Toledo Medicine, September/October Important Draw for Future New Physi- College of Ohio in 1964, UTCOM Has 1991) Might Still Be Feasible

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Join your colleagues, their families and medical students for a fun, exciting evening cheering on the Mud Hens at Fifth Third Field. Enjoy an All-American Dinner including grilled hot dogs and hamburgers with all the accompaniments, pasta salad, baked beans, potato chips, soda and good old-fashioned lemonade. Oh, and don’t forget fresh baked chocolate chip cookies! After you’ve had your fill, head on over to “The Roost” to watch the action and maybe even catch a home run ball!

Tickets are $30 for adults and $28 for children 12 and under. UTCOM medical students are guests of The Toledo Clinic.

Make checks payable to The Academy of Medicine. Space is limited to 100 seats, so make your reservation early. Return ASAP to: The Academy of Medicine of Toledo & Lucas County, 4428 Secor Road, Toledo, Ohio, 43623. If you have any questions, please call Lee Wealton at The Academy at 419.473.3206 ext. 4. Summer 2015 Volume 106 TOLEDOMEDICINE No. 3

Editorial Board COVER STORY

Editor Still Life with Grapes, S. Amjad Hussain, MD Chestnuts, Melon and a Marble Cube 07 [email protected]

Stephen P. Bazeley, MD FEATURES stephen.bazeley@promedica.org

Howard S. Madigan, MD Our Obesity-Hunger Paradox Louito C. Edje, MD, FAAFP Gerald W. Marsa, MD 05 [email protected] Hospice and Palliative Care — James G. Ravin, MD [email protected] Similarities and Differences 06 John F. McGreevey, MD Stephen J. Rubin, MD [email protected] In Memoriam: Franz Joseph Berlacher, MD Officers Allen L. Markowicz, MD 12

President Henry H. Naddaf, MD DEPARTMENTS [email protected] President-Elect Editorial 02 Bennett S. Romanoff, MD [email protected] President’s Page 03 4th District Councilor’s Report Vice President 04 JoDee E. Ahrens, MD Alliance Activities 08 [email protected] Membership Memo 09 Secretary Christopher A. Bates, MD Applause, Applause 09 [email protected] In Memoriam: Compendium 10 Treasurer UTCOM Report 14 William C. Sternfeld, MD [email protected] Hospital Reports 14 Immediate Past President Charles L. Filipiak, MD On the cover: [email protected]

Staff Executive Director Lee F. Wealton, MPH [email protected] Managing Editor Johanna D. Begeman, JD [email protected] Advertising Manager Janice M. Schutt [email protected] Still Life with Grapes, Chestnuts, Melon and a Marble Cube by Antoine Berjon (1754 - 1843).

TOLEDOMEDICINE is an official publication of The Academy of Medicine of Toledo and Lucas County Send information to: TOLEDOMEDICINE All statements or comments in TOLEDOMEDICINE are the statements or opinions of the writers and not necessarily the opinion The Academy of Medicine, 4428 Secor Road Toledo, Ohio 43623 of The Academy of Medicine of Toledo and Lucas County. The Ph. 419.473.3206 Fx. 419.475.6744 [email protected] Academy of Medicine does not necessarily endorse the advertisements in TOLEDOMEDICINE. www.toledoacademyofmedicine.org Published quarterly during February, May, August and November. Subscription rate $20 per year. Contributions to TOLEDOMEDICINE are dueSummer before the 2015 first of the month preceding publication. TOLEDOMEDICINE 1 Editorial

UTCOM-ProMedica Affiliation Agreement Could Be a Game-Changer

n what could be a positive advance trained. Initially there was strong com- the medical school to the tune of $35 for medical education in northwest munity hospital support at Mercy Hos- million annually, but is financially un- IOhio, The University of Toledo pital, Toledo Hospital and St Vincent able to continue this level of assistance. Board of Trustees on May 11, 2015 ap- Hospital for training MCO students Longer term, the UT-ProMedica affilia- proved an initial agreement for a fifty and residents, but the hospital wars of tion foresees recruiting additional bio- year affiliation with the ProMedica the past few decades have put a severe medical researchers to establish Toledo Health System, with the ProMedica strain on physician training in Toledo as a center of excellence in biomedical Board giving their assent two days lat- while at the same time the medical research. er. While the final agreement remains school enrollment has grown to 170 undefined at this time pending nego- students annually. The low point was The agreement between ProMedica tiations over the summer, it offers the reached during the era of Allan Brass’ and UT will not preclude continuing opportunity for The University of To- tenure as ProMedica CEO, when MCO the existing agreements with Mercy St. ledo College of Medicine (UTCOM) to students and residents were briefly Vincent Medical Center or other small- gain access to ProMedica Toledo Hos- barred from training at ProMedica fa- er hospitals in northwest Ohio. pital as its primary teaching hospital cilities. Yet despite these difficulties, for medical students and residents. It UTCOM students consistently score Dr. Christopher Cooper, Senior VP for may also provide much-needed finan- in the upper half nationally on the US Clinical Affairs at UTCOM, and Dr. cial support to UTCOM in an era of de- Medical Licensing Examinations. Lee Hammerling, Chief Medical Of- creasing state support and offers hope ficer at ProMedica, provided further of establishing a biomedical research The potential final agreement is expect- background on the agreement. Both center in Toledo. ed to establish ProMedica Toledo Hos- are optimistic that past difficulties will pital as the primary teaching hospital not repeat themselves, both because Much can go wrong in the interval for UTCOM students and residents, the proposed affiliation has been de- between the proposal and final agree- with UT‘s faculty leading the train- veloped more openly this time around, ment, however, as we learned in a pre- ing programs there. Whether UTMC and also because times have changed vious brief flirtation between the same would eventually continue as a small in medical practice: today the major- parties two decades ago. Then-MCO general hospital or be repurposed re- ity of clinicians are employed by the President Roger Bone, MD and then- mains to be determined. One could hospitals. The final agreement is being Toledo Hospital CEO Dan Rissing an- foresee support from northwest Ohio formulated by a number of different nounced a similar but less comprehen- veterans for its use as a VA Hospital committees, each of which is broadly sive proposal to have Toledo Hospital to serve this area. A specialty hospital represented by clinicians, teachers and serve as the Medical College of Ohio serving orthopedic and neurosurgical/ administration. The final document is (MCO) clinical base, but that agree- neurologic patients could take advan- expected to be ratified by both Boards ment foundered over concerns that tage of the attached Coghlin Reha- later this summer. academic faculty might encroach on bilitation Hospital. Or perhaps Allen existing clinicians’ prerogatives. Markowicz’s suggestion to establish a An attractive academic medical com- single Toledo Children’s Hospital there munity in northwest Ohio will be an Since its formation as the Medical (Toledo Medicine, September/October important draw for future new physi- College of Ohio in 1964, UTCOM has 1991) might still be feasible. cians to choose to stay and practice in been hampered by a small primary our community. The Toledo Medicine teaching hospital. Initially based in The financial assist to UTCOM’s bud- Editorial Board salutes Randy Oostra Maumee Valley Hospital (the county get is sorely needed. State and national and his ProMedica staff and Dr. Chris- general hospital), it opened the new support for medical training in an era topher Cooper and his UTCOM associ- 240 bed MCO Hospital in 1979 (now of smaller government is not keeping ates as they work to finalize this wel- UT Medical Center). In contrast to the up with expenses. In addition to $50 come and overdue agreement. decisions of other new Ohio medical million annually for fifty years to sup- schools of that era, where Dayton and port the College of Medicine’s academ- — Gerald W. Marsa, MD Akron chose existing hospitals to serve ic programs, ProMedica also will invest as the academic base, Toledo’s decision $250 million in capital improvements to build a new small teaching hospital on the UT Health Sciences campus to has limited student and resident expo- improve classrooms as well as recon- sure to a diverse patient experience at figure and expand research facilities. the academic center; today it ranks as Currently UTMC has been subsidizing third smallest in the nation per student

2 TOLEDOMEDICINE www.toledoacademyofmedicine.org Summer 2015 President’s Page

The Affordable Care Act— Here to Stay...I think. Henry H. Naddaf, MD “Another one bites the dust.” tal enrollees by the time the next presi- dividuals who, without the subsidies, dent assumes office. Most experts be- would most likely have elected not to his could well have been the lieve that by then, the ACA will have get coverage. This in turn would have anthem song for the support- entrenched itself as a permanent part created a smaller but higher risk pool Ters, politicians and consumers of the health care fabric of this nation. of covered lives that ultimately would alike, after the recent Supreme Court Most political analysts believe that continue to drive up health care costs decision to strike down the most recent politicians, whether federal, state or lo- at an untenable rate. The hope now challenge to President Obama’s signa- cal, would fear the voting power of this is that the at risk and higher risk indi- ture health care reform act. By voting 6 group, should they make changes that viduals are tempered with those indi- - 3 to uphold premium subsidies for all would negatively impact their health viduals who spend very little health Americans in all states in King vs. Bur- care coverage. Looking even further care dollars and so effectively share the well, the court has effectively ensured risk and slow down the upward spiral the immediate future of the ACA. For of cost. What this may also result in is the foes and opponents of the ACA, the the abandonment of many states to run road to repeal or change the reforms So, what now? What their own exchange and sign up for the has just become that much more diffi- federal plan. As of today, 34 states re- cult. lied on HealthCare.gov as their enroll- does this mean to the ment platform and 3 of those states had So, what now? What does this mean submitted plans to CMS to run their to the average practitioner? Is the sky average practitioner? own exchanges. Now, the expectation falling in? Do we take down our shin- is they no longer have incentive to do gles? Or do we all go get our MBA’s so and that the remaining states that and move into administrative roles Is the sky falling in? have not jumped into the exchange since the end of medicine is near? Well, business will do so soon. As a result of the answer in a nutshell is none of the Do we take down our all these new covered lives, Medicaid above. We continue to do what we do, expansion and stable federal subsidies, which is care for people to the best of we are starting to also see a consolida- our ability, and let the political tug of shingles? tion and attrition among the national war play itself out. and regional health care plans as they are now able to rate plans using an What we do know now, with this recent expanded risk pool that makes acqui- out to four years, estimates of the to- victory, is that Obamacare is here for at sitions more attractive. Aetna has just tal enrollees vary from 40 to 60 million least the next two years and probably recently acquired Humana, Anthem is conservatively. much longer. For opponents, unravel- making a play for Cigna and United ing the ACA will now require a Her- Health Group in turn is eyeing Aetna. Also sighing with relief at this decision culean effort and a good bit of luck for Such scenarios are also occurring on were the health care investors, insurers success. They will have to win both the regional and local levels across the and hospital executives, all for vari- the Senate and House, along with the country as well. Presidency, in the next general election ous reasons. With the assurance that the subsidies are here to stay, they see in order to enact such legislation. Even All this is enough to drive anyone cra- this decision as clearing the way for then, such a move may be political sui- zy if they try to predict where medicine Medicaid expansion and coverage of cide for some elected officials. Can you will be in the future. What I do know low income adults. This would move imagine the ramifications of eliminat- is that we will survive. For those of us a great deal of uninsured lives from ing health care coverage for millions of who have practiced for a while, we can charitable or uncollectable brackets covered lives? It is estimated that there remember many occasions of change into steady revenue, albeit at a lower are 18 million people now covered and upheaval that have come and gone. reimbursement rate. However, know- through the ACA, including about 6.4 What has not changed is that people ing the subsidies are safe, these health million lives in at least 34 states sup- need us and look to us to care for them care plans and hospital systems can ported by the premium subsidies ref- at their most vulnerable times and we now plan more effectively for growth, erenced in the above court case. This became doctors to be there for them in rate planning and strategic planning. is expected to grow to over 11 million that time of need. So, keep your shin- They can count on an expanded pool subsidized lives and over 25 million to- gle up and let’s see where Obamacare of lives that includes young healthy in- takes us.

Summer 2015 TOLEDOMEDICINE 3 Fourth District Councilor’s Report

The OSMA Launches New Prescription Drug Abuse Campaign Anthony J. Armstrong, MD Dr. Robert E. Kose, Toledo-Area versations we can have with them as administration has also provided Physician, Sworn in as OSMA their care leader.” strong support, as has key Ohio law- President makers who have focused on ad- Dr. Kose said advocating for im- dressing prescription drug abuse. Robert E. Kose, MD, JD, a pulmonary proved access to quality care for all and critical care specialist in Toledo, Ohioans will also rank high on his Prescription drug abuse – and in par- was sworn in as president of the Ohio list of priorities. ticular, opioids – account for nearly State Medical Association (OSMA) six unintended deaths in Ohio every during the organization’s Annual The Ohio State Medical Associa- day, according to Ohio Department Meeting in April. Dr. Kose, who is tion Launches a Physician-Driven of Health statistics. “The Smart Rx currently employed at The Toledo Campaign to End Prescription Drug program is a critical next step in the overall strategy to combat this crisis” Clinic, is the OSMA’s 169th presi- Abuse and Opioid Addiction dent. Dr. Kose will serve a one-year stated Mike Abrams, President and CEO of the OHA. term. His goals as president include Ohio Physicians, lawmakers and maintaining intense focus on legisla- health systems leaders stood together A key component of Smart Rx is the tion and other measures that protect on March 18 at the Ohio Statehouse interactive training option for phy- scope of practice issues. in support of a new effort to end the sicians and other health care work- state’s prescription drug abuse prob- ers which features four separate, “As I look ahead to my tenure, it will lem: Smart Rx – Safe Medicine and 15-minute modules that cover top- remain vitally important that the Responsible Treatment. Smart Rx is ics ranging from information about OSMA continue to be strong advo- a statewide campaign launched by Ohio’s prescription drug monitoring cates for protecting our role as physi- the OSMA to raise awareness about program to educating patients about cians and the head of patient care,” prescription drug abuse and opioid proper consumption and disposal of Dr. Kose said. “Other health care addiction. The campaign features a medications. Upon completion of the workers continue to bring legisla- unique opportunity for physicians, training, participants are eligible for tion intended to expand their scope nurses and other health care leaders one-hour of CME credit. of duties that, quite frankly, in many to gain additional, valuable training cases infringes on the rightful duties on understanding Ohio’s changing The ease of access from any device of physicians.” prescribing rules and regulations to and the flexibility to start and stop assure the best care possible is being when convenient for the user makes Dr. Kose said he also hopes to bring delivered to patients. more attention to end-of-life issues, the training uniquely accessible. For more information and to take the believing that physicians can play “Smart Rx represents a collective ef- a more instrumental role in helping training today, visit www.OSMA. fort by Ohio physicians to be more org/SmartRx. patients address these matters when accountable for this problem in our death appears imminent. “As a criti- communities and a willing partici- cal care specialist I see many patients pant in the solution to solve it,” said who eventually pass away from their D. Brent Mulgrew, OSMA executive illness. As that time approaches, director and co-CEO. these folks often do not have their affairs in order for the good of their The OSMA launched the campaign family and loved ones,” Dr. Kose with the support of OSMA mem- said. “Having these conversations bers, the Ohio Hospital Association with patients and encouraging them (OHA), eight of Ohio’s leading hospi- to address these matters is one of the tal health systems and four corporate most overlooked but important con- sponsors. Ohio Gov. John Kasich’s

4 TOLEDOMEDICINE www.toledoacademyofmedicine.org Summer 2015 Feature

Our Obesity-Hunger Paradox

Louito C. Edje, MD, FAAFP “It is peculiar to live in a world defined as having less than 2 of the food insecure families. Consumers where hunger is an endemic following: abnormal high-density who know the difference between problem for half of the planet lipoprotein cholesterol; abnormal a “sell by date”,“use by date” and while diet books are best sell- blood pressure or use of antihyper- “best by date” may have 7 more ers in the other half.” tensive medication; elevated fasting days of food that otherwise would plasma glucose or use of antidiabetic have been thrown out. Tacit messag- his simple statement by Mad- medication; and high triglycerides. ing targeting children with the toy eleine Albright suggests a geo- It was found that the age-, gender- d’ jour and supersizing the fries is a Tgraphic distance between these and ethnicity-adjusted prevalence problem. Legislation to decrease di- two halves of the planet, yet the com- of unhealthy obesity after 5 years rect to child-consumer advertising plexities of hunger and obesity co- was 11.80 times higher in the base- is a morsel of the solution. Offering exist in cities, households and even line healthy obese adults compared healthier options to movie goers is single individuals. to healthy nonobese adults. After 20 another. “Healthier” choices in four years, approximately half of healthy of our local theaters include a “lite Toledo has the recent distinction of obese adults were unhealthy obese bite combo” of beef jerky, butterless being seventh on the Forbes list of and only 10% were healthy obese. popcorn and diet soda, yet some of “Fattest Cities in America”.1 Yet, al- the healthiest carrot stick and red- most 20% of the population of Lucas Because “Hunger” is subjective and grape options disappeared with cin- County meets the definition of food difficulty to measure, in 2006 the US ema mergers. Exercise is almost al- insecure.2 That is, within the span of Department of Agriculture stopped ways part of the solution regardless 12 months, their household “some- using the term hunger and started us- of the cause of obesity. And, it goes times” or “often” did not have enough ing “food insecurity”. The food inse- without saying, that partnering with money to buy food to last until the cure are not easily identified without primary care is sound judgment. end of the month. So where does one screening. A divorced soccer mom start to make us less distinguished on with two scholar-athletes, may be that list? Two suggestions: challenge food insecure because she is trying to 1 America’s Fattest Cities, Forbes http://www.forbes. the concept of “Healthy obesity” and keep her children in a private school. com/pictures/gjlf45eg/3-hagerstown-martinsburg/ , accessed online June 12, 2015. become familiar with “food insecu- A 2-question screening tool with 97 rity”. percent sensitivity helps us pick up 2 Feeding America Report 2014, http://www. feedingamerica.org/hunger-in-america/our-research/ this struggling, often overlooked hunger-in-america/ accessed online June 12, 2015. “Healthy obesity”, otherwise known segment of our population which 3 Bell, J A MSc et al.The Natural Course of as obesity in the absence of metabolic is associated with at least 6 medical Healthy Obesity Over 20 Years J Am Coll Cardiol. risk factor clustering, has widely been conditions in adults: obesity, type 2 2015;65(1):101-102. doi:10.1016/j.jacc.2014.09.077. used as rationale for tackling obesity diabetes, acute decompensated heart 4 Frank, D. A et al Development and Validity of a with less vigor than it deserves. It failure, depression, hypertension, 2-item screen to identify Families at risk for food inse- was thought that obesity was a stable and coronary artery disease. In our curity Pediatrics 2010; 126:e26-e32. physiologic state rather than one that youth, it is associated with obesity, 5 Seligman, H., A. et al. 2007 “ Food Insecurity transitions to metabolic deterioration. Associated with Diabetes Mellitus: Results from the teen suicide and impaired cognitive nation Health Examination and Nutritional Examina- A study - the longest of its kind - pub- development.4,5,6,7 tion Survey 1999-2002” Journal of General Internal lished in January, 2015, challenges Medicine, 22:1018-1023. 3 the notion of the “healthy obese”. A City-wide problems require city- 6 http://circ.ahajournals.org/cgi/content/meet- group of “healthy obese” individu- wide solutions. Perishable fruits and ing_abstract/125/10_MeetingAbstracts/AP09, accessed May 25, 2015. als was assessed for metabolic de- vegetables that have reached their terioration as compared to healthy shelf life in grocery stores can be 7 Stuff, J.,P et al.2004. “Household Food Insecurity Is Associated with Health Status.” Journal of Nutrition, nonobese. Metabolically healthy was transitioned to the empty shelves of 134: 2330-2335.

Summer 2015 TOLEDOMEDICINE 5

Feature

Hospice and Palliative Care – Similarities and Differences

John F. McGreevey, MD he philosophy of hospice care Hospices are paid a daily capitation vides consultation. Availability and comes from a couple of ideas. and are required to provide multidis- the type of service provided are vari- TThe first idea is that, while suc- ciplinary care. able from area to area and hospital to cessful treatment or cure of a disease hospital so it is good to explore the is always a primary goal in health Patients who elect hospice are gen- details of available services. It may care, there are times when that isn’t erally no longer seeking care that be less comprehensive than hospice possible. Sometimes treatment is un- would improve prognosis and ex- care since there is no capitation to successful. Sometimes the burden tend life expectancy, usually because fund case management and multidis- of treatment becomes too great for a those therapies have been exhausted, ciplinary services. A Palliative Care patient. At such a time there is still or have become too difficult for the consultation is valuable in improving much that can be done to care for peo- patients. Treatment focuses on com- quality of life for people facing diffi- ple and improve their quality of life. fort and relief of symptoms. Some- cult diseases and in helping people Symptoms can be alleviated. People times that may involve active disease navigate difficult decisions. can spend their time and energy in treatment. Other times it is limited to whatever way suits them best symptom management.

A second important part of the phi- What about Palliative Care? Pallia- losophy, perhaps the cornerstone tive Care is a broader term for care of hospice care, is that the needs of that is focused on symptom man- people facing the end of life, whether agement and relief of symptoms. In for themselves or loved ones, include other words, hospice care is a type of more than medical needs. People Palliative Care service. Many have also have psychosocial, emotional recognized that this approach to care and spiritual needs. It is center to is helpful across a broader range of hospice philosophy and care to ad- the healthcare spectrum, and not just dress the entire spectrum of pain and at the end of life. Attention to pal- suffering faced by terminally ill peo- liative needs while simultaneously ple and their loved ones. Although actively treating a disease may be the some have thought of hospice care as best approach. People who are seri- a withdrawal of care, it is actually a ously ill, but who don’t elect or are very intensive level of care. not eligible for hospice care can benefit from Palliative Care consultation. In addition to being a philosophy and Many of these people will later tran- approach to care, hospice care is also sition to hospice care. a system of care. For 32 years there has been a Medicare Hospice Benefit, Palliative Care may be available in the which provides coverage for hos- hospital, in an office or in the home pice care for Medicare eligible peo- setting. There is no specific Medicare ple when it is judged likely (by two or insurance benefit funding Pal- physicians) that they are in the last liative Care. It is generally provided six months of their lives. It is now through fee-for-service consultation common for other forms of health or as a service of a health care sys- insurance to have a hospice benefit. tem. A Palliative Care physician or APN sometimes working with coun- selors and other nurses usually pro-

6 TOLEDOMEDICINE www.toledoacademyofmedicine.org Summer 2015 Cover Story

Still Life with Grapes, Chestnuts, Melon and a Marble Cube John F. McGreevey, MD lthough relatively unknown, French painter Antoine Berjon has Arecently created excitement at the Toledo Museum of Art. The museum’s director, Brian Kennedy, is delighted that the recent acquisition from a private dealer of Still Life with Grapes, Chestnuts, Melon and a Marble Cube has joined other notable French still lifes. The painting was acquired through the generosity of Toledo Medicine Editorial Board member Dr. James Ravin and his wife, Nancy. Lawrence W. Nichols, the William Hut- ton Senior Curator, European and Amer- ican Painting and Sculpture before 1900, was quoted as saying “A still life by Ber- jon, an artist who rarely appears on the market, has been sought by TMA for decades. It is utterly thrilling to have this sublime and mysterious gem enter the collection.”1

Dr. Ravin, inspired by his mutual love for both the museum and 19th century European art, shared, “I have had a warm place in my heart for the TMA Born in Lyon, France, in 1754, Berjon was Today, Berjon’s works are displayed in ever since I was one of the children who a butcher’s son who, by some accounts, such notable galleries as the Louvre, The spent Saturdays there learning to draw studied medicine in his early years. He Fitzwilliam Museum at The University and paint. The museum is obviously studied drawing and became a designer of Cambridge, New York City’s Metro- Toledo’s crown jewel and receives great in the textile industry, dominated by politan Museum of Art, Philadelphia support from within the community and silk at the time. He eventually became Museum of Art, Boston’s Museum of outside. The museum always appreci- known as one of the finest silk design- Fine Arts, and the Musée des Beaux Arts ates the support.” ers in Lyon. He broadened his study of in Lyon. art to include watercolors, oils and pas- Painted during the first decade of the tels and began exhibiting his work at the 19th century, Still Life is a study in con- Paris Salon of 1791. The silk industry 1. http://www.toledomuseum. trasts. Visually contrasting textures – in Lyon was decimated by the Siege of org/2015/05/11/toledo-museum-of-art- smooth grapes and chestnuts against Lyon in 1793 during the French Revo- acquires-19th-century-french-still-life/ rough melon rind and chestnut casings lution, prompting Berjon to depart his – are present as well as contrast between hometown. He spent 17 years in Paris, 2. Southgate, M. Therese (January 24–31, the beauty of nature against the beauty exhibiting his work at least five times at 2007). “Still Life With Flowers, Shells, a of manmade objects – in this case a cut the Salon before returning to Lyon. He Shark’s Head, and Petrifications”. JAMA white marble cube. A Romantic artist was named professor of flower design 297 (4): 340. doi:10.1001/jama.297.4.340. influenced by Dutch flower painters of at the École des Beaux-Arts. His tenure PMID 17244821. the 17th century, Berjon was known for came to a premature end after 13 years, his stunning detail and ability to adapt it reportedly due to his fiery temperament to the period of Enlightenment in which and many conflicts with the school’s ad- he lived. His works commonly explored ministration. After leaving the school in and drew upon the beauty of both sci- 1823, he continued to teach and paint in ence and nature. Lyon until his death at the age of 89.2

Summer 2015 TOLEDOMEDICINE 7 Alliance Activities

The Toledo and Lucas County Alliance: Top Ten List Sherry Wainz 10. Medical student or resident spouses join dues free.

9. We have a web site and we accept PayPal. www.lcmaalliance.org.

8. Members can choose to come to one event, all events or no events. No pressure ever!

7. Special interest groups offer opportunities for friendship, learning and social- ization. New groups are easily formed. Gourmet, Clean Eating, Book Club and play groups are just a few of the options available to members.

6. New members are always welcome. We are small enough to be easy to navigate, but large enough that any member should find a friend in the group.

5. Leadership opportunities abound!

4. We host the best Fall trunk show and Spring Luncheon in town with guests always welcome.

3. The Alliance supports community activities including Mobile Meals, Kids Un-limited, Read for Literacy, Bethany House and YWCA Battered Women's Shelter and Ronald McDonald House. Some of our projects are family friendly events.

2. Our Bridge Marathon and Euchre events are always popular.

1. We are the largest medical alliance in Ohio. We are proud to celebrate 75 years of supporting the medical family and the community.

Don't miss celebrating this special anniversary with us during the 2015-2016 Alliance year. Your active participation will help us chart a course toward the next milestone!

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Summer 2015 TOLEDOMEDICINE 9 In Memoriam Compendium

The Year of Our Lord – 2015 Exacting a Heavy Toll

homas N. Sardelis, MD, died ed professionalism, intelligence, but as a General Practitioner in Toledo for in January of this year at the true compassion for patients. It was a time, then undertook the Psychia- Tage of 75. Tom met his wife at a seamless guilt of talent she had. try residency at the Medical College the University of Michigan, where he It was a genuineness about her that of Ohio, staying on as clinical faculty was getting his medical degree. He transcended everything else”. I re- until retiring in 1994. True to her spirit served for 2 years in the US Army. member her as a friendly, competent and compassion for people and love In addition to practicing medicine, consultant who was always helpful for teaching, she continued on as vol- Tom was an artist, inspired by lit- to my patients. She is survived by her unteer faculty until macular degener- erature. He enjoyed drawing, paint- husband, Jon Konzen, MD, five chil- ation made this not feasible. She mar- ing, creating wood sculptures and dren, fifteen grandchildren and one ried Clair Backall (her former college shared his love of Shakespeare with great grandson. Mathematics professor) in 1974. They his wife who was also an avid op- owned horses and traveled to watch era enthusiast. He began his radiol- Thomas A. Kwyer, MD, died too them race and he preceded her in ogy practice in Saginaw, Michigan, soon at the age of 66. Born a “Hoo- death in 2001. I remember Mary as and then joined Toledo Radiological sier”, Tom went to college at Indi- a kind, always smiling Psychiatry Associates, where he worked for 22 ana University and then attended professor who truly seemed to care years. At TRA he rose to the posi- medical school at the University of about her patients and students. She tion of President. In addition to his Michigan. He did his residency in is survived by her brother and three wife of 54 years, Betty, with whom he Otolaryngology at the University of sisters. shared the passion for University of Michigan also, at which time he be- Michigan football and travel, Tom is came a staunch and enthusiastic Uni- John M. Croci, MD, died much too survived by his two children and five versity of Michigan fan. He practiced soon at the age of 68 in his vacation grandchildren. otolaryngology in Toledo for many home in Key West, Florida, having years and had more recently estab- recently been diagnosed with and Claudette Konzen, MD, died at the lished the Sinus Center of America, begun treatment for pancreatic can- age of 76 in Texas. She was a spe- dedicated to assist patients who had cer. Growing up in West Toledo, he cialist in Physical Medicine and Re- been plagued with ongoing sinus attended St. Francis DeSales High habilitation. She attended the Uni- disease. He became very skilled at School where he served as Student versity of Ottawa (Canada) Medical cooking over his later years, enjoyed Council President and earned All- School where she met her husband, classical music and also playing the City honors in football. After gradu- Jon Konzen, MD, during registration, bassoon. Tom will be remembered as ating from The University of Toledo later did an internship at Akron City hard-working and dedicated and a with a Bachelor of Science degree, he Hospital, received an MPH from the terrific father and husband. He had a became a member of the charter class University of Michigan and then fin- strong faith in God. He is survived by at the Medical College of Ohio and ished her PM & R residency, also at his wife Roxy and four children. did a Family Practice residency at the University of Michigan. She lived Akron City Hospital. He began prac- in the Toledo area for many years and Mary A. Lenkay, MD, died at the tice in 1975 as a founding member of for 15 years worked as Chief of PM & age of 93 a few weeks after having Fallen Timbers Family Physicians in R at the Ann Arbor Veterans Admin- hip surgery. She was born in Toledo, Maumee and retired from this group istration Hospital where she treated graduated from Central Catholic as senior member in 2013. John was veterans of World War I, World War High School in 1939, eventually de- involved with many societies dur- II, the Korean War and the Vietnam cided to go to medical school after ing his professional career, includ- War. The job entailed a 90 mile round working as a medical technician at ing leadership roles with the Toledo trip all year round, no matter what St. Vincent’s and graduated from the Chapter of the American Cancer So- the weather. She left that position to Stritch School of Medicine at Loyola ciety, the Toledo and Lucas County work for Dr. Shang Rhee in 1992. In University in Chicago in 1956 (only Family Practice Academy and the the words of her son, Ben, “She meld- two women in the class). She worked Fourth District of the Ohio Academy

10 TOLEDOMEDICINE www.toledoacademyofmedicine.org Summer 2015 of Family Physicians. John was very they came to the United States in sewing and gardening. Charles pre- active at St. Luke’s Hospital – Active 1954 to do their residencies. Ursula ceded her in death in 2007. I remem- Staff 1973-2013, Chief of Staff 1996- postponed starting her practice for ber Anna May as a bit rough around 1997, Board of Trustees 1998-2001, eight years to raise their children, but the edges, but well-loved by her pa- Chairman of the Watson Open Com- eventually joined her husband and tients and clinically quite astute. She mittee 1980-2013, 2014 recipient of the Dr. John Erkert and Dr. Erich Kris- is survived by two children and two Clair Martig Award (given annually ten, establishing a very large family granddaughters. to an individual who has substan- practice. They practiced together for tially contributed to the growth and almost twenty-five years and Ursula —Stephen P. Bazeley, MD prosperity of St. Luke’s), and mem- was known for her kindness and pro- ber/chairman of many medical staff fessional self-confidence. She was on committees. He volunteered as Team staff at Flower Hospital and was in- Physician at Maumee High School volved in the early years of teaching 1976-1986 and spent many of his off for the Medical College of Ohio. Her days as a preceptor at the WW Knight husband Franz died in 2001 and she Family Practice Residency Program, is survived by two sons, one daugh- as well as mentoring students and ter and five grandchildren. residents from the Medical College of Ohio/The University of Toledo Col- Anna May (Newton) Klippel, MD, lege of Medicine. John met Susan, his died at the age of 93 in Massachu- wife of 45 years, during high school setts. Anna May was born in Toledo, and wed her two weeks before start- attended DeVilbiss High School, ing medical school. Together they then went to Columbus for a special enjoyed traveling, their Key West six-year combined undergraduate/ vacation home and spending time medical school at The Ohio State with their family and friends. John University. She married her hus- will be remembered for his bound- band, Charles Klippel, MD, in 1944 less energy, zest for life, genuine car- and they graduated from medical ing for others and his willingness school together in 1945 – she was the to go the extra mile for anyone that only woman in the class. She began needed him. I will always remember her practice as a General Practitioner John as an excellent role model for doing a lot of obstetrics, then tran- what a concerned, involved family sitioned to Family Practice when it physician should be and he will be became a recognized specialty in the sorely missed. His legacy will live on 1960s. She often worked 12-hour days in those he touched – family, friends, and was on the staff of five Toledo co-workers and patients. John is sur- area hospitals. Her husband Charles vived by his wife Susan and two sons became the first Pediatric Surgeon and their families, which include five in Northwest Ohio. Anna May and grandchildren. Charles traveled extensively during both their working and retirement Ursula Ruwe, MD, died in Florida years, vacationing in Europe, Aus- at the age of 89. Born in Germany, tralia, Canada, the Caribbean and all she ultimately received her medical parts of the United States. Anna May degree from the University of Goet- was an active member of a number of tingen where she also met her hus- organizations, including the Toledo band, Franz Ruwe, MD, and together Museum of Art. She enjoyed music,

Summer 2015 TOLEDOMEDICINE 11 In Memoriam

Franz Joseph Berlacher, MD 12/18/1928 — 4/29/2015

r. Franz Joseph Berlacher Resident at Tripler Base Hospital in period, so I can personally attest enjoyed a life full of bless- Hawaii, he returned to Henry Ford to the mutual affection he shared Dings, most of which he for his Cardiology Fellowship. He with his patients. They were grate- brought upon himself. He was came back home to Toledo where ful for his expert care and sincere hard working from the start. Ironi- he practiced Internal Medicine and caring and he was humbly grateful cally, his first job was as a gravedig- Cardiology successfully in every they entrusted him with their lives. ger at 14 — he lied about his age. sense of the word. He was the pa- As he was devoted to his career, so He spent his adult life delaying pa- triarch of a large and accomplished he was devoted to his family: their tients from using that service. family that he and Audrey raised gatherings “up north”; their shared with love and devotion, consist- attendance at Notre Dame football ing of 7 children, who produced 19 games, in person or on TV; their in- grandchildren, who in turn have formative wine excursions to Napa produced 10 great grandchildren, and Sonoma, even to the point of all of whom were the joys of his life, participating in crushing the grapes; along with his wife, his profession, attending children’s and grandchil- Notre Dame football, great music, dren’s sports events and academic great wine, and great food. honors; large happy family dinners and other such gatherings. His life It is fitting he bore the name of Em- stands as proof that work-life bal- peror Franz Joseph as he was the ance is not a concept created by the emperor of cardiology at Mercy new generation - excellence in both Hospital as Chief of Cardiology for has always been possible and Franz 30 years, as well as serving terms as Joseph Berlacher, MD, enjoyed Chief of Staff and as a Member of each of these aspects of his life with the Board of Trustees. He was also gusto. on the staffs of St. Vincent and To- ledo and served as Vice President — Allen L. Markowicz, MD of our Academy of Medicine. He was active in the American College He was born and raised in Toledo, of Cardiology and the American attending Catholic schools, Gesu Heart Association. He practiced and Central. Both diligent and bril- medicine for 54 years until 2005, in- liant, he graduated at age 16, then cluding many years together with attended Notre Dame University, his oldest son, Paul, whose daugh- leaving at age 18 to enroll in medical ter Katie also became a cardiologist, school at no less an institution than making 3 generations in the field the University of Chicago, from (so far). Another son, Mark, is also which he earned his MD at about a physician, but Franz took pride in the age that most students finish all of his offspring’s considerable college. That same year he mar- accomplishments, having inspired ried Audrey (See above comment by example. about blessings he brought upon himself) and started his Internal We shared some patients over the Medicine Residency at Henry Ford. years and even worked for the same After an interval as Chief Medical practice organization for a brief

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Summer 2015 TOLEDOMEDICINE 13 UTCOM Report Hospital Reports

The University Dean’sof Toledo Area Hospitals College Of Medicine Chiefs of Staff Report Reports nder the proposed aca- R. W. Mills, MD catheterization care in pediatrics. demic affiliation between Mercy Children’s Hospital Newborns, children and adults UThe University of Toledo t has been an exciting time at with congenital heart disease are and ProMedica, medical students IMercy Children’s Hospital with cared for by our expert team where would have additional clinical the recent win of Speedway’s Battle special biplane fluoroscopy is used learning experiences that are more of the Brave national contest. Two with all patients to improve image varied and more local. The UT of Mercy’s miracle children, twins accuracy and aid in therapeutic Board of Trustees approved on Lyndon and Robert, brought in the procedures, even in some of the May 11 a resolution asking the most votes nationwide to win the smallest patients. The intervention- administration to sign a letter of annual contest that comes with a al procedures performed include intent to begin negotiations on the $20,000 prize. closure of septal defects, emboliza- long-term deal with the Toledo- tion of vascular abnormalities, bal- based health system. Mercy Children’s will invest the loon dilation of valves and stenotic contest funds in the region’s first arteries as well as endovascular This affiliation now being negoti- inpatient pediatric and neonatal stent procedures. These services are ated is an effort to solve the vul- telecommunication system that will provided under the guidance and nerability created by the mismatch enable parents to connect virtually leadership of Pediatric Cardiology between the size of the UT College with their child’s physician and Division Head Will Suarez, MD, of Medicine and the size of its healthcare team when they are not and are aided by the expertise of academic medical center, which able to be at the child’s bedside. It Mark Banoub, MD, pediatric car- exists to provide learning oppor- will also allow parents and other diac anesthetist, Edward Bove, MD, tunities for UT health sciences family members to virtually visit pediatric cardiothoracic surgeon at students, research material for the child or neonate. the University of Michigan Health faculty and students, and capital System, and Fayyaz Hashmi, car- for the academic mission. While Also of note is the addition of two diothoracic surgery here at Mercy the UT College of Medicine, at pediatric hematology/oncology Children’s. 170 students per class, ranks in the specialists to the Mercy Children’s 70th percentile nationwide, the UT team. Melisa Mullins, MD, PhD, Shakil A. Khan, MD Medical Center ranks in the 2nd and Zaher Naji, MD, have joined Mercy St. Anne Hospital percentile. The result is a hospital Mercy, bringing compassionate fter launching nearly a year without enough patient volume or and specialized care to our young ago, the cardiac program at patients. Dr. Mullins and Dr. Naji A Mercy St. Anne Hospital continues are committed to providing in- to gain momentum. Started in Au- (Dean’s Report continued on Page 20) dustry-leading treatment through gust, 2014, The Mercy Heart & Vas- advanced technologies, personal- cular Center at St. Anne Hospital Frank P. Manning, Jr. ized service and a commitment offers a full-service cardiovascular Chartered Property & Casualty to compassionate care. They have program including heart catheter- Underwriter joined Rama Jasty, MD, in Mercy ization, coronary angioplasty and Pediatrics Hematology Oncology stenting, and open heart surgery. In Professional Liability Coverage Specialists. for the Medical & Dental April, the cardiac team conducted its first STEMI procedure and has Professions Our expert care continues in the successfully completed several g pediatric cardiac cath lab where more. Brooks Insurance Agency Mercy Children’s remains the only 1120 Madison Avenue facility in the region that offers St. Anne was also the host of the Toledo, Ohio 43604 diagnostic and therapeutic cardiac 419-254-7353 final Heart of West Toledo event, a grassroots effort to help improve

14 TOLEDOMEDICINE www.toledoacademyofmedicine.org Summer 2015 Reports the heart health of the community. The program included three successful events and at the conclu- sion, three local organizations were awarded cash grants to reward them for participation in the events and to help them continue a health- based program of their own.

Patients will find a new conve- nience near St. Anne with the opening of a new outpatient cardiac rehabilitation location. The new 3,300-square-foot facility is now open at 7640 W. Sylvania Av- enue, Suite B1 and is the second cardiac rehabilitation location for Mercy, with services also offered For genuine care for your loved one, at Mercy St. Charles Hospital in Oregon. Patients work closely with experienced Mercy experts who are trained in exercise therapy for persons with cardiac conditions. choose Kingston. The new facility features state-of- the-art exercise equipment including treadmills, stationary bicycles and free weights. Communities of Choice for: Growth was also evident with the announcement in late March that • Assisted Living the Surgery Center at Regency Park joined Mercy, and together with the • Memory Care 16 physician owners in the Regency • Skilled Nursing & Physician Group, formed an affiliation to provide accessible, high Short Term quality surgical care for residents Rehabilitation of Northwest Ohio and Southeast Michigan. The Mercy Health Re- • Long Term Care gency Park Surgery Center is a 10,000-square-foot free-standing • Outpatient Therapy facility that features four operating rooms and employs about 40 Campuses located in full-time and part-time employees. Sylvania and Perrysburg For patients, this affiliation means another choice when scheduling outpatient surgery. www.kingstonhealthcare.com (continued on Page 16)

Summer 2015 TOLEDOMEDICINE 15 (from Page 15) Karl S. Fernandes, MD leaders to make these governing hances patient experience and care Mercy St. Charles Hospital documents consistent throughout and includes state-of-the-art flat am pleased to highlight a pro- the region. panel detectors with 3D DynaCT I gram recently introduced at (CT like) imaging. Also new is an Mercy St. Charles Hospital that St. Charles is gearing up for the electrophysiology (EP) lab at the gives honor and thanks to our 2015 medical staff elections. As the Mercy Heart & Vascular Center at patients who are veterans. Earlier medical staff is a self-governing Mercy St. Vincent Medical Center, this year, the Palliative Care team entity, members of the medical staff allowing cardiologists the ability at St. Charles began the Veteran’s are privileged and responsible to to treat more complex heart ar- pinning program to ensure that all elect leaders who are engaged and rhythmias. The new $1.5 million veterans are acknowledged for the visionary in this ever changing lab is equipped with the latest sacrifices they have made. Patients landscape of healthcare. Don’t miss diagnostic technology, including are identified as veterans when the chance to be heard! a low dose x-ray machine and the they are admitted so that a Mercy CARTO® 3 System - a 3D mapping team can recognize them with a pin system which improves the physi- and a thank you. A small American Randall W. King, MD cian’s visualization and ability to flag decal is put on the door so that Mercy St. Vincent Medical Center diagnosis. anyone entering can also thank the n February, Mercy announced an veteran for his or her service. And Iinnovative partnership with The Also earlier this year, we had new any veteran who passes away while Toledo Clinic to create a compre- leadership at St. V’s. While I took in the hospital is honored with an hensive, integrated cancer center on the role as Chief of Staff, F. Barry American flag draped over them designed to transform cancer care Knotts, MD, was selected as Chief- as they are led down the hall lined throughout the region. Mercy - Per- Elect and Ajith K. Pai, MD, will with staff either saluting or holding rysburg Cancer Center will offer ac- serve as Secretary-Treasurer. their hands to their heart. cess to the region’s largest team of medical oncologists who together On June 5, the annual John Smythe will provide a comprehensive David S. Mierzwiack, MD memorial event was held at Fifth treatment plan designed for the ProMedica Bay Park Hospital Third Field. This event commemo- unique needs of each patient. An ecent accomplishments at rates the dedication to medical integrated approach will be taken RProMedica Bay Park Hospital education exhibited by John W. that may include diagnostics, sur- provide a reminder of the impor- Smythe. Residents from the Mercy gical consultation, chemotherapy, tance of our Mission to improve the post graduate training programs, radiation therapy and access to health and well-being of those we faculty and physicians involved in clinical trials. serve. These successes highlight the the education of medical students, ways that great strides are being came together to enjoy an evening The $14.5 million investment shows made to ensure that patient care of baseball. Mercy’s commitment to improved remains our number one priority. coordination and quality of care. Results from the Physician Choice Construction will begin soon and The ProMedica Heart and Vascular Awards were announced at the the facility is scheduled to open in Institute recently launched two ex- May 19 general medical staff 2016 on the site of the Mercy Per- citing programs at ProMedica Bay meeting where Medical/Surgical rysburg Medical Center on Eckel Park Hospital, a heart failure clinic department Clinical Lead Nurse Junction Road in Perrysburg. The and cardiac rehabilitation program. Stephanie Shanks was honored. cancer center expands Mercy’s Both initiatives will help to address All nominees were acknowledged ambulatory footprint in the market the growing needs of heart patients and were thanked for their hard and supports access to community in our community. work. based services including a free- standing ED and imaging center. The heart failure clinic opened in After much work and widespread March 2015 and the target popu- input, the newly adopted consoli- On campus, Mercy St. Vincent lation is patients who have been dated regional medical staff bylaws is now home to the area’s most discharged with heart failure or went into effect on April 1, 2015. sophisticated interventional bi- those who have a hard time manag- This extensive initiative was led by plane suite. This new inviting and ing symptoms of chronic and acute the northern region medical staff ergonomically designed room en- heart failure. The goal of the clinic

16 TOLEDOMEDICINE www.toledoacademyofmedicine.org Summer 2015 is to provide services to 50 patients Mohammad Mahboob, MD and rooms and clinical rehabilitation by the end of 2015. The clinic has Christopher Foetisch, MD. programs. already exceeded all expectations with more than 50 patients cur- In April the Ohio Department of Have a safe, enjoyable summer! rently enrolled in the program. Health (ODH) surveyors accepted ProMedica Flower Hospital’s sub- ProMedica’s cardiac rehab team mitted action plans on citations Howard M. Stein, MD is comprised of highly-trained recently received and was found ProMedica Toledo Children’s Hospital healthcare providers including to be in compliance by CMS with s the opioid epidemic continues registered nurses, respiratory all the Medicare Conditions of Ato rise, so does the number of therapists, pharmacists, cardiac Participation. Flower Hospital is babies born dependent on these rehabilitation exercise therapists, in deemed status with the Joint drugs. ProMedica Toledo Chil- registered dieticians and behavior Commission and remains fully a dren’s Hospital has seen a dramatic modification specialists. The goal part of the Medicare program. growth in babies being born with is to provide cardiac rehab services neonatal abstinence syndrome to 800-900 Phase II visits (approxi- As ProMedica continues on its Epic (NAS), which is the result of moth- mately 50 patients) in the first year. journey, please watch your e-mails ers using heroin, methadone or The cardiac rehab program started and other communications about Subutex during their pregnancy. taking patients in May 2015 and training and physician updates. It In 2007, Toledo Children’s treated we are confident that the goal of is anticipated that Flower Hospital just two cases of NAS. In 2014, this 50 patients will be achieved before will convert to Epic mid-May 2016. number climbed to 104. this time next year. A web site, epic.promedica.org, was created to aid all stakeholders NAS can lead to several issues ProMedica Bay Park Hospital has in understanding the Epic project in a baby’s development, includ- also been recognized as a primary and keeping everyone up-to-date ing seizures and trouble gaining stroke center by The American on the progress being made, the weight, as well as irritability as the Heart Association and The Joint training offered and more. For a baby goes through withdrawal. In Commission. The Certificate of quick glimpse of what’s to come, addition, there is an immense cost Distinction for Primary Stroke watch this video which focuses on for caring for these babies because Centers recognizes centers that training: https://www.youtube. of the increased length of stay in follow the best practices for stroke com/watch?v=5J8JhlYrO7E. This the hospital. care. This distinction improves the site is nicely organized and features quality of care provided to patients a section specifically for physicians. ProMedica Toledo Children’s Hos- and demonstrates commitment to Check it out … I think you will find pital has joined forces with other a higher standard of service. it to be extremely helpful. Ohio hospitals to address this issue. A member of the Ohio Perinatal The staff at Bay Park Hospital Congratulations to the nursing staff Quality Collaborative, Toledo is second to none and I applaud at Flower Hospital for receiving the Children’s helped develop a state- their unwavering dedication to NICHE (Nurses Improving Care for wide protocol for caring for babies our patients. Healthsystem Elders) designation. with NAS. The protocol is based NICHE is a nurse driven program off their own treatment method designed to help hospitals and which includes treating NAS babies Henry H. Naddaf, MD healthcare organizations improve with methadone for a short term in ProMedica Flower Hospital the care of older adults. the hospital (12 days on average) t is a great honor for me to then discharging the babies with Iannounce the physicians who Heartland at ProMedica, a col- the medication, allowing them to assumed leadership roles on the laboration between ProMedica and finish treatment at home – usu- ProMedica Flower Hospital Medi- HCR ManorCare on the ProMedica ally with their biological mothers. cal Staff leadership team for the Flower campus is anticipated to Hospital staff make sure to evaluate 2015 – 2017 term: Chief of Staff, be completed this fall. When com- the mother’s condition and help Henry Naddaf, MD; Chief of plete, the facility will be a 120-bed coordinate follow-up care with a Staff-Elect, Timothy Husted, MD; skilled nursing facility with private pediatrician. Secretary/Treasurer, Ahed Nah- has, MD; Representatives-at-Large, (continued on Page 18)

Summer 2015 TOLEDOMEDICINE 17 (from Page 17) Toledo Children’s was one of the spend more time with patients. Center at Glendale Medical East first hospitals to send babies home The floorplan will also make it will reunite the family medicine with methadone, an approach easier for nurses and physicians practice now located in the Ruppert proving to be very successful. to connect and collaborate to pro- Center and the family medicine Most babies can be weaned off the vide more efficient, safe and high- residency practice that has been medication within one month and quality care. located on the St. Luke’s Hospital have little to no complications after. campus since 2007. It also will in- The hospital is currently working • All private and “smart” clude a Geriatric Medicine Center with other regional hospitals on rooms featuring state-of-the-art relocated from Lutheran Homes at implementing these protocols in technology that will provide pa- Wolf Creek. their facilities, helping reduce the tients more immediate access to need for costly transfers and hos- nurses, dietitians and other hos- The expansion of our services pital stays. pital staff. continues with the addition of our first off-campus physical therapy • Intensive care rooms that and sports medicine office, located Peter F. Klein, MD are more than 50 percent larger to at the Regency Medical Campus. ProMedica Toledo Hospital comfortably accommodate families With a focus on sports medicine, roMedica is preparing to visiting their loved ones. UT Health Physical Therapy and Pembark on the largest, single Sports Medicine at Regency pri- construction project in its history Site preparation for the replace- marily cares for K-12 and college – a $350 million dollar replacement ment tower will take place by the athletes, though patients of all ages tower on the campus of ProMedica end of 2015, with construction and fitness levels are welcome. This Toledo Hospital. The health system beginning by mid-2016. office joins the other services UT plans to build a 302-bed patient Health offers at Regency, including care tower to replace the nearly orthopedics, primary care, cardiol- 90-year-old facility on North Cove Thomas A. Schwann, MD ogy, neurology and urology. Boulevard. The 13-story structure is The University of Toledo Medical Center scheduled to open in 2019 and will he University of Toledo Health Finally, inside The University of include larger and all private rooms Tcontinues to expand its ser- Toledo Medical Center we are ex- featuring user-friendly technology vices to provide our patients more panding the Anticoagulation Clinic for patients and families. options for treatment and recov- to help patients understand and ery. Construction is under way properly take their blood thinners. Called the Generations of Care on the Rehabilitation Hospital of The additional space will allow project, the new replacement Northwest Ohio, which will be staff to perform testing, if appli- tower is a significant investment located on the UT Health Science cable, to make sure medication to ensure world-class health care Campus. We broke ground on the levels are appropriate, conduct a for future generations in northwest new 49,000-square-foot facility in bleeding risk assessment and ad- Ohio. Guided by a singular focus May that will be operated by Ernest just blood thinners like Coumadin to provide the best possible patient Health, Inc., to provide intensive doses based on testing results. experience, the design of the Gen- physical rehabilitation services to erations tower has been developed patients recovering from strokes, The continued expansion of the UT through comprehensive studies brain and spinal cord injuries, and Health clinical enterprise, which of hospital processes as well as other impairments as a result of builds upon the locations in Wa- significant input from physicians, injuries or illness. terville, Fallen Timbers, Wauseon, nurses, clinical staff and support Napoleon and Bellevue, extends team members. UT Health also is opening this sum- the reach of university-quality mer the UT Health Family Medi- health care throughout the north- Some of the benefits of the new cine Center in newly renovated west Ohio region. tower include: space just down the road from the Health Science Campus convenient • Optimized floor and room for patients and fulfilling the pub- layouts that will significantly re- lic’s demand for more primary care duce nurse walking time by more access, including same day access. than 50 percent, allowing them to The UT Health Family Medicine

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Summer 2015 TOLEDOMEDICINE 19 (Dean’s Report continued from Page 14) revenue to alone create long-term sustainability for the college.

Not only would an affiliation with ProMedica provide our learners additional clinical learning experiences, but it also could result in more caregivers and more care options for northwest Ohio as well as advanced clinical and basic sciences research. As part of the proposed agreement, ProMedica also would provide $250 million in capital to rebuild the UT College of Medicine and at least $50 million per year in academic support payments.

UT will continue to independently own and operate UTMC and the University has no plans to close or sell the hospital. The University is pursuing affiliation to ensure for the next 50 years the continuation of the mission the founders envi- sioned when the former Medical College of Ohio was created more than half a century ago.

MCO’s founders wanted a medical school and an academic medical center in Toledo to ensure a healthy community. An affiliation with the ProMedica health care system would allow UT’s learners, faculty and researchers to learn, teach and conduct research in a premier health-care institution with the scale to accommodate UT’s medical, nursing, pharmacy and health sciences students.

Christopher J. Cooper, MD

20 TOLEDOMEDICINE www.toledoacademyofmedicine.org Summer 2015