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          Volume 17 • Issue 8 • $5.00                 February 2021
                          THE REGION’S MONTHLY NEWSPAPER FOR HEALTHCARE PROFESSIONALS & PHYSICIANS


              CARDIOLOGY                                              EDUCATION                                             CARDIOLOGY

                                               Anesthesiologist Assistant Master’s


                                              Program: South University Educates

                                                    to Meet Practitioner Shortage


                                                           BY BARBARA R. FALLON

                                               The indelible pandemic imprint on our sense of normalcy
                                             during 2020 has not skipped the fields of higher education
                                             and health care.
                                               During the initial stages of COVID-19, most elective sur-
                                             geries were postponed and many patients remained fearful                            Dr. Lourdes Prieto
                 Dr. Juan-Carlos Brenes      and even delayed seeking vital medical/surgical care when
                                             safe to do so. However, hospitals and physicians immediate-
                                             ly committed to strict standards regarding care delivery                         Dr. Prieto
               COVID-19                      within COVID-19 protective guidelines including telehealth
                                             visits to encourage patients to seek physician advice which
          Shown to Affect                    resulted in a glut of postponed surgeries.              Jeffrey Carroll          Discusses
                                               Nationwide there is a shortage of anesthesia providers.
                                             The disruption of COVID-19, increasing health demands of baby boomers, improved   Advancements
           Cardiovascular                    access to surgi-centers and expanded health care access in rural areas, will undoubtedly
                                             continue to outweigh the number of available anesthesia providers. There are only 12   in Pediatric
         System in Short-                    educational programs across the U.S. preparing specialty anesthesiologist assistants.   Cardiology
                                             Forward thinking South University offers a Master’s program at the Savannah, Georgia
           and Long-term                                                                          Continued on page 16
                                                                                                                               BY LOIS THOMSON
                  BY VANESSA ORR                                COVID-19 UPDATE
                                                                                                                        According to Dr. Lourdes Prieto, "The
          While COVID-19 is known for causing                                                                         beauty of what happens in the world of
        respiratory issues, it also can affect other   The Road to Herd Immunity                                      congenital cardiology is that as our
        parts of the body, including the cardiovas-                                                                   patients grow into adulthood – and that is
        cular system. Even after symptoms go    There is one road back to a                                           happening more and more because we are
        away, those who have had the virus may   normal, pre-COVID American                                           getting better at what we do – we, the
        experience long-term effects, though the   economy and society. We must                                       pediatric cardiologists, can follow them,
        full extent of the damage has yet to be   vaccinate a large majority of                                       because we understand the cardiac prob-
        known.                                Americans as soon as possible.                                          lems they have even as they age."
          “What we are learning about the virus,   Thirty million of the Pfizer and                                     That can be for a long period of time,
        we are learning the hard way, unfortunate-  Moderna vaccines have been                                        because as Dr. Prieto – interventional pedi-
        ly,” explained Juan-Carlos Brenes, M.D.,   distributed, but as of a couple                                    atric and adult congenital cardiologist, and
        FACC, FASE, FACP, cardiologist at     of weeks ago, only 10 million                                           interim medical director of cardiology at
        Memorial Cardiac and Vascular Institute.   have made it into our arms. Far                                    Nicklaus Children's Hospital – explained,
        “The unique thing about this virus is that   fewer have received the manda-                                   some of those problems can start moments
        while 40 percent of people who have it   tory second shot.                                                    after birth. She gave an example of what
        show no symptoms, others may have       How are we as a nation going       BY WAYNE BRACKIN AND               she called "transposition of the great arter-
        moderate or severe symptoms. In some   to vaccinate the next 300 mil-     TINA CARROLL-SCOTT, MD              ies": The baby's heart develops in a way
        cases, it can cause death. It can linger after   lion of our fellow citizens?                                 that the major arteries – the aorta, which
        a person recovers, and while some just   There have been admirable, even heroic efforts. Our hospitals have labored mightily to   flows out to the body, and the pulmonary
        lose their sense of smell or taste, others   do their part, rightfully focusing first on the caregivers. The stadium-style approaches   artery, which goes to the lungs – are
        end up intubated with severe respiratory   have had limited success, as have the chronically underfunded and underappreciated   reversed. The result is that blood without
        insufficiency.                        public health departments. The physical and economic health of our nation depends on   oxygen is pumped to the body instead of
          “Because this virus has so many differ-  our engaging every bit of our communal knowledge and experience into this effort.    to the lungs; whereas oxygenated blood
        ent presentations, it can make the treat-  In the Navy, there is a call to action in times of crisis, when the ship is under attack   coming back from the lungs is pumped
        ment approach quite challenging,” he   and in trouble, as we are now. That call is for “All hands on deck”. President Biden   back into the lungs instead of to the body.
        adds                                  announced a $20 billion allocation with a stated goal of administering 100 million vac-  "When those babies are born their oxygen
          According to Dr. Brenes, COVID-19 can   cines in 100 days, and he’s assembled a top-notch experienced group to achieve it.    level can be very low, and a procedure may
        affect the cardiovascular system in three   First, we must acknowledge that vaccine hesitancy exists, from the Black community’s   need to be done immediately, sometimes
        ways. The virus can go directly to the heart   historical memory of medical experimentation and current racial health disparities to the   within an hour of birth."
        muscle, causing inflammation of the heart,   poor folks who have gotten twisted up in the arguments between science and politics.   Dr. Prieto discussed another problem
        or myocarditis. It also can have an indirect   Whom can a patient trust?                                      that can occur in premature or very tiny
                         Continued on page 25                                                      Continued on page 11                Continued on page 24
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