DAVID LEE SANFORD RYON, MD Pulmonary and Critical Care Medicine

Curriculum Vitae January 2014 519 Harriet Street

Evansville, NH 47710 Office: (812) 450-7720 Cell phone:

E-mail: dyspneadoc@aol.com

EMPLOYMENT AND APPOINTMENfS

Deaconess Health System Associate Medical Director, Pulmonary Medicine and Critical Care 519 Harriet Street, Evansville, Indiana 47710 December 2010- present

HCA Healthcare Portsmouth Regional Hospital Co-Director of Pulmonary Medicine and Intensive Care Unit 330 Borthwick Avenue Suite 106 Portsmouth, New Hampshire 03801 February 2007- December2010

Mid-Hudson Family Health Institute Director of Pulmonary, Critical Care, and Sleep Medicine Multispecialty group and Family Practice residency training progrnm, employee 279 Main Street Suite 102 New Paltz, New York 12561 October 2000 -January 2007

Kingston Hospital Medical Director, Intensive Care Unit and Respiratory Care Medical Staff, Department of Medicine 396 Broadway Kingston, New York 12401

Benedictine Hospital Medical Staff, Department of Medicine 105 St. Mary's Avenue Kingston, New York 12401

Northeast Pulmonary and Critical Care Medicine Associates Pulmonary and Critical Care physicians in private practice, employee 124 Rosa Road Suite 382 Schenectady, New York 12308 August 1998 - August 2000

Ellis Hospital Medical Staff, Qepartment of Pulmonary Medicine Medical Staff, Department of Critical Care Medicine 1101 Nott Street Schenectady, New York 12308

St. Clare's Hospital Medical Staff, Department of Medicine 600 McClellan Street Schenectady, New York 12308

Melbourne Internal Medicine Associates (MIMA) Multispecialty group in private practice, partner 200 East Sheridan Road Melbourne, Florida 32901 August 1995 - August 1998

Holmes Regional Medical Center Medical Staff, Department of Medicine 1350 S. Hickory Street Melbourne, Florida 32901 July 1995-August 1998

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New York Health and Hospitals Corporation Instructor in Clinical Medicine New York University School of Medicine 550 First A venue New York, New York I 00 I 6 July 1993 - June 1994

Bellevue Hospital Center Attending Physician, Department of Medicine Chest and Asthma Clinics, employee First Avenue at 271

" Street New York, New York 10016

Hospital for Joint Diseases Critical Care Staff Physician 3 0 I E. I 7th Street New York, New York I 0003

Bellevue Hospital Emergency Department Tisch Hospital Emergency Department at New York University Medical Center

Moonlighter, 20-40 hours monthly January 1990-February 1993

POSTGRADUATE TRAINING

Fellow, Division of Critical Care Medicine Department of Anesthesia University of Pittsburgh Medical Center July 1994 - June 1995

Fellow, Division of Pulmonary and Critical Care Medicine Department oflntemal Medicine New York University Medical Center July 1991 - June1993

Intern and Resident, Department oflntcrnal Medicine New York University Medical Center July 1988 - June 1991

MEDICAL EDUCATION

University of Miami School of Medicine

Miami, Florida Graduation with Research Qistinction Clinical Extemship at the NIH, I 987 September 1984 - May 1988

UNDERGRADUATE EDUCATION

Duke University

Durham, North Carolina BS Degree, Magna Cum Laude August 1980 - May 1984

MEDICAL LICENSURE AND CERTIFICATION

ABIM Certified:

Licensed in Indiana

Internal Medicine l 992, 2004 Pulmonary Medicine 1994, 2004 Critical Car~ Medicine 1995, 2005

MEMBERSHIPS

Society of Cricical Care Medicine 1995 to present Society for Judgment and Decision Making 2011 to present Society for Medical Decision Making 2012 to present American College of Physician Executives 2013 to present

PUBLICATIONS

Barrueto F, Ryon D, Howland MA, Hoffman RS, Nelson LS. "Phenazopyridine-induced sulthemoglobinemia." J Toxicol Clin Toxicol 2003; 41:470.

Dhople A, Ryon DL. "ATP Content of M. tuberculosis grown in vivo and in vitro." Microbios 2000; 101(399): 81-88.

Task force of the American College of Critical Care Medicine. "Guidelines for intensive care unit admission, discharge, and triage." Critical Care Medicine 1999; 27(3): 633-638.

Ryon DLS. "The rime of the ancient intensivist." Critical Care Medicine 1995; 23(4): 773-774.

Ryon DLS, Rom WN. "Diseases caused by respiratory irritants and toxic chemicals." In Stellman J (ed) ILO Encyclopedia of Occupational Health and Safety. 4111 edition. International Labour Office, Geneva, Switzerland, 1996.

Ryon D, Cohen H, Wilkes A, Rom WN. "Evaluation of delayed type hypersensitivity in patients admitted to Bellevue Hospital with potential exposure to M. tuberculosis." AJRCCM 1994; 149(4): 103a.

Ryon D, Berkowitz KA, Aranda CP. "Relationship between chest roentgenographic pattern and CD4 count in HIV patients with tuberculosis." Chest 1993; I 04(2): I 36s.

COMMITTEES

Deaconess Health System, Evansville, Indiana Member, Critical Care Core Team, 2011 '.--present Chair, Task Force for Delirium management and Early Mobility, 2013-present Member, Medical Executive Council, 2013 - present Member, Physician Leadership Team, 2014 - present Member, Task Force to initiate Low-Dose CT screening for Lung Cancer, 2012

Portsmouth Regional Hospital, Portsmouth, New Hampshire Co-Chair, Critical Care Committee, 2007 - 2010

Chair, Task Force to revise Brain Death Policy and Procedure Chair, Task Force on Therapeutic Hypothermia

Chair, Code Blue Committee, 2007 - 2010 Member, Pharmacy and Therapeutics Committee, 2007 - 20 l Ot

Kingston Hospital, Kingston, New York Chair, Acute Care Committee, 200 I - 2006 Chair, Code Blue Committee, 2001 - 2006 Chair, Pharmacy and Therapeutics Committee, 2002 - 2006 Chair, Ethics Committee, 2001 - 2004

Society of Critical Care Medicine Member, Membership Committee, 2007 - 2011 Member, Task Force to Revise ICU Admit/Dischargeffransfer Guidelines, 2007 - 2009 Member, Electronics Communications Committee, 1996 - 2000 Member, Quality Indicators Committee, 1997-2000 Member, Task force to Draft Admit/Dischargeffransfer Guidelines, 1997

Saint Clare's Hospital,' Schenectady, New York Member, Ethics Committee, 1999 - 2000

Holmes Regional Medical Center, Melbourne, Florida Chair, Multidisciplinary Critical Care Committee, 1996 - 1997 Chair, Code Blue Committee, 1996 -1998

POSTGRADUATE PRESENTATIONS January 23, 2013 "Latent Error, Fallacious Heuristics, and Decision Paralysis," Deaconess Health System,Evansville,IN

October 26, 2012 "Oncology symposium 2012" Deaconess Health System, Newburgh, Indiana

July 20, 2012 "Local Anesthesia, Cognitive Bias, and Decision Paralysis" Deaconess Hospital, Evansville, Indiana

February 10, 2010 "Therapeutic Hypothennia" Portsmouth Hospital, Portsmouth, New Hampshire

March 15, 2008 "Current Concepts in Fiberopti.c Bronchoscopy" Portsmouth Hospital Seminar, Portsmouth, NH

October 19, 2006 "Current Concepts in the Management of Septic and Hypovolemic Shock" Kingston Hospital Emergency Physician Department Meeting, Kingston, New York

April 12, 2006 "Pulmonary Conditions and their Acute Presentations" EMS Lecture, Kingston, New York

November 16, 2005 "Hypovolemic Shock and lntraal::dominal Catastrophes" Critical Care Course, Kingston, NY

June 14, 2005 "Hcmodynamic Monitoring" ACCN Critical Care Lecture, Kingston, New York

May 16, 2005 "COPD" Visiting Professor, Kingston Hospital, Kingston, New York

February 23, 2001 "Current Concepts in Sedation/ Analgesia in the ICU" Visiting Professor, Kingston Hospital, NY

May 11, 2000 "Have Another Smoke?" Doctor's Presentation Day, Ellis Hospital, Schenectady, New York

November 17, 1999 "Hemoptysis end Lung Mass in a Non.Smoker" Surgical- Pulmonary Multidisciplinary Rounds, Ellis Hospital, Schenectady, New York

October 16, 1998 "Current Strategies for Sedation and Analgesia in the Intensive Care Setting" Grand Rounds, Ellis Hospital, Schenectady, New York

May 26, 1998 "Conscious Sedation" Medical Staff Lecture, Holmes Regional Medical Center, Melbourne, Florida . . March 28, 1998 "Current Management of Agilation in the Critically Ill" Advanced Pulmonary Medical Symposium, American Lung Association of Florida, Melbourne, Florida

December 5, 1997 "ACLS Update" Grand Rounds, Holmes Regional Medical Center, Melbourne, Florida

August 20, 1997 "Agitation in the ICU: Assessment and Therapy" Critical Care Nursing Education Update, Holmes Regional Medical Center, Melbourne, Florida

May 30, 1997 "Advance Directives" Grand Rounds, Holmes Regional Medical Center, Melbourne, Florida

November 23, 1995 "Tuberculosis Update" Grand Rounds, Holmes Regional Medical Center, Melbourne, Florida

POSTGRADUATE CONTINUING EDUCATION Endobronchial Ultrasound Course at New York University, NY, NY, 12/2011

-Second Annual Interdisciplinary Symposium on Decision Neuroscience, Fox School of Business, Philadelphia, 9/2011

Endobronchial Ultrasound 8111 Annual Interdisciplinary Training Course, Harvard Medical School, 5/2010

Fundamentals of Critical Care Support (FCCS) Instructor Certification 2004, 2007

Society of Critical Care Medicine S:ymposium 1996, 1997, 1998, 200 l, 2004, 2008

American Thoracic Society International Meeting 2003

Postgraduate Review Course, SCCM, Management and Administrative Issues in Critical Care 212001

Critical Care Refresher Course, SCCM, 2/200 I

ICU Pharmacology Update Review Course2/1997

Update in Pulmonary and Critical Care Medicine New York University 10/1996

Advanced Cardiac Life Support Certification 3/1988, 10/1992, 6/1994, 511998, 12/2008, 1112010