“War on Skin Cancer” event to bring community together

Join the OHSU Department of Dermatology on Saturday, May 21, at the Collaborative Life Sciences Building for a fun and educational weekend event helping to advance the science of skin cancer prevention and treatment.redheads

OHSU and Portland dermatology providers will be available to provide screenings and sun safety tips about how attendees can monitor their skin health.

Attendees will also learn about the best sunscreens to use and can take a turn playing educational games containing skin cancer facts. Skin checks will be first come, first serve.

OHSU scientists will also be hand to discuss their latest research efforts. Presenters include:

  • Sancy Leachman, MD, PhD, Chair, Department of Dermatology and Director, Melanoma & Skin Cancer Research Program, will speak on genetics factors as it pertains to melanoma and skin cancer risk.
  • Oliver J. Wisco, DO, FAAD, FACMS, is a fellowship-trained melanoma specialist and skin cancer surgeon at Bend Memorial Clinic. This talk will explore the common question of, “are we are harming ourselves by blocking potentially-beneficial Vitamin D through sun protection?”
  • Amanda Lund, PhD, is a cancer immunologist who is working to understand the mechanisms how lymphatic vessels, key communication highways of the immune system, influence the body’s ability to fight skin cancer. She will talk about the development of new strategies to predict who will respond best to therapy and how immunotherapy could turn non-responders into responders.
  • Anna Bar, MD is a fellowship trained Mohs surgeon and Assistant Professor of Dermatology at OHSU. Bar is teaming up with Dr. John Vetto, OHSU surgical oncologist, for a Phase 3 clinical trial of POL-103A polyvalent, a melanoma vaccine, to test potential efficacy for melanoma patients who are at a high risk of recurrence.
  • Pamela Cassidy, PhD, is a Research Associate Professor in OHSU’s Department of Dermatology. She will speak about her studies that are designed to find both the beneficial and harmful effects (if any) of antioxidants that are candidates for use in melanoma prevention.
  • Tracy Petrie, PhD, is a computer scientist overseeing the continuing development of the Mole Mapper apps for iPhones and, soon, Android phones. Written by Dan Webster, a cancer biologist, Mole Mapper is a free app that lets you map, measure, and monitor moles over time. Learn about how you can participate in melanoma cancer research while you use the app to help manage your skin care.

Other events such as the 5th annual AIM Melanoma 5K Walk will be taking place as part of the event. Registration info can be found here with all proceeds benefiting the OHSU Melanoma Tissue Bank Consortium.

There’s also a chance for attendees to be a part of history if they are a natural redhead! Redhead Events, a local non-profit, will attempt to break the world record for the largest gathering of natural redheads in one place.

Training tomorrow’s data scientists

The following is an abbreviated version of a blog post titled “Technical education for a connected world,” authored by Stephen Wu, an assistant professor of medical informatics and clinical epidemiology at OHSU School of MedicineIn it, Wu shares how including peer reviews in his class led him to develop a new approach to technical education: one that centers around five core values that he believes to be essential to both scholarly and professional development. The original post can be viewed here.

Who’s going to grade these? I needed a TA. I was three weeks into teaching my first full-fledged Computer Science class — Natural Language Processing (NLP) — and I was getting a little desperate. All my students had submitted Homework 1 on time. Great! But now I had a stack of programming assignments and writeups to grade.

I had just stayed up late (after my kids went to bed) for a few nights in a row, prepping Homework 2, then trying to prep Lecture 5. I ran out of time on the latter, so, embarrassingly, I’d had to let class out early after my under-prepped interactive whiteboard lecture on word similarity. Coming up in less than 48 hours was another 90-minute lecture, and I would need to find another 5-10 hours (with my kids sleeping) to prep that. This is ironic. When I was a student, I never imagined that my professors lost more sleep over my classes than I did.

So, grading Homework 1. No time. No TA. No free computer science experts to bail me out. If only my students could grade their homework themselves…technical education

And all of a sudden, it all made sense. Peer reviews!  

I turned this epiphany over in my head. This one thing embodied so much of the process I had gone through in entering academia and growing as professional. It was conspicuous in every journal article that I got accepted, and essential in every grant that I got funded. It was embedded, as code review, in the seasoned software engineering process at the tech startup I’d worked at, Trapit.

At a broader level, this collaborative collegial activity, this humility to accept and learn from criticism — I needed it in my marriage, relationships, spiritual life, everywhere.

It was too late to do peer reviews for Homeworks 1 and 2. I’d just have to buckle down with a few more late nights to finish that. And I knew that when I first got students to do peer reviews, I’d have to coach them on how to do them — meta-review their reviews. I wondered if this would actually save me time. Certainly not in the short run, I thought, but this is what I want them to get out of my class. More than NLP. Character.

What emerged from that CSEE 562 NLP class is my modern-day re-imagining of technical education, centering around five core values that I believe to be essential in scholarly and professional development. Transparency. Excellence. Collaboration. Humility. Innovation. I call it techi education, or techied.

Those values are articulated in a grading scheme, expressed in a process for peer review, and implemented in modern collaborative software tools (git). My class was far from perfect, but that’s why I’m writing! Fellow educators: let’s build a new generation of scholars, coders, and teachers who know how to be in the emerging collaborative world of data science. Clone my techied git repository. Build on these ideas. And join me in a new kind of technical education.

Stephen Wu

Stephen Wu is an assistant professor of medical informatics and clinical epidemiology at OHSU School of Medicine whose research aims to make medical information understandable to computers and actionable for people. He also teaches graduate courses in computer science.

 

Pregnancy and the heart

Waiting for a baby. Close-up of pregnant woman touching her belly while sitting in lotus positionHeart disease is not always a disease of the elderly. According to the American Heart Association, there are over 15,000 deaths due to heart disease annually in the U.S. in young women under the age of 55.

While most young patients have at least one risk factor for a cardiac event, many women underestimate their cardiovascular risk. These risk factors may come from family history, lifestyle, and unique to female patients: conditions that developed during pregnancy.

Major changes happen to the body during pregnancy to which the heart and vascular system must adapt. We now know that pregnant women can develop conditions which may signal a risk for heart problems in the future.

Conditions that have been linked to future heart risk include:

  • Gestational hypertension
  • Gestational diabetes
  • Preeclampsia
  • Spontaneous pregnancy loss
  • Preterm birth

The good news is there is plenty you can do to minimize your heart risk before, during, and after pregnancy. Here are a few tips to note when you’re trying to get pregnant and to ensure you have a heart-healthy pregnancy.

Eat heart-healthy

During pregnancy it’s more important than ever to have a balanced, heart-healthy diet. In particular, avoid excess salt and minimize your caffeine intake. Consider using OHSU’s My Pregnancy Plate as a guide on optimal nutrition during pregnancy.

Maintain a healthy weight

Weight gain is normal during pregnancy and the healthy amount can vary person to person. Talk to your OB at the beginning of your pregnancy to determine the optimal weight gain for you.

Exercise

As is the case outside of pregnancy, regular exercise is vital to cardiovascular health. Moderate exercise is typically okay for most pregnant women but discuss the specifics with your doctor.

Talk to your doctor

Make sure to discuss any medications you are taking with your doctor prior to pregnancy. If you have an existing heart condition, talk to your cardiologist before getting pregnant. Many women with repaired congenital heart disease can have a safe pregnancy, but the risk depends upon the person. Body changes can cause an increase in symptoms, even for women without preexisting problems, so it’s important for patients with a heart history to be monitored by a cardiologist throughout pregnancy.

***

Dr. AAbigail, Khan_15 (CAR)bigail Khan is a cardiologist at the OHSU Knight Cardiovascular Institute focused on caring for adults with congenital heart disease and women who are pregnant or contemplating pregnancy and have existing heart problems. Her role as a cardiologist guiding these young women is an important one given that risk factors for heart disease are rising for women under 45, and pregnant women may have additional cardiovascular concerns.

At OHSU, a mother’s passion inspires

OHSU seems to run in the family for four of the six Mansoor siblings, and it all started with their mother, Salma.

Steven Mansoor, M.D., Ph.D., David Mansoor, M.D., Lori Mansoor, L.C.S.W. and André Mansoor, M.D. all work in different capacities at OHSU and three are graduates of the OHSU School of Medicine.

Their mother is no longer with them, but her passion for helping people, for science and for family is reflected in her children’s lives.

“Our family story at OHSU all started with her,” Steven said.

Her kids remember her as a very scientifically-minded person who wanted to be a physician but gave up her career to raise them.

Salma (pictured third row from the front, far right) posing with a group during her training at OHSU in 1972

Before that, Salma worked as a lab technician, and she did her training at OHSU.

Salma encouraged her kids to pursue careers in medicine. She fostered an interest in math and science in them, all the while nudging them toward helping professions.

Steven is the eldest of the siblings who went into medicine. A physician scientist, he has a cardiology fellowship at the Knight Cardiovascular Institute and serves as a Postdoc in the Gouaux Lab, where his research revolves around the structure and function of purinergic receptors. Steve has been affiliated with OHSU since 1996.

David, an assistant professor of Psychiatry, focuses on geriatric medicine. His practice includes a combination of dementia care and adult psychiatry, seeing patients with age-related psychiatric disorders linked to memory, cognitive impairment, depression and anxiety. He enjoys the complexity of care that goes into caring for older patients.

Lori says it was always her goal to work at OHSU because she knew about it from such a young age. She enjoyed visiting her brothers on campus while they were studying and wanted to be close to them – since she started in 2015, she’s been able to do just that, even meeting her brother at the OHSU Farmers Market for lunch during her orientation. Lori works with people who struggle with mental health and substance abuse issues as a therapist at the Avel Gordly Center for Healing, a culturally-specific counseling center.

André, the youngest of the Mansoors, is an assistant professor of Medicine. Like his brothers, he attended the OHSU School of Medicine and did his residency at OHSU. As a hospitalist, he cares for patients with a variety of medical problems.

André remembers his mom’s passion for connecting with people in need through her work with Meals on Wheels. It was that same desire that drove him to pursue medicine.

“I wanted a career that would allow me to establish similar relationships,” he said.

The Mansoors’ mother was diagnosed with cancer and passed away in 2001 knowing that Steve and David had been accepted to the OHSU School of Medicine.

Steven, David, Lori and André are continuing their mom’s caring legacy and, like her, they continue to place family above all else. Steven and David lived together when they were in med school and André and Steven even did OB rotation nights together. The entire family gathers at their father’s home every Sunday for dinner and the siblings meet for lunch on the hill when they can.

“We’re a close-knit family,” Lori said. “We support each other with success and we’re vocal with one another about the things we love.”

“It all really began with our mom’s dream to help people,” Lori said. “OHSU will always be special to us.”

Ten things you need to know about our outstanding nurses

It’s National Nurses Week and we are proud of our hardworking nurses for the excellence they bring to their work each and every day.

Here are just a few things you might not know about our nurses and the amazing work they do here at OHSU.

(Double-click the image to view full-size)

SOC 21436790 Nurses Week GRAF v2

 

Be a leader, a scientist, a teacher — a nurse. All at OHSU. We are hiring nurses for a variety of clinical areas. Learn more at ohsu.edu/nursingjobs

Top five reasons to volunteer at OHSU

volunteer-weekIn 2015, more than 1,300 people volunteered their time at OHSU to help advance the boundaries of medicine, improve patients’ quality of life and share their genuine passion for serving our community in Oregon and beyond.

There are several reasons people choose to volunteer at OHSU – to gain work experience, to help save lives, to give back to a place that’s made a difference in their own lives. Every now and then, a friendly critter also gets the calling to help make a difference!

This National Volunteer Week, I rounded up five of the top reasons to volunteer at OHSU:

1. Make a difference
One of the top reasons to volunteer is to make a positive impact in others’ lives. It’s about giving back to our community and the people in it.

2. Be part of the discovery
Year after year, there are extraordinary breakthroughs in research influenced by the support of OHSU’s volunteers. Volunteers are provided with a multitude of free training and lecture series available to grow their knowledge base and light the way to new discoveries.

3. Gain professional experience
Interested in gaining experience in research or healthcare? Volunteering at OHSU provides the perfect opportunity to gain experience in any field. Whether that experience may be observing cavity fills in the School of Dentistry, developing patient interaction skills by entertaining children in the OHSU Doernbecher waiting areas or finding patients eligible to enroll in research studies, there is opportunity for everyone to get involved.

4: Become an active member of the community
OHSU’s expansive outreach programs throughout the state of Oregon provide the unique opportunity to get involved in the community, either on OHSU’s campus or at one of our affiliate partners.

Live in the Salem Area? Check out how you can volunteer at Salem Health.

5: Develop long-lasting connections
Volunteering at OHSU provides the incredible opportunity to shape and form connections with some of the most talented professionals in the world. OHSU’s sheer number of talented students, professors, doctors, nurses and numerous other professionals help to foster an environment of professional and personal growth.

Please join me in thanking the amazing volunteers here at OHSU – we’re very lucky to have them!

***

sean-robertson

 

Sean Robertson is a volunteer digital marketing promoter for Research and Academic Volunteer Services and also volunteers with The P.O.L.A.R.I.S Research Team in Pediatric Hematology Oncology, as well as the Cord Blood Donation Program

 

 

Interested in volunteering?
Find out how to get started with Healthcare or Research and Academics.

Ask the expert: Should I take aspirin to prevent a heart attack?

This week you may have seen news headlines touting aspirin as a way to prevent heart attacks. But does that apply to you?

OHSU experts are cautioning against a run to the pharmacy until you know whether you meet the specific criteria required to benefit from the regimen. Many people with existing heart disease are advised to take a low-dose aspirin every day to prevent blood clots, the cause of heart attacks and most strokes. Whether healthy individuals should do the same to prevent heart attack and stroke, known as primary prevention, has been up for debate.

The news coverage this week comes from new guidelines released by a government panel of experts outlining who would benefit from taking daily low-dose aspirin for primary prevention.

In order to benefit from an aspirin regimen, according to the U.S. Preventive Services Task Force, healthy men and women must meet a strict list of criteria — including a high risk of heart disease and a low risk of bleeding side effects.aspirin

Specifically, the group recommends that adults in their 50s, who have a 10 percent or greater risk of developing cardiovascular disease, are not at risk for bleeding, and have a life expectancy of at least 10 years take a daily low-dose aspirin to prevent heart attack, stroke, and also colorectal cancer.

According to OHSU cardiologist Dr. Michael Shapiro, “These new recommendations reflect a greater consensus regarding a narrower role for aspirin in the primary prevention of cardiovascular disease. In other words, one must exceed a certain threshold of risk for a vascular event, and this must be balanced by risk of bleeding, in order to benefit from daily low-dose aspirin.”

He added, “There is now recognition that statins are by far the most effective and safest agents for primary prevention. Statins are safer than aspirin by an order of magnitude.”

Our experts agree that low-dose aspirin is still an extremely effective therapy for secondary prevention and should be recommended routinely to heart disease patients if they have a low risk of bleeding.

Be sure to check with your doctor if you’re wondering if low-dose aspirin is right for you, and before starting any new medication. Learn more about the best ways to prevent heart disease at the Center for Preventive Cardiology at the OHSU Knight Cardiovascular Institute.

Caring for athletes at the U.S. Olympic Training Center

olympic_signWith the 2016 Summer Olympics just a few months away, Olympic-bound athletes are hard at work preparing for their events.

Many of these athletes are training at one of three U.S. Olympic Training Centers.

Recently Jacqueline Munch, an orthopaedic surgeon in OHSU’s Sports Medicine program, served a two week rotation at the U.S. Olympic Training Center in Colorado Springs, CO.

She answers a few questions about her experience:

1. What was your role at the Olympic Training Center?

I was the primary care and orthopaedic sports medicine doctor in charge of care for the athletes. I volunteered with a physical therapist and a massage therapist, and we worked alongside the on-site staff, including physical therapists, athletic trainers, and chiropractors.

The Olympic Committee sports medicine staff depends on volunteer medical providers to diagnose and treat athletes at the training center.

2. How did you get this opportunity?

I did my fellowship in Sports Medicine and Shoulder Surgery at the Hospital for Special Surgery (HSS) and my fellowship director is an Olympic team physician.

As his fellow, I got a window into the world of sports medicine for Olympic athletes.  He wrote a letter in support of my application as a volunteer.

3. What types of athletes did you treat?

I worked with the men’s and women’s wresting team, the men’s gymnastics team, paralympic swimmers, shooting athletes, modern pentathletes and men’s and women’s weightlifters.

Figure skaters practiced off-site, but presented on occasion to the sports medicine department for treatment or therapy.

team at desk4. What kinds of injuries did you see and treat?

Probably the most common problems that I saw were shoulder-related issues, especially with the gymnasts where there are such strong forces put on the shoulders. I also saw a variety of overuse injuries.

Fortunately, none of the athletes suffered any major injuries during my rotation.

What did you most enjoy during your volunteer rotation?

Watching the men’s gymnastics practice – these athletes were working so hard and were doing such amazing things. I also really enjoyed getting to know the athletes as actual people, not just as elite athletes.

The athletes I met were dedicated, hard-working, down-to-earth people.

5. What did you learn working with Olympic athletes that will be useful for your treatment of patients at OHSU?

At the Olympic Training Center, I had immediate exposure to the mechanism of injury, as I was seeing injuries right after they happened.

Working in this environment also exposed me to new techniques for injury rehabilitation, as I got to work side-by-side with the therapists on site.

***
pete_dahlgren

Pete Dahlgren is the Project Coordinator for the Department of Orthopaedics and Rehabilitation which is dedicated to diagnosing and treating common and complex bone and joint illnesses, injuries and diseases.

Your cardiologist is in the kitchen

If you are a patient at the OHSU Knight Cardiovascular Institute some typical questions you might ask your cardiologist could include:

How is my blood pressure?
Should I be concerned about my cholesterol?

But how about…
What should I cook for dinner?Kaul_cooking

As part of the institute’s Heart Protection Kitchen cooking demonstrations, OHSU cardiologists are trading stethoscopes for aprons to show off their hidden talents in the kitchen.

Usually led by OHSU’s executive chef along with a registered dietitian, our healthcare providers are periodically stepping in to cook heart-healthy meals for their patients.

The “Your Doctor Will Cook for You Now” series recently kicked off with a class taught by Dr. Sanjiv Kaul, CEO of the OHSU Knight Cardiovascular Institute. His goal was to teach attendees how to cook a traditional Indian meal that is low in saturated fat and sodium while high in fiber.

On the menu:

  • Chicken and Broccoli, Kashmiri-style
  • Daal (mixed beans and lentils), Punjabi-style
  • Red Cabbage, Bengali-style

In addition to his recipe instruction Dr. Kaul gave health tips for cooking at home, such as using dried beans instead of canned to avoid added salt. His most important piece of advice: cook more! According to him, it’s the best way to know exactly what’s in your diet and avoid unnecessary saturated fat and sodium.

Check out the full schedule of cooking classes on our website, and try out Dr. Kaul’s Kashmiri-style chicken and broccoli recipe below!

Chicken and Broccoli, Kashmiri-Style

Makes 6 servings

Ingredients

6 bone-in chicken thighs

1 large head of broccoli, trimmed into florets 2-inch long and 1-inch wide

2 tablespoons mustard oil (if not available, any other vegetable oil can be used except olive oil)

6 cloves

6 peppercorns

3 crushed cardamom pods

1-inch cinnamon stick, crushed

1 bay leaf, broken into 6 pieces

2 heaping teaspoons fennel powder

1 heaping teaspoon ground ginger

1 heaping teaspoon ground turmeric

½ teaspoon salt

½ teaspoon Kashmiri cayenne chili powder (if not available, mix ½ teaspoon regular chili powder with 1 teaspoon paprika)

Boiling water

Preparation

Preheat oven to 350˚F.

Coat a baking sheet with nonstick spray. Place chicken on the prepared baking sheet and bake for 20 minutes. Remove from oven. When chicken is cool enough to handle, remove and discard skin and trim away any fat. With a pointed knife, poke 4 to 5 holes in each chicken thigh; set aside.

Heat mustard oil over medium heat in a skillet or saucepan. When oil is hot, add cloves, peppercorn, cardamom, cinnamon, and bay leaf. Stir for 1 to 2 minutes then reduce heat. Add fennel powder, ginger, turmeric, salt, and chili powder, and stir for 2 minutes.

Add enough boiling water to the mixture to fill the pan 1 inch deep. Stir and raise heat back to medium to bring the mixture to a boil. Place chicken in the pan and cook for two minutes. Turn the chicken over, then add broccoli to the pan with the chicken. Reduce the heat and cover with a tight lid. Allow to cook for 10 minutes, and then stir so that the broccoli is immersed in the liquid. Cook for another 15 minutes on low heat.

Nutrition information (per serving): 177 calories, 9 grams total fat (2 grams saturated fat, 5 grams monounsaturated fat, 2 grams polyunsaturated fat, 0 grams trans fat), 69 mg cholesterol, 290 mg sodium, 496 mg potassium, 8 grams total carbohydrate, 3 grams fiber, 2 grams sugar (0 grams added sugar), 16 grams protein

Life after breast cancer: Discovering the new normal

For survivors, completing treatment and becoming cancer-free doesn’t mean their journey is over. At this year’s Komen Breast Cancer Issues Conference, Sue Best, L.C.S.W., M.S.W., of OHSU’s Palliative Care Team, will lead a panel of experts from across Oregon to answer the question: “What does the new normal look like after breast cancer?”

Here are three topics attendees can learn about at the conference:

  1. For some, the physical and mental effects from treatment can linger or become permanent. Learning how to cope with the new ways your mind and body have changed can be challenging. It’s hard to be the person you were before because of the lingering physical and emotional issues you’re dealing with. Learn new ways to alleviate common physical issues post-treatment and how to navigate through the many emotions one encounters post-treatment.
  2. It’s normal to be afraid of recurrence. Making healthy lifestyle choices and learning what works for you and your body is key to keeping yourself healthy and stress-free after treatment.
  3. Don’t assume life will go back to the way it was before diagnosis. Re-entry into everyday life is a lot more difficult than most people anticipate. A cancer diagnosis completely affects your life and the lives of your friends and family. Becoming cancer-free doesn’t erase that history. Remember that everyone copes with life after diagnosis differently – there is no right or no wrong way; it’s whatever way works best for you

Learn more
“Life After Breast Cancer: Discovering the New Normal” is scheduled as the closing session for the annual Komen Breast Cancer Issues Conference on Saturday, March 5. A limited number of registrations will be accepted beginning at 8 a.m. For more information, visit the Komen Breast Cancer Issues Conference website.

Why 96,000 Square Miles?

OHSU Health Fair at Pioneer Square.

President Robertson is fond of saying that OHSU has a 96,000 square mile campus, serving Oregonians “from Enterprise to Coos Bay, from Portland to Klamath Falls.”

This blog aims to highlight that breadth. 96,000 Square Miles (96K for short) will focus on the people of OHSU, the Oregonians we serve and the ripple effect of our work in Oregon and beyond.

Read more

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