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
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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
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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.
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The Need for Good Knees
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