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  1. 1. Pulse Newsletter of the Department of Medicine, Temple University School of Medicine Missri to Enhance Patient-centered, Multidisciplinary Cardiology Programs José Missri, MD, a cardiologist who for nearly three decades led outstanding clinical practice programs in Connect­ cardiology, icut, is developing a number of multi­ gastroenterology disciplinary patient care programs as and the Department of Medicine’s newly geriatrics appointed chief of cardiology. “I’m very delighted and excited about fall 2008 joining the Temple team,” says Missri, who was previously the medical director This issue of of St. Vincent’s Regional Heart and Vascular Center and senior vice presi­ Pulse focuses on dent, chief medical officer and chair the work of the of cardiovascular medicine at St. Vincent’s Medical Center in Bridgeport. Cardiology and “The section has been very innovative Gastroenterology in many offerings, including our heart José Missri, MD, newly appointed chief of cardiolgy sections and the failure transplantation program and cardiovascular imaging technology, geriatrics program and the fellowship program has trained only within our own facilities, but in relevant clinical research and to train of the General specialists now practicing throughout communities that can benefit from the people in these areas to provide their the country and internationally.” expertise of Temple faculty.” expertise to more patients.” Internal Medicine continued on page 3 section. “Building on that,” says Missri, Besides his six years in Bridgeport, also a professor at the University of Missri spent 22 years at Saint Francis Connecticut School of Medicine, “one Hospital and Medical Center in More about José Missri, MD of my priorities will be to enhance the Hartford, where he was chair and Professor of Clinical Medicine Chief, Cardiology Section cardiovascular program so that we offer director of the Department of a more patient­centered program—one MD, Autonomous University of Medicine, senior vice president for Guadalajara, Mexico that provides excellent service with postgraduate education: “Our first priority is to have a motivated staff The Moncton Hospital, Moncton, of physicians, nurses and technicians all dedicated New Brunswick, Canada to providing excellent patient care.” Dallhousie University Medical School, Halifax, Nova Scotia, Canada — José Missri, MD, Chief of Cardiology postdoctoral fellowships: high­quality care based on ‘best prac­ medical affairs, chief medical officer Harvard Medical School/New tices’ in cardiology and cardiac surgery. England Deaconess Hospital and medical director of the Hoffman Heart Institute of Connecticut. Harvard School of Public Health “We will also work to expand the fac­ Program for Clinical Chiefs ulty by recruiting the best clinical and Some of the programs he is bringing to fellow: research cardiologists in key specialty Temple he first initiated in Connecticut. American College of Cardiology areas—including heart failure, clinical “But the difference here is that Temple cardiology, noninvasive cardiac imaging, American College of Chest Physicians is an academic center,” says Missri, a electrophysiology and basic science Panamanian native raised in California. Council on Clinical Cardiology, American Heart Association research. Finally, I plan to broaden “This allows us to both conduct the faculty practice presence—not
  2. 2. A Banner Recruiting Year Duo Revitalizing Geriatrics Program A message from Joel Richter, MD, FACP, MACG Richard L. Evans Chair, Department of Medicine Of the four years I have headed the Department of Medicine, the faculty class we recruited this year by far is the most exciting. In 2008 we have appointed 21 new faculty members, increasing our faculty to 84 full­time and 21 part­time professors. The 21 positions represent recruit­ ment within 10 of the department’s 13 sections. We have hired a fine mix of young assistant professors, and more senior clinicians and clinical investigators. Duane Kirksey, MD, and B. Brent Duane E. Kirksey, MD, and B. Brent Simmons, MD Simmons, MD, for example, are two young, talented geria­ tricians featured in this newsletter. With their training and Two young, well­trained geriatricians, Both Kirksey and Simmons were skills, they could have gone anywhere, but—happily for us Duane E. Kirksey, MD, and B. Brent attracted to geriatrics by the challenge and our patients—decided to be pioneers in revitalizing our Simmons, MD, are revitalizing Temple’s and complexity of dealing with the geriatrics program. Michael S. Smith, MD, another young geriatrics program. multiple medical issues that most physician included in this newsletter, is bringing new patients experience and the growing techniques for diagnosing and treating Barrett’s esophagus. “This is an overwhelming, once­in­a­ demand for such services as the popu­ lifetime opportunity to teach, research Meanwhile, our more senior recruits run the gamut from lation ages. “Seniors are the most and see patients while we develop a new world­class research scientists such as Philip L. Cohen, appreciative patients,” adds Simmons. program in an academic institution,” MD, our new rheumatology chief, to highly regarded “I really enjoy working with them.” says Kirksey. clinicians such as José Missri, MD, our new cardiology chief To promote their multidisciplinary highlighted on the front page. Besides being a nationally The two joined the Temple faculty practice approach and raise awareness renowned physician, scientist and educator, Dr. Missri in July after completing prestigious about health issues facing seniors, the is a proven healthcare administrator who understands both geriatrics fellowships—Kirksey at the needs of patients and the requirements of physicians. “Good geriatrics care takes a team of physicians, Of the new hires, four came from within Temple. The social workers, therapists and pharmacists.” remaining have come to Temple from such outstanding —B. Brent Simmons, MD institutions across the country as the Mayo Clinic, Harvard, Columbia and Washington (St. Louis) universities and the Hospital of the University of duo have been speaking with groups the universities of Pennsylvania, Texas, Connecticut Pennsylvania and Simmons at Thomas at area senior centers, senior hous­ and Pittsburgh. Jefferson University Hospital. ing complexes and houses of worship All are dedicated and contribute in multiple ways to our about such issues as hypertension, The two physicians are seeing both three­pronged mission: patient care, research and education. diabetes and arthritis. The two doc­ primary care geriatric patients and con­ I’m very pleased they have joined us. tors also are mentoring residents on sults referred by other doctors in their geriatric issues and lecturing residents Contact me at 215-707-5069 or jrichter@temple.edu. ambulatory care offices on the Temple and medical students. Future plans University Hospital campus. Along include launching a multidisciplinary with nurse­practitioner Donna Nahass, New Faculty Appointments During 2008 geriatrics rotation for internal medicine CRNP, they also are reviving an inpa­ Cardiology 4 residents that would involve exposure tient consulting service that Nahass has Center for Obesity Research and Education 1 to geriatricians, social workers, physi­ Gastroenterology 1 primarily handled the past few years. cal and occupational therapists, and General Internal Medicine 1 “We call the practice ‘Senior Care,’” pharmacists. Geriatrics 2 says John Cacciamani, MD, a geriatri­ Hematology 1 For more information, contact Drs. cian and internist who is supervising Infectious Diseases 1 Duane Kirksey, MD, and B. Brent the new effort. “We want to focus Oncology 4 Simmons, MD, at 215-707-2220 or on the fact that we are taking care of Pulmonary 3 duane.kirksey@tuhs.temple.edu or seniors, not geriatrics. It’s not about ill­ Rheumatology 3 b.brent.simmons@tuhs.temple.edu. nesses as much as maintaining wellness and functional status.” 2
  3. 3. Smith Brings New Diagnostic and Treatment Techniques for Barrett’s Esophagus Michael S. Smith, MD, MBA, who trained is offering patients the opportunity to receive under one of the world’s foremost investiga­ treatment with a new generation of endo­ tors of Barrett’s esophagus and esophageal scopic treatments that show high efficacy and cancer, is bringing state­of­the­art techniques much improved tolerability. These include to diagnose and treat these disorders to the radiofrequency ablation, where the Barrett’s Department of Medicine’s gastroenterology mucosa is burned off and, when combined section. with acid reduction, normal squamous mucosa regenerates. When nodular or raised “The question is: How do we lesions are present, Smith utilizes a technique identify and treat patients with called endoscopic mucosal resection (EMR) for Barrett’s esophagus before they targeted removal of these segments prior to ablation of the remaining Barrett’s area. Smith progress to invasive cancer?” is also trained in cryo­ablation, where super­ —Michael S. Smith, MD, MBA cold liquid nitrogen is applied to the Barrett’s esophagus through an endoscopic catheter. Smith comes to Temple following three years This treatment shows promise not only for in the Division of Digestive and Liver Diseases the removal of dysplastic Barrett’s esophagus, at the Columbia campus of New York­ but also for palliative treatment of unresect­ Presbyterian Hospital. Under the mentorship able esophageal cancer. of Dr. Charles J. Lightdale, his clinical and More about Michael S. Smith, MD, MBA research activities focused on the endoscopic “The past few years have brought tremendous Associate Director, Temple Esophageal evaluation and treatment of Barrett’s esophagus. improvements in our ability to endoscopically and Swallowing Center of Excellence treat Barrett’s esophagus with techniques that Assistant Professor of Medicine Barrett’s esophagus is a pre­cancerous condi­ are both effective and well tolerated by tion in which the normal squamous mucosal MD, University of Pennsylvania School patients,” says Smith. “A good Barrett’s of Medicine lining of the esophagus is replaced with intes­ specialist knows how to select and combine MBA, Wharton School of Business, tinal mucosa, a change believed to occur these treatments to individually tailor the University of Pennsylvania, healthcare following recurrent acid injury. The incidence management concentration approach to each patient. I’m really excited of Barrett’s esophagus has skyrocketed recently, postdoctoral training: to bring these tools to Temple patients.” and the current epidemic of obesity and Hospital of the University of Pennsylvania gastroesophageal reflux disease (GERD) is For more information, contact Michael S. New York­Presbyterian Hospital, believed to be a major contributing factor Smith, MD, at 215-707-3434 or Michael. Columbia Campus in the tremendous increase of both Barrett’s Smith3@tuhs.temple.edu. esophagus and adenocarcinoma, one of the two main types of cancer of the esophagus. While the path from acquisition of Barrett’s Missri from page 1 mucosa to cancer is not completely clear, it multidisciplinary programs Missri has authored or co­authored numerous appears that many patients develop progres­ missri is developing: papers, chapters and other scholarly works sively dysplastic changes. Until relatively for a variety of journals, including The New • Comprehensive vascular center: recently, patients who had acquired advanced, England Journal of Medicine, Journal of Cardiologists will care for patients with Cardiovascular Medicine, Journal of or high­grade, dysplasia—a precursor to vascular diseases with vascular surgeons Cardiovascular Ultrasonography, and American esophageal cancer—underwent an esophagec­ and radiologists. Heart Journal. An expert in cardiac ultrasound tomy, a life­altering procedure with significant morbidity and a 5 to 10 percent mortality rate. • Cardiovascular imaging: CT scanning and Doppler echocardiography, he has writ­ Several endoscopic techniques are being and MRIs. ten four textbooks and numerous textbook evaluated as alternatives to surgery, with chapters on those topics, including Clinical photodynamic therapy (PDT) being the most • Cardiovascular prevention program: Doppler Echocardiography: Spectral and Color promising; however, it too carries a high risk Identify patients with risk factors and Flow Imaging (McGraw Hill, New York, of complications, including stricturing of the treat those risk factors in order to prevent 1990) and Transesophageal Echocardiography: esophagus and incomplete treatment of the cardiovascular disease. Clinical and Intraoperative Applications pre­cancerous Barrett’s mucosa. • Electrophysiology: Radiofrequency energy (Churchill Livingston, New York, 1993). As the associate director of Temple’s Esophageal ablation to treat atrial fibrillation. For more information, contact José Missri, and Swallowing Center of Excellence, Smith MD, at 215-707-9259 or jose.missri@tuhs. temple.edu. 3
  4. 4. non-profit organization us postage 3400 North Broad Street paid Philadelphia, PA 19140 philadelphia, pa permit no. 1044 Pulse Newsletter of the Department of Medicine, Temple University School of Medicine Cardiologist, Infectious Diseases Specialist, Hematologist Join Faculty The Department of Medicine is pleased to announce the appointment of three distinguished physicians to the School of Medicine faculty. Riyaz Bashir, Heather Ellen Clauss, MD David Essex, MD MBBS, FACC Infectious Diseases Hematologist Cardiologist Specialist essex@temple.edu riyaz.bashir@tuhs. hec22@temple.edu temple.edu MBBS, University of Kashmir, Government MD, Medical College of Pennsylvania/ MD, Rutgers Medical School, Piscataway, N.J. Medical College, Srinagar, India Hahnemann University School of Medicine postgraduate education: postgraduate education: postgraduate education: University of Medicine and Dentistry of University of Kashmir, Government Medical Temple University Hospital New Jersey, Newark College and S.M.H.S. Hospital special interest: Mount Sinai Hospital, New York, N.Y. SUNY at Stony Brook, Nassau University Medical Center organ transplant infections Jefferson Medical College, Cardeza Foundation for Hematology Research, Philadelphia Tufts University School of Medicine, Caritas St. Elizabeth’s Medical Center, Boston State University of New York Health Science Mayo Clinic, Rochester, Minn. Center at Brooklyn special interest: special interest: interventional cardiology, vascular and hemostasis and thrombosis endovascular medicine [161-0809 ms]