Neurology; Cerebrovascular (Stroke)
I am a neurologist who specializes in the care of patients with stroke and other neurovascular disorders. I am board-certified in internal medicine, neurology and vascular neurology. I care for inpatients at Buffalo General Medical Center, the busiest stroke service in New York State, and for outpatients after their discharge from the hospital. I serve as the neurology medical director at the Gates Vascular Institute, a state-of-the-art facility adjoining Buffalo General Medical Center that specializes in the care of vascular disorders. As a member of several committees, I help develop admission and treatment guidelines for the medical center. Of note, we continue to improve our door-to-tissue plasminogen activator time for those patients who are eligible for this treatment for acute stroke. Our stroke center has been recognized as a Comprehensive Stroke Center by the Joint Commission and received a “Get With The Guidelines Gold Plus” award from the American Heart Association. I am very involved in stroke research and serve as principal investigator on several cutting-edge National Institutes of Health (NIH) and industry-funded clinical trials. My research and publications in this domain include clinical investigation into the diagnosis, treatment and prevention of cerebrovascular disease. In addition to my clinical and research role, I am very involved with the education of medical students, residents and fellows on the neurovascular service. I serve as the program director for the Vascular Neurology Fellowship Program approved by the Accreditation Council for Graduate Medical Education (ACGME) which trains one to two fellows each year. I give several didactic lectures every year to various audiences at different levels of training.
Neurology; Cerebrovascular (Stroke)
I am a board-certified neurologist with subspecialty training in vascular neurology. I evaluate, treat and study diseases that affect the structure and function of the blood vessels supplying the brain. My expertise is in cerebrovascular disease, including both ischemic and hemorrhagic strokes. I practice at the Gates Vascular Institute and Buffalo General Medical Center (BGMC). As part of the stroke team, I assess patients presenting in the emergency room with acute stroke for treatment with tissue plasminogen activator (tPA). I then follow my patients through their entire course of care: I assess them for secondary stroke risk factors and care for them as outpatients at the UBMD Neurology clinic at BGMC. I believe comprehensive care is of utmost importance in serving my stroke patients as they cope with this life-changing event. I work with other health care providers to monitor and continuously improve the process of the acute stroke assessment. Doing so helps ensure that patients receive a prognosis and treatment plan in the most timely and streamlined way possible. I also assess and enroll patients for many different acute stroke clinical trials that are underway at the University at Buffalo. My research focuses on systems-based improvement and the optimization of acute stroke care. My goal is to shorten the length of patients’ hospital stays while improving the outcomes of their medical care. I am also a sub-investigator for several clinical trials in acute stroke care within our cerebrovascular division of the Department of Neurology. I have presented at international and local conferences/meetings such as those of the International Stroke Conference and the local New York State Coverdell Stroke Quality Improvement and Registry Program. I train medical students and residents at the bedside during rounds, and I also lecture and participate in conferences with them. I also train the residents by guiding them through direct care of stroke patients from their initial assessment to their acute care and follow up. My teaching and training is focused on evidence-based medicine, i.e., the conscientious, explicit and judicious use of current best evidence, derived from high-quality research, in directing clinical decision making in the care of my patients.
Neurology; Cerebrovascular (Stroke); General Neurology
I AM A NEUROLOGIST AND A CLINICAL RESEARCHER with significant expertise in stroke prevention and treatment from both individual patient and public health perspectives. My broad-based clinical experience in the U.S. and Nepal includes work in trauma centers, comprehensive stroke centers, emergency rooms, acute care / ICU, inpatient, and outpatient settings. My background is ideally suited for positions in hospital administration, stroke centers, health operation and management; and health system management and public health consultancy. MY CURRENT RESEARCH FOCUS explores an area with both a high volume of stroke patients and stroke outcome and risk factors related to stroke. I also collaborate in multi-centric U.S. and worldwide research trials. Past research has been published in peer-reviewed pediatric, neurology, and general medical journals. I SUPERVISE AND INSTRUCT medical students and residents; received multiple commendations for teaching excellence. MY BUSINESS AND MANAGEMENT KNOWLEDGE includes expertise in Finance, Accounting, Business Leadership, Health care strategy and Data Modeling. BOARD CERTIFIED IN NEUROLOGY, VASCULAR NEUROLOGY, AND BRAIN INJURY MEDICINE.
Cerebrovascular (Stroke); General Neurology; Neurology
My clinical practice focuses on vascular disease, predominantly stroke. I am the co-director of the Stroke Center at the Gates Vascular Institute where we treat more stroke patients than anywhere else in New York State. Our team, which includes our vascular neurologists, neuro-endovascular neurosurgeons and the Emergency Department at the Gates Vascular Institute, has been designated a Comprehensive Stroke Center by the Joint Commission and received a “Get With The Guidelines Gold Plus” award from the American Heart Association. These are the highest awards possible in the United States for stroke care. Our Stroke Center team works with first responders to identify signs and symptoms of stroke, and we determine the best treatment protocol and formulate discharge and rehabilitation plans for patients. I then care for my stroke patients at 300 Essjay Rd. in Williamsville to provide continuity of care after hospitalization. I also care for patients recovering from stroke when they have been referred to me by other physicians. I monitor all my stroke patients to prevent a second occurrence of stroke, and I refer them to rehabilitation facilities that help them return to normal daily life. I work with patient families and caregivers as well to help ensure the best possible care for my patients. I am keenly involved in developing techniques, teams and systems that deliver state-of-the-art stroke care to residents of Western New York. In addition to my clinical responsibilities, I am actively involved in medical student and neurology resident teaching. I have an extensive lecture schedule at national and international venues, with a special interest in stroke outreach programs at the local level. I am the principal investigator for numerous trials funded by the National Institutes of Health (NIH) and commercial entities, and I manage the stroke database for UBMD Neurology. I also serve as a flight physician at Metro Life Flight in Cleveland, Ohio, an internationally recognized transport service for critically ill patients. I am qualified in Advanced Trauma Life Support (ATLS), Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS).