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Helipad<br />
Continued from Page 21<br />
the SFO airport. USCF physicians<br />
would meet the child at their bedside<br />
after the helicopter had landed on<br />
the Mission Bay helipad and the<br />
patient had been transferred into the<br />
hospital.<br />
“How are we going to audit<br />
that?” shouted one audience member.<br />
“We would like statistics about how<br />
helipads are used at other hospitals,<br />
like Oakland and Stanford,” said<br />
another. According to Jim Adams,<br />
Chief Executive Officer of the REACH<br />
Air Medical Services, “Child health<br />
care is poorly reimbursed,” noting<br />
that physicians are usually paid<br />
less for children’s trauma services<br />
than adult services. “This isn’t a<br />
business people get into, it’s a need<br />
that’s met.”<br />
“Sure, sure,” the audience<br />
hooted. “<strong>The</strong>re is just absolutely no<br />
profit involved,” one participant said<br />
sarcastically. Another <strong>Potrero</strong> Hill<br />
resident cited a study on the overuse<br />
of helicopters, noting that 22 percent<br />
of helicopters have been turned away<br />
by hospitals in the past 10 years.<br />
Adams, who claimed to be familiar<br />
with the study, said that it focused on<br />
air transport called in by both trained<br />
physicians and 9-1-1 operators,<br />
who tend to misdiagnose problems.<br />
Audience members requested that<br />
the Action Team collect pertinent<br />
helipad studies for review at the<br />
following meeting<br />
Thomas and Fernandes shifted to<br />
an emotional register when they cited<br />
a case of a 30-week-old infant who<br />
died the previous weekend after an<br />
overflowing Stanford hospital denied<br />
the community physician’s request<br />
for an air transfer. <strong>The</strong> child was<br />
dispatched by ground transport, but<br />
died before the ambulance reached<br />
the closest qualified hospital. In<br />
response to the story one participant<br />
asked, “Is this emotional appeal for<br />
children? You pick one case of a<br />
baby dying, so please don’t resort to<br />
emotionalism. You need a compelling<br />
reason to keep 150,000 people awake<br />
at night.”<br />
Another attendee broke the<br />
i n c r e a s i n g l y t e n s e m e e t i n g<br />
atmosphere by insisting that his<br />
fellow participant, who’d been vocal<br />
throughout the workshop, start<br />
“taking notes” because he was<br />
dominating the floor and not allowing<br />
other community members to speak.<br />
At this point in the heated discussion<br />
a soft-spoken British doctor arrived<br />
to convey just how beneficial the<br />
UCSF helipad would be to the<br />
medical community. “This training<br />
institution allows an aggregate of<br />
medical excellence, which the helipad<br />
could help advance,” he said.<br />
Team member Ash insisted that<br />
the helipad would help train health<br />
care practitioners who are leaders<br />
in their field. “We need to attract<br />
people to our program,” he said,<br />
distinguishing between the children’s<br />
care department and the state-ofthe-art<br />
cancer care facility. <strong>The</strong><br />
latter is elective and unrelated to the<br />
emergency cases that would rely on<br />
the helipad.<br />
When asked if the UCSF Parnassus<br />
hospital site would eventually move<br />
their adult care facilities to Mission<br />
Bay, increasing helicopter frequency,<br />
Thomas responded with a definitive<br />
“ No. Western San Francisco would<br />
not be served appropriately,” said<br />
Thomas, stating that UCSF has<br />
no plans to transfer the liver and<br />
neurosurgery departments from<br />
Parnassus to Mission Bay. She also<br />
insisted that “loyalties exist between<br />
hospitals, and most physicians will<br />
continue to request their preferred<br />
hospital for their patients” if another<br />
helipad-equipped hospital happened<br />
to be closer than the Mission Bay<br />
site.<br />
“Has there been talk with SF<br />
General regarding their proposed<br />
helipad?” an audience member<br />
asked. “It’s amazing how the two<br />
hospitals are on parallel tracks and<br />
there’s no discussion between them at<br />
all. Especially since helicopters are<br />
taking off at SFGH and others are<br />
coming into UCSF at similar speeds,”<br />
she said, pointing-out that the UCSF<br />
Environmental Impact Report makes<br />
no mention of the proposed SFGH<br />
helipad.<br />
“<strong>The</strong>y are a trauma center where<br />
time is of the essence,” explained<br />
Thomas. UCSF Children’s Hospital<br />
is not a designated trauma center, but<br />
rather a level two trauma center that<br />
can only initiate hospital to hospital<br />
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21<br />
transfers. Cindy Lima, Director<br />
of Medical Center Administration,<br />
assured residents that the helipad<br />
must first be approved by the Federal<br />
Aviation Administration, California<br />
Department of Transportation, and<br />
San Francisco Board of Supervisors<br />
before it can be built.<br />
Barbara Bagot-Lopez, UCSF<br />
Community Relations Director for the<br />
Mission Bay Community Task Force,<br />
announced that USCF will hold a<br />
helicopter test flight in the coming<br />
months, at a date to be announced,<br />
and residents are encouraged to<br />
attend. Bagot-Lopez also distributed<br />
press releases detailing future Action<br />
Team meetings. “Slow moving<br />
is a good thing when it comes to<br />
community input,” she said. UCSF<br />
hopes to engender as much community<br />
involvement in the helipad decision<br />
making process as possible through<br />
newspaper advertisements and mass<br />
email mailings. Dogpatch, Mission<br />
Bay, <strong>Potrero</strong> Hill, and South-of-<br />
Market residents are particularly<br />
encouraged to attend the next UCSF<br />
community workshop on Monday,<br />
August 1, which will focus on bicycle<br />
and pedestrian access to the hospital.<br />
Additional information can be found<br />
at: www.community.ucsf.edu.<br />
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