Women with germline mutations in the cancer susceptibility genes, BRCA1 or BRCA2, associated with Hereditary Breast and Ovarian Cancer syndrome, have up to an 85% lifetime risk of breast cancer and up to a 46% lifetime risk of ovarian, tubal and peritoneal cancers. The article addresses lynch/Hereditary Non-Polyposis Colorectal Cancer (HNPCC) syndrome as well. This commentary provides guidance on identification of patients who may benefit from assessment for the presence of a hereditary breast and/or gynecologic cancer syndrome. (Gynecol Oncol, April 2014) Click here to read full text.
News and Updates
Screening for Vitamin D deficiency in adults: U.S. Preventive Services Task Force Recommendation Statementby Medical Staff Office on March 27, 2015
The USPSTF concluded that the current evidence is insufficient to asssess the balance of benefits and harms of screening for Vitamin D deficiency in asymptomatic adults. (Ann Intern Med, Jan) Click here to read full text.
Postoperative delirium in older adults: best practice statement from the American Geriatrics Societyby Medical Staff Office on March 27, 2015
This practice guideline (J Am Coll Surg, Feb) reviews risk factors; diagnosis; delirium screening; intraoperative measures to prevent delirium; medication as risk factors for postoperative delirium; pharmacologic prevention nonpharmacologic prevention and treatment ; medical evaluation; pharmacological treatment; and implementation of these guidelines. Click here to read full-text.
I am saddened to note the passing of a friend and colleague, Dr. Walter Landmesser, who died Sunday night. He was 88. Walter had many distinctions over his lengthy career, not the least of which was its span as a member of AAMC’s medical staff. Walter joined us in 1954 and only retired from our ranks in 2013, though he still saw a small number of patients in his office. Many of us have not yet been alive as long as Walter was a practicing physician.
Walter was one of the early orthopedic surgeons on our staff, which in the 50’s consisted largely of internists, general practitioners and general surgeons. He served as Chief of the Orthopedics Service from 1968 to 1976. He was heavily involved in clinical quality review programs, serving as Chair of the Tissue and Blood Usage Committee and later on the Patient Care Monitoring Committee. He also chaired the Medical / Surgical Liaison Committee. He was highly respected for his integrity, his skill in the O.R., and his expertise in his specialty. As Orthopedics expanded and became a major service line with many subspecialties, Walter was the patriarch who could –and often did – let his colleagues know at Service meetings how their new procedures grew out of their predecessors’ experience.
AAMC has probably never had a more loyal and dedicated staff physician. When AAMC bought property next door to its downtown location in 1971, four houses needed to be removed. Walter bought them. One was demolished. Three were loaded onto barges on Spa Creek for the first leg of a trip to his property off Hilltop Lane. Two made it and one of them served for the next 44 years as his home and office. One barge famously sank with its burden in Spa Creek; in 2015 Walter still had the Capital photo of the half-submerged house in his office.
Walter was generous in his gifts to AAMC. His last appearance here was at the October 2014 Medical Staff Meeting, where the AAMC Foundation honored him by naming the Walter Landmesser Society for medical staff members who include AAMC in their estate plans or other planned gifts. Walter was the first to do so. He may have been at the meeting in a wheelchair, but the medical staff was on its feet in appreciation.
One thing that Walter did not do well was retirement. In addition to seeing his long-time patients, he continued his quality improvement work by performing documentation and case reviews for us. In addition to helping his colleagues improve their documentation practices (whether they thought they needed to or not), Walter contributed significant data analysis to our regulatory monitoring programs and performance improvement projects through his meticulous case reviews.
Walter Landmesser was a friend and a credit to our profession. We were honored to have had him as a member of our medical staff. We will miss him.
By Joe Moser, MD, Vice President of Medical Affairs
Congratulations to these medical staff members who were recognized with 2015 Excellence Awards at the Medical Staff Appreciation Night on January 17, 2015:
- Errol Phillip Community Healer Award: Errol Phillip, MD (2014) and Wayne Bierbaum, MD (2015)
- Above and Beyond Award: Briana Walton, MD
- Leadership Excellence Award: George Samaras, MD
- Outstanding Team Achievement Award: Eman Al-Samrrai, MD; Bridgitte Gourley, CRNP; and Teresa Stanfill, CRNP
- Pioneer Award: Joseph Moser, MD
- Research Award: Barry Meisenberg, MD
- Nurse Appreciation Awards: Lucy Kimberly RN (2013); Robert O’Bryhim RN (2014); and Jessica Campbell, RN (2015)
We extend a heartfelt thank you to Kenneth Gummerson, MD, for his excellent leadership as president of the medical staff during the last three years. Succeeding him as president is Mary Clance, MD. Dr. Gummerson will serve as past president for the next three years.
Elections for the next medical staff vice president and two members at large were held on January 14 during the quarterly medical staff meeting. They are:
- Vice President: David Todd, MD
- New Members at Large: Stephen Cattaneo, MD, and Michael Clemmens, MD
The second phase of the Pasadena Pavilion is open at 8109 Ritchie Highway. Patients now have access to orthopedics, sports medicine, joint replacement, physical therapy, and non-operative pain management services at this location. >>More