MedStar Washington Hospital Center

Well, then I decided to do my fellowship, and I did a specialized two-year fellowship in orthopedic oncology and sarcoma surgery with another pioneer in Washington, D.C.

I worked at Washington Cancer Institute and the Washington Hospital Center, and we were sarcoma consultants to National Institutes of Health.

I spent two years with Dr. Martin Malware, who brought limb-sparing surgery to the Washington, D.C. area many years ago.

He actually trained under Dr. Markov, who was the innovator at Memorial Stone Kettering who I worked with at Columbia.

We've been very successful.

So again, we can offer this therapy at two locations within the MedStar Health System, D.C. at MedStar Washington Hospital Center and also in Maryland at MedStar Southern Maryland Hospital.

And I'm confident to say that they've all been successful and we've all seen significant drops in blood pressure.

Patients have been very satisfied with the procedure.

with medication and lifestyle changes.

To learn more about this treatment at MedStar Southern Maryland Hospital Center, call 301-877-5677.

And if Washington DC is closer, call 202-877-5975 and talk to the experts at MedStar Washington Hospital Center.

So the helicopter support.

Well, I would not fly in a helicopter until five o'clock that afternoon to the Washington Hospital Center, which houses the burn unit.

I would be evacuated at it.

And this is something that just, you know, the Lord's in charge of time and space.

He had been brought over to Georgetown to begin the process of getting Georgetown emergency room from a level two to a level one trauma center.

That's doctor training and equipment is what's the difference in the different levels of emergency room capability.

Prior to his arrival at Georgetown, he had spent two years in a trauma fellowship working for Dr. Jordan and Dr. Jang at the Washington Hospital Center Burn Unit.

And because when Flight 77 is crashed into the building, immediately after that, Vice President Cheney will turn to Secretary of Transportation Mineta and tell him to shut down all airspace in the United States.

It was half clinical, half research.

And during that time, I saw a lot of insane patient situations because being I was in D.C. at Washington Hospital Center, which is now MedStar.

So being the nation's capital's burn center, we saw all sorts of interesting things, but also lots of terrible things, too.

At the same time, I was helping them open a brand new burn research lab.

What followed was a grueling recovery, one the News Hour chronicled at the time.

Schaefer was rushed to the Walter Reed Medical Center initially, and then treated for months in the burn unit at the Washington Hospital Center.

Schaefer suffered second and third degree burns over nearly 50% of his body, along with severe lung damage from smoke and jet fuel.

He spent months in the hospital, much of that time on a ventilator, underwent nearly 20 operations and skin grafts, and twice came close to dying when his heart stopped.

Prior to his assumption of duty there, because they're a level two trauma emergency room, And that level two is a standard based upon doctor training and equipment.

And part of the reason for him being there was he'd spent two years in a trauma fellowship at the Washington Hospital Center, which is the main hospital complex here, 14 blocks north of the Capitol on North Capitol Street, was to get him trained up to get Georgetown to a level one.

And Dr. Jordan and Dr. Jang are the directors at the Washington Hospital Center burn unit that for two years Dr. Williams will train under before he arrives at Georgetown.

And because of the nature of the weapons used that day, Right after Flight 77 has crashed into the building, Vice President Cheney inside the White House Situation Room will tell Transportation Secretary Mineta to shut down all airspace in the United States.

So there's no medevacs flying for many hours because of the calamity of what's happening with our airspace.

So these are learning points.

i usually have like an about me in here like who am i that kind of thing but i didn't this time sorry i'm assuming all you guys sort of know who i am to some degree but just as a sort of like a short intro i am nicholas gioni a pulmonary critical care doc currently in virginia in america because i think we have some international folks here so appreciate that i am in my fourth year of practice i went was in residency in Philadelphia, then did my fellowship in Washington, D.C. at Washington Hospital Center.

We sort of like have a pretty large vent curriculum that started there that's sort of branched out that includes a bunch of different fellowships throughout the country in America that we teach the ventilator to.

And sort of from that is where I sort of garner my expertise and have been teaching the vent sort of like on the socials for the past like almost like probably a year and a half because it's something that's obviously not taught that great.

Our other co-host, Marty Tam, a transplant cardiologist at the University of Michigan, and David Chbilsky, surgical colleague in Lucerne, Switzerland, are taking care of patients and can't join us today.

Many thanks, as usual, to Max Fliegner, a general surgery resident at Georgetown University Washington Hospital Center, for his technical support and editing of the podcast.

This month, we're excited to focus on two studies about pulmonary vascular disease that appear in the September print issue of JHLT.

Today, we welcome Dr. Paula Appenzeller, the first author of the manuscript entitled Long-Term Effects of Medical Therapy Pre and Post Pulmonary Endarterectomy, Insights from the UK Curate Registry.