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To: engineer who wrote (123978)9/13/2002 6:38:01 PM
From: Jon Koplik  Read Replies (1) | Respond to of 152472
 
Big news : Giuliani Gives Up Comb - Over

September 13, 2002

Giuliani Gives Up Comb - Over

By THE ASSOCIATED PRESS

Filed at 11:05 a.m. ET

NEW YORK (AP) -- Former Mayor Rudolph Giuliani has given up
his comb-over hairstyle in favor of a straight-back 'do
that is winning rave reviews.

The change came a week ago when Giuliani, rushing one
morning in the midst of a busy schedule, didn't bother with
the more time-consuming coiffure and simply combed his hair
straight back, spokeswoman Sunny Mindel said.

The positive reaction was immediate.

``He liked the way
it looked, (girlfriend) Judith (Nathan) liked the way it
looked. A lot of people like the way it looks,'' Mindel
said.

Giuliani's new style got a worldwide debut at the World
Trade Center memorial ceremony on Wednesday, when he began
the reading of victims' names.

Favorable reviews started coming in from the press. The
Washington Post dedicated a six-column spread to Giuliani's
new look, complete with before and after photos.

The Post praised him for ``allowing his naked scalp to rise
-- unashamed -- from a ring of smooth, graying fringe. ...
He simply and dramatically has shaken off the image of a
door-to-door salesman.''

The Daily News and Newsday also praised the new hairstyle
and featured photos depicting the old and new Rudy.

``As a man, I applaud it because I think the comb-over is a
bad move,'' Adam Rapoport, a senior editor at GQ magazine,
told Newsday. ``This seems like a more honest hairdo, which
is a good quality in a politician.''

Copyright 2002 The New York Times Company.



To: engineer who wrote (123978)9/14/2002 9:53:05 AM
From: Jon Koplik  Respond to of 152472
 
NYT -- Against All Odds, a Couple of Bulls (Nancy Lazar and James F. Smith).

September 14, 2002

Against All Odds, a Couple of Bulls

By DANIEL ALTMAN

Take a look at the economic picture these days: job gains
are weak, the latest government indicators are consistently
mixed, each week brings fresh revelations of corporate
wrongdoing and the bears continue to dominate the stock
market. So why do two of the most accurate economic
forecasters believe that the economy has picked up speed
and will continue to achieve solid growth through the end
of the year?

James F. Smith, author of the Business Forecast at the
University of North Carolina, explains his bullishness by
the "middle American" perspective he has gained sitting
hundreds of miles from Wall Street.

Nancy R. Lazar, executive vice president of the
International Strategy and Investment Group, says she
places her faith in the economy's historical truths as much
as the latest data.

A bevy of forecasters, from Wall Street and elsewhere, are
now estimating that the economy accelerated from a meager
1.1 percent annual growth rate in the second quarter to
about 3.5 percent during the summer - a healthy pace
supported by the surge in mortgage refinancing at low
rates, strong car sales and a drop in imports.

Still, the top economists at most of Wall Street's big
investment banks expect those positive factors to dissipate
by year's end, leaving the economy to lose more jobs and
eke out growth of no more than 2 percent in the fourth
quarter.

By contrast, both Ms. Lazar and Mr. Smith contend that the
economy will continue to expand, advancing by at least 4
percent in the fourth quarter of the year. That is even
more growth than tireless bulls like Bruce Steinberg of
Merrill Lynch and Diane C. Swonk of Bank One have
predicted.

If these more bullish analysts are right, that could mean
an improving economic outlook in time for the Congressional
elections (the first report on third-quarter growth is
scheduled for Oct. 31) and perhaps a better holiday
shopping season than many retailers are now anticipating.

But why should anyone pay attention to them? Because beyond
having a consistently above-average record, Mr. Smith and
Ms. Lazar - working with Edward S. Hyman, the chairman of
the I.S.I. Group - have made some of the most accurate
economic forecasts of anyone, anywhere, in the last six
quarters. While almost every forecaster except the
dedicated pessimists failed to foresee the recession, Mr.
Smith and Ms. Lazar presciently predicted a drop in the
rate of economic growth to 1 percent or less last year.

Looking ahead, Mr. Smith said he believed that Wall Street
economists had overestimated the effect of the stock
market's tumble and underestimated the effects of low
interest rates on consumers' spending. The reason for the
discrepancy, he contended, is that Wall Street economists
focus only on a very small but powerful cross section of
the economy.

"The Wall Street types are completely blown away by the
decline in the stock market," he said. "Since they all have
such a high proportion of their net worth tied up in
stocks, they think everybody does." The clients of the big
Wall Street banks, he added, are not representative of the
"real people" who drive the economy.

Mr. Smith's real people - middle-class consumers - will do
more than enough to keep the economy growing at a speedy
clip, he predicted. Many more families own their own homes,
he pointed out, than own a share of stock or a mutual fund
directly. Mr. Smith said he could conceive of homeowners
refinancing their mortgages at lower interest rates and
then buying cars with zero percent financing, perhaps
leaving their total monthly payments unchanged.

"That's a middle-American thing to do," he said. "As long
as interest rates remain relatively low, by standards of
the last 40 years, why is this going to stop?"

Rather than conferring with managers of billion of dollars,
Mr. Smith, who recently became the chief economist for the
Society of Industrial and Office Realtors, said he
preferred to talk to heartland executives, investors with
smaller portfolios and one other expert - his wife.

She was not surprised by the scandals that have helped
cripple the stock market, Mr. Smith said. "Her response
was, `Hey, if you're middle American like me, all along you
thought all these corporate tycoons were crooks.' "

The biggest investment banks, whose clients included fallen
corporate icons like Enron, WorldCom and Tyco, still expect
a sluggish end to the year. J. P. Morgan Chase and Goldman,
Sachs both say growth will be 3.5 percent in the third
quarter and 2 percent in the fourth. Morgan Stanley agrees
on the third quarter, but places the fourth at just 1.5
percent.

Mr. Smith, who is betting on 3.8 percent growth in the
third quarter and 4.2 percent in the fourth, stated proudly
that he had never worked on Wall Street. "North Carolina's
probably a better place to sit to look at trends than New
York City," he said.

Ms. Lazar might have grounds to disagree with that last
claim. She and Mr. Hyman have compiled an excellent
forecasting record from their perch on Manhattan's East
Side. Their forecast for economic growth in the fourth
quarter is actually higher, at 4 percent, than it was at
the beginning of this year. At the core of their
predictions, Ms. Lazar said, are changes in government
policy and trends in interest rates in the world's biggest
economies.

"Changes in global short rates lead U.S. economic activity
pretty consistently by 12 months," she said. "If you lower
the cost of capital, it should help to improve economic
activity. It makes the cost of doing business cheaper, and
it makes the cost of buying things cheaper."

While a number of forecasters fear another downturn will
result unless the Federal Reserve bolsters the economy by
cutting rates further, Ms. Lazar said she was waiting for
the full impact of last year's rate cuts. "There is a sense
that the Fed's easing isn't working," she said. "I just
disagree with that. We believe very strongly that it takes
12 months for changes in rates to work their way through
the economy."

Inflation-adjusted spending by consumers could grow by 5
percent or more in this quarter, she said, because of low
interest rates.

Slow growth in wages and rapid gains in productivity are
helping to raise corporate profits, Ms. Lazar added.
Companies are likely to hire more workers and especially to
invest their profits in new capital, she said, again
because of low interest rates. She predicted that spending
on equipment could rise by as much as 10 percent this
quarter.

Though Ms. Lazar admitted that the ambiguity of recent
economic reports had made her a little nervous, she said
that the I.S.I. Group would not change its forecast based
on a few blips. "We've learned the hard way not to
flip-flop based on some data that deviate from our
forecast," she said. "In early 2001, when the economy was
deteriorating, even the data at the time didn't show that
deterioration."

(Yesterday, the I.S.I. Group did lower its forecast for
growth in the third quarter to 3.5 percent from 4 percent,
but its prediction for the fourth quarter remains at 4
percent.)

Indeed, forecasting the weather may be easy compared with
Ms. Lazar's and Mr. Smith's jobs. "The data over the last
couple of months have just been so mixed, it's been
incredible," said Randall E. Moore, the editor of Blue Chip
Economic Indicators, a monthly compilation of forecasts. He
described the run of strong reports on consumer spending as
"wacky," adding that the summer's dip in share prices and
signs of softness in manufacturing even led some economists
to fear the worst - a return to recession.

The most recent data on the economy may signal a tilt in
the bulls' direction, however. Instinet Research's index of
chain-store sales rose 0.6 percent in the first week of
September. Consumers' retail spending increased 0.8 percent
in August, the Commerce Department reported yesterday.
Earlier in the week, the department announced that
wholesale inventories expanded by 0.6 percent in July.

On the other side, the Federal Reserve's beige book of
anecdotal reports from around the economy, released on
Wednesday, hinted at slow growth early in the summer. And a
recent survey of chief executives by TEC International, a
professional association, found that many were planning to
postpone major business investments until next year.

Indeed, bearish voices like that of Richard B. Berner,
chief United States economist at Morgan Stanley, continue
to warn that the economy will get worse. "A lot of the
growth in consumer spending in the third quarter borrowed
from the fourth," he said. "Everything I hear from
companies about capital spending continues to be downbeat."

Still, while some forecasters have become more cautious
lately, economists generally remain more bullish about the
outlook for the economy than many top corporate executives.

Perhaps that is because, as Mr. Moore put, at least among
economists there are "some optimists out there to balance
the pessimists."

Copyright 2002 The New York Times Company.



To: engineer who wrote (123978)9/15/2002 2:01:43 PM
From: Eric L  Read Replies (1) | Respond to of 152472
 
engineer,

<< Does anyone have ONstar personal calling plan and EXACTLY what phone system does it use? >>

I don't have one, but have several associates that do. The in-vehicle voice activated phone system is provided by Phillips and ONstar uses Verizon (and Verizon roaming partners) as the service provider and 800 MHz analog AMPS as the technology. Not sure that is EXACT enough for you but best I can do.

- Eric -



To: engineer who wrote (123978)9/16/2002 12:51:15 AM
From: Jon Koplik  Read Replies (1) | Respond to of 152472
 
NYT article on bioterrorism / US Postal Service

September 10, 2002

Can These Boxes Be Locked Against Terror?

By ANDREW C. REVKIN

As postal authorities scramble to strengthen security of
the mail, they face a daunting realization: the process
will take years, it will cost at least a billion dollars
and until it is finished the nation is probably even more
vulnerable than it was last fall, when anthrax-tainted
letters killed five people, sickened at least 17 more and
caused widespread disruption and fear.

Engineers are rushing to devise steps to deter bioterrorist
mailings, or to speed detection of any such attacks. They
are reconsidering almost every step in the chain that moves
200 billion pieces of mail a year - from the design of the
350,000 street-corner mailboxes to the way postage stamps
are printed and sold. Meanwhile, though, the postal system
stands revealed as a potent tool for terrorism.

"We cannot believe that whoever did this is the only one
capable or willing to do this," said Thomas G. Day, the
Postal Service's vice president for engineering. The
attacks last year served as a blueprint, he said. "Clearly
anyone who hadn't thought of it now fully understands it."

In fact, despite their toll, some postal authorities view
last year's attacks as a close call, not a true disaster.
For one thing, the tainted letters were apparently designed
to affect only the mail recipients. Their seams were
carefully taped and they were precisely addressed. But as
they passed through high-speed machinery, they spewed a
trail of spores that infected postal workers and,
apparently, people who received other mail moving through
the system at the same time.

"If such an incident was repeated on a larger scale, the
consequence to the economic health of the entire nation
could be truly incalculable," said Patrick R. Donahoe, the
Postal Service's senior vice president for operations, in
an August letter to the General Accounting Office.

The Postal Service, consulting with several federal
agencies, contractors, scientists, and the Royal Mail and
other postal agencies overseas, is proceeding with the
first stages of a long-term plan to secure its sprawling
system, in which almost every collection box is an
unguarded portal.

Private corporations and government agencies that are
potential targets or that handle floods of mail, among them
Pitney Bowes and the Internal Revenue Service, are also
conducting their own searches for ways to defuse biological
threats without impeding their work. The only mail being
routinely irradiated with bacteria-killing electron beams
or X-rays is that bound for government agencies in
Washington, leaving other offices, like the many addresses
for paying tax bills, unsecured.

The mail network - linking every address in America in a
chain of boxes, trucks, letter sorters, 750,000 letter
carriers and other postal workers - will never be immune to
terror, postal officials and experts say. But a number of
steps could reduce the threat.

Some efforts focus on reducing the volume of anonymous
mail, which now constitutes about 17 percent of the daily
flow of some 680 million items.

For example, the Postal Service plans eventually to change
most stamps from uniform bits of sticky paper to
personalized, encrypted records that would provide the
postal equivalent of caller ID. This would make it harder
for someone to send a malicious letter anonymously.

Letters, either the postage itself or a return address
label, would be imprinted with a box containing a dense
checkered pattern that encodes far more information than a
conventional bar code, according to the postal security
plan.

Such postage is already being sold over the Internet by
companies like Stamps.com to consumers seeking convenience.
But the Postal Service and private mail companies are
considering a vast expansion of this technology, even
offering it door to door.

Letter carriers may eventually wield hand-held printers -
somewhat like those used by workers checking in rental cars
- that can spit out personalized postage for each outgoing
letter.

Any concerns about reduced privacy would most likely be
outweighed, officials and experts said, by the knowledge
that such mail would be in the fast lane - in the same way
that proposed special identification cards for frequent
travelers might someday allow them to pass airport
checkpoints.

Besides serving as a deterrent, the data-containing postage
- read by sorting machinery all along a letter's path -
would allow investigators of an attack to more easily trace
an envelope back to its point of origin or sender.

The investigation of last fall's attacks remains hampered
by a lack of any data trail pointing to a perpetrator.

In fact, the only recent lead in the 11-month-old
investigation is a chance trace of anthrax found on a
single mailbox in Princeton, N.J., after swabs were done of
more than 600 collection boxes in the central part of the
state, where all the tainted letters are thought by
investigators to have originated.

The tainted box was removed from a street corner and now
sits in a sealed enclosure at the Army's Edgewood center,
undergoing more analysis to see if its anthrax strain
matches the deadly Ames variant used in the attacks,
investigators said. In another effort to reduce the amount
of potentially suspicious mail, the Postal Service is also
working on certifying as secure the operations of the
dominant users of its system: commercial mailing houses
sending electric bills, fashion catalogs and the like.

With adequate security and screening of employees, such
mail could be deemed "safe," postal officials say, cutting
the volume of mail bound for biohazard detection systems or
subject to irradiation.

The number of blue mailboxes is likely to be reduced, and
those that remain may eventually be monitored by video
cameras and have replaceable plastic liners that will
prevent any contamination from spreading.

Other efforts focus on detecting the presence of pathogens
in the mail.

At two mail-sorting hubs in Virginia, postal engineers and
the National Institute for Occupational Safety and Health
say they successfully tested new systems that check the
dust that arises from sorting machinery as the mail moves
through it. The checks, performed hourly using a process
called polymerase chain reaction, would bathe dust samples
in enzymes that cause DNA to explosively replicate,
allowing quick comparisons to a library of known DNA
sequences from anthrax, bubonic plague or other pathogens.

In theory, if DNA from one of the threats were present in
the dust, the system would detect it and contaminated mail
could be stopped before the first trucks rolled.

Detection systems are important, postal experts say,
because even a single contaminated envelope can spread
pathogens widely. This potential was vividly demonstrated
in recent tests run on postal machinery assembled at the
Edgewood Chemical Biological Center, the Army's main
research center for testing chemical and biological
defenses, in Aberdeen, Md.

Video cameras recorded close-up images as test envelopes
containing spores of a harmless anthrax cousin moved
through the machinery. "It's amazing how much comes out
even when the corners on the envelope are taped shut," Mr.
Day said.

The Postal Service is planning to award $200 million in
contracts this fall to install the detection systems.

Meanwhile, companies like Lockheed Martin are developing
more sophisticated detection systems for vulnerable
agencies and businesses. These would set off extra
biochemical tests if they detected particularly minute
particles with the signature of bacterial spores.

In a separate effort to prevent spores from dispersing, the
service also plans to spend an estimated $245 million on
large networks of exhaust vents and vacuums that will draw
dust out of the sorting machines and trap any particles in
filters.

Until last fall's attacks, workers cleaned the machines by
blowing compressed air through them, a process that is
believed to have spread any anthrax that escaped from
tainted letters.

It will take months to install the new equipment at all of
the postal system's 282 hangarlike sorting centers.

Two sorting centers that handled the tainted mail, the
Brentwood facility that serves Washington and one in
Hamilton Township, N.J., where all the tainted letters
apparently originated, remain sealed, awaiting cleansing
with the same chlorine dioxide gas used to kill any
lingering anthrax in the Hart Senate Office Building. That
is where the anthrax mailings first came to light after the
letter to Senator Tom Daschle, the Democratic majority
leader from South Dakota, was opened in a cloud of powder
on Oct. 15.

Other post offices and transfer points where trace
contamination was seen, from Florida to Connecticut, were
cleaned last fall and remain open.

It remains to be seen, however, whether the new security
and safety measures will work the way engineers hope they
will. Yesterday, for example, the General Accounting
Office, the investigating arm of Congress, strongly
recommended more testing and analysis before the Postal
Service begins installing the vacuum exhaust systems. One
concern, the G.A.O. analysts said, is that the vacuums
could disrupt the separate effort to sample air and test
for biological hazards. Another is the cost of running them
and providing enormous amounts of electricity.

On Friday, a new federal task force under the White House
Office of Homeland Security and drawn from eight agencies
will hold the first of several meetings to assess the DNA
detection method that postal officials prefer.

Dr. Lawrence D. Kerr, the director of bioterrorism research
and development in the Office of Homeland Security, said it
would be a mistake to invest heavily in a new system, only
to find out that it was still porous.

"The Postal Service has been in an almost yearlong 24-hour,
7-days-a-week process of searching for the ideal system to
implement nationwide," he said. "But as we look to this
technology, we still need to make sure it passes rigorous
scientific review."

The prospect of further delays is frustrating to postal
officials and workers alike. Employees from Brentwood and
Hamilton, still traumatized by the deaths and illnesses of
co-workers, say they are worried that the pace of adopting
new protections will be too slow to save them from the side
effects of another assault.

Mr. Day, the Postal Service official, said he was confident
that the bioterrorism plan would pass muster and that the
American public would be willing to invest in improvements
that would make the postal system safer for employees and
mail recipients.

"We're convinced that the technical fix we have coming
forward will reduce the threat," he said. "If you're going
to send a biohazard through the mail, we're going to detect
it very quickly, get it isolated and contained and, if
necessary, get people medicated."

In the end, however, the last line of defense will simply
be mail handlers and recipients on the alert for suspicious
envelopes or contents, and health workers alert to symptoms
of exposure to biological or chemical weapons.

Dr. Clifton R. Lacy, the New Jersey health and senior
services commissioner, whose state remains a focal point in
the anthrax investigation, said he was confident that from
this perspective at least the response to any new assault
would be far more effective.

"It's like what happens to the human body when it's exposed
to a foreign substance - a virus, the flu, whatever," he
said. "With the second exposure, the response is quicker,
more coordinated and more decisive."

"Health care providers and the public have undergone quite
an education," he said. "We're ready."

Copyright 2002 The New York Times Company.



To: engineer who wrote (123978)9/16/2002 1:11:12 AM
From: Jon Koplik  Read Replies (2) | Respond to of 152472
 
NYT -- Salvator Altchek, "the $5 Doctor" of Brooklyn, Dies at 92

September 15, 2002

Salvator Altchek, 'the $5 Doctor' of Brooklyn, Dies at 92

By DOUGLAS MARTIN

Salvator Altchek, known for 67 years as the $5 doctor to
the melting pot of Brooklyn, especially the poorer
residents of affluent Brooklyn Heights, died on Tuesday. He
was 92.

He continued to work until two months ago, but gave up
house calls five years ago. He delivered thousands of
babies and generally attended to the health needs of anyone
who showed up at his basement office in the Joralemon
Street row house in the Heights where he lived, charging $5
or $10 when he charged at all.

The office, with its faded wallpaper of Parisian scenes,
cracked leather furniture and antique medical devices, had
not changed much since Jimmy Rios got his first penicillin
shot there half a century ago.

"You could walk into his office and he could tell you what
you had before you sat down," Mr. Rios said.

Dr. Altchek often made his house calls on foot, carrying
his black medical bag. He treated the poorest people,
angering his wife by sending one away with his own winter
coat. He welcomed longshoremen and lawyers, store owners
and streetwalkers. One patient insisted on always paying
him $100 to make up for some of those who could not pay at
all.

A few years ago, a homeless man knocked on his door and
said he had walked all the way from Long Island to have a
wounded finger treated. He had last seen the doctor as a
toddler growing up in Brooklyn Heights more than 50 years
before.

The doctor sometimes greeted 70-year-olds he had delivered.
While it is unclear whether he was the oldest and
longest-working physician in the city, he was very likely
the only one nicknamed "the $5 doctor." When his practice
opened, he treated Arab-Americans around Atlantic Avenue
and was the favored doctor of the Puerto Ricans who began
to live in the row houses of Columbia Place, near the
waterfront, in the 1930's.

"He wasn't out to make money; he was out to help people,"
said Sara Mercado, whose daughter was delivered by Dr.
Altchek. People in her family were among his first
patients.

Ramon Colon, in his book about a Puerto Rican leader,
"Carlos Tapia: A Puerto Rican Hero in New York" (Vantage,
1976), wrote:

"He is a physician who treated the poor and never asked for
money from the oppressed community. They paid when they had
it, and he treated them as though they were Park Avenue
residents."

Salvator Altchek was born in 1910 in Salonika, then part of
the Turkish Ottoman Empire, now part of Greece. As
Sephardic Jews, with roots long ago in Spain, the Altcheks
spoke Ladino, a form of Spanish spoken by Sephardim that
dates back to the 15th century.

The family became part of New York's ethnic rainbow when
his father, David, who spoke a half-dozen additional
languages, brought the family to the city in 1914, in
steerage. They lived at first on the Lower East Side, but
moved to Spanish Harlem, where they felt more comfortable
with Spanish-speaking people.

Dr. Altchek's father took a variety of jobs, including
selling fudge at Macy's. But as a professional fermentation
engineer, his main income, even during Prohibition, came
from the ouzo, cherry brandy and wine he discreetly made
and sold.

Salvator Altchek and his seven brothers and sisters made
deliveries. In a favorite family story, he delivered wine
to a buyer who admired it and speculated on the vintage.

"That's fresh," the boy chirped. "He just made it."

He
graduated from Columbia and attended New York Medical
College, then in Manhattan and now in Westchester County.
Emanuel Altchek, the oldest brother and the first of three
of the brothers to graduate from medical school, paid
Salvator's tuition. Salvator, in turn, paid his brother
Victor's way.

Salvator Altchek worked in Prospect Heights Hospital, long
since closed. But he decided that he wanted his own
practice. For more than half a century, he began his
workday at 8 a.m., took a half-hour off for dinner at 5
p.m. and closed the office door at 8. He then made house
calls, often until midnight.

He knew everyone, and everyone knew him. Walking down a
street, he would recognize gay lovers, Mafia soldiers and
prominent lawyers. He often greeted someone by grabbing his
hand and taking his pulse. His passion for preventive
medicine surpassed his tact.

"Hello, dear, you're looking well," he would say to a
patient. "You put on a little weight, didn't you?"

When his wife, Blanche, died 32 years ago, he fell into a
depression. His sister Stella Shapiro heard him advise a
patient to find another doctor. But he gradually recovered
by throwing himself into his work.

He never remarried and was especially proud of the tall
linden tree in front of his house, which he dedicated to
his wife. He built a bench around it that neighbors and
strollers could use.

In addition to his brother Victor and sister Stella, both
of Manhattan, he is survived by his daughters, Susan Aroldi
of Saddle River, N.J., and Phyllis Sanguinetti of Buenos
Aires; four grandchildren; and five great-grandchildren.

Dr. Altchek was a constant personality in a neighborhood
that changed many times, from proper society enclave to
wartime boardinghouse district to artistic bohemia to haven
for young professionals. When Truman Capote, then a
Brooklyn Heights resident, invited him to his famed Black
and White Ball in 1966, the doctor did not know who Capote
was until he finally recalled his face from the steam bath
of the St. George Hotel, Caren Pauley, a niece, said.

Once when he was held up at gunpoint, Dr. Altchek said he
could not give the would-be robber any money because he had
a date with an attractive woman, Ms. Pauley recalled. The
robber, recognizing him, reached into his own pocket and
gave him $10.

Dr. Ozgun Tasdemir, a physician who immigrated from Turkey,
made Turkish candy for him, having noticed his cache of
Turkish desserts in the office refrigerator. She said he
brought the latest literature on her ailment to share with
her.

Dr. Altchek stopped making house calls only when he could
no longer walk up steps easily. He did not renew his
malpractice insurance when it expired in July. He began
calling up other doctors, asking them to take his patients
who had no insurance.

His brother Victor said that Dr. Altchek had correctly
diagnosed the abdominal condition that led to his own
death. His last spoken thought was to remember that he owed
a patient a medical report.

Copyright 2002 The New York Times Company.