America's leading doctors: from treating heart
disease to fighting cancer, These physicians are changing world of
medicine.
by Brown, Carolyn M.^Brown, Tracey^Hocker, Cliff^Donaldson, Sonya
A.^Logan, Shari
That is part of his charge as he leads Howard University's
Department of Surgery to national prominence in patient care. teaching,
and research. "During the days of segregation, there were few
places [for African American medical students] to go other than Meharry
and Howard," he says, citing Howard's role in the development
of first-class physicians and surgeons. "A lot of my early heroes
were doctors right here."
Cornwell joined Howard in January, leaving his post as professor of
surgery and chief of trauma at Baltimore-based The Johns Hopkins
Hospital. A native son of Washington, D.C, his vision for Howard's
department of surgery is to advance surgical procedures such as
transplants, cardiovascular surgery, and bariatric surgery used to help
obese patients lose weight. He has also focused on the treatment of
cancer and improvement of trauma/critical care services. --Carolyn M.
Brown
Specialty: Pediatric Endocrinology
Ilene Fennoy, M.D., M.P.H.
Medical Director, Comprehensive Adolescent Bariatric Surgery
Program. Morgan Stanley Children's Hospital: Associate Clinical
Professor of Pediatrics. Columbia University
FOR 25 YEARS, FENNOY HAS TREATED CHILDREN WITH DIABETES MOST OF HER
cases involve the type 2 variety, previously thought to occur in those
45 years of age or older, hut which has reached epidemic proportions
among youth ages 11-14. The disease is linked to obesity and
disproportionately affects children of color. Today, roughly 10% to 15%
of children and teens are overweight, twice the figure two decades ago.
Diabetes and insulin resistance are big medical problems for
endocrinologists, says 61-year old Fennoy.
Fennoy's most recent clinical research involves a five-year
study of a school-based intervention of exercise and nutrition education
funded by the Academic Medicine Development Co. "The kids that we
are dealing with are truly morbidly obese with a body mass index above
35," she says. "We are talking about extremes with average
weights in the 300s." Six months into the study, roughly 40
children, who had gastric banding operations, are losing weight, this is
a safe and minimally invasive surgical procedure says Fennoy.
"The band is a mechanical restructive device (placed around
the stomach) that can be adjusted. So the patient is in control of how
they use this tool." In comparison, "gastric bypass can cause
malabsorption," Fennoy explains. "if malabsorption is not
appropriately monitored. It can lead to major medical problems down the
tine. It's hard for some adolescents to follow through as they
transition into adulthood." Fennoy's work will be responsible
for a number of youths staying healthy and fit during their formative
years.--Carolyn M. Brown
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Specialty: Cardiology
Gary H. Gibbons, M.D.
Director, Cardiovascular Research Institute; Professor or Medicine,
Morehouse School of Medicine
AFTER A LECTURE DURING HIS FIRST YEAR AT HARVARD MEDICAL SCHOOL,
Gibbons asked a professor why African Americans tend to have more
hypertension than other populations. The professor challenged Gibbons to
find the answer to his own question. Thirty years later, Gibbons is
still searching for answers. Gibbons' research group at the
Morehouse School of Medicine tries to figure out the role genes play,
along with lifestyle choices, in the cardiovascular health of minority
populations. One project investigates how genes react in the blood
vessels of African American patients with hypertension as compared to
those who don't have hypertension.
Over the years, Gibbons' research has yielded several U.S.
patents for medical innovations and he has authored more than 70
scientific papers. In 2007 he was elected into the elite Institute of
Medicine of the National Academies.
The future, says Gibbons, could bring personalized medical care
based on patients' distinct genetic makeup. Tests will reveal the
sequence of all genes in a patient's body, and this genetic profile
may enable doctors to personalize the prescriptions or treatments to
give that person. "The challenge would be to really advance
minority health by understanding what genomic variation may be
characteristic or common among people of African descent and really
defining how we can use this information to individualize care,"
says Gibbons.--Cliff Hocker
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Specialty: Cosmetic Surgery
Anthony Griffin, M.D., F.A.C.S. Director, Beverly Hills Cosmetic
Surgery Institute
GRIFFIN IS KNOWN IN HOLLYWOOD CIRCLES FOR PIONEERING THE Brazilian
Butt Lift and signature procedures such as the Six Pack Tummy Tuck and
the non-incision or No-Tell Nose Job. For the highly recognized doctor
of television's Extreme Makeover, the biggest challenge is that
people don't see plastic surgeons as doctors or take cosmetic
procedures seriously when it comes to safety and aftercare. "They
see us as a high-priced beauty consultant. But this is medicine,"
says Griffin, who also specializes in surgical techniques for African
American and other ethnic skin types.
People of color accounted for 23% of the 11.5 million cosmetic
procedures performed in the United States in 2006. Only 3% of
board-certified plastic surgeons are African American. Griffin is a
member of the American Society of Plastic Surgery and a diplomate of the
American Board of Plastic Surgery. While about 90% of his practice is
cosmetic, the other 10% is reconstructive surgery.
The Beverly Hills doctor is involved with Operation Smile, a group
that organizes annual missions around the world to reconstruct childhood
facial deformities at no cost. Griffin gained expertise in repairing
cleft lip and palate deformities during his residency at the University
of Southern California. He went on his first Operation Smile mission to
Kenya in 1995, where he met and later married his wife, a registered
nurse. "After 45 minutes of changing a kid's life forever, I
realized this is what I am supposed to be doing," says Griffin, who
has since gone on more than 10 missions. "At times, 300 to 400 kids
will show up and we can only do 150. I usually do five to seven a day or
about 70 cases in all."--Carolyn M. Brown
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Specialty: General Pediatrics, Biomedical Informatics
Kevin Johnson, M.D., M.S.
Associate Professor and Vice Chair of Biomedical Informatics and
Associate Professor of Pediatrics, Vanderbilt University Medical Center
TO MAKE HEALTHCARE BETTER, JOHNSON PUTS INFORMATION TECHNOLOGY TO
WORK. This developer of clinical information systems works with a
Vanderbilt team that's a global leader in its field. Used for more
than 60,000 prescriptions each month, their software automatically
checks for medical mistakes and drug contraindications.
In Memphis, Tennessee, his team's "health information
exchange" work connects many of the area's emergency
departments and clinics. "Imagine that a patient seen in one part
of town just hours before for chest pain can have previous radiology and
procedure reports available to an emergency department in another part
of town virtually instantaneously," Johnson says. "Our
research has already impacted the healthcare delivered to patients in
emergency departments in Memphis. It is a nationally exciting project,
and one that we get to use to show the amazing potential of electronic
health records."
Johnson's interest in healthcare was kindled during his
childhood in Baltimore, when Johns Hopkins doctors and nurses took care
of him during asthma attacks. By the time he entered college, he
upgraded his ambitions to pediatrics upon realizing he was a
"people person" who enjoyed interacting with families. As a
student at Johns Hopkins University School of Medicine, Johnson's
passion for computer science led him to conduct research in biomedical
informatics, and he received a master's degree from Stanford in the
discipline once he completed his residency in pediatrics.
The Robert Wood Johnson Foundation's Project Health Design
funds Johnson's initiative to work with children to help them take
their medication on time.
--Cliff Hocker
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Specialty: Shoulder and Knee Orthopaedic Surgery
Cato T. Laurencin, M.D., Ph.D.
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Pratt Distinguished Professor and Chairman of Orthopaedic Surgery,
Professor of Biomedical Engineering, and Professor of Chemical
Engineering, University of Virginia
Specialty: Shoulder and Knee Orthopaedic Surgery
THESE DAYS, THINGS ARE PRETTY BUSY FOR LAURENCIN. AN
INTERNATIONALLY known shoulder and knee clinical specialist with cutting
edge research as a professor of chemical engineering and biomedical
engineering, he is fellowship trained in shoulder surgery and sports
medicine and one of only three practicing orthopaedic surgeons in
America elected to the prestigious Institute of Medicine of the National
Academy of Sciences. Recently named to the 2007 Scientific American 50
list for his groundbreaking technology for regeneration of the anterior
cruciate ligament using a bioengineered matrix, the chair of the
University of Virginia Orthopaedic Surgery Department launched Laurencin
Laboratories, a Center for Musculoskeletal Regeneration and Repair in
2005.
The ACL is the most commonly injured knee ligament, with roughly
half a million cases a year reported worldwide. Laurencin has developed
a fiber technology that essentially replaces the ACL with a
bioengineered ligament. This allows the ligament to generate new growth
to repair the knee. So far, he has achieved success in small animal
tests and will begin large-animal testing this year, and eventually,
treatment of humans.
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