Team at Mount Sinai Fuster Heart Hospital Performs Milestone Procedure With Newly FDA-Approved Therapy

Members of the team at Mount Sinai Fuster Heart Hospital, from left: Lucy Safi, DO, FACC, FASE, FSCAI, Sahil Khera, MD, MPH, Gilbert H.L. Tang, MD, MBA, MSc, Stamatios Lerakis, MD, PhD, David H. Adams, MD, Samin K. Sharma, MD, Annapoorna S. Kini, MD, Parasuram Krishnamoorthy, MD, and Jin Kang, MD.

A team at Mount Sinai Fuster Heart Hospital has achieved a groundbreaking milestone, with Gilbert H.L. Tang, MD, MBA, MSc, Surgical Director of the Structural Heart Program, and Annapoorna S. Kini, MD, Director of the Cardiac Catheterization Laboratory, and team performing one of the first tricuspid transcatheter edge-to-edge repair (T-TEER) procedures in the United States with a newly Food and Drug Administration-approved therapy.

This new therapy revolutionizes the treatment of tricuspid regurgitation, a condition in which the valve between the two right heart chambers (right ventricle and right atrium) doesn’t close properly, allowing blood to flow backward into the right atrium of the heart. This minimally invasive therapy repairs the tricuspid valve without the need for open-heart surgery.

“Having a first transcatheter repair device approved for patients with tricuspid regurgitation is a game changer,” says Dr. Tang. “We have already performed several procedures since FDA approval and their recoveries have truly been remarkable.”

“The tricuspid TEER therapy will be a life saver for many patients who can’t undergo open heart surgery,” says Samin K. Sharma, MD, Director of Interventional Cardiology for Mount Sinai Health System.

David H. Adams, MD, Cardiac Surgeon-in-Chief of the Mount Sinai Health System, was one of the two national co-principal investigators who ran the clinical trial that secured FDA approval for tricuspid TEER. Trial results showed its safety, and found that it reduced the severity of tricuspid regurgitation and enhanced quality of life for patients.

“As we celebrate this pivotal moment, we’re filled with gratitude for the dedication of our team at Mount Sinai Fuster Heart Hospital,” says Dr. Sharma. “Together, we’re shaping a future where innovative treatments bring hope and healing to those in need.”

How the Intersection of Biology and Technology Inspired Angie Ramirez to Study Biomedical Data Science at Mount Sinai

Angie V Ramirez Jimenez

Angie V Ramirez Jimenez is a second-year student in the Master of Science in Biomedical Data Science program. In this Q&A, she discusses why she chose the Icahn School of Medicine at Mount Sinai.

Why did you decide to study at Icahn Mount Sinai?

After completing my undergraduate degree, I came to Mount Sinai to work as a research associate in the lab of Michelle E. Ehrlich, MD, and Samuel Gandy, MD, PhD, in the Neurology Department. There I had the opportunity to work on various projects that investigate the mechanisms of neurodegenerative disorders including Alzheimer’s disease, dystonia, and Huntington’s disease, and learn about all the research opportunities that were available at Mount Sinai. The chance to learn from professors at the forefront of biomedical research made it the ideal place for me to expand my knowledge and skills.

What attracted you to study Biomedical Data Science? What about it inspires you?

My journey into Biomedical Data Science stemmed from a fascination with the intersection of biology and technology. The realization of the potential of programming to revolutionize scientific research sparked my interest in this field. I was inspired by the ability of data science to unlock insights from various biological datasets, leading to a deeper understanding of complex biological systems. The prospect of using data to drive advancements in precision medicine and ultimately improve patient outcomes motivated me to pursue a career in Biomedical Data Science.

What were some of your achievements as a master’s student?

During my time as a master’s student, I trained and worked in the Bioinformatics for Next Generation Sequencing (BiNGS) core at The Tish Cancer Institute at Mount Sinai. At the core, I was able to contribute to various projects, in addition to my own capstone project, which included assessing the effectiveness of a novel keratinocyte differentiation protocol on induced pluripotent stem cells (iPSCs) and embryonic stem cells (ESCs), as well as investigating the impact of different extracellular matrix (ECM) environments on cancer cell dormancy. For my capstone project, I analyzed RNA-seq, ATAC-seq, and CUT&RUN data to dissect the epigenetic and transcriptional landscapes of hepatocellular carcinoma models.

What activities outside the classroom have contributed to your success?

I believe that my involvement in research projects outside the classroom have been pivotal to my success. As an undergrad, I went on a research trip to Costa Rica to investigate the resilience of microbial communities in Costa Rica’s rainforests post-hurricane. This was the first time I was part of real-world scientific research, and thanks to that, I saw a side of research I had not seen in the classroom—large-scale data analysis and how powerful it can be in understanding complex biological interactions.

This experience helped me realize this was something I wanted to pursue and once I started working in the Ehrlich/Gandy lab I was able to pursue my interest in bioinformatics and work alongside great postdocs who mentored me on how to do various types of analysis.

I’ve also worked at Liberty Science Center in Jersey City, New Jersey, where I taught kids how to do different lab experiences. I think working with the kids really taught me how not to make assumptions about how much people may know about a topic, which really helps me when trying to teach others. I also learned that everyone has the power to make an impact on others even when we may not realize it.

I think that just being open minded and not closing yourself off to opportunities, even when they seem very daunting or even insignificant, when they come is really what helps you learn and grow. Sometimes opportunities arise from the most unexpected places, but you will never find them if you don’t put yourself out there.

What are your plans after you have completed your degree?

I plan to continue my journey in the field of Biomedical Data Science. My goal is to help make a positive impact in the biomedical field, potentially preventing others from experiencing the loss of loved ones to diseases like cancer. In the distant future, I also hope to open a bike shop that can also serve as a sort of community center where people can connect with others and learn about bikes.

Seasonal Allergies in Kids and How to Manage Them

Most everyone enjoys the warmer days of spring and the budding flowers and trees all around. But this also means that the pollen count is high and allergy season is back too. For parents, it’s always nice to send the kids outside to play. But when kids experience allergies, it can be frustrating. The sneezing, runny nose, itchy watery eyes, and nasal congestion can seem endless.

Scott Sicherer, MD

Managing spring allergies doesn’t need to be so difficult, and if you understand what triggers your child’s allergies, you can help them feel better. The key is to try to limit your child’s exposure to pollen from trees, flowers, grasses, weeds, and mold.

Here are the top ten ways to help give you child—and you—relief from seasonal allergies from a a leading pediatric allergist, Scott Sicherer, MD, Director of the Elliot and Roslyn Jaffe Food Allergy Institute and Chief of the Division of Allergy and Immunology in the Department of Pediatrics.

  • Plan ahead and follow the weather and pollen counts. When the counts are elevated or when it is windy, plan for indoor activities and go outdoors when the counts go down and wind lessens. If traveling, look at the pollen count in that area and plan accordingly.
  • Keep the windows closed at home and in the car and use the air conditioner instead. Make sure to clean the filters often to keep the pollen away.
  • After being outdoors, change clothes and rinse off, and shower to wash away the pollen that may be on your child’s body.
  • Pets can bring pollen inside the home, so wipe them down with a damp cloth and bathe them regularly.
  • Wash your child’s hands after playing outdoors so pollen particles don’t go on the face or in the eyes. If your child plays outdoors, have them avoid wet moist areas where mold can grow and tall areas of grass. Keep your child indoors when the grass is mowed.
  • Use nasal rinses to eliminate the irritants.
  • Drink lots of fluids and stay well hydrated.
  • Wear a hat and sunglasses to avoid pollen going in the eyes when outdoors.
  • You can try to lessen your child’s symptoms by giving them over-the-counter medications like antihistamines, decongestants, nasal steroids, and eye drops.
  • Notify your child’s school about their allergies and symptoms and be sure an allergy treatment plan is in place.

If you have questions or if you are concerned that your child may have allergies, contact your child’s pediatrician and/or a pediatric allergy specialist.

Dear Mount Sinai: Thank You

For National Doctors’ Day, Mount Sinai asked patients how they felt about their doctor. About 300 people responded by leaving short notes of thanks for doctors, their staff, and for all those who made it possible. You can read the notes here on a special website.

Notes like this: “Mount Sinai doctors have saved my life on more than one occasion. First when I had a brain aneurysm and then when I had an appendectomy. Thank you to all of them and to my present team of care. Gratitude to all the staff at Mount Sinai.” – Gladys Franceschi

Or this: “I am beyond blessed to have the following Mount Sinai physicians: Dr. Thomas Schiano has pulled me through so many rough times since my liver transplant. Dr. Kevin Dunsky has literally saved my life. Mount Sinai saved my life at least 3 times!”  – Colleen Jackson

Or this: “Dr. Kathryn Dubowski, your care at Mount Sinai changed my life. I arrived struggling to breathe, but thanks to your dedication, I can now breathe normally. Your compassion is unmatched, and I’m endlessly grateful.” – Bryan Medina

Their reasons for giving thanks were many and varied. Some expressed thanks to their doctor for saving their life. Or giving them back their life. Some for helping them get through a very difficult period in their life.

Some for diagnosing a problem others outside Mount Sinai had been unable to find. Some for many years, even decades, of expert medical treatment. Some for contributions to the community.

Some for advocating on their behalf, for giving them confidence, for understanding their pain, for offering relief.

Even some out of towners who ended up in a Mount Sinai emergency department expressed thanks. “In the past few years, I have become so disenchanted with our medical system. In a visit to NYC last year, I fell and hit my head. While at the ER, my faith was restored. Everyone there was so supportive and caring. I have never been treated so kind.” – Catherine Patrick

Many expressed thanks to their Mount Sinai doctors and staff for just listening, for answering their questions, for spending extra time with them, for always offering a friendly greeting, for expressing compassion.

In a word, for caring.

Here are some more notes:

Dr. Fabian at the Dickenson Center for MS has been a life changing doctor. She goes above and beyond to listen, understand, have compassion for and offer compassion to her patients. She is the greatest medical professional I’ve ever worked with. – Kirsten Hughson

Dr. Irie has been my oncologist for the past 5 years. In those 5 years she has shown me nothing but empathy, respect, and compassion. As a young cancer survivor I’m grateful to have a doctor who I can trust. Thank you for all that you do Dr. Irie!  – Roshni Kamta

Dr. Dubinsky was my doctor throughout my two pregnancies, including between my pregnancies when my Crohns was out of control, and she gave it all to get it under control and I’ve been in remission ever since – deepest remission I’ve ever been in!

Dr. John Mascarenhas made a difference in our lives. When my husband was dealing with leukemia, Dr. Mascarenhas was not just a doctor but acted as a family member. He put the best team together, he came on a day he was not for a consult. Incredible  – Kikelomo Ogundiran

I had a 14 hour surgery to remove a cancerous tumor from my nasal septum. Dr. Genden and his surgical team were absolutely amazing! They saved my life and I am forever grateful to them for all their top notch skills and dedication! Awesome doctors!  – Claire Lisanti

Dr. Blair Hammond is an incredible physician. She listens to our needs, concerns, and makes us feel as she has all the time in the world for us despite having a bustling waiting room of sick children. She’s just simply a pediatric gem! – Jacqueline Rose Zeigler

Dr. Kapka is passionate about population health and encourages changes towards it. Her effort in promoting healthy behaviors and addressing social determinants of health is commendable. She is making a real difference in the lives of patients/community

Dr. Anuradha Singh has been my specialist doctor for many years, I followed her from Bellevue Hospital. She has been empathetic, a good listener, an encourager, and my supportor thru out the years. She has help me feel empowered to improve my health – Felipe Rosado Jr.

I want to express my heartfelt gratitude to my father’s highly skilled and compassionate surgeon Dr. Ismail El-Hamamsy and his entire cardiac team for safely repairing his ascending aortic aneurysm and valve. Dr. El-Hamamsy and his team are the best! – Lucia Panico

Happy Doctors’ Day! Dr. Zaw Naing – Thank you for your almost 30 years of incredible service to our healthcare community. Your dedication, compassion, and expertise have improved countless lives, and we are grateful for all that you do.  – Michele Ramirez

Dr. Mocco has been my doctor and he and his team have been fantastic pre, during, and post! I’d like to give a toast to them all! I saw him late in the fall and he dealt with my blocked right artery and ended up putting two stents in to open it up! – Dave Sweeney

Dr. Ripp does more than just listen to my complaints– many because I am almost 103! He acts on them promptly and thoughtfully. I feel totally cared for since Dr. Ripp and his team have become part of my team. – Sophie Gerber

My right hand was painful and swollen to the point I could use it. My local rheumatologist prescribed prednisone, but couldn’t find the cause. At Mount Sinai, Dr Olivia Ghaw was able to diagnose and treat me for psoriatic arthritis. I am so grateful! – Sheryl Rain Worthington

I Am Thinking About Freezing My Eggs. How Does It Work?

 

Egg freezing is popular among women looking for options and balancing family planning with other important responsibilities. Thanks to significant scientific advancements in the laboratory, success rates are higher than ever.

In this Q&A, Alan Copperman, MD, Director of the Division of Reproductive Endocrinology and Infertility and Vice Chair of the Raquel and Jaime Gilinski Department of Obstetrics, Gynecology and Reproductive Science at the Mount Sinai Health System, explains the process of egg freezing and its benefits. Dr. Copperman is also Managing Director and Chief Executive Officer of RMA of New York.

“Fertility preservation has the potential not only to safeguard fertility, but also to empower women to choose parenthood on their terms, at their own pace, aligning with personal and professional aspirations,” says Dr. Copperman. “It enables informed decisions about future family planning.”

Why should I freeze my eggs?

Egg freezing halts the biological clock, which is crucial for women whose age may mean they are facing possible declines in egg quality and quantity. Preserving eggs at a younger age enhances the chances of future conception and reduces risks of chromosomal abnormalities in offspring. It safeguards a woman’s fertility timeline while optimizing her prospects of having biological children later in life.

When should I freeze eggs?

Freezing eggs at a younger age is advisable, ensuring eggs are preserved at their peak quality and minimizing age-related reproductive challenges.

How does the process work?

Over a two-week period, the ovaries are stimulated to release multiple mature eggs for retrieval. Patients self-administer fertility medications, attend monitoring appointments, and then undergo a brief egg retrieval procedure under light sedation. Eggs are frozen and securely stored for future use.

How many eggs are frozen?

The number of eggs to freeze varies based on a woman’s age and family-building goals. Some may require multiple rounds of egg freezing to collect an adequate number of eggs.

What happens next?

When you are ready to conceive, your frozen eggs are thawed and fertilized with sperm, leading to embryo transfer into the uterus to achieve pregnancy.

Student Sooyun Caroline Tavolacci, MD, MSCR, Shares How Mount Sinai Inspired Her to Study Thoracic Oncology and Enhanced Her Career in Medicine

Sooyun Caroline Tavolacci, MD, MSCR

Sooyun Caroline Tavolacci, MD, MSCR, is a first-year student in the PhD in Clinical Research Program at the Icahn School of Medicine at Mount Sinai. As a graduate of the Master of Science in Clinical Research program, she reflects on her experiences and achievements, and discusses why she chose Mount Sinai for her PhD education.

What brought you to Icahn Mount Sinai as a master’s student?

Five months after arriving in the U.S. following my graduation from medical school in South Korea, I began searching for a master’s program. While I had gained experience in basic science research throughout my medical education, I lacked exposure to translational and clinical research. I sought a program that would bridge the gap between scientific research and clinical practice. Mount Sinai’s Graduate School seemed ideal for gaining insight into both realms and stood out for its distinguished physicians and scientists.

What were some of your achievements as a master’s student?

Nearly every course I undertook was an eye-opening experience. I was able to directly apply the research methodology and statistics I learned in class to real-world projects. Engaging in discussions with colleagues from diverse backgrounds provided invaluable insights into different aspects of the U.S. health system.

I joined the lab of Fred Hirsh, MD, PhD, at the Center for Thoracic Oncology at the Mount Sinai Tisch Cancer Institute and gained translational science experience while working on a National Institutes of Health-funded COVID-19 study in patients with lung cancer. I interacted with patients daily, observed clinic encounters, and gained more than just research experience under the guidance of Jorge Gomez, MD, and Nicholas Rohs, MD. In the lab, while working alongside two postdoctoral fellows, translational scientist Philip Mack, PhD, virologists, immunologists, pathologists, and statisticians, and simultaneously utilizing cutting-edge techniques to analyze serological responses, I gained invaluable experience in basic science research and statistical analysis. In my second year, I also explored the efficacy of treatment in lung cancer patients with Dr. Hirsch and Rajwanth Veluswamy, MD, MSCR, who is also a graduate of my master’s program. I participated in two studies: one evaluating the difference in the efficacy of immune treatment between sexes in lung cancer patients, and another investigating radiation pneumonitis among locally advanced lung cancer patients who received chemoradiation. I presented three abstracts as a first author at national and local conferences and published two articles under my mentors’ guidance.

Beyond my education and thesis project, I had the privilege of meeting several cardiothoracic surgeons and collaborating on research with them. I engaged in student activities and worked together with graduate and medical students on various projects. The Mount Sinai community is diverse and extensive, and I am grateful to have met such outstanding mentors and colleagues who will undoubtedly remain assets even after I graduate from the program.

What attracted you to this area of study?

Throughout my pre-medicine education, I had an exceptional professor, Ho-Yeon Song, MD, PhD, at the Department of Microbiology and Immunology, College of Medicine, Soon Chun Hyang University, who sparked my interest in immunology. During my medical education, this interest further developed, particularly in transplantation medicine. At the time of my graduation from medical school, I was considering general surgery or cardiothoracic surgery for my specialty. I was drawn to thoracic oncology due to my longstanding interest in immunology and cardiothoracic surgery.

Why continue your education with a PhD in Clinical Research?

The two years of training in the master’s program were intense and filled with invaluable experiences. While I felt close to achieving my goal of becoming an independent physician-scientist, I recognized the need for more practice and experience. By the end of my master’s program, my mentors provided me with opportunities to continuously work on their projects. I also refined my interest in health outcomes research and wanted to pursue advanced statistical courses that would be highly beneficial for analyzing large health care data in comparative effectiveness studies. I felt like once I started my graduate medical training, I might not have dedicated time for research unless I had continuous mentorship and my own projects.

I appreciated the flexibility of my master’s program, which allowed students to gain real-world experience and tailor their education. Therefore, I was determined to continue my education in the same program, even if it meant self-funding. With the experience I gained at the Mount Sinai Tisch Cancer Institute, I was offered a promising position. However, just over six months into my new role, I faced the decision of whether to continue both work and pursue a second doctoral education.

Thanks to Mark Hurwitz, MD, Department Chair/Director of Radiation Medicine at New York Medical College and Westchester Medical Center, who supported my decision to pursue a PhD while maintaining my work duties and readily agreed to be my mentor, I am balancing both work and education. Recently, I applied for a grant to initiate my outcome research project under his guidance before entering the dissertation phase. Having mentors at Mount Sinai and in the field of medicine through the PhD program has been a great source of support as I navigate my career.

What are your plans after you complete your PhD?

After completing my second year in the PhD program and transitioning into the dissertation phase, I intend to apply for graduate medical education in surgery or cardiothoracic surgery. While pursuing training in my desired field, I aim to concurrently work on my dissertation project. My ultimate goal is to become a surgeon-scientist.

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