sutures newsletter

PRODUCED BY AND FOR MEMBERS OF THE DEPARTMENT OF SURGERY July 2012 Issue | Archived Issues

Upcoming CME conferences

State-of-the-Art Spine Care 2012 – Sept. 29

Multi-Specialty Plastic Surgery Symposium and the Bernard G. Sarnat, MD, Lectureship – Nov. 2-4

20th International Symposium on Pancreatic & Biliary Endoscopy Conference – Jan. 25-27

» Read more


Grand rounds

Click here to view upcoming grand rounds.

Welcome to the new Sutures

Message from the chair

This month's Sutures newsletter is reformatted to share the many significant achievements of our department and provide a convenient place to find relevant information about the full range of our clinical, educational and research activities.

» Read more

Two new Breast Center programs target high-risk women and cancer survivors

By Alice Chung, MD, FACS

The surgeons at the Cedars-Sinai Saul and Joyce Brandman Breast Center – A Project of Women's Guild at the Samuel Oschin Comprehensive Cancer Institute – treat patients with benign and malignant breast disease. The center has experienced tremendous growth over the past year.

» Read more

Surgery scheduling: who to contact

Click below for contact information for surgery scheduling staff and additional details on scheduling surgeries at Cedars-Sinai.

» Read more

Department welcomes incoming general surgery, urology and orthopedic surgery residents

By Ali Salim, MD, FACS
Program Director, General Surgery Residency Educational Program

The Department of Surgery would like to extend a warm welcome to all of the incoming surgical residents. Our five general surgery residents are joined by the second class of urology residents and the brand new class of orthopedic residents.

» Read more

Restricted distribution programs required for bosentan, ambrisentan

June Pharmacy and Therapeutics decisions released

Due to the risk of teratogenicity associated with bosentan and ambrisentan, manufacturers of both drugs require that prescribers and patients be enrolled in restricted distribution programs. Please note that bosentan and ambrisentan are non-formulary at Cedars-Sinai.

» Click here for more pharmacy news

Wei Yang joins Research Division

The Research Division of the Department of Surgery welcomes Wei Yang, PhD, to Cedars-Sinai. Yang was recruited from Harvard to be the new director of the Cedars-Sinai Biomarker Discovery Platform, a state-of-the-art research mass spectrometry facility being launched this year.


» Read more

Shouhed receives Excellence in Research Award

Daniel Shouhed, MD, had his abstract, "Flow Disruptions During Trauma Care," accepted for presentation at the 2012 Surgical Forum of the American College of Surgeons in October.




» Read more

Spotlight on prolapse

News from the Center for Women's Continence and Pelvic Health

Addressing the very common issue of post-partum vaginal prolapse is the topic of several articles in the latest newsletter from Cedars-Sinai's Center for Women's Continence and Pelvic Health.

» Read more

Circle of Friends honorees for June

The Circle of Friends program honored 112 people in June. Circle of Friends allows grateful patients to make a donation in honor of the physicians, nurses, caregivers and others who have made a difference during their time at Cedars-Sinai.

» See the names of those honored

Welcome to the new Sutures

Message from the chair

This month's Sutures newsletter is reformatted to share the many significant achievements of our department and provide a convenient place to find relevant information about the full range of our clinical, educational and research activities. There is a lot to say.

Over the past five years, the combined efforts of our attendings and faculty have led to remarkable growth in our clinical productivity with programs of national distinction in many areas. These include, but are not limited to, transplantation, video-assisted thoracic surgery, joint replacement, breast cancer treatment and minimally invasive surgery in every discipline. Our research activities currently are funded by nearly $10 million in external funds; our National Institutes of Health grants alone place us in the top 20 of academic departments of surgery. Finally, our primary certificate residencies in general surgery, urology and orthopedics attract more than 100 applicants for each slot and bring some of the best and brightest graduates to Cedars-Sinai. Regular reports on these achievements will be found in the new Sutures.

What is not so easy to measure – but what is real nonetheless – is the spirit of collegiality that makes it fun to come to work each day. The "big tent" that is our department has sustained these personal relationships and, with our continued focus, will continue to benefit our patients, our staff and ourselves. We hope that this newsletter contributes to that goal.


Bruce L. Gewertz, MD
Surgeon-in-Chief
H and S Nichols Endowed Chair
Vice-President, Interventional Services
Vice-Dean, Academic Affairs
Cedars-Sinai Health System

Two new Breast Center programs target high-risk women and cancer survivors

By Alice Chung, MD, FACS

The surgeons at the Cedars-Sinai Saul and Joyce Brandman Breast Center – A Project of Women's Guild at the Samuel Oschin Comprehensive Cancer Institute – treat patients with benign and malignant breast disease. The center has experienced tremendous growth over the past year.

A large number of patients who are seen at the Breast Center include women who have recently been diagnosed with breast cancer or are considered to be at increased risk for breast cancer, due to family history or diagnosis of a high-risk lesion. We recognize that these patients have specific needs and are developing a comprehensive program designed to address these needs that will be available at the Breast Center in the very near future.

Treating physicians who identify patients who may be appropriate candidates for these programs may refer them to the Breast Center for a consultation.

High-Risk Clinic

The first program is a High-Risk Clinic intended for women with first-degree relatives affected by breast cancer or women who have been diagnosed with a high-risk lesion, such as lobular carcinoma in situ or atypical ductal hyperplasia.

Patients are evaluated by a skilled nurse practitioner, psycho-social counselor, nutritionist, genetics counselor and exercise consultant and are provided with education and counseling when needed. Patients will be followed biannually and may be referred to back to their physician in the event that a medical problem is diagnosed.

Journey to Wellness

The second program is our Journey to Wellness Program, designed to assist patients who have been treated with breast cancer with any issues related to their treatment and to guide them back to wellness.

Patients may be referred to this program if they have been surgically treated for breast cancer at least eight weeks prior to their initial consultation with the program. They will be evaluated by a nurse practitioner, psycho-social counselor, nutritionist, physical therapist and possibly an acupuncturist.

This comprehensive program aims to address issues with surgery, chemotherapy, radiation, hormonal therapy, diet, exercise, lymphedema, body image, sexuality, stress and depression. It serves as a venue for physicians to assist with patient recovery, and patients may be subsequently followed by their surgeon, nurse practitioner, or primary physician, depending on the desire of the patient and her physicians.

These programs offer a unique approach to patient care that will enhance the treatment for high-risk patients and those recently diagnosed with breast cancer, and they will be available to physicians throughout the Cedars-Sinai community.

Want to learn more or refer a patient?

Inquiries may be directed to Sherry Goldman, NP, at (310) 423-9331.

Surgery scheduling: who to contact

As a follow up to the discussion at the recent Department of Surgery PIC meeting, you will find the surgery scheduling contact list below:

Scheduling staff: Frank, Lilian, Demetrius, Karen, Darlene, Marta andJeric
Phone: (310) 423-3786
Email: CentralSchedulers@cshs.org

Surgery scheduling supervisor(for immediate attention): Ferdinand JojoBernido
Phone: (310) 423-0687
Phone: (310) 423-1629
Cell: (310) 272-6979
Email: bernidof@cshs.org

For questions related to scheduling process: Brandi Douglas
Phone: (310) 423-8512
Email: douglasb@cshs.org

Surgery scheduling manager: Shab Nicks
Phone: (310) 423-6698
Email: nickss@cshs.org

The scheduling staff holds quarterly meetings to share information and updates. Please contact Brandi Douglas for upcoming dates.

Our "Surgery Scheduling Guidelines" handbook can be downloaded by clicking the PDF below.

Surgery Scheduling Intro Handbook (PDF)

Department welcomes incoming general surgery, urology and orthopedic surgery residents

By Ali Salim, MD, FACS
Program Director, General Surgery Residency Educational Program

The Department of Surgery would like to extend a warm welcome to all of the incoming surgical residents. Our five general surgery residents are joined by the second class of urology residents and the brand new class of orthopedic residents.

I have no doubt that this outstanding group of 11 residents will represent the department well. They have brought a high level of enthusiasm that is already palpable throughout the medical center.

Again, please join me in welcoming these outstanding young individuals to Cedars-Sinai and the Department of Surgery.

Tom Feng, MD – Urology; Johns Hopkins

Juzar Jamnagerwalla, MD – Urology; SUNY at Stony Brook

Matt Zapf, MD – Ortho; New York Medical College

Neil Bhamb, MD – Ortho; Washington University

Josh Campbell, MD – Ortho; University of Arkansas

Sanjum Samagh, MD – Ortho; UC Irvine

Cindy Lumby, MD – General Surgery Prelim from Texas Tech (going into radiology)

Monica Jain, MD – General Surgery Categorical; Boston University

Joshua Chan, MD – Categorical General Surgery; USC

Jeffrey Johnson, MD – Categorical General Surgery; Cornell

Derek Serna-Gallegos, MD – Categorical General Surgery; USC

Restricted distribution programs required for bosentan, ambrisentan

June Pharmacy and Therapeutics decisions released

Due to the risk of teratogenicity associated with bosentan and ambrisentan, manufacturers of both drugs require that prescribers and patients be enrolled in restricted distribution programs. Please note that bosentan and ambrisentan are non-formulary at Cedars-Sinai.

If continuation of therapy is warranted for a patient who was on bosentan/ambrisentan prior to admission, please refer to the procedure outlined in the PDF below.

Bostentan Ambrisentan MD Fact Sheet - July 2012 (PDF)

In other pharmacy news, the June Pharmacy and Therapeutics Committee decisions and pertinent agenda topics are summarized in the PDF below. Highlights include: 2012 chest updates, anticoagulation protocol updates for dalteparin and enoxaparin, and 2012 empiric treatment guidelines for common adult and pediatric infections.

P&T Decisions - June 2012 (PDF)

Wei Yang joins Research Division

The Research Division of the Department of Surgery welcomes Wei Yang, PhD, to Cedars-Sinai. Yang was recruited from Harvard to be the new director of the Cedars-Sinai Biomarker Discovery Platform, a state-of-the-art research mass spectrometry facility being launched this year.

He received his bachelor's degree from the Beijing Institute of Technology in 2001 and his PhD, from Peking University in 2006. From 2006 to 2011,he was a postdoctoral fellow, then staff scientist, at Boston Children’s Hospital at Harvard Medical School.

His research specialty is cancer proteomics using quantitative mass spectrometry. He has worked in the areas of signal transduction, protein modification and protein biomarkers.
He has a distinguished publication record, including original research articles in Cancer Research, Molecular and Cellular Proteomics, Proteomics, Journal of Proteome Research, and Blood.

Publications

Wang, Y, Wang, X-Y, Subjeck, JR, Shrikant, PA and Kim, HL, “Temsirolimus, an mTOR inhibitor, enhances anti-tumour effects of heat shock protein cancer vaccines”, British Journal of Cancer (2011) 104, 643–652. doi:10.1038/bjc.2011.15 www.bjcancer.com Published online February 2011

Hager MH, Morley S, Bielenberg DR, Gao S, Morello M, Holcomb IN, Liu W, Mouneimne G, Demichelis F, Kim J, Solomon KR, Adam RM, Isaacs WB, Higgs HN, Vessella RL, Di Vizio D, Freeman MR. “DIAPH3 governs the cellular transition to the amoeboid tumour phenotype. ”EMBO Molecular Medicine.doi: 10.1002/emmm.201200242 (2012)

Sariah J. Allen, Pedram Hamrah, David Gate, Kevin R. Mott, Dimosthenis Mantopoulos, Lixin Zheng, Terrence Town, Clinton Jones, Ulrich H. von Andrian, Gordon J. Freeman, Arlene H. Sharpe,7LbachirBenMohamed, Rafi Ahmed, Steven L. Wechsler, and Homayon Ghiasi , “The Role of LAT in Increased CD8_ T Cell Exhaustion in Trigeminal Ganglia of Mice Latently Infected with Herpes Simplex Virus 1”, Journal of Virology, May 2011, p. 4184–4197 Vol. 85, No. 9

Shouhed receives Excellence in Research Award

Daniel Shouhed, MD, had his abstract, "Flow Disruptions During Trauma Care," accepted for presentation at the 2012 Surgical Forum of the American College of Surgeons in October. The abstract also earned him the Excellence in Research Award in the category of Quality, Outcomes and Cost.

Spotlight on prolapse

News from the Center for Women's Continence and Pelvic Health

Addressing the very common issue of post-partum vaginal prolapse is the topic of several articles in the latest newsletter from Cedars-Sinai's Center for Women's Continence and Pelvic Health.

Click the PDF below to read articles that review of the risk factors and incidence of vaginal prolapse, nonsurgical options, surgery to correct the various defects using native tissue,and the use of robotics in prolapse repair. A significant portion of the issue is dedicated to the controversial use of mesh in vaginal prolapse repair.

CWCPH Newsletter - Spotlight on Prolapse (PDF)

Circle of Friends honorees for June

The Circle of Friends program honored 112 people in June.

Circle of Friends allows grateful patients to make a donation in honor of the physicians, nurses, caregivers and others who have made a difference during their time at Cedars-Sinai. When a gift is made, the person being honored receives a custom lapel pin and a letter of acknowledgement.

Click here for more information about the program and for a list of past honorees.

- Massoud H. Agahi, MD

- Michael J. Alexander, MD

- Arie L. Alkalay, MD

- Deborah Ambrose, RN, BSN, MSN

- Paula J. Anastasia Davis, RN, MN, AOCN

- Carlos Anaya, MD

- Hyun Bae, MD

- Gladis A. Barravecchio

- Eraj Basseri, MD

- Samuel A. Berkman, MD

- Sushma Bhadauria, MD

- Donna M. Bias, RN, BSN

- Keith L. Black, MD

- Danielle H. Blum

- Derek Boardman, RN

- Kathryn H. Bornhurst, RN

- Cheryl Bradley, RN

- Glenn D. Braunstein, MD

- Barry J. Brock, MD

- Blessie M. Bulaon

- Metchi Z. Caballero, RN

- Brendan J. Carroll, MD

- Ilana Cass, MD

- Bojan Cercek, MD, PhD

- Julie Choi

- Andrew Chuang, MD

- Sumeet S. Chugh, MD

- J. Louis Cohen, MD

- Steven D. Colquhoun, MD

- Maria V. Cordero

- Elsa I. Cunha, RN, BSN

- Catherine M. Dang, MD

- Mark M. Davidson, MD

- Noam Z. Drazin, MD

- J. Kevin Drury, MD

- Marla C. Dubinsky, MD

- Joel D. Feinstein, MD

- Morton H. Field, MD

- Arnold S. Friedman, MD

- Gerhard J. Fuchs, MD

- Angel M. Fuentes

- Elayne K. Garber, MD

- Anita B. Gattenuo

- Eli Ginsburg, MD

- Armando E. Giuliano, MD

- Richard N. Gold, MD

- Jeffrey S. Goodman, MD

- Richard E. Gould, MD

- Robert A. Gross, MD

- Behrooz Hakimian, MD

- Solomon I. Hamburg, MD

- Jason S. Hamilton, MD

- Michael D. Harris, MD

- Leonel Hunt, MD

- Asma Hussaini, MS, PA-C

- Bree Hysjulien

- Stanley C. Jordan, MD

- David Y. Josephson, MD

- Peter Julien, MD

- Adam D. Karns, MD

- Stephen P. Kay, MD

- Jon P. Kea, MD

- Hyung L. Kim, MD

- Diana Kirakosyan

- Jon A. Kobashigawa, MD

- Jennifer W. Lin, MD

- Rajendra Makkar, MD

- Dwight L. Makoff, MD

- William J. Mandel, MD

- Glenn A. Marshak, MD

- Sasan Massachi, MD

- Philomena McAndrew, MD

- Robert McKenna, Jr., MD

- Amin Joseph Mirhadi, MD

- Zuri Murrell, MD

- Ronald B. Natale, MD

- Nicholas Nissen, MD

- Megan O'Dell, RN

- Raena Olsen, DO

- Guy D. Paiement, MD

- Mitchel Pariani, MS, CGC

- Robert S. Pashman, MD

- Chirag G. Patil, MD

- Brian Perri, MD, DO

- Edward H. Phillips, MD

- Edwin Posadas, MD

- Irving Posalski, MD

- Vichin C. Puri, MD

- Robbin Rabbani, RN

- Rab R. Razzak, MD

- Ricardo R. Reantaso, CN

- Sutha Sachar, MD

- Gregory P. Sarna, MD

- Jay Schapira, MD

- Joshua B. Scherling, MD

- Dina L. Schultz, RN

- Alan E. Shapiro, MD

- Edward J. Share, MD

- Omid A. Shaye, MD

- Chrisandra L. Shufelt, MD, MS

- Robert J. Siegel, MD

- Allan W. Silberman, MD, PhD

- David S. Silver, MD

- Edy E. Soffer, MD

- Jasminka Stegic, MS, ANP-BC, CCRN

- Alfredo Trento, MD

- Conrad J. Tseng, MD

- Robert A. Vescio, MD

- Xunzhang Wang, MD

- Jonathan M. Weiner, MD

- Janet Y.White, MD

- Edward M. Wolin, MD