"Plans For New Hospital Move Ahead"
L E B O N H E U R PEDIATRICPlans For New Hospital Move Ahead notes Expect to see changes on Poplar Avenue with the most technologically advanced this fall, as Le Bonheur makes way to build hospital in the region. The 12-floor facility itself a new hospital. will be dedicated to family-centered care and Demolition of the old Memphis will include large, single patient rooms, Mental Health Institute is scheduled family lounges and abundant natural light. to begin Nov. 1 – a process that will Specifically, the hospital will have 144 take three months and lead to the medical surgical beds, more than 30 groundbreaking of a new Neonatal Intensive Care Unit beds, 20 Le Bonheur on Valentine’s Day in Pediatric Intensive Care Unit beds and 10 February 2008. Cardiovascular Intensive Care Unit beds. It Once the construction gets will have an expanded Emergency underway, it should take 30 months Department, 12 operating rooms with the to construct the new hospital, expansion capability for 14 beds, and according to Le Bonheur construc- expansion capabilities for additional ICU and tion officials. The grand opening is medical surgical beds. scheduled for summer 2010. Moreover, the hospital’s existing lobby “We have a great commitment to the and cafeteria will become a state-of-the-art project and to creating a great patient- and conference and education center that family-centered facility,” said Dave includes a medical library. The current West Rosenbaum, Le Bonheur’s vice president of Patient Tower will include a sleep lab, building projects. “We are dedicated to dialysis, hospital laboratory and two and a creating a state-of-the-art platform that is half floors of research space. flexible to grow with clinical needs.” Renovation of the old facility and When finished, the new Le Bonheur will construction of a new parking garage is encompass a 1-million-square-foot campus scheduled for 2011. Stokes Named Pulmonology Chief Dr. Dennis Stokes has been named the St. Jude from 1982- new chief of pulmonary medicine at 1990 and served at Le Bonheur Children’s Medical Center. Vanderbilt He comes to Memphis with a passion to Children’s Hospital provide “legendary service” to patients and from 1990-2000. A families who seek care at Le Bonheur – par- native of western ticularly in the area of pulmonary medicine. Kentucky, Stokes He joins Le Bonheur’s two other experienced completed his pediatric pulmonologists, Drs. Robert pediatric training at Schoumacher and James Tutor. The Johns Hopkins september 7 In particular, he’s interested in building a Hospital, where he program that spans both St. Jude Children’s was a chief resident. 200 Research Hospital and Le Bonheur, providing He completed his Dennis Stokes, M.D. care to both patient populations. As a fellowship in pedi- Pediatric Notes is a quarterly physician, his interests include care improve- atric pulmonary diseases at Children’s publication for the medical staff of ment in cystic fibrosis and asthma. Hospital Boston and has also worked at Riley Le Bonheur Children's Medical Center, “You can’t live in Memphis and not Hospital for Children. Most recently, he tackle asthma as a problem. Asthma is a served at Children’s Hospital of Dartmouth in produced by Le Bonheur Marketing huge problem in large urban areas like New Hampshire. & Communications Services. Memphis,” Stokes said. “Working Service to patients, families and referring collaboratively together with other physicians, great research, scholarship and caregivers to improve asthma outcomes is teaching will be the foundation of the Please submit comments the right thing to do for this community.” pulmonary division, he said. or story ideas by calling 287-6030. Stokes received his master’s degree in “However my primary goal is for us to public health in 2007, after working many provide legendary service,” Stokes said. “We years on epidemiology and quality improve- will call on regional physicians to help us Nellann Mettee, Editor ment for chronic illnesses like asthma. develop innovative new clinical programs Memphis and West Tennessee are areas that serve their patients better.” Jennilyn Utkov, Adviser that Stokes knows well. He practiced at The pediatric affiliate of The University of Tennessee Health Science Center Physician & Referral Services physician Emmett Bell, M.D. Help Physicians S P O T L I G H T Stay Connected, Closest To His Heart Informed Le Bonheur’s First Resident, Dr. Emmett Bell, Continues Passion To Serve Children With baby food on toast for dinner and an upstairs bed to sleep in, Dr. Emmett Bell called Le Bonheur Children’s Medical Center home. As the hospital’s first resident physician in the mid 1950s, Bell has the kind of soulful tie to Le Bonheur that few understand. For him, it really is home. It’s a place where sick children are – and always were – welcome, no matter what. The Katina Clear (left) and Cheryl institution that started his long career of Wilkinson caring for Memphis children. The spot that has defined his life for more than half a century Emmett Bell, Jr., M.D. When patients are admitted “The closest thing to my heart, I guess, to Le Bonheur Children’s Medical is Le Bonheur,” said Dr. Bell. “ Center, it doesn’t take long for Today, Bell still sees about 75 children each Cheryl Wilkinson and Katina Clear week out of his Memphis Children’s Clinic The closest thing to to hear about it. office. He went there, he says, to retire. But The pair of Physician and parents couldn’t bear that prospect. And my heart, I guess, is ” Referral Services representatives makes it their business to ensure fellow physicians still needed his advice. And so, at 84, he still makes it to work each Le Bonheur. primary care physicians stay con- morning. nected to their patients – through - Dr. Emmett Bell He’d never want it any other way. admittance, transfer and discharge notices, periodical progress reports “It was my life …” Children’s Research Hospital, Variety Club’s and a connection to attending Since he was a young boy scout, Emmett Hospital for Convalescent Children and for physicians caring for their patients. Bell knew he wanted to be a pediatrician. uninsured children at Baptist Memorial “Our service tries to keep the Before he could go to medical school, though, Hospital. doctor informed of what is going he would go to World War II. At 19 years old For more than 30 years, Drs. Paul and Bell on with the patient,” said he got his first taste of being a “doctor” as a worked together treating some of the sickest Wilkinson, a 27-year veteran of hospital corpsman on a Navy ship out at sea. children in Memphis. In that time, he held Le Bonheur who handles reports With boot camp and medical corpsman numerous roles at Le Bonheur – including chief for the Neonatal Intensive Care training under his belt, Bell spent four years of medicine, chief of staff, chairman of the Unit, Pediatric Intensive Care Unit, treating soldiers for colds, ear infections and credentialing committee, member of the Transitional Care Unit, Special Care the occasional appendicitis. medical ethics committee and consultant for Unit and new Infant Care Unit. He then went back to his Nashville home the division of cardiology. He also started the “It helps with continuity of to earn his undergraduate degree, before physician well-being committee, was care,” Wilkinson said. moving to Memphis to attend medical school appointed a clinical professor of pediatrics at Wilkinson keeps primary care at the University of Tennessee Health Science UTHSC and received the 2001 Etteldorf physicians up to date on the Center. He never left. Pediatric Alumni Award. progress of their patients to keep After an internship at the former John Those accomplishments, and his role as the them informed – even when they Gaston/City of Memphis Hospital and a first resident of Le Bonheur, bring him great cannot be there to care for the residency at John Gaston and Le Bonheur, Bell pride. child. The service is particularly developed an interest in pediatric cardiology. “It was my life,” he said of Le Bonheur. helpful for those patients who’ve He then received a grant from the National “Nothing can make you feel more special than come to Memphis for specialized Heart Institute and completed a fellowship in saving a baby’s life.” care, and left their primary the specialty at Le Bonheur. In 1957, he went health-care provider back home. into practice with Dr. Ray Paul, treating “I can hardly wait …” Clear, meanwhile, handles children with heart problems. The two were At age 84, Bell is still saving babies’ lives. admissions, progress reports, the first to perform heart catheterizations on He moved to general pediatrics practice at transfers and discharges for every children in Memphis. During that time, he also Memphis Children’s Clinic in 1989, when his other patient from Le Bonheur’s served as a cardiac consultant for St. Jude associate, Dr. Paul, retired. secondary and tertiary markets He sees patients every weekday morning a admitted into the hospital. She’s the clinic, and finds his experience can calm been in the role since December. upset mothers still learning how to raise “We provide an extra security babies and assist fellow physicians who rely on net for follow-up care,” Clear said. him for help with puzzling cases. Since December, she’s communi- One of his greatest links to Le Bonheur cated with primary care physicians today is his son, Emmett Bell III, who works as for more than 1,600 patients. the hospital’s executive chef – carrying on the In addition, Physician and tradition of Bell men and Le Bonheur. Referral Services also can help Though Dr. Emmett Bell has considered schedule appointments for retirement a few times, it’s doubtful he’ll slow patients to see specialists, Clear down any time soon. The children he sees each said. day are just too important to him. For more information about “Children know immediately whether you Le Bonheur’s Referral & Resource Dr. Bell performs a heart catheterization on a patient during the 1970s. love them,” said Bell. “I can hardly wait to get Center, call 1-866-870-5570. back here on Monday morning to see the kids.” 2 Expanded, Enhanced Care Come With Conference To New Pediatric Neurologists Focus On Acute Two new pediatric neurologists have Tupelo joining Dr. Ahmad Al Hamda in serving & Emergency landed in Memphis. Together, they’ll help children of North Mississippi. They will work in Pediatric Care Le Bonheur expand care to children with a new clinic established in Tupelo, Miss., at neurological problems. North Mississippi Medical Center. Methodist Le Bonheur Drs. Kathryn McVicar and Robin Morgan Dr. Morgan will also work from UT Medical Healthcare will sponsor the have joined UT Medical Group Inc. McVicar has Group Inc.’s office in Germantown one day a “Update in Acute & Emergency a special interest in week. Care Pediatrics” conference on the field of autism, A Holly Springs, Miss., resident, Morgan has Oct. 5-6 at the Peabody Hotel in language regression, interests in tic disorders/Tourette Syndrome, has downtown Memphis. The educational forum will and their possible worked with many autism patients in Colorado, feature a combination of lectures interaction with and has also started working in the neonatal and a hands-on simulation immunology. Dr. neurology area after seeing a need for it here. workshop, to assist all levels of Morgan will be Morgan comes to Le Bonheur from Denver pediatric providers, from the expanding care to Children’s Hospital, where she served as an office-based pediatrician and Northern Mississippi assistant clinical professor in the department of family practitioner to emergency and in neonatal pediatrics at the University of Colorado. She physicians, physician extenders, neurology here at also worked in private practice in adult and nurses and EMS professionals. The Kathryn McVicar, M.D. LeBonheur. pediatric neurology in Colorado Springs, Colo. emphasis is on sharing practical McVicar comes to She completed her neurology residency clinical information on urgent and Memphis from Montefiore Medical Center, and fellowship training at the Medical College emergent pediatric issues, in a Albert Einstein College of Medicine in New of Virginia, followed by a pediatric residency at relaxed atmosphere designed to York, where she served as an attending the University of Colorado Health Science encourage audience participation. physician after completing her fellowship in Center. She is board certified in neurology with Topics include goal-directed clinical neurophysiology. She completed her a special qualification in child neurology. therapy in shock, the difficult pediatric airway, newborn residency at Babies and Children’s Hospital of After she and her husband made the resuscitation, cardiac emergencies New York and Children’s Hospital of New York decision to move to in infancy, current strategies in at Columbia University. Holly Springs, Morgan pain management, “tricks of the “I was attracted to Memphis because it’s an said she contacted trade,” common skin rashes, an opportunity to build a strong autism research Dr. James Wheless, update on AOM-sinusitis-pharyngi- program,” McVicar said. “We’re on the frontier, medical director of tis, pediatric pre-hospital much as children’s cancers were 30 years ago. Le Bonheur’s initiatives, common sports injuries, Families are extremely vulnerable. There is no Neuroscience Institute. pitfalls during interfacility universally agreed upon treatment for autism “We have the potential transport, strategies to improve so they are left trying to decide what to do.” in Memphis to really patient safety and customer She’ll work with Dr. Fred Perkins in her have one of the premier satisfaction, and much more. studies of autism. neuroscience institutes,” Dr. Jay Pershad of Le Bonheur While McVicar studies autism in Memphis, Morgan said. Robin Morgan, M.D. Children’s Medical Center’s Dr. Robin Morgan will spend part of her time in Emergency Department will serve as course director. The conference will showcase several members of Campaign Gives Physicians Chance to Le Bonheur’s dynamic faculty. This sixth annual meeting is a Step Up, Help Build New Le Bonheur result of collaboration between the Children’s Hospitals of Tennessee (CHAT) and is In many ways, Dr. Robert Riikola has grown have a chance to contribute and be part of a co-sponsored by the Tennessee up at Le Bonheur Children’s Medical Center. significant gift. Chapter of the American Academy The hospital and its children have been The physician’s campaign is part of the of Pediatrics (TNAAP) and with him for 35 years and played a major part Foundation’s work to raise $100 million in Tennessee Emergency Medical in his medical life. So private funds to help pay for the new $327 Services for Children (TN-EMSC). it only made sense million facility. The Physicians’ Campaign The conference coincides with that he and his Committee, of which Riikola is a member, “Rollin on the River,” an evening colleagues would hopes physicians can help raise $5 million for of fun, music, food, entertainment contribute to the the new Le Bonheur. So far, they have and auction at The Cadre Building physician’s campaign contributed $509,000 to the campaign. on Friday, Oct. 5, from 6:30-9:30 to build a new Besides being a pediatrician, Riikola is also p.m. The Cadre Building is located Le Bonheur. “There’s a grandfather of four – and sees Le Bonheur at 140 Monroe St., one block from no question that as a place his family needs, not just his patients. The Peabody Hotel. pediatricians should Two of those grandchildren live in Memphis, Proceeds will benefit be at the forefront of and one had a significant surgical procedure Le Bonheur Children’s Medical Robert Riikola, M.D. asking for a state-of- at Le Bonheur. Center and TN-EMSC. art hospital to meet “We have significant pediatric subspeciali- For more information call the needs of the children in this community,” ties in the hospital and a strong general pedi- 901-516-8933 or register online at Riikola said. “You can’t ask for others to atric community. To practice optimal pediatric www.methodistmd.org. A copy of support without giving. You need to step up care, we need optimal facilities.” Riikola said. the conference’s brochure is also and do your part.” To contribute to Le Bonheur’s physician available at ww.lebonheurmd.org. Riikola and his colleagues at Memphis campaign, contact Development Director Children’s Clinic are giving a group gift. That Shelby Terry at 287-6308. way, even new pediatricians with student debt 3 T E C H N O L O G I C Second MRI Machine Expected To Reduce Wait Times The addition of a second MRI machine appointment, Skelley said. She anticipates at Le Bonheur should dramatically reduce a dramatic reduction in those wait times the time it takes to make an appointment with the additional machine. for a scan. In addition, the $3 million machine is The new 3 Tesla GE Excite HDx MRI – expected to scan faster, provide clearer which came online in August – will support images and set a new standard for scans at neurosurgical and cardiac programs at the the hospital. hospital and provide a greater level of In particular, the MRI’s higher contrast detail and higher resolution compared to will provide better differentiation of the older machines. brain and tumors, Skelley said. In fact, the “Physicians should be able to get their 3T model is now considered the standard patients scheduled much sooner,” said for neurological imaging. Geri Skelley, Director of Radiology for Dr. James Wheless, director of Le Bonheur. Currently it can take up to six Le Bonheur’s Comprehensive Epilepsy Le Bonheur MRI tech Jeff Jenkins prepares weeks to schedule an outpatient Program and Neuroscience Institute, said 15-year-old Argentina Childress for a MRI scan. the new 3 Tesla MRI machine will allow The hospital began using an additional MRI the institute to “continue to be on the last month. cutting edge of technologic advances in most efficiently used in regard to patient diagnostic imaging.” flow. A new section within the radiology “Le Bonheur is one of a few in the department has been built to house the entire Mid-South region with this machine and two new recovery bays have advanced imaging capability,” Wheless been added to accommodate patients. said. “This will allow us to provide higher “At Le Bonheur, we care for specialized quality images of children’s brains, and pediatric cases everyday,” Skelley said. “In improved diagnostic accuracy. This will our Radiology department, we are able to further establish LeBonheur’s role as the provide both the clinical expertise and best facility in the region performing MRIs comfort that is required to diagnose on children.” children.” Meanwhile, Skelley says her department has outlined plans to optimize Le Bonheur’s new 3 Tesla GE Excite HDx MRI the use of both MRIs, ensuring they are Hospital Adds New Cardiac Technology Non-invasive INVOS 5100C System to increase care for critical heart patients Le Bonheur recently added the INVOS ed that a decline in rSO2 values of greater alerts the team members of a potential 5100C System by Somanetics to its list of than 20 percent from baseline or absolute problem much earlier,” said Dr. Cabrera. top-tier cardiac technology. This system is values of less than 50 are associated with “This has not been as easily possible in the used to measure continuous regional decreased cognitive function and past, as it required placement of invasive oxygen saturation through near-infrared prolonged ICU stay. Such a sharp decline catheters and lines inside the heart, veins spectroscopy. The regional oxygen from a baseline measurement or a low or pulmonary arteries. We have acquired saturation readings, both brain and body, absolute value may affect long-term one monitor for each CVICU bed to are immediate indications of a change in neurological outcome. provide the best possible care for our the critical balance between oxygen As many as 50 percent of newborns patients.” delivery and oxygen expenditure. undergoing cardiac surgery on The process is a non-invasive way of cardiopulmonary bypass (CPB) are at risk measuring the relationship between mixed for postoperative brain injury. Therefore, a arterial and venous blood (rSO2) to show monitor that allows clinicians to follow changes in cardiac output when titrating trends in cerebral oxygenation could medications, performing procedures or identify critical periods associated with weaning ventilation support. After initially inadequate oxygenation, which in turn being utilized in the operating rooms, it is could lead to early interventions to now increasingly being used as a minimize such periods. non-invasive method to monitor regional The efforts to bring this technology oxygen saturations during the post-opera- to Le Bonheur were made primarily by tive period after cardiac surgery; and some Dr. Antonio Cabrera, medical director of experts have suggested that rSO2 should the CVICU service. be routinely used to guide therapy to “Continuous visibility of cerebral and minimize periods of low oxygen delivery. somatic oxygen saturation levels allows Young Khristian Lowe is treated with the INVOS Clinical studies in adults have suggest- individualized patient care in real time and 5100C System in Le Bonheur's Intensive Care Unit. 4 A L A D V A N C E S Le Bonheur Upgrades Imaging, Improves Care “ New imaging devices at Le Bonheur are concern for everyone. We see ads for expected to elevate the care and comfort for This is a medicines to treat osteoporosis on television children undergoing tests. every day,” said Dr. James Wheless, director of The hospital’s new Swissray digital tremendous resource Le Bonheur’s Comprehensive Epilepsy Program radiography room, eliminates the old to pediatricians and and Neuroscience Institute. “In the past this ” cassette and film process with digitized and area was emphasized in adults, but not in faster imaging. Now, technologists can see an their patients. children, even though all of our bone image three seconds after taking it, and structure is established in childhood. quickly send the image to the picture archive - Dr. James Wheless “This technology allows Le Bonheur to system, or PACS, for physicians. check the bone health of our patients who The new digital radiography room is also older machines. The new room is replacing a may be at risk for premature bone aging, i.e., less intimidating for children, said Diagnostic unit that is more than 12 years old. Plans call children with cerebral palsy who are less Radiology Manager Mildred ‘Bunny’ Willis. for Le Bonheur to eventually have two digital mobile, children on certain medicines – oral Most children don’t have to lie on a table units. steroids for asthma or arthritis, and seizure anymore, given the machine’s ability to move Geri Skelley, director of radiology, says medicines. around the child. that the department also has plans to add a “Knowing the child’s bone health then Le Bonheur has also upgraded one of its new service to evaluate bone health in allows us to prescribe a treatment plan to fluoroscopy rooms with a Toshiba digital children. The new GE Lunar Prodigy Advance keep their bones strong,” Wheless continued. Kalare unit that records upper GI and BE tests Dexascan unit, which is expected to be up and “None of this would be possible without this on DVDs, versus VCR tapes. The Kalare unit running by early fall, will especially support new equipment. This is a tremendous resource will provide a greater level of detail and lower Le Bonheur’s Neuroscience Institute. to pediatricians and their patients.” radiation dose to the patient compared to “Bone health is a critically important New Brain Imaging Technology Comes Online Le Bonheur is the third pediatric hospital in the country with state-of-the-art technology capable of taking images of brain activity in order to pinpoint problems. In September, the hospital will see its first patients using its magnetocephalography laboratory – a clinical first for the five-state area including Tennessee, Kentucky, Arkansas, Oklahoma and Mississippi. The MEG lab is located on the first floor of the hospital, behind the hospital’s central elevators. The newly renovated area includes the 18,000-pound MEG and new space for EEG testing. “The opportunity to have the MEG laboratory based in our growing Neuroscience Center at Le Bonheur will allow us to take better care of children with complex brain problems in Memphis and all of the surround- ing states,” said Dr. James Wheless, director of Le Bonheur’s Neuroscience Center and Comprehensive Epilepsy Program, and division chief of pediatric neurology at The University of Tennessee Health Science Center. Specifically, the MEG will perform Le Bonheur will use MEG technology in taking images of brain activity. functional mapping of the eloquent cortices (hearing, sensory, motor, language and vision) For tumor patients, the technology can technology, which he helped develop during for patients with brain lesions such as tumors. give the surgeon and patient more informa- his tenure in Houston. It is also helpful in characterizing epileptic tion about probable outcomes. In turn, It’s there that Wheless worked with – activity. The MEG is the first diagnostic parents can be better informed about the and later recruited to Memphis – Dr. Mark imaging technology approved in the United actual risks and benefits of the proposed McManis, who will serve as the technical States to do such mapping. surgery. director of the new MEG laboratory at For epileptic patients who require surgery, Le Bonheur has one of the nation’s largest Le Bonheur. the MEG can provide an exact and completely pediatric surgical brain tumor programs. McManis, a neuroscientist by training, noninvasive method of localizing the seizure Moreover, Wheless is considered one of the is one of the few people in the United States onset zone with great precision and accuracy. premier pediatric neurologists using this who has been trained on the MEG. 5 Consultant To Le Bonheur OR Saves Time, Money Study Medication And Labor With Lean Initiative Use Processes In an attempt to streamline an inventory of made multiple Le Bonheur has invited a 6,600 surgical supplies and conserve resources, trips inside to nonprofit group of pharmacists, the surgery department at Le Bonheur recently gather supplies. nurses and physicians to evaluate asked ValuMetrix consultants from Ortho- The overall Clinical Diagnostics to mentor it through a approach to the overall safety of its medication Lean project. A five-person Lean team was able inventory use processes. The hospital to streamline the OR’s supply chain, free 3.2 management distributes roughly 70,000 medical FTEs for other assignments and save hundreds also needed transactions monthly. of thousands of dollars. revamping. In Though hospital leaders are “The situation was costly for the hospital many cases, the certain Le Bonheur already has a and wearing on the staff – people were work- same supply good process in place, they want ing 10 times harder than they needed to,” said item would be to be proactive to ensure there Dr. Joel Saltzman, medical director of stored in five aren’t any gaps in medication use anesthesiology. different places. safety. Le Bonheur recently used Lean manage- In addition, the “My expectation is that we’ll ment techniques to cut costs and speed team identified Le Bonheur’s surgical supplies learn how we can utilize our data operations in the laboratory. Lean strategies items that no was streamlined using Lean better to address safety,” said include standardizing work processes and longer needed to techniques. The changes saved Pharmacy Director Brandon reducing non-value added activities. be stocked, as time, labor and money for the Edgerson. “It’s really a process “We’ve adopted Lean as one of our well as $204,890 hospital. that will help us improve our cornerstone strategies for quality manage- worth of still-use- overall safety components in the ment,” said David Schlappy, Methodist able inventory that could be transferred, sold hospital.” Le Bonheur Healthcare vice president for or donated to other facilities. For example, Edgerson said, performance excellence. “After we saw the For each of the remaining 6,000 items, the he’d like to use data more to look success in the lab, we said, ‘Let’s see if it will Lean team created a kanban card, inserted at at trending information on certain work on some of our OR problems.’” the point where that item should be reordered. medications that are frequently As a first step, ValuMetrix Services conduct- Reducing unneeded inventory saved the given at the hospital. ed an assessment which included videotaping operating room $243,828 the first year and is patient flow, staff activity and consumption of expected to save an additional $50,000 The nonprofit group, the supplies. The Lean team videotaped the current projected in the next two years. Institute for Safe Medication steps for unpacking supplies, assembling a case The Lean changes have also reduced the Practices, is dedicated to the study cart and turning over a room for the next case. stress level in the Le Bonheur OR. “Nurses of medication errors prevention A minute-by-minute analysis of the video- know exactly where to go to get things,” said and safe medication use, under- tapes confirmed Dr. Saltzman’s impression that Dr. Max Langham, medical director of surgery. standing their system-based causes people were working harder than necessary. “That allows them to spend less time worrying and disseminating practical Because the storeroom aisles were so narrow, about what I need and more time on patient recommendations that assist for example, nurses left their carts outside and care.” health-care providers, consumers and the pharmaceutical industry. ISMP represents more than 30 years of experience in helping Langham Combines Skill, Faith In OR health-care practitioners keep The smiles of problems for children and their parents. patients safe, and continues to children, tears and “My motivation comes from the certainty lead efforts to improve the hugs of their parents that what I am doing is important. I also medication use process. and the realization genuinely like the men and women who When the team comes this that caring for choose to accept the responsibility of providing fall, they will conduct a complete children would bring surgical care to children,” Langham said. evaluation of how medicine is a lifetime of reward Langham has also been able to surround ordered, distributed and led Dr. Max Langham himself with a great working environment. The administered at Le Bonheur. The to general surgery. operating room, though many decades old, has hospital’s pharmacy department Langham, continued to grow and adapt to the latest and risk management has worked Le Bonheur’s medical technologies available. The staff, meanwhile, recently to supply ISMP with initial Max Langham, M.D. director of pediatric has a high level of expertise while still data on how its medication use surgery, leads one of maintaining focus on each individual child. process is set up. only 34 accredited training programs in “The level of collaboration between pediatric surgery. The program has a rich surgical specialties and our pediatric anesthesi- history of providing additional training for ologists is unmatched,” Langham added. surgeons from around the world, and in Langham sees Le Bonheur’s surgical Have a story collaboration with St. Jude Children’s Research Hospital has a truly unique educational program growing in the future, as it adds new staff and capabilities to evolve into one of the idea? program in pediatric surgical oncology. Langham received his medical training at best “university and academic based, patient- care focused health units around.” The Johns Hopkins School of Medicine and When he’s not caring for children in Call 287-6711 or e-mail came to Le Bonheur from the University of Le Bonheur’s operating rooms, you might find Nellann Mettee at Florida in Gainesville, Fla. Langham in the sky. A pilot, he earned his His love for pediatric surgery stems from private pilot’s license at 19. The father of three firstname.lastname@example.org the opportunity it gives him to treat the whole with a strong focus on faith, Langham also person using sympathy, communication, med- loves to cook for friends, enjoys reading, ications and physical interventions to address golfing and sailing. 6 STOPSC Takes Major Step In Liver Research The STOPSC registry, a multi-center liver transplant, they suffer with such symp- database and DNA repository for patients with toms as severe abdominal pain, jaundice, primary sclerosing cholangitis (PSC) expects to growth failure and lack of energy. enroll 1,200 adults and 300 children this year. The STOPSC registry includes clinical The registry is sponsored by the Musette and information on children and adults with PSC, Allen Morgan, Jr. Foundation for the Study of autoimmune hepatitis and PSC/autoimmune Primary Sclerosing Cholangitis (STOPSC) and is hepatitis overlap syndrome. Especially in headquartered at Le Bonheur. children, there appears to be a relationship The STOPSC project will facilitate between PSC and autoimmune hepatitis. The collaborative, hypothesis-driven and multi-cen- registry will include a database of patient ter research on this rare disease, said information and DNA samples for genetic Dr. Dennis Black, co-director of the Morgan studies. Foundation and study chair for STOPSC. Black Le Bonheur is one of 13 major medical also serves as vice president for research and centers encompassing 18 pediatric and adult Drs. Gene Whitington (left) and Dennis Black (right) are pleased to make the major step in director of the Children’s Foundation Research hepatology programs participating in the finding a cure for PSC by enrolling the first Center at Le Bonheur. registry. The EMMES Corporation in Rockville, patient, Matthew Sledge, in the STOPSC registry. “Beginning to enroll patients into the Md., has been contracted to serve as the Matthew is a 10-year-old boy from registry represents a major milestone in STOPSC Data Coordinating Center. Water Valley, Miss. research for this devastating disease. We hope In addition to the major support from the that Le Bonheur sets the tone for this Morgan Foundation, the funding to begin the collaborative relationship with our other DNA repository portion was donated by PSC by Musette and Allen Morgan, Jr., sponsors partners across the U.S. and Canada,” Black Partners Seeking a Cure. The organization is a and facilitates basic and clinical research to said. national PSC patient support organization discover new treatments and ultimately a cure PSC is a rare disease that causes the bile founded in 2005 to raise funds to research the for primary sclerosing cholangitis. Dr. Gene ducts inside and outside of the liver to become causes and cure for PSC, promote PSC and Whitington, a Le Bonheur pediatric gastroen- scarred, narrowed and eventually blocked. organ donation awareness and provide terologist who cares for the Morgans’ son, Often the only effective education and support to PSC patients and Worth, who has PSC, was the driving force for treatment for this disease is a liver their families. the creation of the Morgan Foundation and transplant. While children are waiting for a The Morgan Foundation, founded in 2004 serves as its director. Partners in the STOPSC registry include: University of Colorado, Denver; University of California, San Francisco; University of Cincinnati; Northwestern University, Chicago; Hospital for Sick Children, Toronto; Harvard University, Boston; Mayo Clinic, Rochester Mt. Sinai, New York; Le Bonheur Children’s Medical Center and University of Tennessee Health Science Center; Virginia Commonwealth, Richmond; Tufts, Boston; University of California, Davis; University of Pittsburgh, Children’s Hospital of Pittsburgh SHORTSCRIPTS Wash Dog Promotes Good Le is the principal investigator on a study investigating the role of point-of-care Hospital Receives Hand Hygiene ultrasonography to measure optic nerve Ultrasound Accreditation sheath diameter in predicting elevated Watch for the Wash intracranial pressure in children who come Le Bonheur recently received ultrasound Dog on the prowl. to Le Bonheur’s Emergency Department or accreditation from the American College of Le Bonheur will launch a Intensive Care Unit. Radiology, based on an in-depth review of hand hygiene campaign The project is a result of collaboration the hospital’s images, quality program and this fall featuring the Wash between the division of emergency services, protocols. Dog, a friendly canine who Dr. Mary Ellen Hoehn of the division of The ultrasound department, which encourages patients and families, Associates pediatric ophthalmology and Dr. Tom prepared for the accreditation for several and physicians to wash their hands. Spentzas of the critical care division. David months, scored 100 percent in all reviewed Expect to see Associates wearing “Wash Schlappy, corporate vice president for areas. The accreditation program reviews Dog” buttons to promote the campaign. performance excellence, is serving as clinical images, relevant physician reports Wash Dog posters are also planned to be statistical consultant. responding to those images and a posted throughout the hospital. comprehensive quality control program. By the end of the summer, the hospital HIM Process Changes will upgrade its ultrasound equipment with PEM Fellow Invited To September 30 new machines that have 3-D capability, Present At AAP National making Le Bonheur’s imaging services even better. In an effort to standardize the medical Conference record process throughout the Methodist Le Bonheur system, all incomplete dictation Dr. Audrey Le, one of Le Bonheur’s will be assigned to the attending physician senior pediatric emergency medicine rather than the resident, starting Sept. 30. fellows, has been invited to deliver a Attending physicians who are unsure about platform presentation of her research which resident is responsible for the project at the American Academy of completion of the chart can contact Pediatrics, National Conference & Exhibition Le Bonheur HIM at 287-6076. to be held in San Francisco in October. 7 Memphis, Tennessee 38103 Permit No. 3093 50 North Dunlap Memphis, TN PAID U S POSTAGE Non-Profit Org. DeVincenzo Applies Gene Discovery To RSV Treatment Clinical trials are underway to test a In the past, “potentially revolutionary” treatment of RSV most drugs have that applies a new discovery in how protein worked by target- production is naturally turned on and off in ing specific proteins cells. that typically cause The trials, which should produce results or make illnesses this fall, are the product of research by Dr. John worse. DeVincenzo, an investigator at the Children’s Now, scientists Foundation Research Center at Le Bonheur have figured out a Le Bonheur Children’s Medical Children’s Medical Center. DeVincenzo is way to trick this Center Physician Advisory Council attempting to develop the first human mechanism into Robert Riikola, M.D. therapeutic treatment that uses the Noble Prize destroying specific winning discovery of RNA interference, or RNAi. mRNA by introducing John DeVincenzo, M.D. Ahmad Al-Hamda, M.D. He’s using the process of RNAi to target a very specific short Stephen Bauch, M.D. RSV, or respiratory syncytial virus – the leading synthetic double-stranded RNA into the process. Martin Blakely, M.D. cause of bronchiolitis and pneumonia among The small interfering RNAs, or siRNAs, bind to Mark Bugnitz, M.D. infants and children under 1 year of age, messenger mRNAs with complementary James Carter, M.D. according to the Centers for Disease Control. sequences and trigger the destruction of the Russell Chesney, M.D. To make a protein, the DNA message must mRNA through the cell’s natural existing Thomas Chin, M.D. go through a messenger RNA, or mRNA. The machinery. That allows for the destruction of DNA-to-mRNA-to-protein pathway is essential extremely specific mRNA; in DeVincenzo’s Barry Gilmore, M.D. to all cells. studies, those involved in production of RSV Jay Hayes, M.D. Scientists have recently discovered a proteins required for replication. John Hill, M.D. mechanism within the cell that regulates the DeVincenzo is helping develop drugs that Michael Lacy, M.D. amounts of specific mRNA in a cell’s cytoplasm use this science to treat RSV. They have been Linda Lazar, M.D. by chopping some of it up and leaving some of extremely successful in treating mice and are Bill May, M.D. it alone, said DeVincenzo. By regulating the now being tested in clinical trials. Deborah Nelson, M.D. mRNA for a specific message, the cell produces Scientists all over the world are watching. Stephanie Storgion, M.D. less of the problematic protein. If the application of RNA interference can be “Harnessing RNA interference could be used to treat RSV, the implication is that this Jerome Thompson, M.D. used to conceptually treat many diseases,” said process can be used to develop drugs for an DeVincenzo. abundance of other illnesses.