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May 21, 2009
 
       
 

Too Hip


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When Yankee slugger Alex Rodriguez returned from a hip arthroscopy in a lightning-quick six weeks, it spotlighted a procedure that's been steadily attracting interest. Orthopedic surgeon Dr. Andy Wolff, whom we met yesterday at his Virginia Hospital Center practice (Nirschl Orthopedic Center), tells us rotator cuffs are retro. Nowadays, the youngsters think hips are hip.

 

Andy was the team doc for the US Ski Team in Chile and came back with that autographed photo. Until recently, hip labrum damage meant surgeons turned to complex hip dislocation. Now, it's arthroscopic trimming of the bone that caused the cartilage tear (plus repairing the torn labrum, of course). It's just two weeks on crutches and all restrictions off at three months. You can't afford not to have it done! (Technically, that's not true. Andy tells us healthcare coverage for the procedure is hit or miss; and, when they miss, it's months of paperwork.)  He's performing about two a week and says interest grows as diagnoses improve.

 
Apatoff Peters
 

He and Dr. Clay Wellborn make up two-fifths of the office, though Andy's the latest addition, coming on when legendary shoulder surgeon Pat St. Pierre moved to Southern California. His story gets better: Andy's half a medical power couple, his wife a reproductive endocrinology fellow at NIH. But when that ends in three years, they're planning on sticking around. Even though he confesses skiing is much better in his previous stop, Vail, CO, he promises to check out some West Virginia slopes next season.


Neo-Neonatal
 

We snapped this at the opening of Children's National Medical Center's new NICU (Neonatal Intensive Care Unit) last Thursday. CEO Ned Zechman and Neonatology division chief Dr. Billie Short, scissors in hand, make it official. With 150 RN's, it's the largest unit in the hospital. The new space has more beds (54 total, all-private), quiet rooms for parents, and even transition rooms, where families unsure about acclimating to home life can spend the night before discharge. Every room has EEG's, cameras to monitor seizures, and direct lines to the neurology unit.

 

Unit nurse manager Tara Taylor and Luke, a one-time NICU'er she took care of when started six years ago. Tara revealed to us the little things that don't go unnoticed by the nursing staff: Penguin Nutritional breast milk warmers that let you thaw 1 cc if that's all you need (no wasting); fridges that can be monitored remotely; and family-centered care—e.g. comfortable chairs for parents. Tara was a preemie herself, born at the University of Maryland.

 

Here's Billie flanked by parent advisory council members Elizabeth Ottaway and John Rusinko, who tell us the council was so gung ho that even picking the chairs took many thoughtful hours. Billie's recent work includes neonatal neuroprotection for babies born with low oxygen. In the past, brain damage was imminent, but she uses cooling blankets to bring brain function to a low state, dropping the body temp to 33.5 C. (Struggling with the metric conversation? No problem, it's 306.6 K.)

Curtis Raye writes Medical Bisnow and would love to hear about your good news, bad news, or news that is too shy to ask. Send story ideas to Curtis@Bisnow.com

 
 
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