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August 12, 2015
“It ain't the heat, it's the humility.”
–Yogi Berra, Baseball Manager
“My doctor gave me two weeks to live.
I hope they're in August.”
–Ronnie Shakes, Comedian
The Scope appreciates the enthusiastic response of readers contributing quotes.
These quotes were submitted by Dyan Albano of the Medical Staff Office. Please submit a
favorite you’d like to share with others by emailing to: [email protected]
Dear Members of the Maine Medical Center Medical Staff,
We hope that you have been able to take some time to enjoy summer in Maine. We’ve had
some wonderful weather suitable for all kinds of outdoor activities. Remember, books even
read better by the ocean or lake.
In this issue, we are announcing the upcoming arrival of a new Physician Leader of
Oncology for Maine Medical Center and MaineHealth. Dr. Scot Remick will join the
organization in late October at the outpatient MMC Cancer Institute in Scarborough.
Drs. William Herbert and David Micca want you to know that the MMC Wound Healing &
Hyperbarics program has opened at the MMC Brighton Campus. They’ve invited you to tour
the facility.
Dr. George “Joe” Dreher has launched a series of Mindful and Resilience Moments for this
and upcoming issues – introducing useful approaches to a multitude of challenges in health
care and daily life. And Dr. Matthew Hayn has shared a blog he wrote that is featured in the
British Journal of Urology, on when not to be a doctor – a personal experience worth
sharing.
Also in this issue is a reminder regarding patient privacy. Please do your part to uphold
HIPAA laws, and respect the privacy of patient information in all forms.
Thank you for the care you deliver every day to our patients and their family members.
Peter Bates, M.D.
Chief Medical Officer
Cindy Boyack, M.D.
Medical Staff President
In This Issue
New Physician Leader of Oncology at MMC and MaineHealth
Wound Healing and Hyperbarics at Brighton Campus
Mindful & Resilience Moment #1
Blogpost: When Not to be a Doctor
Patient Information: Keeping it Confidential!
Publications
Calendar
New Physician Leader of Oncology at MMC and MaineHealth
Maine Medical Center and the MaineHealth community have announced that Scot C.
Remick, M.D., FACP, will join the organization as Physician Leader of Oncology in late
October at the outpatient MMC Cancer Institute in Scarborough.
In his new role, Dr. Remick will lead the Oncology Service Line at MMC in collaboration with
Barbara Grillo, V.P., Oncology, and Gail Chop, R.N., V.P., Patient Care Services. He also will
be responsible for standardizing the high quality of care delivered at all MaineHealth
institutions by executing a coordinated oncology care model across the system and
collaborating in research activities at the MMC Research Institute.
Dr. Remick comes to Maine from the Robert C. Byrd Health Sciences Center at West Virginia
University (WVU) in Morgantown. He has held progressive leadership roles at WVU since
arriving in 2007, most recently as a tenured professor in the Department of Medicine,
Section of Hematology/Oncology, and recipient of the Jean and Laurence DeLynn Chair of
Oncology and Director of the Mary Babb Randolph Cancer Center. He holds Board
Certifications with the National Board of Medical Examiners and the American Board of
Internal Medicine for both internal medicine and medical oncology.
After his medical schooling at New York Medical College, Dr. Remick completed his
residency at The Johns Hopkins Hospital in Baltimore under department chair Victor A.
McKusick, M.D. – the McKusick family has a strong history with MMC, lending its name and
support to an annual lecture and announcement of each year’s incoming MaineTrack class.
From Johns Hopkins, Dr. Remick moved on to complete his fellowship at the University of
Wisconsin Clinical Cancer Center, where he was a clinical oncology fellow and an American
Cancer Society clinical fellow. He has previously served in faculty and leadership positions
at Albany (N.Y.) Medical College and Case Western Reserve University in Cleveland. His
research interests have focused on early phase anti-cancer drug development and AIDSrelated malignancies. He has led numerous NIH-funded projects for the past 18 years in
Uganda and Kenya.
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Wound Healing and Hyperbarics at Brighton Campus
By William Herbert, M.D.
Co-Medical Director
David Micca, DPM, CWSP
Co-Medical Director
It’s with shared excitement that we announce the creation – and August opening – of the
MMC Wound Healing & Hyperbarics program. Our full range of services will include
hyperbaric medicine, treatment of venous, ischemic, pressure, and diabetic wounds, and
patient/caregiver education.
Located in a new, dedicated space at the Brighton campus, a patient’s care will be
supported by an interdisciplinary wound healing team. From certified wound ostomy
continence nurses (CWOCN) to specialists in podiatric surgery, physical medicine, vascular
surgery, and infectious disease, the program will play a vital role in the improved wound
health of patients from southern Maine and beyond.
We encourage our colleagues to reach out to us – with questions about the clinical benefits
of hyperbaric medicine, information on our staff’s experience with conditions that warrant
a wound care consultation, or simply to tour the Brighton location.
For information and referrals: call 207-662-HEAL or 207-662-4325, or go to
mmc.org/wound-healing.
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Mindful & Resilience Moment #1
By George Dreher, M.D.
Mindfulness as a useful tool.
For over 50 years there has been a westernizing of ancient Mindfulness techniques to
enhance awareness and reduce traits promoting excessive “worry and flurry.” Research
has grown exponentially in the past 15 years supporting these techniques in reducing
symptoms of disparate diseases such as psoriasis, anxiety, hypertension, interpersonal
conflict and burnout. Mindfulness is not a panacea, yet it does provide a useful approach
to a multitude of challenges in health care and daily life.
There are many other paths to improve your wellbeing, perspective and stability. These
include: exercise, Yoga, Literature and Medicine Groups (contact the MMC library), positive
psychology, life coaching and therapy. Follow those that resonate with you.
In upcoming issues, we will provide a series of brief columns with proven useful
straightforward tools, many of them arising from Mindfulness, to cope with life challenges.
There are local in-depth Mindfulness training options available that provide great rewards
including Mindfulness-based Stress Reduction (MBSR), which can be found through the
MaineHealth Learning Resource Center, Nancy Hathaway’s course being offered this fall at
MMC and others.
Mindfulness incorporates several paths to address one’s experiences giving us openings to
learn more skillful behaviors and responses. A core skill is calming the mind and observing
how it proliferates fears or desires leading to unsatisfying choices. Another is to create an
inflow of skillful perspectives and experiences to counter the all too frequent anxiety –
provoking inputs of our world. Another is to actively live within the ethics and values upon
which we build our daily lives to give it meaning and direction. These and others will be
touched upon in the coming brief notes. We hope you will find them useful.
Be well.
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Blogpost: When Not to be a Doctor
By Matthew H. Hayn, M.D.
Medical Director, Genitourinary Cancer Program
Maine Medical Partners - Urology
From the British Journal of Urology, please see link below:
When Not to be a Doctor - BJUI
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Patient Information: Keeping it Confidential!
Recently, a citizen of the community found papers containing confidential patient
information in a public site.
Please remember: All printed matter containing patient information should be disposed of
in confidential shredders at the hospital. Ideally, such documents should never leave
hospital grounds. Please do your part to uphold HIPAA laws, and respect the privacy of
patient information in all forms.
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Publications
Hartmann DA, Underly RG, Grant RI, Watson AN, Lindner V, Shih AY. Pericyte structure and
distribution in the cerebral cortex revealed by high-resolution imaging of transgenic mice.
Neurophotonics. 2015 Oct;2(4):041402.
Sihler K, Mazza M, Napolitano LM, Feliciano DV; with expert commentary by. Sharp lower
abdominal pain and calcified abdominal mass. J Trauma Acute Care Surg. 2015
Jun;78(6):1231-3.
Gliem M, Krammes K, Liaw L, van Rooijen N, Hartung HP, Jander S. Macrophage-derived
osteopontin induces reactive astrocyte polarization and promotes re-establishment of the
blood brain barrier after ischemic stroke. Glia. 2015 Jul 7.
Stohn JP, Wang Q, Siviski ME, Kennedy K, Jin YR, Kacer D, DeMambro V, Liaw L, Vary CP,
Rosen CJ, Prudovsky I, Lindner V. Cthrc1 controls adipose tissue formation, body
composition, and physical activity. Obesity (Silver Spring). 2015 Jul 7.
Pardo-Saganta A, Tata PR, Law BM, Saez B, Chow RD, Prabhu M, Gridley T, Rajagopal J.
Parent stem cells can serve as niches for their daughter cells. Nature. 2015 Jul 6.
Myerholtz L, Schirmer J, Carling MA. Sailing smoothly across the cultural divide:
Constructing effective behavioral science presentations for medical audiences. Int J
Psychiatry Med. 2015 Jul 3.
Villarejo A, Molina-Ortiz P, Montenegro Y, Moreno-Bueno G, Morales S, Santos V, Gridley T,
Pérez-Moreno MA, Peinado H, Portillo F, Calés C, Cano A. Loss of Snail2 favors skin tumor
progression by promoting the recruitment of myeloid progenitors.
Carcinogenesis. 2015 May;36(5):585-97.
Martinez ME, Charalambous M, Saferali A, Fiering S, Naumova AK, St Germain D, FergusonSmith AC, Hernandez A. Genomic imprinting variations in the mouse type 3 deiodinase
gene between tissues and brain regions. Mol Endocrinol. 2014 Nov;28(11):1875-86.
Dobrow EM, Mittleider D. Retrograde Tibiopedal Access for the Treatment of Critical Limb
Ischemia.
Tech Vasc Interv Radiol. 2015 Jun;18(2):66-75.
Lewis KL, Han PK, Hooker GW, Klein WM, Biesecker LG, Biesecker BB. Characterizing
Participants in the ClinSeq Genome Sequencing Cohort as Early Adopters of a New Health
Technology. PLoS One. 2015 Jul 17;10(7):e0132690.
Moore KN, Sill MW, Tenney ME, Darus CJ, Griffin D, Werner TL, Rose PG, Behrens R. A
phase II trial of trebananib (AMG 386; IND#111071), a selective angiopoietin 1/2
neutralizing peptibody, in patients with persistent/recurrent carcinoma of the
endometrium: An NRG/Gynecologic Oncology Group trial. Gynecol Oncol. 2015 Jul 11.
Hartmann DA, Underly RG, Grant RI, Watson AN, Lindner V, Shih AY. Pericyte structure and
distribution in the cerebral cortex revealed by high-resolution imaging of transgenic mice.
Neurophotonics. 2015 Oct;2(4):041402.
Rossi AP, Vella JP. Hypertension, living kidney donors, and transplantation: where are we
today? Adv Chronic Kidney Dis. 2015 Mar;22(2):154-64.
Hamani C, Pilitsis J, Rughani AI, Rosenow JM, Patil PG, Slavin KS, Abosch A, Eskandar E,
Mitchell LS, Kalkanis S; American Society for Stereotactic and Functional Neurosurgery;
Congress of Neurological Surgeons; CNS and American Association of Neurological
Surgeons. Deep brain stimulation for obsessive-compulsive disorder: systematic review and
evidence-based guideline sponsored by the American Society for Stereotactic and
Functional Neurosurgery and the Congress of Neurological Surgeons (CNS) and endorsed by
the CNS and American Association of Neurological Surgeons. Neurosurgery. 2014
Oct;75(4):327-33;
Mazor KM, Rubin DL, Roblin DW, Williams AE, Han PK, Gaglio B, Cutrona SL, Costanza ME,
Wagner JL. Health literacy-listening skill and patient questions following cancer prevention
and screening discussions. Health Expect. 2015 Jul 22.
Stanley DE, Campos DG. Selecting clinical diagnoses: logical strategies informed by
experience. J Eval Clin Pract. 2015 Jul 23.
Farina-Henry E, Waterston LB, Blaisdell LL. Social Media Use in Research: Engaging
Communities in Cohort Studies to Support Recruitment and Retention. JMIR Res Protoc.
2015 Jul 22;4(3):e90.
McCoul ED, Patel AS, Bedrosian JC, Anand VK, Schwartz TH. Intranasal cross-sectional area
and quality of life changes following endoscopic transsphenoidal skull base surgery. Int
Forum Allergy Rhinol. 2015 Jul 22.
Brown AC, Muthukrishnan SD, Oxburgh L. A Synthetic Niche for Nephron Progenitor Cells.
Dev Cell. 2015 Jul 14.
Roccaro AM, Mishima Y, Sacco A, Moschetta M, Tai YT, Shi J, Zhang Y, Reagan MR, Huynh
D, Kawano Y, Sahin I, Chiarini M, Manier S, Cea M, Aljawai Y, Glavey S, Morgan E, Pan C,
Michor F, Cardarelli P, Kuhne M, Ghobrial IM. CXCR4 Regulates Extra-Medullary Myeloma
through Epithelial-Mesenchymal-Transition-like Transcriptional Activation. Cell Rep. 2015
Jul 15.
Chalmers DJ, Rove KO, Wiedel CA, Tong S, Siparsky GL, Wilcox DT. Clean intermittent
catheterization as an initial management strategy provides for adequate preservation of
renal function in newborns with persistent cloaca. J Pediatr Urol. 2015 Jun 12.
Bender D, Sill MW, Lankes HA, Reyes HD, Darus CJ, Delmore JE, Rotmensch J, Gray HJ,
Mannel RS, Schilder JM, Hunter MI, McCourt CK, Samuelson MI, Leslie KK. A phase II
evaluation of cediranib in the treatment of recurrent or persistent endometrial cancer: An
NRG Oncology/Gynecologic Oncology Group study. Gynecol Oncol. 2015 Jul 14.
Domeyer-Klenske A, Robillard D, Pulvino J, Spratt D. Gonadotropin-releasing hormone
agonist use to guide diagnosis and treatment of autoimmune progesterone dermatitis.
Obstet Gynecol. 2015 May;125(5):1114-6.
Gagnon DJ, Roberts R, Sylvia L. Implementation of the systems approach to improve a
pharmacist-managed vancomycin dosing service. Am J Health Syst Pharm. 2014 Dec
1;71(23):2080-4.
DeMambro VE, Le PT, Guntur AR, Maridas DE, Canalis E, Nagano K, Baron R, Clemmons DR,
Rosen CJ. Igfbp2 deletion in ovariectomized mice enhances energy expenditure but
accelerates bone loss. Endocrinology. 2015 Jul 31
Han PK, Duarte CW, Daggett S, Siewers A, Killam B, Smith KA, Freedman AN. Effects of
personalized colorectal cancer risk information on laypersons' interest in colorectal cancer
screening: The importance of individual differences. Patient Educ Couns. 2015 Jul 19
Poole A, Kacer D, Cooper E, Tarantini F, Prudovsky I. Sustained Inhibition of Proliferative
Response After Transient FGF Stimulation is Mediated by Interleukin 1 Signaling. J Cell
Physiol. 2015 Jul 27.
Lecka-Czernik B, Rosen CJ. Skeletal integration of energy homeostasis: Translational
implications. Bone. 2015 Jul 23. pii: S8756-3282(15)00300-2.
Uygur B, Abramo K, Leikina E, Vary C, Liaw L, Wu WS. SLUG is a direct transcriptional
repressor of PTEN tumor suppressor. Prostate. 2015 Jun 15;75(9):907-16.
Rostama B, Peterson SM, Vary CP, Liaw L. Notch signal integration in the vasculature
during remodeling. Vascul Pharmacol. 2014 Nov;63(2):97-104.
Scheller EL, Doucette CR, Learman BS, Cawthorn WP, Khandaker S, Schell B, Wu B, Ding SY,
Bredella MA, Fazeli PK, Khoury B, Jepsen KJ, Pilch PF, Klibanski A, Rosen CJ, MacDougald
OA. Region-specific variation in the properties of skeletal adipocytes reveals regulated and
constitutive marrow adipose tissues. Nat Commun. 2015 Aug 6;6:7808.
Siegel M, Stedman A, Smith KA. Pediatric Professional Medical Associations and Industry
Guideline Compliance. Pediatrics. 2015 Aug 3.
Yuryeva K, Saltykova I, Ogorodova L, Kirillova N, Kulikov E, Korotkaya E, Iakovleva Y,
Feoktistov I, Sazonov A, Ryzhov S. Expression of adenosine receptors in monocytes from
patients with bronchial asthma. Biochem Biophys Res Commun. 2015 Jul 30.
Marks-Bluth J, Khanna A, Chandrakanthan V, Thoms J, Bee T, Eich C, Kang YC, Knezevic K,
Qiao Q, Fitch S, Oxburgh L, Ottersbach K, Dzierzak E, de Bruijn MF, Pimanda JE. SMAD1 and
SMAD5 Expression Is Coordinately Regulated by FLI1 and GATA2 during Endothelial
Development. Mol Cell Biol. 2015 Jun;35(12):2165-72.
Doucette CR, Horowitz MC, Berry R, MacDougald OA, Anunciado-Koza R, Koza RA, Rosen
CJ. A High Fat Diet Increases Bone Marrow Adipose Tissue (MAT) But Does Not Alter
Trabecular or Cortical Bone Mass in C57BL/6J Mice. J Cell Physiol. 2015 Sep;230(9):2032-7.
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Calendar
MMC Medical Executive Committee Meeting Schedule for 2015
All meetings are held from 12-2 p.m. in the Dana Center Boardroom, and lunch will be
served:
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Friday, August 21
Friday, September 18
Friday, October 16
Friday, November 20
Friday, December 18
2015 Medical Staff Dinner
Please mark your calendar for the next 2015 Medical Staff Dinner:

Wednesday, September 16 at 5:30 p.m. on the East Tower Patio.
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Story Ideas?
Your participation is essential to making The Scope a dynamic and sustainable publication.
Please submit articles of 250-300 words to [email protected]. Include practitioner’s
byline with title and appropriate contact for further information. We publish two times
each month.
To view past issues, visit www.mmc.org/TheScope.
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Medical Staff Value, Mission, and Vision Statements
Value Statement
The Medical Staff of Maine Medical Center values both individuality and collaboration. We
will continually pursue higher value health care. We embrace a culture of curiosity and lifelong learning. We are partners with Maine Medical Center, and we mirror its values of
compassion, service, integrity, respect, and stewardship.
Mission Statement
The Mission of the Medical Staff of Maine Medical Center is to provide affordable, highquality health care to our community. We teach future health care providers and develop
innovative ways to improve the health of our community. In partnership with the Medical
Center, we proudly accept our responsibility as one of Maine’s leaders in patient care,
education, and research.
Vision Statement
The Medical Staff of Maine Medical Center will be the driving force within Maine Medical
Center leading the way to making Maine the healthiest state in the nation.
A Compact Between Maine Medical Center and Its Medical Staff
Peer Support
for the MMC Medical Staff
[email protected]
Physician leader: Christine Irish, MD
Confidential * One-on-One * Peer Support
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www.mmc.org
22 Bramhall Street, Portland, ME 04102 | (207) 662-0111
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