Carolinas HealthCare System
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Internal Medicine

Research Summary

The Department of Internal Medicine has grown dramatically in the last five years, adding 18 new faculty members and a number of new lines of investigation.

Contact Information

Department Office:

704-355-3165 / 704-355-0709 Fax
Scott Furney, MD, FACP, 1100 Blythe Blvd, Charlotte, N.C. 28203

Make a Donation

You may make a tax-deductible contribution to:

Department of Internal Medicine Research and Education Fund
c/o Carolinas HealthCare Foundation
PO Box 32861
Charlotte, N.C. 28232

For further information, contact 704-355-4048.

Faculty Research Interests

Herbert Bonkovsky, MD
Senior Adviser for Research for the Liver-Biliary-Pancreatic Center

Scott Furney, MD, FACP
Chairman, Department of Internal Medicine

Dr. Furney received his MD from the University of Michigan, and also completed his Internal Medicine training there. His research interests have included faculty development in clinical teaching, quality of health care, and thrombembolism treatment and prevention.

Recent Publications

Fletcher KE, Furney SL, Stern DT. Patients speak: what's really important about bedside interactions with physician teams. Teach Learn Med 2007; 19: 120-127. [PMID: 17564539]

Almanaseer Y, Mukherjee D, Kline-Rogers EM, Kesterson SK, Sonnad SS, Rogers B, Smith D, Furney S, Ernst R, McCort J, Eagle KA. Implementation of the ACC/AHA guidelines for preoperative cardiac risk assessment in a general medicine preoperative clinic: improving efficiency and preserving outcomes. Cardiology 2005; 103: 24-29. [PMID: 15528897]

Parekh V, Saint S, Furney S, Kaufman S, McMahon L. What effect does inpatient physician specialty and experience have on clinical outcomes and resource utilization on a general medical service? J Gen Intern Med 2004; 19: 395-401. [PMID: 15109336]

Furney SL, Jensen J, Williams BC. A feasibility study of on-site teacher training for ambulatory preceptors. Med Educ 2001; 35: 1087. [PMID: 11715977]

Furney SL, Orsini AN, Orsetti KE, Stern DT, Gruppen LD, Irby DM. Teaching the one-minute preceptor. A randomized controlled trial. J Gen Intern Med 2001; 16: 620-624. [PMID: 11556943]


Laszlo Littmann, MD, PhD

Dr. Littmann received his MD degree in 1970 from the Semmelweis University Medical School in Budapest, Hungary, and a PhD degree in 1983 from the Hungarian Academy of Sciences. He is board certified in Internal Medicine and Cardiology. His main research interests include clinical electrocardiography, clinical electrophysiology, cardiac arrhythmias and heart failure. Dr. Littmann serves as ad hoc reviewer for the following journals: Circulation, Journal of the American College of Cardiology, International Journal of Cardiology, American Journal of Cardiology, Heart, PACE (Pacing and Clinical Electrophysiology), Journal of Electrocardiology, Journal of Cardiovascular Electrophysiology, Lasers in Medical Science, Medical Science Monitor, Medical Principles and Practice and Clinical Cardiology. He has published over 200 publications in peer-reviewed scientific journals and textbooks and over 50 published abstracts. Dr. Littmann's publications have over 900 citations in peer reviewed scientific journals and textbooks.

Research Interests

The Clinical Significance of Respiratory Artifact in the Electrocardiogram - The purpose of this study is to systematically analyze a large number of consecutive ECGs that exhibit repetitive oscillatory artifacts and to correlate their presence, rate and spacing to patient diagnoses and clinical conditions. Preliminary data suggest that the ECG may be a useful simple noninvasive tool in the recognition of tachypnea, respiratory distress, and various sleep-disordered breathing abnormalities.

The Clinical Spectrum of Electrocardiographic ST-segment Elevation Myocardial Infarction in the Intensive Care Unit - In this study we systematically collect STEMI ECGs in the ICU, and correlate those to the presence of true myocardial infarctions. Preliminary data suggest that this is a common finding in the ICU, but the vast majority of such patients do not have an MI.

Intravenous Calcium Chloride Before IV Diltiazem to Prevent Hypotension in Intensive Care Unit Patients with Atrial Fibrillation - This study is an attempt to establish a new treatment modality to prevent the hypotensive response to intravenous diltiazem in critically ill patients with rapid atrial fibrillation.

Outcomes and Medication Compliance in a Multidisciplinary Heart Failure Clinic - This is a retrospective review studying the impact of compliance with evidence-based medications on clinical and echocardiographic outcomes in our multidisciplinary disease management program for indigent patients with advanced heart failure.

Recent Publications

Littmann L, Rennyson SL. Electrical storm: clinical manifestations and management. Minerva Med 2007; 98: 489-501. [PMID: 18043559]

Littmann L, Brearley WD Jr, Taylor L III, Monroe MH. Double counting of heart rate by interpretation software: a new electrocardiographic sign of severe hyperkalemia. Am J Emerg Med 2007; 25: 584-590. [PMID: 17543665]

Littmann L, Monroe MH, Taylor L III, Brearley WD Jr. The hyperkalemic Brugada sign.
J Electrocardiol 2007; 40: 53-59. [PMID: 17188975]

Littmann L, Taylor L III, Brearley WD Jr. ST-segment elevation: a common finding in severe hypercalcemia. J Electrocardiol 2007; 40: 60-62. [PMID: 17027838]

Richmond HC, Taylor L 3rd, Monroe MH, Littmann L. A new algorithm for the initial evaluation and management of supraventricular tachycardia.  Am J Emerg Med 2006; 24: 402-406. [PMID: 16787795]

Michael Monroe, MD 

Dr. Monroe received his MD from the University Of Florida and completed his Internal Medicine training at Carolinas Medical Center. His research interests have included spirituality and medicine, racial disparities, and clinical cardiology. He is an active member of the National Lipid Association, runs a lipid referral clinic at CMC-Myers Park, and is actively pursuing board certification in Lipidology. 

Recent Publications

Littmann L, Brearley WD Jr, Taylor L III, Monroe MH. Double counting of heart rate by interpretation software: a new electrocardiographic sign of severe hyperkalemia. Am J Emerg Med 2007; 25: 584-590. [PMID: 17543665]

Littmann L, Monroe MH, Taylor L III, Brearley WD Jr. The hyperkalemic Brugada sign.
J Electrocardiol 2007; 40: 53-59. [PMID: 17188975]

Richmond HC, Taylor L 3rd, Monroe MH, Littmann L. A new algorithm for the initial evaluation and management of supraventricular tachycardia.  Am J Emerg Med 2006; 24: 402-406. [PMID: 16787795]

Monroe MH, Bynum D, Susi B, Phifer N, Schultz L, Franco M, MacLean CD, Cykert S, Garrett J. Primary care physician preferences regarding spiritual behavior in medical practice.  Arch Intern Med 2003; 163: 2751-2756. [PMID: 14662629]

Littmann L, Monroe MH, Kerns WP 2nd, Svenson RH, Gallagher JJ. Brugada syndrome and "Brugada sign": clinical spectrum with a guide for the clinician.  Am Heart J 2003; 145: 768-778. [PMID: 12766732]

Current, Recent and Pending Grant Support

Dr. Rissmiller is a member of the Pulmonary & Critical Care Consultants in the Department of Internal Medicine at Carolinas Medical Center. He received his medical degree from the Wake Forest University where he also completed his residency in internal medicine and fellowship in pulmonary and critical care. His current clinical and research interests relate to pulmonary hypertension, asthma, respiratory care and critical care. He is involved with the development and implementation of the educational curriculum for the internal medicine residents in pulmonary and critical care.

Recent Publications

Rissmiller R.  Patients are not airplanes and doctors are not pilots.  Crit Care Med 2006; 34: 2869. [PMID: 17053587]

O'Donovan C, Rissmiller RW, Rinn A, McCall V. Outcome of patients with sleep complaints and normal polysomnograms. J Clin Sleep Med 2006; 2: 325-327. [PMID: 17561546]

Clay KD, Hanson JS, Pope SD, Rissmiller RW, Purdum PP 3rd, Banks PM. Brief communication: severe hepatotoxicity of telithromycin: three case reports and literature review. Ann Intern Med 2006; 144: 415-420. [PMID: 16481451]

Rissmiller RW and Adair NE. Chapter 22:  Respiratory Diseases. In:  Current Geriatric Diagnosis and Treatment. Appleton & Lange, 2004.

Martin Scobey, MD, FACP

Dr. Scobey is the head of the Gastroenterology Section at Carolinas Medical Center. He received his medical degree from the University of Tennessee where he also completed his residency in internal medicine.  He subsequently completed his gastroenterology fellowship at the Wake Forest University School of Medicine. His current clinical and research interests relate to esophageal disorders, infectious colitis and inflammatory bowel disease. He is currently involved with the planning and implementation of a gastroenterology fellowship training program to start at Carolinas Medical Center in July of 2009.

Research Interests

C. Difficile Colitis:  A Retrospective Study of Incidence and Severity Before and After Institution of an Alcohol Based Hand Rub (ABHR) Policy

Intestinal Spirochetosis Analysis

Recent Publications

Bahrani-Mougeot FK, Scobey MW, Sansonetti PJ.  Enteropathogenic infections.  In:  Lederberg J, ed.  Encyclopedia of microbiology.  San Diego:  Academic Press, 2008; in press.

Scobey MW, Bonkovsky HL.  Iron:  a putative reason for gender-based differences in chronic liver disease.  In:  Shimizu I, ed.  Female hepatology:   impact of female sex against progression of liver disease.  Kerala, India:  Research Signpost, 2008; in press.

Shaffer RA , Scobey MW. Ring around the cardia: a watermelon stomach variant. Gastrointest Endosc 2003; 57: 280-282. [PMID: 12556809]

Grant Title: Lung Cancer Surgery: Anatomy of the Decision
Funding Agency: American Cancer Society
Role: Co-investigator
Years: 2005-2008

Richard Rissmiller, MD, FCCP

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