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9560 rockville pike, bethesda, MD 20814-3991
 

 


Jacob Lemann
August 31, 1929 - July 30, 2007

Contributed by Dr Eric Cohen

Dr Jacob Lemann died on July 30, 2007, after a short illness. He was 77. Jack’s legacy is in his work, his writing, and his teaching.

At Boston University, then in Milwaukee, at the Marquette University School of Medicine, he did studies of acid-base balance that are still cited, 40 years later. This work naturally progressed to extensive study of calcium, phosphorus, and vitamin D metabolism, all in human subjects. Marquette changed its name to the Medical College of Wisconsin, but Jack never wavered from his clear and careful approach to experimentation.

In 1994, at Jack’s Festschrift, Dr Fredric Coe provided an elegant synopsis of Jack’s many contributions to the understanding of idiopathic hypercalciuria, and the role of calcitriol excess in this condition. In the conclusion to his publication in the November 1994 supplement to the Journal of the American Society of Nephrology, Dr Coe acknowledged Jack’s stimulus to his own work. He also pointed out how Jack’s approach has its roots in the work of Fuller Albright. Those who worked with Jack know this is true, because both were outstanding students of human pathophysiology.

Jack’s 1976 paper in the Lancet is at first glance a more practical contribution. It documents the linearity of progressive loss of kidney function in subjects with chronic kidney disease. But any student of that mechanism, be it by blood pressure, via glomerulus, or further along the nephron, knows that a unifying explanation for progressive renal failure must account for its linearity. No wonder this paper has been cited over 400 times.

Jack’s way of being extended beyond the lab to the clinic. The same principles applied. An event or a condition required close and accurate definition, then a rational approach to find its cause and consequences. This made him the teacher and mentor that he was.

Jack leaves his wife, Mary, and three children. His colleagues and students miss him, but they know that he lives on when they are at their best.