{"id":7179,"date":"2011-11-09T13:50:01","date_gmt":"2011-11-09T18:50:01","guid":{"rendered":"http:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/?p=7179"},"modified":"2018-08-29T22:44:22","modified_gmt":"2018-08-30T03:44:22","slug":"valve-clinic-tour-northwestern-patrick-mccarthy","status":"publish","type":"post","link":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2011\/11\/09\/valve-clinic-tour-northwestern-patrick-mccarthy\/","title":{"rendered":"Valve Clinic Tour: Dr. Patrick McCarthy Returns Home To Lead The Bluhm Cardiovascular Institute At Northwestern Memorial Hospital"},"content":{"rendered":"<p>In 2004, one of the leading heart valve surgeons came home.<\/p>\n<p>In the midst of his 30-year career, which includes time at Stanford University, The Mayo Clinic and The Cleveland Clinic, Dr. Patrick M. McCarthy returned to Chicago, the city of his birth, to lead the Bluhm Cardiovascular Institute at Northwestern Memorial Hospital.<\/p>\n<p>Given Dr. McCarthy\u2019s clinical achievements, research, cardiac inventions, publications and patient recommendations, I was thrilled to receive an invitation to tour Northwestern prior to the Heart Valve Summit.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" src=\"\/Images\/patrick-mccarthy-northwestern-surgeon-md.jpg\" alt=\"\" width=\"550\" height=\"358\" \/><br \/>\nDr. Patrick McCarthy \u2013 Chief, Division of Cardiac Surgery<br \/>\nBluhm Cardiovascular Institute, Northwestern Memorial Hospital<\/p>\n<p>&nbsp;<\/p>\n<p>During the tour, which included several meetings with medical and administrative teams, I quickly came to understand four\u00a0 reasons why so many patients within our community are enthusiastic about this program \u2013 which is currently ranked by <em>US News and World Report<\/em> at:<\/p>\n<ul>\n<li>No. 16 for cardiovascular care across the nation; and<\/li>\n<li>No. 1 for cardiovascular care in the Chicago-metro area.<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Reason #1:\u00a0 Northwestern\u2019s Cardiac Surgeons Are Heart Valve Specialists<\/strong><\/p>\n<p>Dr. McCarthy has assembled a team of dedicated cardiac surgeons with sub-specialties to treat cardiac disorders including <a href=\"https:\/\/www.heart-valve-surgery.com\/aortic-stenosis-valve-heart-narrowing.php\">aortic stenosis<\/a>, <a href=\"https:\/\/www.heart-valve-surgery.com\/mitral-valve-regurgitation-symptoms-leaking.php\">mitral regurgitation<\/a> and <a href=\"https:\/\/www.heart-valve-surgery.com\/atrial-fibrillation\/\">atrial fibrillation<\/a>. For example, Dr. Chris Malaisrie has an extensive, clinical interest in aortic valve disease. Dr. Richard Lee has an extensive clinical and research background specific to atrial fibrillation. Then, there is Dr. McCarthy who has performed over 10,000 cardiac procedures including more than 2,000 mitral valve surgeries.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" src=\"\/Images\/Northwestern-Specialists.jpg\" alt=\"\" width=\"517\" height=\"234\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Over the next few weeks, we will be posting several videos filmed with Dr. McCarthy&#8217;s heart valve surgeon team. So, stay tuned!<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Reason #2 \u2013 Northwestern Offers A Unique, Patient-Centric Approach To Cardiac Surgery<\/strong><\/p>\n<p>Northwestern has developed a patient-centric approach to cardiac care that considers each phase of the surgical cycle.<\/p>\n<ul>\n<li>Before surgery, Northwestern offers patients access to extensive, educational materials located in its cardiac library. In addition, Northwestern recognizes the important role of caregivers in the surgical process. I was surprised when Georgeanne Barileau, the heart valve clinic coordinator, showed me a document designed exclusively for the caregivers. Amazing!<\/li>\n<li>After surgery, patients are provided their own, private room. These \u201crooms\u201d feel more like newly renovated, hotel suites furnished with flat panel televisions, Internet access, spacious bathrooms and a television channel dedicated to cardiac care. Interestingly, I learned that private rooms lead to decreased rates of post-operative infection, which is below 1% at Northwestern.<\/li>\n<li>During recovery, Dr. McCarthy\u2019s team closely monitors the physical and emotional recovery of their patients. Specific to the often-overlooked issue of cardiac depression, Dr. McCarthy shared with me, \u201cWe hired two clinical psychologists at the Bluhm Cardiovascular Institute to better manage this post-operative issue.\u201d<\/li>\n<\/ul>\n<p>Dr. Kim L. Feingold, PhD, who runs this program, recently launched SMART Heart (<strong>S<\/strong>tress <strong>M<\/strong>anagement <strong>a<\/strong>nd <strong>R<\/strong>ecreational <strong>T<\/strong>herapy). Through a host of activities like playing board games, watching comedies and listening to music, the Bluhm Cardiovascular Institute uses SMART Heart as a way to help patients manage stress and reduce what can be for many a heavy emotional burden following surgery.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" src=\"\/Images\/smart-heart-rooom-northwestern.jpg\" alt=\"\" width=\"500\" height=\"333\" \/><br \/>\nNorthwestern\u2019s S.M.A.R.T. Heart Room<\/p>\n<p>&nbsp;<\/p>\n<p>\u201cWhen we think about heart surgery, most people think you go into the hospital, have surgery and then start to work on the physical recovery,\u201d said Feingold. \u201cFew people recognize the significant psychological burden associated with heart surgery. Two out of every five cardiac patients are clinically depressed.\u201d<\/p>\n<p>The SMART Heart program centers\u00a0around a specially-designed room where patients and their families can spend time together, engaging in relaxing activities like watching television, reading books or simply talking.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Reason #3: Northwestern Achieves Superior Surgical Outcomes<\/strong><\/p>\n<p>The result of Northwestern\u2019s approach to cardiac care has resulted in <a href=\"http:\/\/www.northwesternmemorial.org\/clinicaloutcomes\/2010\/2010-Clinical-Outcomes-Booklet.pdf\">surgical outcomes<\/a> that deserve attention. As you can see in the chart below, Northwestern\u2019s cumulative, 5-year mortality rates are superior to the national average reported by <em>The Society of Thoracic Surgeons<\/em>. It should also be highlighted that, during 2010, the clinic reported 0% in-hospital mortality for mitral valve procedures.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" src=\"\/Images\/mitral-valve-outcomes-northwestern.png\" alt=\"\" width=\"385\" height=\"275\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Specific to isolated aortic valve procedures, Northwestern\u2019s surgical outcomes continue to shine.\u00a0 In-hospital mortality for isolated aortic valve replacement, during 2010, was only 1.3% compared to the national average of 2.7%.\u00a0 To learn more, I encourage you to download <em><a href=\"http:\/\/www.northwesternmemorial.org\/clinicaloutcomes\/2010\/2010-Clinical-Outcomes-Booklet.pdf\">&#8220;Northwestern\u2019s 2010 Surgical Outcomes Report&#8221;<\/a><\/em>.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Reason #4: Northwestern&#8217;s Team Is Anything But&#8230; Complacent<\/strong><\/p>\n<p>Even with the above-referenced results, Dr. McCarthy, who is the youngest of eight children (all boys), is anything but complacent. \u201cWe feel good about our accomplishments, but there is more we can do,\u201d Dr. McCarthy shared with me. \u201cFor example, we are now launching a bicuspid aortic valve program. I believe we can improve our understanding, research and treatment of that disease.\u201d<\/p>\n<p>Specific to bicuspid aortic valves &#8212; which led to my own aortic valve replacement surgery in 2005 &#8212; I used my time with Dr. McCarthy to learn more about the genetics of the disorder. In this video, Dr. McCarthy answered Cindy\u2019s question about the heredity of bicuspid aortic valves.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/BZ0llYQ6AZY\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<p>For the hearing impaired members of our patient and caregiver community, I have provided a video transcript below for your review.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Many Thanks To The Bluhm Cardiovascular Institute At Northwestern!<\/strong><\/p>\n<p>As the tour came to a close, I was inspired by Northwestern\u2019s pursuit of healthy hearts. I want to thank each person I met during my time at the Bluhm Cardiovascular Institute. In particular, I would like to thank Georgeanne Barileau for coordinating this incredible visit.\u00a0 In addition, I would like to thank Dr. Malaisrie and Dr. Lee for filming several video responses to your questions &#8212; which will be posted shortly at my blog.<\/p>\n<p>Finally, I want to extend a special thanks to Dr. Patrick McCarthy for his extraordinary contributions to heart valve therapy. It was incredible to learn more about this surgeon who is one of the most patient-recommended physicians in our community.<\/p>\n<ul>\n<li>To learn more about Dr. McCarthy, please <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Patrick-McCarthy-Chicago-Illinois.php\">click here<\/a>.<\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. For those of you who are hearing impaired, a written transcript of my video interview with Dr. McCarthy is provided below.<\/p>\n<p>Adam: Hi everybody, it\u2019s Adam, and we are at the Bluhm Cardiovascular Institute at Northwestern Memorial Hospital in Chicago, Illinois.\u00a0 I\u2019m thrilled to be here with Dr. Patrick McCarthy who\u2019s the chief of cardiothoracic surgery, and we\u2019re answering your questions that were submitted at HeartValveBlog.com.\u00a0 This is a question that came in from Cindy, and she writes, Dr. McCarthy, &#8220;Two years ago I was diagnosed with a bicuspid aortic valve and underwent surgery to replace it.\u00a0 As a mother and grandmother, I want to know if this type of problem can be passed to my daughter and granddaughter.\u00a0 I have attempted to research but have found conflicting answers regarding heredity.<\/p>\n<p>Doctor McCarthy: So it\u2019s a good question Adam, and it\u2019s also very timely.\u00a0 So the data now is that about 1 out of 4 it runs in a family, so about 25%.\u00a0 And 75% therefore, it doesn\u2019t; so it\u2019s not that common.\u00a0 But when I sit there and I talk to patients that have a bicuspid aortic valve,\u00a0 I always ask them, does it run in the family, is your uncle, brother, anyone like that have it.\u00a0 And it\u2019s pretty common that you find that, or an aortic aneurism, because the two are related.\u00a0 The reason that it\u2019s timely, this year in particular, the medical societies have come up with a recommendation that first degree relatives of someone with bicuspid aortic valve should have an Echo.\u00a0 First degree relatives refers to someone directly related.\u00a0 For instance, you mentioned her daughter, her parents, her siblings (brothers and sisters), doesn\u2019t have to be your second or third cousin at all.\u00a0 On the other hand, in general, if someone has a heart murmur they should get an Echo. \u00a0I\u2019m always surprised at people that had a heart murmur for twenty years but have never had an Echo, and finally it\u2019s done and they pick up a bicuspid valve or <a href=\"https:\/\/www.heart-valve-surgery.com\/mitral-valve-prolapse-symptoms.php\">mitral valve prolapse<\/a>.\u00a0 But Cindy asked a good question, her daughter should have an Echo, even though she doesn\u2019t have a heart murmur.\u00a0 If her parents are still alive they should have it.\u00a0 Her brothers and sisters, they should have it.\u00a0 And that\u2019s a new recommendation coming from the societies; and it\u2019s actually changing the way we practice, for instance here we set up a <a href=\"https:\/\/www.heart-valve-surgery.com\/bicuspid-aortic-valve-symptoms.php\">bicuspid aortic valve<\/a> program and I asked Dr. Jyothy Puthumana to be in charge of this to help, because there are so many patients that we see with this, and now so many family members, and they have questions about, \u201cis this going to be a problem for me in the future?\u201d.\u00a0 They\u2019re twenty years old, and their valve is functioning fine; but it\u2019s bicuspid.\u00a0 So they need a lot of information about that.\u00a0 For instance one other thing they want to know is that if you do have a bicuspid aortic valve, only about 1 out of 3 will eventually need surgery for it at some point in their life.\u00a0 But if you\u2019re twenty, it\u2019s important to know that kind of information.<\/p>\n<p>Adam: As always, thanks for your help and thanks for your support, and I know that\u2019s going to help Cindy and I know it\u2019s going to help all of the other viewers out there that are watching this. So again, thanks for all you\u2019re doing here at Northwestern.<\/p>\n<p>Dr. McCarthy: Thanks Adam.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":25791,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[35],"tags":[],"class_list":["post-7179","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-surgeons-clinics"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/7179","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/comments?post=7179"}],"version-history":[{"count":0,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/posts\/7179\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media\/25791"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/media?parent=7179"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/categories?post=7179"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/wp-json\/wp\/v2\/tags?post=7179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}