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Peter Grahame Snow
Peter Snow was a leading medical researcher who helped identify chronic fatigue
syndrome (or "Tapanui flu") while working as a dedicated country doctor who
served his West Otago community for more than 30 years.
Dr Snow died suddenly at his Lake Hayes home on February 28,
aged 71. He had a strong social conscience, which led him to not only
provide medical expertise at the general practitioner level, but also ensure a
contribution to health administration and medical research.
His unquenchable thirst for knowledge stimulated his mind
and directed him towards a variety of interests.
He was a family man, a country doctor, a researcher, a
photographer, a deer farmer, an entrepreneur, and a man of the community whose
impressive and wide knowledge was often called on by various sectors.
Locally, he was at the forefront of efforts to keep open the
doors of Tapanui Hospital in the face of Wellington's demands for centralised
health services, and, like most rural doctors, he was virtually on call in the
West Otago area 24 hours a day, seven days a week for more than half his working
life.
Nationally and internationally, he led the research effort
to identify and suggest the means of alleviating the effects of chronic fatigue
syndrome.
Peter Grahame Snow was born in Auckland to Claude (a
policeman) and Cecile Snow. His mother died when he was 5. He attended Auckland
Grammar School and on leaving became a trainee medical technologist at
Christchurch Hospital. After the five-year course, he moved to the West Coast,
where he worked at Westport Hospital. Here he met his future wife, Helen, who
worked as a physiotherapist.
Westport was also the place where he met one of the most
influential people in his life, Dr Len Kitson, who urged him to pursue a medical
degree, and in 1959, Dr Snow arrived in Dunedin to enrol at the Otago Medical
School. During his second year of study, he and Helen married.
He never regretted either decision. Although funds were very
short and the couple had to become disciplined in their spending, Dr Snow began
to really enjoy his studies, the people with whom he worked, and the knowledge
he was gaining.
His second year as a house surgeon was spent at Gore, while
the third saw him working over a wider rural area, based in Gore. It was during
this time he was approached by a group of West Otago community leaders and
invited to set up a practice in Tapanui, where the small town's GP, Mike Soper,
was moving on, and the hospital had been closed.
The group hoped the hospital could be re-opened under a new
doctor and in 1969, the Snows moved to Tapanui. Dr Snow was excited about the
challenges of working in a rural community and believed it was an opportunity he
had been long been seeking. He had always wanted to work and live in the
country—he disliked city life—and felt Tapanui gave him what he
wanted, and much more.
In a 1992 interview, he said the life of a country GP was
never dull or boring. "In West Otago, there's always something happening to keep
the adrenalin pumping. Being a GP has its own rewards, especially if you are
part of the district. In time, the country doctor has the privilege of becoming
a confidant of the community—on hand at births, deaths and all the life in
between.
"It's hard to put a price on the satisfaction of watching
someone you helped deliver into the world grow up, reach adulthood and have
families of their own."
Perhaps his greatest claim to fame was his key role in
identifying chronic fatigue syndrome, or what the media termed "Tapanui flu". In
the early 1980s, farm stock in West Otago were suffering various selenium
deficiency characteristics, and he noticed some of his patients seemed to have a
similar syndrome. He and two University of Otago academics studied the
outbreak—of what came to be called chronic fatigue syndrome—and
their research conclusions, published in the
New Zealand Medical Journal, attracted
international attention.
Dr Snow had been concerned about the intense media interest
in the syndrome at the time, fearing it would make light of the issue. But, on
reflection, he believed that interest had actually been positive because it
revealed the extent of the problem, both locally and globally. The media had
also uncovered the medical profession's initial disbelief in the existence of
chronic fatigue syndrome, as well as the widespread dissatisfaction among
sufferers of the debilitating condition with the profession's lack of
understanding.
Since then, much research has been carried out, including an
unpublished study by Dr Snow and his University of Otago colleagues that
revealed chronic fatigue had multiple causes.
Dr Snow was also nationally influential in raising safety
awareness about the use of farm bikes, after several West Otago farmers suffered
severe injuries from accidents on their farms. (He was himself a deer farmer for
many years on a property near Tapanui.)
He sat on the Otago Hospital Board and, later, the Otago
Area Health Board, where he was a passionate advocate of providing health
services to all, whether they lived in the heart of a city or in the backblocks:
he was regarded as a champion of rural health services.
His contribution to the profession was significant and his
death left a gaping hole, according to the New Zealand College of General
Practitioners, which described him in a tribute as one of their most illustrious
and respected colleagues. He was a president of the college in 1998 and 1999 and
was awarded its highest honour, a Distinguished Fellowship, in 2001.
But Dr Snow's pioneering of rural GP education should also
be particularly remembered, according to the current president, Dr Jonathan
Fox.
"Possibly, he will be remembered as the classic country
doctor, looking after the people of Tapanui for over 30 years," he said.
Dr Snow was a man of wit and intelligence—one who
always relished the stimulation of quick minds—and hosted many New Zealand
and overseas student doctors in his practice. Dr Fox said he had maintained a
lifelong interest in seeking knowledge and he was at the forefront of general
practice research.
It was noted in his citation for the fellowship that he had
"the farmer's ability to perceive the connections between what to others might
seem unrelated things".
Dr and Mrs Snow moved permanently to their Lake Hayes home
after selling the West Otago practice to the West Otago Health Trust three years
ago. The couple had initially planned to operate Venetian-style gondolas on
Lakes Hayes and Wakatipu, but decided to shelve the idea due, Dr Snow claimed,
to stifling by "red tape".
Peter Snow is survived by his wife and their three
sons.
This obituary entitled
Country doctor made mark at every level was written and
published by the Otago Daily
Times on Saturday 11 March 2006. We are
grateful to the Royal NZ College of GPs for providing the photograph as well as
Diane Campbell (ODT) and Shani Naylor (NZMA) for their assistance.
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