Fall 2009 / sjmcmd.org Mission Possible: TLC’s Little Couple Chooses St. Joseph Faster ER Care Thanks to the Auto Industry page 3 page 9 Infection Control Page 4 High-Tech Knees Meet High Demand page 11 Fall 2009 In This Issue Featured Stories 3The Little Couple Chooses St. Joseph TLC airs OB consult with national specialist 4 3Ooh Baby, the Secret’s Out On the cover... Dr. Richard Boehler, chief medical officer, and Leigh Chapman, RN, BSN, manager of Infection Control, lead the charge to fight infection. See pg. 4 Exceptional maternity services 4Mission Possible: Infection Control Lowering MRSA and preventing H1N1 5Rapid to the Rescue Expert trio increases Code Blue survivals 6Like Mother, Like Son? A male breast cancer survivor’s story 7A Cozy Courageous Feeling Nurses create blankets for cancer patients 7 7Help End Prostate Cancer The Great Prostate Cancer Challenge 8Meet the Surgery Chaplain Personal visits lead to better outcomes 8New Interfaith Room Welcomes All Beliefs A space for prayer and meditation 1A–4 AIn the Spirit 12 Inspired giving through the St. Joseph Medical Center Foundation. 9Faster ER Care Auto industry methods decrease treatment time by 25% 10Maximizing Function After a Torn Meniscus Calvert Hall athlete back in the game 11High-Tech Knee Replacement Meets high demand 12Technobytes Spyglass, radiosurgery, da Vinci and more! ‰ Comments, requests, change of address? Contact us at 410-337-1338 or [email protected]. Fall 2009 St. Joseph Medical Center / sjmcmd.org housecall is published quarterly by the Marketing Communications department at St. Joseph Medical Center, a member of Catholic Health Initiatives. Information is intended to educate our readers and is not a substitute for consultation with a physician. Kirstan Cecil, Director, Marketing Communications Vivienne Stearns-Elliott, Writing, project management Patti Wells, In the Spirit writer Baltimore magazine Custom Communications, Design and printing Stacy Zarin, Cover Photography Christine Langr, Mitro Hood, Photography We are an equal opportunity employer and, in conjunction with applicable laws, do not discriminate on the basis of race, color, religion, sex, national origin, age, or physical or mental handicap. St. Joseph Medical Center accepts patients without regard to race, color, national origin, disabilities, age or religion. Copyright © 2009. Obstetrics The Secret’s Out ‰ It’s not the best kept secret in town anymore… More parents are discovering the exceptional quality of maternity services at St. Joseph Medical Center. Our Labor & Delivery Unit combines comfort with modern technology for the birthing experience, and our Mother/Baby Unit features large, private rooms that are elegant and family-centered. Parents have peace of mind that there’s onsite, 24-hour staffing by a board-certified obstetrician and that we have a Level IIIB designation from the state to treat high-risk obstetric patients and newborns. The Perinatal Center, in collaboration with the patient’s midwife or obstetrician, manages high-risk conditions including premature labor, multiple births or complications of advanced maternal age or diabetes. One pregnant mom, who chose St. Joseph for the cesarean section delivery of her second child and went through the Perinatal Center recently, said, “St. Joe’s is already better than my first birthing experience, and I haven’t even had the baby yet! I can’t get over the quality of care, the nurses and the way everything is handled so well. St. Joe’s really is the best!” A trip down memory lane for renowned care S t. Joseph’s Obstetrics program knows good things come in little packages. That’s why St. Joseph’s Mother/Baby services are intimate, personal and highly specialized — especially for moms at high risk of complications. So, it was no great surprise when producers for The Little Couple show on TLC (The Learning Channel) came knocking on St. Joseph’s door. The Little Couple, Dr. Jennifer Arnold and husband Bill Klein, who are both less than four feet tall, came to consult nationally renowned, high-risk obstetrician and medical geneticist Dr. Judith Rossiter, head of Obstetrics & Gynecology at St. Joseph, about having a baby. “I enjoyed meeting Jen and Bill. I’ve been very fortunate to work with many women with various forms of dwarfism and to follow some through entire pregnancies,” said Rossiter. Surgeries as Children It wasn’t Jen and Bill’s first time at St. Joseph; as children, both were treated here by the famous Dr. Steven Kopits, who performed surgeries customized to address each little person’s unique needs. Jen and Bill benefitted from his brilliance. Jen visited her nurse, Kathy Reisig, RN, who took care of her for two months and still works in Pediatrics. Both had tears in their eyes upon their reunion. Bill remembered Jen from their stay on Pediatrics — destiny reunited them through a little people dating site. The Little Couple St. Joseph episode aired August 4. “We hope to inspire kids with new diagnoses of spondyloepiphyseal dysplasia and let them and their parents know that they can have fulfilled lives,” said Jen, who is a neonatologist at Texas Children’s Hospital. “For some couples, like Jen and Bill, the risks of pregnancy seem overwhelming. I try to provide as much information as possible so they can make an informed decision about whether pursuing a pregnancy is right for them.” Judith Rossiter, M.D., Head of Obstetrics & Gynecology at St. Joseph Medical Center Photo courtesy of TLC Ooh Baby, The Little Couple Chooses St. Joseph for OB Consult Fall 2009 In This Issue Mission Possible: Infection Control It turns out that mom really knows best when she says, “Wash your hands before dinner!” “Excellent hand hygiene is the single most important thing to reduce the spread of infection,” said Leigh Chapman, RN, BSN, manager of Infection Control at St. Joseph, where handwashing has been taken to the highest level to combat well known infections such as MRSA and H1N1. In addition, Infection Control is constantly monitoring for infection at the hospital. “We aggressively identify patients who As a result of St. Joseph’s gold standard in handwashing, which is are infected or carriers and isolate them,” said Chapman. And 137 percent better than the average national hospital, MRSA infecthanks to a high-tech machine that rapid tests for infection, tions at St. Joseph have been dramatically reduced by 49 percent. St. Joseph can identify MRSA in two hours instead of the usual Not only were these results featured in USA Today in June, but 48 hours needed. St. Joseph’s Infection Control professionals also pub“St. Joseph goes that step beyond,” added lished a paper about these breakthrough results in an Chapman. “State guidelines require testing in the esteemed medical journal. Entitled “Sustained Hand Intensive Care Unit, but we are on the lookout for Hygiene Initiative Reduces MRSA Transmissions,” highly suspect or high-risk patients such as those the paper explains that the average U.S. hospital from nursing homes with a history of infection.” “rarely is able to achieve and sustain higher than a “We routinely isolate high-risk patients for the 50 percent compliance rate” in handwashing.* It is Hand Sanitizer safety of others,” stated Boehler. an unsettling reality that patients who come to the or Soap? Always on the lookout for new ways to improve average hospital for healing may need to be wary of “You can never go wrong infection control, St. Joseph also took the initiative catching something they did not arrive with. with soap and water,” said to place handwipes on all patients’ meal trays for Dr. Boehler. Sanitizer is good convenient hand hygiene before meals. A Ton of Prevention if hands aren’t visibly dirty. “We visited the nation’s leading hospital in “It should give families peace of mind to know infection control practice—the V.A. Hospital in that when it comes to vigilant handwashing, Use soap & water: Pittsburgh—and adopted a number of their best St. Joseph Medical Center exceeds national stan• Before you eat practices. Our results have even exceeded theirs,” • After the restroom dards,” explained Dr. Richard Boehler, St. Joseph’s • For visibly soiled hands said Boehler. chief medical officer. While the national average for handwashing at hospitals is just 40 percent, For more details, go to: * Journal of Clinical Outcomes Management, April 2009, “Sustained Hand St. Joseph has been better than 90 percent over www.sjmcmd.org Hygiene Initiative Reduces MRSA Transmissions,” by Robert Ancona, M.D., the last three years! Richard Boehler, M.D., and Leigh Chapman, RN. Featured in USA Today Fall 2009 St. Joseph Medical Center / sjmcmd.org Rapid Response “There aren’t that many things in my career that I have seen have such a profound impact as the Rapid Response Team at St. Joseph.” Dr. Richard Boehler, Chief Medical Officer Rapid to the Rescue! T he Rapid Response Team (RRT) is an expert trio of a critical care physician, an intensive care nurse and a respiratory therapist that rushes to the patient’s bedside when called by the nurse or family. It’s a little like having an ambulance pull into the room— within minutes. In 2005, St. Joseph became the first Baltimore hospital to assemble an RRT. They’ve handled more than 1,700 calls from staff worried about unexpected changes in patients— such as instability or difficulty breathing. The team has prevented cardiac arrests and sudden deaths. “Code Blues at St. Joseph are down by 50 percent,” said Dr. Richard Linthicum, RRT critical care physician. H1N1 Vigilantes When news of the H1N1 flu flooded the Baltimore area earlier this year, St. Joseph’s Infection Control department took the lead by immediately putting steps in place to identify symptoms, isolate possible cases, test for a diagnosis, welcome the worried to the Emergency Department, and provide messages to prevent illness and reassure the public. As a result, the local media flocked to St. Joseph to interview Dr. Richard Boehler, St. Joseph’s CMO, Leigh Chapman, RN, BSN, manager of Infection Control, and infectious disease specialist Dr. Charles Haile about H1N1—getting expert answers, advice and precautions. St. Joseph’s High Quality Quotient: Zero Tolerance plus Rapid Response Several benchmarks stand out in the remarkable quality of care at St. Joseph Medical Center. The hospital can say, with genuine pride: • St. Joseph is among a select few U.S. medical centers to complete the rigorous full Joint Commission Survey with zero RFIs (Requirement for Improvement). Our last triennial Joint Commission survey in February 2008 resulted in this remarkable outcome. These surveys are intended to identify opportunities for improvement in delivery of care by this external regulatory agency. This significant accomplishment exemplifies St. Joseph’s commitment to our patients and our community. • S t. Joseph’s Rapid Response Team increases patient survival rate by 233 percent. The national average for survival for a Code Blue (CPR) is 15 percent. Our rate is 50 percent. • St. Joseph’s overall mortality rates are less than half of what is predicted based on the severity of cases treated. Sepsis mortality (a dangerous inflammatory response due to infections) is the number one cause of death at a hospital. Our extremely low mortality rate places us in a select group of top 15 percent of U.S. hospitals. ‰ Don’t Let the Flu Get You! Visit www.sjmcmd.org for tips on keeping your family infection free and for flu shot updates. sjmcmd.org / St. Joseph Medical Center Fall 2009 Oncology Like Mother Like Son? Male Breast Cancer Survivor E very year on Cancer Survivors Day, St. Joseph’s Cancer Institute celebrates with a reunion at an Orioles game, and one cancer survivor throws out the first pitch. This year, with more than 650 survivors, their families and staff present, a breast cancer patient had the honor, which means that a woman tossed out the ball—right? Wrong! Mike Nelsen, age 49, a breast cancer survivor and director of Sales at McCormick & Company, was the ceremonial pitcher. In November 2008, Nelsen noticed a small bump on his right breast. His internist referred him to Dr. Michael Schultz, director of The Breast Center at St. Joseph. A biopsy was positive. About one percent of all breast cancers occur to men. During his long, successful career, Schultz has treated about 30 men with the disease. Get it done Though Nelsen may have what most consider a woman’s disease—annually about 190,000 women contract breast cancer compared to 1,900 men—he had a man’s reaction. “I was quite surprised, but it is what it is. I wasn’t devastated. I knew we had to get the job done,” Nelsen said. His disease “was treated along the same paradigms as female breast cancer,” said Schultz. By December, Nelsen had undergone a full mastectomy and removal of some lymph nodes, done by Schultz. St. Joseph’s Breast Center provides comprehensive conveniences for diagnosis and care under one roof. A multidisciplinary conference gathers all the experts together to plan treatment; a nurse navigator guides patients through the journey. Nelsen’s next step was chemotherapy. Once again, he encountered a rare situation; a negative reaction to chemotherapy irritated his intestine. In the genes? So, The Breast Center arranged genomic testing of the tumor to determine the probability of his cancer recurring. The test, called Oncotype DX by Genomic Health, provided good news: his cancer had a low chance of recurrence; he could be treated without chemotherapy. Now on a standard, five-year regimen of Tamoxifen therapy, Nelsen joked, “Not only do I have a woman’s disease, I get hot flashes too.” “Mike is fortunate that we were able to utilize our multidisciplinary approach to tailor his breast cancer treatment to his particular tumor,” said Schultz. Genetics could reveal more answers, so Nelsen is undergoing genetic testing. His mother died of ovarian cancer, after having breast cancer in her 40s and melanoma in her 50s. His aunt had ovarian cancer. His 23-year-old daughter is already watchful and had a mammogram. “It seems like it runs in our family, but we don’t really have verification,” said Nelsen, who also has a twoyear-old adopted daughter. But, he doesn’t spend any time dwelling on ‘why me?’ “I’m generally healthy. It’s just a weird occurrence,” he reflected. “It creates a lot of awareness among my male friends.” ‰ Male Breast Cancer • Usually occurs between ages 60–70 • Risks include exposure to radiation, family history or high estrogen levels • Linked to cirrhosis or an extra X chromosome (known as Klinefelter’s syndrome) Genetic testing will help Mike Nelsen’s older daughter find out if she is at risk for breast cancer. Fall 2009 St. Joseph Medical Center / sjmcmd.org Oncology A Cozy Courageous Feeling The recovery room nurses at St. Joseph believe in wrapping their patients in comfort and care—literally. B lankets of Courage debuted last spring when the nurses began making colorful fleecy blankets for cancer patients taking the next step from surgery to chemotherapy in The Cancer Institute’s atrium. These patients often have surgeries such as mastectomy, biopsy or creation of a port-a-cath site through which chemotherapy is received. Now they take that step wrapped in cozy creations, which ward off the chills brought on by chemotherapy, while providing spiritual and emotional warmth. “Understand you are not alone,”reads the poem written by Selina Clow, RN, that accompanies the blanket. She went on to pen, “Embrace yourself in the warmth, caring, comfort of the Blanket of Courage.” “There is a need for more than just treating patients post-operatively,” said Noreen Rodgers, RN, a PACU nurse. (PACU stands for Post Anesthesia Care Unit or recovery room.) “We’re moved all the time by how very young and very sick our cancer patients are.” “The blanket idea was just meant to be,” explained Betsy Niehoff, RN. “Everyone in our unit came together to make them. St. Joseph volunteers are now joining the effort.” Each patient’s name is embroidered on their blanket, and the nurses visit patients on their first chemotherapy day to make the presentation. Fundraisers among the nurses, doctors and the daughter of OR nurse Mary Mulvey, RN, who turned it into her senior project at Francis Scott Key High School in Union Bridge, MD, make blankets possible. Anyone interested in contributing or volunteering for Blankets of Courage should contact the St. Joseph Medical Center Foundation at 410-337-1397. Help End Prostate Cancer! Prostate Cancer Awareness Month at St. Joseph 5K Run/1 Mile Fun Walk: Saturday, September 26, 8 a.m. Free Prostate Cancer Screenings: 9 a.m.–12 noon The Great Prostate Cancer Challenge is back for the third year on the St. Joseph campus. Co-sponsored by Chesapeake Urology Associates, this terrific event raises funds to help support ZERO —The Project to End Prostate Cancer. Family-friendly activities include a Stroller Stroll and a Kids’ Run, plus food, refreshments, exhibits and a chance to try out a da Vinci Robotic Surgical System on display. • $ 30 pre-race registration $35 race-day registration • Long-sleeved performance tees for the first 1,500 registered participants! Embrace yourself in the warmth, caring, comfort of the Blanket of Courage. ‰ Get a Free Prostate Cancer Screening! Men, have your prostate screened conveniently, quickly and expertly! Chesapeake Urology physicians and St. Joseph’s Cancer Institute are offering screenings for men who meet these eligibility requirements: • Ages 50-75 or • Age 40 or older if African-American or have a first-degree relative diagnosed with prostate cancer • You have not had a screening in the last 12 months. • You have not had prostate cancer Screenings at St. Joseph’s Cancer Institute, first floor. For eligibility questions or an appointment, call 410-337-1479. Last year, more than 90 men were screened! Go to www.GreatProstateCancerChallenge.org sjmcmd.org / St. Joseph Medical Center Fall 2009 Faith Meet the Surgery Chaplain Spreading blessings and calm in the presurgical area leads to better outcomes S t. Joseph’s beautiful new front entrance and Surgical Services waiting area inspire confidence, but once patients come into the Ambulatory Surgery Unit (ASU), their caregivers fill them with even more assurance that they are in the best of hands. They meet highly skilled nurses and are greeted by a warm, supportive person whom they did not expect— Father Bogdan Palka, ASU chaplain, watches over the ASU patients and staff—his flock—offering blessings and comfort no matter what “ Jewish prayer books or “It is a space for prayer the Koran are available. and meditation, For those of the Muslim designed for people tradition, the room to bring shelves in theirto faith” features place their shoes Susanne DeCrane, and a very Director of Care subtle Spiritual marker indicating Mecca.” denomination a person is. He tries to visit every patient, approximately 20-40 a day, and is seldom turned down. “I offer them a prayer, a blessing, or anointing of the sick. I call it my spiritual medication to quench their anxiety,” said Father Bogdan with a smile, in his charming Polish accent. He describes the area as a mosaic of faiths and keeps Jewish and Hindu prayers on hand. The nurses look forward to his arrival each morning. “He laughs. He jokes,” said Mary Stoecker, RN. “There’s a real human behind the collar. He’s always there for us.” “He has a calming effect. It doesn’t matter what your religion is,” said Regina Schuch, RN. Less Pain, More Peace So calming, that according to Dr. Paul McAfee, head of Spinal Surgery at St. Joseph, “Father Bogdan performs an incredibly important service to patients of all faiths. After his visit, they’re much less agitated in the OR, and they actually need less pain medication when they wake up. Father Bogdan is one of the greatest people I’ve ever met.” “You see a peace, an appreciation from patients,” said Deborah Hall, RN. “You cannot ask for anything better before surgery.” “Spiritual care is just as important as the registration or medication part,” explained Susanne DeCrane, director of Spiritual Care at St. Joseph. “Patients almost feel like a weight’s been lifted off their shoulders. To my best knowledge, we are the only hospital with spiritual care dedicated to the presurgical area,” said DeCrane. New Interfaith Room Welcomes All Beliefs Nourishing and comforting the spirit is of the utmost importance at St. Joseph Medical Center, which is why our Spiritual Care Center recently opened the new Interfaith Room. “The concept is a room that isn’t defined by religious symbols of any tradition,” explained Susanne DeCrane, St. Joseph’s director of Spiritual Care. Located by the Meditation Garden on the first floor, “this neutral room is warm and welcoming. It is a space for prayer and meditation, designed for people to bring in their faith—it can become a Jewish, Muslim or Hindu space, or any type of spiritual space a person needs.” For example, Jewish prayer books or the Koran are available. For those of the Muslim tradition, the room features shelves to place their shoes and a very subtle marker indicating Mecca. “We support the faith traditions of our patients in many ways. We have more than 130 visiting clergy, including most Protestant denominations, Rabbis and an Imam. We provide electric menorahs on request for the Sabbath. Just let us know; we’ll do our best to support your spiritual needs,” added DeCrane. Spiritual Care can be reached at 410-337-1109. Fall 2009 St. Joseph Medical Center / sjmcmd.org D In te Spirit d Inspired giving through the St. Joseph Medical Center Foundation Oh, What a Night! Hands quickly raised to bid on the live auction… dancing to Shades of Blue…mingling among friends… Guests at the Hyatt Regency Inner Harbor on Saturday, April 18 could feel the commotion from “Life in Motion,” St. Joseph Medical Center’s Gala benefiting The Orthopaedic Institute at St. Joseph. With 800 guests in attendance, the Gala netted over $300,000 to support an orthopaedic program that has received national awards and recognition. David Dalury, M.D., one of the honorary chairs of the Gala and a Foundation board member, commented: “The Institute at St. Joseph Medical Center is one of the largest in the state, leaders not only in orthopaedics but pain management, as well. I’m delighted that so many of our support staff could be a part of the evening as many of them will benefit from the Gala. (Continued on following page) (clockwise from top) David Dalury, M.D., Kim Tortolani, Justin Tortolani, M.D.; Baltimore County Executive Jim Smith, James Ricely, M.D., Peggy Ricely; Gala Co-Chairs, Victoria and Carmen Deyesu; Heather Troyer, C.N.A., Amy Baker, R.N., Heather Gamber, R.N., Nicole Wallace, R.N., Sarah Staley, C.N.A., Charmaine Harper, R.N. sjmcmd.org / St. Joseph Medical Center foundation Fall 2009 A SUR V I V OR ’ S DAY Oh, What a Night! (Continued) Half of the proceeds will support educational programs, including the Orthopaedic Fund for Nursing Excellence. The fund enables our nurses to receive orthopaedic certification, scholarship assistance and attend leadership development programs.” Dr. Dalury added, “It was particularly poignant for those of us who work at The Institute to see so many of our former patients moving about the Gala with such ease and grace. That is what the evening was all about. We are grateful to our generous sponsors who made “Life in Motion” such a success.” Michael Schultz, M.D., medical director of The Breast Center, cancer survivors Melody McMillen and Mike Nelsen, along with Mark Krasna, M.D., medical director of The Cancer Institute pose with The Oriole Bird. Both McMillen and Nelson threw ceremonial first pitches at the game. It’s hard to say exactly why the Orioles handily beat the Atlanta Braves 11-2 on a picture perfect Sunday afternoon. Perhaps it was the superior hitting but there may just have been an extra dose of good karma at Camden Yards on June 14th. Because of the generosity of the Orioles Foundation, cancer survivors from St. Joseph Medical Center’s Cancer Institute were treated to a wonderful day at the ballpark. The Foundation has a longstanding relationship with Mark Krasna, M.D., medical director of The Cancer Institute. For the past three years the Orioles have sponsored St. Joseph’s Survivor’s Day, an event that is about fun, family and friends, not disease. Twentysix suites filled with food, beverages and t-shirts, accommodated 650 guests that included cancer survivors, their guests and medical center caregivers. Two survivors had the honor of throwing the first pitches. The dance floor is alive with motion; Jim Narutowicz, one of our patients featured in Gala video, is recognized. Michael Schultz, M.D., medical director of The Breast Center at St. Joseph Medical Center Cancer Institute, says the day is always emotion packed, both for the patients and the medical staff. “So many patients are used to seeing their physician and support staff in a clinical setting, where their illness is paramount. To be A Fall 2009 St. Joseph Medical Center foundation / sjmcmd.org at this wonderful event, where everyone is celebrating their health, is a beautiful thing to see.” Adds Krasna, “Many of the patients are running from suite to suite, greeting and hugging each other. They’ve become friends through avenues like shared treatment modalities or support groups.” “Cancer has directly or indirectly touched nearly all of our lives in some way,” says Orioles Director of Communications Greg Bader. “The Orioles are proud to recognize and support those who have defeated this terrible disease, and we hope that a day at the ballpark provides a welcome distraction for those who have battled against it.” Rosmarie Jones and Breast Center Coordinator Susan Feild reunite at Survivor’s Day. ZEN & NOW GIFTS IS HERE! Visitors to Zen & Now Gifts can enjoy a unique shopping experience, buying everything from stylish outfits to delicious candy in one location. Many immediately say “top notch” health care when they are asked about St. Joseph Medical Center. Now they are adding “terrific shopping” to their accolades! With the opening of the 2,000 square foot Zen & Now Gifts in July, St. Joseph has become a destination for shoppers. WORK AND PLAY COME TOGETHER AT ST. JOSEPH When St. Joseph Medical Foundation needs support for special projects, we don’t have to search far to find a dedicated group of people who are always on board to raise money and have a great time doing it. The Employee Events Committee (EEC), spearheaded by John Bruchalski, Jed Castellucci and Pam Wood, holds two spring fundraising events for employees at St. Joseph: the Saint Patrick’s Day party and the Golf Tournament at Oakmont. This year’s Employee Events proceeds went to The Orthopaedic Fund for Nursing Excellence. As evidence of the events’ popularity, over 300 people came to the St. Patrick’s Day party and 100 golfers turned out at Oakmont, raising nearly $13,000! “It doesn’t matter whether we’re on the golf course or dancing to Irish music; our employees always get in the spirit of the occasion. People call us months in advance to make sure they get the events on their calendars,” comments Bruchalski. Adds Castellucci, “It’s great to see different departments support each other. Wood concludes, “The help we get from employees is always amazing. It’s an honor to be a part of this committee.” In lovely, soothing surroundings, browsing among stylish women’s apparel and accessories, it’s easy to forget you are in a hospital setting and not a trendy boutique. In keeping with St. Joseph’s mission of treating body and spirit there are aromatherapy products along with organic creams and lotions from Archipelago. And of course there are toys, flowers, gifts, balloons and snacks. There truly is something for everybody. A percentage of every sale from Zen & Now supports programs and services at St. Joseph Medical Center. The store operates seven days a week, from M–F 8:00 AM–8:30 PM, Sat and Sun. 9:00 AM–8:00 PM. Come and see us! (left to right) Jed Castellucci, Greg Hicks, Kate Castellucci and Stacy Prinzing enjoy the Saint Patrick’s Day Party held on March 14, 2009. q 22nd Annual golf tournamentn Join us on Monday, September 21, 2009 at Chestnut Ridge Country Club, Lutherville, Maryland. Don’t miss this opportunity to support St. Joseph Medical Center’s Digestive Disease Center (DDC). With a reputation for diagnosing and treating difficult digestive symptoms, the DDC is a vital resource for the community. Starting with lunch, followed by an afternoon on the links and concluding with cocktails and dinner, the Tournament is an event not to be missed! Please call 410-337-1397 for additional information. sjmcmd.org / St. Joseph Medical Center foundation Fall 2009 A With Gratitude to Our Wonderful Donors and Community Partners St. Joseph Medical Center Foundation Raises Over $3.6 million in FY09 In a year that has seen virtually translate into medical students conducting leading edge research in The Cancer Institute and nurses in The Orthopaedic Institute receiving special certification. Advanced software has been purchased for both The Cancer and Orthopaedic Institutes and the Cath labs are being outfitted with grant funding from the State of Maryland. everyone affected by economic challenges, the Foundation at St. Joseph Medical Center is proud that our friends continued their strong support for the medical center. Between July 1, 2008 and June 30, 2009, the Foundation received $3,654,807 from our partners who remain vested in the quality of healthcare they receive; continue to find excellence at St. Joseph and are pleased to support an institution that delivers quality, excellence and compassion. The impact of these gifts can be seen everywhere throughout the medical center. The beautifully renovated meditation garden, chapel and heritage wall were fully funded through private gifts as was much of the commissioned artwork that Visitors to the meditation garden, part of The Keeler complements the new main entrance. Spiritual Care Center, enjoy a moment in the sunshine. Funds raised this past year The renovation was donor funded. Donor dollars also allowed the “extra touches” that are critical to wellness for some of our most vulnerable patients—massages for our neonatal intensive care unit babies and yoga therapy for our inpatient psychiatric patients. Many more projects and services at St. Joseph receive the benefit of our steadfast donors. We are humbled by the generosity of the community we are so proud to serve. You can make a gift to the St. Joseph Medical Center Foundation by using the provided envelope. For more information, please call the Foundation at 410-337-1397 or visit us online at sjmcmd.org/giving. All of us at St. Joseph thank you. Good News...Good Deeds. In June, St. Joseph Medical Center Foundation was awarded two grants, totaling $409,000, by Catholic Health Initiatives. Both grants strengthen the work of St. Joseph’s outreach and patient care initiatives. Gala 2010: An Evening With Our Stars will benefit The Cancer Institute at St. Joseph Medical Center. On Saturday, April 17, 2010, The Marriott Waterfront Hotel will be the setting for a nostalgic trip back to “Old Hollywood.” Gala chairs, Michael Schultz, M.D., medical director of The Breast Center, and his wife, Joan will be producing and directing the event, assisted by honorary co-chairs Phyllis and Leonard Attman. Please call The Foundation at 410-337-1397 to add your name to the invitation list! St. Clare Medical Outreach: $234,000 over three years This grant underwrites a social worker and part-time registered dietician to support the clinical staff of St. Clare Medical Outreach at the Esperanza Center. Village Wellness Program: $175,000 The Village Wellness Program (VWP), a St. Joseph outreach initiative in Tanzania, received funding to hire a full-time director to manage the program “on the ground” in Tanzania. Flora Myamba, Ph.D., (at right) a native of Tanzania, began serving as VWP director in the Karatu district in July 2009. A Fall 2009 St. Joseph Medical Center FOUNDATION / sjmcmd.org EMergency Care Faster ER Care, Thanks to Auto Industry Methods Treatment time decreased by 25% When you rush a family member to your neighborhood emergency department, the first thought that crosses your mind is how long of a wait you’ll have. A ccording to Press Ganey Associates, the average wait in a U.S. emergency department (ED) is 3.7 hours. And between 1996 and 2006, 32 percent more Americans sought ED care. This has led to a troubling situation—when an ED reaches capacity, ambulances get diverted away to distant EDs. To try to ease ED crowding, many hospitals have scrambled to open up more beds, but that doesn’t really help, explained Durenda Juergensen, RN, assistant vice president of Nursing Operations at St. Joseph. “Opening up additional expensive capacity isn’t the solution. We need to attack the root cause of the patient backups in the ED—the length of time it takes to treat each patient.” So, St. Joseph Medical Center forged ahead with innovations—and succeeded. “We’ve had a 25 percent decrease in length of stay in the ED,” said Dr. Gail Cunningham, chief of St. Joseph’s ED. “The impact has been dramatic. By reducing our ambulance divert times, we are accommodating ambulances and patients better, and have sped up treatment time. Our yellow ambulance diverts are down approximately 60 percent and red diverts (critical care situations) are down 85 percent.” The road to success was to utilize so-called “lean methods” from the auto industry. To do this, St. Joseph recruited an expert from that field; Dave Norton, nicknamed “The Lean Guy.” “Lean creates speed, by improving cycle time, and efficiency, through elimination of waste. We improved patient flow, eliminated delays, standardized process steps to ensure they are done perfectly, and organized our workplace effectively,” said Norton. “For example, we improved chest pain patients’ time from arrival to an EKG ‰ When to go to the ER* • C hest pain lasting more than two minutes • Uncontrolled bleeding • Severe or sudden pain • Coughing or vomiting blood • Difficulty breathing, shortness of breath • Sudden dizziness, weakness, change in vision • Severe/persistent vomiting or diarrhea • Change in mental status Do not delay—call 911! *According to the American College of Emergency Physicians by 50 percent. Patients get to key treatments and decision points faster.” “St. Joseph’s capabilities are vitally important to the community’s health. Being a major provider of emergency services, including heart and stroke, we still provide the highest quality of care —but faster than before,” said Jurgensen. Lean time-savers include: • ED zone/room and staff are readied before an ambulance arrives • Patient moves quickly into triage station where nurse and technician are both located • A tracking system proactively reports patients’ test and lab data sjmcmd.org / St. Joseph Medical Center Fall 2009 orthopaedics Maximizing Function After a Torn Meniscus Advanced repair gives Calvert Hall athlete a long career It was a hot August day on the Calvert Hall School fields and the highly-ranked varsity soccer team was scrimmaging. Midfielder Elliott Crompton aggressively jumped up for a header and, as he came down on the ground, “something weird happened” in his knee. “No big deal,” he thought, and kept playing. But his mom got a frantic call at work the next day. “I can’t move,” said Elliott, who was sitting at his computer with his knee locked. His mother rushed home and somehow got Elliott over to see Calvert Hall’s sports trainer Chris Zinn for his opinion. Zinn had a pretty good hunch about what had happened, and Elliott and his mom decided to make an appointment with orthopaedic surgeon Dr. A.J. Detterline, also the team’s physician. The diagnosis was a pretty common sports injury —a tear to his lateral meniscus, the outer cartilage that cushions the knee. Then Elliott made another very important decision with his doctor’s guidance. He opted for treatment with a lengthier recovery, but the best possible result. Instead of removing the meniscus, Detterline performed an intricate operation to repair it. In the hands of an expert, this gave Elliott many playing years on his knee. “There are a fair amount of athletes who don’t want to take the time to recover from a meniscus repair,” explained Detterline, who trained at the Cincinnati Sports Medicine and Orthopaedic Center with Dr. Frank Noyse, a worldrenowned knee surgeon and pioneer. “But in our practice, we see patients in their 20s with arthritis due to injuries for which the meniscus was removed. For a lateral-sided injury, arthritis can develop rather rapidly, in as little as a few years.” “I wanted to give Elliott the best chance Elliott’s rehabilitation was to heal,” said Detterline. “No one wants very comprehensive. a knee replacement when they’re 35. I used an inside-out technique, passing seven stitches from inside the joint to outside the joint, forming a U shape around the meniscus.” Simultaneously, he moved the meniscus back into place while viewing his work through an arthroscopic camera. After a season off, Elliott is back on the field. “Dr. Detterline recognizes the competitiveness of Calvert Hall athletics, but his first and utmost concern is the health and safety of our athletes, which is a most attractive quality,” said Zinn. 10 Fall 2009 St. Joseph Medical Center / sjmcmd.org A leg up on knee Cartilage repair. State-of-the-art techniques • M eniscus Transplant: Cadaver meniscus transplanted into someone relatively young with good knee alignment and very little arthritis. Done when most of or all the meniscus has been removed. • O steochondral Transplant: For small, isolated cartilage injuries in the shape of a pothole. Fills in the pothole with the patient’s cartilage taken from a low-stress area. • C hondrocyte Implantation: Cartilage cells are harvested through an arthroscopic procedure and stimulated to grow in the laboratory, then replanted into the knee. • B one Marrow Stimulation: Small perforations are made in the bone arthroscopically to stimulate formation of a scar cartilage. • T he bottom line: “There are options to help people remain active and do the things they enjoy while keeping them pain and symptom-free,” said Detterline. Dr. A. J. Detterline (left) with Chris Zinn, Calvert Hall School trainer. Lecture Series The Need for Good Knees: By Dr. A.J. Detterline Thursday, October 8, 7 p.m. See page 14. orthopaedics High-Demand, High-Tech Knee Replacement I f you need a knee replacement and you’re a real go-getter, intent on making a comeback, the mobile bearing knee could be just what the orthopaedic surgeon orders. According to Dr. John Naiman, “People hit the ground running with this type of knee replacement.” As an orthopaedic surgeon who has been performing this technically demanding knee replacement for years, Naiman is very enthusiastic, saying, “It’s a high-demand knee, It’s for patients who lead very active lives.” The mobile bearing knee has two bearing interfaces instead of one with the standard knee replacement. It provides patients with a more fluid, natural gait. However, “people have to be very aggressive with their rehabilitation,” emphasized Naiman. For surgeons, the mobile knee is, “harder to install; greater surgical precision is required, but the benefits to be reaped are well worth it,” he said. “St. Joseph is way ahead of the curve. We’ve been offering mobile knees for seven years, but they’ve only been on the national market four years. We have tremendous experience.” Elaine Casey, age 61, opted for the mobile knee after receiving intermediate treatment from Naiman for 14 years. “My arthritis began in my 40s. I had been taking Aleve and getting cortisone shots. It was finally time. I couldn’t walk from one end of the mall to the other.” Casey was back to work in two months; “It was supposed to be a three-month recovery. The outcome was better than I thought it would be. To anyone who needs this knee replacement, I say, ‘Go for it!’” “Elaine is representative of younger, active patients who are a good match for the knee. She was very aggressive about her recovery,” said Naiman. Excellent rehabilitation Naiman credits the outstanding Orthopaedic Unit staff for the excellence of St. Joseph’s rehabilitation outcome. “It’s the occupational therapists, the physical therapists and the nurses,” he said. “The team gets patients up, active, and going quickly. You work hard in the hospital but that sets your path for rehabilitation. The mobile bearing knee is attached to the femur (thigh bone) with a porous coating instead of cement. “The body’s own bone grows into the coating and bonds to the component,” said Naiman. He has had patients who could compare the traditional knee replacement after coming to him for a mobile bearing replacement for their second arthritic knee. “People tell me that the mobile one just feels better,” he said. Rehabilitation at St. Joseph begins with an “intraoperative pain cocktail that is injected and allows people to be more active in their immediate rehab and do what is necessary to make the mobile bearing knee work,” he said. “I didn’t need oral pain medicine; I threw it away. The recovery was amazing,” said Casey. Dr. John Naiman has performed mobile bearing knee replacements, which provide a more natural gait, for the past seven years. ‰ Mobile Bearing Facts • • • • • Good for high level of activity Requires good bone quality Depends on biologic ingrowth Technically demanding to install Needs aggressive rehabilitation sjmcmd.org / St. Joseph Medical Center Fall 2009 11 T e chn o bytes A Record in Da Vinci Surgery! St. Joseph Medical Center may have the most experienced physicians in da Vinci surgery in Maryland— they have performed well over 600 robotic-guided surgeries, including prostatectomies, hysterectomies, and pancreatic and colorectal surgery. “This is a huge landmark,” said Dr. Marc Siegelbaum, chief of Urology. “We are one of the premier places in the country for da Vinci prostatectomy (surgery for cancer contained to the prostate gland). “St. Joseph had the foresight and leadership to be the first to introduce da Vinci as a community hospital in early 2005,” said Dr. Daniel Dietrick, St. Joseph’s chief of Surgery. “When we began, only five percent of prostatectomies were being done with the da Vinci; now that is close to 80 percent world wide.” Da Vinci is one of many reasons that Baltimore magazine named St. Joseph one of the best Baltimore hospitals for prostate cancer treatment. Spyglass ora Co rp tif ic en ci Gastroenterologist Dr. Joshua Forman performed the first Spyglass Direct Visualization procedure at St. Joseph in June, and although Spyglass sounds like something from a James Bond movie or a scope for finding pirate treasure, the new technology provides a bird’s eye view of the complex ducts of the digestive tract. It can help diagnose problems of the liver, bile ducts and pancreas —troubleshooting conditions ranging from gallstones to cancer, explained Dr. Andrew Rosenstein, gastroenterologist. “Not only does Spyglass make diagnosis easier, patients who might have needed surgery for large bile duct stones can now be treated safely using lithotripsy with guidance visualized by SpyGlass,” said Forman. tion Voyage to the Digestive Tract r Photo cou tes n to os fB yo S Spyglass, which visualizes the biliary tree and pancreas, is performed by doctors at St. Joseph’s Digestive Disease Center. Da Vinci prostatectomy benefits • Minimal blood loss, almost no blood transfusions • Less foley catheter time • Shorter hospital stay; less than 24 hours • Faster return to urinary control • Minimal pain • Increased surgical cures In addition, St. Joseph surgeons have used da Vinci for hysterectomies, pancreatic cancer surgery and even colorectal cancer. Beautiful New Sleep Center Beckons a Good Night’s Sleep Do you have a loud snorer in your home? The newly redesigned Sleep Center at St. Joseph may be just what the sandman ordered. The staff constantly receive thank you notes from spouses who can finally sleep following their loved one’s treatment. “Obstructive sleep apnea is the number one diagnosis we see. People’s bodies actually work harder at night when they snore due to sleep apnea. Patients often say they feel ten years younger once they’ve been treated and can get a good night’s sleep,” said Terry Cox, manager of The Sleep Center and Respiratory Care at St. Joseph. Restless leg syndrome is the number two diagnosis. The Center features six comfortable, spacious bedrooms with private bathrooms. State-of-the-art sleep equipment includes high-tech cameras and hands-free communication between patient and techs in every room. Children with sleep problems get special treatment. “What sets us apart is that Dr. Robert Meny, our pediatric sleep doctor, is one of the most esteemed specialists in his field in the country,” added Cox. To find out more about The Sleep Center, call 410-337-1240. 12 Fall 2009 St. Joseph Medical Center / sjmcmd.org Techno Bytes Radiosurgery—A Giant Leap “Knifeless Surgery” for Inoperable Brain, Spine and Lung Tumors Dr. Neal Naff, who has performed radiosurgery for brain and spine lesions since 2003, calls the technology “revolutionary.” St. Joseph entered a new era in the treatment of brain surgery in mid June when a patient received radiosurgery—a remarkable technology termed “knifeless surgery”— for an inoperable brain tumor. Dr. Neal Naff, chief of Neurosurgery, and Dr. Jason Citron, director of the Radiation Oncology Center, performed radiosurgery for a patient with renal cell (kidney) cancer that had metastasized to his brain. Radiosurgery delivers a high radiation dose in a very precise volume to a tumor. Done on an outpatient basis, treatment takes just one half hour. Naff, who began doing radiosurgery in 2003, is the most experienced Baltimore area neurosurgeon in this specialty for brain and spine lesions. “Radiosurgery is directed at the tumor and spares the surrounding tissue,” he explained. Although its main application is for brain metastases, meningiomas and other benign brain tumors, cerebral arteriovenous malformations and pituitary adenomas, St. Joseph Medical Center is “expanding radiosurgery and investigating treating lung cancer and liver metastases for patients who cannot tolerate surgery,” said Dr. Mark Krasna, director of St. Joseph’s Cancer Institute. To perfect this, “a special, unique device that synchronizes the patient’s breathing with radiation delivery is being installed for lung cancer treatment.” Paramedics and AEDs A Lifesaving Combination Above: At a press conference, Baltimore County EMS providers received a Certificate of Appreciation from St. Joseph staff: Durenda Juergensen, AVP of Nursing, (second from left) and Dr. Gail Cunningham, chief of Emergency Department (far right). Right: A portable automated external defibrillator. St. Joseph’s Emergency Department staff joined Baltimore County EMS providers to celebrate National CPR and AED Awareness Week in early June and to honor paramedics for responding to emergencies and saving lives! AEDs (automated external defibrillators), CPR and the paramedics’ expert skill all combine to accomplish miracles. AEDs are computerized mechanical devices that can shock a stopped heart back into rhythm. A number of patients who were brought to St. Joseph’s Emergency Department by paramedics gave testimony at a press conference held at the Parkville Fire Department about how they were saved twice—first by the EMS crew and an AED, and then by St. Joseph’s outstanding emergency staff. “St. Joseph’s partnership with Baltimore County EMS enables our emergency staff to proactively prepare for a cardiac emergency while the ambulance is in route here,” said Durenda Juergensen, St. Joseph’s assistant vice president of Nursing. St. Joseph Medical Center salutes Baltimore County EMS for their outstanding service to our community! sjmcmd.org / St. Joseph Medical Center Fall 2009 13 Community & Family Programs Unless otherwise designated, call 410-337-1479 to register or schedule your appointment. All activities are FREE and held at St. Joseph Medical Center unless otherwise indicated Events marked offer online registration at www.sjmcmd.org. i Health and Wellness Classes Yoga Various. Registration required. Call 410-427-5557 for schedules and prices. Joint Replacement / Arthritis Seminar Think nothing can be done to help your arthritis? Learn about the latest treatments! Call 410-337-1337 for dates and times. AARP Driver Safety Program Rueden, M.D. Third Monday every month, 6:30 p.m. October 19 and November 16 (none in December) Call toll-free at 866690-WELL (9355) to register. ADHD and Academic Ups and Downs i For parents struggling with helping school-age students with problems common to ADHD. Introduces you to highly successful strategies. Presented by Stanley Sack, Ph.D., and Dave LaSalle, Academic Support and Coach. Tuesday, October 20, 6:30 p.m. Course to improve driving skills. Ages 50 and older. AARP members: $12; non-members: $14. Registration required. Saturday, October 17, 9 a.m.– 2 p.m.; Saturday, November 28, 9 a.m.–2 p.m Lymphedema Management Program Lymphedema can result from removal of lymph nodes, radiation, trauma, surgery or infection. Program focuses on reducing swelling through physical therapy and selfmanagement education. Fee: may be insurance reimbursable. Call 410-337-1412 for appointment information. Phase II Cardiac Rehab Program Monitored exercise, education, counseling, and behavior modification helps participants recover from cardiac events (heart attack, open heart surgery, stents) and reduces risk for future heart problems. Fee: may be insurance reimbursable. Call CV Fitness at 410-337-1366. Topics of Interest Bariatric Surgery i Information on LAP-BAND, gastric by-pass surgical weight loss options. Presented by St. Agnes Hospital experts in weight loss surgery, Andrew Averbach, M.D., or David von SCREENINGS Breast Cancer Screening FREE clinical breast exam and screening mammogram for women 40 years and older, who have not had a mammogram within the past year, do not have personal history of breast cancer, nor have had breast reduction surgery. Appointment required. Call for eligibility. Saturday, October 17, 8:30 a.m.–12:30 p.m. Varicose Veins Screening For ages 20–70, with visible vein distortion (elongated, rope-like, bulged and thickened veins underneath the skin). If left untreated, it can lead to a chronic, debilitating and, sometimes, serious condition. Screening includes visual inspection of your legs. Appointment Required. Tuesday, October 27, 4–7 p.m. Prostate Cancer Screenings by Chesapeake Urology doctors and St. Joseph’s Cancer Institute. Eligibility requirements: • Men, ages 50-75 or • Age 40 or older if African American or have a first-degree relative diagnosed with prostate cancer • You have not had a screening in the last 12 months • You have not had prostate cancer. Takes place at St. Joseph’s Cancer Institute, first floor. For eligibility or an appointment, call 410-337-1479. Saturday, September 26, 9 a.m.–12 noon The 2009 Great Prostate Cancer Challenge 5K Run and One-Mile Fun Walk Saturday, September 26, 2009, 8 a.m. at St. Joseph Medical Center. For information, visit www.greatprostatecancerchallenge.com The Need for Good Knees Treating and Managing Knee Injuries and Pain i Pain in your knees can become debilitating. Knowing your diagnosis and what you and your physician can do about it can get you moving again. Presented by A.J. Detterline, M.D. Thursday, October 8, 7 p.m. Heart Failure: Common but Unrecognized! More people are surviving heart attacks but may have weakened hearts. Treatments may help patients live more normal, fulfilling lives. Find out what you need to know to decrease your chances of hospitalization. Dinner included. Registration required by phone. Presented by Jennifer Lieu, CRNP. Tuesday, November 10, 7 p.m. Updates on Radiation Treatment for Lung & Esophageal Cancer Sponsored by LUNGS program– Learning, Understanding, Navigating, Growing, and Survivorship. Light dinner offered. Registration required by phone. Presented by Jason Citron, M.D. Wednesday, October 14, 5:30 p.m. Call 410-337-4543 to register. 14 Fall 2009 St. Joseph Medical Center / sjmcmd.org TRAINING Heartsaver CPR Instruction on adult, infant, and child CPR and relief of airway obstruction. For lay rescuers requiring credentialing documentation. Registration required. $50. Saturday, October 3, 9 a.m.–1 p.m. CPR for Health Care Providers Instruction on adult and pediatric CPR, FBAO, 2-person rescue CPR, barrier devices and AED. For health care professionals (physicians, nurses, etc.) who respond to cardiac and respiratory emergencies. Registration required. Fee $50. Call 410-337-1960. Saturday, November 14, 9 a.m.–1 p.m. & Saturday, December 5, 9 a.m.–1 p.m ONGOING DIABETES PROGRAMS Call 410-337-1382 for information and to register. Diabetes Self-Management Education Program ADA nationally recognized. Onehour individual assessment and nine hours of multidisciplinary taught group classes. Fee: May be insurance reimbursable. Diabetes In-Check Two-hour annual follow-up for those who completed 2008 class. Fee: May be insurance reimbursable. Diabetes Information Exchange Monthly meeting offers variety of diabetes topics. First Tuesday every month at 1 p.m. October 6, November 3, and December 1. Community & Family Programs SUPPORT GROUPS Breast Cancer SOS (Survivors Offering Support) Mentorship training, partner support, and transition to wellness workshops for patients and caregivers. Call 410-427-2513 for information. Family Programs Call 410-337-1880 for information, dates and times, or to register. Taught by registered nurses with maternal-child health nursing experience, certified in their fields. Kangaroo Kapers For children ages 3–7 with families expecting new siblings. Includes mother/ baby unit tour. $10 per child. October 10, November 14, December 12 Caregivers First Thursday every month, 7 p.m. October 1, November 5, and December 3. Call 410-337-1109 to register. Mothering Matters Crohn’s Disease and Colitis Free support group for new moms and their babies. Meets every Thursday, 10:30 a.m.– 12 noon. Call for location. Tuesday, November 10, 7 p.m. Call 410-337-1537 to register. LUNGS Cancer Support Learning, Understanding, Navigating, Growing, Survivorship for newly diagnosed lung cancer patients. Call 410-337-4543 for information. Ostomy Support Sunday, September 13, 2–4 p.m. Call 410-337-1845 for information. Pregnancy Loss First Monday of every month, 7 p.m. October 5 and November 2 (none in December). Call 410-337-1109 to register. Family Education CLASSES Breastfeeding Class Certified lactation consultant reviews basics including advantages, how-tos, special considerations and more. $20 per couple. Second Saturday of every month, 1–3:30 p.m. October 10, November 14, and December 12 Childbirth Education Series Six-week evening series for persons whose spouse died more than three months ago. Registration required. Mondays: Sept 14, 21, 28, and Oct 5, 12, 19, 5–6:30 p.m. Call 410-337-1109 to register. In-depth instruction about labor and delivery, breathing techniques and relaxation, plus Cesarean birth, pain management and postpartum care. $60 per couple. Tour included. Offerings (Call for start dates): 5-week evening series, Mondays or Wednesdays. 3-week evening series, Thursdays or Saturdays. SPIRITUAL OFFERINGS Childbirth Review Class Widow/Widowers Call 410-337-1109 for more information on this offering: Memorial Mass for Deceased Patients Hospital Chapel Tuesday, November 10, 7 p.m. Grandparents’ Class For those expecting their first grandchild at St. Joseph. Covers latest trends in maternity and infant care, including infant CPR. $10 per person. Held monthly, 6–8:30 p.m. October 22 and December 3 Family Ties Infant Massage For parents and newborn babies through six months. Benefits include bonding and attachment, relaxation and stress reduction. Babies experience a sense of trust, while relaxing to their parent’s gentle touch. Two weekly classes, 90 minutes each. Fee: $30 for both September 11 & 18. 1–2:30 p.m. Call for more dates. For couples who previously completed childbirth classes. Reviews labor and delivery, breathing techniques, plus sibling preparation. Tour not included. $20 per couple. Call for dates and times. Join St. Joseph Teams at these Great Health Causes! Diabetes: American Diabetes Association Step Out Walk Rash Field, Inner Harbor. October 3, 9 a.m. Go to www.stepout.diabetes.org or call The St. Joseph Diabetes Management Center at 410-337-1382. Colon Cancer: Susie’s Cause 5K Run & Family Walk Towson Courthouse. October 4, 8:30 a.m. Visit www.charmcityrun. com. Race chairman: Dr. Howard Berg, director of Colorectal Oncology at St. Joseph. Pancreatic Cancer: PanCAN Purple Stride Maryland Oregon Ridge Park. October 11, 1- 4:30 p.m. Go to www.pancan. org/purplestridemaryland09 or call Maria Conigliaro, Cancer Institute nurse coordinator, 410-427-2321. Breast Cancer: Susan G. Komen Race for the Cure Hunt Valley, MD. October 18. Visit www.komenmd.org or call Susan Field, RN, St. Joseph Breast Center coordinator, 410-427-5509. sjmcmd.org / St. Joseph Medical Center Fall 2009 15 Non Profit Rate US Postage PAID Mechanicsburg, PA Permit No. 301 7601 Osler Drive Towson, MD 21204-7582 FREE Lecture! The Need for Good Knees See page 14 Looking for an Expert Doctor? St. Joseph Medical Center offers more than 1,200 physician experts and 50 specialties—from cancer care and obstetrics to orthopaedics and cardiology. Our friendly Doctors Directory representatives will personally work with you to find a physician to match your unique needs. Call today, and we will search among our highly qualified physicians for the one with the right location, experience and approach for you. Doctors Directory Call 410.337.1337 www.sjmcmd.org Welcome to the Home of Medical Breakthroughs…Welcome to St. Joseph!
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