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CURRICULUM VITAE NAME Clinton D. Polhamus, M.D. SPECIALTY Gastroenterology CURRENT POSITION Gastroenterologist 10 January 2005 - present at San Antonio Digestive Disease Consultants MAILING ADDRESS 1804 N.E. Loop 410, suite 101 San Antonio, Texas 78217 EDUCATION AND TRAINING: Undergraduate Education: School: University of Texas at Austin Degree: B.A. Major: Psychology Date: 1970 - 1973 Professional Education: School: University of Texas Medical Branch at Galveston Degree: M.D. Date: 1973 - 1977 Postgraduate Education: Hospital: David Grant USAF Medical Center Travis AFB CA Specialty: Internship, Internal Medicine Date: July 1977 - June 1978 Hospital: Wright-Patterson USAF Medical Center Wright-Patterson AFB OH Specialty: Internal Medicine Residency Date: July 1978 - June 1980 Hospital: Wilford Hall USAF Medical Center Lackland AFB TX Specialty: Gastroenterology Fellowship Date: 5 February 1990 - 4 February 1992 Board Certification(s) and Licensure: National Boards, Part 1 and Part II 1976 FLEX Examination 1977 American Board of Internal Medicine 1980 State Board of Medicine, Virginia - since 1997 State Board of Medicine, Texas - since 1977 State Board of Medicine, Ohio - since 1979 (inactive) American Board of Internal Medicine Diplomate, Subspecialty of Gastroenterology Nov 1993 Successfully Recertified in Gastroenterology in 2003 Military Assignments: Chief, Department of Medicine 1980 - 1983 USAF Hospital Bergstrom AFB TX Chief, General Internal Medicine 1983 - 1986 Wiesbaden USAF Medical Center Wiesbaden, Germany Staff, General Internal Medicine 1986 - May 1987 Wilford Hall USAF Medical Center Lackland AFB TX Chief, General Internal Medicine May 1987 - Feb 1990 Wilford Hall USAF Medical Center Lackland AFB TX Fellow,Department of Gastroenterology Feb 1990 - Feb 1992 Wilford Hall USAF Medical Center Lackland AFB TX Staff, Department of Gastroenterology Feb 1992 - Apr 1993 Wilford Hall USAF Medical Center Lackland AFB TX Assistant Chairman Apr 1993 - June 1994 Department of Gastroenterology Wilford Hall USAF Medical Center Lackland AFB TX Chairman June 1994 - May 1997 Program Director, Fellowship Training Department of Gastroenterology Wilford Hall USAF Medical Center Lackland AFB TX Consultant to the Air Force Surgeon General in Gastroenterology Jan 95 - May 97 Military Service - 20 years active duty and in Reserve Status currently. Retired with honorable discharge and at the rank of Colonel in the United States Air Force. Civilian Employment: Lewis Gale Clinic in Salem, Virginia: Gastroenterology Consultant 1997 - 2004 Academic Appointments: Clinical Assistant Professor Apr 1988 - 1 Sept 95 Clinical Associate Professor Sept 1995 - May 1997 Department of Medicine University of Texas Health Science Center at San Antonio Assistant Professor Mar 1987 - May 1997 Uniformed Services University of the Health Sciences Bethesda MD Transitional Year Program Director Sept 1986 - 1990 Wilford Hall USAF Medical Center Lackland AFB, TX (San Antonio) Program Director June 1994 - May 1997 Fellowship in Gastroenterology Wilford Hall USAF Medical Center Lackland AFB, TX (San Antonio) Membership in Professional Organizations: American College of Physicians, Fellow American Gastroenterological Association, Member American Society for Gastrointestinal Endoscopy, Member American College of Gastroenterology, Fellow Medical Society of Virginia Published Articles, Presentations, Abstracts, Lectures & Research Contributions: Published Articles: PA Wolfe, CD Polhamus, Kubik C, Robinson AB, Clement DJ: Giant Duodenal Ulcers Associated with the Postoperative Use of Injectable Ketorolac: Report of Three Cases. Am J. of Gastroenterology, 89(7):1110-1, Jul 94. Makau Lee, CM Kubik, CD Polhamus, CE Brady and SC Kadiakia: Preliminary Experience with Endoscopic Intralesional Steroid Injection Therapy for Refractory Upper Gastrointestinal Strictures. Gastrointestinal Endoscopy 1995, Vol. 41, No.6, P. 598 - 601. Presentations: PA Wolfe, CD Polhamus, Clement DJ: Giant Duodenal Ulcers Associated with the Use of Injectable Ketorolac: Report of Three Cases. This was presented at the Annual Meeting of the American College of Gastroenterology at New York City in Abstract form in October 1993. CM Kubik, CD Polhamus: Use of Corticosteroid Injections in the Treatment of Difficult to Manage Esophageal Strictures. This was presented at the Annual Meeting of the American College of Gastroenterology at San Francisco in Abstract form in October 1994. Published Abstracts: PA Wolfe, CD Polhamus, Clement DJ: Giant Duodenal Ulcers Associated with the Use of Injectable Ketorolac: Report of Three Cases. Abstract. American Journal of Gastroenterology, Sept 1993. Vol. 88, No. 9, P. 1565. CM Kubik, CD Polhamus: Use of Corticosteroid Injections in the Treatment of Difficult to Manage Esophageal Strictures. Abstract. American Journal of Gastroenterology, Sept 1994. Vol. 89, No. 9, P. 1621. Narayani RI, Takata JA, Polhamus CD. Ketorolac (Toradol)-Induced Upper Gastrointestinal Bleeding: The Wilford Hall Experience. Abstract. American Journal of Gastroenterology, September 1996. Vol. 91, No. 9, P. 1993. Published Letters to the Editor: CD Polhamus, TE Werth, DJ Clement, M Keogh, P Lewis: Gastrointestinal Bleeding Complicating Transesophageal Echocardiography. Letter to the Editor. Endoscopy, February 1993. Abstracts and Presentations: CD Polhamus, DK Fernandez: Isolated Chronic Hepatic Graft-Versus-Host Disease. (Abstract) 34th Annual Air Force Regional Meeting of the American College of Physicians in Association with the Society of Air Force Physicians. 14-18 March 1992. San Antonio TX CM Kubik, CD Polhamus: Use of Corticosteroid Injections in the Treatment of Difficult to Manage Esophageal Strictures. (Abstract) 36th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 26 Feb - 2 Mar 94. San Antonio, TX. AB Robinson, CD Polhamus: Development of Monoclonal Russell Bodies in Two Patients with Barrett's Esophagus - A New Consequence of Severe GERD? (Abstract) 36th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 26 Feb - 2 Mar 94. San Antonio, TX PA Wolfe, CD Polhamus, Clement DJ: Giant Duodenal Ulcers Associated with the Use of Injectable Ketorolac: Report of Three Cases. Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 26 Feb - 2 Mar 94. San Antonio, TX. AB Robinson, CD Polhamus: Recurrent Cryptogenic Hematemesis Due to Wirsungorhagia - A Case Report. (Abstract) 36th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 26 Feb - 2 Mar 94. San Antonio, TX. AB Robinson, CD Polhamus: Reversal of Neurologic Manifestations, Emergence of Unusual Serologic Profiles and Discovery of Unreported Side Effects of Treatment in Two Patients with Wilson's Disease Treated with Unusual Decoppering Agents. (Abstract) 37th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 12 Feb - 15 Feb 95. Colorado Springs, Colorado. TL Baldwin, DM Gilliam and CD Polhamus: Gastrointestinal Involvement in Cholesterol Embolization Syndrome: A Report of Two Cases and Review of the Literature. (Abstract) 37th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 12 Feb - 15 Feb 95. Colorado Springs, Colorado. Schutz SM, Young GS, Lang KA, Storms PR, Polhamus CD. Therapeutic Biliary and Pancreatic Endoscopy at Wilford Hall Medical Center. Abstract. 38th Annual Air Force Regional Meeting of the American College of Physicians in Association with the Society of Air Force Physicians. 2-6 March 1996. McClendon DM, Chinea C, Young GS, Polhamus CD. Massive Gastrointestinal Hemorrhage: An Unusual Manifestation of Crohn's Disease. Abstract. 38th Annual Air Force Regional Meeting of the American College of Physicians in Association with the Society of Air Force Physicians. 2-6 March 1996. Lectures: Non-Cardiac Chest Pain. Core lecture to Internal Medicine Residents. 14 February 1991. Wilford Hall USAF Medical Center, Lackland AFB TX. Gastroesophageal Reflux. Combined Gastroenterology Surgery Conference. 22 June 1991. Wilford Hall USAF Medical Center, Lackland AFB TX. GI Endocrine Tumors. Combined Gastroenterology Surgery Conference. 15 October 1991. Wilford Hall USAF Medical Center, Lackland AFB TX. Colon Cancer. Core Lecture to Internal Medicine Residents. 11 December 1991. Wilford Hall USAF Medical Center, Lackland AFB TX. Nausea and Vomiting. First Annual Gastrointestinal Symposium. 21 February 1992. Wilford Hall USAF Medical Center, Lackland AFB TX. Gastrointestinal Complications of Bone Marrow Transplantation. 4 June 1992. University of Texas Health Science Center at San Antonio, San Antonio TX. Clinical Nutrition. Fellows Conference. 25 January 1993. Wilford Hall USAF Medical Center, Lackland AFB TX. Preoperative Evaluation of the Patient with Liver Disease and Postoperative Jaundice. Core lecture to Internal Medicine Residents. 4 January 1993. Wilford Hall USAF Medical Center, Lackland AFB TX. Gastrointestinal Bleeding. Second Annual Gastrointestinal Symposium. 19 February 1993. Wilford Hall USAF Medical Center, Lackland AFB TX. Portal Vein Thrombosis. University of Texas Health Science Center at San Antonio. 11 March 1993. San Antonio, TX. Colon Cancer. Fellows Conference. 3 January 1994. Wilford Hall USAF Medical Center Gastrointestinal Bleeding. Third Annual Gastrointestinal Symposium. 25 February 1994. Wilford Hall USAF Medical Center, Lackland AFB TX. Wilson's Disease. 14 April 94. University of Texas Health Science Center at San Antonio, TX. Radiation Injury. University of Texas Health Science Center at San Antonio, TX. Jan 95. Alpha-1 Antitrypsin Deficiency. University of Texas Health Science Center at San Antonio, TX. September 96. Gastrointestinal Bleeding, Noncardiac Chest Pain. Joint Services Symposium in San Antonio, Texas. March 27, 1997. Gastrointestinal Bleeding Gastrointestinal Nurses Week. May 1999. Other Research Contributions: Nifedipine GITS Modern Approach to the Treatment of Hypertension Study. September 1986 - 1990. Primary Investigator Use of Ileoscopy in Routine Colonoscopy. Associate Investigator. Evaluation of the Clinical and Cost Effectiveness of Therapy with Clarithromycin plus Omeprazole compared to Omeprazole or Ranitidine for the Treatment of patients with Duodenal Ulcer and H. pylori Infection. June 1994 - February 1995. Primary Investigator. Evaluation of Alosetron in Irritable Bowel Syndrome sponsored by Glaxo. 3003 and 3006 studies. Principal Investigator in Roanoke, VA. 1998 to 1999 Previous Consulting Activity: Chief Consultant in Gastroenterology to the Air Force Surgeon General Jan 95 - May 1997 Gastroenterology Inpatient Service Staff Consultant Wilford Hall USAF Medical Center 1992 - May 1997 Liver Transplantation Service 1992 - May 1997 Wilford Hall USAF Medical Center General Internal Medicine Consultant Service 1986 - 1990 Wilford Hall USAF Medical Center Other Major Professional Activities: ACLS Instructor Current

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CURRICULUM VITAE

NAMEClinton D. Polhamus, M.D.

SPECIALTYGastroenterology

CURRENT POSITIONGastroenterologist10 January 2005 - present atSan Antonio DigestiveDisease Consultants

MAILING ADDRESS1804 N.E. Loop 410, suite 101San Antonio, Texas 78217

EDUCATION AND TRAINING: Undergraduate Education: School: University of Texas at AustinDegree: B.A.Major: Psychology Date: 1970 - 1973

Professional Education: School: University of Texas Medical Branchat GalvestonDegree: M.D.Date: 1973 - 1977

Postgraduate Education: Hospital: David Grant USAF Medical CenterTravis AFB CASpecialty: Internship, Internal MedicineDate: July 1977 - June 1978

Hospital: Wright-Patterson USAF Medical CenterWright-Patterson AFB OHSpecialty: Internal Medicine ResidencyDate: July 1978 - June 1980 Hospital: Wilford Hall USAF Medical CenterLackland AFB TXSpecialty: Gastroenterology FellowshipDate: 5 February 1990 - 4 February 1992 Board Certification(s) and Licensure: National Boards, Part 1 and Part II 1976 FLEX Examination 1977 American Board of Internal Medicine 1980 State Board of Medicine, Virginia - since 1997 State Board of Medicine, Texas - since 1977 State Board of Medicine, Ohio - since 1979 (inactive) American Board of Internal MedicineDiplomate, Subspecialty of Gastroenterology Nov 1993Successfully Recertified in Gastroenterology in 2003

Military Assignments: Chief, Department of Medicine 1980 - 1983USAF HospitalBergstrom AFB TX Chief, General Internal Medicine 1983 - 1986Wiesbaden USAF Medical CenterWiesbaden, Germany Staff, General Internal Medicine 1986 - May 1987Wilford Hall USAF Medical CenterLackland AFB TX

Chief, General Internal Medicine May 1987 - Feb 1990Wilford Hall USAF Medical CenterLackland AFB TX Fellow,Department of Gastroenterology Feb 1990 - Feb 1992Wilford Hall USAF Medical CenterLackland AFB TX Staff, Department of Gastroenterology Feb 1992 - Apr 1993Wilford Hall USAF Medical CenterLackland AFB TX Assistant Chairman Apr 1993 - June 1994Department of GastroenterologyWilford Hall USAF Medical Center Lackland AFB TX

Chairman June 1994 - May 1997Program Director, Fellowship TrainingDepartment of GastroenterologyWilford Hall USAF Medical Center Lackland AFB TX Consultant to the Air Force Surgeon General in GastroenterologyJan 95 - May 97 Military Service - 20 years active duty and in Reserve Status currently. Retired with honorable discharge and at the rank of Colonel in the United States Air Force.

Civilian Employment: Lewis Gale Clinic in Salem, Virginia: Gastroenterology Consultant 1997 - 2004

Academic Appointments: Clinical Assistant Professor Apr 1988 - 1 Sept 95Clinical Associate Professor Sept 1995 - May 1997Department of MedicineUniversity of Texas Health Science Centerat San Antonio Assistant Professor Mar 1987 - May 1997Uniformed Services University of theHealth SciencesBethesda MD Transitional Year Program Director Sept 1986 - 1990Wilford Hall USAF Medical CenterLackland AFB, TX (San Antonio) Program Director June 1994 - May 1997Fellowship in GastroenterologyWilford Hall USAF Medical CenterLackland AFB, TX (San Antonio) Membership in Professional Organizations: American College of Physicians, Fellow American Gastroenterological Association, Member American Society for Gastrointestinal Endoscopy, Member American College of Gastroenterology, Fellow Medical Society of Virginia Published Articles, Presentations, Abstracts, Lectures & Research Contributions: Published Articles: PA Wolfe, CD Polhamus, Kubik C, Robinson AB, Clement DJ: Giant Duodenal Ulcers Associated with the Postoperative Use of Injectable Ketorolac: Report of Three Cases. Am J. of Gastroenterology, 89(7):1110-1, Jul 94. Makau Lee, CM Kubik, CD Polhamus, CE Brady and SC Kadiakia: Preliminary Experience with Endoscopic Intralesional Steroid Injection Therapy for Refractory Upper Gastrointestinal Strictures. Gastrointestinal Endoscopy 1995, Vol. 41, No.6, P. 598 - 601. Presentations: PA Wolfe, CD Polhamus, Clement DJ: Giant Duodenal Ulcers Associated with the Use of Injectable Ketorolac: Report of Three Cases. This was presented at the Annual Meeting of the American College of Gastroenterology at New York City in Abstract form in October 1993. CM Kubik, CD Polhamus: Use of Corticosteroid Injections in the Treatment of Difficult to Manage Esophageal Strictures. This was presented at the Annual Meeting of the American College of Gastroenterology at San Francisco in Abstract form in October 1994. Published Abstracts: PA Wolfe, CD Polhamus, Clement DJ: Giant Duodenal Ulcers Associated with the Use of Injectable Ketorolac: Report of Three Cases. Abstract. American Journal of Gastroenterology, Sept 1993. Vol. 88, No. 9, P. 1565. CM Kubik, CD Polhamus: Use of Corticosteroid Injections in the Treatment of Difficult to Manage Esophageal Strictures. Abstract. American Journal of Gastroenterology, Sept 1994. Vol. 89, No. 9, P. 1621. Narayani RI, Takata JA, Polhamus CD. Ketorolac (Toradol)-Induced Upper Gastrointestinal Bleeding: The Wilford Hall Experience. Abstract. American Journal of Gastroenterology, September 1996. Vol. 91, No. 9, P. 1993.

Published Letters to the Editor: CD Polhamus, TE Werth, DJ Clement, M Keogh, P Lewis: Gastrointestinal Bleeding Complicating Transesophageal Echocardiography. Letter to the Editor. Endoscopy, February 1993. Abstracts and Presentations: CD Polhamus, DK Fernandez: Isolated Chronic Hepatic Graft-Versus-Host Disease. (Abstract) 34th Annual Air Force Regional Meeting of the American College of Physicians in Association with the Society of Air Force Physicians. 14-18 March 1992. San Antonio TX CM Kubik, CD Polhamus: Use of Corticosteroid Injections in the Treatment of Difficult to Manage Esophageal Strictures. (Abstract) 36th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 26 Feb - 2 Mar 94. San Antonio, TX. AB Robinson, CD Polhamus: Development of Monoclonal Russell Bodies in Two Patients with Barrett's Esophagus - A New Consequence of Severe GERD? (Abstract) 36th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 26 Feb - 2 Mar 94. San Antonio, TX PA Wolfe, CD Polhamus, Clement DJ: Giant Duodenal Ulcers Associated with the Use of Injectable Ketorolac: Report of Three Cases. Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 26 Feb - 2 Mar 94. San Antonio, TX. AB Robinson, CD Polhamus: Recurrent Cryptogenic Hematemesis Due to Wirsungorhagia - A Case Report. (Abstract) 36th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 26 Feb - 2 Mar 94. San Antonio, TX. AB Robinson, CD Polhamus: Reversal of Neurologic Manifestations, Emergence of Unusual Serologic Profiles and Discovery of Unreported Side Effects of Treatment in Two Patients with Wilson's Disease Treated with Unusual Decoppering Agents. (Abstract) 37th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 12 Feb - 15 Feb 95. Colorado Springs, Colorado.

TL Baldwin, DM Gilliam and CD Polhamus: Gastrointestinal Involvement in Cholesterol Embolization Syndrome: A Report of Two Cases and Review of the Literature. (Abstract) 37th Annual Air Force Regional of the American College of Physicians in Association with the Society of Air Force Physicians. 12 Feb - 15 Feb 95. Colorado Springs, Colorado. Schutz SM, Young GS, Lang KA, Storms PR, Polhamus CD. Therapeutic Biliary and Pancreatic Endoscopy at Wilford Hall Medical Center. Abstract. 38th Annual Air Force Regional Meeting of the American College of Physicians in Association with the Society of Air Force Physicians. 2-6 March 1996.

McClendon DM, Chinea C, Young GS, Polhamus CD. Massive Gastrointestinal Hemorrhage: An Unusual Manifestation of Crohn's Disease. Abstract. 38th Annual Air Force Regional Meeting of the American College of Physicians in Association with the Society of Air Force Physicians. 2-6 March 1996. Lectures:

Non-Cardiac Chest Pain. Core lecture to Internal Medicine Residents. 14 February 1991. Wilford Hall USAF Medical Center, Lackland AFB TX. Gastroesophageal Reflux. Combined Gastroenterology Surgery Conference. 22 June 1991. Wilford Hall USAF Medical Center, Lackland AFB TX. GI Endocrine Tumors. Combined Gastroenterology Surgery Conference. 15 October 1991. Wilford Hall USAF Medical Center, Lackland AFB TX. Colon Cancer. Core Lecture to Internal Medicine Residents. 11 December 1991. Wilford Hall USAF Medical Center, Lackland AFB TX. Nausea and Vomiting. First Annual Gastrointestinal Symposium. 21 February 1992. Wilford Hall USAF Medical Center, Lackland AFB TX. Gastrointestinal Complications of Bone Marrow Transplantation. 4 June 1992. University of Texas Health Science Center at San Antonio, San Antonio TX. Clinical Nutrition. Fellows Conference. 25 January 1993. Wilford Hall USAF Medical Center, Lackland AFB TX. Preoperative Evaluation of the Patient with Liver Disease and Postoperative Jaundice. Core lecture to Internal Medicine Residents. 4 January 1993. Wilford Hall USAF Medical Center, Lackland AFB TX.

Gastrointestinal Bleeding. Second Annual Gastrointestinal Symposium. 19 February 1993. Wilford Hall USAF Medical Center, Lackland AFB TX. Portal Vein Thrombosis. University of Texas Health Science Center at San Antonio. 11 March 1993. San Antonio, TX. Colon Cancer. Fellows Conference. 3 January 1994. Wilford Hall USAF Medical Center Gastrointestinal Bleeding. Third Annual Gastrointestinal Symposium. 25 February 1994. Wilford Hall USAF Medical Center, Lackland AFB TX.

Wilson's Disease. 14 April 94. University of Texas Health Science Center at San Antonio, TX. Radiation Injury. University of Texas Health Science Center at San Antonio, TX. Jan 95. Alpha-1 Antitrypsin Deficiency. University of Texas Health Science Center at San Antonio, TX. September 96. Gastrointestinal Bleeding, Noncardiac Chest Pain.Joint Services Symposium in San Antonio, Texas. March 27, 1997. Gastrointestinal Bleeding Gastrointestinal Nurses Week. May 1999. Other Research Contributions: Nifedipine GITS Modern Approach to the Treatment of Hypertension Study. September 1986 - 1990. Primary Investigator Use of Ileoscopy in Routine Colonoscopy. Associate Investigator. Evaluation of the Clinical and Cost Effectiveness of Therapy with Clarithromycin plus Omeprazole compared to Omeprazole or Ranitidine for the Treatment of patients with Duodenal Ulcer and H. pylori Infection. June 1994 - February 1995. Primary Investigator.

Evaluation of Alosetron in Irritable Bowel Syndrome sponsored by Glaxo. 3003 and 3006 studies. Principal Investigator in Roanoke, VA. 1998 to 1999

Previous Consulting Activity: Chief Consultant in Gastroenterology to the Air Force Surgeon General Jan 95 - May 1997 Gastroenterology Inpatient Service Staff ConsultantWilford Hall USAF Medical Center 1992 - May 1997 Liver Transplantation Service 1992 - May 1997Wilford Hall USAF Medical Center General Internal Medicine Consultant Service 1986 - 1990Wilford Hall USAF Medical Center Other Major Professional Activities: ACLS Instructor Current