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	                        N e w S a N d I N f o r m at I o N a b o u t u N I v e r S I t y o f I o w a H e a lt H c a r e

                              Summer 2006
                        Volume 33, Number 2

      University of Iowa Hospitals and Clinics

University of Iowa Roy J. and Lucille A. Carver
                           College of Medicine

                 Brain tumors
                    Pages 2, 3

             Beating obesity
                   Pages 4, 5

Bone marrow transplant

                                                                              goes on
             Pages 6, 7
                                                                                                      The beat
     Hyperbaric medicine
             Pages 10, 11

Teen-ager’s spinal tumor
                 Page 12

              Research trials
                     Page 13

   News & media quotes
           Pages 14, 15

                                                                    Skillful multidisciplinary care
                                                                    helps Iowan lead productive
                                                                             life despite complex
                     TELL US
              WHAT YOU THINK                                                       heart problems
            You can help us improve
          PACEMAKER magazine by                                                        Pages 8, 9
        filling out and returning the
        postage-paid reader survey
   postcard inserted into this issue.
                          Thank you!
2 • PA C E M A K E R • S u m m er 2006

                                                        ExpErt carE from nEurosciEntists hElps iowa

                  Hidden danger
                                    Long trips in the car used to physically
                                                          bother Connie Pugh.

                                                         	 After	an	hour	or	so	behind	
                                                         the	wheel,	she	felt	dizzy	and	her	
                                                         head	ached.
                                                               	 “I	was	driving	a	lot	
            UI specialists                     PRE-SURgERY         between	our	home	in	
                                                                     Toledo	(Iowa)	and	
        are among the                                                  Iowa	City,	where	my	
                                                                        husband	had	clinic	
         first to use a                                                 appointments	at	the	
                                                                        VA	Medical	Center,”	
         new surgical                                                  she	says.	“I	didn’t	
 navigation system                                                    think	too	much	about	
                                                                    it	until	the	episodes	
            that combines                                       got	worse	and	happened	
                                                             more	often.”
         MRI and CT scans                                        	 A	licensed	practical	
                                              POST-SURgERY          nurse	by	trade,	Pugh	
          with real-time                                              realized	it	was	time	
 ultrasound video.                                                      to	see	her	family	
                                                                        physician,	Dennis	
                                                                        Mallory,	DO.	
                                                                        “Connie	provides	      	 Whether	benign	or	
                                                                       a	great	example	of	     malignant—no	one	knew	for	
                                                                     what	people	should	do	    sure	at	that	point—the	tumor	
                                                                   when	symptoms	appear,	      would	need	to	be	removed	
                                                               which	is	to	see	the	doctor	     because	of	its	precarious	location	
                                                         right	away,”	he	says.                 and	the	chance	it	could	grow.	
                                                         	 Mallory	in	turn	recognized	         Ignoring	the	tumor	would	make	
                                                         that	something	serious	was	going	     Pugh	vulnerable	to	paralysis	and	
                                                         on	and	referred	her	to	a	UI	          possibly	death.
                                                         Neurosciences	team	at	University	     	 The	challenge	of	excising	
                                                         of	Iowa	Hospitals	and	Clinics.        the	tumor	fell	to	Timothy	Ryken,	
                                                         	 Two	weeks	later,	on	a	Friday	       MD,	an	associate	professor	of	
                                                         that	Pugh	will	never	forget,	         neurosurgery	who	specializes	
                                                         UI	neurologist	Lynne	Geweke,	         in	treating	patients	with	brain	
                                                         MD,	conducted	a	thorough	             tumors.	In	fact,	Ryken	and	
                                                         examination.	Physical	tests	          colleagues	at	the	Holden	
TEAMWORK PAYS OFF                                        and	an	MRI	exam	revealed	the	         Comprehensive	Cancer	Center	
Neurosurgeon Tim Ryken, MD, and neurologist Lynne        source	of	Pugh’s	episodes:	a	         at	The	University	of	Iowa	are	
Geweke, MD, collaborated to diagnose and treat Connie
Pugh for a dangerous tumor formed at the tip of her
                                                         walnut-sized	tumor	at	the	tip	of	     among	the	first	to	use	a	new	
brainstem.                                               her	brainstem.                        surgical	navigation	system	to	

www.uih e a l t h c a r e . c o m
                                                                                                                                        Summer 2006 • PAC E M A K E R • 3

woman survivE high-risk brain tumor

                                                                                                                          ROOM FOR IMPROvEMENT
                                                                                                                          The State Health Registry’s latest annual
                                                                                                                          cancer forecast notes that cancer deaths
                                                                                                                          overall are declining nationally and in Iowa.
                                                                                                                          However, the outlook is not nearly so good
                                                                                                                          for patients with brain and central nervous
                                                                                                                          system tumors. Even now, the median survival
                                                                                                                          for persons undergoing first surgery for a
                                                                                                                          malignant brain tumor is only one year. As
                                                                                                                          part of an ongoing commitment to improve the
                                                                                                                          odds, the University of Iowa-based registry
                                                                                                                          has joined a nationwide effort to collect more
                                                                                                                          data about such tumors.

                                                                                                                          SUPPORT gROUP
                                                                                                                          For information about a statewide Brain Tumor
                                                                                                                          Support Group, call UI social work specialist
                                                                                                                          Lori Roetlin at 319-356-2557 or e-mail

                                                                   READY TO ROLL
                                                                   Her brain tumor safely removed, Connie Pugh keeps
                                                                   busy volunteering as an emergency medical technician
                                                                   with the Toledo Ambulance Service.

   guide	them	during	surgery.	                                     to	“finalize	some	things”	but	                         watch	in	the	unlikely	event	the	
   MRI	and	CT	scans,	taken	before	                                 didn’t	let	the	worrisome	situa-                        tumor	recurs.
   surgery,	are	combined	with	real-                                tion	overwhelm	her.                                    	 For	information	about	brain	
   time	ultrasound	video	taken	                                    	 “I	wasn’t	scared	at	all,”	she	                       cancer	therapy	at	UI	Hospitals	
   during	surgery.                                                 says.	“I	told	Dr.	Ryken,	‘God’s	                       and	Clinics,	patients	should:
   	 “Every	layer	of	information	                                  going	to	help	you	get	me	                              •	 Call	UI	Health	Access	and	
   we	can	put	on	top	of	the	starting	                              through	this.’	And	I	knew	that	if	                        ask	for	Kelly	Hochstetler,	RN,	
   image	or	starting	problem	                                      it	didn’t	turn	out	that	way,	there	                       neuro-oncology	coordinator	
   provides	more	and	more	detail	                                  was	a	better	place	waiting	for	me	                        for	the	Multidisciplinary	
   and	more	and	more	honing	in	of	                                 up	above.”                                                Brain	Tumor	Treatment	
   the	key	issues,”	Ryken	explains.	                               	 Early	Monday	evening,	as	                               Group
   The	technology	allows	surgeons	                                 Pugh’s	husband,	Leonard,	and	                          •	 Call	Hochstetler	directly	at	
   to	better	identify	the	necessary	                               other	family	members	waited	                              319-356-7606
   brain	structures	during	surgery	                                anxiously,	Ryken	safely	and	                           •	 Send	e-mail	to	kelly-
   and	to	track	a	tumor	if	it	shifts	                              successfully	removed	the	tumor,	                
   during	a	procedure.                                             which	turned	out	to	be	non-                            	 For	consultation	or	referral,	
   	 In	Pugh’s	case,	her	surgery	                                  malignant.                                             physicians	should	call	UI	
   was	scheduled	for	the	follow-                                   	 Since	then,	Pugh	has	fully	                          Consult.	
   ing	Monday.	She	returned	                                       recovered	and	resumed	a	nor-                                                   —Michael Sondergard
   home	for	a	short	weekend	                                       mal	life.	Doctors	are	keeping	

   Patient c a l l s f o r i n f o r m a t i o n / U I H e a l t h A c c e s s 8 0 0 - 7 7 7-8442
   Physici a n c a l l s f o r c o n s u l t a t i o n a n d s c h e d u l i n g / U I C o nsult 800-322-8442
  4 • PA C E M A K E R • S u m m er 2006

                               t E a c h E r o v E r c o m E s h E a r ta c h E w i t h h E l p f r o m u i ’ s a c c l a i m E d o b E

                               Turning loss into gain
           Shawn Lockridge-Hermsen knew she had turned the
corner on severe obesity when a granddaughter innocently
                     blurted, “Grandma, I didn’t even recognize you!”

                                                                    	 It	was	an	uplifting	moment	
                                                                    for	the	48-year-old	Iowan,	a	vali-
                                                                    dation	that	she	had	overcome	
                                                                    years	of	self-consciousness,	social	
                                                                    isolation,	and	depression.
                                                                    	 “It’s	been	a	really	great	jour-
                                                                    ney,	just	great,”	she	says.
                                                                    	 Lockridge-Hermsen’s	expe-
                                                                    rience	with	the	UI	Obesity	
      BEFORE SURgERY                                                Surgery	program	at	University	
       As she prepared for
   obesity surgery, Shawn
                                                                    of	Iowa	Hospitals	and	Clinics	
       Lockridge-Hermsen                                            has	indeed	been	a	journey.	
                 posed for                                          With	the	program’s	help,	she	
     these clinical photos.
                                                                    has	nearly	halved	her	weight,	
                                                                    improved	her	self-esteem,	and	
                                                                    enhanced	her	personal	health.
                                                                    	 The	story	hasn’t	always	been	
                                                                    so	happy.	As	an	obese	teen,	
                                                                    Lockridge-Hermsen	didn’t	“fit	
                                                                    in.”	College	life	wasn’t	much	
                                                                    better.	Every	dietary	attempt	fell	
                                                                    short.	At	5	feet,	4	inches	and	275	
                                                                    pounds,	she	avoided	social	oppor-
                                                                    tunities.	She	was	missing	out.
                                                                    	 After	graduation,	she	land-
                                                                    ed	her	first	teaching	job	with	
                          PARTNERS IN BARIATRIC CARE
         Key members of the obesity management program              the	Western	Dubuque	County	
            include, from left: Mohammad Jamal, MD; Debi            Community	School	District,	
     Heitshusen, RN; and Isaac Samuel, MD. The team also            where	she	has	taught	for	the	past	
         includes a physician assistant, a dedicated clinical
                      dietitian, internists, and psychologists.     24	years.	Still,	repeated	efforts	to	
                                                                    shed	the	pounds	failed	and	the	
                                                                    social	constraints	of	obesity—she	
                                                                    ballooned	to	375	pounds—con-
                                                                    tinued	to	haunt	her	psyche.	
                                                                    Even	marriage	to	her	very	lov-
                                                                    ing,	accepting	husband,	Don,	in	
                                                                    1999	did	not	assuage	her	feel-
                                                                    ings	of	inadequacy.
                                                                    	 Clinically	depressed,	
                                                                    Lockridge-Hermsen	took	a	one-
  www.uih e a l t h c a r e . c o m ( s e l e c t “ S e a r c h ” a n d e n t e r “ o b e sity” or “bariatics”)
                                                                                                                             Summer 2006 • PAC E M A K E R • 5

sity surgEry program

   “I am the luckiest person in Iowa; I’m back doing what I love most;
    teaching and truly living life to its fullest!” —Shawn Lockridge-Hermsen
                                            LESS IS MORE            year	sabbatical	to	pursue	bariat-            	 “In	many	ways	I	feel	like	Dr.	
        At almost half her former weight, Shawn Lockridge-
    Hermsen is having more fun in the classroom. Here she
                                                                    ric	surgery.	The	questions	were	             Samuel	and	his	staff	have	given	
     teaches her students how to make friendship bracelets.         many.	What	were	the	risks?	What	             me	a	second	chance	at	life,”	she	
                                                                    were	other	peoples’	experienc-               says.	“I’m	forever	grateful!”
                                                                    es?	Which	program	offered	the	               	 For	more	information:
                                                                    best	chance	for	success?                     •	 Call	UI	Health	Access	and	
                                                                    	 Her	Dubuque	physician,	                        ask	for	Debi	Heitshusen,	RN
                                                                    Andrea	Ries,	MD,	highly	recom-               •	 Call	Heitshusen	directly	at	
                                                                    mended	the	UI	Obesity	Surgery	                   319-356-1887	or	319-356-7694
                                                                    program	at	UI	Hospitals	and	                 •	 Send	e-mail	to	obesitysurgery	
                                                                    Clinics.	She	arranged	a	con-           
                                                                    sultation	with	Isaac	Samuel,	                	 For	consultation	or	referral,		
                                                                    MD,	director	of	the	UI	Obesity	              physicians	should	call	UI	
                                                                    Surgery	program.	                            Consult.
                                                                    	 “We	take	great	pride	in	tak-                                     —Michael Sondergard
                                                                    ing	a	comprehensive	approach	
                                                                    to	helping	each	patient,”	
                                                                    Samuel	says.	This	approach	
                                                                    includes	extensive	patient	edu-
                                                                    cation	encouraging	pre-	and	                 NATIONALLY RECOgNIZED
                                                                    post-surgical	lifestyle	behavior	            PROgRAM
                                                                    modification	designed	to	help	
                                                                    achieve	weight	loss	for	life.                •   1966: Birthplace of obesity surgery
                                                                                                                     under Edward Mason, MD, the “father of
                                                                    	 For	Lockridge-Hermsen,	
                                                                                                                     bariatric surgery”
                                                                    these	lifestyle	changes	included	
                                                                    modified	dietary	habits	and	exer-            •   1990’s: James Maher, MD, and
                                                                    cise	that	resulted	in	the	loss	of		              Cornelius Doherty, MD, (president,
                                                                    30	pounds	before	surgery	thanks	                 American Society for Bariatric Surgery,
                                                                    to	the	UI	Weight	Management	                     1989) extend program horizons
                                                                    program.                                     •   2000: Maher, Doherty, and Isaac Samuel,
                                                                    	 Finally,	on	Feb.	8,	2005,	                     MD, introduce laparoscopic approach to
                                                                    Lockridge-Hermsen’s	dreams	                      gastric bypass in Iowa
                                                                    came	true	when	Samuel	per-
                                                                    formed	a	laparoscopic	bypass	                •   2005: Wellmark/Blue Cross and Blue
                                                                    procedure.	The	bypass	effectively	               Shield of Iowa extends bariatric surgery
                                                                    restricts	the	amount	of	food	she	                “Center of Excellence” designation to UI
                                                                    can	eat	and	makes	it	more		                      program
                                                                    difficult	for	her	stomach	to	                •   2006: Under the leadership of Isaac
                                                                    absorb	ingested	food.                            Samuel, MD, the program attains
                                                                    	 The	procedure	helped	                          national Blue Cross and Blue Shield
                                                                    Lockridge-Hermsen	drop	to	185	                   Association “Blue Centers for Bariatric
                                                                    pounds.	Her	dress	size	dropped	                  Surgery” status. The designation
                                                                    from	34W	to	size	12.	She	does	                   underscores the program’s excellence
                                                                    her	part	by	adhering	to	the	rec-                 in patient education and outstanding
                                                                    ommended	lifestyle	changes.                      clinical outcomes.

    Patient c a l l s f o r i n f o r m a t i o n / U I H e a l t h A c c e s s 8 0 0 - 7 7 7-8442
    Physici a n c a l l s f o r c o n s u l t a t i o n a n d s c h e d u l i n g / U I C o nsult 800-322-8442
6 • PA C E M A K E R • S u m m er 2006

                                                 stEm cEll transplant savEs lifE and carEEr o

                   Marathon man
  The first signs of trouble appeared when Rhys Jones,
DDS, found himself stopping every five minutes just to
                                    catch his breath on a neighborhood run.

	 For	some	53-year-old	men,	                     would	be	a	future	possibility.
the	fatigue	would	have	been	                     	 However,	being	sub-clini-
understandable.                                  cal	also	meant	the	disease	
	 But	Jones,	an	adjunct	                         should	have	been	too	early	
University	of	Iowa	profes-                       in	its	course	to	notice.	Jones	
sor	who	directs	St.	Luke’s	                      shouldn’t	have	felt	the	fatigue	
Dental	Health	Center	in	Cedar	                   that	precipitated	testing	in	the	
Rapids,	was	an	accomplished	                     first	place.	Yet	by	spring	2002,	
runner	who	had	competed	                         he	couldn’t	even	mow	the	lawn	
in	marathons	across	the	U.S.	                    or	take	out	the	trash.
Something	had	to	be	wrong.                       	 This	circumstance	was	trou-
	 While	initial	physical	evalu-                  bling	for	the	physician	team,	
ations	were	negative	for	respira-                which	included	Roger	Gingrich,	
tory	and	heart	problems,	Jones	                  MD,	PhD,	director	of	the	UI	
postponed	other	tests	while	he	                  Adult	Blood	and	Bone	Marrow	
and	his	wife,	Valerie	Chittick,	                 Transplant	Program.	Suspicions	
anxiously	awaited	the	birth	of	                  grew	that	his	condition	might	be	
twin	children,	a	boy	and	a	girl.	                complicated	by	the	presence	of	
All	went	well	and	the	babies	                    amyloid,	a	sticky	protein	given	
were	born	in	May	2001.                           off	by	abnormal	plasma	cells	that	
	 Meanwhile,	Jones’	prob-                        might	develop	in	patients	with	
lem	worsened.	In	June,	a	blood	                  myeloma.	Amyloid	can	damage	
workup	was	done	by	Rod	Zeitler,	                 organs	like	the	heart	or	kidneys.
MD.	Zeitler	referred	him	for	a	                  	 A	risky	but	medically	neces-
more	comprehensive	workup	at	                    sary	heart	biopsy	confirmed	the	      tion	for	22	days,	Jones	drew	inspi-
Cancer	Care	of	Iowa	City,	a	can-                 team’s	worst	fears.	Jones	had	a	      ration	from	the	fact	he	could	
cer	clinic	partnership	between	UI	               rare	and	dangerous	complication	      look	out	the	window	and	see	his	
Hospitals	and	Clinics	and	Mercy	                 called	cardiac	amyloidosis.	His	      wife	and	15-month-old	children	
Hospital,	Iowa	City.                             very	survival	rested	on	the	suc-      on	the	playground	below.
	 The	results	were	startling:	                   cess	of	an	autologous	stem	cell	      	 The	procedure	went	well	and	
Jones	had	a	sub-clinical	form	of	                transplant.                           Jones	returned	home	to	begin	a	
myeloma,	a	cancer	of	the	blood	                  	 During	the	procedure,	per-          determined	quest	to	regain	his	
and	immune	system.	While	                        formed	by	Gingrich	and	col-           ardent	lifestyle	(in	retrospect,	this	
potentially	life-threatening,	the	               leagues	in	August	2002,	his	own	      same	lifestyle	led	to	an	early	diag-
condition	was	treatable.	In	this	                healthy	stem	cells	were	removed	      nosis,	which	in	itself	was	a	huge	
case,	because	the	myeloma	was	                   and	returned	to	his	body	after	       factor	in	his	successful	outcome).
still	sub-clinical,	no	treatment	                high-dose	chemotherapy	had	           	 “Dr.	Gingrich	predicted	I	
was	needed.	If	conditions	wors-                  wiped	out	the	diseased	blood	         would	run	again	but	I	didn’t	
ened,	a	bone	marrow	transplant	                  cells.	While	hospitalized	in	isola-   think	it	was	possible,”	he	says.	

www.uih e a l t h c a r e . c o m
                                                                                                                                             Summer 2006 • PAC E M A K E R • 7

f h i g h ly a c t i v E p u b l i c h E a lt h d E n t i s t r y E x p E r t

                                                                                                                           ROgER gINgRICH, MD
                                                                                                                           “It helped that Rhys Jones was
                                                                                                                           a highly motivated patient.
                                                                                                                           His very survival depended
                                                                                                                           on an autologous stem cell

                                                                                                                           gREAT TO BE ALIvE
                                                                                                                           Rhys Jones takes his twin
                                                                                                                           children for a fast stroll through
                                                                                                                           the neighborhood.

       Through	sheer	determination	                                    in	his	care.	“They	make	you	feel	                   ABOUT AMYLOIDOSIS
       and	hard	work,	however,	Jones	                                  like	you’re	the	only	patient	they	
       was	pushing	his	children	in	a		                                 have,”	he	says.                                     The term amyloidosis was first coined over
       jogging	stroller	by	February	2003,	                             	 For	more	information	about	                       a century ago, but cases were described
       grateful	that	Gingrich’s	forecast	                              the	Adult	Blood	and	Marrow	                         over 300 years ago. Only in recent years
       had	come	true.                                                  Transplant	Program,	patients	                       have physicians understood the specific
       	 “Now	I	can	wrestle	with	my	                                   should:                                             make-up and structure of amyloid proteins.
       4-year-olds	and	do	all	the	things	                              •	 Call	the	program	toll-free	at	
                                                                                                                           Although amyloidosis is not generally
       I	want	to	do,”	Jones	says.	“As	for	                                 1-800-944-8220
                                                                                                                           regarded as a cancer, it is disabling and even
       running,	my	knees	keep	me	from	                                 •	 E-mail	patient	coordinators:	
       doing	too	much	but	I	still	love	to	                       	or	                     life-threatening. Growing awareness of the
       run	when	I	can.”                                                                 condition is generating new research and
       	 Jones	thoroughly	appreciates	                                 	 For	consultation	or	referral,	                    treatment alternatives.
       the	physicians,	physician	assis-                                physicians	should	call	UI	Consult.
       tants,	nurses,	and	staff	involved	                                                            —Michael Sondergard

       Patient c a l l s f o r i n f o r m a t i o n / U I H e a l t h A c c e s s 8 0 0 - 7 7 7-8442
       Physici a n c a l l s f o r c o n s u l t a t i o n a n d s c h e d u l i n g / U I C o nsult 800-322-8442
                                                                                                the b
8 • PA C E M A K E R • S u m m er 2006

                                                                                                iowan livEs longEr, bEttE

                                                                                                His father died of heart
                                                                                                disease at age 55.

                                                                                                	 His	own	first	heart	attack	
                                                                                                occurred	over	two	decades	ago	
                                                                                                and	he	has	experienced	debilitat-
                                                                                                ing	heart	disease	in	the	succeed-
                                                                                                ing	years.
                                                                                                	 Yet	today,	at	age	78,	John	
                                                                                                Kooyman	lives	the	promise	of	
                                                                                                modern	medicine	every	day.	He	
                                                                                                and	his	wife	of	56	years,	Audrey,	
                                                                                                have	many	friends	in	their	home-
                                                                                                town	of	Ottumwa,	Iowa.	He	is	
                                                                                                active	in	church,	Masonic	Lodge,	
                                                                                                and	hospital	auxiliary.
                                                                                                	 “I	feel	good,”	says	Kooyman,	
                                                                                                a	great-grandfather.	“I	walk	every	
                                                                                                day,	ride	a	stationary	bike,	and	I	
                                                                                                try	to	eat	right.	It	all	makes	a	dif-
                                                                                                	 So	does	the	quality	of	care	
                                                                                                Kooyman	has	received	from	UI	
                                                                                                Heart	and	Vascular	Care	and	
                                                                                                other	UI	specialties	over	the	past	
                                                                                                two	decades.
                                                                                                	 “I	can’t	say	enough	about	
                                                                                                all	the	great	people	there,”	
                                                                                                Kooyman	says.	“They	have	the	
                                                                                                best	nurses,	ever,	and	the	doctors	
                                                                                                are	wonderful.	They’re	super	
                                                                                                people,	all	of	them.”
                                                                                                	 Kooyman’s	troubles	began	
                                                                                                in	1984	with	a	heart	attack	
                                                                                                that	went	unrecognized	for	six	
                                                                                                months	until	a	new	chest	pain	
                                                                                                episode	sent	him	to	UI	Hospitals	
                                                                                                and	Clinics.
                                                                                                	 There,	he	underwent	quad-
                                                                                                ruple	bypass	surgery.
                                                                                                	 He	got	along	well	for		
                                                               PLAYINg HIS CARDS RIgHT          14	years	until	he	required	a	
                                         Thanks to collaborative multidisciplinary heart care
                                         received over many years, John Kooyman enjoys a        second	quadruple	bypass	proce-
                                                                    vibrant, meaningful life.   dure	in	June	1998.	Six	months	

beat goes on
                                                                                                                                           Summer 2006 • PAC E M A K E R • 9

E r l i f E t h a n k s t o u i h E a r t a n d va s c u l a r c a r E E x p E r t s

       later,	he	developed	a	stomach	                                  Health,	Assessment,	Manage-                           that	people	can	lead	meaningful	
       ulcer,	an	unfortunate	complica-                                 ment,	and	Prevention	Service	                         lives,	even	in	the	face	of	debilitat-
       tion	from	the	many	medications	                                 (CHAMPS),	which	helps	patients	                       ing	heart	disease,”	Gordon	says.	
       he	was	taking.	UI	cardiologists	                                improve	their	overall	physical	fit-                   	 For	more	information,	
       found	the	right	mix	of	drugs	to	                                ness	and	measures	their	improve-                      patients	should	call	the	UI	
       control	Kooyman’s	heart	failure	                                ment	through	testing.                                 Health	Access	number	below	and	
       and	medically	control	his	stom-                                 	 Yet	another	modern	heart	                           ask	for	UI	Heart	and	Vascular	
       ach	ulcer.                                                      technology	was	required	after	                        Care.	For	consultation	or	refer-
       	 In	2003,	he	became	very	ill	                                  Kooyman	was	found	to	have	                            ral,	physicians	should	call	UI	
       with	new	symptoms	of	conges-                                    inducible	ventricular	tachycardia,	                   Consult.
       tive	heart	failure.	However,	a	                                 a	lethal	arrhythmia,	and	too	slow	                                            —Michael Sondergard
       coronary	angiography	showed	                                    a	heart	rate.
       that	a	catheter-based	interven-                                 	 UI	heart	surgeons	implanted	
       tion	would	be	extremely	risky	                                  a	pacemaker/defibrillator	device	
       and	he	was	a	poor	candidate	for	                                that	controls	his	heart	beat	and	
       a	third	bypass.	Cardiologist	Ellen	                             jump-starts	his	heart	should	it	
       Gordon,	MD,	recommended	                                        stop	beating.	But	that	step	was	                      ADvANCED TECHNOLOgIES
       medical	management,	though	                                     taken	only	after	he	first	under-
                                                                                                                             John Kooyman’s successful outcome is the
       his	treatment	was	complicated	by	                               went	prostate	surgery	made	nec-
                                                                                                                             result of specialized expertise and advanced
       low	blood	pressure	and	his	need	                                essary	by	his	history	of	urinary	
                                                                                                                             technologies, including:
       for	prostate	medication	which	in	                               tract	infections.	The	high-risk	
       itself	lowers	blood	pressure.                                   prostate	procedure	was	success-                       •    EP ablation, using a highly advanced
       	 In	consultation	with	urolo-                                   fully	completed	thanks	to	the	                             non-contact heart mapping system
       gists,	the	prostate	medication	                                 expertise	and	collaboration	of	                       •    Laser transurethral resection of the
       dosage	was	adjusted	just	enough	                                urologists	and	specialists	in		                            prostate
       to	allow	him	to	begin	taking	low	                               cardiac	anesthesia.
       doses	of	new	drugs	for	conges-                                  	 Kooyman’s	heart	rhythm	                             •    Implantable cardiac pacemaker/
       tive	heart	failure.	“These	changes	                             problem	was	resolved	with	elec-                            defibrillator
       required	our	nursing	staff	to	                                  trophysiology	(EP)	ablation,	                         •    Enhanced external counter pulsation
       make	phone	contact	several	                                     using	a	highly	advanced	non-
       times	a	week	for	several	months,”	                              contact	heart	mapping	system.
       Gordon	says.                                                    	 “Mr.	Kooyman	is	living	proof	
       	 Faced	with	worsening	
       shortness	of	breath,	Kooyman	
       received	the	benefit	of	another	                                                                             “Mr. Kooyman’s care has truly
       innovative	treatment	called	
       enhanced	external	counter	
       pulsation	(EECP).	The	
                                                                                                                     been a team effort, crossing
       technique	increases	blood	flow	
       to	the	heart	and	appears	to	
                                                                                                                     many disciplines.”
       stimulate	new	pathways	around	
       narrowed	arteries,	lowering	                                                                                  —Ellen Gordon, MD
       stress	on	the	heart.
       	 EECP	is	offered	in	conjunc-
       tion	with	the	Cardiovascular	

       Patient c a l l s f o r i n f o r m a t i o n / U I H e a l t h A c c e s s 8 0 0 - 7 7 7-8442
       Physici a n c a l l s f o r c o n s u l t a t i o n a n d s c h e d u l i n g / U I C o nsult 800-322-8442
1 0 • PA C E M A K E R • S u m mer 2006

                                                                                                                 hypErbaric thErapy hElps fami

                                                                           ALL’S WELL THAT ENDS WELL
                                                                     Amanda Dibben (far left) was the most
                                                                    affected by carbon monoxide poisoning
                                                                     but she is fully recovered. Other family
                                                                  members who received hyperbaric therapy
                                                                      were, from left: Luis Dibben, Madison
                                                                     Gritton, Lori Gritton, and Mark Gritton.

•     Only multi-patient chamber in Iowa
•     One of the few such chambers in
•     Staffed 24/7 by anesthesiologists trained
      in hyperbaric medicine and respiratory
      therapists certified in hyperbaric
•     Certified to treat 13 different diagnoses
•     Most commonly used to promote wound
•     Ongoing research studies in hyperbaric-
      related medical care

Health care professionals are invited to
register for the Iowa Conference on
Hyperbaric Applications and Treatments
on Saturday, Sept. 9, 2006, in Iowa City.
For more information or to register, call
319-335-8599 or fax 319-335-8327.
                                                                                           LOTS OF ROOM
                                                                  The hyperbaric chamber can seat up to six
                                                                   patients and two therapists on each dive.

                                                                                            THE CARE TEAM
                                                                    The hyperbaric team at UI Hospitals and
                                                                   Clinics includes anesthesiologists trained
                                                                      in hyperbaric medicine and respiratory
                                                                  therapists certified in hyperbaric medicine.

www.uih e a l t h c a r e . c o m ( s e l e c t “ S e a r c h ” a n d e n t e r “ h y p erbaric medicine”)
                                                                                                                            Summer 2006 • PACE M A K E R • 1 1

ly o f f i v E s u r v i v E c a r b o n m o n o x i d E p o i s o n i n g

      Dive! Dive!
      Mark Gritton stoked up the fireplace one more time
      before he and his wife, Lori, headed for bed.
      	 Although	it	was	cold	and	                                     MD.	The	chamber	is	a	large,	steel	           and	she	performed	well	on	a	stan-
      snowy	outside,	all	seemed	well	                                 vessel	that	administers	100	per-             dard	post-therapy	neuropsycho-
      for	them	and	for	Mark’s	two	                                    cent	oxygen	in	a	high-pressure	              logical	test.	The	test	helps	deter-
      step-children,	Luis	Dibben,	17;	                                environment.	Hyperbaric	oxygen	              mine	when	a	patient	has	received	
      Amanda	Dibben,	15;	and	his	                                     therapy	has	long	been	recog-                 enough	hyperbaric	therapy.
      daughter	Madison,	14.                                           nized	as	vital	in	resolving	critical	        	 “Carbon	monoxide	poisoning	
      	 By	5	a.m.	the	next	day,	how-                                  medical	conditions	such	as	gas	              is	especially	dangerous	because	
      ever,	Lori	was	awake	with	blurry	                               gangrene,	carbon	monoxide	poi-               the	effects	are	sometimes	
      eyed	vision,	a	racing	heart,	and	a	                             soning,	and	air	embolism.                    delayed,”	says	Shawn	Simmons,	
      feeling	of	being	cold	even	though	                              	 “The	effect	is	similar	to	a	               MD,	director	of	the	Hyperbaric	
      she	was	drenched	in	sweat.                                      deep	sea	dive,”	Ibsen	says.                  Medicine	Service.	“A	patient	
      	 “I	thought	it	was	maybe	a	                                    	 Luis	responded	well	and	                   can	appear	to	be	fine	but	later	
      stroke,”	she	says.                                              showed	signs	of	a	strong	recov-              may	demonstrate	more	severe	
      	 Meanwhile,	Mark	noticed	                                      ery.	Amanda	remained	unrespon-               symptoms.	Not	all	patients	react	
      that	Luis	was	bent	over	a	clothes	                              sive	and	was	receiving	care	in	              equally	to	the	same	exposure.”
      hamper	making	strange,	unintel-                                 the	Pediatric	Intensive	Care	Unit	           	 In	Amanda’s	case,	she	spent	
      ligible	noises.	                                                when	the	other	family	members	               eight	days	in	the	hospital	before	
      	 “I	couldn’t	get	him	to	wake	                                  arrived.	Their	hyperbaric	“dive”	            returning	home,	where	she	and	
      up,”	he	says.                                                   was	almost	completed	when	the	               the	entire	family	have	resumed	
      	 When	Lori	passed	out,	                                        session	was	stopped	so	the	family	           their	normal	lives	with	no	
      Mark—a	former	volunteer	fire-                                   could	“be	with	Amanda.”                      known	complications	from	the	
      fighter—suspected	carbon	mon-                                   	 It	signaled	the	worst	possible	            December	2005	incident.
      oxide	poisoning	from	a	prob-                                    news.	PICU	specialist	Caroline	              	 “Everybody	was	just	wonder-
      lem	in	the	fireplace	and	called	                                George,	MD,	said	Amanda	was	                 ful,”	Lori	says.	“The	respiratory	
      911.	Emergency	crews	were	on	                                   not	responding	well	and	that	                therapists	and	nurses	were	fantas-
      the	scene	within	minutes,	and	                                  she	might	not	survive.	She	                  tic.	We	were	all	in	the	best	pos-
      the	family	was	taken	to	DeWitt	                                 encouraged	the	family	to	be	at	              sible	hands.”
      Community	Hospital	for	initial	                                 Amanda’s	side,	talk	to	her,	and	             	 For	more	information	about	
      evaluation.                                                     try	to	stimulate	her	recovery.               the	Hyperbaric	Medicine	Service:
      	 Amanda	was	unconscious	and	                                   	 Prayers	were	said	and	                     •	 Visit,	
      experiencing	seizures,	making	her	                              Amanda’s	feet	and	hands	were	                     click	on	“Search,”	and	enter	
      by	far	the	most	seriously	ill	per-                              rubbed.                                           “hyperbaric	medicine”
      son	in	the	family.	She	was	quickly	                             	 The	turning	point	came	                    •	 Call	319-356-7706
      transported	by	AirCare	helicopter	                              when	Lori	reminded	Amanda	                   •	 E-mail	respiratory	therapist	
      for	specialized	care	at	University	                             that	she	was	supposed	to	pick	up	                 Sue	Mooney	at	sue-mooney@
      of	Iowa	Hospitals	and	Clinics.	                                 her	class	ring	in	a	couple	of	days.	    
      Luis	arrived	14	minutes	later	on	a	                             Remarkably,	Amanda	responded	                	 For	consultation	or	refer-
      separate	flight.                                                by	moving	her	shoulder.	It	was	              ral,	physicians	should	call	UI	
      	 Both	children	received	treat-                                 the	first	sign	that	she	was	pulling	         Consult.
      ment	in	the	hospital’s	hyperbaric	                              out	of	her	coma.                                                —Michael Sondergard
      chamber	under	the	direction	of	                                 	 The	family	was	ecstatic.	
      anesthesiologist	Merete	Ibsen,	                                 Amanda	progressively	improved	
      Patient c a l l s f o r i n f o r m a t i o n / U I H e a l t h A c c e s s 8 0 0 - 7 7 7-8442
      Physici a n c a l l s f o r c o n s u l t a t i o n a n d s c h e d u l i n g / U I C o nsult 800-322-8442
1 2 • PA C E M A K E R • S u m mer 2006

     tEEn-agEr’s unExplainEd back pain finally rEsolvEd by
                                    spEcialists at childrEn’s hospital of iowa

                                                                                        vISUAL TOUR
                                                                                        Stuart Weinstein, MD, gives Jeston Weiss an inside look
                                                                                        at his surgically repaired vertebrae.

                                                                                        Farber	decided	to	refer	Jesse	
                                                                                        to	Stuart	Weinstein,	MD,	who	
                                                                                        specializes	in	pediatric	ortho-
                                                                                        paedics	and	spinal	deformities	
                                                                                        at	Children’s	Hospital	of	Iowa,	
                                                                                        located	at	University	of	Iowa	
                                                                                        Hospitals	and	Clinics.
                                                                                        	 Weinstein	was	a	faculty	
                                                                                        mentor	to	Farber	during	his	
                                                                                        student	years	at	the	UI	Roy	J.	
                                                                                        and	Lucille	A.	Carver	College	of	
                                                                                        Medicine.	“He	was	my	inspiration	
                                                                                        and	reason	I	chose	orthopaedics	
                                                                                        as	my	specialty,”	Farber	says.
                                                                                        	 Consistent	with	previous	imag-
                                                                                        ing	attempts,	MRI	scans	revealed	
                                                                                        nothing	unusual.	But	then	a	
                                                                                        second	look	using	computed	
                                                                                        tomography	(CT)	identified	the	
                                                                                        culprit.	Jesse	had	a	nonmalignant	

                                    Pain-free, at last
                                                                                        osteoblastoma—a	non-cancerous	
                                                                                        tumor—resting	in	an	unusual	
                                                                                        place	inside	his	vertebrae.
                                                                                        	 The	Weiss	family	was	both	
                                                                                        shocked	by	the	diagnosis	and	
                    Eighteen months of constant, stabbing back pain.                    relieved	to	finally	know	what	was	
                                                                                        going	on.	During	a	complex,	
                                                   	 That’s	what	Jesse	Weiss	           four-hour	surgical	procedure	to	
                                                   remembers	most	about	his	12th	       fix	the	problem,	Weinstein	used	
                                                   and	13th	years	of	life.	The	Polk	    a	small	piece	of	Jesse’s	upper	left	
                               Jesse’s tumor       City,	Iowa,	youngster	visited	doc-   rib	to	fill	the	vacant	space	cre-
                                                   tors	and	took	the	prescribed	pain	   ated	by	the	tumor.	Since	then,	
                         behaved like a pearl
                                                   medications,	but	the	problem	        Jesse	has	fully	recovered	and	is	
                              inside a clam,       persisted.	X-rays	revealed	a	spi-    back	to	living	a	normal	life.
                        growing a hard shell       nal	curvature	but	the	curvature	     	 “It’s	like	a	miracle,”	Tracee	
                                                   alone	didn’t	explain	the	pain.       says.	“It	couldn’t	have	turned	
                                 as it rotated
                                                   	 “If	the	medications	wore	off,	     out	better.”
                        inside the vertebrae,      his	pain	would	go	out	of	control	    	 For	more	information	about	
                           causing the pain.       and	he	would	hyperventilate,”	       spinal	problems	in	children,	
                                                   says	his	mother,	Tracee.             call	UI	Health	Access	and	ask	
                                                   	 Jesse’s	physician,	Stephen	        for	Stuart	W.	Weinstein,	MD.
                                                   Nowak,	MD,	of	Ankeny,	referred	      	 For	consultation	or	refer-
                                                   him	to	orthopaedic	specialist	       ral,	physicians	should	call	UI	
                                                   Jeffrey	Farber,	MD,	of		             Consult.
                                                   Des	Moines.	Because	of	the	                                      —Michael Sondergard
                                                   extreme	complexity	of	the	case,	

www.uih e a l t h c a r e . c o m
                                                                                                                Summer 2006 • PACE M A K E R • 1 3

‘Baby step’
forward for breast                             UI Health Care Research
cancer prevention
	 One	of	the	largest	                          Better care for babies
breast	cancer	prevention	
studies	ever	conducted	                            Children’s	Hospital	of	Iowa	has	long	played	a	leading	role	in	pushing	the	
shows	an	osteoporosis	                         boundaries	of	better	care	for	premature	and	critically	ill	newborn	babies.
drug	has	fewer	side	                               Now	that	role	will	be	broadened	and	enhanced	
effects	and	is	as	effective	                   thanks	to	the	National	Institute	of	Child	Health	
as	tamoxifen	in	prevent-                       and	Human	Development,	a	part	of	the	National	
ing	breast	cancer.                             Institutes	of	Health.
	 Results	released	in	                             The	institute	recently	added	the	Neonatal	
April	2006	show	ralox-                         Intensive	Care	Unit	at	Children’s	Hospital	of	Iowa	to	
ifene,	used	to	prevent	                        a	network	of	16	leading	research	centers	that	jointly	
and	treat	the	bone-thin-                       investigate	the	safety	and	effectiveness	of	care	pro-
ning	condition,	works	                         vided	to	premature	and	critically	ill	newborns.
as	well	as	tamoxifen	in	                           The	selection	includes	a	five-year,	$1.37	million	
reducing	breast	cancer	                        award.
risk	for	postmenopausal	                           Edward	Bell,	MD,	said	the	network	focuses	on	questions	that	take	a	large	
women	at	increased	risk	                       number	of	patients	enrolled	in	a	study	to	answer.	“The	most	important	new	
of	breast	cancer.                              therapies	are	evaluated	in	multi-center	trials,”	he	explained.
	 The	nationwide	                                                                                                             —Andrea Schreiber
study,	which	included	
202	women	enrolled	by	
The	University	of	Iowa	                        TRI aLS oPEN T o P a T I E N T S
at	six	sites,	showed	both	
tamoxifen	and	raloxi-                          Bird flu vaccine
fene	reduced	the	risk	of	                                men and women age 65 and older are invited to participate in a national study
developing	invasive	                                     on the effectiveness and safety of different dosages of avian (bird) flu vaccine
breast	cancer	by	about	
                                                         and the potential of a certain additive to increase vaccine effectiveness. the
50	percent.
                                                         vaccine does not include live avian flu virus, but an inactive form that does not
	 Women	assigned	to	
                                                         cause disease yet may stimulate an immune response. the study covers the
take	raloxifene	also	had	
36	percent	fewer	uterine	                                cost of all required tests and exams. compensation is available.
cancers	and	29	percent	                                  •	 PRINCIPAL	UI	INVESTIGATOR:	Patricia winokur, md
fewer	blood	clots	                                       •	 FOR	MORE	INFORMATION: call 319-384-7245 or 319-384-9569 between
than	women	assigned	                                         8 a.m. and 5 p.m. monday through friday
	 “Ultimately,	if	we	
can’t	find	a	fix	for	                          Depression and emotion
breast	cancer,	maybe	we	                                 volunteers are invited to participate in a research project studying emotions of
can	find	a	prevention,”	                                 persons with and without a history of depression. the study will enroll volun-
said	Mark	Karwal,	MD,	                                   teers between the ages of 18 and 90 who have never had depression, who are
a	University	of	Iowa	
                                                         currently feeling depressed, or who have had a history of depression but are
co-investigator	on	the	
                                                         currently not feeling depressed. the study requires three visits to university of
study.	“This	is	one	of	
                                                         Iowa Hospitals and clinics. compensation will be provided.
those	baby	steps.”
                         —Tom Moore                      •	 LEAD	UI	INVESTIGATOR:	Sergio Paradiso, md, Phd
                                                         •	 FOR	MORE	INFORMATION: call 800-777-8442 and ask for erika Holm in
                                                             psychiatry, call Holm directly at 319-353-8514, or e-mail her at

Patient c a l l s f o r i n f o r m a t i o n / U I H e a l t h A c c e s s 8 0 0 - 7 7 7 -8442
Physici a n c a l l s f o r c o ns u l t a t i o n a n d s c h e d u l i n g / U I C o nsult 800-322-8442
 1 4 • PA C E M A K E R • S u m mer 2006

  w o R T H Recent media quotes from
q u o T I N G experts within UI Health Care

                         Malik Juweid, MD
                         Innovations Report
                         a limitation of current cancer care is the difficulty of quickly assessing
                         how well a therapy is working. However, expanding the use of
                         existing positron emission tomography (Pet) technology can provide
                         early and accurate assessment of a tumor’s response to a particular
                         therapy, allowing physicians to better tailor a patient’s treatment,
                         according to Juweid, associate professor of radiology at university
                         of Iowa Hospitals and clinics. the article cited an item co-written
                                                                                                      Newsletter gives
                         by Juweid in the New England Journal of Medicine which outlined              physicians bite-size
                         the advantages and limitations of Pet imaging in assessing cancer            ‘news they can use’
                         therapy. the article suggested that increasing the role of Pet imaging
                         has the potential to further improve cancer care management.                       university of Iowa
                                                                                                      Hospitals and clinics
                         Moshe Wald, MD                                                               recently launched a new
                                                                                                      publication specifically
                                                                                                      targeted to physicians,
                         a new tool developed at university of Iowa Hospitals and clinics
                                                                                                      called UI Consult.
                         helps experts better predict outcomes of specific infertility treat-
                                                                                                            the quarterly
                         ments, allowing the doctor to choose the treatment method most
                                                                                                      publication’s title mirrors
                         likely to help the couple achieve pregnancy, according to the medical
                                                                                                      the name of the hospital’s
                         breakthroughs web site. the computation model, created by wald,
                                                                                                      24-hour uI consult
                         assistant professor of urology, applies when a woman’s own eggs
                                                                                                      physician consultation and
                         can be used for an advanced form of in vitro fertilization, intracy-
                                                                                                      referral service.
                         toplasmic sperm injection. the model considers the woman’s age,
                                                                                                            the newsletter
                         factors that cause the man’s infertility, the choice of three different
                                                                                                      provides updates on new
                         sperm retrieval methods, and the choice of using fresh or frozen
                                                                                                      faculty, services, and
                         sperm. wald said the model was designed because it is difficult to
                                                                                                      initiatives that are part
                         predict whether pregnancy will be achieved for couples when differ-
                                                                                                      of the hospital’s ongoing
                         ent factors are at play. Physicians needed a technique to help them
                                                                                                      commitment to enhance
                         plan the best approach and counsel the patients appropriately.
                                                                                                      its services. topics
                                                                                                      covered in the first issue
                         Stuart Weinstein, MD                                                         included ultrafiltration for
                         New York Times                                                               heart patients and the
                         the american medical association has signed a pact with congress             hospital’s admission and
                         promising to develop more than 100 standard measures of perform-             bed Placement center.
                         ance, which doctors will report to the federal government in an effort             Physicians who
                         to improve the quality of care. the deal comes as the bush admin-            would prefer to see the
                         istration pushes “pay for performance” arrangements with various             issue online rather than
                         health care providers in an effort to publicize their performance and        receiving it by mail in
                         link medicare payment to quality. and it mirrors efforts in the private      paper format should
                         sector, where consumer groups, insurance companies, and large                send an e-mail request
                         employers who pay for health care are demanding more informa-                to clancy-champanois@
                         tion on the quality of care. but weinstein, an orthopaedics profes-
                         sor at university of Iowa Hospitals and clinics and president of the               online subscribers
                         american academy of orthopaedic Surgeons, said the timetable                 will receive e-mail
                         endorsed by the ama and congressional leaders was unrealistic.               notification when future
                         “Performance measures need to be developed by specialty societies,           issues are posted at
                         then tested and validated, to confirm that they really affect patient
                         care in a positive way,” he said.                                            uiconsult.
                                                                                                              Summer 2006 • PACE M A K E R • 1 5

News from UI Health Care
 Modern research                                                                                              w oR T H No T I N G
 landmark                                                                                                     Zuhair K. Ballas, MD, chaired
 	 The	new	$43	mil-                                                                                           the program committee for the
 lion	Carver	Biomedical	                                                                                      2005 and 2006 annual meet-
 Research	Building	fea-                                                                                       ings of the American Academy of
 tures	five	floors	of	mod-                                                                                    Allergy, Asthma and Immunology.
 ern	research	laboratory	                                                                                     Kevin Campbell, PhD, a Howard
 suites	and	an	enhanced	                        Light ‘em up? Not at the hospital                             Hughes Medical Institute investiga-
 nuclear	magnetic	reso-                         	 As	part	of	a	commitment	to	reduce	the	risks	of	             tor, has been elected a Fellow of
 nance	imaging	facility,	                       second-hand	smoke	for	patients,	visitors,	faculty,	           the American Academy of Arts and
 making	it	a	landmark	                          and	staff,	University	of	Iowa	Hospitals	and	Clinics	          Sciences. Emory Warner Clinical
 center	for	the	latest	                         is	becoming	a	smoke	free	campus	effective	July	1,	
                                                                                                              Laboratories at UI Hospitals
 biomedical	research.	                          2006.	The	policy	updates	and	expands	a	no-smok-
                                                                                                              and Clinics received accredita-
 Dedication	ceremo-                             ing	policy	dating	to	the	1990s.	The	updated	policy	
                                                                                                              tion from the College of American
 nies	were	held	March	                          prohibits	smoking	in	any	part	of	the	building,	in	the	
 31,	2006.	UI	president	                        parking	ramps	designated	primarily	for	hospital	use,	         Pathologists. James Folk, MD,
 David	Skorton,	MD,	                            and	anywhere	on	grounds	maintained	by	hospital	               and Mark Wilkinson, OD, pub-
 said,	“The	discoveries	                        staff.	The	policy	reflects	UI	Hospitals	and	Clinics’	         lished a book, Protect Your Sight:
 made	here	will	help	                           commitment	to	health	and	cooperation	with	the	                How to Save Your Vision in the
 improve	the	lives	of	peo-                      Iowa	Hospital	Association,	which	recommended	                 Epidemic of Age-Related Macular
 ple	around	the	world.”                         that	all	its	members	create	smoke	free	campuses.              Degeneration, portions of which can
                                                                                                              be viewed free in electronic form at
 New home for Mothers Milk Bank                                                                               sight/. Pursuing Excellence, the
 	 A	new	collaboration	with	Children’s	Hospital	of	Iowa	will	strengthen	and	                                  UI Hospitals and Clinics’ Annual
 sustain	the	Mothers	Milk	Bank	of	Iowa,	which	provides	human	milk	to	infants	                                 Report for FY 2003-04, received
 when	maternal	milk	is	unavailable.	Daily	Milk	Bank	operations	will	be	relo-                                  an Award of Distinction from the
 cated	from	the	Oakdale	campus	to	the	Department	of	Food	and	Nutrition	                                       Group on Institutional Advancement,
 Services	at	University	of	Iowa	Hospitals	and	Clinics.	A	Milk	Bank	advisory	                                  Association of American Medical
 board	will	be	created	to	enhance	the	Milk	Bank’s	regional	reputation	and	                                    Colleges. Satish Rao, MD,
 establish	a	firm	support	platform.                                                                           PhD, received the 2006 American
                                                                                                              Gastroenterology Association
                                                                                                              Masters Award in Gastroenterology.
                                                Facial plastic surgery program grows
                                                                                                              val Sheffield, MD, and Ed
                                                	 The	finishing	touches	are	nearly	complete	on	               Stone, MD, received a patent for
                                                a	remodeling	project	within	University	of	Iowa	               “Identification of a Gene Causing
                                                Hospitals	and	Clinics	that	reflects	a	higher	empha-
                                                                                                              the Most Common Form of Bardet-
                                                sis	on	elective	plastic	surgery.	“We	are	committed	
                                                                                                              Biedl Syndrome and Uses Thereof.”
                                                to	providing	people	with	expert	plastic	surgery	for	
                                                                                                              Deborah Thoman, compliance and
                                                those	who	choose	this	route,”	says	Grant	Hamilton,	
                                                                                                              privacy officer, was invited to serve
                                                MD,	UI	Facial	Plastic	Surgery,	an	assistant	profes-
                                                sor	in	the	department	of	otolaryngology.	Hamilton	            on the 2006 board of examiners
                                                received	his	medical	degree	and	fellowship	training	          for the Malcolm Baldrige National
                                                in	facial	plastic	and	reconstructive	surgery	from	the	        Quality Award. Eva Tsalikian, MD,
                                                University	of	Illinois.	For	more	information,	call	           was elected to a three-year term as
                                                UI	Health	Access	and	ask	for	the	UI	Facial	Plastic	           Chief of Staff at UI Hospitals and
                                                Surgery	clinic,	or	call	319-356-3600.                         Clinics.

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PACEMAKER presents news and information
about medical advances and health care services
available through university of Iowa Health care, the
partnership between uI Hospitals and clinics and the
                                                                         Q and A
uI roy J. and lucille a. carver college of medicine.
recipients include referrers, health care consumers                      oNE- oN- oNE wITH M aRk a NDERSo N, MD, PHD
and professionals, friends, and alumni. PACEMAKER
is produced quarterly by the Joint office for marketing                  uI PoTTER-LaMBERT CH aIR IN Ca RDIoLoGY
and communications, e110 GH, 200 Hawkins drive,
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change your mailing address, write to the address listed                 What are your plans for enhancing UI cardiology services?
immediately above, call 319-356-7123, send e-mail to, or use our online mailing links.                        we at uI Heart and vascular care are very focused on
On the Web
See PACEMAKER and take our online reader survey at
                                                                             improving our relationships with cardiology colleagues around
                                                                             the state. In fact, we have a new plan that allows us to continue providing
Director and CEO, University of Iowa Hospitals
and Clinics
    donna Katen-bahensky
                                                                             outstanding cardiology care while promoting more consistent staffing at our
Dean, UI Carver College of Medicine                                          outreach site, and improving communications with referring physicians. we also
   Jean robillard, md

Co-Directors, JOMC
                                                                             are recruiting an outstanding leader for our Heart failure and transplant Service.
   diana lundell
   Stacy mcGauvran-Hruby                                                     this person will be a vital addition to our staff, in part because we are the only
    michael l. Sondergard
                                                                             hospital in Iowa that can deliver advanced heart failure therapies such as heart
Photography                                                                  transplant and ventricular assist devices (artificial hearts). we are also recruiting
   doug benton, fisheye, Hiawatha, Iowa
   rita liddell, Jomc photo coordinator                                      new and highly qualified arrhythmia (irregular heart beat) specialists.
   Susan mcclellen, creative media Group

   benson & Hepker design, Iowa city, Iowa

Caring Fund
                                                                         What are the most promising new technologies in cardiology?
Private contributions can give hope to those whose
lives are touched by illness, disease, or injury.
                                                                             uI Heart and vascular care has a great track record of translating scientific
your contribution can help us deliver the best pos-
sible health care by supporting programs such as                             advances into clinical therapies that prolong and improve the lives of Iowans with
children’s Hospital of Iowa, Holden comprehensive
cancer center, and uI Heart and vascular care; or
ensuring that the university of Iowa Hospitals and
                                                                             heart disease. Some of today’s most promising “technologies” include:
clinics continues to maintain its world-class facilities.
to learn more, contact Sheila baldwin, university of
                                                                             • New drugs for slowing or preventing the progression of coronary artery and
Iowa foundation, at 800-648-6973, 319-335-3305, or or give online by                                      non-coronary artery vascular disease
visiting our web site at http://www.uifoundation.
org/hospitals.                                                               • ventricular assist devices
                                                                             • Implantable pacemakers and defibrillators to improve heart function in
the university of Iowa prohibits discrimination in employment and
in its educational programs and activities on the basis of race,
national origin, color, creed, religion, sex, age, disability, veteran           selected heart failure patients
status, sexual orientation, gender identity, or associational prefer-
ence. the university also affirms its commitment to providing
equal opportunities and equal access to university facilities. for           • life-saving “shocking” pacemakers that rescue patients from sudden
additional information on nondiscrimination policies, contact the
coordinator of title IX, Section 504, and the ada in the office of
equal opportunity and diversity, 319-335-0705 (voice) or 319-335-                cardiac death
0697 (text), 202 Jessup Hall, the university of Iowa, Iowa city,
Iowa, 52242-1316.
                                                                             • catheter-based repairs of atrial septal heart defects that allow patients to be
ÁPrinted on recycled paper
                                                                                 cured without surgery
                                                                             • drug-eluting stents for coronary artery disease that keep blocked heart
                                                                                 arteries open longer to reduce chest pain
ExCELLENT SERvICE                                                        IN THE NE xT Pa CEMak ER:
ExCEPTIoNaL ouTCoMES                                                     Learn more about four-dimensional cancer imaging at UI Hospitals and Clinics
•	 First	hospital	in	Iowa	to	                                            university of Iowa Health care                                          Nonprofit organization
   receive	Magnet	Award	for	                                             Joint office for marketing and communications                                    u.S. Postage
   Nursing	Excellence                                                    200 Hawkins drive, e110 GH                                                               PaId
                                                                         Iowa city, Ia 52242-1009                                                   Permit Number 45
•	 Consistently	ranked	among	                                                                                                                                 Iowa city
   “America’s	Best	Hospitals”	
   by	U.S.News
   & World Report

•	 Home	of	150	“Best	Doctors	
   in	America ”              ®

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