Baylor University Medical Center Proceedings January 2014, Volume 27, Number 1

Volume 27 Number 1 January 2014 Baylor University Medical Center Proceedings Multipatient Studies 3 Dexmedetomidine infusion for analgesia up to 48 hours after lung surgery performed by lateral thoracotomy 39 Group beating in a 69-year-old man with a previous silent myocardial infarct Invited commentary: Role of alpha-2 agonists for postoperative pain relief 40 Irregular cardiac rhythm with combined rheumatic mitral stenosis and aortic stenosis E. Farag and M. Yared 12 Sedation levels during propofol administration for outpatient colonoscopies Volume 27, Number 1 • January 2014 Case Studies 16 Newly diagnosed acromegaly presenting with hypertriglyceridemic pancreatitis with normal amylase and lipase levels D. Sotello, A. M. Rivas, and K. M. Nugent 19 Steroid-resistant nephrotic syndrome secondary to primary focal segmental glomerulosclerosis and smoldering multiple myeloma R. Shah, N. Shah, A. Shah, and A. N. Mehta 22 Systemic mastocytosis with associated acute myelogenous leukemia L. Zhrebker, B. Cooper, and J. R. Krause 25 Smooth muscle neoplasms of the vulva masquerading as Bartholin gland duct cysts R. A. Levy, W. M. Winham, C. S. Bryant, and C. M. Quick Pages 1–76 28 Multicentric Castleman’s disease and HIV J. R. Krause, S. D. Robinson, and E. A. Vance 31 Disseminated Kaposi’s sarcoma without cutaneous involvement B. Shepard, D. Tompkins, D. Baker, and J. Stroup 33 Mucocele of the appendix To access Baylor’s physicians, clinical services, or educational programs, contact the Baylor Physician ConsultLine: 1-800-9BAYLOR (1-800-922-9567) S. Sarmast, J. M. Schussler, J. M. Ko, and W. C. Roberts M. A. E. Ramsay, K. B. Newman, B. Leeper, B. L. Hamman, R. F. Hebeler Jr., A. C. Henry, H. Kourlis Jr., R. E. Wood, J. A. Stecher, and H. A. T. Hein M. A. E. Ramsay, K. B. Newman, R. M. Jacobson, C. T. Richardson, L. Rogers, B. J. Brown, H. A. T. Hein, E. B. De Vol, and Y. A. Daoud Baylor University Medical Center, Dallas, Texas 37 Infective endocarditis superimposed on a massively calcified severely stenotic congenitally bicuspid aortic valve T. H. Louis and D. F. Felter 35 Laryngeal actinomycosis F. Lensing, T. Abele, R. Wiggins III, and E. Quigley D. L. Glancy and V. N. Lathia D. L. Glancy and T. G. Gaines 42 Energy and macronutrient intake of a female vegan cyclist during an 8-day mountain bike stage race K. C. Wirnitzer and E. Kornexl Tributes, Interviews, and Editorials 51 Tributes to Marvin J. Stone, MD, on his retirement M. Emmett, J. S. Fordtran, R. G. Mennel, A. M. Miller, J. E. Pippen, and W. L. Sutker 56 Sabrina Dean Phillips, MD: a conversation with the editor S. D. Phillips and W. C. Roberts 63 Looking back and looking forward: The white coat lecture Donald M. Knowlan 66 A medical student trapped behind the Berlin Wall, 1961 S. Robert Lathan From the Editor 67 Facts and ideas from anywhere William C. Roberts Miscellany 2 Clinical research studies enrolling patients 21 Acknowledgment of reviewers for BUMC Proceedings, volumes 23–26 24 Avocations: Photograph by Dr. Rosenthal 41 Avocations: Photograph by Dr. Rosenthal 46 Baylor news 72 Reader comments: Inadequate surgical education (L. Gordon) 73 Selected published abstracts of Baylor researchers www.BaylorHealth.edu/Proceedings Indexed in PubMed, with full text available through PubMed Central