Contents
I. Faculty
II. Institutional Resources and Programs
III. Teaching Activities
IV. Research Activities
V. Publications
VI. Presentations
VII. Accomplishments
VIII. The John A Hartford/AFAR Medical Student
Geriatric Scholars Program
IX. Strength and Weaknesses
Geriatric Division
FUHS/CMS
(2001)
I.
Faculty
NCVA Medical Center
Axel Feller, MD. F.A.C.P. Chief, Division of Geriatrics
Professor
of Medicine
(Affiliate)
Jen-Chieh Cheng, MD. F.A.C.P. Professor of Medicine
(Affiliate)
Shein-Keng Shih, MD Assistant
Professor of Medicine
(Affiliate)
Bhanumathi Katari, MD Assistant Professor of Medicine
(Affiliate)
Parde Y. Lalitha, MD Instructor
of Medicine
(Affiliate)
Mt. Sinai
Luis Couret, MD Attending
Physician
Emmanuel Paintsil, MD Attending Physician, MSHMC
Christine Veres, MD Assistant
Professor of Medicine
(Affiliate)
Lutheran
General
William Rhoades, DO Director,
Geriatric Medicine
Clinical
Assistant Professor of
Medicine
Fellowship
Program Director
Robert J. Moss, MD. Director, Geriatrics (Family
Medicine)
Herbert C. Sier, MD Clinical
Professor of Medicine
Katherine Katsoyannis, MD. MBA Director, Medical Health
Resources
Alliance (Hinsdale,
Illinois)
CMS
Department of Psychology
Lawrence C. Perlmuter, Ph.D.
Professor
John L. Woodard, Ph.D.
II. Institutional Resources/Programs:
NCVA
Nursing
Home (180 Beds)
Dementia
Unit
Geropsychiatry
Unit
Physical
Medicine and Rehabilitation
Speech
Pathology
Hospital
Base Home Care
Adult
Day Health Care
Hospice
Mt.Sinai
Schwab
Rehabilitation Center
Several
Community Nursing Homes
Lutheran General
Nesseet
Geriatric Ambulatory Center
Assisted
Living Beds (60)
Nursing
Home (120 Beds)
Dementia
Units in Community Nursing Homes (2)
Home
Care (Advocate Home Care Agency)
III. Teaching Activities:
NCVA
First
year residents have one month rotation in Geriatric Medicine (see list of
residents completing Geriatric rotation).
Elective rotations by PGY2 and PGY3.
Other
than the Geriatric Faculty, the following VA staff actively participates in
Geriatric teaching activities:
Brian Lipson MD James Ellis PA
Han Chung Ng
MD Pam
Sykes RNNP
Franchot Wang
MD Debbie
Safron RNNP
Uma Shah
MD
Julie Peterson RN
Sonya Fulambarker
RD
Medical
student Geriatric Interest Group
Lutheran General
Geriatric
Medicine Fellowship: One year
fellowship
Medical
Students 4th year CMS
Internal
Medicine Residents
Mt. Sinai
Geriatricians do teaching attending activities
Geriatric
Resident Rotation At VAMC
2000-2001
7/31/00-8/29/00 Minsig Choi
Minerva
Galang
8/30/00-9/28/00 Marian Pungan
10/30/00-11/28/00 Saji Packal
11/29/00-12/28/00 Artelia Watson
12/29/00-1/29/01 Melissa Fernandes
Mir Omar
Ali
1/30/01-2/26/01 Patrice Houston
2/27/01-3/29/01 Norbert Urbanski
Gautham
Viswanathan
4/30/01-5/29/01 Maria Mazing
IV. Research Activities
1.
Chronic
Hepatitis C Virus Infection in the VA Population: Enrollment in VA Data
Registry and Treatment With Initial Daily High dose: Principal Investigator:
Dr. Axel Feller (Sponsor: Schering)
2.
Long
Term Follow-up of Human Growth Hormone Treated Elderly Veterans. Principal Investigator: Dr. Axel Feller
3.
Long
Term Follow-up of Human Growth Hormone Treated Elderly Veterans; A Follow-up
with Original Participants. Principal
Investigator: Dr. Axel Feller
4.
Project
SABE (Health and Aging in Latin America and the Caribbean) Pan American Health
Organization and Center for Demography and Ecology, University of Wisconsin,
Madison. Consultant: Dr. Axel Feller
5.
A
Multicenter, Randomized, Double-Blind, Placebo Controlled Study of Three Fixed
Doses of Aripiprazole in the Treatment of Institutionalized Patients With
Psychosis Associated With Dementia of the Alzheimers Type. Co-Investigators
Dr. Atul Mahableshwarkar & Dr. Axel Feller (Sponsor: Bristol-Meyer Squibb)
6.
Percutaneous
Endoscopic Gastrostomy Outcomes in V.A. (A Restrospective) Principal Investigator: Dr. Palavi M. Shah
7.
Antihypertensive
and Lipid Lowering to Prevent Heart Attack (ALLHAT) 1994 Present Principal Investigator: Dr. Jen-Chieh Cheng
8.
Omapatrilat,
Lisinopril and Placebo Efficacy Sudy in Elderly Black Hypertensive
Patients. Started 1998 In progress
Investigator: Dr. Jen-Chieh Cheng
9.
Ambulatory
Blood Pressure Monitoring in Nursing Home Patients. Assessment of Postprandial Hypotension and relationship Between
Activities and Blood Pressure.
Principal Investigator: Dr.
Jen-Chieh Cheng
10.
Hyponatremia
in Nursing Home Patients. Principal
Investigator: Dr. Jen-Chieh Cheng
V. Publications
1.
Reddy, V., Kruss, D., Feller, A., Singh, S., Self-Expanding Metallic Stent For the
Palliation of Malignant Esophageal Obstruction Complicated By Verterbral
Erosion and Esophagorespiratory Fistula.
Gastrointestinal Endoscopy 51:83-85, 2000
2.
Sung,
C., Boomer, J., Givens, T., DuChateau, B., Lepe, M., Feller, A., Westerman, M.,
GilmanSachs, A., Chedid, A.,Beaman, K.,
The Expression of Regeneration and Tolerance Factor (RTF) Correlates
Directly With Human Immnodeficiency Virus (HIV) Infection and Inversely With
Hepatitis C Virus (HCV) Infection.
Clinical Diag Lab Immunol 7:200-205,
2000
3.
The
ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research
Group. Cheng, J., Major Cardiovascular
Evets in Hypertensive Patients Randomized to Doxazosin vs Chlornalidone The
Antihpertensive and Lipid-Lowering Treatment to Prevent Heart Attack Trial (ALLHAT)
JAMA 283:1967-1975, 2000
4.
Chedid,
A., Lepe, R., Feller, A., Sung, C., Beaman, K., Expression of a Novel Protein
On Regenerating Hepatocytes Gastroenterology
118; suppl, 2:1054, 2000 (Abstract)
Poster of Distinction. DDW 2000
5.
Fan,
X., Singh, S., Perlmuter, L., Pulse
Pressure VS. Systolic Blood Pressure in Predicting Cognitive Function In Type 2
Diabetes. Annual Meeting of the
American Academy of Neurology, May 2001
(Abstract)
6.
Fan,
Z., Singh., Perlmuter, L., Mild
Hypernatremia, Systolic Blood Pressure,
and Neuropsychologic Function in Type 2 Diabetes. American Diabetes Association 61st
Scientific Session, June 22, 2001.
(Abstract)
7.
Eads,
A., Perlmuter, L., (2000) Age and
Education Moderate the Effects of Choice on Performance. Cognitive Technology 5:276
8.
Schwartz,
S., Feller, A., Perlmuter, L., (2001).
Postprandial Hypotension and Cognitive Functioning in Older Adults. Journal of Psychosomatic Medicine
(Bulgaria) 9:23-30
9.
Schwartz,
S., Feller, A., Perlmuter, L.,
Postprandial Systolic Blood Pressure and Sub-Syndromal Depression. Submitted for Publication
VI. Presentations
Enhancing
Motivation and Task Involvement in Young and Old. Annual Meeting, Midwestern Psychological Association, Chicago, Ill, May 5, 2000 Presenter: Lawrence Perlmuter, PhD
In
Children and in the Elderly, Increased Depressive Symtomatology and Poor
Cognitive Function are Modulated by Changes in Systolic Blood pressure.Annual
Meeting, Midwestern Psychological Association,
Chicago, Ill, May 5, 2000 Presenter: Lawrence Perlmuter, PhD
Meeting
Todays Alzheimers Challenges
Novartis Clinical Learning Forum,
Mackinac Island, Michigan,
September 2000
Presenter: William D. Rhoades, DO
Update
on Alzheimers Disease Medical Grands
Rpounds, Lutheran General
Hospital, Park Ridge, Ill September 2000
Presenter: William D. Rhoades, DO
Optimal
Management of Psychosis & Agitation in the Elderly
Regional Meeting Osteopathic
Physicians in Southwestern Pennsylvania.
Wexford, PA November 2000. Presenter: William D. Rhoades, DO
VII.
Accomplishments
Extended
care Program at NCVAMC achieved a score of 96 out of a possible 100 on the JCAHO accreditation
process.
The
division of Geriatrics at Lutheran
General Hospital was named to U.S. News and World Reports listing of the fifty
top geriatrics programs.
VIII.
The
John A. Hartford Foundation/American Federation for Aging Research Medical
Student Geriatric Scholarship Program
CMS Students sponsored by the Division of Geriatric Medicine that have been awarded the John A. Hartford/AFAR Medical Student Scholarship
IX. Strengths & Weaknesses
Strengths
A
cadre of fellowship trained and/or board certified geriatricians
Fellowship
Program at Lutheran General Hospital
Multiple
centers with very good to excellent geriatric facilities and programs
Three
different institutions sereving a diverse patient population
Schwab
Rehabilitation Center
Weaknesses
Absence
of independent Geriatric sections at VAMC and MSH
No
dedicated outpatient geriatric assessment clinic at NCVA