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Vital Signs
Clinical Observation
In this section, we highlight the human side of clinical academic medicine, putting a few questions to a physician at DMS-DHMC.
Robert Gougelet, M.D.
Assistant Professor of Medicine (Emergency Medicine)
Gougelet, who's been at DHMC since 1999, is the medical director for emergency response. He also heads a Boston-based disaster response team that has traveled all over the world—including to New Orleans in the wake of Hurricane Katrina.
What made you decide to become a physician?
I wasn't sure I was going to be a physician when
I started college. But as I took courses, I kind of
kept going toward medicine. I do have a love for
the biological sciences. I volunteered in the
emergency room every Friday night for three or
four years in college. I also did EMT training
when I was 18 and volunteered at my local fire
department as an EMT for many years—and later
became that fire
department's medical
director.
What famous person, living or dead, would you most like to meet?
I would say the
Dalai Lama. He
has this peaceful
nature, but there's
this incredibly political
aspect to his life. I'd like to understand a
bit more about how he balances that out.
If you could live in any time period, when would it be?
I would like to have a glimpse of the future, 50
years ahead or so. I'd be interested to see how
things are working out politically, what kind of
shape the world is in then, what medical technology
is like, what's the role of doctors.
What's your favorite nonwork activity?
Going to canoe camp with my family; we do that
once a year. Also, when I have time, fixing
things around the house and working on the cars.
I don't get much time for that, but I enjoy it.
What country would you most like to travel to and why?
China has always fascinated
me. I understand that some places
there are absolutely beautiful, such as
the canyons along the Yangtze River where
they're building a dam and they're going to flood
all these villages built into the rock—I'd like to
see them before they disappear forever.
Do any events in your career stand out?
I think the earthquake in Bam, Iran, was the
most significant—the politics of it, the enormity
of it. Certainly it was the most horrible thing
I've seen ever. The other one of particular importance
was responding to the New York City
anthrax attacks and treating several thousand
postal workers. I learned a lot from both of those.
What new technologies are you involved with?
We're working with several groups on developing
a new foam technology that could decontaminate
patients much better than water and
soap. This has enormous potential. There are
also new ways to track patients and communicate
during disasters—all the command and
control issues in how medical teams coordinate
with law enforcement and fire control. Obviously
the focus now is on terrorism.
What are your greatest frustration and greatest joy?
The greatest frustration in my work is politics.
We're working in a very difficult field right now,
with enormous potential consequences, and yet
we have to deal with politics, territories, egos,
and things like that. It's very unbecoming of
people who work in this field. I think the most
satisfying thing, at this point in time, is our efforts
here at DHMC. There's been a significant
amount of attention regionally and nationally
to preparing for mass casualties, and we should
be proud of the fact that some of the work we've
done here is being used in other places.
What about you would surprise most people?
I used to be a TV repairman. When I was in high
school, a family friend owned a TV repair shop
and I worked after school fixing TVs.
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