Johns Hopkins Pituitary Patient Day 2013

Johns Hopkins Pituitary Patient Day

Join us on Saturday, September 28, 2013, for the 5th Annual Patient Education Day at the Johns Hopkins Pituitary Center.

When: Saturday, September 28, 2013
Time: 9:30 a.m.
Location:
Johns Hopkins Mt. Washington Conference Center
5801 Smith Avenue
Baltimore, MD 21209
map and directions

Location of the pituitary gland in the human brain (Photo credit: Wikipedia)

Patient Education Day Agenda:
9:30 – 10:00 AM	REGISTRATION
10:00 – 10:25 AM	What is the pituitary gland, where it is located, what it does, and what can go wrong	Gary Wand, MD
10:30 – 10:50 AM	How pituitary tumors can affect your vision	Prem Subramanian, MD, PhD Vivek Patel, MD, PhD
10:50 – 11:10 AM	Cushing disease journey: a patient’s perspective	Stacey Hardy
11:15 – 11:40 AM	Surgery for Pituitary tumors: from very tiny to very large	Alfredo Quinones-Hinojosa, MD Gary Gallia, MD, PhD Alessandro Olivi, MD
11:40 – 12:00 PM	Radiation therapy: when, why, and how	Lawrence Kleinberg, MD Kristen Redmond, MD
12:05 – 12:25 PM	The medications you may be taking (new and old ones): what you need to know	Roberto Salvatori, MD
12:30 – 1:25 PM	Lunch
1:30 – 3:00 PM	PM Round table sessions: 1) Medical therapy (Wand/Salvatori) 2) Surgical therapy (Quinones/Gallia/Olivi) 3) Radiation therapy (Redmond/Kleinberg/Lim) 4) Vision issues (Subramanian/Patel)

*This schedule is subject to change

Please R.S.V.P. by September 13, 2013, vie email (preferred) to PituitaryDay@jhmi.edu  or to Alison Dimick at 410-955-3921.

Reservations will be taken on a first-come, first-serve basis.

Johns Hopkins Pituitary Patient Day, More Info

Johns Hopkins Pituitary Patient Day

Join us on Saturday, September 29, 2012, for the 4th Annual Patient Education Day at the Johns Hopkins Pituitary Center.

When: Saturday, September 29, 2012
Time: 9:30 a.m.
Location:
Johns Hopkins Mt. Washington Conference Center
5801 Smith Avenue
Baltimore, MD 21209
map and directions

Patient Education Day Agenda:
9:30 - 10:00 AM	REGISTRATION AND BREAKFAST
10:00 - 10:20 AM	What is the pituitary, and what can go wrong	Gary Wand, MD
10:25 - 10:45 AM	Vision problems in pituitary patients	Prem Subramanian, MD, PhD
10:50 - 11:10 AM	Pituitary Disease: a patient’s prospective	Barbara Craven, PhD
11:15 - 11:35 AM	Surgery for Pituitary tumors: what to expect	Alfredo Quinones-Hinojosa, MD and Gary Gallia, MD, PhD
11:40 - 12:00 PM	Nose problems before and after pituitary surgery	Masaru Ishii, MD, PhD
12:05 - 12:25 PM	When is radiotherapy needed for pituitary tumors	Kirsten Redmond, MD
12:30 - 1:25 PM	Lunch
1:30 - 3:00 PM	Breakout sessions 1) Medical therapy (Wand/Salvatori) 2) Surgical therapy (Gallia) 3) Radiation therapy (Redmond/Lim) 4) Vision issues (Subramanian) 5) Nose issues (Ishii)

*This schedule is subject to change

Please R.S.V.P. by September 14, 2012, by contacting Colleen Hickson at  (410) 614-5887 orckristo1@jhmi.edu.

Reservations will be taken on a first-come, first-serve basis.

Book: Harvey Cushing: A Life In Surgery

Harvey Cushing: A Life In Surgery

Review by Dr. Alfredo Quiñones-Hinojosa.  Dr. Alfredo Quiñones-Hinojosa (also known as "Dr. Q") is the Associate Professor of Neurosurgery, Neuroscience, Oncology and Cellular and Molecular Medicine, and the Director of the Brain Tumor Stem Cell Laboratory at Johns Hopkins University School of Medicine.

Michael Bliss, Paperback, 591 pages

Here is the first biography to appear in fifty years of Harvey Cushing, a giant of American medicine and without doubt the greatest figure in the history of brain surgery.

Drawing on new collections of intimate personal and family papers, diaries and patient records, Michael Bliss captures Cushing's professional and his personal life in remarkable detail. Bliss paints an engaging portrait of a man of ambition, boundless, driving energy, a fanatical work ethic, a penchant for self-promotion and ruthlessness, more than a touch of egotism and meanness, and an enormous appetite for life. Equally important, Bliss traces the rise of American surgery as seen through the eyes of one of its pioneers. The book describes how Cushing, working in the early years of the 20th century, developed remarkable new techniques that let surgeons open the skull, expose the brain, and attack tumors--all with a much higher rate of success than previously known. Indeed, Cushing made the miraculous in surgery an everyday event, as he and his team compiled an astonishing record of treating more than two thousand tumors.

This is the definitive Cushing biography, an epic narrative of high surgical adventure, capturing the highs and lows of an extraordinary life.

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Review below by Dr. Alfredo Quiñones-Hinojosa.  Dr. Alfredo Quiñones-Hinojosa (also known as "Dr. Q") is the Associate Professor of Neurosurgery, Neuroscience, Oncology and Cellular and Molecular Medicine, and the Director of the Brain Tumor Stem Cell Laboratory at Johns Hopkins University School of Medicine.

Without the influence of Cajal and Halsted, the career of Harvey Cushing, born in 1869, might not have been possible. And without Cushing, many careers, including my own, would not exist. In this marvelous biography, Michael Bliss examines both the icon and the person. A genius with relentless ambition, Cushing was a mentor and tormentor, a perfectionist who often forgot the line between confidence and arrogance, yet ultimately he was a healer who once said that brain surgery amounts to "20 percent science, 75 percent artistry and 5 percent community benefit." Bliss vividly details Cushing's obsession with improving all aspects of surgical care, as well as clinical diagnostic methods. Cushing's life is like a great ghost story — it will haunt you long after it's over.

ACTH-secreting pituitary adenomas: size does not correlate with hormonal activity

Nestoras Mathioudakis, Courtney Pendleton, Alfredo Quinones-Hinojosa, Gary S. Wand and Roberto Salvatori

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Abstract

ACTH-secreting pituitary adenomas (Cushing’s disease, CD) are the most frequent cause of Cushing’s syndrome. To test whether the size of ACTH-secreting adenomas correlates with the degree of biochemical and clinical features of hypercortisolism, we retrospectively reviewed all newly diagnosed CD patients seen at our institution by two neuro-endocrinologists over a 10-year time period. We documented the number of clinical manifestations and baseline hormonal measurements.

There were 37 microadenomas (μAs) and 16 macroadenomas (MAs). We sought to characterize the relationship between tumor size (μA vs. MA) and number of signs and symptoms of hypercortisolism and biochemical assessment of hypercortisolemia. There were no significant differences in mean age, BMI, or prevalence of hypertension and type 2 diabetes between the μA and MA groups. However, the MAs had fewer clinical manifestations of hypercortisolism (29.4% vs. 36.1%, P = 0.02) compared to μAs.

There was a higher prevalence of easy bruisability and proximal muscle weakness in the μAs, but otherwise the prevalence of signs and symptoms were similar between groups. The MAs had a lower random serum cortisol (18.2 ± 2.4 vs. 25.9 ± 1.8 mcg/dl, P = 0.018), lower cortisol:ACTH ratio (0.25 ± 0.03 vs. 0.42 ± 0.05, P < 0.048), and lower cortisol:tumor diameter ratio (14.1 ± 2.2 vs. 56.8 ± 7.2, P < 0.0001) than the μAs.

We conclude that tumor size does not directly correlate with the extent of hormonal activity in ACTH-secreting adenomas. Biochemical activity and clinical manifestations may be mild even in larger tumors, and therefore a high index of suspicion may be necessary to recognize hypercortisolism in pituitary MAs.

Keywords  Pituitary adenoma – Cushing – ACTH – Symptoms

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• From http://www.springerlink.com/content/m624211x08224761/

Johns Hopkins Pituitary Patient Day

Join us on September 24, 2011, for the 3rd Annual Patient Education Day at the Johns Hopkins Pituitary Center.

When: Saturday, September 24, 2011
Time: 9:00 a.m.
Location:
Johns Hopkins Mt. Washington Conference Center
5801 Smith Avenue,
Baltimore, MD 21209
map and directions

Patient Education Day Agenda:
9:00-9:30 AM	REGISTRATION AND BREAKFAST
9:30-10:00 AM	Introduction to Sellar Masses	Gary Wand, MD
10:00-10:30 AM	Neuro-ophthalmological issues in pituitary patients	Prem Subramanian, MD
10:30-11:00 AM	Medical therapy of pituitary disease	Roberto Salvatori, MD
11:00-11:30 AM	Surgical Therapy of Pituitary Tumors	Alfredo Quinones-Hinojosa, MD
11:30-12:00 PM	Approach to Large Invasive Tumors	Gary Gallia, MD
12:00-12:30 PM	Radiotherapy of pituitary masses	Kirsten Redmond, MD
12:30-01:25 PM	Lunch
1:30-03:00 PM	Breakout sessions: Medical therapy (Wand/Salvatori) Surgical therapy (Gallia/Quinones) Radiation therapy (Redmond/Lim) Vision issues (Subramanian)
To RSVP, please contact Colleen Hickson at 410-614-5887 by September 9, 2011.

For more information, contact the Johns Hopkins Pituitary Center at 410-955-GLAN (4526).

I Was Diagnosed with a Pituitary Tumor…Now What?

Join Johns Hopkins neurosurgeon and surgical director of the Pituitary Center, Alfredo Quinones-Hinojosa, M.D., for a free online seminar about what people diagnosed with a pituitary brain tumor, their family members and caregivers should know about this condition, the latest treatment options available and what to expect after treatment.

DATE/TIME: April 5, 2011 - 7 p.m. to 8 p.m. (EST)

REGISTRATION & MORE INFO: www.hopkinsmedicine.org/healthseminars

US Residents: Register here
International Residents: Register here