Camilo_R._Gomez

Camilo R. Gomez

Camilo R. Gomez

American neurologist (born 1960)

Camilo Ramiro Gomez, (born September 12, 1960) is an American neurologist, medical educator, and researcher. He is one of the first 100 vascular neurologists certified by the American Board of Psychiatry and Neurology (ABPN),[1][2] and one of the founders of the subspecialty of interventional neurology in the United States.[3]

Quick Facts Born, Alma mater ...

He has published extensively [4][5][6][7][8][9] and is credited with having coined the phrase Time is Brain! to denote the urgency required in the treatment of stroke patients.[4] He also introduced the term "Code Stroke" as an in-hospital method for summoning specialists to the stroke patient bedside.[5]

Early life

Gomez was born in Holguín, Cuba and emigrated in 1965, his family settling in Caracas, Venezuela. There, he attended the Fray Luis Amigo and Santo Tomas de Villanueva catholic schools. Later, in 1981, he received a M.D. from the Universidad Central del Este in San Pedro de Macorís, Dominican Republic, and immediately emigrated to the United States to continue postgraduate education in neurology at Saint Louis University

Career

In 1986, having completed his neurology residency, he became the founding director of the Saint Louis University stroke center, incorporating a neurovascular ultrasound laboratory dedicated to the application of the new diagnostic technique of Transcranial Doppler. This work earned the first EME Transcranial Doppler Research Award in 1990, and caught the attention of Sylvia N. Souers, widow of the late Admiral Sidney W. Souers, who later agreed to donate a portion of her estate to the creation of the Souers Stroke Institute,[10] which Gomez directed until 1995.

In 1995, he was recruited by the University of Alabama at Birmingham (UAB) and became the founding director of its Comprehensive Stroke Center,[11] a post that he held until 2003. He then switched to private practice, maintained an adjunct appointment to the UAB School of Public Health, and remained the principal neurology investigator of the Reasons for Geographic and Racial Differences in Stroke (REGARDS),[12] a federally funded project intended to uncover the underlying causes for the existence of the Stroke Belt.

In 2015 he led the team that secured Primary Stroke Center certification by The Joint Commission for Brookwood Medical Center [13] and, in 2016, he became Professor of Neurology and Neurosurgery at Loyola University Chicago, Stritch School of Medicine. At that institution, he also was Vice-Chairman of the Department of Neurology, and Medical Director of the Neuroendovascular Surgery Program at Loyola University Medical Center.[14][15] In 2019, he joined the faculty of the department of neurology at the University of Missouri School of Medicine in Columbia, Missouri, continuing to practice vascular and interventional neurology within the University of Missouri Health Care System.[16]

Neuroimaging and Interventional neurology

He joined the American Society of Neuroimaging (ASN) in the mid-1980s, serving in its board of directors for over ten years, and as its president between 2007 and 2009.[17] He was instrumental in the education and certification of neurologists in diagnostic vascular ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and angiography. Following his seminal endovascular work in St. Louis,[6] upon moving to UAB, he continued to collaborate closely with interventional cardiologists and radiologists, becoming a member of the team that largely influenced the application of carotid artery stenting for stroke prevention.[18][19][20] He also worked closely with interventional neuroradiologists and neurosurgeons of the Instituto Nacional de Neurología y Neurocirugía in Mexico City, exchanging working visits several times each year, and leading to a productive interaction in the endovascular management of cerebral aneurysms.[21][22][23] The 1990s witnessed an interventional turf war between the three major specialties with stakes in the practice of neuroendovascular procedures, namely neurology, neurosurgery and neuroradiology.[24][25][26][27][28] During this period, Gomez took part on behalf of the American Academy of Neurology (AAN) in negotiating a common educational pathway and, as a byproduct, vascular neurology became an accredited subspecialty,[2] as well as a prerequisite for neurologists training in interventional neuroradiology. His work on mechanical neuroendovascular rescue of acute ischemic stroke[29] preceded the approval by the U.S. Food and Drug Administration (FDA) of devices specifically designed for this purpose,[30] culminating in the widespread acceptance of endovascular thrombectomy as an urgent treatment strategy in these cases.

Urgent and intensive stroke care

In the early 1990s he coined the phrase Time is Brain!, as an argument for the need to expedite the treatment of stroke victims at a time when this was not the norm,[4] and also introduced one of the first experiences using a "Code Stroke" system for managing stroke patients, in parallel to the existing procedures for treating patients with cardiac arrest.[5] He promoted the use of hypothermia for the management of critically ill neurologic patients, including stroke,[31] a subject highlighted in a 2001 article and television piece by CNN.[32] He partnered with the Birmingham Regional Emergency Medical Services System (BREMSS) to construct a regional stroke transportation system that was unique in the country. The product served as a model for national guidelines.[33][34][35] It became operational in 2000 and, for the first time, used a dedicated computerized system to link dedicated stroke centers within the six counties that surround the city of Birmingham, allowing them to work in a symbiotic way.[36] The system included a process for certifying stroke centers based upon a set of criteria, anteceding the current stroke center certification process by the Joint Commission.

Military service

In 1986 he joined the U.S. Army Medical Corps, becoming a member of the Saint Louis University Medical Detachment of the 21st General Hospital, 102nd Army Reserve Command (ARCOM). In December 1990, he was called to active duty in support of Operation Desert Storm, and was honorably discharged in 1994.

Honors and awards

Gomez was the commencement speaker for the graduation ceremonies at Universidad Central del Este in 1988 and is a member of the Phi Kappa Phi and Beta Gamma Sigma honor societies in business. He has been listed in several editions of Best Doctors in America.[37] In 1990, he was awarded the first Eden Medical Electronics (EME) Transcranial Doppler Research Award for his work on cerebral perfusion during cardiopulmonary resuscitation[38][39] and, in 2000, the Birmingham Regional EMS (BREMSS) awarded him the R. Floyd Yarborough EMS Award for being instrumental in organizing the care of stroke patients in the counties that surround the city of Birmingham, Alabama. He then received the Interventional Pioneer Award by the Society of Vascular and Interventional Neurology (SVIN) during their inaugural meeting in 2007.[40]

Business degree

In 2006, he completed and earned the degree of Master in Business Administration (MBA) from the Physician Executive MBA (PEMBA) program at the University of Tennessee at Knoxville.[41]

Personal life

He married Sandra Maria Lopez Quiroga in 1981, but they divorced in 2007 after having had two children.

Publications (books only)

  • Tegeler CH, Babikian VL and Gomez CR. Neurosonology. Mosby-Yearbook Publishers. St. Louis, MO. 1996
  • McCartney JP, Thomas-Lukes KM and Gomez CR. Handbook of Transcranial Doppler. Springer-Verlag Publishers. New York, 1997.
  • Geyer JD and Gomez CR. Stroke: A Practical Approach. Lippincott. Philadelphia, PA. 2009.
  • Gomez CR. The Downgrading of American Healthcare, On-Demand Publishing. 2012

References

  1. [1]
    "ABPN VerifyCert".
  2. [2]
    Adams, HP; Kenton EJ; Scheiber SC; Juul D (September 2004). "Vascular Neurology: A New Neurologic Subspecialty". Neurology. 63 (5): 774–776. doi:10.1212/01.wnl.0000137026.13947.f9. PMID 15365122. S2CID 36956267., additional Vascular.
  3. [3]
    Qureshi, AI (2011). Textbook of interventional neurology. Cambridge: Cambridge University Press. pp. 1–9. ISBN 9780521876391., additional History
  4. [4]
    Gomez CR: Time is Brain! J Stroke and Cerebrovasc Dis 3:1-2. 1993, additional Time
  5. [5]
    Gomez CR, Malkoff MD, Sauer CM, Tulyapronchote R, Burch CM and Banet GA: Code Stroke: An Attempt to Shorten In-Hospital Therapeutic Delays. Stroke. 25(10): 1920-1923. 1994, additional Code
  6. [6]
    Gomez CR and Kern MJ. Cerebral Catheterization: Back to the Future. J Stroke Cerebrovasc Dis. 6(5): 308-312. 1997, additional Cath
  7. [7]
    Gomez, [edited by] Charles H. Tegeler, Viken L. Babikian, Camilo R. (1995). Neurosonology. St. Louis: Mosby. ISBN 0815187920. {{cite book}}: |first= has generic name (help)CS1 maint: multiple names: authors list (link)
  8. [8]
    Gomez, John P. McCartney, Kathleen M. Thomas-Lukes, Camilo R. (1997). Handbook of transcranial doppler. New York: Springer. ISBN 0387946934.{{cite book}}: CS1 maint: multiple names: authors list (link)
  9. [9]
    Gomez, [edited by] James D. Geyer, Camilo R. (2007). Stroke : a PRACTICAL APPROACH. Philadelphia: Wolters Kluwer Health. ISBN 978-0781766142. {{cite book}}: |first= has generic name (help)CS1 maint: multiple names: authors list (link)
  10. [10]
    "Souers Stroke Institute - SLU Care". Souers Stroke Institute - SLU Care. Retrieved 3 June 2018.
  11. [11]
    "Stroke Warriors: The Rapid Response Stroke Team". UAB Magazine (Winter): 19–23. 1996.
  12. [12]
    Howard, VJ; Cushman M; Pulley L; Gomez CR; Go RC; Prineas RJ; Graham A; Moy CS; Howard G (2005). "The Reasons for Geographic and Racial Differences in Stroke Study: Objectives and Design". Neuroepidemiology. 25 (3): 135–143. doi:10.1159/000086678. PMID 15990444. S2CID 22555698.
  13. [13]
    "Brookwood Stroke Center". Brookwood Baptist Stroke Care. Retrieved 3 June 2018.
  14. [14]
    "Neurologist Camilo R. Gomez, MD, Pioneer in Neuroendovascular Surgery, Joins Loyola". LUMC - Neurology & Neurosurgery. Retrieved 3 June 2018.
  15. [15]
    "Camilo Gomez, MD, FAAN,FAHA". LUMC - Camilo R. Gomez. Retrieved 3 June 2018.
  16. [16]
    "Gomez Faculty Page". MU Neurology Faculty. Retrieved 3 April 2019.
  17. [17]
    "ASN History". American Society of Neuroimaging. Retrieved 3 June 2018.
  18. [18]
    Gomez, C.R. (1998). "The Role of Carotid Angioplasty and Stenting". Seminars in Neurology. 18 (4): 501–511. doi:10.1055/s-2008-1040903. PMID 9932621.
  19. [19]
    Gomez, C.R. (2000). "Carotid Angioplasty and Stenting: New Horizons". Current Atherosclerosis Reports. 2 (2): 151–159. doi:10.1007/s11883-000-0110-4. PMID 11122739. S2CID 2937801.
  20. [20]
    White, C.J.; Gomez, C.R.; Iyer, S.; Wholly, M.; Yadav, J.S. (2000). "Carotid Stent Placement for Extracranial Carotid Artery Disease: Current State of the Art". Catheterization and Cardiovascular Interventions. 51 (3): 339–346. doi:10.1002/1522-726x(200011)51:3<339::aid-ccd24>3.0.co;2-t. PMID 11066123. S2CID 5322889.
  21. [21]
    Zenteno, M.A.; Murillo-Bonilla, L.M.; Guinto, G.; Gomez, C.R.; Martinez, S.R.; Higuera-Calleja, J.; Lee, A.; Gomez-Plata, S. (2005). "Sole stenting bypass for the treatment of vertebral artery aneurysms: Technical case report". Neurosurgery. 57 (1 Suppl): 208. doi:10.1227/01.neu.0000163683.64511.24. PMID 15987592. S2CID 41571535.
  22. [22]
    Zenteno, M.A.; Santos-Franco, J.A.; Freitas-Modenesi, J.M.; Gomez, C.R.; Murillo-Bonilla, L.; Aburto-Murrieta, Y.; Diaz-Romero, R.; Nathal, E.; Gomez-Llata, S.; Lee, Angel (2008). "Use of the sole stenting technique for the management of aneurysms in the posterior circulation in a prospective series of 20 patients". Journal of Neurosurgery. 108 (6): 1104–1118. doi:10.3171/jns/2008/108/6/1104. PMID 18518712.
  23. [23]
    Zenteno, M.A.; Gomez, C.R.; Santos-Franco, J.A.; Vinuela, F.; Aburto-Murrieta, Y.; Lee, A. (2010). "Ten-year follow-up of giant basilar aneurysm treated by sole stenting technique: a case report" (PDF). Journal of Medical Case Reports. 4: 64. doi:10.1186/1752-1947-4-64. PMC 2843709. PMID 20175900.
  24. [24]
    Kori, SH (November 1993). "Interventional neurology: a subspecialty whose time has come". Neurology. 43 (11): 2395–9. doi:10.1212/wnl.43.11.2395. PMID 8232967. S2CID 40207861.
  25. [25]
    Gomez, Camilo (August 1995). "Interventional Neurology". Neurology. 45 (4): 850, author reply 850–1. doi:10.1212/wnl.45.4.850. PMID 7723990. S2CID 45114262.
  26. [26]
    Teitelbaum, George (August 1995). "Interventional Neurology". Neurology. 45 (4): 850, author reply 850–1. doi:10.1212/wnl.45.4.850. PMID 7723992. S2CID 45114262.
  27. [27]
    Levin, David; Matteucci T (August 1990). ""Turf battles" over imaging and interventional procedures in community hospitals: survey results". Radiology. 176 (2): 321–4. doi:10.1148/radiology.176.2.2367646. PMID 2367646.
  28. [28]
    Lakhan, Shaheen; Kaplan A; Laird C; Leiter Y (2009). "The interventionalism of medicine: interventional radiology, cardiology, and neuroradiology". International Archives of Medicine. 2 (27): 27. doi:10.1186/1755-7682-2-27. PMC 2745361. PMID 19740425.
  29. [29]
    Gomez, CR; Wadlington V; Terry JB; Tulyapronchote R (October 1999). "Neuroendovascular rescue. Nonthrombolytic approach to acute brain ischemia". Critical Care Clinics. 15 (4): 755–776. doi:10.1016/s0749-0704(05)70086-5. PMID 10569120.
  30. [30]
    Katz, JM; Gobin YP (May 2006). "Merci Retriever in acute stroke treatment". Expert Rev Med Devices. 3 (3): 273–280. doi:10.1586/17434440.3.3.273. PMID 16681448. S2CID 2736385.
  31. [31]
    Perry, Patrick (2001). "Putting Strokes on Ice". Saturday Evening Post. Vol. 273, no. 2. Retrieved 3 March 2001.
  32. [32]
    Rowland, Rhonda. "Doctor fights stroke with innovative tactics". CNN. Retrieved February 15, 2001.
  33. [33]
    Acker, JE. "Regional Stroke System Plan" (PDF). Archived from the original (PDF) on 2014-05-14. Retrieved 2013-08-26.
  34. [34]
    Acker, JE. "A Stroke System of Care 2000 – 2013 BREMSS: The Good, Bad, and Ugly!" (PDF). Retrieved April 29, 2013.
  35. [35]
    Debellis, A. "Birmingham Emergency Routing System Becomes National Model". Retrieved 3 June 2007.
  36. [36]
    "Expanding a Life-Saving Technology".
  37. [37]
    "Who made the Best Doctors list in Alabama?". Retrieved August 26, 2011.
  38. [38]
    Lewis, L.M.; Gomez, C.R.; Ruoff, B.E.; Gomez, S.M.; Hall, I.S.; Gasirowski, B. (1990). "Transcranial Doppler Determination of Cerebral Perfusion in Patients Undergoing CPR: Methodology and Preliminary Findings". Ann Emerg Med. 19 (10): 1148–1151. doi:10.1016/s0196-0644(05)81520-3. PMID 2221522.
  39. [39]
    Lewis, L.M.; Stothert, J.C.; Gomez, C.R.; Ruoff, B.E.; Hall, I.S.; Chandel, B.; Standeven, J. (1994). "A Noninvasice Method for Monitoring Cerebral Perfusion During Cardiopulmonary Resuscitation". Journal of Critical Care. 9 (3): 169–174. doi:10.1016/0883-9441(94)90013-2. PMID 7981780.
  40. [40]
    "SVIN Society News : Volume 1, Issue 1". Svin.org. Archived from the original on 2013-09-27. Retrieved 2013-09-02.
  41. [41]
    "Physician Leader Profiles". Retrieved 3 March 2006.
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