Lisa Kohler, MD - AkronCantonMDNews

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contents VOL. 12, NO. 1 JANUARY-FEBRUARY 2008 4 COVER STORY LISA KOHLER, MD Dealing with death on a daily basis — that’s Dr. Lisa Kohler’s job as the chief medical examiner of Summit County. 11 SPECIAL SECTION OBESITY 11 SURGERY FEATURE BARIATRIC SURGERY AND TYPE 2 DIABETES Of all the benefits of bariatric surgery, the most dramatic appear to be related to type 2 diabetes. Is it a treatment? Is it a cure? Read what the medical literature says about this. hospital spotlight 27 2008 Annual Directory of Services 38 SPECIAL SECTION DEPARTMENTS 50 the sporting life 51 the sommelier 59 hospital rounds 4 Akron General’s Chest Pain Center Acute myocardial infarction (AMI) is the single leading cause of death in America, accounting for 1 in 5 deaths in 2003, according to statistics from the American Heart Association. Ongoing advancements in the treatment of AMI result in reduced mortality and morbidity, but successful CARDIOLOGY treatments are time dependent and necessitate rapid initiation. For good outcome, the patient must quickly recognize the signs and symptoms of an AMI and seek medical care, and the physician must quickly diagnose the AMI and initiate treatment. In 2003, Akron General Medical Center introduced to 38 George Litman, chief of Cardiology at Akron General Medical Center Summit County the concept of a chest pain center as a strategy to significantly reduce heart attack deaths through the rapid treatment of patients with AMI. One year later, this Center was accredited by The Society of Chest Pain Centers. The Society promotes protocol based medicine to address the diagnosis and treatment of acute coronary syndromes and heart failure, and to promote the adoption of process improvement science by healthcare providers. To date, less than 400 hospitals have earned Chest Pain Center accreditation from the Society. “To earn accreditation status, healthcare facilities must meet or exceed a wide set of stringent criteria and then allow an on-site evaluation by a review team from the Society of Chest Pain Centers,” said George Litman, MD, chief of Cardiology at the Akron General Heart & Vascular Center. “We were the first, and still are the only, hospital in Summit County to have an accredited Chest Pain Center.” To achieve accreditation by the Society of Chest Pain Centers Akron General demonstrated expertise in the following eight areas: Emergency Department Integration with the Emergency Medical System. A formal relationship between the ED and the local EMS links the care processes for patients with symptoms of possible acute coronary syndrome (ACS). Emergency Assessment of Patients with Symptoms of ACS / Timely Diagnosis and Treatment of ACS. An ED program minimizes delays in institution of therapy for an ACS (nitrates, heparin, aspirin, percutaneous intervention, thrombolytics, etc.). Patients with Low Risk for ACS and No Assignable Cause for their Symptoms. An ED or hospital observation program monitors and evaluates lowrisk patients to avoid the inadvertent release home of patients with ACS or unstable angina. Functional Facility Design. The ED CPU has a functional design for chest pain evaluation to accomplish optimal patient care. It includes appropriate cardiovascular monitoring equipment. Personnel, Competencies, and Training. Physicians ON THE COVER Lisa Kohler, MD, Summit County Chief Medical Examiner 11 PHOTO © SMITHBERGER PHOTOGRAPHY, NORTH CANTON 2 | GREATER AKRON/CANTON M.D. NEWS JANUARY-FEBRUARY 2008
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Page 6 and 7: cover story Lisa Kohler, MD Dealing
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Page 11 and 12: Akron General Health System and Cle
Page 13 and 14: surgery feature Bariatric Surgery a
Page 15 and 16: ypass; the other group was a commun
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Page 19 and 20: feature Obesity: The Continued Batt
Page 22 and 23: esearch NEW STUDY EXAMINES BRAIN-GU
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Page 26 and 27: Northeast Ohio Quality Improvement
Page 28 and 29: FDA Approves Second-Generation Smal
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Page 34 and 35: LABORATORY SERVICES MINIMALLY INVAS
Page 36 and 37: REHAB - OUTPATIENT cont. SPORTS MED
Page 38 and 39: Kiddie Tax Changes in 2008 By Micha
Page 40 and 41: hospital spotlight Akron General’
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GREATER AKRON/CANTON M.D. NEWS JANU
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PQRI: You Can Pry a Few More Bucks
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PEER-REVIEWED, ONLINE DATABASE SHOW
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What’s New at Area Hospitals hosp
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The new and expanded Center for Ort
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