Kenneth Fred Swaiman (November 19, 1931 - September 18, 2020)

by Stephen Ashwal, MD and N. Paul Rosman, MD

 

Kenneth Fred Swainman
Ken Swaiman (at the 2017 Child Neurology Society Legacy Reception)
Ken Swaiman was a visionary who has played a universally recognized, pivotal and remarkablerole in the development of child neurology. He initiated the founding of the Child NeurologySociety, the Professors of Child Neurology and the Child Neurology Foundation, and thepublication of what is regarded as the primary textbook in the field, Pediatric Neurology:Principles and Practice. He began the journal, Pediatric Neurology, one of the major pediatricneurological journals and served as its editor from 1984-2012. For these and many otheraccomplishments, Ken was honored by the Child Neurology Society at the 2017 LegacyReception [1].

 

Ken, although born in St. Paul (1931), was raised in Minneapolis, Minnesota. His Lithuanianparents, before meeting, separately immigrated to the United States, met in St. Paul, andmoved to Minneapolis. Ken attended the University of Minnesota, earning degrees in LiberalArts (Magna Cum Laude, 1952), Science (1953), and Medicine (1955) and then joined a rotatinginternship at the Minneapolis General Hospital (1955-56), followed by a Pediatric residency andChief residency at the University of Minnesota Hospitals (1956-58). This was followed by twoyears as Chief of Pediatrics at a US Army Hospital (Ft. McPherson, GA). He returned toMinnesota where he was an NIH-sponsored ‘Special Fellow in Pediatric Neurology' (1960-63)under the mentorship of Dr. A.B. Baker, one of the founders of the American Academy ofNeurology (1948). Ken received board certifications from the American Board of Pediatrics(1960), the American Board of Psychiatry and Neurology (1966) and the American Board ofPsychiatry and Neurology, with Special Competence in Child Neurology (1969).

Ken joined the Pediatric and the Neurology faculties at Minnesota (1963) and within a decadebecame a full Professor in both departments. He was Director of the Pediatric NeurologyTraining Program and Director of Pediatric Neurology (1972), serving in those capacities until1998. During his career, Ken belonged to 20 professional organizations. He engaged in basicscience research: GABA and phenylalanine metabolism, metabolic abnormalities in pediatricneuromuscular conditions, the effects of malnutrition on the developing brain, and clinicaldisorders, including acid maltase deficiency, sea blue histiocytosis and the effects of iron andother metals on cerebral energetics. Ken's interest in clinical teaching and researchinvestigation, and transmitting this information to the trainees in his program and worldwide,was always in the forefront of his thoughts. He held leadership positions in key child neurologyorganizations, including the Child Neurology Society (CNS, First President 1972-1973),International Child Neurology Association (Executive Committee 1970-1979), Professors of ChildNeurology (PCN, First President 1978-80) and the Child Neurology Foundation (CNF, FirstPresident 2000-2003). Ken was also on many National Institutes of Health Study Sections andhas shared his knowledge as a visiting professor giving over 50 special lectures throughout theUnited States and in many countries worldwide.

Trainees and Awards. Ken served on 15 editorial boards of major scientific journals. He also served as a board examiner for the American Board of Psychiatry and Neurology. He has received numerous awards, with the three most prestigious being the Hower award (1981), the highest award given by the CNS to an individual who is highly regarded as an outstanding teacher and scholar, and additionally, has given a high level of service to the CNS, the Founder's Award at the 25th anniversary meeting of the CNS (1996), and the American Academy of Neurology Lifetime Achievement Award for Neurologic Education (2005).

During his tenure at Minnesota, Ken trained over 80 child neurologists and he felt that contact with his residents was one of his prime motivating forces for beginning all of the organizations that he started. He felt that the role of teacher and mentor was the most important responsibility that a faculty member can have. His trainees came from all over the world and went on to provide continuing education in the U.S. and in their home countries.

Child Neurology Society. The first Accreditation Council for Graduate Medical Education (ACGME) specialty board devoted to individuals with neurological and psychiatric disorders, the American Board of Psychiatry and Neurology (ABPN), was established in 1934. Another 34 years elapsed before Child Neurology was recognized as a distinct neurology subspecialty (American Board of Psychiatry and Neurology, with Special Competence in Child Neurology, 1968). Having long recognized the uniqueness of child neurology, Ken gathered together a small group of senior Midwest pediatric neurologists in 1971 and the following year, he founded the CNS (1972), holding the first meeting at the University of Michigan. There, the Society was incorporated, by-laws were created, an Executive Board was formed, and plans were made to hire administrative staff. The formation of the CNS was a major force in the expansion of Pediatric Neurology training programs, and many more medical students and residents decided to pursue a career in pediatric neurology.

Professors of Child Neurology. The Association of University Professors of Neurology (AUPN), one the principal organizations involved in the training of neurologists, held its first meeting in 1968 to address training, legislative, workforce and research funding issues and to serve as a liaison with many organizations. Realizing the importance of having a parallel organization for academic child neurologists, Ken founded the PCN with the help of Bruce Berg (1978), with Ken serving as its first President. The PCN meets at the CNS annual meeting and serves many roles including support of training programs, program directors, coordinators and residents, as well as serving as the interface with multiple other organizations (CNS, ACGME and ABPN). Ken was a tireless advocate for improving the quality of pediatric neurological education, the advancement of the field, and the means to increase the knowledge and capability of pediatric neurologists.

Child Neurology Foundation. Ken founded the CNF in 1999, recognizing the need to support the outreach of child neurologists and support of families and children with neurological disorders. He was the CNF's first President and he was instrumental in securing the resources to start the organization's Researcher in Training and Scientific Awards. Such was the trust in the future of the Foundation that significant industry support was obtained through Ken's and Roy Elterman's efforts. More recently, the CNF redirected its efforts to focus on the needs of families and children, and it conducts unique symposia at the annual CNS meeting.

'Pediatric Neurology: Principles and Practice'. The first textbook solely devoted to the entire field of Child Neurology appeared in 1845 (Ludwig Mauthner). Over the ensuing century, additional monographs were written by Bernard Sachs (1895), James Taylor (1905), Martin Theimich and Julius Zappert (1910), Ludwig Bruns (1912), George Peritz (1912), Bronson Crothers (1926), and Frank Ford (1937). For a variety of reasons, comprehensive texts devoted to the field did not appear until that of John Menkes (1974), the first edition of the book by Ken Swaiman and Frank Wright (1975) and the textbook by Jean Aicardi (1992). The book, "The Practice of Pediatric Neurology," edited by Ken and Frank Wright and the subsequent 1982 edition were internationally acclaimed. Ken then became sole editor of the next edition (1989) when the title changed to "Pediatric Neurology: Principles and Practice," with subsequent editions published in in 1994, 1999, 2006, 2012 and 2017. As the book grew in size and coverage, additional editors joined Ken: Steve Ashwal (1999), Donna Ferriero (2006), Nina Schor (2012), and Andrea Gropman, Richard Finkel, Phillip Pearl, and Michael Shevell (2017). The growth of the discipline is documented by the fact that the number of pages and chapters has grown greatly: from 40 chapters/1,082 pages in 1975 to 170 chapters in 2017 (online version of >3,500 pages; shortened print version of 1432 pages).

The journal ‘Pediatric Neurology'. Although there were several journals that covered neurological disorders, it was in 1951 that the first issue of Neurology, the official journal of the American Academy of Neurology (AAN) appeared. Then, in 1975, the American Neurological Association founded the Annals of Neurology. Shortly thereafter and with a certain degree of debate and controversy, the CNS became co-sponsors of the Annals, with all society members getting a subscription to the Annals as part of their dues. Ken described in detail the process that led to his decision to develop a journal solely devoted to child neurology and within several years (1985), "Pediatric Neurology" appeared. The journal has grown remarkably, receives many contributions from all over the world and has a high impact factor. Ken continued as Editor-in-Chief until 2012 and in 2013, he turned over this position to Steve Roach who has maintained the high standard of the journal, with a steadily rising impact factor.

The word 'retirement' was not in Ken's lexicon. He continued to attend CNS meetings, maintained close contacts with leaders of the CNF and was Editor and co-author of chapters in the 2017 edition of the reference text that he began.

More than any other modern-day neurologist, Kenneth Swaiman has led the way in establishing the field of child neurology. He has served as the most lustrous academic beacon in the CNS. To hundreds of academicians, he has shown the way in patient care, teaching, research and scholarship and, in that way, has bettered the lives of tens of thousands of children with neurological disorders. No one has come close to Ken in establishing the academic origins and growth of Child Neurology. Through his years of tireless work and productivity, Ken has consistently exuded great warmth, a dazzling smile, and an infectious laugh. He has inspired countless others to reach for lofty goals, inspired by Ken’s many legacies.

Ken and his wife of 35 years, pediatric neurologist Phyllis Sher, alternated their residences between Minneapolis and Tucson. Phyllis was a past member of the Executive Committee of the CNS, taught at the University of Miami Medical School, the University of Minnesota Medical School and did research at the NIH. While in Arizona, she taught at the University of Arizona School of Medicine, returned to her artistic background and is an accomplished painter. Ken received unswerving support from Phyllis during his last of several illnesses, sharing their deep love as Ken reflected on his life, a life so well lived. In addition to Phyllis, Ken is survived by children, Lisa Swaiman (Jim Grossman), Jerrold Swaiman, Barbara Swaiman (Mark Franklin), and Dana Hoberman (Bruce); and grandchildren, Isaac Swaiman, Sarah Grossman, Ethan Swaiman, Danielle Swaiman, Sawyer Franklin, Ryan Franklin, Jordan Hoberman and Benji Hoberman; and great grandson Everett Swaiman.