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the pursuit of parkinson's - The University of Alabama at Birmingham

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Alumni Pr<strong>of</strong>ile<br />

Alumni Pr<strong>of</strong>ile: Stephen Brossette, M.D., Ph.D.<br />

By Sandra Bearden<br />

Stephen Brossette, M.D., Ph.D., is less than five years out <strong>of</strong> <strong>the</strong><br />

<strong>University</strong> <strong>of</strong> <strong>Alabama</strong> School <strong>of</strong> Medicine. Yet he may already have saved<br />

hundreds <strong>of</strong> lives through his work—and this work has just begun.<br />

<strong>The</strong> 32-year-old New Orleans n<strong>at</strong>ive<br />

(UASOM ’99) is founder and chief executive<br />

<strong>of</strong>ficer <strong>of</strong> MedMined, Inc., a <strong>Birmingham</strong>based<br />

business on <strong>the</strong> fast track among <strong>the</strong><br />

n<strong>at</strong>ion’s health-care IT companies. Employing<br />

artificial intelligence in tandem with labor<strong>at</strong>ory<br />

and hospital d<strong>at</strong>abases, MedMined unveils<br />

p<strong>at</strong>terns in health-care d<strong>at</strong>a. Linked, <strong>the</strong> p<strong>at</strong>terns<br />

can provide clues to <strong>the</strong> origins <strong>of</strong> hospital-acquired<br />

infections. In 2002, this pioneering<br />

technology landed Brossette a spot on <strong>the</strong><br />

MIT Technology Review’s list <strong>of</strong> <strong>the</strong> world’s top<br />

100 young innov<strong>at</strong>ors. In addition,<br />

MedMined was named 2002 Technology<br />

Company <strong>of</strong> <strong>the</strong> Year by <strong>the</strong> N<strong>at</strong>ional Business<br />

Incub<strong>at</strong>ion Associ<strong>at</strong>ion.<br />

<strong>The</strong> honors and media coverage <strong>the</strong> company<br />

has received underscore <strong>the</strong> seriousness <strong>of</strong><br />

<strong>the</strong> problem MedMined is comb<strong>at</strong>ing. In 1995,<br />

hospital infections caused 88,000 de<strong>at</strong>hs in <strong>the</strong><br />

United St<strong>at</strong>es, <strong>the</strong> fourth leading cause <strong>of</strong> de<strong>at</strong>h<br />

behind heart disease, cancer, and strokes.<br />

“<strong>The</strong>se infections are a big, expensive problem,”<br />

Brossette says. “<strong>The</strong>y make a lot <strong>of</strong> people<br />

sick and kill some <strong>of</strong> <strong>the</strong>m. P<strong>at</strong>ients lose.<br />

Hospitals lose. Insurers lose.”<br />

MedMined applies sophistic<strong>at</strong>ed computer<br />

algorithms and techniques to sift through vast<br />

amounts <strong>of</strong> d<strong>at</strong>a. Medical personnel use<br />

results from this “d<strong>at</strong>a mining” to detect early<br />

warning signs <strong>of</strong> infection and to prevent or<br />

control outbreaks.<br />

Brossette first learned about d<strong>at</strong>a mining<br />

when he was a student in UASOM’s Medical<br />

Scientist Training Program (MSTP), working<br />

concurrently on an M.D. and a Ph.D. in computer<br />

science. A physics major whose undergradu<strong>at</strong>e<br />

work was in comput<strong>at</strong>ional analysis,<br />

Brossette had become interested in medicine<br />

during his junior year <strong>at</strong> Georgia Tech.<br />

“After learning <strong>of</strong> <strong>the</strong> MSTP, I decided it<br />

would be a rewarding experience to take scientific<br />

research and apply it to health care,”<br />

Brossette says.<br />

After completing rot<strong>at</strong>ions in o<strong>the</strong>r fields,<br />

Brossette became <strong>the</strong> first MSTP student <strong>at</strong><br />

UAB to work on a doctor<strong>at</strong>e in a non-biological<br />

science. Encouraging him were several<br />

UASOM faculty members, including Stephen<br />

A. Moser, Ph.D., John A. Smith, M.D., Jay M.<br />

McDonald, M.D., and Frank Griffin, M.D.,<br />

(<strong>the</strong> l<strong>at</strong>ter now retired, but <strong>the</strong>n director <strong>of</strong> <strong>the</strong><br />

MSTP program). Warren Jones, Ph.D., pr<strong>of</strong>essor<br />

emeritus in computer sciences, spurred<br />

Brossette’s interest in applying d<strong>at</strong>a-mining<br />

techniques to research on hospital infections.<br />

A cross-campus collabor<strong>at</strong>ion between p<strong>at</strong>hology<br />

and computer sciences resulted.<br />

Brossette had earned his Ph.D. and M.D. and<br />

was working on a residency in p<strong>at</strong>hology when<br />

his phone rang one day in 2000. It was a represent<strong>at</strong>ive<br />

from a firm in <strong>the</strong> Boston area. <strong>The</strong><br />

firm’s scientists had read Brossette’s reports and<br />

were interested in commercializing his work.<br />

“<strong>The</strong>se infections are<br />

a big, expensive<br />

problem. <strong>The</strong>y make<br />

a lot <strong>of</strong> people sick<br />

and kill some <strong>of</strong><br />

<strong>the</strong>m. P<strong>at</strong>ients lose.<br />

Hospitals lose.<br />

Insurers lose.”<br />

— Stephen Brossette, M.D., Ph.D.<br />

His response was quick: “No thanks. I’d like<br />

to do th<strong>at</strong> myself,” Brossette recalls saying. He<br />

put down <strong>the</strong> phone and picked it up again, calling<br />

P<strong>at</strong>rick Hymel, M.D., and G. T. LaBorde, an<br />

<strong>at</strong>torney, both friends since childhood. All three<br />

had harbored dreams <strong>of</strong> being entrepreneurs.<br />

LaBorde drew up a business plan, and in a<br />

month <strong>the</strong> three had set up shop in a one-room<br />

<strong>of</strong>fice <strong>at</strong> UAB’s Office for <strong>the</strong> Advancement <strong>of</strong><br />

Developing Industries (OADI).<br />

Backed by $2.25 million in venture-capital<br />

funding, MedMined now has 60 hospital<br />

clients under contract and 16 staff members.<br />

Among <strong>the</strong>se are Brossette, Hymel (who serves<br />

as chief medical <strong>of</strong>ficer), and LaBorde, chief<br />

oper<strong>at</strong>ing <strong>of</strong>ficer. This past August, MedMined<br />

and Blue Cross and Blue Shield <strong>of</strong> <strong>Alabama</strong><br />

joined forces to track hospital-acquired infections<br />

<strong>at</strong> 40 <strong>of</strong> <strong>the</strong> st<strong>at</strong>e’s largest hospitals.<br />

“We believe this will be a landmark study in<br />

its field,” Brossette says. “It will set <strong>the</strong> stage<br />

for <strong>the</strong> future.”<br />

<strong>The</strong>se days, Brossette has little time to<br />

indulge his hobbies <strong>of</strong> photography and cooking.<br />

“My wife, Lynda, son, N<strong>at</strong>han, who’s two,<br />

and Audrey, four months, deserve my time<br />

when I’m <strong>at</strong> home,” he says.<br />

Time is <strong>at</strong> a premium on <strong>the</strong> job, too.<br />

“<strong>The</strong>re are 2,500 hospitals th<strong>at</strong> can use our<br />

services, and we’re developing rel<strong>at</strong>ionships<br />

with corpor<strong>at</strong>e partners to roll out services<br />

faster,” Brossette says. “We believe we can<br />

affect more p<strong>at</strong>ients by taking this technology<br />

to <strong>the</strong> world than by tre<strong>at</strong>ing <strong>the</strong>m individually.<br />

It’s an opportunity we’re excited about.”<br />

38

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