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UI Consult Winter 2008Download PDF
Center of Excellence for bariatric surgery University of Iowa Hospitals and Clinics has been named an American Society for Metabolic and Bariatric Surgery (ASMBS) Center of Excellence®. By attaining this recognition, UI Hospitals and Clinics' bariatric surgery program—UI Obesity Surgery—has held itself to the highest standards in the industry. The center of excellence program benefits patients because of enhanced safety and advocacy efforts. It provides a platform for continuously improving the procedure, builds a shared database to help guide decisions about patient care, and advances research in the field. The designation is indicative of the program's demonstrated track record and commitment to a high level of bariatric care. For further information visit www.uihealthcare.com/weight. Burn Treatment Center equipped for complex cases The Burn Treatment Center at UI Hospitals and Clinics has seen a large increase in the number of patients with complex wounds. Many of these cases are complicated with necrotizing fasciitis, known as "flesh-eating disease" and caused by S. pyogenes, methicillin-resistant S. aureus, or G-anaerobic bacteria. According to the Center's director, Barbara Latenser, MD, of the 2008approximately 1,500 cases treated nationally in 2006, UI Hospitals and Clinics saw 129. The national mortality rate is around 29% while the UI Burn Treatment Center's is around 5%. "Early diagnosis, one-stage complete surgical resection, and intense, around-the-clock burn team care is at the core of our success in treating this highly destructive disease process," Latenser said. Reed's arrival enhances UI transplant program Patients in Iowa and surrounding states who are experiencing organ failure or require kidney, pancreas, or liver transplantation now have access to an expert closer to home. Alan Reed, MD, recently was welcomed as UI Health Care's new director of transplant and hepato-biliary surgery and director of the Abdominal Organ Transplant Center. Reed, who previously was surgical director of liver transplantation at the University of Florida, is a Fellow of the American College of Surgeons and a member of several professional transplant organizations. Among his goals, Reed said, is to "make patient referral simple and the evaluation process streamlined for our patients, while continuing the outstanding clinical outcomes for which this hospital is known." We're here to assist referring physicians As the only teaching hospital in the state, UI Hospitals and Clinics supports regional providers through its Office of Referring Physician Relations. The office acts as a single point of contact to address any issues or concerns from referring providers. It promotes positive referring physician relationships, encourages effective communication, and establishes effective referral processes. It can also arrange site visits by a UI Physicians member for everything from informal roundtable discussions about your practice to presentations focused on specific conditions and the latest treatment options. The office's director is Christine Miller. Call 319-384-6103 or e-mail referring-physicians@uiowa.edu. Need information on AirCare, burns, or stroke? Pocket card sets providing tools to easily access services at UI Hospitals and Clinics are now available on a complimentary basis. Each set of four plastic cards gives step-by-step information about:
Referring physicians or practices can request a copy by contacting the Office of Referring Physician Relations at 319-384-6103, or e-mailing referring-physicians@uiowa.edu. Multidisciplinary melanoma, sarcoma clinics now available Holden Comprehensive Cancer Center at UI has pulled together two new teams of cancer experts to provide a highly concerted care option for melanoma and sarcoma patients.
Spinal cord injury guides available for your patients Multidisciplinary experts from the Department of Orthopaedics and Rehabilitation and other areas within UI Health Care have put together a comprehensive spinal cord injury guide. Packed with images and medical term definitions, the guide explains the working of the spinal cord, the types of injuries that can occur, and the treatments for these injuries (including non-surgical options). It discusses various aspects of the rehabilitation process, including preventing medical complications and coping with spinal cord injury. The booklets are available for purchase by medical institutions. For pricing information, contact Amy Mickelson at 319-356-1314 or amy-mikelson@uiowa.edu. UI Consult is a centralized resource linking health care providers with members of UI Physicians and services at UI Hospitals and Clinics. Whether you are seeking a consultation, are providing a referral, need patient information, or want news about clinical trials or CME courses, a single call is all it takes to put you in touch with the right person. UI Consult is available 24 hours a day, 7 days a week. Simply call 800-322-8442. When referring a patient, you may also fill out an online referral form at www.uihealthcare.com/consult. Information needed to refer a patient:
Dermatology Surgery Program expands With the addition of two surgeons and an improved operating schedule, the UI Department of Dermatology is offering the Mohs micrographic surgery service to more patients and with reduced wait time. Mohs is a tissue sparing surgery of non-melanoma skin cancers. It has cure rates of 95% to 97% for basal cell and squamous cell carcinomas and is the treatment of choice for locally recurrent skin cancers. It is especially valuable for tumors located on the head and neck as it preserves more normal tissue than any other method, while allowing the surgeon to trace and eradicate areas of tumor that are invisible to the naked eye. The three-surgeon team also works with ophthalmology, otolaryngology, facial plastic and plastic surgery, urology, orthopaedics, surgical and medical oncology, and radiation oncology to provide the best care for their patients. Now, referring providers can expect patients to be scheduled for their procedure within two weeks of receiving medical referral materials, including biopsy slides, and a consultation letter. For more complex patients, this time frame may be longer. Call 319-356-SKIN. New approach to aortic dissection management A joint effort of the Department of Cardiothoracic Surgery, the Division of Vascular Surgery in the Department of Surgery, and the Cardiovascular Division of the Department of Internal Medicine has set up a new program for management of patients with dissection of the aorta. The program works in unison with the Automatic Acceptance Program of the Emergency Treatment Center. According to the new protocol, patients diagnosed at the ETC with aortic dissection are immediately seen by a joint group of three specialists: a cardiac surgeon, a cardiologist, and a vascular surgeon. The joint consult decides on the treatment plan and determines the route of the patient to the fastest and most efficient care for the condition in the individual patient. Dissection of the aorta is a lumenal split-up of the aortic wall due to an atherosclerotic process. If the dissection is proximal to the left subclavian artery, emergency surgery is necessary. If it is distal to the left subclavian, medically instituted blood pressure control is the usual treatment. Intervention using endovascular techniques or standard open surgical technique is reserved for patients with compromised circulation to their organs or extremities. To refer a patient who may likely have an aortic dissection, call 1-800-272-6440.
University of Iowa Health Care is pleased to introduce the following faculty: Cardiothoracic Surgery
Family Medicine
Neuro Surgery
Obstetrics and Gynecology
Pathology
Pediatrics
Psychiatry
Radiation Oncology
Surgery
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