November 1, 2016
Interview season is officially upon us! Thank you to all the residents and faculty that have helped to kick off our interview season! The applicants commented numerous times that our residents showed great enthusiasm and community at dinner and during lunch. Let’s keep up the great work and continue to show applicants across the nation that our residents, faculty and staff here at Duke Anesthesiology are the best!
To those of you who attended the ASA, I hope you enjoyed your time and all of the Garrett popcorn in Chicago! Make sure to get all of your receipts to Shelby as soon as possible. You all looked great at the alumni event and brunch was delicious. We had a great showing at the Residency Program Meet and Greet, and the Duke basketball raffle at the event was well-attended. Shout out to Jack Gamble for completing the Run for the Warriors in record time and to Shawn Jia for being the super photogenic guy (stop by the TV for proof). Oh, and the presentations, the real reason we were all there, were an example of the important scholarship our faculty and residents do every day while also taking excellent care of our patients.
Make sure to check out our latest blog posting submitted by our last year’s chief residents, Eun and Stephen!
For everyone keeping up with our global health opportunities, Brian will be going to Ghana with Yemi for the month of January and Dennis will be heading to Haiti with Ellen Flanagan for a week. At press time, Dr. Stuart Grant is leading in The Pie in the Face contest to raise funds and awareness for Global Health. Stop by with your donations for and the chance to smash a pie in someone’s face!
For CA2s, fellowship interviews will begin in the next six months. On Monday, November 14th, Dr. Mark Stafford-Smith, our most experienced fellowship program director and soon-to-be member of the ACGME Residency Review Committee, will lead a presentation about applying to fellowships. We are requesting fellowship program directors to attend this session to give their perspectives and answer specialty specific questions. Although the target audience is CA-2s, CA-1s are also encouraged to attend.
Finally, congratulations to our APD, Ankeet, and Annie for adding the newest, cutest addition to the residency family, Aiden. Congratulations to Rob and Bryn for winning the tickets to the Duke basketball game – there is nothing like watching a game in Cameron!
Session MCC04 – Medically Challenging Case Presentations
Catastrophic Antiphospholipid Syndrome Presenting in the Puerperium Period
Angela Xiaowei Li, M.D., Agnes M. Lamon, M.D., Zaneta Y. Strouch, M.D..
Duke University Medical Center, Durham, NC, USA.
A 26 year-old G2P0010 at 25 weeks with a history of antiphospholipid syndrome presented with abdominal pain. Initial workup was unremarkable. On HD2, she had a tonic-clonic seizure. Brain imaging showed PRES and labs revealed severe thrombocytopenia and elevated liver enzymes suggesting HELLP syndrome. She underwent C-section under general anesthesia and was discharged on POD4 with normalizing lab values. She was readmitted 24hrs later with severe back pain, fever and tachypnea and found to have catastrophic antiphospholipid syndrome that was treated with steroids and plasmapheresis. This case highlights a rare clinical syndrome that is associated with high morbidity and mortality.
- 10/30 – 11/5
- This weekend (10/29 – 10/30): Smith, Mangubat
- Next weekend (11/5 – 11/6):
- Saturday 11/5: Overmon, Ellison
- Sunday 11/6: Herbert, Ellison
- This week (Sat PM 10/29 – Fri AM 11/4): Jia, Cotter
- Next week (Sat PM 11/5 – Fri AM 11/11): Falcinelli, Devinney
Friday Night Call
- Friday (10/28): Reskallah, Andrews
- Next Friday (11/4): S. Jones, Chen
- The Friday after Next (11/11): Smith, Cobert
Liver Call Weekend (pager: 7320)
- This weekend (Fri PM 10/28 – Sun PM 10/30): Johnbull
- Next weekend (Fri PM 11/4 – Sun PM 11/6): Garrett
Liver Call Weekday (pager: 7320)
- Liver day (Mon AM 10/31 – Fri PM 11/4): Crowgey
- Liver night (Sun PM 10/30 – Fri AM 11/4): Smith
- -Saturday 10/29 AM: Thapa
- -Saturday 10/29 PM: Bluth
- -Sunday 10/30 AM: Garrett
- -Saturday 11/5 AM: L. Jones
- -Saturday 11/5 PM: Bluth
- -Sunday 11/6 AM: Thapa
Simulator (4-6 p.m. — page charge CRNA *7853 to ask for relief at 3:45 p.m.)
*These are mandatory sessions*
- No sim session this week, Enjoy your Halloween!!!
- CA3 on call pager (9313) is covered by CA3 on general OR call.
- Liver call pager (7320) is always covered.
Please stop by during the office hours listed below. Or, please feel free to contact any of our leadership to schedule a meeting outside of standard office hours.
RSVP to Jessica Burkhart for November and December dinners!
Want to talk with someone?
Personal Assistance Service (PAS) is the faculty/employee assistance program of Duke University, that is FREE. The staff of licensed professionals offer assessment, short-term counseling, and referrals to help resolve a range of personal, work, and family problems. PAS services are available at no charge to Duke faculty and staff, and their immediate family members. An appointment to meet with a PAS counselor may be arranged by calling the PAS office at 919-416-1PAS (919-416-1727), Monday through Friday between 8:00 A.M. and 5:00 P.M. If you need assistance outside of those hours, call the Blood and Body Houtlins (684 1115) for behavioral health concerns.
This Week in Lectures
CA1 (11/1): Acid base Analysis: Traditional Approach with Dr. Richard Moon
Grand Rrounds (11/2): Management of the Difficult Airway with Dr. Jenna Falcinelli
CA2/3 (11/2): FASTHUG with Dr. John Lemm
Thursdays (11/3): Clinical Case Conference with Dr. Brad Taicher
Next Week in Lectures
CA1 (11/8): Acid Base Analysis: Stewart Approach with Dr. Richard Moon
Grand Rounds (11/9): The Neurobiology of Cancer Pain with Dr. Brian Schmidt from New York University
CA2/3 (11/9): Sepsis with Dr. Nazish Hashmi
Thursday (11/10): Resident TEE Series with Dr. Sharon McCartney