Division of Pulmonary & Critical Care Medicine
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Dear Alumni and Friends,
Greetings from the Division of Pulmonary & Critical Care Medicine. We bring to close a year highlighted by many exciting developments within the division, and with this edition of our newsletter, I wish to update you on some of our latest news and initiatives.
Several new and existing multidisciplinary programs at Taubman Health Center continue to flourish including:
- Interventional Pulmonary Program, under the direction of Jose (Pepe) Cardenas-Garcia, MD
- Post ICU Longitudinal Survivor Experience Clinic (UM-PULSE), headed by Jakob McSparron, MD
- Assisted Ventilation Program, led by Philip Choi, MD
- Adult Cystic Fibrosis Program, under the direction of Richard Simon, MD
- Interstitial Lung Disease Program, headed by Kevin Flaherty, MD
- Post-hospitalization COPD follow up clinic and LVRS programs, directed by MeiLan Han, MD, MS
- Pulmonary Sleep Medicine Program, led by Helena Schotland, MD
- Lung Transplantation Program, headed by Kevin Chan, MD
For more information about our clinical programs,
click here
.
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We are excited to announce the creation of the
Joseph P. Lynch III, MD Endowed Fellowship Fund
to support excellence in fellowship training in the Division of Pulmonary & Critical Care Medicine. The Lynch Fellowship Fund is a tribute to Dr. Joseph P. Lynch, III, who was a member of our faculty from 1977 through 2003. Dr. Lynch is a renowned clinician and researcher and known for his expertise in sarcoidosis, interstitial lung disease, lung transplant, and his unwavering dedication to his patients and indefatigable contributions to the medical literature. Joe trained generations of pulmonologists, both at the University of Michigan and now at UCLA.
The Lynch Fellowship Fund was spearheaded by a very large and generous gift from Dr. Lynch himself. Our goal is to secure $500,000 of endowed funds, which will provide support for our fellowship program in perpetuity. We plan to celebrate the creation of the Fellowship fund at our upcoming Michigan ATS reception in Dallas. We will be sending out more information on the Lynch Fellowship Fund and how to contribute in the near future.
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We hope you will share your comments and suggestions with us, we would love to hear from you - email us at
UMpulmcriticalcare@umich.edu.
And,
visit our website
to learn more about our expansive research, patient care, and educational programs. And please save the date for our annual Michigan Medicine Reception at this year's ATS Conference in Dallas, Texas.
Go Blue!
Sincerely,
Chief, Division of Pulmonary & Critical Care Medicine
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Veterans Affairs Spotlight
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The pulmonary section at the Veterans Affairs Hospital in Ann Arbor, Michigan, currently includes 11 pulmonary and critical care physicians, along with two PhD faculty scientists, all of whom share the goal of fulfilling our tri-partite mission of excellence in clinical care, teaching, and research.
The recent growth of our faculty has enabled the pulmonary service at the VA to expand the clinical programs offered to veterans, including expertise in pulmonary hypertension, interstitial lung disease, pleural diseases, and ultrasound technology in the ICU. In addition, we continue to focus on conditions of particular concern to our veterans, such as deployment related airways disease, COPD, lung cancer, and respiratory complications of ALS. With the recruitment of
Dr. Jose ("Pepe") Cardenas-Garcia
, we have been able to establish a new interventional pulmonary program to enhance our multidisciplinary care of veterans with suspected and confirmed lung cancer.
Our talented faculty are garnering recognition both locally (within the VA and University of Michigan Medical School), as well as nationally. Drs.
Michael Mendez
and
John Osterholzer
are spearheading the Life Sustaining Treatment Decisions Initiative program to help veterans and their families make important decisions about goals of care and end-of-life care. They were recently awarded a $10,000 grant from the University of Michigan Center for Research on Learning and Teaching, entitled, "
Compassionate Conversations Curriculum for Michigan Medicine: Building a core communication curriculum for medical students, postgraduates, and faculty
."
The VA pulmonary section continues to thrive in the research arena:
- Hallie Prescott, MD, MSc was awarded a VA Health Services Research and Development (HSR&D) Merit award for Benchmarking Hospital Quality.
- Jack Iwashyna, MD, PhD is the co-investigator on a newly funded HSR&D Merit on nursing skill and education and unit staffing.
- Jeffrey Curtis, MD received a VA Merit Award on alveolar macrophage efferocytosis and steroid suppression in COPD.
- Christine Freeman, PhD received a VA Merit Award on NK cells and dendritic cell cross-talk in COPD.
- Michal Olszewski, DVM, PhD received a VA Merit award on immune modulation of Cryptococcus CNS infection.
- John Osterholzer, MD received a Department of Defense grant on immune and radiologic markers of deployment related chronic bronchiolitis.
- Jane Deng, MD was awarded a NIH funded R01 on impaired neutrophil responses in post-influenza bacterial pneumonia.
We are extremely honored to be able to serve our nation's veterans by striving to provide the best in veteran-centric pulmonary and critical care, research discoveries, and training the next generation of physicians and researchers in pulmonary and critical care medicine.
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In July 2018, the Department of Internal Medicine announced it would create three early career endowment awards annually (valued at $250,000 each) over the next five years for a total of 15 awards by close of FY2023. The awards are competitively assigned to junior faculty at the assistant professor level (any track) who are within five years of their terminal residency, fellowship, or post-doctoral training.
This year, two of the awards went to Pulmonary faculty:
Robert Dickson, MD
-
The Bruce C. Richardson MD Department of Internal Medicine Early Career Endowment Award
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Pulmonary fellows
,
Patrick Bradley, MD; Matthew Hensley, MD, MPH;
and
Bonnie Wang, MD
took 2nd place in the 2018 Chest Challenge.
Read more
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Faculty from Michigan Medicine visited the Sichuan Academy of Medical Sciences and the Sichuan Provincial Peoples Hospital in Chengdu, China this November.
Drs. Theodore Standiford, Eric White, and Aamer Chughtai (U-M Department of Radiology) attended morning rounds, lectured in their seminar series, and met with faculty and staff, including Dr. Deng, President of the Hospital.
Michigan faculty also had time to take in some of the local sites, including the Panda Research Center located just outside of Chengdu. This was the first visit to Chengdu for Dr. Standiford, the second for Dr. White, and the fourth visit for Dr. Chughtai.
The visit was hosted by our Chengdu colleagues - Dr. Yang, Dr. Guo, and Dr. Lang. Both Dr. Guo and Dr. Lang have visited the University of Michigan, where they performed research sabbaticals in the pulmonary division. In addition, Dr. Douglas Arenberg and Dr. Kevin Chan were visiting professors at the Sichuan Academy of Medical Academy in past years.
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Colin Cooke, MD, MS, MSc
, Associate Professor of Internal Medicine
John Erb-Downward, PhD
, Associate Research Scientist of Internal Medicine
MeiLan Han, MD, MS
, Professor of Internal Medicine
Jack Iwashyna, MD, PhD
, Professor of Internal Medicine
Rommel Sagana, MD
, Clinical Associate Professor of Internal Medicine
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Roomi Nusrat, MD
,
Clinical Associate Professor
Steven Hrycaj, PhD
,
Research Assistant Professor
Stephen Gurczynski, PhD
,
Research Investigator
Jintao Xu, PhD
, Research Investigator
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Caryn Brehm, MD
Residency:
Wake Forest
Medical School:
East Tennessee State
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Avnee Kumar, MD
Residency:
University of Maryland
Medical School:
University of Texas-Southwestern
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Caroline Davis, MD
Residency:
University of Washington
Medical School:
University of Minnesota
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Christopher Ting, MD
Residency:
Henry Ford Hospital
Medical School:
University of Vermont
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Joseph Hamera, MD
Residency:
Beaumont Hospital
Medical School:
Wayne State University
2019-2021 - EM-IM Critical Care Fellow
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Max Wayne, MD
Residency:
University of Michigan
Medical School:
University of Pittsburgh
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Enhancing Recovery From Sepsis
Dr. Hallie Prescott first-authored a review "Enhancing Recovery from Sepsis", published in JAMA in 2018. Current treatment guidelines emphasize interventions to reduce short-term mortality, but provide little information on strategies to minimize physical disability, cognitive impairment, or health deterioration after sepsis. This first-of-its-kind review discussed the long-term sequelae of sepsis and recommends strategies—both during and after sepsis hospitalization—to minimize long-term disability.
Read more
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Epithelial-Mesenchymal Transition Leads to NK Cell–Mediated Metastasis-Specific Immunosurveillance in Lung Cancer
In this landmark study, Dr. Venkateshwar Keshamouni and investigators found that lung cancer cells undergoing the process or epithelial-mesenchymal transition are more susceptible to NK cell-mediated killing, an effect mediated by E-cadherin-cell adhesion molecule 1 (CADM1). Moreover, higher CADM1 expression by human lung tumors correlated with improved patient survival and reduced metastatic potential. Importantly, this work identified a novel target for therapy in patients with lung cancer.
Read more
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Lung Dysbiosis, Inflammation, and Injury in Hematopoietic Cell Transplantation
In this study, Dr. David O'Dwyer and colleagues used cutting-edge microbiome techniques to understand how uncultured bacteria in the respiratory tract contribute to pulmonary complications following hematopoietic cell transplant. They used a translational approach, including prospective study of human subjects and animal modeling. They found that disruption of the lung microbiome is correlated with the histologic, immunologic, and physiologic features of post-HCT pulmonary complications. The manuscript, published in the American Journal of Pulmonary and Critical Care Medicine, was profiled as an “Editor’s Choice” in the July 4 issue of Science Translational Medicine.
Read more
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Impact of Bronchiectasis on the Frequency and Severity of Respiratory Exacerbations in COPD
In a five year longitudinal analysis of the COPDGene cohort, Dr. Wassim Labaki and colleagues characterized patterns of radiologic disease progression in smokers using voxel-wise Parametric Response Mapping (PRM) of chest computed tomography. They showed that a typical progression pattern involves an increase in functional small airways disease (fSAD) followed by an increase in emphysema. Moreover, the baseline extent of fSAD was an independent predictor of future emphysema development.
Read more
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SAVE THE DATE
32nd Annual Update in Pulmonary & Critical Care Medicine
Friday - Saturday, November 1-2, 2019
The Inn at St. John's, Plymouth, Michigan
Course Co-Directors
Target Audience
General internists, pulmonologists, family physicians, intensivists, physicians-in-training, and other allied health providers who deal with areas of pulmonary and critical care medicine will find this course of value in their daily practice.
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The Division of Pulmonary & Critical Care Medicine is committed to caring for critically ill patients and patients with lung disease. This requires not only that we provide the best possible care, but that we convey these skills to trainees and develop novel approaches to understanding and managing these diseases through basic science, clinical, and outcomes research.
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Michigan Medicine
Division of Pulmonary & Critical Care Medicine
6220 MSRB III, SPC 5642
1150 West Medical Center Drive
Ann Arbor, MI 48109
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