Volume 16 - February 23, 2021
TRANSFORMING HEALTHCARE
Friends & Colleagues,

In today’s newsletter, we identify some of the surgical, psychiatric and ENT treatment UNLV Medicine afforded Drew Robinson, a professional athlete from Las Vegas whose mental health challenges nearly cost him his life. Dr. Tina Elkins, an assistant professor in the UNLV School of Medicine Department of Otolaryngology Head & Neck Surgery, points out that resident physicians in training played a critical role in his recovery. Mr. Robinson, whose story is well chronicled by ESPN.com, recently visited our ENT Department to say thank you. Dr. Elkins made sure resident physicians were there. She wanted them to understand that successful medicine requires teamwork. Said Dr. Elkins: “Every patient that comes in has a story, and at the time of the injury none of us know what their story was or will be. They (residents) were able to see that their compassionate, hard work has allowed a person to reach a new height. Drew has been able to affect many people, to help them on the mental health journey, but it is residents like ours who make this possible.”



Michael Gardner, MD, MPH, MMM
President & CEO, UNLV Medicine
Vice Dean of Clinical Affairs
UNLV School of Medicine
School of Medicine Granted Full Accreditation

The Liaison Committee on Medical Education (LCME) notified Dean Kahn on Friday, February 19th, that the UNLV School of Medicine has been granted Full Accreditation.
Full announcement found here:
https://bit.ly/3s882IE


Celebrating Black History Month

Dr. Charles I. West, a native of Washington D.C. and a graduate of Howard University Medical School in the nation’s capital, became the first Black medical doctor in Southern Nevada. 

In 1954 the West family moved from Detroit to Las Vegas at the suggestion of Count Basie, the great bandleader and friend of Dr. West, Basie, who often played in Las Vegas, believed there should be more professional blacks in the community. 

Dr. West served in World War II as a field surgeon and was wounded in France. Following his military discharge, he studied at the London Tropical School of Medicine.   

A civil rights activist, Dr. West became the president of the Nevada Voters’ League. He also became publisher of the Las Vegas Voice, then the state’s only Black newspaper.

Upon Dr. West’s death at the age of 84 in 2001, the Clark County School District named the Charles I. West Middle School after him. 

Nevada Gov. Mike O’Callaghan said of Dr. West: “Doc West was Nevada’s Martin Luther King.”

Source: https://www.onlinenevada.org/articles/charles-i-west

Professional Athlete Helped by
UNLV Medicine
Returns to Say 'Thank You'
Dr. Tina Elkins with professional baseball player Drew Robinson, who despite losing an eye in a suicide attempt, is attempting a comeback and has become an advocate for mental health awareness.
April 16, 2020. That was the day Drew Robinson, a former Las Vegas area high school baseball star who had made it to the major leagues, chose to die by his own hand. 

Long beset by depression, the 28-year-old middle infielder and outfielder pressed his handgun against his right temple and pulled the trigger. 

The bullet fractured bones on the right side of his face, ruptured his right eyeball and shattered his frontal sinus. Cerebrospinal fluid leaked. There was also a ruptured eardrum and minor fractures to the left side of his face.

Instead of dying, for 20 hours Robinson did a lot of thinking as he lay on the floor in his Las Vegas home. He showered and brushed his teeth

Eventually, he also dialed 9-1-1.. 

Not long after the arrival of Robinson’s ambulance at the UMC Trauma Center, UNLV Medicine physicians would begin their critical behind the scenes roles in a surreal story of survival and mental health advocacy that ESPN has detailed in print and in an hour-long documentary, Alive: The Drew Robinson Story at Espn.com.

Recently, Robinson, who is hoping to resume his baseball career with the San Francisco Giants, visited with members of the UNLV Medicine medical team that he thanks for having the medical expertise necessary to help give him a new lease on life.

“I had been thinking about the doctors who saved my life,” Robinson said after his visit with UNLV School of Medicine Department of Otolaryngology (ENT) faculty physicians. “I can’t thank them enough...I’m not only thinking about getting a chance to resume my baseball career. I’m also thinking about all the people I hope I can help get through times that they don’t think are winnable. There are always people you can reach out to who will help you. I hope my story will let people know I was there in that dark moment. I want people to understand the power behind talking. Reach out to help yourself and then you can help others. I want people to reach out to someone.” 

When UNLV physicians, who didn’t know about Robinson’s professional baseball pedigree during his two weeks of treatment, reflect on his time at UMC, they remember a healthcare emergency system where everything worked as it should.

“There was a synergistic collaboration among our otolaryngology, neurosurgery, psychiatry, trauma and nursing teams,” said Dr. Allen Young, an ENT Surgical Resident who saw Robinson early on during his evaluation and treatment. “All our teams united together to provide surgical, medical and mental convalescence. When he finally walked out of the hospital, he had not only recovered in body, but also in spirit.”
“All our teams united together to provide surgical, medical and mental convalescence. When he finally walked out of the hospital, he had not only recovered in body, but also in spirit.”
Dr. Allen Young, an ENT Surgical Resident
Dr. Douglas Fraser, the UNLV physician who heads UMC Trauma, talked and worked with Robinson after he arrived at the hospital. He remembers that Robinson was alert and talking about what happened. “We made sure he was breathing and not bleeding,” Fraser said. “We stabilized him.”

Fraser also remembers having to tell Robinson’s sister that she couldn’t visit because of COVID-19 safety protocols. And he recalls consults made in Robinson’s case with an ophthalmologist and UNLV Medicine specialists. Dr. Eden Lee, an assistant professor in the UNLV School of Medicine Department of Psychiatry and Behavioral Health, was the attending psychiatrist. “We made sure he had the appropriate psychiatric evaluation,” noted Fraser, whose trauma team gave Robinson a birthday card and candy when they learned he’d celebrate his birthday in the hospital. “We told him we were all here for him, that we were glad he was still with us.”

A Las Vegas ophthalmologist had to remove Robinson’s right eye. He now can wear a fitted prosthesis.

ENT surgical resident Young remembers clearly his time with Robinson.

“Surprisingly, even with all of his injuries, he was awake and attentive. I introduced myself and started to work on repairing his laceration at his bedside. While I was suturing, we talked about his insecurities, his feelings of poor self-worth, and his ongoing battle with depression. His inner struggle was daunting, yet there was still enduring hope in his voice. His head may have been bloodied, but it remained unbowed.”

Dr. Tina Elkins, a UNLV School of Medicine Department of Otolaryngology Head & Neck Surgery Assistant Professor who has become well known in Southern Nevada for her treatment of complex sinus conditions, oversaw the ENT team. Resident physician Dr. Nathaniel Reeve contributed to the facial surgery Elkins spearheaded. 

“Dr. Elkins is a really good teacher,” Reeve said. “She walks me through the case. Anything I’m unsure of, she gives me her input.” 

Elkins says she’ll never forget the case. 

“We had to wait...for the swelling to reduce some prior to going to the operating room. Once he was stable, we took him to repair the right orbit (eye socket)...We had to add (titanium) plates to the outer bones of the right orbit and floor of the orbit. We also attempted to cosmetically repair the skin as much as possible...Other complications that he suffered included injury to the sinuses that could not be repaired. For a few weeks he also had cerebral spinal fluid leaking...That eventually stopped without intervention...A real metamorphosis has occurred...He is back pursuing his career as professional baseball player...He has been a strong advocate for mental health, trying to get people to lose the stigma of depression.”

Robinson was taken in the fourth round of the 2010 draft out of Silverado High School by the Texas Rangers. After seven years of the physical grind that is baseball’s minor leagues and its notoriously long bus rides, he received the call he’d always dreamed about in 2017 when the Rangers promoted him to the majors. He played parts of the 2017 and 2018 seasons for the Rangers and appeared in five Major League games in 2019 for the St. Louis Cardinals. Reassignments to the minor leagues during this time only enhanced his depression. This past January, he signed with the Giants as a free agent. Lately, he’s been working out in Las Vegas prior to spring training, doing batting practice at the Las Vegas Ballpark, home of the Las Vegas Aviators minor league team in Summerlin.

“Drew sends me clips frequently of his batting practice, most recently a home run at the Ballpark,” Elkins said. “Amazing to see what he can do with one eye.”
 
Elkins is thankful Robinson visited with her medical team. 

“I think the main thing...about Drew’s story that I wanted the residents to see, was their impact. So many times the attending (physician) gets credit for the outcome, but it is the team that gets you there…So what all did our ENT residents do? Dr. Allen Young and Dr. Yuna Kim were the first on our team to see him. Dr. Kim helped arrange his evaluation with psychiatry while Dr. Young initially repaired his facial wounds. Dr. Nathan Reeve was the upper level resident who was with me in Drew’s surgery. He helped make decisions with me on the treatment of the fractures...Dr. Jacob Kahane, our chief resident at the time and Dr. Albert Yang were part of the team that daily cared for and rounded on Drew while he was an in-patient...I’ve been so proud to work with them.” 

Robinson, who said he couldn’t be more happy with his medical treatment, said the UNLV Medicine physicians who were on call worked well under pressure. 

“They’ve helped me get another chance,” he said. “I’ll always be grateful.”
Drew Robinson returned to the UNLV Medicine ENT clinic to say thank you to the doctors who helped save his life. L-R: Dr. Albert Yang, Dr. Tina Elkins, Drew Robinson, Dr. Yuna Kim, Dr. Nathaniel Reeve
Dr. Allen Young, Dr. Muhammed Shand.
UNLV School of Medicine In The News
Empowered With Purpose: Drew Robinson Steps Back Into The Batter’s Box

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Featured: UNLV Medicine ENT
Graduating UNLV Medical Students Discuss Their Unprecedented Four Years

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Interviewed: Charter Class members Lauren Hollifield, Diane Han and Horacio Guerra
UNLV Vaccine Site Scales Back Operations Due to Winter Storms Across Nation

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Interviewed: Dr. Michael Gardner

UNLV School of Medicine Dean Hopes Accreditation Will Remedy Shortage of Doctors in Nevada

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Interviewed: Dean Kahn
UNLV School of Medicine Granted Full Accreditation

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