Maryland’s
FALL 2014 • stjosephtowson.com
TM
U M S T. J O S E P H M E D I C A L C E N T E R
M E D I C I N E
O N
A
M I S S I O N
Heart to
Heart
Thanks to
UM SJMC,
Eric Rayburn is
on his way to a
healthier heart
TORN AND WORN
Reverse shoulder
replacement gives
welder a new grip
on life
PAGE 4
THE FIRST
AND ONLY
Shock Trauma
Center pioneered
traumatic care
PAGE 10
FdUMFA1405_StJoseph.indd 1
TRANSFORMING LIVES
EVERY DAY
It takes just a few minutes
to make a lasting impact.
See pages 14–17.
10/14/14 9:25 AM
IN THIS ISSUE
6
Heart to Heart
time to take care of your heart—and I’m proud
to announce an outstanding endorsement for
h
our heart services should you need them.
p
c
the UM St. Joseph team and cardiac surgeons who are faculty at
Reverse shoulder replacement
gives welder a new grip on life.
k
the University of Maryland School of Medicine Division of Cardiac
Surgery for our patient care and outcomes in coronary artery
CARE FROM PUBERTY
TO MENOPAUSE
Women’s Health Associates provides
health care through life’s journey.
D
bypass surgery and aortic valve replacement. This is the highest
national category of quality, reflecting superior outcomes, and is
earned by only 10 to 15 percent of cardiac programs in the U.S.
Additionally, when it comes to cardiac surgery, our community
has the best of both worlds: we now have one joint cardiac surgery
MAKING
SHOCK WAVES
program between UM St. Joseph and the University of Maryland
Fascinating facts about the nation’s first
integrated trauma hospital.
18
Did you know that cold weather brings an
The Society of Thoracic Surgeons awarded a three-star rating to
TORN AND WORN
10
CARDIAC SURGERY’S
THREE-STAR RANKING
increase in cardiac events? So, it’s an important
Thanks to treatment at UM SJMC, Eric
Rayburn is on his way to a healthier heart.
4
9
W
P
LETTER FROM THE CEO
GUT INSTINCTS
Medical Center, making us a part of something greater.
Of course, UM St. Joseph provides other outstanding medical
services, some of which you’ll read about in this issue, including
an astute diagnosis of a rare genetic syndrome that carries a high
t
risk for developing colorectal and other cancers. You’ll also find
Rare colorectal cancer
diagnosis linked to family genes.
out why doctors from Korea came here to watch a unique shoulder
replacement surgery.
a
M
D E PA R T M E N TS
3
13
14
19
O
m
A HEALTHY START
AT A GLANCE
FOCUS ON PHILANTHROPY
NEWS AND EVENTS
o
Mohan Suntha, MD, MBA, President and CEO
Marlene and Stewart Greenebaum Professor of Radiation
Oncology, University of Maryland School of Medicine
m
p
d
D
STAY CONNECTED WITH US
President and CEO
Marlene and Stewart Greenebaum Professor
of Radiation Oncology, University of Maryland
School of Medicine
Mohan Suntha, MD, MBA
Vice President of Business Development
Walter J. Furlong
Designed by McMurry/TMG, LLC
2 MARYLAND’S HEALTH MATTERS
FdUMFA1405_StJoseph.indd 2
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and happenings at UM St. Joseph Medical Center.
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Watch our doctors discuss prenatal care, joint replacement
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WE WOULD LIKE
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of address or opt-out request
to [email protected] or
7601 Osler Drive, Jordan Center,
Suite 163, Towson, MD 21204.
Or call 410-337-1700.
Maryland’s Health Matters is published by the Marketing and Communications office at UM St. Joseph Medical Center. This
publication is not intended to provide professional medical advice. It is to provide general health and wellness information.
10/14/14 9:25 AM
A HEALTHY START
WELCOME, NEW PRIMARY CARE
PHYSICIANS AND NURSE PRACTITIONERS
Nancy
Bailowitz, MD
Medical Center. He served as a hospitalist at North Florida
Board-certified internist Nancy Bailowitz,
Regional Medical Center in Gainesville. “I hope to provide the
MD, is an experienced physician who has
best possible comprehensive and longitudinal care,” says Dr.
been in practice for close to two decades.
Walters. “Internal medicine and primary care, especially, are
Most recently, she was with Johns Hop-
more important than ever before as our general population
kins Community Physicians at Greenspring
grows older in a changing health care environment.”
Station. She received her medical degree
from the NYU School of Medicine and did
His office is in the O’Dea Medical Arts Building, 7505 Osler
Drive, Suite 406, Towson. Call 410-560-6199.
her residency at Johns Hopkins Bayview Medical Center. Her
carefully to patients to obtain an accurate history is often the
CYNTHIA CLASS-McGREW,
MSN, CRNP
key to an accurate diagnosis,” she says.
Certified family nurse practitioner Cynthia
philosophy is “to look at the whole person. I believe listening
Her office is in the O’Dea Medical Arts Building, 7505 Osler
Class-McGrew, CRNP, has joined Ruth
Drive, Suite 512, Towson. Call 410-427-2227.
Brocato, MD, and George LaRocco, MD, at
the UM St. Joseph Health Park at Hereford.
TRINA KAPOOR FRANKEL, DO
Trina Kapoor
Frankel, DO
A certified emergency nurse, she previously
Trina Kapoor Frankel, DO, is an experienced
Cynthia ClassMcGrew, CRNP
physician who has practiced in the Balti-
and served as clinic lead nurse practitioner of a local urgent
more County area for more than a decade.
care center. She received a master’s degree as a family nurse
Most recently, she was with Johns Hopkins
practitioner from the University of Maryland and a bachelor’s
Community Physicians at Greenspring Sta-
degree in nursing, magna cum laude, from Villa Julie College.
tion and served as associate professor at
“I’m excited to be practicing in Hereford. I’m from the area,
Board-certified family practice physician
worked in the emergency department at
MedStar Health Union Memorial Hospital
the Johns Hopkins School of Medicine. She has worked at
and I know how people like to stay in their community for
Owings Mills Internal Medicine and Family Medical Associates
their health care,” says Class-McGrew.
at Carroll Hospital Center, where she was vice chair of Family
Medicine. She received her degree as a doctor of osteopathic
Her office is in UM SJMC Hereford Health Park, 14A Mount
Carmel Road, Parkton. Call 443-491-3333.
medicine from the University of Health Sciences College
medicine. “I enjoy getting to know and treat families, helping
MARY ANN RACKSON,
CRNP, MPH
people stay healthy, and treating whatever types of chronic
Certified nurse practitioner Mary Rackson,
diseases patients are dealing with,” Dr. Kapoor Frankel says.
CRNP, has joined the office of Timothy
of Osteopathic Medicine followed by a residency in family
Her office is in the O’Dea Medical Arts Building, 7505 Osler
Herlihy, MD. A nurse practitioner since 1993,
Drive, Suite 512, Towson. Call 410-427-2227.
s,
r,
his
on.
NANCY BAILOWITZ, MD
Timothy
Charles
Walters, MD
Rackson received her nursing degree from
Mary Rackson,
CRN, MPH
the St. Joseph Hospital School of Nursing
TIMOTHY CHARLES
WALTERS, MD
the University of Maryland at Baltimore. She has a master’s in
Board-certified internist Timothy Charles
public health from the Johns Hopkins Bloomberg School
Walters, MD, is an experienced physician
of Public Health and worked at the CDC in Atlanta during
who recently practiced at MedStar Franklin
her MPH studies. She “missed patient care,” and says, “I re-
Square Hospital. Dr. Walters received his
turned to Baltimore to be able to take care of patients.
medical degree from Virginia Commonwealth
I became a nurse to be of service to others.”
University School of Medicine and completed
residency training at University of Pittsburgh
and her degree as a nurse practitioner from
Her office is in the O’Dea Medical Arts Building, 7505 Osler
Drive, Suite 306, Towson. Call 410-427-5350.
 Need a physician? Visit stjosephtowson.com and click “Find Now” under “Find a Doctor.”
FdUMFA1405_StJoseph.indd 3
stjosephtowson.com | Fall 2014 3
10/14/14 9:25 AM
TORn &
WORn
Reverse shoulder replacement
gives welder a new grip on life
Y
barely use his arm due to years of wear
n
and tear, didn’t believe it, so he called
“
ou’ve heard of knee and
UM SJMC’s physician referral line for an
f
hip replacements, but
expert second opinion.
f
did you know that severely
w
worn shoulders can be
A Pioneering Surgeon
replaced successfully,
He connected with Dr. Codd, who has
c
too? The Food and Drug Administra-
performed close to 500 reverse shoul-
m
tion approved a unique surgery, called
der replacements and helped design
t
reverse shoulder replacement, in 2003.
the newest surgical techniques, which
h
However, it’s only offered by a limited
provide excellent results for patients
s
number of orthopaedic surgeons
like Badders.
r
have the expertise to perform this
have torn their rotator cuff or worn it
k
A
advanced surgery.
out,” describes Dr. Codd. “We core out
T
the bone and remove the worn shoul-
s
Badders found his
der ball. We place a prosthesis ball of
o
way to orthopaedic
the joint where the socket was and
v
Could This
surgery Be
righT for you?
surgeon Timothy
vice-versa, which is why it’s called a
a
Codd, MD, of Towson
reverse replacement.” This produces a
s
Orthopaedic Asso-
more natural range of motion than tra-
i
ciates, part of Uni-
ditional shoulder replacement surgery.
t
To learn more or to
request a physician
referral, call the
Orthopaedic Institute
at 410-337-1777.
versity of Maryland
“I was involved with one of the first
w
who have mastered the training and
Before Howard
4 Maryland’s HealtH Matters
FdUMFA1405_StJoseph.indd 4
timothy
Codd, Md
“This surgery is for patients who
St. Joseph Medical
FDA studies for the reverse shoulder
Center, another doc-
replacement a decade ago,” Dr. Codd
s
tor told him that nothing could be done
explains. “Since then, the technique has
a
for his deteriorated shoulder. Badders,
been reinvented because the technology
e
a retired farmer and welder who could
and materials have advanced so greatly.”
f
learn more about the uM St. Joseph orthopaedic institute at stjosephtowson.com.
10/14/14 9:25 AM
Click “o
on.com.
Howard Badders is repairing
farm equipment again, thanks
to the treatment he received
for a deteriorated shoulder at
uM St. Joseph Medical Center.
Natural look aNd Feel
“The reverse shoulder replacement looks
funny on an X-ray, but looks natural
from the outside because it’s covered
with muscle,” continues Dr. Codd. “The
replacement parts are made out of
cobalt chrome, titanium and plastic. I
make a cosmetic incision that fits into
the fold in front of the shoulder. It’s
hidden so that patients can wear short
sleeves or sleeveless shirts.”
koreaN SurgeoNS ViSit
aNd learN
These techniques are being adopted by
surgeons worldwide. Last spring, a group
of orthopaedic surgeons from Korea
visited UM SJMC to observe and learn
about the reverse shoulder replacement
surgery from Dr. Codd, who is participating with eight national facilities, including
the Mayo Clinic, in a new surgical study,
which uses even smaller incisions and
spares more of the shoulder bone.
“The surgery gave Howard back the
ability to weld,” says his wife, Jean. “I’m
elated,” adds Badders, who is repairing
farm equipment for his neighbors again. Click “orthopaedic institute.”
FdUMFA1405_StJoseph.indd 5
stjosephtowson.com | Fall 2014 5
10/14/14 9:25 AM
eric rayburn is flanked
by Cardiovascular Fitness
team members renee
Karczewski, left, exercise
technician, and Sheila
Druck, rN.
to
With a family history of heart disease, Eric Rayburn
experienced his own heart troubles. But thanks to UM
SJMC, he’s been given a second chance at a healthier life
A
fter a week of painful heartburn, Eric Ray-
He was diagnosed with four blocked coronary (heart) arter-
burn followed his girlfriend’s advice and went
ies, and early the next morning he was in the cardiac operating
to his neighborhood walk-in medical clinic. “If
room to have quadruple bypass surgery performed by Stewart
I bent down or lifted things at work, I felt like
Finney, MD, chief of the Cardiac Surgery program at UM St.
a peanut butter sandwich was lodged in my
Joseph Medical Center and clinical associate professor of sur-
throat, and I couldn’t swallow,” explains Rayburn, who has
a very physical job. “I figured they’d give me some Mylanta,
gery at University of Maryland School of Medicine.
and I’d be on my way.” The last thing he expected was an
The heArT TruTh
ambulance ride.
“I was surprised, but shouldn’t have been,” Rayburn says. “Both
The clinic staff performed an electrocardiogram, which
measures the heart’s electrical activity, and detected an ir-
my parents had bypass operations.”
In fact, Rayburn’s father, Kent, had coronary bypass surgery
regular heartbeat. The next thing Rayburn knew, he was in
performed by Dr. Finney 10 years earlier. Now at age 77, Kent
an ambulance with flashing lights on his way to University of
is active and enjoys spending his summers at his house on the
Maryland St. Joseph Medical Center.
Eastern Shore.
6 Maryland’s HealtH Matters
FdUMFA1405_StJoseph.indd 6
Call the heart Institute at 410-337-1216 for a referral.
10/14/14 9:25 AM
“Dr. Finney is an amazing doctor, and my entire family was
thrilled when they found out that he would be treating me.
I’m so glad I went to UM St. Joseph’s, and I’m grateful that
I had the same doctor as my dad,” Rayburn says.
“Heredity can play a role in heart disease,” explains Dr.
Some heart attacks are sudden and in-
Finney. “Inherited traits such as high blood pressure and high
tense; others start slowly with mild pain
cholesterol can lead to a greater risk for developing blocked
or discomfort. Often people aren’t sure
coronary arteries, like Eric and his parents had.”
what’s wrong and wait too long to get
“My blood pressure was always normal, but I had high
help. If you or someone you’re with has
cholesterol,” says Rayburn, who also admits that some of his
chest discomfort, especially with one or
lifestyle choices came into play.
more of the following symptoms, call 911
“For many years, I was a bartender at a very nice steak
establishment, and I ate my fair share of steak,” he says. In
■ Chest discomfort in the center of
the chest that lasts more than a few
bar (before Maryland restaurants banned indoor smoking),
minutes, or that goes away and comes
Rayburn was a smoker who tried to quit many times. He finally
back. It can feel like uncomfortable
succeeded just one month before his surgery occurred.
“I had every reason to quit,” he admits. “I tried everything—
pressure, squeezing, fullness or pain.
■ Discomfort or pain in other areas of
the patch, oral prescription medications—I finally found a
the upper body such as in one or both
program at work that helped.”
arms, the back, neck, jaw or stomach.
FROM RECOVERY AND BEYOND
Rayburn describes his recovery from coronary bypass sur-
■ Shortness of breath with or without
chest discomfort.
■ Cold sweats, nausea or lightheadedness.
gery as very smooth. To perform the surgery, the surgeon
takes a superficial vein from the patient’s leg and a mammary artery from behind the chest wall, depending on how
many bypasses are needed, to create bypass vessels that
reroute the blood flow around the blocked arteries. This
improves the heart’s function.
“For more extensive heart disease, heart bypass surgery
offers a better outcome, survival rate and freedom from symptoms such as chest pain and shortness of breath,” explains cardiac surgeon Rawn Salenger, MD, director of Quality, Cardiac
g
Surgery at UM SJMC and clinical assistant professor of surgery
rt
at the University of Maryland School of Medicine.
-
education that he received by attending the Cardiac Rehabilita-
FIND OUT YOUR HEART
DISEASE RISK
A third of people who die of heart
attacks have no warning. UM St.
Joseph offers a screening tool for
early detection, called HeartAware.
Go to StJosephHeartAware.com to
take the test.
Rayburn credits the monitored exercise and heart-health
tion Program at UM SJMC as a key part in restoring his health.
“The Cardiac Rehab staff is great. They make going
there a pleasure, and that made a huge difference in my
oth
recovery,” he says.
ry
the staff ’s recommendations.
t
or get to the hospital right away.
addition to the secondhand smoke he was exposed to at the
-
he
SYMPTOMS TO
WATCH FOR
In terms of lifestyle changes, Rayburn closely followed
“Eric is a great example of being proactive with your
health. He has exceeded our expectations of him,” says
Kristen Reynolds, RN, a cardiovascular fitness specialist
stjosephtowson.com | Fall 2014 7
.
FdUMFA1405_StJoseph.indd 7
10/14/14 9:33 AM
who worked closely with Rayburn. “Besides incorporat-
understands that a heart-healthy lifestyle leads to a better
ing cardiovascular exercise into his life, he has identified
quality of life.”
other heart disease risk factors and made some very
“The surgery is one component of the process, but car-
positive changes. Not only has he quit smoking, but
diac rehab helps complete the recovery to get patients back
he improved his diet to reduce his cholesterol. He really
to an active lifestyle,” affirms Dr. Finney. C
P
CARDIAC SURGERY PROGRAM
EARNS HIGHEST RATING
The joint cardiac surgery program of UM St. Joseph
who undergo cardiac surgery receive outstanding
Medical Center and the University of Maryland Medical
clinical care in the exceptional environment for which
Center is outstanding news for the community. Patients
we are known.”
who need cardiac surgery now have the best of both
worlds at the downtown Baltimore and Towson locations.
This synergy brings the most advanced cardiac sur-
ONE PROGRAM, TWO LOCATIONS
“This rating is an example of how patients from Mary-
gery options and lifesaving research to more patients
land and beyond are benefiting from one division of
than ever before in Maryland. All cardiac surgeons at
cardiac surgery at two locations,” Dr. Gammie adds.
UM St. Joseph and the University of Maryland hold
W
h
“The UM SJMC team performs high volumes of
faculty positions at the University of Maryland School
CABG and AVR procedures each year, making us
of Medicine (UM SOM). “Faculty from UM SOM operate
highly skilled in treating these patients,” says Mohan
at both University of Maryland Medical Center and
Suntha, MD, MBA, president and CEO of UM SJMC and
UM St. Joseph Medical Center to distribute the
the Marlene and Stewart Greenebaum Professor of Ra-
research-based surgical subspecialization expertise
diation Oncology at UM SOM. “The combination of ex-
across a broader geographic area,” says James Gammie,
ceptional cardiac surgeons, cardiac anesthesiologists,
MD, professor of surgery at the UM SOM and chief of
a team of expert nursing professionals and support
the University of Maryland Division of Cardiac Surgery.
staff make quality achievements like this possible.”
HIGHEST CATEGORY OF QUALITY
Additionally, a distinguished three-star rating was
awarded to the UM SJMC team and cardiac surgeons,
who are faculty at the UM SOM Division of Cardiac
Surgery, for its patient care and outcomes in coronary
artery bypass grafting (CABG) and aortic valve replacement (AVR). This three-star rating, granted by the
Society of Thoracic Surgeons, is the highest national
category of quality and is earned by only 10 to 15 percent of cardiac programs in the U.S., according to STS.
“A three-star rating is widely regarded by physicians as the gold standard,” says Stewart Finney, MD,
chief of Cardiac Surgery at UM SJMC and clinical
associate professor, Division of Cardiac Surgery at the
UM SOM. “This rating is further evidence that patients
8 MARYLAND’S HEALTH MATTERS
FdUMFA1405_StJoseph.indd 8
From left: cardiac surgeons Rawn Salenger, MD; Brad
S. Taylor, MD, MPH; James S. Gammie, MD; and Stewart
Finney, MD, FACS.
 Get fit after heart surgery! Call the
10/15/14 3:06 PM
Schedule an
appointment today!
Get the best care, through all
stages of life. For more information or to make an appointment
with one of our experts, call 410427-5470.
Care from
Puberty to Menopause
Women’s Health Associates provides
health care through life’s journey
T
he thought of seeing a
they are not sexu-
cycles, some mood swings, hot flashes
gynecologist for the first
ally active,” she says.
and premenstrual symptoms.
time can make many girls
“They should see their
uncomfortable. So Ob-Gyn
pediatricians for the
so we need to be sure there is not some-
Tolani Abdulkadir, MD, of
“Other conditions mimic menopause,
HPV vaccine, which is
thing else going on such as endometrio-
Women’s Health Associates with Uni-
recommended by age
sis, ovarian cysts or a fibroid tumor.”
versity of Maryland St. Joseph Medical
18 and should also
Center, has a helpful suggestion: Make
receive their first pap
it a mother/daughter visit and take
smear at age 21.”
Ob-Gyn Arturo
care of two genera-
arturo
yabut, mD
Hormone replacement
tHerapy … or not
“Management of perimenopause symp-
tions’ health needs in
Yabut, MD, also of Women’s Health
toms can include hormonal and non-
one convenient visit.
Associates, explains that the practice
hormonal approaches,” Dr. Yabut says.
She suggests that if a
helps young women ease into becom-
“Over-the-counter medication may help.
girl has not been to a
ing comfortable. “We talk about gen-
Prescription medications for depression
gynecologist by her
eral health maintenance and answer
can be effective for mood swings and
senior year in high
questions.”
hot flashes. If a woman wants to find
school, incorporate
the visit as something to do before
tolani
abdulkadir, mD
graduation.
Help ease Her anxiety
navigating menopause
out if hormone replacement therapy
(HRT) is right for her, we make sure she
As their daughters reach adulthood,
is a good candidate, discuss the risks
mothers are often entering the peri-
and benefits, how long she intends to
menopause and menopause years.
be on HRT and other alternatives.”
“The average age of menopause is 52 ½.
Dr. Abdulkadir also recommends life-
“Compassion and support are very
Women begin the transition in their
style modifications such as “exercise and
important, and having someone like her
early 40s, so it’s important to continue
reducing caffeine and alcohol.
mother with her at the gynecologist can
to have your annual gynecologic visits,”
be comforting,” Dr. Abdulkadir says.
Dr. Abdulkadir says. “The hormones
ductive life you are in, we try to make
produced by the ovaries are waning,
sure that your quality of life and health
and women may experience irregular
are as good as it can be,” she says. “Young women should have their
first gynecologic exam by age 21 if
urgery! call the um st. Joseph cardiovascular Fitness Department at 410-337-1366.
FdUMFA1405_StJoseph.indd 9
“No matter what stage of your repro-
stjosephtowson.com | Fall 2014 9
10/14/14 9:26 AM
SPOTLIGHT:
MAKING
1
U
t
e
f
S H O C K WAV E S
i
t
p
a
$
d
M
T
E
r
Fascinating facts and ﬁgures about the
R Adams Cowley Shock Trauma Center,
the nation’s ﬁrst integrated trauma hospital
ach year at the University of Mary-
school ... and end up at Shock Trauma.”
land Medical Center, the specially
“We’re the safety net of the state,”
4
i
P
F
S
M
c
The number of helicopters that
can occupy Shock Trauma’s two
rooftop landing pads. The landing pad
trained doctors, nurses and sup-
says Karen Doyle, MBA, MS, RN, vice
port staﬀ at the R Adams Cowley
president of nursing and operations at
on the expanded Shock Trauma Center
Shock Trauma Center treat more
the Shock Trauma Center. In addition
is speciﬁcally designed to accommo-
than 8,000 patients who’ve been
to providing around-the-clock care to
date larger and heavier helicopters, such
injured in everything from motor vehicle
Marylanders, Shock Trauma also:
as Marine One (which carries the U.S.
collisions to carbon monoxide poisoning
■ Runs a nationally known trauma-care
president).
teaching program
and other chemical exposures.
Shock Trauma is the nation’s ﬁrst integrated trauma hospital, and it is also the
birthplace of the “golden hour,” a concept where the sooner traumatic injury
■ Conducts clinical research related to
trauma and critical care
■ Reaches out to communities through
injury prevention programs
patients reach deﬁnitive care (within
the ﬁrst 60 minutes of injury), the better
their chance of survival.
“Injury is a disease that has no age,
gender, social, economic or racial
boundaries,” says Thomas M. Scalea, MD,
Shock Trauma’s physician-in-chief and
the Honorable Francis X. Kelly Distin-
8
The number of prevention programs run by Shock Trauma’s
Center for Injury Prevention and Policy.
This multidisciplinary team develops
prevention-education programs for the
TO BETTER UNDERSTAND THE
CENTER’S OPERATIONS AND
SCOPE OF SERVICES, CHECK
OUT THESE KEY NUMBERS:
2
The number of people on a Shock
Trauma “go-team.” An attending
physician and a certiﬁed registered
state of Maryland, including programs
that focus on domestic violence, drinking and driving, distracted driving and
high-risk teen behavior.
10
The number of operating rooms.
The state-of-the-art rooms
guished Professor of Trauma Surgery
nurse anesthetist are dispatched to the
at the University of Maryland School of
scene to provide care when extrication
Trauma Center, which opened in 2013,
Medicine. “These are people who get up
times for patients with life-threatening
are designed to care for the most com-
each day, leave their home for work or
injuries are estimated to exceed an hour.
plex trauma patients.
10 Maryland’s HealtH Matters
FdUMFA1405_StJoseph.indd 10
2
housed inside the expanded Shock
UM SJMC ED: Visit stjosephtowson.com > “Programs & Services” > “Emergency Department.”
10/14/14 9:26 AM
n
T
13
The number of resuscitation
traumatic ischemia, air embolism,
bays in the Trauma Resuscitation
decompression illness, compromised
Unit (TRU). Immediately accessible from
skin grafts, radiation tissue damage
the rooftop helipad and the ambulance
and necrotizing infections.
entrance, the TRU is a patient’s ﬁrst stop
for trauma care. Each bay is prepped
identically and ICU equipped, and has
the capability to resuscitate multiple
38
The percentage of
patients brought to
Shock Trauma who
The percentage of patients
survive their injuries.
treated at Shock Trauma for
traﬃc-related collisions. Motor vehi-
patients at the same time in the event of
cle collisions involving other motor
a mass casualty.
vehicles, pedestrians and bicyclists are
$17
96
the No. 1 reason patients are treated at
The motor vehicle registra-
Shock Trauma. (Falls come in second
tion surcharge that goes
at 32 percent.)
directly to the Maryland Emergency
Medical System Operations Fund.
The fund supports Maryland’s world-
41
The number of minutes it takes
a Maryland State Police medical
198
The number of armed forces
physicians and nurses who
trained at Shock Trauma last year.
Through the C-STARS (Center for the
evacuation (medevac) helicopter to ﬂy
Sustainment of Trauma and Readiness
including Shock Trauma, the State
from Garrett County to Shock Trauma.
Skills) program, Shock Trauma provides
Police Aviation Command, the Maryland
The State Police Aviation Command
real-time training in trauma and critical
Fire and Rescue Institute, the Maryland
has 11 helicopters in seven locations
care for U.S. Air Force physicians, nurses,
State Fireman’s Association and the
throughout the state to ensure rapid
operating room technicians, Special
Maryland Institute for Emergency Medi-
transfer to the trauma center from any-
Operations medics and chaplains before
cal Services Systems.
where in Maryland.
their deployment.
23
109
741
renowned trauma and EMS system,
The number of patients
who can be treated at one
time inside Shock Trauma’s hyper-
The number of medical
doctors on staﬀ. Shock
Trauma’s physicians specialize in
The number of employees at
the center. Shock Trauma’s
nurses and clinical support staﬀ special-
baric oxygen chamber. Among the
everything from trauma anesthesiol-
ize in trauma care, including care related
conditions treated in the chamber
ogy, critical care and neurosurgery
to trauma neurosurgery, soft tissue sur-
are carbon monoxide poisoning,
to ophthalmology, plastic surgery
gery, pain management, orthopaedics,
smoke inhalation, crash injury, acute
and radiology.
critical care and infectious disease.
that’s r, Period.
not r, With a Period
The “R” in R Adams Cowley’s
name isn’t an abbreviation.
The ﬁrst name of the Shock
Trauma Center founder is
simply “R,” not an initial.
stjosephtowson.com | Fall 2014 11
”
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sPotlight:
HISTORY OF
THE R ADAMS
COWLEY SHOCK
TRAUMA CENTER
1961: R Adams Cowley,
MD, opens a two-bed
“Clinical Shock-Trauma”
research unit at what
was then University of
Maryland Hospital. The
heart surgery pioneer
believed medicine’s primary purpose was to save lives and that
doctors should be specifically trained to
treat trauma and shock—a state he called
“a momentary pause in the act of death.”
1969: A five-story, 32-bed Center for the
Study of Trauma opens.
Urgent Care or eD?
You’re not feeling well, but do your symptoms warrant a
trip to urgent care or the emergency department (ED)?
Possible broken bone
It’s a Saturday afternoon and that game of backyard football
got a bit too rambunctious. Now you’re cradling your wrist in
pain, but you can’t tell whether it’s broken or just sprained.
“It is unlikely that you would need a hospital admission,
but it is something that should be assessed,” says Daniel
Spogen, MD, spokesman for the American Academy of
Family Physicians.
bUrns
You’re putting a pie in the oven when your hand brushes
against the side. A small, red welt appears, but after you
apply cool water, the pain subsides. This is most likely a
first-degree burn and will probably heal on its own. Take a
detour to the ED, or call 911, if a burn occurs on your face,
hands, feet, groin or buttocks, is accompanied by difficulty
breathing, or is the result of electricity or chemicals. If you
1970: Through Cowley’s negotiations,
notice blistering or have severe pain or swelling, it could be
the first civilian medical evacuation mis-
a second-degree burn, which requires a trip to urgent care.
sion is flown.
severe FlU symPtoms
1989: Cowley’s vision—that every criti-
If you’d classify your flu symptoms as “pretty normal”
cally ill or injured person has the right
(cough, sore throat, runny nose, body aches and fatigue),
to state-of-the-art medical care, not
then waiting it out or calling your primary care doctor is
dependent on location, severity of injury
sufficient. But when symptoms take a more severe turn, as
or ability to pay—leads to the opening
in confusion, shortness of breath, or inability to eat or drink,
of the six-story Shock Trauma Center
especially in children and infants, then head to the ED.
bearing his name.
Chest Pain
2013: Shock Trauma expands. An ad-
You are experiencing sudden, unfamiliar chest pain. If you
ditional 140,000 square feet is designed
brush it off as just heartburn, you may be ignoring the
to accommodate Maryland’s increasing
first warning sign of a heart attack. Acting fast is key to
emergency, trauma and critical care
survival, so call 911 right away. Other symptoms include
needs.
pain or tingling in one or both arms, back or jaw pain,
shortness of breath, or—especially in women—nausea,
unexplained sweating and lightheadedness.
YOUR GIFT SAVES LIVES
Possible ConCUssion
To support the R Adams Cowley
Shock Trauma Center, go to
ummsfoundation.org/giving.
ting your head on the sidewalk. An hour later, you feel nau-
You slip on a wet patch of pavement and go down hard, hitseated. Head to the ED to check for a possible concussion.
Other symptoms include blurry vision, sensitivity to light,
balance problems or a headache that doesn’t go away.
12 Maryland’s HealtH Matters
FdUMFA1405_StJoseph.indd 12
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System
A Shock to the
People say they were “shocked”
by the latest celebrity breakup
or by the number on the scale,
but true medical shock is serious business. There are many
reasons it can happen, and all
of them are life-threatening.
We break down what’s going
on when your body goes into
shock—and what you can do
to help someone who’s going
through it.
WHAT’S HAPPENING?
HOW CAN I HELP?
■ When something severe occurs—
■ Call 911.
traumatic injury, severe burns, heart
attack, excessive bleeding—your
body springs into defensive mode.
■ Blood vessels in the extremities
tighten to conserve more blood for
major organs like the brain, heart
and lungs. But blood pressure also
plummets, leaving those vital organs
at risk of not receiving enough oxygen and nutrients for survival.
■ Symptoms of shock include vomiting, abnormal breathing or heart
rate, clammy skin, confusion, even
a loss of consciousness.
■ Getting help quickly is crucial.
■ Lay victims flat on their backs,
and elevate the feet 12 inches
above the head. Exception: If you
think the head, neck or back has
been injured, do not move victims.
■ Make them comfortable. Cover
them with blankets or extra clothing to keep them warm; if clothing
or a belt appears tight, loosen it.
■ Do not give them water or food.
If they vomit, turn them onto one
side to prevent choking.
■ Apply first aid to any visible
wounds.
■ Monitor their pulse and
breathing until paramedics arrive.
A FEARSOME 5
Five of the more common types of shock and their causes
ANAPHYLACTIC:
Extreme allergic reaction
CARDIOGENIC: The heart’s
inability to pump blood
NEUROGENIC:
Damage to the nervous system
HYPOVOLEMIC:
Loss of blood or other fluids
(such as with severe diarrhea)
SEPTIC:
Infection in the bloodstream
stjosephtowson.com | Fall 2014 13
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FOCUS ON PHILANTHROPY
A YEAR OF
150 YEARS OF
LOVING CARE
In this, our 150th Anniversary
year, we are celebrating our
commitment to providing
health care to the Baltimore
C
This year has been one of celebration,
marked by events that reflect the
uniqueness of University of Maryland
St. Joseph Medical Center. Highlighted
on these pages are just a few of the
events honoring the mission of loving
care that takes place each and every
day at our medical center.
community, complementing
science with a spiritual element—treating our patients,
in mind, body and soul. When
the founding Sisters of St.
Francis came to Baltimore in
Francis X. Kelly Jr.
DOCTORS’ DAY
BREAKFAST,
MARCH 31
Pochna Kahle, MD,
1864, they had little of material
attended the celebration of
value but an infinite amount of courage, determina-
our doctors, held annually
tion and faith. These tenets still hold true today and
to commemorate National
have kept us strong through times of greatness and
Doctors’ Day on March 30.
times of challenge.
One hundred and six physi-
In addition to celebration, this has also been a year
J
cians, who had gifts made
for reflection—where we have been and what we
in their honor by grateful
believe our future holds. There is one particular attri-
patients, received special
bute pertaining to our success that was true in 1864
tribute pins.
and holds equal weight today—our strength comes
from partnerships with our community of supporters.
I am delighted to report that individuals, foundations
and corporate partners donated $2.5 million this past
fiscal year. I particularly want to call out our physicians, who gave a record $1 million to our Founda-
CANCER INSTITUTE: MARLENE AND
STEWART GREENEBAUM CANCER CENTER
AFFILIATION
tion. We are blessed to have many cherished friends
On June 9, both University
of UM St. Joseph Medical Center and are grateful
of Maryland Medical Cen-
for the role they play in making our medical center
ter’s Marlene and Stewart
a place of innovative medicine delivered with loving
Greenebaum Cancer Center
service and compassionate care.
and the Cancer Institute at
UM St. Joseph celebrated
the formal affiliation of the
two programs. Now patients
The Honorable Francis X. Kelly Jr.
Chairman, Operating Board
University of Maryland St. Joseph Medical Center
14 MARYLAND’S HEALTH MATTERS
FdUMFA1405_StJoseph.indd 14
Mohan Suntha, MD, MBA,
president and CEO of
UM St. Joseph Medical Center,
left, chats with Marlene and
Stewart Greenebaum.
have access to advanced
clinical trials and research
protocols in a community
hospital setting.
 Learn about all the ways you can give at
10/14/14 9:26 AM
stjosep
F
CELEBRATION
PROFILES OF COMPASSION
From left, Mohan Suntha, MD, MBA,
president and CEO of UM St. Joseph
Medical Center; Janet Kelly; Sen.
Francis X. Kelly Jr., Operating Board
Chair; Vicki Deyesu; and Ray Daue,
Foundation Board chairman.
Fifteen nurses were inducted into the inaugural class
of the Profiles of Compassion Society on April 29. They
were honored for their outstanding contributions in the
field of nursing at UM St. Joseph Medical Center.
JOHN HARBAUGH EVENT
Employees at UM St. Joseph
Medical Center enjoyed a special
treat on April 3: the opportunity
to attend an inspirational talk by
John Harbaugh, head coach of
the Baltimore Ravens.
THE 150TH ANNIVERSARY GALA
The evening of September 13 was a joyous one, as over
1,000 guests attended the culminating event of our 150th
Anniversary: a gala held at SECU Arena at Towson University. Janet Kelly and Victoria Deyesu co-chaired this
wonderful evening that raised a record $1.5 million dollars
for the medical center.
HEALING HANDS GUILD
Five physicians were inducted into the second class of the
Healing Hands Guild. The guild recognizes physicians who
have demonstrated exceptional commitment to loving service, clinical excellence and leadership.
From left, Marcio
Menendez, MD, Glen
Hessinger, MD, Gail
Cunningham, MD,
Barry Josephs, MD,
and Neil Goldberg,
MD, in front of the
Healing Hands Wall.
give at
stjosephtowson.com/giving.
FdUMFA1405_StJoseph.indd 15
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focus on philanthropy
Medical Staff Makes Gift to UM St. Joseph
to Honor 150th Anniversary
W
W
W
hen Daniel Dietrick, MD, chief of surgery at
uM st. Joseph Medical center, approached
the medical executive committee in January about becoming the title sponsor for
our 150th Anniversary Year and Gala, he was not surprised
at the reaction he received.
T
m
“It’s certainly significant to ask any group to contribute
$150,000 to a special cause, but I was not surprised that I received unanimous support. This is an unprecedented amount
for the medical staff to give, but our faith and commitment
in the medical center is so strong that this is something we
wanted to do,” Dr. Dietrick says.
“This hospital was founded on principles of loving
service and compassionate care. I think it’s a wonderful
thing that the mission has never wavered for 150 years
and the medical staff wants to be part of celebrating this
From left, Daniel Dietrick, MD; David Brinker, MD; and
kevin stierer, MD; present a check for $150,000 from the
medical staff at university of Maryland st. joseph Medical
Center to Gail Cunningham, MD, chief medical officer, and
janet kelly, 150th anniversary Gala co-chair.
important milestone.”
Kevin stierer, MD, president of the medical staff, adds, “We
Dr. Dietrick concludes, “Physicians are here because this is
understand that philanthropy is essential to the success of
where they want to practice, plain and simple. It’s important
uM st. Joseph. We must demonstrate our own commitment
that we show our strong support, both personally and as a
before we ask others to give. This is a great year for the medi-
group. I think it is most fitting that our medical staff is the
cal center and a bright future lies ahead of us.”
title sponsor. This is an honor for us.”
thank you to our Major supporters
university of Maryland st. Joseph Medical center Medical staff
senator francis X. Kelly Jr. and Mrs. Janet Kelly
The carmen and Victoria Deyesu family foundation
The Auxiliary and Alumni of university of Maryland
st. Joseph Medical center
16 MarYland’S HealtH MatterS
FdUMFA1405_StJoseph.indd 16
Call the Foundation office at 410-337-1397
10/14/14 9:26 AM
to supp
WHY
WE GIVE
Two physicians’ personal gifts
make a big difference
P
aul C. McAfee, MD, MBA,
Center and in their keen understanding
medical director of our Sco-
of the importance of philanthropy to the
liosis and Spine Center, and
future of their beloved hospital.
Michael J. Schultz, MD, surgeon and medical director of
Dr. McAfee made a $150,000 gift to
ensure that the initiative to renovate
$100,000 to establish The Geraldine G.
our Breast Center, specialize in two very
the Otto C. Brantigan, MD, Medical
Schultz Endowment Fund in honor of
distinct fields of medicine. Yet, they have
Library from an outdated print format
his late mother, a 40-year breast can-
much in common in their devotion to
to a digital library with conferencing
cer survivor. The endowment, with an
University of Maryland St. Joseph Medical
abilities would be realized. “I believe
initial goal of $2 million, will ensure that
the teleconferencing, telesurgery and
women with a diagnosis of breast cancer
videoconferencing capability will keep
will have the resources to help conquer
our medical staff as a tightly knit, cohe-
the disease. “I feel it’s vital that, when we
sive group and allow us to improve our
approach others in the community, we
patient management software skills,”
can proudly point to what we, as physi-
he says. His generous gift fulfilled the
cians, have committed and then request
funding needed for the $500,000 proj-
others join us,” he comments.
S
37-1397
Joan and Michael J. Schultz, MD,
are devoted to supporting the
future of University of Maryland
St. Joseph Medical Center.
ect, due to be completed in spring 2015.
Dr. Schultz has spent much of his life
Paul C. McAfee, MD, MBA,
has been instrumental in
creating a culture of philanthropy in the UM St. Joseph
physician community.
to support health care in our community.
FdUMFA1405_StJoseph.indd 17
Both Drs. McAfee and Schultz have
been instrumental in creating a culture
treating breast cancer patients, earning
of philanthropy in our physician commu-
a reputation for excellence in outcomes
nity. They have set the bar high, not only
and treating patients with unmatched
in their outstanding work as surgeons,
empathy and loving care. He, along with
but in their personal commitment to
his wife, Joan, recently made a gift of
give of their talent and treasure.
HOW COULD YOUR GIFT MAKE A DIFFERENCE?
Call 410-337-1397 or visit stjosephtowson.com/giving to learn more
about how you can make a difference to health care in our community.
stjosephtowson.com | Fall 2014 17
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Get Screened
The UM St. Joseph Colorectal Oncology Center offers
screenings, the single-most important tool for the
prevention and treatment of colorectal cancers. Call
the UM St. Joseph Cancer Institute at 410-337-1338 for
more information or to schedule a screening.
Traveling veterinarian heather DeVincentis
Gut Instincts
H
Rare colorectal cancer diagnosis
linked to family genes
W
hen veterinarian Heather DeVincentis,
The screening recommendations are very different than for
DVM, consulted University of Maryland
the general population. Women with Lynch syndrome have
St. Joseph Medical Center colorectal
a 20 to 60 percent risk of endometrial cancer and a 10 to 12
cancer surgeon Howard Berg, MD,
percent risk of ovarian cancer.”
about her colon cancer diagnosis,
case of colorectal cancer. The reasons? She was 43 years old
The BenefiTs of
geneTic counseling
(most colorectal cancer cases occur after age 50); she had
“There is a 50 percent chance of passing
rectal cancer at age 27; and she had a strong family history
Lynch syndrome on to your children,” says
of cancer—her mother was diagnosed with colon cancer at
Isaac, who will be providing genetic coun-
age 50 and is a survivor of endometrial and breast cancers.
seling for DeVincentis’ teenage son. “Her
Her grandfather passed away at age 33 of stomach cancer.
son should begin having colonoscopies at
Dr. Berg immediately realized that hers was no ordinary
age 20,” Dr. Berg says.
A RARe DiAgnosis
Although most colorectal cancer
nisha isaac,
ms, cgc
Dr. Berg, head of Colon and Rectal Surgery
patients with Lynch syndrome undergo
at UM St. Joseph and clinical assistant pro-
complete removal of their colon because of the high risk of
fessor of surgery at the University of Mary-
recurrence, since DeVincentis is a traveling veterinarian who
land School of Medicine, sent DeVincentis
makes house calls, she and Dr. Berg agreed that she would
for genetic testing, which confirmed that
undergo less-aggressive surgery that preserved her bowel
she has Lynch syndrome, a type of inher-
function. “Dr. Berg understood my job, my age and my life-
ited cancer of the digestive tract. Only 1 to
3 percent of colorectal cancer cases are
howard
Berg, mD
due to Lynch syndrome.
“Since then, both my mother and sister have also tested
positive for Lynch syndrome,” she says.
“People with Lynch syndrome have up to a 74 percent
style and couldn’t have been more personal and involved in
my treatment,” says DeVincentis, who gets an annual colonoscopy in case of recurrence.
smAll incisions, fAsTeR heAling
Using laparoscopic surgery and tiny incisions, Dr. Berg
lifetime risk of colon cancer if they are male and up to a 52
removed a large portion of DeVincentis’ colon (called a colon
percent lifetime risk if they are female. They can be diagnosed
resection), along with lymph nodes, one of which tested pos-
from their early 20s up to their 80s,” explains certified genet-
itive for cancer. “I healed really fast from the surgery, started
ics counselor Nisha Isaac, MS, CGC, with the Cancer Institute
back to work in six weeks, and worked while I received che-
at UM St. Joseph. “Families with Lynch syndrome need to be
motherapy,” she says. “I couldn’t have asked for anything to
watched more carefully for different kinds of primary cancers.
go more smoothly.” 18 MArylAnD’S HEAltH MAttErS
FdUMFA1405_StJoseph.indd 18
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c
A
d
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B
S
h
d
f
i
a
v
p
(
h
i
A
T
1
news and events
Unless designated otherwise,
call 410-337-1479 to register.
all events are free unless
designated otherwise.
HealtH ScreeningS
Bone DensiTy screeninG
Suitable for adults who want to know
how their lifestyle is impacting their bone
density and for those with certain risk
factors (family history, small body frame,
inactivity, smoking, excessive caffeine or
alcohol consumption, low calcium and
vitamin D intake). Consists of a quick,
painless ultrasound test of the heel bone
(not diagnostic). For those who have not
had a DEXA scan or ultrasound bone test
in the past year.
appointment required.
Thursdays, Dec. 11 and Jan. 15, 9:30 to
11:30 a.m.
BoDy composiTion analysis
To identify your unique body makeup and
associated health risks. The Tanita SC-331S
professional scale uses bioelectric impedance analysis to determine weight, body
fat, BMI, total body water, muscle mass,
metabolic rate, and more.
appointment required.
Tuesdays, Dec. 2, 2 to 4 p.m., Jan. 6, 11 a.m.
to 1 p.m., and feb. 10, 2 to 4 p.m.
cervical cancer screeninG
For women ages 21 to 65 who do not
have a history of cervical cancer and have
not had a Pap test within the past year.
Screening includes pelvic exam, Pap test
and education.
appointment required.
saturday, march 7, 9 a.m. to noon
Glaucoma anD caTaracT screeninG
For adults ages 40-80 with blurred vision
or family history of glaucoma or cataracts.
appointment required.
Tuesday, march 31, 2 to 4 p.m.
community eventS
influenza (flu) vaccinaTions
Flu shots given for ages 9 and older.
Please bring a nonperishable food item.
Donations will be given to a local food
bank. Thank you for helping UM St.
Joseph Medical Center build healthier
communities.
reservations required. 410-337-1337 or
stjosephtowson.com/events
friday, Dec. 5, 11 a.m. to 1 p.m.
weiGhT manaGemenT supporT
registration required.
Tuesdays, Dec. 2, Jan. 6 and feb. 3, 5:30
to 6:30 p.m.
weekly yoGa classes
$5 donation per class.
registration required.
Thursdays, 4 to 5 p.m.
american reD cross BlooD Drive
Schedule a lifesaving donation. For medical
and eligibility questions, call, 866-236-3276
before scheduling your appointment.
Thursday, nov. 20, 7 a.m. to 4:30 p.m.
thursday, november 27,
8:30 a.m. | Y turkey trot
Charity 5K
Join us for a fun and healthy Maryland family
tradition on thanksgiving day! Walk or run
with co-workers, friends and family in the
annual Y turkey trot Charity 5K, hosted in
six locations across the region. Children 5 and
younger register for free. Proceeds support
struggling families in Central Maryland who
are in need of financial support to participate
in healthy Y youth programs like Y Before &
after school enrichment and Preschool.
UM st. Joseph Medical Center is a proud
sponsor of this event.
Registration required online at ymaryland.org.
To browse more events, go to stjosephtowson.com and click “events.”
FdUMFA1405_StJoseph.indd 19
stjosephtowson.com | Fall 2014 19
10/14/14 9:26 AM
Nonprofit Org
US Postage
PAID
Columbus WI
Permit No. 62
7601 Osler Drive
Towson, MD 21204-7700
She meets with the
Cancer Institute team at
UM St. Joseph Medical Center.
Judy is diagnosed
with cancer.
She has access to national experts,
the latest treatments and clinical trials
from the University of Maryland
Greenebaum Cancer Center.
Introducing
University
of Maryland
Cancer
Network.
Judy finishes
treatment and
gets back to
enjoying life.
For University of
Maryland locations
and services, visit
umms.org.
Today, hope is closer to home. Because today, three exceptional University of Maryland
hospitals are now connected to University of Maryland Greenebaum Cancer Center, one of
the nation’s NCI-designated Cancer Centers. Be a part of something greater.
Connect with a team of experts near you. Call 855-979-8667 or visit umms.org/cancer.
M E D I C I N E
1
O N
A
M I S S I O N
CANCER NETWORK
SM
University of Maryland Medical Center
University of Maryland Marlene and Stewart Greenebaum Cancer Center
2 UM Baltimore Washington Medical Center
3 UM St. Joseph Medical Center
4 UM Upper Chesapeake Medical Center
FdUMFA1405_StJoseph.indd 20
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