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Experts from the Cincinnati Fetal Center meet with you to outline the options available and to provide supportive care and non-directive counseling. They work in conjunction with your primary OB / GYN or maternal-fetal medicine (MFM) specialist to formulate a collaborative plan of care.
Call 1-888-FETAL59 to make a referral or speak with a specialist.
Paul S. Kingma, MD, PhD Neonatal Director, Cincinnati Fetal Center
Neonatal Director, Cincinnati Fetal Center
Associate Professor, UC Department of Pediatrics
Neonatology; congenital diaphragmatic hernia; neonatal infection
Innate immune systems; surfactant protein D; neutrophil function in cystic fibrosis
Foong-Yen Lim, MD Surgical Director, Cincinnati Fetal Center
Surgical Director, Cincinnati Fetal Center
Associate Professor, UC Department of Surgery
Open fetal surgery and fetoscopic surgery; ex-utero intrapartum treatment (EXIT); congenital high airway obstruction syndrome (CHAOS); congenital diaphragmatic hernia (CDH); fetal gene therapy; neonatal surgery; thoracic surgery; minimally invasive surgery
Visit the Lim Lab.
Donna O. Patno, DNP, CNM Clinical Director, Cincinnati Fetal Center
Clinical Director, Cincinnati Fetal Center
Fetal diagnosis and treatment; reproductive ethics; diabetes in pregnancy; perinatal hospice.
Donna Orofino Patno DNP, CNM, graduated in 1987 from Union College, NY with a degree in biology and psychology. Choosing to pursue a career nursing, she went on to receive a Doctor of Nursing with a focus in women's healthcare in 1990, a Master of Nursing Science in nurse midwifery in 1991, and was then awarded a Doctor of Nursing Practice in 2006, all from Frances Payne Bolton School of Nursing at Case Western Reserve University. She has held a variety of clinical appointments in nurse midwifery and fetal diagnosis and therapy throughout Northeast Ohio prior to relocating to Cincinnati to continue to help care for pregnant women and their babies.
Donna has lectured extensively on fetal diagnosis and treatment, diabetes during pregnancy, pregnancy in the adult survivor of congenital heart disease, the ethics of medical decision making in pregnancy, and anticipatory guidance in patient education.
BS: Union College, Schenectady, NY, 1987.
ND: Case Western Reserve University, Cleveland, OH, 1990.
MSN: Case Western Reserve University, Cleveland, OH, 1991.
DNP: Case Western Reserve University, Cleveland, OH, 2006.
Ghosh P, Reid JR, Patno D, Friedman NR. Fetal MRI in Hydranencephaly. J Paediatr Child Health. 2013 Apr;49(4):335-6.
Singh AD, Traboulsi EI, Reid J, Patno D, Chapa J, Rodriguez R, Iben S, Schoenfield L. Orbital Cyst: Prenatal Diagnosis. Ophthalmology. 2009 Oct;116(10):2042-42.e2.
Broaddus E, Patno D, Reid J, Chapa J, Traboulsi E, Singh A. Prenatal Imaging of the Eye and Ocular Adnexae. In E. Traboulsi, Genetic Disorders of the Eye. New York: Oxford University Press. 2011. 2nd Edition 163-173.
Jose L. Peiro, MD Endoscopic Fetal Surgery Director, Cincinnati Fetal Center
Endoscopic Fetal Surgery Director, Cincinnati Fetal Center
Pediatric Surgeon, Division of General and Thoracic Surgery
Neonatal surgery; fetal surgery
Myelomeningocele intrauterine repair; fetal tracheal occlusion for CDH
Visit the Peiro Lab.
MD: Medical School at Universidad Autonoma de Barcelona, Barcelona, Spain, 1989.
MBA: Health and Hospital Management, Universitat Oberta de Catalunya (UOC), Barcelona, Spain, 2010-2012.
Residency: Pediatric Surgery, Hospital Vall Hebron (UAB), Barcelona, Spain, 1991-1995.
Observership: Fetal Surgery, The Children's Hospital of Philadelphia, Philadelphia, PA, 2001.
Burgos L, Encinas JL, García-Cabezas MA, Peiró JL, López-Santamaría M, Jaureguízar E. Bladder Changes After Several Coverage Modalities in the Surgically Induced Model of Myelomeningocele in Lambs. Actas Urol Esp. 2014 January - February;38(1):55-61.
Peiro JL, Fontecha CG, Ruano R, Esteves M, Fonseca C, Marotta M, Haeri S, Belfort MA. Single-Access Fetal Endoscopy (SAFE) for myelomeningocele in sheep model I: amniotic carbon dioxide gas approach. Surg Endosc. 2013 Oct;27(10):3835-40.
Ruano R, Peiro JL, da Silva MM, Campos JA, Carreras E, Tannuri U, Zugaib M. Early fetoscopic tracheal occlusion for extremely severe pulmonary hypoplasia in isolated congenital diaphragmatic hernia: preliminary results. Ultrasound Obstet Gynecol. 2013 Jul;42(1):70-6.
Peiró JL, Encinas JL. Fetal surgery of myelomeningocele: from experimental results to clinical evidence. Cir Pediatr. 2012 Jan;25(1):1-3.
Encinas JL, García-Cabezas MÁ, Barkovich J, Fontecha CG, Peiró JL, Soto GM, Borrell V, Reillo I, López-Santamaría M, Tovar JA, Farmer DL. Maldevelopment of the cerebral cortex in the surgically induced model of myelomeningocele: implications for fetal neurosurgery. J Pediatr Surg. 2011 Apr;46(4):713-22.
Fontecha CG, Peiro JL, Sevilla JJ, Aguirre M, Soldado F, Fresno L, Fonseca C, Chacaltana A, Martinez V. Fetoscopic coverage of experimental myelomeningocele in sheep using a patch with surgical sealant. Eur J Obstet Gynecol Reprod Biol. 2011 Jun;156(2):171-6.
Peiró JL, Carreras E, Guillén G, Arévalo S, Sánchez-Durán MA, Higueras T, Castillo F, Marhuenda C, Lloret J, Martínez-Ibáñez V. Therapeutic indications of fetoscopy: a 5-year institutional experience. J Laparoendosc Adv Surg Tech A. 2009 Apr;19(2):229-36.
Castillo F, Peiró JL, Carreras E, Ruiz C, Linde A, Ribes C, Creus A. The exit procedure (ex-utero intrapartum treatment): management of giant fetal cervical teratoma. J Perinat Med. 2007;35(6):553-5.
William J. Polzin, MD MFM Co-Director, Cincinnati Fetal Center
MFM Co-Director, Cincinnati Fetal Center
BA: University of Wisconsin-Milwaukee; University of Wisconsin-Madison.
MD: Medical College of Wisconsin, Milwaukee, Wisconsin, 1983.Internship: Obstetrics and Gynecology, Madigan Army Medical Center, Tacoma, Washington, 1983-1984.Residency: Obstetrics and Gynecology, Madigan Army Medical Center, Tacoma, Washington, 1984-1987.Fellowship: Maternal-Fetal Medicine, Madigan Army Medical Center, Tacoma, Washington, 1989-1991.
Aimen F. Shaaban, MD Director, Center for Fetal Cellular and Molecular Therapy
Director, Center for Fetal Cellular and Molecular Therapy
Professor, UC Department of Surgery
Surgical treatment of fetal and newborn diseases including: open and minimally invasive fetal surgery; congenital lung and airway disease; congenital esophageal disease; sacrococcygeal teratoma; conjoined twins; neonatal surgery.
Examination of the mechanisms of long-term immunologic tolerance to prenatally transplanted stem cells; developmental hematology, pluripotent stem cell biology; fetal gene therapy
Visit the Shaaban Lab.
Dr. Shaaban served as an associate professor of surgery with tenure and as director of the Laboratory for Fetal Cellular Therapy at the University of Iowa Carver College of Medicine from 2008-2012. Prior to that he served as director of the Laboratory for Fetal Cellular Therapy at University of Wisconsin College of Medicine from 2002-2008.
MD: University of Illinois College of Medicine, Chicago, IL, 1991.
General Surgery Residency: University of Iowa Hospital and Clinics, Iowa City, Iowa, Jul 1991-Jun1996.
Pediatric Surgical Residency: The Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, Jul 2000-Jun 2001.
Post-doctoral Fellowship in Fetal Surgery Research: Children's Institute for Surgical Science, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, Jul 1996-Jun 1999.
Certification: Diplomate of the National Board of Medical Examiners, 1991; diplomate of the American Board of Surgery, 1997, 2011; diplomate of the American Board of Pediatric Surgery, 2006.
James W. Van Hook, MD MFM Co-Director, Cincinnati Fetal Center
Professor, UC Department of Pediatrics
Mounira A. Habli, MD Maternal Fetal Medicine Specialist, Cincinnati Fetal Center
Maternal Fetal Medicine Specialist, Cincinnati Fetal Center
Assistant Professor, UC Department of Surgery
Modification of the Wigglesworth model of Intrauterine growth restriction in mice as the animal model; invitro assessment of Insulin like growth factors and adenoviral associated gene expression of insulin like growth factor-I in a rat trophoblast cell line (RCHO-1).
Visit the Habli Lab.
Ronald K. Jaekle, MD Maternal Fetal Medicine Specialist, Cincinnati Fetal Center
Professor, UC Department of Obstetrics & Gynecology
Sundeep G. Keswani, MD Pediatric Surgeon, Division of General, Thoracic and Fetal Surgery
Pediatric Surgeon, Division of General, Thoracic and Fetal Surgery
Fetal Surgeon, Cincinnati Fetal Center
Director, Pediatric Advanced Wound Care and Skin Services
Gene therapy applications; bone marrow contribution to tissue repair; fetal diagnosis and treatment.
Visit the Keswani Lab.
Dr. Sundeep G. Keswani is a pediatric and fetal surgeon. He is also the director of the Pediatric Advanced Wound Care and Skin Service (PAWS), which is a state-of-the-art wound care center devoted to the care of children. Dr. Keswani is the lead principal investigator in the Cincinnati Children’s Wound Healing Research Group, which is an NIH-funded laboratory that focuses on understanding the molecular mechanisms which underlie the fetus’ ability to regeneratively heal wounds with the goal of developing novel therapeutics to achieve regenerative wound healing in postnatal tissue.
Alice King MD, Swathi Balaji PhD, Louis D. Le MD, Emily Marsh, Timothy M. Crombleholme MD, Sundeep G. Keswani MD. Interleukin-10 Regulates Fetal Extracellular Matrix Hyaluronan Production. Journal of Pediatric Surgery. (In press).
Visscher M, King A, Nie AM, Schaffer P, Taylor T, Pruitt D, Giaccone MJ, Ashby M, Keswani S. A Quality-Improvement Collaborative Project to Reduce Pressure Ulcers in PICUs. Pediatrics. 2013 Jun;131(6):e1950-60.
Keswani SG, Balaji S, Le LD, Leung A, Parvadia JK, Frischer J, Yamano S, Taichman N, Crombleholme TM. Role of salivary vascular endothelial growth factor (VEGF) in palatal mucosal wound healing. Wound Repair Regen. 2013 Jun 11.
King A, Balaji S, Marsh E, Le LD, Shaaban AF, Crombleholme TM, Keswani SG. Interleukin-10 regulates the fetal hyaluronan-rich extracellular matrix via a STAT3-dependent mechanism. J Surg Res. 2013 Apr 24.
Balaji S, King A, Dhamija Y, Le LD, Shaaban AF, Crombleholme TM, Keswani SG. Pseudotyped adeno-associated viral vectors for gene transfer in dermal fibroblasts: implications for wound-healing applications. J Surg Res. 2013 Apr 3.
Keswani SG, Balaji S, Le L, Leung A, Katz AB, Lim FY, Habli M, Jones HN, Wilson JM, Crombleholme TM. Pseudotyped AAV vector-mediated gene transfer in a human fetal trachea xenograft model: implications for in utero gene therapy for cystic fibrosis. PLoS One. 2012;7(8):e43633.
Keswani SG, Balaji S, Le L, Leung A, Lim FY, Habli M, Jones HN, Wilson JM, Crombleholme TM. Pseudotyped adeno-associated viral vector tropism and transduction efficiencies in murine wound healing. Wound Repair Regen. 2012 Jul-Aug;20(4):592-600.
Gordon A, Kozin ED, Keswani SG, Vaikunth SS, Katz AB, Zoltick PW, Favata M, Radu AP, Soslowsky LJ, Herlyn M, Crombleholme TM. Permissive environment in postnatal wounds induced by adenoviral-mediated overexpression of the anti-inflammatory cytokine interleukin-10 prevents scar formation. Wound Repair Regen. 2008 Jan-Feb;16(1):70-9.
Javazon EH, Keswani SG, Badillo AT, Crombleholme TM, Zoltick PW, Radu AP, Kozin ED, Beggs K, Malik AA, Flake AW. Enhanced epithelial gap closure and increased angiogenesis in wounds of diabetic mice treated with adult murine bone marrow stromal progenitor cells. Wound Repair Regen. 2007 May-Jun;15(3):350-9.
Keswani SG, Katz AB, Lim FY, Zoltick P, Radu A, Alaee D, Herlyn M, Crombleholme TM. Adenoviral mediated gene transfer of PDGF-B enhances wound healing in type I and type II diabetic wounds. Wound Repair Regen. 2004 Sep-Oct;12(5):497-504.
Michelle Baric, LGC Genetic Counselor, Division of Human Genetics
Emily J. King, LGC Genetic Counselor II, Division of Human Genetics
Erin E. Hillman, MSW, LSW Social Worker II, Division of Social Services
James F. Cnota, MD
Fetal cardiology including fetal echocardiography
Impact of insulin sensitivity on left ventricular mass in healthy teens; blood pressure in offspring of preeclamptic mothers; fetal programming of cardiovascular outcomes; multicenter trials in pediatric heart disease
BS: Molecular and Cellular Biology, University of Arizona, Tucson, Arizona, 1991
MD: Tulane University School of Medicine, New Orleans, Louisiana, 1995
Residency: University of Arizona Health Sciences Center, Tucson, Arizona, 1998
Fellowship: Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, 2001
MS: Clinical Epidemiology and Health Services Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina, 2005
Divanović A, Hor K, Cnota J, Hirsch R, Kinsel-Ziter M, Michelfelder E. Prediction and perinatal management of severely restrictive atrial septum in fetuses with critical left heart obstruction: Clinical experience using pulmonary venous Doppler analysis. J Thorac Cardiovasc Surg. 2010 Dec 2. Crombleholme TM, Lim FY, Habli M, Polzin W, Jaekle R, Michelfelder E, Cnota J, Liu C, Kim MO. Improved recipient survival with maternal nifedipine in twin-twin transfusion syndrome complicated by TTTS cardiomyopathy undergoing selective fetoscopic laser photocoagulation. Am J Obstet Gynecol. 2010 Oct;203(4):397.e1-9. Habli M, Cnota J, Michelfelder E, Salisbury S, Schnell B, Polzin W, Lim FY, Crombleholme TM. The relationship between amniotic fluid levels of brain-type natriuretic peptide and recipient cardiomyopathy in twin-twin transfusion syndrome. Am J Obstet Gynecol. 2010 Oct;203(4):404.e1-7. Hambrook JT, Kimball TR, Khoury P, Cnota J. Disparities exist in the emergency department evaluation of pediatric chest pain. Congenit Heart Dis. 2010 May-Jun;5(3):285-91. Vuletin JF, Lim FY, Cnota J, Kline-Fath B, Salisbury S, Haberman B, Kingma P, Frischer J, Crombleholme T. Prenatal pulmonary hypertension index: novel prenatal predictor of severe postnatal pulmonary artery hypertension in antenatally diagnosed congenital diaphragmatic hernia. J Pediatr Surg. 2010 Apr;45(4):703-8. Hor KN, Gottliebson WM, Carson C, Wash E, Cnota J, Fleck R, Wansapura J, Klimeczek P, Al-Khalidi HR, Chung ES, Benson DW, Mazur W. Comparison of magnetic resonance feature tracking for strain calculation with harmonic phase imaging analysis. JACC Cardiovasc Imaging. 2010 Feb;3(2):144-51. Land MH, Rouster-Stevens K, Woods CR, Cannon ML, Cnota J, Shetty AK. Lactobacillus sepsis associated with probiotic therapy. Pediatrics. 2005 Jan;115(1):178-81.
Grace BE, Cnota JF, Hines MH, Payne RM, Ririe DO. Traumatic Coronary Artery Fistula in a Child. Circulation 2005;1 II :e272-e273.
Allison A. Divanovic, MD Co-Director, Medical Student/Resident Education, Heart Institute
Co-Director, Medical Student/Resident Education, Heart Institute
Assistant Professor, UC Department of Pediatrics
Pediatric cardiology; fetal and neonatal cardiology; transthoracic, transesophageal and fetal echocardiography
Echocardiographic predictors of cardiac involvement in the fetus with twin-twin transfusion syndrome; risk factors for intrauterine fetal demise in the fetus with congenital heart disease; Improvement in the prenatal identification of fetal coarctation; prediction of atrial septal restriction in the fetus with HLHS
Villa CR, Habli M, Votava-Smith JK, Cnota JF, Lim FY, Divanovic AA, Wang Y, Michelfelder EC. Assessment of Fetal Cardiomyopathy in Early Stage Twin-Twin Transfusion Syndrome: Comparison between Commonly Reported Cardiovascular Assessment Scores. Ultrasound Obstet Gynecol. 2013 Oct 21. Epub ahead of print.
Cnota JF, Hangge PT, Wang Y, Woo JG, Hinton AC, Divanovic AA, Michelfelder EC, Hinton RB. Somatic Growth Trajectory in the Fetus with Hypoplastic Left Heart Syndrome. Pediatr Res. 2013 Sep;74(3):284-9.
Hangge P, Cnota JF, Woo JG, Hinton AC, Divanovic AA, Manning PB, Ittenbach RF, Hinton RB. Microcephaly is Associated with Early Adverse Neurologic Outcomes in Hypoplastic Left Heart Syndrome. Pediatr Res. 2013 Jul;74(1):61-7.
Statile CJ, Cnota JF, Gomien S, Divanović AA, Crombleholme T, Michelfelder E. Estimated Cardiac Output and Cardiovascular Profile Score in Fetuses with High Cardiac Output Lesions. Ultrasound Obstet Gynecol. 2013 Jan:41(1):54-8.
Divanović A, Witte D, Michelfelder E. A Fetus with Hypoplastic Left Heart Syndrome and Tricuspid Stenosis with Evolving Hydrops Fetalis. Pediatr Cardiol. 2012 Oct;33(7):1210-12.
Sheridan RM, Michelfelder EC, Choe KA, Divanovic A, Ware S, Liu C, Stanek JW. Ductus Arteriosus Aneurysm with Massive Thrombosis of Pulmonary Artery. Pediatr Dev Pathol. 2012 Jan-Feb;15(1):79-85.
Divanović A, Cnota J, Ittenbach R, Tan X, Border W, Crombleholme T, Michelfelder E. Characterization of Diastolic Dysfunction in Twin-Twin Transfusion Syndrome: Association between Doppler Findings and Ventricular Hypertrophy. J Am Soc Echocardiogr. 2011 Aug;24(8):834-40.
Divanović A, Hor K, Cnota J, Hirsch R, Kinsel-Ziter M, Michelfelder E. Prediction and Perinatal Management of Severely Restrictive Atrial Septum in Fetuses with Critical Left Heart Obstruction: Clinical Experience Using Pulmonary Venous Doppler Analysis. J Thorac Cardiovasc Surg. 2011 Apr;141(4):988-94.
Gudausky TM, Pearl J, Dent CL, Kim E, Divanović A, Spicer R, Beekman RH 3rd. Open-chest Epicardial Approach to Transcatheter Pulmonary Artery Stenting Following Heart Transplantation in an Infant. Congenital Heart Dis. 2007; Vol 2(1):64-9.
Haleh C. Heydarian, MD Cardiologist, Cardiology Clinic
Cardiologist, Cardiology Clinic
Dyssynchrony; quality improvement
Peace Chike Madueme, MD, MS
Echocardiography, fetal echocardiography, cardiac MRI/CT
Peace Madueme is an assistant professor of pediatrics with the University College of Medicine. He is a faculty member that specializes in cardiac imaging.
Dr. Madueme completed his residency and fellowship training at Cincinnati Children's Hospital Medical Center and has been at the hospital since 2005. Dr. Madueme has been a member of the Division of Cardiology/Heart Institute since 2008. His clinical and research focus relate to cardiac imaging by echocardiography, fetal echocardiography and cardiac MRI.
Dr. Madueme is a member of the American Academy of Pediatrics, American College of Cardiology, American Society of Echocardiography and the Society of Cardiovascular Magnetic Resonance.
Undergraduate: BSc & BPHE Queen's University, Canada, 2001.
MD: Eastern Virginia Medical School, Norfolk, VA, 2005.
Residency: Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2008.
Fellowship: Pediatric Cardiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2011.
Advanced Fellowship: Cardiac Imaging, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2012.
Certification: Pediatrics, 2011 and Pediatric Cardiology, 2012.
Madueme PC, Mazur W, Hor KN, Germann JT, Jefferies JL, Taylor MD. Comparison of the Area-Length Method by Echocardiography versus Full Volume Quantification by Cardiac Magnetic Resonance Imaging for the Assessment of Left Atrial Volumes. Pediatr Cardiol. 2013 Nov 17. Epub ahead of print.
Madueme PC, Khoury PR, Urbina EM, Kimball TR. Predictors for Elevated Exercise-Induced Systolic Blood Pressures in Pediatric Patients after Successful Coarctation Repair. Cardiol Young. 2013 Jun;23(3)416-22.
Madueme PC, Hinton R. Tuberous sclerosis and cardiac rhabdomyomas: A case report and review of the literature. Congenit Heart Dis. 2011 Mar-Apr;6(2):183-7.
Erik C. Michelfelder, MD Co-Director, Cardiac Imaging Services, Heart Institute
Co-Director, Cardiac Imaging Services, Heart Institute
Director, Fetal Heart Program, Heart Institute
Erik C. Michelfelder Sr., MD, is a professor of pediatrics with the University of Cincinnati College of Medicine. He is currently director of the Fetal Heart Program, and co-director of Cardiac Imaging Services for the Heart Institute at Cincinnati Children’s Hospital Medical Center.
Dr. Michelfelder graduated with a degree in biology from Bucknell University and earned his MD from the Penn State University College of Medicine. He completed his residency in pediatrics at St. Christopher’s Hospital for Children in Philadelphia, and his cardiology fellowship at C.S. Mott Children’s Hospital at the University of Michigan in Ann Arbor.
Dr. Michelfelder has been a member of the Division of Cardiology at Cincinnati Children’s Hospital Medical Center since 1998. His clinical and academic focus relate to fetal cardiology and echocardiography.
He is a member of the American Society of Echocardiography, The American Heart Association, The American College of Cardiology, The American Academy of Pediatrics, and the Society for Pediatric Research.
BS: Bucknell University, Lewisburg, PA, 1986.
MD: Penn State University College of Medicine, Hershey, Pennsylvania, 1990.Residency: St. Christopher's Hospital for Children, Temple University School of Medicine, Philadelphia, Pennsylvania, 1990-1993.Fellowship: C.S. Mott Children's Hospital, University of Michigan Medical Center, Ann Arbor, Michigan, 1993-1996.Certification: Pediatrics 1991, Pediatric Cardiology 1998.
Ngamprasertwong P, Michelfelder EC, Arbabi S, Choi YS, Statile C, Ding L, Boat A, Eghtesady P, Holland K, Sadhasivam S. Anesthetic Techniques for Fetal Surgery: Effects of Maternal Anesthesia on Intraoperative Fetal Outcomes in Sheep Model. Anesthesiology. 2013 Apr;118(4):796-808.
Statile C, Cnota J, Gomien S, Divanovic A, Crombleholme T, Michelfelder EC. Estimated Cardiac Output and Cardiovascular Profile Score in Fetuses with High Cardiac Output Lesions. Ultrasound Obstet Gynecol. 2013 Jan;41(1):54-8.
Williams IA, Fifer C, Jaeggi E, Levine J, Michelfelder EC, Garfinkel R, Szwast AL. The Association of Fetal Cerebrovascular Resistance with Early Neurodevelopment in Single Ventricle Congenital Heart Disease. Am Heart J. 2013;165(4):544-50.
Habli M, Michelfelder EC, Cnota J, Wall D, Polzin W, Lewis D, Lim FY, Crombleholme TM. Prevalence and Progression of Recipient-twin Cardiomyopathy in Early-stage Twin-twin Transfusion Syndrome. Ultrasound Obstet Gynecol. 2012 Jan;39(1):63-8.
Divanovic A, Cnota JF, Ittenbach R, Tan X, Border WL, Crombleholme T, Michelfelder E. Characterization of Diastolic Dysfunction in Twin-Twin Transfusion Syndrome: Association between Doppler Findings and Ventricular Hypertrophy. J Am Soc Echocardiogr. 2011 Aug;24(8):834-40.
Divanovic A, Hor K, Cnota JF, Hirsch R, Kinsel-Ziter M, Michelfelder EC. Prediction and Perinatal Management of Severely Restrictive Atrial Septum in Fetuses With Critical Left Heart Obstruction: Clinical Experience Using Pulmonary Venous Doppler Analysis. J Thorac Cardiovasc Surg. 2011 Apr;141(4):988-94.
Kinsel-Ziter ML, Cnota JF, Crombleholme TM, Michelfelder EC. Twin-Reversed Arterial Perfusion Sequence: Pre- and Post- Operative Cardiovascular Findings in the Pump Twin. Ultrasound Obstet Gynecol. 2009 Nov;34(5):550-5.
Shah AD, Border WL, Crombleholme TM, Michelfelder EC. Initial Fetal Cardiovascular Profile Score Predicts Recipient Twin Outcome in Twin-Twin Transfusion Syndrome. J Am Soc Echocardiogr. 2008 Oct; 21(10):1105-8.
Michelfelder EC, Gottliebson WM, Border WL, Kinsel ML, Polzin WJ, Livingston JC, Khoury P, Crombleholme TM. Early Manifestations and Spectrum of Recipient Twin Cardiomyopathy in Twin-Twin Transfusion Syndrome: Relation to Quintero Stage. Ultrasound Obstet Gynecol. 2007 Dec;30(7):965-71.
Michelfelder EC, Gomez CA, Border W, Gottliebson W, Franklin C. Predictive Value of Fetal Pulmonary Venous Flow Patterns in Identifying the Need for Atrial Septoplasty in the Newborn With Hypoplastic Left Ventricle. Circulation. 2005 Nov 8;112(19):2974-79.
Karin Bierbrauer, MD Faculty Neurosurgeon, Division of Pediatric Neurosurgery
Faculty Neurosurgeon, Division of Pediatric Neurosurgery
Fetal malformations of the brain and spinal cord; spina bifida; tethered cord; head injury
Head injury; biomedical informatics
MD: Medical University of South Carolina, Charleston, South Carolina, 1980-1984
Residency: Neurosurgery, Emory University, Atlanta, Georgia, 1985-1989
Fellowship: Pediatric Neurosurgery, The Children's Memorial Hospital, Chicago, Illinois
Charles B. Stevenson, MD Faculty Neurosurgeon, Division of Pediatric Neurosurgery
Assistant Professor, UC Department of Neurosurgery
Brain tumors; spasticity; Chiari malformations; fetal surgery; neurovascular disorders; minimal access surgery
Neuro-oncology; epilepsy; spasticity
Charles Stevenson, MD, rejoined the Division of Pediatric Neurosurgery at Cincinnati Children's Hospital Medical Center in July 2010, after having served for one year as staff neurosurgeon at Kosair Children’s Hospital in Louisville, Kentucky. Prior to completing his fellowship in pediatric neurosurgery at Cincinnati Children’s, he received his neurosurgical training at Vanderbilt University in Nashville, Tennessee. During that time, he also completed a two-year research fellowship in neurosurgical oncology. He graduated from medical school at Vanderbilt University in Nashville, Tennesee. Dr. Stevenson’s interest, specialized training and research background in neuro-oncology make him uniquely qualified to lead our division in its collaborative efforts with the division of neuro-oncology in the Brain and Spinal Tumor program to treat children with primary and recurrent brain tumors. He is assisted in these efforts by leading-edge technology such as the operating room BrainSUITE™, which creates precise three-dimensional maps of the brain and allows for intraoperative MRI imaging to more safely remove particularly complex and deep-seated tumors. Cincinnati Children’s was the first pediatric hospital in the world to offer this technology. In addition, Dr. Stevenson brings expertise in selective dorsal rhizotomy as a treatment for spasticity, which, when added to implantation of baclofen pumps and medical therapy, allows for a wide range of treatment options for patients with spasticity from cerebral palsy or spinal cord injury. He is a member of a multidisciplinary team of specialists that includes neurosurgery, orthopedic surgery, physical medicine and rehabilitation as well as and physical and occupational therapies that offers comprehensive care for children with spasticity.
Dr. Stevenson is a member of the American Society of Pediatric Neurosurgeons. He was board certified in 2013 in neurological surgery by the American Board of Neurological Surgeons.
MD: Vanderbilt University School of Medicine, Nashville, Tennessee, 2001 Residency: Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee Fellowship: Pediatric Neurosurgery, Cincinnati Children's Hospital Medical Center, 2008-09.
Board Certification: Neurological Surgery, American Board of Neurological Surgeons, 2013.
Hertzler II DA, DePowell JJ, Stevenson CB, Mangano FT. Tethered cord syndrome: a review of the literature from embryology to adult presentation. Neurosurgical Focus. 2010;29(1):E1. Stevenson CB, Desai RR, Crawford AH, Durrani AA, Mangano FT. C-1 lateral mass screw fixation in children with atlantoaxial instability: case series and technical report. Journal of Spinal Disorders and Techniques. 2010 Oct;23(7):474-9. Reig AS, Stevenson CB, Tulipan NT. CT-based, fiducial-free frameless stereotaxy for difficult ventriculoperitoneal shunt insertion: experience in 26 consecutive patients. Stereotactic and Functional Neurosurgery. 2010; 88(2):75-80. Stevenson CB, Leach JL, Gupta A, Crone KR. Cystic degeneration of the cerebellar tonsils in pediatric patients with Chiari I malformation. J Neurosurg Ped. 2009; 4(6):557-63. McMillan KM, Ehtesham M, Stevenson CB, Edgeworth ML, Thompson RC, Price RR. T2 detection of tumor invasion within segmented components of glioblastoma multiforme. J Mag Reson Imag. 2009; 29(2):251-7. Ehtesham M, Mapara KY, Stevenson CB, Thompson RC. CXCR4 mediates the proliferation of glioblastoma progenitor cells. Cancer Letters. 2009; 274(2):305-12. Ehtesham M, Stevenson CB, Thompson RC. Preferential expression of chemokine receptor CXCR4 by highly malignant human gliomas and its association with poor patient survival. Neurosurgery. 2008; 63(4):E820. Stevenson CB, Ehtesham M, McMillan KM, Valadez JG, Edgeworth ML, Price RR, Abel TW, Mapara KY, Thompson RC. CXCR4 expression is elevated in glioblastoma multiforme and correlates with an increase in intensity and extent of peri-tumoral T2-weighted MRI signal abnormalities. Neurosurgery. 2008;63(3):560-9. Johnson MD, Stevenson CB, Thompson RC, Atkinson J, Boyer P. 31-year-old woman with hemiparesis . Brain Pathology. 2007;17(2):255-7.
Stevenson CB, Crone KR. Head injury. In Operative Pediatric Surgery Ziegler MM, Azizkhan RG, Weber T, von Allmen D (eds.). 2nd Edition. Mcgraw-Hill: New York ,NY, 2012. (In press).
Maria A. Calvo-Garcia, MD Radiologist, Department of Radiology and Medical Imaging
Radiologist, Department of Radiology and Medical Imaging
Assistant Professor, UC Department of Radiology
Fetal imaging; body imaging; ultrasound
Maria A. Calvo-Garcia, MD, received her medical degree from the Autonomous University of Madrid, Spain. She completed her residency at Gregorio Maranon University General Hospital, University of Madrid, Spain. She was a staff radiologist at Ambulatorio Moratalaz, Virgen de la Torre Hospital, Madrid, Spain. In 1994 she served as staff radiologist at Badalona Hospital, Badalona, Barcelona, Spain until June 2001 with a 6 month visiting fellowship at Dijkzigt Hospital, Erasmus Univ. of Rotterdam, The Netherlands (Feb 1998-July 1998). She came to Cincinnati Children’s Hospital Medical Center first as a research assistant in radiology and then as a clinical fellow until 2004, when she became staff.
MD: Autonomous University of Madrid, Spain.
Residency: Radiology, Gregorio Maranon University General Hospital, University of Madrid, Spain, 1990-1993.
Degree of Specialty: Radiology, University of Madrid, Spain, 1993.
Certification: Diagnostic Radiology, American Board of Radiology, 2007; Pediatric Radiology, CAQ American Board of Radiology, 2009.
Pacharn P, Kline-Fath B, Calvo-Garcia, MA, Linam LE, Rubio EI, Salisbury S, Brody AS. Congenital lung lesions: prenatal MRI and postnatal findings. Pediatr Radiol. 2013;Mar 23 (Epub ahead of print).
Calvo-Garcia MA, Kline-Fath, BM, Rubio EI, Merrow AC, Guimaraes CV, Lim FY. Fetal MRI of cloacal exstrophy. Pediatr Radiol. 2013;Mar; 43(5):593-604.
Bischoff A, Calvo-Garcia MA, Baregamian N, Levitt MA, Lim FY, Hall J, Pena A. Prenatal counseling for cloaca and cloacal exstrophy – challenges faced by pediatric surgeons. Pediatr Surg Int. 2012;8:781-788.
Neuman J, Calvo-Garcia MA, Kline-Fath BM, Bitters C, Merrow AC, Guimaraes CV, Lim FY. Prenatal imaging of amniotic band sequence: utility and role of fetal MRI as an adjunct to prenatal US. Pediatr Radiol. 2012;Aug;42(5):544-551.
Frawley KJ, Calvo-Garcia MA, Krueger DA, McMasters RL. ‘Benign’ Ovarian Teratoma and N-Methyl-D-Aspartate Receptor (Nmdar) Encephalitis in a Child. Pediatr Radiol. 2012;42:120-123.
Lee TC, Lim FY, Keswani SG, Frischer JS, Haberman B, Kingma, PS, Habli M, Jaekle RK, Sharp G, Kline-Fath B, Rubio EI, Calvo M. Guimaraes C, Crombleholme TM. Late gestation fetal magnetic resonance imaging-derived total lung volume predicts postnatal survival and need for extracorporeal membrane oxygenation support in isolated congenital diaphragmatic hernia. J Pediatr Surg. 2011;46(6):1165-71.
Calvo-Garcia MA, Kline-Fath BM, Levit MA, Lim FY, Linam LE, Patel,MN, Kraus SJ, Crombleholme TM, Pena A. Fetal MRI Clues to diagnose cloacal malformations. Pediatric Radiol. 2011;41(9): p. 1117-1128.
Kline-Fath BM, Calvo-Garcia MA. Prenatal Imaging of Congenital Malformations of the Brain. Semin Ultrasound CT MRI. 2011;32:167-188.
Linam LE, Yu X, Calvo-Garcia MA, Rubio E, Crombleholme TM, Boce K, Kline-Fath BM. Contribution of Magnetic Resonance Imaging to Prenatal Differential Diagnosis of Renal Tumors: Report of Two Cases and Review of the Literature. Fetal Diagn Ther. 2010;28: 100-108.
Yazici Z, Kline-Fath BM, Tazici B, Rubio E, Calvo-Garcia MA. Congenital dacryocystocele: prenatal MRI findings. Pediatr Radiol. 2010;40: 1868-1873.
Calvo-Garcia MA, Kline-Fath BM, Jones BB, Caré MM, Koch BL. Brain malformations associated with epignathus: a clue for the correct prenatal diagnosis. Pediatric Radiol. Sept 2009;39:1369-1372.
Beth M. Kline-Fath, MD Chief, Fetal Imaging
Chief, Fetal Imaging
Neuroradiologist, Department of Radiology and Medical Imaging
Associate Professor, UC Department of Radiology
Fetal imaging; pediatric neuroimaging
Beth M. Kline-Fath, MD, received her undergraduate and medical degrees from the University of Cincinnati. After completing a residency in radiology at the University of Cincinnati, she completed a fellowship in pediatric radiology at Cincinnati Children’s. Dr. Kline-Fath worked in private practice for several years before returning to Cincinnati Children’s for fellowship training in pediatric neuroradiology.
Since joining the neuroradiology staff, Dr. Kline-Fath has developed the Fetal Imaging Program for the department and is a staff member of the Cincinnati Fetal Center. In addition to general pediatric neuroradiology, her areas of interest include fetal imaging and MR spectroscopy.
Guimaraes CV, Kline-Fath BM, Linam LE, Calvo Garcia MA, Rubio EI, Lim FY. MRI findings in multifetal pregnancies complicated by twin reversed arterial perfusion sequence (TRAP). Pediatr Radiol. 2010 Dec 22.
Yazici Z, Kline-Fath BM, Yazici B, Rubio EI, Calvo-Garcia MA, Linam LE. Congenital dacryocystocele: prenatal MRI findings. Pediatr Radiol. 2010 Dec;40(12):1868-73.
Vuletin JF, Lim FY, Cnota J, Kline-Fath B, Salisbury S, Haberman B, Kingma P, Frischer J, Crombleholme T. Prenatal pulmonary hypertension index: novel prenatal predictor of severe postnatal pulmonary artery hypertension in antenatally diagnosed congenital diaphragmatic hernia. J Pediatr Surg. 2010 Apr;45(4):703-8.
Calvo-Garcia MA, Kline-Fath BM, Jones BB, Care MM, Koch BL. Brain malformations associated with epignathus: a clue for the correct prenatal diagnosis. Pediatr Radiol. 2009 Dec;39(12):1369-72.
Guimaraes CV, Linam LE, Kline-Fath BM, Donnelly LF, Calvo-Garcia MA, Rubio EI, Livingston JC, Hopkin RJ, Peach E, Lim FY, Crombleholme TM. Prenatal MRI findings of fetuses with congenital high airway obstruction sequence. Korean J Radiol. 2009 Mar-Apr;10(2):129-34.
Kline-Fath BM, Calvo-Garcia MA, O'Hara SM, Racadio JM. Water imaging (hydrography) in the fetus: the value of a heavily T2-weighted sequence. Pediatr Radiol. 2007 Feb;37(2):133-40.
Kline-Fath BM, Calvo-Garcia MA, O'Hara SM, Crombleholme TM, Racadio JM. Twin-twin transfusion syndrome: cerebral ischemia is not the only fetal MR imaging finding. Pediatr Radiol. 2007 Jan;37(1):47-56.
Bunch PT, Kline-Fath BM, Imhoff SC, Calvo-Garcia MA, Crombleholme TM, Donnelly LF. Allantoic cyst: a prenatal clue to patent urachus. Pediatr Radiol. 2006 Oct;36(10):1090-5.
O'Hara SM, Frush DP, Babcock DS, Lewis AG, Barr LL, Bukowski TP, Kline-Fath BM, Sheldon CA. Doppler contrast sonography for detecting reduced perfusion in experimental ischemia of prepubertal rabbit testes. Acad Radiol. 1996 Apr;3(4):319-24.
Arnold Carlson "Carl" Merrow Jr., MD Radiologist, Department of Radiology and Medical Imaging
Musculoskeletal and fetal imaging; imaging of vascular anomalies including vascular neoplasms and vascular malformations
Arnold Carlson “Carl” Merrow Jr., MD, grew up in Alabama and received a Bachelor of Science in chemistry from Auburn University in 1997. After completing medical school and residency in Birmingham, AL, he spent two years in fellowship at Cincinnati Children’s Hospital Medical Center. While the first fellowship year was focused on general pediatric radiology, the second year was split between pediatric body/musculoskeletal MRI and pediatric neuroimaging. After spending the next two years in a pediatric radiology private practice, Dr. Merrow returned to Cincinnati Children's where he fostered new interests in fetal imaging, vascular anomalies and fellow education.
Since his return in 2010, Dr. Merrow has authored numerous book chapters and peer-reviewed publications and has helped to develop interactive web-based educational products in pediatric radiology. He has been selected from departmental faculty for the Corning Benton Outstanding Educator Award by each graduating class of pediatric radiology fellows from 2011 to 2013. Dr. Merrow was also selected for the first annual Faculty Educational Achievement Award from amongst all junior faculty of Cincinnati Children's in 2011.
Merrow AC, Frischer JS, Lucky AW. Pyloric atresia with epidermolysis bullosa: fetal MRI diagnosis with postnatal correlation. Pediatric Radiology. 2013. (Epub ahead of print).
Kim HK, Merrow AC, Shiraj S, Wong BL, Horn PS, Laor T. Analysis of fatty infiltration and inflammation of the pelvic and thigh muscles in boys with Duchenne muscular dystrophy (DMD): grading of disease involvement on MR imaging and correlation with clinical assessments. Pediatric Radiology. 2013. (Epub ahead of print).
Serai SD, Merrow AC, Kline-Fath BM. Fetal MRI on a multi-element digital coil platform. Pediatric Radiology. 2013. (Epub ahead of print).
Coleman AM, Merrow AC, Elluru RG, Polzin WJ, Lim FY. Tracheal agenesis with tracheoesophageal fistulae: fetal MRI diagnosis with confirmation by ultrasound during an ex utero intrapartum therapy delivery and post-delivery MRI. Pediatric Radiology. 2013. (Epub ahead of print).
Kim HK, Lindquist DM, Serai SD, Mariappan YK, Wang LL, Merrow AC, McGee KP, Ehman RL, Laor T. Magnetic resonance imaging of pediatric muscular disorders: recent advances and clinical applications. Radiologic Clinics of North America. 2013;51(4):721-742.
Calvo-Garcia MA, Kline-Fath BM, Rubio EI, Merrow AC, Guimaraes CV, Lim FY. Fetal MRI of cloacal exstrophy. Pediatric Radiology. 2013;43(5):593-604.
Dietz KR, Merrow AC, Podberesky DJ, Towbin AJ. Beyond acute appendicitis: imaging of additional pathologies of the pediatric appendix. Pediatric Radiology. 2013;43(2):232-242.
Neuman J, Calvo-Garcia MA, Kline-Fath BM, Bitters C, Merrow AC, Guimaraes CVA, Lim FY. Prenatal imaging of amniotic band sequence: utility and role of fetal MRI as an adjunct to prenatal US. Pediatric Radiology. 2011;42(5):544-551.
Kim HK, Zbojniewicz AM, Merrow AC, Cheon JE, Kim IO, Emery KH. MR findings of synovial disease in children and young adults: Part 2. Pediatric Radiology. 2011;41(4): 512-524.
Kim HK, Zbojniewicz AM, Merrow AC, Cheon JE, Kim IO, Emery KH. MR findings of synovial disease in children and young adults: Part 1. Pediatric Radiology. 2011;41(4): 495-511.
Paul H. Noh, MD, FACS, FAAP Director, Minimally Invasive Surgery
Director, Minimally Invasive Surgery
Minimally invasive laparoscopic-assisted surgery; robotic-assisted surgery; prenatal evaluation; fetal care; UTIs
Traxel EJ, Minevich EA, Noh PH. A review: the application of minimally invasive surgery to pediatric urology: upper urinary tract procedures. Urology. 2010 Jul;76(1):122-33.
Traxel EJ, Minevich EA, Noh PH. A review: the application of minimally invasive surgery to pediatric urology: lower urinary tract reconstructive procedures. Urology. 2010 Jul;76(1):115-20.
Chacko JK, Noh P, Barthold JS, Figueroa TE, Gonzalez R. Latrogenic ureteral injury after laparoscopic cholecystectomy in a 13-year-old boy. J Pediatr Urol. 2008 4(4):322-4.
Neheman A, Noh PH, Piaggio L, González R. The role of laparoscopic surgery for urinary tract reconstruction in infants weighing less than 10 kg: a comparison with open surgery. J Pediatr Urol. 2008 Jun;4(3):192-6.
Wang Y, Barthold J, Figueroa E, González R, Noh PH, Wang M, Manson J. Analysis of five single nucleotide polymorphisms in the ESR1 gene in cryptorchidism. Birth Defects Res A Clin Mol Teratol. 2008 Jun;82(6):482-5.
Neheman A, Noh PH, Brenn R, González R. Laparoscopic urinary tract surgery in infants weighing 6 kg or less: perioperative considerations and comparison to open surgery. J Urol. 2008 Apr;179(4):1534-8.
Piaggio LA, Franc-Guimond J, Noh PH, Wehry M, Figueroa TE, Barthold J, González R. Transperitoneal laparoscopic pyeloplasty for primary repair of ureteropelvic junction obstruction in infants and children: comparison with open surgery. J Urol. 2007 Oct;178(4 Pt 2):1579-83.
Piaggio LA, Noh PH, González R. Reoperative laparoscopic pyeloplasty in children: comparison with open surgery. J Urol. 2007 May;177(5):1878-82.
Davies B, Noh P, Smaldone MC, Ranganathan S, Docimo SG. Paratesticular rhabdomyoma in a young adult: case study and review of the literature. J Pediatr Surg. 2007 42(4):E5-7.
Stein RJ, Matoka DJ, Noh PH, Docimo SG. Spontaneous perforation of congenital bladder diverticulum. Urology. 2005 Oct;66(4):881.
Pramod P. Reddy, MD Director, Division of Pediatric Urology
Director, Division of Pediatric Urology
Kidney stones; ESWL; genitourinary surgery; clinical trials
Bladder organogenesis; tissue engineering of bladder matrix
MBBS: Nagarjuna University, Guntur, India 1990.
Residency: Albany Medical Center, Albany, NY.
Fellowship: The Hospital For Sick Children, Toronto, ON, Canada.
Certification: American Board of Urology 2001.
Reddy PP, Defoor WR. Ureteroscopy: The standard of care in the management of upper tract urolithiasis in children. Indian J Urol. 2010 Oct;26(4):555-63.
Ivancić V, Defoor W, Jackson E, Alam S, Minevich E, Reddy P, Sheldon C. Progression of renal insufficiency in children and adolescents with neuropathic bladder is not accelerated by lower urinary tract reconstruction. J Urol. 2010 Oct;184(4 Suppl):1768-74.
DeFoor WR, Jackson E, Minevich E, Caillat A, Reddy P, Sheldon C, Asplin J. The risk of recurrent urolithiasis in children is dependent on urinary calcium and citrate. Urology. 2010 Jul;76(1):242-5.
Traxel E, DeFoor W, Reddy P, Sheldon C, Minevich E. Risk factors for urinary tract infection after dextranomer/hyaluronic acid endoscopic injection. J Urol. 2009 Oct;182(4 Suppl):1708-12.
DeFoor WR, Heshmat S, Minevich E, Reddy P, Koyle M, Sheldon C. Long-term outcomes of the neobladder in pediatric continent urinary reconstruction. J Urol. 2009 Jun;181(6):2689-93; discussion 2693-4.
Reddy PP, Borgstein NG, Nijman RJ, Ellsworth PI. Long-term efficacy and safety of tolterodine in children with neurogenic detrusor overactivity. J Pediatr Urol. 2008 Dec;4(6):428-33.
DeFoor W, Clark C, Jackson E, Reddy P, Minevich E, Sheldon C. Risk factors for end stage renal disease in children with posterior urethral valves. J Urol. 2008 Oct;180(4 Suppl):1705-8; discussion 1708.
Heshmat S, DeFoor W, Minevich E, Reddy P, Reeves D, Sheldon C. Use of customized MIC-KEY gastrostomy button for management of MACE stomal complications. Urology. 2008 Nov;72(5):1026-9.
DeFoor W, Minevich E, Jackson E, Reddy P, Clark C, Sheldon C, Asplin J. Urinary metabolic evaluations in solitary and recurrent stone forming children. J Urol. 2008 Jun;179(6):2369-72.
Reddy PP. Recent advances in pediatric uroradiology. Indian J Urol. 2007 Oct;23(4):390-402.
Melissa Minges, BSN, RN Registered Nurse, Cincinnati Fetal Center513email@example.com
Judith A. Hostiuck, MSN, RNC-OB Clinical Nurse Specialist, Perinatal Outreach513firstname.lastname@example.org
Steven C. Imhoff, MSN, RNC, CNP Coordinator, Cincinnati Fetal Centersteven_imhoff@trihealth.com
Avery A. Davis, BSN, RN Registered Nurse, Cincinnati Fetal Centeravery.email@example.com
Lisa Pickett, RN Registered Nurse, Cincinnati Fetal Centerlisa.firstname.lastname@example.org
Amy B. Ross, MSN, RN, CPN Registered Nurse, Cincinnati Fetal Center513email@example.com
Amber Witt CSR II, Cincinnati Fetal Center513firstname.lastname@example.org
Caroline TroughtonClerical Assistant II, Cincinnati Fetal Centercaroline.email@example.com
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