Read the article here.
Medical Staff Updates
This JAMA “Piece of Mind”… This interesting vignette illustrates how an annual physical caused a healthy 85 year old to go through a battery of tests that left him impaired afterwards as a result of this “harmless” physical. The author’s intent was to show the impact of how “unnecessary testing” can cause harm. Click here to read full text.
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Dr . Phillip started practicing family medicine in 1972 at South County Health Center. He was instrumental in establishing the center, which was set up to serve patients in an area where there was a lack of physicians.
Dr. Phillip is from Trinidad West Indies and came to the United States to go to school. His undergrad and medical school education was at Howard University. He did two residencies, one in family practice at St. Joseph’s Hospital in Flint , Michigan, and came to Anne Arundel County for a residency at Crownsville State Hospital. He has been a resident here since 1967. He initially practiced psychiatry and ran the first methadone clinic in the state of Maryland.
He realized, however, that his passion was taking care of patients, not just their emotional and psychological well-being, but the entire patient and their families (important to him was the whole person approach). In his practice he does a lot of teaching so patients and families can partner with him to take care of themselves and their love ones. Combining his expertise in family medicine and psychiatry, he returned to his first passion: family medicine.
As a member of the medical staff at AAMC, he has served on a number of committees including the credentialing committee and the quality and safety committee. He also was one of the early physicians who gave back to the community by serving at the Light House Shelter when it was on West Street and at the Stanton Center.
Basically he is a simple man who loves practicing medicine. He has a strong sense of compassion and understanding that each person is an individual. You will not see him in the limelight or seeking any recognition of any kind. His philosophy has always been quite evident: Treat each patient one at a time for each of us deserve the best care possible. Listen to them so that you can help them stay healthy, get better and live well. Stay current and knowledgeable so that you can provide the highest quality of care possible.
By Stephen Cattaneo, MD, Medical Director, Thoracic Oncology
In recent years, e-cigarettes have increased in popularity. They are often advertised as a “healthier” and cheaper alternative to cigarette smoking. While this may be true, without large scale research studies it is difficult to determine the real impact of e-cigarettes both now and in the future. Furthermore, by targeting teenagers and young adults, there is the concern that e-cigarettes will reverse the progress made in smoking prevention as well as normalize smoking behaviors. >>More
Barry Meisenberg, MD, chair for quality improvement and healthcare systems research, recently submitted a letter to the editor to the New York Times regarding “Treatment Cost Could Influence Doctors’ Advice” article (April 18, 2014). His letter was published in the April 27, 2014 New York Times–continuing the dialogue on Choosing Wisely. Read his letter here.
Less than two years after opening, the Weight Loss & Metabolic Surgery Program at Anne Arundel Medical Center (AAMC) recently became a Level 1 Facility, nationally accredited by the American College of Surgeons for providing high quality care and excellent outcomes. The Level 1 designation also means AAMC is a high volume center performing more weight loss operations than the average bariatric surgery center in the U.S. In the first year of AAMC’s program, led by renowned bariatric surgeon Alex Gandsas, MD, nearly 300 surgeries were performed including sleeve gastrectomy, gastric bypass, and gastric lapband surgery. The program started in July 2012, and since then, more than 450 weight loss surgeries have been performed. >>More
By Henry Sobel, MD, Chair, Women’s and Children’s Services
The FDA recently issued an advisory strongly discouraging the use of uterine power morcellators. Read the MedPage article with the advisory and ACOG comment here. The FDA’s specific recommendation to physicians is highlighted. Leading hospitals around the country are taking either of two approaches: banning use of the morcellator or having its use restricted to within bags in the abdomen to protect against the risk of spread of potentially malignant tissue. This controversy was the subject of our February Women and Children’s M&M Conference.
Since that discussion efforts have been made to assure that we have the necessary high quality surgical bags, and we do. The use of the power morcellator, the incidence of leiomyosarcoma, and the impact of surgical technique on survival are each of some small increment. Balanced against that risk is the benefit of the decreased morbidity of the minimally invasive techniques allowed by the use of morcellation. More informed high level conversation is coming from national medical thought leaders, including ACOG.
With that expectation, having seen different responses at other hospitals, and having gotten differing opinions within our service, at this time I see the prudent action to be the more conservative one of requiring the use of collection bags to isolate the tissue from spread within the abdomen at time of morcellation.
Further, the FDA’s discussion points (highlighted in yellow within the attachment) should be considered as imperatives in any pre-operative discussion where morcellation may be a possibility. And that should be documented.
Due to the small number of patients impacted by this controversy, the potential for stirring up fear and worry and the fact that we are simply responding to published recommendations, I do not view this as something justifying increased local publicity. It is a subject you should be familiar with, expect questions about and be able to discuss in an informed manner. If contacted by a reporter, the best response is to refer them to the AAMC PR department for comment.
Your comments are welcome. Thank you.