Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
The Lown Cardiovascular Center is pleased to welcome Wilfred Mamuya, MD, PhD, to our cardiovascular practice. Dr. Mamuya, who joined us on January 1, 2009, brings signicant clinical experience and expertise in cardiology, vascular medicine, and noninvasive cardiac imaging to the Lown Center. Equally important, he shares our strong commitment to patientcentered, preventive cardiovascular care. Born in Tanzania, Dr. Mamuya received his medical degree from Boston University, graduating summa cum laude, and also earned a PhD in biochemistry from BU. I rst met Dr. Lown and Dr. Graboys in the early 1990s when I was an intern at Brigham and Womens Hospital, Dr. Mamuya recalled. "I attended many clinical conferences at the Lown Center. That training conrmed for me that focusing on the individual, instead of the disease, is the optimal way to care for patients.
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"I welcome this opportunity to practice medicine with a profound emphasis on prevention and education, and lowcost and highly eective treatment." Dr. Fred Mamuya
His interests also extend to global health and the growing epidemic of cardiovascular disease in low and middle income countries. "I have long believed that the approach to patient care practiced at the Lown Center is both better for the patient and for the planet. Having grown up in Tanzania, I can see clearly that it's a sensible approach from a global perspective." He is committed to pursuing his interests in global health matters. I am eager to learn through ProCor, the Lown Foundation's global heart health initiative, how we can integrate our philosophy and sensible, eective style of patient care into the bigger, worldwide community. The message of the Lown Center is a message I embrace and believe in, and a message that the world needs to hear.
Dr. Mamuya has held appointments and been active on the sta of Massachusetts General Hospital and Cape Cod Hospital. He is board certied in cardiovascular disease, nuclear cardiology, and echocardiography, and he is Level III trained in cardiac computer tomography (CT). Dr. Mamuya's expertise in noninvasive diagnostic imaging complements the work of the Lown Center and contributes to our ongoing eorts to utilize the most advanced, appropriate diagnostic and treatment options for our patients. Dr. Mamuya is heading up the Center's
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Gala honors Dr. Lown Lown Scholars Program President's update Lown echo lab accredited Heart Hero Award: Tonga
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Lown Center NewsBeat New research initiative Planned giving Bernard Lown Peace Bridge
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Dr. Lown and his wife Louise. "Our marriage is now approaching a 62nd anniversary. For that alone I would be ready to relive my life. Louise has provided a moral compass." Below: Dr. Tom Graboys, President Emeritus, Lown Foundation; Cindy Smiegal, former patient of Dr. Graboys and supporter of the Lown Foundation; and Dr. Bernard Lown.
"In this 50 year romance with patients, I learned much of what I know from them." Dr. Bernard Lown, September 13, 2008
Dr. Harvey Fineberg, President, Institute of Medicine, and John Bogle, Founder, Vanguard Group and Lown Foundation supporter, were among the evening's distinguished presenters. Below: Dr. Walter Willett, Chair, Department of Nutrition, Harvard School of Public Health, and Gail Willett.
The morning after the gala, more than 40 cardiologists who received fellowship training at the Lown Cardiovascular Center gathered for a reunion brunch with Dr. Lown, Lown Group physicians, and current and former sta. Fellows came from all parts of the United States and Canada, as well as from Australia, Brazil, Germany, Israel, and Saudi Arabia. During the Fellows Brunch, many read personal tributes to their teacher and mentor.
A limited edition DVD of the Celebration of Medicine and Humanity, featuring Dr. Lown's speech and tributes by distinguished speakers, is available to the Lown community for a taxdeductible contribution of $150. To learn more, contact: Julia Pivniouk, Foundation Assistant 617 732 1318 x3805 or jpivniouk@partners.org
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President's update
Vikas Saini, MD
Change is in the air. We have a new US President with a mandate for change, an unprecedented worldwide economic crisis, and a troubled healthcare system. Institutions around the globe are experiencing uncertainty. Yet in every crisis there is opportunity, and we are determined to use the current situation to strengthen and extend our work. The message of the Lown Group has always been that attention to prevention and astute medical management are of primary importance, and that costly invasive procedures should be reserved as a last resort. In these challenging times, this message is key to resolving the healthcare crisis. In 2004 we published a landmark study demonstrating excellent health outcomes among a sample of our patients. We have recently relaunched a followup study of the same patients (see page 6) which will make a unique contribution to medical knowledge because of the study's time span. Other changes are described in this issue of the Forumthe addition of Dr. Fred Mamuya to our Group; the celebration honoring Dr. Lown in September 2008; and the children's heart health program in Tonga which received ProCor's Louise Lown Heart Hero Award. As we respond strategically to everchanging healthcare and scal environments, some of our earlier plans have necessarily changed. We are committed to ongoing communication with you, both within and beyond the Lown Center's walls. The Lown Forum will be published more frequently and upcoming issues will include new features and topics, such as nutrition, suggested by our readers. As part of an eort to highlight our Groups vision and philosophy, we are forming a new Patient Advisory Committee to work with us to increase our visibility locally, nationally, and globally. The Committee is in the formative stage, and I invite you to contact us if you are interested in learning more or participating. We are committed to the start of an exciting era at the Lown Center which will move our longstanding commitment to providing our patients with the best medical care possible into new and larger arenas.
To learn more about our Patient's Advisory Committee, contact: Claudia Kenney, Foundation Administrator 617 732 1318 x3355 or ckenney@partners.org
Dr. Barry Bloom, former Dean, Harvard School of Public Health, announced the Bernard Lown Cardiovascular Scholars Program at the September 13 gala event, "A Celebration of Medicine and Humanity."
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Children's program in Tonga receives 2008 Louise Lown Heart Hero Award
ProCor, the Lown Foundation's global program promoting heart health in the world's poorest countries, awarded the 2008 Louise Lown Heart Hero Award to the Rheumatic Heart Disease Prevention Program in Tonga. The winning project was initiated by Tongas sole pediatrician in order to screen primary school children for rheumatic heart disease and provide early, eective treatment for those who are aected, said Dr. Brian Bilchik, ProCors director. Developing countries account for 95% of Dr. Toa Fakakovikaetau and volunteers who the deaths assist her in screening Tongan schoolchildren worldwide each year from rheumatic for rheumatic heart disease. heart disease, which generally aects children, adolescents, and young adults. According to a recent study, Tonga has the highest prevalence (conrmed by echocardiogram) of rheumatic heart disease in the world. The Louise Lown Heart Hero Award recognizes innovative grassroots approaches to cardiovascular health in developing countries. The Tonga program received a $2,000 award and, equally valuable, global visibility that can help attract funding and other support. The award was established in 2007 by Dr. Bernard Lown to honor his wife, Louise, and her lifelong commitment to the rights and wellbeing of others as a social worker, activist, and writer. A review committee of cardiology and public health experts chose this year's winner from applications from 14 countries. The Louise Lown Heart Hero Award was presented to Dr. Toakase Fakakovikaetau by Tongas Deputy Prime Minister and Minister of Health, the Honourable Dr. Viliami Tau Tangi, who noted, Often, our doctors rst encounters with these children are when they are already quite ill. It costs millions of dollars to refer them overseas for open heart surgery. For many this is not aordable, and for others the treatment is not eective.
For more information about ProCor and the Louise Lown Heart Hero Award, visit www.procor.org or contact: Catherine Coleman, Editor in Chief (617) 7321318 x3332 or ccoleman5@partners.org
Mary LancasterPijar, Dr. Fred Mamuya, Dr. Craig Vinch, Gabe Galambos, and Tracy Griths in the Lown Center's echo lab
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Padraig Carolan, research assistant, and Deepa Aggarwal, research biostatistician 1 Bernard Lown, Time Spent with Patients a Critical Factor in the National Health Care Crisis. ProCor (www.procor.org). 2 LongTerm Outcomes of Optimized Medical Management of Outpatients With Stable Coronary Artery Disease. American Journal of Cardiology, February 1, 2004.
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Not only is this great support for the Lown Foundation, but it also serves heirs and loved ones through a potentially signicant savings on estate tax. Life insurance/life income: This is also a simple way to remember the Lown Foundation. A life income gift allows you to transfer assets to the Lown Foundation yet continue to receive the income from the cash, stock, or other property contributed. For example, if you own a life insurance policy that is no longer needed, you can receive a charitable deduction by gifting the policy to the Lown Foundation. If the policy has a cash value, you can take a charitable deduction approximately equal to the cash value at the time of the gift. If you continue to pay annual premiums, those payments will become tax deductible each year. Charitable Remainder Trust: This trust allows you to create an instrument which will generate income. After death, the trust goes to the Foundation, saving heirs the estate taxes. Charitable Lead Trust: This trust establishes an income stream that is available to the Lown Foundation. The trust itself eventually returns to you or your family. Lead trusts can save families future estate taxes or give the donors charitable deductions on income over a given period of time. Gifts of Securities/Real Estate: Gifting appreciated stock or other marketable securities oers a twofold tax savings. Not only do you avoid paying capital gains tax on the increased value of the holding, but you also receive a tax deduction for the full market value of the security. As with the gifting of securities, the charitable donation of real estate oers double tax savings: the avoidance of capital gains tax coupled with the ability to deduct the full market value of the property. You can deed the home to the Foundation but retain the right to live in it for life and receive a tax deduction for the present value of the gift. This vehicle is a good option for older homeowners. Each planned giving arrangement has its own unique benets and whether the gift is made with cash or other assets, the benets can make this type of philanthropy a very attractive winwin. If you have questions or would like to learn more about planned giving, we'll be happy to meet with you, your nancial advisor, and/or your attorney, about the type of gift which makes the best sense for you and your family.
To receive a free, reproducible information sheet on planned giving, or to learn more about ways of supporting the work of the Lown Cardiovascular Research Foundation, contact: Vikas Saini, President (617 732 1318 x3355).
Dear Doctor
It has been 14 years since I rst came to see you. As I'm sure you remember, I had a blocked artery and had been advised to have a bypass operation. A friend advised me to run it by the Lown Center before I did something that drastic. That brought me to you, one of the best trips I've ever taken. You said that with a change of life habits, such as exercising regularly, eating properly, and taking beta blockers, I would do ne. You were right! As I look back over these 14 years, I realize that I did not limit my activities in any way. Exercising and eating healthy became a way of life, and at 81 years I feel in excellent health. I just wanted to share these thoughts with you. Gratefully, a Lown Center patient
Lown Cardiovascular Research Foundation For more than 30 years, the Lown Cardiovascular Research Foundation has promoted a humane and costeffective model of cardiac care that advocates prevention over costly, invasive treatments and restores the relationship between doctor and patient.
Board of Directors Nassib Chamoun Chairman of the Board Vikas Saini, MD President Bernard Lown, MD Chairman Emeritus Thomas B. Graboys, MD President Emeritus Patricia Aslanis Charles M. Blatt, MD Janet Johnson Bullard Joseph Brain, SD Carole Anne McLeod C. Bruce Metzler Barbara H. Roberts, MD Ronald Shaich Robert F. Weis Advisory Board Martha Crowninshield Herbert Engelhardt Edward Finkelstein William E. Ford Renee Gelman, MD George Graboys Barbara Greenberg Milton Lown John R. Monsky Jeffrey I. Sussman David L. Weltman CONTACT US
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Allen Harvie, who spearheaded the Bridge project over 25 years ago, spoke at a ceremony that preceded the dedication. The Edward Little Middle School choir also performed for Dr. and Mrs. Lown and several hundred supporters at the FrancoAmerican Heritage Center.
John Jenkins, Mayor of Auburn; Louise Lown; Fred Lown; Dr. Bernard Lown; Laurent F. Gilbert, Sr., Mayor of Lewiston; Al Harvie (left to right). Granite monuments at each end of the bridge display an engraved portrait of Dr. Lown and list his achievements.
Dr. Lown crosses the bridge after the ribboncutting ceremony with Dr. Vikas Saini, President, Lown Cardiovascular Research Foundation, joined by family, friends, and community members.