A monthly newsletter for physicians, nurse practitioners, physician assistants & other March/April 2020 health care professionals

NMMC Cancer Care remarkable group who dedicate their The 49 award-winning cancer care lives in service to their fellow man. programs represent approximately 7% Receives Outstanding This award is recognition for the of programs surveyed by the CoC Achievement Award exceptional patient- and family- Jan. 1-Dec. 31, 2019. “These cancer centered care that is provided programs currently represent the best The Commission on Cancer (CoC) every day at NMMC, but most of the best when it comes to cancer of the American College of Surgeons importantly, it recognizes our care,” added Dr. Shulman. “Each of (ACS) has granted its 2019 Outstand- unwavering commitment to cancer these facilities is not just meeting ing Achievement Award to a select patients and their families in our nationally recognized standards for group of 49 accredited cancer programs community.” the delivery of quality cancer care, throughout the United States, including The purpose of the award is to they are exceeding them.” North Mississippi Medical Center. raise the bar on quality cancer care, “To meet the basic standards of care with the ultimate goal of increasing established by the CoC, programs NMMC Welcomes awareness about quality care choices must commit significant time and among cancer patients and their loved New Hospitalist resources throughout each three-year ones. NMMC welcomes accreditation cycle,” said Ray Reed, “More and more, we’re finding that Raymond Seay, M.D., radiation oncologist and NMMC patients and their families want to D.O., for the Cancer Committee chair. “While most know how the health care institutions practice of hospital programs in our region are not CoC- in their communities compare with medicine. accredited, NMMC Cancer Care has one another,” said Lawrence N. Dr. Seay received been continuously accredited since its Shulman, M.D., MACP, Chair of the his bachelor’s inception. In fact, we are the oldest CoC. “They want access to informa- degree in biological continuously accredited program in tion in terms of who’s providing the sciences at Florida the northern half of Mississippi. best quality of care, and they want to State University, and his medical “To receive the Outstanding know about overall patient outcomes. degree from Nova Southeastern Achievement Award is the result of Through this recognition program, I’d University College of Osteopathic many hours of hard work by an out- like to think we’re playing a small but Medicine. He completed his internal standing team of people whose life’s vital role in helping them make medicine residency at Magnolia work is spent taking care of people informed decisions on their cancer Regional Healthcare. He is board in their greatest time of need. I care.” certified in internal medicine. am proud to work alongside this

To submit information, call (662) 377-2371 or email [email protected]. Visit www.nmhs.net/practice-notes to read this newsletter online. NMMC to Launch cardiology, palliative care, geriatrics, rheumatology, endocrinology and Internal Medicine nephrology – to gain diverse Residency Program experience. “Mississippi is ranked last nation- The Accreditation Council for wide for physician accessibility,” Dr. Graduate Medical Education has Pizzimenti explained. “Our goal accredited a new Internal Medicine with the Internal Medicine Residency Program at NMMC. Residency Program is to bring more The program kicks off in July 2021 doctors to the state, as doctors tend with 12 internal medicine physicians to stay where they train.” who have completed medical school The application process begins and will spend three years training Women’s Hospital Staff this fall through the Electronic in internal medicine throughout Resident Application Services (ERAS). are very proud to be recognized for NMMC. Dr. David Pizzimenti, Around 50-75 applicants will be inter- the hard work of our team members NMMC’s associate medical officer of viewed for the 12 slots. Positions will throughout this process,” said Ellen Acute Care, will lead the residency be awarded in March 2021, and resi- Friloux, vice president of NMMC program in addition to the hospitalist dents will start the program on July 1. Women and Children’s Services. program. Before joining NMMC in “As these young doctors and their “This designation recognizes our 2019, he was the founding director of families move to our area, I encourage commitment to ensuring that every the internal medicine residency and area residents to welcome them to our woman who delivers a baby here hospitalist programs at Magnolia community,” Dr. Pizzimenti said. “We receives the resources, information Regional Health Center in Corinth. want to help them become part of our and support needed to give her baby The Internal Medicine Residency community because in turn, they will the healthiest start in life.” Program will operate similarly to be helping all of us.” NMMC’s Family Medicine Residency For more information, contact Program, which was founded in program coordinator Dorie Crouch 1994. In addition to Dr. Pizzimenti, New Minimally Invasive at (662) 377-6652 or dlcrouch@ the faculty will include Drs. Bradley nmhs.net. Procedure at NMMC Boldizar, Renee Walters, Renata

Palasiewicz and Marissa Cruz. Prevents Stroke Renovation projects underway NMMC Women’s NMMC recently became the first for the program include a state-of- Hospital Receives hospital in north Mississippi to use a the-art education center within the new, less-invasive procedure called hospital and a new clinic area inside Prestigious Baby- TransCarotid Artery Revascularization IMA-Tupelo. In addition to daily Friendly Designation (TCAR) to safely reduce the risk for lectures and case presentations stroke in patients with blocked NMMC Women’s Hospital has Monday-Friday, residents will rotate carotid arteries but considered too achieved the highly prestigious through various areas – critical care, risky for traditional surgery. international Baby-Friendly pulmonology, gastroenterology, Vascular surgeon Joey Stinson, designation after a rigorous M.D., and cardiothoracic surgeon review process conducted by Baby- Vishal Sachdev, M.D., performed the Friendly USA, the organization first two cases at NMMC on Feb. 21. responsible for bestowing this The procedure lowers patients’ risk certification in the United States. for stroke with faster recovery, less This honor demonstrates that pain and smaller scars. NMMC is adhering to the highest TCAR is an important new option standards of care for breastfeeding to prevent stroke. “This procedure mothers and their babies. Standards is particularly suited for the large are built on the Ten Steps to Successful portion of patients we see who are Breastfeeding, a set of evidence-based at higher risk of complications practices recommended by the World from carotid surgery because of Health Organization and the United Leading NMMC’s new Internal Medicine Residency age, anatomy or other medical Nations International Children’s Program are (front row) Dr. David Pizzimenti, conditions,” Dr. Stinson said. “We Emergency Fund (UNICEF). director; Dr. Renee Walters; Dorie Crouch, program perform the procedure through a coordinator; (back row) Dr. Renata Palasiewicz and “Achieving the Baby-Friendly much smaller incision at the neckline Dr. Bradley Boldizar. Dr. Marissa Cruz is also on designation is not an easy task. We just above the clavicle instead of a faculty.

page 2 longer incision on the neck.” Study: PENGUIN 2: A Phase III, Study: Randomized, Double-blind, The TCAR procedure was devel- Randomized, Double-blind, Placebo- Phase III Study of Tucatinib or oped by Sunnyvale, California-based Controlled Study to Evaluate the Placebo in Combination with Ado- Silk Road Medical Inc., and more than Efficacy and Safety of Filgotinib in Trastuzumab Emtansine (T DM1) for 10,000 cases have been performed Subjects with Active Psoriatic Subjects with Unresectable Locally worldwide through clinical trial and Arthritis who have an Inadequate Advanced or Metastatic HER2+Breast commercial use. Response or are Intolerant to Biologic Cancer (SGNTUC-016) For more information, visit DMARD Therapy (GS-US-431-4567) Investigators: Charles Montgomery, www.nmhs.net/vascular or call Investigators: Charles King, M.D. M.D. (PI); Andrew Kellum, M.D.; Cardiothoracic and Vascular Surgery (PI); Marian Boykin, FNP-C Jiahuai Tan, M.D.; Paschal Wilson, Clinic at (662) 377-7170 or 1-800- Summary: The purpose of this study M.D.; Ashley Gilliland, ACNP; Jessica THE DESK (1-800-843-3375). is to determine if filgotinib is effective Glidewell, ACNP; Tammy Pelegrin, and safe for the treatment of psoriatic ACNP arthritis in subjects who do not respond to disease modifying anti- Study Renewals: rheumatic drug therapy. Study: Blood Sample Collection to Evaluate Biomarkers in Subjects with Study: TORUS 2 – The PQ Bypass Untreated Solid Tumors (ES2018-01) Pivotal IDE Intra-arterial Stent Graft Investigators: Paschal Wilson, M.D. Study for Occlusive and Re-Stenotic (PI); Andrew Kellum, M.D.; Charles Fem-Pop Revascularization – 2 Trial Montgomery, M.D.; Jiahuai Tan, M.D.; Investigators: Barry Bertolet, M.D. Ashley Gilliland, NP; Jessica (PI); Dane Ballard, M.D.; Michael Boler, Glidewell, NP; and Tammy Pelegrin, D.O.; Joseph Stinson, M.D.; Chris Bell, NP. Vascular surgeon Dr. Joey Stinson (front row, fourth ACNP; Lee Ferguson, ACNP; Katie Summary: The purpose of this study from left) and cardiothoracic surgeon Dr, Vishal McDuffie, CFNP is to collect blood samples to better Sachdev (second from left) performed the first two Summary: The purpose of this study understand the biomarkers of patients TransCarotid Artery Revascularization (TCAR) is to determine how safety and effec- with breast, lung, colorectal, prostate, cases at NMMC on Feb. 21. tive the TORUS Stent Graft System is bladder, uterine, kidney, pelvis, when used in subjects who have pancreatic, liver, stomach, ovarian blocked arteries in the lower limbs. or esophageal cancer. Enrollment is IRB Approves, open. Renews Studies Study: The SyncAV Post-Market Trial The NMHS Institutional Review is a Prospective, Randomized, Study: COBRA REDUCE – Cobra Board (IRB) currently oversees more Multicenter Trial Performed to PzF Stenting to Reduce the Duration than 80 biomedical and behavioral Determine if Cardiac of Triple Therapy in Patients Treated studies. The IRB meets monthly and Resynchronization Therapy (CRT) with Oral Anticoagulation the following studies were approved Devices Programmed with SyncAV Undergoing Percutaneous Coronary and renewed at the February meeting. ON Improve Long-term CRT Intervention (COBRA 2015-01) Response Compared to Devices Investigators: Barry Bertolet, M.D. New Studies: Programmed with Conventional CRT (PI); Joseph Adams, M.D.; Dane Study: PENGUIN 1: A Phase 3, through Evaluation of Changes in Ballard, M.D.; Benjamin Blossom, Randomized, Double blind, Placebo Left Ventricular Reverse Remodeling M.D.; Roger Williams, M.D.; Chris and Adalimumab-controlled Study to (CRD-973) Bell, ACNP; Lee Ferguson, ACNP; Evaluate the Efficacy and Safety of Investigators: Karl Crossen, M.D. Katie McDuffie, CNP Filgotinib in Subjects with Active (PI); Karthik Prasad, M.D.; Jim Stone, Summary: The purpose of this study Psoriatic Arthritis Who Are M.D.; Chris Bell, ACNP; Lee is to collect information about the Naïve to Biologic DMARD Therapy Ferguson, CFNP; Katie McDuffie, safety and effectiveness of the COBRA (GS-US-431-4566) CFNP PzF Coronary Stent System in the Investigators: Charles King, M.D. Summary: The purpose of this study treatment of new lesions in native (PI); Marian Boykin, FNP-C is to evaluate changes in heart size coronary arteries with a shortened Summary: The purpose of this study between baseline and 12 months in duration of dual antiplatelet therapy. is to determine if filgotinib is effective subjects with a CRT device pro- Enrollment is open. and safe for the treatment of psoriatic grammed with SyncAV compared to arthritis in subjects who have never subjects with standard CRT device . had or are not on disease modifying settings. anti-rheumatic drug therapy.

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www.nmhs.net/practice-notes

Continuing Medical Education The CME Program is based in the NMMC Education Department and works to provide quality educational programming that will meet general as well as specific professional needs. Please call (662) 377-3826 or the Consult Line at 1-800-952-8101 if you have CME comments and/or suggestions. Select CME programs are by invitation only and are also subject to change.

Please RSVP upon receipt of invitation. Visit www.nmhs.net/cme for more information.

April 10 • Josie Bidwell, DNP, will discuss The Development of a Lifestyle Medicine Clinic Neuro/Radiology Case Studies The event will close with a panel discussion. Noon “I’m very excited to have secured the speaker, co-author of the NMMC North Education Center Room 7/8 book ‘Sick to Fit,’ Josh Lajaunie, who’s got a unique story of losing 200 pounds, and having run over 100 miles after tipping the 400- NMMC to Offer Lifestyle Medicine Conference pound mark,” says Dr. McCarty, co-director of the Lifestyle Medicine Conference. “One of the goals of the conference is not only to make April 3 more people aware, but also making physicians aware and educating NMMC will offer a Lifestyle Medicine Conference at 8 a.m. Friday, them, and incentivizing people of the value of the plant-based diet. April 3, in the NMMC North Education Center. Seventy percent of the problems I see on a daily basis consisting of The agenda for the conference includes: heart disease, diabetes and chronic obesity could all be reversed by • Josh LaJaunie, co-author of the book “Sick to Fit.” using a plant-based diet.” • Richmond McCarty, D.O., will discuss Plant-Based Nutrition & Continuing education credit will be available for health care Reversal of Disease providers. Lunch will be catered and feature plant-based food and • Emily Littlejohn, MS, RD, LD, will discuss Popular Approaches to healthy snacks. There is no cost for NMMC employees. The fee for Weight Management non-NMMC employees is $50. • Sandra Holmes, Ph.D., will discuss The Science of Food Addiction For more information, call (662) 377-3826 or visit & Cravings www.nmhs.net/cme.