IT’S HOW MEDICINE SHOULD BE
| WINTER 2010
• Some newborns’ skin can change from purple
to red as the baby starts breathing. The redness
usually starts to fade during the ﬁrst day of life,
though the hands and feet may be bluish for
• Some medical treatments, such as those for cancer,
can temporarily change the way foods taste.
• The inning scores and the pitchers’ numbers on the
scoreboard at Wrigley Field are changed by hand.
• The Chicago White Sox’s uniforms have changed
10 times since 1912.
• The population of Chicago changed from
4,470 in the 1840 census to 2,896,016 in the
• The color of the antennae lights on the Willis
Tower (formerly the Sears Tower) is changed to
green for St. Patrick’s Day, pink for Mother’s Day,
red and blue for Independence Day, orange for
Halloween, and red and green for the December
• Allergy and asthma specialists recommend you
clean or change ﬁlters in your heating and cool-
ing systems and air conditioners at least once a
month to minimize allergic reactions.
• Between 1900 and 1999, the average workweek
in manufacturing changed from 53 hours to
about 42 hours.
• A baby gets his or her diaper changed between
2,000 and 3,000 times each year.
3 Understanding trends: 5 You’re in control:
A change in lifestyle brings How small behavior changes
changes in disease can earn you big rewards WWW.RUSH.EDU
RESEARCH AND TREATMENT FOR PARKINSON DISEASE
If you are diagnosed with Parkinson disease, it’s fair to assume your
life will change. Parkinson disease is associated with the death or BRAIN KEY
dysfunction of dopamine-producing cells in the brain — the cells that OF PHYSICAL
send signals to help coordinate your movements. The loss of these
cells results in tremors, or shaking, among other symptoms. AND VERBS
“It’s a highly evolving high level have very mild symptoms, while those Because symptoms MOVEMENT
disease,” says Christopher with low natural ranges tend to have more signifi- cannot always be
Goetz, MD, director of the cant disabilities. adequately managed MEMORY
movement disorders program Researchers hope to find out whether raising with medication in
at Rush University Medical uric acid in patients with low levels can protect the third stage of OF SOUND
Center. “The patients’ needs their brain cells. This therapy is not given to Parkinson disease,
change because the disease patients with high normal levels because raising patients at Rush who
changes, and doctors contin- levels too high can cause other health problems. reach this stage may be eligible to receive
Christopher Goetz, ually adjust their perspectives Another study is examining whether isradipine innovative treatments such as deep brain
MD, is board to address those needs.” CR, a drug normally used to treat high blood stimulation.
certiﬁed in neurol- pressure, might slow the progression of Parkinson This involves implanting microelectrodes to
ogy and focuses his
HOLDING YOUR disease. Isradipine CR slows the influx of calcium stimulate a specific region of the brain in order
practice on move-
ment disorders, GROUND In the first ions into certain muscle cells. The health of to block the abnormal nerve signals that cause
Parkinson disease stage of Parkinson disease, dopamine-producing cells depends on the flow Parkinson disease symptoms. The microelectrodes
and dystonia. His symptoms may be limited of calcium, and researchers hope isradipine CR are attached to an external, battery-operated
research interests to minor shaking or slowed may help Parkinson disease symptoms by balanc- pacemaker.
also include Tourette movements. Although ing the calcium flow in these cells. People in the third stage may also be eligible
medical treatment is often for gene therapy. “This process uses implanted
unnecessary at this point, FIGHTING BACK For some people with genes to better nourish the nerve cells affected by
Rush offers counseling and Parkinson disease, symptoms remain mild. dopamine,” Goetz says. It works by making injured
emotional support for patients and families. However, for reasons still unknown, most people brain cells produce more growth factor — a com-
Individualized exercise programs can improve progress to the second stage. Their dopamine- plex molecule that helps with healthy cell function,
muscle strength and agility, helping patients with producing cells continue to degenerate, causing healing and growth.
Parkinson disease maintain motor function longer. more tremors and problems with fine motor If this study is successful, gene therapy may be
Physical therapists at Rush can help with this. control. tried in other stages of Parkinson disease.
Newly diagnosed Parkinson disease patients can These changes mean a different direction for
also take part in important research. Rush and treatment, and together, doctor and patient CHANGING THE OUTLOOK Although
other research centers are studying treatments, develop an individualized plan that may involve Parkinson disease brings significant changes to
which, if successful, could one day halt the pro- a variety of existing medications. Researchers are those affected by it, medicine is changing right
gression of the disease and control symptoms at also studying new medications that increase the along with it. In fact, many Parkinson disease
this early, mild stage. activity of dopamine, the main neurotransmitter patients who come to Rush qualify to be part of
Since these studies are for early stage treatment, involved in Parkinson disease. research into new, exciting treatments. F
only patients who aren’t yet on a medication for
the disease may be eligible to participate. One
such study involves increasing the body’s uric acid CLICK To find out more about Parkinson disease care and research at Rush, visit
levels. Parkinson disease patients with a naturally
ANSWERS FROM A RUSH EXPERT
& THE CHANGING
FACE OF DISEASE
THROUGHOUT HISTORY, we have contaminated the water and increased people’s
seen many different trends in dis- exposure to chemicals. This has contributed to a
ease. While our great-grandparents dramatic rise in the number of cases of asthma,
worried about polio, whooping allergies, respiratory illnesses and metal poisoning
cough, mumps and measles, we since the 1960s.
rarely see those diseases today. Now, Also, with the increased emphasis on con-
we are far more likely to have heart venience, people are now consuming more
disease, diabetes and asthma than processed foods and fast foods, which are high
Miguel Salas, MD, our ancestors were. in fat, sodium and sugar. This greatly increases
MPH, is a family prac- Discover Rush recently sat their risk for diabetes, high blood pressure and
titioner with Rush down with Miguel Salas, MD, heart disease. All of these diseases have reached
MPH, a family practitioner at Rush disturbingly high levels in this country, particu-
Physicians. His clinical
interests include com- University Medical Center who has larly among people who are black or Hispanic
prehensive preventive practiced medicine in his native and from low-income neighborhoods. These
services for adoles- Colombia and the United States for problems are due partly to genetics but also to
cents and adults, more than two decades, to discuss environmental factors: poverty, low education
women’s health, and how diseases have changed and levels, sedentary lifestyles, lack of fresh foods and
what is responsible for the new limited access to health care.
Q: How do you determine when a dis-
Q: Which diseases do you see fre- ease has become reason for collective
quently now that weren’t as common concern?
50 or 60 years ago, and why are these A: If at a given time the total number of cases in
diseases on the rise? the population is increasing, and the incidence
A: We obviously did not see HIV/AIDS at all; today, of that disease — the number of new cases — is
it is a worldwide epidemic. And because of glo- decreasing, it means doctors are doing a better
balization, which enables people to travel around job of diagnosing it and staying on top of the
the world, we’ve seen more viral and respiratory problem. But if the incidence is also increasing,
diseases, such as SARS and malaria, coming into you have to say something is wrong; the medical
the United States from abroad. community is not doing a good job of preventing,
Industrialization is another factor that has dra- diagnosing or treating it, and then it becomes a
matically changed the trends in disease over time. problem that needs to be addressed.
As a society becomes increasingly modernized, it
has to find ways to keep pace with the growing Q: Moving forward, what do you see as
demand for manufactured goods and services. the greatest public health challenges?
This emphasis on growth and innovation creates A: I think we will continue to see increases in
a number of secondary effects, which, over time, the conditions — obesity, diabetes, high blood
become triggers of diseases. pressure, heart disease, respiratory infections —
associated with industrialization. We’ll need to Our interview with
Q: What are those effects? find effective ways of preventing and managing Miguel Salas, MD,
A: There are more buildings and factories, more these problems. The good news is that medicine continues on our Web site. Visit
vehicles, innovations such as plastic and air condi- has made great progress so far, and we will con- www.rush.edu/discover.
tioning, etc., that have gradually polluted the air, tinue to find more answers in the future. F
of waiting room
CHANGING CANCER TREATMENT:
In 2003, a dramatic new era in cancer research
and treatment began when scientists working on the
Human Genome Project finished sequencing and mapping A change of space
The new outpatient cancer center, which
the complete set of DNA in the human body.
opens in early 2011, was designed with
The genetic discoveries responses with these new these don’t prevent dis- patient and caregiver input to bring
of that international research treatment strategies,” ease. Instead, they introduce the majority of the Rush University
effort sparked breakthroughs in says Philip Bonomi, MD, proteins into the bloodstream Cancer Center’s treatment services
cell biology and spurred innova- a lung cancer specialist at that stimulate the immune system and care providers together in a
tion in cancer treatment. Rush University Medical to kill cancer cells. single location. It includes the
Less than a decade later, Center. “They are chang- following:
researchers are working to iden- ing the way we approach NEW HORIZONS Scientists continue Family and physician
tify cell mutations that lead to the practice of treating to make progress in the ever-changing conference rooms and
cancer, using newly developed cancer.” field of cancer research, working diligently exam rooms
DNA sequencing technology. Philip Bonomi, MD, to bring new treatment methods to doctors
is director of A chemotherapy infu-
This same sequencing can be NEW TARGETS In the and patients. F
the Division of sion center with private
used to decode the genetics case of breast cancer, and semiprivate treat-
of individual cancer patients doctors found some Visit Rush Jan. 12 for “New ment areas
Oncology at Rush. MORE
and uncover the biological and He has been in- women had a gene Developments in Lung Cancer
chemical changes driving indi- mutation that caused Diagnosis and Treatment.” See page 7 A resource center
volved in lung cancer
with computers and
vidual cases of cancer. research for nearly an overproduction of for details.
three decades. the protein HER2, which
NEW SCIENCE Understanding stimulates the growth “Our patients are Area for integra-
cancer at this cellular level has and spread of the disease. Researchers discov- tive therapies, which
allowed scientists to develop ered an antibody, trastuzumab, that targets
experiencing amazing include counseling,
massage therapy and
ways to target specific cancer HER2, improving survival in late stage breast responses with these acupuncture
cells rather than using a shot- cancer patients. There are also early indica-
gun treatment approach. For tions that trastuzumab will increase long-term new treatment strategies.”
example, scientists have created survival in early stage patients. — Philip Bonomi, MD
biological therapies, including “In some instances, tumors are addicted
antibodies and small molecules, to the genetic abnormality that is driving their
which slow or stop cancer in growth, and giving the targeted therapy is like
patients whose tumors contain turning off a light switch,” Bonomi says. ANTIBODIES
specific genetic elements that Some antibodies are being used to pro- attack cancer cells
drive tumor growth and duce vaccines for prostate tumors, lung can-
them, attaching to
progression. cer and melanoma. Ipilimumab has improved
them and thereby
“Our patients are survival in patients with neutralizing them.
experiencing advanced melanoma, a par-
amazing ticularly aggressive and treat-
are irregular in
ment-resistant type of skin shape and can
cancer. Unlike other vaccines, metastasize — spread
and invade other
structures of the body.
READY, SET, CHANGE
TAKING STEPS TOWARD HEALTHY BEHAVIORS
Regular exercise — it’s a habit that can reduce nearly every health risk, says Lynne Braun, PhD, RN, CNP, a nurse prac-
titioner at the Rush Heart Center for Women. It seems like a simple prescription for health. But if healthful lifestyle
habits, such as exercising, eating right and not smoking, aren’t already part of your lifestyle, your first prescription
may be for behavior change.
STAGING YOUR CHANGE When it comes to According to Braun, the smoking, for example, get rid of your ashtrays
the benefits of healthful behavior change, Braun process can start with mak- and change your routine.
is an expert. She researches cardiovascular risk ing choices — especially for » Have specific, realistic goals. If you’re trying
reduction and counsels people on incorporating people who need to make to become more active, try walking at least
heart-healthy behaviors into their lives. several changes. 15 minutes a day, and then build up to longer
According to Braun, changes in behavior happen “Decide where to start,” and more frequent activity.
in the following stages: she says. “It’s difficult to do » Monitor your progress. If you are trying to lose
» Contemplation, when you are considering a everything at once, so work weight, weigh yourself regularly or wear a
change but haven’t yet made a commitment Lynne Braun, PhD, with the most important pedometer to check how far you walk.
» Preparation, when you intend to take action in RN, CNP, serves as
changes first.” » Partner with a friend or join a group with com-
the near future For example, she would mon goals for encouragement and feedback
a National Institutes
» Action, when you have made the commitment
of Health research
advise people with high on your progress.
and take specific steps toward new behaviors grant on reducing blood pressure to work on
» Maintenance and relapse prevention, when health disparities in taking their medications HELP FROM THE EXPERTS Professionals
new behaviors become part of your everyday black women. regularly. Quitting smoking at Rush can help you start making
life is another essential behavior healthy changes today. Call
“When trying to change the behaviors that led change and one that often involves an important (888) 352-RUSH (7874) to learn more. F
them toward heart disease in the first place, most factor — the patient’s significant other.
people go through the stages of change several “I encourage patients to bring in their partners
times before the new behavior becomes firmly or spouses,” Braun says. “They may both need to
established,” Braun says. make changes, and it helps if they do it together.”
Couples and individuals can also boost the likeli-
GETTING IT RIGHT Though behavior changes hood for success by taking the following steps:
can be difficult, there are strategies that can help. » Prepare your environment. If you want to stop
Easy as 1, 2, 3 ...
Avoid the pitfalls Cut the fat. Traditional Limit the Curb the carbs.
of holiday meals 1 holiday recipes are often 2 sugar. Cookies 3 Holiday meals can
high in unnecessary fat. and other treats be loaded with
Holiday get-togethers nearly always To make recipes more heart-healthy, will still be ﬂavorful if you sweet and starchy foods, which
involve food — and lots of it. It’s easy choose tub margarine instead of butter substitute spices, such as are high in carbohydrates.
to take in more than your share of fat and use canola oil in place of vegetable cinnamon, cloves or nut- Limit the carbs by substituting
and calories along with your healthy oil. Use the light or reduced-fat versions meg, for some of the sugar. mashed cauliﬂower for mashed
dose of good cheer. of ingredients such as cheese and sour In fact, you can cut sugar in potatoes and removing the
Cassandra Vanderwall, According to Cassandra Vanderwall, cream. When you’re baking, substitute most recipes by one-fourth. rolls from the table. If stufﬁng
MS, is a registered MS, a registered dietitian at Rush two egg whites for one whole egg. You Instead of frosting baked is a staple, use whole-wheat
dietitian. She helps University Medical Center, a few simple can also try using unsweetened apple- goods, dust them with bread and replace some of it
patients with weight
changes can help you make your holi- sauce in place of half the oil, butter or powdered sugar to reduce with hearty roasted vegeta-
and chronic disease
management. day habits healthier. margarine listed in the recipe. both sugar and fat. bles, such as eggplant.
RUSH IN THE NEWS
For other current clinical trials,
Mental exercise may first slow and then speed cognitive decline
Whether you do crosswords or play chess, keeping Researchers at Rush made this discovery in a One possible answer, he says, is that mentally
your brain active may also keep it sharp. But there study recently published in the journal Neurology. stimulating activities may enhance the brain’s ability
could be a catch. Though dementia may take “Our results suggest that the benefit of delaying to function relatively well even after the lesions asso-
longer to appear in avid readers and museum the initial signs of cognitive decline may come at ciated with dementia begin to build up. People who
goers than in their less stimulated peers, those a cost,” says study author Robert Wilson, PhD, engage in such activities may therefore experience
who delay the condition’s onset might get worse neuropsychologist at the Rush Alzheimer’s Disease more dramatic brain changes — leading to a faster
faster once they develop it. Center. “The question is, ‘Why does this happen?’” decline — after their symptoms finally appear.
“By compressing the course of dementia, mental
activities could reduce the overall amount of time
that a person may suffer from the condition,” Wilson
CLINICAL TRIALS AT RUSH says. “And that’s a good thing.” F
LOW-DOSE ASPIRIN STUDY
The Rush Alzheimer’s Disease Center is conduct-
MANTLE CELL LYMPHOMA
Rush again ranked among
ing a study to determine whether taking low The Section of Hematology is conducting a study nation’s top hospitals
doses of aspirin can prolong disability-free life in to evaluate the safety and effectiveness of an Rush University Medical Center recently earned
adults age 70 and older by preventing thinking investigational drug, RAD001 (everolimus), as rankings in 11 specialty areas in the August 2010
problems (such as memory loss and dementia), a treatment for mantle cell lymphoma patients “America’s Best Hospitals” issue of U.S.News &
heart disease, stroke, certain cancers and physical who are intolerant of or unresponsive to Velcade World Report, which annually rates the top hos-
disability. Participants will be randomly assigned to (bortezomib). pitals across the country in 16 medical specialties.
take either aspirin or placebo once a day for about Participants must meet the following criteria: Rush ranked higher than any other program
ﬁve years. • Be at least 18-years old in Illinois in orthopedics (No. 10 in the nation)
Participants must meet the following criteria: • Have a conﬁrmed diagnosis of mantle cell and geriatrics (No. 22). Rush had nine additional
• Be at least 70-years old lymphoma programs in the top 50: neurology and neurosur-
• Be in good health • Be intolerant of or unresponsive to Velcade gery (No. 14); heart and heart surgery (No. 25);
• Not currently be taking aspirin at the instruction (bortezomib) ear, nose and throat (No. 32); gastroenterology
of a physician • Not be receiving other cancer therapies (No. 35); gynecology (No. 41); urology (No. 41);
This is a partial list of inclusion This is a partial list of inclusion cancer (No. 43); kidney disorders (No. 43); and
and exclusion criteria. For more infor- and exclusion criteria. For more pulmonology (No. 49). Only 152 of 4,852 hospitals
mation, please contact Scarlett Ellis at information, please contact Laurie Smith at in the United States — about 3 percent — scored
(312) 942-6596. (312) 942-8312. high enough this year to rank in even a single
DISCOVER RUSH is published as a service Chief Executive Ofﬁcer Information in DISCOVER RUSH comes
for the Rush community. Larry J. Goodman, MD from a wide range of medical experts.
Models may be used in photos and
RUSH UNIVERSITY MEDICAL CENTER For information about DISCOVER RUSH, illustrations. If you have any questions Rush is a not-for-proﬁt
1700 W. Van Buren St., Suite 456 contact Erin Thorne at erin_thorne@rush. about your health, please contact your health care education
Chicago, IL 60612-3244 edu or (312) 942-3215. For general informa- health care provider. and research enterprise
www.rush.edu tion about Rush or to make an appointment ©Rush University Medical Center comprising Rush University
with a physician, call (888) 352-RUSH (7874). CUM25442c Medical Center, Rush
University, Rush Oak Park
PLEASE NOTE: All physicians featured in this publication are on the medical faculty of Rush University Medical Center. Some of the physicians Hospital and Rush Health.
6 featured are in private practice and, as independent practitioners, are not agents or employees of Rush University Medical Center.
| S AT U R D AY
RUSH UPCOMING EVENTS FREE CLASSES FOR YOUR HEALTH | WINTER 2010
Rush Generations presents …
F R I D AY
CLICK For a complete and
up-to-date list of Older adult and caregiver programs
community wellness events at Rush, visit
www.rush.edu/events, where you can All Rush Generations programs are held at Rush University
also find handouts from previous talks. Medical Center, Searle Conference Center, 5th floor (Elevator II,
Professional Building), 1725 W. Harrison St.
Expert Care for Chronic Conditions
Tuesday, Nov. 16 Lung Cancer Your Health … Online
T H U R S D AY
6 to 8 p.m. Treatment Options Wednesday, Dec. 1
Armour Academic Center Tuesday, Nov. 16 10:30 a.m. to noon
Room 976, 600 S. Paulina St. 10:30 to 11:45 a.m. Are you interested in using the
Managing chronic conditions, such as Experts from the Coleman Internet to find answers to medi-
high blood pressure, diabetes and obesity, Foundation Comprehensive Lung cal questions or for creating your
can be accomplished with the appropriate Cancer Clinic at Rush will discuss the personal health record? If so, join
medical and dietary guidance. But it isn’t latest diagnostic and most innovative us to learn how. Experts from Rush
always easy. Join primary care physicians treatment options available for lung will review strategies for finding
from Rush to discuss these conditions and cancer. These include groundbreak- reliable health information and
the continuum of care from prevention to ing targeted therapies; advanced developing a free and secure per-
W E D N E S D AY
diagnosis and treatment. chemotherapy approaches; and a full sonal health record on the Web.
range of surgical options, including
Stress, Nutrition and Exercise minimally invasive options for both
Wednesday, Dec. 8 early and advanced lung cancer.
6 to 8 p.m.
Armour Academic Center
Room 994, 600 S. Paulina St. Ongoing Programs of Rush Generations
Everyone experiences stress, but everyone
handles it in different ways. For many, BenefitsCheckUp Qi Gong
stress can affect how and what they eat. BenefitsCheckUp is a simple, free Qi Gong involves either breath-
Join physicians from Rush to learn how and fast screening that can help ing exercises alone or coordinated
T U E S D AY
managing stress, exercising and adopting people age 55 and older (and some breath and movement adapted to
healthier eating habits can make a signifi- younger people with Medicare) any ability, with a focus on improv-
cant improvement to overall well-being. get the benefits for which they are ing overall body function. It can be
eligible. Call the Anne Byron Waud done sitting, standing or moving,
New Developments in Lung Resource Center at (800) 757-0202 and it emphasizes working at a
Cancer Diagnosis and Treatment for assistance in completing a con- comfortable level and not aggra-
Wednesday, Jan. 12, 2011 Call (800) 757-0202 fidential questionnaire that will help vating any previous condition or
6 to 8 p.m. for more information identify any benefits you may be symptom. Registration fee required.
Armour Academic Center about these ongoing programs. missing. Limited scholarships are available.
| M O N D AY
Room 976, 600 S. Paulina St.
Join a medical oncologist, a thoracic sur-
geon and a radiation oncologist from the
Coleman Foundation Comprehensive Lung CLICK You can get helpful health information in your e-mail inbox each month with our e-newsletter,
Cancer Clinic at Rush to learn about early DISCOVER RUSH ONLINE. Sign up today at www.rush.edu/discover.
detection in lung cancer and the latest in
minimally invasive surgery and radiation
therapies. You’ll also hear about advance-
S U N D AY
ments in chemotherapy and research in Because space is limited, please call to reserve your seat.
lung cancer treatment.
For more details and to register, call (888) 352-RUSH (7874).
Free parking in the Rush garage is available with validation. 7
1700 W. Van Buren St., Suite 456 U.S. Postage
E-NEWSLETTER: DISCOVER RUSH ONLINE Chicago, IL 60612-3244 PAID
‘TIS THE SEASON — FOR HOLIDAY STRESS
Does the hustle and bustle of the holiday season cause you stress? Find
strategies for coping with holiday stressors in the November issue of
Discover Rush Online. Sign up for the newsletter at www.rush.edu/discover.
NEW HOSPITAL ROOMS
EVERYTHING IS THE
SAME, FOR A CHANGE
WHEN RUSH UNIVERSITY MEDICAL rooms to help patients get safely from the bed
Center set out to transform itself for to the bathroom without falls.
the future, it began with a guiding All equipment is located in set areas. That
set of principles. One of the tenets of includes hand-sanitizer dispensers, which are
change was this: Whenever possible, placed where it is easiest for staff to see and
make things the same. use them. This increases the number of times
“Early conversations about the staff sanitize their hands — which can decrease
Rush Transformation, our decade- hospital infections.
Anthony Perry, MD, long redevelopment plan, focused on The new rooms were even designed to ensure
specializes in geriat- how standardization would improve that when doctors enter, they flow naturally to Artist’s rendering
ric medicine at Rush patient safety and quality of care,” the patient’s right side. In medical school, doc- of future patient
University Senior room
says Anthony Perry, MD, a geriatrician tors are trained to perform exams from the right
Care and is director
for the Johnston and clinical transformation officer at side, so carrying them out this way comes more
R. Bowman Health Rush. naturally. “You get better clinical results when
Center for older you can do a better exam,” Perry says.
adults and rehabili- ALL THINGS BEING EQUAL Standardization helps staff feel more comfortable Modifications of things as varied as doorways and
tative services. Efficiency and safety were foremost in and confident when they enter the room because dialysis hookups resulted from these practice runs.
the minds of planners as they created they know exactly where everything is located. Even the furniture was shifted around following
standardized designs for hospital rooms, includ- “That means the only variable in the room is the the tests. All of these changes were made with the
ing critical care rooms, acute care rooms, neonatal patient, and that is where all the staff’s focus will same purpose in mind.
intensive care rooms, and preparation and recovery be,” Perry says. “Standardization maximizes the safety of the envi-
rooms. Unlike traditional hospital rooms, which are ronment that we are building for patients,” Perry
often a reverse image of one another, the new ver- PRACTICE MAKES PERFECT It took many says. “For Rush, safety is a profoundly important
sions are identical to the other rooms of the same months of planning and hard work to reach that topic.” F
type. goal. The process included testing the spaces
That means the bed is in the same place in to make certain they would work in real-world
each room; storage cabinets, electrical outlets and conditions. To learn more about the
hookups are always found in standard locations. Room models were built so staff could prac- Rush Transformation, visit
Standardized grab bars appear on the walls of the tice performing their jobs in realistic situations. www.rush.edu/discover.
F MORE ONLINE
THE CHANGING FACE OF RUSH: To learn more about the changes taking place at Rush University Medical Center as
part of the Rush Transformation, visit www.rush.edu. Learn how these changes support Rush’s mission: to provide the
very best care for our patients.