PDF version - Department of Surgery - Emory University
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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