Outcomes 2017 - Baylor Heart and Vascular Services FY2017 | Page 83

Sometimes, innovation occurs without the inventor even being aware of what he or she is creating. That’s exactly what happened to William C. Roberts, MD, pathologist and executive director of the Baylor Heart and Vascular Institute (BHVI), editor-in-chief of The American Journal of Cardiology and Baylor University Medical Center Proceedings and dean of the A. Webb Roberts Center for Continuing Medical Education. “One day I was walking down the hall in the hospital, past the cardiac catheterization waiting room, and a man stopped me and asked, ‘Hey, aren’t you Dr. Roberts?’ I said, ‘yes,’ and then he told me that he had received a heart transplant at Baylor Dallas 10 years earlier. The next words out of his mouth surprised me. ‘I understand you have my old heart and I’d like to see it.’ I thought for a minute and then told him to come to the hospital the following Monday at 1 p.m. for our weekly conference that all of the physicians and residents attend.” Baylor Dallas is fortunate to have a storage area where all of the original hearts removed from transplant patients are kept, Dr. Roberts explains. He found the man’s heart and prepared it for him to view. At the weekly conference, the transplant patient and the conference attendees watched in amazement as Dr. Roberts showed the man his old diseased heart and explained to him why the heart had quit working. Just like that, an innovative, only one-of-its- kind-in-the-world program had been born – the Hea rt-to- Heart program. “Heart transplant patients form a bond and soon the man had told other transplant patients about his experience,” Dr. Roberts explained. “They began calling me wanting to see their old hearts. Often, the patients bring their spouses, children and extended family to see their heart. I decided to use this as a critical teaching moment, so I explain to the patient how his or her lifestyle choices had contributed to their heart disease. I tell them they’d better cherish and care for their new heart because only 2,300 people in the world receive a new heart each year.” One of the most meaningful moments of the entire experience is when the transplant patient is able to hold his or her old heart. “I’ve only had one patient cry, a young Mexican man, who had his life turned upside down in only two months. He was active and healthy one minute and the next he was diagnosed with sudden heart failure. Within weeks he had a heart transplant and just a few weeks later he was holding his old heart in his hands. He was overwhelmed.” Heart-to-Heart: The Story of a One-of-a-Kind Program In fiscal year 2017, the 80th heart “viewing” occurred and the transplant patient was able to see and get to know his old diseased heart. And the beat goes on as interest continues to build in this innovative service to those with a new lease on life – thanks to their new heart. “The man who originally asked to see his old heart is now 14 years post-transplant,” explains Dr. Roberts. “In the first decade after his transplant, he became a grandfather five times over. Without the transplant he wouldn’t have been around to enjoy them.” William C. Roberts, MD, MACC, Executive Director, Baylor Heart and Vascular Institute; Editor-in-Chief, The American Journal of Cardiology; Editor-in-Chief, Baylor University Medical Center Proceedings; Dean, A. Webb Roberts Center for Continuing Medical Education; Lifetime Achievement Award, American College of Cardiology Williamsburg Conference on Heart Disease focus was on coronary artery disease, its treatment and its prevention. A distinguished faculty of nationally and internationally recognized experts in cardiac disease presented a wide range of topics, including The New Paradigm in the Treatment of Heart Failure, Transcatheter Aortic Valve Replacement, The Effect of Kidney Disease on the Heart, and Vice Versa: Role of Metabolic Factors. The Williamsburg Conference on Heart Disease will be held again in December 2017 for the 44th time. Dr. Roberts’ interest in educating his colleagues and students about heart disease continued in fiscal year 2017 with the 43rd annual Williamsburg Conference on Heart Disease. Dr. Roberts founded the program when he was at the National Institutes of Health (NIH). Cardiology specialists from across the country attend the conference each year. The program, held in December 2016, explored the physiologic and structural bases for cardiac dysfunction and ischemia, and therapeutic means to reverse them or to slow their progress. The primary 81