Barnes

Bulletin Barnes Hospital, St. Louis, Missouri, May, 1983, XXXVII, Number 5 every dollar. For each Medicare discharge that Reimbursement reduced exceeds the target rate, Barnes loses 75 cents of under TEFRA rules each dollar.

Hospitals, consumers and industry are going to Even under TEFRA's restrictions, however, have to dig even deeper into their own pockets Barnes remains in a solid position financially. to help pay for the government's medical pro- "We have enjoyed good management on all grams as the health care provisions of the Tax levels," said Mr. Davis. "Each department has Equity and Fiscal Responsibility Act of 1982 come been working vigorously to keep our costs below into effect. Under TEFRA, costs are not being re- the 8 percent inflation rate established by duced, but reimbursement is being curtailed. TEFRA." A history of operating on a fiscally sound basis and not borrowing large sums for "What the government is saying with TEFRA is capital expenditures is also a factor, according that 'there is no more money for health care' and to Mr. Davis, and has enabled Barnes to keep its that they are not going to continue to reimburse charges and costs at a favorable level in the com- hospitals whatever costs they incur," said Steven munity and far below those of comparable teach- Davis, a financial analyst in Barnes controller's ing hospitals. office. Many of the implications of TEFRA and other Such cutbacks are not new, however. "Since government proposals remain to be seen. "Right Medicare was first started (1965), there has been now, we have no guarantee that TEFRA will still Dr. Walker, newly elected BHS president, accepts the a steady decrease in the reimbursable allowable be in effect next year, or that another proposal reins of his office from Dr. Tucker, past-president. costs," said Mr. Davis. The reimbursable allow- will not be enacted," said Mr. Davis. "It is up to able costs are not equal to a hospital's actual all of us to insure that Barnes remains in a good BHS elects new charges, but rather are determined by a method position to meet whatever financial contingencies known as the ratio of cost to charges. This ratio we are faced with in the future." officers, council members includes direct and indirect costs such as salaries, supplies, overhead and depreciation. "Under During the April 21 meeting of the Barnes Hos- TEFRA, we can expect even further cost limita- pital Society, Dr. Willard Walker, general sur- tions," said Mr. Davis. geon, was elected to a two-year term as the group's president. He succeeds Dr. George These payment restrictions take two forms: (1) Tucker, general surgeon. section 223 case limits and (2) target rates. Sec- tion 223 case limits place a ceiling on the amount Other officers elected during the evening include: of reimbursement per discharge. Factors such as Drs. Jack Kayes, ophthalmologist, president- bed size, number of residents and interns, pa- elect; Charles Anderson, general surgeon, vice- tient case mix, hospital location and the average president, and Gordon Newton, physician, sec- cost per discharge of all hospitals were taken into retary/treasurer. consideration to determine the ceiling. "Fortu- nately," said Mr. Davis, "Barnes does not exceed In addition to the election of officers, three new the ceiling at this time." council members were also voted into office. They are: Drs. Jacob Klein, obstetrician/gyne- "Basically," said Mr. Davis, "this means that cologist; Lewis Fischbein, physician, and Gail Barnes will receive the same payment whether Ahumada, physician. They will serve on the the patient is hospitalized for two days or 62 council until 1986. days, or whether he receives four lab tests or 40." Medicare patients account for about 42 percent of Dr. Joseph Levitt Serving as council members until 1985 are: Drs. all admissions," said Mr. Davis, "so TEFRA will Kenneth Arnold, general surgeon; Shabbir Saf- affect a substantial segment of the patient popu- Dr. Joseph Levitt dar, physician, and Robert Bruce, physician. lation." Council members serving until 1984 include: Drs. gets "World Champs" ring Neville Grant, physician; G. Leland Melson, The second limiting perspective under TEFRA is radiologist, and James Felts, anesthesiologist. the establishment of target rates, which are at- It's "Baseball in St. Lou" time again and this tempting to slow the cost increases of hospitals. year, Dr. Joseph Levitt, Barnes/WU physician The BHS is composed of nearly 800 doctors on The 1983 target rates are computed by inflating a and attending physician for Busch Memorial the Barnes/WU staff. The Society is pledged "to hospital's 1982 actual cost per discharge per year Stadium, has extra reason to celebrate the St. secure the development of the hospital both as a by approximately 8 percent. (Health care costs Louis Cardinals' success. Dr. Levitt, who also source of community service and as a center for nationally are currently increasing at a rate of serves as Barnes' employee health physician, re- medical progress." about 12 percent per year.) ceived a world series championship ring during private ceremonies held before the team's opener 1981 Annual Report If a hospital keeps its costs below its target rate, April 5. the government will reward it by paying the cost wins award of excellence incurred plus 50 percent of the difference be- The 10-carat gold ring is embossed with Dr. tween the cost and the target rate. If a hospital Levitt's name and the Redbirds' insignia on one Barnes 1981 Annual Report has received an goes over its target rate, however, the govern- side, with a replica of the world series trophy award of excellence from the International Asso- ment will pay only the target rate and 25 percent embossed on the other. ciation of Business Communicators' St. Louis of the difference between the target rate and ac- chapter in their annual Bronze Quill competition. tual costs. This means that for every Medicare Dr. Levitt has been associated with the football The award was made at the organization's discharge that is below the target rate, the gov- and baseball Cards since 1967, and recently monthly dinner meeting on April 26. ernment will reimburse Barnes for 50 cents of traveled to Florida to help conduct team physi- cals during the baseball spring training session. This is the second award that the full-color An- Front cover: The diamond-studded world series Most of his work takes place behind the scenes, nual Report has won; it garnered third place championship ring featured here belongs to Dr. however, as he mans the stadium's first-aid sta- honors in the Missouri Muleshoe Awards spon- Joseph Levitt, Barnes employee health physician and tion during every home game, for both teams! sored by the Missouri Association for Hospital attending physician for Busch Memorial Stadium. (See Dr. Levitt estimates that he has attended over Public Relations. That award was given at the related story, photo, page 1.) 1,260 sporting events during the last 16 years. MHA annual convention November 3-5. it can best be put to use for patients." NMR has dromat, in the hospital complex, where they already proven effective in diagnosing Multiple could wash their clothes while staying with her. Sclerosis and in identifying tumors of the brain "Things like parking and laundry may sound in- and central nervous system. significant, but when you are away from home, they become very important," said Mr. Look. The special facilities are needed to provide con- trols over the magnetic field, according to Dr. Social workers were also available to help listen Evens. Criteria, such as maintaining a certain dis- to and solve many of the problems the Looks tance from elevators, television sets, moving faced while dealing with their separation from automobiles and patient rooms, have to be met, their family. Mrs. Look said that the social work since any electrical activity could interfere with department helped her cope with many of the the NMR's sensitive magnetic field and alter its problems she had not wanted to face alone. images. Safety equipment and a metal detector will also be installed, Dr. Evens said. Mrs. Look continued, "It is sometimes hard for us to face my disease, and the time we have to MIR is already planning its next step into NMR spend away from our family, but we have man- research and treatment, with the construction of aged well under the circumstances. Through the a second, more expansive facility at the corner of care and help of Judy Warner, Sue Zimmerman Taylor and Scott, just east of the Washington and the entire hospital staff, we have been able University School of Dental Medicine. The sec- to handle the situations we have been con- ond NMR facility will house a 15-kilogauss mag- fronted with." net and will be used for research into obtaining images of phosphorus and nitrogen protons. "Although I cannot say that I don't miss home," (Currently, radiologists are only able to obtain said Mr. Look, "I have caught myself calling images of protons from hydrogen ions.) Barnes 'home' several times during the past few weeks. I'm sure 'home' would not have slipped Construction is progressing rapidly on Mallinckrodt's into my mind had it not been for the care every- new NMR facilities. "We expect WUMC to soon become a leader in several aspects of NMR research and treatment," one here has shown to us." said Dr. Evens. Clinical NMR facilities currently NMR facilities to exist at about ten medical centers and hospitals in the United States. The field is rapidly expand- New parenting class benefit Barnes patients ing, however, and by next year Dr. Evens esti- mates that the number of NMR facilities nation- promotes self-esteem Facilities for nuclear magnetic resonance (NMR), wide will jump to 60 or 70. Understanding and nurturing self-esteem in par- a non-invasive diagnostic tool that is potentially a ents and children is the focus of "Positive Par- step beyond the CT scan in precision and sophis- enting: Promoting Growth," a six-week course tication, are being added to the fifth floor of the sponsored by the department of education and Mallinckrodt Institute of Radiology. Construc- Patients feel at home training. The course will be held from 7 to 9 p.m., tion, which began in March, should be completed with aid of social work Wednesdays, beginning June 1. Topics include this month and the super-conducting, 5-kilo- communication skills, creativity, discipline and gauss magnet is scheduled for installation in The Barnes Hospital family includes more than play. The cost is $50. June, according to Dr. Ronald Evens, MIR di- 5,000 full-time and part-time employees and vol- rector and Barnes radiologist-in-chief. Barnes unteers, as well as hundreds of specialty depart- Carolyn B. Harden, a former early childhood and patients should be able to receive NMR scans as ments. From the admitting clerks, to the volun- elementary school teacher with nearly 20 years of early as July. teers, to the registered nurses who care for pa- experience, is conducting the course. Mrs. Har- tients in the 11 intensive care units, Barnes is a den holds a B.S. in education with an emphasis NMR has been a standard scientific tool for per- family of first-rate members. forming chemical analysis of unknown solutions on early childhood from the University of Geor- for 30 years, according to Dr. Evens, and there National Hospital Week, observed May 8 gia and is co-author of Developing a Comprehen- sive Child Development Center. She has been teach- are probably 20 non-medical NMR units operat- through 14, emphasizes the importance of the ing parent effectiveness workshops for four ing in St. Louis area industry alone. Only re- family in today's society. As a large family, years. cently, however, has new computer technology Barnes provides services that many smaller, less and an increased understanding of magnetic diversified hospitals cannot offer to their pa- "I'm not teaching how to become a perfect par- fields made NMR scans of areas as large as the tients. Many of these special services are pro- ent, but a better parent," said Mrs. Harden. "I head or body possible. vided through one department—the department of social work. Under the direction of Evelyn look at the family as a place to produce people who feel good about themselves." During NMR, the patient is placed inside a mag- Bonander, social workers help ease the fears and netic field. While in the field, the patient's atomic concerns of thousands of Barnes patients each nuclei, normally randomly dispersed and con- year. For more information or to register, call (314) tinually moving, stop and "line-up." A radio sig- 454-3563. nal is beamed on the patient and then bounced Judy Warner, one of 26 Barnes social workers, is back to the NMR's computer, which processes dedicated to helping patients before, during and Hyperthermia center the information and produces the image. after their hospital stays. "Spending time in a hospital is always hard for someone," said Ms. opens at Barnard "NMR is an easy test for the patient," said Dr. Warner. "Often, however, it is even more diffi- Evens. "The patient simply lies down, and there cult for the patient's family. Many times they are A new hyperthermia research and treatment cen- are no needles or medication required during the away from their homes and friends, and feel lost ter opened April 22 at the Barnard Free Skin and procedure." Although the images produced by in such a large hospital." Cancer Hospital here, thanks in part to dona- NMR appear similar to those provided by CT, tions from the Advertising Federation of St. they are based on atomic nuclei rather than on Wilma Joanne and Donald Look are one such Louis. x-ray absorption, and thus give radiologists dif- family. Last September, Mrs. Look was diag- ferent kinds of diagnostic information. "Not hav- nosed as having cancer. Since then, she has been The Advertising Federation, whose membership ing to use radioactive isotopes and contrast ma- a patient at Barnes on two different occasions. includes men and women who earn their living terial are relatively small advances," said Dr. in the administrative, creative or production end Evens. "The potential primary advantage of Through the department of social work, the of advertising, donated the proceeds from their NMR is that it may detect disease more quickly Looks were able to contact the American Cancer 49th annual Gridiron dinner held April 15 in the and accurately than CT." Society and the National Leukemia Society. Khorassan Room of the Chase-Park Plaza. Since Through these agencies, the Looks received an- 1945, the Advertising Federation has donated NMR also shows promise in allowing in vivo swers for many of the questions they had con- more than $1 million for cancer research and chemistry—analyzing and monitoring the chem- cerning expenses. Expenses they could not pay if treatment to Barnard. ical processes and changes in tumors, tissues, their insurance coverage would become ex- etc., within the body, without having to surgical- hausted. The hyperthermia center, which was developed ly remove a sample for test tube examination. by the Mallinckrodt Institute of Radiology, uses "NMR is in its embryonic stage in terms of future In addition, Ms. Warner also made long-term extreme heat to kill cancer cells. Hyperthermia development," Dr. Evens said. "We're working parking arrangements for Mrs. Look's family, treatment is particularly successful in treating closely with physicists and chemists to learn how and through the department, she found a laun- cancers of the head, neck and soft tissues. Free hypertension test open to the public Auxiliary Luncheon The Barnes Hospital Auxiliary, in conjunction with the education and training department, is sponsoring a free hypertension (high blood pres- sure) screening from 8 a.m. to 4 p.m., Thursday, May 19, in the East/West Pavilion lobby. The screening is open to visitors, employees and the I M general public. Hypertension occurs when the pressure of the €2 s$m blood within the blood vessel walls becomes ab- normally high. Untreated, hypertension can re- WL''-f sult in heart attack, stroke or kidney disease. Called the "silent killer," hypertension can pro- ^k i gress without any visible warning signals. Al- ^k ^t though it can affect people of all ages, those who are over 40 years of age, are diabetic, overweight P^ or smoke, or those who have a family history of heart disease, are at a higher risk of developing hypertension.

Hypertension cannot (in most cases) be cured, but it can be controlled through diet, exercise Barnes board members John Shepherd and Judge and medication. With treatment, people who Ivan Lee Holt, Jr., share a story with Missouri Con- have high blood pressure can live active, healthy gressman Richard Gephardt, who was guest speaker. and normal lives. Nutrition tips and special in- formation regarding salt-free cooking as aids in Dolores Shepard, Auxiliary president, presents a controlling high blood pressure are available $312,598 check to Harold Thayer, chairman of Barnes through the dietetics department, 454-3414. For board of directors. The check is the third installment more information regarding the screening, call on a $1 million pledge to help finance the construc- the volunteer department at 454-3446. tion of new emergency department facilities. New volunteers part of Red Cross pilot program

Dorothy Smart, Peggy Ford and Mary Kay Mon- roe are three Red Cross volunteers working at Barnes as part of a pilot program to increase blood donations.

The three visit patients who have received blood or blood products during their hospitalization and ask them to write their friends and relatives to donate blood at the Red Cross' substation, located on the second floor of Barnes.

"We are targeting our appeal for more blood donations to those who understand the need the best," said Mary Ellen Rosche, blood bank chief Each active volunteer received either a corsage or a boutonniere. Here junior volunteer Steve Tober pins technologist. "We're not asking people to replace a corsage on volunteer Molly Weedman. Since its in- blood. We're simply trying to make them more Newly elected Auxiliary officers: Mary Ann Fritschle, ception in 1959, the Auxiliary has donated over $3 aware of our existing facilities and of the constant president; Ed Akers, vice-president/volunteer ser- million to Barnes. They sponsor the Wishing Well need for blood donations." vices, and Mary Barenkamp, recording secretary. Flower and Gift Shops, Tribute Fund, the Nearly New Shop and the baby photo service. The program is now limited to four patient care areas but will be expanded to other nursing divi- sions if donations increase, she said.

The blood donor substation is open from noon to 7 p.m., on Tuesdays and Wednesdays, and may be reached by taking the elevators by the red car- pet information desk on the first floor of Barnes. For assistance to the substation or to make an appointment, call 454-3225. "Stop Smoking" classes beginning May 26

A series of "Stop Smoking" classes is being of- fered by the department of education and train- ing from 7:30 to 9:30 p.m., beginning Thursday, May 26.

St. Louis psychotherapist Al Barton coordinates the six-week course which features behavior modification techniques, including hypnother- apy, to help participants "kick" the nicotine habit. Cost for the course is $50. 200 Auxilians attended their annual spring luncheon held April 22 at the Breckenridge Inn-Frontenac. For more information or to register, call 454-3563. KTVI-TV's medical reporter Diana Davis interviews Esther Cutler, a patient in the IWJ rehabilitation unit about her electronically controlled room.

When

Breakthroughs in treatment and new surgical procedures are constant sources of "news" for local and regional media. Here a cameraman from KMOX-TV shoots background footage for a story on kidney transplants.

Lights, camera, action—the 5 o'clock news dead- line is rapidly approaching and Barnes is once again "in the news." This time, a local television station's medical reporter is interviewing a Barnes/WU cardiologist on a new breakthrough in heart care. Earlier, area newspapers called to check on the conditions of three burn victims fly- ing in from an outstate hospital. Tomorrow, a telephone interview between a hospital adminis- trator and a national magazine reporter is sched- uled to discuss implications of the federal gov- ernment's cutbacks in Medicare payments.

Locally, regionally, or nationally, Barnes is news. Consistently ranked as one of the top ten hospi- tals in the country and long noted for its medical expertise and clinical research in such specialty areas as diabetes, cancer and cardiology, Barnes has become an information resource center for both the media and the community.

On a daily basis, Barnes is contacted for informa- tion on new procedures and treatments, seasonal health tips such as dealing with allergies or sun burn and health care issues such as "right to die with dignity" policies, cost-containment or the ethics involved with Dr. Barney Clark's artificial heart.

Recently, for example, the St. Louis Globe-Demo- crat contacted the hospital for background infor- mation on the circumcision of male infants for a jodi Enda, of the St. Louis Globe-Democrat, interviews Mr. and Mrs. Howard Walker about their son, Michael's, March 27 story on men's rights. Russian scien- miraculous birth at Barnes. Michael was the second baby born to a kidney dialysis patient at Barnes and only the tists' research into hastening infant development fourth such birth recorded nationwide. by delivering babies under water prompted an- Birthing rooms and other alternatives to the traditional labor and delivery room setting were the subjects of a KSDK-TV interview between reporter Kathy Leonard The media spotlight shone on Jimmy Loines of plant engineering and Brooks Pumphrey of dispatch when the Barnes and Dr. James Warren, Barnes/WU obstetrician/gyne- Hospital Society honored them with its first Awards of Merit last May. cologist-in-chief. arnes talks. . .

other call to Barnes to verify authenticity for an amination reaches far more people than a year's aware of the dangers of high blood pressure give April 3 article titled " 'Designing' Super Kids for classes could hope to reach, for example. Simi- the hospital an opportunity to pass along infor- Russia." larly, newspaper stories can help hospitals ex- mation that can help people maintain their health plain the complicated problems of providing ade- by avoiding preventable sickness or injury. The Acquired immune deficiency syndrome, the quate care for patients who cannot pay. Radio outcome of this ongoing exchange of knowledge presidential commission on ethical problems in health segments done at Barnes that warn view- is a better informed public who is then able to medicine, the use of liver pumps in treating ers to use protective eyewear for racquetball, make wise decisions concerning health care. cancer and the non-invasive blood flow doppler to avoid mixing medications and alcohol, or to be in diagnosing heart disease are just some of the topics that have made national headlines and for which reporters turned to Barnes for interviews that clarified these new developments for the public.

Recent community and outstate requests for in- formation have included such diverse subjects as chymopapain (a drug used to non-surgically treat herniated or "slipped" discs), advances in care for heart attack victims, bone marrow transplants for treating leukemia and other cancers and re- search into a possible cure for diabetes.

Often, medical breakthroughs that are heralded on such programs as "60 Minutes," "20-20," and "PM Magazine" result in phone calls to Barnes for more details and referral information. Such inquiries have come from within the St. Louis area and as far away as Oklahoma and Florida.

As a teaching hospital, as well as one of the na- tion's top ten hospitals, Barnes has long consid- ered educating the public to be part of its mis- sion. News outlets have in recent years added Many of the stories completed at Barnes win national awards for their reporters. KMOX-TV reporter Al Wiman's series another avenue for doing this. One TV segment on cancer, for example, was commended by the American Cancer Society. Here he interviews a maternity patient on the 6 o'clock news explaining breast self-ex- and her husband for a segment on high risk pregnancy. Media spotlight New phones, numbers

Highlights of the media's coverage of Barnes coming to Barnes/WUMS Hospital during the last month are as follows. Over the next four months, the various depart- Readers desiring a photocopy of newspaper or ments, nursing divisions, doctors' offices and pa- magazine articles about Barnes should contact tient rooms at Barnes will be receiving new the public relations department at (314) 454-3515. touch-tone telephones, as well as new telephone numbers beginning with the exchange "362." Television The changes, part of the two new Custom Di- Dr. Ronald Burde, Barnes/WU ophthalmologist, mension 2000 telephone systems encompassing was interviewed by KSDK-TV reporter John Barnes and the Washington University School of Roedel about outpatient surgery. The segment Medicine, are scheduled for completion in early aired April 15. September. Pacemaker technology and holter monitors were As the telephones are installed and the numbers discussed by Dr. Joseph Ruwitch, Barnes/WU are changed, outside callers who dial an old cardiologist, for KTVI-TV's medical reporter, Barnes number will automatically be transferred Diana Davis. The story aired on April 1. Dr. Joseph Ogura to the new number. In September, after all of the new numbers have been incorporated, callers Face-craft, which combines plastic surgery with dialing one of the old "454" numbers will be ad- advances in computed radiology, was the subject vised of the new number by a recording. of an interview of Drs. Jeffrey Marsh, Barnes/ WU plastic surgeon, and Michael Vannier, Dr. Joseph Ogura dies, Pat Lanigan, telecommunications manager, feels Barnes/WU radiologist, for the "Discover: The pioneer cancer surgeon that the adoption of the new telephone system World of Science" program. The segment aired will be very beneficial for everyone at Barnes. nationally during the month of April and on Dr. Joseph H. Ogura, former Barnes otolaryn- "The new system," he said, "is being installed cable TV here through WGN in Chicago. gologist-in-chief, died on April 14, here, of an because of its computerized base, which offers apparent heart attack. He was 68 years old. many more features than the present Centrex Radio system." The Barnes Auxiliary received KMOX-radio's A specialist in head, neck and throat cancer sur- salute on April 15 for their efforts in supporting gery, Dr. Ogura was the first American to recon- One difference between the new and old systems the hospital and their recent $312,958 donation struct an artificial larynx in a human following its is that an in-house caller must now dial five digits for construction of new emergency department surgical removal. He also developed a special to reach another in-house station. Formerly, he facilities. Bob Hardy and Bill Wilkerson dis- surgical procedure for treating throat cancer that needed to dial only four digits. All in-house ex- cussed the Auxiliary's work and played their leaves part of one of the two vocal cords intact, tensions will now begin with the number "2." morning "march" in their honor. thus saving much of the organ's use for speech When dialed, the "2" acts as a signal for the com- and swallowing. Previously, surgeons had re- puter, indicating that this is an in-house call. The Chymopapain, a drug recently approved by the moved the larynx, vocal cords and even parts of FDA that is used to non-surgically treat herniated addition of the "2" before each extension also the tongue, pharynx and esophagus. Most of the means that the last four digits of the phone num- or "slipped" discs, available here, was the subject surgeons now performing this type of surgery ber may begin with any number between 0 and 9. of a KMOX radio segment on April 11. have been trained by Dr. Ogura. Previously, the numbers 0, 9 and 7 could not be used because they transferred the caller to the Print Dr. Ogura also was one of only three men to re- operator, an outside line or a long-distance Daisy Shepard, public relations director, was ceive otolaryngology's "triple crown"—the WATS line. interviewed for an article on outpatient surgery. DeRoaldes Gold Medal for distinguished career She noted that outpatient surgery is nothing achievement and total contributions, the Cassel- In addition to the effects the new telephone num- new at Barnes and pointed out the advantages of berry award for his work in nasopulmonary me- having outpatient surgery performed in the tradi- bers have on in-house dialing, the change will chanics and the Newcomb award for his accom- affect all printed materials that include Barnes tional hospital setting where needed facilities are plishments in laryngeal research. on hand in case of an emergency. The article telephone numbers. Letterhead stationery, note pads, business cards, pamphlets and brochures appeared in the April 18-24 issue of the St. Dr. Ogura served his residency in otolaryngology Louis Business Journal. will need to be changed to include the new phone at Barnes and had been on the Barnes/WU staff numbers. since 1948. He retired from his position as oto- The Auxiliary also received kudos from the St. laryngologist-in-chief and head of the WUMS Louis Globe-Democrat's Jerry Berger in his April department of otolaryngology in July, 1982, but 16-17 column. remained on staff until his death.

Graduates of Barnes School of Nurse Anesthesia were featured in the April 15 edition of the West End Word. Barnes receives grant for exercise course Hospital notes Barnes has received a $2,500 grant for the pro- The following are reported on staff: Dr. Howard posed installation of an exercise course in Hudlin W. Schnaper, assistant pediatrician, effective Park, which is located just south of the hospital. September 1, 1982; Drs. J. Michael Conoyer and The grant, from the Wells Fargo Bank of San Richard E. Hayden, assistant otolaryngologists, Francisco, California, would cover part of the ap- effective February 1, 1983; Dr. Jerome D. Sachar, proximately $7,000 needed for the track's com- assistant obstetrician/gynecologist, effective July pletion. 1, 1983, and Dr. Bernard L. Shore, assistant phy- sician, effective July 1, 1983. The new "Gamesfield Twenty-Station Jogging Course" would be built in the park behind the Dr. H. Mitchell Perry, Jr., Barnes/WU cardiol- existing tennis courts, following the planned ex- ogist, is serving as a consultant on hypertension pansion of the subsurface parking facilities. The to the Ministry of Public Health in Kuwait. Dr. track is scientifically designed to promote car- Perry, who has been director of the Barnes hy- diovascular conditioning, and includes twenty pertension clinic since 1964, will be developing a separate exercise stations. Each station provides hypertension control program there. the participant with either a warm-up, condi- tioning or a cool-down exercise. Daisy Shepard, public relations director, will be a guest speaker for the Hospital Public Relations Construction of the track is contingent on con- Approximately 600 people were screened for hyper- Society of Metro St. Louis' "Show and Tell Semi- struction to expand the hospital's subsurface ga- tension and tested for pulmonary function at two dif- nar" on May 20 at the Holiday Inn—Riverfront. rage, located beneath the park. The first approval ferent Centerre Bank locations during the month of Mrs. Shepard's topic is "Communicating in a for the garage expansion recently came from the April. Barnes was April customer of the month for Crisis." city's Heritage and Urban Design Committee. Centerre. Gifts to Barnes Hospital Mrs. F. Davis Orley Kniffen Dorothy O. Reynolds Alice Lillian Trauth Fannie Davis W. A. Koch M/M Claude Richman Walter Trauth M/M Ramon H. M/M Orval Koehler Ron Ricker Edward Travis Listed below are the names of persons (honorees DeMoulin Otto E. Koerner George Riley M/M Warren TroU in boldface) who have made contributions dur- Anne DeSimone Arnold Kreitman M/M Robert T. Ringhoff Ben J. Trost ing the period March 9 to April 8 to the funds at Eleanor DeWoskin Juanita M. Kroeger Bernice Ripplinger Ted Tucker Barnes Hospital. Because Barnes is a private hos- Irvin S. DeWoskin Ruth F. Krone Barbara Robb Bob Uhls pital and does not receive public funds, it relies Royal & Mabel F. Dillinger Roy T. Lackey Eva Robinson M/M William C. Urban on the gifts of individuals to continue providing Wilma Dossett D/M Edward W. Lake Florence B. Robinson M/M William Van Buren quality patient care and to support research Mildred Drewes Andrew and Anna Irene Rodgers M/M Frank Vilimek aimed at improving the lives of our patients. M/M Holger Dubbelde Landgraf Lawrence Rogaliner Leon Visnovske Rose K. Duenhaupt M/M Albert Landwehr Dr. William F. Rose Renee Vitali M/M Harvey L. Dunham Norma LaMarsh Lutwin C. Rotter Francis Vivirito Clara Dworzynski Albert Lang Pete Rowlinitus S. J. Vogelweid Auxiliary Tribute Fund Charles P. Eckenrodt Lawrence Langsam Harvey Rudolph George Von Hoffmann Alvin Eigenrauch Otis D. Lansche Mrs. Pinkie Sams Foundation, Inc. IN MEMORY OF: M/M Sam Eisen M/M Edwin Large Dorothy Sanders Ruth E. Voyles Hugh Baird Father of Rita Wellinghoff Linda Kay Elledge W. J. Lascoe Mrs. Andrew Sansone Walter R. Walker Mrs. James E. Crawford Barnes Hospital 15300 Philip R. Enoch Chung Y. Lee Alma Schaller Corrine Wallace Sister of Betty Cheers Staff John L. Epperheimer R. E. Lee Helen M. Schaeffer Leo and Thelma Walthers Barnes Hospital 15300 Lena Wenneker E. L. Estes Paul J. LeGrand M. A. Schamel Almeda M. Watson Staff Macy & Betty Abrams Clara R. Evering Herman A. Lehwald Edward E. Schwartz Eldon C. Weder Rosa Lee Conner M/M Charles Bobinette E. G. Evans Robert T. and Ruth I. Dr. Howard Scheff Alice S. Weems Virgil Loeb, Jr., M.D. M/M Robert E. Frank Wanda Faler Leslie M/M Robert Scherrer John and Alvera Weiler Irv Makrauer M/M Sid Levinson M/M Leonard H. Farmer Ben Lewis A. M. Schlehuber Esthermay Weinlein M/M Norman Rubin Mrs. H. B. Wittcoff Harold C. Fehl Aloys H. Littekin R. X. Schmidt Estella M. Weiss (cardiovascular care) Mable R. Filipiak George E. Lister Mrs. Averil E. Schenk M/M David W. Welch James M. Oost IN HONOR OF: Phillis M. Fisher Mrs. William C. Llewellyn Robert E. Schnare Harold A. Welge M/M Roscoe L. Cook Birthday of Henry C. Ethel Fotenos Mary Ann Lombardo William E. Schowengerdt Arthur Werre, Jr. M/M Howard Millman Lowenhaupt Helen M. Fotenos John S. Loveless Carl Schram Florence A. Whalen M/M Stanley H. Nelson M/M Philip L. Moss Hattie Franklin W. V. MacDonald Emil A. Schwarz Catherine Whipple (for cancer care) Birthday of Dixie Prins M/M Bennett E. Frelich Frank Martin Lillie J. Seabaugh Maria Bain White Leroy Diehl Millie and Dick Prager Jennie L. French Rachel W. Martin Mary Ann Sedlack M/M J. A. Wildpret Barnes Volunteer Birthday of Fred Mary S. Gettle Lenora Mason Martin E. Seidel Helen Williams Department Reynolds, M.D. Opal Glandt Emma C. McCloskey Eli C. Seigel Phoebe Williams Helen Packman D/M Harold C. Cutler Fr. Ferd Goewert Mary McCool D/M Earl E. Shepard Theresa M. Williams D/M Michael Karl M/M Sidney Goldring M/M Charles Good J. H. McCrary Marguerite A. Shuman Nellie Wilson Henry Scherck Recovery of Fred Elroy Granberry, Jr. Gilma McGhee Mary A. Siddens Douglas Withall D/M N. P. Knowlton, Jr. Brueggenhagen Donald C. Green Clyde E. McGraw Lester Smissman M/M William Alvin Segelbohm Barnes Hospital Auxiliary Jassie Green Richard S. McQuay Beatrice Sinton Witherspoon D/M N. P. Knowlton, Jr. Recovery of Manne John and Florence Greer Leo Meadows Elmer E. Smith King W. Wong Dr. Donald B. Strominger Coppersmith M/M Edward Gregson Viola May Meier Ethel Smith M/M Edna and C. C. Dr. Patricia O'Neal M/M S. I. Harwood M/M Hubert Grogan M/M Melbourne Meyers Imogene Smith Wooten Dr. Thomas Richardson Recovery of Dr. Morris Peter A. Gross Henry A. Mezyk Odeal Smith John B. Wyble Mary Tenholder Davidson Rose Gross Louis & Bernice Miller James L. Sommers Mildred Yount Thomas B. Ferguson, Tom and Bert Rasmussen Floyd Gullett Birdie Minor Mrs. N. J. Spaeter Lucille Zerillo M.D. Recovery of Harris Jessie Gullett Charles O. Monts Myra B. Spector Warren Ziegler Daughter, Theta Kramer Florence S. Guth Velga Moore Lee J. Spudich Howard K. Zimmerman Ann Tucker M/M Stanley P. Kolker Aleen Hallam M/M Sidney Morris Marion L. Stalker M/M Norbert E. Marian Volmer Recovery of George Levitt Robert and Margie Ida C. Mosley Loraine Stamm Zimmermann Mrs. J. Claudy Mrs. M. Harris Halpern George E. Murphy Hy R. Stegmann Katherine Steele M/M Virgil Handlang Anna Nesty Rosa B. Stewart IN MEMORY OF: Ruby E. Haney Ted H. Nesty Herbert L. Strele Andrew F. Gazdik Samuel Harbour Katherine Neville M/M Charles Margaret L. Gazdik Katherine A. Harkness M/M Burl Newcomer Stubenrouch Barnes Annual Fund Mrs. Berney Harris Andrew & Annie Newell Dale H. Sullivan Julius and Ruth Drucker M/M John Harter Victor J. Odorizzi F. Sulzer Rose Sheffler Anonymous Clara E. Braun Mabel M. Hartman Anna O'Neill James Summerville Carl W. Adams George R. Brennan Nettie and Ray A. Lillie Oliver Charles P. Swan IN HONOR OF: M/M Robert Adelmann M/M Abe N. Brickman Hartmann David L. Orrell L. Bert and Cecile L. Dr. J. C. Edwards Isidora Albrecht Lawrence Bueckendorf Dorothy Marie Harvey Clyde Osborne Swartz Fred Shalet Constantine Alcons Leona Bueckendorf Donna Heafner Dr. A. V. Paredes William K. Thompson Ilona Alcons Pauline S. Bunnage Steve Hecinski Dola Parker M/M Clarence Thornton Dr. Fred Reynolds Edith Alexander Ruth Burris Wilma N. Hemken William F. Parkison Martha Todd Sybil D. Clark Barbara Allen M/M William Byrd Louise W. Henderson M/M Ben Parks Charles W. Toms Katheryn G. Allen Emil Carabelli M/M Leon A. Hermeling Frances Parrish M/M Jerry Toney Dr. Stephen Waltman Minnie B. Allen Andy Carosy Audrey Henry John and Mary Peckham E. Lee Toney Viola C. Meier William Alyward Janet L. Carroll William Herkenhoff Frank G. Pellegrino Pete Torisky Helen Trifonoff M/M George W. Ottie P. Carter Doylene Herzinger Gertrude M. Penn Anderson Vernuhee and Glenn George Hodgman Geraldine B. Perkins Louise W. Anderson Cawthon, Jr. Ruth S. Hoerr William Clyde Perkins Bone Marrow Unit Fund Evelyn D. Ardueser S. J. Cento Maggie Hoggins Ellison Phillips Margaret and Joe Ax Ralph M. Chambers Fred Hogue Virginia Phillips IN MEMORY OF: Faye O. Bagent James M. Champion M/M John V. M/M Charles Pistrui Alma Mae Ilges Rudolph J. Barabas Yau Kam Chu Holcombrink M/M Robert M. Pollard M/M John Arado M/M Robert L. Pottgen William E. Barnes La Verne Chumney Frieda Homer M/M Gerald Prante M/M Loran Blaine M/M Albert W. Rutledge Steve Bartok Lydia Clabaugh Robert M. Horton, Jr. M/M J. Pretsky M/M Larry W. Brown M/M Charles Rutledge Albert Bauer Teddy L. Clark M/M M. A. Horwitz Hazel M. Price M/M Ed Debiasi M/M Wilson Rutledge Gus A. Baur Ethel L. Claybrook Bess Hough Vernice Prothro M/M John Earnhardt M/M Wilson Rutledge, Jr. Alden Beaird G. M. Coffey Pearl A. Howard Bernice Pruitt M/M Thomas Earnhardt Salvation Army (Golden Earl G. Becker Generose Collico Etta Jefferson Juanita Purcell M/M Alan George Agers) Eleanor L. Begley Irene A. Coleman Cynthia A. Jeffries George W. Quinn M/M Joe Goff & Family Frances Sterling Ellen C. Behrens Herbert D. Condie, Jr. M/M Charles Jenkins Sylvia M. Rajnoha M/M Jim Hatzigeorgiou M/M Walt Stevens & Elena Benna Emmett M. Con way M/M Charles R. Jenkins Agnes J. Randall M/M Arthur L. Havener Family Maurice C. Berger M/M S. Cordes Bernice Jones Walter Ransom M/M George Hilmes, Sr. Union Electric Ladies M/M Tony Berra, Sr. Alice Cox John E. Jones M/M Simon Rapoport Irene Hoefener Auxiliary Bernice Bierman Rex and Doris Criger Maude E. Jones Ara L. Rauls M/M R. E. Hutton M/M Isadore Voda Bro. Patrick Bietka Paul W. Crow James R. Jordan M/M Arnim Ray M/M Bernard Ilges M/M August J. Vogler John F. Birdsong M/M S. H. Curlee Irene Kastens M/M Clyde Rayheld M/M Leroy Dges M/M Charles Wallis M/M Charles C. Bland William and Iva Curtis Nettie and Harry Kay Chester T. Reasor Becky Johnson Webster Groves Baptist David Boccia Clara Curvin Marcella M. Kennedy Helen M. Reed Diane Kunst Church Sunday School Irma Boehle Alfred Dartt Albert Kern M/M Francis E. Reese Mary C. Maloney Class Paul R. Bongner Mary J. Davenport Regina Klein J. M. Reinhardt Obermeier-Lamm M/M Ron Wilshusen Edward H. Brandt Sarkis Davidian Lydia M. Kline Charles E. Reynolds Auxiliary (continued on page 8) Gifts Scott Jablonow Endowment Fund (continued from page 7) IN MEMORY OF: IN MEMORY OF: Patient Care Fund John M. Seamans, Jr. Margaret Claire Baker M/M Jack A. Jablonow Mary Jane Meyer Phillip L. Beck, Sr. Edward H. Reuber Nettie Jablonow Barbara Bianco M/M Claude Richman Dr. Leon Cecil's Reda R. Bretz M/M Norman M. Father-In-Law Virginia E. Campbell Rubenstein Faculty of Barnes Hospital David Fedder R. A. Ruehrwein School of Nursing Belle Faulkner Ressie Scales Ruth H. Frank M/M Russel F. Scheufele Sharon Morad Memorial Fund Irene G. Haines Minette P. Taplits Freda Hancock Margaret R. Turner Betty J. McAndrews Harvard P. Herbert Helen L. Wheeler Dr. Peter G. Smith Family M/M William E. Hill Carl Zaksas M/M Meyer Inger Lasky Memorial Fund Herman Israel IN MEMORY OF: Guy Jacques Dr. Heinz Heffner Peter Edison Al Marks Benjamin H. Kaden Mary B. Culbertson Susan Hollander Edison Nancy R. Lasky Marie A. Kieser M/M Martin Wunsch M/M Ernie Kelley Fred Spears IN MEMORY OF: Gertrude Kofkoff Irma Spears Grandfather, Alvin Lasky Edward Kunz Dory and Julie Silver Lois Middlebrook IN HONOR OF: Quentin Miller Dr. Bruce Waltz Mary E. Pierce Irma Spears Planned Gift Fund Charlene V. Byrd Barnes Bulletin Barnes Hospital Barnes Hospital Plaza St. Louis, Mo. 63110 Tncfexe'cr

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