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Fall 2019/Winter 2020 Carilion MedicineFALL 2019 | WINTER 2020 In partnership with the Virginia Tech Carilion School of Medicine and Fralin Biomedical Research Institute at VTC From HERE to THERE T a ic les or of ph m eta edic d m al jo ic an urneys, both geograph contents CARILION MEDICINE FALL 2019/WINTER 2020 Departments 2 FROM THE CMO 3 IN BRIEF Expansions in cancer care, outpatient pediatric care, and research opportunities 8 GRAND ROUNDS Education initiatives both classic and with a twist 48 THE ART OF MEDICINE: ART FOR HEART’S SAKE The annual Patient Art Show integrates arts and creativity into the healing process. 12 BY TIFFANY HOLLAND EXPERIENCE IS THE BEST 50 CHEERS FOR PEERS TEACHER: Jen Hetzel, Carilion clinicians achieve recognition who suffered from opioid dependency for years, uses her firsthand knowledge to help 52 BACKSTORY: MAKE NO MISTAKE patients with addictions recover. The human factors approach, relatively new to health care, seeks to build systems that protect against human error. BY SARAH HENRICKSON PARKER, PH.D. SPECIAL REPORT From Here to There Features 10 12 16 22 26 32 38 44 INTRODUCTION IN THEIR SMOOTH STAYING IN TRIMMING THE THE GAME ALL OUR SUITS FILLING SHOES OPERATORS THE RACE WASTE LINE CHANGER WEAR COATS THE GAP Peer recovery specialists The true mission of Carilion Orthopaedic surgeon Thomas K. The Carilion Clinic community The U.S. Food and Drug Carilion Clinic executives As physician advisor, are uniquely positioned to Clinic’s Transfer and Miller’s journey has taken him is on a collective journey Administration has deemed retain their clinical Dr. Bruce Long streamlines understand the steps and Communications Center is from Ironman triathlete to to reduce waste and a new molecular test a practices—and white coats— more complex clinical cases missteps in overcoming about more than patient medical advisor to a host of the make the health system breakthrough for mild to ensure their administrative to allow his fellow providers substance use disorder. transport; it’s about saving lives. Ironman 70.3 race in Roanoke. more sustainable. traumatic brain injuries. focus never strays from to focus on care. BY JESSICA CERRETANI BY CHARLES SLACK BY MARCIA LERNER BY VERONICA MEADE KELLY BY JOHN PASTOR patient care. BY TIFFANY HOLLAND COVER ILLUSTRATION: ©BOMBOLAND, 2020 I REMEMBER, AS AN OB/GYN RESIDENT, working the week of Christmas. The other Carilion Medicine resident covered New Year’s. Driving to work early Christmas morning, President and Chief Executive Officer On the pulse of the I kept thinking of the unbelievable dinner Nancy Howell Agee my mother was making in the Poconos and Chief Medical Officer and Carilion Clinic community I would be missing—turkey with homemade Executive Vice President Patrice M. Weiss, M.D. stuffing, mashed potatoes, glazed carrots, the best creamed onions, pumpkin pie—and Editorial Advisory Panel in brief Joel Bashore, P.A.; Nathaniel L. Bishop, D.Min.; the rare opportunity to spend time with my Cesar Bravo, M.D.; John Burton, M.D.; Kimberly parents, my sisters, their husbands, and my Carter, Ph.D., R.N.; Kimberly Dunsmore, M.D.; CENTER TO PROVIDE niece and nephew. Daniel Harrington, M.D.; Donald Kees, M.D.; Lee As I grudgingly drove from my home to the Learman, M.D., Ph.D.; Sam Nakat, M.D.; Michael ADVANCED CANCER CARE Nussbaum, M.D.; John Pastor; Edwin Polverino, hospital, my self-pity and woe increased with each passing mile. Why did I D.O.; Paul Skolnik, M.D.; Robert Trestman, M.D., Carilion Clinic is building a new, world- have to go to work? Why did I have to leave the warmth of home? Why did Ph.D.; Fidel Valea, M.D. class cancer center in Roanoke to give I have to miss my favorite holiday? Chief Administrative Officer patients in the region easier access to the Then something happened. Suddenly, at a red light on the corner of Cedar Jeanne Armentrout most advanced technology and treatments Crest and Tilghman, I had a revelation: I’m not going to the hospital with Vice President available. Nancy Howell Agee, president a personal emergency, I’m not riding in an ambulance, I’m not visiting the Mike Dame and chief executive officer of Carilion, and hospital to see a loved one. I was going to the hospital because I had the gift Executive Editor her husband, Steven Agee, have donated of good health, medical skills, and the fortune to care for others on a day that Linda Staley $1 million to kick off an ambitious fund- they too would have preferred to spend at home. Editor raising campaign for the building. “Cancer care has long held a special It wasn’t long after I arrived at the hospital that we received a maternal- Paula Byron place in my heart,” said Nancy Agee. “Steve fetal transfer from, of all places, the Poconos. The patient was a young, Editorial Assistant Tiffany Holland and I are taking this step now to enhance expectant mother, sick beyond belief. Sadly, she ended up losing her 16-week- care in our region, building upon the dedi- old fetus to a septic miscarriage. Art Director Laura McFadden cated work of those who have come before PERSONAL COMMITMENT: Nancy Howell Agee and Steven Agee review the site of In that instant I went from being a physician who gets to share the joy of us. We’re committed to offering exception- the Carilion Clinic Cancer Center. Their $1 million seed gift is intended to spark broader delivering healthy newborns to a palliative care doctor who had to deliver a Special Thanks Catherine Doss, Mark Lambert, al care to our neighbors in years to come.” fundraising support for the center. terminal diagnosis and peaceful death. Alison Matthiessen, Karen McNew During her 40-year career with Caril- I felt so ashamed that I’d earlier been wallowing in self-pity. And I learned McGuire, Anne Shaver ion, Agee worked as a clinical nurse spe- research and clinical trials. The center is neighbors. This cancer center will play a profound lesson that I carry with me to this day: The practice of medicine is CARILION CLINIC cialist in oncology before going into ad- expected to cost upward of $100 million. an integral role in providing high-quality about giving, not taking. It’s about caring for people at their most vulnerable 1 Riverside Circle ministration. Her father died from cancer, “This is a big step forward for cancer care close to home for us all.” times. It’s about seeking to restore their health and giving thanks for mine. P.O. Box 13727 and her husband is a survivor. care in our region,” said James Hartley, The four-story building will stand at Roanoke, VA 24036 Now, more than 30 years later, every day when I put on my badge, I’m The Carilion Clinic Cancer Center is chair of Carilion’s Board of Directors. the western entrance of the rapidly grow- CarilionClinic.org intended to offer a warm, caring envi- “Nancy and Steve have long been am- ing health care and technology campus motivated by a strong sense of purpose. The work those of us in medicine do 800-422-4842 ronment for patients at the same time bassadors of our community—what a anchored by Carilion Roanoke Memo- is not about us. It’s about those we serve. it opens opportunities for leading-edge tremendous way of showing love to their rial Hospital, the Virginia Tech Carilion At Carilion Clinic, our not-for-profit health system, service is ingrained in our School of Medicine, and the Fralin Bio- mission. From our founding in 1900 as “the little hospital on the hill” to today’s medical Research Institute at VTC. nationally ranked health system, we’ve stayed true to our mission of service. Carilion Medicine is published twice a year at: collaboration The pace of fundraising will determine This issue of Carilion Medicine speaks to that commitment through the 213 McClanahan Street, Suite 200 how quickly the center is built. The Agees transformational journeys you’ll find on its pages. These journeys range from Roanoke, VA 24014 said they are making their gift as a gesture Phone: 540-266-6586 Fax: 540-266-6608 literal ones to metaphoric ones; they even include literal journeys—like my Children’s National Campus Expansion of thanks to the many people who care for Email: [email protected] those with cancer, and as an encourage- own from home to the hospital that early morning—that turn metaphoric. Web: CarilionClinic.org/carilionmedicine Children’s National Hospital and Virginia Tech have launched a formal partnership ment to other potential contributors. I’m grateful for the opportunity to engage in meaningful work and to share that will include the construction of a 12,000-square-foot Virginia Tech biomedical Carilion Clinic is a nationally ranked integrated health “With the many blessings we have ex- my journey with colleagues who also find deep fulfillment and joy meeting the research facility within the new Children’s National Research & Innovation Campus. system headquartered in Roanoke, Virginia. Its perienced in our lives comes the responsi- needs of others. flagship, Carilion Roanoke Memorial Hospital, is the The campus is an expansion of Children’s National, which is located in Wash- bility to lift others up,” said Steven Agee, clinical affiliate of the Virginia Tech Carilion School of ington, D.C., and is set to open its first phase in December 2020. Medicine and Radford University Carilion. who serves as a judge on the 4th U.S. Carilion Clinic and Children’s National have an existing collaboration for provision Circuit Court of Appeals.
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