'A Robot Operated on My Hernia'
Tarpon Springs Surgeon Debunks This & Other Myths About Robots in the O.R.

Robotics-assisted surgery has become enormously popular, with physicians around the world performing 1.5 million procedures - from hysterectomies to heart valve repairs - in 2011.

"But myths and misconceptions about robots in the operating room still abound," says physician Dr. Keith Chisholm, MD, a Board Certified General Surgeon on staff at Florida Hospital North Pinellas, (www.fhnorthpinellas.com).

"One is that the robot performs the surgery - 'a robot operated on my hernia,' " says Dr. Chisholm. "Technically, it's not a robot because it can't perform surgery without someone controlling it - it's actually computer-assisted surgery. The surgeon guides all of the movements using finger-manipulated controls."

He and other robotics surgeons use the da Vinci Surgical System, which the U.S. Food and Drug Administration approved for minimally invasive surgeries in 2000. Nine years later, the da Vinci was being used in 80 percent of surgeries to remove cancerous prostates, according to its maker, Intuitive Surgical, Inc.

"The benefits of robotics-assisted surgery are numerous", says Dr. Chisholm, who performs several different procedures using da Vinci and became the first Pinellas-Pasco physician to use it for a single-incision cholecystectomy (gall bladder removal).

"The robotic arms hold miniaturized surgical instruments, so we can get in through very small incisions," he says. "That means there's less chance of infection, less pain, much less scarring and a quicker recovery time. Because the arms have 'wrists' that can rotate more than 360 degrees, we have far more maneuverability than we do with laparoscopic surgery, and we can get into hard-to-reach areas."

"One of the robotic arms holds a magnified 3D high-definition camera, which gives us a much better view of the surgical site than we would have with just our own two eyes."

In a 2013 FDA survey, surgeons experienced with da Vinci said their patients have less bleeding, fewer complications, much quicker recovery times and less time in the hospital - 24 hours on average. Interestingly, those who used da Vinci to remove advanced cancer in the tonsils region of the throat said half of their patients were able to avoid chemotherapy.

What are some other myths and misconceptions?

•  Myth: Robotics-assisted surgery costs much more than traditional surgery.
A study published in July 2013 found that half of the minimally invasive procedures reviewed, including robotics-assisted and laparoscopic surgeries, cost insurance providers less than the same surgeries performed in the traditional manner. Four of the six minimally invasive surgeries also resulted in fewer lost work days - sometimes several weeks fewer.

"The robotics technology is expensive and the whole surgical team has to be trained, which can add to the cost," says Dr. Chisholm. "But there's also a tremendous savings compared with traditional surgery because the patient is out of the hospital more quickly and there are fewer complications."

(Study conducted by University of Pennsylvania health economist Andrew J. Epstein and published in JAMA Surgery.)

•  Myth: Robotics-assisted surgery is riskier than traditional surgeries.
Any surgery has certain risks, but in many ways, robotics-assisted surgeries have fewer overall, Dr. Chisholm says.

"Many times, the robotics-assisted procedures can be done much more quickly, so there's less risk simply because the duration of the procedure is shorter," he says. "You also have the smaller incisions, less bleeding, etc. that reduce the risks."

In addition, the Tampa Bay area is fortunate to have the cutting-edge 2-year-old Center for Advanced Medical Learning and Simulation (CAMLS) operated by the University of South Florida.

"Our surgical teams have easy access to training, practice with simulators and continuing education, so we're extremely well-prepared," Dr. Chisholm says.

About Dr. Keith Chisholm

Dr. Keith Chisholm graduated from the University of North Carolina, Chapel Hill, Medical School and went on to residency training at the University of Florida, becoming an assistant adjunct professor and attending surgeon at the Malcolm Randall VA Medical Center in Gainesville, Fla. He's believed to have performed the first laparoscopic colon resection in the UF surgical department. From laparoscopy to robotics-assisted surgery was a natural advance for Chisholm, who has a private practice in Trinity, Fla., and is among the robotics-certified surgeons with privileges at Florida Hospital North Pinellas, (www.fhnorthpinellas.com).

Plan will attract veterans to Iowa and match them with quality, high-paying jobs

(DES MOINES) - Gov. Terry E. Branstad, joined by Iowa Lt. Gov. Kim Reynolds, today signed the Home Base Iowa Act into law at the Iowa Gold Star Military Museum at Camp Dodge in Johnston, Iowa. In addition, Branstad signedSenate File 2352 providing an additional homestead credit for disabled veterans.

"Our bipartisan Home Base Iowa plan will work to match veterans with high-paying careers in Iowa," said Branstad. "These men and women have fought for our country, and acquired unique skillsets and training in the military. Now, with the Home Base Iowa plan signed into law, Iowa stands ready to welcome them to our communities and match them with the quality jobs across the state."

The Home Base Iowa Act is one part of the overall Home Base Iowa initiative, a first-of-its-kind program developed to honor our country's veterans by recruiting them, and active duty service members, for private-sector job opportunities in Iowa.  Congressman Leonard Boswell and Casey's CEO Bob Myers, both veterans, serve as the co-chairs of the initiative.

"As Governor Branstad and I travel across Iowa, we talk with Iowa businesses that are in need of qualified workers, "Reynolds said. "Our veterans possess the skills necessary to fill integral roles in important industries and we look forward to when they call Iowa home."

Photos of the bill signing and a video of the gun salute can be found below by clicking on the title. The photos and video can be attributed to the Iowa Governor's Office.

VIDEO: Gov. Branstad, Lt. Gov. Reynolds and Maj. Gen. Tim Orr administer gun salute at Camp Dodge.

The Home Base Iowa Act does the following:

•  ·          Fully exempts military pensions from state income tax, putting Iowa on more equal footing with states such as Florida and Texas, and our Midwestern neighbors such as Illinois, Kansas, Michigan, Missouri, Ohio, South Dakota and Wisconsin. In addition, the bill fully exempts military survivor benefits from state income tax.  
•  ·         Iowa's licensing boards will adopt rules allowing credit for military training and experience in the licensing process.
• ·         Allows private-sector companies to follow the public sector's lead by allowing a preference in hiring and promoting veterans.
• ·         Eliminates the special plate issuance fees charged for plates associated with military service.
  • ·      Expands eligibility for the Military Homeownership Assistance Program, which provides $5,000 in down payment and closing cost assistance.  Additional funding for the program is provided in a separate appropriations bill.

BACKGROUND ON THE HOME BASE IOWA ACT

Gov. Branstad and Lt. Gov. Kim Reynolds launched the Home Base Iowa initiative in November of 2013 at the Iowa Gold Star Military Museum at Camp Dodge. Branstad and Reynolds named Congressman Leonard Boswell and Casey's CEO Bob Myers the co-chairs of the initiative.

In January, Gov. Branstad made Home Base Iowa the centerpiece of his legislative plan by stating at his Condition of the State address, "This session, the centerpiece of my agenda is Home Base Iowa. It is a bipartisan jobs plan focusing on recruiting service members to Iowa and matching them with good, high paying careers. [...] Our veterans have risked their lives defending our freedom.  To show our gratitude, let's make Iowa the leader in respect, support and opportunity for veterans."

In January, the Iowa Business Council announced a goal of hiring 2,500 veterans.  In March, Greene County became the first "Home Base Iowa Community." To date, there have been over 50 Home Base Iowa Businesses statewide, with more to come.

In addition to the Home Base Iowa Act (Senate File 303), Branstad also signed Senate File 2352.

Senate File 2352 an Act relating to the additional homestead credit for certain disabled veterans and including effective date and applicability provisions.

For more information on Home Base Iowa, please visitwww.HomeBaseIowa.org.

"Portrait of a Soldier" Memorial Exhibit on Display at Illinois Tollway Oases through Independence Day  

SCHILLER PARK - Governor Pat Quinn today commemorated Memorial Day by unveiling the "Portrait of a Soldier" memorial exhibit at the O'Hare Oasis and announced the summer exhibit schedule at Tollway Oases in northern Illinois. The exhibit features a series of hand-drawn portraits of nearly all of the more than 300 Illinois men and women who have died while serving our country since Sept. 11, 2001.  

"The 'Portrait of a Solider' memorial exhibit helps people across Illinois learn about true heroes who paid the ultimate sacrifice to protect our freedoms," Governor Quinn said. "From Memorial Day to Independence Day, I encourage everyone to take time to visit the display and honor our brave servicemembers who will forever remain in our hearts and minds."  

The exhibit is on display at the O'Hare Oasis until Sunday, June 1, and then will travel to the Hinsdale Oasis, where it will be displayed through Sunday, June 8. The exhibit will be on display at the Chicago Southland Lincoln, DeKalb, Belvidere and Lake Forest oases through theJuly 4 weekend.  

"By displaying the portraits of these dedicated men and women, we hope to honor the sacrifice they made while serving our country," Illinois Tollway Executive Director Kristi Lafleur said. "We ask our Tollway customers to consider pausing in their travels to view this exhibit and help us commemorate the courage of these brave Americans."  

Governor Quinn established the "Portrait of a Soldier" memorial exhibit in 2004 to honor fallen Illinois servicemembers when artist Cameron Schilling of Mattoon drew the first portrait of Army Spc. Charles Neeley, also of Mattoon, after he was killed in Iraq. Schilling, a student at Eastern Illinois University at the time, committed to drawing a portrait of every servicemember who has fallen during the Global War on Terror.  

"This powerful exhibit presented on this solemn day helps us remember the ultimate price these men and women have paid to ensure our safety," Illinois Department of Veterans Affairs Director Erica Borggren said. "It also reminds us of the duty we have to honor the fallen and support their families."  

Governor Quinn has made commitment to veterans, servicemembers and their families a top priority throughout his career. He led the Illinois Warrior Assistance Program that helps veterans transition back to their daily lives and the Welcome Home Heroes program which helps support Illinois service members seeking homeownership. As Lieutenant Governor, Governor Quinn championed the Illinois Military Family Relief Fund Act, which established a fund to provide grants to families of Illinois National Guard members and Illinois residents serving in the U.S. Armed Forces Reserve components, who are called to active duty. These grants help servicemembers and their families with the costs of food, housing, utilities and other expenses when the wage-earner has left civilian employment for active military duty. The fund has distributed more than $15.1 million to 29,625 Illinois military families to assist with the financial burden at home.

Portrait of a Soldier Memorial Exhibit Schedule

Saturday, May 24 - Sunday, June 1              O'Hare Oasis (Schiller Park), Tri-State Tollway (I-294)

Monday, June 2 - Sunday, June 8                 Hinsdale Oasis, Tri-State Tollway (I-294)

Monday, June 9 - Sunday, June 15               Chicago Southland Lincoln Oasis (South Holland) Tri-State Tollway (I-294/80)

Monday, June 16 - Sunday, June 22             DeKalb Oasis, Reagan Memorial Tollway (I-88)

Monday, June 23 - Sunday, June 29             Belvidere Oasis, Jane Addams Memorial Tollway (I-90)

Monday, June 30 - Sunday, July 6                 Lake Forest Oasis, Tri-State Tollway (I-94)

NOTE: Beginning June 2, the exhibit will open at noon on Mondays at each oasis and for the rest of the week during the dates listed above, will remain open 24/7.

For more information on the "Portrait of a Solder" exhibit or to view the portraits online, please visit www.OperationHomefront.org.

Governor Quinn Honors Military Families with Welcome Home Heroes Program

Visits Cities Across Illinois to Promote Program and Continues Push to Protect Critical Veterans Services from Budget Cuts

WINNEBAGO - As part of his agenda to support our veterans in honor of Memorial Day, Governor Pat Quinn today will visit cities across Illinois to discuss his Welcome Home Heroes program. As part of this program, veterans and their families can take advantage of the $10,000 in cash down-payment assistance that is available. Visiting Rockford, Chicago, Rock Island and Decatur, the Governor is continuing his push for a responsible budget that adequately funds critical veterans services.  

"It is Job One on the homefront to take care of our veterans and military families for all of the sacrifices they make," Governor Quinn said. "With programs like Welcome Homes Heroes, Illinois leads the nation in serving those who have served us. I will continue to fight to ensure we protect our essential veterans services for those who have sacrificed so much."

In addition to the down-payment assistance, the program provides a 30-year fixed rate mortgage with an affordable interest rate (currently 3.875 percent); and a mortgage tax credit worth up to $20,000 over the life of the loan to reduce federal income tax liability. Since the program's launch three years ago, 1,300 Illinois veterans, active military personnel, reservists and Illinois National Guard members have accessed more than $165 million to buy their homes.

The Governor today will visit several veterans and their families today who have achieved their goal of homeownership through the Welcome Home Heroes program:

• ·         Dr. Eric Luke, and his wife, Andrea, had been renting in the Rockford area since 2009 while taking care of Dr. Luke's father who was sick. Luke served four years in Korea and reached Staff Sergeant in the Iraq War and now is currently a chiropractor. They're excited to be in the new house and Welcome Home Heroes made it possible. "We did save our dollars. We're savers by nature," Dr. Luke said. "However, when you factor in student loans from medical school and things we might potentially need to fix up in our new house, we realized that the assistance from Welcome Home Heroes would be just the product to put us over the top. We really appreciate the assistance."
• ·         Billy Lynn served in the Marines from 2000-2004 and achieved the rank of Sergeant. After becoming a Marine he and his unit were deployed in Australia. He was only there for six months when the September 11, 2001 attacks occurred. His unit was deployed to Afghanistan and was one of the very first units to arrive there. He purchased his home in Evergreen Park in October of 2012. "I wouldn't have been able to buy my house without Welcome Home Heroes," Sgt. Lynn said. "The program is great. The assistance ($10,000) really made my home purchase a possibility for me."
• ·         Joshua Thompson is an IT Tech with the Rock Island Arsenal and is also currently in the Army National Guard as an Active Reserve Soldier. He served in Afghanistan from 2010 - 2011 as a Specialist. After coming home from service overseas in 2011, Josh rented in the Quad Cities area as that is where he is from. He purchased his home in October of 2013 after he learned of the Welcome Home Heroesprogram from co-workers who are other military personnel at the Rock Island Arsenal. "I had high standards for the home I wanted to buy. There were a lot of things I was looking for and if it weren't for the assistance by the Welcome Home Heroes program, I would not have been able to purchase this home," Thompson said. "Mary at U.S. Bank explained the program to me and helped me through the process. Overall it's been fantastic!"
• ·         Paul Joliff served in the U.S. Army from 1986 - 1990, where he achieved the rank of an E4 Specialist and worked as a mechanic and crew chief on cobra helicopters. He then served in the National Guard from 1990 - 1994. Paul and his two children recently closed on their home on May 14th in Forsyth. "Welcome Home Heroes was huge for us," Joliff said. "The assistance allowed me not only to get a bigger house, it also allowed me to stay in Forsyth. My kids are in the school there and I love the school district. Getting a bigger home in a great school district was what I really wanted and Welcome Home Heroeshelped make that happen."

Welcome Home Heroes is one of a number of affordable mortgage programs the Governor has launched. In total, Governor Quinn has targeted $20 million total in state capital Illinois Jobs Now! funds to the Welcome Home Heroes program to help increase affordable homeownership opportunities for military veterans and their families.

Additionally, Welcome Home Heroes and other Illinois Housing Development Authority (IHDA) programs help benefit the overall economy. According to the Illinois Association of Realtors (IAR), every home sold generates two jobs and $60,000 in ripple effects to the overall economy. This impact has already been realized statewide with other IHDA programs. In 2013, 3,000 families purchased homes through one of IHDA's programs, generating 1,500 jobs and infusing $70 million into Illinois' economy. Projections show that even just a 15 percent increase in 2014 could generate an additional 1,725 jobs and infuse another $10 million into Illinois' economy.

"Under Governor Quinn's leadership, Welcome Home Heroescontinues to eliminate barriers to homeownership that many Illinois military families face by providing a financial package that is one of the most substantial in the nation," IHDA Executive Director Mary R. Kenney said. "As the state's housing finance agency, we are proud to offer a program that helps military homeowners and improves local real estate markets across Illinois."

IHDA's mortgages have lower credit score requirements, provide cash for down payment assistance and require homeownership counseling. A list of lenders is available at www.ihda.org.

For more information about the Governor's programs for our veterans, visit OperationHomefront.org or call the Illinois Department of Veterans Affairs at (217) 782-6641 or (312) 814-2460.

###

Visits Schools in Rantoul and DeKalb and Fights Against Classroom Cuts  

CHICAGO - With one week to go left in the spring legislative session, Governor Pat Quinn today continued to push for a responsible budget that properly funds schools and avoids devastating cuts to the classroom. If the Illinois General Assembly fails to pass a budget that provides adequate revenue for schools, education at all levels could face $1.1 billion in cuts - including  elementary, secondary and higher education - which would result in up to 15,000 teachers being laid off across the state. The Governor will discuss the importance of properly funding education today at a high school academy in Rantoul and later at Northern Illinois University in DeKalb, while urging lawmakers to pass a balanced budget that avoids cuts to schools. 

"Every child in Illinois deserves access to a great education," Governor Quinn said. "That's why it's so important that we pass a responsible budget that properly funds our schools. As we enter the last week of the spring session, I urge legislators to pass a balanced budget that properly invests in education so we can build a brighter future for all our students."

About half of Illinois' discretionary budget goes to education. If the state's personal income tax rates drop as is currently scheduled, local school districts will suffer $875 million in cuts. This will cause massive teacher layoffs, significant class size expansions, program eliminations and will lead to higher property taxes. A district by district impact may be viewed at this link: http://www2.illinois.gov/gov/budget/Documents/Property_Tax%20Impact_FY15_Not_Recommended.pdf.

Higher education will suffer a similar fate without the continued revenue of the current income tax rate. The $304 million reduction to state universities includes the following cuts: Chicago State University, $4.6 million; Eastern Illinois University, $5.5 million; Governors State University, $3.1 million; Illinois State University, $9.2 million; Northeastern Illinois University, $4.7 million; Northern Illinois University, $11.6 million; Western Illinois University, $6.5 million; Southern Illinois University, $25.3 million; University of Illinois, $82.6 million; and Illinois Math and Science Academy, $2.3 million.

These reductions would cause layoffs, class and program eliminations and significantly higher tuition rates. In addition, 30,000 fewer students would receive Monetary Award Program (MAP) grants to attend college. This state grant program is often the only way that thousands of students in need are able to attend college.      

###