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Volume 3 Number 18 September 5, 2014

WHAT’Snew Pennsylvania Hospital

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Interventional Radiology (IR) is a medical specialty that employs image-guided, minimally invasive diagnostic and treatment techniques to treat a wide variety of diseases — often as an alternative to traditional surgery.

Interventional radiologists are highly trained physicians in imaging, radiation safety, procedural technique, and patient management. They treat diseases using small catheters or other devices and tools guided by imaging such as fluoroscopy, computed tomography, ultrasound, and magnetic resonance imaging. Procedures performed by IRs are generally less costly and less stressful for patients than more traditional surgical procedures, involving fewer and much smaller incisions, less pain, shorter hospital stays, and quicker recovery periods.

Over a half a century ago, Dr. Charles T. Dotter at the University of Oregon Medical School, widely recognized as the “Father of Intervention,” proposed the potential of catheters to be used in performing intravascular surgery. By the mid-1970s transcatheter therapeutic procedures were common in the U.S. and by the mid-1980s a wide array of therapeutic interventions and devices had been developed.

While IR is widely accepted as a clinical specialty today, that wasn’t always the case.

A few decades ago, IR was considered part of the radiology department and therefore, just a hospital-based diagnostic specialty. IR physicians usually didn’t perform patient evaluations or manage treatment. Now, IRs are bridging the gap between hospital-based diagnostics and interventional therapeutics to treat underlying diseases.

A little over a year ago, PAH welcomed its first in-house, staff interventional radiologists, Raymond M. Fabrizio, MD, chief of Interventional Radiology and assistant professor of Radiology, and Ben Hammelman, MD, assistant professor of Radiology.

“Since the arrival of Dr. Fabrizio and Dr. Hammelman, they have partnered with every service here at Pennsylvania Hospital to be available for consults and caring for their patients,” said Susan Horne, RN, CNOR, Interventional Radiology and Orthopeadic Surgery OR clinical coordinator. “They have joined and participated in multiple tumor board forums, done Grand Rounds, and currently do rounds for Interventional Radiology patients daily. This has been a

INSIDe

The Patient Experience ...........2

Louis P. Bucky, MD, FACS, Named Medical Director of the Surgery Center .............2

Interventional Radiology continued .................................3

Making History and Progress with the National Veterans Wheelchair Games ..................3

What’s Happening ...................4

Flu Season ...............................4

` PAH Interventional Radiologists, Dr. Ray Fabrizio, section chief, and Dr. Ben Hammelman.

INTeRveNTIONAl RADIOlOGy — Connecting Diagnostics and Therapeutics

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The following excerpt and photo are from an email sent by oncology patient Leslie Case to ACC PAH administrator Mary Pat Lynch, CRNP, MSN, AOCN.

Dear Ms. Lynch: Perhaps you remember meeting me at the Farm Journal Infusion Center a few weeks back. I shared heartfelt praise and affection for the staff and everything about my experiences with Dr. Sataloff, Dr. Mintzer, the Infusion Center, and the complementary treatments of massage, nutrition, counseling and art therapy with mindfulness. Pennsylvania Hospital has turned the potentially frightening and traumatic experience of cancer into an inclusive, informative, empowering and positive experience for me, my advocate and my family.

I have never been treated with more dignity and affirmative support as I have, even without hair, at Pennsy. There is no job, no organization, no company that has consistently valued me and my health.

Thank you for all you and your talented team do for me and the numbers of patients in need.

` Shown here from l to R are: Debby Larkin, Cynthia Wise, MA, Leslie Kase, Linda Piscitelli, RN, and Kelly Del Villar, RN.

Louis P. Bucky, MD, FACS, has been named Medical Director of the Surgery Center of Pennsylvania Hospital, located at the Tuttleman Center, Penn Medicine Rittenhouse campus. In his new role at the Surgery Center, Dr. Bucky will manage and oversee clinical quality, patient safety, research and education activities, professional staff, and policy and procedural development.

Currently Chief of the Section of Plastic and Reconstructive Surgery at PAH and a Clinical Professor of Surgery, Division of Plastic and Reconstructive Surgery, Perelman School of Medicine, Dr. Bucky has been with Penn Medicine for 19 years. Considered a regional and national leader in face, breast, and body plastic and reconstructive surgery, Dr. Bucky lectures extensively in North America and abroad. He has co-authored over 100

publications in peer-review journals and received numerous honors for his research in melanoma and breast reconstruction. Named a “Top Doc” of Plastic Surgery in Philadelphia Magazine for 13 consecutive years, Dr. Bucky is also consistently recognized by Castle Connolly as one of “America’s Top Doctors” in reconstructive plastic and cosmetic surgery.

The Patient exPeRIeNCe

Louis P. Bucky, MD, FACS, NAMeD MeDICAl DIReCTOR OF THe SURGeRy CeNTeR

The Patient exPeRIeNCe…CONTINUeD…

David Nazarian, MD, Orthopaedic Surgery, received the following patient letter of thanks:

Dr. Nazarian, One year ago you were kind enough to replace my right hip. As a result my life has been very much refreshed. I’ve been show shoeing at 10,000 feet; gone on trail rides for hours in length; fished in waders on the rocky Colorado River and while standing in the surf of the Atlantic Ocean. I’m climbing stairs again two steps at a time; sawn, felled and carted away a dozen fifty-foot Pine trees on my farm, and done far too much garden weeding — all with no hip discomfort at all. Your handiwork has proven to be a wonderful blessing.

I thank you, your practice team, and all those who support you at Pennsylvania Hospital, with all my heart.

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M A K I N g H I S T O R y a n d P r o g r e s s w i t h t h e National Veterans Wheelchair Games

This year marked the 34th National Veterans Wheelchair games — the largest games yet, with over 650 men and women competing in softball, quad rugby, basketball, power soccer, and other events in Philadelphia and South Jersey. This year, the aptly-named theme was “Philly: Where Heroes Make History.”

Held in mid-August, the week-long games showcased the prowess and determination of the participating athletes and the dedication and enthusiasm of the fans and volunteers who pulled it all together to help our veteran heroes on their rehabilitation journey.

Some of the week’s volunteers came from Penn Medicine, including physicians, nurses, and other hospital staff, and students from Penn Medicine’s High School pipeline program.

Support from the US. Department of veterans Affairs (vA) for wheelchair sports dates back to the 1940s, when disabled World War II vets played wheelchair basketball in vA hospitals nationwide.

Forty years later, the vA established the Recreation Therapy Service, which strengthened support for the rehabilitative qualities of wheelchair athletics. The first games were held a year later, with 74 veterans

from 14 states facing off in numerous sporting events. Support from the Paralyzed veterans of America (PvA) since 1985, and participation of British military veterans in the Games since 1987, helped fuel the game’s increasing popularity and help make it what it is today: the largest annual wheelchair sports event in the world.

According to Bob Askey, a program support assistant at the Philadelphia vA Medical Center (vAMC) and 35-year U.S. Army veteran, the vA’s “Mission Re-Defined” perfectly sums up what today’s National veteran’s Wheelchair Games are all about: veterans involved in adaptive sports as part of their rehabilitation.

“This was emphatically brought home for Jennifer Askey (a public affairs officer for the Philadelphia vAMC) and me when we returned to the hospital and ran into one of our veteran athletes, a novice to the Games, and his wife,” said Bob. “He was proudly wearing his medals and had been roaming the hospital talking to other veterans about his experience at the games and encouraging those of them in wheelchairs to think about going to Dallas with him in 2015.” During this time, Bob added,

the veteran’s wife started to choke up and said she would not have thought her husband would ever engage in anything like the games, let alone become an advocate for the opportunities they present.

Many participants employ some techniques they’ve performed during rehabilitation and physical therapy at vA hospitals during the competition, and use this as something to build on and continually challenge themselves to improve. The effect from achieving these successes helps veterans succeed in other aspects of their lives, Bob said.

The Games are a vital reminder that the costs of war extend far beyond the battlefield. The event exemplifies our disabled veterans’ ability to triumph over adversity, and the importance of caring for those who have served in our nation’s military.

new and exciting time in IR for both the hospital and the patients — with a steady increase in volume and patient satisfaction.”

The PAH IR Division currently performs an average of 500 cases a month of inpatient and outpatient procedures. Some of the most common cases performed at PAH are biopsies, uterine fibroid embolizations, port placements, chemo embolizations and new technologies such as cryoablations and microwave ablations

— as well as other procedures including tube and drain placements.

As a part of Penn Interventional Radiology, Fabrizio and Hammelmen belong to one of the oldest and largest IR programs in the U.S. In addition to performing over 12,000 procedures annually, Penn IR offers a full spectrum of care with special expertise in regional and local cancer therapy, acute and chronic deep vein thrombosis and pulmonary embolism, women’s health issues, peripheral artery disease, vascular malformations/varicose veins, and diseases of the lymphatic system.

INTeRveNTIONAl RADIOlOGy —

Connecting Diagnostics and Therapeutics

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WHAT’SneweDITORIAL STAFF Sally Sapega Director of Internal Communications

Olivia Fermano editor and Photographer

Pamela Furches Design Graphic Design

Barry Ogburn Photography

ADMINISTRATIONSusan e. Phillips Senior vice President, Public Affairs

CONTACT WHAT’Snew at: Department of Communications Pennsylvania Hospital Philadelphia, PA 19106

phone: 215.829.6799 email: olivia.fermano@uphs.upenn.edu

WHAT’Snew is published biweekly for PAH employees. Access WHAT’Snew online at http://news.pennmedicine.org/inside/whats-new/.

WHAT’SneweDITORIAL STAFF Sally Sapega Director of Internal Communications

Olivia Fermano editor and Photographer

Pamela Furches Design Graphic Design

Barry Ogburn Photography

ADMINISTRATIONSusan e. Phillips Senior vice President, Public Affairs

CONTACT WHAT’Snew at: Department of Communications Pennsylvania Hospital Philadelphia, PA 19106

phone: 215.829.6799 email: olivia.fermano@uphs.upenn.edu

WHAT’Snew is published biweekly for PAH employees. Access WHAT’Snew online at http://news.pennmedicine.org/inside/whats-new/.

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WHAT’S happening y O U R R e S O U R C e F O R e v e N T S A N D H A P P e N I N G S T H R O U G H O U T PA H A N D P e N N M e D I C I N e

For complete events listing, please visit What’s New on the Inside Penn Medicine web site at: http://news.pennmedicine.org/inside

eDITORIAL STAFFOlivia Fermanoeditor and Photographer

Pamela Furches Design Graphic Design

Barry Ogburn Photography

ADMINISTRATIONSusan e. Phillips Senior vice President, Public Affairs

Holly Auer Director of Communications

Sally Sapega Director of Internal Communications

CONTACT WHAT’Snew at: Department of Communications Pennsylvania Hospital Philadelphia, PA 19106

phone: 215.829.6799 email: olivia.fermano@uphs.upenn.edu

WHAT’Snew is published biweekly for PAH employees. Access WHAT’Snew online at http://news.pennmedicine.org/inside/whats-new/.

WHAT’Snew

September 4–11 last Chance to Audition for the New Patient Welcome video

September 9 NeW! PAH Philly Heart Walk Bake Sale

Fall 2014 NeW! Penn Program for Mindfulness Courses & Special events

NEW! September 13Philadelphia Undy Run/Walk

September 16 DeADLINe — Quality & Patient Safety Awards Submissions

September 21 Penn’s 3rd Annual 5K for the IOA & Memory Mile Walk

SeptemberSeptember 27–28 34th Bike MS City to Shore Ride — 4th Annual Team UPHS/Penn

October 11-12 Ride to Conquer Cancer©

October 12 NeW! 2014 Philadelphia Kidney Walk

October 24 PPMC’s 5th Annual Cultural Diversity Conference

November 8 2014 American Heart Association Heart Walk

FLu SeASON IS ALMOST uPON uS! Be PrePared, geT VACCINATeD

2014-15 CAMPAIgN

Flu season is nearly here. The 2014-15 Penn Medicine Influenza vaccine Campaign for employees will begin late September/early October. This timing is chosen to provide optimal protection during the usual peak times for influenza infection in the Philadelphia area.

This flu season’s vaccine components are identical to those of 2013-14. As usual, UPHS Occupational Health practices will provide vaccination opportunities at multiple convenient sites, including PAH. The calendar and details will be posted on the UPHS Intranet Homepage. Penn Medicine Staff will be able to print their own

bar-coded consent forms beginning in mid-September.

Any Penn Medicine employee or faculty member, who chooses to be vaccinated for the 2014-15 season by their own physician or pharmacy should save the documentation and submit it in September or October with their bar-coded forms. Documentation can be submitted by drop-off to your Penn Medicine Occupational Health Practice or by emailing PDFs (including the bar-coded form) to OccHealth@uphs.upenn.edu.