Discover Rush Fall 2013

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                                  |   FALL 2013

                                                  WHY IS THE
Where                                                   like a
did the                                                  DOES
HOSPITAL                                                 SOMEONE AT RUSH

GET ITS                                                 speak my
NAME?                                                  LANGUAGE?
questions send
people to a                                             CA N I
SPECIALIST?                                              find a
How can I find                                       What are my dining
RUSH online?                                         options on campus?
    Easy as 1, 2, 3 ...
    FAQs on cancer care                                            FAQS FOR
    Sandra Lukic, AM, LSW, has one
    goal: to help cancer patients. She is

    a patient navigator at Rush University
    Cancer Center in a joint program with
    the American Cancer Society.
       “I do what my title suggests: I help
    people navigate a complicated period
    in their lives,” says Lukic, a licensed
    social worker. “I want to smooth
                                               Sandra Lukic,
    the way so they can concentrate on         AM, LSW, brings     Questions are a quest for knowledge. They help patients make
    getting better.” By phone or in per-       compassion
    son, she answers thousands of ques-
                                                                   sense of complex health issues. And the answers patients
                                               and empathy
    tions. These are some of the ones          to individuals      find can often help them live better, even longer, lives. Here,
    she’s most frequently asked.               with cancer.
                                                                   three specialists at Rush University Medical Center — in stroke
                                                                   neurology, spine care and maternal-fetal medicine — share
            What does this word mean? “Being diag-
     1      nosed with cancer is overwhelming,” says Lukic.        questions patients frequently ask them.
    “Sometimes, patients won’t think of questions — about
    particular terms, for instance — until after they’ve left a
    doctor’s appointment.” She’s there to explain the com-         AFTER A STROKE
    plexities of cancer care, provide supporting information       Stroke neurologist Sarah Song, MD, MPH, often sees people who have recently had a
    and, when necessary, connect patients back to a doctor.        stroke or a transient ischemic attack (TIA, or mini-stroke) or have been told they’re at
    “No question is too personal, too embarrassing, too big        risk. Here’s what is on their minds:
    or too small,” she promises.
                                                                   Question: I survived a stroke. How can I avoid another?
            Is there a program that can help with that?            Answer: Several approaches can help prevent an ischemic stroke, which occurs when
     2      Lukic keeps track of resources available at Rush, in   either the brain’s blood supply is suddenly blocked by a clot or a blood vessel bleeds
    the community and nationally. That way, she’s able to help     within the brain, Song explains. It’s important to address lifestyle habits as well as other
    patients and families find support groups, financial aid       risk factors. According to Song, patients who have had a previous stroke should work
    programs, appointment transportation options and exer-         with their physicians to do the following:
    cise programs — even where to get free wigs and hats.          » Take medicine to help prevent clots.
                                                                   » Control conditions that make a stroke more likely to occur, such as high blood pres-
            Can I share something with you? At times,                 sure; diabetes; high cholesterol; or heart conditions, such as abnormal heart rhythms
     3      Lukic serves simply as support — a safe haven to          and congestive heart failure.
    celebrate a milestone or discuss a fear. “I love it when       » Quit smoking.
    patients just stop by to give me updates on their prog-           To improve blood supply to the brain, some patients may also need to have surgery
    ress or how treatment is going,” she says.                     or other intervention to remove fatty plaque deposits causing narrowing in one of the
                                                                   carotid arteries in their neck.

                                                                   Q: I’ve had a TIA — what can I do?
                                                                   A: Another type of patient she sees is one who has had a transient ischemic attack.
                                                                   Stroke and TIA involve the same symptoms, but a TIA lasts less than a day, usually
    Where did the hospital get its name?                           minutes to an hour. Just like having had a previous stroke, a TIA is a serious warning.
    When it began as a medical college in 1837, Rush was named     “People who have TIAs are more likely to go on to have strokes,” Song says. “It’s an
    in honor of Benjamin Rush, MD, the only physician with medi-   opportunity to intervene and take the steps outlined above to try to prevent a stroke
    cal school training to sign the Declaration of Independence.   from occurring.”

                                                                                       Why is the Tower shaped
                                                                                       like a butterfly?
                                                                                       One reason is that the butterfly shape allows
                                                                                       clear sight lines to every patient room from
                                                                                       nurses’ stations — permitting caregivers to see
                                                                                       and respond to patient needs more quickly.

                                                                                       a shorter hospital stay and lower risk of infection because of the smaller inci-
                                                                                       sion. “Rush has been leading the way with new surgical techniques and the
                                                                                       studies that validate them,” Phillips says.

                                                                                       EXPECTING MOMS
                                                                                       As a maternal-fetal medicine specialist, Xavier Pombar, DO, focuses on a very
                                                                                       special kind of patient: women with high-risk pregnancies. These can include
                                                                                       expectant mothers with diabetes, high blood pressure, seizure disorders or
                                                                                       other medical problems that could complicate the pregnancy.

Q: What are the signs and symptoms of a stroke or TIA?                                 Q: Is my baby going to be all right?
A: These can include weakness or numbness on one side, sudden vision                   A: Women who take medication for a health condition often ask Pombar this
problems, confusion, dizziness and difficulty communicating. Song stresses             question. They’re understandably concerned about the medication the fetus
timing is critical when you suspect a stroke. “Don’t hesitate; just call 911,”         has been exposed to, especially during the early part of pregnancy.
she says. “The sooner you can get to an emergency room, the sooner you                    “There are exceptions, but most babies tolerate exposure to medications
can be evaluated for treatment.”                                                       well,” Pombar says. “But patients often decide to stop taking medications
                                                                                       because of concerns they may harm the baby.”
BACK PAIN                                                                                 Women should ask whether medicines are safe, but they should not stop
The people who walk into the office of orthopedic surgeon Frank Phillips,              taking prescription drugs without talking with their doctors, Pombar explains.
MD, are often experiencing ongoing back pain.                                          “In the case of blood pressure or seizure drugs, for example, that can be a
                                                                                       risk for both mom and baby.”
Q: My back has been hurting for two weeks. Is it serious?
A: Most people will have an episode of low-back pain at some point in their            Q: Will a past pregnancy issue affect this one?
lives — it’s that common, Phillips says. And it’s usually not a sign of something      A: “Just because you’ve had complications in the past doesn’t mean you’ll
dire. “Episodes of back pain are often due to muscular injuries and usually get        have them again,” Pombar says. “But we can reduce patients’ fears by moni-
better within a few weeks,” he says. “Treatment can be as simple as rest,              toring them more closely.”
anti-inflammatory medicines or a short course of physical therapy.”
                                                                                       Q: I have diabetes. Can I safely become pregnant?
Q: Is surgery an option?                                                               A: Most women can have a normal pregnancy, Pombar says. He advises
A: Even chronic back pain doesn’t necessarily mean surgery. “With the majority         patients with pre-existing conditions to let their doctors know they are plan-
of patients, we can find ways to manage the pain without surgery,” Phillips says.      ning to get pregnant. “Ideally we like to see at-risk patients before they
But when someone is a candidate, he adds, surgery can be extremely effective.          become pregnant. That way some of the concerns that come up during preg-
                                                                                       nancy have already been addressed.”
Q: What’s the recovery from surgery like?
A: “With modern technologies and less invasive approaches, the recovery                            Is there a baby in your future? Join us for a free class on
is usually easier than what patients may have imagined,” Phillips says.                            what you need to know for a healthy pregnancy and
Advantages of minimally invasive surgery can include less pain after surgery,          birth. A tour of the new spaces is included. Turn to page 7 for details.

                             Sarah Song, MD,                                        Frank Phillips, MD,                                 Xavier Pombar, DO,
                             MPH, is a stroke                                       specializes in surgical spine                       specializes in obstetrics and
                             neurologist at Rush.                                   care at Rush University                             gynecology for women
                             Her research interests                                 Medical Center. His research                        with high-risk pregnancies.
                             include racial disparities                             interests include minimally                         His areas of expertise
                             in stroke, emergency                                   invasive spine surgery                              include diabetes and high
                             medical services for                                   and understanding the                               blood pressure during
                             stroke and community-                                  biology of discs and how to                         pregnancy, prenatal testing,
                             partnered education.                                   stimulate regeneration.                             and ultrasound.

    What brings you in today? With more than 857,000 practicing physicians                                  associated with the heart — as opposed to being
                                                                                                            something nonthreatening, like indigestion.”
    in the U.S. repeating it numerous times a day, this might just be the most
                                                                                                              Tracy also asks female patients a question
    frequently asked question in America.                                                                   that, since she’s not a gynecologist, often
       Though there are as many answers as there        diagnoses, eliminating some and adding others       surprises them: When was your last period?
    are patients, what often prompts people to          in a dynamic process she’s developed through        “I need to know if they’re still menstruating
    seek medical attention is pain. Two physicians at   extensive training and experience.                  because a woman’s risk of developing coronary
    Rush University Medical Center share how they         “One key diagnostic question is, ‘When does       artery disease — the build-up of plaque in the
    approach patients to ensure an accurate diagno-     your pain occur?’” says Tracy. “That’s very         arteries that can lead to heart attacks — starts
    sis and individualized treatment.                   important because chest pain when someone is        to equal that of a man’s risk about 10 years
                                                        exerting him- or herself is typically going to be   after menopause.”
    Not surprisingly, it’s chest pain that sends many
    patients to cardiologist Melissa Tracy, MD. Her
                                                                                      How can I find someone who speaks my
    questions — which include “How long have
    you had this pain?” and “Does it move or
                                                                                      language when I’m at Rush? Interpreter services are
    stay in one place?” — direct her to the top                                       available free of charge to patients and families who don’t speak
    possible causes for the pain. As she listens to                                   English or who are deaf or hard of hearing. Ask a staff member or
    the answers, she mentally reviews potential                                       call (312) 563-2987 (voice/TTY).


                            Where can I go to find, or get more
                            information on, a physician?
                            Visit Search options include specialty, gender,
                            location, languages spoken and insurance coverage. Most doctor                      for the younger set
                            profiles also include a short video in which they describe their                     Being both a pediatrician
                            approach to care. Or call (888) 352-RUSH (7874) to speak to one                     and a mom has taught Gina
                            of our friendly and knowledgeable physician referral coordinators.                  Lowell, MD, what ques-
                                                                                                                tions encourage kids of all
                                                                                                                ages — and their parents —
                                                                                                                to open up.
                      Melissa Tracy, MD, is a                                                                     Parents: “When children
                      cardiologist who specializes                          Nancy Bryan, DO, is with            see their parents are com-
                      in ultrasound imaging.                                Rush Internal Medicine,
                                                                                                                fortable with me, they’ll feel
                      Her research includes                                 where she provides primary
                                                                                                                comfortable talking too. So      Gina Lowell, MD,
                      heart disease prevention                              care for adults, with
                                                                                                                taking time to just chat and     is a pediatrician at
                      in minority women as                                  a focus on women’s
                                                                                                                laugh with parents is im-        the Rush Pediatric
                      well as how age affects                               health and preventive
                                                                                                                                                 Primary Care Center.
                      cardiovascular risk factors.                          medicine.                           portant. And I always ask,
                                                                                                                                                 She loves that the
                                                                                                                ‘Is there anything you’re        clinic participates in
WHAT ELSE IS HAPPENING IN YOUR LIFE?                   ARE YOU PREPARED?                                        worried about today?’”           the free “Reach Out
According to Nancy Bryan, DO, an internist             Being prepared to share those family, medical              Toddlers: “When tod-           and Read!” program,
at Rush, abdominal pain is a common reason             and social histories — as well as to ask the doctors     dlers come in with a brand-      which enables her
women come to her. “I always ask when the              questions, even about embarrassing subjects —            new sibling, I ask, ‘What’s      to give a brand-new
                                                                                                                                                 book to every patient
pain started and if it has happened before. Then       can save patients time and money that might              the best thing about your
                                                                                                                                                 age six months to
I ask, ‘What have you done to make it better?’”        otherwise be wasted on duplicating tests or fol-         baby sister? What’s the          five years who has a
Bryan explains. “This helps me understand the          lowing leads that have already been eliminated.          hardest thing?’”                 well-child visit.
nature of the pain. I also ask what they think is         Bryan recommends creating a personal medical            School-age children:
causing the pain and what concerns they have           file and bringing it to every appointment. “Then         “Now that my own kids are older, I know what my
about it.”                                             you can answer the doctor’s FAQs without forget-         patients are actually doing in school. So I can ask
   For women with abdominal pain, Bryan first          ting the name of your blood pressure medicine,           questions like, ‘Do you know your sight words?’
rules out the most serious issues, like appendi-       when you last had a stress test, or what health          And I ask about friends — kids love talking about
citis, gallbladder disease or inflammatory bowel       issues your parents and grandparents have,” she          their friends.”
disease. “But I also ask the patient about her         says. “And if you’ve Googled something and found           Adolescents: “When it’s time to raise sensitive is-
family and what’s going on in her life,” she says.     scary information — be sure to tell your doctor.”        sues like smoking, drinking and sex, I ask the parents
“I might learn her husband was laid off, she lost         Bryan and Tracy both stress the importance of col-    to step out of the room. Then I ask for the child’s
her health insurance and she’s worried about           laboration between doctor and patient. “We can’t         permission to discuss these things. They almost
her mortgage payments. That’s a really big deal,       know everything that’s going on with you. So it’s        always say ‘yeah.’ Respecting their privacy and get-
and it suggests stress may be the source of her        important for patients to ask questions too,” says       ting their buy-in makes them more willing to talk.”
pain. If I only ask the standard questions, I’ll       Bryan. Tracy adds, “When it comes to your health, it       So what questions do kids ask Lowell? “They
never find these things out.”                          truly is a team effort. We’re in this together.”         always ask about my teeth! I have a crooked tooth,
   For each patient, Bryan is seeking this: a fam-                                                              and kids are so honest — they just say, ‘Is your tooth
ily history; a history of the present illness; and a              Want to get to know                           going to fall out?’ The five- and six-year-olds are
social history, including current circumstances.                  these doctors better? Visit                   probably thinking about losing their own teeth and
She believes getting that social history is key to to watch videos of                 wondering, ‘What will that be like?’ They also ask me
providing care for the whole person.                   them discussing their philosophies of care.              about my own kids — which is just so thoughtful.”

¿Cómo puedo encontrar a alguien que hable                                               Jak mogę znaleźć kogoś, kto mówi moim językiem,
mi idioma cuando estoy en Rush? Hay servicios de                                        kiedy jestem w Rush? Usługi tłumaczy dla pacjentów i członków ich
interpretación gratuitos disponibles para pacientes y familias que no                   rodzin niemówiących po angielsku, jak również osób niesłyszących i niedosłyszących
hablan inglés o personas sordas o con dificultades auditivas.                            zapewniane są bezpłatnie. Należy o nie poprosić członka naszego zespołu lub zadzwonić
Pregúntele a un miembro del personal o llame al (312) 563-2987                          pod numer (312) 563-2987 (głos/TTY).
                                                                                                                                                       CLINICAL TRIALS AT RUSH

                                                                                                                                                    ESTROGEN FOR PREVENTING THE PROGRESSION
                                                                                                                                                    OF ANEURYSMS The Department of Neurology and

    RUSH IN THE NEWS                                                                                                                                Neurosurgery, in collaboration with the Department
                                                                                                                                                    of Obstetrics and Gynecology, is conducting a study to
                                                                                                                                                    determine if low-dose estrogen is effective in preventing
                                                                                                                                                    the formation, growth and rupture of cerebral aneurysms
       Promising new breast cancer drug approved                                                                                                    in women who have unruptured cerebral aneurysms or
       Patients with HER2-positive breast cancer, a partic-                standard treatments for HER2-positive breast can-                        who have survived a cerebral aneurysm rupture. This is a
       ularly aggressive form of the disease, now have a                   cer. Patients who took T-DM1 had progression-                            pilot study lasting six months and consisting primarily of
       new, more effective treatment option with poten-                    free survival — the amount of time between                               blood draws and noninvasive imaging. Participants must
       tially fewer side effects.                                          the start of treatment and when the cancer gets                          meet the following criteria:
          Due in part to research conducted at Rush                        worse — of 9.6 months compared to 6.4 months                             • Be a woman between 40 and 52 years of age expe-
       University Medical Center, in February the Food                     for those who received the standard treatment.                             riencing perimenopause, the phase before a woman
       and Drug Administration approved the new drug                          “Essentially, the tumor eats the T-DM1, and                             begins the transition to menopause
       T-DM1, which is a combination of the widely                         then the T-DM1 is released and destroys the                              • Have been diagnosed with a cerebral aneurysm
       used breast cancer medicine Herceptin and the                       tumor cell from the inside out,” says medical                              This is a partial list of inclusion and exclusion criteria.
       chemotherapy drug emtansine. The drug treats                        oncologist Melody Cobleigh, MD. “It delivers                                           For more information, contact Nora Aguirre
       breast cancers that have increased amounts of                       a one-two punch, seeking out the cancer cells                                          at (312) 563-2817.
       the HER2 protein, which account for approxi-                        and not only stopping growth but delivering the
       mately 20 percent of all cases.                                     chemo right to the cell. The best part for patients                      DISCOVERY OF BIOMARKERS FOR PARKINSON’S
          Results from clinical trials of T-DM1 showed                     is that it is very tolerable and does not have the                       DISEASE The Rush Parkinson’s Disease and Move-
       that it was more effective and less toxic than                      side effects of other cancer drugs.”                                     ment Disorders Center is conducting a study to identify
                                                                                                                                                    Parkinson’s disease biomarkers, which are substances
       New autism program offers tailored support                                                                                                   or characteristics in our bodies that can be linked to the
       Complex and challenging, autism spectrum dis-                       In addition, the program has a research aspect                           progression of the disease. The discovery of a biomarker
       orders often pose great difficulties for patients                   for identifying promising new treatments for                             may help researchers discover treatments to slow or stop
       and their families. To improve options for people                   medical and psychological problems associated                            the progression of the disease. Participants in this study
       with these disorders, including young adults,                       with autism spectrum disorders.                                          must meet the following criteria:
       Rush University Medical Center has established                        “With the AARTS Program, we’re able to tai-                            • Have had Parkinson’s disease for at least five years and
       the Autism Assessment, Research, Treatment and                      lor evaluations and treatment interventions far                            for no more than 15 years or do not have Parkinson’s
       Services (AARTS) Program.                                           beyond what we’ve been able to do in the past,”                            disease or any other neurological disease
         The program serves patients from preschool                        says Louis Kraus, MD, a child and adolescent psychi-                     • Are between 55 and 85 years of age
       age through their 20s, providing thorough assess-                   atrist at Rush. “We hope that this greatly improves                      • Are without a first-degree relative who has Parkinson’s
       ments of their capabilities, needs, and physical                    the quality of life for individuals with autism                            disease
       and mental health, then offering a combination of                   spectrum disorders — and helps their families to                         • Are able to provide written consent
       advanced medical and psychological treatments.                      better understand and accommodate their needs.”                          • Are willing and able to comply with scheduled visits,
                                                                                                                                                      required study procedures and laboratory tests
                                                                                                                                                      This is a partial list of inclusion and exclusion criteria.

                                          How can I find Rush online?                                                                     CALL
                                                                                                                                                                  For more information, contact Jean Jaglin at
                                                                                                                                                                  (312) 563-2900.
                                                         @RushMedical                                                                               For other current clinical trials,

    DISCOVER RUSH is published as a service         Chief Executive Officer                          Information in DISCOVER RUSH comes
    for the Rush community.                         Larry J. Goodman, MD                            from a wide range of medical experts.
                                                                                                    Models may be used in photos and
    RUSH UNIVERSITY MEDICAL CENTER                  For information about DISCOVER RUSH,            illustrations. If you have any questions         Rush is a not-for-profit
    1700 W. Van Buren St., Suite 456                contact Erin Thorne at     about your health, please contact your           health care, education
    Chicago, IL 60612-3244                          or (312) 942-3215. For general information      health care provider.                            and research enterprise                                    about Rush or for help finding a physician,      ©Rush University Medical Center                  comprising Rush University                                2w
                                                    call (888) 352-RUSH (7874).                     CUM29355                                         Medical Center, Rush
                                                                                                                                                     University, Rush Oak Park
    PLEASE NOTE: All physicians featured in this publication are on the medical faculty of Rush University Medical Center. Some of the physicians    Hospital and Rush Health.
6   featured are in private practice and, as independent practitioners, are not agents or employees of Rush University Medical Center.

                                   RUSH UPCOMING EVENTS
                     FREE CLASSES FOR YOUR HEALTH                           |   FALL 2013
                                                                                                        Rush Generations presents:

                                                                                                        Older adult and caregiver programs
                    CLICK     For a complete and up-to-date list of community wellness events           Unless otherwise stated, the Rush Generations programs below are
                              at Rush and online health chats, visit,             held at Rush University Medical Center, Searle Conference Center, Fifth
                   where you can also find presentations from previous talks.                           Floor (Elevator II, Professional Building), 1725 W. Harrison St.

                                                                                                        Living With a Disability:                  Manejo de La Presión
                                                                                                        Know Your Rights                           Arterial Alta y Colesterol

                                                                                                        Thursday, Aug. 22                          Jueves, 26 de septiembre
                                                                                                        1 to 3 p.m.                                Desde 1 p.m. hasta las 3 p.m.
                                                                                                        Thousands of Americans are affect-         Rush University Medical Center,
                                                                                                        ed by disabilities and often have          Professional Building (Edificio
                                                                                                        questions regarding their rights,          Profesional, Elevador II)
                                                                                                        benefits and employment. If you are        Manejar la presión arterial alta y el
                                                                                                        newly diagnosed with a chronic dis-        colesterol es importante para reducir
                                                                                                        ability, have been living with a dis-      el riesgo del ataque de corazón,

                   Maybe Baby? Preparing for Pregnancy and                                              ability or are a caregiver for a person    enfermedad cardíaca, derrame
                   What You Need to Know                                                                with a disability, please join us to       cerebral y otras enfermedades. Le

                   Tour Rush’s new labor and delivery suites at this educational                        learn about the resources available        invitamos a que venga a escuchar a
                   presentation.                                                                        as you plan for the future. Legal          expertos de Rush sobre las causas
                   (This event will be offered in the fall.)                                            experts will provide information on        de la presión arterial alta y a apren-
                   Join experts at Rush to help you plan for a healthy pregnancy and birth.             accommodations for disabilities in         der maneras de reducir los riesgos
                   Presentations will cover fertility issues, healthy pregnancies and breastfeeding.    the workplace, considerations when         y del mejor manejo de su salud
                   Learn about Rush’s new labor and delivery suites and neonatal intensive care         disclosing your disability and apply-      mediante el manejo de medicamen-
                   unit, in case your baby needs specialized care. You will also have an oppor-         ing for benefits.                          tos, dietas, y ejercicios. Registración
                   tunity to tour the new spaces. Please call (888) 352-RUSH (7874) or register                                                    es necesaria. Cargo a miembros de
                   online for more information.                                                         Understanding Your                         Rush Generations: GRATIS, mas vali-

                                                                                                        Medicare Options                           dación del estacionamiento. Llame

                                                                                                        Wednesday, Sept. 18                        al (888) 352-RUSH (7874) para más
                   Parkinson’s Disease:                      Hematologic Cancers:                       1 to 3 p.m.                                información y para registrarse.
                   Advances in Treatment                     New Treatment Options                      Join us to hear about updates to
                   and Research                              and Research                               Medicare health and prescription
                   Wednesday, Oct. 9                         Wednesday, Nov. 13                         drug insurance just in time for
                   6 to 8 p.m.                               6 to 8 p.m.                                the upcoming enrollment period.
                   Armour Academic Center                    Armour Academic Center                     Whether you are new to Medicare

                   600 S. Paulina St., Room 976              600 S. Paulina St., Room 976               or you want to be sure you’re
                   Because of advanced research and          Many patients with hematologic             getting the most out of the pro-
                                                                                                                                                   What are my dining
                                                                                                                                                  options on campus?

                   new treatment options, the outlook        cancers at Rush are cared for by a         gram, join us to learn about
                   for people with Parkinson’s disease       multidisciplinary team that works          your benefits.                       Choices include three Au Bon Pain
                   is improving. Join experts from Rush      together to offer comprehensive care                                           restaurants, a Subway sandwich shop
                   to learn about the latest advances in     to the patient. Join physicians from                                          and a cafeteria. Additionally, visitors can
                   the fight against Parkinson’s disease;    Rush to learn the latest research and                                         arrange for guest trays in patient rooms.
                   presentations will cover living with      treatment options for cancers of
                   Parkinson’s disease and treatment         the blood, bone marrow and lymph

                   options, including surgery and clinical   nodes, including bone marrow and
                   trials.                                   stem cell transplants.                      Because space is limited, please call to reserve

                               You can get helpful health information in your                                 your seat. For more details and to register,
                               email inbox each month with our e-newsletter,                           call (888) 352-RUSH (7874). Free parking in the
                   Discover Rush Online. Sign up today at                                Rush garage is available with validation.
                                                                                                    1700 W. Van Buren St., Suite 456                                           Nonprofit Org.
                                                                                                                                                                                U.S. Postage
E-NEWSLETTER: DISCOVER RUSH ONLINE                                                                  Chicago, IL 60612-3244                                                        PAID
                                                                                                                                                                               Rush University
                                                                                                                                                                               Medical Center
KEEP KNEE PAIN AT BAY From wearing the right athletic shoes to eating
foods rich in calcium and vitamin D, there are many ways to keep your knees
healthy and strong. Learn how to prevent knee pain in the August issue of
Discover Rush Online. Sign up for the newsletter at


                                                                                                                                                     Najia Shakoor, MD, is a
                                                                                                                                                     rheumatologist who has
                                                                                                                                                     investigated the relationship
                                                                                                                                                     between footwear and its

                                                                                                                                                     impact on joints.

                                                                                                                                                     Jacob Rotmensch, MD, is a

                                                                                                                                                     gynecologic oncologist who
                                                                                                                                                     is working with colleagues
                                                                                                                                                     in bioengineering, nuclear

                                                                                                                                                     chemistry and other fields to
                                                                                                                                                     gain a better understanding
                                                                                                                                                     of ovarian cancer and ways to
                                                                                                                                                     detect it in its early stages.
       Did I make the right career choice? Can we afford       OVARIAN CANCER
       our children’s college education? Yes, we all           “The survival rates for early stage ovarian cancer are                               Deborah Hall, MD, PhD,
       have questions that keep us up at night. And for        good,” says Jacob Rotmensch, MD. “The problem is,                                    is a neurologist who not
       physician-researchers, these questions may even         we don’t have an effective tool to detect this cancer                                only studies the genetics
       inspire how they conduct their life’s work, work        in its early stages; women often come to us when the                                 of Parkinson’s disease but
                                                                                                                                                    also investigates fragile
       that can have lasting implications on our under-        disease is more advanced and harder to treat effec-
                                                                                                                                                    X-associated tremor ataxia
       standing of diseases and how they are treated.          tively. Why, I often wonder, has progress been so slow
                                                                                                                                                    syndrome, a genetic
       With that in mind, Discover Rush asked three            in understanding the causes of this disease and ways                                 condition associated with
       physician-researchers at Rush what kinds of sleep-      to detect it? Why don’t we pool the talents of people                                tremors, balance problems
       depriving questions drive their research.               from different disciplines to tackle this? While I can’t                             and dementia.
                                                               speak for others, I do know a collaborative approach
       OSTEOARTHRITIS                                          has certainly been useful in my research.”
       “Osteoarthritis is one of the most common diseases                                                                   How do I get to the hospital
       in the world, and yet we have very little at our        PARKINSON’S DISEASE
       disposal to treat it and really nothing to prevent      “I work with Parkinson’s disease patients
                                                                                                                            using public transit? The Rush
       its progression,” says Najia Shakoor, MD. “So I         every day, and I wonder how and where it all
                                                                                                                            campus is adjacent to two CTA train

       ask myself ‘What can I do in my work to prevent         begins,” says Deborah Hall, MD, PhD. “What                   stations: the Illinois Medical District station
       progression of this debilitating and all-too-common     are the genetic underpinnings of Parkinson’s                 (Blue Line) and Polk station (Pink Line).
       disease?’ That’s why I study biomechanics: I want       disease? What is the genetic fingerprint that
       to know how body movements and forces acting            leads or increases susceptibility to this dis-
                                                                                                                                             Eisenhower Expressway (290)
       on our musculoskeletal system impact the progres-       ease? Can we turn off the genes that are
       sion of osteoarthritis. Maybe if I look at altering     involved in the development of the disease?                                    Congress Parkway

       biomechanical forces on the joints, I can play a role   Or turn on genes to save the dopamine cells                             Emergency Entrance

       in altering the course of this disease.”                that can ultimately lead us to a cure?”
                                                                                                                                       Atrium                          Tower