Making a Difference Summer 2016
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PATIENT INSIGHT ONLINE MORE PHOTOS & MAKING A DifferenceSUMMER 2016 A small miracleTEAM EFFORT HELPS UK NURSES AND THEIR HIGH-RISK BABY BEAT THE ODDS SURVIVING ORGAN FAILURE, TRANSPLANT & CANCER HEART DISEASE BUILT A RELATIONSHIP UK HEALTHCARE ACHIEVES NURSING’S HIGHEST HONOR A news magazine featuring the people and patients of UK HealthCare. SUMMER 2016 | 1 MAKING A Difference SUMMER 2016 UK Transplant Center team Michael Karpf, MD HEAR THE STORY & PATIENT INSIGHT INSIDE ONLINE Visit ukhealthcare.uky.edu/ making-a-difference HIGHLY COMPLEX CARE 2A STELLAR SUPPORT SYSTEM REQUIRES A NEW APPROACH Congenital disease sent 45-year-old Teresa Schladt into liver failure. A liver transplant seemed to save ON THE COVER: UK nurses Alan and Natasha Hendren the day, then Teresa was diagnosed with advanced cradle 10-month-old Natalan – initially TO COLLABORATION cancer. Now what? given the smallest chance of survival. Baby and parents are making it through this most difficult of journeys with the This issue of Making a Difference the care team must collaborate By doing so, we will be: illustrates the difficult cases our care with the rest of the care team in support of co-workers and an entire • Creating more integrated, network of caregivers. teams face daily. a thoughtful, deliberate way to multispecialty teams. ensure the best evidence-based • Teresa Schladt came to us first treatment plan is developed to • Adding value through quality, with a genetic condition that 10 A SMALL MIRACLE meet patient and family needs. patient experience and increased was leading to organ failure; UK nurses Natasha and Alan Hendren found out efficiency. how extended their “family” is when Natasha’s transplantation and then Last July we began implementing routine pregnancy took an unexpected turn. • Working to manage the patient unexpectedly stage IV cancer a new strategic plan that has as across their entire continuum of would follow. its foundation patient- and family- care – spanning episodes of care. • The joy of centered care. All of our strategies Making a Difference is a publication of Natasha and Alan UK HealthCare® Corporate Communication. Hendren, both members of and aspirations revolve around In short, we will be delivering For information, write: 2333 Alumni Park our nursing staff, turned to delivering the very best care at today’s best medical care and Plaza, Suite 330, Lexington KY 40517 despair when Natasha’s routine every touchpoint in the patient and holding true to our brand promise – pregnancy became high-risk with family’s journey. The Power of Advanced Medicine. 16 A MATTER OF HEART Editor Digital/Online only a small chance for a good Thinking back over years of great care at UK, Jan Taylor Carla Yarbrough Jennifer Wirtz After reading these stories, I think To our highly skilled and deeply Reuben Ligon made certain that when he Writers outcome. needed a new heart, he would not have to go Vickie Mitchell Photography you’ll understand why we are caring teams, thank you for your • Heart failure patient Reuben anywhere else. Lynne Anderson Shaun Ring now changing the way we deliver commitment to our patients and Ligon, faced with the need Graphic Designers Natasha & Alan Hendren care to account for the increasing their families. To our patients, we Janet Ligon Cheryl Conrad for transplant, rejected other CJ Cruz complexity of our patients and are honored by your trust in us and James Carr options and placed his faith the need to support so many pledge to continue our quest for in a relationship built with his Copyright 2016, University of Kentucky. All rights different specialists and roles improvement. reserved. An equal opportunity university. caregivers over decades. working together as a team. We are No part of this publication may be reproduced without written permission of UK HealthCare Corporate continuing our development efforts Sincerely, 24THE LATEST AT UK HEALTHCARE Communication, 859-257-5424. As you read their stories, the on a service line operating model complexity of each case comes Achieving Magnet status, nursing’s highest honor that will support teams working through clearly. Each needs not Our promise to you: The Power of Advanced Medicine efficiently and effectively around just one specialist but multiple UK Dermatology expands at Turfland patient and family. Michael Karpf, MD A new statewide health care collaborative specialists. And each member of Executive VP for Health Affairs UK HealthCare® / University of Avoiding the Zika virus UK HealthCare supports SOAR Kentucky UK HealthCare and the University of Kentucky BACK COVER are proud sponsors of SOAR (Shaping Our Online access to your UK clinician’s notes Appalachian Region). We support SOAR’s goals of increasing educational opportunities, improving health and creating jobs for the citizens of Eastern Kentucky. SUMMER 2016 | 1 With feet connected to the earth and hands reaching to the heavens, Teresa Schladt painted herself leaping through space surrounded by stars representing members of her support system. The painting was completed through the Body Mapping Art Therapy program. A STELLAR SUPPORT SYSTEM Surviving end-stage organ failure, a liver transplant and cancer takes an extraordinary team Teresa Schladt’s life-size self- Bishop of Nicholasville, also has for a transplant; based on the portrait, painted in 2013 during the disease and six years ago had results, she was placed on the an art therapy project for organ a double-lung transplant at UK transplant list in March 2007. transplant patients at UK Chandler Hospital. Chandler Hospital, shows the As she waited for a new liver, Lexington woman springing into For a decade after her diagnosis, transplant advanced practice a star-filled, midnight-blue sky. Schladt, a Lexington native, lived provider Michael Cooper, PA-C, Inside each star is the name of an active, near-normal life. “I MPAS, monitored Schladt’s liver someone who supported her was symptom-free for so long,” function during visits to the through her 2007 liver transplant she said. She and her husband, Transplant Center clinic. The and cancer treatment and in the Tom, raised three children in Schladts and Cooper, an Air Force days since. There are many, many a farmhouse they restored off veteran, found common ground – stars and many, many names, Harrodsburg Road. Teresa, a UK the Schladts’ son Michael was among them family, friends and graduate and chemical engineer, joining the Air Force, and Cooper more than a few UK HealthCare started her own environmental was happy to tell about the time medical professionals. engineering firm. he had spent in the military. But in late 2006, her health took As months passed, there were “ I am one of the a turn. The private-practice warning signs that Schladt’s liver luckiest people you gastroenterologist who had long was failing rapidly, including monitored her AAT deficiency esophageal varices, a life- have ever met. I am referred her to the UK Transplant threatening condition in which happy with life. “ Center. “I was pretty healthy, but blood vessels in the esophagus – Teresa Schladt it hit me hard and fast,” she said. bulge and then burst. “She had lots of trips to the UK emergency AAT is far down the list of As the 55-year-old looks at the room to tie off the veins in her reasons for transplantation, painting and considers the life she esophagus that were bleeding,” ranking probably sixth or seventh, has, she is quick to remind others said Tom Schladt. “Her liver was said Roberto Gedaly, MD, who and herself, “I am one of the turning into a rock, and the blood performed Teresa’s surgery luckiest people you have ever met. flowing through the liver had to and remains her doctor. The UK I am happy with life.” find a way to get out.” Transplant Center sees only a few cases of AAT deficiency a By July, there was visible evidence DIAGNOSED WITH GENETIC year, he said. According to the On days off, Teresa and Tom Schladt of DISORDER AT 35 Lexington enjoy coffee and a newspaper Schladt was diagnosed at age 35 Alpha-1 Foundation, some 100,000 together, thankful for the family, friends with alpha-1-antitrypsin (AAT) Americans have the disorder. HEAR MORE and medical professionals who have FROM TERESA supported Teresa through liver failure, deficiency, a genetic disorder In January 2007, Schladt began transplant and cancer. Teresa calls that can damage the liver and Visit ukhealthcare.uky.edu/ herself, “...one of the luckiest people you the required tests and screenings making-a-difference have ever met.” lungs. Her younger brother, David 2 | | MAKING MAKING A A DIFFERENCE DIFFERENCE SUMMER 2016 | 3 that Teresa Schladt was in end- percent of the time at UK, kidney cancer, Nexavar, was being stage organ failure. “I was turning according to Gedaly. “It is what used off-label in some liver cancer yellow,” she said. we call incidental hepatocellular cases after liver transplantation. carcinoma (HCC).” There was little data to show it was The call that a liver was available effective in cases like hers, but both came on June 9, 2007, as Schladt, Today, according to Gedaly, it doctors felt it was worth a try. Joanne Dabit-Shadeh manages the Circumstances make for a tight bond her husband and their two happens far less often because Transplant clinic’s front desk. She has between transplant coordinator and daughters watched “Pirates of of changes in screening methods. DeSimone pulled no punches. greeted Schladt many times after her patient. Such is the relationship between the Caribbean II” at a movie “Now we use MRIs, and it is Schladt had two choices: Nexavar surgery. “They know patients’ families, Schladt and Jennifer Watkins, RN, CCTC their history,.... It is personal, and they (right).