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					            A news magazine featuring the people of UK HealthCare. | Winter 2008

Making a Difference
         A new          heart
        for a new mom
         A young mom inspires
           extraordinary acts of caring.

                       An anniversary to
                               Frankfort couple finds
                                Chandler Emergency to
                                be a welcome surprise.

                                  Life without
                                     Brain surgery gives
                                    woman a life she
                                    only dreamed of.

                                     for special diets
                             Recipes for those
                           with heart disease,
                             hypertension and diabetes.
                                                                    Making a
                                                Difference                                                                      Developing
                                                                                      Fall 2008
                                                                                                              a seamless
                                                                                                                                continuum of care
Inside…                                                                                                       UK HealthCare is not simply a hospital, a college of medicine or a practice plan. We are                 Michael Karpf, MD
                                                                                                                                                                                                                       Executive Vice President
                                                                                                              rapidly becoming a health care delivery system that serves the Commonwealth in an efficient, high-       for Health Affairs
                                                                                                              quality way guaranteeing the public access to the very best care.                                        UK HealthCare/
                                                                                                                                                                                                                       University of Kentucky
                                                                                                                    Sharing our strength in advanced subspecialties thanks to strategic recruitments nationally
                                                                                                              and local talent, UK physicians are traveling out to Kentucky’s communities to work with
                                                                                                              rural providers so that patients receive a broader array of services closer to home. But when
                                                                                                              local services are no longer sufficient and the patient needs more, we are focused on creating
                                                                                                              ambulatory care services that are efficient and coordinated with the referring hospital or physician
                                                                                                              – a seamless system of care that treats inpatient care as just one aspect of the overall continuum.
                                                                                                                    To move us forward in that direction, UK HealthCare operations were recently reorganized
                                                                                                              under the model of a chief clinical officer. The CCO is responsible for coordinating and integrating
                                                                                                                                                         all clinical activities at UK HealthCare across the
                                                                                                                                                         spectrum of inpatient and outpatient care.
                                                                                                                                                              Richard Lofgren, MD, our former chief medical
                                                                                                                                                         officer, has accepted this responsibility. Dr. Lofgren

2                                8
                                                                         Making a Difference is a
                                                                         publication of UK HealthCare                                                    and I believe efficiency and quality go hand in hand.
                                                                         Marketing. All rights reserved.                                                 UK HealthCare will always be committed to the highest
A new heart for a new mom        Anniversary to remember                 For information, write:
                                                                                                                                                         level of care, but when careful process improvement is
UK caregivers and Lexington’s    A Frankfort couple celebrated           2317 Alumni Park Plaza, Suite 500,
                                                                         Lexington, KY 40517                                                             sought, both quality and efficiency will benefit.
Carla Sparrow, 22, take the      their 34th anniversary in
                                                                                                                                                              As evidence, we received the national 2007 Rising
ride of her life and come        UK Chandler Hospital’s                  Director                                                                        Star Award as Top Performer in Quality Improvement
out on the other side with a     Emergency Department during             Bill Gombeski
                                                                                                                                                         from the University HealthSystem Consortium. And for
healthy boy, a new heart and a   a three-day stay that exceeded          Editor
                                                                         Jan Taylor                                                                      three years running we have been recognized by Thomson
“forever” relationship.          expectations.
                                                                         Writer                               Dr. Karpf with Dr. Richard Lofgren,        Reuters as a 100 Top Hospital: Benchmarks for Success
                                                                         Anne Streeter                        UK HealthCare‘s new chief clinical
                                                                                                                                                         recipient, one of only 15 academic medical centers

12                               16
                                 Cooking for special diets
                                                                         Creative Director
                                                                         Phillip Booth
                                                                                                              officer responsible for integrating
                                                                                                              clinical activities into a seamless
                                                                                                              continuum of care.
                                                                                                                                                         recognized in 2008.
                                                                                                                                                              To stay disciplined and focused on efficiency,
Life without seizures
                                                                         Lee Thomas                                                                      quality, safety and service, we need the best thinking and
After 56 years with epilepsy,    UK HealthCare is teaming up
                                                                                                              creativity of every single one of the 7,000 professionals who represent UK HealthCare. I always say
a Henry County woman is          with a local TV station to offer
                                                                                                              if we do the right thing for Kentucky, we will be successful. At our current rate of growth, I believe
seizure-free thanks to brain     tasty recipes that meet the
                                                                         Copyright 2008, UK HealthCare,       we’re on the right track.
surgery at UK.                   needs of patients with three
                                                                         Lexington, KY, USA
                                 of Kentucky’s most common               No part of this publication may
                                 diseases: heart disease,                be reproduced without written
                                 hypertension and diabetes.              permission of UK HealthCare
                                                                         Marketing, 859-323-2887.             Michael Karpf, MD

                                                                                                                                                                                                                               Winter 2008 | 1
                                                                                                                                                              Cardiologist Dr. Alison Bailey brought Carla
                                                                                                                                                              Sparrow a heating pad and magazines to help
                                                                                                                                                              her get through weeks in the ICU.

      patient who
       broke our hearts
                                                                                                                                                              a heart, and it was
                                                                                                                                                              devastating to see
                                                                                                                                                              her with her son and
                                                                                                                                                                                        Bailey, chief cardiology fellow at
                                                                                                                                                                                        the time, also kept an eye on
                                                                                                                                                                                        Sparrow’s unborn child. Concern
                                                                                                                                                              think that one day        for the baby led to the emergency
                                                                                                                                                              he might not have a       delivery in the ICU by obstetrician
                                                                                                                                                              mom. But one day I        Dr. Kristine Lain.

                                                                                                                                                              did take care of her,          Weighing only three pounds

      “I don’t think I could have made it                     ny way you look at it, Carla
                                                                                                                                                              and we hit it off. I
                                                                                                                                                              was determined I
                                                                                                                                                                                        at birth, Blake was quickly taken
                                                                                                                                                                                        to Kentucky Children’s Hospital’s
                                                              Sparrow’s story is a special one.
      without them, I feel like I got so                  Not many people get a heart trans-
                                                                                                                                                              would make each           neonatal ICU. He would stay there
                                                                                                                                                              day the best day I        for many weeks while his mother
      lucky to have the best doctors and             plant at her age – 22 (only about
                                                     5 percent of heart-transplant patients
                                                                                                                                                              could for her.”           recovered enough to go home with
                                                                                                                                                                                        her son.
      nurses. They always checked on                 are that young). Or have a dramatic
                                                                                                                                                              In and out of                  “We all hoped that Carla’s heart
                                                     emergency C-section in an intensive
      me and were concerned.”                        care unit (ICU) with doctors fighting to
                                                                                                                                                              hospital                  would be okay after the pregnancy
                                   – Carla Sparrow   save both her life and her baby’s.
                                                                                                                                                                    Sparrow had         and the stress that goes with it
                                                                                                       But perhaps the best part of the     spent the past two years in and out         was over, but she continued to
                                                                                                  Lexington woman’s story is the bond       of UK Albert B. Chandler Hospital           have problems,” said Dr. Bailey,
                                                                                                  that has formed between her and           and UK Gill Heart Institute, struggling     who is now director of the Cardiac
                                                                                                  those who took care of her and her        with the effects of a failing heart         Rehabilitation Program at UK Good
                                                                                                  son, Blake, now 2.                        that started causing problems during        Samaritan Hospital.
                                                                                                       “At first, we were reluctant to      her pregnancy. When she was 29
                                                                                                  take care of her because she broke        weeks pregnant, she was admitted
                                                                                                                                                                                        ICU nurse Maggie Kathman, RN, would
                                                                                                  everybody’s heart,” remembered            to UK Chandler Hospital because of          ask herself, ”What could I bring to Carla
                                                                                                  Crystal Lindsay, RN, one of the nurses    shortness of breath and a                   tomorrow to make her day?”
                                                                                                  who cared for Sparrow in the cardiac      racing heart. As she worked
                                                                                                  care unit in ICU for five weeks earlier   to keep Sparrow’s condition
                                                                                                  this year. “We’ve seen people not get     from worsening, Dr. Alison

                                                                                                  Carla Sparrow now has the energy to
                                                                                                  keep up with her 2-year-old son, Blake.

                                                                                                  “We always deliver the best care we
                                                                                                  can to our patients, but when a patient
                                                                                                  is undemanding and thankful for our
                                                                                                  work, it makes it so much easier for
                                                                                                  us to work even harder.”
                                                                                                                                               – Maggie Kathman, RN

2 | Making a Difference                                                                                                                                                                                                    Winter 2008 | 3
                               Sparrow eventually had surgery       aortic balloon pump implanted             said. “They always checked on me and
                          to replace two heart valves by cardiac    into her leg and heart to help her        were concerned. They washed my hair
                          surgeon Dr. Chand Ramaiah. While          stay alive.                               and braided it for me. They’d come in
                          that helped, it wasn’t long before             Knowing that each day could          and talk to me and always made me
                          Sparrow’s heart could no longer keep      be Sparrow’s last, Lindsay, Christina     feel good. Dr. Bailey would bring me
                          up with her thriving son. Last April,     Ellis, RN, Maggie Kathman, RN, and        magazines, and when my back was
                          she was again admitted to the             Kristina Tuttle, RN, bent the rules       hurting, she brought me a heating pad
                          hospital ICU because her heart            (with doctors’ approval) to let her       with a massager.”
                          was barely functioning.                   son come visit so he wouldn’t forget            Dr. Bailey, also a young mother
                               “She still desperately wanted to     her face. When Sparrow couldn’t join      of a toddler son, had much in common
                          return home to be with Blake. I told      the rest of her family for a Mothers      with Sparrow. “I don’t do that for all of
                          her that I understood, having a 2-year-   Day outing, they got the okay to give     my patients, but she and I have been
                          old myself,” recalled heart transplant    her the salsa and chips she craved –      through a lot together.”
                                                                                                                   Sparrow made it easy for all of
                                                                                                              her caregivers to show their concern.
                                                                                                                   “She’s a very ill, but very sweet
                          “Every now and then a Carla comes by and                                            young woman with a 2-year-old -- that
                                                                                                              by itself sort of grabs you,” said Dr.
                          brings a whole lot of things to light. UK                                           Bonnell. “But she is an incredibly
                          does such a great job of doing for other                                            engaging person who very quietly
                                                                                                              endears herself to you by her gentility
                          patients what we were able to do for Carla.”                                        and graciousness.”
                                                                                                                   “She was so young and just so
                                                                                    – Mark Bonnell, MD        sweet, she never once complained
                                                                                                              about anything and always had a smile
                                                                                                              on her face,” added Ellis.
                          surgeon Dr. Mark Bonnell. “But I          a “no-no” on her diet.                         “We always deliver the best care
                          feared if she left, she might not be           When Sparrow was depressed           we can to our patients, but when a
                          able to make it back to the hospital      because she had not breathed fresh        patient is undemanding and thank-
                          the next time. She said she’d think       air in weeks, Lindsay and Tuttle ar-      ful for our work, it makes it so much
                          about the transplant. We then had this    ranged to have her bed – and all of       easier for us to work even harder,”
                          conversation every night for about        the equipment she was connected to        Kathman said. “Her story just touches
                          four days.”                               – wheeled outside. And to cheer her
                               Sparrow remembers those con-         up, Ellis arranged for three DJs from
                                                                                                              ICU nurse Kristina Tuttle, RN,
                          versations. “Dr. Bonnell was always       radio 98.1 The Bull, to visit, bringing   accompanied Sparrow to the operating
                          comforting me, talking to me. He’s        T-shirts and lots of laughs. Four hours   room for the heart transplant.
                          mainly the one who changed my mind        after their visit and
                          about doing the transplant.”              two days after her
                               With the decision made, Sparrow      outing, Sparrow was
                          waited and hoped for a suitable heart     told that a generous
                          to become available. But waiting          family had donated
                          meant lying flat on her back for most     a loved one’s heart.
                          of the time in the ICU. She couldn’t           “I don’t think
                          get out of bed because of the intra-      I could have made
                                                                    it without them,
                                                                    I feel like I got so
                          Transplant surgeon Dr. Mark Bonnell
                                                                    lucky to have the
                          believes Carla Sparrow did more for
                          those who took care of her than they      best doctors and
                          did for her.                              nurses,” Sparrow

4 | Making a Difference                                                                                                                       Winter 2008 | 5
      Kentuckians                                                                                                                     people, it helps me deal better with it.”
                                                                                                                                           Tuttle said it helps to “put myself
                                                                                                                                                                                   “I was determined I would make each
      wait for needed                                                                                                                 in their situation and just make the         day the best day I could for her.”
      donated organs                                                                                                                  hospital setting as accommodating
                                                                                                                                      as possible. I always try to ask, ‘What                                                                    – Crystal Lindsay, RN
                                                                                                                                      can I do for you?’ and really try to
           More than 130 people benefit                                                                                               empathize and do what I can to make
      from organ transplants each year                                                                                                it better. But I also try to give myself a        Sparrow reminded them that,          compassion,” Dr. Bonnell added.
      at the UK Transplant Center. But                                                                                                break, too.”                                 “The greatest part of this job is the          Perhaps the best part about Spar-
      another 600 Kentuckians are still                                                                                                    It helped that the four nurses          humanity of it, the interpersonal         row’s story is that it “highlights what
      waiting for a life-saving transplant.                                                                                           had each other. “We were always              connections,” said Dr. Bonnell. “It       happens here to other patients every
           UK’s specialists have been                                                                                                 calling each other and checking with         can be scary to put yourself out there    day in other ways,” said Dr. Bonnell.
      performing transplantation services                                                                                             each other on how Carla was doing,”          and let your patients know you care       “Every now and then a Carla comes
      since 1964. The center specializes                                                                                              Tuttle said.                                 about them. But that’s the way my         by and brings a whole lot of things
      in the transplantation of all major                                                                                                  It also helped that Sparrow had         grandfather practiced, and the way my     to light. UK does such a great job of
      organs, including the heart, lung,                                                                                              the same nurses assigned to her              uncle practiced.”                         doing for other patients what we were
      kidney, pancreas and liver.                                                                                                     every day, providing continuity in her            Showing concern is as simple as      able to do for Carla.”
           One donor can provide tissue,                                                                                              care. “We try to do that for all of our      looking patients in the eye, holding
      organs and bones for nearly 50 people         Donors can be newborns to            or donor card, or registering as             patients,” said Ellis. “That way the         their hand, and “actually listening to
      in need. Some organs – the liver,        senior citizens. Anyone over the age      an organ donor at the Kentucky                                                                                                      Sharing the ups and downs helps, say
                                                                                                                                      patients get to know and trust you and       what they are saying. We should do
                                                                                                                                                                                                                             ICU staff, from left, Christina Ellis, RN,
      kidney, intestine, pancreas and lung –   of 18 can indicate a wish to be a donor   Organ Donor Registry:                        the family knows you. You can talk to        this for any patient, but some patients   Alison Bailey, MD, Crystal Lindsay, RN,
      can be used from a living donor.         by simply signing his driver’s license                        them on a personal level.”                   are harder than others. They test our     and Kristina Tuttle, RN.

                                               your heart. She remained strong and       her new heart started beating, and we
                                               faithful and thankful throughout.”        said, ‘Wow, she is a lucky girl.’ I was so
      For Carla, going home was a day to
      celebrate with Drs. Bonnell, left,                                                 happy for her.”
      and Bailey, right.                       Transplant brings new life                     Sparrow wasn’t out of the woods as
                                                   When word came last May 28 that       doctors dealt with some complications.
                                               a heart was available, Lindsey came       But after a couple of weeks, she was
                                               in on her night off to be with Sparrow    ready to go home to Blake and her fam-
                                               as she was prepared for surgery by        ily who had been caring for Blake.
                                               the UK transplant team. Tuttle ac-
                                               companied Sparrow into the OR. She        Caring can be difficult
                                               watched Dr. Bonnell and Dr. Ramaiah             Working with critically ill patients
                                               carefully replace Sparrow’s ailing        like Sparrow can be tough, especially
                                               heart with the healthy one.               if a strong bond develops. “You have
                                                    “It was amazing,” Tuttle re-         to come up with a way to cope with
                                               membered. “Almost immediately,            it,” said Lindsay. “By getting to know

                                               “Almost immediately, her new heart started
                                               beating, and we said, ‘Wow, she is a lucky
                                               girl.’ I was so happy for her.”
                                                                                                            – Kristina Tuttle, RN

6 | Making a Difference                                                                                                                                                                                                                                            Winter 2008 | 7
                                                                                                  “They treated her like she was
      Emergency                                                                                   both an old friend and the only
           visit                                                                                  patient in the world.”
            expectations                                                                                                                       – Mike Schillhahn

      “I expected quality care when we walked
      in the door. What I didn’t expect was the
                                                         C       elebrating their 34th wedding
                                                                 anniversary in the emergency
                                                         department last January wasn’t what
                                                                                                       Despite the change in plans, the
                                                                                                  anniversary turned out “to be a good
                                                                                                  one,” Mike said.
                                                                                                                                               lots of questions,
                                                                                                                                               and did more
                                                                                                                                               tests.” The doctors

      level of caring that went with it.”                Mike and Rebekah Schillhahn had
                                                         in mind. Instead of going out for a
                                                                                                       In fact, what happened in the ED
                                                                                                  so surpassed the couple’s expecta-
                                                                                                                                               decided to delay
                                                                                                                                               surgery till the
                                     – Mike Schillhahn   romantic dinner, the couple wound        tions of a busy trauma center that           following week,
                                                         up waiting for three days at UK Albert   Mike Schillhahn felt compelled to            but they wanted
                                                         B. Chandler’s Emergency Department       write a letter commending the Emer-          to admit her to
                                                         (ED) for a hospital bed for Rebekah.     gency Department staff.                      the neurology unit
                                                                                                       “I expected quality care when we        in the hospital.
                                                                                                  walked in the door,” the former LEX18        She needed to be
                                                                                                  television reporter said in his letter.      closely monitored                        Rebekah Schillhahn, pictured with
                                                                                                  “What I didn’t expect was the level of       while on medications to reduce           husband Mike, said she never felt for-
                                                                                                                                                                                        gotten during her three days in the ED.
                                                                                                  caring that went with it.”                   the swelling in her brain caused by
                                                                                                       What brought them to the ED             the tumor.
                                                                                                  was Rebekah’s fall at their Frankfort             However, there were no empty
                                                                                                  home. Her family physician ordered           beds in the neurology unit. So
                                                                                                  both an X-ray of Rebekah’s sore              Rebekah became a “boarder” and           away; and the need for specialized
                                                                                                  ankle and an MRI of her brain. The           was admitted as an inpatient but had     treatment in a specific nursing unit or
                                                                                                  images of a tumor on the right side          to stay in a new 12-bed Acute Care       for beds that are monitored, such as in
                                                                                                  of Rebekah’s brain had the physician         Unit in the ED. There she got all of     critical care or a neurology unit.
                                                                                                  quickly calling UK HealthCare neuro-         the needed care as if she was in a            Chandler Hospital’s 40-bed ED is
                                                                                                  surgeon Thomas Pittman, MD. They             more typical hospital bed. The small     a Level I trauma center, which means
                                                                                                  arranged for Rebekah to go straight          rooms are private, and they have flat    they get the sickest, most critical
                                                                                                  to UK’s Emergency Department to              screen TVs.                              patients from surrounding counties. “If
                                                                                                  be evaluated for possible emergency                It’s not unusual for patients to   we get three or four traumas, it impacts
                                                                                                  brain surgery.                               have to wait in the ED until a bed       the rest of our operations,” as those
                                                                                                                                               becomes available in the hospital,       patients are first in line to get needed
                                                                                                  No empty hospital beds                       explained Penne Allison, RN, director    services, Allison explained.
                                                                                                      When the couple arrived at UK on         of emergency and trauma services.             There is also a growing demand for
                                                                                                  Wednesday, Jan. 16, “everyone was so         The overflow of admitted patients in     emergency services, Allison said. More
                                                                                                  nice,” Rebekah recalled. “They took          emergency is indicative of a national    people come to the ED with a minor
                                                                                                  me in through triage, and then we met        problem, not just one at UK Health-      ailment because they can’t get an ap-
                                                                                                  with a panel of doctors who asked            Care. Allison said reasons include an    pointment with their family doctor. The
                                                                                                                                               increase in sicker patients who stay     busier the ED, the higher the number
                                                                                                                                               longer in the hospital; problems with    of admitted patients; one-fourth of the
                                                                                                  ED nurse Kari Blackburn, RN, left, gets
                                                                                                                                               discharging patients who can’t leave     nearly 47,000 ED patients wind up be-
                                                                                                  lots of letters from satisfied patients,
                                                                                                  said Penne Allison, RN, right, director of   until they get a ride from a family      ing admitted, accounting for up to 47
                                                                                                  emergency and trauma services.               member who may live many miles           percent of all hospital patients.

8 | Making a Difference                                                                                                                                                                                                    Winter 2008 | 9
                                                   “We tell each other if something needs                                              Always open for
                                                   to be improved upon, and no one takes                                               emergencies
                                                   it personally.”                                                                          When you or a loved one needs
                                                                                                                – Kari Blackburn, RN   urgent medical attention, emergency
                                                                                                                                       care is always available, 24 hours a
                                                                                                                                       day, at both UK Chandler Hospital and
                                                     “round on” all patients at least          day and see me for a minute,” Re-       UK Good Samaritan Hospital.
                                                     once during a 12-hour shift. “I try       bekah recalled. “They were great. I          UK Good Samaritan Hospital, lo-
                                                     to visit all 40 or 50 patients at least   knew I was in good hands.”              cated at 310 Limestone on the corner
                                                     three times to see if they or their                                               of Maxwell Street, offers a convenient
                                                     family members need anything,”            Staff treats patients like family       option for more routine emergency
                                                     Dunaway said.                                   Blackburn remembers the           care, as well as free garage parking.       treatment rooms have flat-panel TVs      Ambulances from throughout
                                                                                               Schillhahns. “They were so nice and          UK Chandler Hospital has the           (with video games coming soon).          Kentucky keep UK’s ED busy, said
                                                   •	Visits	to	patients	who	are	there	for	
                                                                                                                                       facilities and on-call specialists to                                                Director Penne Allison, RN.
                                                     longer than 24 hours by a hospital        so appreciative. We stayed in touch                                                 Emergency physicians and nurses
                                                                                               with e-mail because I wanted to keep    handle any type of emergency:               specially trained in pediatric care
      Michael Miller, RN, learned from his           administrator who apologizes and
      grandmother to treat everyone like family.     explains what’s being done to help.       updated about her condition. She was    •	The	Level	I	Trauma	Center,	one	           are backed by specialists from           garage is on South Limestone between
                                                                                               so sick when she came into the ED,        of only two in Kentucky, is for the       Kentucky Children’s Hospital.            Conn Terrace and Transcript Avenue,
                                                   •	Making	sure	the	staff	always	intro-
                                                                                               but by the third day she was perky.”      most critically injured patients. Last   •	For	minor	ailments,	there	is	Express	   across the street from the medical
                                                     duces themselves.
      Couple never felt neglected                                                              That was Friday, the day Rebekah          year, 2,877 adults and children were       Care. This four-bed area offers         campus. Temporary parking is
                                                   •	Paying	attention	to	the	needs	of	the	
            Despite a busy ED and a hospital                                                   was moved to the neurology unit. She      treated at UK Chandler’s Trauma            quicker treatment for those needing     available at the Chandler Emergency
                                                     family. That may mean finding a
      filled to the brim, the Schillhahns said                                                 went home on Saturday, returning the      Center.                                    after-hours care for minor ailments     entrance to allow drivers to drop off
                                                     gurney, pillows and warm blankets
      they never felt forgotten or neglected.                                                  following week for successful surgery   •	The	new	Makenna	David	Pediatric	           such as a sprained ankle, dental        patients before parking in the garage.
                                                     so that the loved one can get some
      “It’s easy to be nice and cheerful                                                       to remove her brain tumor.                Emergency Center puts children             emergency or broken arm.                     For directions to either UK Good
                                                     sleep or simply offering them a cup
      when things are going well, but your                                                          “We’re trained to treat everyone     and their parents at ease, with a             Parking is easy at UK Chandler       Samaritan or UK Chandler Hospital,
                                                     of coffee.
      crew was nice and cheerful (and                                                          the same and make everyone feel the       separate waiting area for kids and       Hospital’s new parking garage with        visit or call
      extremely professional at the same           •	Starting	the	ball	rolling	on	needed	      same, even if we are overwhelmed,”        their parents. Six child-friendly        24-hour free shuttle service. The         257-1000 or toll free 1-800-333-8874.
      time) when things weren’t going well,”         tests, even if the patient is still in    said Blackburn, who graduated from
      Mike wrote. When his wife became               the waiting room, so that results are     nursing school two years ago. “We
      disruptive after waking up in a strange        ready when the patient can be seen.
                                                                                                                                       take care of the really sick, and then     people to come here and work and          (the Schillhahns), I do that for
      place, “they treated her like she was        •	Creating	a	separate	Express	Care	
                                                                                               Charge nurse Carrie Dunaway, RN,        we go into the next room and smile         them come back tomorrow and be            everybody.”
      both an old friend and the only patient        area for patients to be seen who
                                                                                               championed many changes to improve      and put on a happy face. If my family      just as eager to help everyone, even if        Letters like the one written by Mike
      in the world.”                                 have minor ailments; and there’s          patient satisfaction, including a
                                                                                                                                       member was here, I wouldn’t want           it was chaotic the night before, speaks   Schillhahn mean a lot to ED Director
            The Schillhahns were reluctant to        also the new Makenna David Pediat-        supervisor rounding on each patient.
                                                                                                                                       someone to come in and be grumpy.”         volumes about the staff.”                 Allison, who came to UK HealthCare
      name all of their caregivers, for fear of      ric Emergency
                                                                                                                                            When things do get too over-               Miller, an ED nurse for more than    four years ago. “UK is a great place to
      leaving someone out. When pressed,             Care Center for
                                                                                                                                       whelming, “we share it with each           a year, was surprised to hear that        work, with some of the best staff I’ve
      however, they remembered three                 children only.
                                                                                                                                       other, we can’t take it home,” Black-      the Schillhahns singled him out. He       ever worked with,” the former pediatric
      nurses in particular: night charge           •	Calling	patients	
                                                                                                                                       burn said. “It’s made us into a close      wondered if it’s because he’s “honest     emergency nurse said. “They are the
      nurse Carrie Dunaway, RN, and staff             after they’ve
                                                                                                                                       team of people. We tell each other         and blunt” and talks like a “normal       ones who make things happen for
      nurses Kari Blackburn, RN, and                  gone home to
                                                                                                                                       if something needs to be improved          human being” when explaining things       their patients.”
      Michael Miller, RN.                             see how they
                                                                                                                                       upon, and no one takes it personally.”     to patients or that he treats everyone         Mike Schillhahn finished his letter
            Allison credited Dunaway with             are doing.
                                                                                                                                            “We work hard, and we work to-        like family?                              by noting that his wife had “similarly ex-
      championing many of the changes that               “Some of
                                                                                                                                       gether. We have to rely on each other,”         “My grandmother always tells         cellent (and wonderful) treatment” from
      have been made by the staff to help          the nurses who
                                                                                                                                       said Dunaway, who has been there           me, ‘You make sure you treat them         the neurosurgery and Markey Cancer
      patients feel well cared for, including:     were there that
                                                                                                                                       for eight years. “If one nurse is busy,    like you were treating me or your         Center staff. “But there will always be a
      •	In	addition	to	regular	nursing	care,	      first night would
                                                                                                                                       the others will help out. Sometimes        mom,’” Miller said. “I don’t feel like    warm spot in our hearts for the caring
        having the charge nurse visit or           come by every
                                                                                                                                       we see the worst of the worst. For         I went above and beyond for them          people of the Emergency Department.”

10 | Making a Difference                                                                                                                                                                                                                                       Winter 2008 | 11
      County woman            finds                                                               endured ridicule growing up, feeling
                                                                                                  shame as people made fun of her.

                                                                                                        All of that changed last March
                                                                                                  when UK neurosurgeon Thomas Pitt-
                                                                                                  man, MD, removed the damaged part
                                                                                                  of her brain where electrical mis-

                           from a lifetime of seizures                                            fires were causing seizures. Before
                                                                                                  surgery Russell experienced as many
                                                                                                  as 10 “violent, jerking” seizures a
                                                                                                  week that sent her “directly to the

                                                                                                  ground.” She now is seizure free, and
      “When I had a seizure, my husband                                                           odds are good they are gone forever.
                                                                  pilepsy has ruled Lenora
                                                                                                        Russell says she feels so great,
      would . . . set me down under a tree.                       Russell’s life. Now 56, the
                                                                                                  she wants everyone to know about
                                                          Henry County woman had been
      I’d fall asleep, and when I woke up, I’d            having epileptic seizures since she
                                                                                                  the procedure that gave her back her
                                                                                                  life, a life she’s shared for the past 35
                                                          was “knee-high to a grasshopper.”
      start pushing my lawn mower again.”                     She’s spent her life dealing with
                                                                                                  years with her husband Sam and her                                                    Coordinator Amber Chumley makes
                                                                                                  grown children Shawn and Michelle.          Ready to try anything                     patient visits as easy and convenient
                                       – Lenora Russell   seizures and the side effects of the                                                                                          as possible.
                                                                                                        “I never thought I’d have a fam-            When her Louisville physician
                                                          medications she’s had to take. She
                                                                                                  ily; what man would want to marry a         suggested she pay a visit to Toufic
                                                                                                  woman with seizures?” Russell said.         Fakhoury, MD, medical director of
                                                                                                  For 18 years, they worked together in       UK ’s Comprehensive Epilepsy              reviewed Russell’s brain images; a
                                                                                                  a family landscaping business. “When        Center in August 2007, she was            neuropsychologist who determined
                                                                                                  I had a seizure, my husband would           ready to try anything.                    if Russell’s memory and speech
                                                                                                  stop the riding lawn mower he was on              She underwent several outpa-        would be affected by surgery; a social
                                                                                                  and set me down under a tree. I’d fall      tient diagnostic tests at UK’s Epilepsy   worker; and coordinator Chumley.
                                                                                                  asleep, and when I woke up, I’d start       Clinic. She also spent two days at the         They agreed that Russell was a
                                                                                                  pushing my lawn mower again.”               six-bed Epilepsy Monitoring Center        candidate for an anterior temporal
                                                                                                        A feeling in the pit of her stomach   on the seventh floor of UK Albert B.      lobectomy – surgery to remove the
                                                                                                  – called an aura – warned her when          Chandler Hospital. There doctors          damaged area on the right side of her
                                                                                                  a seizure was coming. She kept her          observed and recorded Russell during      brain. The temporal lobe, located on
                                                                                                  children safe by locking the doors          two epileptic seizures.                   either side of the brain just above the
                                                                                                  when she felt a seizure coming. At                “They put me through the ringer,”   ear, plays an important role in hearing,
                                                                                                  work as an aide with adults who have        she recalled, crediting Amber Chum-       language and memory. The procedure
                                                                                                  disabilities, the aura gave her time to     ley, the epilepsy coordinator, for mak-   has been around for years, though its
                                                                                                  get a replacement.                          ing things easy by scheduling appoint-    use has increased dramatically as its
                                                                                                        Russell has tried everything to       ments and answering questions.            effectiveness has been proven. How-
                                                                                                  control her seizures. An experimental             Tests confirmed that Russell had    ever, the surgery typically isn’t done
                                                                                                  drug brought relief for six years, but      intractable epilepsy – epilepsy that      on older patients such as Russell.
                                                                                                  then it quit working. As the seizures       can’t be controlled with medications           “We like to get people when they
                                                                                                  returned, Russell – who had always          – and pinpointed the source of her sei-   are younger, but people get into the
                                                                                                  used laughter to get through difficult      zures. About one-third of the 3 million   system, they are trying different drugs,
                                                                                                  times – became despondent.                  Americans with epilepsy have uncon-       and years go by before they are evalu-
                                                                                                                                              trolled seizures. The Multidisciplinary   ated as a candidate for surgery,” said
                                                                                                                                              Epilepsy Surgery Conference team at       Dr. Pittman. “This is effective surgery
                                                                                                                                              UK discussed Russell’s case at their      for a select group of people, it’s rea-
                                                                                                                                              monthly meeting. Team members             sonably safe, and it’s life-changing.”
                                                                                                  Now that she is seizure free, Lenora
                                                                                                  Russell can get back to making wood         included Drs. Pittman and Fakhoury,       About 70 percent of people are seizure
                                                                                                  crafts with husband Sam.                    as well as a neuroradiologist who         free after surgery, with an even better

12 | Making a Difference                                                                                                                                                                                                  Winter 2008 | 13
      success rate for those like Russell
      who have a defined area of damage in
                                                “If I’m going to offer brain surgery to                                                                                                                                                 Dr. Thomas Pittman’s sense
                                                                                                                                                                                                                                        of humor and nurse Diana
                                                                                                                                                                                                                                        Shappley’s professionalism
      the temporal lobe.                        someone, we define chances of success                                                                                                                                                   made an impression on
           Advances in the tools used allow                                                                                                                                                                                             Lenora Russell.
      the surgery to be done through a          not as making seizures better but rather as
      smaller incision with greater accuracy.
      Precise mapping of the affected area
                                                having zero seizures.”
      of the brain is done with the aid of                                                              – Toufic Fakhoury, MD                                                                                                           She still has auras; doc-
      functional MRIs to help the neurosur-                                                                                                                                                                                             tors say they may con-
      geon pinpoint the area to be removed                                                                                                                                                                                              tinue for several years.
      without damaging healthy areas that                                                                                                                                                                                                    Best of all, Russell
      could affect memory or speech.            chances of success not as making           wives begin to answer for the patient                                                                                                        said she is standing up for
            “The conjunction of all of these    seizures better but rather as having       and I encourage that, but I also want                                                                                                        herself more now. “I used
      things helps us feel better about being   zero seizures.”                            to hear from the patient. Everyone                                                                                                           to always walk with my
      in the right place, heading the right          Russell credited Dr. Fakhoury’s       else involved is important, but they                                                                                                         head hung down because
      way,” Dr. Pittman said.                   attentiveness as helping her to reach      are number two, the patient is                                                                                                               people made so much
           “We discussed the option of          her decision. “He discussed all of my      number one.”                               cancellation on Wednesday and I said,      home a day later with hardly a head-                   fun of me. Now I’m flying
      surgery with Mrs. Russell four or five    options; he was really very thorough                                                  ‘Let’s do it.’”                            ache and no seizures.                    high. I have a great love of life that I’ve
      times before she became convinced,”       and he gave me his full attention,” she    Surgery stops the seizures                       Diana Shappley, RN, who works             “I was so well taken care of,”      never had before.”
      said Dr. Fakhoury. “I try not to influ-   recalled. “When my husband would               Once convinced, Russell couldn’t       with Dr. Pittman in the Neurosur-          she recalled, “They treat you like a
      ence patients’ decisions too much. I      talk, he’d say, ‘Excuse me, I was          wait. “I went to see Dr. Pittman on        gery Clinic, got everything set up for     queen or king, from the nurses’ aides
      give them the options and the chances     asking her.’”                              a Monday and I told him I had one          Russell’s surgery. “Diana was great,”      bringing you towels to the people at
      of success. But if I’m going to offer          “I like to put people at ease,” Dr.   question – ‘How fast can we get this       Russell said. “Every time I called with    the cafeteria. There were some great
      brain surgery to someone, we define       Fakhoury said. “We see husbands or         surgery done?’ He told me he had a         a question she would tell me that she      nurses. And the transporters, they
                                                                                                                                      would ask the doctor and call me back      always had a great sense of humor. My
                                                                                                                                      later that day, and she always did. And    husband is always such a cutup and
                                                                                                                                      she still wears her nurse’s cap!”          so am I, so they blended with us. They
          Comprehensive Epilepsy Center                                                         The Comprehensive Epilepsy
                                                                                           Center is part of the Kentucky
                                                                                                                                            Shappley, who has worked for
                                                                                                                                      UK HealthCare for nearly 39 years,
                                                                                                                                                                                 got us where we really needed to go,
                                                                                                                                                                                 and they got us there fast.”
                                                                                           Neuroscience Institute at                  finds that wearing the cap and the              She had to visit Dr. Pittman two
                                                                                           UK HealthCare. The center is one           traditional white nurse’s uniform          times after the surgery. On the second
                                                                                           of only two of its kind in Kentucky,       helps patients feel more secure. “Most     visit when he said she didn’t have to
                                                                                           and the only one serving eastern           patients, especially the older ones, say   come see him again, she gave him a
                                                                                           Kentucky. Comprehensive diagnosis          it’s comforting to know who the nurse      big hug. “I told him, ‘I just want to
                                                                                           and treatment options are offered          is because it sure is difficult to tell    thank you and God for giving me my
                                                                                           for children, adolescents and              anymore,” Shappley explained.              life back.’”
                                                                                           adults with epilepsy who have been               Compliments from patients mean            Russell is back to work full time
                                                                                           referred by their neurologist or           a lot to her. “Nurses go into nursing      at Cedar Lake Lodge and is looking
                                                                                           primary care physician. Treatment          because they want to take care of          forward to driving again. She will be
                                                                                           options include medication and             patients. We are here to take care of      weaned from the medications that
                                                                                           surgery, with the opportunity to           patients, even if we miss a meal or        have made her sleepy and depressed.
                                                                                           participate in clinical research           don’t get a break;
                                                                                           trials for the latest in epilepsy          even if that means
                                                                                           treatment. For more information,           returning calls at 7 or                                                                The Russells said they were treated
                                                                                           call 859-218-5049.                         8 at night to answer a                                                                 like royalty by everyone, including
                                                                                                                                                                                                                             cafeteria workers such as Esterlene
                                                                                                                                      patient’s questions.”
                                                                                                                                                                                                                             Cruite, left, and transporter Juanita
                                                                                           Epilepsy specialist Dr. Toufic Fakhoury,         After her surgery,                                                               Warner, above, demonstrating her skill
                                                                                           seated, works with a team of specialists
                                                                                                                                      Russell stayed for one                                                                 at transport with another co-worker.
                                                                                           to understand the disease and design
                                                                                           treatment plans.                           day in ICU and went

14 | Making a Difference                                                                                                                                                                                                                                  Winter 2008 | 15
      Wellness Cooking for

                            special diets
                                                                                         “We’re showing how
      UK         HealthCare is excited to
                 team up with WLEX-TV,
                                               these conditions. For this reason, UK
                                               is working with Quick and Boosalis to
                                                                                         a special diet can be
      Healthy Cooking 101 chef Susie Quick     develop the recipes you’ll see on the                                                  Baby Spinach with Apples, Goat
      and UK nutritionist Maria G. Boosalis    Wellness Cooking for Special Diets
                                                                                         delicious; all it takes                      Cheese and Honey-Cider Dressing
      to bring you a series of video recipes   page at
      designed especially for folks with            One of the featured recipes from     are smart, simple                          Here’s a delicious salad that’s filled with antioxidants, calcium and      Toss the apples with 2 tablespoons of the
      special dietary needs due to diabetes,   the site is shown at right. To view the                                            healthy monosaturated fats found in olive oil and nuts.                   lemon juice. Place the spinach in a large salad
      high blood pressure and cardio-          other recipes and watch them being        substitutions.”                                                                                                    bowl and remove long stems and any bruised
      vascular disease.                        prepared, visit and click                                                  2 Golden Delicious apples, unpeeled, cored and cut into large cubes     leaves. In a separate bowl, whisk together
           When you have specific health
                                                                                          – Maria G. Boosalis, PhD, MPH, RD, LD                                                                             the remaining lemon juice, olive oil, vinegar,
                                               on the Wellness Cooking for Special                                                  4 tablespoons fresh lemon juice (from about 2 lemons)
                                                                                                UK College of Health Sciences                                                                               honey or sugar substitute, and pepper. Toss
      conditions such as those listed above,   Diets banner.                                                                                                                                                the spinach and apples with just enough
                                                                                                                                    10 cups baby spinach leaves (about two- 5-ounce packages
      your food choices become very                                                                                                 washed and spun dry)                                                    vinaigrette to coat. Divide among four plates
                                                                                                                                    2 tablespoons extra-virgin olive oil                                    and top with nuts and goat cheese.
                                                                                                                                    1 tablespoon apple cider vinegar                                        Yields: 6 servings
      in helping
                                                                                                                                    1 tablespoon honey (or 2 teaspoons sugar substitute such
      you manage                                                                                                                                                                                            CALORIES 226; CARBOHYDRATE 18.3g;
                                                                                                                                    as Splenda)
      some of the                                                                                                                                                                                           PROTEIN 6.6g; TOTAL FAT 16.35g;
                                                                                                                                    Pinch of freshly ground black pepper                                    SATURATED FAT 3.6g; CHOLESTEROL 20.8g;
      effects of
                                                                                                                                    1/2-cup chopped pecans (or walnuts*), toasted                           SODIUM 122mg
                                                                                                                                    5 ounces plain goat cheese, broken into big chunks                      *analysis is with pecans

      UK HealthCare facilities now                                                                                                         More voices                                                                           Terri Savage,
      completely tobacco free                                                                                                              on hold                                                                               UK Health Connections

      W      e have created a tobacco-free
             medical campus as a part of
                                                    If you anticipate being on campus                                                      T    wo more employees have added their
                                                                                                                                                stories to the employee on-hold messages
                                                                                                                                                                                                                                 “S     ometimes people are frantic and
                                                                                                                                                                                                                                        all they need is a calming voice.
                                                                                                                                                                                                                                 I’m glad I can be that voice and can
      our obligation to provide a healthy      as a patient for an extended period                                                         launched last spring and now available on
                                                                                                                                                                                                                                 give them what they need.”
      environment for patients, visitors       of time and worry about managing                                                            many telephone systems at UK HealthCare. In
      and employees. We’re joined in this      without tobacco, call UK Health Con-      Chandler Hospital cafeteria and both              addition to the new employee voices, 17 new or
      effort by 14 other medical centers in    nection toll free at 1-800-333-8874       hospital gift shops along with the                updated messages have been added with tips                                        Judi Dunn, RN ,
      central Kentucky alone.                  and ask for our brochure describ-         full range of nicotine replacement                on everything from the importance of getting a                                    Patient education manager,
                                               ing tobacco withdrawal support for        products at the Kentucky Clinic                                                                                                     UK Chandler Hospital
                                                                                                                                           flu shot to information about the new pediatric
      Employees                                patients.                                 Pharmacy. The pharmacy also                       emergency center.
           If you are an employee of UK
      HealthCare and you would like to         Visitors
                                                                                         provides education and counseling.
                                                                                               We’re happy to provide informa-
                                                                                                                                                Here are the two new “voices” of UK
                                                                                                                                           HealthCare with excerpts from their recordings:
                                                                                                                                                                                                                             “I    t is truly an honor to help patients
                                                                                                                                                                                                                                   and their families get the infor-
                                                                                                                                                                                                                             mation they need and see the positive
      take this opportunity to quit using         Others visiting Kentucky Clinic,       tion on tobacco treatment or a map
                                               UK Chandler Hospital or UK Good           of the tobacco-free campus. Simply                                                                                                  effect it has on helping them through
      tobacco, ask your supervisor for
                                               Samaritan Hospital will find nicotine     call UK Health Connection toll free at                                                                                              their hospital stay and recovery.”
      information on special opportunities
      for tobacco treatment.                   gum available for purchase in the         1-800-333-8874.

16 | Making a Difference                                                                                                                                                                                                                                           Winter 2008 | 17
  Clinics move
                    to UK Good Samaritan

  A     service and two clinics have
        recently opened on the UK Good
  Samaritan campus as part of a reshuf-
                                               tion only are Drs. Beth Miller and
                                               James Temprano, as well as nurse
                                               practitioner Jody Holl.
  fling of services at Kentucky Clinic.      •	The UK Surgical Specialties
  The changes give each room to grow           Clinic, UK Good Samaritan Medical
  and make way for other services at           Plaza, 125 East Maxwell, Suite 302
  Kentucky Clinic to expand. At the            (in addition to the Kentucky Clinic
  new location patients enjoy free park-       location). Seeing patients at this         lung patients recover quickly and
  ing at the door.                             location are the following surgical        improve their overall physical, mental
       Clinics now seeing patients at          specialists: ear, nose and throat, Dr.     and social functioning while reducing
  Good Samaritan are:                          Richard Haydon; urology, Drs. Katie        the risk of heart and lung disease or
  •	The UK Orthopaedics Spine &                Ballert and David Preston; general         another cardiac event.
    Total Joint Service, UK Good               surgery, Drs. Erik Ballert, Raymond             For information or appointments
    Samaritan Medical Plaza, 125 East          Gagliardi and David Sloan; and             for any of these services, call UK
    Maxwell Street, Suite 201. Drs.            vascular surgery, Drs. Eric Endean,        Health Connection at 257-1000 or
    Carter Cassidy, Mauro Giordani,            David Minion, Ehab Sorial and              1-800-333-8874.
    William Shaffer, Jay Grider and            Eleftherios Xenos.                              These services are in addition to
    Jeff Selby are now seeing patients            Opening this fall at UK                 other highly respected UK Good Sa-
    exclusively at this new location.        Good Samaritan is the Gill Heart             maritan Hospital programs, including
  •	The UK Asthma, Allergy and               Institute’s Cardiac & Pulmonary              a sleep diagnostic center, wound care
    Sinus Clinic, Professional Arts          Rehabilitation program at the                center, physical medicine and reha-
    Center (behind UK Good Samaritan         Professional Arts Center, 135 East           bilitation, diagnostic imaging services
    Medical Plaza), 135 East Maxwell         Maxwell Street, Suite 103. Under the         and a 24-hour emergency center. Lo-
    Street, Suite 250. The Allergy Clinic    direction of cardiologist Dr. Alison         cated at 310 South Limestone, Good
    has extended hours for its shot          Bailey and pulmonologist Dr. Scott           Samaritan joined UK HealthCare in
    clinic on Tuesdays and Thursdays,        Morehead, this medically supervised          2007, offering exceptional patient care
    1-6 p.m. Seeing patients at this loca-   program is designed to help heart and        in a community-hospital atmosphere.

                                              Making a Difference is published by UK HealthCare, Lexington, Kentucky | Copyright 2008.

                  Making a
University of Kentucky
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