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	Friday July 25 Tumor Board at MMMC
	Maui Memorial Medical Center CME Program Department of Oncology and MMMC/CME Committee Tumor Board - Case Discussions Friday, July 25, 2008 7:30 – 8:30 AM Pacific Cancer Center Conference Room MODERATOR Mitchell Tasaki, M.D. TOPIC(S): Abdominal, Breast, and Nasopharyngeal Cases Cases presented by Drs. Kadowaki, Lyons and Tasaki Targeted Audience: Physicians and Staff who work in Oncology, Internal Medicine, Surgery, Family Practice, and other specialties Learning Objectives: 1. Provide a multi-disciplinary approach to problem solving of presented cases. 2. Discuss pre-treatment evaluation and diagnoses of abdominal, breast, and nasopharyngeal cases. 3. Discuss staging and treatment strategies for abdominal, breast, and nasopharyngeal cases. 4. Identify treatment protocols and discuss risks of abdominal, breast, and nasopharyngeal cases. 5. Summarize treatment recommendations for abdominal, breast, and nasopharyngeal cases. Maui Memorial Medical Center is accredited by the Hawaii Medical Association to provide continuing medical education for physicians. Maui Memorial Medical Center designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. Maui Memorial Medical Center is ADA compliant. If you have any special needs, please contact the CME coordinator at 442-5063.
	Issued by: Date:	Barbara Hughes 7/22/2008	E-mail: Phone:	bhughes@hhsc.org 442-5063

	Dr. Michael Dang to speak Friday, July 25 at MMMC
	Antithrombotic Therapy in ACS: A Clinical Update Speaker: Michael Dang, MD Cardiothoracic Surgeon Queens Medical Center, Honolulu, HI Friday, July 25, 2008 12:00 p.m. Maui Memorial Medical Center Auditorium 221 Mahalani St. Wailuku, HI 96793 Target Audience: This CME activity is designed for physicians, nurses, and other healthcare providers involved in management of patients with acute coronary syndromes. Learning Objectives: At the end of the presentation, participants will be able to: · Describe the 2007 ACC/AHA UA/NSTEMI guideline recommendations for the use of antithrombotic therapies. · Discuss the clinical trial evidence for safety and efficacy of antithrombotic therapy in the acute and long-term management of atherothrombotic disease. · Summarize current clinical research and data on antiplatelet therapy for the treatment of ACS. Accreditation: This activity has been reviewed and is acceptable for up to 1.0 Prescribed credit(s) by the American Academy of Family Physicians. This program is supported by an educational grant from Bristol-Myer Squibb and sanofi-aventis. This program is provided by Horizon CME. Please RSVP by calling 442-5063
	Issued by: Date:	Barbara Hughes 7/22/2008	E-mail: Phone:	bhughes@hhsc.org 808-442-5063

	CME course on Maui
	The Mayo Clinic - Department of Radiology is going to be offering a Diagnostic Radiology CME course on Maui at the Fairmont Kea Lani February 3 - 7, 2008 titled "Tutorials in Diagnostic Radiology." More information here>> For those interested in attending this event please see contact information below. Mayo Clinic - Department of Radiology CME February 3 - 7, 2008 Fairmont Kea Lani Maui, Hawaii www.mayo.edu/cme/radiology.html Contact: 1-866-246-1581; 507-266-3061 fax
	Issued by: Date:	Small, Megan A. 10/26/2007	E-mail: Phone:	inouye.megan@mayo.edu 507-284-4651

	electronic medical records system
	For members wishing to observe and learn about a working emr system that includes billing, statements, fully functional. please contact Dr Ly or her CPA. We are not selling anything. We are providing an opportunity to help Maui physicians improve the use of their time and staff support investment as a long term solution to the rising cost of doing business in Maui. 2421019 for a personal appt.
	Issued by: Date:	Ly, Micki M.D. 2/23/2007	E-mail: Phone:	dm@ALOHA-dermatology.com 808-877-6526

	new location open
	Micki Ly MD. Maui Dermatologist has moved form the Maui Clinic to her own new location at 89 Ho okele st #101 behind home depot in Kahului. formerly Dr LY shared suite #101 at the Maui Clinic. This office was designed around her needs and provides Clients a access to a broader array of services than space permitted at the Maui Clinic. As a result of the space size Dr Ly will consider subleasing space . Dr Ly s full array of services can be found on her web site www.aloha-dermatology.com
	Issued by: Date:	Ly, Micki M.D. 1/22/2007	E-mail: Phone:	dm@ALOHA-dermatology.com 808-877-6526

	doctor on the move - new location
	moving to new location estimated november 2006 89 Hookele st #101 Kahului HI 96732 new web site www.aloha-dermatology.com
	Issued by: Date:	Ly, Micki M.D. 10/6/2006	E-mail: Phone:	dm@ALOHA-dermatology.com 808-877-6526

	Mayo Clinic Surgery Symposium on Maui
	The Mayo Clinic is going to be offering a general surgery CME course on Maui at the Wailea Beach Marriott Resort & Spa in February 2007 titled "Interactive Surgery Symposium". For those interested in attending this event please see contact information below. Mayo Clinic Interactive Surgery Symposium February 4 - 9, 2007 Wailea Beach Marriott Resort & Spa www.mayo.edu/cme/ Contact: 480-301-4580; 480-301-8323 fax Email: mcs.cme@mayo.edu or Megan A. Inouye Meeting Planning Assistant Mayo Clinic College of Medicine Mayo School of Continuing Medical Education 13400 East Shea Blvd. Scottsdale, AZ 85259 www.mayo.edu/cme Email: inouye.megan@mayo.edu (480) 301-8051 phone (480) 301-8323 fax
	Issued by: Date:	Burton, Mel 9/4/2006	E-mail: Phone:

	Students Spend Summer With Doctors
	Students see doctors at work during summer By MELISSA TANJI, Staff Writer (MAUI NEWS 8/14/2006) WAILUKU – Observing autopsies, colonoscopies and reading echocardiograms was just a small part of what five Maui teenagers did over their summer vacation. The high school students from Kamehameha Schools Maui and Baldwin High School shadowed Maui doctors and worked long hours as participants in the third "Mentorship in Medicine" program held over five weeks this summer at Maui Memorial Medical Center. "This program was a wonderful experience and a great opportunity for people of our age to gain some insight into the medical field," said 16-year-old DeAnna Basques, who is starting her senior year at Kamehameha Schools Maui. Basques, who wants to be an anesthesiologist, met professionals in the field and learned about different procedures and protocols utilized by anesthesiologists. "Just working with the doctors in general, you get to see what they do every day, it motivated me even more to become a doctor," said May Salcedo, a 17-year-old Baldwin senior. Salcedo said she was interested in emergency medicine and pediatrics. She shadowed radiologists at Maui Memorial. Others in the program were Megan Tokeshi, now a Baldwin senior; and Sasha Cockett and Chanley Malia Purdy, both Kamehameha Maui seniors. Dr. Melvin Burton, a respiratory and sleep specialist, heads up the mentorship program along with the help of the Maui County Medical Society and the Maui Memorial medical staff. Over the three years the program has been running, Burton said a majority of the student participants are still thinking about health sciences as a career option as they attend college. Eight former participants now in college are studying biology or are in pre-med programs, while one is still a senior in high school taking advanced math and science courses to prepare for science and biology studies in college. Burton said the purpose of the program is to encourage students in the community to pursue a career in health care and to return to the island to practice. "The number of health care providers moving to Maui and becoming permanent residents does not appear to be increasing at the rate of the population," Burton said. "The current health care providers are aging. If this pattern continues, there will not be enough providers to care for the population." Burton, an assistant professor with Harvard Medical School before he relocated to Maui from Boston in 1999, had participated in a similar program for seven years at Massachusetts General Hospital, where he was a mentor to 10 students. All of the students this summer were committed to their learning experiences, with several logging 12-hour days with their doctor-mentors while also participating in a discussion with Burton every Friday. At the end of the program on July 27, the students gave formal presentations on their observations, including overviews of chronic kidney disease, and general practice principles in anesthesiology in a program with their mentors held at the Dunes at Maui Lani. Tokeshi, 16, was mentored by Dr. Camilo Rosales, a surgeon who introduced her to the specialty of vascular surgery. Tokeshi said she also observed colonoscopies and an amputation and was allowed to sit in on post-surgery examinations. She said it did not bother her to be standing next to Rosales as he examined a patient’s colon and in another procedure needed to amputate a limb. "I loved it," she said of observing the procedures and the successful outcomes. "They come in, and they feel so much better." Observing colon cancer in patients also had a personal effect on Tokeshi. "It’s so scary how fast (cancer) can grow," she said, adding that she is telling family members about the need to be screened for cancer. For Tokeshi, the most challenging part of the program was on Fridays when the students analyzed and discussed what they learned with Burton, who challenged them with questions about how a surgical procedure resolved a patient’s problem and whether a diagnosis made before surgery was accurate. Cockett, 16, followed Dr. Mark Schwab in cardiology, learning about heart conditions and how to read EKGs and echocardiograms. Cockett, who is still unsure of what type of medical field she would like to pursue, visited the Cardiology Department, emergency room, Intensive Care Unit and observed an operation. Purdy, 16, said she is looking into studying ophthalmology. But this summer, she studied nephrology (dealing with kidney diseases), with Dr. Jay Lakkis and Dr. James Jones. "I learned that doctors are very, very busy people and highly in demand. I also learned that Maui is in need to doctors, specifically nephrologists." Purdy studied the complications of kidney disease and the types of treatments available for patients with kidney disease, observing work at the St. Francis Outpatient Dialysis Unit, the acute dialysis unit at the hospital, the emergency and operating rooms as well as the Radiology Department and the morgue. "I think the most interesting thing that I learned was how many people are on dialysis and how common kidney disease is," she said. Salcedo was assigned to interventional radiology with Dr. Ronald Boyd and his colleagues, and Basques was assigned to anesthesiology with Dr. Lance Whitney and his colleagues. All of the students received a $1,000 educational award through their successful participation. The program is supported by the Maui County Medical Society, the Maui Memorial Medical Center staff and Maui Chest Medicine. Melissa Tanji can be reached at mtanji@mauinews.com.
	Issued by: Date:	Burton, Melvin D. 8/20/2006	E-mail: Phone:	burton@mauichestmedicine.com 808-874-8774

	moving to new location soon
	MOVING LATER THIS YEAR Dr Ly s Aloha Dermatology and laser Center 89 hookele st suite 101 Kahului Hi 96732 808-877-6526 WWW.ISLAND-DERMATOLOGY.COM located behind Home Depot will make it easy to find
	Issued by: Date:	Ly, Micki M.D. 8/10/2006	E-mail: Phone:	dm@island-dermatology.com 808-877-6526

	CON Hearings for 2nd Maui Hospital Continues
	Hospital secrets revealed at hearings By HARRY EAGAR, Staff Writer MAUI NEWS July 9, 2006 WAILUKU – Another eight hours of hearings on Malulani Health and Medical Center’s certificate of need application failed to reach a decision Saturday, but it did provide a wide-ranging discussion of Maui’s medical future. Among the revelations: ? Maui Memorial Medical Center is at least open to the possibility of moving. ? Malulani is open to the prospect of being the only hospital on the island. ? Malulani’s main investor, Triad, is looking at a “40-year horizon” to make a return on the $169 million it is prepared to put up. The Tri-Isle Subarea Health Planning Council recessed its meeting until 11 a.m. Tuesday in the Maui Community College Nursing Division conference room. The meeting at Baldwin High School brought out a smaller crowd than the first session on Friday, but there were still about 30 people hanging in when 16 hours of hearings closed on Saturday. The panel, a volunteer citizen group that makes recommendations to the State Health Planning and Development Agency, quizzed Mayor Alan Arakawa, who said he feels Mauians have “very low confidence that Maui Memorial can do the job it’s supposed to be doing. “There is very low confidence that people who are seriously ill will get the care they need.” It’s not the staff, but the facilities, the mayor said. Gov. Linda Lingle also testified, via letter, that she doubted the state Legislature could fund Maui Memorial’s upgrades. But Wesley Lo, chief executive of Maui Memorial Medical Center, suggested that money is not the problem that some, including the mayor and governor, make it out to be. “Capital’s out there,” he said, adding that Maui Memorial has had contact with an unnamed but very large insurance company that is considering investing $100 million, maybe more. That would not be until a comprehensive master plan for medical needs is available. Such a plan, funded by $1 million from the Legislature, is under way and a preliminary document should be ready by the end of the year. Malulani already has its plan, for a 150-bed hospital on 40 acres adjacent to the Maui Research & Technology Park. As part of the development plan, another 40 acres mauka is being set aside for outside developers to put up one or more medical office buildings. Jim Shannon of Triad said his company does not build outside medical office buildings itself, but it doesn’t build a hospital without one in the mix either. The questioning allowed Triad, Malulani and Maui Memorial to flesh out the details of what it will take to deliver medical services for a larger, older Maui population, whoever does it. At times, the testifiers got into arcane detail, such as why if you’re going to have a cardiac unit, you need two operating rooms. (Because, according to Triad consultant Scott Hoffman, if your team is busy in a long, complicated open-heart surgery and someone comes in with a heart attack emergency, there has to be a spare room to treat him.) At other times, the talk was about grand strategies, such as how to deliver medical care to outlying communities. Lesley Bruce of Hana recalled how there used to be little hospitals or clinics in Hana, Upper Paia, Puunene and other places. Dr. David Sakamoto, administrator of SHPDA, asked Dr. Ron Kwon, the inspiration behind the push for a second hospital, and Shannon if they had had “serious talk about a full-on replacement hospital.” “Yes, obviously,” said Shannon. “I fantasize,” said Kwon, “I’d be ecstatic if we’d work something out, if we were given (a certificate of need for) 250 beds.” The factors going into a decision range far and wide, from funding more nursing teachers in order to train more nurses, to whether Triad might sell its 80 percent stake later. (Possible but not likely, said Shannon.) But perhaps the biggest single factor revealed by Malulani’s application and Maui Memorial’s objections was a difference of opinion about how many more acute care beds Maui needs. Malulani says 150. Hoffman explained why he thinks state population estimates are too low, as well as why he thinks Maui Memorial’s projections also are too low. One is that 10 percent to 12 percent of patients on Maui go to Oahu or even the Mainland for treatment. Triad believes that a new, modern hospital in Kihei will keep at least half of those patients home – and they tend to be the most remunerative patients, too. Maui Memorial Chief Financial Officer Pat Saka countered that his hospital has never been short of acute care beds. It has been short of beds, but because acute care beds were occupied by subacute patients who had no other place to go. Lo said he feels the biggest need is for long-term care beds, and the hot spot for those is West Maui. However, it’s difficult to cover expenses for long-term care, so the beds tend not to get built. The extended hearing on Malulani pushed back consideration of Maui Memorial’s certificate of need application on a cardiac unit to Tuesday’s continued meeting of the council. Malulani includes a similar service in its application. One point both sides agreed on is that Maui will not need two such units. Harry Eagar can be reached at heagar@mauinews.com.
	Issued by: Date:	7/10/2006	E-mail: Phone: