From the Offices of Elliot Joseph and Jeffry Nestler, MD
March 20, 2011 Edition

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“There are risks and costs to a program of action, but they are far less than the long-range risks and costs of comfortable inaction.” - John Kennedy

March 30 is National Doctors’ Day
In honor of National Doctors’ Day, March 30, we salute the hardworking doctors, researchers, teachers, scientists and humanitarians of the Hartford Hospital Medical Staff.

Academics and Research

HHC Institute for Research Moves Forward

The Hartford HealthCare Institute for Research is becoming a reality. The executive board of the Institute is in the beginning stages of allocating the $9,000,000 set aside by the system for the purpose of increasing research volume over the next five years. The MidState Medical Center IRB will be combined with that of Hartford Hospital to better facilitate research growth within the system.

Dr. Coleman from HH’s Evidence-Based Practice Center Quoted in Article on Natural Remedies

Dr. Craig Coleman, co-director and methods chief at the UConn/Hartford Hospital Evidence-Based Practice Center, was quoted in a March 15 article in the Hartford Courant entitled “Natural Remedies: Are They More Effective Medicines?” The studies conducted to support the health claims of many herbs and spices are not usually held to the same standards as drugs seeking FDA marketing approval, he says. Other Hartford Hospital staff involved in the EPC are Dr. Jeffrey Kluger, associate director and medical chief; C. Michael White, director; Jeffrey Mather, statistician; Robert Quercia, medical editor; Mary Maibaum, business and grant support; and investigators Vanita Tongbram, Ripple Talati, Ajibade Ashaye, Olivia Phung, Jennifer Colby, Erica Baker, Jennifer Scholle, Soyon Lee, William Baker, and Wendy Chen.,0,908141.story.

Innovative and Complex Care

Dr. Zweibel Selected As Fellow in the Heart Rhythm Society

Dr. Steven L. Zweibel, director of cardiac electrophysiology at Hartford Hospital, was elected to be a Fellow in the Heart Rhythm Society, whose members specialize in electrophysiology. Zweibel is also a certified cardiac device specialist (CCDS), a designation he achieved by passing the IBHRE (International Board of Heart Rhythm Examiners) exam and a Fellow of the American College of Cardiology.

Dr. Beller Quoted in Courant Article About Impact of Cutting Funding to Planned Parenthood

Dr. Peter J. Beller, the director of Women's Ambulatory Health Services, was quoted in a March 16 Hartford Courant article entitled “Clinics Fear Being Swamped If Planned Parenthood Loses Funding.” Beller said his clinic handles about 20,000 patient visits a year, many of them for services similar to those provided by Planned Parenthood, and it would be difficult to absorb Planned Parenthood’s patient base. He said that scheduling a routine exam for a pregnant woman currently may require a three-week wait at his clinic, and that women seeking routine annual exams can wait up to three months.,0,2138368.story

Care Coordination

Eastern Rehabilitation Network Provides Comprehensive Services in 14 Locations

The Eastern Rehabilitation Network (ERN) was founded in 1995 as the rehabilitation arm of Hartford HealthCare. Its 450 staff members are HH employees and its outpatient clinics are a department of Hartford Hospital. ERN provides services throughout the rehabilitation continuum, from acute care to outpatient. There are 14 ERN-owned locations in the area; all provide physical therapy and macromastia services, and all but Wallingford offer a “Safe Steps” fall prevention program. Additional services are available at different locations:

  • Functional Capacity Evaluations: Hartford.
  • Urinary Incontinence: Meriden and West Hartford–South Main Street.
  • Speech-language Pathology: East Hartford, Hartford, and Meriden.
  • Swallowing Evaluation: East Hartford, Hartford, and Meriden.
  • Aquatic Therapy: Avon, Meriden, and West Hartford-Blue Back Square.
  • Spinal Cord Rehab: East Hartford, Hartford, and West Hartford–South Main Street.
  • Prosthetic Training: Avon, East Hartford, Glastonbury, and Hartford.
  • Neuro Conditions: East Hartford, Hartford, Meriden, and West Hartford–South Main Street.
  • Lift Assessment Program: Hartford, Manchester, Meriden, Wethersfield, and Windsor.
  • Foot Orthotics: Avon, Glastonbury, West Hartford–Bishops Corner, West Hartford–Blue Back Square, and Windsor.
  • Occupational Therapy: East Hartford, Enfield, Glastonbury, Granby, Hartford, Meriden, West Hartford–Bishops Corner, Wethersfield, and Windsor.
  • Bariatric Surgery Rehab: Avon, East Hartford, Enfield, Glastonbury, Hartford, Manchester, Meriden, West Hartford–Blue Back Square and West Hartford–South Main Street.
  • Breast Cancer Rehab: Avon, Enfield, Glastonbury, Manchester, Meriden, West Hartford–Bishops Corner, West Hartford–Blue Back Square, West Hartford–South Main Street, Wethersfield, and Windsor.
  • Hand Therapy Services: East Hartford, Enfield, Glastonbury, Granby, Hartford, Meriden, West Hartford–Bishops Corner, Wethersfield, and Windsor.
  • Headache Management: Avon, East Hartford, Glastonbury, Granby, Hartford, Manchester, Meriden, West Hartford–Bishops Corner, West Hartford–South Main Street, and Wethersfield.
  • Lymphedema (Upper Extremity): Avon, Enfield, Glastonbury, Manchester, Meriden, West Hartford–Blue Back Square, Wethersfield, and Windsor. (Lymphedema/lower extremity services are only available in Enfield and Meriden.)
  • Pregnancy/Post-partum Back Care: Avon, Enfield, Glastonbury, Granby, Hartford, Meriden, Wallingford, West Hartford–Bishops Corner, West Hartford–Blue Back Square, West Hartford–South Main Street, Wethersfield, and Windsor.
  • Vestibular Rehab: East Hartford, Hartford, Meriden, West Hartford–Bishops Corner, West Hartford–Blue Back Square, West Hartford–South Main Street, and Wethersfield.

Leader in Hepatology Joins Hartford Hospital as Senior Director

Dr. Rolland Dickson, a widely-recognized expert in Hepatology, has been named Senior Director of General Hepatology and Liver Transplant Medicine. Dr. Dickson, who will divide his time between Hartford and Dartmouth-Hitchcock Medical Center in Lebanon, N.H., brings a significant clinical, research and education background to the care of patients with liver disease. Dickson provides additional depth to our exceptional multidisciplinary team that also includes Drs. Jon Israel and Colin Swales. This team is more ready than ever to treat patients with an illness that requires a truly focused and state-of-the-art team.

Full Circle Award Recipients Avert Potential Medication Errors

Daileann Hemmings, a nurse on North 8, noticed that a PCA cartridge did not have the drug concentration listed on the label for verification. Following appropriate safety protocols, she contacted Pharmacy to verify the concentration prior to the administration of the drug. Lisa Durland, the Pharmacy Information Systems Manager, investigated and found that a new process implemented in Pharmacy involved changing these labels and that, as an unintended consequence, the concentration had been shifted down a line and no longer printed on the label. Ms. Durland adjusted the labels so they would contain the complete information. By “just doing their jobs,” Hemmings and Durland remedied the potential safety issue and prevented potentially serious medication errors. They received a Full Circle Award on March 15 at Management Forum.

Dr. A.J. Smally, A Pace-Setter in Annual Campaign Giving

“I feel fortunate to work at Hartford Hospital. It’s a great place and I feel strongly that I should give something back, ultimately to benefit our patients,” said Dr. A.J. Smally, explaining why he and his wife, Dr. Sharon Pool, support Hartford Hospital’s Annual Campaign. Year in and year out, Dr. Smally has set an example of leadership giving with his consistent and generous donations to the effort. This month marks the midpoint of Hartford Hospital’s 2011 Annual Campaign, and gifts from the Medical Staff are important to this critical fund-raising effort. At this point, the Medical Staff appeal has raised nearly $103,000, with 121 physicians participating. The campaign ends in September – so if you haven’t already, please make your gift to the Medical Staff Annual Campaign now. For your convenience, you may make your gift online at or call Jenn Coutu at 860-545-2969.

Operational Update

URGENT: Applications Due for Summer Approval of Medical Staff Membership

Physicians, chiefs of service and practice managers who are planning to bring new associates into their practices this summer are reminded that applications for medical staff membership should be filed as soon as possible. The process takes approximately 90 days from receipt of application to final approval (60 days for adjunct staff). The application and other documentation can by found at For more information, contact Linda Calli, manager of the Medical Staff Office, at 860-545-6167.

Dr. Jewel Mullen Takes Helm at DPH

Governor Dannel P. Malloy has appointed Jewel Mullen, MD, MPH, MPA, former director of the Massachusetts Department of Public Health, as the new Commissioner of the Connecticut Department of Public Health. While at the Massachusetts DPH, Mullen was Director of the Bureau of Community Health and Prevention. A Connecticut resident since 1992, she has been a member of the medical staff at the Hospital of St. Raphael, the Yale University Health Services, and Yale New Haven Hospital.

MEC Approves Policy Change on Self-Treatment and Family Treatment at HH

The Medical Executive Committee has approved a change to the General Conditions of Appointment and Reappointment on self-treatment and the treatment of family members to bring the hospital’s policy in compliance with current AMA guidelines. Both are available on the Medical Staff page on the Hartford Hospital web site.

Required Risk Management Grand Rounds for HH-Employed Providers

There are several Risk Management Grand Rounds sessions scheduled for Hartford Hospital-employed providers (MDs, DOs, APRNs and PAs), who must attend one session to fulfill the Risk Management requirement. It is recommended that you attend a session related to your specialty, but you will still receive credit by attending any session. These sessions are for Hartford Hospital-employed providers only.
  • Women’s Health: March 31 from 7–8:30 a.m. in Special Dining Room
  • ED: April 6 from 12–1:30 p.m. (Location TBD)
  • ED: April 21 from 8:30–9:30 a.m. (Location TBD)

Risk Management Programs for Private Staff; 6% Premium Credit Available

Members of the private medical staff who are CHS insurance Ltd. policyholders can take advantage of a risk management educational program CHS is offering through May. By completing all aspects of the program, you will be eligible for a credit of 6% on your malpractice premium. To be eligible for the credit, you must complete two one-hour web-based modules a year and complete post tests, and attend one live session of risk management rounds. These sessions coincide with the risk management sessions offered to providers employed by Hartford HealthCare. If you have questions, contact Medical Risk Management at 860-493-5790; questions about your premium should be directed to Mary Ann Nelligan at the CHS office, 860-696-6265.

Specialty Date Time Location
Women’s Health March 31 7-8:30 a.m. HH, Special Dining Room
Radiology April 4 6-7:30 p.m. 399 Farmington Ave., Farmington
Anesthesiology April 14 6-7:30 p.m. HH, Dining Room A/B/C
Medicine April 20 6-7:30 p.m. HH, Gilman Auditorium
Anesthesiology April 27 6-7:30 p.m. HH, Dining Room A/B/C
Surgery April 27 6-7:30 p.m. HH, Gilman Auditorium
ENT/Ophthalmology May 4 6-7:30 p.m. HH, Gilman Auditorium
Surgery May 6 7:30-9 a.m. MidState Medical Center, Conf Rm 2/3
Surgery May 10 6-7:30 p.m. HH, Gilman Auditorium
Radiology May 12 6-7:30 p.m. 399 Farmington Ave., Farmington
Medicine May 19 6-7:30 p.m. HH, Gilman Auditorium
Community Activities

Hospital’s Sponsorship of Art Exhibit Promotes Healthy Community

With the belief that the arts promote a healthy community, Hartford Hospital strongly supports the Greater Hartford Arts Council. As part of that commitment, the hospital is sponsoring an exhibit titled “Undercurrents,” at the 100 Pearl Gallery, part of the Arts Council’s new home in downtown Hartford. The exhibit, featuring the paintings of Ethan Boisvert, runs from March 23 to May 13. Dr. Joe Klimek, who serves on the committee that plans the exhibits at the gallery, invites members of the medical staff to an opening reception on March 24, from 5-7 p.m. For more information, visit

Benefit Concert to Feature The Connecticut Doctors Orchestra

The Connecticut Doctors Orchestra will be featured at a benefit concert on Sunday, March 27 at 3 p.m. at the Ethel Walker School in Simsbury. Proceeds will go to the Bawa Health Initiative, an NGO founded to reduce disease prevalence and improve overall health and sanitation for people in the village of Bawa, Cameroon. Free-will donations will be accepted at a reception after the concert, and will go to completing construction of a health clinic and providing bed nets in Bawa. Several Hartford HealthCare staff members belong to the orchestra: Dr. Karen Blank, medical director of the Memory Disorders Center at the IOL, who is a cellist and cofounder of the orchestra; Dr. Latha Dulipsingh, chair of endocrinology and director of the Joslin Center at the Hospital of Central Connecticut, who is cofounder of the orchestra and a cellist; Dr. Joseph Aferzon, neurosurgery, who is a violinist; and Thomas Cook, a HH financial analyst.

Coming Events

March 22:
Cardiology Grand Rounds:
Transcatheter Aortic Valve Implantation (TAVI)

Ignacio Inglessis, MD, director of structural heart interventions, Massachusetts General Hospital; assistant professor of medicine, Harvard Medical School. JB-118, 11 a.m

March 22:
Including Diverse Perspectives in End-of-Life Care Decision Making: Steps Toward Cultural Competence

Karen Bullock, PhD, LCSW, geriatric psychiatry, social work education and staff development, Institute of Living. This event is part of Hartford Hospital Social Work Services celebration of National Professional Social Work Month. JB-118, 1-2 p.m. Click here for more information.

April 1:
Department of Surgery Grand Rounds:
Surgery and the Public’s Health

Selwyn O. Rogers, Jr., MD, MPH, division chief of trauma, burns, and surgical critical care at Brigham & Women’s Hospital; associate professor of surgery at Harvard Medical School. Gilman Auditorium, 6:45 a.m.

April 6:
8th Annual Heart Rhythm Symposium – Bridging Electrophysiology & Heart Failure

Lectures, case presentations and workshops will focus on an understanding of rhythm abnormalities in heart failure patients and how advanced treatments with drugs, resynchronization therapy (CRT), ventricular assist devices and cardiac transplant can be applied. Wednesday, April 6, 7 AM - 4:15 PM, Farmington Marriott. Please register by March 31 - you can register online at For more information, download the flier or contact Janet Linden, 5-3602.

April 6:
Class of 2011 Presentation Series: Bullying: Is It Worse Now? What Can We Do?

Kathleen R. Rivera, MD, child and adolescent psychiatry fellow PGY-5, Institute of Living/Hartford Hospital. 12 noon to 1 p.m., Hartford Room, Commons Building, IOL.

April 7:
IOL Psychiatric Grand Rounds, Ben Wiesel/Francis J. Braceland Lectureship: The Evolution of Psychotherapy Education for Psychiatrists

David A. Goldberg, MD, chair and training director, California Pacific Medical Center in San Francisco. 12 noon to 1:15 p.m., Hartford Room, Commons Building, IOL.
April 12:
Non-Hodgkin Lymphoma: The Changing Landscape

This free presentation will present basic information on terminology, risk factors, diagnosis, staging, and classification. New insights, treatments, and future directions for NHL will be discussed. In addition, issues regarding coping with an NHL diagnosis will be addressed. Patients, caregivers, family members, and healthcare professionals are invited. 6-7:30 p.m. (5:30 p.m. registration and complimentary dinner), Hartford Hospital Special Dining Room. For more information contact Jennifer McGarry, 203-427-2046.

April 13:
Bone Marrow Donor Drive

“Be The Match" Registry donor drive, noon-7 p.m., Cancer Center/Taylor Conference Room. For more information, contact Susan Peck at 860-545-3497, or visit

April 14:
IOL Psychiatric Grand Rounds:
Interactions Between Neurotransmitters: The Key to Remission in Major Depression

Pierre Blier, MD, PhD, professor, Departments of Psychiatry and Cellular and Molecular Medicine, University of Ottawa Canada Research Chair (Tier I) – Psychopharmacology, Ottawa, Canada. 12 noon to 1:15 p.m., Hartford Room, Commons Building, IOL.

April 20:
Psychopharmacology and Neuroscience Rounds:
Psychgotropic Medication Adherence

Megan Ehret, PharmD, BCPP, assistant professor, University of Connecticut; clinical psychopharmacologist consultant, The Institute of Living/Hartford Hospital. 12 noon to 1 p.m., Hartford Room, Commons Building, IOL.

April 21:
IOL Psychiatric Grand Rounds:
Integrating Behavioral Health into Medical Settings: Empirical Findings Using Inflammatory Bowel Disease as a Model Illness

Eva M. Szigethy, MD, PhD, associate professor of psychiatry and pediatrics, University of Pittsburgh School of Medicine; director of the medical coping program at Children’s Hospital of Pittsburgh of UPMC. 12 noon to 1:15 p.m., Hartford Room, Commons Building, IOL.

April 28:
IOL Psychiatric Grand Rounds:
Eighth Annual Brain Dance Awards: Preventing Onset of Psychosis by Early Intervention

William R. McFarlane, MD, director, Center for Psychiatric Research, Maine Medical Center; professor, Department of Psychiatry, Tufts University School of Medicine, Portland, Maine. 12 noon to 1:15 p.m., Hartford Room, Commons Building, IOL.

April 29:
Northeast Regional Symposium on Gynecologic Robotic Surgery

The course is designed for gynecologists and gynecologic subspecialists interested in acquiring or expanding their skills in robotic gynecologic surgery, and for surgical assistants and OR staff, seeking to improve their assisting technique and OR efficiency. Designated for a maximum of 8 hours AMA PRA Category 1 credit(s)™. 6:45 a.m.-5 p.m. For more information and to register online visit

Board of Directors and Medical Staff Spring Event

6-9 p.m., Heublein Hall, Education Resource Center

Hot Topics in Healthcare

Daring to Practice Low-Cost Medicine in a High-Tech Era
New England Journal of Medicine - March 2, 2011

Article author Sean Palfrey, MD, from Boston University School of Medicine, posits that by testing too much and treating too aggressively using the vast array of new tests, pharmacologic agents, and diagnostic and therapeutic procedures, American doctors are perpetuating serious economic and racial disparities among patients, and bankrupting a health care system that rates in the bottom tier among all developed countries in many categories of children’s health outcomes. Read more: 

The Seymour Street Journal (SSJ) has been developed to communicate key messages pertinent to our hospital’s physicians. It will keep you informed and up-to-date on hospital, network, and health care news in a concise, convenient format. The SSJ will be sent to your preferred e-mail address every other Sunday. Back issues can be viewed here. For any questions or suggestions, please contact Dr. Jeffry Nestler, Medical Staff President, at (860) 836-7313.