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New Ruth Rappaport Children's Hospital Celebrating the New Ruth RambamISSUE No. 15 | March 2015 Rappaport Children's on call Hospital The Doctors, the Departments, the Services and the Smiles all in this SPECIAL ISSUE Rambam on call so badly need. With the opening of the Ruth Rappaport Children’s Hospital, this heart-rending and complex picture has become immeasurably brighter. The Ruth Rappaport Children’s Hospital represents the compassionate vision of Bruce (z”l) and Ruth Rappaport, who saw Rambam’s old, outmoded and overcrowded children’s hospital and decided to give new hope to the children of Northern Israel. Consistent with that vision, every Dear Friends, detail in the new hospital is attuned to the healing The mother of a tiny premature infant takes process, as you will see in the pages of this special a moment to rest in the family waiting room issue of Rambam on Call. of the Neonatal Intensive Care Department. It is my passionate wish that no child will ever A young girl carrying a backpack heavy with need the services of our hospital. But if they do, I books and toys makes her familiar way to the am proud to say that one of the most outstanding Oncology Department for a treatment. A small children’s hospitals in Israel and the world is at boy injured in a bicycle accident is sent home, their service. sutured and bandaged, relief spread across his tear-stained face. Sincerely, A children’s hospital is a human mosaic, PROF. RAFI BEYAR encompassing anguish and hope, children’s smiles and parent’s stress-drawn faces, doctors whose split-second d ecisions save young lives and Director and CEO nurses who provide the comfort young patients Rambam Health Care Campus With the arrival of spring and Passover, we wish you and your loved ones a year of innovation, health, and freedom. Happy Passover! Professor Rafi Beyar Director & CEO 2 Rambam on call | MARCH 2015 DEPARTMENTS Contents Issue No. 15 | March 2015 Team Work Departmental Rounds – Where is Small Technology - Pediatric Intensive Care Pediatric Big Difference Unit Medicine Laparoscopy and robotics 24/7 In the Neonatology Headed? for children Department » 4 06 The future never 16 looked brighter Straight to the Children's Healthy Bone Lifestyle Myth or Truth Bone marrow transaplants Starting Off on the Right 6 Myths about treat genetic and metabolic Weight » 26 Children and 20 diseases The Movement for 07 Vaccinations Healthier Children » 27 Trillions of Bacteria What Does Can't be Wrong Strategically Speaking A Tour of the West a Healing 6 things you should know Environment about probiotics for Campus » 28 22 children Look Like? 08 Global Medicine A child's wellbeing » 30 considered in every Doctor, Is this detail Normal? Guest Book » 31 Pediatric Endocrinology No Pain – 23 Friends Help Build All Gain Biological a Hospital » 32 The Pediatric breakthrough Emergency Unit is a Pediatric Rheumatology 12 pain-free zone 24 Rambam Health Care Campus, State of Israel – Ministry of Health | Director and CEO: Prof. Rafi Beyar Published by the Department All written and/or published of International Relations & content in Rambam on Call Resource Development magazine is for general Executive Editor: Chief Medical Consultant: information purposes only and Prof. Amos Etzioni Dorit Kravchik is not intended or implied to be a substitute for professional Director of the Marketing Graphic Editor: medical advice, diagnosis Department: Oded Mayer Michal Herbstman and/or treatment or an Editor: Abbie Rosner Concept Director: endorsement for any medical Producer: Merav Ganot Aviva Mezamer or pharmaceutical product. All Inbar Shahaf, advice, diagnosis and treatment Special Thanks: CEO: Shoshi Asael Malka Photography: Ellen Shapira and Shifra Steindler should be given in person by Production: CONCEPT- a physician and under his/her Eran Yardeni Photographers: Content Solutions supervision. Eli Gross, Eran Yardeni, Jonathan Bloom, Pioter Fliter, Offer Golan, Tel: 972-3-6386615 Letters to the Editor: Kobi Bossel, iStock, Shutterstock e-mail: [email protected] [email protected] MARCH 2015 | Rambam on call 3 Team Work Departmental Rounds Pediatric Intensive Care Unit Dr. Yosef Ben-Ari, Director of the Pediatric Intensive Care Unit, 61, Married + 3 children and 1 grandchild. What does your work entail? Are there intensely As Director, I am responsible for everything stressful times? that happens from the moment a child Many. After all, we are dealing with extreme in critical condition is admitted, after an situations. The greatest stress comes when accident, operation or severe illness, through we admit a new child. As far as we are his or her release. Our job is to ensure that concerned, they are basically an unknown the child’s condition does not deteriorate quantity. We don’t know how their illness will and that they receive treatment to the point progress, if we can control it, and how things that they are able to recover. In general, I will unfold. Later on, we are able to recognize coordinate the work of the unit’s staff, which when the scales have tipped and the child is includes four senior emergency physicians on the road to recovery. Until then, the stress (of which I am one), a pediatrician, interns in is great. pediatric intensive care and pediatrics, and intensive care nurses who are responsible for caring and monitoring the children. What do you like about Additionally, we have physical therapists, this unit? In our unit, we can observe the most extreme social workers, a dietician, and other transitions from illness to recovery. We admit professionals working in the unit. children in critical condition and in most cases bring them to a state of recovery. When are your greatest Children, naturally, live in the moment and moments of satisfaction? thus you can actually see how they make the When a child leaves the unit in good transition from suffering and pain to smiles condition. At that moment I know that their and relief. The parents are also, naturally, chances of recovery are good. This happens very grateful. often, since most of the children who come to us eventually recover. What do you see in the future of the unit? And the most difficult The Pediatric Intensive Care Unit at Rambam moments? was the first of its kind in Northern Israel, When it is clear that we won’t be able to help and is the largest in the region. Children are a child, or even if we can, they will not fully sent to us from Hadera northward – some recover. In particular, it is difficult to face of them flown in by helicopter. We have just parents and tell them that we aren’t able to moved to our spacious new home in the help their child. Ruth Rappaport Children’s Hospital, which is outfitted with the most advanced equipment and where each child has their own room. With 15 stations now at our service, I am sure we will continue to grow and expand. 4 Rambam on call | MARCH 2015 In the Neonatology Department A premature infant Nurse Batya Garber cares After the doctor’s rounds, 08:00 weighing 28 ounces is 09:20 for an infant born 11:00 Dr. Tatyana Smolkin meets treated at an intensive care station. weighing 1 pound during week 27. He is with a mother to update her on the Department Head Dr. Shraga Blazer, receiving high frequency ventilation and infant’s condition and the plan for Head Nurse Iris Stein, Dr. Irena due to a decrease in hemoglobin, Nurse treatment. Olanovsky and Dr. Huda Jubran, discuss Tanya Kaplan administers a blood the treatment options to stabilize the transfusion. patient. Physical therapist Dalia An infant who arrived at Dr. Smolkin and Nurse 12:00 Natan performs 13:20 the department weighing 1 16:00 Garber insert a PICC Line hydrotherapy to calm an isolated infant pound 13 ounces is now a healthy 2/1 4 into a 1 pound 9 ounce infant who will needing extra attention and warm pounds and able to go home. The parents need long-term intravenous feeding and physical contact. have been briefed and are ready for the antibiotics. long-awaited moment when their child is disconnected from the monitors. The entire team takes their leave of the family, and Olga finds it hard to say goodbye. MARCH 2015 | Rambam on call 5 Where is Pediatric Medicine Headed? For Prof. Amos Etzioni, Director of the Ruth Rappaport Children’s Hospital, the future never looked brighter. More Vaccinations, Less Infections. Not so long ago, many more children were hospitalized with severe infections including meningitis, pneumonia, and bone infections, among others. Today, with the greater availability of vaccinations and improved sanitation practices, these diseases have become rare. Diagnostics and Follow-Up. New diagnostic and treatment approaches improve survival rates of children compared to the past. For example, immune deficiency conditions which were once fatal in young children can now be detected at birth and immediately treated with a bone marrow transplant. Prof. Amos Etzioni is Director of the Ruth Additionally, with the availability of new Rappaport Children’s Hospital and Deputy treatments, children with cancer are now Director of Rambam Health Care Campus. recovering from the disease. Premature Births. In the past, infants Physician-Patient Relations. If, in the born before the 29th week of gestation had past, the word of a physician went virtually little chance of survival. Today, infants born unquestioned, today parents are much in the 25th week, weighing only one pound, more involved in what is happening with can be cared for to the point where they their children. With the open access to can be sent home, healthy and sound.
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