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DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

January 2010

internalmed.slu.edu

SPOTLIGHT ON HAITI DISASTER MEDICAL RELIEF MISSION SUPPORT Tim Rice, MD, associate professor, Internal Medicine and Pediatrics, is leaving for Haiti on February 4, 2010 and will return to patients at Saint Louis University on February 16, 2010. Please see the next issue of the departmental newsletter (March 2010) for a review of this trip and photos. 14TH ANNUAL INTERNATIONAL VISITING PROFESSOR IN HEPATOLOGY Ding-Shinn Chen, MD, professor of medicine, National Taiwan University Hospital was the 14th International Visiting Professor in Hepatology. Dr. Chen presented GI Grand Rounds on December 3, 2009, Internal Medicine Grand Rounds on December 4, 2009, and GI Research Conference on December 4, 2009. Although he was kept quite busy during his visit, he also had time to do some sightseeing in St. Louis. It has just been announced that Professor Geoffrey Dusheiko, Royal Free Hampstead Hospital, The Sheila Sherlock Liver Centre, London, England has agreed to be the 15th Annual International Visiting Hepatologist, December 2-5, 2010.

NEW FACULTY MEMBER – DIVISION OF GERIATRIC MEDICINE The Division of Geriatric Medicine is pleased to announce the return of Frederick Yap, MD. Dr. Yap joined the faculty of Saint Louis University School of Medicine in January 2010. He completed his fellowship training in geriatrics in 1999, his Internal Medicine Residency in 1998, and served as Chief Resident from 1997-1998. Dr. Yap will be seeing patients at Saint Louis University Hospital, the DOB, Des Peres Hospital ACE (acute care for the elderly) Unit and in our Des Peres Senior Care Outpatient Clinic. Please help us in welcoming Dr. Yap back to our Division and to the Department of Internal Medicine. DIVISION OF PULMONARY, CRITICAL CARE AND SLEEP MEDICINE UPDATE George M. Matuschak, MD, professor and director, participated in a Special Emphasis Panel/Scientific Review Group of the National Heart, Lung and Blood Institute (2010/01 ZHL1 CSR-H (F1) 1): Phase II Clinical Trials of Novel Therapies for Lung Diseases (U01) on November 5, 2009. The following Division of Pulmonary, Critical Care and Sleep Medicine physicians were selected as primary authors to present at the American College of Chest Physicians (ACCP) conference held October 30 – November 5, 2009 in San Diego:


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DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

January 2010

internalmed.slu.edu

Dayton Dmello, MD, fellow, presented Efficacy of Inhaled Hypertonic Saline in Reducing Exacerbations of Cystic Fibrosis Lung Disease which will also be published in the CHEST on line supplement in the October edition. Mingchen Song, MD, fellow, presented Mycobacterium triplex Lung Disease in an Immunocompetent Host during the Mycobacterial Mysteries session. Dr. Song also presented Lung Abscess with Pseudomonas aeruginosa, Mycobacterium avium complex, and Nocardia spp. in a Patient with Kartagener’s Syndrome during the Miscellaneous Marvels session.

DIVISION OF GASTROENTEROLOGY AND HEPATOLOGY UPDATE The division was well represented at the annual meeting of the American Association for the Study of Liver Diseases in Boston in November of 2009. Fellows and faculty presented their research, moderated sessions, participated in the educational activities at the meeting and served on committees. Moderators/Session Chairs Moderator: Bruce R. Bacon, MD, “HH – A New Disease Paradigm”, Leon Schiff State-ofthe-Art Lecture Series.

Ashutosh Sachdeva, MD, assistant professor, moderated the Mycobacterial Mysteries session.

Session Chair: Adrian M. Di Bisceglie, MD, “Effective Mentorship: The Senior Faculty Perspective”, Career Development Workshop.

Carl Kaplan, MD, professor, was selected to give the lecture on Waveform Analysis during Mechanical Ventilation as well as teaching the ultrasound course in the ACCP’s Simulation Lab.

Session Chair: Adrian M. Di Bisceglie, MD, “Academic Advancement: Advice for Junior Faculty”, Career Development Workshop.

The following have passed certification examinations:

their

board

Dr. Ali Javed – Pulmonary Disease Dr. Adeel Khan – Pulmonary Disease Dr. David Stoeckel – Critical Care Medicine Dr. Ashutosh Sachdeva – Critical Care Medicine DIVISION OF CARDIOLOGY UPDATE Robert Neumayr, MD, Peter Mikolajczak, MD, and Abhay Laddu, MD, successfully passed (on the first try) their Cardiology Boards and are now Board certified in Cardiovascular Disease.

Session Chair: Jorge A. Marrero, MD, and Adrian M. Di Bisceglie, MD, “Hepatocellular Cancer: Screening Strategies”, Postgraduate Course – Meet-the-Professor Luncheon. Moderator: Adrian M. Di Bisceglie, MD, and Mandana Khalili, MD, “HCV: Clinical Benefits of Treatment Response”, Parallel Session. Session Chair: Brent A. Neuschwander-Tetri, MD, and Kiran Bambha, MD, “NASH Emerging Therapies”, Clinical Management Workshop.


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DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

January 2010

internalmed.slu.edu

Oral Presentations Sulkowski MS, Zeuzem S, Lawitz Eric, Grigorescu M, Tice AD, Rustgi VK, Rodriguez-Torres M, Lurie Y, cianciara J, Bacon BR, et al Efficacy and safety of albinterferon alfa-2b in combination with ribavirin in treatment of naïve patients with chronic hepatitis C genotype 1. Parallel Session. Poordad F, Lawitz E, Hassanein T, Shiffman ML, Bacon BR, et al. Sustained virologic response (SVR) results for weight-based taribavirin versus weight-based-ribavirin, in naïve chronic hepatitis C, genotype 1 patients. Parallel Session. Vierling JM, Poordad F, Lawitz E, Ghalib RH, Lee WM, Ravendhran N, Galati JS, Bacon BR, et al. Once daily narlaprevir (SCH 900518) in combination with pegintron (peginterferon alfa2B)/ribavirin for treatment-naïve subjects with genotype-1 CHC: Interim results from next-1, a phase 2a study. Late-breaking Abstracts. McHutchison JG, Manns MP, Muir A, Saab S, Jacobson IM, Afdhal NH, Heathcote EJ, Zeuzem S, Reesink HW, Bsharat M, George S, Adda Nathalie, Di Bisceglie AM. Prove 3 final results and 1-year durability of SVR with telaprevir-based regimen in hepatitis C genotype 1-infected patients with prior nonresponse, viral breakthrough or relapse to pegintereron-alfa-2A/B and ribavirin therapy. Parallel Session. Sanyal AJ. A randomized controlled trial of pioglitazone or vitamin E for nonalcoholic steatohepatitis (PIVENS). Late breaking abstract. Presented on behalf of the NASH

CRN, Tetri BA PI for the Saint Louis University site. Poster Presentations Singal A, Waljee AK, Shiffman ML, Bacon BR, Schoenfeld P. Re-treatment of genotype 1 hepatitis C non-responders and relapsers to prior combination therapy: A meta-analysis. Cai C, O’Neill R, Britton RS, Bacon BR. Insulin as a novel stimulator for the initial activation of hepatic stellate cells. De D, Marwaha P, Mihindukulasuriya K, Bacon BR. New scoring classification for overlap syndrome. Marwaha P, De D, Mihindukulasuriya K, Bacon BR. Treatment of patients presenting with autoimmune hepatitis primary biliary cirrhosis overlap syndrome. Kanwal F, Befeler A, Chun X, Zeringue A, Di Bisceglie AM. Rate of curative treatment for early stage hepatocellular cancer – results from liver cancer research network. Marrero J, Schwartz ME, Nguyen MH, Befeler A, et al. Alpha-fetoprotein and des-gamma carboxyprothrombin are independent predictors of early stage hepatocellular carcinoma. Jou JH, Chen P-H, Jazwinski A, Bouneva IS, et al. Management of hepatocellular carcinoma at a tertiary referral center offering liver transplantation. Singal A, Volk ML, Jensen DM, Di Bisceglie AM. The natural history of hepatitis C treatment failures: a meta-analysis.


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DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

January 2010

internalmed.slu.edu

Kramer JR, Hachem CY, Kanwal F, El-Serag HB. Predictors of hepatitis A and B vaccination among us Veterans with chronic hepatitis C virus. NEW RESEARCH GRANTS AWARDED William Banks, Geriatric Medicine, $147,500 from National Institute on Aging for “Oxidative Dysfunction of LRP at the Bloodbrain Barrier in Alzheimer’s Diseases – Supplement.” Michael Lim, Cardiology, $46,875 from the Society for Cardiac Angioplasty and Interventions for “2009 SCAI Interventional Cardiology FIT Grant.” Joseph Flaherty, Geriatric Medicine, $59,904 from Logan College of Chiropractic / HRSA for “Chiropractic Demonstration Projects: Geriatrics Low Back Pain and Balance Assessment and Management Program.” Bernard Chaitman, Cardiology, $149,740 from University of Medicine and Dentistry of New Jersey / NIH for “Transfusion Trigger Trial in Coronary Artery Disease: A Pilot Study.” Susan Farr, Geriatric Medicine, $52,700 from Southern Illinois University – Edwardsville / NIH for “Somatostatin Agonist Treatment for Cognitive Aging and Dementia.”

University School of Nursing in December, 2009. Dr. & Mrs. Samer Alkaade, Division of Gastroenterolgoy & Hepatology, on the birth of their son, Nicholas, on December 21, 2009. 99 PEARLS OF WISDOM Bahar Bastani, MD, professor, Nephrology, finds meaning in ordinary things and brings them together in 99 Pearls of Wisdom, an inspirational collection of insights. For more information, log onto www.Xlibris.com. DATES OF NOTE February 15, 2010, next deadline for School of Medicine Research Seed Grant Funds applications. Applicants are eligible if they applied for, but did not receive SLU President’s Seed Grand awards. February 18, 2010, Department of Internal Medicine Faculty Retreat, 5:30 pm to 9:30 pm, LRC Auditorium. March 16, 2010, SLU Institutional ACGME accreditation visit is planned for March 16. All 50 of our accredited programs will be reviewed.

CONGRATULATIONS NEW CLASSROOM PLANNED Pamela O’Neal, staff nurse, Internal Medicine, DOB, completed her MSN degree in the Adult Nurse Practitioner Program through Saint Louis

Saint Louis University purchased the former Orthopedic Rehabilitation Center (the old Spine and Hand building). It will be converted for


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DEPARTMENT OF INTERNAL MEDICINE NEWSLETTER

January 2010

internalmed.slu.edu

medical education use. Renovations will include construction of a state of the art 225 seat classroom.

WEBSITE Access the Department of Internal Medicine website at http://internalmed.slu.edu.

CLINICAL TICKER INFORMATION FOR NEXT NEWSLETTER PRACTICE LOCATION

CANCER CENTER CARDINAL GLENNON DES PERES DOB MIDWEST ENDOSCOPY OP CATH LAB SLEEP DISORDERS CENTER SLUH SNF/NF/CC/HOSPICE UNIVERSITY CLUB TOWER OTHER GRAND TOTAL FY 10 / FY 09 YTD AMB ENCs

FY 09 YTD BILLED AMB ENCs

FY 10 YTD BILLED AMB ENCs

4,390 377 1,460 25,062 0 106 794 6,913 3,537 5,100 3,814 51,553

5,177 346 2,810 25,686 0 126 924 7,177 3,218 4,992 4,305 54,761 106.2%

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


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