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RambamISSUE No. 10 | September 2012 on call Freedom of Expression Makeup workshops by and for burn patients Born Athletes Celebri- Physiotherapy A vitamin enjoys for Preemies its day in the sun 24HOURS in the Department of Pediatrics B Rambam on call American Friends of Dear Friends, Rambam Medical Center In early June, hundreds of Friends 521 Fifth Avenue, Suite 1731 of Rambam helped us dedicate the New York, NY 10175 Sammy Ofer Fortified Underground USA Emergency Hospital in an impressive www.aforam.org ceremony (p. 28), participated in the [email protected] international Rambam Summit and Tel: 212.292 4499 Scientific Conference (p. 30), and honored this year’s distinguished Canadian Friends of Rambam Awardees (p. 33). Delegates also saw firsthand how the rising Rambam Medical Center new West Campus has given Rambam an extra dimension of urban 64 Merton Street, 1st Floor structural density — a harmony of health, science, energy, drama, and Toronto Ontario M4S 1A1 beauty. Perhaps human nature is the reason why massive raw–concrete Canada www.cframbam.com facades, gaping window openings, and timber and steel scaffoldings [email protected] give such pleasure to the eye (p. 24) and brain. Tel: 416.481 5552 This construction surge isn’t really about buildings, however, but about the patients, families, care givers, and medical scientists who will British Friends of use the new facilities. In this issue of Rambam on Call, please meet a Rambam Medical Center number of big–hearted, open–minded care givers who combine medical 1 Opal Court excellence with respect and love for patients: Head Nurse Samira Abbadi 120 Regents Park Road imbues her urological nursing staff with a sense of mission (p. 4); London N3 3HY Prof. Yehuda Ullmann has recruited makeup artist — and burn patient — United Kingdom Mr. Ilan Zakai to give makeup workshops to plastic and reconstructive www.rambamuk.co.uk surgery patients (p. 10); physiotherapists Einav Manor and Dalia Natan [email protected] teach premature newborns how to live outside the womb (p. 18); Prof. Tel: 020.8371 1500 Joseph Itskovitz–Eldor races to unlock stem cells’ curative promise (p. 22); and Dr. Jesse Lachter uses art therapy to foster a lifelong “dynamic of coping” in chronic gastroenterology patients (p. 26). Israeli Friends of Big hearts, open minds, and love for Rambam and Israel are also Rambam Medical Center qualities of Rambam’s supporters around the world. To you, dear POB 9616 Friends, deep thanks. Haifa 31096 Israel 1. a 1. b For more information: For more information:[email protected] Tel: 972.4.852 0670 PROF. RAFI BEYAR www.rambam.org.il www.rambam.org.il Israel Main Office & rambamhospital rambamhospitalAll Other Countries50 mm 52 mm 52 mm Director and CEO POB 9602 Rambam Health Care Campus - Rambam Health Care CampusRambam HealthHaifa Care Campus31096 - Hospital Hospital Israel www.rambam.org.il [email protected] i Tel: 972.4.854i 1612 58 mm 58 mm Rambam on call | SEPTEMBER 01 2. a 2. b For more information: For more information: www.rambam.org.il www.rambam.org.il rambamhospital rambamhospital 42 mm Rambam Health Care Campus - Hospital Rambam Health Care Campus - Hospital i i 90 mm 90 mm DEPARTMENTS Contents Issue No. 10 | September 2012 21st Century Medicine Science’s shipwrights: they’re building new (blood) vessels » 22 Celebri-D Human Physiology If vitamins held a popularity 10 things you didn't know contest, D would win. about the eye » 24 06 Complementary Medicine Art therapy helps Crohn’s disease and colitis patients Cover Story cope » 26 Burn patients fight fire The Rambam's Way with. makeup? Exercising your right 10 to good health » 27 Strategically Speaking Ofer Family unwraps huge Bypassing gift to Northern Israel’s Heart Attack Home Front » 28 Complications Outtrick your cheatin’ heart. International Outreach Trauma emergency medicine specialists, theologians, and 14 a Nobel Laureate reach the Summit » 30 Wee Folk Friends Help Physiotherapists teach Build a Hospital preemies life skills. A gala, a picnic, a fashion show, 18 and an Oneg Shabbat » 33 Rambam Health Care Campus, State of Israel – Ministry of Health | Director and CEO: Prof. Rafael Beyar Published by the Department Executive Editor: All written and/or published of International Relations & Dorit Kravchik content in Rambam On Call magazine is for general Resource Development Managing Editor: information purposes only and Neomi Cohen - David is not intended or implied to be Chief Medical Consultant: a substitute for professional Prof. Shimon Pollack Graphic Editor: Michal Herbstman medical advice, diagnosis Photographers: Edward Kaprov, and/or treatment or an Pioter Fliter, Rafi Delouya, Robert Concept Director: endorsement for any medical Harris, Paul Melling, Ben Yuster, Rikki Rashti or pharmaceutical product. All advice, diagnosis and treatment iStockphoto, Shutterstock, CEO: David Basan should be given in person by On the Cover: The AFORAM Production: CONCEPT- a physician and under his/her newest star. Vitamin D. Letters to the Editor: Content Solutions supervision. Photoshop: Orly Bly [email protected] Tel- 972-3-6386615 Photography: e-mail: [email protected] Shutterstock SEPTEMBER 01 | Rambam on call Team Work Erela Tarlev Ben-Shahar Departmental Rounds Department of Urology Samira Abbadi, 48, Head Nurse, Department of Urology, married + 2 (17, 22) What does your work entail? Is there a story about a patient that you As director of the departmental nursing staff, I especially recall? manage the work of 27 male and female nurses, Not long ago, a father was diagnosed with a and recruit and absorb personnel. My aim is to tumor at the same time that his daughter was lead a staff that cares for all the patient’s needs suffering from severe illness. The family was within an attentive, sensitive, responsible, and very stressed, and the situation was sensitive. respectful context. We arranged a psychologist and a private room for them and mainly led them to How did you choose your profession? understand that we were there for them When I was about to finish high school, whenever they needed us. Ultimately, the my friend told me that he wished to earn his father’s surgery was successful, and the academic degree in nursing, something that thank you letter that we received expressed was new at that time, and suggested that I apply that our support had helped them a lot. with him. The two of us applied, but only I was accepted. I’ve been a nurse ever since. Of what are you particularly What gives you satisfaction? proud? There’s a part of me that loves to give, I’m proud of a lot of things: my staff, where and that tendency is very practical in a nurse. everyone feels not only responsibility but Although sometimes I can’t provide a cure, I can also a sense of mission; the department’s listen, hear, give support, and this has meaning. professionalism, which is represented at many Not infrequently, we nurses are the ones who are local and national decision-making forums that found beside people when they’re diagnosed set therapeutic standards; and the collection of with severe illness. It’s true that many times thank you letters that mention the care received there’s nothing to say, but to give a comforting from the nursing staff. touch also helps. How does your family cope with your What are your difficult moments? work? When someone is given a bad diagnosis or My job is truly demanding and I don’t ever suffers, you find yourself without words. You want disconnect from it. To my good fortune, my to give solace but don’t really have a practical husband is open-minded and understands answer. The only thing possible is to provide a the job’s demands, and my daughters were listening ear. born into that and have been raised to be responsible and independent. My Day 05:45-06:55 I awaken, shower, dress, patient assessments and give responsible for personnel development, 14:45-15:00 The evening shift arrives. and drive to work; I arrive at Rambam constructive criticism. Quality Improvement (QI), equipment I tell the Shift Change Nurse about any and change into my uniform; I assign 08:30-10:15 I forecast the day’s big management, and overall problem- special cases and expected admissions. 10-12 patients to each nurse. picture: the balance of admissions and solving. They do the reception, but I remain 07:00 Reception. The morning-shift releases, how many elective surgeries 10:30-14:45 The day’s dynamic part. available. nurses tour the department with are scheduled, the condition of patients Every day, I hold a one-on-one meeting 15:30 I change out of my uniform, the night-shift nurses. We meet whom we plan to release, and if any with Prof. Shimon Meretyk, Director of wish my nurses an “easy shift” – very any new patients, hear about the drugs, IVs, or other supplies need the Department of Urology, another one- important! – and drive home. complexity of the cases, and clarify replenishing. I also speak with patients on-one meeting with a shift nurse, and On weekdays, my husband has dinner each patient’s family and social and their families. In addition, I represent a conference including such key people waiting. On the weekend, I’m the circumstances. the urological nurses at the Division as the Clinical Nursing Instructor. Once cook. Evenings and weekends are for 07:30-08:30 I make coffee and read of Surgical Nurses’ Management a week, I fill out personnel forms, write a family and friends, and we have lots of the patients’ electronic records.