Volume 27 Number 6 Stony Brook, NY  <       June 2017       > 
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Academic Research Evening Dr. Pasternack STARS Kudos
Family News May Meetings SOAP Meeting Chief Resident Spotlight!
New Publications Where is That? Photography Corner Monthly Muscle Chillaxant
James P. Dilger, PhD

   The 2017 Peter Glass Academic Research Evening took place on Thursday, May 11, 2017 at the Wang Center. It was a wonderful success! The event began with two, judged, Poster Discussion Sessions. The presenters at the Clinical Sciences session were Dr. Elliott Bennett-Guerrero, Dr. Ramon Abola, Dr. Ana Costa (two posters) and Dr. Ruth Reinsel (standing in for CA-2 Resident Dr. Kseniya Khmara who was at a fellowship interview). At the Basic Sciences Session, we heard from Mr. Gregory Carbonetti (a graduate student in Dr. Martin Kaczocha's lab), Dr. Martin Kaczocha, Dr. Yugie Huang (a dental student working in Dr. Jun Lin's lab), Mr. Richard Keegan (a graduate student in Dr. Joshua Dubnau's lab) and Dr. Yung-Hang Chang (a postdoc in Dr. Dubnau's lab).

   Another 35 posters, were presented by various members of the department including residents, postdocs, graduate and undergraduate students. This poster session attracted much interest and was accompanied by light refreshments. Our attention then shifted to the Lecture Hall for the keynote address by Dr. Mark Newman, the Merel H. Harmel Professor of Anesthesiology at Duke University and President of the Duke Private Diagnostic Clinic. He presented an engaging address "Managing for Outcome: Strategies for Prevention of Perioperative Neurological Injury", that outlined both the history and current understanding of the field.

   It was then time for the announcement of the prize winners! Customarily, winners have been awarded funds to attend a scientific or medical meeting; the funds being drawn from the endowment account that was set up by the faculty when Dr. Peter Glass stepped down as Chairman. But this year, there was a new prize incentive. Each winner received $1000 cash. Moreover, Dr. Peter Glass announced that he would personally fund attendance at a meeting for each winner! I have kept you in suspense for too long, though. The winner of the Basic Science prize was Mr. Gregory Carbonetti. The winner of the Clinical Science prize was Dr. Ana Costa. And the winner of the Resident's prize was Dr. Kseniya Khmara. Congratulations to all!

   The Evening concluded with a scrumptious buffet dinner and another opportunity to visit the posters and talk with the participants. Please take a look at the photos from the Evening!

   We are grateful to the distinguished judges who donated their time and expertise: Ramin Parsey, MD, PhD, (Professor and Chair of the Department of Psychiatry), Michael Frohman, M.D, Ph.D. (Distinguished Professor and Chair, Department of Pharmacological Sciences), Javed Butler, MD, MPH, FACC, FAHA, Professor, Department of Medicine, Division Chief, Cardiology, Co-Director, Heart Institute) and Ira S. Cohen, M.D., Ph.D. (Leading Professor of Physiology & Biophysics, and Professor of Medicine, Heart Institute Director).

Basic Science Posters (* Denotes Poster/Discussion)
Amelchenko E, Lazutkin A, Castaneda RM, Osten P, Enikolopov G. Ketamine and its metabolite hydroxynorketamine induce plasticity-related changes in the mouse brain as revealed by the whole-brain imaging approach
* Carbonetti G, Peng X, Wilpshaar T, D’Oelsnitz S, Kaczocha M. Transport of Endogenously Lipids by FABP5 Leads to Increased prostate Cancer Aggression
* Chang Y-H, Dubnau J. Retrotransposon/ERV Activation leads to TDP-43 mediated neurodegenerative propagation in Amyotrophic Lateral Sclerosis
Elmes MW, Sweeney JM, Joseph OM, Carbonetti GS, Tong S, Yan S, Hu K, Hsu H-C, Li H, Rizzo RC, Ojima I, Deutsch DG, Kaczocha M. Towards a new class of antinociceptive drug: Development of fatty acid binding protein inhibitors to alter the endocannabinoid tone
Fletcher T, Boyd M, Podgorny O, Yu M, Kaczocha M, Makaryus R. Effects of neonatal anesthesia on the developing brain, and possible prevention by cannabadiol.
He J, Zhu J ,Ma L, Rebecchi MJ, Liu L. Age-associated cardioprotection differences by GSK-3β inhibitor in rat heart: Effects on autophagy pathways
* Huang Y, Li R, Dilger J, Lin J. Comparing propofol and volatile anesthetics on post-surgical metastases in an orthotopic breast cancer model
* Keegan RM, Chang YH, Dubnau J. The Retrotransposon Storm: Endogenous Retroviruses as Infectious Agents?
Krupp S, Chang YH, Keegan R, Dubnau J. A"model"for"Traumatic"Brain"Injury"induced"neurodegeneration"in"Drosophila
Lampasona A, Kevin Czaplinski K. Hnrnpab regulates Neural Cell motility through the expression of the EPS8 gene
Li R, Huang Y, Dilger J, Lin J. Local Anesthetics Did Not Induce Significant Changes to the Viability or Migration of Breast Cancer MDA-MB-231 Cells at Anti-Arrhythmia Plasma Concentrations
Liu H, Huang Y, Li R, Dilger J, Lin J. Effect of Propofol on Breast Cancer Cell Viability and Lung Metastasis
Lu Y, Kim S, Azim A, Puopolo M, Rebecchi M. Contributions of Hypothalamic A11 Dopaminergic neurons to Descending Modilation of Pain
Lu Y, Rebecchi M, Puopolo M. Ionic Mechanisms underlying spontaneous firing of nociceptors after spinal cord injury
* Luk J, Kanjiya MP, Komatsu D, Uddin S, Studholme K, Lu Y, Ackermann A, Rebecchi M, Kaczocha M. Targeting Endocannabinoid Metabolism for the Treatment of Postsurgical Pain
Makaryus R, Podgorny O, Yu M, Jan A, Enikolopov G. Identifying changes in neurogenesis after neonatal anesthesia exposures. (Methods)
Mustahsan V, Palati S, Pfail J, Parmar S, Pentyala S, Kao I, Komatsu D, Pentyala S. Osteogenic peptide enhanced biomimetic bone graft.
Podgornyi O, Itaman S, Enikolopov G. New S phase labeling paradigms for advanced analysis of stem cell proliferative behavior in the adult hippocampus.
Shih M-F, Henry GL, Dubnau J. Single cell RNA sequencing the fly memory circuit

Clinical Science Posters (* Denotes Poster/Discussion)
Abola R, Kent M, Feldman L, Shaw A, Bennett-Guerrero E and the Perioperative Quality Initiative (POQI) II Workgroup. American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) Joint Consensus Statement on Patient Reported Outcomes Measures (PROMs) within an Enhanced Recovery Pathway
Abola R, Rizwan S, Romeiser J, Bennett-Guerrero E. Pulmonary function, muscle strength, time to extubation and quality of recovery in the post anesthesia care unit after reversal of neuromuscular blockade with neostigmine or sugammadex
Adrahtas D, Azim S. 74 year old patient with a resting heart rate of 31 presenting for elective surgery: A case report abd anesthetic considerations
* Bennett-Guerrero E, Romeiser J, Sasson A, DeMaria S, Afonso A, Yang J. General Anesthetics in CAncer REsection Surgery (GA-CARES) Trial: Pragmatic Randomized Trial of Propofol vs Volatile Inhalational Anesthesia
* Costa A, Satalich J, Shodhan S, Al-Bizri E, Romeiser J, Abola R, Steinberg E, Bennett-Guerrero E. Incidence of post-dural puncture headache: a 10-year retrospective analysis of neuraxial anesthetics and post-dural puncture headaches in obstetric patients at a tertiary care hospital
* Costa A, Satalich J, Shodhan S, Al-Bizri E, Romeiser J, Abola R, Steinberg E, Bennett-Guerrero E. Treatment of post-dural puncture headache: a 10-year retrospective analysis in obstetric patients at a tertiary care hospital
Fischl AM, Costa A. Nebulized Ketamine for an Elective Awake Intubation in a Known Difficult Airway
Georges R, Tan M, Palmieri M. Case Report: Medial Branch Block in a Patient with Von Willebrand's Disease with DDAVP Allergy
Gupta R, Reinsel RA, Josma J . Attitudes versus Practice in Career Development Guidance Programs during Anesthesia Residency Training
Gupta R, Reinsel RA. Career Development Guidance and Mentorship during Anesthesia Residency Training
Gupta R, Rizwan S, Poovathoor S, Park S, Bennett-Guerrero E. Effect of Deep versus Moderate Neuromuscular Blockade on Peak Airway Pressures During Elective Laparoscopic Surgery
Hua B, Poppers J. My Laparoscopic Appendectomy Patient has a LVAD, now what?
* Jasiewicz R, Khmara K, Reinsel RA, DeCristofaro J, Mintzer J, Chandrakantan A, Jacob Z, Wasnick R, Seidman PA. TcCO2 Rather than EtCO2, is a Superior Measure of PvCO2 in the Infant Population
Khalili M, Oleszak P. Difficult Airway: A Unique Use of the C-MAC D-Blade
• Lian XJ, Romeiser J, Kim E, Adsumelli R, Abola R, Gan TJ, Griffin T, Bennett-Guerrero E. Enhanced Recovery after Surgery Program in Minimally Invasive Gynecology Surgery: A Quality Assurance Project
Licata S, Abola R. Creation and Implementation of Anesthesia Patient Outcome Dashboards
Patel N, Jacob ZC, Reinsel RA, Fan R. Preliminary validation of transcutaneous CO2 monitoring in patients undergoing cardiac ablation using jet ventilation
Probst S, Colandra C, Davis R, Geralemou S, Page C, Corrado T, Andraous W. Enhanced Recovery Bundle for Lumbar Fusion – QA/QI collaborative effort between Neuroanesthesia and Neurosurgery
• Hu LQ, Cai Z-Y, Wang DX, Stellaccio F, Qu Y. Rediscovering the Chinese pioneer of epidural labor analgesia, Dr. GuangBo Zhang (张光波), and her unpublished manuscript completed more than a half century ago
Sadean MR. Test Infusion of Propofol to determine the Initial Infusion Rate using the Marsh Pharmacokinetic Model with short thke0 for sedation
Shodhan S, Gupta R. Anesthetic Considerations in the Allgrove Patient
Shodhan S, Madariaga MC, Noll E Page CR, Santangelo D, Guo X, Al Bizri E, Pryor AD, Romeiser J, Abbott J, Rizwan S, Bennett-Guerrero E. Randomized controlled trial of acupressure to improve patient satisfaction and quality of recovery in hospital patients
Thalappillil R, Izrailtyan I, Mclarty A. Role of intraoperative TEE in identifying previously unrecognized RA thrombus prior to LVAD placement in patient with decompensated idiopathic dilated cardiomyopathy
Varshney A, Noll E, Shodhan S, Gallagher C, Diemunsch P, Florence B, Romeiser J, Bennett-Guerrero E. Trainability of cricoid pressure force application: A simulation based study
Yuan D, Palmieri M. A case of bilateral sural neuropathy during pregnancy
Yuan DY, Deptula A, Manganas LN, Tsui P. A case of conversion disorder in the setting of unexplained chronic pain and nonepileptic seizure

James P. Dilger, PhD

   L. Reuven Pasternak, MD, Vice President for Health Systems and Chief Executive Officer of the Stony Brook University Hospital, has been promoted to Clinical Professor of Anesthesiology. Dr. Pasternak received his MD at Duke University School of Medicine. He completed a residency in Pediatrics and Community Medicine at the University of North Carolina and performed a fellowship in Pediatric Critical Care Medicine at the Johns Hopkins University School of Medicine, where he also completed a residency in Anesthesiology. Dr. Pasternak received a Masters of Public Health at the University of North Carolina and a Masters of Business Administration from Loyola College of Maryland. He spent the majority of his academic career at Johns Hopkins, in the Departments of Anesthesiology and Critical Care Medicine, where he was Vice Chair for Clinical Affairs, and the Departments of Pediatrics and Health Care Policy and Management. Dr. Pasternak has had numerous academic and administrative roles in his career both at Hopkins and in Cincinnati and Virginia. Most recently, before joining Stony Brook, he was CEO of the Inova Fairfax Hospital Campus in Falls Church, Virginia, and Executive Vice President of Academic Affairs for the health system. He joined Stony Brook Medicine in 2012.
   We would like to thank Ms. Christine Fogarty for coordinating the Academic Research Evening held on May 11. Behind the scenes, the event required much planning and organization, which included caterer arrangements, poster collections, working closely with the folks at the Wang Center, a faculty luncheon, organizing Dr. Peter Glass’ itinerary, and so many other details. Christine did a fantastic job and helped make the event a great success! We would also like to recognize our support staff, research associates, lab staff, and our Visiting Scholar, Dr. Kentaro Sugimoto, for helping Christine to set up and break down the event.

Patient comments about our staff from the Press Ganey questionnaires:

   Dr. Eleanor Romano is outstanding.

   The pediatric anesthesiologist was remarkable. He took the time to let my son get comfortable with him before surgery. My son walked to the surgery with him without a problem.

   Excellent anesthesiologist caring & professional

   Anesthesia/Anesthesiologist Very concerned with my safety.

   Dr. Andrea Voutsas was excellent.

   Dr. Barry Florence was wonderful!

   Anesthesia/Anesthesiologist: They introduced themselves - they explained things - they asked if I had questions - YEAH!!

   Anesthesia/Anesthesiologist: Very personable staff.

   I'm impressed that the doctor, nurse and anesthesiologist called next day to check on me. They were great.

   The anesthesia staff were the most skillful and made me very relaxed before procedure. So far this surgery was the best because I didn't feel sick afterwards

Dr. Marco Palmieri received a thank you note from a patient

   "Just wanted to drop you a line regarding the wonderful work you and your staff are doing. First of all, I thank you so very much in helping relieve my wife's pain. She is recovering wonderfully under your medical attention and not to mention your wonderful bedside manner! She is coming along in a timely manner. I appreciate all that you do for her. May God bless you for all your work.

   I must continue to praise others on your staff. I, myself, have been seeing Julia Scheuermann, RN, NP, a wonderful, caring and knowledgeable person. Julie is very sensitive and understanding regarding my problems. I enjoy and benefit from every encounter with her.

   I would be remiss if I didn't mention your reception staff: Krista Verde, Kathy Linarello and Heather Eggermann. These ladies always greet us with a smile and are very helpful answering our queries."

   Dr. Ronald Jasiewicz was part of the team that performed surgery on non-identical triplet boys who all had craniosynostosis. The surgeries, done in January, were the topic of several television news segments in early May including this one from NBC.
video capture credit

   Dr. Michelino Puopolo and Dr. Ramon Abola were named Associate Editors for BMC Anesthesiology Section on General Pharmacology and Pharmacokinetics.

   Dr. Srinivas Pentyala was awarded a grant from the Applied Research & Development Program (NY State Center for Biotechnology). The grant "Synthetic Osteogenic Peptide for Treatment of Osteoporosis", is an $80,000 award for one year beginning in July 2017. Stony Brook University Office of Technology Licensing entered into an agreement with Ajes Life Sciences to commercialize the osteogenic peptide discovered by Dr. Pentyala (US Patent: Polypeptide derived from Calcitonin receptors and methods of use). In addition, he will be working with Ajes Life Sciences for the next three years to develop osteoporosis therapeutics and biomimetic 3D bone implants.
Sabeen Rizwan
   Shyam Bhatt, a department research assistant, graduated from Stony Brook University earlier this month with a Bachelor’s of Science degree having completed a double major in Biology and Business Management and a minor in Asian Studies. Shyam has worked under my direct supervision for over two years on a variety of different clinical research and quality assurance projects here in the department. He has also assisted Dr. Martin Kaczocha in his lab working on some translational and basic science research. It has been a refreshing pleasure to work with a student who has a diverse set of interests but remains steadfast in his overarching goals. His high ambitions and strong determination will serve him well as he pursues his Masters in Public Health, this fall, at Yale School of Public Health. We wish him lots of luck (not that we think he needs it) in all his future endeavors.
Ellen Steinberg, MD
    My son, Ezra Steinberg, received his MBA from the NYU Stern School of Business. He completed his MBA part time while working full time. We are very proud of his accomplishment!

Ursula Landman, DO
    Matthew is graduating Comsewogue High school in June and will be attending SUNY Albany to study computer science. William recently moved to California to pursue his writing career in television. Sarah will be entering 10th grade in the fall. Ira and I are very proud of all three of them!
Andrea Voutsas, MD
   Our son, James, just graduated from Yale Medical School with Honors and will be starting his Internal Medicine Residency at the Brigham and Women's Hosp in Boston. Our daughter, Kristina, who had graduated from Trinity College in CT, recently completed the 1-year NBC Page Program at Rockefeller Center. She has been hired as a Production Assistant on "The Tonight Show with Jimmy Fallon". We are very happy for both of them!
Igor Izrailtyan, MD
   My daughter, Bella, graduated Stony Brook University summa cum laude, and as the recipient of the English Department Award for Excellence addressed the graduating class at the English Department Convocation. Just prior to her graduation, she was also awarded the Art History Department Award of Honor, the SUNY Chancellor’s Award for Student Excellence (the highest honor bestowed upon a SUNY student), and was inducted into Phi Beta Kappa Honor Society (the nation’s oldest academic honor society). We are all wishing Bella much happiness and continuity in her excellence and professional development!

Dr. Adrahtas at his IARS poster
   May was a busy month for national and international meetings. The International Anesthesia Research Society (IARS) held their meeting in Washington DC. Drs. T.J. Gan, Thomas Floyd and Deborah Richman all made Panel Presentations at the meeting. Departmental members participated in four Abstracts and two Medically Challenging Cases presented at the meeting.

Gan TJ, Soergel DG, Burt DA, Skobieranda F. APOLLO-1: Phase 3 Study of Oliceridine (TRV130) for Management of Acute Pain
Gan TJ, Soergel DG, Burt DA, Skobieranda F. APOLLO-2: Phase 3 Study of Oliceridine (TRV130) for Management of Acute Pain
He J, Zhu J, Ma J, Rebecchi MJ, Liu L. Age-associated differences in the inhibition of mitochondrial permeability transition pore opening in the rat by Simvastatin
Lamm R, Khmara K, Floyd T. The Underaccounted for Role of Hypercarbia & Hypoxia in the Neonatal Rodent Models of Anesthesia-Related Developmental Delay (the Kosaka Best of Meeting Abstract Awards Finalist in Scholars Abstract)
Adrahtas D, Azim S. 74 year old patient with a resting heart rate of 31 presenting for elective surgery: A case report and anesthetic considerations
Fischl AM, Costa A. Nebulized Ketamine for an Elective Awake Intubation in a Known Difficult Airway

   SAMBA (Society for Ambulatory Anesthesia) met in Scottsdale, Arizona. Dr. T.J. Gan made two panel presentations and Dr. Ruchir Gupta had a panel presentation and also spoke at a Resident Session on "What to Look for in a Job Offer".

   Dr. Loreta Grecu participated in five Practical Skills Sessions at the meeting of the American Thoracic Society in Washington, DC. The sessions were concerned with Critical Care Ultrasound and Echocardiography.

    Finally, there was the annual SOAP meeting. For more information about that, read Dr. Stellaccio's article below.

Drs. Stellaccio and Brown at SOAP
Francis Stellaccio, MD

   The 49th Annual Meeting of the Society for Obstetric Anesthesia and Perinatology (SOAP) was held in Bellevue, WA, a beautiful seaport suburb of Seattle, May 10-13. The region is known not only for it's spectacular views of the Puget Sound but also for the awesome views of the most dangerous volcano on earth, Mount Rainier. The region is experiencing a booming economy as the home of such multinational corporate giants as Microsoft, Boeing, Starbucks, Costco's and Amazon.

Dr. Brown
   SOAP has grown into international meeting that that brings together not only leaders in the fields of obstetric anesthesiology, perinatology, and obstetrics, but also researchers, residents, and fellows. There are broad-reaching, extensive, and informative daily poster presentations. Stony Brook was well represented by Drs. Antanique Brown, Joy Schabel and myself. Dr. Brown presented her Medically Challenging Case "Management Dilemma in a Partruient with Hereditary Hemorrhagic Telangiectasia" co-authored with Drs. Demitri Adrahtas and Susan Stanley. I presented my poster on "Rediscovering the Chinese pioneer of epidural labor analgesia, Dr. Guang Bo Zhang (张光波), and her unpublished manuscript completed more than a half century ago" co-authored with LQ Hu, Z-Y Cai, DX Wang, and Y Qu.

   On Wednesday morning, I attended the Patient Safety Workshop and found it to be innovative and eye-opening. I'll write more about this in the future. The most unique part of the meeting was Initiation of SOAP's Global outreach symposium, with over 50 Leading Anesthesiologist from mainland China in attendance. This was the largest number of Chinese obstetric anesthesiologist to ever visit the United States at one time and one place! The Chinese symposium on obstetric anesthesiology was on Wednesday. This symposium was the jump off point for the first simultaneous translation of the entire 49th SOAP meeting in both Mandarin and English! During this symposium and during the opening sessions of the meeting on Thursday, the attendees were treated to a four minute enchanting video of Dr. Guang Bo Zhang, the extant Chinese "Gertie Marx", addressing the meeting from Beijing. This video was initiated and produced by the No Pain Labor and Delivery - Global Health Initiative, of which I've been a member since 2009.

Drs. Hu and Stellaccio
   Other highlights of the meeting were 1) the Gertie Marx Lecture: "Anesthetic Neurotoxicity", 2) the Gerald W. Ostheimer Lecture: "What's New in Obstetric Anesthesia", 3) the Fred Hehre Lecture: "Two Steps Forward One Step Back", 4) "Enhanced Recovery after Cesarean Delivery" (that should make Dr. Gan happy!).

   The meeting was not all business. There was a great cocktail reception, the fun run, beer tasting, and the gala at the Bellevue Arts Museum.

   I have been a member of SOAP for over a quarter of a century; this was the best meeting with the largest Number of attendees I have ever had the pleasure to attend. SOAP 50 is expected to be even bigger and better. I hope to see you in Miami in May of next year.
Shivam Shodhan, MD, MBA

Can you tell us a little about your background (hometown, college, medical school, etc.)?
    Hometown: Manhasset, NY
    Undergrad: Fordham University for Computer Science.
    Medical School: Tufts University School of Medicine

What attracted you to anesthesiology?
   In Medical School I was in a program that paired students with kids going through chemo, I was paired with a 12 year old with stage 4 Rhabdomyosarcoma. When spinal mets left him paralyzed in the PICU it was the Pediatric Anesthesiologist that secretly put a hat on his head and wheeled him to the restaurant down the street because he wanted oysters and a bottle of wine. His family still talks about what that meant to them. It was the impact that had which drew me to anesthesia. That and I like computers.

How did you come to be a resident at Stony Brook (Why SB)?
   When we had to decide about residency my wife and I decided that if we had spent 4 years in Boston near her family we should spend 4 years in New York near mine and then we can move to Hawaii (some day).

Since there are several chief residents, what responsibilities of that role do you take on?
   We split the role fairly well. Everyone gets busy and has different demands: work, family etc and between the schedule, putting out fires, administrative work and working to help improve the program we cover each other pretty well I think.

How were you best able to balance the additional chief resident responsibilities with your roles as senior residents?
   The roles are actually very similar and complimentary – do your job, be responsible, set a good example for the junior residents. Simple stuff really.

Do you feel that you were able to play a vital role in the mustering resident comradery as well as the management of resident conflict?
   Not really. People have been pretty good about managing their own conflict without much intervention.

How do you feel your experiences as Chief resident will benefit you in your careers as attendings?
   You occasionally hear people say things like, “don’t be chief resident, there is no benefit only more work” - I never really understood this. While it can be more work it develops skills of leadership, management, and conflict resolution. Skills that every fellowship interview I went on stressed and used my role as a marker for this. When I think of the attendings I strive to model myself after they all have these skills and I think that is what I will carry with me in my future career.

What changes have you seen the program go through during your time here, and what are aspects that are still in development that you hope will pan out in upcoming years?
   Education Wednesdays are great. I would love to see moonlighting become an option for our residents to make the program more competitive with other residencies in the area.

What do you like most about being a resident?
   That I CAN say, “I’m just the resident. “

What do you like least about being a resident?
   That I HAVE say, “I’m just the resident. “

What pearls of wisdom would you like to share with your fellow junior residents to help them succeed in their time here and future careers?
   Care. Care about your work, care about your patients, care so much and sacrifice for them but don’t forget to care about yourselves.

How would you describe our Stony Brook Medicine Anesthesiology Residency Program?
   Busy, caring, evolving.

What advice do you have for medical students looking to pursue a career in anesthesiology?
   Read. No amount of shadowing or rotations will tell you what it’s like to have a career in any field. Find what you enjoy reading about – if you enjoy learning something that is the first step in finding a specialty you’ll enjoy making a career out of.

So what’s the next step (academic attending, private practice, research) you will be taking as you transition from the role of a resident to attending?
   Fellowship – UPMC Childrens, then who knows.

Where do you see your career involvement 15 years down the road?
   I’ll probably stay academic, I would like to make use of my computer science degree along side my M.D. and I have strong opinions on ways that the medical record system needs to change.

As you're soon to enter the real world of anesthesiology, what do you find most daunting?
   Moving. I’m just taking one step at a time.

If you could do it all over again (become a doctor), would you? Why or why not, and what would you have done differently?
   All things being equal I wouldn’t change a thing.

If you hadn’t chosen to go into medicine, what career path might you have followed?
   Computer Science because, you know, I was already doing that so…yeah.

What has been your favorite residency memory of your 4 years here at Stony Brook?
   Walton meme text thread. I will miss this the most.

What will you miss the most about your time on Long Island?
   Being close to family. I grew up on Long Island and it’s been great to start raising my son near my parents and to have them close by to help out and watch him grow.

Is there anything left on your Long Island bucket list before you venture off?
   Riverhead Aquarium, Vineyards, Vanderbilt Museum

When you aren't running on around the hospital saving lives, how do you like to spend your free time?
   With my family.

What do you like the most (and least) about living on Long Island?
   Most – The Beach
   Least – The Driving.

What is your favorite type of food?

What's your favorite restaurant in LI/NYC?
   LI: Salvatore’s Pizza – 124 Shore Rd, Port Washington
   NYC: Nica Trattoria – 354 E 84th Street, NYC (Go there, bring cash.)

Where would you love to travel to next and why?
   Hawaii – self explanatory.

What's your favorite Tourist Activity in LI/NYC?
   Employees Only

Describe yourself in three words.
   I think I’m…doh!

Who is/are your role(s) models and why?
   I don’t think I can pick any one person or small group of people, I’ve never met someone I couldn’t learn something from. Even if that something is “wow I don’t want to be like that guy.”

If you could make one wish, what would it be?
   Easy - More wishes. Next.

If you could leave us with one of your favorite quotes, what would that be?
   "Step with care and great tact, and remember that Life's a Great Balancing Act. Just never forget to be dexterous and deft. And, never mix up your right foot with your left." - Dr. Seuss
   "Of two equally plausible explanations, the more cynical one is correct." – Uthmans Razor

Figure from Englund et al 2017

  • Monastero RN, Pentyala S. Cytokines as Biomarkers and Their Respective Clinical Cutoff Levels. Int J Inflam. 2017
  • Englund EK, Rodgers ZB, Langham MC, Mohler ER 3rd, Floyd TF, Wehrli FW. Simultaneous measurement of macro- and microvascular blood flow and oxygen saturation for quantification of muscle oxygen consumption. Magn Reson Med. 2017 May 11
  • Czaplinski K. Techniques for Single-Molecule mRNA Imaging in Living Cells. Adv Exp Med Biol. 2017;978:425-441
  • Leng T, Lin S, Xiong Z, Lin J. Lidocaine suppresses glioma cell proliferation by inhibiting TRPM7 channels. Int J Physiol Pathophysiol Pharmacol. 2017 Apr 15;9(2):8-15
  • Buddiga V, Pentyala S, Ramagoni N. Relation between periodontitis and diabetes. Int J Dent & Oral Heal. 3:3, 20-26
  • Dagur G, Warren K, Lea M, Pentyala S, Chokshi K, Pentyala S, Khan SA. Role of phrenic nerve in respiratory distress secondary to Lyme neuroborreliosis. Polish Ann Med. 2017;24:1, 72-76
Francis Stellaccio, MD
James P. Dilger, PhD
WEED - reed - rend - rind - wind - wine - wise - WISH

May 2017 Bowling Party!!!
SleepTalker, the Stony Brook Anesthesiology Newsletter is published by the Department of Anesthesiology
Stony Brook Medicine, Stony Brook, NY
Tong Joo Gan, M.D., Chairman
Editorial Board: James P. Dilger, Ph.D.; Stephen A. Vitkun, M.D., M.B.A., Ph.D.; Marisa Barone-Citrano, M.A.; Shivam Shodhan, M.D., M.B.A.