you know, what size balloon to take
and that sort of thing. We looked for the for
the waste and try to obliterate the waste, and then
(14:21):
as you know, we then we followed these patients carefully
and we re angiogram then only defined that a few
of them. I think that maybe two or three in
the original paper had some aneurysms develop and we weren't
comfortable with that. So I think at least two recent
for surgery, we had the resected segments and we felt
(14:43):
that maybe we should be more cautious about doing native
balloon co rotation.
Speaker 2 (14:49):
Of course, the literature balloomed after.
Speaker 5 (14:52):
That, and that's how we got started with balloon angioplasty
for co ortation.
Speaker 2 (14:59):
Wo.
Speaker 4 (15:00):
Well, it's interesting because you actually mentioned in the discussion
of that paper that the results are encouraging, but follow
up was necessary. So it sounds like you guys did
the follow up.
Speaker 2 (15:12):
Yeah.
Speaker 4 (15:12):
Yeah, So do you happen to remember or no, are
you following any of those patients at this time forty
years later.
Speaker 5 (15:19):
Reubin, I'm not I'm sorry to say, I have no
idea where they are, but that maybe that's you know,
that's on me. But of course I made number of
changes institutionals, right, But so that's that's the answer to that.
Speaker 4 (15:38):
Wow, it's quite remarkable that all of this was going
on in Brooklyn. I'm still for those of us in
you know, in the field today, I think people forty
plus years later can't imagine that all this was going
on in Brooklyn. But really you had quite a vibrant
center going on in the mid eighties, didn't.
Speaker 5 (15:56):
Just wanting to comment, I think that that really is
a tribute to doctor Galenko. You know, he had an
interesting pedigree. He was very proud of it. He was
a graduate of Cornell. He did his pediatric cordiology training
with doctor Natis in Boston, and I'll.
Speaker 2 (16:13):
Get into that a little bit later.
Speaker 5 (16:15):
But he always had those connections and felt very comfortable,
very confident in what he was doing, and he was
a bit of a.
Speaker 2 (16:25):
Trail broad blazer with that regard.
Speaker 5 (16:26):
And I think maybe the more established institutions, remember he
had an affiliation with Downstate, but it was not at
the at these centers, right, it wasn't at.
Speaker 2 (16:36):
SINAI wasn't a Columbia or an NYU. So he was.
He was very much.
Speaker 5 (16:43):
An advocate for himself and for the program, and it
took great pride, and Michael Court joined him.
Speaker 2 (16:49):
Will also train to Boston Children's.
Speaker 5 (16:51):
And I want to give the shout out to doctor
Lecourt who very much sort of brought some of the
newer thoughts about echo and just thinking about to operate
on patients. And I think Mike also deserves so mentioned.
Speaker 2 (17:05):
He did move on.
Speaker 5 (17:06):
I wasn't with Mike too long because he went ahead
and became his own pediatric chair. And then the joke
in New York was, if you want to know where
Cooper was just figuring out where the Court was, because
they've pretty much followed him in different locations after he
left to become the chief at north Shore, and then
I followed him the north Shore, and then he went
(17:28):
to the city. He went to Brooklyn to become a
chair of pediatrics with then fade full circle at the
end of his career. Right, but doctor Lecourt contributed a
lot to the growth of that program.
Speaker 4 (17:39):
Yeah, well, he is a good friend of mine as
is his son. As I know you're friends with both,
both gentlemen, lovely people. Rubin, you know Dick is now
sadly passed. I'm wondering if you could share with people
what was he like as a chief, and you, of
course were a chief for a very long time. I'm
wondering what you learned from him that helped him from
(18:00):
your own style as the chief of cardiology for so
many years.
Speaker 5 (18:04):
Well, I think you're looking back and we talk about mentorship, right,
And at the time, it didn't feel like that because
I was taking a lot of call and usually do
Fridays and the weekends we were in those days. To
his credit, he took a day off and spent it
with his wife and went to the theater usually Wednesdays.
Every Friday or every other Friday, we would get a
(18:26):
call from my monodies about the SILVERMANI resid of Peace,
and inevitably it was a blue baby, and so I
got a lot of hands on experience. This is pre prostaglandin.
This is pre too the echo and so many of
these patients required an merchant cat.
Speaker 2 (18:47):
Just to figure out what was going on. But we
had a biplane sinny unit and we were able to
usually figure that out.
Speaker 5 (18:53):
So with regard to mentorship, I would say that he
was really an excellent mentor. By that I mean he
encouraged people like myself to write and to get involved
in newer things. At the national meetings, he was very
gracious and always introducing me to many the leaders in
(19:15):
our field, and in fact many of them were visiting
professors that he would invite. So people for example like
a Brudolph or Bill Friedman, and these were sort of
icons and pediatric cardiology, and of course Bill Rashkin. He
had a very close relationship with Bill. As a matter
(19:35):
of fact, I can just diverts sure. Just as short
amount of time after my cohortation presentation of the AHA,
Bill Rashkin came over to me and offered me a
position to come work with him at his program. He said,
I'm getting older, you seem to be interested in the intervention.
(19:56):
Would you want to come? I said, let me discuss
it with my wife said, well, you know, maybe come
and give a talk and we'll take it from there.
In Philadelphia wasn't that far from New York, and we
set a date, only to find that a secretary called
maybe three or four weeks later saying that I have
to reschedule that he was ill, and he then succumb
(20:18):
to to liver cancer and died very shortly thereafter.
Speaker 2 (20:22):
But it was Vick's.
Speaker 5 (20:27):
Introducing me to so many of his friends and colleagues
around the country who they themselves.
Speaker 2 (20:32):
Were, you know, leaders of different programs, and after a
while you sort of develop a certain.
Speaker 5 (20:39):
Certain relationships with these programs, with these people, and I
think that had a major impact on my development in
terms of learning from him in terms of style, he
tried to try to encourage the younger faculty to get
involved early and programs, to go to national meetings or
(21:00):
regional meetings and develop these relationships, to invite people that
know more than you to learn from them. So we
had a lot of I said, visiting professors, lectureships, case presentations,
and there was a time when, really, looking back at it,
I had the opportunity to grow from both the Boston sphere.
Speaker 2 (21:23):
As a matter of fact, I remember to try.
Speaker 5 (21:25):
To recruit you from Boston because so many great things
about you, both both being a great cat person but
also an EP person, which I.
Speaker 2 (21:34):
Had not heard of it. I don't think I've heard
since the people have done both both disciplines. Eugene Bronwald
when we had to write.
Speaker 5 (21:43):
These papers, was involved the Genie Doyle, Lenny Steinfeld, Natus,
Arnold Home, all these people, you know, really were major
contributors to the development of our discipline, and I think
I tried to bring that in terms of my style
to encourage faculty fellows to get involved. And many of
(22:07):
them are in leading positions now, you know, throughout the country,
so that's very rewarding. He also had a very important relationship,
I think in closing the loop with the primary care physician,
so it wasn't just a letter. He'd get on the
phone and let the primary care doctor what was going on.
He related well to families, and I think in that regard,
(22:32):
you know, the careful history, the relationship with the primary
care and the family ultimately are the elements that I
think lead to a success for any type of physician.
Speaker 2 (22:43):
I don't recall any lawsuits.
Speaker 5 (22:46):
I mean people understood even when the results weren't good,
they had this relationship with him, and I think it's
something that we could all remember and use well.
Speaker 2 (22:54):
Revin, that was wonderful.
Speaker 4 (22:56):
I learned so much, you know, having had my entire
career since the end of my training in New York.
I still found from what you had to say, I
learned a lot of interesting things, and it was really
inspiring to hear how Dick informed a lot of your
career going forward. I want to thank you very much
for taking time from your busy schedule to speak a
(23:16):
little bit about our friends and colleague, doctor Richard Glinko.
Thank you very very much.
Speaker 5 (23:21):
Thanks for the opportunity to all the best, much appreciated.
Speaker 4 (23:24):
I'm sure you all enjoined doctor Cooper's comments about Dick Galinko.
At this time, I thought we would speak with doctor
Anthony Rossi. Doctor Rossi is presently the Director of Research
in the section of Cardiovasker Medicine at Nicholas Children's Hospital.
Doctor Rossi has been a guest on this podcast previously
and is well known for his expertise in pediatric cardiac
critical care, importantly in Jermaine. To today's episode, Doctor Rossi's
(23:48):
first job following fellowship was at Mount Sinai, and he
was hired by doctor Richard Galinko and worked directly and
closely with him for nearly a decade. Therefore, I think
there's nobody who knows Dick any better than doctor Rossi.
And so let's move forward to a brief conversation with
doctor Rossi about doctor Richard Glinko. I'm here now with
doctor Tony Rossi of Nicholas Children's Hospital. Tony, thank you
(24:10):
very much for joining us this week on pet Heeart.
Speaker 6 (24:13):
It's a pleasure to be here and an honor to,
you know, really talk about true mentor in my life
and career.
Speaker 4 (24:22):
Di Glinko, Thank you, Tony. That's exactly why we asked
you to come on this week. You know, I was wondering,
Tony when you when did you meet Dick? And I
know I believe your first job out of fellowship was
at Mount sin I. How did that happen?
Speaker 6 (24:36):
Yeah, so it's very interesting. I mean, you have to
go back. This was the nineteen eighties, so there was
no internet. The only way to communicate with people was
by letter. And you know, I was training in Philadelphia
and looking for a job in New York City because
that was my home. So I pretty much blindly just
wrote letters to directors of a bunch of programs in
(24:58):
New York City and Long Island, and Dick was one
of the people who was kind enough to invite me
out to interview, and I went out to Mount Sigini,
first time I had.
Speaker 2 (25:08):
Ever been there.
Speaker 6 (25:10):
I had a great visit with Dick and Sam Ritter
and a great dinner, and I never thought I would
get the job. And the next thing I know, Dick
had reached out to me and said, look, we'd love
to have you come here. I stepped in in nineteen
eighty nine.
Speaker 2 (25:27):
He gave me directorship of a brand.
Speaker 6 (25:28):
New kardiak ICU and kind of the rest was history.
Speaker 2 (25:33):
Wow.
Speaker 7 (25:33):
Wow, no.
Speaker 4 (25:34):
I you know, I knew that you had started at
Sinai shortly before I met you on my visiting rotation
in nineteen ninety, but I didn't realize it was just
about a year before. So you were it looked like
it looked like an operation that was well oiled and
moving already. So I guess you had done a lot
in just one year.
Speaker 2 (25:53):
I was a kid.
Speaker 4 (25:55):
Well, weren't we all? Teddy?
Speaker 8 (25:59):
Well?
Speaker 4 (25:59):
I of course, this week, as you know, we're honoring
Tick on the podcast. Just a lovely man. And I
was just wondering, Tony, when you think of him, what
is it that you most recall and admire about Dick Olinco.
Speaker 6 (26:13):
So he's one of the kindest men I ever met.
I don't know that I've ever met anybody that cared
more about his patients and their families.
Speaker 2 (26:22):
I mean, he was obsessed with that.
Speaker 6 (26:25):
But as a pediatric cardiologist, you know, he was really
innovative at an age where innovation pediatric cardiology was kind
of exploding, and he was doing it in places that,
you know, we're not the biggest places in the world.
Wasn't Boston or Michigan or Philadelphia, and yet he managed
(26:45):
to do some great things. But when I think back
about you know what, I think he did better than anything.
One he was a great at identifying young talent, and
that doesn't include me. But the other thing that he
was great at was promoting his young talent. And I
recently looked at my CV and I realized, like, during
(27:08):
the first five years that I was at Mount Sinai,
and I hadn't really accomplished anything academically or clinically. It
was like the very beginning of my career, I was
invited to, you know, almost a dozen Grand rounds around
New York City because Dick would just promote his young
faculty and he did that better than anyone. And when
(27:31):
you look at you know that era of people that
he recruited and he promoted, there are people like Bob Summer.
Speaker 2 (27:38):
Bruce Skeal, Leo Lopez, whyman Lie.
Speaker 6 (27:42):
I mean, people who became national leaders in pediatric cardio
cardiology from a relatively small program in New York City.
Speaker 2 (27:51):
Quite remarkable.
Speaker 4 (27:52):
Definitely had a great eye for talent, and that's my
recollection also about how kind he was, a lovely man,
always asking how you're doing, and really rings true. I'm
sure to anybody who knew Dick well Tony. I don't
want to take up a lot of your time, but
I really appreciate your sharing your fond remembrances of a
(28:13):
really lovely man. Richard Glinko, thank you very much.
Speaker 6 (28:17):
Sure welcome, Thank you for asking me.
Speaker 9 (28:18):
Thank you joining us now to round out our guests
to speak about doctor Richard Glinko is Doctor Rica Arnon.
Doctor Arnon is a socio Professor of pediatrics in the
Division of Pediatric Cardiology here at Mount Sinai. She is
also the director of our Pediatric Cardiopulmonary Exercise Physiology program,
and she is a wonderful clinician who has worked at
(28:40):
Mount Sinai for over fifty years. Doctor Arnron has known
to many people throughout the New York region for her
wonderful teaching and she is one of the finest cardiologists
I have ever had the pleasure of knowing, as well
as one of the great colleagues I've ever had. Therefore,
without further ado, let's move straight on to our brief
conversation with doctor Arnon about her friend and colleague, doctor
(29:00):
Richard Glinko.
Speaker 7 (29:01):
I'm here now with doctor Rica Arnand at Mount sign I. Rika,
thank you.
Speaker 2 (29:04):
For joining us this week.
Speaker 10 (29:06):
Nice being with you.
Speaker 7 (29:07):
Thank you great honor to have you. I know you
are a longtime friend and colleague of Dick Galinko. I'm
wondering you were here actually at Mount Sana before Dick came,
So tell me what was it like when he started.
What were your thoughts about the changes that he was enacting.
Speaker 10 (29:25):
So we were here before there was even a training program,
and Dick Glinko came here with his surgeon or the
surgeon came with his carreologies, and it was really a
complete change because Dick had a vision. He started hiring
(29:48):
people before anybody even thought about it. For example, exercise
physiology person was hired, a genetic person was hired, So
he almost like he saw what was coming, and this
was very innovative, and he started our training program which
(30:09):
has blossomed and worked very very well with imaging. He
brought the best and we took it from there.
Speaker 2 (30:19):
Yeah.
Speaker 7 (30:19):
Yeah, And of course those of you who are listening
who know doctor arnand know what central role she plays
in our fellowship. So let's really think about really all
the many people you've trained now over the years all
started I guess when they came and started the fellowship.
Was there surgery at Mount Sinai before doctor Greek came
(30:39):
there was?
Speaker 3 (30:41):
It was not very good.
Speaker 10 (30:42):
It was actually terrible, Okay, because I came here from
a place where we did fantastic surgery down in Memphis, Tennessee,
and I was actually appalled to see what was happening here.
So it was terrible, and for a time we actually
stopped doing it because the results were terrible. And when
(31:04):
doctor Greek came here with doctor Glico, he was really
a fantastic surgeon, a wonderful person, and he set up
our initial post operative care unit of six bed It
was really the epitome of what should be and it
was fantastic. He hired physician assistants which were dedicated completely
(31:30):
to post operative care and it was really great.
Speaker 7 (31:33):
Yeah, I guess that was the unit that doctor Rossi
took go fend.
Speaker 10 (31:38):
But it was already set up and it was working,
and one of the physician assistants was working with them
in Brookdale in Brooklyn, and she came over and obviously
she knew their way of doing, et cetera. Even our
administrator that doctor Golinkok brought was a physician assistant Brookdale,
(32:02):
So he not only started administering here whatever doctor Billimco's
vision was, but he would cover and steer the right
way as a physician assistant.
Speaker 8 (32:14):
Yeah.
Speaker 7 (32:15):
Well, for those in the audience, it's right in the
middle of the morning, and I don't want to take
more of doctor Arnold's time. I'm just wondering Rika. Obviously
we're all said that Dick has passed. When you think
back on Dick, what are the first thoughts that come
to mind.
Speaker 10 (32:30):
His heart was in the right place. He cared for people.
He would go to the end of the world to
help somebody that he think needed to be helped. Either
in a hospital or outside of the hospital. He was
really a very warm, wonderful person, and.
Speaker 7 (32:47):
That is the message that all of the guests on
this podcast have had a Dick, so it's obviously true
because of that it stretched throughout his entire career. Well, Rica,
thank you very very much for speaking with us this
week about Dick.
Speaker 10 (32:59):
You need for allowing to do that.
Speaker 9 (33:01):
Of course, to conclude this three hundred and fifty first
episode of Pedheart Pediatric Cardiology today, in which we honor
the memory of our former leader here at Mount Sinai,
doctor Richard Galinko, we end the episode with the astounding
American tenor Richard Tucker. Tucker began his singing career as
a canter in Brooklyn, New York, but his outstanding voice
was quickly noticed and he turned his studies towards opera
(33:24):
and went on to have perhaps the greatest American operatic
tenor career of all time, singing at the Metropod and
Opera literally hundreds of times. Today we hear him in
a rarity particularly for a singer more noted for his
work in Puccini and Verdi, notably singing the wonderful Aria
sound in alarm from Handel's Judas Maccabeus in a live
(33:45):
recording from Hollywood Bowl seventy four years ago. Thank you
very much for joining me for this three hundred and
fifty first episode. Thanks once again to our guests who
helped us remember the memory of doctor Galinko. I hope
I'll have a good week.
Speaker 11 (33:58):
Ahead Again't this awo? S hes Amon coming on a pain,
Oh reaffected his.
Speaker 12 (34:22):
Wire a page deed and John.
Speaker 13 (34:29):
Mine O love some man, love your save on compad.
Speaker 12 (34:43):
And call the Raman Holly.
Speaker 14 (34:46):
Lame and all.
Speaker 12 (34:51):
All over.
Speaker 8 (34:56):
And the only favor, Oh.
Speaker 14 (35:09):
You see from her, got from her, got from her.
Speaker 8 (35:18):
I'll play and call on Rain Holly Ray Handley or a.
Speaker 15 (35:31):
Home on the.
Speaker 14 (35:33):
Holl coundle.
Speaker 15 (35:44):
Along, Oh humble, lovey.
Speaker 14 (36:02):
Got poy.
Speaker 15 (36:04):
He's all over, he's a post.
Speaker 14 (36:09):
Dust it with poes it with.
Speaker 15 (36:14):
He's a old.
Speaker 8 (36:23):
He's oh.
Speaker 12 (36:33):
Lord, oh God, love your.
Speaker 14 (36:45):
See and call the way only way and.
Speaker 15 (37:03):
Long bay on.
Speaker 12 (37:15):
You see em from bar and call the
Speaker 8 (37:26):
Only only b
Welcome to ped Heart Pediatric Cardiology Today. My name is
doctor Robert Pass and I'm the host of this podcast.
I am Professor of Pediatrics at the Icon School of
Medicine at Mount Sinai, where I am the chief of
Pediatric Cardiology. Thank you very much for joining me for
this three hundred and fifty first episode of p D Heart.
I hope everybody enjoyed last week's extra special three hundred
(00:36):
and fiftieth episode, in which we spoke with doctor Ziata
Jazzi about his life and times. I am sure you
enjoyed it. For those of you interested in the history
of pediatric interventional cardiology in the last forty years, i'd
certainly recommend you take a listen to doctor Hejazzi in
last week's episode three hundred and fifty. As I say
most weeks, if you'd like to get in touch with me,
(00:57):
my email is easy to remember. It's PTI Heart Art
at gmail dot com. This week, we'll be dedicating this
entire three hundred and fifty first episode of Pdheart to
the memory of the former chief of pediatric Cardiology at
my own program at Mount Sinai, doctor Richard J. Galinko,
who died this past week at the age of ninety five.
Doctor Galinko was the chief for roughly fifteen to twenty
(01:20):
years at Mount Sinai, and in a very real sense,
he built the program at Sinai, setting up the bones
of this program and creating a vibrant one at Mount Sinai.
Doctor Galinko was a graduate of New York Medical College
and he did a transitional year of internship at Mount
Sinai from nineteen fifty six to fifty seven, followed by
residency and pediatrics from nineteen fifty seven to fifty nine
(01:43):
at the Children's Hospital Philadelphia. Following this, he completed his
fellowship in pediatric cardiology at Boston Children's Hospital from nineteen
fifty nine to nineteen sixty one, where he trained under
the great cardiologist doctor Alexander Natis. Dick worked at Brookdale
Medical Center in Brooklyn, New York, where he was the
chief until Mount Sinai recruited both he and cardiac surgeon
(02:05):
Ransall Greep to come to Mount Sinai, where he joined
doctor Rika Arnaan and doctor Leonard Steinfeld and building a program.
During his tenure at Sinai, doctor Galinko established a fellowship
training program and recruited some of the best of the best,
including doctor Bruce Gelp, doctor Anthony Rossi, doctor Samuel Ritter,
doctor Robert Summer, and the eminent imaging guru, doctor Ira Parness,
(02:30):
who ultimately became the chief of Cardiology after doctor Galinko
and many more. Doctor Galinko was honored by Mount Sinai
with the endowment of a named professorship at Mount Sinai,
and doctor Ira Parness was the first Richard J. Galinko
Professor of Pediatrics and Cardiology at Mount Sinai and he
held that chair for roughly a decade. As the present
(02:52):
Chief of Cardiology, I am now the Glinko Professor, and
I am honored to hold this chair. On a personal note,
my first exposure to pediatric cardiology came in nineteen ninety
as a visiting medical student doing an away rotation at
Mount Sinai, and that was when I met and learned
from doctor Galenko, and being the wonderfully warm and kind
(03:12):
man that he was, he was always nice to me
and always wanted to know how my career was progressing,
and I know he was always happy to hear that.
The second Galenko Professor, like doctor Parness had also been
a good friend of his. To honor doctor Galenko today,
my plan is to review a paper that he wrote
when he was the chief of pediatric Cardiology at Brookdale
(03:35):
Hospital in Brooklyn, New York, prior to his moving to
Mount Sinai. And I think that those who knew him
will be surprised to see that he was a co
author on a paper on interventional pediatric cardiology. The title
of the work we'll be reviewing is Balloon Dilatation Angioplasty
non Surgical Management of Corretation of the aorta. The authors
of this work were Ruben Cooper, Samuel Ritter, and Richard J.
Speaker 2 (03:58):
Galinko.
Speaker 3 (03:58):
And again this work was published in November of nineteen
eighty four in Circulation. Will briefly review this paper and
then speak with the work's first author, doctor Rubin Cooper,
who is the former chief of pediatric Cardiology at north
Well Health System in Long Island, New York, and will
also briefly hear from doctor Rica Arnon and doctor Anthony Rossi,
who both worked closely with doctor Galenko, to share their
(04:21):
remembrances and so let's venture back in time forty one
years to nineteen eighty four to review this paper. The
work begins by reviewing the fact that in the then
recent past, balloon dilation catheters were made available for the
first time, and they review briefly how percutaneous transluminal angioplasty
in infants and children was gaining traction as a therapeutic
(04:42):
approach for things like pulmonary valves stenosis, aortic stenosis, per
ful pulmonary stenosis SVC or IBC obstruction, and even pulmonary veinstenosis.
They also mention then rare descriptions of aortic cartation dilation.
Given the rarity of these reports at that time, the
authors elected to present their experience with balloon dilation angioplasty
(05:05):
of discrete aortic corortations, reporting out outcomes and also utilizing
then relatively new Doppler echo to assess before and after findings.
The authors review the technique of the five patients who
ranged from eighteen months to seventeen years of age, and
it's interesting when looked at from the perspective of forty years.
The patients were enrolled in an IRB approved research protocol
(05:28):
because of the novelty of this intervention, at that time,
and they explained that a thoracic surgeon was available in
case of complications. All of the patients received a sedation
what was common at that time, the dreaded DPT, which
was a combination of demarrol fennergen and thorazine given thirty
minutes prior to the CAF, and the patients then received
local anesthesia. I'll mention, having started my career at the
(05:51):
very tail end of the use of that agent, that
in my experience it rarely worked, the DPT, and it
didn't adequately sedate patients, and it was also very painful,
and for all those reasons it'd sort of fallen away.
It's of interest that no one received general anesthesia, which
was typical for that era. For those unaware at that time,
there was a certain feeling or belief that a real
(06:12):
catheterizer didn't use an anesthesiologist and did their own sedations.
But I can assure you, having lived in both eras,
that the present approach of normally having an anesthesiologist is
far preferable. In any event, the authors describe performing hemodynamic measurements,
obtaining an antigram, and then choosing the balloon size based
upon the diameter of the aorta above and below the narrowing.
(06:34):
They specifically state that they would choose a balloon that
was one millimeter smaller than the aorta measurement one centimeter
above or below the narrowing. They used a metateech balloon
and these were eight or nine French in diameter, and
they described dilutation using a pressure gauge to get six
to eight atmospheres of pressure with a goal of losing
the balloon waste. They then re checked hemodynamics and completed
(06:57):
the case and add to the results again. There were
only five patients in this.
Speaker 4 (07:01):
Study and three of them were under the age of
five with ranges of eighteen months to three and a
half years, and two were teenagers thirteen and seventeen years
of age. The mean peak systolic gradient was fifty two
millimeters of mercury, ranging from thirty five to seventy and
they showed that after dilation the gradient fell to between
zero and ten and all five patients. The author state
(07:22):
also that there was angiographic improvement in all. They also
incorporated Doppler imaging in all and demonstrated improvement in the
descending aortic Doppler and four or five patients. They explained
that there was no observed postcorrectectomy hypertension or abdominal pain.
There was one serious complication of a patient who needed
a thrombectomy thirty six hours after the procedure, and that
(07:42):
patient was hospitalized for five days, and the authors state
that one to six months following the procedure there were
no recurrences of correctation and all patients were well. In
their discussion, the author's review the pathological studies that preceded
this intervention in humans, explaining that lab studies had shown
that there were intimal and medial tears from dilation that
(08:03):
explained the enlargement that was observed angiographically. The authors explain
that at the time of this paper, there were no
dissections seen in any patient in the literature, though an
aneurysm had already been reported. Of course, we know that
ultimately these two problems, particularly aneurism, was going to become
a much more significant concern with time. The authors review
the fact that there were three deaths reported in the
(08:25):
entire literature using this technique in infants who had transcatheter dilation.
The authors review that the balloon size was in their
view an important concern and review how they chose it,
and also caution against recrossing a dilated segment unless over
a guide wire. They suggested that hepron be given for
these procedures based upon the single case of a patient
(08:45):
needing a thrombectomy, and we all know, of course today
no one would perform this sort of intervention without hepron.
The authors conclude by suggesting that these are to use
their verbiage encouraging results, and that more follow up and
experience will be needed to this intervention. They caution of
its use in small infants due to technical concerns, and
wisely suggest that follow up of these patients looking for
(09:08):
reestenosis or formation of aneurysm would be essential in determining
if this was a viable and safe long term approach
to a order correctation. Well, this is a fun paper
to review when looked at from forty years Hence today,
of course we might wonder how did a paper with
five patients make its way to circulation. Well, the reason
is the novelty of what was done. There were very
(09:30):
few papers at that time on this topic, with many
of them by doctor Locke in Boston, and how brave
and forward thinking were doctors Cooper, Ritter and Galinko to
try and apply this technique to their patients. Today, none
are viewed as interventional experts, but in that time there
really were very few who were, and so their achievement
is even more exceptional to those of us in New
(09:51):
York City. It's perhaps of great interest to see that
this was all done at Brookdale Hospital in Brooklyn, New York.
The reason for the interest is that just a few
years later, doctor Glinko was recruited with doctor Greef to
Mount Sinai, and this sort of started the end of
an invasive and surgical program for children with congel heart
disease in Brooklyn, New York, which was to the benefit
of my own institution, Mount Sinai, but in hindsight is
(10:12):
perhaps somewhat sad given that Brooklyn is one of the
most populous locations in the world, and yet its inhabitants
do need to travel to another location for invasive cardiac
care at this time. Of course, this might result in
a conversation about regionalization of care, but that was not
my intent. However, in general, I do think that it's
fun to look back at how care was given in
(10:32):
the past, and we are very lucky today to be
able to speak with doctor Reuben Cooper, the first author
of this paper, to learn a bit about this work,
but also to share his remembrances of his colleague and friend,
doctor Richard Galinko. Doctor Cooper, as I mentioned previously, is
the emeritus Chief of Pediatric Cardiology at Northwell Health formerly
Long Island Jewish Hospital on Long Island. He is Professor
(10:55):
of Pediatrics at the Zucker School of Medicine at Hofstra University. Welcome,
doctor Coue to Pdhart. I'm here now with doctor Rubin Cooper,
the emeritus Chief of Pediatric Cardiology at Northwell. Rubin, thank
you very much for joining us this week.
Speaker 2 (11:08):
On the podcast. Thanks to be with you, Rob, great pleasure. Rubin.
Speaker 4 (11:12):
You know, as you know, this week we are honoring
the memory of Dick Glinko, who passed last week at
the age of ninety five. Many of us knew him well,
You knew him particularly well. So in this week's episode,
I'm actually reviewing your paper that you co authored with
doctor Glinko and Sam Ritter on angioplasty of coortation, and
so I wanted to start with at least one question
(11:35):
regarding that, which is, how did you and the team
in Brookdale decide to embark on a program of balloon
dialotation of native and other corarroctations?
Speaker 2 (11:42):
Did you?
Speaker 4 (11:43):
I was wondering, did you have anyone come to procter
you or were you basing your interventions just based on
the limited literature that existed at that time?
Speaker 2 (11:52):
Yeah?
Speaker 5 (11:52):
Well, sort of an interesting story. It actually started first
with pulmonary Valvestenosh said Kat. The seven year old found
the ch had severe pulmonary stenosis with the eighty or
ninety milimeters grady and recommended the pulmonary valveotomy to the mother.
The mother, the grandmother lived in Florida and cut out
(12:14):
an article that was in Gainesville paper which described the
doctor gene Con and White doing their first ballooning of
beagles with congenital pulmonary stenosis.
Speaker 4 (12:27):
Wow.
Speaker 2 (12:28):
And she cut out the article and mailed it to
her daughter.
Speaker 5 (12:31):
I'll never forget she walked into my office with the article,
cut it out, and she put it on my She
put it on my desk and she just pointed to
he said, why does my daughter have to have a surgery?
Speaker 2 (12:43):
Why don't you balloon her? Problem.
Speaker 5 (12:45):
So I looked at her like Ralph Grahama, and I said,
I have no idea. But Dick Alenko, to his credit,
you know, within I don't know, two three weeks we
were on a plane down to Baltimore at Hopkins and
we observed the doctor's con and White actually do pulmonary
valvoloplasty ballooning on two kids. And within a month those days,
(13:08):
the IRB wasn't that complicated, but within a month we
were able to bring Gene Conn up and we did
our first two pulmonary balloon valvoloplasts successful, and I think
that sort of launched me a little bit because I
was more of a CAF person in those days. And
Vick was very gracious in terms of, you know, the
(13:29):
TV coverage and all the excitement that went around it.
Speaker 2 (13:33):
He had the first biplane lab.
Speaker 5 (13:35):
In New York City, which was sort of interesting, waybefore
the major centers. And probably within six months after that,
we had read about doctor Laba Bede's work with corortation
of the order, and it was just like that he
contacted Lababdi and the next thing we knew, he Bababdi
(13:59):
was up in our lab and proftering us and that's
when we started doing the native co roortations with balloons.
We weren't that sophisticated as to what the measurements were
pre impost angiogram, you know, what size balloon to take
and that sort of thing. We looked for the for
the waste and try to obliterate the waste, and then
(14:21):
as you know, we then we followed these patients carefully
and we re angiogram then only defined that a few
of them. I think that maybe two or three in
the original paper had some aneurysms develop and we weren't
comfortable with that. So I think at least two recent
for surgery, we had the resected segments and we felt
(14:43):
that maybe we should be more cautious about doing native
balloon co rotation.
Speaker 2 (14:49):
Of course, the literature balloomed after.
Speaker 5 (14:52):
That, and that's how we got started with balloon angioplasty
for co ortation.
Speaker 2 (14:59):
Wo.
Speaker 4 (15:00):
Well, it's interesting because you actually mentioned in the discussion
of that paper that the results are encouraging, but follow
up was necessary. So it sounds like you guys did
the follow up.
Speaker 2 (15:12):
Yeah.
Speaker 4 (15:12):
Yeah, So do you happen to remember or no, are
you following any of those patients at this time forty
years later.
Speaker 5 (15:19):
Reubin, I'm not I'm sorry to say, I have no
idea where they are, but that maybe that's you know,
that's on me. But of course I made number of
changes institutionals, right, But so that's that's the answer to that.
Speaker 4 (15:38):
Wow, it's quite remarkable that all of this was going
on in Brooklyn. I'm still for those of us in
you know, in the field today, I think people forty
plus years later can't imagine that all this was going
on in Brooklyn. But really you had quite a vibrant
center going on in the mid eighties, didn't.
Speaker 5 (15:56):
Just wanting to comment, I think that that really is
a tribute to doctor Galenko. You know, he had an
interesting pedigree. He was very proud of it. He was
a graduate of Cornell. He did his pediatric cordiology training
with doctor Natis in Boston, and I'll.
Speaker 2 (16:13):
Get into that a little bit later.
Speaker 5 (16:15):
But he always had those connections and felt very comfortable,
very confident in what he was doing, and he was
a bit of a.
Speaker 2 (16:25):
Trail broad blazer with that regard.
Speaker 5 (16:26):
And I think maybe the more established institutions, remember he
had an affiliation with Downstate, but it was not at
the at these centers, right, it wasn't at.
Speaker 2 (16:36):
SINAI wasn't a Columbia or an NYU. So he was.
He was very much.
Speaker 5 (16:43):
An advocate for himself and for the program, and it
took great pride, and Michael Court joined him.
Speaker 2 (16:49):
Will also train to Boston Children's.
Speaker 5 (16:51):
And I want to give the shout out to doctor
Lecourt who very much sort of brought some of the
newer thoughts about echo and just thinking about to operate
on patients. And I think Mike also deserves so mentioned.
Speaker 2 (17:05):
He did move on.
Speaker 5 (17:06):
I wasn't with Mike too long because he went ahead
and became his own pediatric chair. And then the joke
in New York was, if you want to know where
Cooper was just figuring out where the Court was, because
they've pretty much followed him in different locations after he
left to become the chief at north Shore, and then
I followed him the north Shore, and then he went
(17:28):
to the city. He went to Brooklyn to become a
chair of pediatrics with then fade full circle at the
end of his career. Right, but doctor Lecourt contributed a
lot to the growth of that program.
Speaker 4 (17:39):
Yeah, well, he is a good friend of mine as
is his son. As I know you're friends with both,
both gentlemen, lovely people. Rubin, you know Dick is now
sadly passed. I'm wondering if you could share with people
what was he like as a chief, and you, of
course were a chief for a very long time. I'm
wondering what you learned from him that helped him from
(18:00):
your own style as the chief of cardiology for so
many years.
Speaker 5 (18:04):
Well, I think you're looking back and we talk about mentorship, right,
And at the time, it didn't feel like that because
I was taking a lot of call and usually do
Fridays and the weekends we were in those days. To
his credit, he took a day off and spent it
with his wife and went to the theater usually Wednesdays.
Every Friday or every other Friday, we would get a
(18:26):
call from my monodies about the SILVERMANI resid of Peace,
and inevitably it was a blue baby, and so I
got a lot of hands on experience. This is pre prostaglandin.
This is pre too the echo and so many of
these patients required an merchant cat.
Speaker 2 (18:47):
Just to figure out what was going on. But we
had a biplane sinny unit and we were able to
usually figure that out.
Speaker 5 (18:53):
So with regard to mentorship, I would say that he
was really an excellent mentor. By that I mean he
encouraged people like myself to write and to get involved
in newer things. At the national meetings, he was very
gracious and always introducing me to many the leaders in
(19:15):
our field, and in fact many of them were visiting
professors that he would invite. So people for example like
a Brudolph or Bill Friedman, and these were sort of
icons and pediatric cardiology, and of course Bill Rashkin. He
had a very close relationship with Bill. As a matter
(19:35):
of fact, I can just diverts sure. Just as short
amount of time after my cohortation presentation of the AHA,
Bill Rashkin came over to me and offered me a
position to come work with him at his program. He said,
I'm getting older, you seem to be interested in the intervention.
(19:56):
Would you want to come? I said, let me discuss
it with my wife said, well, you know, maybe come
and give a talk and we'll take it from there.
In Philadelphia wasn't that far from New York, and we
set a date, only to find that a secretary called
maybe three or four weeks later saying that I have
to reschedule that he was ill, and he then succumb
(20:18):
to to liver cancer and died very shortly thereafter.
Speaker 2 (20:22):
But it was Vick's.
Speaker 5 (20:27):
Introducing me to so many of his friends and colleagues
around the country who they themselves.
Speaker 2 (20:32):
Were, you know, leaders of different programs, and after a
while you sort of develop a certain.
Speaker 5 (20:39):
Certain relationships with these programs, with these people, and I
think that had a major impact on my development in
terms of learning from him in terms of style, he
tried to try to encourage the younger faculty to get
involved early and programs, to go to national meetings or
(21:00):
regional meetings and develop these relationships, to invite people that
know more than you to learn from them. So we
had a lot of I said, visiting professors, lectureships, case presentations,
and there was a time when, really, looking back at it,
I had the opportunity to grow from both the Boston sphere.
Speaker 2 (21:23):
As a matter of fact, I remember to try.
Speaker 5 (21:25):
To recruit you from Boston because so many great things
about you, both both being a great cat person but
also an EP person, which I.
Speaker 2 (21:34):
Had not heard of it. I don't think I've heard
since the people have done both both disciplines. Eugene Bronwald
when we had to write.
Speaker 5 (21:43):
These papers, was involved the Genie Doyle, Lenny Steinfeld, Natus,
Arnold Home, all these people, you know, really were major
contributors to the development of our discipline, and I think
I tried to bring that in terms of my style
to encourage faculty fellows to get involved. And many of
(22:07):
them are in leading positions now, you know, throughout the country,
so that's very rewarding. He also had a very important relationship,
I think in closing the loop with the primary care physician,
so it wasn't just a letter. He'd get on the
phone and let the primary care doctor what was going on.
He related well to families, and I think in that regard,
(22:32):
you know, the careful history, the relationship with the primary
care and the family ultimately are the elements that I
think lead to a success for any type of physician.
Speaker 2 (22:43):
I don't recall any lawsuits.
Speaker 5 (22:46):
I mean people understood even when the results weren't good,
they had this relationship with him, and I think it's
something that we could all remember and use well.
Speaker 2 (22:54):
Revin, that was wonderful.
Speaker 4 (22:56):
I learned so much, you know, having had my entire
career since the end of my training in New York.
I still found from what you had to say, I
learned a lot of interesting things, and it was really
inspiring to hear how Dick informed a lot of your
career going forward. I want to thank you very much
for taking time from your busy schedule to speak a
(23:16):
little bit about our friends and colleague, doctor Richard Glinko.
Thank you very very much.
Speaker 5 (23:21):
Thanks for the opportunity to all the best, much appreciated.
Speaker 4 (23:24):
I'm sure you all enjoined doctor Cooper's comments about Dick Galinko.
At this time, I thought we would speak with doctor
Anthony Rossi. Doctor Rossi is presently the Director of Research
in the section of Cardiovasker Medicine at Nicholas Children's Hospital.
Doctor Rossi has been a guest on this podcast previously
and is well known for his expertise in pediatric cardiac
critical care, importantly in Jermaine. To today's episode, Doctor Rossi's
(23:48):
first job following fellowship was at Mount Sinai, and he
was hired by doctor Richard Galinko and worked directly and
closely with him for nearly a decade. Therefore, I think
there's nobody who knows Dick any better than doctor Rossi.
And so let's move forward to a brief conversation with
doctor Rossi about doctor Richard Glinko. I'm here now with
doctor Tony Rossi of Nicholas Children's Hospital. Tony, thank you
(24:10):
very much for joining us this week on pet Heeart.
Speaker 6 (24:13):
It's a pleasure to be here and an honor to,
you know, really talk about true mentor in my life
and career.
Speaker 4 (24:22):
Di Glinko, Thank you, Tony. That's exactly why we asked
you to come on this week. You know, I was wondering,
Tony when you when did you meet Dick? And I
know I believe your first job out of fellowship was
at Mount sin I. How did that happen?
Speaker 6 (24:36):
Yeah, so it's very interesting. I mean, you have to
go back. This was the nineteen eighties, so there was
no internet. The only way to communicate with people was
by letter. And you know, I was training in Philadelphia
and looking for a job in New York City because
that was my home. So I pretty much blindly just
wrote letters to directors of a bunch of programs in
(24:58):
New York City and Long Island, and Dick was one
of the people who was kind enough to invite me
out to interview, and I went out to Mount Sigini,
first time I had.
Speaker 2 (25:08):
Ever been there.
Speaker 6 (25:10):
I had a great visit with Dick and Sam Ritter
and a great dinner, and I never thought I would
get the job. And the next thing I know, Dick
had reached out to me and said, look, we'd love
to have you come here. I stepped in in nineteen
eighty nine.
Speaker 2 (25:27):
He gave me directorship of a brand.
Speaker 6 (25:28):
New kardiak ICU and kind of the rest was history.
Speaker 2 (25:33):
Wow.
Speaker 7 (25:33):
Wow, no.
Speaker 4 (25:34):
I you know, I knew that you had started at
Sinai shortly before I met you on my visiting rotation
in nineteen ninety, but I didn't realize it was just
about a year before. So you were it looked like
it looked like an operation that was well oiled and
moving already. So I guess you had done a lot
in just one year.
Speaker 2 (25:53):
I was a kid.
Speaker 4 (25:55):
Well, weren't we all? Teddy?
Speaker 8 (25:59):
Well?
Speaker 4 (25:59):
I of course, this week, as you know, we're honoring
Tick on the podcast. Just a lovely man. And I
was just wondering, Tony, when you think of him, what
is it that you most recall and admire about Dick Olinco.
Speaker 6 (26:13):
So he's one of the kindest men I ever met.
I don't know that I've ever met anybody that cared
more about his patients and their families.
Speaker 2 (26:22):
I mean, he was obsessed with that.
Speaker 6 (26:25):
But as a pediatric cardiologist, you know, he was really
innovative at an age where innovation pediatric cardiology was kind
of exploding, and he was doing it in places that,
you know, we're not the biggest places in the world.
Wasn't Boston or Michigan or Philadelphia, and yet he managed
(26:45):
to do some great things. But when I think back
about you know what, I think he did better than anything.
One he was a great at identifying young talent, and
that doesn't include me. But the other thing that he
was great at was promoting his young talent. And I
recently looked at my CV and I realized, like, during
(27:08):
the first five years that I was at Mount Sinai,
and I hadn't really accomplished anything academically or clinically. It
was like the very beginning of my career, I was
invited to, you know, almost a dozen Grand rounds around
New York City because Dick would just promote his young
faculty and he did that better than anyone. And when
(27:31):
you look at you know that era of people that
he recruited and he promoted, there are people like Bob Summer.
Speaker 2 (27:38):
Bruce Skeal, Leo Lopez, whyman Lie.
Speaker 6 (27:42):
I mean, people who became national leaders in pediatric cardio
cardiology from a relatively small program in New York City.
Speaker 2 (27:51):
Quite remarkable.
Speaker 4 (27:52):
Definitely had a great eye for talent, and that's my
recollection also about how kind he was, a lovely man,
always asking how you're doing, and really rings true. I'm
sure to anybody who knew Dick well Tony. I don't
want to take up a lot of your time, but
I really appreciate your sharing your fond remembrances of a
(28:13):
really lovely man. Richard Glinko, thank you very much.
Speaker 6 (28:17):
Sure welcome, Thank you for asking me.
Speaker 9 (28:18):
Thank you joining us now to round out our guests
to speak about doctor Richard Glinko is Doctor Rica Arnon.
Doctor Arnon is a socio Professor of pediatrics in the
Division of Pediatric Cardiology here at Mount Sinai. She is
also the director of our Pediatric Cardiopulmonary Exercise Physiology program,
and she is a wonderful clinician who has worked at
(28:40):
Mount Sinai for over fifty years. Doctor Arnron has known
to many people throughout the New York region for her
wonderful teaching and she is one of the finest cardiologists
I have ever had the pleasure of knowing, as well
as one of the great colleagues I've ever had. Therefore,
without further ado, let's move straight on to our brief
conversation with doctor Arnon about her friend and colleague, doctor
(29:00):
Richard Glinko.
Speaker 7 (29:01):
I'm here now with doctor Rica Arnand at Mount sign I. Rika,
thank you.
Speaker 2 (29:04):
For joining us this week.
Speaker 10 (29:06):
Nice being with you.
Speaker 7 (29:07):
Thank you great honor to have you. I know you
are a longtime friend and colleague of Dick Galinko. I'm
wondering you were here actually at Mount Sana before Dick came,
So tell me what was it like when he started.
What were your thoughts about the changes that he was enacting.
Speaker 10 (29:25):
So we were here before there was even a training program,
and Dick Glinko came here with his surgeon or the
surgeon came with his carreologies, and it was really a
complete change because Dick had a vision. He started hiring
(29:48):
people before anybody even thought about it. For example, exercise
physiology person was hired, a genetic person was hired, So
he almost like he saw what was coming, and this
was very innovative, and he started our training program which
(30:09):
has blossomed and worked very very well with imaging. He
brought the best and we took it from there.
Speaker 2 (30:19):
Yeah.
Speaker 7 (30:19):
Yeah, And of course those of you who are listening
who know doctor arnand know what central role she plays
in our fellowship. So let's really think about really all
the many people you've trained now over the years all
started I guess when they came and started the fellowship.
Was there surgery at Mount Sinai before doctor Greek came
(30:39):
there was?
Speaker 3 (30:41):
It was not very good.
Speaker 10 (30:42):
It was actually terrible, Okay, because I came here from
a place where we did fantastic surgery down in Memphis, Tennessee,
and I was actually appalled to see what was happening here.
So it was terrible, and for a time we actually
stopped doing it because the results were terrible. And when
(31:04):
doctor Greek came here with doctor Glico, he was really
a fantastic surgeon, a wonderful person, and he set up
our initial post operative care unit of six bed It
was really the epitome of what should be and it
was fantastic. He hired physician assistants which were dedicated completely
(31:30):
to post operative care and it was really great.
Speaker 7 (31:33):
Yeah, I guess that was the unit that doctor Rossi
took go fend.
Speaker 10 (31:38):
But it was already set up and it was working,
and one of the physician assistants was working with them
in Brookdale in Brooklyn, and she came over and obviously
she knew their way of doing, et cetera. Even our
administrator that doctor Golinkok brought was a physician assistant Brookdale,
(32:02):
So he not only started administering here whatever doctor Billimco's
vision was, but he would cover and steer the right
way as a physician assistant.
Speaker 8 (32:14):
Yeah.
Speaker 7 (32:15):
Well, for those in the audience, it's right in the
middle of the morning, and I don't want to take
more of doctor Arnold's time. I'm just wondering Rika. Obviously
we're all said that Dick has passed. When you think
back on Dick, what are the first thoughts that come
to mind.
Speaker 10 (32:30):
His heart was in the right place. He cared for people.
He would go to the end of the world to
help somebody that he think needed to be helped. Either
in a hospital or outside of the hospital. He was
really a very warm, wonderful person, and.
Speaker 7 (32:47):
That is the message that all of the guests on
this podcast have had a Dick, so it's obviously true
because of that it stretched throughout his entire career. Well, Rica,
thank you very very much for speaking with us this
week about Dick.
Speaker 10 (32:59):
You need for allowing to do that.
Speaker 9 (33:01):
Of course, to conclude this three hundred and fifty first
episode of Pedheart Pediatric Cardiology today, in which we honor
the memory of our former leader here at Mount Sinai,
doctor Richard Galinko, we end the episode with the astounding
American tenor Richard Tucker. Tucker began his singing career as
a canter in Brooklyn, New York, but his outstanding voice
was quickly noticed and he turned his studies towards opera
(33:24):
and went on to have perhaps the greatest American operatic
tenor career of all time, singing at the Metropod and
Opera literally hundreds of times. Today we hear him in
a rarity particularly for a singer more noted for his
work in Puccini and Verdi, notably singing the wonderful Aria
sound in alarm from Handel's Judas Maccabeus in a live
(33:45):
recording from Hollywood Bowl seventy four years ago. Thank you
very much for joining me for this three hundred and
fifty first episode. Thanks once again to our guests who
helped us remember the memory of doctor Galinko. I hope
I'll have a good week.
Speaker 11 (33:58):
Ahead Again't this awo? S hes Amon coming on a pain,
Oh reaffected his.
Speaker 12 (34:22):
Wire a page deed and John.
Speaker 13 (34:29):
Mine O love some man, love your save on compad.
Speaker 12 (34:43):
And call the Raman Holly.
Speaker 14 (34:46):
Lame and all.
Speaker 12 (34:51):
All over.
Speaker 8 (34:56):
And the only favor, Oh.
Speaker 14 (35:09):
You see from her, got from her, got from her.
Speaker 8 (35:18):
I'll play and call on Rain Holly Ray Handley or a.
Speaker 15 (35:31):
Home on the.
Speaker 14 (35:33):
Holl coundle.
Speaker 15 (35:44):
Along, Oh humble, lovey.
Speaker 14 (36:02):
Got poy.
Speaker 15 (36:04):
He's all over, he's a post.
Speaker 14 (36:09):
Dust it with poes it with.
Speaker 15 (36:14):
He's a old.
Speaker 8 (36:23):
He's oh.
Speaker 12 (36:33):
Lord, oh God, love your.
Speaker 14 (36:45):
See and call the way only way and.
Speaker 15 (37:03):
Long bay on.
Speaker 12 (37:15):
You see em from bar and call the
Speaker 8 (37:26):
Only only b
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