DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER March 2010

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NEW FACULTY MEMBERS James Temprano, MD, MHA, joined the Division of Immunobiology, Section of Allergy and Immunology, as an Assistant Professor in December 2009. He earned his MD and Masters in Health Administration at the University of Kentucky, completed a residency in Internal Medicine at the University of Kentucky, and completed a fellowship in Allergy and Immunology at Saint Louis University in 2005.

Katherine Temprano, MD, joined the Division of Rheumatology as an Assistant Professor in January 2010. She received her MD from the University of Kentucky in 1999, completed her residency in Internal

Medicine and served as Chief Resident at the University of Kentucky, and completed her fellowship in Rheumatology at Saint Louis University in 2005. After completion of their fellowships, both Drs. Temprano joined the faculty of the University Kentucky. They are happy to have returned to St. Louis with their sons, ages 2 and 6. MATCH RESULTS The results of the annual residents match were announced on March 18th. All of our available positions were filled in the match. The names of the incoming residents are listed below. Categorical - Al Wohoush, Iba, MD, University of

Damascus

- Assioun, Bassim, MD, University of

Aleppo - Bahna, Soubhi, MD, University of Aleppo - Bensch, Kenneth, MD/PhD, Saint Louis

University School of Medicine - Burney, Maliha, MB,BS, Dow Medical

College - Delecaris, Nicholas, MD, University of

Missouri-Kansas City School of Medicine - Devendrappa, Radha, MB,BS, J.J.M.

Medical College, Davangere - Garcia, Vanessa, MD, University of Texas

School of Medicine at San Antonio - Ghadban, Rugheed, MD, University of

Damascus - Grant, Sheena, MD, Washington

University School of Medicine - Hammad, Tarek, MD, University of

Tishreen - Ibrahim, Majd, MD, University of

Tishreen - Kessler, Edward, MD, Saint Louis

University School of Medicine - McGowen, Payton, MD, University of

Missouri-Kansas City School of Medicine - Mir, Fazia, MB,BS, Aga Khan Medical

College - Paruthi, Christina, MD, St. George’s

University - Patel, Sanjeevkumar, MD, Saint Louis

University School of Medicine - Powers, Braden, MD, American

University of the Caribbean - Singh, Sujata, MB,BS, Medical College,

Kozhikode - Venkatesh, Karthik, MB,BS, J.J.M.

Medical College, Devangere - Vidic, Andrija, DO, Des Moines

University – Osteopathic Medical Center - Wilczynski, Cory, MD, Rush Medical

College

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- Williams, Angela, BA/MD, University of

Missouri-Kansas City School of Medicine - Yeragunta, Yashaswini, MB,BS,

Mahadevappa Rampure Medical College Preliminary - Bailey, Yvonne, MD, Saint Louis

University School of Medicine - Cannon, Nathan, MD, Saint Louis

University School of Medicine - Hill, Geoffrey, MD, Saint Louis University

School of Medicine - Khan-Farooqi, Haumith, MD, Saint Louis

University School of Medicine - Magnuson, William, MD, Saint Louis

University School of Medicine - Padgett, Sabrina, MD, Saint Louis

University School of Medicine - Spencer, Christopher, MD, Saint Louis

University School of Medicine - Tobin, Courtney, MD, Saint Louis

University School of Medicine - Xu, WanWan, MD, University of

Pittsburgh School of Medicine Medicine/Pediatrics - Blanchard, Malcolm, MD, Meharry

Medical College - Gribben, Walter, MD, University of

Alabama - Kanchustambham, Venkat Kiran, MD,

Andhra Medical College, India - Rodrigues, Johathan, MD, Medical

College, India DIVISION OF CARDIOLOGY At the American College of Cardiology 59th Annual Scientific Sessions March 13-16, 2010, in Atlanta, faculty of the Division of Cardiology gave the following presentations:

Chaitman BR, Ho AP, Behm MO, et al. The calcitonin gene related peptide antagonist telcagepant does not reduce exercise tolerance in patients with exercise induced myocardial ischemia. ACC Poster Contributions 1043. Acute Myocardial Infarction-Cell Based Therapy and Cellular Manipulations. Chaitman BR. Evaluation of CAD in women: Role of stress ECG. ACC Symposium 0669. Evaluation of Coronary Artery Disease in Women. Dolan M., Echocardiography (TTE, TEE and stress): procedural risks, stress agent risks, contrast agents. ACC Spotlight 0105. Integrated Imaging Spotlight: Patient-Centered Imaging: Addressing Procedural Risk of Imaging Modalities. Hauptman PJ. ACC poster discussant. ACC Poster Contributions 1124. Risk Stratification in Heart Failure. Hauptman PJ. Cardiac resynchronization therapy in advanced heart failure: Too late? ACC Symposium 0633. New Insights into the Role of Cardiac Resynchronization Therapy. Lim, MJ. Anomalous coronary circulation with case presentations. i2 Spotlight 2116. Cardiac Care Team. Spotlight III: Adult Congenital Heart Disease in the Cath Lab. Lim MJ. Pitfalls of FFR measurement. i2 Symposium 2615. Physiologic Lesion Assessment. Lim MJ. Panelist. ACC Meet the Experts -0222. Advanced Hemodynamic Diagnosis: Echocardiogram or Catheterization?

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Lim MJ. Hemodynamics in the cath lab: more than just pretty pictures. i2 Symposium 2625 Hemodynamics I-The Essentials Lim MJ. Co-Chair. I2 Symposium 2628. Hemodynamics II: The Hemodynamics of New Interventions. Shaw LJ, Berman DS, Maron DJ, Chaitman BR, Bates ER, et al. Impact of pretreatment ischemia on therapeutic risk reduction and long-term prognosis in patients with stable angina: results from COURAGE trial. ACC Oral Contributions 0919. Factors Associated with Outcome in Acute and Chronic Ischemia.

Faculty and staff of the Department of Internal Medicine can register as a participant in “Start” program by going to

American Heart Association’s “Heart Walk” This year, the American Heart Association’s “Heart Walk” will be held on Saturday, May 15th at Busch Stadium. The event starts at 8:30am and ends at noon. However, participants do not need to be present entire time. Specific times on the start of the actual walk will be posted later. In past years, the Saint Louis University Division of Cardiology has participated in this event, raising over $7,000.00. This year, Rob Roth RN, is expanding the divisional effort to include the Saint Louis University Department of Internal Medicine. Participation in this year’s event is two-fold. While we are looking for team captains and walkers to help assist the Heart Association with the fund raising aspect, we are also providing an opportunity for faculty and staff of the Department of Internal Medicine to participate in “Start” an American Heart Association program that promotes a healthy lifestyle through exercise and diet.

www.startwalkingnow.org and registering under SLU Department of Internal Medicine. Participants can log daily walking activities that can only be seen by the participant, however, the web site will track the Departments cumulative efforts in working toward a healthier lifestyle. It may be fun to see how many miles we can walk as a department! A representative from the American Heart Association will be here on Thursday, April 8, 2010 at 1:30pm in the 15th Floor Desloge Tower Cardiology Conference Room to provide more information on the “Start” program. If you are interested in becoming involved in this year’s event, please contact Rob Roth at 314-268-7991 or e-mail at rothra@slu.edu. DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY Banke Agarwal, MD, received the Hind Rattan Award for his outstanding service, achievements and contributions at 29th International Congress of Non-Resident Indians on January 25, 2010 in New Delhi, India. We would like to congratulate him on receiving this prestigious award. Brent A. Neuschwander-Tetri, MD, outlined a new way of thinking about the pathogenesis of nonalcoholic steatohepatitis in a recently published paper: Neuschwander-Tetri BA. Nontriglyceride Hepatic Lipotoxicity: The New Paradigm for the Pathogenesis of NASH. Current Gastroenterology Reports 12:49-56, 2010.

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Our 2nd Annual SLU Liver Center Night at the Ballpark will be held on June 15, 2010 with the Cards vs the Seattle Mariners. All proceeds go to help with research and education in liver diseases. If we are successful in selling 500 tickets, the Cardinals will be honored to have Dr. Di Bisceglie throw out the first pitch. To order tickets, please call Mary Ann Barrale or Carol Stengel at 314-577-8764. Tickets will also be sold in front of the gift shop and more information on dates/times will follow on Newslink. Don’t miss this opportunity to watch our Chairman make the perfect pitch!!! DIVISION OF GENERAL INTERNAL MEDICINE Thomas J. Olsen, MD, professor of internal medicine, has accepted the position of Director, Division of General Internal Medicine, effective February 19, 2010, after serving as Acting Director for several years.

Take Me Out To The Ballgame

Medical Mission to Haiti

The earthquake devastation in Haiti has been on the minds of many people, but Dr Rice was given the opportunity to go to Haiti and serve for a week less than a month after the earthquake. Dr Rice was invited to serve with El Shaddai Ministries International (ESMI), a group that has been working for about a decade providing medical care and supporting 3,000 of Haiti’s estimated one million orphans.

ESMI had a guest house that provided living quarters for Dr Rice and the eight

other team members while serving in Haiti. The team included a 4th year medical student, an OB/GYN, a pediatrician and a

Family Practice doctor, a councilor, a relief worker and a chaplain. They spent time working in the government hospital caring for conditions commonly seen in developing communities as well as caring for folks still recovering from injuries

sustained from the earthquake one month earlier. Dr. Rice was glad to go to Haiti and he realizes he wouldn’t have been able to do so without the support of his colleagues in internal medicine and pediatrics. Dr. Rice said, “The thing that allows me to be able to go is I work at an institution that not only talks mission, but does mission. It hires people who step up and help

out those who can and are willing to go.”

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DIVISION OF PULMONARY, CRITICAL CARE AND SLEEP MEDICINE A CME Symposium “Sleep Medicine for Primary Care Providers,” presented by the faculty of the SLUCare Sleep Disorders Center, will be held on Saturday, May 22, 2010, from 7:30 am - 12:15 pm, at Saint Louis University Busch Student Center, 20 N. Grand Blvd., St. Louis, MO. The presentations include: Assessment of the sleepy patient Long Term Health Consequences and Treat- ments of Obstructive Sleep Apnea Improving CPAP Compliance Treatment Strategies for Insomnia Restless Legs and other Motor Behaviors

during Sleep The registration fee is waived for SLU faculty, fellows, residents, and students. For questions, please e-mail cme@slu.edu or call (314) 977-7401. NEW RESEARCH GRANTS AWARDED Harvey J. Armbrecht, PhD, Geriatric Medicine, $25,000 from the President’s Research Fund for “Changes in Vitamin D Metabolism with Age-Effect of FGF-23 and Klotho.” Robert B. Belshe, MD, Infectious Diseases, $24,547 from Washington University / NIAID for “MRCE for Biodefense and Emerging Infectious Diseases – Project 15.” Robert B. Belshe, MD, Infectious Diseases, $18,623 from Washington University / NIAID for “MRCE for Biodefense and Emerging Infectious Diseases – Career Development.”

Robert B. Belshe, MD, Infectious Diseases, $7,596 from Washington University / NIAID for “MRCE for Biodefense and Emerging Infectious Diseases – Core A.” Frank R. Burton, MD, Gastroenterology and Hepatology, $3,687 from the University of Pittsburgh / NIDDK for “NAPS 2 Continuation – Genome –Wide Association Study of Pancreatitis.” Adrian M. Di Bisceglie, MD, Gastroenterology and Hepatology, $50,000 from New England Research Institute / NIH for “Utility of SCCA-IgM Biomarker for HCV Related HCC.” Brent A. Neuschwander-Tetri, MD, Gastroenterology and Hepatology, $25,000 from the President’s Research Fund for “A Pilot Study of Trans-fat induced Liver Injury.” Brent A. Neuschwander-Tetri, MD, Gastroenterology and Hepatology, $149,038 from NIDDK for “ARRA – The Saint Louis University Component of the NASH Clinical Network.” Brent A. Neuschwander-Tetri, MD, Gastroenterology and Hepatology, $50,000 from The Lottie Hardy Charitable Trust Grant. Ranjit Ray, PhD, Infectious Diseases, $299,070 from Washington University / NIAID for “MRCE for Biodefense and Emerging Infectious Diseases – Project 13.” Marcia L. Sokol-Anderson, MD, Infectious Diseases, $21,000 from Washington University / HRSA for “Ryan White Part C Outpatient Early Intervention Services Program.”

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Barbara Ulmasov, Gastroenterology and Hepatology, $25,000 from the President’s Research Fund for “NNT-New Player in Pancreatits.” CONGRATULATIONS TO Julie K. Gammack, M.D., Division of Geriatric Medicine, was awarded the Heartland Division Medical Director of the Year by Life Care Centers of America on Friday, March 12, 2010 for her role as Medical Director at Life Care Center of St. Louis. This award was presented to Dr. Gammack on March 12, 2010 during the American Medical Directors Association Annual Meeting in Long Beach, California. Kevin J. Martin, MB,BCh, Division of Nephrology, has been named Saint Louis University Hospital’s Target 100 Attending of the 1st Quarter. Alexa Fider-Whyte, PA, and her husband Mark Whyte, on the birth of their son, Micha David Anthony Whyte, born on January 30, 2010. Dr. & Mrs. Robert B. Belshe, Division of Infectious Diseases, on the birth of their second grandchild, Robert Francis Belshe, who was born on March 11, 2010. DATES OF NOTE April 10, 2010 – The Health Resource Center Auction, Il Monastero, 3050 Olive Street, 7:00 pm. All proceeds will benefit SLU’s student run health clinic, which offers free health care to the underserved and uninsured populations of St. Louis. HRCaution@gmail.com.

May 13, 2010 – School of Medicine Graduation, 3:00 pm, Chaifetz Arena. May 15, 2010 – American Heart Association’s “Heart Walk”. The event starts at 8:30am and ends at noon – Busch Stadium. May 22, 1010 – Sleep Medicine for Primary Care Providers, 7:30 am - 12:15 pm, at Saint Louis University Busch Student Center, 20 N. Grand Blvd., St. Louis, MO. June 1 & 2, 2010 – 21st Annual Summer Geriatrics Institute, 7:15 am to 5 pm, the Margaret McCormick Doisy Learning Resource Center. June 5, 2010 – 27th Annual Department of Internal Medicine Graduation Celebration, 6:30-10 pm, Pere Marquette Gallery. This celebration is open to all residents and subspecialty residents who are completing their training this year, and faculty from all divisions.

As part of the Department of Internal Medicine’s PC Refresh Program, faculty and staff are provided desktop computers for use in the workplace. Every year old computers and monitors are replaced. The goal is to provide appropriate computers that are less than 5 years

PC RECYCLING

old. A frequent question asked as we replace computers is, “What happens to the old PCs?”

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Electronics which have several hazardous waste components are not considered appropriate for the normal trash. If donated or sold to employees or others the appropriate disposal has only been deferred and the waste can be traced back to Saint Louis University. Proper disposal is the environmentally-friendly option. The department contracts with EPC which is an approved electronics recycler with the State of Missouri Department of Natural Resources and the US Environmental Protection Agency. EPC maintains a Zero Landfill Policy and a Zero Export of unprocessed equipment to Third-World Countries Policy. EPC does purchase, refurbish and remarket some of our computers if appropriate and certifies that the equipment is no longer the responsibility of Saint Louis University. By responsible recycling of our old computers and electronics the department contributes to efforts to be green and environmentally friendly. THANKS TO – Everyone who contributed information for this newsletter and especially to Kirk Fortune for Special Display Editing.

CLINICAL TICKER PRACTICE LOCATION

FY 09 YTD

BILLED AMB ENCs

FY 10 YTD

BILLED AMB ENCs

CANCER CENTER 6,070 6,807 CARDINAL GLENNON 474 480 DES PERES 1,960 3,727 DOB 33,270 34,303 MIDWEST ENDOSCOPY 0 0 OP CATH LAB 150 158 SLEEP DISORDERS CENTER 979 1,202 SLUH 8,874 9,691 SNF/NF/CC/HOSPICE 4,659 4,722 UNIVERSITY CLUB TOWER 6,638 6,322 OTHER 5,093 5,670 GRAND TOTAL 68,167 73,082 FY 10 / FY 09 YTD AMB ENCs 107.2% WEBSITE Access the Department of Internal Medicine website at http://internalmed.slu.edu. INFORMATION FOR NEXT NEWSLETTER If you have any news, grants, notices, achievements that you would like to be included in the next newsletter or if you think something important was missed, please let Camille Goff know at goffcj@slu.edu .

Editor Adrian M. Di Bisceglie, MD, FACP

Professor of Internal Medicine Chairman