SSM Cardinal Glennon Children’s Medical Center October/November 2009 www.cardinalglennon.com FOCUS ON Pediatrics MEDICAL NEWS FROM SSM CARDINAL GLENNON CHILDREN’S MEDICAL CENTER AND THE DEPARTMENT OF PEDIATRICS, SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE ON THE COVER Taking Tianna to Trauma Room 3 Tianna Starke, 11, is quickly taken from Cardinal Glennon’s helicopter pad to Trauma Room 3. Tianna and her mother, Tonya Starke, were in an ATV accident in which Tianna was ejected. Tianna was immediately surveyed by attending ER physician Anthony Scalzo, M.D. Tianna’s injuries included an open fracture of her left humerus, contusions of her chest overlying her heart, multiple facial lacerations and facial bone fractures. Tonya drove an hour and a half before reaching her daughter’s side. “I loved how they did it,” she said of the moment she entered the ER. “They were swarming around my baby, and each one came to me to introduce themselves and tell me who they were and what their thoughts were. It was such a comfort.” FOCUS ON Pediatrics Editor In Chief Medical Editor Editor Writer & Designer Sherlyn Hailstone Kenneth Haller, MD Andrew Sutton Katelyn Ideus President SSM Cardinal Glennon Children’s Medical Center Associate Professor of Pediatrics Saint Louis University School of Medicine Physician Services Manager SSM Cardinal Glennon Children’s Medical Center Physician Services Assistant SSM Cardinal Glennon Children’s Medical Center For comments and suggestions, please email [email protected]. Announcements St. Louis Magazine Best Doctors 2009 Saleem Abdulrauf, M.D. Neurological Surgery Gary Albers, M.D. Pediatric Pulmonology Teresa Andreone, M.D. Pediatric Critical Care Stephen Barenkamp, M.D. Pediatric Infectious Disease Glen Fenton, M.D. Pediatric Specialist Neurology, Epilepsy Alan Knutsen, M.D. Pediatrics Allergy and Immunology William Ferguson, M.D. Pediatric HematologyOncology Atchawee Luisiri, M.D. Pediatric Radiology Casimir Firlit, M.D. Pediatric Urology Craig Belsha, M.D. Pediatric Nephrology Robert Fleming, M.D. Pediatric Specialist Neonatal-Perinatal Medicine Burt Bromberg, M.D. Pediatric Cardiology Andrew Fiore, M.D. Pediatric Cardiac Surgery Richard Bucholz, M.D. Neurological Surgery Thomas Foy, M.D. Pediatric Gastroenterology Victoria Cornelius, M.D. Internal Medicine and Pediatrics Jeremy Garrett, M.D. Pediatric Critical Care Oscar Cruz, M.D. Pediatric Ophthalmology Thomas Geller, M.D. Pediatric Specialist Neurology, Neuro-Oncology Bradley Davitt, M.D. Pediatric Ophthalmology David Dempsher, M.D. Pediatric Endocrinology Thomas Donovan, M.D. Pediatric Otolaryngology Susan Heaney, M.D. General Pediatrics William Keenan, M.D. Pediatric Specialist Neonatal-Perinatal Medicine Elizabeth Engel, M.D. Pediatric Orthopaedic Surgery Presentations Ron Mitchell, M.D. Keynote Speaker: “Pediatric OSA: Outcomes of Surgical Therapy.” The Annual meeting of the Israeli Society of Otolaryngology/Head and Neck Surgery. March 2009, Eilat, Israel. Keynote Speaker: “Outcome of Adenotonsillectomy for Sleep-Disordered Breathing (SDB) In Children. XIX World Congress Of Oto-Rhino-Laryngology, IFOS, Brazil, June 2009 Marilyn Maxwell, M.D. Internal Medicine and Pediatrics Ron Mitchell, M.D. Pediatric Otolaryngology Jay Noffsinger, M.D. General Pediatrics and Pediatric Sports Medicine Timothy Rice, M.D. Internal Medicine and Pediatrics Farouk Sadiq, M.D. Pediatric Specialist Neonatal-Perinatal Medicine Anthony James Scalzo, M.D. Pediatric Emergency Medicine Kenneth Schowengerdt, M.D. Pediatric Cardiology Elaine Siegfried, M.D. Pediatric Dermatology Blakeslee Noyes, M.D. Pediatric Pulmonology John Stith, M.D. Pediatric Otolaryngology John Peter, M.D. Pediatric Emergency Medicine Jeffrey Teckman, M.D. Pediatric Gastroenterology Howard Place, M.D. Orthopaedics Nora Porter, M.D. Internal Medicine and Pediatrics Aki Puryear, M.D. Pediatric Orthopaedic Surgery Robert Ream, M.D. Pediatric Critical Care Sherida Tollefsen, M.D. Pediatric Endocrinology Dennis Vane, M.D. Pediatric Surgery Robert Wilmott, M.D. Pediatric Pulmonology Ellen Wood, M.D. Pediatric Nephrology Awards Cystic Fibrosis Foundation’s 2009 Quality Care Award: Recognizing Outstanding QI Processes and Accomplishments. To be presented at the US Center and Program Directors’ meeting at NACFC Minneapolis, Minnesota October 17, 2009 Jay Noffsinger, M.D. earns Golden Apple Award Dr. Jay Noffsinger received his seventh Golden Apple Award for medical school faculty in clinical years from the Class of 2009 graduating medical students. Presented at the pre-commencement ceremony May 2009 1 Cardinal Glennon Access Center One number for all consultations and transports In an effort to improve communication between community physicians and subspecialists, SSM Cardinal Glennon has launched the Cardinal Glennon Access Center. The only 24-hour pediatric consultation and transport line in the St. Louis metro area, the Cardinal Glennon Access Center is your direct connection to expert care. Call 1-888-229-2424 for all: Emergent Transfers Urgent Appointments Physician Consultations All calls will be answered 24-hours a day by transport-trained nurses. Practice Points with Kenneth Haller, M.D. Q: What are the basics of H1N1? It appears that H1N1 influenza is about as severe as seasonal flu, but it will affect more young people than older people. • • • • When the H1N1 vaccine becomes available, the CDC recommends that the first groups to receive the vaccine will include: • Pregnant women • People who live with or care for children younger than 6 months of age Health care and emergency medical services personnel with direct patient contact Children 6 months to 4 years of age Children 5 to 18 years of age who have chronic medical conditions Adults from ages 25-64 years at higher risk for compromised immune systems including HIV The infectious period for H1N1 is currently unknown and is thought to be similar to that for seasonal flu. Those infected are assumed to be shedding the virus from one day prior to illness onset until resolution of symptoms or seven days following illness onset. 2 Treatment for H1N1 flu is primarily symptomatic. Patients should push fluids and get plenty of rest. Remember, no aspirin for fever. Antibacterials should be used only if there is evidence of bacterial superinfection. Antivirals including oseltamivir (Tamiflu) or zanamivir (Relenza) may be effective if given early. However, since children are at higher risk for side effects with antivirals, be sure to discuss pros and cons with parents. Ways to Prepare Your Practice: • Develop a Business Continuity Plan • Inform employees about your plan for coping with the additional surge in patients • Develop a plan to operate your facility with significant staff absenteeism • Provide immunization against seasonal flu at no cost to your staff, but ask sick employees to stay home • Know the pandemic planning and response activities of the hospitals, outpatient facilities and local public health in your community. Useful websites are: www.cdc.gov www.aap.org www.dhss.mo.gov • Know where to turn for up-to-date information in your local community: www.cardinalglennon.com. I wish you good luck this flu season! View Dr. Haller’s H1N1 presentation at: www.pediatricsondemand.com. username: ds\r010-online - password: webcme St. Louis Crisis Nursery The small, brick home sits tucked away in a St. Charles neighborhood. A play area in the backyard holding a play house and several colorful toys is surrounded by a simple white fence. Inside four little boys and girls are fast asleep - it’s nap time. This humble home is one of five St. Louis Crisis Nursery locations in the St. Louis Metro Area that served 6,000 children last year. Started 23 years ago, the Crisis Nursery provides all the comforts of a safe, quiet home for children - from birth to 12 years old - whose families are experiencing a crisis such as medical situations, homelessness, mental illness or mothers suffering from post-partum depression. The Crisis Nursery provides temporary relief, averaging 24 to 72 hours of care per child. During their stay, children are provided a number of services including: • Art therapy • • Developmental screenings Physicals With the downward turn of the economy, Community Relations Director Bonnie Define, MA, LPC, NCC, says the nursery has helped families from diverse backgrounds. “We work to strengthen families,” Define said. “The goal is to provide a safe, nurturing environment for children while working with the family to create long-term stability.” If you have a patient you feel is in need of this service, please call (314) 768-3201. For materials, please email [email protected]. For general information, please visit http://www.crisisnurserykids.org. Diversions Andrew Sutton Physician Services Manager Dining Taste by Niche 1831 Sydney Street St. Louis, MO 63104 Gerard Craft, chef/owner of Benton Park standout Niche, whose uncompromising standards have placed his cuisine on the national culinary scene, has opened Taste by Niche, a culinary snug with seating capacity for only 18 people. Part speakeasy, part private club, Taste is set up for nibbling before or after going out. An ever-changing variety of small plates are priced at $8 and cocktails are shaken and stirred by master mixologist Ted Kilgore. Young and hip, the pulsating sounds of Coldplay and The Killers buzzed the room as we sat at the serving bar, scanned our options and chatted with one of the sous chefs. We started with a flight of cow’s milk and goat’s milk cheeses. Rich, buttery and well-balanced with just enough saltiness, the triple cream Delice de Bourgogne melted in my mouth and paired well with our chardonnay. We continued with a charcuterie board of handmade sausages, served with a pair of the house-made pickles. This is where the tight confines and the access to the chefs add another dimension. I actually spoke with the pickle’s creator for ten minutes about the pickling process and the variations in each of the pickles available - there are more than five types available, with more to come. Moving along, we devoured the spicy pork meatballs and made quick work of the high note of the evening, the lemon snapper ceviche. Phenomenal. The roasted radish bruschetta showcases the creativity that built Craft’s national acclaim. Dessert choices are narrow, but the red velvet cupcake we shared made that fact irrelevant. Service didn’t miss a beat. Where others might rest on reputation and past success, Craft remains steadfast in his pursuit of excellence. On a busy Saturday night, he stopped to visit with each table, to thank them for coming and to seek their feedback. When he and I had a chance to chat, my only advice was to suspend all advertising. I want this place all to myself. Beverages My wife and I recently took advantage of an unseasonably cool August evening and popped open a bottle of 2006 Les Enfants Terribles, a tasty blend of 50 percent Syrah and 50 percent Mouvedre from France’s Rhone Valley. A tongue-incheek reference to the winemaker’s children, this wine is alluring with its dense purple color, quietly fading at the edges. The jammy nose is pure Syrah, with hints of smoke, hay and strawberries. This wine is fruit-forward, with black cherries and cola providing a delightful backbone. Distinctly layered by the interplay of Syrah and Mouvedre, the latter creates a long and complex finish. Slightly tannic, this is a delight today and will continue to shine for years to come. Available locally for around $15.00 per bottle. 3 An Evening Cardinal Glennon Divisio ED attending Anthony Scalzo, M.D., reads Terrion’s EKG performed by Cawenda Bryant, RRT. Terrion complained Dr. Scalzo escorts Tianna from the helicopter pad of chest pain following the previous day’s football practice. to Trauma Room 3. Read Tianna’s story on Page 6. Based on a normal EKG and other tests, Dr. Scalzo determined that a cardiac cause was unlikely. 5:30pm 5:38pm Terrion Latimore, 16 Tianna Starke, 11 Chest pain Brought in via helicopter EKG ATV accident 4:48pm 5:15pm Timmy Johnson, 7 Bike accident CT Photography by Stewart Smith Timmy Johnson, 7 Brought in by ambulance Bike accident 4 Dr. Scalzo exams Timmy whose front bicyle wheel came off, throwing him over the handle bars. Timmy’s eyes rolled to the back of his head, he did not respond to EMS and there was a contusion on his forehead. His mother, Jane Johnson, “wanted to come to Cardinal Glennon for child-specific care.” Tracey Peterson, RTR, performs Timmy’s CT scan. Timmy also had a spine film to ensure no serious damage was caused by the accident. g in the ED on of Emergency Medicine Kevin Germino, M.D., stitches a laceration on David Liu, M.D., examines Annabell who came in after several seizures. Dekoda’s left ear. While numbing Dekoda’s ear, Dr. Annabell was born with Angelman Syndrome, a neuro-genetic disorder Germino discussed Dekoda’s sibilings and favorite TV shows. that results in intellectual and developmental delay, sleep disturbance, seizures, jerky movements and an overly happy demeanor. 10:10pm Dekoda Brown, 5 9:11pm Ear laceration Annabell Ward, 2 Stiches Seizures 7:20pm Joel Miller, 3 Head wound 9:35pm Savannah Warner, 17 Neck injury 10:43pm Savannah Warner, 17 Neck injury X ray Left: Plastic Surgery resident Jenn Grosser, M.D., closes Joel’s head wound. Joel ran into a door while playing. Prior to the stitches, Dr. Scalzo commented on Dr. Grosser’s technique. “I like that she numbs the area, so we don’t have to give as much procedural sedation anesthesia,” he said. Above Left: Nathan Wheeler, RN; Emergency attending Trevor Tredway, M.D.; and ED fellow Kevin Germino, M.D., perform a log roll on Savannah to check for spinal fractures. Savannah and three other teens were brought in after an accident at a concert. Above Right: Savannah is x-rayed due to pain in her upper and lower spine. 5 Emergency Medicine Tianna Starke Extended Stays Sunday, August 2, 5:28pm: Tianna Stake, 11, is rushed to Trauma Room 3 from the Cardinal Glennon helicopter pad after an ATV accident. The ER team, headed by attending physician Anthony Scalzo, M.D., immediately performs a primary survey to detect any life-threatening injuries and to determine what to administer for pain management. Tianna’s injuries include an open fracture to her left humerus, contusions of her chest overlying her heart, multiple facial lacerations and facial bone fractures. Dr. Scalzo finds a normal pulse in Tianna’s left arm and intact motor and sensory function of her hand. His cardiovascular exam shows no cardiac injury and her airway is intact. Further evaluations include CBC, coagulation studies, CT brain, CT abdomen and pelvis. The Orthopedics team performs a partial reduction and debridement of Tianna’s humerus fracture in Trauma Room 3 before moving her to the OR. Procedural sedation was provided by Dr. Scalzo, ER attending Trevor Tredway, M.D. and pediatric emergency medicine fellow Kevin Germino, M.D. Over the next two weeks, Tianna would undergo six surgeries by orthopaedics and plastic surgery. Surgeons placed a plate in her humerus, pins in her elbows and were able to close her wound without a skin graft. Cardinal Glennon’s Emergency Room staff quickly stabilizes Tianna Starke, 11. Tianna was transported after an ATV accident. She spent almost three weeks at Cardinal Glennon, undergoing six surgeries to restructure her left arm. Kyle Sitton Monday, July 13: Kyle Sitton, 6, jumped off the back of a riding lawn mower without telling the driver. He was knocked over and his legs were caught underneath. His injuries included a fractured ankle, the loss of a toe and a large “smiley face” laceration just one centimeter from his femeral artery. The laceration was originally wrapped in hopes of keeping the skin intact, however, he was given a skin graft on August 17 and spent one week at Cardinal Glennon to recover. Shyanna Hoenig Friday, July 26: Shyanna Hoenig, 7, was on her way to the St. Louis Zoo when her family’s van was hit by another vehicle. Shyanna and six of her family members were sent into a rock wall at an estimated speed of 55 to 60 miles per hour. Sitting in the middle of a seat row, Shyanna only had a lap belt to keep her in place. The belt damaged her intestines, which required abdominal surgery to remove three sections. She also suffered an injury to her aorta. She was quickly transferred from SSM St. Joseph Hospital West to Cardinal Glennon for pediatric speciality care after the accident. 6 Safe Kids St. Louis recommends that children ride in a booster seat with a three-point belting mechanism until they are Kyle Sitton and his father, Russ Sitton, play video games in his room. Kyle received a skin graft and was not allowed to sit or lay on his left side for several weeks. 4 feet, 9 inches tall and weigh between 80 and 100 pounds. Booster seats cause the lap portion of the belting system to cross at the child’s lap rather than their abdomen, preventing serious injury. Preparing to leave Cardinal Glennon, Shyanna shared her thoughts on the experience. “The nurses are nice and the doctors are here to help you. It might hurt sometimes, but it makes you feel better,” she said. “The best part is you get stuffed animals and people visit you and pray for you (seven churches prayed for her) and want you to get better.” Emergency Medicine Preparation On Sept. 15, the ED participated in a city-wide, two-hour disaster drill to test its surge abilities, stressing faculty and staff beyond what they would normally handle. ED attending Rachel Charney, M.D., said another goal was to improve the realism and educational value of the drill, especially for residents. The drill involved ED nursing, ED attendings, multiple subspecialties, trauma surgeons, residents, registration, radiology, lab, public information officers and the OR. With the assistance of US Air Force Center for Sustainment of Trauma and Readiness Skills (CSTARS) the ED used simulators from the SLU Simulation Lab. Volunteer patients were provided by the Missouri Hospital Association. “Hospital disaster drills are essential to improving our ability to care for our patients and protect our staff in the event of a real disaster situation,” Dr. Charney said. Emergency Medicine Community Education Missouri Regional Poison Center SLU Simulation Lab Using high-fidelity simulator mannequins, the SLU Simulation Center trains medical students, physician assistants, residents, nurses and paramedics. The Missouri Regional Poison Center at Cardinal Glennon receives more than 195,000 calls per year from the public, physicians and other health care professionals. The Center shares facilities, staff and equipment with the US Air Force Center for Sustainment of Trauma and Readiness Skills (CSTARS), which is one of only three such centers in the nation. The Poison Center offers many public education and professional education courses, maintaining a high standard to provide professional services in poisoning management, public education and an academic mission. Medical Director: Anthony Scalzo, M.D. Medical Director: Anthony Scalzo, M.D. For more information, please visit: www.cardinalglennon.com, support services, poison center. Pacts/Pals PALS is a collaboration between the American Heart Association (AHA) and the American Academy of Pediatrics. PACTS for Life is a pediatric trauma and cardiorespiratory support course. Oct. 19-21: Provider Course Nov. 12 and Dec. 15: Renewal Course Phone: (314) 577-5385 Co-Medical Directors: Anthony Scalzo, M.D., and Steven Laffey, M.D. HAZMAT In collaboration with the Missouri Regional Poison Center, Cardinal Glennon is pleased to offer the region’s only Advanced Hazmat Life Support (AHLS) Provider Course. The program gives health professionals a timely and effective response strategy in the medical management of hazmat incidents. Oct. 28-30: Provider/Instructor Course Phone: (314) 577-5385 Medical Director: Kathy Lehman-Huskamp, M.D. Pediatrics on Demand Oct. 12: “Ocular Trauma Initial Evaluation and Treatment” John R. Peter, M.D. Oct. 26: “Diagnosis and Management of Bronchiolitis” Trevor Tredway, M.D. www.pediatricsondemand.com Username: ds\r010-online Password: webcme Questions? [email protected] 7 Q&A Robert Flood, M.D. Director of Emergency Medicine Q: What sets Cardinal Glennon apart in terms of service? A: Our comprehensive team approach that is based on compassionate care. Yes, we have the ED physicians, ED nurses, transport team, pediatric surgeons, orthopaedic surgeons, neurosurgeons, anesthesiologists, respiratory therapy and pharmacy, but we also have the social workers and pastoral care for every major trauma patient. It’s more than just medical care, it’s about a family in a very stressful situation, and we believe in caring for that entire family. Q: What are your division’s primary roles in the community? A: We go into the community to provide education through on-site lectures, PALS/PACTS courses, and we’ve published our evidence-based Clinical Practice Guidelines online. But the most important thing is being a real-time resource for consultations. Community physicians know us as a resource and there is nothing more important than that personal phone call and the sharing of advice on the spot. For Clinical Practice Guidelines visit www.cardinalglennon.com, For Professionals, Emergency Medicine resources. Q: How do you create the best possible clinical outcomes? A: While we absolutely practice evidence-based medicine, there is no substitute for experience. Our physicians average 15 years of experience in practice of pediatric emergency medicine. Q: When have you felt most successful in terms of patient care? A: It was early in my career when I was a resident. I was sitting near the door when a triage nurse brought in a child that was not breathing. I led the resuscitation for that child. We later found that he was a victim of child abuse and, a few months later, he was perfectly normal. This experience was exactly the reason I’m a pediatrician and solidified my decision to be an emergency physician. To reach the ED Please Call: (314) 577-5666. To contact Dr. Flood please call: (314) 577-5360. 8 Parisa Jamshidi, M.D. Emergency Medicine Faculty M.D.: Hacettepe University School of Medicine, Ankara, Turkey Pediatric Residencies: Hacettepe University School of Medicine, Ankara, Turkey; Children’s Medicial Center of Brooklyn, Brooklyn, NY; Allegheny University Hospitals, Philadelphia, PA Fellowship in Pediatric Emergency Medicine: SSM Cardinal Glennon Children’s Medical Center, St. Louis, MO Steven Laffey, M.D. PACTS/PALS Co-Medical Director M.D.: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Residency: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Fellowship: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Kathy Lehman-Huskamp, M.D. Division Liaison for Disaster Management Rachel Charney, M.D. Division Liaison for Disaster Management M.D.: Northwestern University, Chicago, IL Residency in Pediatrics: St. Louis Childen’s Hospital, St. Louis, MO Fellowship in Pediatric Emergency Medicine: Washington University School of Medicine, St. Louis Children’s Hospital Ann DiMaio, M.D. Child Protection Team M.D.: State University of New York, Downstate Medicial Center Internship and Residency in Pediatrics: The New York Hospital, Cornell University Medical Center, New York, NY Fellowship in Pediatric Critical Care: The New York Hospital, Cornell University Medicial Center Fellowship in Forensic Pediatrics: Cardinal Glennon Children’s Medical Center, St. Louis, MO Faye Doerhoff, M.D. Associate Pediatric Residency Director M.D.: University of Missouri School of Medicine, Columbia, MO Residency: University of Missouri at Columbia Medical Center; University of Texas Medical Branch Chief Resident: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Robert Flood, M.D. Division Director for Pediatric Emergency Medicine M.D.: University of Miami Medical School, Miami, FL Residency in Internal Medicine/Pediatrics: University of Miami, Jackson Memorial Hospital, Miami, FL Chief Resident in Pediatrics: University of Miami, Jackson Memorial Hospital, Miami, FL Fellowship in Pediatric Emergency Medicine: Children’s Hospital Boston, Boston, MA James Gerard, M.D. M.D.: Saint Louis University School of Medicine Residency: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Chief Resident: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Fellowship: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center M.D.: Saint Louis University School of Medicine Residency: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Chief Resident: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Fellowship: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Albert Nakanishi, M.D. M.D.: Northeastern Ohio University College of Medicine, Rootstown, OH Residency: Children’s Hospital of Akron, Akron, OH MPH: Saint Louis University John Peter, M.D. Medical Director for Pediatric Emergency Department M.D.: Southern Illinois University School of Medicine, Springfield, IL Residency: Cardinal Glennon Children’s Medical Center, St. Louis, MO Chief Resident: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Fellowship: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Anthony Scalzo, M.D. Medical Director of Missouri Regional Poison Center Medical Director of SLU Simulation Center PACTS/PALS Co-Medical Director M.D.: Saint Louis University School of Medicine Residency: Saint Louis University School of Medicine, Cardinal Glennon Children’s Medical Center Fellowship: University of Cincinnati, Cincinnati, OH Teresa Schiff, M.D. M.D.: Autonomous University of Guadalajara, Guadalajara, Mexico Residency: University of Illinois College of Medicine, St. Francis Medical Center, Peoria, IL Trevor Tredway, M.D. Pediatric Emergency Medicine Fellowship Director M.D.: Saint Louis University School of Medicine Residency: Cardinal Glennon Children’s Medicial Center Fellowship in Emergency Medicine: Cardinal Glennon Children’s Medical Center 9 Physician Services Department 1465 South Grand Blvd. Saint Louis, Missouri 63104-1095 Glennon Care Sites MISSOURI SSM DePaul Health Center, Bridgeton, MO (314) 344-6000 SSM St. Joseph Hospital West (636) 625-5200 SSM St. Joseph Health Center, St. Charles, MO (636) 947-5000 St. Anthony’s Medical Center (314) 543-5226 ILLINOIS Anderson Hospital, Maryville, IL (618) 288-5711 Memorial Hospital, Belleville, IL (618) 233-7750 Non Profit Org U.S. Postage PAID St. Louis, MO Permit No. 2412
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