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FOCUS TOPICS ONCOLOGY • WOMEN’S HEALTH

April/May 2021 >> $5 ON ROUNDS

This Doctor Delivers Partnerships, Hugs and Babies – Lots of Babies

Methodist Olive Branch Hospital’s, Silpa Hansen, MD, abides by the patient voice Silpa Gadiparthi Hansen, MD, likes to give her pregnant patients a voice in how their gradual, monthby-month journey toward motherhood plays out.

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TFA Affords Women Another Option to Treat Symptomatic Fibroids 

NCI Director Updates Cancer Progress By CINDY SANDERS

He touted the Human Papillomavirus (HPV) vaccine’s safety and In April, National Cancer Institute efficacy as an example of success. A Director Norman E. “Ned” Sharpless, recently released study out of Sweden MD, FAACR, addressed the virtual of nearly 1.7 million women found attendees of the American Association girls vaccinated before age 17 had a for Cancer Research Annual Meeting to nearly 90 percent reduction in cerviprovide an update on where we stand in cal cancer incidence over an 11 year the ongoing fight against cancer. period (2006-17) compared to the “We’re living in dizzying and chalincidence in women who had not lenging times, but we’re still making been vaccinated. remarkable progress in cancer research,” The key to more of these success Sharpless said. “We will look back at this stories, he continued, is to ensure staera as the golden age of cancer research.” ble funding for research. “InvestigaSharpless noted there have been tor-initiated science is how we make more than 240 drugs, biologics and progress for our patients,” he stated. devices approved by the Food & Drug Sharpless pointed to the Cancer Administration for cancer indications Moonshot, which started in 2017, as Norman E. “Ned” Sharpless since he was named to his NCI post in an accelerant that has helped fuel 2017. He added this remarkable productivity is a testament to the recent discoveries and information-sharing. Authorized at $1.8 bilwork of basic and translational researchers in academic, governlion spread over seven years, the program lapses in 2023. Launched ment and private industry. (CONTINUED ON PAGE 6)

HealthcareLeader

Gynesonics’ Sonata System Proving Efficient, Effective & Safe

Regional One Director of Oncology Operations Guiding New Cancer Center

Almost always benign, women with symptomatic fibroids would be quick to say it doesn’t mean the tumors aren’t troublesome.   

A pre-schooler’s career decision that never wavered By LAWRENCE BUSER

As director of oncology operations at Regional One Health Cancer Center, Tiffany Rooks, RN, MBA, oversees the day-to-day workings at a site that includes seven physicians and five nurse practitioners. It’s a relatively new position for her, since the outpatient center at 1588 Union Ave. had

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been the West Cancer Center and Research Institute before partnering with Regional One on March 1. “Regional One adds an alignment by two of our community’s leading health care organizations to provide outstanding and compassionate care,” said Rooks. “The center was already here and now, with Regional (CONTINUED ON PAGE 6)

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PhysicianSpotlight

This Doctor Delivers Partnerships, Hugs and Babies – Lots of Babies

Methodist Olive Branch Hospital’s, Silpa Hansen, MD, abides by the patient voice By LAWRENCE BUSER

Silpa Gadiparthi Hansen, MD, likes to give her pregnant patients a voice in how their gradual, month-by-month journey toward motherhood plays out. Sometimes there are delivery options, with important decisions to be made. Natural childbirth, epidural, induction, cesarean or vaginal birth after cesarean (VBAC) all may be topics for a doctorpatient discussion, she says. “I consider pregnancy as a partnership, so instead of my just dictating what they’re going to do, I tell my patients my goal is to have a healthy mom and a healthy baby, and I’m happy to do it your way if that’s the outcome,” said Hansen, chief of obstetrics/gynecology and pediatrics at Methodist Olive Branch Hospital. “Then I tell them that if I see any issues with your care or the baby’s care that’s going to compromise your health or the baby’s health, I will intervene. “I think that’s really huge because women want a sense of independence and control over their birthing experience. A lot of doctors don’t do VBACs or even offer it to them, but I’ll give them a chance to do it. One patient got teary eyed and said ‘You mean I can do that? My last doctor didn’t even offer it to me. I didn’t know it was even possible.’ So, we went over the risks and benefits and several months later she had a vaginal delivery. You just want to offer what is best for your patient.” The woman is still her patient seven years later and was inspired to write a letter to hospital leadership about how her experience with Dr. Hansen inspired her to enroll in nursing school. “Delivering babies is my favorite part of the job,” she said. “Obstetrics is 99 percent happy. Being able to share that experience with your patients in such an intimate time of their lives is so important. Every single delivery is special. I’m the first person who gets to touch and hold the baby. People trust me with that and seeing the looks on their faces and knowing that’s the first time they’re meeting their child – that holds a special place in my heart. ”With Covid, the biggest change in my practice is the limitation of visitors. You’re now allowed only one person in the delivery room, where we used to allow four. Also, I was used to hugging my patients at every visit and seeing their children. I miss that. We obviously don’t hug anymore and patients are not allowed to bring children to appointments. Hopefully, one day soon things will get back to the way they were. People are still having babies, though.” Hansen, who estimates she delivered 20 to 25 babies a month last year, started memphismedicalnews

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at Methodist Olive Branch in 2014. She and the hospital both were fairly new. Although just completing her residency at the University of Tennessee Health Science Center College of Medicine, her job was to help build a women’s center at the hospital which opened in 2012. The maternity unit opened two years later. Around that time, her husband had just begun a fellowship in Little Rock, and she was coming off maternity leave with their first child. She was living with her parents during the week since she was on call 24/7 and would spend her weekends off traveling with her newborn to and from Little Rock. “That was such a challenging time with so many big changes all at once,” Hansen said. “Looking back, I had no idea what I was capable of doing, and I am stronger now because of it.” Since then, she has gotten to handpick her partners, including Dr. Sarah Ziebarth and Dr. Ja’Larna Grant, which has made her work and home life much better, though still challenging as a wife and a mother of 6-year-old Drew and 2-year-old Lulu. “It seems like I’m always gone and my husband (interventional radiologist Dr. Dale Hansen, III) jokes that he’s a fulltime working stay-at-home dad,” Hansen laughed. “With obstetrics, every day is different. My call days are Monday, and sometimes I’m home by 4:30, but then there are days like the one recently where I saw 40-plus patients in the clinic, delivered five babies, and did not sleep but about an hour. I had to be at the clinic on Tuesday and did not get home until 6 p.m. “Then there are days when I’m not on call and a patient comes in and is in labor and I don’t want to leave them. So, I’ll end up staying to deliver them. I’m very fortunate to get do something I love to do. I love the babies and I love being part of the birthday party,” she said.

Hansen was born in India and came to the United States after her father, renowned physiologist Gadiparthi N. Rao, PhD, received a post-doctoral fellowship at Yale University School of Medicine. His academic stops then took the family, including her two siblings, to Cornell Medical College, University of Kentucky Medical Center, Emory University School of Medicine, and the University of Texas Medical Branch at Galveston. When she started undergraduate school at Texas A&M, Hansen’s father came to UTHSC in Memphis where today her husband, sister, brother-in-law, and sister-in-law are physicians, and her brother is in the business side of medicine. “My parents have been here since 2000, so Memphis is home,” said Hansen, who went to medical school at UTHSC. “My first rotation as a third-year med student was OB/GYN, and I thought that was going to be the one I’d like the least, but it actually turned out to be so much fun. Every day is different. You’re in the operating room, then you’re see-

ing patients in the clinic and doing procedures, then you’re delivering a baby. It suits my (energetic) personality. “I love taking care of women. Being able to build relationships with women through the seasons of their lives, whether it be walking them through their very first Pap smear, delivering their first baby, or the second, or helping them through the changes of life. I look forward to the day when I will be delivering my patients’ children’s children.” Still, she works hard at maintaining the work-home balance. With her immediate and extended family all living within five miles of each other, weekend gettogethers are frequent occurrences. “My husband is a travel junkie, and he plans these amazing vacations and I just show up,” said Hansen, listing destinations such as Hong Kong, London, Paris, Barcelona, Budapest, Rome and the Caribbean among others. “I love fishing and I once caught a 6-foot-8-inch striped marlin which I have mounted on the wall. Balance is the key. I work hard and play hard.”

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The Retirement Income Gap You’ve worked hard your entire career, and your retirement should reflect the level of success you’ve achieved. However, due to your above-average income, you may face strict contribution limits on qualified plans and even be excluded from Roth IRAs and other popular savings programs, causing a significant income gap at retirement. The Life Income PlanSM or LIPSM is designed as an attractive strategy to help close the retirement income gap. LIPSM design provides the path for executives and professionals to have direct access to, and ownership of, corporate-owned life insurance Chirag Chauhan, products and pricing. AIF®, CFP® • Accumulation-focused • Minimum statutory guideline life insurance death benefits • Significant early cash surrender values and access without penalties (see first Q&A) • Creditor protection (in many states) • Secure web-based service platform • Certain tax advantages Why should I consider LIPSM? LIPSM uses cash value corporate-owned variable universal life insurance that tends to offer significant cash values in the early policy years because of its general lack of surrender charges and in the event of a full policy surrender within a certain number of years, some policy charges may be refunded. These policies often include a minimum guideline death benefit and are structured to minimize death benefit expense, yet retain the integrity of life insurance and the tax-deferral benefits. How LIPSM works LIPSM premiums are paid into corporate-owned fixed or variable universal life insurance policies with the defining characteristics of • In addition to paying for death benefit protection, your premiums help build cash value. • Corporate-owned life insurance (COLI) policies may positively differ from the load and expense structures of retail life insurance. • The executive determines asset allocation. • While cash surrender values are not guaranteed, COLI targets 97%-107% of first-year cash surrender values based on market performance and other factors. • Cash values accumulate on a tax-deferred basis and can be structured for tax-advantaged access and distribution, assuming policy loans after withdrawals of the policyowner’s basis • There are no direct surrender charges. • Creditor protection exists in many states. LIPSM is a flexible program • Within the parameters of your policy design, you control the frequency of premium payments and withdrawals, which allows you to better tailor your income and retirement income needs. • No age 59 1/2 penalties on withdrawals based on current tax laws. • For more complete information, see the policy’s current prospectus • Policy surrender may occur anytime for the cash surrender value. • You can build policy cash values out of the life insurer’s general assets (fixed permanent life insurance) or through a variety of managed investment options (variable life insurance) subject to market risk. Why should I consider LIPSM? LIPSM uses cash value corporate-owned variable universal life insurance that tends to offer significant cash values in the early policy years because of its general lack of surrender charges and in the event of a full policy surrender within a certain number of years, some policy charges may be refunded. These policies often include a minimum guideline death benefit and are structured to minimize death benefit expense, yet retain the integrity of life insurance and the tax-deferral benefits. The Life Income PlanSM was designed to help you meet your accumulation goals in order to retire on a significant percentage of your final income, while providing valuable life insurance protection at the same time. For a financial professional who is familiar with the unique needs of those in the medical field, please contact Chirag Chauhan, managing partner of Bluff City Advisory Group at chirag@bluffcityadvisory.com or 901-365-3447.

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TFA Affords Women  Another Option to Treat Symptomatic Fibroids  Gynesonics’ Sonata System Proving Efficient, Effective & Safe  By CINDY SANDERS 

 Almost always benign, women with symptomatic fibroids would be quick to say it doesn’t mean the tumors aren’t troublesome.    In the United States, symptomatic uterine fibroids are the most common reason for hysterectomy, which remains the only cure for the myomas. Since prevalence of problematic  uterine fibroids (UFs)  are most common during reproductive years, the cure presents an unacceptable trade-off for women who hope to bear a child in the future. As a result, many women live with painful symptoms detrimental to their quality of life for years. While not a cure, there are an increasing array of alternatives to manage fibroids for those trying to preserve fertility. Medication management, myomectomy, radiofrequency ablation, uterine artery embolization and MRI-guided focused ultrasound have all been shown to offer some relief with varying degrees of invasiveness, efficacy, longevity and patient satisfaction. One of the newest options for women is the Sonata® System from Gynesonics®, a women’s health company focused on minimally-invasive solutions for treating symptomatic uterine fibroids. The California-based company first received Food & Drug Administration 510(k) approval to market the Sonata System for Transcervical Fibroid Ablation (TFA) in August 2018, and received clearance for their next generation system last year. The system can be used to treat most fibroid types including submucous, intramural, transmural and subserous.  “Women deserve choices when it comes to the management of fibroids,” stated David Toub, MD, MBA, FACOG, medical director for Gynesonics. “It used to be there were really only two options – hysterectomy, which was curative but precludes fertility, and myomecDavid Toub tomy, which removes fibroids but preserves the uterus.”  However, Toub continued, open abdominal myomectomy is a major surgical procedure that typically takes four to six weeks for full recovery. Minimally invasive laparoscopic myomectomy requires a much smaller incision but is still performed under general anesthesia, could include an overnight stay in the hospital and typically takes two to four weeks for full recovery.  “According to the literature, women typically wait, on average, 3.6 years and a good percentage wait five years,” Toub said

of the delay in seeking treatment to relieve symptomatic fibroids. “The reason is they don’t want that disruption to their life.” In contrast, Toub continued, “Transcervical fibroid ablation heats the fibroid by going in through the cervix, so no incisions, and it conserves the uterus.” He explained the Sonata System combines intrauterine ultrasound guidance for advanced visualization with targeted radiofrequency ablation to treat the fibroids. “Because it’s inside the uterus, it’s very high resolution,” he noted. “We can see details that we don’t always see on transvaginal ultrasound or MRI.”  Performed as an outpatient procedure, Toub said women don’t  have to undergo general anesthesia, and about half the cases in the U.S. use sedation. “The average length of stay in our study was about twoand-a-half hours and that includes the procedure,” Toub noted. The majority of women, he added, return to normal activity within 2.2 days on average, with many able to do so within one day.   Although a few other radiofrequency ablation systems exist, Toub said they have typically required adaptive devices. “Because the ultrasound is part of the device itself, you don’t have to manipulate multiple tools. There’s just one device and one screen,” he explained of Sonata. “It also doesn’t require advanced ultrasound skills,” Toub continued, noting most physicians using the system are not highly specialized in ultrasound technologies. “Yet, it’s proven in their hands to be very effective and also proven very safe.”    Sonata includes the SMART Guide – Setting Margins of Ablation in Real Time. The Gynesonics literature explains this technology displays a real-time graphic overlay on the live ultrasound image to determine the size and location of the ablation zone, safety borders and duration of the radiofrequency energy delivered.  In April, the company announced publication of a clinical study analysis assessing effectiveness of the system. The peer-reviewed article, “Transcervical Fibroid Ablation With Sonata System for Treatment of Submucous and Large Uterine Fibroids,” appeared in the International Journal of Gynecology and Obstetrics. The analysis focused on a subgroup of patients with those specific types of tumors who had been enrolled in two previously published multicenter clinical trials –FAST-EU, primarily in Europe, and SONATA, primarily in U.S.-based centers.  Among 197 women who had been treated for 534 fibroids, 86 percent of patients with only submucous fibroids and 81 percent with large fibroids (>5 cm) had bleeding reduction at three months post(CONTINUED ON PAGE 7) memphismedicalnews

.com


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Regional One Director of Oncology Operations, continued from page 1 One, we are enhancing cancer care in this community.” The center, which sees an average of 130 adult cancer patients a day, provides diagnosis, medical oncology, gynecologic oncology, surgical oncology, and infusions and injections for chemotherapy, immunotherapy and therapeutic phlebotomy. “We also do biopsies, imaging scans and lab tests here, so this is basically a onestop outpatient shop,” she added. “Our goal is to continue to offer high-quality care to patients diagnosed with cancer and hematologic disorders.” Over more than 18 years in nursing, Rooks has worked in Methodist Le Bonheur Health Care, St. Jude Children’s Research Hospital, West Cancer, One Oncology and now Regional One. “I started in pediatrics at Le Bonheur and working in neurology and neurosurgery piqued my interest in oncology,” she said. “In 2007 I went to St. Jude to see and learn more about what was happening there. Management was something I walked into. I enjoyed informatics, computers, doing things with technology and I would volunteer for additional assignments and leadership classes. “As I continued to take on more roles and responsibilities, I found that management is something I truly enjoy. Eventually I decided to get my MBA and found it extremely fascinating,” she said. She spent 10 years at St. Jude where, during her last year, she served as interim Chief Nursing Officer when the CNO

who held that position for more than 30 years retired. “There were about 12 departments and 800 staff members the CNO was responsible for, so it was a big jump,” said Rooks, who oversaw one department and two employees when she made the move. “Not only was I responsible for nursing at the time, but also all of patient-care services reported to the CNO.” She said the transition was made smoother with the help of the former CNO and the various administrators, directors and senior team leaders. Gradually she began to develop her own management style. “You definitely have to be flexible,” Rooks said. “For me personally, I looked at what type of manager or leader would I want to work for. That’s the leader I strive to be. I focus on collaboration and buy-in, and really working to get to know as many people as possible. It was almost impossible to meet all 800 people, but it’s important to know names, to know faces, and to know stories. “If you remember people and you make connections with people, then you know who you should talk to if you have questions or you need assistance. You just do better when you can sit and you can speak with a person or a group, or with an entire team, and express that there’s a change that needs to be made or a budget decision to make. That’s much better than independently making a decision and not sharing that, so I really strive for collabo-

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ration, buy-in and teamwork. Something else that’s really important is transparency and being honest.” The biggest change she has seen in her two decades in nursing has been in technology. “When I was at the bedside, we were just starting medical records,” Rooks recalled. “We didn’t have barcode scanners for medication administration, there were no workstations on wheels, and we used calculators. We didn’t have Apple watches or Smartphones. Technology definitely has been a game changer.” Rooks, a native Memphian, earned an associate degree in nursing from Southwest Tennessee Community College, a bachelor’s degree in nursing from Baptist Health Sciences University, and her MBA from Bethel University in McKenzie, Tenn. She traces her interest in nursing to her early years as a kindergarten student. “I was five years old and on career day I said I wanted to be a cash register because I liked numbers. Not a cashier, but a cash register,” Rooks said with a laugh. “My teacher said I couldn’t

be a cash register because they’re not human, and she asked me if there was anything else. She said what about a teacher, and I said no, and we worked our way through a list until she came to nursing. “I had only very positive memories about nurses because I was always a healthy child and what I remembered from my annual trips to my pediatrician was there was always this nice person – a nurse – there to help me. So, I thought, yes, that’s something I’d like to do. I want to be a nurse. So, at that point I decided nursing is for me, that’s what I will do, and I’ve never deviated from it.” When she’s away from her nursing and management duties, Rooks likes to spend time with her husband and three children, the oldest of whom is a nursing major at the University of Memphis. She also makes designer T-shirts, mostly for vacations and get-togethers with her large, extended family living in Memphis. Her other hobby is baking, including her special mini chocolate Bundt cakes. You can’t go wrong with those, Rooks notes, “unless you eat too many of them.”

NCI Director Updates Cancer Progress, continued from page 1 while he was vice president, the project is deeply personal to President Joe Biden and First Lady Jill Biden, who lost son Beau to cancer in 2015. Sharpless also noted Vice President Kamala Harris also has a personal connection as the daughter of a cancer researcher who also died from the disease. Not surprisingly, President Biden’s proposed budget for FY 2022, which was released on April 9, includes significant funding increases to address cancer. The budget suggests a total increase of $9.3 billion in funding to the National Institutes of Health. Additionally, the proposed budget includes $6.5 billion in funding for ARPAH. Modeled on the military’s Defense Advanced Research Projects Agency (DARPA), this new Advanced Research Projects Agency – Health would look to speed innovation by investing in new projects and would be housed within the NIH.  “Congress controls the power of the purse, and the president’s budget is just a suggestion,” Sharpless pointed out. While funding remains unclear, he did say there is broad support for the work being done by NIH and NCI. “There is strong bipartisan support for cancer research. Everyone wants this effort to succeed,” he added.   The president has stated his goal is to “end cancer as we know it.” Drilling down, Sharpless looked at what that might mean. “I don’t expect to eradicate all cancer deaths,” said Sharpless. However, he continued, he does believe it’s possible to dramatically impact the tragedy of cancer by developing new treatments, finding cures for pediatric cancers and helping people live longer and more fully even with a cancer diagnosis.  One key metric, he continued, is to

cut cancer mortality in half from its peak in the 1990s. In the early ‘90s, cancer was responsible for 215 deaths per 100,000 population. Now, that’s down to 150 deaths per 100,000. However, Sharpless said, “A 30 percent decline in 30 years is way too slow.” To meet the goal of cutting mortality in half by 2026, it would require about a 4 percent decrease per year going forward … which has never been achieved to date. However, Sharpless said after historically reducing mortality by about 1.55 percent per year, the two most recent years for which data is available were trending in the right direction. In 2017, the country saw a 2.2 percent decline in cancer mortality and in 2018 a 2.4 percent decline.   “I think we can get there by 2026,” he added.   However, Sharpless continued, to achieve that lofty goal will require focused efforts including developing large national trials aimed at early detection of cancer in healthy adults through blood-based screening, allocating resources to clinical trials focused on underserved populations and communities, and an increased commitment to accelerating drug discovery using new platforms and machine learning.  While the development of the COVID-19 vaccine showcased the ability to rapidly create highly effective measures to combat disease by harnessing information and technology, Sharpless said the pandemic also sharply showcased glaring health inequities in our country.   “Underlying all this work is a need for health equity,” said Sharpless. “We can’t leave huge portions of the population behind and expect to make meaningful progress.”  memphismedicalnews

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McDonald Murrmann: Celebrating Women for 25 Years Independent OB/GYN practice reflects on what makes it work A little over 25 years ago, I proposed an idea to Dr. Mary McDonald that we should leave the comfort of our 8 person OB/GYN group and start our own only female physician practice … just the two of us. It was a tough concept to sell but Dr. McDonald took the leap of faith By Susan Murrmann and we started McDonald Murrmann Women’s Clinic. When we informed the group of our decision to leave, we were immediately banished to an unventilated small closet in the back of the office and shared exam rooms with cardboard boxes of our patient files and a small cadre of loyal staff until our new office was complete. In the beginning, our loyal staff and “teenage children” of our staff helped with filing, moving supplies, answering phones, and scheduling of patients. A security offi-

TFA, continued from page 4 ablation with sustained improvements over 12 months. Fibroid mapping with MRI in the FAST-EU trial showed an average volume reduction of 68 percent. Toub noted the volume reduction compares favorably to other uterus-sparing technologies with embolization typically seeing reduction of 50 percent, pharmaceuticals achieving 40-50 percent reduction and focused ultrasound in the range of 15-30 percent reduction.   Furthermore, the rate of surgical reintervention among the women with only submucous fibroids was 3.7 percent in FAST-EU and 0.7 percent in SONATA at the one-year mark. Toub added the reintervention rate on the SONATA trial at the two-year mark was 5 percent and at three years was 8.2 percent. “It showed great results through 36 months,” he said of the durability of the treatment protocol. Toub noted it isn’t surprising to see the need for additional intervention in some candidates. “We do know that women who have many fibroids at baseline have a proclivity to form more fibroids,” he pointed out. As for patient response to this new treatment option, he said, “At three years, 94 percent of patients reported satisfaction.”  With positive durability and safety outcomes, along with minimal procedure and recovery time, Toub said Gynesonics believes they are offering women and physicians a new option to deal with a condition that is too often minimized. For women who suffer through painful periods, miss work days and skip social activities, UFs are more than just a nuisance.   memphismedicalnews

.com

cer that we met in the elevator of our new office helped us move in to the new space. She became a patient, and we delivered her three children. She eventually worked for us and now her children do as well. We have come full circle in relationships, community, and healthcare, we have evolved 360 in every aspect. Now 25 years later, four office spaces, and several changes in partners, Dr. McDonald and I are still together along with partner Dr. Heather Donato who joined our team 17 years ago. Supported by our loyal staff, physician assistant, and nurse practitioners, we have learned that bigger is not necessarily better….it is about quality and individualized care. Obstetrics and Gynecology has been our passion and continues to be our commitment to help all women through the stages of their lives. In 2003, we added aesthetic services to our practice realizing that women who liked the way they looked, felt better, and were more motivated to take care of their health. Hormone imbalance and bio-identical hormone replacement was and still is a large aspect of our practice for the same reason. Our goal was to improve women as they age. It is all about quality of life, and quality of life does not end at middle age. Empowering women (and now their significant others) and their quality of life is our goal. Proactive Health, instead of retroactive medicine, is the key to longevity and a healthy life. We added advanced testing and treatments for nutrition, hormones, sexual dysfunction, healthy lifestyles, genetic testing, medical grade supplements and IV therapy to our menu of services along with personalized obstetrics. We have helped to give back to our community by supporting many local charities including the Race for the Cure, The American Cancer Society, the Methodist Cancer Luncheon and the Women’s Foundation for a Greater Memphis. Early on we realized the importance of detecting and preventing heart disease in women and were the first group to pair with The American Heart Association and support their events. We have grown and evolved our practice over the years starting with the same initial concept of women taking care of women to include more aspects of women’s health and wellness because women and gynecology are more than just pelvic exams. Health is more than just a body part; it is coordinated care and listening. We became McDonald Murrmann Center for Wellness and Health 360.

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Certification as a CNCT or R.NCS.T preferred One year minimum nerve conduction testing experience required Outpatient only • Great pay. Nice benefits Friendly staff and doctors • Modern equipment • Modern offices Teaching/ learning environment • Certification program Considerate atmosphere where the patient always comes first

GrandRounds Le Bonheur and UTHSC’s Dr. Harris L. Cohen Presents at the MRI Online Daily Noon Conference Harris Cohen, MD, recently presented at the MRI Online Daily Noon Conference. Dr. Cohen was featured during week 47 of the series and spoke on the topic, “Ultrasound in the Analysis of Pelvic Pain in Girls and Female Adolescents.” MRI Online is an educational resource for practicing radiologists to further develop their knowledge and skills. Due to the pandemic, MRI online has created the Noon Conference series that features a live stream of lectures from a variety of experts every Monday, Wednesday, and Friday.

Cohen is a radiologist-in-chief and medical director of radiology at Le Bonheur Children’s Hospital. He also serves as executive chair of radiology at the University of Tennessee Health Science Center. He completed his medical degree at SUNY Downstate Medical Center and his fellowship in diagnostic radiology at Children’s Hospital, National Medical Center. Dr. Cohen is board certified by the American Board of Radiology with special qualifications in pediatric radiology and certificate in diagnostic radiology. His full presentation is at US in the Analysis of Pelvic Pain in Girls and Female Adolescents, Dr. Harris Cohen (312-21) - MRI Online

Come be part of our awesome team! Contact Lyndsey at Lsisco@nerveandmuscle.com

MID-SOUTH MEDICAL GROUP MA AGEME T ASSOCIATIO

MID-SOUTH MEDICAL GROUP MANAGEMENT A S S O C I AT I O N

WHO WE ARE The Mid-South Medical Group Management Association (MSMGMA) formed in 1987 when a group of practice managers across Memphis started meeting to discuss common experiences in their offices. The group has now grown to include more than 100 members from the Memphis area. MSMGMA is the premier association for professionals who lead Medical Practices. Through regular in-person and/or virtual educational meetings, networking events, and access to statewide webinars and conferences, our group serves as a powerful resource for Practice Executives.

WH MID SOUTH MGMA ? Healthcare is one of the most complex industries in the country. MSMGMA offers resources to every type of practice manager, whether you are in a private office or a hospital system.

McDonald Murrmann Center for Wellness and Health Introduces New Body Sculpting Treatment McDonald Murrmann Center for Body Contouring 360° is the first in the area to provide patients with the latest device in body-contouring technology known as Emsculpt NEO - an optimal device that tones muscle and burns fat in the same treatment. More information including a limited time discount offer of 25 percent off can be found at www.sculpt901.com. Emsculpt NEO is a non-invasive, FDA cleared procedure using state-of-the-art technology that combines radio frequency energy and high intensity electromagnetic waves provides patients with more muscle mass while having the ability to reduce body fat by 30 percent in the areas of abdominal muscles, biceps, triceps, thighs, and buttocks. Unlike competitors that use freezing technology, the Emsculpt NEO technology helps build muscle while also burning fat. An EMSCULPT NEO treatment session lasts thirty minutes and does not require any pre-treatment preparations. Suitable for both females and males, patients can resume a regular lifestyle immediately after the treatment as it does not require surgery, needles, anesthesia, or downtime. In addition to Emsculpt NEO treatments, McDonald Murrmann Center for Body Contouring 360° also offers other non-invasive treatments that focus on full-circle care including Emsella™, which is designed to help to treat incontinence, and Emtone, which is intended to treat all major contributing factors to cellulite. The center is located at 7205 Wolf River Blvd. in Germantown. Patients may schedule an appointment online at https://mmcwh360.com.

MSMGMA offers opportunities to learn from other practice executives and mentor those newly in their roles. We provide education opportunities, bringing in speakers from across our region to discuss applicable topics to your practices.

MID-SOUTH MEDICAL GROUP M Join A Ntoday A G for EM N Tmember/renewal ASSOCIA TION ourEnew discount through January 31, 2021.

BENEFITS OF MEMBERSHIP

Mid-South MGMA I 1067 Cresthaven Rd, Memphis, TN 38119 Education & Information Resources msmgma@mdmemphis.org Monthly meetings and annual spring and fall conferences Bi-monthly newsletter

Networking Membership Database & Members Only section on our website Monthly networking luncheons with educational speakers included

Easy access to industry news, job postings, and scholarship information Active guidance toward certification and fellowship in the American College of Medical Practice Executives

Advocacy

State and national information about legislative issues that impact your practice

MEMBERSHIP LEELS & DUES

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ACTIVE: $350

AFFILIATE: $400

STUDENT: $50

Includes state-wide Tennessee Medical Group Management Association membership and local MSMGMA membership. Active Members are engaged in membership or leadership of a medical group practice formally organized for the purpose APRIL/MAY 2021of healthcare delivery or individuals that provide administrative or related support services to one or more medical group practices, such as management companies, consultants, billing, etc.

An affiliate Member is a vendor/supplier which supplies products or services to medical groups and will be entitled to a limited membership with no voting privileges, but will be permitted to attend meetings and participate in other activities of the MSMGMA. It is the hope of the MSMGMA that the MSMGMA and the affiliate member will each benefit mutually in the exchange of information, ideas and economic support. The MSMGMA does not in any way endorse the products, supplies or services of an affiliated member.

A student Member is a person who is currently enrolled full time through an accredited postsecondary college or university in a baccalaureate or masters level program that enhances or corresponds to the profession of medical practice management. Student members will be entitled to a limited membership with no voting privileges and cannot hold office but will be permitted to attend meetings and participate in other activities of the MSMGMA.

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GrandRounds Dr. Jonathan Jaggar Receives $2.3 Million For Blood Pressure Research The National Heart, Lung, and Blood Institute recently awarded Jonathan H. Jaggar, PhD, Maury Bronstein Endowed Professor in the Department of Physiology at the University of Tennessee Health Science Center (UTHSC), a Jonathan H. $2.3 million grant for his Jaggar study titled “PKD proteins in endothelial cells.” The proposal’s goal is to provide a new understanding of how endothelial cells regulate blood pressure. Blood vessels provide all of our organs with oxygen and nutrients and determine blood pressure in the body. Endothelial cells, which line the inside of all blood vessels, can cause blood vessels to relax or contract, thus controlling the body’s blood pressure. Endothelial cells stop working properly during vascular diseases such as stroke and high blood pressure (hypertension), but how this happens is not fully understood. Dr. Jaggar’s project is focused on identifying the functions of two proteins in endothelial cells called PKD1 and PKD2. His lab has new evidence that PKD1 and PKD2 physically couple in endothelial cells to

relax blood vessels and reduce blood pressure. His group also found that that PKD1/PKD2 signaling is altered during hypertension, which in turn inhibits their ability to relax blood vessels. In this proposal, Dr. Jaggar’s team will test the hypothesis that physiological stimuli activate PKD1/PKD2 coupling in endothelial cells. They will investigate what causes this to happen and how it produces vasodilation. They will also study the relationship between hypertension and the breakdown in PKD1/PKD2 channel signaling and the vasodilation it makes possible. This project, which is being funded for four years, will provide significant new information about vasoregulation by endothelial cell PKD1 and PKD2 proteins.

ment. Under his leadership, the Information Technology team will introduce new technologies to digitize patients’ interactive experience and improve access to data and utilization overall. Prior to joining Renown, Fuschillo served as CIO/VP for Englewood Hospital and Medical Center in Reno, as well as CIO/VP for Rutland Regional Medical Center in Rutland, Vermont. Fuschillo holds an MBA from the University of Hartford and received his Bachelor of Science from Central Connecticut State University.

Methodist Le Bonheur Healthcare Names CIO

West Cancer Center has modeled research driven, patient centered oncology care for over 40 years with a reputation for educating and advancing cancer treatments in the Midsouth, Nationally and Internationally. Their 6th Annual West Oncology Conference, usually held at the Guest house at Graceland, was held virtually in February with a distinguished panel of nationally renowned faculty and presenters had unprecedented growth of attendees. Virtual learning has become the norm as a necessary response to the COVID-19 pandemic that extends to

Methodist Le Bonheur Healthcare has named Ron Fuschillo as senior vice president and chief information officer. Fuschillo joins the healthcare system from Reno, Nevada, where he served as vice president and chief information officer for Renown Ron Fuschillo Health. Fuschillo will guide the healthcare system’s strategic goals that specifically focus on user engage-

West Cancer Center & Research Institute Hosts Record Attendance at their 6th Annual West Oncology Conference

the healthcare community. Working with Total Health Conferencing, West Cancer Center & Research Institute demonstrated the success and interest in attending virtual conferences. Oncology care is ever changing and progressing, and the West Oncology Conference has been bringing together leaders, fellow providers, and the future generation of cancer specialists for the past 6 years. This one-day meeting presented practice changing data in an interactive format on women’s cancers, genitourinary malignancies, gastrointestinal cancers, head and neck cancer, lung cancer, and disparities in cancer care. With usual attendance of up to 300 attendees, this year there was astoundingly 940 preregistrants including, 793 healthcare providers with 541 viewers attending live and more estimated to view the sessions as enduring content remains available on demand in conjunction with Total Health and their content distributors. Just over the weekend, sessions were viewed almost 8K times and over 180K minutes of impactful presentations were watched across 18 countries. To view the presentations visit 6th Annual West Oncology Conference at www.totalhealthconferencing.com/ westoncology. To learn more about West Cancer Center and the services offered, please visit www.westcancercenter.org

Empowering Women’s Health

25 YEARS OF HEALTH AND AESTHETIC CARE FOR WOMEN IN THE MID-SOUTH 7205 Wolf River Blvd. #150 & #155 Germantown, TN

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Women’s Clinic: 901-752-4000 Laser & Aesthetics: 901-322-7020

APRIL/MAY 2021

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GrandRounds Saint Francis HospitalMemphis Names Lisa Hoyle CNO

OrthoSouth’s New Germantown Clinic Opens to Patients

Saint Francis Healthcare is pleased to welcome Lisa Hoyle, DNP, RN, NEA-BC, FACHE, CPPS, CPHQ as the new Chief Nursing Officer at Saint Francis HospitalMemphis. In this role, Dr. Hoyle will be responsible for all nursing and other Lisa Hoyle designated patient care functions and services within the hospital. Hoyle has more than 25 years healthcare leadership experience. Her most recent role was at St. Louis University Hospital where she served as CNO of the 327-bed academic medical center. Hoyle earned her Bachelor of Science in Nursing and Master of Science in Nursing from SUNY in Utica, New York. She then completed her Doctor of Nurse Practice degree from Rush University in Chicago, Illinois. Hoyle is a fellow of the American College of Healthcare Executives and certified in Professional In-Patient Safety (CPPS), Professional in Healthcare Quality (CPHQ), and Nursing Administration Advanced (NEA-BC). In her spare time, Dr. Hoyle is a beekeeper. She is an avid gardener and quilter. Together with her husband, Dr. Hoyle has two children and five grandchildren.

OrthoSouth has begun welcoming patients to our new Germantown clinic. The brand new clinic, located at 2100 Exeter Road, 2nd Floor, in Germantown, was designed from floor to ceiling to deliver a 5-star patient experience. From its serene, light-infused lobby, to ultra-private exam rooms, and an intuitive floorplan with builtin navigation cues, the entire clinic was created as an escape from the institutional and antiseptic atmosphere typical in most healthcare facilities. OrthoSouth will continue providing their brand of world-class orthopedic care in a Covid-safe space, but in a warmer, friendlier, more comfortable environment that also delights and calms the senses. In short, the Germantown clinic is the physical embodiment of the OrthoSouth mission statement – to be the best orthopedic practice in the United States as measured by the patient experience. The new OrthoSouth clinic is part of a larger renovation of the building owned by HealthCare Realty. The practice’s Germantown Surgery Center, which was named a 2021 Best ASC in America by Newsweek, operates in the same building. It will undergo a redesign during the next phase of renovation that will incorporate the same themes and

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promote the same 5-star experience as the OrthoSouth clinic upstairs. Renovations to OrthoSouth spaces are expected to be completed by this Fall.

UTHSC College of Nursing Doctoral Program Ranked by U.S. News and World Report The Doctor of Nursing (DNP) program at the University of Tennessee Health Science Center’s College of Nursing has been ranked No. 26 on the U.S. News & World Report list of DNP programs in the magazine’s 2022 edition of Best Graduate Schools. This ranking places the UTHSC College of Nursing DNP program in the top 8% of all 357 DNP programs nationwide, ranked and unranked. Among the 163 DNP programs ranked by the magazine, the latest listing places UTHSC’s program in the top 16%. The DNP is designed for nurses seeking a terminal degree in nursing practice. To determine the rankings, U.S. News & World Report uses a combination of statistics and expert assessment data, including input and output measures. The input measures reflect the quality of students, faculty, and resources. Output data include information such as exam pass rates and job placement. Expert assessment comes from surveys of those knowledgeable in academia and practice for each profession. Although the list is for 2022, the ranking process occurred in 2021. The exit survey from graduates rated the program as equal or higher than comparable universities around the country said DNP Program Director Bobby Bellflower, DNSc, NNP. Many graduates provide care to underserved and underrepresented communities, where health care can be a scarce commodity. The faculty and staff at the College of Nursing have worked hard to develop state-of-the-art teaching strategies to enable APRN students to deliver high-quality, safe care to local communities. The College of Nursing has long shown leadership in the preparation of advanced practice nurses. In 2005, UTHSC opened the first DNP program in Tennessee, which was the second in the nation. The program is known for the variety of specializations it offers. With the recent addition of the Nurse-Midwifery concentration, UTHSC educates nurses in eight specific DNP concentrations. In addition, three dual concentrations are available, including a program focusing on pediatric primary care and pediatric acute care. To become a nurse practitioner, a nurse must complete a master’s or doctoral degree program and have advanced clinical training beyond the initial professional registered nurse (RN) preparation. In 2018, the National Organization of Nurse Practitioner Faculties committed to move all entrylevel nurse practitioner education to

the DNP degree by 2025. Multiple studies show that nurse practitioners provide care that is patientcentered, effective, affordable and comparable in quality to that of their physician colleagues. As clinicians, they blend clinical expertise in diagnosing and treating health conditions with an added emphasis on disease prevention and health management. In the United States, more than 30,000 new nurse practitioners completed their academic programs in 2018–2019. Nearly 90% of all nurse practitioners are certified in an area of primary care, and 69% of all nurse practitioners deliver primary care.

PUBLISHER Pamela Z. Haskins pamela@memphismedicalnews.com EDITOR PL Jeter editor@memphismedicalnews.com PHOTOGRAPHER Greg Campbell ADVERTISING INFORMATION 501.247.9189 Pamela Z. Haskins CREATIVE DIRECTOR Susan Graham sgraham@nashvillemedicalnews.com GRAPHIC DESIGNERS Susan Graham, Katy Barrett-Alley CONTRIBUTING WRITERS Lawrence Buser Susan Murrmann, MD Cindy Sanders All editorial submissions and press releases should be sent to editor@ memphismedicalnews.com Subscription requests can be mailed to the address below or emailed to pamela@memphismedicalnews.com. Memphis Medical News is now privately and locally owned by Ziggy Productions, LLC. P O Box 164831 Little Rock, AR 72206 President: Pamela Z. Haskins Vice President: Patrick Rains

Reproduction in whole or in part without written permission is prohibited. Memphis Medical News will assume no responsibility for unsolicited materials. All letters sent to Memphis Medical News will be considered the newspaper’s property and unconditionally assigned to Memphis Medical News for publication and copyright purposes.

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GrandRounds Martine Roussel, PhD, Elected to the AACR Academy Class of 2021 Martine Roussel, Ph.D., a molecular oncologist at St. Jude Children’s Research Hospital, has been elected to the 2021 Class of Fellows of the American Association for Cancer Research. Roussel is a member of the Department of Tumor Cell Biology at St. Martine Roussel Jude. Her research into childhood brain tumors, conducted over the past fifty years, has led to new avenues of treatments and therapies to maximize cures. She has made landmark findings in molecular oncology, cell cycle control and translational development of treatment strategies for pediatric medulloblastoma. Fellows of the AACR Academy serve as a global brain trust in the cancer field. They help advance the mission of the AACR to prevent and cure all cancers through research, education, communication, collaboration, science policy and advocacy, and funding for cancer research. This year, 25 scientists were elected to the AACR Class of Fellows. All Fellows are nominated and elected through an annual peer review process conducted by existing Fellows of the AACR Academy and ratified by the AACR Academy Steering Committee and AACR Executive Committee. This process involves a rigorous assessment of each candidate’s scientific accomplishments in cancer research and cancer-related sciences. Only individuals whose work has had a significant and enduring impact on cancer research are considered for election and induction into the AACR Academy. Roussel holds the St. Jude Endowed Chair in Molecular Oncogenesis. She has also been elected to the American Academy of Arts and Sciences (2011) and to the National Academy of Sciences (2019).

DELIVERING EXCELLENCE TO WOMEN Delivering Excellence to Women OF ALL AGES FOR OVER 30 YEARS of All Ages for Over 30 Years

Methodist North Hospital ICU Recognized for Exceptional Care

James A Wilson, MD | M Andrea Giddens, MD Crista L Crisler, MD | G Aric Giddens, MD Elizabeth K Mann, MD | John F Albritton, MD

Fazal M Manejwala, MD | Lea Mary Bannister, MD Delivering Excellence to Women Elaine A Thompson, MD | Alok Kumar, MD of All Ages for Over 30 Years Jason B Mullenix, MD | Helena G Shannon, MD J Elizabeth McAdory, MD | Jason G Williams, MD Daniel A Lee, MD | Heather M Wherry, MD | Alicia W Wright, MD Katie M Dorsett, MD | Lynn G Kirkland, DNSc, WHNP Linda W Childers, MSN, CFNP | Kelly K Pfrommer, MSN, FNP Jennifer Dewey, MSN, FNP | Leslie Norman, MSN,FNP Kristen Duncan, WHNP | Haley Gore, FNP

8110 Brother Blvd. Bartlett, TN 38133

The Intensive Care Unit (ICU) at Methodist North Hospital has received the Silver-level Beacon Award for Excellence from the American Association of Critical Care Nurses. The Beacon Award signifies exceptional care through improved outcomes and greater overall patient satisfaction. For nurses, a Beacon Award is an indication of a positive and supportive work environment characterized by a high degree of collaboration between colleagues and leaders. The Methodist North ICU is the only adult ICU unit in Tennessee to receive this award.

Katie Dorsett, MD

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Haley Gore, FNP

APRIL/MAY 2021

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