- Thoracic and Cardiovascular Surgery
Clinical Assistant Professor, Cardiothoracic Surgery
Medical Education:Morehouse School of Medicine (2005) United States of America
Residency:UPMC Mercy General Surgery Residency Program (2010) PA
Board Certification: General Surgery, American Board of Surgery (2011)
Fellowship:University of Minnesota (2013) MN
Board Certification: Thoracic and Cardiovascular Surgery, American Board of Thoracic Surgery (2014)
Fellowship:University of Maryland Div of Cardiac Surgery (2014) MD
Abdominal aortic pseudoaneurysm managed with endovascular stent graft.
Surgical laparoscopy, endoscopy & percutaneous techniques
2009; 19 (3): e106-8
Angioplasty, stenting, endovascular stent grafts, and other minimally interventional techniques are becoming common techniques used for a myriad of vascular pathology. As the technology, comfort level, and technical expertise improve, the envelope of overuse is being approached or possibly superceded. We present an unusual complication of pancreatitis, pseudoaneurysm of the abdominal aorta, which was successfully treated with an endovascular stent graft.
View details for DOI 10.1097/SLE.0b013e3181a493e1
View details for PubMedID 19542831
What do physician extenders in a general surgery residency really do?
JOURNAL OF SURGICAL EDUCATION
2008; 65 (5): 354-358
The 80-hour workweek has forced surgical training programs to employ physician extenders to reduce work hours and improve the educational environment. The purpose of our study was to document objectively the specific workload provided by physician extenders and to evaluate any objective or subjective benefit provided to the residency program.Over 4 consecutive months, all orders written by 2 physician extenders associated exclusively with the general surgery residency program at our institution were reviewed. They were categorized as daytime or evening orders and were subdivided into admission, routine preoperative and postoperative, acute care, daily laboratories, pain medications, Pro re nata (PRN), wound care, and discharge orders. Acute care issues and PRN orders were individually examined and subdivided. The appropriateness, total volume, and the orders for each category were totaled and reviewed.Overall, 3101 total orders (1128 daytime and 1973 nighttime) were reviewed in a 4-month time period. On average, physician extenders at night wrote 35 orders per shift, compared with only 18.8 orders during the day. During the night, admission orders totaled 547 (27.7%), preoperative orders 442 (22%), acute care issues 324 (16.4%), PRN orders 239 (12%), and pain medication and PRN sleeping pills 156 (8%). During the day, routine postoperative orders totaled 305 (27%), daily laboratories 184 (16%), and discharge orders 253 (22%).Physician extenders wrote appropriate orders and reduced resident workload. Educational opportunities increased because fewer residents left conference for acute patient care issues, and 1 fewer resident was absent during the day secondary to 1 less resident being sent home postcall. Performance on the American Board of Surgery In-Training Examination (ABSITE) increased dramatically for a focused group of residents. As the expense of each extender is approximately $90,000, justification to administration is dependent on the institutional support and efficiency of the residency program. A clear simple outcome is that by improving standing orders and clinical pathways, and by using an electronic medical record system, noneducational work hours can be reduced significantly.
View details for DOI 10.1016/j.jsurg.2008.06.002
View details for Web of Science ID 000259784100007
View details for PubMedID 18809165
Laparoscopic management of a small bowel obstruction of unknown cause
JSLS-JOURNAL OF THE SOCIETY OF LAPAROENDOSCOPIC SURGEONS
2008; 12 (3): 299-302
With the expanding indications for minimally invasive surgery, the management of small bowel obstruction is evolving. The laparoscope shortens hospital stay, hastens recovery, and reduces morbidity, such as wound infection and incisional hernia associated with open surgery. However, many surgeons are reluctant to attempt laparoscopy in patients with significantly distended small bowel and a history of multiple previous abdominal operations. We present the management of a patient with a virgin abdomen who presented with a small bowel obstruction most likely secondary to Fitz-Hugh-Curtis syndrome who was successfully managed with laparoscopic lysis of adhesions.
View details for Web of Science ID 000258833000016
View details for PubMedID 18765057