sutures newsletter

PRODUCED BY AND FOR MEMBERS OF THE DEPARTMENT OF SURGERY October 2015 | Archived Issues

FDA Requires Drug Interaction Studies for Kayexalate

Pharmacy Focus

The U.S. Food and Drug Administration is requiring the manufacturer of the hyperkalemia drug Kayexalate to conduct studies to investigate Kayexalate's potential to bind to other medications administered by mouth — drug interactions that could affect how well the other medications work.

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Mark Your Calendar


Surgery Grand Rounds

Click the "read more" to see information about upcoming Surgery Grand Rounds.

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Grand Rounds

Click here to view a schedule of all upcoming grand rounds.


Education Schedule

Click the PDF links below to see the Department of Surgery's education schedule.

Education Schedule - October 2015 (PDF)

Education Schedule - November 2015 (PDF)  


Surgery Scheduling

Click the "read more" for hours and contact information for surgery scheduling.

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Soukiasian Named Director of Thoracic Surgery

Harmik J. Soukiasian

The Department of Surgery is pleased to appoint Harmik J. Soukiasian, MD, as director, Division of Thoracic Surgery, effective immediately. Dr. Soukiasian's expertise is in minimally invasive thoracic and esophageal surgery.

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Faculty, Residents Make Presentations at ACS Conference

Several faculty members and residents from the Department of Surgery made presentations at the American College of Surgeons conference this month in Chicago.

» Read more

Clinical Trial Aims to Help Children With Incontinence

The majority of children with neurologic abnormalities of their spinal cord, such as spina bifida with myelomeningocele or traumatic spinal cord injuries, will face lifelong challenges with their bladder function. Treatment often entails intermittent self-catheterization and medications.

» Read more

Bloom Honored by Trauma Surgery Association

A faculty member from the Department of Surgery was honored recently by the nation's largest organization addressing trauma and surgical care. Matthew Bloom, MD, assistant professor of Surgery, received the Peter C. Canizaro Award, presented by the American Association for the Surgery of Trauma.


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Memorial Service for Matloff Set for Nov. 11

A memorial service for Jack Matloff, MD, the founding chair and chair emeritus of the Cedars-Sinai Division of Cardiothoracic Surgery, will be held Wednesday, Nov. 11, from 4-6 p.m. in Harvey Morse Auditorium.



» Read more

Transplant Trailblazer Named 'Pioneer'

Stanley C. Jordan

Jordan's Decision to Pursue Medicine Has Helped Many Who Need New Kidneys

Stanley C. Jordan, MD, decided to pursue medicine when he was 5. Because of his decision, highly sensitized patients worldwide have received kidney transplants, and the Kidney Transplant Program at Cedars-Sinai has become an international referral center for patients with high immunological risk. Jordan received the prestigious Pioneer in Medicine Award during the annual meeting of the medical staff Oct. 19.

» Read more

CS-Link Tip: Be Specific When Storing Problems

This week's tip comes from the newest member of the physician team at Enterprise Information Services, Anil Goud, MD. When storing problems within problem lists in CS-Link™, use the calculator to drive to as much specificity as possible.

» Read more

Circle of Friends Honorees for September

The Circle of Friends program honored 161 people in September. 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.

» Read more

Soukiasian Named Director of Thoracic Surgery

Soukiasian H 140px

Harmik J. Soukiasian, MD

The Department of Surgery is pleased to appoint Harmik J. Soukiasian, MD, as director, Division of Thoracic Surgery, effective immediately.

Dr. Soukiasian's expertise is in minimally invasive thoracic and esophageal surgery. A graduate of the University of Southern California School of Medicine, he completed his general surgery residency at Cedars-Sinai, a cardiothoracic fellowship at UCLA and additional training at the University of Pittsburgh and Cedars-Sinai in minimally invasive esophageal and thoracic surgery. Since joining the faculty in 2008, Dr. Soukiasian has expanded the role of minimally invasive surgical techniques in pulmonary and esophageal disorders, including the use of robotics. He is an outstanding educator and serves as co-investigator on multiple clinical trials in thoracic oncology. Dr. Soukiasian is a member of the Society for Thoracic Surgery and the Association for Academic Surgery, and he serves on the Resident Education Committee for the Society of American Gastrointestinal Endoscopic Surgeons.

We are thrilled to have Harmik assume this leadership role and look forward to continued growth in the multidisciplinary services we offer to our patients with lung and esophageal diseases. Dr. Soukiasian's meaningful contributions to our patients began when he was a resident and have only increased as a member of our faculty. He is a highly regarded surgeon, teacher and research collaborator. We are delighted with his career trajectory.

Please join us in congratulating Harmik and wishing him all success.

Bruce L. Gewertz, MD
Surgeon-in-Chief
H & S Nichols Distinguished Chair in Surgery
Chair, Department of Surgery
Vice President, Interventional Services
Vice Dean, Academic Affairs

Faculty, Residents Make Presentations at ACS Conference

Several faculty members and residents from the Department of Surgery made presentations at the American College of Surgeons conference this month in Chicago.

Faculty members making presentations were:

Rodrigo Alban, MD

  • Abstract: "Limit Crystalloid Resuscitation in Elderly Trauma Patients." Ara Ko, MD; Andrea Zaw, MD; Beatrice Sun; Megan Harada; Galinos Barmparas, MD; Rodrigo Alban, MD; Matthew Bloom, MD; Daniel Margulies, MD; Eric Ley, MD
  • Discussant: "Trauma Center Verification and a More Inclusive System: Identifying Unnecessary Criteria for Level III/IV Centers." Jared Forrester, MD; Thomas G. Weiser, MD; Paul M. Maggio, MD; Lakshika Tennakoon, MPhil; David A. Spain, MD; Kristan L. Staudenmayer, MD

Bruce Gewertz, MD, chair, Department of Surgery

  • "Leadership Lessons Learned." Society of Surgical Chairs
  • "Maintaining Personal and Professional Balance in an Academic Career." Meet the experts lunch
  • "Emotional Intelligence in Leadership Positions." Plenary Session

Eric Ley, MD

  • "Updates in Surgical Critical Care. Pulmonary: Physiology and Ventilator-Associated Pneumonia (VAP)." Eric Ley, MD
  • "Damage Control Cultures in Elderly Patients with Traumatic Brain Injury." Galinos Barmparas, MD; Andrea Zaw, MD; Beatrice Sun; Tong Li; Danielle Tran; Kurtis Birch; Priyanka Tripuraneni; Ara Ko, MD, Rex Chung; MD, Eric Ley, MD
  • "Limit Crystalloid Resuscitation in Elderly Trauma Patients." Ara Ko, MD; Andrea Zaw, MD; Beatrice Sun; Megan Harada; Galinos Barmparas, MD; Rodrigo Alban, MD; Matthew Bloom, MD; Daniel Margulies, MD; Eric Ley, MD
  • "Predictors of Mortality in the Critically III Cirrhotic: Is MELD Enough?" Alagappan Annamalai, MD; Megan Harada; Priyanka Tripuraneni; Tong Li; Bansuri Patel; Dorothy Yim; Eric Chen; Eric Ley, MD; Nicholas Nissen, MD
  • "Timing of End-of-Life Decision-Making in Patients Awaiting Transplantation." Alagappan Annamalai, MD; Megan Harada; Priyanka Tripuraneni; Tong Li; Bansuri Patel; Dorothy Yim; Eric Chen; Eric Ley, MD; Nicholas Nissen, MD
  • "Adding Polyethylene Glycol When Treating Hepatic Encephalopathy." Ara Ko, MD; Andrea Zaw, MD; Beatrice Sun; Tong Li; Alagappan Annamalai, MD; Eric Chen; Sogol Asrafian; Galinos Barmparas, MD; Eric Ley, MD
  • Member, Program Directors Meeting, Surgical Critical Care

Daniel Margulies, MD

  • "Laparoscopy for a Stab Wound to the Abdomen 33 Hours After Injury." Nicolas Melo, MD; Daniel Margulies, MD; video-based education session, Surgical Cases in Trauma
  • "Limit Crystalloid Resuscitation in Elderly Trauma Patients." Ara Ko, MD, MP; Andrea Zaw, MD; Beatrice Sun; Megan Harada; Galinos Barmparas, MD; Rodrigo Alban, MD; Matthew Bloom, MD; Daniel Margulies, MD; Eric Ley, MD; Trauma III Session

Nicolas Melo, MD

  • "Laparoscopy for a Stab Wound to the Abdomen 33 Hours After Injury." Nicolas Melo, MD; Daniel Margulies, MD; video-based education session, Surgical Cases in Trauma

Daniel Shouhed, MD

  • Video presentation: "Surgical Revision After Heller Myotomy"

Residents making presentations were:

  • Galinos Barmparas, MD
  • Ara Ko, MD
  • Ryan Spurrier, MD

Other faculty members attending the conference were Miguel Burch, MD, and Matthew Bloom, MD.

Clinical Trial Aims to Help Children With Incontinence

The majority of children with neurologic abnormalities of their spinal cord, such as spina bifida with myelomeningocele or traumatic spinal cord injuries, will face lifelong challenges with their bladder function. Treatment often entails intermittent self-catheterization and medications.

Despite this, many children will still suffer from chronic incontinence and require major bladder reconstructive surgeries. While successful, these surgeries are associated with significant long-term risks and complications.

Researchers have been looking for ways to better manage these children's bladders without the need for major reconstruction. One innovative approach for patients with an overactive neurogenic bladder is injections with Botox. This approach has been under investigation for many years and is approved by the U.S. Food and Drug Administration for use in adults. Its use in children remains investigational.

In order to study the safety, efficacy and dose response of Botox in children with neurogenic detrusor overactivity, Allergan — the maker of Botox — has launched a large multinational, multicenter clinical trial. The Cedars-Sinai Division of Urology recently was approved as a study site for this project and has begun to enroll patients.

The study is being conducted by Andrew L. Freedman, MD, director of Pediatric Urology, and Jennifer T. Anger, MD, associate director of Urologic Research, both of whom are members of the Urology Residency faculty. This collaborative research is one of several projects bringing together adult and pediatric surgical specialists to provide innovative and leading-edge care to Cedars-Sinai's pediatric and adolescent patients with congenital disease.

By working together, we are building the infrastructure and medical teams that are prepared help patients with congenital surgical conditions navigate the difficult transition from pediatric to adult care.

Bloom Honored by Trauma Surgery Association

Bloom

Matthew Bloom, MD

A faculty member from the Department of Surgery was honored recently by the nation's largest organization addressing trauma and surgical care.

Matthew Bloom, MD, assistant professor of Surgery, received the Peter C. Canizaro Award, presented by the American Association for the Surgery of Trauma (AAST). This award was established by the AAST in 1991 to recognize the best paper by a young member. Bloom's award-winning paper was titled "BMI Strongly Impacts the Diagnosis and Incidence of HIT in the ICU."

The award was presented in September at the AAST's annual meeting in Las Vegas. This was the most-attended meeting in the association's 74-year history.

For an article about Bloom's findings, click the PDF link below.

HIT Risk Rises With Obesity (PDF)  

Memorial Service for Matloff Set for Nov. 11

Jack Matloff, MD

A memorial service for Jack Matloff, MD, the founding chair and chair emeritus of the Cedars-Sinai Division of Cardiothoracic Surgery, will be held Wednesday, Nov. 11, from 4-6 p.m. in Harvey Morse Auditorium.

All personnel are invited to attend this event celebrating the life and legacy of Matloff, a respected teacher, pioneer and visionary in medicine and in health policy. Matloff died Aug. 20.

Matloff was recruited to Los Angeles in 1969 to develop a cardiothoracic surgery division at what was then Cedars of Lebanon Hospital. During his nearly 30 years at Cedars-Sinai, Matloff and his world-class team grew the division into one of the most highly respected centers for cardiothoracic surgery in the world, as it remains today. He and his team touched the lives of more than 10,000 patients during his tenure.

Previously in Sutures:

Jack Matloff, MD, Leader in Cardiothoracic Surgery (September 2015)

Transplant Trailblazer Named 'Pioneer'

Pioneer in Medicine 2015

"It's really a privilege to be a physician and a scientist," said Stanley C. Jordan, MD, winner of the 2015 Pioneer in Medicine Award.

Jordan's Decision to Pursue Medicine Has Helped Many Who Need New Kidneys

Stanley C. Jordan, MD, decided to pursue medicine shortly after his diagnosis with polio. He was 5.

The impetus behind his decision was simple. A healthcare provider comforted Jordan when no one else really could, and this individual's efforts left such a lasting impression on the 5-year-old from Sparta, North Carolina, that medicine became his career of choice.

Jordan received the prestigious Pioneer in Medicine Award during the annual meeting of the medical staff Oct. 19.

Even after all these years, Jordan hasn't forgotten the comforting clinician. "I felt his compassion and understanding that what I needed was to be comforted," Jordan said during a video tribute in his honor at the meeting. "Never underestimate the power of interactions you have with others."

Jordan's decision to pursue medicine has led to highly sensitized patients worldwide receiving kidney transplants, and the Kidney Transplant Program at the Cedars-Sinai Comprehensive Transplant Center has become an international referral center for patients with high immunological risk.

Vice Chief of Staff Peggy Miles, MD, and Cynthia Nast, MD, professor of Pathology at Cedars-Sinai, introduced and presented the award to Jordan.

"Dr. Jordan is an exceptional clinician and educator who has inspired trainees and colleagues, giving hope to patients in need of kidney transplants around the world," Nast said.

Jordan, director of Nephrology and Transplant Immunology and medical director of the Kidney Transplant Program, has made paradigm-shifting discoveries in the fields of immunology and kidney transplants. He and his team pioneered the use of intravenous immunoglobulin to reduce the risk of rejection in difficult cases in which other medications have failed. He also created a technique to detect post-transplant lymphoproliferative disorder in its earliest stages.

In his research, Jordan continues to pursue desensitization protocols for highly HLA-sensitized patients.

Among those in the audience Oct. 19, were Jordan's wife, Susan, two of his daughters and his two grandchildren, seated with him at a table in front.

Jordan was welcomed to the podium with a standing ovation. He thanked a long list of people, including his family, his team and others at Cedars-Sinai.

"I couldn't have asked for a better life," said Jordan, who started at Cedars-Sinai in 1986.

Throughout his acceptance speech, Jordan never wavered from what has brought him this far — his devotion to comforting those in need.

"It's really a privilege to be a physician and a scientist. Medicine has changed a lot over the years, and too often we get lost in computers and algorithms," he said. "It is important we maintain compassion and the human touch."

This is Jordan's second major Cedars-Sinai award this year. In June, he received the inaugural PRISM research prize for his major contributions to the treatment and care of organ transplant patients.

CS-Link Tip: Be Specific When Storing Problems

This week's tip comes from the newest member of the physician team at Enterprise Information Services, Anil Goud, MD.

When storing problems within problem lists in CS-Link™, use the calculator to drive to as much specificity as possible. (Hint: The more digits in the actual code, the more specific the code.) This will decrease the number of times the calculator will pop up when you use the problem within the visit encounter, or at least decrease the number of options to choose from.

A great example is heart failure:

  • Heart failure — too nonspecific
  • Chronic systolic heart failure — too specific; may not cause the calculator to fire if you wanted to mention an acute component
  • Systolic heart failure — perfect; it will bring up the calculator but should only ask you to choose acuity (acute vs. chronic vs. acute-on-chronic)

For more information, visit CS-Link Central.

For ICD-10 help, email askicd10@cshs.org.

To set up individual or group training to improve your efficiency with CS-Link, email lisa.masson@cshs.org, shaun.miller@cshs.org, anil.goud@cshs.org or margaret.lozovatasky@cshs.org.

Circle of Friends Honorees for September

The Circle of Friends program honored 161 people in September.

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.

  • Elham Afghani, MD
  • Keith L. Agre, MD
  • Paula J. Anastasia Davis, RN, MN, AOCN
  • C. Noel Bairey Merz, MD
  • Mark Bamberger, MD
  • Babak R. Bamshad, MD
  • David Barcay, MD
  • Anat Ben-Shlomo, MD
  • Peiman Berdjis, MD
  • Satinder J. Bhatia, MD
  • Donna M. Bias, BSN, RN
  • Keith L. Black, MD
  • Earl W. Brien, MD
  • Kenneth Brooks, RN
  • Philip G. Brooks, MD
  • Neil A. Buchbinder, MD
  • Christiane Michele J. Burnison, MD
  • Felicia L. Cates
  • David H. Chang, MD
  • Derek Cheng, MD
  • Julie Choi
  • Ray M. Chu, MD
  • Alice P. Chung, MD
  • Eugenio Cingolani, MD
  • Paul Cohart, MD
  • Myles J. Cohen, MD
  • Lawrence S. Czer, MD
  • Ram C. Dandillaya, MD
  • Robert M. Davidson, MD
  • Jonathan Domingo
  • Noam Z. Drazin, MD
  • Amanda M. Duhon
  • Fardad Esmailian, MD
  • Richard Essner, MD
  • Mariana Fayman, PA
  • Edward J. Feldman, MD
  • Brian L. Flyer, MD
  • Stuart Friedman, MD
  • David M. Frisch, MD
  • Steven S. Galen, MD
  • Elayne K. Garber, MD
  • Avrom Gart, MD
  • Ivor L. Geft, MD
  • Alexander Gershman, MD
  • Armando E. Giuliano, MD
  • Martin N. Gordon, MD
  • Ashley Gorelik
  • Jeffrey R. Gramer, MD
  • Leland M. Green, MD
  • Antoine Hage, MD
  • Omid Hamid, MD
  • Michele A. Hamilton, MD
  • Martin L. Hopp, MD
  • Arash A. Horizon, MD
  • Lillian Y. Hsu, MD
  • Laith H. Jamil, MD
  • Patricia A. Jenkins, RN
  • Jennifer Jones
  • Estrella Maria Jordan, RN
  • David Y. Josephson, MD
  • Saibal Kar, MD
  • Beth Y. Karlan, MD
  • David Kawashiri, MD
  • Ilan Kedan, MD, MPH
  • Mohammad R. Khosravi, MD
  • Ali Khoynezhad, MD, PhD
  • Alex "Soo In" Kim
  • Terrence T. Kim, MD
  • Jon A. Kobashigawa, MD
  • H. Phillip Koeffler, MD
  • Michael A. Kropf, MD
  • Lyle D. Kurtz, MD
  • Sofy Landes, MD
  • Gary E. Leach, MD
  • Norman E. Lepor, MD
  • Madeline S. Lerman, BSN, RN
  • Keren Lerner, MD
  • Ronald S. Leuchter, MD
  • Richard A. Lewis, MD
  • Andrew J. Li, MD
  • Aliza A. Lifshitz, MD
  • Michael C. Lill, MD
  • Jonathan I. Macy, MD
  • Ali Mahtabifard, MD
  • Moody M. Makar, MD
  • Rajendra Makkar, MD
  • Adam N. Mamelak, MD
  • Ruchi Mathur, MD
  • Sharron L. Mee, MD
  • Puja K. Mehta, MD
  • Richard J. Metz, MD
  • Kiarash Michel, MD
  • Stewart Middler, MD, PhD
  • Franklin G. Moser, MD
  • Robert T. Naruse, MD
  • Ronald B. Natale, MD
  • David G. Ng, MD
  • Nicholas N. Nissen, MD
  • Edward Kazuhisa Nomoto, MD
  • Una O'Donovan
  • Sara Oliva, BSN, RN, OCN
  • Guy D. Paiement, MD
  • Jignesh K. Patel, MD, PhD
  • Brad Penenberg, MD
  • Alice Peng, MD
  • Anne L. Peters, MD
  • Terry E. Podell, MD
  • Edwin M. Posadas, MD
  • Florian Rader, MD
  • David S. Ramin, MD
  • Soroush A. Ramin, MD
  • Danny Ramzy, MD, PhD
  • Alexandre Rasouli, MD
  • Joseph R. Recinos
  • Madison F. Richardson, MD
  • Sepehr Rokhsar, MD
  • Barry E. Rosenbloom, MD
  • Fred P. Rosenfelt, MD
  • Gary G. Rosengarten, PhD
  • Kerry Ryan, RN
  • Justin D. Saliman, MD
  • Tracy Salseth, ACNP-BC
  • Jay N. Schapira, MD
  • Wouter I. Schievink, MD
  • Irwin Segal
  • Scott Serden, MD
  • Alan E. Shapiro, MD
  • Michael M. Shehata, MD
  • Khawar M. Siddique, MD
  • Robert J. Siegel, MD
  • Allan W. Silberman, MD, PhD
  • Sharon Sloan
  • Laura Snoussi, BSN, RN, OCN
  • Thomas P. Sokol, MD
  • Karyn Morse Solky, MD
  • Marilyn A. Solsky, MD
  • Andrew Ira Spitzer, MD
  • Jasminka Stegic, MS, ANP-BC, CCRN
  • Jay J. Stein, MD
  • Daniel J. Stone, MD, MPH, MBA
  • Eric R. Sue, MD
  • Kazu Suzuki, DPM
  • Sanjeeta Swamy
  • Andrea M. Swanson
  • Lillian Szydlo, MD
  • Steven W. Tabak, MD
  • Tram T. Tran, MD
  • Alfredo Trento, MD
  • Richard Tuli, MD, PhD
  • Leticia O. Uy, RN, OCN
  • Marina Vaysburd, MD
  • Robert A. Vescio, MD
  • Daniel J. Wallace, MD
  • Christine S. Walsh, MD
  • Shaomei Wang, MD, PhD
  • Xunzhang Wang, MD
  • Tricia A. Wilson, LVN
  • Charles L. Wiseman, MD
  • Philip A. Yalowitz, MD
  • Clement C. Yang, MD
  • Laura S. Young