WV Physician Magazine Volume 5, Issue 2 by P. J. Hutton

VO LU M E 5 • I S S U E 2 • 2 014

The Magazine for Health Care Professionals

CAMC Physicians Group Urologists Offer Unique, Team Approach to Care

Rocco Morabito Jr., MD

Rocco Morabito Sr., MD

Two Generations of Excellence

Specializing in Minimally Invasive and Non-Invasive Treatment Options

THE HANDS OF EXPERIENCE IN ADVANCED UROLOGY ®

St. Mary’s Urology offers comprehensive care for a wide variety of urologic issues for both males and females. Our specialists provide the latest treatments to help patients return to normal daily activity. SERVICES INCLUDE: • Adult and pediatric urology • Stone treatment - Ureteroscopy - Lithotripsy - Percutaneous • In-ofﬁce diagnostic procedures • Robotic-assisted laparoscopic surgery • Minimally invasive kidney, bladder and prostate surgery • Surgical and non-surgical treatments for incontinence • Sacral neuromodulation (Interstim) • Medical and surgical treatment of erectile dysfunction

CONDITIONS TREATED AT ST. MARY’S UROLOGY INCLUDE: • Kidney and ureteral stones • Leakage when coughing, sneezing, lifting, walking, playing sports, climbing stairs, bending, etc. • Urgency to urinate, sometimes not making it to the restroom in time • Frequent or painful urination • Male infertility • Erectile dysfunction • Urological cancers • Enlarged prostate • Testicular pain

To refer one of your patients, call (304) 525-3711 or visit st-marys.org.

Category Contents

COVER STORY

CAMC Physicians Group Urologists

Offer Unique, Team Approach to Care

Features

Hospital News

7 B igger ED Aims to Improve Flow

8 Cabell Huntington Hospital 11 Charleston Area Medical Center 12 Davis Health System 14 Marshall University Medical School 17 St. Joseph’s Hospital 18 St. Mary’s Medical Center 20 Thomas Health Systems 23 University Healthcare

COVER PHOTO: Front (L to R): Dr. R.N. Haricharan, Dr. Frederick Martinez, Dr. James P. Tierney, Dr. Anthony Sibley; Back (L to R): Dr. Joshua Lohri, Dr. Samuel Deem, Dr. Ryan Fitzwater

Although every precaution is taken to ensure the accuracy of published materials. WV Physician Magazine cannot be held responsible for opinions expressed or facts expressed by its authors. ©2013, Austin Development Company, LLC dba WV Physician. All rights reserved. Reproduction in whole or in part without written permission is prohibited.

25 WVU Charleston 26 WVU Healthcare & Health Sciences Send press releases and all other related information to: WV Physician Magazine Post Office Box 11311 Charleston, WV 25339 Contact us at 866-844-7376, or submit via email to: info@wvphysician.net Visit us on the web at: www.WVPhysician.net Volume 5 - Issue 2 • 2014

Cover Story Category

From Cancers to Kidney Stones to Incontinence,

CAMC Physicians Group Urologists

Offer Unique, Team Approach to Care By Julia Noland

We’ve all been there – caught in situations when we thought we would die from embarrassment. But your patients can actually die from embarrassment when “embarrassing” symptoms like blood in their urine or painful urination keep them from seeking medical care. Even non-life-threatening urologic conditions can completely change their lives if left untreated. Urologists with CAMC Physicians Group in Charleston specialize in all areas of urologic care, including cancers of the kidneys, prostate, bladder and tes-

ticles; kidney stones; lower urinary tract reconstruction; pelvic floor disorders and minimally-invasive robotic surgery. For patients, this means a depth of experience and collaboration among one of the largest groups of urology specialists in the state. “Our goal is to improve the quality of care for West Virginians,” said James P. Tierney, DO, medical director of the CAMC Physicians Group Urology practice and vice chief of urology at CAMC. “Most of our physicians are West Virginians themselves – they

Prolaris® is a new genetic test that can help determine which prostate cancers need immediate, aggressive treatment and which ones do not, giving physicians and patients more confidence in their treatment decisions.

are from here and trained here, so they really understand the needs and concerns of their patients.” One of the group’s top priorities is comprehensive cancer care. “Two of the top five cancers treated at CAMC are urologic – prostate and kidney, which speaks to the volume of what we are dealing with here,” said Tierney, who specializes in robotic urology. According to the American Cancer Society, prostate cancer is the second leading cause of cancer death in American men, behind only lung cancer. About 1 in 7 men will be diagnosed with prostate cancer during his lifetime, and 1 in 36 will die of the disease. In addition to minimally-invasive treatment options for prostate cancer, such as robotic-assisted surgery, CAMC Physicians Group urologists now offer a test called Prolaris® that analyzes genes from a patient’s prostate cancer to determine the best course of treatment. This test is a breakthrough in prostate cancer testing because it can predict whether a tumor will be aggressive or slow-growing. “As a clinician, I advocate for evidencebased medicine,” Tierney said. “The Prolaris® test accurately tells me if

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a patient has an aggressive prostate cancer or not and guides my treatment decisions. I must ask the same question for every patient: should I use surgery or radiation, or should I use active surveillance and watchful waiting? Prolaris® helps me answer these critical clinical questions.” Cancer of the bladder is also among the most common cancers in men diagnosed at CAMC. Nationally, bladder cancer is the fourth most common type of cancer in men, and the eighth most common in women. Smoking is the most common cause of bladder cancer. The most common initial sign of the disease is red-colored urine, which calls for urine cytology, imaging of the kidneys and cystoscopy. CAMC is one of a select number of medical centers nationwide offering a new technology for the detection of papillary cancer of the bladder in patients with known or suspected bladder cancer. Cysview® is used to detect bladder cancer in individuals suspected or known to have lesions in the bladder, based on a prior cystoscopy. It also helps to better treat early bladder cancer by improving the ability to remove early tumors that are not yet visible with traditional white light cystoscopy. Cysview® is used with a photodynamic diagnostic system, which includes a white light setting to illuminate the bladder during a routine cystoscopy, and a blue light setting to induce and view fluorescence, thereby enabling physicians to detect lesions in the bladder. “Bladder cancer is difficult to visualize and to treat effectively,” said Samuel Deem, DO, who is fellowship trained in urologic oncology. “A missed diagnosis or less than optimal resection can result in delayed or incomplete treatment, which may lead to serious complications and a lower chance of survival for

patients with potentially aggressive tumors. Cysview® has been shown in multiple clinical trials to significantly improve tumor free recurrence rates when compared to white light cystoscopy.” In addition to the growing numbers of urologic cancers treated at CAMC, urologists have also seen a rise in kidney stone occurrences, which is one of the most common disorders of the urinary tract. CAMC’s Stone Center offers multidisciplinary care in one location led by urological surgeon Ryan Fitzwater, DO, and nephrologist Julie Haddy, MD. “Having a one-stop shop for patients to see a urologist, nephrologist and dietitian all in one appointment is more convenient for the patient and allows for better communication with everyone involved in the patient’s care to develop an effective treatment plan,” Fitzwater said. “This is more convenient for the patient and provides a more integrated approach between physicians,” Haddy said. “The Center enables us to have better communication with each other and do everything we can to better help patients.” One of the most common types of kidney stones forms from chronic dehydration. “Drinking too much cola, not drinking enough water and taking some medications can cause kidney stones,” said Fitzwater, who specializes in kidney stones. Treatment options vary depending on the type and severity of kidney stones, from lithotripsy to other minimallyinvasive stone removal techniques. Some common urologic conditions are not life-threatening, but can be so socially debilitating that people will avoid public places or leaving

Kidney Transplant According to the American Urological Association, each year about 90,000 Americans develop endstage renal disease, and about 30 percent of kidney failure sufferers are suitable candidates for a kidney transplant. As the only kidney transplant center in West Virginia, CAMC offers expert, personalized treatment for patients with advanced kidney disease. An experienced team of specialists works with patients throughout the transplant process to ensure that they have the best possible outcomes and the chance to return to a normal, independent lifestyle. “Because we are the only hospital in the state performing kidney transplants, hundreds of patients with end-stage renal disease depend on us for a better quality of life,” said Joseph Africa, MD, FACS, fellowship-trained transplant surgeon. “Without it, people needing life-saving kidney transplants would have to travel out of state, distancing them from the critical support of family and friends and requiring them to travel long distances for treatment and care, while some might not be able to receive a transplant at all.” The Kidney Transplant Center, which is part of CAMC’s comprehensive renal services, is a collaborative effort between CAMC and the Cleveland Clinic Foundation. The success of the program is a combined effort of a highly-skilled team that includes transplant coordinators, pharmacists, dietitians, social workers, tissue typing technicians, nursing staff, OR staff, nephrologists and surgeons. Since the program was established in 1987, more than 1,000 kidney transplants have been performed at CAMC. For more information, visit camc.org/kidney. Volume 5 - Issue 2 • 2014

their homes altogether, as is often the case with pelvic floor disorders like incontinence and bladder problems. The Pelvic Floor Center at CAMC is a unique program dedicated to restoring function in the pelvis for men and women. For many people, particularly women, the pelvic floor does not work as well as it should. “It’s been found that pelvic floor disorders can affect up to 30 percent of women throughout their lifetime,” said Joshua Lohri, DO, who is fellowship trained in reconstructive urology, female urology and urodynamics. “Most women that are affected have had a previous pelvic floor surgery, such as a hysterectomy.”

People with pelvic floor disorders may experience urinary problems, such as an urgent need to urinate, painful urination or incomplete emptying of the bladder. Bowel issues are also common, such as straining or pain during bowel movements. Other pelvic floor issues include constipation, pain or pressure in the vagina or rectum, a heavy feeling in the pelvis or bulge in the vagina or rectum, and/or muscle spasms in the pelvis. Since many pelvic floor conditions are interrelated, a patient’s diagnosis and treatment may begin with one specialist and continue with another. The Pelvic Floor Center, led by Lohri, unites many specialists in one location, including urology, urogynecology, radiology and medical imaging. Being able to come to one place for multidisciplinary care is more than just convenient for patients, it

is often necessary since making multiple trips to different doctors in different locations can be difficult for someone with a pelvic floor disorder. CAMC is also at the forefront of medical training. Its osteopathic urology residency program, in association with the Mountain State OPTI, the West Virginia School of Osteopathic Medicine, and West Virginia University, prepares selected physicians to evaluate, understand and manage medical and surgical aspects of urological disorders. For three years in a row, CAMC’s urology residents have been awarded the national Urology Resident Achievement Award, which is presented to one urology resident in the country each year by the American College of Osteopathic Surgeons. “To be recognized on a national level

Urologists with CAMC Physicians Group have specialized training in robotic surgery using the da Vinci® surgical system. Minimally-invasive urologic procedures performed at CAMC using the da Vinci system® include prostatectomy, adrenalectomy, kidney surgery, bladder surgery,sacrocolpopexy and vesicovaginal fistula repair.

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CAMC Physicians Group Urology Specializing in complex and common urological conditions

Bladder tumors can be detected early using Cysview® blue-light technology, which illuminates the lesions.

year after year speaks to the quality of our urology residents and CAMC’s support of this program,” Tierney said. CAMC Physicians Group also serves residents of Putnam County with its Teays Valley Urology practice. Anthony Sibley, MD, specializes in overactive bladder, enlarged prostate, urinary tract infections, kidney stones, vasectomy, erectile dysfunction, urodynamic evaluations, interstitial cystitis and incontinence. “It’s not always convenient to get to Charleston when you have a urologic issue,” Sibley said. “So it was a natural expansion for us to offer services in Teays Valley. Residents there already have access to exceptional facilities at CAMC Teays Valley Hospital, and offering comprehensive urologic services and technology in that community just makes it easier for people there to get the high-quality care they need.” CAMC Physicians Group recently expanded its scope of care with the addition of R.N. Haricharan, MD, MPH, a pediatric surgeon who is fellowship trained in urology. Dr. Haricharan is located at Women and Children’s Hospital and specializes in a wide range of pediatric surgical and urological conditions.

“Unlike adults, children are still growing, so it’s important that they are seen by someone with extensive knowledge and training in children’s care,” Tierney said. “Dr. Haricharan has years of additional training to understand the unique needs of children and young adults with problems involving the kidney, bladder, urethra and reproductive organs. Care will range from simple procedures to the most complex reconstructive surgery, and whenever possible, taking a minimally-invasive approach that is less traumatic than traditional surgery.”

Cancer (bladder, kidney, prostate, testicular, adrenal) • Minimally-invasive robotic prostate, kidney and bladder surgery • Cryoablation and nephron sparing surgery for kidney cancer • Advanced fluorescent technology for kidney and bladder cancer Stone Center • Minimally-invasive kidney stone removal and lithotripsy • Medical management and prevention of stone disease • Rapid access to experienced specialists Pelvic Floor Center • Male and female incontinence management • Treatment of multiple bowel and bladder disorders • Minimally-invasive treatment for pelvic-floor prolapse and urinary fistula

Whether a urologic health problem is life altering or life changing, having access to highly-trained specialists and advanced medical technology can be lifesaving.

Reconstruction • Urethral reconstruction/management of stricture disease • Uretereral and bladder reconstruction and urinary diversion

“Having a team of urology specialists of this magnitude is immeasurable for Southern West Virginia because everything can be done by one group collaborating on the best treatment options for patients,” Tierney said. “It’s hard to measure what sort of impact these young, bright urologists are going to add to the life and the health of our citizens for the next 35 to 40 years.”

Other Urologic Care • Adult and pediatric urology • Erectile and sexual dysfunction • Vasectomy • Male infertility and andrology • Treatment of interstitial cystitis/ painful bladder syndrome • Benign Prostatic Hyperplasia (BPH) laser therapy • Advanced laparoscopic surgery/ da Vinci Surgical System

For more information, visit camc.org/ urology or call (304) 388-1900.

For more information visit camc.org/urology or call (304) 388-1900.

Volume 5 - Issue 2 • 2014

Insurance

4 Tips for Physicians Struggling with

Insurer Overpayment Demands It has become increasingly common for physicians to receive overpayment demand letters from health insurance companies demanding recoupment for previously Ryan A. Brown, Esq., M.S. Flaherty Sensabaugh paid claims. These Bonasso PLLC demand letters typically begin by alleging that an audit of the physician’s claims has revealed improper coding or that the care provided was not “medically necessary”. Often these billing audits can lead to other types of investigations, including physician practice quality and medical record documentation audits. At a minimum, the denial of a previously paid claim is aggravating to both the physician and their billing staff. Unfortunately, such overpayment demands can be devastating to a physician’s practice, as it is all too common for the insurer to demand repayment of $50,000, $100,000, or even more. The insurer often requires remittance of the entire amount within an abbreviated time frame, or threatens to implement offsets against future payments to the physician. Given that these post-payment denials can be extremely beneficial to a health insurance company’s bottom line, physicians should

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expect to see these post-payment audits continue. Moreover, as more and more health information and billing records are stored electronically insurers have the ability to more easily virtually monitor and audit physician billing practices. Physicians should never ignore postpayment denial letters or overpayment demands from health insurance companies, Medicare, Medicaid, PEIA or other insurers. At the same time, physicians should never accept the insurers’ allegations at face value. These allegations are meant to leave physicians feeling nervous, fearful and even embarrassed. As a result, many physicians simply agree to repayment of the entire amount and do not question or challenge the basis of the post-payment denial or the alleged overpayment amount. Yet, there have been numerous cases in which insurers have employed improper statistical techniques, improperly interpreted the coding/billing requirements and/or violated the permissible time periods in seeking reimbursement. Physicians need to understand that they may be eligible for certain protections contained within the insurers’ provider manuals, state law, and federal law. By applying these protections, physicians may avoid excessive repayment to insurers. As an example, West

Virginia and many other states limit the timeframe in which the insurer can demand repayment. At a minimum, physicians should always do the following in order to protect their medical practices from post-payment denials: 1. Demand that the insurer provide the specific basis for the recoupment request (e.g., overpayment, improper coding, not medically necessary, etc.); 2. Demand that the insurer clarify the timeframe in question; 3. Keep copies of all correspondence to and from the insurer; and 4. Review and be knowledgeable of the “audit” and “appeal” sections of the insurer’s provider manual.

Ryan A. Brown is a member of Flaherty Sensabaugh Bonasso PLLC. He focuses his practice on representing healthcare providers in medical professional liability actions, insurer audits, professional disciplinary issues, and regulatory matters. Contact Mr. Brown at 304.347.4215 or by email at RBrown@fsblaw.com for additional information.

Emergency Department

Bigger ED

Aims to Improve Flow People with injuries, heart attacks, illnesses and other conditions show up at the emergency room at CAMC Memorial Hospital each day. Some patients drive themselves; others come by ambulance or helicopter. Nearly 40,000 people are treated there each year. A visit to the emergency room can be a stressful, and even scary, event because of the fear of not knowing what is wrong, multiple tests and the fast pace. The new emergency department (ED) at CAMC Memorial Hospital hopes to ease some of those fears. It has nine private clinical assessment rooms, 24 private treatment rooms and one resuscitation/trauma room. One treatment room is specifically designed for bariatric patients and one treatment room has been equipped for patients with behavioral issues. The ED also has a dedicated radiology room, lab, electrocardiogram room and direct access to a CT scanner room. Most importantly, each treatment area has space for at least one family member, or escort and the waiting areas are more comfortably sized. The changes will be evident from the arrival

of patients and will continue throughout their visit. Those arriving via private vehicle will find access much easier with the increased parking area and valet parking. The total area of the new $8.5 million ED is 22,400 square feet, including the separate ambulance entry area.

There are nine private clinical assessment rooms in the new triage area.

Planning and prep work began in 2008, and the physical construction started in March 2013. Several existing departments had to be relocated to enable the new construction. “The ED was outdated and did not offer adequate patient privacy, separation of patient types or staff support space,” said Fran Brooks, director of the CAMC Memorial Hospital emergency department. “Major improvements to the new ED include a clear separation of the ambulance entry from the walk-in entry, improved parking directly adjacent to the new entrance, new monitors and radiology equipment and a direct link to the helipad.”

Workers are building a new entrance to the ED. The registration area has been designed to improve patient privacy and speed up the registration process.

There will be increased staffing levels to not only assess/triage the patients as they arrive, but to care for them throughout their stay. The registration area has been designed to improve patient privacy and speed up the registration process. Waiting time also should be reduced as most patients will be sent directly to the clinical assessment area for an initial screening. A newly built canopy will provide shelter from the weather for patients entering and discharged from the ED, as well as those from Surgicare and the endoscopy department.

Exterior pic: A newly built canopy will provide shelter from the weather for patients entering and discharged from the ED and other nearby departments. Volume 5 - Issue 2 • 2014

Cabell Huntington Hospital News

Cabell Huntington Hospital and Marshall Health Add Hip Replacement Specialist Jonathon Salava, MD, a fellowship-trained joint replacement surgeon and former orthopedic surgery resident in the Department of Orthopaedic Surgery at Dr. Jonathon Marshall University Joan Salava C. Edwards School of Medicine, has returned to Cabell Huntington Hospital and Marshall Orthopaedics as a hip replacement and revision surgery specialist, as well as an assistant professor. Dr. Salava completed his fellowship training in adult reconstruction at OrthoCarolina Hip and Knee in Charlotte, NC. He earned his

medical degree at the University of Kansas School of Medicine before becoming one of the first students in the Orthopaedic Surgery Residency Program led by Ali Oliashirazi, MD, surgical director of the Mary H. Hodges Joint Replacement Center at Cabell Huntington Hospital and Chairman of Marshall Orthopaedics. Dr. Salava, is experienced in the anterior approach to hip replacement surgery, and he is a member of the American Academy of Orthopaedic Surgeons, the American Association of Hip and Knee Surgeons and the West Virginia Orthopaedic Society. The anterior approach to hip replacement

surgery can result in less tissue damage. Dr. Salava also treats patients who require additional surgery to correct problems from previous procedures or to replace aging components. The Mary H. Hodges Joint Replacement Center at Cabell Huntington Hospital is a nationally recognized center that continuously ranks among the nationâ&#x20AC;&#x2122;s top hip and knee replacement programs. For more information, please call 304.526.2607 or visit www.marshallhealth.org/services/ orthopaedics.

Cabell Huntington Hospital and Marshall Health Welcome Diabetes Specialist for Adults Muhammad Mahmood, MD, a fellowship-trained endocrinologist and board-certified internal medicine physician, has joined the medical staffs at Cabell Huntington Hospital Muhammad and Marshall Health as well Mahmood, MD as the Marshall University Joan C. Edwards School of Medicine as an assistant professor.

Dr. Mahmood is certified by the American Board of Internal Medicine and has completed fellowship training in endocrinology, diabetes, metabolism and nutrition at the Marshall University Joan C. Edwards School of Medicine. He earned his medical degree at Nishtar hospital in Multan, Pakistan and he completed residency training at Texas Tech University Health Sciences Center in Odessa, Texas. Dr. Mahmood has joined the Huntington/Tri-

State regionâ&#x20AC;&#x2122;s largest and most experienced team of diabetes specialists at the Bruce S. Chertow Diabetes Center, located in the Erma Ora Byrd Clinical Center. The Chertow Diabetes Center offers a self-management program that has been awarded continued recognition from the American Diabetes Association and has been accredited since 1992. For more information, or to schedule an appointment, please call 304.691.1000.

Degestive Diseases Physician Joins Cabell Huntington Hospital and Marshall Health Akash Ajmera, MD, a boardcertified internal medicine physician and fellowshiptrained gastroenterologist is now an assistant professor with the Marshall University Akash Ajmera, Joan C. Edwards School of MD Medicine and he is accepting new patients at Marshall Health and the Center for Digestive Diseases at Cabell Huntington Hospital.

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Dr. Ajmera is certified in internal medicine by the American Board of Internal Medicine and he completed fellowship training in gastroenterology at Georgetown University Hospital and the VA Medical Center in Washington, D.C. Dr. Ajmera completed residency training in internal medicine at Cooper University Hospital at the Robert Wood John Medical School in Camden, New Jersey.

Dr. Ajmera is accepting new patients seeking care for diseases and disorders of the digestive system, including the stomach, small intestine, esophagus, colon and liver. His offices are located within Marshall Internal Medicine in the Erma Ora Byrd Clinical Center at 1249 15th Street in Huntington.

Cabell Huntington Hospital News

Huntington Women’s Health OB/GYN Welcomes Jessica Granger, MD, to Staff

Jessica Granger, MD

Jessica Granger, MD, an obstetrician and gynecologist, has joined Huntington Women’s Health Obstetrics and Gynecology and is accepting new patients.

Dr. Granger earned her medical degree

and completed residency training at the Marshall University Joan C. Edwards School of Medicine and she is a member of the American College of Obstetrics and Gynecology.

joins the longtime practice established by Dr. Joseph Assaley and Dr. Paul Lee to provide high-quality comprehensive obstetric and gynecological services to the women of the Tri-State.

At Huntington Women’s Health, an outpatient office located at 1660 12th Ave. and affiliated with Cabell Huntington Hospital, Dr. Granger

For more information or to schedule an appointment please call 304.522.3420 or visit www.tristatewomenshealth.com.

Edwards Comprehensive Cancer Center Welcomes Experienced Cancer Surgeon Amanda Arrington, MD, the Tri-State area’s only fellowship-trained surgical oncologist, has joined the Edwards Comprehensive Cancer Center surgical oncology team Amanda and Marshall University Joan Arrington, MD C. Edwards School of Medicine as an assistant professor. Certified by the American Board of Surgery, Dr. Arrington has extensive experience as a cancer

surgeon. She completed fellowship training in surgical infectious disease and residency training in general surgery at the University of Minnesota. A graduate of West Virginia University School of Medicine, Dr. Arrington also completed fellowship training in surgical oncology at the City of Hope Comprehensive Cancer Center in Duarte, California.

crine (thyroid, adrenal) and soft tissue sarcomas. At the Edwards Comprehensive Cancer Center, she joins the Huntington/Tri-State region’s most comprehensive team of cancer surgeons, with specialists in surgical breast oncology, daVinci® Robotic Surgery, urologic oncology, orthopedic oncology, surgical neuro-oncology and gynecologic oncology.

Dr. Arrington specializes in performing surgery for a wide range of cancers, including stomach (gastric), colon, liver, pancreas, melanoma, endo-

For more information, please call 304.399.6600.

Edwards Comprehensive Cancer Center Welcomes Fellowship-Trained Women’s Cancer Speicalist

Nadim Bou Zgheib, MD

Nadim Bou Zgheib, MD, a board-certified and fellowship-trained gynecologic oncologist, has joined the Edwards Comprehensive Cancer Center to provide care for women with gynecologic cancers.

Dr. Bou Zgheib, an assistant professor at Marshall University Joan C. Edwards School of Medicine, joins gynecologic oncologist Gerard Oakley, MD, medical director of the Edwards Comprehensive

Dr. Bou Zgheib is certified by the American Board of Obstetrics and Gynecology and has completed extensive training in gynecologic cancer diagnosis and treatment and minimally invasive surgery, including daVinci® surgery, at the University of South Florida and Moffitt Cancer Center.

Moffitt Cancer Center at the University of South Florida. Additionally, he underwent advanced surgical training for gynecologic malignancies and special pelvic procedures at the Center for Advanced Medical Learning and Simulation in Tampa, Forida. The Gynecologic Oncology Program at ECCC provides the latest in diagnostic and treatment services for women with possible pre-cancerous conditions or with malignancies of the reproductive tract.

Dr. Bou Zgheib completed fellowship training in clinical and research gynecologic oncology at the

For more information or to schedule an appointment, please call 304.399.6600.

Cancer Center (ECCC), in the Gynecologic Oncology Program.

Volume 5 - Issue 2 • 2014

Cabell Huntington Hospital News

Fellowship-Trained Lung Specialist Joins Cabell Huntington Hospital and Marshall Heath

Mohammed Al-Ourani, MD

Mohammed Al-Ourani, MD, a board-certified internal medicine physician and fellowship-trained lung specialist, has joined the medical staff at Cabell Huntington Hospital and Marshall Health.

Dr. Al-Ourani is certified by the American Board of Internal Medicine. He completed fellowship training in pulmonary diseases at the Marshall University Joan C. Edwards School of Medicine. He also completed residency training in internal medicine at the University of Jordan and Joan C. Edwards School of Medicine after earning his Bachelor of Medicine and Surgery Certificate at Cairo University in Egypt.

Dr. Al-Ourani is now accepting new patients in his offices at the Erma Ora Byrd Clinical Center located at 1249 15th Street in Huntington. He will also provide patient care in the Center for Lung Health at Cabell Huntington Hospital. For more information or to make an appointment, please call 304.691.1000.

Cabell Huntington Hospital and Marshall Orthopaedics Chief Named “Top Doc” Ali Oliashirazi, MD, professor and chairman of the Department of Orthopaedic Surgery at the Marshall University Joan C. Edwards School of Ali Oliashirazi, Medicine and surgical MD director of the Mary H. Hodges Joint Replacement Center at Cabell Huntington Hospital has been selected as a Castle Connolly Top Doctor in the field of

joint replacement surgery. Dr. Oliashirazi was nominated by his peers and reviewed by a physician-led research team that examined his credentials and selected him for his excellence in medical care and practice. He was valedictorian at George Washington University School of Medicine before completing his residency in orthopaedic

surgery at The Mayo Clinic. Dr. Oliashirazi is a board-certified orthopaedic surgeon who is a Fellow in the American Academy of Orthopaedic Surgery and a Member of the American Association of Hip and Knee Surgeons and the International Society for Computer Assisted Orthopaedic Surgery. He founded Marshall Orthopaedics in 2001, and specializes in hip and knee replacement surgery, including computer navigated surgery.

Longtime Neurosurgeon Joins Cabell Huntington Hospital and Joan C. Edwards School of Medicine Paul Muizelaar, MD, PhD, a board-certified and fellowship-trained neurosurgeon, has joined Cabell Huntington Hospital and the Department of Paul Muizelaar, Neuroscience at the MarMD, PhD shall University Joan C. Edwards School of Medicine as a full professor. Dr. Muizelaar has an extensive career in neurosurgery and he brings that experi-

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ence to provide Huntington/Tri-State patients many options for brain and spine surgery with the Back and Spine Center at Cabell Huntington Hospital. Dr. Muizelaar is certified by the Royal Dutch Board of Medical Specialties in Neurological Surgery. He earned his medical degree and doctorate at the University of Amsterdam School of Medicine and he completed fellowship training in neurosurgery at the Medical College of Virginia. Additionally, Dr. Muizelaar has a lengthy and

distinguished career in neurosurgery, neurotrauma and stroke research and he has been recognized by www.bestdoctors.com among the “Best Doctors in the USA” since 1998. Dr. Muizelaar is now accepting new patients in his office at the Marshall University Medical Center on the campus of Cabell Huntington Hospital. For more information or the schedule an appointment, please call 304.691.1787.

CAMC News

CAMC Physicians Group Welcomes the Following New Physicians: Born and raised in West Virginia, Dr. Chad Lavender knows sports medicine in the Mountain State. A native of Charleston, Dr. Lavender played long snapper for the West Virginia Mountaineers during the 20002002 football seasons. After attending medical school at WVU, he completed an internship and residency in orthopedic surgery at Marshall University in Huntington, where he also helped cover football for the Thundering Herd. Dr. Lavender then completed a sports medicine fellowship at Orthopaedic Research of Virginia in Richmond, VA, where he participated in providing coverage for Virginia Tech football. Currently, he helps provide coverage for high school sports in Kanawha County as well as the University of Charleston athletics. With a strong background in regional sports medicine, Dr. Lavender is uniquely suited for serving the people of southern West Virginia. He specializes in arthroscopic knee and shoulder surgeries, including shoulder and knee reconstruction, shoulder arthritis, rotator cuff tears, cartilage injuries, meniscus tears, knee and shoulder instability, and bicep pain or injury. Dr. Lavender joins the CAMC Physicians Group Orthopedic Surgery practice and welcomes new patients at (304) 388-3580. Audrey Hunt, MD, is a general ophthalmologist licensed as a physician and surgeon. She offers medical and surgical services such as cataract surgery, LASIK, eyelid surgery, laser procedures for glaucoma and retina, and injections for treatment of agerelated macular degeneration and diabetes. Dr. Hunt completed medical school at the University of Texas Health Science Center at San Antonio, TX. She completed her ophthalmology training at the world-renowned Loma Linda University in California with a special international rotation at the Lusaka Eye Hospital in Zambia. She also received specialized training in the latest LASIK and PRK refractive techniques at the

United States Navy Medical Center in San Diego, CA. Dr. Hunt joins the CAMC Physicians Group Ophthalmology practice and welcomes new patients at (304) 388-6620. Huseyin Kadikoy, MD, is a licensed general ophthalmologist specializing in medical and surgical services, including cataract surgery, eyelid surgery, LASIK, laser procedures for glaucoma and retina, injections for treatment of age-related macular degeneration and diabetes. Dr. Kadikoy was trained at the world-renowned Kresge Eye Institute in Detroit, MI. He also received specialized training at the Beaumont Hospital in the latest LASIK and PRK refractive techniques. Dr. Kadikoy completed his internship at the University of Texas Health Science Center at Houston and graduated from Baylor College of Medicine in Houston, TX. Dr. Kadikoy joins the CAMC Physicians Group Ophthalmology practice and welcomes new patients at (304) 388-6620. Marcus Shaffer, MD, specializes in pediatric otolaryngology. Dr. Shaffer completed his general otolaryngology residency at the West Virginia University Department of Otolaryngology in Morgantown, WV. He then completed a fellowship at Children’s Hospital of Pittsburgh of UPMC Division of Pediatric Otolaryngology in Pittsburgh, PA. Dr. Shaffer specializes in procedures related to the ears (infectious, cochlear implant), nose, sinuses, tonsils, voice box, airway, neck (masses and cysts), thyroid, parathyroids, and salivary glands (parotid, submandibular). Dr. Shaffer joins the CAMC Physicians Group Pediatric ENT practice and welcomes new patients at (304) 388-2950. Dr. Samip Borad, MD, MHA, practices general neurology with a focus in epilepsy. He earned his medical degree in neurology from Pandit Deedayal Upadhayay Medical College

(PDUMC) Saurashtra University in Rajkot, India, and completed a fellowship in clinical neurology (EEG) at Wake Forest University in Winston-Salem, NC. He also earned his master’s degree in health service administration from Midwestern State University in Wichita Falls, TX. Dr. Borad is a member of the American Academy of Neurology and the American Epilepsy Society. Dr. Borad joins the CAMC Physicians Group Neurology practice and welcomes new patients at (304) 388-6441. R. N. Haricharan, MD, MPH, specializes in both pediatric surgery and pediatric urology. Dr. Haricharan completed his general surgery residency at the University of Alabama at Birmingham. He then completed a fellowship in pediatric surgery and received additional training in pediatric urology at the University of Ottawa in Ottawa, Canada. He is certified by the American Board of Surgery in pediatric surgery. Dr. Haricharan specializes in diagnosing and treating a variety of pediatric surgical and urological conditions, from the commonplace to the complex, to ensure that young patients have the best care possible. Dr. Haricharan joins the CAMC Physicians Group Pediatric Surgery practice and welcomes new patients at (304) 388-1770. Ereny M. Bishara, DO, graduated from New York College of Osteopathic Medicine of New York Institute of Technology with a specialty in orthopedic surgery. She completed a residency with Inspira Heath Network in New Jersey, and then completed a residency and internship with the Peninsula Hospital Center in Far Rockaway, NY. Dr. Bishara was a fellow at Allegheny General Hospital in Pittsburgh, PA. She joins the CAMC Physicians Group Orthopedic Trauma practice – (304) 3887700. Volume 5 - Issue 2 • 2014

Davis Health System News

Davis Medical Center Welcomes Surgeon Amy Bair, M.D.

Amy Bair, M.D.

Dr. Amy Bair, general surgeon, has joined the surgical team of Davis Medical Center (DMC). She will practice at DMC’s new physician office suite in Elkins.

Dr. Bair received her medical degree and completed her general surgery residency at the Joan C. Edwards School of Medicine at Marshall University in Huntington, WV. She was the recipient of the Seddon Award and the Walter F. Duling Scholarship. She earned her Bachelor of Science Degree from Concord University where she graduated Summa Cum Laude. Dr. Bair provides consultation, evaluation, second opinion and treatment for a full range of general surgery conditions. Her special interest is in the area of pediatric surgery. “In this specialty you have the chance to care for patients in emergent situations, and also in the treatment of chronic medical conditions. I like knowing that what I do makes a positive difference in someone’s life,” said Bair. “There’s really no

greater honor.” Bair joins general surgeons Dr. Christine Edwards and Dr. Jon Winkler in the new Davis Medical Center Surgical Physician Office Suite, located on the first floor of the DMC campus at 812 Gorman Avenue. “We’re privileged to welcome Dr. Bair as the newest addition to our team of surgeons,” said Davis Health System President & CEO Mark Doak. “We continue to see an increased need for outpatient services in this region,” Doak added. “Dr. Bair enhances the quality surgical team, facilities and services we have available to our communities.” Bair’s pursuit to become a physician began when she joined the Health Sciences Technology Academy (HSTA). This West Virginia-based program is a 9th-12th grade math and science enrichment program that assists and empowers minority and underrepresented students and communities around the state. Bair said the opportunity afforded to her through HSTA, allowed her to follow her interest in medicine.

“Dr. Bair represents a first generation HSTA graduate,” said Ann Chester, Director of HSTA. “It’s exciting that we have captured and kept a talented young West Virginian in a local community. We’re proud of her and extend best wishes for her new position within Davis Medical Center.” Patients are generally referred for surgical services by their primary care physician or another specialist; however patients may call for a consultation or appointment by dialing 304.637.3442. Or visit the Davis Surgeons website at www.davissurgeons.com. Dr. Bair was the winner of a non-trauma surgical competition at the annual meeting of the WV Chapter of the American College of Surgeons held at the Greenbrier Resort in May 2014. She is a member of the American College of Surgeons and the American Medical Association. Her medical credentials also include: certification in Advanced Cardiovascular Life support (ACLS), Advanced Trauma Life Support (ATLS) and Fundamentals of Laparoscopic Surgery (FLS).

Davis Medical Center Cancer Care Center Receives Top National Award Davis Medical Center Cancer Care Center is one of 74 cancer care facilities in the nation to be granted the Outstanding Achievement Award from the Commission on Cancer (CoC) of the American College of Surgeons. “This accomplishment is paramount to regional cancer care. It defines, on a national level, the outstanding quality of care we provide in comparison to other programs in the United States,” said Dr.

WV Physician

Donald Fleming, medical oncologist and hematologist, and Director of Oncology at the Cancer Care Center. Earlier this year the Center achieved accreditation with commendation by the COC.  It is one of only 13 in West Virginia to receive accreditation and one of two to achieve the recent Outstanding Achievement Award. The “gold star” rating for commendations is the highest rating designation achievable with the CoC review

according to Fleming. A press release issued by the American College of Surgeons states “the purpose of the award is to raise the bar on quality cancer care, with the ultimate goal of increasing awareness about quality care choices among cancer patients and their loved ones.  In addition, the award is intended to: • Recognize those cancer programs that

Davis Health System News achieve excellence in providing quality care to cancer patients. • Motivate other cancer programs to work toward improving their level of care. • Facilitate dialogue between award recipients and health care professionals at other cancer facilities for the purpose of sharing best practices. • Encourage honorees to serve as quality-care resources to other cancer programs.” “More and more, we’re finding that patients and their families want to know how the health care institutions in their communities compare with one another,” said Daniel P. McKellar, MD, FACS, Chair of the CoC.  “They want access to information in terms of who’s providing the best quality of care, and they want to know about overall patient outcomes.  Through this recognition program, I’d like to think we’re playing a small, but vital role, in helping them make informed decisions on their cancer care.” “These 74 cancer programs currently represent the best of the best—so to speak— when it comes to cancer care,” added Dr. McKellar.  “Each of these facilities is not just meeting nationally recognized standards for the delivery of quality cancer care, they are exceeding them.” “The award confirms Davis Medical Center’s commitment to the community and to patients with cancer. We are grateful to the Cancer Center physicians and staff, as well as our Cancer Committee, for their hard work and ongoing efforts to ensure the best possible outcomes for cancer patients,” said Davis Health System President and CEO Mark Doak. When the Center achieved its initial accreditation in 2010, it received the most commendations possible and the Outstanding Achievement Award. The award was only presented to twelve other newly accredited centers in the nation.

The DMC Cancer Care Center is located in Elkins, WV on the campus of Davis Medical Center. In addition to its outstanding record of accreditation achievement, the Center’s specialized staff includes four certified oncology registered nurses, a certified medical dosimetrist, and a nurse navigator. The Center also provides no-cost lodging for patients who travel from outside the Elkins area at The Davis House.

For information about the Davis Medical Center Cancer Care Center visit www.davishealthsystem.org or call 304.637.3640. Information about the Commission on Cancer can be found on their website at www.facs.org/cancer. For a list of the award winning cancer programs visit: www.facs.org/cancer/coc/outstandingachievement2013list.html.

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Volume 5 - Issue 2 • 2014

Davis Health System News

Bret Rosenblum, MD Joins Davis Medical Center

Bret Rosenblum, MD

Davis Health System welcomes family medicine physician Bret Rosenblum, MD, who will practice at the new physician office suite at Davis Medical Center (DMC).

Dr. Rosenblum graduated from Jefferson Medical College in Philadelphia, PA and has been in practice for 21 years. He is Board Certified in Family Medicine. Prior to his recent work as a physician and Medical Director for the University of Pittsburgh Medical Center (UPMC) Urgent Care, Wexford, PA, Dr. Rosenblum practiced in the private family medicine setting for more than 14 years in Elkins, WV. “I look forward to reestablishing the care of former patients,” stated Rosenblum, who, along with wife Susan, is happy to return to the area. “For me, practicing medicine here is rewarding because the people I care for are incredibly genuine and share my appreciation for the unique quality of life afforded by the region,” he said. “I have many great patients and dear friends with whom I cannot wait to reconnect.” Dr. Rosenblum joins DMC family practitioners Dr. Catherine “Mindy” Chua and Dr. Jo-

hanna Biola, as well as pediatrician Amanda Pennington, MD on the ground floor physician suite. “As a student at Elkins High School, Dr. Biola “shadowed” at my practice on Chenoweth Creek. At the time she was contemplating going into the medical field,” Rosenblum said. “She returned for several rotations during her med school and residency training and it was my hope to one day bring her on as a partner. Now, I’m delighted to join her and the other physicians at Davis Medical Center.” As a family medicine physician, Dr. Rosenblum provides comprehensive care to people of all ages and at all stages of life and health including routine, urgent, and chronic disease management. In-office consultations, procedures and treatments are coordinated with the care patients receive from other specialty services and physicians within DMC. His practice focuses on the care of pediatric and teenage patients as well as college students and young adults. In addition Rosenblum can diagnose and treat a wide range of illnesses and conditions for all aspects of adult health. Further, he is certified to provide Depart-

ment of Transportation (DOT) physicals. He is a proponent for healthy lifestyle choices, and cautions against the prescribed use of medications patients may not need, which often come with potentially serious side effects and unnecessary cost. “Lifestyle optimizes overall health,” he said. “And establishing individual goals for good health and understanding the setting of one’s own life helps us, as practitioners, plan for and manage the care needed throughout the life cycle without dependence on complex or expensive prescription regimens.” The Davis Medical Center Physician Office Suite is located on the DMC campus at 812 Gorman Avenue. Former patients and individuals without the care of a primary care physician are encouraged to call for more information or an appointment by dialing 304.637.3894. Or, visit the website at www. drbretrosenblum.com. Dr. Rosenblum is a member of the American Academy of Family Physicians. His medical credentials also include: certification in ACLS, PALS, ATLS; and, certified medical examiner for CDL/DOT. Dr. Rosenblum was the first Federal Motor Carrier Safety Association (FMCTA) certified physician at UPMC for (DOT) physicals.

Marshall University Medical School News

Marshall University School of Medicine Announces Appointment of New Department Chairman

Dr. Charles L. Yarbrough to lead newly formed department of dermatology St. Mary’s Regional Stroke Center has once again received the Get With The Guidelines®-Stroke Gold-Plus Quality Achievement Award for implementing specific quality improvement measures outlined by the American Heart

WV Physician

Association/American Stroke Association for the treatment of stroke patients. St. Mary’s has received the Stroke Gold Plus award every year since 2011.

Get With The Guidelines Stroke helps hospital teams provide the most up-todate, research-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients. St. Mary’s Regional Stroke Center earned the

Marshall University Medical School News award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period. These measures Charles L. include aggressive use Yarbrough, MD of medications and riskreduction therapies aimed at reducing death and disability and improving the lives of stroke patients. St. Mary’s was the only hospital in Huntington to also receive the association’s Target: Stroke Honor Roll recognition

for meeting stroke quality measures that reduce the time between hospital arrival and treatment with the clot-buster tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke. People who suffer a stroke who receive the drug within three hours of the onset of symptoms may recover quicker and are less likely to suffer severe disability. “We are truly appreciative of receiving these honors from the American Heart Association/American Stroke Association,” said Christy Franklin, BSN, MS, CNRN, director, St. Mary’s Regional Neuroscience Center. “This award demonstrates our com-

mitment to ensure that our patients receive the highest quality of care.” According to the American Heart Association/American Stroke Association, stroke is the number four cause of death and a leading cause of adult disability in the United States. On average, someone suffers a stroke every 40 seconds; someone dies of a stroke every four minutes; and 795,000 people suffer a new or recurrent stroke each year. For more information about St. Mary’s Regional Stroke Center, call (304) 526-1281.

Marshall Researcher’s Work Presented at International Conference on Alzheimer’s Disease

Project collaborative effort among Alzheimer’s groups in West Virginia Research hospital

Shirley Neitch, MD

identify

patients

opportunity to create an observation meth-

them identify patients who need to be screened for dementia.”

who

od to assist staff in acute care settings to

suffer from cognitive im-

recognize cognitive impairment in an effort

pairment – which can

to help improve patient outcomes for West

Universal Observations is a system of red

indicate dementia and

Virginia’s citizenry. We look forward to the

flag observations of patient behaviors, in-

the more acute prob-

opportunity to pilot this project in partner-

cluding patients who are given food trays

lem of delirium – was

ship with direct care staff.”

but never eat, patients who appear to be bewildered or fearful, or those who wan-

showcased at the 2014

Alzheimer’s Association International Con-

Neitch, a geriatrician and the section chief

der or engage in non-purposeful activity.

ference in Denmark, thanks to the work

of geriatrics in the department of internal

Unlike screening tools for defining demen-

of Dr. Shirley Neitch and colleagues from

medicine at the Marshall University Joan

tia, which are numerous, Neitch says there

around West Virginia.

C. Edwards School of Medicine, has re-

are few guidelines to identify exactly which

searched dementia for decades and says

patients need to be further screened.

The research project was the outgrowth of

identifying patients with cognitive impair-

a West Virginia project called Make a Plan

ment in an acute care setting is difficult

“This protocol allows everyone in the hos-

(MAP) for Alzheimer’s, a consortium of

because the symptoms or signs are often

pital setting, from food service workers

stakeholders familiar with the issues ger-

very subtle.

and maintenance folks to the doctors and nurses, to have input on what they see. Our

mane to Alzheimer’s. “Many people can identify severe delirium

motto is, ‘if you see something, say some-

“Our chapter welcomes opportunities to

or advanced Alzheimer’s because it’s vis-

thing.’ Our hope is that cognitive impair-

provide and enhance care and support

ible, but earlier or milder cognitive im-

ment, which can have a significant impact

for individuals with Alzheimer’s and other

pairment is more difficult to assess,” she

on patient outcomes, will be picked up,

dementias and their care partners,” said

said. “The protocol we’ve developed and

identified and addressed.”

Laurel Kirksey, executive director of the

dubbed Universal Observations is an em-

Alzheimer’s Association, West Virginia

powering and useful tool for all health care

Neitch says the next step for the project is

chapter. “This project provided a unique

workers in the acute care setting that helps

implementation of a pilot program, which Volume 5 - Issue 2 • 2014

Marshall University Medical School News Category she hopes will occur in the next year.

is the collaborative work of Neitch; Jane

group of West Virginia’s Make a Plan for

Marks, B.A., CDP, Dementia Specialist/

Alzheimer’s Program and the Alzheimer’s

The project was funded by the Claude

Consultant; Mary Emmett, Ph.D., CAMC

Association, West Virginia Chapter.

Worthington Benedum Foundation and

Research Institute; the Acute Care Work-

Marshall School of Medicine Faculty Member Elected to National Post

Darshana Shah, Ph.D. to lead committee in 2015-2016 academic year

Darshana Shah, MD

Dr. Darshana Shah, as-

been elected to this post, “Shah said. “GFA

“This is an important and prestigious

sociate dean for faculty

professionals feel a great responsibility to

position which reflects well on Dr. Shah

affairs and professional

prepare our faculty to meet the challenges

and the entire Joan C. Edwards School of

development at the Mar-

of the 21st century. My training as a bio-

Medicine,” Shapiro said. “We are extremely

shall University Joan C.

medical scientist, and experiences in the

pleased and proud that she will take on this

Edwards School of Medi-

medical education and professional devel-

new responsibility.”

cine, is the new chair-

opment arenas, will serve the GFA well dur-

elect of the Association

ing this time of educational and health care

Shah currently serves as chairwoman of the

reform.”

GFA annual conference program planning

of American Medical College’s Group on

committee. This year’s conference was in

Faculty Affairs (GFA) Steering Committee. Dr. Joseph I. Shapiro, dean of the School

Boston.

The mission of the GFA is to build and

sustain faculty vitality in medical schools

her election to the national post, which

Shah is a professor and chief of the

and teaching hospitals.

includes committee members from schools

pathology academic section, department

across the country.

of pathology and has been with the School

Medicine,

congratulated

Shah

“I feel honored and privileged to have

of Medicine since 1997.

Marshall University School of Medicine Announces New Administrative Chair of Ophthalmology

Highly respected local physician and alumnus to take position Dr. R. Mark Hatfield, a “We are thrilled to have Dr. Hatfield join Marshall, an ophthalmology residency at Charleston-based

retina us at Marshall,” Shapiro said.

“He is an

the University of Illinois School of Medicine

specialist, has been ap- accomplished, successful, private practice and a vitreoretinal fellowship at Rush pointed

administrative physician whose expertise, both clinically Presbyterian St. Luke’s in Chicago.

chairman of Marshall University’s R. Mark Hatfield, MD

department

and in business, will be a tremendous asset

of as Marshall navigates the bold new world of

ophthalmology.

health care and medical education.”

Dr. Joseph I. Shapiro, dean of the Marshall

He is the founder of Retina Consultants, which has five locations in West Virginia.

Hatfield earned a doctor of optometry “I am very pleased to accept this new

University Joan C. Edwards School of degree from Illinois College of Optometry position at my alma mater,” Hatfield said. Medicine,

said

effective July1.

the

appointment

was

before

graduating

from

the

Marshall

“Making health care more accessible to

University School of Medicine in 1983. those across this region is very important He completed a surgical internship at to me. I look forward to working with Dr.

WV Physician

Marshall University Medical School News Shapiro and others at Marshall to not only

In addition to his medical practice, Hatfield

disease including cataract evaluation and

continue the mission of educating doctors

is a busy lecturer who has presented at a

surgery, diabetic eye care and treatment,

for Appalachia, but also expanding clinical

number of professional meetings, including

glaucoma evaluation and treatment as well

services in the area.”

ones sponsored by the Centers for Disease

as ocular injures, emergency eye care and

Control, the West Virginia Optometric

comprehensive diagnostic services.

Hatfield has received dozens of honors and

Association and the West Virginia Academy

awards, including the Illinois Eye and Ear

of Ophthalmology.

Hatfield replaces Michael A. Krasnow, D.O.,

Infirmary Distinguished Alumnus Award

Ph.D. who has retired as chairman, but will

and the 2013 Joan C. Edwards School of

Marshall’s department of ophthalmology,

continue to serve as a professor in the

Medicine

located at 5187 U.S. 60 E. in Huntington, is

department.

Alumni

guished Alumnus.

Association’s

Distin-

a referral center for eye surgery and eye

St. Joseph’s News

St. Joseph’s Hospital Welcomes Students from the West Virginia School of Osteopathic Medicine St. Joseph’s Hospital welcomed students from the West Virginia School of Osteopathic Medicine (WVSOM) at an orientation on July 23, 2014. The medical students will be completing their third and fourth year rotations in the hospital and in the physician offices.

their rotations. Students complete their rotations in Family Medicine, General Surgery, Emergency Medicine, Internal Medicine, OB/Gyn, Geriatrics, and Pediatrics, with electives in Cardiology, Urology, and Orthopaedic Surgery.

St. Joseph’s Hospital was chosen by the WVSOM several years ago to participate as one of the permanent clinical education sites for their third and fourth year medical students. St. Joseph’s physicians take on the additional responsibility of training these students during

Seated: Dr. Priya Sundaram, Dr. Michael Kirk, Dr. Salvatore LaNasa, Dr. James Kim, Dr. Tawfik Zein and Dr. Gerard O’Loughlin. Standing: WVSOM Students: Christine Moore, Apoorva Maddi, John Ford, Laura Hummel, Sasha Rihter, Daniel Conner, Justin Darrow, Kosina (Pui Shan) Wong, Michael O’Grady, Sahan Emmanuel, and Ryan Butcher.

Volume 5 - Issue 2 • 2014

St. Mary’s Medical Center News

Martinsen Joins St. Mary’s Medical Management as Urgent Care Physician Cynthia

DO,

Osteopathic Medicine. She completed her

physician in the US Air Force Air National

Mary’s

residency in family medicine at West Virginia

Guard in Charleston. Martinsen is board

Medical Management as

University/Charleston Area Medical Center in

certified in family medicine.

a physician at the new St.

Charleston.

has

Martinsen,

joined

St.

St. Mary’s Urgent Care Center, located at 2815

Mary’s Urgent Care.

9 p.m., seven days a week

her

was an urgent care physician with Marietta Healthcare Physicians, Inc., in Marietta, Ohio

medicine from the West Virginia School of

for more than 11 years. She was also a family

doctor

received

Fifth Avenue in Huntington, is open 9 a.m. to

osteopathic

Cynthia Martinsen, DO

Martinsen

Before coming to St. Mary’s, Martinsen of

Saulle Joins St. Mary’s Neurosurgery

Dwight Saulle, MD

Dwight Saulle, MD, has

of medicine from the Joan C. Edwards School

Saulle joins Panos Ignatiadis, MD, FACS, FRCS

joined St. Mary’s Medical

of Medicine. He completed his residency in

Ed., FICS, FAANS; David L. Weinsweig, MD,

Management as a neuro-

neurosurgery at the University of Virginia and

FAANS and Matthew Werthammer, MD, at St.

surgeon with St. Mary’s

his fellowship in neurosurgery at Auckland

Mary’s Neurosurgery, which is located in St.

Neurosurgery.

City Hospital in New Zealand. Saulle also

Mary’s Outpatient Center, 2860 Third Ave. For

received a bachelor’s degree in psychology

more information, call (304) 525-6825.

Saulle received his doctor

Protecting Your Future |

from the University of Virginia.

H E A LT H C A R E

St. Mary’s Women and Family Care welcomes Hensel and Bolinger to Medical Staff St. Mary’s Women and Family Care has added two new physicians to its staff—Stacey Hensel, MD, obstetrics and gynecology and Clifton Bolinger, MD, family medicine. Dr. Hensel received her doctor of medicine from the University of Florida. She completed her residency in OB/GYN at West Virginia University-CAMC. Dr.

Practicing Medicine Is Demanding Enough

Hensel also has bachelor’s degrees in biology and criminology from Florida State University.

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Dr. Bolinger received his doctor of medicine from Marshall University. He completed his residency in family medicine at McLeod Regional Medical Center in Florence, SC. Dr. Bolinger also has bachelor’s degrees

Robert L. Coffield 304.347.3791 Ryan A. Brown 304.347.4215

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in biology and chemistry from Marshall University. St. Mary’s Women and Family Care is located at 143 Peyton Street in Barboursville. To schedule an appointment, or for more information, call (304) 697-2035.

St. Mary’s Medical Center News

St. Mary’s Opens Urgent Care St. Mary’s Medical Center celebrated the opening of its Urgent Care in July with a special ribbon cutting. St. Mary’s urgent care opened to patients in July. St. Mary’s Urgent Care is located at 2815 Fifth Avenue in Huntington, near the corner of 28th Street and Fifth Avenue. It is open 9 a.m. to 9 p.m., seven days a week. Services include treatment of sprains, cuts, infections, asthma, migraines, bronchitis, sore throats, pneumonia, colds/flu, minor sports injuries and allergies. For more information, call (304) 399-7182. (L-R) Cathy Burns, president of the Huntington Regional Chamber of Commerce; Sister Diane Bushee, vice president for mission and integration, St. Mary’s; Nancy Cartmill, president of the Cabell County Commission; Michael Sellards, president and CEO, St. Mary’s; Karen Merritt, executive director, St. Mary’s Medical Management; Todd Campbell, senior vice president and COO, St. Mary’s; and Cynthia Martinsen, MD, St. Mary’s Urgent Care physician; cut the ribbon at St. Mary’s Urgent Care.

Experienced Specialists. Trusted Hospitals. Expert Care. As one of the largest multi-specialty groups in West Virginia, CAMC Physicians Group brings together nearly 100 doctors at physician practices, CAMC hospitals and multi-specialty clinics in Charleston, Teays Valley and surrounding counties with one goal: to provide easy access to high quality care. At Charleston Area Medical Center, we are able to provide the most advanced technology you expect along with the personalized care that your patients deserve. Our growing scope of specialties includes: Bariatric Surgery Cardiology Cardiothoracic Surgery Dentistry Fertility General & Vascular Surgery Hospitalists Maxillofacial Surgery Neurology

Oncology Ophthalmology Orthopedic Surgery Orthopedic Trauma Pediatric ENT Pediatric Neurology Pediatric Surgery Plastic Surgery Urology

To learn more about our physicians, services and locations, visit camc.org/cpg.

Volume 5 - Issue 2 • 2014

Thomas Health Systems News

Yolanda Midkiff, RN/CPHQ from Thomas IT Department Presents at Innovations IT Conference Yolanda Midkiff, RN, CPHQ and Project Manager for Thomas Memorial’s Information Services Department,presented new methods and techniques to healthcare information services employees from around the United States. This was an effort to maximize the use of Thomas’ Siemens systems and help excel in today’s increasingly competitive and fast-paced healthcare environment. Through information and best

practice sharing, Midkiff offered fresh ideas and invaluable tools that will help improve efficiencies and stay ahead of the technological curve. Thomas Memorial recently announced they are a finalist in the Healthcare IT News 2014 “Where to Work: BEST Hospital IT Departments” program.

program in 2011 to determine what characteristics distinguish the best hospital IT departments from all the rest. In taking the survey, employees grade their departments across seven categories: day-to-day work, IT team, management, hospital leadership, workplace culture, training and development and compensation.

Healthcare IT News launched the “Where to Work: BEST Hospital IT Departments”

Best Hospital IT Departments Finalists

85 hospitals make the cut for Healthcare IT News’ best health IT units Eighty-five IT teams are in the running to be named a top hospital in the Healthcare IT News 2014 “Where to Work: BEST Hospital IT Departments” program. More than 5,000 IT staff from 194 nominated hospitals completed the 79-question online survey. To qualify to be considered a top hospital, at least half the employees in an IT department needed to complete the survey. The employee survey closed July 15. Independent research company Critical Insights, which conducts the survey, is now analyzing the data, and the top 25 winners will be announced in the October issue of Healthcare IT News, in print and online. Healthcare IT News launched the “Where to Work: BEST Hospital IT Departments” program in 2011 to determine what characteristics distinguish the best hospital IT departments from all the rest.

WV Physician

In taking the survey, employees grade their departments across seven categories: dayto-day work, IT team, management, hospital leadership, workplace culture, training and development and compensation.

The program’s categories include: • Top-5 small hospital IT departments (up to 25 IT employees) • Top-10 medium (26 to 75 employees) • Top-5 large (76 to 199 employees) • Top-5 super (200-plus employees)

Thomas Health Systems News

Thomas Memorial Receives Premier Partnership for Patients Award Thomas Memorial Hospital is a recipient of the Premier Partnership for Patients Award—Citation of Merit. This award recognizes excellence of achievement by

Premier members in hospital acquired conditions and readmissions, as part of the Partnership for Patients Program. Thomas Memorial Hospital has achieved a 40%

reduction in HACs and/or a 20% reduction in readmissions in 7 of the 10 focus areas, based on the last three consecutive months of data submitted by Thomas.

New Nephrologist Accepting New Patients M. Amin Kadoura, MD, specializing in Nephrology, has joined the practice of Drs. Abdul Zanabli, MD and Amr El Toukhy, MD. Charleston Nephrology, Hypertension

& Transplant is located at 4610 Kanawha Avenue, SW, Suite 402 in South Charleston. Their other offices are located in Hurricane, Montgomery & Ripley. Dr. Kadoura is now

accepting new patients. For more information, please call 304.400.4700.

Thomas & Saint Francis Rank #1 in the Market Per Charechex Comparion Medical Analytics recently released its 2014 CareChex hospital and health system quality ratings for West Virginia markets, Saint Francis Hospital and Thomas Memorial Hospital ranked #1 in six categories. Thomas Memorial Hospital awards included: • 2 014 Patient Safety Category, Thomas Memorial ranked #1 in Overall Surgical Care in the market • 2 014 Patient Safety Category, Thomas Memorial ranked #1 in Stroke Care in the market

held healthcare information services companies. CareChex provides clinical, financial, and patient satisfaction findings to consumers, providers, and purchasers of U.S. medical care. Unlike other publicly available quality ratings, CareChex provides a composite evaluation of all components

of medical quality including process of care, outcomes of care, and patient experiences. For access to provider quality ratings, visit www. CareChex.com.

Saint Francis Hospital awards included: • 2 014 Medical Excellence, Saint Francis Hospital ranked #1 in the market and Top Ten in WV in Orthopedic Care & Surgery • 2 014 Patient Satisfaction, Saint Francis Hospital ranked #1 in the market for Overall Hospital, Medical and Surgical Care • 2 014 Patient Safety, Saint Francis ranked #1 in the market for Orthopedic Surgery • 2 014 Patient Safety, Saint Francis ranked #1 Overall Hospital Care “Both of our hospitals have done an exceptional job identifying their strengths and delivering quality care to our community,” says Dan Lauffer, COO of Thomas Health System. CareChex® is a division of Comparion® Medical Analytics – one of the nation’s largest privatelyVolume 5 - Issue 2 • 2014

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University Healthcare News

NICU Open House, Ribbon Cutting at Berkeley Medical Center University Healthcare Berkeley Medical Center hosted a ribbon cutting ceremony and public open house for the new Neonatal Intensive Care Unit (NICU) on Wednesday, September 10. The Level II NICU is located on the 8th floor, south wing of the hospital. This service addition improves access to neonatal intensive care for babies and mothers in the Eastern Panhandle with high risk pregnancies.

“Our new NICU is allowing us to provide care for babies born with low birth weight, prematurity and those recovering from more serious conditions,” stated Melanie Riley, RN, director of maternal/infant services. Neonatologist Dr. Avinash Purohit was recruited to University Healthcare last year as the medical director of the service. Other staff members, including Neonatal Nurse Practitioner Helena Brady, are also being added to the unit’s staff. Several pe-

diatric specialists will also be accessed via telemedicine from WVU Hospitals in Morgantown. “Prior to establishing this service at Berkeley Medical Center, these NICU babies were being transferred out of state or to Morgantown on a regular basis,” Riley added. The new NICU opened the week of September 15. For more information, call the University Healthcare marketing department at 304.264.1223.

Jefferson Medical Center Receives Digital Mammography ACR Accreditation University Healthcare Jefferson Memorial Hospital has been awarded a three-year term of accreditation in Digital Mammography by the American College of Radiology (ACR). Digital Mammography is considered the gold standard of breast health testing, offering advanced technology and sharper images for routine screenings or diagnostic studies. Jefferson Medical Center began offering digital mammography in June 2011 when the Women’s Im-

aging Center opened. It was the first hospital in West Virginia to offer 3D tomosynthesis (tomo) for breast screening. The ACR awards accreditation to facilities for the achievement of high practice standards after a peer-review evaluation of the practice. Evaluations are conducted by board-certified physicians and medical physicists who are experts in the field. They assess the qualifications of the personnel and the adequacy of facility equip-

ment. “Becoming ACR accredited in digital mammography for another three years is a great accomplishment,” stated Dan Sytsma, diagnostic imaging manager at Jefferson Medical Center. “Offering a state-of-the-art digital mammography service is one more way that Jefferson Medical Center is giving patients the option to stay local for quality services and treatment,” he added.

University Healthcare Berkeley Medical Center Awarded Advanced Certification for Primary Stroke Centers from the Joint Commission The Joint Commission, in conjunction with The American Heart Association/American Stroke Association, recently recognized University Healthcare Berkeley Medical Center with Advanced Certification for Primary Stroke Centers. Achievement of Primary Stroke Center Certification signifies an organization’s dedication to fostering better outcomes for patients. Berkeley Medical Center’s Primary Stroke Center Certification has demonstrated that their program meets critical elements of performance to achieve long-term success in improving outcomes for stroke patients.

Berkeley Medical Center underwent a rigorous on-site review in June. A Joint Commission expert reviewed the medical center’s compliance with the requirements for The Joint Commission’s Disease-Specific Care Certification program as well as primary stroke center requirements, such as collecting Joint Commission core measure data and using it for performance improvement activities. “In achieving Joint Commission advanced certification, Berkeley Medical Center has demonstrated its commitment to the highest level of care for its stroke patients,” says Jean Range, M.S., R.N., C.P.H.Q. executive director, Disease-

Specific Care Certification, The Joint Commission. “Certification is a voluntary process and The Joint Commission commends Berkeley Medical Center for successfully undertaking this challenge to elevate its standard of care and instill confidence in the community it serves.” Developed in collaboration with the American Stroke Association and launched in 2003, The Joint Commission’s Primary Stroke Center Certification program is based on the Brain Attack Coalition’s “Recommendations for the Establishment of Primary Stroke Centers.” Certification is available only to stroke programs in Joint Commission-accredited acute care hospitals. Volume 5 - Issue 2 • 2014

University Healthcare News “Berkeley Medical Center is committed to providing our patients the highest quality stroke care centered on current scientific research to ensure continued improvement in treatment,” said President/COO Anthony P. Zelenka. “In addition to our Joint Commission accreditation, the Primary Stroke Center Certification has given us the opportunity to highlight the exceptional stroke care we provide for our patients, and

help us improve care overall for our community.” Berkeley Medical Center will be able to display The Joint Commission’s Gold Seal of Approval® and the American Heart Association HeartCheck mark for their Certification for Primary Stroke Centers. Displaying the seal and HeartCheck mark signifies that Berkeley Medical Center is providing the “next generation of

stroke or heart failure care,” and will help patients easily identify this facility as one of quality that has surpassed numerous goals in the treatment of stroke. For more information on The Joint Commission and American Heart Association’s Certification for Primary Stroke Center visit www.jointcommission.org/ or www.heart.org/myhospital.

University Healthcare Physicians Welcomes Dr. Prince to Inwood Family Medicine University Healthcare Physicians (UHP) is pleased to welcome Amanda Prince, MD to Inwood Family Medicine. A board certified family physician, Dr. Prince, is a graduate of the West Virginia School of Medicine. She completed her family medicine residency at the WVU Rural Family Medicine Residency Program in Harpers Ferry in 2009 and prior to joining UHP, practiced in Hagerstown. As an Assistant Professor for the WVU School of Medicine Eastern Division, Dr. Prince will also help to train resident physicians and medical students.

Amanda Prince, MD

Inwood Family Medicine is located on Route 51 in Inwood, in the medical office building just off Interstate 81, Exit 5. Dr. Prince is accepting new patients –of all ages. For an appointment please call 304-229-6343 – most insurance plans are accepted. Inwood Family Medicine is open from 8:00AM to 5:00PM daily, Monday – Friday. Inwood Family Medicine is part of University Healthcare Physicians (UHP). UHP is a multi-specialty physician group, employing more than 70 healthcare providers in 21 medical offices and University Healthcare hospital facilities in both Berkeley and Jefferson counties, West Virginia.

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We Practice What We Teach West Virginia University Physicians of Charleston provides worldclass medical care to citizens of Southern West Virginia, while conducting ground breaking research and continuing education at one of the nation’s oldest regional medical education campuses. Our providers are recognized leaders in their chosen specialties. Our practice plan includes providers that specialize in everything from primary to specialty care and from pediatrics to geriatrics. In addition to practicing medicine, each doctor is on the faculty at the West Virginia University School of Medicine. As mentors in the medical field, dedicated to training a new generation of doctors, our physicians have a passion for knowledge that pushes them to learn more. As physicians and medical university faculty members, we are at the forefront of medical science. We are committed to delivering the most technologically advanced and compassionate care available. Our faculty physicians also conduct important research and use cutting edge medical advancements to improve patient outcomes. We aren’t content just to practice medicine -- we’re committed to teaching it, too. Visit our brand new website and see the many specialists and services we offer to meet all of your family’s health care needs. Search for providers: • by name • by specialty • by location • by keyword search

www.wvupc.org

WVU Charleston News

Belarus Children Return to West Virginia for Ongoing Medical Treatment Four children and a chaperone from Belarus paid a visit to Charleston as part of a program to provide ongoing medical treatment and to monitor the effects of radiation on those who live near the Chernobyl nuclear power plant in Ukraine. They were given examinations

by Dr. Steven Artz, an Endocrinologist with the WVU Physicians of Charleston and professor of internal medicine at West Virginia University Charleston Division. “Giving these children even a short time away from the levels of radiation they experience at home is important to their health.” Dr. Artz said. Artz looked for effects of radiation on the body such as enlarged thyroid glands. “If we see something unusual in the blood tests, such as abnormal thyroid levels, we’ll bring

the children back for more tests,” Artz said. The children are chosen by doctors in Belarus to participate in the program based on their medical needs. In the United States, the American Belarus Relief Organization coordinates the program with churches in several states. Members of the Heritage Baptist Church in Pinch, W. Va. hosted the children from Belarus, which was part of the Soviet Union when the Chernobyl nuclear accident occurred in 1986. Local churches pay for airfare from Belarus to the United States, and provide homes for them for six weeks during the summer.

Belarus and Russia, and drifted over to other European countries such as Poland. Scientists estimate that the amount of particles released was equivalent to the effect of 20 nuclear bombs. The Chernobyl accident remains the largest peacetime nuclear disaster ever. Those who came to Charleston as part of the group were not even born when the accident at the nuclear power plant took place in 1986, but the prevailing winds following the accident more than 25 years ago carried heavy concentrations of radiation to Belarus and surrounding countries, leaving a legacy of illness, poverty and death behind for families still living in that region of the world. Cancer, heart disease, bone disorders and other illnesses affect most of the children, and the time they spend in the U.S. does them a world of good physically and emotionally.

On April 26, 1986, at 1:23 a.m. an explosion and fire occurred in Reactor Number 4 of the Chernobyl Nuclear Power Plant in Ukraine. Before engineers and scientists could get it under control, 190 tons of highly radioactive material was released into the atmosphere. The radioactive particles rained down not only on Chernobyl, but all over Ukraine, as well as the neighboring countries of

New Books in the WVU Charleston Division HSC Library - Fundamentals of Geriatric Pharmacotherapy: An Evidence-Based Approach - Goodman and Gilman’s The Pharmacological Basis of Therapeutics - Nursing, Caring, and Complexity Science : For Human-Environment Well-Being

Rob Cagna was a participant two years ago and would highly recommend this one-week course, especially to physicians and researchers. All expenses (registration, transportation, housing, and meals) are taken care of by the National Library of Medicine at the National Institutes of Health.

The National Library of Medicine’s Biomedical Informatics Course will be held twice a year in Georgia. If you are interested, more information and a link to the application are here: http://reeselibrary.wordpress.com/2014/05/16/georgiaregents-university-to-host-national-library-of-medicine-georgia-biomedical-informatics-course/

Spring 2015 class will be held April 12-18, 2015. If you have any questions please feel free to contact Rob at rcagna@ hsc.wvu.edu

Volume 5 - Issue 2 • 2014

WVU Charleston News

WVU Physicians of Charleston Sponsors Multifest Celebration The Charleston Division of the WVU Health Sciences Center served as a co-sponsor of Multifest 2014, a three-day event held in Charleston August 1 - 3. Multifest is a festive event that brings together various cultures and celebrates ethnic communities in an atmosphere of tolerance and good will through art, music, education, cultural programs and cuisine. The festival brings together various cultures and ethnic communities in an atmosphere of tolerance and goodwill through art, music, education, cultural programs and cuisine. WVU students were on hand to answer questions

about their experience at WVU, and to share a display and materials about the division. “Our Health Sciences Center is dedicated to serving all West Virginians, and this exciting three-day event highlights the array of citizens we serve not only in southern West Virginia but throughout the state,” said John C. Linton, Ph.D., interim associate vice president and dean at the Charleston Division. “We are devoted to variety and inclusion not only in our service but also our education and training of healthcare providers of the future, who will experience an even more diverse world in which to learn and practice.”

WVU was this year’s prime sponsor at Multifest 25 at the State Capitol Complex. from Aug 1-3. “West Virginia University is proud to be the primary sponsor for Multifest,” said David M. Fryson, Vice President for the Division of Diversity, Equity and Inclusion. “The event has a rich history and has been a consistent force in the celebration of diversity. Our land grant mission calls for the University to be engaged in the life of the entire state on many fronts and we are excited to play a key role in this important festival.”

WVU Charleston Division Welcomes New Director of Development

Department of Internal Medicine Welcomes Kristen P. Helmick, MD.

The West Virginia University-Charleston Division welcomes a new Development Director, Renee Gorrell, to the Charleston campus. She has a longstanding history in the Kanawha Valley working in various philanthropic missions and will be a valuable addition to the WVU Charleston Division.

The West Virginia University Charleston division department of internal medicine is pleased to welcome assistant professor Kristen P. Helmick, MD.

Renee’s office is located in Room 1106 in the Health Sciences Library (ph: 304.347.1231), first floor.

Dr. Helmick is a WVU School of Medicine graduate who completed her residency at CAMC, where she worked as a hospitalist for more than five years.

WVU Healthcare & Health Sciences News

New Implanted Sensor Could Reduce Heart Failure Admissions

Ruby Memorial the fourth in U.S. to offer procedure Unexpected trips to the hospital are inconvenient and worrisome for anyone, but for congestive heart failure sufferers, they can be all too frequent. In a rural state like West Virginia, distance can be a factor. Cardiologists at WVU Healthcare’s Ruby Memorial Hospital are now

WV Physician

only the fourth group of doctors in the nation to implant a new tiny, wireless monitoring sensor to help doctors and patients manage heart failure while eliminating the need for frequent surprise hospital visits.

The CardioMEMS HF System is the first and only FDA-approved heart failure monitoring device that has been proven to significantly reduce hospital admissions when used by physicians to manage the condition. The technology features a sensor that is implanted through

WVU Healthcare & Health Sciences News a catheter into the pulmonary artery (PA) to directly measure PA pressure. Increased PA pressures appear before weight and blood pressure changes, which are often used as indirect measures of worsening heart failure.

WVU Healthcare was chosen to pioneer the procedure as one of 16 institutions designated “sites of excellence” by St. Jude Medical, manufacturers of the CardioMEMS HF System.

According to the Centers for Disease Control and Prevention, more than 5.1 million Americans have heart failure, which occurs when the heart is unable to pump enough blood to meet the body’s demands. Patients with heart failure are frequently hospitalized, have a reduced quality of life, and face a higher risk of death. CardioMEMS allows patients to transmit daily sensor readings from their homes to their healthcare providers, allowing for personalized management to reduce the likelihood of hospitalization. The sensor is designed to last the lifetime of the patient and doesn’t require batteries, and there is no pain or sensation for the patient during the readings.

CardioMEMS is approved by the U.S. Food and Drug Administration (FDA) for commercial use in the U.S. For more information, visit www.heartfailureanswers.com.

“All the patient has to do is lie back on a special pad,” explained Bradford E. Warden, M.D., director of the WVU Heart Institute and chief of the WVU School of Medicine Section of Cardiology. “Radio waves are then transmitted to an external electronic syste m, and the device measures pressure in the pulmonary artery. It lets us notice any pressure changes three or four weeks before the patient develops pulmonary edema (fluid in the lungs) from exacerbated congestive heart failure. It gives us a chance to get pulmonary edema under control by adjusting medications while keeping the patient out of the hospital and in the comfort of his or her own home.”

p The CardioMEMS device is shown next to a penny for scale.

In addition to being only the fourth facility nationally to do the procedure, WVU Healthcare is the first institution to be certified to perform it, and Dr. Warden is the nation’s first certified individual practitioner. Richard Uchic of Thomas, W.Va., is the first WVU Healthcare heart patient to receive the CardioMEMS implant. In the past, the 72-year-old Tucker County resident would make frequent trips to Morgantown or neighboring Garrett County, Md., for treatment of sudden heart failure symptoms. “The last time, I was having shortness of breath,” explained Uchic. “I have to go over to Oakland (Md.) if I need to see someone in a hurry. This monitor will help the doctor decide if I should take more of my diuretic or other medications, and it should save me a trip to the hospital.”

p Bradford Warden, M.D., (right) director of the WVU Heart Institute and chief of the WVU School of Medicine Section of Cardiology, and Wissam Gharib, M.D., director of the WVU Healthcare Cardiac Catheterization Labs and Care Units, implant the CardioMEMS device.

As use of the sensor increases, there is great potential for hospitals to see less of frequent heart failure patients like Uchic. Data from a clinical trial showed that the CardioMEMS technology reduces heart failure hospital admissions by up to 37 percent. According to the American Heart Association (AHA), the estimated direct and indirect cost of heart failure in the U.S. in 2012 was $31 billion. That number is expected to more than double by 2030. The WVU Healthcare Heart Failure Program, led by Robert Hull, M.D., has earned national recognition by cutting hospital re-admissions, improving efficiency in patient care, and developing strategies to improve the patient experience. In just its third year of existence, it has been named to the Target HF Honor Roll of the AHA Get With the Guidelines Gold Plus Award, an honor that reflects the program’s commitment to AHA standards.

p Dr. Warden talks to patient Richard Uchic of Thomas, W.Va., following the procedure. Volume 5 - Issue 2 • 2014

WVU Healthcare & Health Sciences News

WVU Stroke Innovation at Heart of New Biotech Firm Nearly 800,000 people a year in the U.S. alone suffer from stroke, and in most of the cases, determining stroke type and time of onset is a difficult and subjective task. A simple, yet revolutionary diagnostic method for stroke detection developed at West Virginia University may soon provide point-of-care clinicians a rapid, accurate, and cost-efficient method for determining the cause and best treatment options for a stroke. The diagnostic technology has been licensed from WVU by CereDx, a Morgantown-based biotech corporation focused on advancing the treatment of brain injury. CereDx was founded by West Virginia natives Taura Barr, R.N., Ph.D., and Richard Giersch. Dr. Barr, a WVU School of Nursing faculty member and WVU Center for Neuroscience researcher, developed a way of measuring the presence of biomarkers for stroke that

could offer medical providers and emergency personnel an unbiased diagnosis of ischemic stroke and prediction of stroke symptom onset. “Fast, accurate assessment of the type and timing of a stroke are the keys to determining how patients are treated,” said Barr, CereDx chief science officer and vice chair of the American Heart Association’s Council on Cardiovascular and Stroke Nursing. “Without that information, many patients go without treatments that can vastly improve their recovery outcomes.” Approximately 85 percent of strokes are ischemic, resulting from an arterial blockage. Each second following a stroke is critical. The sooner a victim is treated, the more brain tissue can be saved. Hemorrhagic strokes, where a vessel ruptures and bleeds into the surrounding brain, account for the

remainder of stroke cases. Treatments for each are not interchangeable. “If a hemorrhagic stroke is mistaken for an ischemic stroke, the mistake can prove fatal,” said Giersch, CereDx chief executive officer. “When Dr. Barr’s research is developed into a simply performed lab test in the future, not only can the proper therapeutic technique be administered quickly, but diagnostic errors can become far less common. We could not be more excited about helping to bring this life-changing technology to market.” Matt Harbaugh, WVU’s director of Innovation, Entrepreneurship and Commercialization, echoed this enthusiasm, adding that the CereDx technology, “represents a breakthrough in neuroscience and is a great example of the groundbreaking research that is being conducted at West Virginia University.”

WVU Hospitals Named Best Hospital in West Virginia for Third Consecutive Year U.S. News again recognizes 12 specialties at Ruby Memorial as high performing For the third consecutive year, “U.S. News & World Report” has named WVU Hospitals, with its flagship hospital Ruby Memorial, the number one hospital in West Virginia. The national magazine today released its annual Best Hospitals rankings, listing WVUH as high-performing in 12 medical specialties.

“We are honored to receive this recognition for the third consecutive year,” Charlotte Bennett, interim CEO of WVU Hospitals, said. “Our physicians, nurses and other healthcare professionals are truly dedicated to providing quality care and to improving the health of all that we serve.”

In addition to the state ranking, WVU Hospitals was recognized as a Best Regional Hospital and high-performing in cancer; cardiology and heart surgery;diabetes and endocrinology; ear, nose, and throat; gastroenterology and GI surgery; geriatrics; gynecology; nephrology; neurology and neurosurgery;orthopaedics; pulmonology; and urology. WVUH received the same rankings in the previous two years.

The annual U.S. News Best Hospitals rankings, now in their 25th year, recognize hospitals that excel in treating the most challenging patients. U.S. News publishes Best Hospitals to help guide patients who need a high level of care because they face particularly difficult surgery, a challenging condition, or extra risk because of age or multiple health problems. Objective measures, such as pa-

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tient survival and safety data, adequacy of nurse staffing levels, and other data, largely determined the rankings in most specialties. “The data tell the story – a hospital that emerged from our analysis as one of the best has much to be proud of,” Avery Comarow, U.S. News Health Rankings Editor, said. “A Best Hospital has demonstrated its expertise in treating the most challenging patients.” Nearly 30,000 patients from throughout the state and the surrounding area are cared for each year at WVUH and Ruby Memorial. WVU Hospitals is part ofWVU Healthcare, the entity that is comprised of the teaching hospitals and clinics for West Virginia Univer-

WVU Healthcare & Health Sciences News sity’s health professions schools. It includes a Level I Trauma Center, WVU Children’s Hospital, and the Mary Babb Randolph Cancer Center. WVU Hospitals is a member of the West Virginia United Health System.

The specialty rankings and data were produced for U.S. News by RTI International, a leading research organization based in Research Triangle Park, N.C. Using the same data, U.S. News produced the state and metro rankings.

The rankings are freely available at http:// health.usnews.com/best-hospitals and is in the U.S. News “Best Hospitals 2015” guidebook

WVU Healthcare One of Nation’s Top 20 Most Wired By exceeding the benchmarks that earned three consecutive Health Care’s Most Wired designations from Hospital & Health Networks magazine, WVU Healthcare is one of only 20 health providers in the nation to take top honors in 2014. The prestigious annual list recognizes health providers at the forefront of using information technology to deliver excellent care. This year, WVU Hospitals was named Most Wired – Advanced, demonstrating that the organization not only met stringent Most Wired standards, but exceeded expectations.

information officer, said. “We have extended our reach to make our patients’ medical care more personal, convenient, and accessible to them, and that has really helped us stand out from the pack.”

WVU Hospitals is the only West Virginia healthcare organization to make the 2014 Most Wired list.

MyWVUChart, an online interactive portal where WVU Healthcare patients can access test results, schedule appointments, medication information, hospital admissions, allergies, immunizations, and more debuted in 2010. Since its inception, over 50,000 registered users are taking advantage of the website’s offerings.

“When people think of smart tech use in hospitals these days, they generally think of electronic medical records,” Rich King, WVU Healthcare vice president and chief

“Every time a patient checks wait times through the WVU Urgent Care mobile app, schedules an appointment online, or exchanges emails with their doctor using MyWVUChart, that person is taking an assertive, active role in his or her own care,” King continued.

Health Care’s Most Wired – Advanced status is earned by exceptionally high level of achievement in four key areas: clinical quality and safety, care continuum, infrastructure and business, and administrative management. The hospitals selected are recognized as true leaders in meaningful use of technology – as information systems improve, so do patient outcomes. The results of the annual Most Wired survey were released today in the current issue of Hospitals & Health Networks, the journal of the American Hospital Association. For more information on the Most Wired lists, see www.hhnmag.com. To learn more about WVU Healthcare, visit www.wvuhealthcare.com.

WVU Breast Care Program Again Recognized as One of the Nation’s Best Cancer center program re-accredited by NAPBC The Comprehensive Breast Care Program at WVU Healthcare’s Mary Babb Randolph Cancer Center continues to be nationally recognized as one of the best such programs in the country. The WVU Healthcare program has once again been granted a three-year, full accreditation designation by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons. Accreditation by the

NAPBC is only given to those centers that have voluntarily committed to provide the highest level of quality breast care and that undergo a rigorous evaluation process and review of their performance. The breast care program’s first three-year, full accreditation designation was in 2011. “This recognition ensures that our breast care program provides nationally recognized high quality care to our patients,” Hannah Hazard, M.D., chief of the WVU Department

of Surgery Division of Surgical Oncology, said. “This achievement requires internal accountability and a willingness to be benchmarked against other breast care centers across the country.” The NAPBC is a consortium of professional organizations dedicated to the improvement of the quality of care and monitoring of outcomes of patients with diseases of the breast. It rates how well breast care facilities measure up to its standards of quality care, which Volume 5 - Issue 2 • 2014

WVU Healthcare & Health Sciences News include proficiency in the areas of center leadership, clinical management, research, community outreach, professional education, and quality improvement. WVU’s Comprehensive Breast Care Program was 100 percent compliant and exceeded the standard set by the NAPBC for clinical trial accrual. “The NAPBC chose our Breast Care Program as a model for clinical trial accrual in the NAPBC Best Practice Repository,” Adham Salkeni, M.D., breast cancer specialist at the Cancer Center, said. “The NAPBC standard for compliance in this area is at least 2 percent of eligible patients enrolled in clinical trials; our program has about 25 percent.” WVU Healthcare’s comprehensive approach to breast care and breast cancer includes a wide range of services from screening mammograms to survivorship care and points in between, such as minimally invasive biopsy techniques, breast conserving surgery, reconstructive and plastic surgery, radiation

therapy, chemotherapy, genetic evaluation, and high-risk management. Additionally, new breast cancer cases are discussed by a multidisciplinary team of clinicians focused and dedicated to the treatment of women with breast cancer.

said. “I congratulate our stellar breast care team on achieving the NAPBC’s highest accreditation once again. NAPBC accreditation is the seal of approval for breast centers and formally acknowledges our commitment to providing optimal care for our patients.”

“Without our multidisciplinary team approach, we would not be able to provide such high quality patient care, which begins at the Betty Puskar Breast Care Center, nationally certified by the American College of Radiology as a breast imaging center of excellence. With the Breast Care Center’s stateof-the-art imaging and biopsy techniques, we are able to provide a comprehensive evaluation of our patients,” Dr. Hazard said. “Our care is not limited to the disease itself but also includes the psychosocial implications to the patients and their families.”

Hazard led the WVU breast care program accreditation process. In addition to her, the breast care program leadership team includes Jessica Partin, M.D., current chair; Dr. Salkeni, co-chair; and Jaime Good, breast program coordinator and clinical data manager.

“Without a doubt, we have a top-notch comprehensive breast care program,” Scot C. Remick, M.D., director of the Cancer Center

For information about the Comprehensive Breast Care Program at the WVU Mary Babb Randolph Cancer Center, seewww.wvucancer.org/patients/Teams/cbcp. For information about the National Accreditation Program for Breast Centers, see www. napbc-breast.org.

Father and Son, Pioneering Hearts Family tradition of groundbreaking WVU surgeries continues with TAVR According to the history books, American pioneers have traditionally headed west. As a member of the University of Minnesota team that performed the world’s first open heart surgery, Herbert Warden, M.D., bucked that trend when he was recruited to establish a cardiothoracic surgery program at West Virginia University. In March of 1962, Dr. Warden’s hands deftly performed the first such operation in West Virginia, followed by the first pacemaker implantation later that year. Flash forward 52 years, and a familiar name would again be part of a pioneering cardiovascular care team at WVU. In March of this year, Dr. Herbert Warden’s son, Bradford Warden, M.D., director of the WVU Heart Institute and section chief of cardiology, was a member of the multidisciplinary physician team as WVU Healthcare performed its firsttranscatheter aortic valve replacement (TAVR). TAVR allows physicians to replace a damaged aortic valve without opening the chest. Through a catheter inserted at the groin, a collapsible replacement valve is placed into the aortic valve’s location. “Traditional valve replacement has involved going in through

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p Dr. Herbert Warden had the honor of hooding his son, Dr. Brad Warden, at Brad’s WVU School of Medicine commencement in 1997.

WVU Healthcare & Health Sciences News development to go to medical school at 29, his father was naturally thrilled but wanted Brad to know exactly what he was pursuing. “He said, ‘Why are you doing this? You have a great job and a great future. Why are you going back to medical school?’” Warden chuckled. “He was very excited, don’t get me wrong. But I knew I didn’t have to be a doctor to be somebody special to him. My brother and sisters all chose different career paths including sales, real estate development and engineering. He loved and was really interested in all the things they were doing. He loved that I was going to medical school, but from a practical aspect, he knew the long nights and the difficult road ahead.”

p The WVU team that performed the state’s first open heart surgery was led by Dr. Herbert Warden in 1962. This photo appears in “Generation of Growth: A Contemporary View of the West Virginia University School of Medicine.”

an open chest,” the younger Dr. Warden explained. “TAVR is comparable to getting a stent placed in an artery. This allows patients at high risk for the open surgery to not only undergo a valve replacement but also benefit from a faster recovery.” Once in place, the new valve takes over the job of regulating blood flow. A patient whose life expectancy might have only been 12 months can now gain greater longevity -- in addition to improved quality of life. Marlinton resident Charles Richardson, 86 years old and the first TAVR patient at WVU Healthcare, had suffered extreme weakness and exhaustion due to a failing aortic valve and poor circulation. “I could certainly tell the difference when I became conscious after this procedure,” said Richardson. “I was 100 percent better,

and I was amazed. I have nothing but the highest praise for the doctors here. I didn’t expect any results like that. I could breathe, without difficulty, and just felt better mentally. My whole body felt better. I had a lot of swelling in my legs, and it was gone because the circulation was going again.” Richardson’s surgical team of 15 people, including seven physicians, was comparable in size to the one the younger Warden’s father led in 1962. Recognized internationally as a brilliant cardiothoracic surgeon, Herbert Warden was adored and respected by patients, students, and faculty. To young Brad, the 30th baby born in the new University Hospital on the hill (now the WVU Health Sciences Center), he was just Dad.

The elder Warden changed with the times. In addition to his surgical journals, he always read the New England Journal of Medicine and would circle articles and put them in Brad’sDepartment of Medicine mailbox, with a note that might read, ‘You should read this; it’s interesting.’ One can only speculate what the surgical pioneer who passed in 2002 would think of TAVR. “A couple of years ago, this technology did not exist in the United States, outside of trials,” said Wissam Gharib, M.D., Director of WVU Healthcare’s cardiac catheterization lab and lead physician of Mr. Richardson’s TAVR. “Now we’re able to offer this revolutionary procedure here in Morgantown to these very sick patients.” To learn more about the WVU Heart Institute, visit http://wvuhealthcare.com/wvuh/ Hospitals-Clinics/Heart-Institute/Heart-Institute-Home.

When Brad decided to leave his position as manager of Mylan Pharmaceuticals product

Dr. Bill Neal retires from the WVU School of Medicine

Pediatric cardiologist completes 40 years of service Former patients, fellow colleagues and students poured through the doors of the West Virginia University Health Sciences Center

on Friday June 6 to share in the festivities of wishing William A. Neal, M.D., a healthy and happy retirement.

Dr. Neal, pediatric cardiologist at WVU Children’s Hospital and professor in the WVU School of Medicine Department of PediatVolume 5 - Issue 2 • 2014

Category WVU Healthcare & Health Sciences News rics, was honored by many during events on Friday that included comments and testimonials from patients and families, fellow physicians, and students. A lifetime celebration achievement dinner attended by more than 250 people was held on Friday evening at the Erickson Alumni Center.

in 1998 as a means of reversing the state’s disparity in cardiovascular disease, diabetes, and other chronic illnesses. What began as a small school-based, free screening program for elementary-aged children to detect potential heart disease has expanded to a school-based surveillance and intervention imitative, along with a targeted

care providers than Dr. Neal. I have had the distinct privilege of not only working with Bill but constantly learning from him for the past 30 years. He is the epitome of teaching by example and is as patient and compassionate a teacher as he is a physician,” Larry Rhodes, M.D., chair and professor in the Department of Pediatrics and director of the WVU Institute for Community and Rural Health, said. “Although he has an international reputation as a leader in healthcare, Bill has the ability to make everyone feel comfortable and important to him. The patients and families he has touched throughout the years could fill volumes with personal testimonies of the compassionate care he has provided. The health of the children of West Virginia has benefited immensely both directly and indirectly from the four decades of Dr. Neal’s service to the state.” Neal didn’t plan to return to West Virginia after graduating from the WVU School of Medicine in 1966 as he wasn’t sure the opportunity for a budding physician would be available. But, after completing military service and residency and fellowship training, he found himself missing the mountains and the people of West Virginia. In 1974, the Huntington native returned home and joined the WVU faculty.

p Dr. Larry Rhodes (left) and Dr. Bill Neal pose for a photo during an event celebrating Neal’s retirement from the WVU School of Medicine after 40 years of dedicated service.

“Bill Neal is the essence of a pediatric physician in that he is kind, caring, and attentive to patients and families and dedicated to improving the health and wellness outcomes of West Virginia’s youngest through his many initiatives and programs,” Arthur J. Ross, III, M.D., M.B.A., dean of the WVU School of Medicine, said. “He will be terribly missed by his colleagues, but the legacy that he leaves behind will serve the School of Medicine and West Virginia well into the future.” Neal is the founder and director of the Coronary Artery Risk Detection in Appalachian Communities Project (CARDIAC), initiated

WV Physician

identification and referral for treatment to those individuals with the most severe genetic cause of death from premature cardiovascular disease. CARDIAC’s services are active in schools in all 55 West Virginia counties and have reached more than 100,000 students since its inception. In 2007, the U.S. Department of Health and Human Services gave the project a national Innovation in Prevention Award for its success in addressing chronic diseases and promoting healthier lifestyles. “It is difficult for me to imagine a more powerful educator and mentor for health-

The decision to return, he said, is one that he has never regretted. Eleven years after his return, Neal became chair of the WVU Department of Pediatrics. A native of Huntington, Neal graduated from Xavier University in Cincinnati, then earned his medical degree at WVU, where he was the first recipient of the Edward Van Liere Award for medical student research. He continued his training at Milwaukee County General Hospital and studied pediatric cardiology at the University of Minnesota. Neal also staffs the Pediatric Lipid Clinic in Morgantown and outreach clinics in Beckley, Huntington, Lewisburg, Princeton, and Wheeling. He will continue to be involved in the CARDIAC Program.

Stroke survivor benefits

from coordinated response Golfing better than ever On a recent October morning, 78-year-old pharmacist James Phillips suffered a stroke. His local hospital diagnosed his symptoms and sent James to Ruby Memorial Hospital, where the WVU Stroke Team was awaiting his arrival. Thanks to the coordinated response of all medical teams, Jim has experienced an excellent recovery and is back on the golf course. The WVU Stroke Center provides: • An Acute Stroke Team available 24 hours a day, 7 days a week, including: - Emergency medicine staff, EMS, and HealthNet Aeromedical Services - Neurology and neurosurgery, radiology, and neurointerventional radiology - Nursing - Pharmacy - Inpatient clinical labs - Rehabilitation services - Care management • Stroke and Intensive Care Units staffed by registered nurses and therapists who have received extensive stroke education • Advanced diagnostic and imaging techniques • Prevention, early intervention, and rehabilitation services provided for patients at risk for stroke or who have had a stroke.

Call 1-800-WVA-MARS for more information

Stroke Center Ruby Memorial Hospital

The Stroke Center is operated by WVU Hospitals.

KNOWLEDGE SAVES. MEDICAL ONCOLOGY/HEMATOLOGY TEAM

Maria Tria Tirona, MD Medical Oncologist

Aneel Chowdhary, MD Medical Oncologist

Mohamad K. Khasawneh, MD Medical Oncologist/ Hematologist

PEDIATRICS

RADIATION ONCOLOGY

Toni Pacioles, MD Medical Oncologist/ Hematologist

Yehuda Z. Lebowicz, MD Andrew Freeman, MD Radiation Oncologist Medical Oncologist/ Hematologist

Mark Mogul, MD Pediatric Oncologist/ Hematologist

SURGICAL ONCOLOGY TEAM

Pleasant Valley Hospital A partner of Cabell Huntington Hospital and the Marshall University Joan C. Edwards School of Medicine

#356

Gerard Oakley, MD Gynecologic Oncologist/ ECCC Medical Director

James C. Jensen, MD Urologic Oncologist/

Felix Cheung, MD Orthopedic Oncologist

Terrence Julien, MD #3415 Neurosurgical Oncologist

Jack R. Traylor, MD Breast Surgeon

Mary Legenza, MD Breast Surgeon

#349

From Pittsburgh to Lexington,

no other facility has a more complete range of academically-affiliated medical, surgical and radiation oncologists providing such a comprehensive range of highly specialized cancer services for both adults and children than the Edwards Comprehensive Cancer Center at Cabell Huntington Hospital. Deciding where to go for cancer treatment is critically important. Before making that decision, we invite you to compare all hospitals in the region. We’re confident you’ll find that the Edwards Comprehensive Cancer Center at Cabell Huntington Hospital offers a distinct difference in cancer care.

For more information, call 304.399.6500.