Online Exclusives

CEO Spotlight: Mike Diamond of Telemedicine Solutions LLC

OWM: Please describe the education, training, and work experiences that prepared you for your current position as CEO of Telemedicine Solutions, LLC.
  I’ve always been a people-person with a keen interest in the world of medicine — so much so that at one point I was actually thinking about becoming an ER physician. However, experience told me I don’t do well with broken bones, so I graduated from business school and entered the healthcare industry in a sales capacity. This was a time where technology was leapfrogging what we could do in both medicine and communication technology. I found the intersection of these two worlds fascinating because I believe by leveraging technology you can make healthcare better. We see this all around us not only with new medicines and medical procedures, but also in the way we approach our jobs, daily workflow, and processes.

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Notes on Practice: Constriction by Adherent Stoma Appliance: An Unusual Case of Stomal Obstruction

Mahendra Singh Gond, MBBS, MS, Assistant Professor; Hari Krishna Damde, MBBS, MS, Assistant Professor; Pawan Agarwal, MS, MCh, PhD, Associate Professor; and Professor Dhananjaya Sharma, MS, PhD, DSc, FRCST (Hon), Head, Department of Surgery, Government NSCB Medical College, Jabalpur (MP), India

  The problem. A stoma can be created to divert the fecal stream. Although they are common, stomas carry a significant complication rate, ranging from 10% to 70%.1 Complications can occur early (1 month post-operatively, incidence varies from 6% to 76%).2-5 Common complications include vascular compromise (incidence 2.3% to 17%), retraction (incidence 3% to 17%), peristomal skin irritation (incidence 3% to 42%), infection/abscess/fistula (incidence 2% to 14.8%), parastomal herniation (incidence 2.3% to 17%.), and stomal stenosis and bowel obstruction (incidence 2% to 14%.).2-5 Bowel obstruction usually is caused by adhesions inside the peritoneal cavity or in the abdominal wall or by stomal stenosis in the actual stoma. We present a rare case of stomal obstruction due to compression by adherent stoma appliance.

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CEO Spotlight: Steve Burman of Burman’s Medical Supplies

OWM: Please describe the education, training, and work experiences that prepared you for your current position as CEO of Burman’s Medical Supplies.
  I graduated in 1983 from Philadelphia College of Pharmacy and Science (now University of the Sciences) with a Bachelor of Science in Pharmacy and was awarded the prestigious Presidents Award for high academic achievement. After college I worked for my father, Harvey Burman, at Burman’s Pharmacy (Brookhaven, PA), and in 1995, I purchased the pharmacy from my father. The pharmacy’s respected reputation provided an ideal base upon which to build other companies and serve a broader range of healthcare needs. In 1989, I founded Burman’s Home Health Care, which was known for its comprehensive durable medical equipment (DME), oxygen, and field-based clinical respiratory therapy program. I sold this company in 2003 and founded Burman’s Medical Supplies in the same year to focus on wound care supplies.

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Practical Magic: Reducing Slippage of Multilayer Compression Bandages in Patients with a Venous Leg Ulcer and the Typical “Inverted Champagne Bottle” Leg

Section: 
Practical Magic

Chronic lipodermatosclerosis (LDS) is a fibrosing condition of the lower leg associated with long-standing venous insufficiency.1 It is characterized by sclerotic, often circumferential, hyperpigmented depressed plaques above the ankle (gaiter area) and often accompanied by proximal concomitant edema. As a result, affected legs are said to have an “inverted champagne bottle” appearance (see Figure 1). LDS is more common in women and individuals with high body mass indexes.2 It frequently precedes the formation of venous leg ulcers (VLUs) and is associated with delayed healing as well.3

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CEO Spotlight: Desmond Bell of Save A Leg, Save A Life Foundation

OWM: Please describe the education, training, and work experiences that prepared you for your current position as the co-founder and executive director of the Save a Leg, Save a Life (SALSAL) Foundation.
  I am a graduate of Tulane University (New Orleans, LA) with a Bachelor’s Degree in Psychology. I received my Doctor of Podiatric Medicine Degree from the Temple University School of Podiatric Medicine (Philadelphia, PA).

  My first year of Residency was at the Department of Veterans Affairs Medical Center, Philadelphia, which was the pivotal year in my career as it led me to recognize the importance of wound care and limb preservation. An additional year of surgical training in Langhorne, PA at the Delaware Valley Medical Center and then a move to Florida in 1997 allowed me to further pursue my passion in wound care. I established my private practice that evolved into a free-standing wound center. Writing, lecturing, and immersing myself in the wound care community have allowed me to meet so many talented and kindred spirits who share the desire to continually improve outcomes and quality of life for our patients.

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CEO Spotlight: Joe Carberry of Medical Solutions Supplier

OWM: Please describe the education, training, and work experiences that prepared you for your current position as CEO at Medical Solutions Supplier.

Global Guardian: Paul Dagher: Giving Back Where Most Needed

  Paul Dagher, MD grew up in Beirut, Lebanon during the Lebanese Civil War. He is no stranger to the desperate need for medical professionals in many areas around the world. When he left home at 18 years old to attend college in the United States, Dr. Dagher had hoped one day to return to his home country to set up a medical practice. But by the time he graduated from Wheaton College (Wheaton, IL), went to Loma Linda University (Loma Linda, CA) for his medical degree, and finished his general surgery residency program at Loma Linda University Medical Center in 1998, the war was over in Lebanon and the need for medical professionals was greatly diminished. Instead, Dr. Dagher joined the Watauga Surgical Group (Boone, NC) and stayed in the US. Because the group encouraged short-term medical missions, Dr. Dagher was able to travel abroad to help those in need.

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CEO Spotlight: Gary Damkoehler of BioDerm Inc

OWM: Please describe the education, training, and work experiences that have prepared you for your current position as CEO at BioDerm.
  I have more than 40 years experience in the medical industry. I am the former Chairman of the Board of JSA Healthcare Corporation (St. Petersburg, FL). After career success at USAID and Westinghouse's Health Systems Division, I joined the predecessor company to JSA in 1984. I founded JSA's Government Services division, which grew from $120,000 in sales in 1984 to $21.4 million in 1989, a growth record that placed the company on the Inc. 500 List. I became President of JSA in 1985 and Chairman of the Board in 1988. In 1992, JSA entered the managed care arena and grew from one medical clinic to 65 clinics, with revenues of $250 million in 2006. I received my bachelor's and master’s degrees in Economics from the University of Alabama. In 2006, I joined BioDerm's Board of Directors and in 2011 became Chief Executive Officer.

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CEO Spotlight: Laura M. Frazier of SNS Nanofiber Technology

OWM: Please describe the education, training, and work experiences that prepared you for your current position as Director of SNS Nanofiber Technology.
  I received my Bachelor of Arts degree in Chemistry and Biology from Malone College in Canton, Ohio. I went on to receive my PhD in Chemistry from the University of Akron. I had the great fortune to be finishing up my PhD as plans for the company were coming to fruition. I had been working on electrospinning of polymers containing additives for my doctoral research and had even started working on scaling up the process in the lab, so I was uniquely qualified for the position at SNS. I also had previous experience managing people and working at a small business; although they were completely unrelated to the scientific field, I have found that I draw from a vast array of past experiences in my current position as Director for SNS.

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Practical Magic: Standardizing Ostomy Documentation Among WOC Nurses

By Christine Berke, MSN APRN-NP CWOCN ANP-BC; Nancy Hammeke Noda, BSN RN CWOCN; and Victoria Rabiola Thomas BSN RN CWOCN

Nebraska Medical Center
Omaha, NE

Email: cberke@nebraskamed.com

  The advent of the electronic health record, the focus on systematic nursing documentation, and the need for efficient but thorough charting obligated our wound/ostomy department staff to begin a quality improvement project to develop a more efficient and consistent ostomy care documentation system at our acute care facility.

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