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(Continued from page 78)
number. 1 month
4. Initiation of beginning clinic center of excellence. Cooperation with other facilities? 2 months
5. Determination of the NSC's medical and equipment needs. 2 months
6. Written business plan. 1 months
7. Written clinical plan. 1 months
8. Basic support staff. 1 month
9. Initiation of agreements with the Universities. 3 months
10. Launch of Internet site. 4 months
11. Recruitment of initial support staff. 4 months
12. Development and distribution of the integrated computer system, which includes the insurance system, medical record system and information system. 18 months
13. Purchase initial capital equipment. 6 months
14. Initiation of NSC committees. These will consist of they clinical pathway committee, operations and finance committee, research and education committee, marketing committee, grants and funding committee advanced medicine committee. 8 months
15. Development of the NSC logo, general patient pamphlet, patient disease pamphlets and clinical pathways. 6 months
16. Recruitment of initial faculty and staff. 3-6 months
17. Purchase of the remainder of capital equipment. 18 months
18. Recruitment of remainder of faculty. 24 months
19. Comprehensive citywide and statewide marketing campaign. 24 months
9.9A+11C+65000sq.ft.
The Ice Age Continues- The Use Of Cryogenic Surgery For The Treatment Of Malignant Primary Brain Tumors Failing Standard Therapy with collaboration from Dr. Quigley
James Arnott in 1851 was the first to utilize the local application of hypothermia to treat neoplasms thus beginning the era of cryosurgery. This was followed by intermittent reports over the next hundred years dealing with the use of surface cooling to physiologically inhibit or anatomically destroy biological tissue. The next concise article detailing the use of a cooling cannula was from Rowbotham in 1959 (25). They illustrated a cannula, 0.2 inches in diameter by 8 inches in length, which circulated cooling fluid consisting of 95% alcohol. The freezing mixture was solid carbon dioxide and an acetone composite, yielding a cooling coil (Continued on page 80)
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