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  • Lucy De La Cruz
    January 20, 2022

    The renowned 39-year-old breast surgeon becomes youngest Latina woman to lead breast surgery program in U.S. at major academic medical center

    WASHINGTONLucy Maria De La Cruz, MD, has joined MedStar Georgetown University Hospital as chief of its Breast Surgery Program and director of the Betty Lou Ourisman Breast Health Center. Dr. De La Cruz is a fellowship-trained breast surgeon who specializes in advanced breast surgery procedures, including wireless lumpectomies, hidden scar technique, oncoplastic breast conservation, and nipple-sparing mastectomy. She has been published in more than two dozen peer-reviewed scientific journals, and her pivotal papers on nipple-sparing mastectomy and oncologic outcomes have been cited worldwide. She will also direct the hospital’s breast surgery fellowship program.

    Lucy De La Cruz

    “I am honored and excited to lead the breast surgery program and the Betty Lou Ourisman Breast Health Center at MedStar Georgetown University Hospital,” said De La Cruz. “It has been my life-long dream to bring my passion for medicine, helping others and building a state-of-the-art breast surgery program to advance breast health. I look forward to working with our multidisciplinary team of breast health experts to compassionately care for, educate and empower my patients in their health journey.”

    Dr. De La Cruz is an academic breast surgeon who conducts outcomes-focused research, and among her special interests are the impact of genomic mapping to guide breast cancer treatment and male breast cancer treatment. Her work is guided by a long-standing commitment to promoting equity and efficacy in breast cancer care delivery, using the principles of value-based health care.
      
    “The Betty Lou Ourisman Breast Health Center and MedStar Georgetown University Hospital are thrilled to have Dr. De La Cruz lead the breast surgery program. Her commitment to patients, their journey, and their outcomes are unmatched; and her expertise in novel surgical techniques brings new and beneficial options to patients,” said David H. Song, MD, MBA, FACS, Physician Executive Director, Plastic & Reconstructive Surgery, MedStar Georgetown University Hospital, Professor and Chair Department of Plastic Surgery, and Interim Chair, Department of Surgery, Georgetown University School of Medicine.
     
    Dr. De La Cruz’s story

    Dr. De La Cruz, 39, started her journey towards becoming the youngest Latina woman to lead a breast cancer surgery program at a major academic medical center at young age. As the daughter of international physician researchers, she spent a lot of time in labs where her parents worked, sparking her passion for medicine and “making a difference in people’s lives.” She grew up in Cuba, Mozambique, Spain, and Miami.
     
    In college, she studied abroad in the Dominican Republic at the Universidad Central Del Este School of Medicine, where students were involved in patient care very early in their education and training. There, she completed her medical degree, founded an American Medical Student Association chapter and raised scholarship funds to help those who couldn’t afford tuition.

    After graduation, she was told becoming a surgeon would be nearly impossible as a foreign medical graduate and a female. Despite this, De La Cruz obtained research fellowships from the University of Miami and George Washington University in Washington, D.C. She continued her journey by obtaining a one-year residency internship at Jackson Memorial Hospital at the University of Miami, where she earned the Intern of the Year award and an AOA medical honor society membership for her dedication to medical student teaching. During her residency, she worked on an award-winning oncologic outcomes research project for nipple-sparing mastectomy that continues to be cited worldwide.
     
    That same year, Dr. De La Cruz started her breast surgery fellowship at the University of Pennsylvania. Following graduation, she worked in private practice for a year before returning to the University of Pennsylvania as a faculty member in the associate program director of the breast cancer surgery fellowship program.
     
    After relocating to Washington, D.C., to be close to her family, she founded the breast cancer fellowship program curriculum at the Inova Health System. Now at MedStar Georgetown University Hospital and The Betty Lou Ourisman Breast Health Center, she continues to teach residents and fellows, pursue research, and care for patients – the fulfillment of her lifelong dream. 

    About MedStar Georgetown University Hospital

    About the Betty Lou Ourisman Breast Health Center


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  • April 25, 2018

    Imagine living with a spinal cord injury as a result of simply falling in your home?


    The thought is quite scary and could happen to any one of us. And so it happened to Kent Keyser, who spent more than three decades working on Capitol Hill, following a terrible mishap one evening in his basement. In one instant, Keyser went from fully functional to suffering a spinal cord injury (SCI), while not a complete injury, still leaves him needing to use a power chair and requires him to have assistance when walking.


    After years of physical therapy, a lot of hard work and determination, Keyser walks 20 to 30 minutes daily; uses gym equipment to help regain strength in his arms; shoulders; back; chest; and legs.


    In more than 10 years since Keyser’s SCI, adaptive fitness, like the program offered at MedStar NRH thanks to a generous grant for our patients through the Gordon & Marilyn Macklin Foundation, has provided major assistance to Keyser in keeping him active.


    “I am a firm believer that good health is the foundation of an independent and productive life,” Keyser told CARF International recently. “Couple adaptive fitness with good nutrition and you have a good recipe for a life of accomplishment.”


    Keyser calls himself ‘privileged’ to have done his rehabilitation at MedStar NRH. Following discharge from both inpatient and outpatient programs, Keyser heard about the Adaptive Fitness programs, conducted with different activities four times weekly at the hospital on Irving Street in D.C., that provide patients the opportunity to stay active following a debilitating injury.


    The open gym time, where patients can use the equipment, was extremely important to him.


    For more information on the Adaptive Fitness classes at MedStar NRH click here.


    About MedStar National Rehabilitation Network
    The MedStar National Rehabilitation Network is a regional system of rehabilitation care that offers inpatient, day treatment and outpatient services in Washington, D.C., Maryland and Northern Virginia.


    The Network’s interdisciplinary team of rehabilitation experts provides comprehensive services to help people recover as fully as possible following illness and injury. Rehabilitation medicine specialists, psychologists, physical and occupational therapists, and speech-language pathologists work hand-in-hand with other rehab professionals to design treatment plans tailored to each patient’s unique needs. Rehabilitation plans feature a team approach and include the use of state-of-the-art technology and advanced medical treatment based on the latest rehabilitation research.


    The Network provides comprehensive programs specifically designed to aid in the rehabilitation of adults and children recovering from neurologic and orthopaedic conditions such as amputation, arthritis, back and neck pain, brain injury, cancer, cardiac conditions, concussion, fibromyalgia, foot and ankle disorders, hand and upper extremity problems, post-polio syndrome, stroke, spinal cord injury and disease, and sports and work-related injuries.


    Inpatient and day treatment programs are provided at MedStar National Rehabilitation Hospital located in Northwest Washington, D.C., and at more than 50 outpatient sites conveniently located throughout the region. MedStar National Rehabilitation Network is fully accredited by The Joint Commission, the Commission on Accreditation of Rehabilitation Facilities (CARF), with CARF accredited specialty programs for Amputations, Brain Injury, Spinal Cord Injury and Stroke.


    For more on MedStar National Rehabilitation Network and to find a location near you, log on to MedStarNRH.org.

  • April 23, 2018

    What causes a migraine?

    Migraines have a strong genetic component with 70 percent of patients having a first degree relative with a history of migraines. More women than men suffer migraines, and many associate their migraines with factors such stress, hormonal changes, contraceptive use, pregnancy, ovulation, lack of sleep, head trauma, changes in weather, smoking, ingesting red wine and exposure to computers or bright lights.

    What are the treatments you offer?

    If you experience the worst headache of your life, you should not delay going to the ER for evaluation. If you experience a headache that is likely triggered by the components mentioned above, it is likely a migraine attack. There are numerous medications that can help, from aspirin to much stronger drugs, including antidepressants, anti-seizure medications or calcium blockers. If a headache cannot be stopped, IV medications may be needed and the patient may need to be hospitalized. Narcotics are never a good treatment for a headache. New innovations in treatment include occipital nerve stimulation, external trigeminal nerve stimulation and the Gammacore handheld device, which all work to relieve migraines by sending electrical stimulation to the brain. New medications for migraines include new drugs and antibody therapies.

    What else should we know?

    Sleeping in a dark, quiet room, doing relaxation exercises, yoga, acupressure treatment and short courses of steroids have proven helpful to some individuals. Lifestyle change can also help patients with migraines, including avoiding or learning how to deal with stressful situations, eating healthy, and sleeping at least eight hours per night. Of course, avoiding the inciting agent is key. If you have a headache from constant computer exposure, relax your eyes and your brain to prevent progression of the headache. A headache diary may be helpful in documenting what activities/ food/etc. triggers the headache.

    For more information visit MedStarSouthernMaryland.org/Migraine or call 301-877-4540 to schedule an appointment with Dr. Constantino.

  • April 23, 2018

    At age 13 Erik Weihenmayer lost his eyesight due to a condition called retinoschsis, characterized by the abnormal splitting of the retina’s neurosensory layers.
    Determined not to let his blindness become him, Erik learned to rock climb. Through time, he took that determination further – from simple rock formations to daring challenges very few humans would try – conquering all seven summits of the world and boldly attempting kayaking down the roiling rapids of the Colorado River.


    Erik recently spoke to MedStar NRH Team Members at a special event, held at the Carnegie Institute in Washington, D.C.,
    Weihenmayer talked about his book No Barriers: A Blind Man’s Journey to Kayak the Grand Canyon. He said that he was not going to let his disability prevent him from his daring feats. “Some people are campers,” said Weihenmayer. “I’m a climber.”


    Some facts about Erik Weihenmayer:
    • May 25, 2001 – Erik became the only blind person to reach the summit of Mt. Everest
    • At age 13, he developed a condition known as retinoschsis (an eye disease characterized by the abnormal splitting of the retina's neurosensory layers, usually in the outer plexiform layer. Most common forms are asymptomatic, some rarer forms result in a loss of vision in the corresponding visual field) which robbed him of his vision
    • He was a wrestler in high school despite being blind and represented his home state of Connecticut in a national junior wrestling championship in Iowa
    • He discovered rock climbing as a teenager and developed the ability to scan aspects of rock formations with his hands and feet as he climbs
    • Graduated with a double major from Boston College
    • Was a middle school teacher and wrestling coach


    For more information about Erik, check out his website - https://touchthetop.com/index.php

    About MedStar National Rehabilitation Network
    The MedStar National Rehabilitation Network is a regional system of rehabilitation care that offers inpatient, day treatment and outpatient services in Washington, D.C., Maryland and Northern Virginia.
    The Network’s interdisciplinary team of rehabilitation experts provides comprehensive services to help people recover as fully as possible following illness and injury. Rehabilitation medicine specialists, psychologists, physical and occupational therapists, and speech-language pathologists work hand-in-hand with other rehab professionals to design treatment plans tailored to each patient’s unique needs. Rehabilitation plans feature a team approach and include the use of state-of-the-art technology and advanced medical treatment based on the latest rehabilitation research.
    The Network provides comprehensive programs specifically designed to aid in the rehabilitation of adults and children recovering from neurologic and orthopaedic conditions such as amputation, arthritis, back and neck pain, brain injury, cancer, cardiac conditions, concussion, fibromyalgia, foot and ankle disorders, hand and upper extremity problems, post-polio syndrome, stroke, spinal cord injury and disease, and sports and work-related injuries.


    Inpatient and day treatment programs are provided at MedStar National Rehabilitation Hospital located in Northwest Washington, D.C., and at more than 50 outpatient sites conveniently located throughout the region. MedStar National Rehabilitation Network is fully accredited by The Joint Commission, the Commission on Accreditation of Rehabilitation Facilities (CARF), with CARF accredited specialty programs for Amputations, Brain Injury, Spinal Cord Injury and Stroke.


    For more on MedStar National Rehabilitation Network and to find a location near you, log on to MedStarNRH.org.

  • April 18, 2018

    Washington, D.C., April 18, 2018 – Clinical trial planning is underway at MedStar Heart & Vascular Institute to determine whether a novel stem cell therapy will improve heart function for patients with heart failure. MedStar Heart, in partnership with CardioCell, a subsidiary of Stemedica Cell Technologies, pioneered the use of stem cells in regenerative medicine. The trial will use CardioCell’s proprietary mesenchymal stem cells (MSCs), manufactured by Stemedica. The goal is to improve outcomes in patients with heart failure and left ventricular assist devices (LVAD).

    MedStar Heart & Vascular Institute has been studying the causes of the progressive deterioration of heart function that patients with heart failure experience over time, as well as the potential therapeutic role of stem cells. “We have developed compelling evidence that one of the major mechanisms leading to progressive myocardial dysfunction in patients with heart failure is the presence of persistent and inappropriate inflammation," said Stephen Epstein, MD, director of Translational and Vascular Biology Research at MedStar Heart & Vascular Institute. "Of great therapeutic relevance is the fact that mesenchymal stem cells have marked anti-inflammatory effects.” Dr. Epstein and his colleagues demonstrated in mouse models of heart attack and of heart failure that intravenously administered MSCs lead to a magnitude of improved heart function that is unprecedented.

    “This study, if successful, will lead to pivotal trials that, in turn, will have the potential to alter strategies of treating LVAD patients that could markedly improve their symptoms and outcomes,” added Steven Boyce, MD, surgical director of the Advanced Heart Failure program at MedStar Heart & Vascular Institute.

    There are nearly six million Americans with heart failure, and about 650,000 new cases occur each year. Each year 200,000 to 250,000 heart failure patients need heart transplantation, but with the very low supply of donor hearts, LVADs are being used with increasing frequency. An LVAD is a small pump that helps circulate the patient’s blood when their heart becomes too weak to pump effectively on its own. Although highly effective in alleviating symptoms and improving longevity, patients with LVAD support still have a high incidence of serious complications, including a high mortality rate. Persistent inflammation is also a probable major cause of deterioration of LVAD patients.

    “If we are successful in showing stem cells improve outcomes in LVAD patients, the results would extend to the general population of heart failure patients and, in the process, fundamentally transform current paradigms for treating heart failure patients,” Dr. Epstein concluded.

     


    About MedStar Heart & Vascular Institute

    MedStar Heart & Vascular Institute is a national leader in the research, diagnosis and treatment of cardiovascular disease. A network of 10 hospitals and 150 cardiovascular physicians throughout Maryland, Northern Virginia and the Greater Washington, D.C., region, MedStar Heart also offers a clinical and research alliance with Cleveland Clinic Heart & Vascular Institute, the nation’s #1 heart program. Together, they have forged a relationship of shared expertise to enhance quality, improve safety and increase access to advanced services. MedStar Heart & Vascular Institute was founded at MedStar Washington Hospital Center, home to the Nancy and Harold Zirkin Heart & Vascular Hospital. Opened in July 2016, the hospital ushered in a new era of coordinated, centralized specialty care for patients with even the most complex heart and vascular diagnoses.

     

  • April 17, 2018
    Mary Hart, second from right, was recently named the 2018 Auxilian of the Year. Hart stands with MedStar St. Mary’s Hospital President Christine Wray, right, close friend Ernestine Pence, and daughter Kim after the luncheon on April 13.

    Leonardtown, Maryland – Honored for her spirit, responsibility, and selflessness as a volunteer, Mary Hart was named the 2018 Fayrene Mattingly Auxilian of the Year at MedStar St. Mary’s Hospital.

    At a luncheon for members on April 13, Hart received a plaque and accolades from Christine Wray, president of MedStar St. Mary’s.

    “Nominated by her fellow members, Mary is described as responsible, hard-working, and always willing to lend a hand,” said Wray. “She is helpful to all during her time volunteering in the Gift Shop, and can be counted upon to pick up a shift with a friendly smile.”

    Hart is co-chair of the hospital’s annual brown bag auction and the organization’s secretary. “Her note-taking and organization are incredibly valuable to her fellow members — many of whom note the fantastic job she does in keeping everything on track,” Wray said.

    The Fayrene Mattingly Auxilian of the Year Award was created in 2005 to honor Mattingly, a longtime hospital volunteer. It is presented to one Auxilian each spring.

    Established in 1916, the Auxiliary has funded more than $4 million in hospital improvements over the last century. Recently, Auxiliary members approved funding for 13 new rocking chairs for the Women’s Health & Family Birthing Center; a portable ultrasound machine for the Intensive Care Center; and $100,000 toward the complete renovation of the hospital’s Atrium, expected to reopen this summer.

     

    MedStar St. Mary’s Hospital Auxiliary

    The MedStar St. Mary's Hospital Auxiliary coordinates and participates in many activities that generate funds to enhance hospital facilities and services. Auxilians staff the hospital's Gift Shop seven days a week. They hold fundraisers, such as the annual Auxiliary Golf Tournament and Holiday Bazaar.

    Founded in 1916, the Auxiliary has played a key role in the acquisition of many vital improvements for the hospital throughout its 100-year history. Patient comfort has been its primary focus since the very beginning. It has donated funding for projects both small and large, from breast pumps to building renovations. It is likely, that at some point during the hospital’s history, the Auxiliary has touched almost every department at the hospital. In fact, the Auxiliary has donated more than $5 million to the hospital during the past 100 years.

    ► Learn more.

  • April 17, 2018
    Neurologist Aabha Shah, MD, with patient Adrian Knight.

    A trip to Golden Corral began like any other lunch for Adrian Knight, a trim, previously healthy, retired IRS worker, and father of two grown daughters who live in Capitol Heights. He headed into the restaurant but began to notice his left foot was dragging as he walked. He shrugged it off, thinking because it was rainy out, his foot was slipping.

    As he headed to the buffet, he realized the numbness on his left side wasn’t going away and was, in fact, getting worse. He began to worry, thinking it could possibly be a stroke, remembering the stroke his mother suffered when he was a child. He left, calling his girlfriend to meet him at home. When she saw how weak he was, she insisted they visit a local urgent care facility.

    When Mr. Knight was seen there, they quickly realized he needed an Emergency Room, and transported him by ambulance to MedStar Southern Maryland Hospital Center (MSMHC). At the hospital, MSMHC Emergency Department associates took his vitals, determined he was experiencing a stroke, immediately put him on IV medication, and began running numerous tests.

    “Everything went right for Mr. Knight because we were able to help him in a prompt fashion,” said MSMHC Neurologist Aabha Shah, MD. “The benchmark for best possible stroke recovery is to be administered thrombolytic therapy within sixty minutes, and he was. Because of this, he had the best possible outcome for a stroke patient and he’s now at home, able to return to normal activities.”

    Dr. Shah stresses when stroke patients come to MSMHC, not only do they receive excellent care from the team here, but physicians also have access to on-call stroke specialists. This can come in the form of telemedicine, which provides virtual consultations, much like using FaceTime, with stroke specialists from MedStar Georgetown University Hospital and MedStar Washington Hospital Center. In addition, patients have an entire multidisciplinary stroke network here to help them, which includes neurologists, physical, occupational and speech therapists, and stroke-trained nurses.

    “I learned if I had not gotten to the hospital when I did, if I had been even an hour later, I would not have recovered,” said Knight. “I’m now 100 percent restored and I’m following all recommendations, like watching my diet and using the patch to quit smoking. I feel better now than before the stroke and I’m reducing the stress-related causes.” During testing when he was an admitted patient, Mr. Knight was also found to have untreated high blood pressure and high cholesterol.

    “What I’d tell people is, your health is so important and you need to monitor that,” said Knight. “I never thought I’d have high cholesterol, but I do, so I keep it in check. I take high blood pressure medication and I practice yoga and meditation. I tell everyone to listen to your body and remember that your health is so important. I’m learning to accept life on life’s terms. I keep my aggravation down and let problems roll off my back like water off a duck.” Mr. Knight credits the entire MedStar team for his recovery, but specifically his neurologist, Dr. Shah. “She was awesome,” said Knight. “She walked me through everything, step-by-step, keeping me in the loop about everything. It was so personal that I really felt comfortable with her. The whole staff was awesome, but she sat with me and took her time to make sure I understood. She genuinely showed her care and concern.”

    To recognize stroke symptoms, learn the acronym BE FAST (right). Call 9-1-1 as soon as stroke symptoms start. Acting quickly is very important and means the difference between recovery and suffering debilitating consequences from a stroke, as stroke treatment must be administered within four and a half hours of the onset of symptoms.

    Please visit MedStarSouthernMaryland.org/Stroke to learn more.