October 2015 - The Department of Surgery | Wayne State University

OCTOBER 2015
74th Annual Meeting of the American Association
for the Surgery of Trauma
The 74th annual meeting of the American Association for the Surgery of Trauma and Clinical Congress of Acute Care Surgery took
place in Las Vegas on September 7-12. As usual, there were many
contributions from Wayne State University. During the course of
the meeting, there were many comments and questions made about
many of the presentations by the current full-time and former
WSU surgical faculty. The 74th annual meeting of the AAST was
very productive.
October 12th
Dr. David Spain (WSUSOM 1986) served as the recorder for the Thursday morning
session of papers.
Dr. David Spain co-authored the paper, “Trauma Center Care is Associated with
Reduced Readmissions after Injury,” from Stanford University.
Inside this issue:
74th Annual
Meeting of the
AAST
1
3rd Annual JC
Rosenberg
Endowed Lecture
2-3
Reports from
the Outfield
4-5
2015 WSSS
Dues Notice
6
WSU Monthly
Conferences
7
WSSS
8-9
Dr. David Spain
Dr. David Spain also co-authored a poster exhibit presented by Dr. Gary Weissenfluh and his colleagues from Stanford University.
Dr. David Feliciano, who spent a three-month emergency surgical rotation with Drs.
Charles Lucas (WSU/GS 1962/67) and Anna Ledgerwood (WSUGS 1972) in the 1970s,
was the invited discussant for the paper, “Computed Tomography in Hemodynamically Unstable Severely Injured Trauma Patients,” presented by Dr. Juan Herrera from
Cali, California.
Dr. David
Feliciano
Dr. Larry Diebel (WSU/GS 1980/86) was the invited discussant on the paper,
“Characterizing the Gut Microbiome in Trauma: Significant Changes in Microbiome
Diversity Occur Early After Severe Injury,” presented by Dr. Benjamin Howard and his
co-authors from UCSF.
Dr. Larry Diebel also presented the poster on, “Quantitative Polymerase Chain Reaction (qPCR) of Clostridium Difficile Toxin Gene Sequences from Systemic Sources: A
Feasibility Study to Index Disease Severity,” co-authored by Mr. David Liberati, Dr.
Hossein Salimnia, Dr. Charlie Lucas, and Dr. Anna Ledgerwood.
Dr. Larry Diebel
Dr. Mallory Williams (WSUGS 2006) co-authored the paper, “Pattern of Law Enforcement Related Injuries in the US,” presented by Dr. David Chang and colleagues
from the Massachusetts General Hospital.
Dr. Mallory
Williams
Dr. Mark Diebel (WSU/GS 2012/17) presented a poster on, “Tranexamic
Acid Administration Protects Against Acute Lung Injury Following Shock Conditions: An In-Vitro Model,” which was co-authored by Mr. David Liberati and Dr.
Larry Diebel.
Dr. Mark Diebel
OCTOBER 2015
3rd Annual JC Rosenberg Endowed Lecture
Dr. Jerry Rosenberg, a long-term faculty member in our department and well-recognized leader in
the area of kidney transplantation, has provided for the department of surgery to have an endowed
lectureship each year. This year’s lecturer was Dr. A. Joseph Tector III, who is a Professor of Surgery and Chief of the Transplant Surgery Department at Indiana University. Dr. Tector is the Director of the University Abdominal Transplant Fellowship Program and the Chief Medical Officer of
the Indiana University Health Transplant Institute.
Prior to the lecture, Dr. Donald Weaver (WSUGS 1979), Chairman of the WSU Department of Surgery, along with Dr. Jerry Rosenberg hosted a reception for Dr. Tector at the Joe Muer Restaurant in
our Detroit Renaissance Center. A pleasant time was had by all as many reminiscences from the old
days took place.
2007) and Dr. Heather
Dr. Samantha Tarras (WSUGS
6)
/200
2000
S
Dolman (WSU/G
y
ephen Bradle
th Dr. St
Tector III wi
Dr. A. Joseph and his bride, Joan
)
89
(WSUGS 19
Dr. Heather Dolman
chats with Dr. Jerry C.
Rosenberg
and his bride, Corliss
Dr. A. Joseph
Tector III with
Dr. Donald W
Weaver WSU
/GS 1979)
.
Page 2
Dr. Ann
a
Michael Ledgerwood (W
White (W
SU
SU/GS 1 GS 1972) with
Dr.
990/97)
OCTOBER 2015
3rd Annual JC Rosenberg Endowed Lecture
On Wednesday morning, September 30, Dr. A. Joseph Tector III presented an outstanding lecture on “Xenotransplantation.” This covered
many aspects of transplantation including past, present, and future. Dr.
Tector emphasized that xenotransplantation is important since there are
not enough human organ donors for patients who need organ donations.
He emphasized how the policy of defining a protocol for brain death has
improved the donor numbers but the need continues to be great. Regarding the past, he talked about the many giants in world surgery who
have experimented with xenotransplantation and have learned of the early rejection due to things that, for many years, were not understood. He
even pointed out that the great Jaboulay, who is better known for his de- Dr. Jerry C. Rosenberg, Dr. A. Joseph Tector III, and Dr. Donald
scription of the side-to-side proximal gastroduodenostomy for patients Weaver, Chairman of the WSU Department of Surgery
with a hostile duodenal bulb causing gastric outlet obstruction, was one of those who contributed to this early
work. The frustrations of early xenotransplantation was nicely summarized by the great Norman Shumway, who
emphasized that “Xenotransplantation is a topic for great interest for the future—and will continue to be in the
future.” Regarding the past history, a great step forward was made when Dr. Starzl showed that renal xenografts,
which were associated with a 10% survival rate at three months, improved under the influence of imuran and
prednisone, so that 70% were alive at three months. This is one of the important observations that led to the
modern era of xenograft transplantation.
The role of immunology identified that there were many genes, such as αGal and others, that would have to
be modified in order for xenotransplantation to work. A new science of gene modification was created whereby
animals would have specific genes removed from their makeup and would be known as “knockout” animals.
The process of improving the number of genes that can be “knocked out” is expanding, so that now there are
pigs that have had three important rejection genes knocked out and these animals can reproduce. Consequently, the current status is to have “knockout” pigs that can be raised in a controlled environment and, hopefully, be
the later recipients for xenotransplantation. Clearly, the whole area of xenotransplantation has moved from
“science fiction” to near reality.
The age of gene modification has resulted in the capability to modify specific genes so that now there are double gene knockout pigs and triple gene knockout pigs with the latter showing much hope in terms of avoiding
rejection. The ability to modify RNA and produce a new progeny of “triple knocked out pigs” in the future
should lead to better acceptance when organs are transferred from pigs to a baboon model. This type of genome editing is part of the future that is now being prepared for xenograft transplantation in patients with endstage renal disease. There was an excellent and lively discussion following his presentation.
Page 3
OCTOBER 2015
REPORTS FROM THE OUTFIELD
During a recent visit of the Michael & Marian Ilitch
Wayne State University Department of Surgery at the
Comerica Park in the Ilitch Suite, Dr. Charlie Lucas
(WSU/GS 1962/67) and Dr. Anna Ledgerwood (WSUGS
1972) had the opportunity to be photographed with the
great Tiger star and Hall of Famer, Al Kaline. When
Charlie Lucas pointed out that Al Kaline was able to
throw perfect strikes from right field to home plate,
Al volunteered that he was a pitcher when he played in
little league.
Dr. Anna Ledgerwood, Tiger Hall of Famer, Mr. Al Kaline, and Dr. Charlie Lucas
Dr. Hale Wills (WSU/GS 2004/2010) wanted to pass along some updates. He
and his bride, Lora, have a new son, Ethan Jack Wills, who was born on August 13,
2015. Mom and baby are doing well. That makes 5 kids: Liam, 7; Colin, 6; Rowen,
4; Juliet, 22 months, and Ethan). Secondly, he is being inducted as a Fellow in the
American College of Surgeons this year in Chicago, and lastly, he plans to attend
the Wayne State Surgical Society annual meeting and dinner. You can congratulate Dr. Wills at hwills@USASURG.org.
Page 4
Dr. Hale Wills
OCTOBER 2015
REPORTS FROM THE OUTFIELD
Dr. Alfonso Chiscano Sends His Thanks
The following is an email sent by Dr. Alfonso Chiscano (WSUGS 1969) regarding the
September Monthly Report:
Dear Roberto:
Thanks to Charles’ letters, we keep up with the life of the surgical department at WSU. I’d like to thank
you Dr. Wilson, and Charles, for all the time you took with us during our residency years. Thank you again
for keeping us updated on Ms. Walt, she did a lot for our Detroit Receiving Hospital’s conversion to a Museum. Great pieces of art. I will be visiting Michigan in October and would like to have dinner with you
“all” including my resident, Anna Ledgerwood. I still remember the hours spent in the ICU with our very
“sick” patients which has helped me a lot in my practice. I will phone soon.
Dr. Alfonso Chiscano
Regards,
Dr. Chiscano
Erratum
In the September Monthly Report the email address for Dr. Robert F. Wilson was not correct.
Dr. Wilson’s correct email is rwilson3@dmc.org.
There were two corrections regarding presentations during
the scientific session at the 2015 Annual Meeting of the Midwest Surgical Association.
Page 5
Dr. Hall Zimmerman presented a paper entitled,
“Hydromorphone Versus Fentanyl for Epidural Analgesia and
Anesthesia.” Her co-authors were Drs. Nguyen, Meloche,
Dolman (WSU/GS 2000/06), Baylor (WSUGS 2005), Fuleihan, Wilson, and Tyburski.
Dr. Heather Dolman delivered a scientific paper entitled,
“Impact of Inappropriate Initial Antibiotics in Critically Ill
Surgical Patients with Bacteremia.” Her co-authors were Drs.
Abraham, Zimmerman, Faris, Edelman (WSU/GS 2002/09),
Wilson, and Tyburski.
The editor promises to do better next time!!
Wayne State Surgical Society
OCTOBER 2015
2015 Dues Notice
MARK YOUR
Name:
CALENDARS
Address:
October 4-8
ACS Clinical Congress
City/State/Zip:
Chicago, IL
Service Description
Amount
2015 Dues Payment
__ $200__
My contribution for “An Operation A Year for WSU”
*Charter Life Member
_
____
_$1000__
November 5-6
Detroit Trauma Symposium
Detroit, MI
Total Paid____________________________________________________
Payment by Credit Card
Include your credit card information below and mail it or fax it to
313-993-7729.
November 7-10
Western Surgical Association
Meritage Resort and Spa
Napa Valley, CA
Credit Card Number:_________________________________________
Type:
MasterCard
Visa Expiration Date: (MM/YY)__________
Name as it appears on card:__________________________________
Signature:__________________________________________________
Billing address of card (if different from above):
Street Address______________________________________________
City______________________ State____________ Zip Code_______
*I want to commit to becoming a charter life member with payment of $1000 per
year for the next ten (10) years.
Send check made payable to Wayne State Surgical Society to:
Deborah Waring
Department of Surgery
Detroit Receiving Hospital, Room 2V
4201 St. Antoine Street
Detroit, Michigan 48201
Please Update
Your Information
The WSUSOM, Department of Surgery wants to
stay in touch. Please contact Deborah Waring at
dwaring@dmc.org to update
your contact information.
Page 6
OCTOBER 2015
Page 7
WSU MONTLY CNFERENCES
2015
Death & Complications
Conference
Every Wednesday from 7-8
Didactic Lectures - 8 am
Margherio Conference Center
(Enter through Scott Hall)
NOTE: NEW LOCATION: MARGHERIO CONFERENCE CENTER (enter through Scott Hall)
Wednesday, October 14
Death & Complications Conference
“Complications of Bariatric Surgery”
David Edelman, MD
WSU Department of Surgery
Wednesday, October 21
Death & Complications Conference
“Melanoma”
Steve H. Kim, MD
Karmanos Cancer Institute
WSU Department of Surgery
Wednesday, October 28
Death & Complications Conference
“SCORE CURRICULUM”
Gamal Mostafa, MD
WSU Department of Surgery
OCTOBER 2015
Page 8
Missing Emails
Over the years the WSU Department of Surgery has lost touch with many of its alumni. If you know the email, address, or phone number of the following WSU Department of Surgery Residency Program graduates please email
us at clucas@med.wayne.edu with their information so that we can get them on the distribution list for the WSU
Department of Surgery Alumni Monthly Email Report.
Ram Agrawal (1974)
Aftab Khan (1973)
Parvid Sadjadi (1971)
Mohammad Ali (1973)
Mark Leiser (1996)
Samson P. Samuel (1996)
David B. Allen (1992)
Samuel D. Lyons (1988)
Knavery D. Scaff (2003)
Tayful R. Ayalp (1979)
Dean R. Marson (1997)
Steven C. Schueller (1974)
Robert C. Birks (1970)
Syed A. Mehmood (2007)
Anand G. Shah (2005)
Juan C. Calzetta (1982)
Mehul M. Mehta (1992)
Anil Shetty (2008)
Sebastian J. Campagna (1969)
Toby Meltzer (1987)
Chanderdeep Singh (2002)
Kuan-Cheng Chen (1976)
Roberto Mendez (1997)
Raj A. Sukhnandan (1966)
Elizabeth Colaiuta (2001)
Mark D. Morasch (1998)
D. Sukumaran (1972)
Fernando I. Colon (1991)
Daniel J. Olson (1993)
David G. Tse (1997)
David Davis (1984)
David Packer (1998)
Christopher N. Vashi (2007)
Teoman Demir (1996)
Daniel S. Paley (2003)
Carlos M. Villafane (1990)
Judy A. Emanuele (1997)
Y. Park (1972)
Larry A. Wolk (1984)
Lawrence J. Goldstein (1993)
Bhavik G. Patel (2004)
Peter Y. Wong (2002)
David M. Gordon (1993)
Michael M. Peikoff (1970)
Shane Yamane (2005)
Raghuram Gorti (2002)
Jerome P. Pucelik (1966)
Chungie Yang (2005)
Karin Haji (1973)
Everton Quadros (1968)
Hossein A. Yazdy (1970)
Morteza Hariri (1970)
Ami Raafat (1998)
Lester S. Young (2008)
Abdul A. Hassan (1971)
Kevin Radecki (2001)
Lawrence S. Zachary (1985)
S. Amjad Hussain (1970)
Sudarshan R. Reddy (1984)
Paul Zidel (1986)
Rose L. Jumah (2006)
Edgar Roman (1971)
R. Kambhampati (2003)
Renato G. Ruggiero (1994)
WAYNE STATE SURGICAL SOCIETY
The Wayne State Surgical Society (WSSS) was established during the tenure of Dr. Walt as the
chairman of the Department of Surgery. WSSS was designed to create closer contact between
the current faculty and residents with the former resident members in order to create a living
family of all of the WSU Department of Surgery. The WSSS also supports department activities.
Charter/Life Membership in the WSSS is attained by a donation of $1,000 per year for ten years
or $10,000 prior to ten years. Annual membership is attained by a donation of $200 per year.
WSSS supports a visiting lecturer each fall and co-sponsors the annual reception of the department at the annual meeting of the American College of Surgeons. Dr. Mark A. Herman
(WSU/GS/1994/2001) passed the baton of presidency to Dr. Randall W. Smith (WSU/GS
1981/86) at the WSSS Gathering during the American College of Surgeons meeting in October
2014. Members of the WSSS are listed on the next page. Dr. Smith hopes that all former residents will become lifetime members of the WSSS and participate in the annual sponsored lectureship and the annual reunion at the American College of Surgeons meeting.
OCTOBER 2015
Page 9
Members of the Wayne State Surgical Society
Charter-Life Members
Ahn, Dean
Clink, Douglas
Albaran, Renato G
Colon, Fernando I.
Allaben, Robert
Conway, W. Charles
Ames, Elliot L.
Davidson, Scott B.
Amerikia, Kathryn C.
Edelman, David
Auer, George
Flynn, Lisa M.
Grifka Thomas J.
(Deceased)
Herman, Mark A.
Holmes, Robert J.
Huebl, Herbert C.
Johnson, Jeffrey R.
Bassett, Joseph
Fromm, Stefan H.
Baylor, Alfred
Fromm, David G
Johnson, Pamela D.
Kovalik, Simon G.
Bouwman, David
Galpin, Peter A.
Lange, William
(Deceased)
Cirocco, William C.
Gerrick Stanley
Lau, David
Ledgerwood, Anna M.
Rose, Alexander
Lim, John J.
Rosenberg, Jerry C.
Lucas, Charles E.
Sarin, Susan
Malian, Michael S.
Shapiro, Brian
McIntosh, Bruce
Smith, Daniel
Montenegro, Carlos E.
Smith, Randall W.
Narkiewicz, Lawrence
Stassinopoulos, Jerry
Novakovic, Rachel
vonBerg, Vollrad J.
(Deceased)
Ramnauth, Subhash
Rector, Frederick
Walt, Alexander
(Deceased)
Weaver, Donald
Whittle, Thomas J.
Wilson, Robert F.
Wood, Michael H.
Zahriya, Karim
Washington, Bruce C.
Members of the Wayne State Surgical Society
Bambach, Gregory A.
Gayer, Christopher P.
Meade, Peter
Tarras, Samantha
Baute, Peter B.
Goltz, Christopher
Mueller, Michael J.
Tennenberg, Steven
Baylor, Alfred E. III
Gursel, Eti
Nicholas, Jeffrey M.
Thomas, Gregory A.
Bloch, Robert S.
Hamamdjian, Khatch
Paley, Daniel
Thoms, Norman W.
Bucci, Lorenzo A.
Heartwell, Barbara
Phillips, Linda G.
Vasquez, Julio
Busuito, Michael J.
Herman, Mark A.
Prendregast, Michael
Vyas, Satish C.
Dawson, Konrad L.
Horness, Mark D.
Resto, Andres
Whittle, Thomas J.
Dente, Christopher J.
Ivascu, Felicia A.
Resto (Spotts), Josette
Williams, Mallory
Denney, Myron K.
Johnson, Jeffrey R.
Sferra, Joseph
Wood, Michael H.
Dolman, Heather S.
Joseph, Anthony
Shanley, Charles J.
Zehnpfennig, Michael
Engwell, Sandy
Kaderabek, Douglas J.
Shanti, Christina
Ziegler, Daniel W.
Field, Erin
Klein, Michael
Siegel, Thomas S.
Zoellner, Steven M.
Flake, Thomas M.
Kline, Gary M.
Silbergleit, Allen
Gallick, Harold
Lloyd, Larry R.
Sugawa, Choichi
AN OPERATION A YEAR FOR WSU
January 1, 2015 through
December 31, 2015
Albaran, Renato G.
Holmes, Robert J.
The WSU department of Surgery has instituted a new group of alumni who are remembering their training by donating the proceeds of one operation a year to the department. Those who join this new effort will be recognized herein as annual contributors.
We hope that all of you will remember the department by donating one operation, regardless of difficulty or reimbursement, to the department to help train your replacements. Please send you donation to the Wayne State Surgical Society in care of Dr.
Charles E. Lucas at Detroit Receiving Hospital, 4201 St. Antoine Street (Room 2V), Detroit, MI, 48201.
Malian, Michael S.
Siegel, Thomas S.
Bambach, Gregory A.
Huebl, Hubert C.
McIntosh, Bruce
Smith, Randall W.
Cirocco, William C.
Johnson, Pamela D.
Narkiewicz, Lawrence
Williams, Mallory
Conway, W. Charles
Kovalik, Simon G
Novakovic, Rachel
Wood, Michael
Davidson, Scott
Lim, John J.
Shapiro Brian
Zahriya, Karim