rounds - cleveland clinic · 2013-12-20 · rounds september/october 2010 the latest news for...

RoundsThe laTesT news foR pRimaRy caRe physicians fRom cleveland clinicseptember/october 2010

inside

Cleveland Clinic Offers Acupuncture for Athletes and Active Individuals

Rheumatology and Orthopaedic Consults Available Across the Region

Cleveland Clinic Urologists Studying New Prostate Cancer Test

B-Aware: Brain Tumor and Neuro-Oncology Center Launches New Brain Metastasis Initiative

New Hernia Center Streamlines Care

Staff Notes

Coming Events

Thyroid center offers comprehensive patient Guide

cleveland clinic’s endocrinology & metabolism institute has a rich history of innova-

tion dating back to the organization’s founding, when George crile sr., md, earned

national acclaim for achieving the lowest mortality rates for thyroidectomies. Today,

the Thyroid center is internationally recognized for expertise in thyroid ultrasound,

novel diagnostic markers and genetic evaluations of thyroid cancer patients. it is one

of the only centers in the country offering radiofrequency ablation of liver metastases

from thyroid cancer, and several team members have expertise in robotic surgery.

our endocrine services are consistently ranked in the Top 10 in the nation by

U.S.News & World Report and are no. 1 in ohio.

collaboration among specialists is a hallmark of the Thyroid center. experts from a

variety of cleveland clinic specialties, including endocrinologists, endocrine surgeons,

pathologists, radiologists, genomic medicine experts, oncologists from Taussig cancer

institute and others, work hand-in-hand with referring physicians to offer seamless

care to patients with a wide variety of thyroid conditions.

patients benefit not only from the center’s clinical experience, but also from an

active research program that plays a leading role in the development and testing

of new treatments.

The Thyroid center recently produced a comprehensive guide to the treatment of

thyroid disease. if you are interested in obtaining free copies to offer to your patients

with thyroid conditions, please contact natalie weigl at 216.448.1055.

to schedule a referral to the thyroid center, call 216.445.5800 or toll-free

888.851.5232. n

services for physicians

referring physician center

for help with service-related issues, information about our clinical

specialists and services, details about cme opportunities and

more, contact us at [email protected], or 216.448.0900 or toll-free

888.637.0568.

critical care transport WorldWide

cleveland clinic’s critical care transport team and fleet of mobile icU

vehicles, helicopters and fixed-wing aircraft serve critically ill and highly

complex patients across the globe.

To arrange a transfer for sTemi (sT elevated myocardial infarction), acute

stroke, ich (intracerebral hemorrhage), sah (subarachnoid hemorrhage)

or aortic syndromes, call 877.379.code (2633). for all other critical

care transfers, call 216.444.8302 or 800.553.5056.

request for medical records

216.444.2640 or toll-free 800.225.2273, ext. 42640

track your patient’s care online

drconnect offers referring physicians secure access to their patient’s

treatment progress while at cleveland clinic. To establish a drconnect

account, visit clevelandclinic.org/drconnect or email [email protected].

remote consults

online medical second opinions from cleveland clinic’s myconsult

are particularly valuable for patients who wish to avoid the time

and expense of travel. visit clevelandclinic.org/myconsult, email

[email protected] or call 800.223.2273, ext. 43223.

outcomes data

view the latest clinical outcomes book from many cleveland clinic

institutes at clevelandclinic.org/quality/outcomes.

services for patients

medical concierge

complimentary assistance for

out-of-state patients and families

800.223.2273, ext. 55580, or

email [email protected]

global patient services

complimentary assistance

for national and international

patients and families

001.216.444.8184 or visit

clevelandclinic.org/gps

General patient Referral

24/7 hospital transfers or

physician consults

800.553.5056

on the web at clevelandclinic.org

Stay connected to Cleveland Clinic:

cleveland clinic offers acupuncture for athletes and active individuals

cleveland clinic sports health now offers acupuncture as one

component of multidisciplinary care for patients with athletic

injuries or orthopaedic disorders.

acupuncture may be combined with standard therapy for overuse

injuries, such as plantar fasciitis in runners, for example.

frank caruso, lac, a licensed acupuncturist who focuses on

athletic and orthopaedic disorders, explains that acupuncture can:

• speed recovery from acute sports injuries

• enhance athletic conditioning

• prevent reinjury

acupuncture may also assist in managing conditions that inter-

fere with athletic performance, such as allergies, headaches,

neck pain, anxiety and irritable bowel syndrome, he says.

colonic stenting now at select Regional hospitals

colonic stenting, a unique procedure used to preserve large

bowel function despite blockage from cancer, is available at

two convenient locations on the east and west sides of town,

at cleveland clinic fairview and hillcrest hospitals.

diya alaedeen, md, general surgeon at fairview hospital,

and Joel anderson, md, general surgeon at hillcrest

hospital, are among the few cleveland clinic physicians

outside of main campus who offer the procedure.

The management of colon cancers involves several special-

ists. colonic stenting is an option for patients with advanced

colon cancers who cannot tolerate a major surgical resection

without allowing for immediate alternative therapies.

a colonic stent is a self-expanding wire mesh tube inserted

via the rectum to hold open a blockage in the bowel. once

implanted, the stent can remain in place permanently. it is

effective in relieving the discomfort associated with large

bowel blockage without interfering with daily activities.

to refer a patient for colonic stenting at hillcrest, call

440.449.1101; at fairview, call 440.673.0100. n

pain management services expand to fairview hospital

cleveland clinic’s pain management centers now provide

care at fairview hospital.

Treating more than 10,000 patients a year, the centers

offer some of the nation’s most integrated pain management

programs, including psychiatry, physical therapy, medication

management, surgical intervention and more.

patients have access to the latest innovative treatments and

leading specialists, including emad daoud, md, George

Girgis, do, and fady nageeb, md, who are seeing patients

at fairview hospital.

drs. daoud, Girgis and nageeb specialize in interventional

pain management for back and neck pain as well as, spinal

cord stimulation and neuromodulation for neuropathic

pain, and they are board-certified in pain management and

anesthesiology.

the cleveland clinic fairview pain management center is

located in the fairview medical office building, suite 404,

18099 lorain avenue, at fairview hospital. to arrange a

patient referral or consult, please call 216.476.7331. n

caruso trained at pacific college in san diego. he interned at

the University of california, san diego sports center, and also

at chengdu and nanjing universities in china.

to refer a patient for acupuncture at the cleveland clinic

sports health center, please call 216.986.heal (4325). n

clevelandclinic.org/rounds 3

Rheumatology and Orthopaedic Consults Available Across the Region

Cleveland Clinic’s orthopaedic specialists and rheumatologists can now see

your patients at three new community locations, in Canfield, Middleburg Heights

and Medina.

The orthopaedic specialists available at these locations are experts in:

• shoulder, knee and hip arthroscopy

• hip, knee and ankle joint replacement

• hip and knee resurfacing

• arthroscopy and reconstructive surgery for sports injuries

The rheumatologists who have joined orthopaedic specialists at our

Canfield location offer:

• expertise in lupus, vasculitis and other systemic illnesses

• advanced therapies for osteoporosis and immunologic disorders

• comprehensive care for rheumatoid and psoriatic arthritis, and gout

canfield. In Canfield, telemedicine capabilities streamline consults with

rheumatology subspecialists at our main campus, and minimize preoperative

and postoperative visits for orthopaedic surgery patients. Full physical therapy

services are offered on-site. We are located at 3736 Boardman Canfield Rd.

in Canfield.

middleburg heights. Our new Middleburg Heights location gives

your patients convenient access to Cleveland Clinic specialists in upper

extremity disorders, foot and ankle conditions and sports medicine, and

to our general orthopaedists and podiatrists. Full-service rehabilitation

is also offered on-site. We are located at 7010 Engle Rd., Suite 105, at

Jefferson Park.

medina. At our new Medina location, your patients can see Cleveland

Clinic orthopaedic specialists in joint replacement, knee and shoulder

arthroscopy and osteoarthritis management. Kenneth Greene, MD, and

Joseph Scarcella, MD, are located in the Medina Hospital Medical Office

Building at 970 E. Washington St., Suite 6D.

In addition, our orthopaedic specialists and rheumatologists can see your

patients at our Twinsburg Medical Offices (2365 Edison Blvd., Suite 100).

Our rheumatologists are also available for consults at South Pointe Medical

Office Building (20500 Harvard Rd., Suite 207, Warrensville Heights) and at

Cleveland Clinic Sports Health (34500 Chardon Rd., Willoughby Hills).

to refer patients to any of our locations, please call 216.445.0096 or

800.223.2273, ext. 50096. n

cleveland clinic RoUnds4

The Beachwood family health & surgery center recently installed a maGneTom®

espree, a revolutionary open-bore mRi that combines outstanding image quality

with greater patient comfort. The new unit brings a new dimension to the family

health and surgery center’s expansive imaging capabilities.

open-Bore mRi is at the forefront of imaging technology. The unit has a 70-cm

internal bore, short 125-cm system length, 1.5T field strength and Tim™ (total

imaging matrix) technology. Tim, one of the world’s leading advances in mRi, uses

the most innovative Rf-technology integrated with a radically different matrix coil

design for superior image quality.

and because of the unit’s open bore and short length, it provides a more comfort-

able exam for anxious or claustrophobic patients. when the scan requires that the

patient’s head be in the unit, there are 30 cm of space above the patient’s face,

about twice that of traditional vertical-field open magnets. The new design can

accommodate patients weighing up to 550 pounds.

to refer a patient to beachwood for imaging, please call 216.839.3000. n

imaging institute adds advanced prostate mR

The cleveland clinic imaging institute’s section of

abdominal imaging is now performing and interpreting pros-

tate mR at cleveland clinic’s main campus. prostate mR is

advanced imaging technology that provides accurate, clear

images of the prostate, which helps physicians accurately

diagnose prostate cancer and determine the most effective

treatment plan for patients.

The prostate mR examination is performed without and with

iv gadolinium contrast to diagnose and stage patients with

prostate cancer. Utilizing high-field strength 3T magnets,

a combination of high-resolution T2-weighted imaging,

diffusion-weighted imaging, mR spectroscopy and dynamic

contrast-enhanced (dce) T1-weighted imaging, prostate mR

allows radiologists to assess patients with biopsy-proven or

suspected prostate cancer. patients who are able will have an

endorectal coil placed to obtain the best possible signal-to-

noise ratio.

for more information or to schedule a prostate mr scan

for your patient, please call 216.445.7050. n

Cleveland Clinic Urologists Studying New Prostate Cancer Test

Cleveland Clinic urologists now offer a new screen-

ing test for prostate cancer called PCA3. Compared

to PSA, which is not specific for cancer, PCA3 is a

prostate cancer-specific marker that has been shown

in clinical trials to provide improved sensitivity and

specificity for detection of prostate cancer, and to help

specialists decide on the need for rebiopsy in men

with an elevated PSA and prior negative biopsy.

PCA3 also is being tested in a clinical trial in patients

undergoing radical prostatectomy to test its predictive

value for pathologic outcomes. PCA3 is measured in

urine following a digital rectal exam (DRE).

to schedule a pca3 test for your patients,

please call 216.444.5600. n

open-Bore mRi enhances imaging capabilities in Beachwood


“for many years, oncologists considered brain metastasis as a

uniformly fatal condition, and treatments were limited to pal-

liative brain radiation,” says Gene Barnett, md, director of the

Brain Tumor and neuro-oncology center at cleveland clinic’s

neurological institute. “over the last two decades, however,

approaches that are more aggressive and accurate have been

developed that may lead to a local cure or sustained control of

the disease in some patients.”

nevertheless, dr. Barnett believes cancer patients with

systemic cancers are poorly informed about the risks of devel-

oping brain metastasis, its early warning signs and modern

therapeutic options available beyond the traditional treatment

of whole-brain radiation.

b-aware program launches

To address this issue, the Brain Tumor and neuro-oncology

center has launched B-aware, a program to educate and

empower patients with information on the risks, symptoms

and treatment options that may increase their life spans and

improve quality of life.

“at the same time, we are actively engaged in developing physi-

cian awareness,” says dr. Barnett. “To that end, we officially

announced the B-aware initiative before physicians who

attended the international symposium on long-Term control

of secondary central nervous system malignancies held last

spring in cleveland.”

The Brain Tumor and neuro-oncology center is collaborating

with the american cancer society to promote the B-aware

program on its website.

To learn more about the B-aware program, please visit

clevelandclinic.org/b-aware.

to refer patients, please call 216.445.8971 or

800.556.5056, ext. 58971, weekdays, 8 a.m. to 5 p.m.;

or 216.444.2000 on nights and weekends and ask for

neuro-oncology staff or the chief neurosurgical or neurologi-

cal resident on call. for pediatric patients, ask for the chief

pediatric neurological resident on call. n

B-aware: Brain Tumor and neuro-oncology center launches new Brain metastasis initiative

an estimated 140,000 to 170,000 patients with common systemic cancers are diagnosed with brain metastasis every year in the United states, particularly patients with breast, lung and kidney cancers, and melanoma.


pediatric care expands in western suburbs

cleveland clinic children’s hospital pediatric specialists are

increasing coverage in family health centers in avon and

westlake to improve access for referring physicians and

parents on the west side of cleveland. patients who previously

may have had to travel to cleveland clinic’s main campus can

be seen closer to home by:

• sudeshna mitra, md, pediatric neurology

• steven spaulding, md, pediatric rheumatology

• Kenneth Zahka, md, pediatric cardiology

• meghan Barlow, phd, pediatric psychology

for more information about cleveland clinic children’s

hospital pediatric specialty care throughout the region, visit

clevelandclinic.org/kids.

cleveland clinic children’s hospital provides several

options for healthcare professionals seeking to refer

a pediatric patient:

for consultation: 216.444.3627 (docs) or 800.553.5056

24 hours a day, seven days a week

for emergency referral: 866.ccf.tots (223.8687)

24 hours a day, seven days a week n

cleveland clinic recently established a hernia

center, which formally combines the expertise

of its surgeons who see patients at 15 conve-

nient locations in northeast ohio. part of the

digestive disease institute, the center’s more

than 30 general surgeons perform 1,700

hernia repairs each year, from the routine to

the most complex cases.

The new hernia center is designed so that patients

have easy access to individualized care: comprehensive

evaluations with a board-certified surgeon determine the

best surgical procedure for their specific type of hernia,

which helps avoid repeat hernias and complications.

hernia center locations:

• cleveland clinic main campus

• Beachwood family health & surgery center

• euclid hospital

• fairview hospital

• hillcrest hospital

• independence family health center

• lakewood hospital

• lorain family health & surgery center

• marymount hospital

• solon family health center

• strongsville family health & surgery center

• Twinsburg medical offices

• westlake family health center

• wooster specialty center

• willoughby hills family health center

to make a referral to cleveland clinic’s hernia center,

call 216.444.6644. n

new hernia center streamlines care


staff notes

new staff

mark Berkowitz, mddepartment of orthopaedic surgery

specialty interests:

all conditions of the foot and ankle including lower extremity trauma

dr. Berkowitz sees patients at cleveland clinic main campus and in middleburg heights.

phone:

216.445.0096

email:

[email protected]

laurence Bilfield, mddepartment of orthopaedic surgery


general orthopaedic surgery including total joint replacement, arthroscopy, trauma and blood management

dr. Bilfield sees patients at lutheran hospital and the westlake medical office on columbia Road.

phone:

216.445.0096

email:

[email protected]

scott R. Burg, dodepartment of Rheumatic and immunologic diseases


rheumatoid arthritis, osteoarthritis, systemic lupus and golf-related injuries

dr. Burg sees patients at cleveland clinic main campus, south pointe hospital medical office Building and cleveland clinic sports health on chardon Road.

phone:

216.445.0096

George e. Girgis, dopain management center


interventional pain management for back and neck pain, neuromodulation for neuropathic pain, osteoporosis, cRps, degenerative joint disease, verte-bral compression fractures and cancer pain management

phone:

216.444.pain (7246) or 800.392.3353 (main campus); 216.476.7331 (fairview hospital); 440.204.7400 (lorain family heath & surgery center)


Thomas Graham, mddepartment of orthopaedic surgery chairman, department of innovations vice chairman, department of orthopaedic surgery


complex reconstructive challenges of the hand and wrist, sophisticated elbow surgery (instability, stiffness, replace-ment), surgical care of the child with congenital hand differences, and care of the professional athlete’s hand and wrist

dr. Graham sees patients at cleveland clinic main campus.

phone:

216.445.0096

John w. hill, mdpain management


interventional pain management for back and neck pain, spinal cord stimu-lation, intrathecal pump management and medical management of pain

dr. hill sees patients at ashtabula county medical center.

phone:

440.997.6700

sumit Katyal, mdpain management


interventional pain management for back and neck pain, neuropathic pain, spinal cord stimulation, headache and cRps

phone:

216.444.pain (7246) or 800.392.3353

martin a. markowitz, mdophthalmology — cole eye institute, hillcrest


comprehensive ophthalmology, cataracts, glaucoma and external diseases of the eye

dr. markowitz sees patients at the hillcrest atrium medical Building.

phone:

440.461.4733

manu mathews, mdpain management


neuropathic pain, pelvic pain, peripheral vascular disease, chronic chest pain, central pain, post stroke pain, mood disorders associated with pain and neuromodulation (spinal cord and deep brain stimulation)

phone:

216.444.pain (7246) or 800.392.3353

Guy mulligan, mddepartment of endocrinology


general endocrinology, diabetes and thyroid disorders

dr. mulligan sees patients at cleveland clinic main campus, Twinsburg medical offices and south pointe hospital.

phone:

216.444.6568 (main campus), 330.888.4000 (Twinsburg), 216.295.1010 (south pointe)


staff notes

sheldon m. oberfeld, mdophthalmology — cole eye institute, hillcrest


comprehensive ophthalmology, cata-racts, corneal and external diseases of the eye

dr. oberfeld sees patients at the hillcrest atrium medical Building.

phone:

440.461.4733

vernon patterson, dodepartment of orthopaedic surgery


non-operative sports medicine and overuse injuries in the endurance athlete

dr. patterson sees patients in avon and middleburg heights.

phone:

216.445.0096

paul c. shin, mdpain management


interventional pain management for back and neck pain, neuromodulation for chronic pain, vertebral compression fractures, osteoporosis, percutane-ous disc decompression, spinal cord stimulation, minimally invasive lumbar decompression, myofascial pain and neuropathic pain

phone:

216.444.pain (7246) or 800.392.3353 (main campus); 216.491.6433 (south pointe hospital)

michael shlonsky, dpmdepartment of orthopaedic surgery


general podiatry, forefoot surgery, mus-culoskeletal and dermatologic conditions of the foot, diabetic foot care, wound management, screening and education, sports injuries of the foot and ankle, and joint replacement of the toes

dr. shlonsky sees patients at the westlake family health center and the westlake medical office on columbia Road.

phone:

216.445.0096

email:

[email protected]

Ramon Tiu, mdTranslational hematology and oncology Research


aplastic anemia, leukemia, cytopenia, myelodysplastic syndrome, myelopro-liferative disorders, pancytopenia and paroxysmal nocturnal hemoglobinuria

phone:

216.444.6833

scott a. wagenberg, mdophthalmology — cole eye institute, hillcrest


comprehensive ophthalmology, cata-racts, glaucoma, corneal and external diseases of the eye and dsaeK

dr. wagenberg sees patients at the hillcrest atrium medical Building.

phone:

440.461.4733

new staff (continued)


september 2010

3 8thAnnualPediatricNeurologyUpdateSeminar executive caterers at landerhaven, mayfield heights, oh

10-11 RheumatologyHighlightsReportLIVE, featuringAdvancesinBCellBiology Renaissance hotel, cleveland, oh

11 38thAnnualDermatopathology Self-AssessmentWorkshop

13-14 2010DiabetesandtheHeart— joint-sponsoredwithJoslinDiabetesCenter sheraton hotel, Boston, ma

13-17 2010–2011Preceptorshipin CarotidUltrasoundInterpretation

14 LeadershipDevelopmentforWomenin HealthcareProfessions corporate college east, warrensville heights, oh

17-24 CardiovascularCTTrainingProgram

23-24 Heart-BrainSummit2010 cleveland clinic lou Ruvo center for Brain health, las vegas, nv

24 2010Women’sHealthUpdate cleveland clinic administrative campus, Beachwood, oh

24-25 HotTopicsinHealthcare—AlumniReunion cleveland clinic lou Ruvo center for Brain health, las vegas, nv

28-10/1 2010DigestiveDiseaseInstituteWeek

• InternationalSummitonFibrosisin IntestinalInflammation:Mechanisms andBiologicalTherapies

• 46thGastroenterologyUpdate

• 31stTurnbullSymposium

• 2ndHepatic-Pancreatic-BiliaryCourse LaparoscopicColorectalSurgery

coming events — www.clevelandclinicmeded.com

cme opportunities: live and online Cleveland Clinic’s Center for Continuing Education’s website, clevelandclinicmeded.com, offers convenient, complimentary learning opportunities, from a virtual textbook of medicine (Disease Management Project) and a medical newsfeed refreshed daily to myCME, a system for physicians to manage their CME portfolios. Many live CME courses are hosted in Cleveland, an economical option for business travel.

note: All courses are at the spectacular state-of-the-art InterContinental Hotel & Conference Center on the Cleveland Clinic campus in Cleveland, OH, unless otherwise noted.

october 2010

1 UrologyforthePrimaryCareProvider cleveland clinic administrative campus, Beachwood, oh

1-3 NewEraInternationalMultidisciplinarySharing (NEIMS):AFocusonAcuteIschemicStroke wynn hotel, las vegas, nv

1-6 2010ClevelandClinicEpilepsySymposia This event consists of two events: epileptology: comprehensive Review and practical exercises; and epilepsy surgery: invasive evaluation

7-9 NephrologyUpdate2010 Renaissance cleveland hotel, cleveland, oh

8 CancerSurvivorship

14-16 BestinPractice:ImprovingMRandCTImaging caesar’s palace, las vegas, nv

15-17 13thAnnualEndocrinologyand MetabolismBoardReview

18-19 NanomedicineSummit

21-22 21stCenturyTreatmentofHeartFailure

22-23 RheumatologyHighlightsReportLIVE,featuring AdvancesinBCellBiology westin Times square, new york, ny

22-23 2ndInternationalSymposiumonRoboticKidney andAdrenalSurgery

23 PainManagementforYourPractice cleveland clinic administrative campus, Beachwood, oh

29 24thAnnualClinicSeminarsDermatology

30 EssentialsfortheSpineCareClinician lutheran hospital, cleveland, oh

november 2010

3-4 ObesitySummit2010

On July 13, 2010, U.S. Department of Health and Human

Services Secretary Kathleen Sebelius announced the final

rules regarding the “meaningful use” of electronic health

records (EHR) for the first two years (2011 and 2012) of

what is intended to be a multiyear incentive program. The

rules comprise the guidelines for how healthcare providers

will achieve the meaningful use of health information technol-

ogy and thereby qualify for Medicare and Medicaid incentive

payments under the 2009 American Reinvestment and

Recovery Act.

Simply stated, providers must use a certified EHR system to

achieve a set of practice-related objectives, which, for physi-

cians, include 15 “Core” and any five of 10 “Menu” tasks.

Other regulations issued by the Department of Health and

Human Services (DHHS) describe EHR certification criteria

and standards, as well as new safety and security protec-

tions. As organizations, neither DHHS nor CMS will be

responsible for directly certifying an EHR product as mean-

ingful use compliant. Instead, a number of certifying entities

will be authorized to authenticate EHR systems according to

meaningful use objectives and system requirements.

The Cleveland Clinic Foundation 9500 Euclid Ave. / AC311 Cleveland, OH 44195

The Journey BeginsMoving forward to an electronically connected, information-driven healthcare mode

RoUnds | sepTemBeR/ocToBeR 2010 | The laTesT news foR pRimaRy caRe physicians fRom cleveland clinic

10-CCR-007

Taken together, these announcements resemble a journey’s

itinerary. The ultimate destination, as envisioned by medical

and technology professionals and policymakers, includes

integrated health information technology systems that will

help improve healthcare quality, lower costs, and better

connect physicians and their patients.

As you consider which health information technology system

would be right for you and your practice, please remember

to include the Mypractice community electronic medical

record system among your choices.

to find out more about myPractice Community, call

216.738.4617 or visit clevelandclinic.org/transform. n

rounds - cleveland clinic · 2013-12-20 · rounds september/october 2010 the latest news for...

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