Medical News – Summer 2019

Connecticut Children’s Urology Division Ranks as a Top 20 Program Nationally by U.S. News & World Report

Connecticut Children’s urology division has been named a top 20 national program in the 2019-2020 U.S. News & World Report’s Best Children’s Hospital rankings. At Connecticut Children’s, our new and expanded team of urologic specialists achieved the highest ranking in the division’s history thanks to its excellent outcomes and quality patient care.

“One of the things we are most proud of is our parent driven approach to our care and research,” said Carlos Medina, MD, Clinical Director of Urology. “We have a nationally recognized investigator serving as the Chief Data Scientist for the Consortium on Uro-lithiasis in Pediatrics. We are also achieving excellent outcomes for patients with rare diseases. We are proud and honored by this prestigious recognition.”

U.S. News & World Report collects data from nearly 200 children’s hospitals nationwide, taking into consideration clinical outcomes, hospital resources, and delivery of healthcare. This in combination with survey results from pediatric specialists across the country is used to identify the top 50 programs for 10 different specialties.

In addition to its Top 20 urology ranking, Connecticut Children’s was also ranked in the Top 50 nationally by U.S. News & World Report in Cardiology and Heart Surgery, Diabetes and Endocrinology and Neonatal Care.

“The recognition from U.S. News & World Report is a testament to our dedicated physicians, nurses and staff who care for the sickest children while working tirelessly on advancing research and clinical outcomes at the Medical Center,” said Jim Shmerling, President & CEO at Connecticut Children’s. “We continue to expand our care network, making it easier than ever for our patient families to access the care they need, when they need it and most importantly where they need it; close to home.”

Magnet Recognized: Nurses at Connecticut Children’s Receive Top Designation

Connecticut Children’s recently attained Magnet Recognition status from the American Nurses Credentialing Center, the most prestigious nursing recognition designation, proving exemplary service in a customer service driven medical center. To provide context to this designation, only 7% of hospitals nationwide have been recognized.

“I am so thrilled to see our nurses as a part of a significant milestone for Connecticut Children’s! This Magnet designation is a true testament to the excellence in care we deliver every day, care that is consistently experienced by our patients and families,” said Cheryl Hoey, chief nursing officer at Connecticut Children’s. “To earn Magnet Recognition is a great accomplishment and an incredible source of pride for our nurses and team at large. Our nurses are so deserving of this award, and I thank them for bringing Connecticut Children’s national recognition.”

Rigorous standards were tested and met by the nursing staff, resulting in high-quality patient care to be recognized across the country. Connecticut Children’s is unanimously proud of the dedication and work that is put into patient care every day as we serve children all around the state.

Adventure Awaits at the New Connecticut Children’s Infusion Center

Nationally renowned pediatric gastroenterologist Jeffrey Hyams, MD, wanted to “wow” the patients and families at the new infusion center, and early indications show that mission has been accomplished. Dozens of jaws dropped in sheer amazement during the unveiling of the new Connecticut Children’s Infusion Center at 10 Birdseye in Farmington.

The infusion center is a modern, highly innovative and truly unique patient experience. Brilliant architects and project managers made it a goal to hide any clinical aspect that a typical infusion center may bring. The waiting room isn’t filled with arm-to-arm plastic chairs; instead there is a nature-themed check-in desk and seating area tastefully decorated in shades of green with geometric ceiling cut-outs to represent forestry. Patients can be situated within a camper bay or in a tent bay secretly chatting with neighboring patients through hidden passageways to support a playful atmosphere.

Not only does this infusion center appeal to the patients and families on an aesthetic level, but there is also an entertainment factor. Technology was created to entertain patients from all age ranges to keep the experience new and exciting. Patients are encouraged to use a special app which allows them to create their avatar to live in a virtual reality world with other patients during infusions. This virtual reality is displayed on multiple, curved digital OLED displays in the center of the treatment area, designed to have a large tree-like feel. This app can be downloaded on any smart phone or tablet and can only be used in the facility to create a special exclusivity for the patients receiving care.

“The customization of the avatars, from color to texture, gives kids a sense of control, during a time when they may feel like they have lost it,” said Karri May, manager of Planning, Design & Construction for Connecticut Children’s. “The added benefit of creating a sense of community through the avatars reminds them that they’re not alone in their treatment process.”

This infusion center has taken patient care to a completely new level in order to provide comfort for the emotional challenges that can come with pediatric treatment. “Research continues to validate the large role experience design plays in creating healing environments,” said Gil Peri, President and COO. “Connecticut Children’s is reinventing that patient experience and ensuring we do everything we can to create a ‘wow’ experience for those children that walk through our doors.”

Never Stop Growing: New Brand Campaign Launches at Connecticut Children’s

Connecticut Children’s excitedly launched its new brand campaign at the beginning of May with an inspiring theme, Never Stop Growing. This campaign not only represents the organization’s dedication to assure that children never stop growing, but also emphasizes how the hospital as a whole is continually expanding in order to meet the needs of all patients.

“At Connecticut Children’s, we strive to ensure the physical, social and emotional wellbeing of all children, even before they walk through our doors,” said Deb Pappas, VP and Chief Marketing and Communications Officer. “This campaign illustrates our dedication to our patients and families we serve. We will never stop growing, innovating or improving children’s health.”

Connecticut Children’s Medical Center will now simply be referred to as Connecticut Children’s.

Supporting the campaign is a selection of Connecticut Children’s patients and clients of its community-based programs all with a story to tell. They are the faces featured in the campaign, which includes TV spots on select cable networks, digital and print advertising, social media and billboards. For more information, please visit the official campaign webpage at www.growchildren.org.

Connecticut Children’s Launches New Center for Innovation

Connecticut Children’s Center for Innovation – a formal commitment to pioneer child health innovation that will turn ideas from “What if, into What’s Next.” Gil Peri, President and Chief Operating Officer of Connecticut Children’s, championed the launch of the Center for Innovation on May 23rd. This inspiring event highlighted the importance of innovation in a data-driven and technologically emerging world.

With the goal being to foster innovative and creative thinking, the hospital and external partners will work to improve patient experience, outcomes and cost in the state of Connecticut. Within the next 4-6 months, the Center will be finalizing its infrastructure and collaboration partners.

“I am most proud that Connecticut Children’s is not just facilitating the exploration of innovation, rather we are 100 percent committed to this program through the development of a dedicated innovation lab, strong education tracks, mentorship, partner infrastructure and more,” said Gil Peri. “The Connecticut Children’s Center for Innovation will provide selected entrepreneurs and established businesses the opportunity to co-develop and clinically validate innovations that have market potential to improve child health.”

Virtual Visits: Quality Care Close to Home

This April, Connecticut Children’s launched the most convenient way to receive care, virtual visits. Jeffrey Sargent, Director of Virtual Health Services, acknowledges that time is very valuable for patients and parents and works to assure that it is respected.

“Due to family requests, we have instituted video visits for our postoperative tonsillectomy and adenoidectomy cases. In this way, they can continue to have their questions answered and discuss any postoperative issues without the need for a formal visit to the office. This saves them the time and cost away from work and school while accomplishing applicable goals of an in-person postoperative visit. We plan to expand the scope of our virtual visits to include selective follow-up visits,” says Scott Schoem, MD, Division Head of Otolaryngology.

While post-operative visits are vital to the health of a child, being there in person sometimes isn’t. Virtual  visits allow the patient and parent to remote in through a video conference to have a conversation with their provider. Often times, ensuring that the patient is recovering well post-operatively only requires a conversation between the provider and the patient. Connecticut Children’s wants to alleviate drive times, missed work and days off of school by allowing a face-to-face conversation to take place through a webcam.

Zoom software embedded into Epic allows for the convenience of a one-click call to the patient or provider during the time of the appointment. While this is currently being implemented by physicians within the Division of Otolaryngology, the future holds potential for virtual visits in many other specialties.

A Different Experience: Pediatric-Specific Ambulatory Surgery Centers

As the only pediatric-specific hospital in the state, Connecticut Children’s provides top-of-the-line pediatric care. Adults and children are often provided with the same standard of care at other medical facilities without accounting for the vast differences between the two. There are miniscule details when providing for a child that if left out, could result in catastrophic health.

The Ambulatory Surgery Center, located at 505 Farmington Avenue, can perform a range of surgeries and services including Dental Surgery, Otolaryngology, Gastroenterology, General Surgery, Hand Surgery, Ophthalmology, Orthopedics, Sports Medicine and Urology.

Children respond differently to anesthesia than adults normally would. Our anesthesiologists complete pediatric fellowships and are trained in the unique requirements of pediatric patients. Pediatric-specific sedation techniques are implemented to minimize anxiety, including flavored and scented masks, kid-sized equipment and allowing parents to accompany children to the OR for the sedation procedure.

Studies have shown that children are considerably more sensitive to radiation than adults. Given that, Connecticut Children’s makes managing overexposure a priority with a computerized tomography (CT) scan with the lowest doses of radiation in the country. With their whole lives ahead of them, there is an increased opportunity for radiation exposure to have harmful effects in the future. Pediatric radiologists work to assure that radiation is adjusted for children based on their specific body size.

Providing Care Closer to Home: Connecticut Children’s Expands in Danbury

Striving to expand access to care, Connecticut Children’s is embracing a commitment to provide pediatric subspecialty care close to home for all families. With the hard work of many, this August, Connecticut Children’s will bring a wide variety of new services to Danbury.

Located at 105-A Newtown Road, the new Connecticut Children’s Danbury facility offers an array of imaging modalities and a children’s phlebotomy center, as well as multiple pediatric medical and surgical subspecialties. This expansion  will provide children and families in the western and south-western portions of the state access to the highest quality care closer to home.

The following subspecialties and support services will be offered:

Coming This Fall:

Multidisciplinary Physician Relations Team Expands to Support Practices

Healthcare providers across Connecticut, and now into Massachusetts and New York can now turn to a full team of physician liaisons to support all of their needs. The Physician Relations team is here to improve communication and collaboration with Connecticut Children’s. The multidisciplinary team can answer questions, resolve issues, provide information on new programs and connect providers to Connecticut Children’s specialists.

The team is managed by Britta Raczkowski (pictured at left), and includes two regional medical directors, Jill Bernstein, MD and Robyn Matloff, MD, MPH (pictured from upper left) and two liaisons, Janeille Ervin and Mollie Mullaney, RN (pictured from bottom left).

Ervin and Dr. Matloff, who is a nephrologist with Connecticut Children’s Specialty Group, support providers in Southwestern Connecticut and New York. Both live in the area and are excited to be able to work with community providers and educate them about new programs and services in the region.

Dr. Bernstein serves as a pediatrician in the Division of Pediatric Urology. Dr. Bernstein supports a large territory east of the Connecticut river in Hartford, Tolland and Windham Counties as well as Western Massachusetts. Raczkowski manages the team and supports community providers west of the Connecticut River in Hartford and Litchfield Counties.

After spending 9 months on a service trip providing care to patients in Africa, former cardiac nurse and nursing leader Mollie Mullaney, RN, returns to Connecticut Children’s to support practices in New London, Middlesex and New Haven Counties.

When to Refer: Pediatric Hypertension with Ian Macumber, MD

Pediatric hypertension is a growing problem that affects 3.5% of all children and adolescents, with another 3.5% having blood pressures in the “elevated” range. Certain groups of children, such as those that are obese or have a history of prematurity, have a much higher prevalence of hypertension. It is associated with target organ damage in children, such as left ventricular hypertrophy, and hypertension in children is strongly associated with hypertension in adulthood.

Due to these factors, hypertension is now recognized as an important health condition in children that needs to be appropriately diagnosed and managed. “When should I refer to a nephrologist?” is a common question asked by pediatricians when working with a child with elevated blood pressures.

Assessing blood pressure

Blood pressures, categories and stages are posted below. This is taken from the 2017 AAP Clinical Practice Guidelines for Hypertension. Access the full document here.

pediatric hypertension chart

Proper technique is an essential step in obtaining an accurate blood pressure. We recommend that the child be sitting as quietly as possible for 3-5 minutes prior to checking. The child should be sitting upright and blood pressure should be checked manually in the right upper extremity. The cuff bladder width should be 40% of the arm circumference and bladder length 80-100% of the arm circumference. If elevated at the beginning of the visit, we recommend repeating multiple times towards the end of the visit.

For patients with elevated blood pressure, we recommend lifestyle changes and follow-up in six months for re-evaluation. Patients with stage 1 hypertension should be seen back for blood pressure checks every 1-2 weeks to see if elevated pressures are sustained.

When to refer?

When considering referral, it is helpful to categorize patients by risk, as some patients may require more urgent evaluation than others:

  1. Urgent referral to emergency department – Any patient with stage 2 hypertension with possible symptomatic hypertension (new onset headache, visual changes, mental status changes) should be referred to the emergency room for evaluation.
  2. Urgent referral (call nephrology provider line to discuss) – Patients with stage 2 hypertension who are asymptomatic, or any patient with evidence of nephritis (hematuria, proteinuria, elevated creatinine).
  3. Routine referral to nephrology – Any patient with stage 1 HTN at 3 separate visits or at any 2 visits at last one year apart, or any patients with BP readings consistently above the 90th percentile after a trial of lifestyle changes.

What to expect when you refer a patient to Connecticut Children’s for hypertension evaluation

At Connecticut Children’s, we use a multidisciplinary approach to diagnosis and manage hypertension. Patients referred to us will generally receive the following services:

  1. 24-hour ambulatory blood pressure monitoring (ABPM) – Considered the gold standard for evaluation of elevated blood pressures, ABPM is a blood pressure monitor that the patient wears at home for 24 hours. It is recommended by the 2017 AAP CPG for hypertension in the evaluation of hypertension. ABPM allows us to evaluate blood pressures when the patient is in their home environment, when they are asleep, and is the only way to formally diagnose white coat syndrome or masked hypertension.
  2. Dedicated renal nutritionist – Our renal nutritionist works closely with the nephrologists to optimize diet and lifestyle choices in the management of hypertension.
  3. Appropriate workup and management of all patients with sustained ambulatory hypertension.
  4. Guidance regarding sports participation.

Hypertension is a serious health problem in pediatric patients, but as pediatricians we have the unique opportunity to diagnose and manage hypertension before it can cause long-lasting harm to our patients. If you ever have any questions or concerns about a patient of yours, we are always happy to discuss on the phone or to see the patient in the Pediatric Nephrology clinic at Connecticut Children’s. To make a referral, please call OneCall at 833.733.7669.

Interesting Case: A Leaking Surprise

A 12-year old female presented to the urology clinic with a long standing history of day and night incontinence. The patient reported variable, bothersome leakage requiring a daily pad. She had a history of recurrent fevers without cause and had multiple negative urine cultures.

She had been evaluated by multiple providers and institutions with a comprehensive workup that included a renal ultrasound showing a left solitary kidney with compensatory hypertrophy. She had previously undergone a cystoscopy with urethral stretching at an outside institution. Her urologic workup was notable for dysfunctional voiding and she had been treated with biofeedback but incontinence persisted. Of note, she additionally underwent MRI of her lumbar spine, which was normal.

Shortly prior to presentation, the patient was admitted to the hospital for right sided abdominal pain and fevers. Her workup revealed a large mesenteric lymph node on CT scan and blood culture was positive for E. coli. She was treated with IV antibiotics for a presumed infected lymph node.

After discharge, she was seen in Urology where suspicion was raised that the large “lymph node” could actually be an ectopic kidney which had caused pyelonephritis. An MR urogram confirmed the diagnosis of an ectopic atrophic kidney on the right side, 4 cm, and was located at the level of the aortic bifurcation. A small amount of contrast was excreted by the small kidney, and the ectopic ureter appeared to insert into the vagina. A renal scan revealed no significant function of the kidney and the decision was made to remove this kidney in an attempt to resolve the leakage. A robotic nephrectomy was performed and a 2.5 x 1.5 x 0.8 cm ectopic right kidney was removed. The pathology showed cortical atrophy, interstitial fibrosis, glomerulosclerosis, and chronic inflammation. The patient has gained full continence following the procedure and pain has resolved.

Ectopic ureters are a rare cause of urinary incontinence and should be considered in any patient with continuous leakage. In this case, the ectopic ureter originated from an ectopic atrophic kidney, making the diagnosis more difficult. She likely had
recurrent infections in this kidney which were undiagnosed as her urine cultures only represented urine from her bladder and normally functioning left kidney.

GI Dysmotility Physician and Plastic Surgeon Joining Connecticut Children’s this Summer

Connecticut Children's welcomes Corey Baker, MD and Christopher Hughes, MD to the Gastroenterology and Pediatric Surgery teams, respectively.

Dr. Baker will join the Division of Pediatric Gastroenterology, Hepatology and Nutrition at Connecticut Children’s in mid-July. He received his degree from Tufts University School of Medicine and has expertise is in the evaluation and management of gastrointestinal dysmotility.

Dr. Hughes will join the Department of Surgery at the beginning of August. Dr. Hughes is a plastic surgeon, who received his degree at Loyola University-Chicago and brings expertise in cleft and craniofacial surgery.

Both come with fellowship experience from Harvard Medical School at Boston Children’s Hospital and Mass General Hospital for Children.

Orthopedic Clinic: It’s as Easy as Walking In

The Division of Orthopedic Surgery at Connecticut Children’s proudly announces same-day orthopedic walk-ins at 31 Seymour Street in Hartford.

“One of the best things about this location is that it’s a one-stop shop. Instead of going from an urgent care to the hospital, you’re able to come here for an evaluation, an x-ray and casting all in one for convenience,” says Leah Bolinger, Practice Manager for Orthopedics.

Along with the state-of-the-art care this clinic provides, the Hartford location is the only clinic in the state with the EOS X-Ray Imaging System. With the patient in mind, the EOS provides detailed, high-quality images with an ultra-low dose of radiation. While walk-ins are always welcome, patients are able to call ahead to gauge potential wait times, as well as be directed to another location that may be less busy, such as Glastonbury, Farmington or Shelton.

To request an appointment with Orthopedics, please call: 860.545.9100

To request an appointment for EOS, please call: 860.837.6300

Get more information on the clinic >

Save the Date: 2019-2020 CME Evening Lecture Series

Join us for an upcoming pediatric lecture and earn CME credit!

Pediatric Lectures:

Diagnosis and Management of Childhood Musculoskeletal Complaints for the Primary Care Pediatrician

Thursday, October 17, 2019 | 5:30-8:30 PM

Speakers: Barbara Edelheit, MD; Blaine Lapin, MD

2 AMA PRA Category 1 Credits

Adolescent Idiopathic Scoliosis: Diagnosis and Management Evaluation and Management of Pediatric Back Pain

Thursday, January 16, 2020 | 5:30-8:30 PM

Speakers: Mark Lee, MD; Jeffrey Thomson, MD2 AMA PRA CATEGORY 1 CREDIT TM

2 AMA PRA Category 1 Credits

Updates in Pediatric Constipation

Thursday, March 19, 2020 | 5:30-8:00 PM

Speaker: Corey Baker, MD

1.5 AMA PRA Category 1 Credits

Mental Health Lectures

Vaping: An Adolescent Public Health Crisis

Thursday, September 19, 2019 | 5:30-8:30 PM

SPEAKERS: Lisa Namerow, MD; Alyssa Bennett, MD; Sivabalaji Kaliamurthy, MD

2 AMA PRA Category 1 Credits

Beyond the Couch – Pediatric Psychology at the Front Lines of Medical Care

Thursday, November 12, 2019 | 5:30-8:30 PM

Speakers: Bradley Jerson; Emily Wakefield,PsyD; Christine Nunes, MD; Lisa Namerow, MD; Barbara Rzepski; Melissa Santos, PhD

2 AMA PRA Category 1 Credits

Suicide & Cutting

Tuesday, February 18, 2020 | 5:30-8:30 PM

Lisa Namerow, MD; Steven Rogers, MD, CPST

2 AMA PRA Category 1 Credits

Digital Media and Early Childhood: The Good, The Bad, and the Unknown

Tuesday, April 28, 2020 | 5:30-8:30 PM

Speaker: Jenny Radesky, MD

1.5 AMA PRA Category 1 Credits

Connecticut Children’s Physician Authors Top 10 AAP Article

The American Academy of Pediatrics recently released its Top 10 2018 Hospital Pediatrics Articles and listed “A Quality Improvement Intervention to Improve Inpatient Pediatric Asthma Controller Accuracy,” written by Alex Hogan, MD, as the most read article of 2018.

“It’s a great honor,” said Dr. Hogan. “I’m glad people can hear whatwe’re doing and adapt treatment methods to our findings. I hope this research will draw attention to the role inpatient providers have in managing treatment or changing our model so patients will leave the hospital with the right medicine.”

The study showed that when equipped with flow charts, prompts inelectronic medical records, streamlined patient care decision tools and access to a mobile phone application, the quality of asthma care improved.

“Connecticut Children’s has always been a leader in using inpatient guidelines in determining which acute therapies to guide inpatient and outpatient medicines we give,” said Dr. Hogan. “I’m looking forward to continuing that tradition with future work.”

Dr. Hogan is a member of the Connecticut Children’s Division of Pediatric Hospital Medicine.

Connecticut Children's Locations and Partnerships

Connecticut Children's is growing! View a list of our current locations and partnerships below.

Ambulatory Surgery Centers

Farmington, 505 Farmington Avenue

Trumbull, 112 Quarry Road (Urology Partnership)

Inpatient Units

Danbury, Danbury Hospital

Hartford, Connecticut Children’s Medical Center

Norwalk, Norwalk Hospital

Waterbury, Saint Mary’s Hospital

Newborn Care

Bridgeport, St. Vincent’s Medical Center

Danbury, Danbury Hospital

Farmington, UConn Health Center

Hartford, Hartford Hospital

Manchester, Manchester Memorial

Norwalk, Norwalk Hospital

Hospital

Meriden, Midstate Medical Center

New Britain, Hospital of Central Connecticut

Norwich, Backus Hospital

Putnam, Day Kimball Hospital

Vernon, Rockville General Hospital

Willimantic, Windham Hospital

Primary Care Centers

East Hartford, 800 Connecticut Boulevard

Hartford, 76 New Britain Avenue

West Hartford, 65 Kane Street

Specialty Care Centers

Bridgeport, 4695 Main Street

Danbury, 79 Sand Pit Road (moving soon to 105-A Newtown Rd.)

Fairfield, 95 Reef Road

Farmington, 10 Birdseye Road

Farmington, 11 South Road

Farmington, 366 Colt Highway

Farmington, 399 Farmington Avenue

Farmington, 505 Farmington Avenue

Glastonbury, 131 New London Turnpike

Glastonbury, 310 Western Boulevard

Glastonbury, 676 Hebron Avenue

Hartford, 85 Seymour Street

Hartford, 100 Retreat Avenue

Hartford, 282 Washington Street

Hartford, 31 Seymour Street

Norwalk, 761 Main Street

Shelton, 2 Ivy Brook Road

Shelton, 4 Corporate Drive

South Hadley, MA, 8 Willimansett Street*

Springfield, MA, 50 Wason Avenue

Stamford, 32 Strawberry Court

Lower Fairfield County Specialties & Service Locations

Lower Fairfield county specialties and service locations

Welcome Aboard!

Please join us in welcoming several new additions to our medical staff!

Nancy Grover, MD – Otolaryngology

  • Dr. Nancy GroverMS in Otolaryngology at Delhi University, India
  • Residency in Otolaryngology Head and Neck Surgery at Delhi University, India
  • Fellowship in Pediatric Otolaryngology at Rady Children’s Hospital, University of California San Diego
  • Clinical Internship in General Surgery at University of California San Diego

Joanna Gell, MD – Hematology/Oncology

  • MD, University of Vermont College of Medicine
  • Residency in General Pediatrics at the Medical University of South Carolina Children’s Hospital
  • Fellowship in Pediatric Hematology Oncology at the University of California Los Angeles Mattel Children’s Hospital

 

Janine Collinge, MD – Ophthalmology

  • Dr. Janine CollingeMD, Rutgers Robert Wood Johnson Medical School
  • Residency in Ophthalmology at Washington Hospital Center and Georgetown University Hospital
  • Fellowship in Pediatric Ophthalmology at Indiana University School of Medicine

Hayley Wolfgruber, MD – Hospital Medicine

  • MD, New York University School of Medicine
  • Residency in General Pediatrics at Children’s Hospital in Montefiore

Raul Arguello, MD – Endocrinology

  • Dr. Raul ArguelloMD, Universidad Evangelica in El Salvador
  • Residency in General Pediatrics at Winthrop University Hospital
  • Fellowship in Pediatric Endocrinology at Winthrop University Hospital

Andrew J. Carlson, MD – Primary Care

  • Dr. Andrew CarlsonMD, UCONN School of Medicine
  • Residency in Pediatrics at Connecticut Children’s, UCONN School of Medicine

Tina Rita Bafumi – NICU

  • Dr. Tina Bafumi MS in Hyperbaric Medicine
  •  Residency in Pediatrics at Tulane/ Ochsner Pediatric Residency Program
  • Fellowship in Neonatology at Yale New Haven Hospital
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