February/March 2010 Volume 49, Number 1 Rush University Medical Center Great Leapfrog Forward — Ru s h R a n k e d a m o n g C o u n T RY ’ s To P h o s P I Ta L s Rush’s goal is to be among the we do,” says Larry Goodman, entry systems, which have very best medical centers in MD, Rush president and CEO. been shown to reduce the country — and the results medication errors by up to The Leapfrog Hospital Recog- of a comprehensive hospital 85 percent, and for passing nition Program measures and survey show that we’re on our Leapfrog’s test of their system evaluates hospital performance way toward achieving that to recognize achievements and • Fully meet stringent perfor- high standard. Rush recently encourage improvements in mance standards for complex, was named among the top the efficiency of hospital care. high-risk procedures, such as hospitals in the country for The program’s latest rankings heart bypass surgery safety, quality and resource drew on information gathered • Meet standards for staffing use by the Leapfrog Group, through the 2009 Leapfrog the intensive care unit with a national organization that Hospital Survey, which com- doctors and nurses specifically promotes health care safety piled data reported by 1,206 trained in critical care, which and quality improvement. hospitals in 41 states. The have been shown to reduce survey is the only national, Rush is one of only 45 hospi- mortality by 40 percent public comparison of hospitals tals that made Leapfrog’s or more on key issues, including mor- top hospitals list for 2009 tality rates for certain common • Score in the top 10 percent Nichole Banks, BSN, RN, (left) and Colleen McGuire, BSN, RN, (right), out of 1,206 hospitals sur- procedures, infection rates, in the country for efficiency. staff nurses in adult critical care, 8 North Atrium, work together to veyed, and Rush was one of safety practices and measures The Leapfrog Hospital Rec- help a patient. only three Illinois hospitals of efficiency. ognition Program measured to be so honored. The top heart attack and pneumonia at Rush that Leapfrog has efficiency in terms of qual- hospitals were announced To be designated a Leapfrog patients. Efficiency was a found we’re providing excel- ity outcomes, length of stay, in December. top hospital this year, city new category this year, an lent care for our patients, and readmission rates, and inci- “These results demonstrate hospitals needed to fulfill dence of hospital-acquired addition that reflects the doing it in a cost-effective that Rush is dedicated to the the following criteria: conditions and infections. growing concern about the way,” Goodman says. “I thank highest standards of quality • Fully meet Leapfrog stan- The efficiency standard cost of health care. and congratulate everyone at and patient safety and makes dards for implementing applies to heart bypass “It’s a great testament to the the Medical Center for their them the focus of everything computer physician order surgery, heart angioplasty, very skilled and dedicated staff part in this achievement.” TRansfoRmaTIon mILesTone: Rush Tops off The New hospiTal The Medical Center celebrated an historic milestone in the Rush Transformation in December when the final steel beam used in the construction of the East Tower was raised. Before- hand, employees had the opportunity to sign the 25-foot beam, leaving their mark on the 14-story new hospital building cur- rently under construction at the corner of Harrison Street and Ashland Avenue. The East Tower will be completed in 2012. Mick Zdeblick, vice president, campus transformation, was one of many on hand to help celebrate. “This achievement puts us one step closer to achieving our goal of making Rush the medi- cal center of choice,” Zdeblick explains. “It’s symbolic of our vision in providing the best possible care to our patients in the city and from around the country.” Learn more about Rush’s Transformation and how its trials and mock-ups of rooms and equipment have helped shape the project’s development over the last few years. Read the story on page 3. To learn more about the Rush Transformation, please visit www.rush.edu/transformation. Vanessa R. Badgett, who works in finance, signs the final steel beam. new YeaR, As you can see, NewsRounds has undergone some changes. Starting with this issue, the newsletter will be in full color and a larger size. We’ve made these changes, in response to feedback from our readers, in order to make NewsRounds an even better source of information about what’s happening at Rush. Best of all, this new look doesn’t affect the cost of production. new Look! We hope you’ll enjoy the revamped NewsRounds and that you’ll take the time to read about the exciting developments and interesting people at the Medical Center. Thanks for reading. If you have any questions or comments, please e-mail [email protected] or call us at ext. 2-5582. IN ThIS ISSUe FReIdeNFeldS CoMBINeS CUSToMeR SeRVICe, SeCURITy for Lauris freidenfelds, safety and Transformation mock-ups customer service go hand in hand. freidenfelds has been the director of and Trials security at Rush since June of 2008, page 3 and since his arrival he’s emphasized engagement with Rush visitors as a primary method of keeping Rush secure. new Rush university Course page 3 “a good security principle is to get involved and interact with people and help them with whatever issue they have,” Rush Research in the news he explains. “That approach will create a page 4 positive atmosphere for the people who really want assistance and deter people who just want to hide out in the crowd.” Janet wolter, md, Retires freidenfelds has spent more than 20 after 46 Years years in the security profession. Before pages 4-5 coming to Rush, he consulted for a variety of clients, including numerous academic medical centers. at Rush, he supervises a nutrition Q&a staff of 64 people, including 56 full-time Lauris Freidenfelds and Eric Turner, a Rush security officer, speak with a visitor at the Medical Center. page 5 security officers. we want to be very sensitive in dealing Freidenfelds: our primary service is escort- he was drawn to the job by the opportu- with these situations, especially when ing patients, visitors and employees — nity to put into practice the concepts he’d Quarterly employee awards patients are involved. The security officers giving them a ride, walking them to their been advocating as a consultant. “as a page 6 have a complex situation. They’re deal- cars when it’s dark, accompanying them consultant I made recommendations, but ing with scenarios that require thinking when they’re carrying valuables. we also I didn’t get to act on them. This position quickly on their feet to resolve problems. assist with wayfinding. was a great opportunity to both make the People news recommendation and take on the chal- NewsRounds: how are the officers Customer service also can be as simple as page 7 lenge of implementing them,” he says. trained? asking someone who’s standing in a lobby who they’re waiting for or if we can call NewsRounds spoke with freidenfelds about Freidenfelds: The International association someone for them. It’s a good way to learn the state of campus security — and how of hospital safety and security provides news Briefs the reason people are here and to prevent helping patients and visitors also helps officers with training. we also go through page 8 people who aren’t supposed to be here keep Rush safe. training with the psychiatry department from doing something. about how to address situations, and we NewsRounds: From your perspective, do monthly in-service training. we’re progressing in the right direction by how safe is Rush’s campus? becoming visible on the floors. we used to NewsRounds: The Rush campus includes Freidenfelds: we’re in a very safe environ- walk the floor once a day; now it’s twice a a lot of public buildings. What are some ment here. The immediate campus, from shift. The main thing is combining helping NeWSrounds of the challenges involved in maintain- Polk street to Jackson Boulevard, wood with protecting. ing security in them? street to ashland avenue, is a very safe february/march 2010 To contact Lauris Freidenfelds for more infor- area. Very, very little happens here. Freidenfelds: hospitals are required mation about campus security, call ext. 2-6395 to be able to lock down in an emergency. when you get outside our campus, when or e-mail [email protected]. editor we don’t have electronic ways of closing you start to get toward the south and anne Burgeson doors. we have a lot of front, back and west, that’s where issues of crime are SAFeTy TIpS oN CAMpUS side doors, and we don’t know if they’re more prevalent. a lot of our work force Managing editors secure or not without sending a security Lauris freidenfelds recommends that comes in from around those areas. we elizabeth higgins and kevin mckeough officer to check them. I’m working on Rush personnel take the following can’t escort people home, so I need to obtaining grants and capital money to precautions to increase their personal educate people about what they need to Contributors find a more effective means to lock down safety when traveling to and from the do when they get on the train or take a Cindee Castronovo, nancy difiore, Judy the hospital in an emergency, so that Rush campus: bus. (see freidenfelds’ tips in the box to germany, Jill goldberg, Thurston hatcher, we can press a button and lock down • Stay in a well-lit area the right.) Cari kornblit, ken Quandt, erin Thorne, automatically. • Travel in groups Juliana walker and molly wolfe NewsRounds: What changes have you we’ve also developed a limited access • Be aware of your surroundings and made to campus security since you procedure to respond to a severe pan- the people in the area when traveling Designer arrived? demic situation due to something like to and from campus kristen marzejon Freidenfelds: when I got here, we were the h1n1 [swine flu] virus. as you know, • Keep your valuables out of sight using a style of security that focused on recently we raised the level of security photographers • Keep your cell phone in your pocket responding to problems. I prefer to focus in response to the rate of flu infection, steve gadomski, Leo garcia and on a more proactive customer service and we screened visitors at entryways • Keep your laptop computer hidden Bill Richert approach. By helping people, you can for flu virus. and protected in a bag determine if someone really belongs here. • Stay off your cell phone and avoid have a news item or story idea for NewsRounds: you mentioned customer I’ve also shifted the focus from driving looking at or being distracted by your NewsRounds? Contact the editor at: service earlier. What kind of services do around the hospital, street patrol, to iPod or similar devices Phone: 942-5582 the security officers provide? giving security officers responsibility for fax: 563-4149 buildings and a sense of ownership of e-mail: [email protected] their area. CoRReCTIoNS marketing and Communications NewsRounds: What kind of security Triangle office Building issues do you face most often? In the december issue of NewsRounds, we used the 1700 w. Van Buren st., suite 456 wrong photo for Regina Chen in People news. Freidenfelds: nursing and hospital Chicago, IL 60612 an article about research at Rush in the october, 2009 staff are the no. 1 victims of workplace issue of NewsRounds identified molly martin, md, as violence. Probably not a week goes by an assistant professor of pediatrics and preventive that we don’t have three or four calls medicine. while martin holds appointments in both about patients who become agitated, the department of Preventive medicine and the especially psychiatric patients, or visitors department of Pediatrics, her research is conducted who become distraught and act out, such solely in the department of Preventive medicine. as loved ones dealing with a loss in a potentially harmful manner. NewsRounds regrets the errors. Regina Chen 2 TeST dRIVINg MATeRIAlS IN The NeW eAST ToWeR If you’ve ever bought a car, you know the the initial design. The acute care and critical value of first doing research, taking cars for care patient room mock-ups are a good test drives and kicking the tires. much like example. The rooms were toured by a that process, Rush has done quite a few wide range of groups, including clinicians, “test drives” by seeking input from staff, patients, housekeeping, maintenance, risk patients and visitors on many aspects of management, infection control, food and the east Tower. we’ve done this in two key nutrition, and security. In addition, the ways: with mock-ups — scale or full-sized nursing alumni association and philanthropy models of a design or device — and trials department ran open houses. as the ooT — testing a product to determine if it is the team gathered feedback from each of these best choice for our needs. These have helped groups, they modified the mock-ups, chang- Visitors to the East Tower will have an easier time finding their way to public elevators thanks to the guide key decisions about everything from ing everything from room sizes and window “green” wall that will be the trademark feature of the lobbies outside these elevators. placement to the location of furniture and what type of chairs visitors will sit on in our outlets. now, as the interior construction lobbies to what materials will be used to some of the trials have tested carpet- east Tower, a six-month trial of carpeting starts to take shape in the east Tower, the build the east Tower’s exterior walls. ing, flooring, lighting, furniture and wall in corridors proved that commercial team will take what it learned from these finishes. while most of the trials have carpeting is superior in cleaning and “mock-ups help in the decision-making mock-ups and complete an acute care been completed, some of the tested functionality and helps to reduce noise. process, because people respond much and a critical care patient room in the new materials will remain in the atrium better to a full-sized, three-dimensional hospital building to ensure that all of the all of these “test drives” are critical Building until the east Tower opens and design than to a drawing,” says Joe deVoss, approved recommendations have been to assure that the Rush Transformation renovation of the atrium and kellogg assistant vice president, office of Transfor- satisfied before construction of the rest creates an environment with all the buildings begin. In some instances, the mation (ooT). “They actually expedite the of these rooms. features necessary for everyone who products tested have proven to be the decision process, which protects the overall works at Rush to do their best — a key “Trials are also useful tools,” adds deVoss. right choice, such as the patient lobby design and construction schedule.” goal of the project. “They help us to understand the appropriate furniture and environmentally friendly since even before transformation construc- use of a new product and judge the ease of plumbing fixtures. however, there also To learn more about the Rush Transformation, tion began in 2007, ooT has conducted its maintenance and the general wear and have been some unexpected outcomes. please visit www.rush.edu/transformation. numerous mock-ups that have provided tear it can withstand. The longer the trial, after many staff voiced objections about For questions, please contact the Office of valuable input and resulted in changes to the more information we can gather.” carpeting corridors in patient units in the Transformation at [email protected]. Thank You Rush uNiveRsiTy CouRse aiDs from the adopt-a-family Program and the Rush united way Committee sTuDeNTs iN CollaboRaTioN for the first time in Rush university’s his- to what faculty expect will be long-term while the holidays are over, the giving spirit of the season continues to benefit families and tory, all students in the College of health professional relationships.” charitable organizations throughout the Chicago area, thanks to Rush’s adopt-a-family sciences, Rush medical College and the “health Care in america” is very project Program and the medical Center community’s support of the united way. Rush university College of nursing are now focused. In the fall quarter of 2009, taking an interdisciplinary course, entitled The department of Community affairs would like to thank everyone who participated in there were 30 team projects, with eight “health Care in america.” The course the 2009 adopt-a-family Program. This year, 123 families were adopted and received food, to nine students assigned to each project. introduces students to the complexity of clothing, housewares and children’s toys — all purchased by Rush employees, medical Topics focused on patient safety, quality the u.s. health care system, including its staff, students and friends. This support and generosity helped make the holiday season management/process improvement and historical development, as well as the orga- a time of celebration for these families in need. To learn more about the adopt-a-family contemporary issues in medicine. In one nization and delivery of health sciences; the Program, contact Verneice Cherry at ext. 2-5961. project, students had to analyze a real economics and financing of health care; the event that jeopardized patient safety at Thank You from united way nation’s health care workforce; access to Rush and make recommendations about Rush has collaborated with the united way of metropolitan Chicago for many years to help and quality of health services; health policy how to prevent such an event. support charities that work with people in our community. employees at Rush always have and the public’s health; and future direc- Rush College of nursing to been very generous and supportive of the united way, and during this year’s campaign, tions of the country’s health care system. develop much-needed Curriculum more than 34 percent of all employees contributed, raising approximately $217,000. while the university has offered the inter- for LgBT and hIV Positive adults Thank you again for another successful united way Campaign. Your donations will be disciplinary course for the last 14 years, it extremely beneficial in helping to improve the lives of community members throughout In other university news, the howard wasn’t until last fall that medical students the Chicago area. for information about the united way of metropolitan Chicago, please Brown health Center in Chicago has were enrolled in it. In all, the course enrolls visit www.uw-mc.org. If you’d like to share your united way volunteering story, send an partnered with Rush university College 247 students from the three colleges. “It e-mail to [email protected]. If you have any other questions, please contact Lauren of nursing to develop a first-of-its-kind brings students from various health care goebel at ext. 3-3280. cultural competency curriculum for the disciplines together to enhance their under- care of lesbian, gay, bisexual or trans- Kateri Evans (left), RN, BSN, nurse clinical coordinator for the Coleman Foundation Comprehensive standing of the health care team concept gender (LgBT) and/or hIV positive older Clinic for Gastrointestal Cancers; and Carol Hallinan (right), RN, senior clinical review coordinator, and develops their communication skills adults. marilyn wideman, dnP, Rn-BC, oncology administration, drop off gifts for the Adopt-A-Family Program. across disciplines,” says diane howard, assistant professor, director of faculty Phd, assistant professor, health systems practice and outreach, College of nursing, management. and angela moss, anP, ms, Rn, assistant howard is the course co-director along with professor, College of nursing, will col- keith Boyd, md, associate dean for cur- laborate with their colleagues from the howard Brown health Center to develop riculum, Rush medical College. Boyd says a comprehensive program to provide the course gives students an appreciation education and training in geriatric care of the role of other health care profes- for LgBT and hIV positive individuals. The sionals. “The students come to realize the curriculum will begin later this year and importance of being introduced to other will train up to 280 nursing professionals disciplines to better understand what the and nursing students annually. Based in discipline is; the type of professionals who Chicago’s uptown neighborhood, howard gravitate to various disciplines; and how Brown health Center is one of the nation’s they will need to work with these disci- largest LgBT health care organizations. plines once they enter the workforce,” he explains. “It also breaks down communica- For more University news, please go to the Rush tion barriers and serves as a springboard University Web site at http://www.rushu.rush.edu. 3 A Lifetime of Healing JaneT woLTeR, md, ReTIRes afTeR 46 YeaRs aT Rush To honor wolter, Rush is hosting a seminar seVenTh gRade PLans had no computers. electrocardiograms of former residents and fellows on feb. 27 a native of River forest, wolter declared (ekgs) were done on photographic paper, and will name a new teaching area after her intention to be a doctor in a seventh and every floor in a hospital had a dark- her. The Janet wolter, md, Clinical and grade essay. In the late 1940s, she first room where you’d develop the ekg.” educational Conference Room will provide came to what would become Rush during The advent of the polio vaccine in the a comfortable, high-tech home for the a clerkship at Presbyterian hospital while mid-50s eventually led to the end of education of residents and fellows and for attending the university of Illinois (u of I) her program, and wolter joined the collaboration among clinicians of various College of medicine. (Presbyterian eventu- Presbyterian-st. Luke’s hospital faculty specialties. The room will be built as part ally merged with both st. Luke’s hospital in 1963 to collaborate with pioneering of the renovation of the 10th floor of the and Rush medical College to form what physician samuel g. Taylor III, md, in his Professional Building later this year to now is Rush university medical Center.) work treating cancer patients with hor- house Rush’s new outpatient cancer center. world war II had just ended when she mones and chemotherapy. “It wasn’t The educational focus of these tributes was accepted into medical school. “a lot even called oncology. There wasn’t even reflects wolter’s enduring influence on of the guys weren’t out of the service a name for it then,” she remembers. generations of physicians. “she served yet,” wolter recalls. “In my class of 165, “There really wasn’t anything that could as a role model, for me and many other 21 were women, but the next year be called cancer care. If the surgeon when Janet wolter, md, first oncologists who trained at Rush; for our when everybody came back from the couldn’t remove the tumor, that was it.” began practicing medicine, internal medicine residents and students; war, it went down to four women and over the coming decades, the field the polio vaccine hadn’t yet and especially for many female physicians,” 161 men.” advanced with the development of been discovered, and cancer says Philip Bonomi, md, alice Pirie wirtz after receiving her medical degree in chemotherapy and radiation, hormone professor of medical oncology and director was so feared that it wasn’t 1950, wolter completed training at and targeted therapies. while her early of hematology-oncology at Rush, who discussed openly. Johns hopkins hospital, duke university experience included all kinds of cancer, trained with wolter as an oncology fellow. hospital, the university of Illinois Research wolter’s primary focus has been breast By the time she retired as Brian Piccolo “she’s a very fastidious physician who has and education hospital and Presbyterian cancer, an interest that ultimately led Chair of Cancer Research and professor taken excellent care of patients. There’s hospital before joining the u of I faculty. to her role in Rush opening the first of internal medicine at Rush at the end no one better,” Bonomi continues. “on There, she treated polio patients, who compre hensive breast center in the of november 2009, wolter had provided monday mornings, the oncology team were confined in iron lungs that enabled midwest. after remaining largely thousands of cancer patients with hope goes through new cases, and to this day them to breathe. unchanged from 1930 to 1990, breast and made important contributions to the her remarks are incredibly insightful and cancer death rates decreased by 27 advances that have transformed cancer pertinent, not only in breast cancer but “all the equipment back then was big and percent from 1990 to 2005, according care and outcomes. other cases.“ rigid and heavy,” wolter remembers. “we to the american Cancer society. Rush Research I n T h e n e w s Rush university medical Center’s physicians, scientists and researchers are pur- suing a new understanding of complex medical questions and new treatments and techniques, all with the aim of ultimately improving care. The following Rush researchers and studies recently have received local and national media attention. • A new study explores a widely used, choles- Catheterization Laboratory. Rush was the terol-lowering drug and how it may prevent only Illinois site and one of 10 cardiac the progression of Parkinson disease. The centers across the country that participated research is led by study author Kalipada Pahan, in the 53-patient, double-blind, placebo- PhD, professor of neurological sciences. controlled Phase I trial. • Ece Mutlu, MD, gastroenterologist and princi- • The National Institutes of Health (NIH) pal investigator of a study funded by the U.S. has awarded a consortium of Chicago- Department of Defense, explores the relation- based institutions led by Rush a five- Kalipada Pahan, PhD Ece Mutlu, MD ship between bacteria in the gastrointestinal year, $3.75-million grant to establish a tract and how microbial imbalances may developmental center for AIDS research. impact diseases like breast cancer. The center will create a comprehensive research infrastructure to spur basic sci- • Caryn Etkin, PhD, study co-investigator and ence, clinical studies and translational project manager in adult health nursing, research in the prevention, detection along with other researchers in the College of and treatment of HIV infection and Nursing, have begun a study to evaluate the AIDS. The center in Chicago involves potential benefits of incorporating a physical investigators from Rush, the University activity program into the daily lives of care- of Illinois at Chicago (UIC) and Cook givers of Alzheimer’s and dementia patients. County Health and Hospitals System, • Results from a recent study suggest that adult who will collaborate across disciplines stem cells from donor bone marrow may help and institutions to advance HIV/AIDS repair muscle cells damaged by heart attack. research. Alan Landay, PhD, chairperson The study principal investigator is Gary of immunology and microbiology at Rush, Schaer, MD, director of the Rush Cardiac is the director of the center. Gary Schaer, MD Alan Landay, PhD For more information about these studies and the latest news about Rush research, please visit the “Rush In The News” page on the Rush Web site, www.rush.edu. Print articles also are available for viewing on the Rush intranet site located at http://iris.rush.edu/news. To access the articles, go to the green bar on the left side of the page and select the link, “Media Clips.” 4 Janet Wolter, MD, (center) when she was chief resident at the University of Illinois Research and Education Hospital in 1954. makIng a dIffeRenCe: ComPRehensIVe CaRe one of wolter’s greatest satisfactions is the role she’s played in this progress. she served on the executive committee and board of directors of the national surgical adjuvant Breast and Bowel Program, a national Cancer Institute-supported cooperative group of researchers conducting clinical trials of cancer treatments, and she was the Clinic in the mid-1970s, and she served regimen to reduce its side effects and to or as little as she wants, and we hope principal investigator for the Rush arm of until her retirement as the clinic’s medical give her more time with her husband and she will continue to serve as an advisor,” the program from 1989 until January 2010. director. The multidisciplinary clinic provides three children. Bonomi says. preventive screening for skin cancer and “I’ve put hundreds of patients on their “There are no words to describe what she’s “she can’t be replaced, no question about sees about 500 patients a year. clinical trials, which helped us define not done for me and my family,” Juliana says. it,” he adds. “But even though she may only what hormones are going to work and In treating her patients, wolter combined “she’s even met with each of my children not be here, the things we’ve learned how long we should administer them, but the pursuit of medical advances with com- individually to address their concerns. That’s from her will continue to help us in taking all kinds of combinations of chemotherapy,” passionate, personal attention. she routinely how she treats all her patients. she makes care of patients, doing clinical research wolter reflects. “These are things that gave patients her home phone numbers — each person feel special. having her as a and maintaining the highest standard of nobody can claim as personal triumphs, “they never abused it, and it meant so much doctor fills you with hope and strength.” integrity.” but you get a lot of satisfaction from being to them” — and maintained an optimistic wolter’s deep dedication to her patients part of the answer.” outlook. “as soon as patients have a little kept her working 50-hour weeks into her The Janet Wolter, MD, Seminar and Luncheon bit of hope, they feel better,” wolter notes. Bonomi credits wolter with another impor- 80s. “I love it,” she says “all these people will take place on Saturday, Feb. 27 from tant innovation in cancer care. “she had “she’s the ultimate doctor: she’s caring, are so interesting, and they’re so grateful 8 a.m. to 1 p.m. For more information, the idea of having nurse specialists in she’s knowledgeable, she has a great sense for whatever you do for them. It’s the most contact Lisa Gerberding or send an e-mail oncology working in tandem with oncolo- of humor, and she’s always available,” says satisfying thing you can do.” to [email protected]. gists and began training them 35 years ago Juliana, a Chicagoan in her 40s who has even in retirement, wolter isn’t leaving Rush Rush is raising funds for the conference room or more, long before medicine had nurse been a patient of wolter since being diag- or medicine behind entirely. she plans to that is being named in Janet Wolter’s honor. practitioners,” he says. nosed with cancer in 1989. help the oncology research program with To support this initiative, please contact In addition, wolter took the initiative in Juliana credits wolter with keeping her alive regulatory issues, working from her Chicago Linda Roche in the Office of Philanthropy establishing the Rush Pigmented Lesion and for tailoring her ongoing chemotherapy home. “we’ve told her she can do as much (312-942-6112 or [email protected]). & Q uesTIons A nsweRs aBouT a heaRT-heaLThY LIfesTYLe at Rush, keeping people healthy includes helping Rush staff, employees, students and volunteers lead healthy lifestyles. as part of that goal, NewsRounds asked Cassie Vanderwall, ms, Rd, Ld, a registered dietitian at Rush and a certified personal trainer, to offer her heart-healthy tips. why is a heart-healthy lifestyle known to increase LdL cholesterol and how much salt is too much? what other lifestyle changes good for everyone? promote cardiovascular disease. If saturated The recommended daily allowance for sodium will benefit my heart and cardio- good nutrition and exercise significantly fat is bad, than trans fat is worse. Trans fats is 2,300 mg., or one teaspoon of salt. salt can vascular system? reduces your risk — by 50 percent — of have been found to both increase “bad” easily sneak up on you because it is the most Besides good nutrition and daily exercise, heart disease and stroke, which remains (LdL) cholesterol and decrease “good” common preservative in packaged foods. the following changes will help you to the no. 1 killer of americans. The Diet and (hdL) cholesterol. achieve a heart-healthy lifestyle: Lifestyle Goals for Cardiovascular Disease Does sugar affect my heart? • If you smoke, stop smoking. Risk Reduction, published by the american what are omega 3 fatty acids? Yes. elevated blood sugar levels and people • Drink eight glasses of water per day. heart association, are proven lifestyle omega 3 fatty acids are unsaturated fats with diabetes are at an increased risk for • Relax and find ways to lower your changes to promote heart health, which that are found in fish oil, flaxseed oil, walnut heart disease and stroke. stress level. leads to lower total and LdL cholesterol oil and many other nuts and seeds. This type If you are interested in learning how to levels, decreased triglycerides, reduced of fat has been shown to decrease triglyc- what are some easy ways to apply these guidelines, or have additional blood pressure and blood glucose control. erides, lower blood pressure, decrease the include heart-healthy exercise in questions, please contact a registered risk of arrhythmias and decrease the growth my daily routine? dietitian at (312) 942-DIET (3438) or via what does a heart-healthy meal of arterial plaque. eating fatty fish — such aerobic exercises help to keep our hearts e-mail at [email protected]. plan include? as mackerel, lake trout, herring, sardines, strong. These exercises include walking, heart-healthy eating includes everything, albacore tuna and salmon — two times per jumping rope, jogging, stair climbing, in moderation. This style of eating focuses week will meet this recommendation. dancing, etc. To include exercise daily, try on foods that are lower in sodium, any of the following activities: healthier fats and proper portion sizes. is chocolate really good for • Count your steps! Use a pedometer my heart? and work your way up to 10,000 steps what types of fat should i consume Yes, three and a half ounces of dark choco- per day. on a daily basis? late daily is heart healthy! dark chocolate • Grab a friend or a pet and go for a walk. heart-healthy fats are those that are fluid has 65 percent more cacao flavonoids than • Dance to your favorite music. at room temperature, such as olive oil, milk or white chocolate. flavonoids provide • Park farther away from the store, or fish oil, and the oils from nuts and seeds. both the pungent taste and the health ben- take public transportation. fats that are solid at room temperature efits, such as decreasing blood pressure and • Forget elevators and escalators, and are called saturated fats, and they are blood cholesterol. take the stairs. 5 Employee Aw a r d s 3rd QuaRTeR each quarter, Rush employees are recognized for going above and beyond the call of duty for patients, families, visitors and co-workers. These employees are shining examples of Rush VaLues awaRd the Rush I CaRe values (innovation, collaboration, accountability, respect and excellence). “Rebecca fransted from the special The following are the winners of Rush’s awards for the third quarter of fiscal year 2009. Care nursery is a true example of nursing excellence,” says Rebekah emPLoYee of The QuaRTeR gaffin, Rn, Bsn, supplemental staff- diane skierkiewicz, administrative assistant, anesthesiology, is a ing office, who was a patient here at true team player. she went out of her way to help Jonathan Burke, Rush last year. “Becky began caring a new administrative assistant in the department, excel in his posi- for one of my twin daughters, elaina, tion. knowing how stressful it can be to transition into a new job, after I delivered prematurely at 29 skierkiewicz took Burke under her wing. “diane’s experience and weeks. when we lost elaina’s twin sister, eva, she helped my new time at Rush are invaluable to our department, and her friendly, family cope and recommended various resources available to help helpful nature put me at ease from day one,” says Burke, who us deal with our loss.” fransted reassured gaffin’s family by keep- nominated skierkiewicz for the award. “she is the heart of ing them constantly informed about their daughter’s progress. after our department.” spending long hours in the neonatal intensive care unit, fransted encouraged gaffin’s family to take the time to care for themselves. “Becky would encourage us to get off the unit to eat or rest or just to gather our thoughts and would say ‘I’m here and will call you if manageR of The QuaRTeR anything changes.’ It was incredibly comforting during this stressful Traci Colvin, research study manager in the Rush alzheimer’s experience knowing that she was there watching our daughter,” disease Center (RadC), was nominated by her department for her says gaffin. exceptional interpersonal and management skills, hard work and many achievements. Colvin mentors a large staff working on several It’s not easy living with a complicated, externally funded studies and is creative in her approach to making chronic illness. one young girl coped sure data is collected. she collaborates with study sites, offering new with cystic fibrosis with the help of educational opportunities to keep participants engaged. “much of Lori Yoder, licensed clinical social our success can be attributed directly to her leadership and char- worker in the department of Case acter. This departmental nomination for manager of the quarter management, who also works in can only begin to express the appreciation we feel daily for Traci’s the Rush Cystic fibrosis Center. The contribution,” says Tracy faulkner, RadC department manager. young patient and her grandmother, who cared for her, began to have financial difficulty and ended up living in a homeless shelter. Yoder, aware of their circumstances, sought Team of The QuaRTeR financial help from community organizations and individuals to assist this family in renting an apartment. Yoder also led an effort of Rush is a place for teaching as collecting donations from community organizations that furnished well as healing. The 7 south their new apartment and provided food and clothing. “Lori has atrium discharge teaching team taught me that we can make a difference in the lives of those we took the time to teach three serve,” says nominator susan hauptman, technical supervisor, members of a family with no pediatrics pulmonary function testing lab, and respiratory therapist, medical background how to care Rush Cystic fibrosis Center. for a loved one who needed total dependent care. The group cre- ated various teaching tools and CaRoL sTege awaRd foR provided a great deal of emo- tional support to the family. The enVIRonmenTaL seRVICes family learned how to make sure Barbara milner, environmental services the patient’s artificial airway was The 7 South Atrium discharge teaching team with award presenter technician on 5 north of the Johnston clear while providing nutrition Jane Grady, PhD, human resources (center): (Left to right) Megan R. Bowman Center, used her own through a feeding tube; how Smyriotis, RN; Julie Lopez, RN; Liza Villanueva, RN; Melissa Datu, RN; resources to create and produce an to administer medications; and MaryJo McHugh, RN; and Sue Brady, RN. Not pictured: Julia Anderson, organizational workbag for her co- how to carefully turn, position RN; Angela Brunfeldt, RN; Amber Engstrom, RN; Ashley Martucci, RN; workers. The bags included cleaning and bathe their loved one. The and Betsy Parrino, RN. products and patient information team includes the following packets. “she shows pride in her work and is regularly recognized members: Julie Lopez, dnP, Rn, unit director; maryJo mchugh, Rn, senior case manager; susan by the neonatal intensive care unit staff and the parents of patients. Brady, Rn, case manager; and 7 south atrium nursing staff members Julia anderson, Rn, angela If parents need anything, she goes out of her way to make them Brunfeldt, Rn, melissa datu, Rn, amber engstrom, Rn, ashley martucci, Rn, Betsy Parrino, Rn, feel comfortable. her friendliness lifts everyone’s spirit,” says Jack megan smyrniotis, Rn, and Liza Villanueva, Rn. stires, director of environmental services. PaTIenT saTIsfaCTIon “sTaR” every quarter, an employee whose name appears in two or more favorable patient evaluations is awarded the patient satisfaction “star” award. This quarter, five stars were honored: elizabeth scott, Rn, ambulatory surgery; Joy (Jensen) warner, Rn, new Life family Center; maria hoy, Cma, Rush head and neck associates; Lolita Reynolds, endoscopy technician; and sabina kuduzovic, x-ray technician, emergency department. Their patient evaluations included the following comments: • “My nurse Liz was very helpful. While I was in recovery she consistently asked about my pain level.” • “Joy was an excellent nurse! She took the time to help me breastfeed two nights in a row.” • “Maria was always prompt, courteous and empathetic about what I was going through. She has a keen sense of humor, which put me at ease.” • “Lolita was wonderful. She made me laugh and feel less nervous before surgery. Awesome personality and smile.” • “Sabina was extraordinarily sensitive when taking care of me. She covered me with a warm Left to right: Maria Hoy, CMA; Lolita Reynolds; Sabina Kuduzovic; and blanket and was very helpful.” Elizabeth Scott, RN. Not pictured: Joy Warner, RN. To nominate someone for a quarterly award, call Clare Quinn at ext. 2-3641. 6 People News Appointments association of hip and knee surgeons his outstanding achievements in the project’s long-term goal is to develop Clinical Research award. della Valle field of vitreoretinal training and for an intervention that will help these daniel deziel, Md, has been received the award during the associa- his support of cooperation between fathers develop and sustain positive appointed acting chairperson of the tion’s annual meeting in november in asRs and eVRs. The prize is named for involvement with their children. daniel deziel, md department of general surgery. deziel dallas. he was honored for his study Relja Zivojnovic, one of the founders speech-language pathology students has spent most of the past 31 years in examining standard care for patients of vitreoretinal surgery. Katherine Flood and Abigail polglase the department, starting as a resident, whose total hip replacements have Stephanie pesa, a fourth-year doctor have been accepted as Illinois Leader- and is currently a professor and senior failed because of infection, which of audiology (aud) student, has ship education in neurodevelopmental attending surgeon. deziel is past may occur in as many as three received the sonus foundation disabilities (Lend) trainees, with president of the society of american percent of cases. scholarship. The sonus foundation Karen Tessler, phd, assistant professor, gastrointestinal and endoscopic Mark Foreman, phd, RN, College of scholarship was established to department of Communication surgeons and immediate past presi- nursing, is collaborating with three financially assist third-year and disorders and sciences, serving as dent of the Chicago surgical society. engineers from the university of fourth-year aud students. discipline coordinator. The students In december, howard Kaufman, Md, Illinois at Chicago on a study entitled will be part of a large and multidisci- guy J. petruzzelli, Md, chief of the joined Rush as the first director of the “effective Communication with plinary Lend traineeship at the section of head, neck and skull Rush Cancer Program and associ- Robotic assistants for the elderly: university of Illinois at Chicago’s Base surgery in the department of howard kaufman, md ate dean of Rush medical College. Integrating speech, Vision, and Institute on disability and human otolaryngology, received the american kaufman comes to Rush from new haptics.” funded by the national development. The Lend Interdisci- academy of otolaryngology — York’s Columbia university, where he science foundation with american plinary Training Program is a one-year head and neck surgery (aao-hns) was chief of the division of surgical Recovery and Reinvestment act of training program that incorporates distinguished service award at the oncology, director of the Columbia 2009 funds, this three-year study is a instructive and experiential learning in 2009 aao-hnsf annual meeting and melanoma Center and chairperson communication interface [a combina- clinical and community-based settings. oTo eXPo, in san diego in october. of the oncology service line at new tion of speech, gestures and physical York Presbyterian hospital. The Rush aao-hns presents the award to Principle investigator Joellen Wilbur, interactions (haptics)] between the Cancer Program comprises all of the medical professionals in recognition of phd, RN, professor and associate dean elderly and a robotic assistant, with cancer-related clinical, research and extensive service through the presenta- of nursing research and scholarship; the goal of promoting independence educational efforts at Rush. In the new tion of instructional courses, scientific and co-investigators lynne Braun, phd, of older people. program director position, kaufman papers, participation on a continuing CNp, professor, College of nursing, and will be responsible for the program’s Steven gitelis, Md, professor and vice education committee or academy nurse practitioner, Rush heart Center steven gitelis, md strategic planning process and chairperson, department of orthope- leadership position. for women; lou Fogg, phd, professor, execution. he also will help guide dic surgery, and director, section of department of Psychology and College david C. Shelledy, phd, ellis Jones orthopedic oncology, was honored by the development, refinement and of nursing; Arlene Miller, phd, RN, endowed Chair and dean of the the michigan state university football growth of the cancer service line. professor and chairperson, department College of health sciences, was elected team during a game this past october of Community, systems, and mental to the association of schools of allied Kudos against northwestern university in health nursing; Tricia Johnson, phd, health Professions (asahP) Board east Lansing, mich. he was honored associate professor, department of In december, Rush received a healers for his work on a football scholarship of directors for a three-year term. health systems management; and who heal the Community award from student who was diagnosed with shelledy also is one of the five asahP Annabelle Volgman, Md, associate diversity healthcare, Inc., in honor osteosarcoma, a rare type of bone commissioners who serve on the professor of medicine and medical of the medical Center’s commitment cancer not often seen in teenage Commission on accreditation of allied director, Rush heart Center for women; to improving the quality of life for boys. with assistance from his health education Programs. received a five-year grant from the blacks and Latinos. Rush was chosen colleagues in the Limb Preservation Beth Volin, Md, director, division national Institute of nursing Research guy J. Petruzzelli, md to receive the award in the friends in Center at Rush, gitelis helped the of general Pediatrics, and associate and the national Institutes of health health-health systems category by a patient walk again. In addition to chairperson, department of for a research project entitled selection of insurance and finance pro- gitelis, the team includes the following Pediatrics, received the emory College “Reducing health disparity in fessionals, parents and clergypeople. orthopedic surgery faculty members: distinguished alumni award for lead- african american women: Physical diversity healthcare, Inc., is a Chicago Walter Virkus, Md, orthopedic oncolo- ing community service programs for activity adherence.” The purpose of organization that develops health and gist, associate professor; Mark Cohen, children at Rush, including the kids this clinical trial is to test the success training programs for corporations, Md, director, section of hand and shelter health Improvement Project of the women’s walking Program, health professionals, schools and elbow surgery, professor; and John (kidshIP). In 1997, Volin founded the which consists of recommendations for communities and provides free health Fernandez, Md, orthopedic surgeon, kidshIP program, which has served an active lifestyle and telephone calls education programs to black and assistant professor. The patient was more than 9,000 homeless children between visits to encourage physical Latinos communities. even able to work out with the spar- over the past decade, helping them activity and improve health outcomes. tan team during practice — something david C. shelledy, Phd The american society for Radiation receive comprehensive health care. she many didn’t think was possible. The national Cancer Institute has oncology (asTRo) has selected also serves as the director of the Rush awarded the College of Nursing’s Carrie daly, ApN, for its 2009 asTRo Rush-Presbyterian-st. Luke’s nurses Reach out and Read Program, which Interdisciplinary palliative Care nurse excellence award, which is alumni association named Judith promotes early literacy by giving chil- education program a fifth year of given to a registered nurse who J. McCann, phd, RN, professor in dren books in pediatric exam rooms. funding in the amount of $267,689. goes above and beyond the normal the department of adult health and Principal investigator Wrenetha Julion, This is the final year of the grant, which standards of nursing practice. daly gerontological nursing and a research phd, RN, associate professor, College has been led by project director Susan received her award during asTRo’s scientist with the Rush Institute for of nursing, and her research team of Breakwell, AphN-BC, dNp, associate annual meeting in Chicago this past healthy aging, its 2009 distinguished debbie gross, dNSc, RN, the Leonard professor, College of nursing. november. daly is an oncology nurse alumna. she was honored at the asso- & helen stulman Professor at Johns manager and advanced practice nurse ciation’s homecoming celebration in The u.s. department of health and hopkins university school of in the Rush department of Radiation september. Presented annually by the human services recently awarded Rush medicine and adjunct professor in oncology. In the four years she has alumni association, this award honors University Medical Center its national Beth Volin, md the Rush College of nursing; Susan been at Rush, daly has developed alumni who have given distinguished Breitenstein, phd, RN, instructor, medal of honor for the medical Center’s site specific educational materials for service to the nursing profession and is department of Community, systems work in saving and enhancing lives patients receiving radiation therapy the highest honor the association can and mental health nursing; and through organ and tissue donation. and implemented skin care and mouth bestow on one of its own members. donald Waddell, MSW, project direc- Rush was one of 22 hospitals in Illinois care protocols for radiation therapy Kirk packo, Md, professor, chairperson tor; have received funding for their to receive this honor for its collabora- patients. asTRo is the largest radiation of the department of opthamology, project entitled, “The african american tive work with gift of hope organ and oncology society in the world, with received the Relja-Zivojnovic Prize dur- non-Resident fatherhood Program.” Tissue donor network. gift of hope is a more than 10,000 members who ing the ninth annual Congress of the This two-year project, funded by the nonprofit organ procurement organiza- specialize in treating patients using european Vitreo Retinal society (eVRs) national Institutes of health, will entail tion that coordinates organ and tissue radiation therapies. in september. Packo, a past president the development of a fatherhood donation and services to families of Craig della Valle, Md, orthopedic sur- of the american society of Retina spe- program for african american fathers donors in the northern three-quarters geon at Rush, has won the american cialists (asRs), received the award for who do not live with their children. The of Illinois and northwest Indiana. Joellen wilbur, Phd, Rn 7 news Briefs The Rush Gospel fRee CoMMuNiTy eveNTs Choir entertains Rush University Medical Center offers an ongoing series of free Rush employees, community events led by Rush experts. Registration is requested students and for most events. To register, please call the Rush physician referral volunteers during service at ext. 2-5555 or (888) 352-RUSH (7874). the holiday party on Dec. 15. Joint preservation Treatment options Saturday, March 20, 9 to 11 a.m. sTop by The woMaN’s Searle Conference Center, fifth floor boaRD GifT shops Learn the latest treatment options for joint preservation of the aND see whaT’s New hip and knee, including osteotomy, arthroscropy and resurfac- ing, from leaders in orthopedic treatment and research — the If you haven’t been to one of the two woman’s Board gift private practice physicians at Midwest Orthopaedics at Rush. shops at Rush lately, you might be surprised to discover what’s available there. The Atrium Court gift Shop Stroke: Know the Warning Signs (located on the fourth floor of the atrium Building, next to au Bon Pain) now offers a Rush logo clothing line from Wednesday, March 24, 10 a.m. to noon nike and under armour, plus unique gifts from mariposa Searle Conference Center, fifth floor and others. The shop recently updated its fragrance offer- Experts from the Comprehensive Stroke Program at Rush, ings to include some of your favorite new perfumes. This which is certified as a primary stroke center, will present vital store is open monday through friday, 8:30 a.m. to 6 p.m. information about how to reduce your risk of having a stroke The Atrium gift Shop (located on the fourth floor of the west end of the atrium Building) offers snacks and how to recognize and respond to the warning signs. and beverages; magazines; greeting cards; toys; baby and children’s gifts; and a lot more seasonal items (including easter items). The shop now features a new line of healthy snack options — just in time to help New developments in dentistry to Combat you get back in shape after the holidays. the Aging process don’t miss out on all the new products both shops offer. Remember, 100 percent of net profits from the Wednesday, March 31, 10:30 a.m. to noon shops go to the medical Center to help provide the best care for our patients and to support education, Searle Conference Center, fifth floor research and community service. Oral health is an important component of general health and quality of life for older adults. Improved oral health can contribute to self-confidence, productivity and socialization. Rush GeNeRaTioNs Join a discussion on the latest advances in dentistry to help healTh faiR is a hiT you more easily maintain a healthy mouth. approximately 280 people attended the Rush diabetes Management generations health fair on nov. 6 in the searle Conference Center. Participants included Rush Wednesday, April 7 and 28, 10:30 a.m. to noon generations members, as well as older adults from Searle Conference Center, fifth floor communities all around Chicago and the suburbs. The Diabetes is a growing concern — nearly 40 percent of older four-hour event featured screenings for vision, hearing, adults have either diabetes or pre-diabetes, and many of them heart health, glucose, cholesterol, blood pressure and Melissa Frey, LSW (left), and Erin Woodhead, PhD are unaware of it. Come learn more about the latest develop- more. Various Rush departments were on hand, as well (right), both fellows of the Rush Brighten pro- ments in the treatment of diabetes, including medications, as outside organizations. “we were very pleased with gram, provide screening and information related blood glucose monitoring, healthy eating and exercise the turnout for the health fair,” says dana Bright, Lsw, to aging and mental health, such as depression. recommendations. Our experts also will discuss risk factors coordinator, community health. “any time we can help The Brighten program evaluates adults 65 and and prevention strategies for you and your loved ones. people better understand their health issues and how older for depression and anxiety through their to get the necessary information and services they need physician’s office, offering follow-up care. Addressing Sensitive Issues in Men and Women is a success.” Tuesday, April 27, 6 to 8:30 p.m. Rush generations is a free program for health and aging, offering a wide range of health promo- Armour Academic Center, room 994 tion and disease prevention programs and events. To find out more, call (800) 757-0202 or e-mail [email protected]. Pelvic and abdominal health isn’t always easy to discuss. As a result, problems often go undiagnosed and untreated, which can seriously affect your quality of life. Learn how you can pre- Rush and social Media – Tweets, blogs, facebook and More vent and address these issues with nutrition, physical therapy, exercise and, in some cases, medical and surgical treatments. from facebook to Twitter, from YouTube to our two the public an inside look at the people and programs new blogs, Rush university medical Center is right in at Rush, including doctors, nurses, researchers and the middle of the social media revolution. Rush, one patients, while the Rush news Blog aims to highlight What you Need to Know About Women’s Cancers of more than 450 u.s. hospitals involved in social top events, honors and research across the medical Wednesday, April 21, 5:30 to 7:30 p.m. media, uses Twitter and facebook to post regular Center and university. Armour Academic Center, room 994 updates about news and events at Rush — including since launching its pages last summer, Rush has The cancer program at Rush offers patients the latest treat- everything from groundbreaking research and clini- gained more than 900 followers on Twitter and ments and research while providing customized, comprehen- cal trials to the Rush Transformation — along with almost 900 fans on facebook. You can become a sive care plans for patients. Join us at this free event to learn photos, videos and interesting health-related stories fan or follower of Rush by visiting any of the on other web sites. more about the diagnosis and treatment options for women following sites: with breast and gynecologic cancers as well as the latest facebook , a social networking web site, and Twitter facebook: www.facebook.com/Rushuniversitymedi- information on prevention. (a “microblog” featuring posts of up to 140 char- calCenter and www.facebook.com/Rushuniversity acters) also enable Rush to interact with patients, employees and those who might benefit from Rush Twitter: twitter.com/Rushmedical services and resources. Rush staff members regularly YouTube: www.youtube.com/rushmedicalcenter monitor what people are saying about the medical Rush news Blog: rushnews.rush.edu Center and follow up to offer help or address CheCK oUT The gReeN TeAM’S WeB SITe their concerns. Rush InPerson blog: rushinperson.rush.edu Rush’s green Team has a new web site. To learn the latest about Rush also has a fast-growing video library on If you’d like to contribute to the Rush InPerson YouTube, and it recently launched two blogs. Rush blog or have ideas or suggestions, please contact the medical Center’s recycling efforts, as well as read about past InPerson (rushinperson.rush.edu) is designed to give Thurston hatcher at [email protected]. news and events, please visit www.rushu.rush.edu/sustainability. May/June 2010 Volume 49, Number 2 Mission of Mercy — CliniCians at Rush tRavel to haiti to help eaRthquake viCtims Two brothers, ages 10 and 6 years old, the Medical Center was organized by had lost their entire family in the dev- Rush, while the teams that followed astating earthquake that struck Haiti have been working in conjunction with on Jan. 12. They hadn’t eaten in three a nonprofit humanitarian organization, days. When finally given food, the International Medical Corps, which is older boy gave his share to his younger helping coordinate medical volunteers. brother, insisting that he eat to The volunteers have included doctors regain his strength. and nurses in internal medicine, family For more infor- It was just one of medicine, orthopedics, surgery and mation about Rush the many heart- other specialities. In March, Martin volunteers’ medical wrenching scenes Gorbien, MD, director, Section of mission work in haiti, that clinicians Geriatric Medicine, and Lauren One of the many collapsed buildings in Port-au-Prince, Haiti. Much of the city is in ruins. including photos and from Rush have Kessler, LCSW, Rush University Senior videos, please visit the witnessed while Care, were among the first older adult and kidney failure. The physicians also a group of 19, which included clini- in Haiti to specialists to travel to Haiti to provide Rush news Blog at performed as many as 30 to 50 surgeries cians from Rush, the John H. Stroger, provide medi- care at make-shift nursing homes. rushnews.rush.edu. daily and organized an intensive care Jr. Hospital of Cook County and the cal treatment for Because the airport in Port-au-Prince, unit in the tent hospital on the grounds University of Illinois Medical Center. earthquake victims Haiti’s capital, had been made inoper- of General Hospital, Port-au-Prince’s Volunteers from Rush have reported and others in need of care. able by the earthquake, most of the main hospital. The first team also saw being stunned by the extent of the The first team of volunteers from Rush volunteer teams have flown to Santo many medical problems that were the devastation, which has left block upon left on Jan. 25. Domingo in the Dominican Republic, result of poor access to medical care block of buildings in ruins, and the “When the earthquake occurred, it was which shares a border with Haiti on the in general, rather than being directly overwhelming medical needs of earth- our natural instinct to want to go down Caribbean island of Hispaniola. Travel- related to the earthquake. quake victims. “It’s like a scene from there and help,” says David Ansell, ing by truck and bus for up to 10 hours, “We wanted to make sure that future the Civil War,” Ansell wrote in a Rush MD, MPH, vice president for clinical the volunteers have made arduous teams coming to Haiti would have better News blog (http://rushnews.rush.edu) affairs and chief medical officer, who drives over dirt roads to Port-au-Prince. conditions than what we encountered. about the scene at General Hospital. was part of the first volunteer team. During the first team’s 10-day stay In the end, we were able to do the One of Haiti’s three nursing schools As of May 1, six teams totaling 42 in Haiti, they treated thousands of work we intended, despite the logistical was completely destroyed, killing 150 clinicians from Rush have volunteered patients suffering from fractures, challenges,” says Stephanie Wang, MD, students, and nurses are needed in Haiti in Haiti. The trip by the first team from wounds, infections, even heart failure internal medicine. She led the first team, continued on page 3 New Coleman Foundation Comprehensive Brain and Spine Tumor Clinic oFFeRs CollaBoRative CaRe, advanCed tReatments and hope Few diagnoses are more frightening than a tumors, including tumors that have spread pate in clinical trials of promising new therapies the Cancer therapy and Research Center of brain tumor, news that often sends patients from other parts of the body. not available anywhere else in Chicago. the university of texas health science Center searching the internet and traveling great a joint endeavor of the departments of “We want to be the solution for patients with in san antonio. he also previously was medi- distances to receive the most advanced care. neurological sciences, neurosurgery, and complex brain and spine tumors,” says Richard cal director of the northern illinois university those patients can find that care at Rush. radiation oncology and the division of Byrne, md, chairperson of neurosurgery at Rush. institute for neutron therapy at Fermilab in already home to one of the busiest brain hematology/oncology, the clinic brings Batavia, ill. physicians with the clinic meet every Wednesday tumor programs in the Chicago area, the together expert physicians at Rush who along with their Rush colleagues, aiken and afternoon to review patient cases and discuss medical Center launched the new, multidis- collaborate to determine the course of diaz provide the necessary staffing to establish treatment plans. “We all have our own individ- ciplinary Coleman Foundation Comprehen- treatment for patients with these complex, the clinic. “We were very fortunate to recruit ual expertise, and this meeting is a way of airing sive spine and Brain tumor Clinic earlier this challenging conditions. in addition, the clinic them,” Byrne says. “they’re both nationally everybody’s opinions and arriving at a consen- year. the clinic treats both benign (non-can- provides patients with advanced diagnostic recognized people with lots of experience with sus as to what the appropriate treatment should cerous) tumors and malignant (cancerous) procedures and the opportunity to partici- clinical trials, and they’re very used to working be. the result is that patients get a much more in a multidisciplinary team.” thorough and balanced assessment of their situation and care that’s specifically tailored to eventually, the clinic will be part of the Rush their individual needs,” says Robert aiken, md, university Cancer Center, which will be on the director of the section of neuro-oncology and 10th floor of the professional Building and is director of the Coleman Foundation Compre- scheduled to open later this year. until then, hensive spine and Brain tumor Clinic. the clinic’s physicians are coordinating their schedules so patients can meet with all of them aiken arrived at Rush at the beginning of the on the same day in their individual offices. year from mt. sinai school of medicine in new patients then need to make only one trip to the York City, where he was director of neurologic the medical Center for their consultations. oncology and organized the brain tumor center, as he also had done previously at Jefferson “it’s a lot more patient-and-family friendly medical College in philadelphia. to bring it all together in one visit. We’ll also be going to each other’s clinic space at times he joins another new arrival, aidnag diaz, md, Left to right: Aidnag Diaz, MD, MPH; Richard Byrne, MD; and Robert Aiken, MD, confer about to meet together with patients,” says Byrne, mph, radiation oncologist, who most recently a patient case during one of the Coleman Foundation Comprehensive Brain and Spine Tumor was director of image guided radiotherapy at continued on page 2 Clinic’s weekly conferences. IN thIs Issue neW CliniC • Stereotactic radiosurgery, which delivers that are surgically removed from patients. a high dose of focused radiation with Rush researchers will analyze these samples continued from page 1 millimeter precision to the affected part to try to better understand the causes of whose office is just two floors below of the brain brain tumors. studies already are underway assistant secretary of aging visit aiken’s in the professional Building. to determine how gliomas (a type of brain page 2 • Intensity-modulated radiation therapy, the clinic offers patients advanced diag- which delivers radiation in multiple small tumor) resist chemotherapy and the role nostic capabilities, using state-of-the art doses guided by daily imaging, allow- certain developmental genes play in glioma haitian mission (continued from page 1) imaging techniques — including spectros- ing the treatment to be customized to development, in order to determine if page 3 copy, mRi, Ct scans and pet scans — that the size and location of a tumor while blocking those genes will stop the tumors can detect even tiny tumors deep within the minimizing radiation exposure to from growing. Rush abdominal transplant program brain. as part of the effort to identify the nearby tissue non-cancerous brain tumors once were page 4 best individualized treatment options, the fatal, but now can be cured with surgery, patients also will have the option of clinic also performs genetic testing of many sometimes in combination with radiation participating in clinical trials of the latest tumor samples. therapy and biological therapy. although therapies. in February, Rush was accepted an organ donor’s story the Coleman Foundation Comprehensive into the north Central Cancer treatment brain cancer currently is not considered page 5 Brain and spine tumor Clinic can provide group (nCCtg), the mayo Clinic-national curable, aiken hopes that the combination patients with the most advanced neurosur- Cancer institute led consortium for clinical of physician collaboration and cutting-edge Rush nursing students promote gical, chemotherapy and radiation therapy trials. Rush is the only medical center in the treatment options will enable the Coleman Blood donation treatments available, including the follow- Chicago area that is in the consortium and Foundation Comprehensive Brain and spine page 5 ing protocols: able to make these trials available. tumor Clinic to prolong the lives of patients for extended lengths of time. • Surgery guided by a wide array of “there are new therapies that we hope advanced imaging in order to maximize will offer a better outcome than existing “While many cancers are not curable, we match day page 5 tumor removal while protecting patients, treatments and aren’t available except in can treat them for a number of years,” he including functional mRi to locate a clinical trial,” aiken says. “there also will observes. “our hope is we can do the same speech and motor areas in the brain, be clinical trials that i will develop myself for brain tumors until we’re able to offer quarterly employee awards mRi conducted during surgery, cortical and trials that will be available outside the curative therapy.” page 6 mapping of the functional areas of the mayo consortium.” Each of the comprehensive cancer clinics brain, carbon dioxide laser and high in the Rush Cancer Center is named for the nCCtg trials currently are undergo- definition endoscopy The Coleman Foundation, a private, inde- people news ing review by Rush’s institutional Review • Minimally invasive surgical techniques pendent grantmaker focusing primarily on page 7 Board, which is responsible for making sure that reduce risks and speed patient the Midwest. The foundation has made a that all research involving patients is safe. recovery; advanced skull base surgery $5 million challenge grant to create a aiken hopes to receive clearance to begin Rush programs moving to that allows for treatment of tumors that comprehensive outpatient cancer center enrolling patients in the trials by June. at Rush. That means the foundation will orthopedic Building previously were considered inoperable along with clinical research, the clinic is match every gift made to the outpatient page 7 • An array of chemotherapies and contributing to the medical Center’s basic cancer center, up to a $5 million maximum. biological therapies science research endeavors by creating a It is the largest single grant in the founda- news Briefs • Vaccine therapies tumor registry that will store all the tumors tion’s nearly 60-year history. page 8 assistant seCRetaRY oF aging visits Rush to heaR CaRegiveR stoRies the role of a caregiver for an older adult is a complicated one, often leaving the individual feeling isolated and mentally NeWsrounds and physically drained. as baby boomers age, members of more and more families may/June 2010 will take on this challenging role. accord- ing to the u.s. administration on aging, people 65 years or older numbered 38.9 Editor million in 2008 – representing 12.8 anne Burgeson percent of the u.s. population. By 2030, this number will grow to approximately Managing Editors 72.1 million. elizabeth higgins and kevin mckeough to learn more about the issues that these Contributors caregivers face, kathy greenlee, assistant Cassie vanderwall, nancy diFiore and secretary for aging in the u.s. department Judy germany of health and human services, visited Rush’s Johnston R. Bowman (JRB) health Designer Center on march 16. she toured the cen- From left to right: Madeleine Rooney, MSW, liaison, Older Adult Programs; Kathy kristen marzejon ter’s facilities, spoke with Rush staff and Greenlee, Assistant Secretary for Aging, U.S. Department of Health and Human Services; and Anthony Perry, MD, attending physician, Section of Geriatric Medicine. met with caregivers who provide care for Photographers family members. “the work you’re doing the caregivers’ stories were heart-wrench- and the anne Byron Waud Resource steve gadomski, leo garcia and here is herculean,” greenlee said. ing, as one person after another described Center, which provides counseling, com- Bill Richert greenlee’s visit to Rush was part of a the obstacles in navigating the health care munity resource assistance and other national tour of senior care facilities that system, including insurance issues, obtain- supportive services for older adults and have a news item or story idea for she’s making to solicit recommendations ing quality care or even finding the time caregivers. For more information about NewsRounds? Contact the editor at: to incorporate into the reauthorization of for a few hours to themselves. one woman the older adult programs, please visit phone: 942-5582 the older americans act. the act, which summarized what everyone in the room the Rush Web site at www.rush.edu. Fax: 563-4149 expires in 2011, contains a key provision felt: “there have to be options so you can e-mail: [email protected] “We are honored that assistant secre- in support of caregivers. care for people at home with dignity.” tary greenlee thought highly enough of marketing and Communications during greenlee’s visit, she listened to a greenlee selected Rush for her site visit the older adult programs to visit Rush, triangle office Building room of more than 20 caregivers share because of the excellence of its older and we look forward to partnering with 1700 W. van Buren st., suite 456 their stories about assisting their spouses, adult programs, which are housed in JRB. her in the future to help us provide qual- Chicago, il 60612 partners, mothers, fathers and other fam- these programs encompass a wide range ity, much-needed care for the growing ily members. “i want to hear your stories of activities to help seniors and their care- number of older adults in the country,” and find out what your needs are as givers, including Rush generations, a free says Robyn golden, lCsW, director of caregivers,” greenlee said. health and aging membership program, older adult programs. 2