CONSULTA Newsletter for Medical Professionals

SPRING 2021

UAMS Transplant Clinics Open More Regional Satellite Offices

UAMS liver or kidney transplant patients who live The vision of UAMS is to help make the outside Central Arkansas will now find it much easier healthiest state in the region. The opening of these to schedule follow-up visits. clinics allows the transplant team to engage patients A satellite clinic opened March 12 at the UAMS in education and care in their local community. Northeast Regional Campus in Jonesboro. Then This local engagement ensures a patient-centered on March 26, another clinic opened at the UAMS delivery of care that is essential to the long-term Southwest Regional Campus in Texarkana. health of the transplant patient. A third satellite campus has been operating at “We’re trying to make it a little more convenient for UAMS Northwest Regional Campus in Fayetteville for them and help them be more compliant,” she said. “It’s a couple of years. our way of honoring the donor and donor’s family.” Stephanie Thomson, RN, clinical services manager UAMS offers the only adult liver and kidney for the transplant program, said there is a tendency transplant centers in Arkansas, and currently for transplant patients who live outside Central manages 676 kidney recipients and 387 liver Arkansas to struggle with returning to UAMS’ Little recipients spread across the state. Rock campus for follow-up visits after their first year Appointments can be made by contacting the following the transplant, and “we’d like to reduce Solid Organ Transplant office directly at 501-614- that tendency.” 2168 (kidney) or 501-686-8790 (liver).

(Continued on page 2) March 2021 (Continued from page 1) Message from Dr. Seupaul

UAMS Fayetteville Dear Colleagues,

Transplant A year ago, Clinics we didn’t know NEW! what this spring Jonesboro would bring. But somehow, after months of persevering, we are finally seeing Little Rock a light at the end of a very long tunnel. Uncertainties over the past year about how to slow the transmission of COVID-19 have given way to the introduction of promising vaccines. NEW! But we can’t rest just yet. Texarkana While we know that widespread vaccinations are the solution to the pandemic, we Liver transplant patients space in existing UAMS Health know it is a huge undertaking. We are expected to return for Family Medicine Clinics, where know the process of administering follow-up visits for life, while routine diagnostic equipment – a the vaccine is meticulous, and it will take time to get to everyone kidney transplant patients have laboratory, radiology equipment on the waiting list. We also know the option after one year of and electrocardiogram equipment that for many, fears linger about continuing to receive after-care – is already in place. the unknown side effects of from the UAMS transplant team UAMS physicians will travel to something so new. or return to a nephrologist in the outlying clinics on a regular As physicians, we must their area. Patients who return to schedule, with a provider traveling continually reassure our patients their local nephrologist are seen to the Fayetteville clinic on the first and the general public of the by a UAMS transplant provider Friday of every month, to Jonesboro safety and the benefits of the annually. on the second Friday of every vaccines while also emphasizing a While the team didn’t have any month and to the Texarkana clinic need to maintain our now well- specific requests from patients on the fourth Friday of every month. established practices of physical to bring the after-care services Several transplant nephrologists distancing, wearing masks and closer to them, “we thought it was and surgeons have agreed to hand washing. important to meet the needs of our provide transplant-related services Not only must we continue to more rural patients,” Thomson said. at the clinics, and others are provide guidance to encourage The satellite clinics will occupy expected to join. vaccination efforts and good preventive practices, we have to support each other as we grow weary after an extended period of being constantly on guard. As physicians who directly deal The 2021 UAMS Referring Physician Quick with patients, we are the key to Reference is now available online! the success of this effort. Thank you, UAMS.Health/QuickReference

Its content has been expanded to include: n Regional Campuses Rawle A. Seupaul, M.D. n Clinics in Northwest Arkansas Chief Clinical Officer UAMS Medical Center n Coronavirus Resources Stanley E. Reed Professor & Chair n Preceptor Opportunities Department of Emergency n AR-Connect Medicine n MedNews Plus UAMS College of Medicine

2 to Updates from UAMS News Know: Physician Relations

UAMS Health Launches Back non-emergency conditions. Physician Relations and Neck Clinic Fellowship-trained board- & Strategic Development Now patients can see both a certified vascular surgeons physical therapist and a doctor work alongside cardio-thoracic Chief Clinical Officer Rawle A. Seupaul, M.D. specializing in spine and sports surgeons, medical geneticists, [email protected] injuries during the same visit. cardiovascular anesthesiologists, board-certified critical care The Back and Neck Clinic at Director 10815 Colonel Glenn Road in Little surgeons and multi-disciplinary Melanie Meyer, M.Ed. Rock provides team-based care post-surgical care teams. [email protected] for patients suffering from back or All forms of routine and neck pain. advanced open surgery are Manager Often, tests including an MRI are provided, as well as state-of- Carla Alexander, M.Ed. ordered for someone experiencing the-art complex endovascular [email protected] acute pain, though about 80% of surgery. UAMS is the state leader in endovascular minimally invasive Byron Jarrett patients end up being referred to [email protected] physical therapy. procedures, and is the only The clinic provides care on the institution in the state performing Wendy Sheridan same day or shortly after the pain fenestrated endovascular aortic [email protected] starts, to help patients recover operations to treat patients with complex aneurysms. quickly without having to navigate CONSULT multiple layers of the health Call 501-686-6080 day or night is produced by the UAMS Office care system. to speak to a vascular surgeon of Communications & Marketing On the first visit, patients are and arrange an immediate transfer and Physician Relations & evaluated by both a primary care through an “aortic pathway” that Strategic Development. physician specializing in spine gathers team members before the patient’s arrival. Editor and sports injuries and a physical Linda Satter therapist trained in back issues. Imaging is only ordered if needed. UAMS Completes its Regional Clinics’ Conversion to Epic Designer If physical therapy is determined Norma Edwards to be the best treatment, the Software first session will begin during While the Epic electronic Vice Chancellor for that appointment. medical record software has been Referrals aren’t needed unless required in use at UAMS’ main campus and Communications & Marketing by health insurance. To schedule an its Central Arkansas clinics for Leslie Taylor appointment, call 501-686-5270. The eight years, it is now available at all fax number for submitting medical of UAMS’ regional campuses. records is 501-686-7928. The regional campuses in Helena-West Helena, Pine Bluff, Aortic Center Centralizes Fayetteville, Springdale, Batesville, Care, Offers Full Range of Jonesboro, Texarkana, Magnolia Treatment and Fort Smith began the UAMS Health has brought conversion in September 2019, together its comprehensive, and completed it in 2020, allowing cutting-edge treatments for the more than 65,000 additional full range of vascular diseases and patients to benefit from records CONSULT conditions under a single heading: becoming more accessible of the the Aortic Center. to providers and more easily Quiz Month Centralizing all aspects of its transferrable. multi-disciplinary care allows Question

UAMS to continue offering the Orthopaedic Physicians Join What is “white clot syndrome”? most advanced vascular surgery Two UAMS Specialty Clinics preparations. Heparin

practice in the state, with more Benjamin Stronach, M.D., Weight Molecular Low using prophylaxis

specialists. has joined UAMS as an DVT with observed been also Has heparin. from platelet aggregation induced by by induced aggregation platelet from

The Center provides early and orthopaedic surgeon specializing resulting thromboses to due amputation

complete diagnosis, appropriate in hip and knee arthroplasty, major or death in results often it untreated,

medical and/or surgical a minimally invasive surgical If finding. constant a is Thrombocytopenia

management, and long-term procedure used to restore function diagnose. to difficult and insidious

follow-up for patients of any age. to a joint. He sees patients at the often process, antibody-mediated an is Heparin induced intra arterial thrombosis thrombosis arterial intra induced Heparin It treats critical conditions such UAMS Health Orthopaedic Clinic A as aortic dissections and ruptures at 2 Shackleford West Blvd. in nswer that require emergent care, and Little Rock.

(Continued on page 4) 3 For a list of new physicians, visit to News Know: Updates from UAMS UAMShealth.com/MD (Continued from page 3) MitraClip, a catheter-based minimally invasive procedure in medical which a clip is placed into the management. heart that attaches to the mitral Her other clinical valves, to treat severe mitral valve interests include regurgitation; and a Left Atrial holistic, patient- Appendage Occlusion procedure centered care involving a permanent implant and treatment for designed to close the left atrial chronic pain from Benjamin Kathryn L. appendage in the heart, to try to sickle cell disease. Stronach, M.D. Nance, M.D. reduce the risk of stroke. Jackson completed her Kathryn L. Nance, M.D., a The LAAO procedure is for residency in anesthesiology at board-certified family medicine patients with non-valvular atrial Massachusetts General , physician fellowship-trained in fibrillation who cannot tolerate where she also was a fellow in sports medicine, is now seeing blood thinners. chronic pain medicine. Earlier, she patients at the UAMS Health Dhar was the associate program interned at Vanderbilt University Orthopaedics and Sports Medicine director for the Cardiovascular Medical Center in Nashville, Clinic at 10815 Colonel Glenn Road Disease Fellowship Program Tennessee, after attending in Little Rock. at Michigan State University medical school at Johns Hopkins To make a referral to either doctor, call in East Lansing, Mich. He was University in Baltimore, Maryland. 501-526-1046. fellowship-trained in Interventional To make a referral, call 501-686-8818. Cardiology at the University of Gaurav Dhar, M.D., Joins Chicago Medical Center. Dr. C. Lowry Barnes UAMS as Director of To make a referral, call 501-686-5311. Recognized as One of Nation’s Interventional Cardiology Top Orthopaedic Surgeons Gaurav Dhar, M.D., has joined Anesthesiologist Jaleesa Becker’s Healthcare, an industry UAMS Health to establish and Jackson, M.D., Joins UAMS, leader in health grow the Structural Heart Specializing in Cancer Pain care information, Program within the Division of Management recently named Cardiovascular Medicine. Jaleesa A. Jackson, C. Lowry Barnes, , professor As the director M.D., a fellowship-trained M.D. of Interventional anesthesiologist, has joined and chair of Cardiology, the Pain Clinic in the Jackson T. UAMS Health’s he is focusing Stephens Spine and Neuroscience Department of primarily on Institute at UAMS. Orthopaedic three procedures: An associate professor in Surgery, as one of the nation’s Transcatheter Chronic Pain Medicine, she top orthopaedic surgeons. He Aortic Valve specializes in helping cancer was named one of “65 total Replacement, patients manage severe pain knee replacement surgeons to a treatment for severe aortic through the use of fluoroscopic know” and was the only Arkansas valve stenosis known as TAVR; injections, nerve blocks and surgeon on the list.

UAMS PHYSICIAN RECRUITMENT & PROVIDER PLACEMENT PROGRAM

The UAMS Physician FEATURED JOBS Recruitment & Provider Placement Family Medicine Residency Program Faculty: UAMS is seeking a Board Certified Family Program has a Physician for a full-time faculty position in the UAMS South Central Family Medicine team of placement Residency Program in Pine Bluff, Arkansas. specialists dedicated Pediatric Opportunities: UAMS is seeking BC/BE Pediatricians across several specialties, to serving the including a Clinical Informatics Pediatric Fellow position and a Med/Peds opportunity at recruitment needs UAMS West in Fort Smith. of our partner communities, UAMS Specialty Opportunities: New opportunities have been added in Pulmonary Disease and Regional Campuses Critical Care, Cardiology, Gastroenterology and Infectious Diseases. and UAMS faculty. Recruitment services contact: Carla Alexander: 501-686-7934 or [email protected] Physician/provider opportunities For a complete listing of job descriptions and opportunities, visit: UAMS.Health/MD are available in all specialties throughout Arkansas. Follow MedJobArkansas:

Lorem ipsum Lorem ipsum 4 PHYSICIAN PROFILE

3-D Imaging Part of Spectrum of Cardiac JASON S. MIZELL, M.D. Diagnostic Tools at Heart Center Colorectal Surgeon

At left is a multiplanar What inspired you to become reformatted image a doctor? of severe stenosis Oddly enough, my big of the proximal LAD artery. Image decision was between going of normal coronary to seminary or med school, artery at right. but I think a desire to take care of people was behind both ideas. When I took the MCAT, did well, and got into medical school on my first attempt, I took that as an indication God was helping guide my path. Now I like to frame it that surgery is my ministry, and really, I can show God’s love The full spectrum of diagnostic tools available through through whatever I am doing. the UAMS Health Heart Center includes computerized tomography, a newer option that is less invasive than What do you like most about your specialty? traditional diagnostic tests. Colorectal problems can have a huge impact Cardiologists Yusuf Hassan, M.D., and on quality of life. If you can’t eat and can’t Subhi J. Al’Aref, M.D., both fellowship- go to the bathroom, life is miserable. With trained in interventional cardiology, many patients, I feel I’m able to take a difficult joined UAMS in 2020 and have expanded situation and make vast improvements for 3D-cardiac imaging at the UAMS Health them. Heart Center. CT coronary angiography uses X-rays and What are your clinical specialties? the injection of contrast to show the heart One of our biggest areas of focus is colorectal Yusuf Hassan, M.D., arteries and blood supply. The procedure is cancer, where the last three years we have noninvasive and requires no recovery time. been ranked by U.S. News and World Report Al’Aref said the 3-D cardiac imaging for our excellence in colon cancer surgery. is particularly useful when a stress test In addition, our colorectal team sees many indicates changes in a patient’s blood flow cases of inflammatory bowel disease, Crohn’s that could be indicative of a blockage, but disease and ulcerative colitis. We take full doctors want to avoid an invasive procedure advantage of endoscopic techniques, which just for investigative purposes. He noted that reduces the need for an advanced operation 30-40% of patients with blood flow changes in many cases. don’t actually have a blockage. Subhi J. Al’Aref, M.D. A meticulous scanning process that Do you have a passion outside of surgery? minimizes exposure to radiation is used to I have taught a Business of Medicine course produce high-quality images that allow doctors to see how to the UAMS fourth-year medical students much plaque is in the arteries and where the blockage is. for several years. I saw a need to educate “One successful application is in our liver and kidney students on everything from how to set up transplant programs,” he said. “To save them an invasive their practice, to paying back student loan procedure is a big deal.” debt, to making big purchases and saving The Heart Center also offers a CT heart test that detects for retirement. I didn’t want them to start buildup of calcium in the heart, a good indicator of the their careers with a deficit in their business amount of plaque that can narrow or close off arteries. knowledge – the way many of us did. Now, I These noninvasive CT tests are available alongside give presentations on the subject nationally to other diagnostic tools like exercise stress tests, chemical established physicians and students alike, and stress tests, MRI, ultrasounds and the traditional invasive it has become a fulfilling side interest to my angiography, in which a catheter is threaded to the heart work as a surgeon. vessels via the groin or arm. “There are many risk factors that should trigger a referral What’s the best way to make a referral? for a consult with one of our fellowship-trained cardiologists Call colorectal surgery at 501-686-8211 or the before acute care is needed,” Hassan said. “Family history, risk Physician Call Center at 501-686-6080. You factors such as high blood pressure, smoking, obesity, diabetes, can also reach me by email at inactivity, a high-fat diet and chest pain that comes and goes [email protected]. with exercise – these are all reasons to take a closer look.” To make a referral, call 501-526-1000. n MEDICAL CASE STUDY: Innovative Use of Technology Removes Dangerous Clot Without Open Heart Surgery

Initial Contact then assembled a team of physicians avoiding open-heart surgery while A 36-year-old man with congestive and nurses to assist them, in the removing the enormous clot and heart failure presented to the UAMS event they came across patients with preventing it from going to the lungs on Dec. such problems. and potentially killing the patient. 23 after he suddenly had difficulty “Dr. Vallurupalli called me right Bhama decided to go forward with breathing. away and said, ‘I think we’ve found the procedure. A CT scan showed a pulmonary someone who could really benefit embolism in his lungs. A blood clot from this,’” Bhama recalled. “I Procedure had formed in the patient’s legs thought, wow, this would be really The following day, the surgeon and traveled to the lung. To make helpful if we could remove this clot and the cardiologist gathered in matters worse, an echocardiogram from the heart without an open the operating room with a large revealed that he had a large blood surgical operation.” team that included perfusionists, clot that was hanging precariously, Generally, when faced with a anesthesiologists, nurses specially caught just below the tricuspid valve significant pulmonary embolism trained in heart surgery, several of his heart and headed toward and a residual clot traveling to the physician assistants and surgical the lungs – a situation known as a lungs, open heart surgery is needed assistants. thrombus-in-transit. to remove the clot and save the The team began by putting a “A piece of clot hanging around in patient’s life. Blood travels through sheath, a very large tube, in the the heart is a ticking time bomb,” said the veins to the right side of the jugular vein in the patient’s neck, Srikanth Vallurupalli, M.D., a UAMS heart, which pumps the blood to and another sheath in the femoral Health cardiologist and associate the lungs, allowing the lungs to vein in the patient’s leg. Then they professor of Internal Medicine. oxygenate the blood and return it introduced the AngioVac through Jay K. Bhama, M.D., a UAMS to the left side of the heart where the sheath into the bloodstream, heart surgeon and professor & chief it is pumped to the body, allowing establishing an external circuit of cardiovascular surgery, put it this organs to function. Clots can form in through which the device, when way: “The worry was that he could the legs and travel the same route. turned on, would begin drawing collapse and die at any moment.” When they get stuck in the blood up blood, filtering it and pumping vessels traveling from the heart to the the filtered blood back into the Assessment lungs, it prevents an adequate supply femoral vein. The usual treatment is to start blood of blood from getting to the lungs, Vallurupalli, an imaging thinners to try to dissolve the clot. leading to cardiac collapse and death. expert, used a transesophageal The patient was started on Heparin While this patient had small clots echocardiogram to monitor what intravenously and Warfarin orally as that had already gone to the lungs, was happening inside the patient’s a precaution. However, due to the those weren’t a big concern for the body, guiding Bhama as the surgeon mobility of the clot in the heart, there doctors because they were easily advanced the device though the was a concern that if it broke loose dissolvable with an anticoagulant and sheath, which ends just above the and traveled to the lungs, it might were not life-threatening. heart, into the patient’s heart. When obstruct vital blood flow, causing But the large clot in the heart Vallurupalli told Bhama he was at immediate death. “would have caused a major problem the right spot, Bhama turned on the Vallurupalli then called in Bhama if it traveled to the lungs,” Bhama said. device, enabling its funnel-shaped to discuss the possibility of using Open heart surgery involves end to act like a low-level vacuum new technology – a device called an cutting open the chest and cracking cleaner and suck out the clot, which AngioVac – to remove the clot. The the breastbone, placing the patient had come to resemble a snake AngioVac system, which is used with on a heart-lung machine and wiggling around in the heart when it a pump, filter and reinfusion cannula, stopping the heart. Then the surgeon got stuck. was designed to avoid the need for opens up the arteries and removes The suctioned-out clot was an open heart operation. the clot. collected in the filter, allowing the Its common usage is to essentially Bhama noted that it can be “very team to see how big it was: about the “vacuum out” undesirable morbid surgery and can result in size of a pinky finger. intravascular material such as fresh, the patient needing a very, very Throughout the procedure, soft vegetations that are stuck to long time to recover.” He also was Vallurupalli kept the team apprised the right heart valves or pacemaker acutely aware that “this man’s heart about whether the clot was still wires, but the two heart specialists function was so poor, I don’t think he there, eventually confirming that the had met just a couple of weeks would have done very well if we had entire clot had been removed. The earlier with representatives of the stopped his heart.” entire process took about two hours, device manufacturer to explore its Both doctors saw the AngioVac though the machine was on for only possible other applications. They procedure as a viable solution for about 15 minutes.

6 The top two photos are Jay K. Bhama, M.D. images of the blood clot. At left is the thrombus in the Professor and AngioVacfilter. The second is the thrombus burden: Chief of Division of multiple pieces of blood clot that were removed from the Cardiovascular Surgery, filter to be sent to pathology. From left to right on bottom Department of Surgery are ultrasound images depicting the thrombus and UAMS College of the view after the thrombus Medicine was evacuated.

Education Vallurupalli called Doctor of Medicine, Baylor College of the use of the new Medicine, Houston, Texas technology “potentially a life-saving procedure.”

Bhama agreed, saying Residency “We were able to remove the General surgery, Michael E. DeBakey clot completely by using the new of the clot, “It was imminent that Department of Surgery, technology in a creative manner,” it was going to end up in the lungs Vallurupalli said. and probably kill him.” Baylor College of Medicine “This was a team effort with multiple specialists. It really highlights Discussion Fellowship the true power of our cardiovascular The new technology is best known Advanced cardiac surgery, Mayo Clinic for clearing out vegetations, which program in taking care of of the in Rochester, Minn. sickest patients, combining cutting- are basically infections of the heart valve caused by infected debris Cardiothoracic transplant and edge technology with excellent mechanical circulatory support, patient care, so patients can get the collecting on the valve or tissue, University of Pittsburgh Medical Center most advanced care available in the Bhama said. world, right here at UAMS,” Bhama “We can suck all that out and in Pittsburgh, Pa. said. reduce the burden of the infection,” While it wasn’t the first use of the he said. AngioVac at UAMS, it was the first However, Vallurupalli and Bhama time, to their knowledge, that the said their multidisciplinary use of the device had been used to remove a device was the first time they are Srikanth Vallurupalli, M.D. thrombus-in-transit. aware of that the device was used “for this type of indication.” Assistant Professor of Follow-up They said it proved to be a useful Medicine, Division of The patient remained hospitalized tool in situations such as this, when Cardiology for a couple of extra days to have doctors don’t think a patient can UAMS College of a defibrillator put in, because of his tolerate surgery, offering another congestive heart failure. But if not for example of how technological Medicine the heart failure, he probably would advances are being used at UAMS to have gone home two days after the minimize more invasive procedures procedure. and save lives. Education “The fact that he left the hospital is Doctor of Medicine, Jawaharlal Institute a testament to the care he received,” Referrals Vallurupalli said, noting that while To make a cardiology or of Post Graduate Medical Education and the thrombus-in-transit hadn’t yet cardiovascular surgery referral, call Research In Pondicherry, India caused any problems, the threat of it 501-686-5311. n embolizing created an urgent threat Residency to his life. Internal medicine, University of Illinois at Urbana ADH & UAMS Weekly COVID-19 Update Champaign.

Mondays at Noon Fellowship Cardiovascular diseases, Live with Jennifer A. Dillaha, M.D. Zoom Meeting ID: 987 7769 7461 UAMS Health State Epidemiologist Dial in: (312)626-6799 Medical Director, Immunizations & Passcode: 2020 Outbreak Response Arkansas Department of Health NONPROFIT ORGANIZATION U.S. POSTAGE PAID 4301 W. Markham St., #727 LITTLE ROCK, AR Little Rock, AR 72205 PERMIT NO. 1973

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A resource of the UAMS Institute APRIL 6 MAY 11 JUNE 8 for Digital Health & Innovation, the TBD Structural Cardiac Interventions Sickle Cell Update LearnOnDemand.org web portal Molly Reeves, M.D. Gaurav Dhar, M.D. Collin Montgomery, APRN offers health care professionals Department of Psychiatry Department of Cardiology Leigh Ann Wilson, LCSW the flexibility of earning continuing Division of Child and Adolescent education (CE) on their own Psychiatry MAY 18 JUNE 15 schedule, through an expanded Moving the Needle: Supporting Moving the Needle: Exploration array of teleconferences and APRIL 13 Providers and Families in of the Principles and online courses. Aortic Aneurysms Healthcare Applications of ABA Kyla Shelton, M.D. Amy Hess Renee Speight, Ph.D. n Track all educational hours Division of Vascular Surgery and Behavorial Health Outreach Teaching Assistant Professor of and credits earned inside or Endovascular Surgery Nationwide Children’s Hospital Special Education outside the program Pediatric Psychology and Department of Curriculum and n Ensure compliance with the CE APRIL 20 Neuropsychology Instruction, requirements for the national Moving the Needle: Medicaid Child Development Center accrediting organizations for Funded Services for Children Angie Fedele JUNE 22 physicians and nurses with ASD Director of Operations, Clinical Interventional Approaches to n Earn certificates of attendance Karan Burnette Programs Autism Speaks Cancer Pain for a variety of other disciplines Director, Partners for Inclusive Jalessa Jackson, M.D. Communities, Arkansas’ MAY 25 Interventional Pain, University Center of Excellence Influence Your Culture: Department of Anesthesiology LearnOnDemand.org on Developmental Disabilities Survive the Stress For information on Steve Dickins, J.D., FACME JUNE 29 LearnOnDemand, APRIL 27 Vice President, Medical Practice Difficult Conversations in Health contact: [email protected] Professionalism and the Ethics Services, SVMIC Care: Tools for Successfully or 1-855-234-3348. of Communicating with Patients Engaging in Challenging Jamie Carlin Watson, Ph.D. JUNE 1 Conversations To request speakers or topics or to Department of Medical Aortic Emergencies Konstantinos Arnaoutakis, M.D. learn more about how the UAMS Humanities and Bioethics Christian Simmons, M.D. Department of Internal Medicine, Physician Relations & Strategic Department of Vascular and Division of Hematology and Development team can help you, MAY 4 Endovascular Surgery Oncology visit UAMShealth.com/MD Surgical Treatment of Liver Cancer Lyle Burdine, M.D., Ph.D. Department of Surgery- Transplantation BREAKING MEDICAL NEWS Register Now! AND FREE CME/CE ONLINE. Visit UAMS.MedNewsPlus.com to register online now.