THIS MONTH'S FOCUS:

PATHOLOGY
PULMONARY TRANSPLANTATION

(PDF VERSION)

Many thanks to Brandon Larsen and Tereza Martinu for coordinating the content for this month's issue.




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VINCENT'S TWO SENSE:

While March has roared in like a lion with a wintry, icy mess from the Midwest to the Northeast U.S., the ISHLT continues its march towards Nice for the 35th Annual Meeting at The Acropolis Congres Centre. There will be expected freshness as we spring anew with continued changes all around us for and within the ISHLT. In the Spotlight, we announce the winners for this year's ISHLT Links Travel Awards. From the Editor's Corner, Luciano Potena explains to us how Italy lost the "French" Riviera. Representatives from the Pathology, Pulmonary and Junior Faculty Councils blend our focus on what influences us the most and where we are headed. A journey begins on a road less traveled from the perspective of Sarah Voss, a transplant pathologist from Pittsburgh, to a place very near and yet too far regarding Ebola and Thoracic Organ Transplantation by Hannah Nicole Kozlowski and Shahid Husain from Toronto. The rest is the effect how Toronto, coffee and training in lung transplantation can shape the perspectives of Jussi Tikkanen and Dora Azida Amran as wells as their mentors, Tereza Martinu and Cecilia Chaparro. The vintage yellow couch and Tim Horton's coffee probably contribute to the grand success of the Toronto Lung Transplant program. But it's the hardwork, dedication, enduring friendships and interesting cases which have become amalgamated with a plea for perhaps a large, galvanized coffee machine not only for the fellow's room in Toronto, but for all of us in the ISHLT.

Finally, in Vincent's Two Scents from the March 2012 issue, we shared with you what's it all about through our two grandsons in preparation of mowing the fresh grass of Spring. Three years later, Devin and Dylan's personalities have been shaped, and we have a third grandson, Brenan can relate to this year's program chair because of his T-shirt among other things.

Vincent Valentine, MD
Links Editor-in-Chief

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IN THE SPOTLIGHT:


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2015 Recipients of the ISHLT Leach-Abramson-Imhoff Links Travel Awards

The ISHLT Leach-Abramson-Imhoff Links Travel Awards, funded in part by the generous support from W.O. and Joan Leach (Gadsden, Alabama, USA), Mrs. Sue Abramson (Birmingham, Alabama, USA) and Mr. Larry Imhoff (La Place, Louisiana, USA), were created to support the growth and development of our future leaders from within our society including physicians, nurses, and other health care professionals. Those motivated enough with investigation, communication, and dissemination of new ideas for the betterment of patients with failing lungs and/or a failing heart including such conditions as pulmonary fibrosis, cystic fibrosis, emphysema, pulmonary hypertension, and from ischemic, nonischemic to congenital heart diseases should be awarded for their efforts. Read more →



PATHOLOGY:



A Road Less Traveled: Becoming a Transplant Pathologist, from the Perspective of a Current Trainee

Sarah Voss, MD

links imageSeemingly ubiquitous in Pathology training today are subspecialty fellowships in which residency graduates engage in one- to two-year immersions in areas of individual interest. Fellowships are generally applied for and obtained within the third of four post-graduate years of pathology residency training; application often being aided, at least in part, by physician mentors who inspire areas of interest and encourage particular strengths. However, the road to becoming a transplant pathologist, or a subspecialist in any field, is not always straight and narrow. Even among various members of the transplant team, the path toward a career in transplant medicine is often poorly understood due to the wide variety of opportunities which can provide for focused training. In this month's issue of Links, attention is focused on the broad topic of training in transplant medicine; therefore, I will attempt to describe my own experience training to practice transplant pathology. Read more →



PULMONARY TRANSPLANTATION:



Lung Transplant Fellowship - Fellow's Perspective in Toronto

Dora Azida Amran, MBBS, MRCP

Tereza Martinu, MD

Cecilia Chaparro, MD

Prologue
The Toronto Lung Transplant Program is one of the many lung transplant programs in the world that offers both a surgical and medical fellowship. The program has a balanced exposure to pre- and posttransplant patients in both ambulatory and hospitalized patients. Our fellows also have the opportunity to improve their skills in medical and surgical thoracic procedures. There is a further option to complete elective rotations in other specialties, such as cystic fibrosis, pulmonary fibrosis, pulmonary hypertension and histocompatibility. We maintain a lecture series covering a broad range of lung transplant-related topics, as well as regular evening seminars over dinner or beer. Read more →



Ebola and Thoracic Organ Transplantation: Too Near Yet Too Far

Hannah Nicole Kozlowski

Shahid Husain, MD, MS

Introduction
Ebola virus causes an acute and serious illness, which is usually fatal. The virus belongs to family Filoviridae. The virus causing the 2014 West African outbreak belongs to the Zaire ebolavirus species. In mid-2014, Ebola Virus Disease (EVD) became a concern for nations across the globe. The epidemic, primarily in West Africa, has killed over 9000 people, and has resulted in several satellite cases in the United States, United Kingdom, Spain, France, Norway and Germany [1]. The epidemic of EVD in West Africa has increased the potential risk of Ebola virus transmission in all geographical locations, including Europe and North America due to population movements. Read more →

Yet Another Little Thing to Keep in Mind when Treating Lung Transplant Patients: Hyperammonemia

Jussi Tikkanen, MD, PhD

links imageHere, I present a patient I met on my first day on service as a clinical fellow after arriving in Toronto from Finland some three years ago. Needless to say, that day was somewhat overwhelming and, in retrospect, I believe I had my mouth fixed in a half-open state and didn't utter a single coherent word during those 12 hours. Nevertheless, this patient's case stayed in my mind and I would like to share his story with you.

The patient was a Caucasian male in his early sixties with IPF. He was also known to have atrial fibrillation and type II diabetes. He was listed for transplant in the summer of 2011 and underwent a right single lung transplant a little less than a year later. Due to elevated pulmonary pressures during the operation cardiopulmonary bypass was used. Read more →




OF SPECIAL INTEREST:



Mind your P's and PR's for the French Riviera with Elegance and Style: It's Your Presentation

Vincent Valentine, MD

Allan Glanville, MBBS, MD, FRACP

John Dark, MB, FRCS

There were the PRs for all in Prague and Montreal and last year, we encouraged you to let your presentation Purr in San Diego.

This year it is time again to prepare to deliver a good speech or make a great presentation, let's again refer to the January 2012 ISHLT Links, Issue 8, Volume 3, On Teaching and Learning. From this article, take note of the following points: 1) the one who learns the most while sharing knowledge is the teacher or presenter, and 2) when teaching, presenting your poster, delivering your lecture, or writing your paper, you should ask yourself, "What do I want the intended audience to know five years from now?" Read more →




EDITOR'S CORNER:

How Italy Lost the "French" Riviera...and the 35th ISHLT Annual Meeting

Luciano Potena, MD, PhD

links imageNice is the fifth largest French city, its airport is the third largest in the country, and has a hotel room availability, second only to Paris. In addition to these "grandeur" features, Nice is in the heart of one of the "Nice"-st and most glamorous coastal areas in Europe. Despite this environment, the meeting Dr. Zuckermann and his Program Committee have put together is likely to prompt more delegates in the meeting rooms than on the beachfront promenade. However, if you find yourself jogging around before the sunrise symposia (or coming back after a brave night), just west of the Conference Center, you will cross a wide XVIII Century square with a large fountain surmounted by a tall statue of Giuseppe Garibaldi [Figure 1], the Italian hero (known also as the hero of the two worlds because of his revolutionary actions in South America and in Europe). Read more →





Contact

Vincent G Valentine, MD
Editor-in-Chief
vgvalent@utmb.edu


Editorial Staff


"When the past no longer illuminates the future, the spirit walks in darkness"
— Alexis de Tocqueville

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Disclaimer: Any opinion, conclusion or recommendation published by the Links is the sole expression of the writer(s) and does not necessarily reflect the views of the ISHLT.