Barnes Hospital, St. Louis, Mo. October, 1986, Vol. 40, No. 10

literature on the subject and questioned doctors about all treatment options. After visits to hos- Hospitals unite in pitals in California, Illinois, Indiana, and Mary- St. Louis partnership land, Jared was referred here by pediatricians in Indianapolis and at Johns Hopkins Univer- The first nationwide preferred provider orga- sity in Baltimore where the use of ammonia- nization (PPO) will make its St. Louis debut this scavenging drugs was pioneered. Dr. Flye and fall when Barnes Hospital becomes an active his colleagues were recommended for their member of Partners National Health Plans. work in pediatric transplantation and for their Through Partners, a joint venture of Voluntary ability to combat enzyme deficiencies through Hospitals of America (VHA) and Aetna Life & organ replacement. Casualty, Barnes plans to build the area's strongest PPO by uniting select local hospitals During the three week wait for a new liver, to offer the best health insurance program pos- Jared was hospitalized for treatment of two ep- sible. isodes of elevated ammonia levels. Dr. Flye is optimistic about the operation's success, call- Partners, nationwide, is designed to provide ing it a new approach for a variety of genetic uniform healthcare benefits to employers with liver disorders. He says Jared's new liver is cur- personnel in more than one location in the rently functioning well and properly breaking United States. More than 600 hospitals in 45 down the ammonia that his own liver could not. states and Washington, D.C., participating in the program make Partners the largest health plan network in the United States. Members Young Jared Abbink receives a kiss from his mother, The Abbinks, expressing joy and relief, are receive special identification cards, a directory Janet, as he recuperates from liver transplant surgery happy they were referred to Barnes in their of participating hospitals and toll-free infor- to correct a rare, hereditary enzyme disorder. search for a treatment. Dr. Flye credits them mation numbers to facilitate health care at any for not giving up. "Sometimes, it's a matter of Partners affiliate throughout the U.S. Transplant for enzyme persisting in the medical system until the right treatment is found at the right place. Jared's Barnes, as the VHA Hospital for the St. Louis disorder is a first mother did just that." area, has developed a local network that unites 10 area hospitals in a PPO partnership. Those A loving mother's persistence and a Barnes 10 hospitals include Barnes, Jewish and Chil- transplant surgeon's skill have combined to Skywalk, construction dren's Hospitals, St. Anthony's Medical Center, give an Indiana toddler with a rare enzyme dis- St. John's Mercy Medical Center and Christian order a fighting chance at a long and normal projects underway Hospital Northeast-Northwest in St. Louis; St. life, Jared Abbink, 21 months, received a his- Construction of a skywalk to connect the sub- Joseph's Hospital in St. Charles; and Alton Me- tory-making liver transplant here August 29 at surface parking garage with the hospital's main morial Hospital, St. Elizabeth's Hospital in the hand of liver transplant program director lobby is expected to begin next month. Barnes Granite City and Belleville Memorial Hospital Dr. M. Wayne Flye. proposed the project a year ago as an integral in Illinois. part of an overall plan to increase the accessi- The eight-hour operation marked the first time bility of the hospital. All necessary approvals "The goal of our local Partners network is to that a transplant was used to treat OTC defi- have been obtained and the construction job provide a healthcare delivery system that will ciency, a rare enzyme disorder that claims the will be awarded this month. be unmatched by any other insurance pro- lives of untreated male victims within the first vider," said Mark Weber, a Barnes vice-presi- months of life and untreated females within a The skywalk will rise 16 feet above street level dent and manager of alternative delivery sys- few years. OTC deficiency allows potentially fa- across Barnes Hospital Plaza and enter the hos- tem development. "We are confident that the tal amounts of ammonia to build up in the body. pital at the first floor lobby, near the admitting united effort of these hospitals and the com- In an attempt to stave off mental retardation office, gift shops, cashiers windows and other mitment of their medical staffs will place Part- and death, standard treatment for the disorder patient services. At the south end, the skywalk ners a cut above any other available program." has been a low-protein, high-carbohydrate diet will lead into a glass-walled atrium containing to decrease ammonia production and treatment escalators to the garage levels and access to A PPO offers employees whose companies par- with scavenging drugs which bind to and re- Hudlin Park above the garage. The glass-en- ticipate in the program a financial incentive to move the ammonia from the bloodstream. On closed skywalk will measure 10 feet wide, 14 use hospitals and doctors under contract with that regimen, however, no youngsters with a feet tall and 180 feet long. the plan. Employees are not obligated to use deficiency of Jared's severity have lived beyond the preferred provider, but pay less out-of- three to five years of age. The Barnes Auxiliary has pledged a $ 1.3 million pocket expenses (deductible and co-payment) if donation toward the cost of the $3.3 million they do so. For Steven and Janet Abbink, Jared's disorder skywalk. was not their first encounter with OTC defi- ciency. Five years ago, their eldest son, Bran- In other construction activities at the hospital, Incentive program don, died of the rare hereditary disorder five bids are being reviewed for a pneumatic tube days after birth. A second son, Steven Jr., now that will connect all intensive care unit and op- offered for hired RNs 3, escaped the recessive gene that plagued his erating room nursing stations to the laborato- A registered nurse (RN) recruitment program brothers. It was not until Jared's birth that the ries, pharmacy and emergency department for designed to fill more than 75 newly created po- Abbinks discovered the family carried the de- rapid transfer of STAT (urgent) specimens, sitions at the hospital is offering Barnes em- fective gene. It was their steadfast determina- medications and other vital patient informa- ployees and prospective employees a cash in- tion that led the Abbinks to Barnes and Dr. Flye. tion. Construction is projected to begin in De- centive. The program, which began last month cember, 1986. and extends through October 31, offers a cash Mrs. Abbink says her youngest son has spent bonus to RNs who are hired and to employees the majority of his life in hospitals. In pursuit Projects currently underway include renova- who have referred an RN hired by the hospital of an answer, Mrs. Abbink read all available tion of two nursing divisions, replacement of during this limited time period. the Queeny Tower central sprinkler and air con- Front cover: Orthopedic surgeons Drs. Jordan Gins- ditioning system, and construction of a new fa- A recent expansion of services, as well as in- burg and Robert Shively prepare to tape a "Health Mat- cility in the West Pavilion for chemosurgery creasing opportunities in Barnes' rapidly grow- ters" segment about sports injuries with Channel 5's procedures. Renovation of Queeny Tower nurs- ing home health department, has created open- Tom O'Neal. The 1986-87 "Health Matters" season pre- ing divisions and doctor's offices will begin late ings for RNs in almost every specialty area. mieres October 11. (See centerspread, pages 4-5.) this year. (continued on page 2) RN referrals Fire-Wise reaches out metabolism and orthopedics. Dr. Gregorio Si- (continued from page 1) card, vascular surgeon, serves as major consul- to community tant for vascular reviews. The recruitment incentive program applies to "Stop, drop and roll" and "Get low, get out" RNs who are hired into permanent full-time Patients referred to the foot center undergo are familiar and potentially life-saving phrases and permanent part-time positions. The incen- blood glucose monitoring and examinations to for children who have completed Barnes Hos- tive does not apply to referrals which result in evaluate circulation and neurological function pital's Fire-Wise program. Would your child the hiring of temporary, per diem or non-des- in the feet and legs. A diabetic nurse educator know what to do if a fire broke out at home or ignated RNs. Hired RNs will receive a bonus offers general information about diabetes and in the classroom? payment after the first two weeks, and a second instructs patients in proper foot care, including installment following six months of continuous Barnes' Fire-Wise program teaches pre-school hygiene, nail care and the importance of prop- employment. through third grade children simple directions erly fitting shoes. Patient also are encouraged and steps for fire safety and burn prevention. to ask their own doctors to check their feet on Employees referring RNs hired by the hospital Those steps include how to extinguish burning every office visit. receive bonus payment upon the RN's hire date clothing, get out of a burning building and and a second payment after six months of em- check the temperature of a closed door. The one- After the patient's initial needs assessment, ployment. All employees and house staff officers hour classes are taught by healthcare experts members of the foot center healthcare team of- with the exception of administrators, depart- from Barnes' burn center, departments of social fer recommendations to the patient's private ment heads, N.S.A.B. members and the em- work and education and training, and Irene physician. Patients without a private physician ployment/recruitment department, are eligible Walter Johnson Institute of Rehabilitation ther- are referred to the appropriate clinic for follow- for the incentive program. Inter- and intra-de- apists. The free programs are available to area up treatment. Charges at the center are com- partmental RN transfers and terminated RNs schools and day care centers. parable to an office or clinic visit and are gen- who are rehired during this time period also erally covered by insurance companies. are ineligible. As any burn victim would attest, it's never too early to learn about fire safety. For more infor- One important treatment mode that is avail- RN applicants referred by a Barnes employee mation or to schedule a Fire-Wise program, call able through the diabetic foot center is total are asked to indicate in writing the name, title the Health Education and Screening Center at contact casting for patients with severe ulcers, and department of the employee. There is no (314) 362-1390. or pressure sores. Most such ulcers are the re- limit on the number of referral bonus payments sult of continued rubbing or pressure on a par- an employee may receive. ticular area. Often, a diabetic does not realize there is a problem because of absence or de- crease of pain sensations in the foot.

"Huh? Pardon me?" Total contact casting removes the pressure from the ulcered area and evenly redistributes seminar open to public it. The cast, enclosing the toes and extending to If "People mumble" or "I can't seem to hear within two inches of the knee, is worn for up to well in crowds" are phrases that you are saying six weeks. A walking boot enables the patient or hearing more frequently, you or a loved one to maintain normal activities of daily living. may be suffering from an undetected hearing loss. Barnes Hospital and Washington Univer- College of Surgeons sity School of Medicine will address the needs of the hearing impaired and the latest tech- approves cancer program niques to improve hearing at "Huh? Pardon The Commission on Cancer of the American Col- me?," a free informational seminar. The pro- lege of Surgeons has granted three-year ap- gram will be offered at the hospital two morn- proval to the cancer program at Barnes Hos- ings, on Friday, November 7, and Saturday, No- pital. The professional recognition reflects vember 8, from 8 a.m. to 1 p.m. Barnes' dedication to providing the highest quality diagnostic services, treatment and care Modern technology now gives hope to many to cancer patients. people with hearing impairment for recovery of some hearing function and for better commu- Orthotist David Osterman measures diabetic patient The hospital cancer program was established nication with others. New methods of hearing Tom Cash for a specially fitted and constructed shoe in 1956 to provide a mechanism for the evalu- evaluation and better hearing aid selection and available through Barnes' diabetic foot center. ation of cancer management in hospitals and to fitting may help people who in the past were continually promote high standards in cancer unable to use conventional hearing aids suc- Foot center benefits diagnosis and treatment. Recognizing that can- cessfully. Implantable aids may be an option cer is a complex group of diseases, the program for others who cannot be helped with tradi- diabetes patients promotes consultation among internists, sur- tional aids. Diabetics with foot problems ranging from cal- geons, medical oncologists, diagnostic and ther- luses and ingrown toenails to infections and apeutic radiologists, pathologists and other Topics of discussion will include symptoms, pressure sores may benefit from a new diabetic cancer specialists for a multi-disciplinary ap- evaluation and treatment of hearing loss, hear- foot center at Barnes Hospital. Participants proach to best benefit each patient. Facilities ing aid selection and fitting, strategies to im- meet on the second floor of the Wohl Clinic build- are reviewed every three years for their com- prove understanding of speech, assistive listen- ing (4950 Audubon) on the fourth Wednesday pliance with the national commission's stan- ing devices, implantable aids and living with of each month at 12 noon. A physician's referral dards. impaired hearing. Speakers include Dr. Peter is required. Smith, Barnes otolaryngologist, as well as In addition to state-of-the-art diagnostic and Washington University researchers and audiol- "The Diabetic Foot Center is the only one to conventional radiation and surgical proce- ogy professionals, and a hearing aid user and offer comprehensive nursing, orthotic, casting dures, Barnes' comprehensive cancer program her daughter. and medical care in the Midwest," says Dolores encompasses the Midwest's only specialized hy- Drury, R.N., foot nurse specialist. "Before we perthermia center and one of the nation's most Infrared assistive devices will be available at began the service, diabetics had no central advanced computerized treatment planning the seminar for hearing impaired participants place to go for comprehensive care of foot dis- programs in radiation therapy at Mallinckrodt who request the aids at registration. The de- orders. Lack of proper care can ultimately lead Institute of Radiology; Missouri's only bone vices convert sound waves into light signals to chronic infection and/or gangrene with even- marrow transplant center, and an advanced which are transmitted to a receiver worn by the tual amputation." Foot disorders are a common chemotherapy program which includes several listener. The receiver converts the signal back complication of diabetes because of decreased of the latest available treatments such as inter- to sound waves at a volume level controlled by circulation and lowered sensitivity to pain. Di- feron, the infusaid pump and use of monoclonal the listener. In addition, a sign language inter- abetes also impairs a person's natural ability to antibodies. preter will be available to translate for the pro- fight infection. foundly deaf. Barnes also maintains a tumor registry which The center's multidisciplinary healthcare team documents significant elements of each cancer To obtain more information or to register for includes medical director Dr. Vilray Blair III; patient's history and treatment for evaluation "Huh? Pardon me?" call (314) 362-1390. Free Ms. Drury; a diabetes nurse specialist; physical to direct future treatment, and for analysis to parking and refreshments will be provided. therapist; orthotist, and medical residents in aid cancer research. hooked up to the cell separator for about 90 Smith, cardiac diagnostic laboratory; Agnes minutes. During this time, the donor's blood Soil and Hermine Steadman, nursing; Eloise circulates through a reservoir in the machine Stith, dispatch; Delores Tallie, nursing; Joan where the blood components are separated and Taylor and Clara Thomas, food and nutrition; the desired component harvested. The rest of Rebecca Thomas and Marie Thornton, nursing; the blood is returned to the donor. Vera Turner, food and nutrition; Georgia Walker and Peggy Weseman, nursing; Charletta Barnes' new center also provides therapeutic Williams, medical records, and Louanna Wil- pheresis in an outpatient transfusion area. The liams, nursing. patient is attached to the cell separator during therapeutic pheresis, used to treat diseases such Employees celebrating 15-year anniversaries as myasthenia gravis, TTY (thrombotic throm- total 37: Ernestine Atkins, activity therapy; bocytopenic purpura) and certain complica- Donna Barron, cashiers; Gloria Blackmon, dis- tions of leukemia. patch; Bobby Buchanon, medical records; Merv Carter, food and nutrition; Kenneth Collins, For more information on becoming a pheresis plant engineering; Gertrude Creswell and Sallie donor, call Barnes' pheresis center at (314) 362- Crowley, nursing; Cynthia Croy, purchasing; 1254. The 90-minute donations are scheduled Ethel Crutchfield, food and nutrition; Robert weekdays beginning at 7:30 a.m. The last ap- Endicott and Colleen Fagnani, nursing; Betty pointment is scheduled at 5:30 p.m. Falkenberg, security; Susan Fein, central ser- vice; Donna Gail and Sherlyn Hailstone, nurs- ing; Paul Hartwell, cashiers; Johnny Hopson, Specific blood products such as platelets or white blood laundry; George Jackson, plant engineering, cells are harvested during pheresis donation. 178 employees to be and Miriam Johnson, nursing. Barnes opens new honored for service Oselia Johnson, security; Excell Lawrence, food and nutrition; Louise Lewis, housekeeping; regional pheresis center Barnes will honor 178 employees for long-time Vera Linear, Mary Lyons, Louise McQueen, What happens if one's blood loses its ability to service and dedication at the semi-annual em- Maureen Miller, Jane Moffitt and Willa Moore, clot, or one's bone marrow stops manufacturing ployee service award ceremony October 24 at nursing; Syd Ortmann, design and construc- the cells that fight infection? Without life- the Omni International Hotel in Union Station. tion; Mary Payne, medical records; Gary saving pheresis treatment, most of the cancer The dinner and reception will recognize em- Queensen, pharmacy; Elmer Reed, plant engi- and bone marrow transplant patients faced ployees celebrating 35, 30, 25, 20, 15 and 10 neering; Helen Smith and Reada Thompson, with these problems don't stand a chance. years of service to Barnes between July 1 and nursing; Victoria Thurman, purchasing, and December 31, 1986. The 178 honorees will rep- Theresa White, medical records. Barnes Hospital in August opened a new pher- resent 2,885 years of continuous service. Each esis/outpatient transfusion service facility that employee will receive a gift of personal choice, Ten-year honorees, totaling 71, include Landy serves as the regional pheresis center for met- ranging from traditional gem-studded jewelry Alexander, food and nutrition; Nadine Alexan- ropolitan St. Louis and surrounding areas ex- to household items such as clocks, candy dishes der, medical records; Henry Auberry Jr., house- tending from Belleville, Illinois, to Troy, Mis- and bookends. keeping; Karen Bales, nursing; Judy Bishop, souri. (Barnes began pheresis services in 1975, emergency; Ray Bowers Jr., management in- but took over regional responsibilities from the Four employees head this year's list of honorees, formation systems; Kurt Brady, housekeeping; American Red Cross earlier this year.) The new marking 35-year anniversary dates: Letha Vicki Burchett, medical records; Carol Cantagi, center, located on the second floor of Barnes, has Long, emergency; Everett Menendez, manage- emergency; Margaret Carney, admitting; Orrin eight donor stations with cell separators, a ment information systems; and Hortense Rob- Clark, food and nutrition; Vera Collins, nursing; screening and reception area, and an outpatient erts and Ethel Stevenson, nursing. In addition, Elizabeth Day, nursing education; John Daniel, transfusion area. nine employees mark 30-year milestones, in- housekeeping; Joyce Daniels, home health; Bev- cluding Cathy Blackwell, food and nutrition; erly Diani, telecommunications; Shirl Dimi- Pheresis is a special blood donation process in Ethel Goldsby, housekeeping; Johnetta Hodges, celli, nursing; Esther Fingers, housekeeping; which whole blood is taken from the donor, but laboratories; Anna Ikeda-Tabor, nursing; Ellen Carol Flores, management information sys- only a certain component of the blood is re- Murdock, marketing; Walter Schatz, purchas- tems; Harold Gander, print shop; Helen Gar- tained. All other portions of the blood are re- ing; Ethel Travers, food and nutrition; Liz Wil- rett, Cheryl Gelstein and Helen Gill, nursing, turned to the donor through a special sorting liams, housekeeping, and Ruby Woods, nursing. and John Grana, pharmacy. process made possible by a machine called a cell separator. Components which can be col- Fourteen employees celebrate silver anniver- Richard Gristak, plant engineering; Shirley lected in a pheresis process are platelets, which saries: Izetta Baskin, Mary Buchanan, Martha Haas, nursing; Carol Haase, nursing adminis- are an essential clotting factor, and leukocytes, Darris and Vivienne Dobbs, nursing; Marjorie tration; Mary Hudgins, housekeeping; Maudine white blood cells which fight infection. Ellis, clinics; Delores Hays, credit and collec- Hutson, security; Allan Ivy, housekeeping; tion; Bernice Johnson, food and nutrition; Sina Donna Jackson, cardiac diagnostic laboratory; According to Marian Dynis, nurse manager of Love, nursing; Bobbie Moore, laboratories; James Jarriett, central service; Barbara John- the center, the Barnes facility provides more Martha Nicholson, nursing; Carol Olson and son, nursing; Theresa Johnson, food and nutri- than 500 pheresis products per month to area Georganne Tiemann, laboratories; Vetta Wat- tion; Carolyn Jones, nursing; Terry Jones, plant hospitals within the region. The Red Cross pro- son, nursing, and Sylvia White, housekeeping. engineering; Robert Karsch, respiratory ther- vides transportation of the blood products. Ms. apy; Robert Lehnoff, supply; Chuck Loeffel, Dynis expects the expanded facilities to enable A total of 43 employees will be honored for 20 purchasing; Juanita Long, laboratories; Morris the Barnes center to double its output. "We years of service, including Percy Alford, food Long Jr., plant engineering; Jill Feldman have a pool of about 2,500 donors," she says, and nutrition; Helen Armstead, cardiac diag- Malen, home health; Janet McCarthy, supply; "but we need new donors all the time. The more nostic laboratory; Martha Beamon and Gloria Thadis McDonald, Hazel Meriwether and donors we have, the more patients we can help. Bond, nursing; Adean Brinkley, housekeeping; Charles Mettlach, nursing, and James Mingo, While whole blood can be used up to a month Rosa Brown, laboratories; Lillie Bush, nursing; security. after it's donated, pheresis products have a shelf Eliza Bush, housekeeping; Mary Camp, labo- life of about 24 hours. Recipients often need ratories; Ray Campbell, plant engineering; Dianne Moore, plant engineering; Jake Poe pheresis products daily, so the need for donors Mary Cayse, nursing; Grace Citchen, food and Jr., food and nutrition; Mary Rands and Su- is enormous." nutrition; Mattie Collins, nursing; Norma Cun- san Rice, nursing; Mark Richardson, respira- ningham, laboratories; Airlean Dye and Frankie tory therapy; Oliver Rivers, pharmacy; Gary Potential pheresis donors must meet the same Hayes, housekeeping; Clancie Hodges, food and Schrader, housekeeping; Linda Shanklin, med- criteria as whole blood donors, including nutrition; Anita Holmes, Mabel Johnson, Ethel ical records; Michael Smith and Joann Spencer, health, weight, age and restricted medication Lawrence, Mable Loucks and Theresa Luckett, nursing; Norma Sutton, emergency; Hugh requirements. In addition, pheresis donors un- nursing. Thomason, supply; Patricia Toler, Janice Uhl dergo special human leukocyte antigen (HLA) and Margaret Vick, nursing; Karen Walch, ed- typing to be matched to a recipient who will Roy Migneco, management information sys- ucation and training; Sandra Watts, nursing; best benefit from their blood products. Pheresis tems; Bennie Mills, nursing; William Mitchell, Carol West, administration; Vivian Washington volunteers may donate as often as once a week. plant engineering; Rich Nitchman, plant engi- White, Alfreda Williams, Mary Ann Williams, neering; Brooks Pumphrey, dispatch; Doris Carol Wright and Audrey Wyms, nursing, and During the pheresis process, the donor is Sharp and Louise Shotwell, nursing; Carol Dan York, supply. I Behind the Scenes

The Barnes Bulletin recently slipped behind the scenes to capture production activities during tap- ing of the 1986-87 "Health Matters" series. The camera followed some of the 44 Barnes doctors and healthcare professionals serving as guests on the program through mdke-up, pre-production in- terviews and final tapinh.

The weeks of planning, coordination and produc- tion culminate Saturday, October 11, when "Health Matters" premieres on KSDK (Channel 5) at 5 p.m. The weekly series will run through March, 1987, for a total of 22 segments ranging from organ transplants and stroke rehabilitation to sports injuries and contemporary childbirth. The informational healthcare segments feature a 15-minute documentary presentation followed by a 15-minute panel discusion with Barnes health- care experts.

Dr. Keith Rich and neurologist Dr. Walter Lemann discuss "Brain Surgery." Make-up artist prepares neurosurgeon Dr. Rich.

Guest coordinator Lisa Bosak confers with host Tom O'Neal, medical reporter for Channel 5.

"Health Matters" directors and producers coordinate the taping from the control room at the Channel 5 station. MafleiS

The Barnes Bulletin recently slipped behind the scenes to capture production activities during tap- ing of the 1986-87 "Health Matters" series. The camera followed some of the 44 Barnes doctors and healthcare professionals serving as guests on the program through mdjke-up, pre-production in- terviews and final tapi

The weeks of planning, coordination and produc- tion culminate Saturday, October 11, when "Health Matters" premieres on KSDK (Channel 5) at 5 p.m. The weekly series will run through March, 1987, for a total of 22 segments ranging from organ transplants and stroke rehabilitation to sports injuries and contemporary childbirth. The informational healthcare segments feature a 15-minute documentary presentation followed by a 15-minute panel discussion with Barnes health- care experts. Debbie Brooks, Barnes Hospital coordinator for "Health Matters," meets with Medstar Communications production specialists to ar- Tune in . . . because health matters. Dr. Lemann and Dr. Rich relax with Mr. O'Neal before taping. range final details.

¥ If ' Dr. Binder receives the finishing touches on his studio make-up.

Dr. Morton Binder and Paula Gianino of Barnes Hospice uss caring for the terminally ill with host Tom O'Neal.

Health Matters Schedule Stroke/Stroke Rehabilitation October 11 Seizures October 18 Brain Surgery October 25 Alzheimer's Disease November 1 Arthritis November 8 Back Pain November 15 Sports Injuries November 22 Being Female and Being Athletic December 13 Cancers Which Affect Women December 20 Caring for the Terminally 111 December 27 Weight Control January 3

"Health Matters" directors and producers coordinate the taping from the control room at the Channel 5 station Waiting for an organ transplant was the topic Employee retirements Media spotlight of a KSDK-TV Channel 5 special report by As a national leader in patient care and medical Deane Lane September 1. Interviewed for the Psychiatric technician research, Barnes serves as an information re- segment were Barnes heart transplant candi- Wilberta Williams re- source center. To date in 1986, more than 1,450 dates Ronald Porter of St. Louis and Dale Paar- cently retired from queries from broadcast and print media rep- man of Dexter, Missouri. Mr. Paarman received Barnes after more than resentatives have been made to the public re- a new heart September 4. 16 years of service. lations department requesting that Barnes Mrs. Williams received medical and professional staff explain current The opening of Barnes' new pheresis/outpatient a certificate of appre- health care concerns and discoveries. High- transfusion center received coverage in the ciation from Barnes lights of the media's coverage of Barnes during South Side Journal and on KTVI, Channel 2. Re- president Max Poll at the last month include: cently named the regional center, Barnes now a retirement gather- provides pheresis services for communities as ing in her honor Sep- Mammograms, which are low-dose x-rays of the far east as Belleville, Illinois, and as far west as tember 5. breasts, are a cost effective means to detect Troy, Missouri. Pheresis medical director Dr. breast cancer early, Dr. Judy Marie Destouet, Parveen Ahmed and nursing director Marian Mrs. Williams joined the Barnes staff in 1970 radiologist, said in the St. Louis Post Dispatch Dynis were featured. as a phlebotomist in the blood bank. After two August 10. The story was about a new mam- years in that position, she pursued an interest mography service available through Barnes The September 10 South Side Journal featured in psychiatry by applying for a position in the and the Mallinckrodt Institute of Radiology. a photo of the Missouri Division of Highway Renard section of the hospital. She remained in Safety's seat belt "Convincer" demonstration the psychiatry area throughout her career, most recently as psychiatric technician on 15300. Early detection is vital to treatment of breast for employees at Barnes Hospital. Employees cancer, Dr. Kenneth J. Arnold, general surgeon, had the chance to ride the "Convincer," a ma- Mrs. Williams is looking forward to spending said August 10 on KPLR-TV's "Night Talk" pro- chine that simulates the impact of a sudden more time with her husband who retired eight gram. Also interviewed was Audrey Lenharth, stop at three miles-per-hour. years ago. They plan to travel and remodel their a member of the SHARE (Support Has A Rein- forcing Effect) breast cancer support group. Barnes volunteer Norma Stern was profiled in home. the Clayton Citizen Journal September 11. Norma, a former burn patient who was instru- Contraceptives pose no increased risk of breast mental in the founding of Dealing with Feelings Barnes Speaks to You cancer, even with long-term use, based on a and the Alarms for Life smoke detector pro- study of 5,000 women. The study was published The decade of the 1980s has brought with it an gram, recently received the American Hospital in the New England Journal of Medicine August increased awareness of self-responsibility in Association's Hospital Award for Volunteer 13. The good news prompted numerous inter- personal health. "Barnes Speaks to You—Com- Excellence. views with doctors, including Dr. Marvin H. munity Focus" is a free service of Barnes Hos- Camel, gynecological oncologist, on KTVI-TV pital that provides leading healthcare profes- and Dr. Jerome Levy, general surgeon, on Defense department sionals as speakers for business and community KMOV-TV and in the St. Louis Globe Democrat. groups. Since the beginning of the year, Barnes honors Dr. Schwartz has provided speakers for more than 40 area organizations. Speakers bureau activities dur- What is a bruised heart? The condition is not The United States Defense Department has hon- ing the last month include the following: related to romance, Dr. Wade (Chip) Martin, ored Dr. Henry G. Schwartz, neurosurgeon, for cardiologist, explained August 27 to Riverfront his work in helping to direct the Vietnam Head Dr. Jerome Aronberg, dermatologist, spoke to Times reporter Ed Bishop. The heart can be Injury Study, called the most comprehensive physicians at Utlaut Memorial Hospital in Il- bruised in trauma, just as skin can be. Dr. Mar- study ever of penetrating head wounds. Dr. linois September 3 about skin diseases of the tin said that until the injury heals the heart may Schwartz recently received a certificate of ap- elderly; Emily LaBarge discussed Alzheimer's beat irregularly. preciation for serving as one of five members of disease at the August 26 meeting of the Belle- a directorate overseeing the study of veterans ville Kiwanis Club; Colleen Greene, assistant with combat-associated penetrating head in- Psoriasis, a common skin disorder, can be con- head nurse in the cardiac care unit, explained juries. trolled with ultraviolet light treatment and current cardiac diagnostic and treatment pro- medication, although a permanent cure is elu- cedures to medical office assistants at Belleville For the ongoing study, which started in 1981, sive, Dr. Maxine Tabas, dermatologist, said Area College August 26. during an extensive segment August 19 on 520 veterans who survived penetrating brain wounds from shrapnel or bullets between 1967 KTVI-TV by reporter Lisa Allen. Plastic/reconstructive surgeon Dr. Samuel Lo- and 1970, and 85 uninjured veterans who served gan spoke on cosmetic surgery at a meeting of as controls, returned to Walter Reed Hospital The percentage of births by Caesarean section the American Association of Retired Persons in Washington, DC, for an extensive, one-week has risen in the last two decades. Dr. Roy August 13; geriatrics was the subject of a lecture re-evaluation. Analysis of the data collected has H. Petrie, obstetrician-in-chief, explained to by Dr. John Morris, neurologist, for the Cape demonstrated improved neurological manage- KMOV-TV's Max Leber August 19 that the in- County Medical Society in Cape Girardeau Au- ment of brain injuries, and has added to knowl- crease may be attributed to court decisions and gust 4; the Carondelet YMCA senior citizens edge of how brain injuries affect thinking, mem- societal pressure that a mother should assume learned about organ transplantation August 3 ory and mood, says Dr. Schwartz. Researchers some degree of risk when a vaginal birth would from transplant coordinator Theda Guzman. now are examining cognitive disability, social endanger the baby. adjustment, mood, intelligence andother psycho- metric variables. Patients under anesthesia at Barnes are moni- Barnes Bulletin tored continuously by their anesthesiologists, Dr. Schwartz, as a neurological consultant to October, 1986 Vol. 40, No. 10 Dr. William D. Owens, anesthesiologist-in- the Surgeon General during the Vietnam War, chief, explained in a St. Louis Globe-Democrat traveled to Vietnam to observe neurosurgery in story August 22. The story was based on a na- the field. During World War II, he went to Africa Published monthly for employees, doctors, vol- tional recommendation that such monitoring as assistant chief of the surgical service of the unteers, Auxilians, donors, former and retired be implemented at all hospitals. 21st General Hospital, the medical unit affili- employees, patients and other friends of Barnes ated with Barnes and Washington University Hospital. Available at no charge by contact- The popular "rotation diet" offers weight loss that served in Italy and France. While in Africa, ing the public relations department, Barnes but no long-term solution for weight control, Dr. Schwartz and his staff developed a proce- Hospital, Barnes Hospital Plaza, St. Louis, dietitian Linda Gobberdiel said in a story about dure for handling wounds of the head and Mo. 63110, (314) 362-5290. Circulation: 13,000 the diet in the St. Louis Globe-Democrat August nerves that became standard for the military. copies. 26. In the same article, dietitian Mary Ellen He received the Legion of Merit award in 1945 Biendorff said the diet's emphasis on activity for his service to the Army. Kimberly Kitson, Editor might make it a good method for people who Charlene Bancroft, Assistant editor have had little success with other diets. Dr. Schwartz joined the Barnes/WUMS staff in Daisy Shepard, Director 1936 as a fellow in neurosurgery and became The late-summer allergy season prompted an chief of neurosurgery in 1946. He served as act- Member, VHA/Voluntary Hospitals of America interview with Dr. Ross B. Sommer, allergist, ing chief of surgery from 1965-1967 and re- BARNES on WILY Radio, Centralia, Illinois, August 28. ceived emeritus status in 1984. In 1983, his col- Dr. Sommer was interviewed and answered live leagues and former residents established the HOSPITAL questions from listeners. annual Henry G. Schwartz Lectureship. AT WASHINGTON UNIVERSITY MEDICAL CENTER 6 Hospital notes Lynn Kohane Schukar Memorial Jonathan Adam Jonas Cancer Research The following doctors are reported on staff: Drs. Robert E. Kresko Julian Rainey

Catherine M. Dunn, Terri G. Monk, James V. IN MEMORY OF: IN HONOR OF: IN MEMORY OF: Park and Susan S. Smith, assistant anesthe- Gladys Cutter Allen Sclaroff, M.D., Promotion Father of Ellen Brenner Father of Mary McCormick siologists; Drs. Robert J. Raish and Peter D. Jack R. Cutter to Acting Chief of Dept. of Cindy Platzer Joan Plattner Oral Surgery Weiss, assistant physicians; and Dr. Leonardo Lynn Kohane Schukar Louis Schukar Gerry DeBell Jack Rawlings I. Valentin, assistant general surgeon. Alvin Kelter Esther Jonas M/M Stephen Port Birthday of Louis M. Schukar Randall Spitzer Marion Maier Ed Bellm IN HONOR OF: Dr. Joseph C. Edwards, cardiologist, recently Louis Schukar Rose Fagin 25th Anniversary of Mr. & Mrs. attended meetings of the Paul Dudley White So- Recovery of Dorothy Schukar Son of Mr. & Mrs. Mel Stephen Jonas ciety at Massachusetts General Hospital in Bos- Dorothy Thompson Alvin Kelter Lefkowitz Sadie Colls Dorothy B. Schukar M/M Larry Trochtenberg ton and the World Congress of Cardiology in Louis Schukar Special Birthday of Barbara Washington, D.C. The World Congress meets Arthur Fischman Cotlar every four years, but had not met in the United Barnes Cancer Fund Yusef Hakimian's Father 30th Anniversary of Mr. & Mrs. Morris Kraus William Cohen States since 1954. M/M William L. Flowers Son of Mr. & Mrs. Harold Speedy Recovery of Sam Siegel Lieberman The Stephen Jonas Family Dr. H. Philip Venable, ophthalmologist, was IN MEMORY OF: M/M Robert Greenberg Sharon Meadlo Engagement of Lori Shapiro formally inducted into full fellowship of the Ox- Emmanuel United Methodist Mother of Mr. & Mrs. Yusef Speedy Recovery of Ronald ford Ophthalmological Congress in July. He Church Hakimian Lending was cited for his outstanding clinical research M/M Bruce Vittert D/M Julius Hartstein Schwartz Neurosurger> on pseudotumor cerebri over a period of 42 David Hartman Speedy Recovery of Ben Allen years. Dr. Venable's extensive clinical research Margaret Priest Esther Jonas M/M Robert Greenberg on the role of the ophthalmologist in the AIDS Ann Hu Wang Thelma Jonas Speedy Recovery of Norman dilemma, which he has presented to various Medical Research Louis Kahn Broddon medical societies and hospital staffs, is slated M/M Robert Platzer M/M Bruce Vittert for publication in an upcoming issue of the Jour- Marcia Feldman Father of Mrs. Mel Lefkowitz TRIBUTE CARD GIFTS: nal of the National Medical Association. Annual Fund Son of Mrs. Mel Lefkowitz Joel Allen D/M Julius Hartstein M/M Allen Kutner

Dr. Joel Goebel, otolaryngologist, recently pre- Carl W. Adams Marcella M. Kennedy sented a lecture on sports injuries of the face to Charles Allen W.M. Kleinsteuber Heart Transplant Research the St. Louis Metropolitan Medical Society. He Charleenees W. Alsop LaVcme Klemp Josephine Andrews Charles Knipping also presented a paper about adenomatous neo- Joseph Anselmo Otto E. Koemer IN MEMORY OF: M/M Joseph S. Murphy plasms of the middle ear to the American Neu- Cornelia E. Austin M/M K.L. Kramer, Sr. Geraldine Davis M/M F. Raymond Ogle Agnes F. Baer Juanita Kroeger M/M Carl Brass Donald R. Reedy rotology Society, and explained neuro-otcJogic M/M Bob Dopuch Wilma M. Ban Paul J. Le Grand M/M Albert Weirich M/M Eli Greer examination of the vertiginous patient to mem- Marguerite Bartok M/M John C Lebens M/M Joseph Wickenhauser M/M Lindsay Greer M/M C.E. Battefeld Margaret Linder bers of the Northeast County Medical Society. M/M Bernard Hohman Russell L. Bauer Ethel E. Lockhart June Stellone Alden Beaird Jim Macrae, II M/M Ron Litzler The Real Estate and Jerry Miller Dr. Jack Hartstein, ophthalmologist, has been Eleanor L. Begley Marguerite Max Architecture Group invited to participate in a ten man panel on Ruth Bondi Olive Mays extracapsular cataract surgery at the Novem- Gladys Bonham Raymond F. McCormick M/M Reinhardt Borcherding Leo Meadows Barnes Hospice ber meeting of the American Academy of Oph- M/M Richard R. Boyce M/M Myles J. Midgley thalmology in New Orleans, Louisiana. He also Lucille C Boykin Edna Moellenhoff IN MEMORY OF: will provide an update on gas permeable and Joe P. Boyle Gertrude Mollin Mary Jane Willis John W. Jorgenson Clara E. Braun M/M Frederick H. Nesty Orin Johns Louis W.E. Laudel, CLU soft contact lenses. Robert L. Brisscnden Leota Newman Opportunity Sales Vivian F. Bristol M/M Morris Novack Robert O'Neil, Sr. The Minner-Scharff Bev Weber, head nurse in the Barnes burn cen- M/M George W. Brown Pavilion Associates, Inc. M/M L.M. Bozzay Organization Durall Burmeister M/M John V. Peckham Harvey C. Breen Special Agents Association ter, has been named to the editorial staff of the Ruth Burris Alice D. Peterson The Gary Handelman Family Northwestern Mutual Life Journal of Bum Care and Rehabilitation, a pub- M/M Francis J. Carlin Neola Poertner Friends and Business Associates Insurance Co. lication of the American Burn Association. SJ. Cento M/M Robert M. Pollard of Harster Heating & Air M/M A.W. Seibert Gladys Clyde Sylvia Posen Cond. Co. V. & J. Stephan Alda Corry M/M Gerald W. Prante Dorothy E. Hendron Gloria LaCroix & John Suntrup Dr. MacDonald B. Logie, radiologist, was M/M William A. Costello M/M Kendall L. Puckett Mrs. Ray W. Hoffmann Cliff and Marie Whithaus named to fellowship in the American College of Alice Cox M/M Earl Rice Lillian A. Crow George Riley Radiology at the organization's annual meeting Mrs. E.R. Culver, Jr. Lawrence Rogaliner Home Health Care September 16. M/M S.H. Curlee David Rubenacker M/M John Daniel Louis Scaife IN MEMORY OF: Ada F. Daniels Ressie Scales Cathryn Sampson M/M Ray Dare Eli C. Seigel M/M Raymond Dunn M/M Alfred N. Davidson Harry Shehom Gifts to Barnes Hospital Funds M/M Holger Dubbelde Lester Smissman Jerome F. Duffey Ethel Smith SHARE Tribute M/M Theodore Dworzynski M/M Ray G. Smith Listed below are the names of persons (honorees in M/M Sam Eisen M/M Emery Smothers IN HONOR OF: boldface) who have made contributions during the Emily Fernandez M/M David Spritz Speedy Recovery of Roberta & Aileen & Lyle Woodcock M/M Charles Finch Marion L. Stalker Dan Stolz Shirley & Pete Orlando period August 1 through August 31 to the funds at Phyllis M. Fisher Dorothy E. Stephenson Lew Takach Barnes Hospital. Because Barnes is a private hospital Mary Alice Flesher Mrs. James J. Stoll WITH THANKS: and does not receive public funds, it relies on the M/M Richard A. Foor Richard Stone Speedy Recovery of Karen Mema Winter gifts of individuals to continue providing quality pa- Harriet W. Frank June Vermillion Stromdahl Greening Ila Rae Franklin Sylvester F. Strubhart Lew Takach tient care and to support research aimed at improv- Harry E. Freeman Alfred R. Sutton ing the lives of patients. Robert N. Gaebler Frances Teel Ben Gambaro M/M Walter Tishk Patient Care Fund Donations to the hospital may be made through the M/M Robert J. Garrecht M/M Leo H. Walthers Flossie Garrison M/M Elmer V. Ward Edward W. Ambo, Sr. Anita Peters Barnes Hospital Auxiliary or the Development Of- M/M Robert S. Goldenhersh Cecelia M. Washington M/M Dallas Beauchamp Charles E. Pick fice. (Donations through MasterCard or VISA are M/M Lawrence J. Grandcolas Ethel Weidner Pearl E. Bramlett M/M William C. Riggs Geraldine Griffin Wayne F. Williams welcome.) The Auxiliary coordinates the Tribute Paul Brown Gladys Rivers M/M Stanley S. Griffin M/M Raymond Witte Fund, which is used for specific hospital projects. Virginia S. Johnson Miriam Taylor Aileen Gross Ovetta F. Witthofft Paul Michael Meystedt Louise Thompson Anthony C Grous Norma Wood Ethel E. Parsons Marie R. Wagner Auxiliary Tribute Fund Aleen M. Hallam Lillie Woolsey Lucille Haller M/M Fordyce M. Yantis IN MEMORY OF: Dorothy Thompson Irene C Havener Mrs. Yueh-hsin Yu Alvin N. Lasky Memorial Louis A. Bainter M/M A. Charles Roland, III William B. Hecht M/M Ken Gable Steve Hecinski IN MEMORY OF: Mary B. Hill Andrew F. Gazdik IN HONOR OF: Recovery of Bob Bechtel Mabel Cohn IN HONOR OF: CD. Hoffman Margaret L. Gazdik M/M Ron Lasky Barnes Hospital Auxiliary Recovery of Floyd Morgan Doris V. Holley Darlene B. Roland M/M George A. Holtzscher Joseph H. Ogura, M.D. Madeline Haertter Louvenia Hunt E.E. Steffey Virginia M. Ruzicka Birthday of William L. Behan, Helen R. Jarboe Urology Fund Barnes Hospital Auxiliary Jr. Alberta Johnson IN HONOR OF: Lee M. Liberman Marie Jones David M. Lieberman, M.D. IN HONOR OF: Daughter, Theta Vera E. Jones Robert M. Halpern Birthday of Mrs. Hubert Moog Mrs. Larrv Tucker M/M Harry Kay M/M Richard Wolfheim October, 1986 Y^ON/O Barnes Hospital, St. Louis, Mo.

A large, orange "Skycrane" helicopter hovers over Barnes Hospital with a cargo of new air conditioning equipment en route to Queeny Tower rooftop. Each of the three units transported September 13 weighed approximately 15,000 pounds and was moved in two to three sections. The four-hour maneuver between a storage lot at Clayton and Boyle avenues and Queeny Tower necessitated the temporary closing of streets-in the flight path to non-emergency vehicles.

Barnes Hospital Non-Profit Org. Barnes Hospital Plaza U.S. Postage St. Louis, Missouri 63110 PAID St. Louis, MO Permit No. 935 C * SERIALS DEPT WASH UNIVERSITY SCH Mr"1 !- 43 50 SCOTT AVE ST LOUIS MO 63110