Rhode Island M Edical J Ournal

Total Page:16

File Type:pdf, Size:1020Kb

Rhode Island M Edical J Ournal RHODE ISLAND M EDICAL J OURNAL GROWING A MEDICAL SCHOOL DR. ARONSON’S RECOLLECTIONS MAY 2015 VOLUME 98 • NUMBER 5 ISSN 2327-2228 Your records are secure. Until they’re not. Data theft can happen to anyone, anytime. A misplaced mobile device can compromise your personal or patient records. RIMS-IBC can get you the cyber liability insurance you need to protect yourself and your patients. Call us. 401-272-1050 IN COOPERATION WITH RIMS-IBC 235 PROMENADE STREET, SUITE 500, PROVIDENCE RI 02908 MEDICAL PROFESSIONAL/CYBER LIABILITY PROPERTY/CASUALTY LIFE/HEALTH/DISABILITY RHODE ISLAND M EDICAL J OURNAL 7 COMMENTARY Personalized Medicine Is it a concept only for the super-rich? JOSEPH H. FRIEDMAN, MD Materia Medica & Diagnostic Dilemmas in Downton Abbey HERBERT RAKATANSKY, MD 13 LETTER TO THE EDITOR Cluster of Vaccine-related Invasive Pneumococcal Disease in Previously Vaccinated Healthy Children in Rhode Island THERESA M. FIORITO, MD; KIMBERLE CHAPIN, MD; JACLYN SKIDMORE, MSc; IAN C. MICHELOW, MD, DTM&H 40 RIMS NEWS CME Event: Navigating the Changing Environment to Provide Optimal Patient Care Working for You Why You Should Join RIMS 51 SPOTLIGHT Growing a Medical School at Brown: Dr. Aronson’s recollections MARY KORR 63 HERITAGE 150 Years Ago: Vigil at Lincoln’s bedside Newport-born physician tends to the President MARY KORR RHODE ISLAND M EDICAL J OURNAL IN THE NEWS BROWN EXPERTS 44 46 MEMORIAL HOSPITAL to lead statistical analysis launches Pet Therapy Program of nationwide $100M dementia study 47 URI ENGINEERING STUDENTS develop wristband to SCHOOL OF PUBLIC HEALTH 44 measure tremors in PD holds annual research day 48 GOLD BY SPECIAL DELIVERY ED TEAM AT RIH 45 intensifies cancer-killing radiation publishes results of Google Glass to 49 BORDERLINE PERSONALITY DISORDER diagnose skin conditions as Debilitating as Bipolar Disorder HASBRO STUDY 46 49 W&I’S SANDRA SALZILLO finds link between adverse childhood to speak at international experiences and pediatric asthma trauma treatment conference PEOPLE/PLACES BETTY VOHR, MD 54 58 DENISE M. ARCAND, MD receives award for contributions named president of to high-risk infant care medical staff at Kent ROSEMARIE BIGSBY 54 58 SUZANNE PALINSKI, MD honored for contributions named chief of pediatrics to neonatal care at Bradley MARCO DELBOVE 55 59 AARON BLOOMENTHAL, MD recognized for joins RWMC Department excellence in teaching of Surgery MAI (MIKE) HE, MD, PHD 55 59 TARO MINAMI, MD YUN-AN (ANN) TSENG, DO teaches critical care medicine in Germany honored at 2015 USCAP annual meeting 59 JEFFREY BORKAN, MD, PHD MALASA KAHN, MD MIRIAM HOSPITAL NURSING 55 participate in Tar Wars® earns Magnet recognition for 5th time 60 SAMUELS SINCLAIR DENTAL CENTER making kids smile SCOTT HALTZMAN, MD 57 named medical director, Dept. 60 PETER J. SNYDER, PHD of Behavioral Health at Fatima named editor of new online, open-access Alzheimer’s and Dementia Journal LISA GOULD, MD, PHD 57 publishes study on 61 OBITUARIES healing skin graft wounds Laura B. Fixman, MD; Laura R. Viehmann, MD MAY 2015 VOLUME 98 • NUMBER 5 RHODE ISLAND Rhode Island Medical Society R I Med J (2013) 2327-2228 M EDICAL J OURNAL 98 PUBLISHER RHODE ISLAND MEDICAL SOCIETY 5 PRESIDENT 2015 PETER KARCZMAR, MD May PRESIDENT-ELECT 1 RUSSELL A. SETTIPANE, MD VICE PRESIDENT SARAH J. FESSLER, MD CONTRIBUTIONS SECRETARY BRADLEY J. COLLINS, MD 15 Actual and Perceived HBV Status Among Asian Pacific Islander TREASURER Americans in Rhode Island: A Cross-Sectional Study JOSE R. POLANCO, MD AUSTIN Y. HA, BS; JOYCE E. NGUYEN, BA; RICHARD J. DOYLE, PhD; IMMEDIATE PAST PRESIDENT EDWARD FELLER, MD, FACG, FACP ELAINE C. JONES, MD EXECUTIVE DIRECTOR 19 Expectation, the Placebo Effect and the Response to Treatment NEWELL E. WARDE, PhD WALTER A. BROWN, MD EDITOR-IN-CHIEF 22 How Expectation Works: Psychologic and Physiologic Pathways JOSEPH H. FRIEDMAN, MD WALTER A. BROWN, MD ASSOCIATE EDITOR SUN HO AHN, MD CASE REPORTS PUBLICATION STAFF 25 Divergent Elbow Dislocation and Risk of Compartment Syndrome MANAGING EDITOR P. KAVEH MANSURIPUR, MD; MATTHEW E. DEREN, MD; CRAIG R. LAREAU, MD; MARY KORR [email protected] CRAIG P. EBERSON, MD GRAPHIC DESIGNER 28 MARIANNE MIGLIORI ‘Angina’ of the papillary muscle: an overlooked but reversible ADVERTISING etiology of mitral regurgitation STEVEN DETOY FADY Y. MARMOUSH, MD; MAZEN O. AL-QADI, MD; WASEEM Y. BARHAM, MD; SARAH STEVENS AHMAD M. ABDIN, MD; AHMAD H. DARAGHMEH, MD; JOE F. YAMMINE, MD [email protected] EDITORIAL BOARD JOHN J. CRONAN, MD EMERGENCY MEDICINE RESIDENCY CPC JAMES P. CROWLEY, MD EDWARD R. FELLER, MD 30 Chest Pain in a 60-Year-Old Man JOHN P. FULTON, PhD HEATHER RYBASACK-SMITH, MD; PAUL PORTER, MD; WILLIAM BINDER, MD PETER A. HOLLMANN, MD KENNETH S. KORR, MD MARGUERITE A. NEILL, MD FRANK J. SCHABERG, JR., MD PUBLIC HEALTH LAWRENCE W. VERNAGLIA, JD, MPH NEWELL E. WARDE, PhD 33 HEALTH BY NUMBERS Socio-demographic Variation of Adult Seatbelt Non-use in Rhode Island – Different Data Sources YONGWEN JIANG, PhD; MICHAEL SPRAGUE, MA; BEATRIZ PEREZ, MPH; TARA COOPER, MPH; DESPINA ESINA METAKOS; SAMARA VINER-BROWN, MS 38 Vital Statistics RHODE ISLAND MEDICAL JOURNAL ROSEANN GIORGIANNI, DEPUTY STATE REGISTRAR (USPS 464-820), a monthly publication, is owned and published by the Rhode Island Medical Society, 235 Promenade Street, Suite 500, Providence RI 02908, 401-331-3207. All rights reserved. ISSN 2327-2228. Published articles represent opinions of the authors and do not necessarily reflect the official policy of the Rhode Island Medical Society, unless clearly specified. Advertisements do not im- ply sponsorship or endorsement by the Rhode Island Medical Society. Advertisers contact: Sarah Stevens, RI Medical Society, 401-331-3207, fax 401-751-8050, [email protected]. In a healthcare system where physicians and By harnessing data and leveraging analytics, we’re hospitals are called upon daily to improve the able to put our business intelligence, proven risk quality of care while reducing costs, we believe reduction strategies and innovative educational there is an opportunity for innovative solutions programs to work, so that you can anticipate risk to influence outcomes. and improve overall outcomes. To go beyond reacting to events to actually If you’re ready to change the way you think about anticipating them before they happen. medical malpractice insurance, call 800.225.6168 or visit ThinkCoverys.com Better Intelligence for Better OutcomesSM ProSelect Insurance Company 800.225.6168 www.coverys.com COMMENTARY Personalized Medicine Is it a concept only for the super-rich? JOSEPH H. FRIEDMAN, MD 7 [email protected] 8 EN I READ ABOUT PRESIDENT each of which, by the that changes every year. A drug that Obama’s recent call for way, has been associated had required a co-pay of $10 per month something he called, “the with a large number of is now, commonly, costing $300 per precision medicine initia- individual gene derange- month. Of course, this is for inexpensive tive,” popularly referred ments, implying that drugs. Expensive drugs are a different to in the press as “per- there are many sub-types kettle of fish. These require prior autho- sonalized medicine.” I of both of these diseases. rization, the bane of most doctors. I can’t did not read the White In the future we may talk blame insurers for putting up hurdles. House’s press releases so I about having Alzheimer’s They want to make the doctor think, or may be behind the times. type 27 running in a fam- at least sweat and swear, before ordering I have read some of the ily, as distinct from the a drug that costs $5,000/month. Some news coverage, and, quite other 50 types of Alzhei- drugs cost $100,000/year. In general, the frankly, I’m stunned by the gap between mer’s disease. We will hopefully learn, “the cup and the lips.” Perhaps “gap” before too long, which of the many My patients are increasingly is too euphemistic a term. Chasm or different abnormalities that may cause finding themselves unable to pay mountain, may be a better description. seizures are causing epileptic seizures for their old, generic medications The notion behind personalized med- in our child, which will guide us to because they have become “tier icine is reasonable and appropriate for choosing the best anti-convulsant drug. 2” or “tier 3” drugs, a classifica- super rich people in the 21st century. These will be wonderful advances, but tion that changes every year. A The goal is to choose therapies spe- what will they mean? Every new drug on cifically targeted for each individual’s the market is expensive. In some cases drug that had required a co-pay illness. If you have a cancer caused by a this is because its development required of $10 per month is now, com- particular mutation you may be likely to huge outlays and must be recouped, and monly, costing $300 per month. respond to some chemotherapy regimes excesses used to fund future research. but not to others. If you have cystic In some cases the costs are simply due fewer the number of patients getting a fibrosis, there may be unusual therapies to lack of competition. When generic drug, the more expensive it is. When that will work for your expression of the drugs suddenly get approved for well you’re talking about targeted therapy, disease. The issue of cost has not entered known uses, the price may skyrocket you’re talking about very small numbers the discussion, other than to state that a hundred-fold (such as has happened of patients. This translates into tens or the federal government is interested with some drugs for epilepsy and gout), hundreds of thousands of dollars per in putting $215 million dollars into without any justification except the year, possibly for the rest of one’s life, the research.
Recommended publications
  • Shred-It Is the Right Prescription For
    “Shred-it“Shred-it isis thethe rightright prescriptionprescription forfor youryour HIPAAHIPAA headache.”headache.” Government legislation. Budget restrictions. Patient privacy. They don’t need to be a headache. Nationwide, companies like yours are turning to Shred-it for realistic solutions to their immediate security concerns, and HIPAA compliance mandates. Shred-it is the world’s largest on-site document destruction and recycling company. Servicing more U.S. healthcare organizations than any other company, Shred-it is the medical industry’s choice for secure, cost-effective shredding. Alleviate your HIPAA headache. Call for a FREE Estimate. 1 800 69-SHRED • www.shredit.com PEOPLE Recognition Rosemarie Bigsby at W&I honored for contributions to neonatal care Betty Vohr, MD, receives PROVIDENCE – ROSEMARIE BIGSBY, award for contributions to ScD, OTR/L, FAOTA, has been elected as a recipient of the National Associa- high-risk infant care tion of Neonatal Therapists (NANT) PROVIDENCE – BETTY VOHR, MD, for the inaugural Pioneer Award for medical director of the Neonatal Fol- Neonatal Therapy. low-Up Program in the Department of She is a clinical professor of pediatrics, Pediatrics at Women & Infants Hos- psychiatry and human behavior at the pital and professor of pediatrics at the Alpert Medical School and coordinator Alpert Medical School, was awarded of neonatal intensive care unit (NICU) WOMEN & INFANTS the Stan and Mavis Graven’s Leader- services at the Brown Center for the Study of Children at Risk/ ship Award for Outstanding Contribu- Center for Children and Families of Women & Infants Hospital. tions to Enhancing the Physical and Bigsby was honored with the award at the 5th Annual NANT WOMEN & INFANTS Developmental Environment for High- Conference recently in Phoenix, AZ.
    [Show full text]
  • Man Why Darwin's Lifework Matters
    Volume 15 | Number 2 | Spring 2009 A magazine for alumni and friends of The Warren Alpert Medical School of Brown University PLUS: A DOCTOR IN THE HOUSE MATCH DAY 2009 Revolution Why Darwin’s Man lifework matters . LetteR FROM THE dEan An Abundance of Talent We are very pleased to highlight in this issue of Brown Medicine one of our most exciting initiatives and one of our most talented faculty. The patient-centered medical home is where we are likely to receive our medical care in the future. The medical home will bring appropriate medical care, single stop shopping, coordinated referrals to specialists, electronic medical records, and other services directly to patients. Costs can potentially be markedly reduced in such a model, and patient out- comes improved. The model can also make primary care a more rewarding career choice, and Rhode Island’s Area Health Education Center, based here at the Medical School, is working with national leaders to promote this model and provide incentives for new doc- tors to enter primary care. I believe that health care reform likely will incorporate the ideas of a the patient-centered medical home and will be the future of medical care. Professor of Medicine Sharon Rounds personifies excellence at Alpert Medical School. A true “triple threat,” Sharon has excelled as a clinician and teacher. Rounding for many years at the VA in internal medicine, pulmonary medicine, and the ICU, she has cared for innumerable veterans and taught generations of students, residents, and fellows. She has always been regarded as a doctor’s doctor, and research has brought her national and international recognition.
    [Show full text]
  • Medical Journal
    RHODE ISLAND M EDICAL J OURNAL GROWING A MEDICAL SCHOOL DR. ARONSon’S RECOLLECTIONS MAY 2015 VOLUME 98 • NUMBER 5 ISSN 2327-2228 Your records are secure. Until they’re not. Data theft can happen to anyone, anytime. A misplaced mobile device can compromise your personal or patient records. RIMS-IBC can get you the cyber liability insurance you need to protect yourself and your patients. Call us. 401-272-1050 IN COOPERATION WITH RIMS-IBC 235 PROMENADE STREET, SUITE 500, PROVIDENCE RI 02908 MEDICAL PROFESSIONAL/CYBER LIABILITY PROPERTY/CASUALTY LIFE/HEALTH/DISABILITY RHODE ISLAND M EDICAL J OURNAL 7 COMMENTARY Personalized Medicine Is it a concept only for the super-rich? JOSEPH H. FRIEDMAN, MD Materia Medica & Diagnostic Dilemmas in Downton Abbey HERBERT RAKATANSKY, MD 13 LETTER TO THE EDITOR Cluster of Vaccine-related Invasive Pneumococcal Disease in Previously Vaccinated Healthy Children in Rhode Island THERESA M. FIORITO, MD; KIMBERLE CHAPIN, MD; JACLYN SKIDMORE, MSc; IAN C. MICHELOW, MD, DTM&H 40 RIMS NEWS CME Event: Navigating the Changing Environment to Provide Optimal Patient Care Working for You Why You Should Join RIMS 51 SPOTLIGHT Growing a Medical School at Brown: Dr. Aronson’s recollections MARY KORR 63 HERItaGE 150 Years Ago: Vigil at Lincoln’s bedside Newport-born physician tends to the President MARY KORR RHODE ISLAND M EDICAL J OURNAL IN THE NEWS BROWN EXPERTS 44 46 MEMORIAL HOSPITAL to lead statistical analysis launches Pet Therapy Program of nationwide $100M dementia study 47 URI ENGINEERING STUDENTS develop wristband to SCHOOL OF PUBLIC HEALTH 44 measure tremors in PD holds annual research day 48 GOLD BY SPECIAL DELIVERY ED TEAM AT RIH 45 intensifies cancer-killing radiation publishes results of Google Glass to 49 BORDERLINE PERSONALITY DISORDER diagnose skin conditions as Debilitating as Bipolar Disorder HASBRO STUDY 46 49 W&I’S SANDRA SALZILLO finds link between adverse childhood to speak at international experiences and pediatric asthma trauma treatment conference PEOPLE/PLACES BETTY VOHR, MD 54 58 DENISE M.
    [Show full text]
  • Yale Medicine Magazine
    yale medicine Meet the new Building bridges Education dean autumn 2006 public health dean to Uganda bids farewell 4 6 18 From the battlefield to the laboratory 24 yale medicine autumn 2006 CONTENTS on the cover and this page 2 Letters Joseph Schlessinger’s life has taken 4 Chronicle him from the war-torn Yugoslavia 8 Rounds of his birth, to Israel where he grew up to defend his new home, and 10 Findings finally to Yale, where, with his stud- 12 Books & Ideas ies of cells and drugs, he fights 16 Capsule against disease. Collage by Janis Melone 18 The Chase years Six years ago, Herbert Chase came to Yale to improve medical education. As his tenure ended this summer, he left behind a reinvigorated curriculum and a generation of medical students who had learned to look for the “edge” of scientific knowledge. By Jennifer Kaylin 24 The long war Born in a war-torn mountain village in the former Yugoslavia, Yossi Schlessinger went on to fight other battles, including one against disease. By Marc Wortman 30 Preserving fertility Where once physicians’ only concern was saving lives, new techniques under study at Yale can also preserve fertility in women undergoing treatment for cancer. By Jennifer Kaylin 36 Faculty 38 Students 44 Alumni 62 In Memoriam 64 Follow-Up 64 Archives 65 End Note On the Web yalemedicine.yale.edu On our website, readers can submit class notes or a change of address, check the alumni events calendar, arrange for a lifelong Yale e-mail alias through the virtual Yale Station and search our electronic archive.
    [Show full text]
  • Divorce in the Christian Society and a Prescriptive Model to Rekindle the Marriage
    LIBERTY THEOLOGICAL SEMINARY DIVORCE IN THE CHRISTIAN SOCIETY AND A PRESCRIPTIVE MODEL TO REKINDLE THE MARRIAGE BOND A THESIS PROJECT SUBMITTED TO Liberty Baptist Theological Seminary in Partial Fulfillment Of the Requirements for the degree DOCTOR OF MINISTRY __________________ By Frederick Douglas Styles Lynchburg, Virginia March 12, 2014 Copyright © 2013 Frederick D. Styles All Rights Reserved LIBERTY BAPTIST THEOLOGICAL SEMINARY THESIS PROJECT APPROVAL SHEET ______________________________ GRADE ______________________________ MENTOR Dr. Charles N. Davidson Director, Doctor of Ministry ______________________________ READER Dr. Rodney Dempsey Director, Master of Arts in Christian Ministry TABLE OF CONTENTS ABSTRACT…………………………………………….…………………………….…xi CHAPTER ONE: INTRODUCTION The Statement of the Problem ……………………………………………………1 The Statement of the Limitation ………………………………………….………2 The Theoretical Basis for the Project……………………………………………..2 Old Testament Background……………………………………………………….2 New Testament Teaching ……………………………………………………...…3 A Statement of Methodology …………………………………………………......4 A Review of the Literature………………………… …………………………….6 CHAPTER TWO: INFIDELITY Types of Affairs …………………………………………………………………..6 Divorce: The Five Models Their Advantage, Their Consequences…………….…7 The Christian Divorce Culture ……………………………………………………8 What God Has Joined …………………………………………………………….9 v How to Survive Infidelity in a Marriage………………………………………...10 Reason for Divorce ……………………………………………………………...11 A Christian Understanding of Divorce ……………………………………….…12 Divorce
    [Show full text]