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At the Hospitals
n Petri Dishes Replaced By Identifying the exact bacteria causing an these patients progress to nonalcoholic
infection and the presence of specific genetic steatohepatitis (NASH), which refers to
Ketchup Packets markers is especially important when that inflammation in the liver, is associated with
Earlier this year, Carolinas HealthCare bacteria has antibiotic resistance. scarring of the liver, and in some patients, the
System (CHS) began using a new molecular development of cirrhosis.
technology inspired by ketchup packets that n Hadley Wilson, MD, Named to
precisely identifies the cause of a bacterial ACC Posts The CHS Center for Liver Disease has
infection in the blood in just two to three B. Hadley Wilson, MD, FACC, longtime clinical trials for the treatment of NASH. It
hours — something that used to take 48 hours. has modalities available as part of these
Identifying the bacteria faster, combined with interventional cardiologist at Sanger Heart studies and through normal clinical care
a team of pharmacists and infectious disease & Vascular Institute and to detect fatty liver without doing a liver
physicians selecting the right treatment, will clinical professor of medicine biopsy, through Fibroscan and Magnetic
result in better care for patients. at UNC’s School of Medicine, Resonance Elastography.
The new blood culture identification is now in an international
(BCID) system works by taking blood that leadership role in the Andrew deLemos, MD, is the principal
tested positive for a bacteria, placing it into cardiology field. Dr. Wilson investigator for the NAFLD clinical trials.
a smartphone-sized pouch that then goes Sub-Investigators are Mark Russo, MD,
into a machine where the pouch is squeezed B.HadleyWilson,MD,FACC has been elected chair of the Philippe Zamor, MD, and Paul Schmeltzer,
in various ways, much like you squeeze a American College of Cardiology Board of MD. To determine if your patient could
ketchup packet. This process allows for the Governors and secretary of the Board of qualify for a trial or if you are interested in
purification and extraction of DNA that Trustees, the main governing body of the a fatty liver disease consultation, contact
indicates the exact species of bacteria causing ACC, for 2017-2018. Regina McFadden at 704-355-7608 or Gale
the infection. Groseclose, RN, at 704-355-4875.
Traditionally, bacteria is grown in a petri Wilson will lead the 66 chapter governors
dish until it can be seen with the naked eye, representing all 50 states, the District of n The Art of Medicine
and then sugars and amino acids are added to Columbia, Puerto Rico, Canada, Mexico and This year, the Center for Physician
see how it reacts. Doing it that way took time the U.S. Uniformed Services.
to allow the bacteria to grow and be tested. Leadership & Development kicked off The
Now, instead of 48 hours to get identification, Wilson travels internationally talking about Art of Medicine — a unique collaboration
it takes two to three hours. heart attack protocols and implementing between Carolinas HealthCare System and
In 2016, a multidisciplinary group of changes. Cardiovascular disease has the Bechtler Museum of Modern Art.
pharmacists, infection prevention experts, become the number one killer in developing
microbiologists, infectious disease countries, making Wilson’s mission to The six-session series is hosted at
physicians and environmental services spread the word about prevention and cardiac the museum, providing physicians the
leaders was formed to address infection protocols. Whether it’s discussing strategies opportunity to be inspired by incredible
outcomes across CHS. One primary focus to decrease door to balloon time or the ways works of art and further develop the skills
of the multidisciplinary group, called 3P for in which Sanger Heart & Vascular Institute’s necessary to sustain and enhance resiliency
“Patients, Pathogens and Prescribers,” was to rapid transport program for acute heart in the practice of medicine. Incorporating
develop a process for BCID implementation attack patients can be applied, exchanging the humanities in medical education has
and to ensure the information from BCID information to improve survival rates been shown to increase empathy, awareness
would get quickly into the right hands. internationally is essential. and sensitivity in patient care, in addition to
Once there’s a positive result, the lab calls expanding one’s creativity, flexible thinking
a pharmacist with CHS’s Antimicrobial Wilson served as co-director of the annual and personal resiliency.
Support Network who assesses and makes Advanced Cardiovascular Interventions
sure the patient is on appropriate antibiotic course at Hilton Head from 1992 to 2007, as the Each Art of Medicine session is co-
therapy. In some situations, the patient may chief interventional cardiologist for the ACC facilitated by CHS education leaders and
not even be on antibiotics yet, and in others, North Carolina STEMI/RACE program for a Bechtler Museum educators. This model
having details on the kind of bacteria statewidesystem ofcarefrom 2005to2015and combines Visual Thinking Strategies (VTS)
allows a selection of the best antibiotic for now the ACC/American Heart Association with a modified Balint Group, which is a
the infection. National STEMI Accelerator I and II forum for exploring the physician-patient
programs covering more than 30 million lives. relationship. Visual Thinking Strategies
(VTS) is a method of analyzing art through
n Fatty Liver Disease Clinical Trials group discussion, shared perspectives and
Accepting Patients problem-solving.
Nonalcoholic Fatty Liver Disease (NAFLD)
The Art of Medicine was piloted in 2014
is estimated to affect 75-100 million people by the Center for Physician Leadership
in the United States. This disease typically & Development, and is now supported
occurs in patients who also have features of by the CHS Physician & ACP Wellness
metabolic syndrome — obesity, diabetes, Subcommittee, chaired by Dael Waxman,
and/or hypercholesterolemia. A subset of MD, and Quimby McCaskill, MD.
12 | June 2017 • Mecklenburg Medicine
