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C I IARVARD, MEDICAL SCHOOL D[rARTM'[NTOr MlDICINK'.. DIVIltON'OI RLlrIRATORTDFILAlEl. mARML. MU!llRyM.D:,.CHIGr Vijay PK'ahajan,,NP.D. St. Vincent's Hospital & hledical Center - Tol'edoy Ohio 43608: Dear Vij ay, BETH ISRAEL HOSPITAL Mailing Addretrx: ~ ![TN IGRA[L NOt/ITAL. .. i7DlROOKLIN[ AV[NUt•OtTON„ M71flACNUr[TT! 072tl'! (l17,)710-fDfP. , September 1, 1978' I am responding to your letter of August 23', 1978',, in which~ you formal'1y communicate to'meyourdecision to move tol0hio., Thiscame as no surprise to me, of course, for you and I have met so~many timcs over the past several weeks and months to discuss this matter fromievery perspective. I have shared wi:th you, believe me„ your agony and your pain in trying toAecide on a decision that would be in your own best interest., From your personal standpoint, I think you made the right decision toleave at this time. Our research program will miss youland'the void that will be created by your departure will be very hard to fill and the contrilbutions that you have made wiT1' be impossible to replace. Vijiay, there is naneed now, there never has bsen, and'there never will be a reason for you to make any apologies whatsoever. You.have,done a goodd j'ob while you were with us, particularly under the adverse'circumstances in which you had to~work. Your effort was always conscientious, andlyou worked as hard on the clinical service as anyone could possibly do:, particularly .in yourf3rst year or two at theBth, Israel Hospital., You are~as hig}i~Iyq,ualifie&as any chest physician they have ever had in.this institution,, andd youlknowithat many people have appreciated that. Most importantly, you.added significantly to patient care in many instances, and'.those patients will always be grateful for'your help. Regarding,myexpectations of you, whether or not they were well communicated, I'think it is part of my job (and'perhaps part of those method's you indieate:I use but that you do~not like) to expect as much from people as' th'ey possibly can give. I say that in the context that at a Uni:versity such as this one, andlin a program such as ours, everyone should'db their, utmost to ri'se~to:-their full potential!, both in personal achievement and in the contributions they make to the academic community.overall. If I have mad'e you unicomfortable at times by encouragi~ng,you to do more, please consider it in the,contextof my try'ing to he1~pyou achieve your own full potential. C, We have had enough discussions, I believe, for you to know that I will miss youvery much, both as a close friend and as a working, colleague in our program. One of the hardest things I have ever had!to do was to not encourage you to stay for my own personal reasons, because I enjoyed your being here so much. I do think, becauscof the extraordinarily adverse ci rcumsta.nces unKlcrr w!i i cii yoiu had to work i n the R'oth israel Hospital, it

V'i jiay Mahaj ani, M. D. September 1, 1978' P age 2' was in your best interests, and in the best interests of'your career, to accept the new opportunity in Ohio. If I knew for sure that we were goi:ng, to go to the Mount Auburn AIospital, and if I knew for sure how thatt transi:tion would eventually work out, I might have rather tried toiencourage you to stay Yiere. But with the uncertainties that now exist for our future,, and!wiith what appears to be a total lack of potential for solving them within our current institution, I believe you mad'etheright deeisioni. I am jlust sorry I cannot go with you. ' We will remain good friiend's long, after you have left Boston. Please do not hesitate to call upon me at any time if I can help you in the future in any capacity. In alcommon cause,, Gary L. Huber, M'. D. ,, Chief Respiratory Diseases Unit ~GhFi':mtc ~