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FLU IS COMING REDUCING HARM from ALARMS P39 P20 MALE BREAST CANCER P42 Travel Well Contents Emory Health WINTERDigest 2019 contagion CRASH INTO ME p30 TAMING THE HUNGER NERVE p36 FLU IS COMING REDUCING HARM FROM ALARMS p39 p20 MALE BREAST CANCER p42 travel well contents 16 Go Fish Unlike a human heart, a zebrafish heart heals rapidly if injured and soon returns to nearly normal shape and pumping ability. What can we learn from regenerating fish hearts? A lot, it turns out. Flu is Coming 20 Infectious disease experts have had plenty to worry about in the past several decades, including AIDS, SARS, Ebola, and Zika. But one dis- ease scares them above all others: influenza. 20 travel well PHOTO SHUTTERSTOCK Crash Into Me 30 Driver behavior, from speeding to distraction, causes most auto accidents. What can be done to reduce the risk? An Emory/Grady effort aims to find out. 30 contents MUST SEE TV The Emory Brain Health Center and Georgia Public Broadcasting (GPB) are partnering on a news magazine that airs Mondays at 8 p.m., hosted by Emory’s Jaye Watson. Emory Health 36 Digest Jonathan Lewin Exec VP for Health Affairs, Exec Director of the Woodruff Health Sciences Center, and President, CEO, and Board Chair of Emory Healthcare Mary Loftus Editor Peta Westmaas Art Director Pam Auchmutey, Martha McKenzie Associate Editors Jack Kearse Director of 15 42 Photography Janet Christenbury, Eric Dunlap, Quinn Eastman, Gary Goettling, Taming the Reducing Harm from Rachel Hershenberg, Melva “Hunger Nerve” 36 Alarms 39 Robertson, David Weiss Contributing Interventional radiologist The cacophany of an Writers Carol Pinto Production Manager ICU David Prologo believes ’s monitors isn’t good Jarrett Epps Advertising Manager freezing the nerve that for anyone, from patients Wendy Darling Web Specialist sends hunger signals to to staff. So this critical Karon Schindler Exec Director, the brain may help people care team did something Editorial, Communications Vince Dollard Associate VP, lose weight. about it. Communications the well and more Emory Health Digest is pub- lished twice a year for patients, Social Feed 4 Patient POV 42 donors, friends, faculty, and staff Kudos and tweets from Eric Dunlap saw his of the Woodruff Health Sciences 10 Center. © 2019 Emory University around the Woodruff beloved grandmother “Patients can Health Sciences Center. succumb to breast cancer Emory University is an equal opportunity/ and his mother survive it. equal access/affirmative action wind up taking The Well 5 employer fully committed to achieving But he never thought he a diverse workforce, and complies Sleep better. Order in with all applicable federal and Georgia enormous amounts was at risk. state laws, regulations, and executive the OR. Political clout. orders regarding nondiscrimination and affirmative action in its programs and of medication Hazards of hot soup. Spin Policy Wise 44 activities. Emory University does not discriminate on the basis of race, color, cycle. Medication psycho- Antibiotic resistance may religion, ethnic or national origin, gender, and that can be a genetic information, age, disability, sexual sis. Heart disease. No to be the greatest medical orientation, gender identity, gender expression, or veteran’s status. Inquiries pretty dark road mosquitoes. Help for pea- challenge of our time, should be directed to the Office of Equity and Inclusion, 201 Dowman Drive, nut allergies. Scrubbing says David Weiss, of Administration Bldg, Atlanta, GA 30322. to follow.” Telephone: 404-727-9867 (V) | 404-712- veggies. Kidney voucher. the Emory Antibiotic 2049 (TDD). Regenerating fish hearts. Resistance Center. 18-EVPHA-EVPHA-0453 travel well MUST SEE TV Emory senior Afam Maduka was part of a team that joined Emory ethnobotanist Cassandra Quave to collect plants at the Joseph W. Jones Ecological Research Center at Ichuaway. The plants will be tested for medicinal purposes. “It’s like being a kid again,” Maduka says. “You never know what you’re going to discover.” Don’t miss the full story at emry.link/planthunters WINTERWINTER 2019 2018 3 to our readers sphere Jon Lewin @JonLewinMD • 8 Dec So glad that @EmoryRadiology is at the forefront of our @emoryhealthcare system-wide Lean journey, #EmPower. It will be great for our patients, first and foremost, for our faculty and staff, & for responsible stewardship of our resources! Thx for taking the lead on our roll-out! Winship Cancer Institute of Emory University @WinshipAtEmory 28 Dec Jonathan Lewin, executive VP for health affairs, executive The Emory Proton Therapy Center, the first and only facility of its kind in Georgia, officially director of the Woodruff Health Sciences Center, and opened its doors in Midtown Atlanta with a president, CEO, and board chair of Emory Healthcare. VIP ribbon-cutting ceremony. #protontherapy What drives us? The desire to move forward. Emory University investigators received $734 million ($686 million of this total was awarded to Woodruff Health Sciences Center researchers) in exter- Wnal research funding last year, an increase of 17 percent from the previous year. This funding doesn’t sit dormant. It serves as a cat- Jon Lewin @JonLewinMD • 3 Dec Proud to join Dr. Raymond Schinazi (and alyst, producing lifesaving treatments and innovations Dr. Lucky Jain) at the French Residence to and transforming the way we prevent, detect, and treat honor @drugbuster21 for receiving the Legion of Honor of France with the rank of Knight for disease. The recently inaugurated “synergy awards” his incredible contributions. @emoryhealthsci support cross-disciplinary projects among faculty at @EmoryPediatrics are proud to have our very our schools of medicine, nursing, and public health, own Chevalier! Yerkes National Primate Research Center, Emory Col- lege of Arts and Sciences, and more. Projects include developing biomarkers for neurodegenerative disorders (medicine/public health), improving imaging for stroke patients (medicine/Yerkes), and exploring how shift- work impacts the microbiome (nursing/medicine). This issue of Emory Health Digest highlights research as well, from Emory doctors at Grady inves- Emory Health Sci @emoryhealthsci • 3 Jan tigating ways to make driving safer, to immunologists Almost every week Brenda Baker, assistant working on a universal flu vaccine, to a radiologist aim- professor @EmoryNursing, travels to a state-run prison in SE Atlanta, where she volunteers as part ing to combat obesity by freezing the “hunger nerve.” of the Motherhood Beyond Bars program. http:// Some call it a research pipeline. I like to think of it ow.ly/pdYS50jYG1o #prison #womenshealth as a research river, ever flowing, with untapped power and unlimited potential. Be well, Jon Lewin [email protected] 4 EMORY HEALTH DIGEST be well the well The Power of Self-Care Routines Starting with Sleep It’s important to build healthy habits and stick to them. Adhering to self-care routines can reduce stress, anxiety, and depression. Often, if you add or resume one healthy habit, it will trigger others. To that end, let’s look at sleep. Routines you can set a clock by External cues in the environment signal to your body that it is time to wake up or time to sleep. Are you a lark (an early riser) or an owl (a night person)? Consider this when building your sleep routine. A habit of going to sleep at the same time every night increases Winding down time the chances you’ll be able to roll out of Create a buffer zone between waking bed when the alarm goes off. Con- and sleeping. Take 45 minutes to an sistent sleep patterns influence daily hour to give your mind and body secretion of cortisol and melatonin, permission to slow down. If you can’t Excerpt from Acti- which promote healthy levels of energy, turn your mind off, get your thoughts vating Happiness: A alertness, and appetite. It’s best to have out by writing them down, telling Jump-Start Guide to set sleeping and waking times even on them to someone, or recording them Overcoming Low Mo- the weekend, plus or minus an hour. If onto your phone. Use external cues tivation, Depression, you need to, work your sleep time back like putting on pajamas, brushing or Just Feeling Stuck, in 15-minute intervals. Eight hours isn’t teeth, listening to music, doing by clinical psychologist a magic number—go with what works relaxation exercises, or reading. Once Rachel Hershenberg, for you. you’re in bed, take slow, diaphrag- Emory assistant profes- matic breaths for a few minutes; sor of psychiatry and Creating a sleep sanctuary imagine the sights, sounds, and behavioral sciences. Make your bedroom a personal sanc- smells of a peaceful place all around tuary. Aim for the right temperature, you. The more you wind down in the a comfortable mattress, pillows stuffed same way, tucked in at the same time, just right, a heavy blanket, and low or the easier it will be for your body no light. An eye mask, ear plugs, and to fall asleep when you turn off the white noise machine may help. lights and close your eyes. EHD WINTER 2019 5 think well Order in the OR: Gender matters Researchers led by Emory primatologist Frans de Waal found that medical teams working in operating rooms (ORs) follow patterns of cooperation and conflict similar to those of non-human primates. In the study, researchers observed and recorded all social interactions in three ORs during 200 surgical procedures. Previous studies of behavior in health care teams have mostly relied on questionnaires rather than records of actual behavior. Researchers found that: • conflicts were directed mostly down the hier- archy between members several ranks apart • cooperation and conflict in the OR varied by gender, with less cooperation when the OR team included more male members • less conflict and more cooperation existed if the attending surgeon’s gender (male or female) differed from that of the majority of the team. “We used the techniques and concepts of evolutionary biology to understand how humans interact in the operating room,” says de Waal, director of the Living Links Center at Emory’s Yerkes National Primate Research Center.
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