Orthopedic Review

The majority of infections occur within the first 2 months of surgery, but infections may occur years after implantation as access for drug refills may be needed every 3–6 months for the service life of the device [26, 28]. The majority of reported infections are caused by Staphylococcus aureus, but a variety of other organisms, including multiply drug-resistant gram-negative bacilli, have been recovered. Jeffrey Tuman, MD ’09, an orthopedic sports medicine surgeon, has joined the Slocum Center for Orthopedics & Sports Medicine in Eugene, Ore. After finishing his residency in orthopedic surgery at the University of Virginia in Charlottesville, Tuman completed a fellowship in orthopedic sports medicine at Stanford University.

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Matthew Davis, MD, MCP ’94, was promoted to chief scientific officer at the specialty pharmaceutical company Endo Pharmaceuticals, according to a LinkedIn update. (Alumni Magazine, Summer 2021) Matthew Davis, MD, MCP ’94, joined Endo International as senior vice president of research and development of branded pharmaceuticals. Evidence supports the use of periprocedural prophylactic antimicrobial administration for patients undergoing CSF shunt insertion and placement of external ventricular drains. A Cochrane database review indicated that the odds ratio for decreased infection was 0.52 (95% CI, 0.36–0.74) [159]. The antimicrobial agent should be given before incision to achieve adequate tissue concentrations and should be continued for as long as 24 hours postoperatively, as studies included in these analyses generally administered therapy for this duration.

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One unique complication of a chronic vascular shunt is shunt nephritis [10, 38, 46], which is observed in 4%–14% of patients with infected ventriculoatrial shunts. The majority of isolated bacteria in patients with shunt nephritis are usually coagulase-negative staphylococci and S. The https://turbo-tax.org/ascension-providence-covid-pfizer-vaccine-1/ pathogenesis of shunt nephritis is similar to that of subacute bacterial endocarditis, with deposition of immunoglobulin M and G antigen–antibody complexes in the renal glomeruli. The complement system is activated with subsequent depletion of circulating complement factors C3 and C4.

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Archana Chaudhari, MD, MPH; Drexel/Hahnemann Internal Medicine Residency ’07, joined Geisinger Mount Pleasant in Scranton, Pa., as an internal medicine physician. Richard V. Brown, MD, HU ’78, a specialist in internal medicine working in geriatrics, recently received the Chief of Staff Clinical Excellence Award from VA Pittsburgh Healthcare System, where he has been working for 31 years. The award is for outstanding work that has advanced the system’s pursuit of excellence, while setting a new standard in VA care. There are no specific data that define the exact dose of intraventricular antimicrobial agents that should be used in cerebrospinal fluid (CSF) shunt and drain infections. Given the smaller CSF volume in infants (approximately 50 mL) compared to adults (approximately 125–150 mL), doses in infants should probably be decreased at least 60% or more compared to adults. Symptoms and signs of a CSF shunt infection may be referable either to the proximal or distal portion of the shunt.

Infectious Diseases Society of America’s Clinical Practice Guidelines for Healthcare-Associated Ventriculitis and Meningitis*

Tompkins is seeing patients alongside three physicians and two other providers at Southwestern Medical Women’s Health in Niles. Corewell Health Foundation Southwest Michigan granted a total of $58,500 in the form of 40 scholarships to its team members, volunteers, interns and local students aiming to pursue a career in the health care sector. Carolyn Jones was surprised by a breast cancer diagnosis — not just once, but twice. The medical care she received helped her, but it was the support of family, friends and her faith that got her through it. S. Thomas Westerman, MD, HU ’60, retired ear, nose and throat physician and former clinical professor of otolaryngology at the College of Medicine, was inducted into Red Bank [N.J.] Regional High School’s Distinguished Alumni Hall of Fame.

  • Edward Hébert Armed Forces Health Professions Scholarship program and was commissioned on May 21 as a second lieutenant in the U.S.
  • Frederick J. Bloom Jr., MD, HU ’83, the president of Guthrie Medical Group, has been appointed to the board of directors of the AMGA Foundation.
  • Jody Leonardo, MD ’02, joined Allegheny Health Network as director of the adult hydrocephalus program and assistant director of endoscopic neurosurgery for the network, based in Pittsburgh.
  • Donald Stephens Jr., MD, MCPHU ’00, a family medicine physician, has joined the medical staff of Meritus Medical Center in Hagerstown, Md.
  • He holds the status of Honorary Staff Member of Stanford Health Care, Stanford University, which was awarded to him upon his retirement in 2015, after nearly three decades as clinical faculty at Stanford (adjunct clinical professor of radiology) in the breast imaging section.
  • Gilbert Mbeo, MD, Drexel/Hahnemann Neurology Residency ’13, assistant professor of neurology at the University of Mississippi Medical Center, was awarded neuroscientific intensive care subspecialty board certification by the United Council for Neurological Specialties.
  • Kenny Mai, MD, MCPHU ’01, joined Saint Agnes Medical Providers in Fresno, Calif., as an orthopedic surgeon.

Robert Spees, MD, HU ’83, an internal medicine physician at the Doctor’s Medical Group of Colorado Springs, who is affiliated with Penrose St. Francis Health Services and Memorial Hospital Central, has been named a 2017 Top Doctor in Colorado Springs, Colorado. Karen L. Smith, MD, HU ’89, was named the 2017 Family Physician of the Year by the American Academy of Family Physicians. Smith’s practice in Hoke County, N.C., was one of the first rural, independent family medicine practices to invest in technology such as interactive patient portals https://turbo-tax.org/ and electronic health records. Marina Shtern, MD ’03, a family medicine physician, joined Family Medicine at Souderton, a Grand View Medical Practice in Souderton, Pennsylvania. Earl E. Sands, MD, HU ’82, was appointed chief medical officer of Selecta Biosciences, Inc., a clinical stage biotechnology company in Watertown, Mass. Elizabeth A. Reetz, MD ’07, a family physician affiliated with MDVIP, has joined a primary care practice in Chestertown, Md., affiliated with the University of Maryland Shore Medical Center at Chestertown.

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Raj Khanna, DMD; MD, MCPHU ’00, will head the new Department of Dentistry, Oral and Maxillofacial Surgery at the Joan C. Edwards School of Medicine at Marshall University in West Virginia. He has served as division chief of oral and maxillofacial surgery under the Department of Surgery since 2002. Kate Iyoob, MS Criminalistic Science ’17, has joined the Murfreesboro, Tennessee, police department as a crime scene technician/investigator. She is one of the first three civilians the department has hired as crime scene workers. Andrew F. Inglis Jr., MD, MCP ’81, a physician at Seattle Children’s Hospital, was named one of Seattle magazine’s 2016 Top Doctors for pediatric otolaryngology. Clark D. Gerhart, MD, HU ’90, of the Commonwealth Health bariatric program presented a weight loss surgery seminar in May in Mountain Top, Pa.

Karl B. Kern, MD, HU ’80, professor of medicine at the University of Arizona, received a Lifetime Achievement in Healthcare Award at the Tucson Local Media Influential Health and Medical Leaders Awards. Christina Jones, MD, MCP ’95, a family physician, joined the UHS Primary Care practice in Oxford, New York. Thomas Johnson, MD, MCP ’96, a general surgeon, has joined the surgical department of Harrington Physician Services, an affiliate of Harrington HealthCare System in Southbridge, Mass. Helen Meeks Horstmann, MD, MCP ’72, an orthopedic surgeon at the Children’s Hospital of Philadelphia, was installed as a board member of the Pennsylvania Horticultural Society and will also serve as chair of the Philadelphia Flower Show and Events Committee.

Hy J. DePamphilis, MD, MCP ’82, an internist who is also board-certified in geriatric medicine, joined the medical staff at Penn Highlands Brookville in Brookville, Pennsylvania. Michael J. Demeure, MD, HU ’83, was named program director of Hoag Precision Medicine at the Hoag Family Cancer Institute in Newport Beach, California. He is a fellowship-trained endocrine surgeon with a longstanding interest in developing new treatments for endocrine cancers based on molecular genomics.

  • Angelo M. DiBello, MD, HU ’54, a family physician, was honored for 60 years on the job by the administration and medical staff of Nazareth Hospital in Philadelphia.
  • Charles D. Peters Jr., MD, MCP ’88, joined Geisinger Wyoming Valley Medical Center’s Pearsall Heart Hospital in Wilkes-Barre, where he will provide noninvasive cardiology services.
  • Consideration can be given to a step-down of therapy to fluconazole after there is clinical improvement and if isolated Candida is a susceptible species [113].
  • Even if the endoscopic third ventriculostomy fails, the ventriculoperitoneal shunt inserted after failure appears to have better longevity than if it is inserted without first performing the ventriculostomy [145].
  • Michael J. Demeure, MD, HU ’83, was named program director of Hoag Precision Medicine at the Hoag Family Cancer Institute in Newport Beach, California.
  • Henry A. DePhillips III, MD, HU ’86, became the senior vice president and chief medical officer at Cedar Gate Technologies, Greenwich, Connecticut.
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