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CONTENTS<br />

<strong>Emory</strong> transplant surgeons<br />

participate in second largest<br />

kidney swap in history<br />

"Seamless patient care" <strong>of</strong>fered<br />

by <strong>Emory</strong>/Saint Joseph's<br />

Hospital surgical oncology<br />

collaboration<br />

Seventeen <strong>Emory</strong> <strong>Surgery</strong><br />

faculty named to Atlanta's Top<br />

Doctors<br />

New arrivals: Dr. B. Daniel<br />

Campos, Dr. Eric Sarin, and<br />

Dr. Joshua Winer<br />

Upcoming events<br />

<strong>Emory</strong> transplant surgeons participate in second<br />

largest kidney swap in history<br />

Dr. Nicole Turgeon with kidney swap recipient Troy Milford (left) and donor Robert Poole<br />

(right).<br />

The world's second largest kidney swap, and the largest kidney swap to be<br />

concluded in less than 40 days, began in Memphis, TN, on April 30, 2013, with<br />

a donation from an altruistic donor, and ended just five weeks later, on June 5,<br />

in Cleveland, OH. Named "Chain 221" by the National Kidney Registry, the<br />

swap involved 56 participants and resulted in 28 transplants in 19 transplant<br />

centers across the U.S., including the <strong>Emory</strong> Transplant Center (ETC).<br />

According to the National Kidney Registry, this chain exemplifies the great<br />

progress that's been made to shorten set-up times for large swaps, reducing the<br />

time patients must wait for a kidney transplant. Large swaps like these also<br />

increase the ability to find matches for highly sensitized patients who are very<br />

difficult to match.<br />

"<strong>Emory</strong> began its kidney paired donor exchange program in 2010, and we have<br />

been participating in the National Kidney Registry since 2012," says Dr. Nicole<br />

Turgeon, a transplant faculty surgeon <strong>of</strong> the <strong>Department</strong> <strong>of</strong> <strong>Surgery</strong> <strong>of</strong> the<br />

<strong>Emory</strong> <strong>University</strong> School <strong>of</strong> Medicine and surgical director <strong>of</strong> <strong>Emory</strong>'s paired


donor exchange program. "Paired donor exchange gives patients an opportunity<br />

to receive a living donor kidney transplant from a loved one or friend, despite<br />

incompatible blood types and positive crossmatches. In paired donation, a donor<br />

and recipient are matched with another incompatible donor and recipient pair,<br />

and the kidneys are exchanged between the pairs. This was the case with our<br />

patients Mr. Poole and Mr. Milford, and the basis <strong>of</strong> how Chain 221 worked."<br />

For 10 years, Troy Milford had been battling polycystic kidney disease, a genetic<br />

disorder characterized by the growth <strong>of</strong> numerous cysts in the kidneys. He<br />

began dialysis in 2009 and was placed on the kidney transplant wait list in<br />

2010. Several <strong>of</strong> Mr. Milford's family members and his friend Robert Poole were<br />

tested as potential donors, but none were matches. After Mr. Poole learned<br />

about <strong>Emory</strong>'s paired donor exchange program, he registered as a donor.<br />

On April 30, both Mr. Milford and Mr. Poole had surgery at <strong>Emory</strong> <strong>University</strong><br />

Hospital as part <strong>of</strong> Chain 221. Dr. Turgeon transplanted Mr. Milford's new<br />

kidney, while Dr. Paul Tso removed Mr. Poole's kidney, which was donated to<br />

another person in another state. Both men are doing well after their surgeries.<br />

"Words can't say how it made me feel that Robert, who's not even related to<br />

me, would do this for me," says Mr. Milford. "I am one <strong>of</strong> 28 people who has a<br />

new kidney and a new outlook on life, thanks to this swap."<br />

"Troy is a good friend and special person," says Mr. Poole. "He was too proud<br />

to ask for help, even when he was sick, so I am really happy I could assist."<br />

"Mr. Poole and Mr. Milford had two previous <strong>of</strong>fers in chains that were<br />

cancelled," says Dr. Turgeon. "We are happy this swap went to successful<br />

completion with 28 people donating kidneys and 28 people receiving kidney<br />

transplants."<br />

According to Dr. Turgeon, there are currently over 100,000 people on the kidney<br />

transplant waiting list, and the discrepancy between the number <strong>of</strong> organs<br />

available and the number <strong>of</strong> people on the waiting list continues to grow.<br />

"Ultimately, we want to bring awareness to living and deceased donation with<br />

this story," she explains.<br />

"Seamless patient care" <strong>of</strong>fered by <strong>Emory</strong>/Saint<br />

Joseph's Hospital surgical oncology collaboration<br />

As director <strong>of</strong> surgical oncology, <strong>Emory</strong>/Saint Joseph's Hospital, Dr. David<br />

Kooby looks forward to furthering the complementary strengths <strong>of</strong> both<br />

institutions. "It's an opportunity to help develop something new and exciting<br />

alongside great colleagues," he says.<br />

Dr. Kooby<br />

Together, Saint Joseph's and <strong>Emory</strong> doctors provide a wealth <strong>of</strong> expertise and<br />

knowledge, along with innovative treatment options and clinical services. In<br />

2002, Saint Joseph's became the first hospital in Georgia to perform robotic,<br />

totally-endoscopic, closed-chest heart surgery. The hospital is one <strong>of</strong> only five<br />

training sites in the world for the robotic da Vinci Surgical System. Dr. Kooby,<br />

an international leader in minimally invasive pancreatic surgery who has been<br />

performing robotic pancreatectomies at <strong>Emory</strong> <strong>University</strong> Hospital since 2011, is<br />

delighted to have additional access at Saint Joseph's to state-<strong>of</strong>-the-art surgical<br />

robots. "With more resources at the Saint Joseph's location, there is better<br />

throughput potential."


Currently, <strong>Emory</strong> surgical oncology colleagues Dr. Monica Rizzo, associate<br />

pr<strong>of</strong>essor, and Dr. Ken Cardona, assistant pr<strong>of</strong>essor and director <strong>of</strong> the core<br />

curriculum for <strong>Emory</strong>'s general surgery residency, work with Dr. Kooby at St.<br />

Joseph's. In August, they will be joined by new <strong>Emory</strong> surgical oncology faculty<br />

member Dr. Joshua Winer (see bio-summary below).<br />

While Saint Joseph's has not been traditionally a teaching hospital, one <strong>Emory</strong><br />

resident will be rotating with the team. In time, the residency effort may grow<br />

with the program. "There will be a teaching component which will be invaluable<br />

for the residency and for the community," says Dr. Kooby.<br />

Dr. Rizzo<br />

The team also brings a commitment to research and development. As an ACS<br />

Commission on Cancer Liaison Physician at <strong>Emory</strong> <strong>University</strong> Hospital Midtown,<br />

Dr. Rizzo is actively involved in quality measures and initiatives to assure<br />

excellence in cancer care at the hospital. Dr. Kooby, who directed a national<br />

study <strong>of</strong> the efficacy <strong>of</strong> laparoscopic pancreatectomy, has conducted notable<br />

prospective and retrospective assessments <strong>of</strong> open and laparoscopic methods <strong>of</strong><br />

pancreas, liver, and biliary tract resection. Dr. Cardona is on multiple national<br />

scientific committees, and has a strong basic science and clinical research<br />

background. According to Dr. Kooby, "Saint Joe's patients will certainly be<br />

included in future outcome studies."<br />

The doctors' patients can be seen at Saint Joseph's and <strong>Emory</strong>. "We can<br />

provide seamless care for the patient," says Dr. Kooby. Current patients,<br />

especially those living northwest and northeast <strong>of</strong> Atlanta, can choose to receive<br />

services at the most easily accessible location.<br />

Dr. Cardona<br />

Dr. Kooby is pleased with the program. "The Saint Joseph's location will provide<br />

the same quality <strong>of</strong> care, with perhaps a more personal feel. It's a facility that<br />

will be preferred by some patients. This addition opens doors to further<br />

collaboration with the community."<br />

Seventeen <strong>Emory</strong> <strong>Surgery</strong> faculty named to<br />

Atlanta's Top Doctors<br />

Atlanta magazine's July 2013 "Top Doctors" issue, an annual listing compiled by<br />

the New York-based research firm Castle Connolly Medical Ltd., included 17<br />

faculty <strong>of</strong> the <strong>Department</strong> <strong>of</strong> <strong>Surgery</strong> <strong>of</strong> the <strong>Emory</strong> <strong>University</strong> School <strong>of</strong> Medicine.<br />

Congratulations to Timothy Buchman, Linda Cendales, Seth Force, Sheryl<br />

Gabram, John Galloway, Robert Guyton, T. Roderick Hester, Kirk Kanter,<br />

Stuart Knechtle, Albert Losken, Daniel Miller, Foad Nahai, Kenneth Newell,<br />

Charles Staley, John Sweeney, Collin Weber, and Mark Wulkan.<br />

Nearly half <strong>of</strong> the physicians recognized in this year's "Top Doctors" issue are<br />

<strong>Emory</strong> Healthcare doctors, <strong>Emory</strong> Healthcare affiliated doctors, or <strong>Emory</strong><br />

<strong>University</strong> School <strong>of</strong> Medicine faculty.<br />

Castle Connolly uses a survey and research process involving tens <strong>of</strong> thousands<br />

<strong>of</strong> top doctors across America and the medical leadership <strong>of</strong> leading hospitals.<br />

Atlanta's top doctors were selected after peer nomination, extensive research,<br />

and careful review and screening by Castle Connolly's doctor-directed research<br />

team.


New arrivals: Dr. B. Daniel Campos, Dr. Eric<br />

Sarin, and Dr. Joshua Winer<br />

Division <strong>of</strong> Cardiothoracic <strong>Surgery</strong><br />

Dr. Sarin<br />

(Assistant Pr<strong>of</strong>essor <strong>of</strong> <strong>Surgery</strong>) Eric L. Sarin, MD, returns to <strong>Emory</strong> after three<br />

years in private practice at the INOVA Heart and Vascular Institute in Fairfax,<br />

VA. His clinical interests include structural heart disease and diseases <strong>of</strong> the<br />

thoracic aorta. After receiving his MD from the George Washington <strong>University</strong><br />

School <strong>of</strong> Medicine in 1998, Dr. Sarin completed a general surgery residency<br />

and a fellowship in surgical critical care at the <strong>University</strong> <strong>of</strong> Colorado Health<br />

Sciences Center. He then came to <strong>Emory</strong> for his cardiothoracic surgery<br />

residency and an advanced transcatheter/structural heart disease fellowship<br />

supervised by Dr. Vinod Thourani.<br />

Division <strong>of</strong> Surgical Oncology<br />

Dr. Winer<br />

(Assistant Pr<strong>of</strong>essor <strong>of</strong> <strong>Surgery</strong>) After obtaining his medical degree in 2004 at<br />

the <strong>University</strong> <strong>of</strong> Maryland, Joshua A. Winer, MD, completed his general<br />

surgery residency and surgical critical care fellowship at Brigham and Women’s<br />

Hospital. Prior to joining our faculty, he completed his surgical oncology<br />

fellowship at the <strong>University</strong> <strong>of</strong> Pittsburgh Medical Center. Dr. Winer’s specialties<br />

at <strong>Emory</strong> will include the performance <strong>of</strong> hyperthermic intraperitoneal<br />

chemoperfusion (HIPEC), a new and innovative cancer treatment that delivers<br />

highly concentrated, heated chemotherapy directly to the abdomen, which allows<br />

for higher doses <strong>of</strong> chemotherapy than systemic chemotherapy delivery.<br />

Division <strong>of</strong> Transplantation<br />

Dr. Campos<br />

(Assistant Pr<strong>of</strong>essor <strong>of</strong> <strong>Surgery</strong>) B. Daniel Campos, MD, joins our faculty after<br />

completing his abdominal transplant fellowship at Stanford <strong>University</strong>. During his<br />

fellowship he practiced at Lucille Packard Children’s Hospital and Stanford<br />

Hospital and Clinics. He received his MD at the Instituto Technologico y<br />

Estudios Superiores de Monterrey in Mexico in 2000, and did his general<br />

surgery residency and clinical research fellowship in transplantation at the<br />

<strong>University</strong> <strong>of</strong> Nebraska Medical Center, Omaha, from 2001-2007. Dr. Campos<br />

served as a general surgeon at Prowers Medical Center in Lamar, CO, from<br />

2007-2010.<br />

Upcoming events<br />

EVENT DATE/TIME LOCATION<br />

<strong>Department</strong> <strong>of</strong> <strong>Surgery</strong><br />

Research Seminar: Learning<br />

the Basics <strong>of</strong> Research,<br />

Funding Sources, Effort<br />

Reporting, Conflict <strong>of</strong><br />

Interest, Compliance<br />

Presented by<br />

Allan Kirk, MD, PhD<br />

– Vice Chair <strong>of</strong> Research,<br />

<strong>Department</strong> <strong>of</strong> <strong>Surgery</strong>, <strong>Emory</strong><br />

<strong>University</strong> School <strong>of</strong> Medicine<br />

5:00 - 6:30 p.m.,<br />

August 13, 2013<br />

EUH H-Wing <strong>Surgery</strong><br />

Education Classroom


Lisa Carlson, MPH, MCHES<br />

– Director <strong>of</strong> Academic Affairs,<br />

<strong>Department</strong> <strong>of</strong> <strong>Surgery</strong>, <strong>Emory</strong><br />

<strong>University</strong> School <strong>of</strong> Medicine<br />

SURGICAL GRAND<br />

ROUNDS<br />

Multimodality Therapy for<br />

S<strong>of</strong>t Tissue Sarcoma: Too<br />

Much, Too Often, and Not<br />

Enough<br />

Presented by Kenneth<br />

Cardona, MD<br />

– Assistant Pr<strong>of</strong>essor <strong>of</strong><br />

<strong>Surgery</strong>, Division <strong>of</strong> Surgical<br />

Oncology, <strong>Department</strong> <strong>of</strong><br />

<strong>Surgery</strong>, <strong>Emory</strong> <strong>University</strong><br />

School <strong>of</strong> Medicine<br />

– Director <strong>of</strong> Core Curriculum,<br />

General <strong>Surgery</strong> Residency,<br />

<strong>Department</strong> <strong>of</strong> <strong>Surgery</strong>, <strong>Emory</strong><br />

SURGICAL GRAND<br />

ROUNDS<br />

Topic to be announced<br />

Presented by Jamil Stetler,<br />

MD<br />

– Chief Resident, <strong>Department</strong><br />

<strong>of</strong> <strong>Surgery</strong>, <strong>Emory</strong> <strong>University</strong><br />

School <strong>of</strong> Medicine<br />

SURGICAL GRAND<br />

ROUNDS<br />

Topic be announced<br />

Presented by Kevin<br />

McConnell, MD<br />

– Assistant Pr<strong>of</strong>essor <strong>of</strong><br />

<strong>Surgery</strong>, Acute and Critical<br />

Care <strong>Surgery</strong>, <strong>Department</strong> <strong>of</strong><br />

<strong>Surgery</strong>, <strong>Emory</strong> <strong>University</strong><br />

School <strong>of</strong> Medicine<br />

SURGICAL GRAND<br />

ROUNDS<br />

Multidisciplinary<br />

Collaboration to Produce a<br />

High Quality CTICU<br />

Presented by Jay G. Shake,<br />

MD, MS<br />

– Director, Cardiothoracic<br />

Intensive Care Unit, Scott and<br />

White Memorial Hospital, TX<br />

<strong>Surgery</strong> Division Chiefs<br />

Meeting<br />

7:00 - 8:00 a.m.,<br />

August 1, 2013<br />

7:00 - 8:00 a.m.,<br />

August 8, 2013<br />

7:00 - 8:00 a.m.,<br />

August 15, 2013<br />

7:00 - 8:00 a.m.,<br />

August 22, 2013<br />

5:30 - 7:00 p.m.,<br />

August 27, 2013<br />

EUH auditorium<br />

EUH auditorium<br />

EUH auditorium<br />

EUH auditorium<br />

EUH Whitehead<br />

Room

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