Active And Healthy

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					Active And Healthy
          SPECIAL SPORTS MEDICINE ISSUE
   USC Sports                                                                        bypasses elevators and stairs.
                                                                                     “It’s much more user-friendly,”
 Medicine Center
                                                                                     said Dr. McBryde.
 To Move To An
                                                                                        “As we expand our services
Expanded Facility
                                                                                     we’ll be able to accommodate
     A 16-year-old quar-                                                             that expansion,” said Dr. Jeffrey
terback may think he                                                                 Guy, an orthopaedic surgeon at
has little in common                                                                 the center. “Our mission is to
with a mother pushing a                                                              provide comprehensive medical
jogging stroller or a                                                                services to athletes of all ages,
middle-aged executive                                                                including young athletes in the
shooting a game of                                                                   pediatric population,” he said.
hoops. Yet all three                                                                 Dr. Guy’s training included a fel-
share common ground                                                                  lowship in pediatric sports medi-
in their pursuit of exer-                                                            cine at Boston Children’s Hos-
cise. That means they                                                                pital, one of only two such fellow-
share the potential for                                                              ships in the country. “The phrase
injuries and other med-                                                              ‘kids at play’ rarely applies today
ical issues that are influ-   Top: (left to right) Physicians Jeffrey Guy, M.D.      as young athletes are becoming
enced by their physical        Tom Terrell, M.D. and Bottom: (left to right)
                                                                                     increasingly involved in organ-
                                Angus McBryde, M.D. and Mark Leski, M.D.
activity.                                                                                 See Sports Medicine on Page 9.
                               care for athletes and physically active people
   The USC Sports                   at the USC Sports Medicine Center.
Medicine Center serves the
                                          paedic surgeons at the center. The       Inside This Issue
specialized health care needs of ath-
                                          medical staff is rounded out by two     University Specialty Clinics’ physicians
letes at all levels of competition, as
                                          primary care sports medicine physi-     help patients stay active and involved
well as providing diagnostic, treat-                                              in sports and recreational activities.
                                          cians.
ment, and preventive services to
                                             At the end of May the center will    Keeping The Gamecocks Well ....... 2
anyone involved in sports or re-
                                          move into a new 4,800-square foot       Treating Teen Athletes .................. 3
creation. “Our patients range from
                                          facility in the lower level of Two
young, competitive athletes to men                                                Goodbye Glasses....................... 6 - 7
                                          Medical Park. The space includes 12
and women in their sixties and sev-                                               Asthma On The Field .................... 8
                                          exam rooms, two x-ray rooms and a
enties who are playing racquetball
                                          cast room. Easy patient access is       An Olympic Adventure ................ 10
and running triathlons,” said Dr.
                                          provided by a direct entrance that            Visit Our Website At:
Angus McBryde, one of two ortho-
                                                                                  www. med.sc.edu/specialtyclinics


                                                  March 2002
U                    Physicians Provide
S                    Collegiate Care
C                       When the Gamecocks took the field
                     against Boise State to kick off the 2001
                     football season, they were ready to take
                                                                    the clinic, determining which ailments and
                                                                    injuries require professional attention.
                                                                       The physicians also supply onsite med-
                     on their opponents. Head coach Lou Holtz       ical coverage at games and practice ses-
                     and his staff had prepared them for that.      sions for a number of USC’s sports venues.

S                    So had the USC School of Medicine family
                     practitioners that serve as the team’s
                     physicians.
                                                                    “Hopefully at the games we’re not dealing
                                                                    with anything. That’s the ideal situation,”
                                                                    said Dr. Leski. Yet when players get into

P                        Specially trained in primary care sports
                     medicine, the four family practitioners
                     performed physicals on every football
                                                                    trouble, whether they experience strains,
                                                                    sprains, or something more serious, a
                                                                    physician is no further than the sidelines.
                     player before they were allowed to partici-    “The physician can make the critical deci-

O                    pate. “A good pre-participation physical is
                     paramount if you are going to be compet-
                                                                    sion on whether the athlete can return to
                                                                    play or not. We’re there for the players’
                                                                    protection, to assure that an injury isn’t
                     ing in organized sports,” said Dr. Mark

R                    Leski, who serves as the head primary
                     care team physician for the University of
                     South Carolina. He and his colleagues
                                                                    turned into something much worse,” Dr.
                                                                    Leski said.
                                                                        After the game, the physician’s role
                     direct medical care for some 400 students
T                    in the athletic program at USC.
                         In addition to physical exams to
                                                                    continues with the affected athlete, deter-
                                                                    mining what continued treatment or reha-
                                                                    bilitation services are needed. “We’re
                     identify any pre-existing injuries or poten-   there to get them back to their normal

S                    tial medical problems, the faculty mem-
                     bers and fellows offer a walk-in clinic in
                     the athletic training room four times a
                                                                    state of health as soon as possible. The
                                                                    goal is to get them back into practice and
                                                                    as a contributing member of their team
                     week. Team trainers triage athletes before     without compromising their health,” said
                                                                    Dr. Leski. “That’s how we as physicians
                                                                    function as team members,” he said.
                                                                       Sports medicine services are also avail-
                                                                    able to the general student population
                                                                    through a weekly clinic maintained by the
                                                                    family practitioners. Students can receive
                                                                    treatment at the student health center for
                                                                    injuries sustained in intramurals or from
                                                                    any form of physical activity.
                                                                       An athlete himself, Dr. Leski enjoys the
                                                                    interaction with the students at USC. “It
                                                                    allows me to be a role model for them,
                                                                    promoting an active lifestyle,” he said. Yet
                                                                    he pointed out that the athletes, both seri-
                                                                    ous and recreational, have an impact on
Dr. Mark Leski (left) works with student Oscar Judd at USC’s        him as well. “Being surrounded by young,
Thomson Student Health Center, while Dr. Daniel Nosek, a            healthy, motivated people helps keep me
third year Family and Preventive Medicine resident, observes.       healthy and motivated.”


                                      Page Two
                                                                                             NEW
                                                                                    PROGRAM
                                                                                   TO PROVIDE
                                                                                     SPORTS
                                                                                    MEDICINE
                                                                                  SERVICES TO
                                                                                  HIGH SCHOOL
                                                       Dr. Jeffrey Guy
                                                                                   ATHLETES
    The play ended on the 37-yard        Surgery, the Department of Family        emergency room visit will have ac-
line, and it was obvious the run-        and Preventive Medicine, and the         cess to care at an injury clinic the
ning back was injured. After the         University of South Carolina’s Ath-      day after the game. Those needing
team trainer attended to his injury,     letic Training Department.               rehabilitation will also receive next-
would the teenager be able to finish        The goal for the S.M.A.R.T. pro-      day attention through a special ar-
out the game?                            gram’s first year is to work with 6 to   rangement with HealthSouth Reha-
    It all depends, according to Dr.     10 high school football teams in         bilitation Hospital. “We’re setting
Jeffrey Guy, an assistant professor      Richland and Lexington Counties.         up pathways for athletes to get fun-
in the Department of Orthopaedic         As schools get involved in the pro-      neled into the health care system, to
Surgery. “There are a lot of factors     gram, physicians look to start doing     get seen sooner as opposed to later,”
that contribute to an appropriate        pre-participation physicals for play-    said Dr. Guy.
decision to return an athlete to the     ers in the spring.                           “The most exciting part of this
field. Many injuries can be made             Once football season begins,         whole system is that we are setting
worse by sending someone back on         physician “on the field” coverage        up an internal network for commu-
the field too soon,” Dr. Guy said.       will be provided for participating       nication,” Dr. Guy added. Each
   It’s inevitable for athletes to get   schools. “A lot of the decisions         school’s trainer will be provided
hurt when participating in high          about when someone can return to         with a cell phone for immediate
school sports. With a high-risk sport    play are being made by the trainer       access to emergency personnel, the
like football, the likelihood of inju-   and/ or the coach. Most do a great       orthopaedic surgeon at PRMH, and
ries increases. The South Carolina       job, but we’re trying to increase the    the S.M.A.R.T. athletic trainer, who
S.M.A.R.T. program (Sports Medi-         level of medical expertise on the        is the newest addition to the USC
cine for Athletes and Recreational       field,” said Dr. Guy.                    Sports Medicine Center staff. Using
Teams) was established to increase                                                this communications network, team
                                             For injuries that occur on the
the level of medical care available to                                            trainers can also schedule clinic
                                         field, S.M.A.R.T. will add another
South Carolina high school athletes,                                              appointments for players before
                                         resource to the EMS personnel that
especially those involved in high-       are usually in attendance at games.
                                                                                  they leave the field after the game.
risk contact sports. It will also pro-   An orthopaedic physician will be
                                                                                  “The school trainers are critical to
vide an umbrella of support for the      available at Palmetto Richland
                                                                                  the whole system. They are there
training staff and coaches. The pro-     Memorial Hospital for athletes need-
                                                                                  with the students, providing front
gram is a combined effort between                                                 line medical care on a daily basis,”
                                         ing urgent evaluation. In addition,
the Department of Orthopaedic            athletes that do not require an
                                                                                  Dr. Guy said.


                                                                                         Page Three
        Two Medical Park Renovation




   When patients arrive at Two           transform the basement into an         pare the two - there’s a 25-year dif-
Medical Park, they can’t help notic-     education center and a new ortho-      ference in technology,” said Brooks
ing that something is different. Per-    paedics and sports medicine center.    Williams, Project Manager with
haps the freshly painted exterior           The installation of a $2 million    M.B. Kahn Construction Company,
attracts their attention or the strik-   heating, ventilation and air condi-    which handled the renovations.
ing entranceways and the new color       tioning system was a major compo-         After the HVAC equipment was
scheme throughout the building           nent of the renovation. “We were       installed on the building’s pent-
catches their eye.                       looking at a system that was over 25   house, renovation efforts started on
   What’s obvious is that the nearly     years old and had met its time,” ex-   the fifth floor and moved down-
completed, $5.5 million renovation       plained Brian Jowers, Associate        ward. By the time work was com-
project is rejuvenating the 100,000-     Dean for Finance and Administra-       pleted on each floor, construction
square-foot building. The 15-month       tion. The new equipment utilizes a     crews had removed and replaced
project is being completed in two        series of regulating boxes through-    ductwork, wiring, ceiling tiles, grids
stages. The first phase includes a       out the building to monitor and        to secure the tiles, and lights. A fire
new heating, ventilation and air         control the temperature, heating or    alarm and sprinkler system was also
conditioning system, upgraded ele-       cooling the air as needed. “The old    added in the ceilings. “Everything
vators, electrical and plumbing          system had served its natural life     over their heads is completely new
improvements, and extensive cos-         expectancy. The new one is pretty      now,” said Jowers of the 250 people
metic work both inside and outside       typical of most office and medical     employed in the building.
the building. The second phase will      buildings today. You can’t even com-
                                                                                   Those 250 people had to carry on


                                         Page Four
n Project Nearing Completion
  business as usual throughout the         replaced. The highly efficient digital     The second phase of the ren-
  rigors of renovation. Some 230 of        elevator controls have increased re-   ovation project is focusing on
  them are employed by the School of       sponse time and speeded up the         the basement, which was previ-
  Medicine, with University Primary        opening and closing of the doors.      ously rented by a dialysis com-
  Care, some pediatric clinics, and the                                           pany. After the 7,400-square
  Departments of Obstetrics/                                                               foot space was cleared,
  Gynecology, Internal                                                                     construction began in
  Medicine, Surgery, and                                                                   December on an educa-
  Orthopaedic Surgery                                                                      tion center and an ex-
  housed in the building.                                                                  panded sports medicine
  “Obviously, working in an                                                                center that will replace
  environment with medical                                                                 the current facility on the
  equipment and medica-                                                                    fourth floor (see article
  tions presented a real                                                                   on page one). The educa-
  challenge. We had to take                                                                tion center’s 80-seat
  a good portion of what                                                                   auditorium and two con-
  was above the ceiling out                                                                ference rooms (one seat-
  while things were still          Above: Project Manager Brooks Williams                  ing 24 people and the
  under it,” said Williams.        (left)discusses progress of the renovation              other 15) will give the
  So renovation was done           project with Brian Jowers (right).                      School of Medicine a
  on an unusual schedule,                                                                  boost in instructional
  with crews on the job            Below: University Primary Care receives                 and meeting space. The
                                   new wiring and ductwork..                               absence of windows will
  from six at night until two
  or three in the morning.                                                                 provide glare-free slide
  Then housekeeping per-                                                                   viewing, and a central
  sonnel followed, preparing                                                               computer system will
  the spaces for another day                                                               conveniently control all
  of patient care activity.                                                                audiovisual and lighting
                                                                                           functions.
     Work also focused on
  public hallways, which re-                                                                   As completion of the
  ceived attractive new car-                                                               basement winds down
  pet and wallpaper. New                                                                   the project, Jowers is
  flooring, wall coverings,                                                                impressed with the
  lighting and fixtures were                                                               results of the endeavor
  put into the public restrooms in the                                            that are making a 27-year-old
                                              The exterior of Two Medical Park
  corridors, and diaper-changing                                                  facility more functional and effi-
                                           was repainted and canopies revital-
  tables were added in both men’s and ized, giving the outside a sharp new        cient. It’s also a much more aes-
  women’s restrooms. “The restrooms                                               thetically pleasing building
                                           look. As employees, patients, and
  were in dire need of renovation. They                                           now,” he added. Williams could-
                                           visitors enter the building, they are
  had to be completely overhauled,”                                               n’t agree more. “The new ceilings
                                           now greeted by marble entryways,
  said Jowers, who added that neces-                                              and lighting have brightened all
                                           which provide increased space for
  sary alterations were made to ad-                                               the areas up, and made the
                                           pedestrian traffic. In the future, a
  here to current ADA codes. The two                                              building more visually appeal-
                                           gated parking area will be created
  elevators in the building received                                              ing. And with the exterior’s
                                           for physicians behind the building
  much-needed upgrades, with all                                                  facelift, it just looks cleaner and
                                           and patient parking will be expanded
  mechanisms, gears and motors                                                    fresher and newer.”
                                           by approximately 75 spaces.


                                                                                                 Page Five
                 Athletes Enjoy Sports
Contacts Offer                                    wear a contact lens, you get no distortion.
                                                  This is because the lens moves with your eye
Convenient Alternative                            so you never look through the edge of the
   Before an athlete takes the field or steps     lens,” said Dr. Pockl.
out on the court, he’s prepared himself for          While contacts can correct both near-
the best performance possible. He also wants      sightedness and far-sightedness in athletes,
to have the best vision possible. That’s why      Dr. Pockl finds that many patients are sur-
many active men, women and teenagers are          prised to learn that people with astigmatisms
choosing to wear contact lenses.                  can also use them. “A lot of people say that
    Contacts can provide improved vision for      they were told they couldn’t wear contacts be-
athletics, explained Dr. Jeffrey Pockl, an        cause they had too much astigmatism,” Dr.
optometrist with the Department of Ophthal-       Pockl said. “And back when they were told
mology. “If you never move your head or           that, they probably couldn’t. Yet there have
eyes, then glasses would be better. Yet as        been a lot of innovations in the optical indus-
soon as you start moving and walking and          try in the last five years,” he said. New lens
seeing the world as it really is, you can get     materials have also made it possible for peo-
distortion as you look through a different part   ple who tend to have dry eyes to wear con-
of the lens,” he said. Over time, people get      tacts comfortably.
used to the distortion with glasses, paying           Some athletes confine contact lens use to
less attention to it. Yet for an athlete, whose   their sports participation. “Patients come in
effectiveness is impacted by split second deci-   telling me that they haven’t been able to wear
sions and reactions, a less-than-optimal qual-    contacts. Most people want to wear them all
ity of vision isn’t as acceptable. “When you      day every day and if they can’t, they quit
                                                  wearing them,” said Dr. Pockl. These same
                                                  patients are finding part-time contact use a
                                                  very viable option. Dr. Pockl finds this to be
                                                  the case with some teenage patients “who
                                                  wear their glasses the majority of the time,
                                                  and only wear their contacts for sports.”
                                                     The convenience of contact lenses is ap-
                                                  pealing to athletes. “Most people love con-
                                                  tacts because of the freedom they give. “With
                                                  glasses, there is a lot of removing and clean-
                                                  ing during the game,” Dr. Pockl said. He add-
                                                  ed, “When you are involved in sports, you
                                                  have a different motivation, and you really
  Dr. Jeffrey Pockl examines a patient’s eyes     need to see the best you can.”
  before fitting him for contacts.




                        Page Six
Without Using Glasses
                                                       can get clouded up with sweat, and contacts
 LASIK Surgery Provides                                can pop out of your eyes during play,” said
 Vision Correction                                     Dr. Grewal.

    Golf pro Tom Gaines got his first pair of             While the surgery is surprisingly quick
 glasses when he was eight years old. So after the     (taking about 15 minutes), it requires thor-
 Columbia resident had LASIK surgery last year,        ough preparation beforehand and follow-up
 it meant the first time in decades that he didn’t     on a regular basis for a year afterwards. Dr.
 have to rely on glasses.                              Grewal describes the preoperative evaluation
                                                       as “the most complete eye exam that they
     “A lot of people are tired after years of deal-
                                                       have ever had.”
 ing with contacts and glasses,” said Dr. Sanjeev
 Grewal, an ophthalmologist and faculty member            While some people choose to have surgery
 in the Department of Ophthalmology. Vision            on one eye at a time, the overwhelming ma-
                                                       jority chooses to have both eyes corrected on
                                                       the same day. After the patient’s eyes are
                                                       anesthetized, the ophthalmologist cuts a thin
                                                       flap in each cornea. Folding each flap out of
                                                       the way, the ophthalmologist removes some
                                                       corneal tissue with a laser to reshape the
                                                       corneas. The flaps are then replaced. After
                                                       the generally painless procedure, the pa-
                                                       tient’s reshaped corneas can function better
                                                       to focus light on the retinas, providing im-
                                                       proved vision.
                                                           Some patients, generally those with
                                                       stronger prescriptions, can benefit from the
 Patients undergoing LASIK surgery are gener-          LASEK surgery (laser epithelial keratomileu-
 ally back home within a couple of hours.              sis) that USC’s ophthalmologists also per-
                                                       form. Since a much thinner flap is cut with
 correction surgery provides an alternative, and       this procedure, it provides an additional op-
 LASIK (laser-assisted in situ keratomileusis) has     tion for physicians when a patient’s cornea is
 become the most commonly performed refrac-            not thick enough for LASIK.
 tive surgery. Ophthalmologists at the USC
                                                          Recovery for both surgeries is quick. For
 School of Medicine have been using LASIK for
                                                       physically active people, that means they can
 more than three years.
                                                       resume most sports within a few days. Dr.
    Athletes appreciate the freedom they can           Grewal cautions swimmers to wait three
 gain on the playing field through LASIK surgery.      weeks to avoid the possibility of infection.
 “They’re moving around a lot; things like glasses     “We also ask that people participating in a
 and contacts can be limiting to them. Glasses                                   See LASIK on Page 11.




                                                                                           Page Seven
                            Childhood Asthma And Athletics

   Proper Asthma Management
 Is Key To An Active Childhood
   They’re on the soccer field, the       people in the United States that            Despite the limitations the dis-
basketball court, and the baseball        have been diagnosed with asthma,        ease may have imposed on children
diamond. And if they’re not, there’s      more then one-third of them are         in the past, Dr. Taylor asserts that
no reason they can’t be.                  under the age of 18. Asthma is the      asthma should not prevent young-
    Children with asthma can even         most common chronic health prob-        sters from running and jumping and
aspire to be Olympians, inspired by       lem among children, and the most        doing everything kids do. “If par-
the achievements of athletes Jackie       frequent cause of hospitalization for   ents see a child getting in trouble
Joyner-Kersee, Amy Van Dyken,             youngsters under 15.                    because of exercise, then they might
and Kurt Grote, all gold medallists,                                              start thinking their child shouldn’t
all who have asthma.                                                              be doing it,” Dr. Taylor. “As physi-
    “Children with asthma should be                                               cians, we need to get parents to see
able to participate in most, if not all                                           the importance of exercise in their
sports,” said Dr. Caughman Taylor,                                                child’s overall health.”
a professor in the Department of                                                     Over the years, asthma treatment
Pediatrics with a special interest in                                             has improved by introducing med-
asthma and pulmonary disorders.                                                   ications to control and block inflam-
“If they find that they cannot partic-                                            mation in the airways and by im-
ipate, then in most cases their asth-                                             proved delivery of medications that
ma is not receiving the optimum                Even when children are             are inhaled. “Spacer devices allow
care needed,” he said.                       diagnosed with asthma at an          us to get medicine in the kids’ lungs
                                           early age, proper treatment can        where it needs to work, providing
   When frequent symptoms such              enable them to remain active.
as wheezing, coughing, and short-                                                 better results with fewer side ef-
                                            (Above) Dr. Caughman Taylor
ness of breath prevent youngsters                                                 fects,” said Dr. Taylor. For today’s
                                             examines a pediatric patient,
from competing in athletics, then          and (Below) he works with her          children with asthma, these changes
Dr. Taylor knows to take a closer              on using an air chamber            mean the difference between merely
look at their asthma management.            spacer and a peak flow meter.         treating their symptoms and effec-
Are they being compliant and using                                                tively managing their disease.
preventive medicines properly, par-                                                   The key to effective management
ticularly before engaging in exer-                                                is an individualized treatment plan
cise? Are the right medications be-                                               for each pediatric patient. “Every
ing prescribed for that particular                                                child is different, and there are a lot
child? Are other factors, such as                                                 of factors involved when talking
sinusitis or allergic rhinitis, affect-                                           about a young person with asthma,”
ing the child’s asthma? “What really                                              Dr. Taylor said. “I tell them that
concerns us is when we see a child                                                they’re going to be able to do almost
who has withdrawn from a sport. I                                                 anything they want,” he said, remind-
always teach my residents that if a                                               ing his patients of the athletes with
child is being compliant and is not                                               asthma that compete on collegiate,
able to live a normal life, then we                                               professional and Olympic levels. “We
look at it as a failure in treatment,”                                            just have to find the right medica-
he said.                                                                          tion, delivery system, and overall
   Of the estimated 26.3 million                                                  management plan for each child.”



                                          Page Eight
X X X X X X XX X X                             Sports Medicine (From Page 1)
ized and competitive sports,” he          him and his counterpart, Dr. Thomas      presents a different challenge for
added. “It’s our job in the sports        Terrell, for management of common        sports medicine physicians. “These
medicine community to keep up             orthopaedic problems and medical         people are highly motivated to get
with the specific injuries and the in-    conditions in sports. “Eighty per-       back into activity and eager, almost
creasing demand within this popula-       cent of orthopaedics is non-opera-       overzealous to get into rehabilita-
tion,” he said.                           tive,” Dr. Leski added, noting that he   tion,” said Dr. Terrell. “We want to
                                          and Dr. Terrell can manage many          make sure that they are adequately
   A collaborative effort between
                                          orthopaedic issues that do not re-       treated, recovered and rehabilitated
the Departments of Family and
                                          quire surgery.                           before they get back to their sport,”
Preventive Medicine and Orthopaedic
                                            The center’s orthopaedic surgeons      he said. Such patients are redirected
Surgery, the USC Sports Medicine
                                          can also address medical issues that     to other forms of exercise that are con-
Center provides a broad array of
                                          bring athletes into treatment. “We       ducive to the rehabilitation process
services that includes treatment of




                                                               Right: Dr. Angus
                                                              McBryde writes a
                                                               prescription for
                                                              Di DuBose during a
                                                             recent appointment.




 Left: Dr. Thomas Terrell examines Shameika
 Brown’s knee at the USC Sports Medicine Center.


musculoskeletal injuries and med-         are all familiar with the evaluation     and allow them to maintain their
ical problems associated with exer-       process and implementing a conser-       aerobic performance level.
cise, sports physicals, nutrition coun-   vative treatment plan. And that’s           The center serves a growing seg-
seling, and consultations on strength     where the overlap lies,” explained       ment of organized athletics that in-
and conditioning. “There has been a       Dr. Guy on how the roles of the four     cludes The Capital City Bombers
transition over the last decade as to     physicians interrelate. Just as he       baseball team, student athletes at
what constitutes sports medicine,”        might refer a particular hand injury     Benedict College and the Columbia
said Dr. Mark Leski, describing how       to a hand specialist, he and Dr.         City Ballet. The physicians also treat
the focus has expanded from ortho-        McBryde determine when the exper-        some individual professional ath-
paedic sports injuries to a broader       tise of one of the primary care sports   letes. “People tend to get narrowly
perspective. One of the center’s pri-     medicine physicians would be the         focused on the elite athlete, and
mary care sports medicine physi-          optimal choice to handle a specific      that’s not what sports medicine is
cians, Dr. Leski completed an inten-      medical problem.                         about,” noted Dr. McBryde. He
sive sports medicine fellowship fol-         Treating individuals who are          added, “For every high profile ath-
lowing his family practice residency.     serious about their particular sport     lete there are thousands of us put-
Such advanced training prepared           or playing at a professional level       ting on shorts and shoes and run-
                                                                                   ning around the neighborhood.”

                                                                                                  Page Nine
 Managed                                                                      An Olympic
 Care
 Credentialing                                                    Physician Supported Athletes
 Update                                                           In Their Quest For The Gold
    Clinical Faculty Appointments
        Since September 2001

       Department of
      Internal Medicine
     James W. Fant, Jr., M.D.
        Assistant Professor of
      Clinical Internal Medicine

     Department of
    Neuropsychiatry
 And Behavioral Science
      Patricia G. Huett, LISW
 Instructor of Clinical Neuropsychiatry
        and Behavioral Science
      Tricia L. Huffman, LISW                     He was awed by the brilliantly choreographed
 Instructor of Clinical Neuropsychiatry      opening ceremonies as the 2002 Winter Olympics got
        and Behavioral Science
                                               underway. Yet for Dr. Thomas Terrell, one of two
        Elda M. Lopez, M.D.
 Instructor of Clinical Neuropsychiatry
                                              primary care sports medicine physicians at the USC
        and Behavioral Science                 Sports Medicine Center, his trip to Salt Lake City
      Judythe S. McKay, M.D.                 wasn’t merely for the enjoyment of sport. He served as
 Instructor of Clinical Neuropsychiatry       one of over 1,000 medical volunteers who cared for
        and Behavioral Science
                                                     athletes, Olympic staff and volunteers.
 Department of OB/GYN
      John M. Herbert, M.D.                  During his two-week stay, Dr.    skating practice sessions. “Essen-
Assistant Professor of Clinical OB/GYN    Terrell was designated to work      tially you are watching the ac-
                                          with figure skaters and speed       tion carefully, ready to assist
Department of Pediatrics                  skaters; some of whom he met        someone who might be injured
 Graeme H. Johnson, M.B., Ch.B.           at the Lake Placid Olympic Train-   seriously,” he said. He added,
        Associate Professor
                                          ing Center in 1999 and has since    “If something occurs on the ice,
       of Clinical Pediatrics
                                          enthusiastically followed their     if an athlete has a major crash
        Carla M. West, M.D.
                                          progress. “Lake Placid was my       or a significant laceration, you
         Assistant Professor
         of Clinical Pediatrics           first exposure to winter sports,”   go out there to evaluate the patient.
                                          said the Florida native, who also   Fortunately, that rarely hap-
    The last quarterly credentialing                                          pens.”
                                          volunteered at the 1996 summer
   meeting was held on March 4. For
                                          games in Atlanta.                       As Dr. Terrell worked with
   additional information on future
  meetings, contact Beth Edmonds at         In his 10-hour shifts in Salt     various athletes as they prac-
 255.3417 or bedmond@gw.mp.sc.edu.        Lake City, some of which start-     ticed and competed, he was
                                          ed as early as 5:00 a.m., Dr.       impressed by the perseverance
Managed Care Update                       Terrell helped man a clinic to      of an Uzbekistani figure skater
Physicians Health Plan has changed        treat medical and orthopaedic       who competed despite having a
their name to Carolina Care Plan.         problems and provided on-site       broken foot. “She had a fifth
                                          medical coverage at figure skat-    metatarsal fracture of the foot
                                          ing competitions and speed          that would have put someone


                                           Page Ten
Adventure
                                                                                  Upcoming
 else in a cast for eight weeks,”       him, something hit him even
 he said.                               more powerfully this time.                 Alumni
    While his volunteer schedule        “There was a strong sense of
 was demanding, Dr. Terrell did         patriotism and the crowd would             Events
 have the opportunity to take in        roar whenever an American did
 some of the events purely as a         anything positive,” he said. While
 spectator. He was particularly         the spectators’ overwhelming sup-       April 13
 interested in the luge competi-        port brought back memories of his       USC Showcase
 tion after working with some of        own athletic endeavors, he said,        10:00 a.m. – 3:00 p.m.
 the athletes in Lake Placid. “It’s     “This was the most special kind of      USC Horseshoe
 neat to watch people that you          cheering I’d ever heard; this was the   Students, residents, faculty, and
 got to know, and be there as           Olympics, and the Olympics after        staff volunteers are needed.
 they win their medals and see          September 11,” he said.                 Contact Debbie Truluck,
 their dreams come true,” he               One of Dr. Terrell’s most lasting    Alumni Coordinator, at 733.1568.
 said.                                  impressions came during the open-
                                                                                April 25 – 27
     As an athlete and a former         ing ceremonies when the tattered
                                                                                SC Medical Association and
 college basketball player, Dr.         American flag that had been recov-
                                                                                School of Medicine Exhibit,
 Terrell can relate                                                             Charleston Place Hotel, Charleston
 to the competitors
 he has come to                                                                 April 26
 know through vol-                                                              Alumni Association
 unteering at the                                                               Committee Meetings and Luncheon
 Olympics. “I’m                                                                 11:30 am
 struck by how ded-
                                                                                Alumni Association Board Meeting
 icated they are to
                                                                                3:30 pm
 what they do and
 the tremendous
                                                                                Reception for School of Medicine
 sacrifices they
                                                                                alumni, faculty, students, residents,
 make along the
                                                                                and guests
 way. They give up
                                                                                5:00 - 7:00 p.m.
 years and years of
 their lives to com-     “There was a strong sense of patriotism and            All events will be held at the
 pete,” he said.         the crowd would roar whenever an American              Charleston Place Hotel, Charleston.
     Dr. Terrell considers him-     did anything positive.”
                                                  -- Dr. Thomas Terrell
                                                                                September 20-21
 self fortunate to have experi-
                                                                                Alumni Weekend
 enced the unique chemistry that ered from the World Trade Center
                                                                                For all alumni, faculty, staff,
 occurs when top athletes from       was carried into the arena. “I could-      students, residents, and invited
 around the world converge. He       n’t help but tear up,” he said, “stand-    guests. CME, gala, tailgate and
 recalled his stay in Atlanta six    ding there and remembering all the         football game, full membership
 years ago. “There was a tremen- people who lost their lives on Sep-
                                                                                and committee meetings
 dous positive energy there that     tember 11.” He added, “Billions of         Details will be mailed
 was almost palpable in the air.     people were watching this flag, which      this summer.
 What struck me was how the          is a symbol of democracy around
 Olympics really does what it        the world, and the only thing that
 sets out to do – to promote a       was left from the World Trade
 global understanding through        Center. It was a rare privilege just to
 sport,” he said. As much as his     be able to bear witness to that.”
 previous experiences impacted

                                                                                         Page Eleven
Athlete And Physician: A Career Combined
   He’s an orthopaedic surgeon.                                                          immediate access except on the
He’s also a sports enthusiast. The                                                       sports field, where it’s become the
two go hand in hand for Dr. Angus                                                        standard of care,” he said.
McBryde, one of the four physi-
                                           Dr. Angus McBryde
                                                                                            Dr. McBryde enjoys the chal-
cians who staff the USC Sports               Serves Diverse                              lenges and tough decisions that
Medicine Center.
                                           Groups Of Athletes                            come with athletics. “You have to
   “Most people who go into                                                              decide whether or not to operate,
sports medicine have had an inter-                                                       how to rehabilitate, and when to
est in sports ever since they were                                                       return someone to play,” he said.
young,” said Dr. McBryde, who’s                                                          He added that the treatment of
an avid golfer and competitive                                                           sports injuries can impact much
runner. In the 50s he competed                                                           more than an individual’s physical
for Davidson College, not unlike                                                         status. “When you’re looking at a
the young men he now treats on                                                           collegiate player with a potential
the South Carolina State Bulldog                                                         career ahead of him, injuries can
teams.                                                                                   be a crucial factor in his future,”
    Along with Dr. Jeffrey Guy, Dr.                                                      he said.
McBryde provides sports medicine                                                            In addition to working in colle-
services to male and female ath-                                                         giate sports, Dr. McBryde has
letes at South Carolina State. The                                                       treated athletes on various levels
range of services furnished through                                                      of play, from Olympians in Seoul
the USC Sports Medicine Center                                                           and Atlanta to individual players
includes pre-season orthopaedic                                                          on professional football teams. It’s
physicals, onsite medical coverage                Dr. Angus McBryde                      not unusual for a professional ath-
at games and weekly practice scrim-                                                      lete to travel to Columbia for sur-
mages, and a weekly clinic in the          Bulldogs. “Our function is to back            gery by Dr. McBryde, who has
training room in Orangeburg to             up the team trainer for injuries              particular expertise in sports in-
follow up on injured players.              that are clearly not minor or clear-          juries to the foot and ankle. How
                                           ly need orthopaedic attention,” Dr.           do athletes from around the coun-
    Football season becomes hectic
                                           McBryde said. “The benefit to the             try end up in his office? “There is
for the two physicians, who cover
                                           athletes is immediate access to               a network of sports medicine pro-
away games as well as those in
                                           care,” he said, comparing a foot-             fessionals who know each other,
Orangeburg at Oliver Dawson
                                           ball player injured in a game to a            call on each other, and use each
Stadium. Yet they are committed
                                           motorist hurt in a wreck on the               other as a resource,” he said.
to the role they play for the
                                           highway. “It’s rare to have that


           University Specialty Clinics
           Office of Clinical Affairs
           University of South Carolina School of Medicine
           Fifteen Medical Park, Suite 300
           Columbia, SC 29203
Website: www.med.sc.edu/specialtyclinics

                       Connections is published by University Specialty Clinics to enhance connections
                      among member physicians. Comments and suggestions for articles are welcomed.
                          Loretta O. Cafferty, Director of Operations, Office of Clinical Affairs
            Phone: 803.255.3400 t Fax: 803.255.3420 t E-Mail: loretta@sc.edu t swilhelm@gw.mp.sc.edu



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