Friday, February 23, 2018

OCMA Blog

OCMA Specialty Spotlight:The PRECICE Device

Dr. Samuel Rosenfeld, an orthopedic surgeon with the CHOC Children's Orthopaedic Institute, is the first on the West Coast to perform a limb lengthening procedure using the PRECICE™ Remote Control Device. Developed by Irvine-based Ellipse Technologies, in collaboration with Dr. Stuart Green of UC Irvine, and cleared for use in the United States by the FDA in July 2011, the PRECICE represents a new era for limb lengthening.

The device, considered by physicians to be precise and gentle, is implanted with minimal incision   surgery. A magnetic motor assembly in a rod is placed inside the patient's bone and responds to an external remote controller. The surgeon uses the external remote controller to gently and more accurately control the rate of lengthening, including the potential to reverse the lengthening. In addition to providing a less invasive procedure for limb lengthening, PRECICE has been recognized for significantly reducing the potential for complications, such as infections, during the healing process. Presently, the device is used for lengthening the femur and tibia bones.

Leg length discrepancies can be congenital (present at birth) or acquired as a result of an accident, a significant fracture that does not heal or disease, such as cancer. The conventional approach for leg lengthening has been the use of an adjustable external fixation device attached to the bone with pins and adjusted by the surgeon. The leg lengthens as the bone heals. The procedure has been associated with a high rate of complications, most commonly infections at the pin sites.

An alternative to external fixation devices, the first implantable device - called the intermedullary skeletal kinetic distractor (ISKD) - was approved by the FDA in 2001. A telescopic rod implanted in the marrow cavity of the bone and activated by movement, the ISKD makes it more challenging to control the rate of lengthening, potentially resulting in nerve damage, poor bone healing and muscle contractions. With the better control of the PRECICE system, some of these issues may be eliminated.

Named a "physician of excellence" from the Orange County Medical Association, Dr. Samuel Rosenfeld is a pediatric orthopedic surgeon with special interests in muscular dystrophy, spina bifida and spasticity.

He received his medical degree from Pennsylvania State University College of Medicine; his internship in general surgery at the University of California Irvine Medical Center, where he also completed his residency in orthopedic surgery; and a fellowship in pediatric orthopedics and rehabilitation at Rancho Los Amigos Hospital in Downey, California. He's part of the multidisciplinary team of experts at the CHOC Children's Orthopaedic Institute.

The CHOC Children's Orthopaedic Institute is the only program of its kind in the region offering a wide range of comprehensive subspecialty programs specializing in the diagnosis and treatment of complex orthopedic injury, illness and disorders in children and adolescents. At the CHOC Orthopaedic Institute, highly experienced pediatric orthopedic surgeons and specialists, along with a multidisciplinary team, provide a complete range of clinical, surgical and ancillary support services for their patients in one convenient setting.


Dr. Samuel Rosenfeld is a pediatric orthopedic surgeon with special interests in muscular dystrophy, spina bifida and spasticity. He received his medical degree from Pennsylvania State University College of Medicine; his internship in general surgery at the University of California Irvine Medical Center, where he also completed his residency in orthopedic surgery; and a fellowship in pediatric orthopedics and rehabilitation at Rancho Los Amigos hospital in Downey, California.

 


The OCMA is Under New Leadership!

"Helping You Navigate Change"

The OCMA would like to announce the installation of the new

OCMA President, Standiford Helm II, MD 

Dr. Helm is available for one-on-one meetings with individual physicians to discuss relevant issues and concerns. If you would like to schedule a meeting with the new OCMA president, please contact Linda Johansen:

(949) 398-8100 ext. 102 or ljohansen@ocma.org

Standiford Helm II, MD, MBA, President

Standiford Helm II, MD, MBA, serves as OCMA's president. Dr. Helm is the medical director of The Helm Center for Pain Management in Laguna Hills. He is board-certified in anesthesiology and pain medicine. Dr. Helm joined OCMA/CMA in 1986. He has served on the Board of Directors since 2007. He has served on the OCMA Delegation to the CMA from 2005 - 2011, at which time he was elected to the CMA Board of Trustees. He previously served on the OCMA Nominating Committee. In addition, Dr. Helm served as president of OCMA Services, Inc. from 2002-2008 and previously served as a member of the OCMA Services Board from 1998-2002. Dr. Helm has been a member of the AMA since 2003.  

In addition to his memberships in AMA, CMA and OCMA, Dr. Helm belongs to the American Society of Interventional Pain Physicians (where he is currently the immediate past president), California Society of Interventional Pain Physicians (where he served as president from 2002 through July 2008, and currently serves as president emeritus), California Society of Industrial Medicine and Surgery (where he has been a member of the board of directors since 2007), the American Neuromodulation Society and the World Institute of Pain.

Dr. Helm received his medical degree from Tufts University in 1977. His internship in Internal Medicine was completed at Boston City Hospital in 1978. Dr. Helm's residency in anesthesiology was completed at UCLA in 1980. Dr. Helm received his M.B.A. at Pepperdine University in 1988.

Dr. Helm is a member of the following medical staffs: Mission Hospital Regional Medical Center, Saddleback Memorial Medical Center (Laguna Hills and San Clemente campuses), California Specialty Surgery Center, Mission Ambulatory Medical Center, and Saddleback Valley Outpatient Surgery.

Dr. Helm and his wife, Noel, reside in San Clemente. They have three children, one living in Boston, another living in Dallas, and the third living in London. His term of office runs from July 2012 - June 2013.


2012 - 2013 Executive Committee:

President - Standiford Helm II, MD
President-Elect - Thomas C. Kockinis, MD
Secretary-Treasurer - Sudeep Kukreja, MD
Past-President - Joanna K. Tan, MD


2012 - 2013 Board of Directors:

District I - Christian Lising, MD
District II - Rakesh K. Bhola, MD
District III - George Garcia, MD
District III - James E. Pierog, MD
District III - Paul B. Yost, MD
District IV - Quynh D. Kieu, MD
District IV - Smita B. Tandon, MD
District V - Abhay Parikh, MD
District V - William M. Thompson IV, MD
District VI - William E. Callahan Jr., MD
Southern California Permanente - Darla Holland, MD
St. Jude Heritage - Ramesh Rathod, MD
Resident Representative - Deena Ibrahim, MD

 

CEO / Executive Director:

Robert McCann, MHA


OCMA Specialty Spotlight: The Be Aware Foundation

Be Aware Foundation Releases Two New Videos that Empower Women to do Breast Self-Exam with Confidence

The Be Aware Foundation, a non-profit organization dedicated to raising awareness for early breast cancer detection, released two educational videos developed to empower women to perform breast self-exam (BSE) with confidence. The two videos can be viewed on the foundation's website (beawarefoundation.org) or on the foundation's YouTube channel (BeAwareFoundation).


Although mammography has been proven to be the best screening tool to detect breast cancer at an early stage, mammograms have some significant limitations. In women with dense breasts, mammograms miss approximately 30 percent of cancers. Some cancers show up as lumps between mammograms, and women under 40 years are not advised to do annual screening.

"Current guidelines for doing BSE are confusing," said Be Aware Foundation President Peggy Brooker. "The guidelines recommend that women should be aware of their breasts and report any changes to her doctor, but the guidelines also state that doing BSE should be a woman's choice." The next question is "how can a woman detect an early change if she is not doing regular breast self-examination?"

"My 40 years of treating women with breast problems has convinced me that women can be taught to do BSE with confidence," said Be Aware Foundation co-founder Dr. John West. "With the support of the Be Aware Foundation I have created two videos which spell out, step-by-step, what women must do to learn how to do BSE with confidence. These videos have the potential to save lives, save breasts and save money....and it's free for every woman to learn from."

 

Founded in 2004 by Tanja Cebula, a cancer survivor, and Dr. John West, the Be Aware Foundation is dedicated to saving lives by educating and inspiring women to follow early detection guidelines for breast cancer. Our volunteer RN's and breast cancer   survivors deliver a compelling educational program in a "lunch and learn" format to companies, agencies and other groups of women in Orange County. Women who attend our Pearls of Wisdom program are encouraged to fill out a Personal Plan of Action whereby they commit to following the early detection guidelines.

We send email reminders to perform monthly breast self exams and annual clinical exams and mammograms. These email reminders also offer important information about new developments in breast cancer prevention and treatment, as well as general women's health topics, and our Ask the Doctor topics. 


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