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Get Your Faucet Fixed! 6/19 1998 116 Check out the Plumbers in our Marketplace Home and Service Guide. /Health At The Heart Of The Big Apple A department chair at Henry Ford is heading off to New York. 0 0 0. SUZANNE CHESSLER Special to The Jewish News , D r. Michael Lesch keeps his hand on the pulse of car- diac care. A practicing physician, researcher and medical journal editor, for the past nine years Dr. Lesch also has been chairman of the Department of Medicine at Henry Ford Hospital. That will change on July 1, when he becomes chairman of the Department of Medicine at St. Luke's Roosevelt Hospital in New York. Being closer to family was the deciding factor for Dr. Lesch and his wife, Bella. "The hospitals are pretty much identical, and my responsibilities will be pretty much the same," said the 58- year-old physician. He joined Ford Hospital after serving as chief of the Section of Cardiology at Northwestern University Medical School in Chicago. He will also serve as a professor of medicine at Columbia College of Physicians and Surgeons when he joins St. Luke's. Dr. Lesch, whose work week runs between 60 and 70 hours, spends 40 percent of his time on patient care, 30 percent on administrative duties and the remainder on education and research. Much of the latter is wrapped into patient care activities. "At the time I was training in the early '60s, cardiology seemed quite exciting, and it was something that I enjoyed doing," said Dr. Lesch, who received his medical degree from Johns Hopkins University in Baltimore and completed his internship and residency in the Osler Medical Service at Johns Hopkins. "The field has certainly met my expectations with the most telling comment in the way we treated a heart attack patient when I was an intern in 1964 and the way we treat a patient in 1998. "It has become a completely differ- ent world with great leaps made, and it's been fun to be part of it and quite exciting intellectually." Dr. Lesch recalls his internship years as a time when heart attack patients were essentially treated with bed rest. Patients waited seven days to begin walking and hospital stays for cardiac "Dr. Lesch has really been a triple care averaged 28 days. threat in his field," said Dr. Steven Now, specialists can treat arrhyth- Borzak, director of cardiac intensive mias, shock people out of heart attacks, care at Ford Hospital. "He has shown put in pacemakers, open arteries and an outstanding level of attention to do bypass surgery and angioplasty patient care, research and teaching as while1uming to any number of drugs he directs the work of 200 that improve the healing doctors divided among Clinician, researcher, process after an attack multiple locations. editor, Dr. Michael "Everything that is "He has brought in first- Lesch is lea ving Ford stancinrd therapy today e years. after nin rate department chiefs, was not available 35 years and as the person who is ago," he explained. "The in charge of the resident program at mortality rate for myocardial infarc- Ford, Dr. Lesch has guided them tion, assuming the patient made it to through a changing medical environ- the hospital, was about 35 percent ment. He makes time to go on when I was an intern. It's 6 to 7 per- rounds." cent now." Dr. Lesch directed the following During his years at Ford, Dr. Lesch divisions at Ford: allergy and has studied congestive heart failure and immunology, cardiovascular medicine, the mechanisms of treatment. clinical and molecular genetics, His team, working with both ani- endocrinology and metabolism, gas- mals and patients, found that the pro- troenterology, general internal medi- gression of these problems can be cine, hematology and oncology, hyper- retarded by increasing standard doses tension and vascular research, infec- of nitrates and ACE inhibitors. tious diseases and hospital epidemiolo- He also has studied scar tissue and gy, nephrology and hypertension and ways to determine which patients can pulmonary and critical care medicine. be helped with medication. Dr. Lesch, who has written more "One of the things that has come than 200 articles and abstracts on dif- out of a lot of research in the past 10 ferent aspects of cardiovascular medi- years is that the degree of symptoms cine, does not consider his work stress- that a patient has is not necessarily ful because he likes what he's doing. related to the degree of (heart) dys- He is especially enthusiastic about function. recent evidence showing that heart dis- "Someone who has trivial dysfunc- ease can be prevented with the use of a tion or modest dysfunction can be new class of drugs, called statins, by quite limited. Conversely, people who taking aspirin and folic acid regularly, have almost total dysfunction can be and implantable defibrillators. He without symptoms. looks forward to more studies on how "Probably in the next decade, the each of these treatments can be applied thing that we're going to see is research most effectively for individual patients. into what's best for a population of Outside work, Dr. Lesch is enthusi- patients and how we can determine astic about programs at the Bais that. How can we save our silver bul- Chabad of West Bloomfield, activities lets for the people who need them and that include his wife and two grown not use them on those who don't."