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SALUTE TO PHYSICIANS




                MEMORIAL REGIONAL HOSPITAL SOUTH                                          JOE DIMAGGIO CHILDREN’S HOSPITAL


         Alan Novick, MD                                                          Daxa Patel, MD

           Dr. Alan Novick is the chief of the Memorial                             Dr. Daxa Patel is a pediatric neurosurgeon with a concen-
         Rehabilitation Institute. During the past 25 years, he has               tration on treating epilepsy patients. Part of a multi-discipli-
         been instrumental in the growth of Memorial’s physical                   nary team, she is fellowship-trained in some of the latest
         medicine and rehabilitation program from 26 beds and lim-                technology that has helped prevent seizures in patients
         ited equipment to the current 89-bed facility that features              whose illness has been resistant to medication. “We know
         some of the most sophisticated therapeutic technology in                 that a child’s brain changes in many ways once a seizure
         the industry.                                                            occurs, so it’s important to pinpoint the areas they are orig-
           “Rehab is a team sport,” said Novick, a graduate of Duke               inating from and take corrective action as early as possible.”
         University and the University of Florida College of                        Two of the newer technique’s Dr. Patel employs are mini-
         Medicine. “Therapists, nurses, and doctors are able to inter-            mally-invasive surgical options. Laser Interstitial Thermal
         act with patients when they are most vulnerable and work                 Therapy (LITT) is an approach that uses a heated wire with-
         with that individual to restore a quality of life where they             in a catheter to destroy the region of the brain where
         function to their maximum ability.”                                      seizures begin. Robotic stereotactic assistance (ROSA) enables neurosurgeons to places
           While Dr. Novick most often treats those who have suffered traumatic brain injuries,   electrodes in the brain, pinpoint seizure areas, and vaporize them.  “People should know
         he is equally proud the Memorial Rehabilitation Institute has physicians on staff that spe-  there are options,” said Patel. “With early detection, we can sometimes cure epilepsy, and
         cialize in all the PM&R sub-specialties, ensuring there is a doctor that can provide   all our procedures aim to minimize or eliminate the occurrence of seizures.”
         patients specialized care for every disease or condition.
                                                                                  Holly Neville, MD
         James Salerno, MD
                                                                                    The opportunity to provide a normal, post-surgical life to
           Dr. James Salerno is the chief of Physical Medicine and                young women with reproductive system issues is one of the
         Rehabilitation at Memorial Healthcare System’s rehabilita-               things Dr. Holly Neville enjoys most about being a pediatric
         tion hospital and an expert in the treatment of medically-               surgeon.  “Young women, when faced with medical issues,
         complex transplant patients. Most often, his patients are                may have pain, miss school and become anxious or even
         recovering from heart, liver, kidney, or bone marrow trans-              insecure” said Neville, the chief of pediatric general surgery
         plant surgery. “These individuals are on medications that                at Joe DiMaggio Children's Hospital. “It’s rewarding to pro-
         may cause neurologic deficiencies. It takes significant col-             vide the type of physical and emotional care that gets them
         laboration with the referring hospital, doctors, and family to           feeling healthy again and back to school, sports, and activi-
         manage their rehab, but it’s a special thing when we get                 ties they enjoy.” Dr. Neville is one of five female surgeons on
         them functioning where they need to be.”                                 the Joe DiMaggio Children’s Hospital’s pediatric general sur-
           Dr. Salerno is also actively teaching the next generation of           gery team and routinely operates on ovarian cysts and reproductive tract issues, breast
         physician, with PM&R residents from Memorial’s Graduate                  masses, and vaginal abnormalities that become problematic during puberty. The reaction
         Medical Education program training at his hospital. With another four doctors on the   from her patients, usually preteens and teens 11-18 years of age, is most often relief and
         way, a total of 11 residents will be attending to patients and working with veteran clini-  gratitude at the restoration of a level of functioning and health they may have thought
         cians to deliver Memorial’s style of patient and family-centered care.   was unattainable.

                     MEMORIAL HOSPITAL PEMBROKE                                                MEMORIAL HOSPITAL MIRAMAR

         Ana Kelegama, MD                                                         Emery Salom, MD

           Dr. Ana Kelegama is a hospitalist that specializes in family             Dr. Emery Salom is a board-certified and fellowship-
         medicine and is medical director at Memorial Hospital                    trained gynecological oncologist that specializes in
         Pembroke, a position she was named to in 2015.                           advanced laparoscopy and robotic surgery, most often
           Dr. Kelegama says the Memorial Healthcare System cul-                  involving cancers of the reproductive organs. His practice
         ture is what motivated her to relocate from Columbus,                    also includes chemotherapy as a treatment option, whether
         Ohio. “We prioritize patient and family-centered care and                before or after surgery or by itself. “Patients benefit from
         know how to take care of those at our hospitals. Our                     continuity in care and caregivers. There’s a consistent focus
         patients have everything they need and are never discharged              when the same doctors are with a patient from diagnosis to
         to unsafe or unstable living situations.”                                the completion of treatment.”  An associate professor and
           In the nearly five years she has been part of MHS, Dr.                 director at Florida International University’s College of
         Kelegama has been able to expand the role of the hospitalist             Medicine, Dr. Salom treats a variety of cancers, including
         and make improvements to processes that include what                     ovarian, uterine, cervical, vaginal and vulva, primary peri-
         nurses are taught during rounding.                                       toneal, fallopian tube, and gestational trophoblastic neoplasms. = Dr. Salom graduated
                                                                                  from the University of Miami and went on to complete his four-year obstetric and gyne-
         Joseph Melendez-Davidson, MD, FACS                                       cologic residency and three-year fellowship in gynecologic oncology at Jackson
                                                                                  Memorial Hospital/Sylvester Comprehensive Cancer Center in Miami.
           While Dr. Joseph Melendez-Davidson is a fellowship-
         trained bariatric surgeon, he’s the first to admit it’s not just         Jacob Tangir, MD
         about the surgery. “We take a multi-disciplinary and inte-
         grated approach, considering all aspects of the patient’s                  Dr. Jacob Tangir is a board-certified gynecological oncol-
         health before determining the best course of action for                  ogist that understands how cultural differences can play a
         them. Those consultations include nutritionists, care coor-              role in whether a woman seeks treatment for medical issues
         dinators, mental health professionals, and others, in addi-              within the reproductive system. “There can be societal stig-
         tion to a team of physicians.”                                           mas that need to be overcome, even before a cancer diagno-
           It’s an approach that very few weight-loss surgeons take               sis. Information and education can help break down barri-
         and one that has earned Memorial Hospital Pembroke’s pro-                ers, but personal empathy and sympathy are critically
         gram an exemplary rating from the American Society for                   important to building trust between patients and doctors.”
         Metabolic and Bariatric Surgery. Dr. Melendez-Davidson                     A native of Venezuela, Dr. Tangir was one of the first sur-
         also offers endoscopic treatment to correct surgeries done elsewhere that haven’t deliv-  geons in South Florida to use robotic surgery to treat benign
         ered patients the expected results or led to other problems.             and malignant gynecologic cancers. The procedure leaves
           His approach to patient care begins and ends with compassion and the use of mini-  minimal scarring and requires less recovery time than tradi-
         mally-invasive techniques to deliver better outcomes with less recovery time.   tional surgical methods and can be done as an outpatient. His practice at Memorial also
                                                                                  offers molecular testing of tumors that have made it possible to prescribe immunother-
                                                                                  apy instead of the more damaging chemotherapy for many cancer patients.


         20                       March 2020                                                             southfloridahospitalnews.com                                                                       South Florida Hospital News
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