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THE UNivERSiTy of MiSSiSSiPPi MEdical cENTER

STEMMING

an emergency helicopter trip in

May that brought a stroke patient

from forrest General Hospital in

Hattiesburg landed the clarke county

resident the first spot in a clinical trial

at the University of Mississippi Medical

center for stem-cell therapy.

The new therapy could prevent

further brain injury following the

June 25, 2012

STROKE

New clinical trial tests efficacy of stem-cell therapy for stroke

By Jack Mazurak

dr. alexander P. auchus, professor and Mccarty chair of

Neurology; Marcia Bankston, left, clinical research coordinator,

and Margaret lamb, senior medical technologist

initial stroke, preserve vital motor

and cognitive abilities and shorten

recovery times.

The stem-cell treatment also

could add a full day to a

narrow four-and-a-half-hour

window when current drug

treatments work best.

coNTiNUEd oN PaGE 7 Ò

New dentistry lab p. 3 Retirees reflect pp. 4-5 SHRP program reinvents itself p. 6


2

CENTERVIEW

INCIDENTMANAGED MANAGED

New LANDesk system provides top-notch IT service

through Epic transition . . . and beyond

By Bruce coleman

In the days following the University of Mississippi Medical Center’s transition

to an electronic health records system, the flurry of activity that was the Division of

Information Systems’ Epic Command Center in the LC Building on Lakeland Drive

would have reached critical mass but for a single piece of software infrastructure.

As the number of UMMC employee requests to the DIS Service Desk exploded

from an average of 250 a day to close to 15,000 a day after the Epic switch was pulled

June 1, a brand-new incident management system was given its greatest challenge.

Communications flowed so smoothly that no one outside of the command

center would have suspected that DIS had implemented the LANDesk incident

management system a mere four days before the Epic transition had taken place.

“We had a very short amount of time to get an incident management system

up and ready to be able to handle the amount of resources needed for Epic,” said

Brindley Kuiper, director of IT operations. “We wanted a clean system, so we

started from scratch, adding people to the system and configuring it. We didn’t

import anything from the old system to the new one.”

According to Kuiper, the decision to convert to the LANDesk system so close

to the organization-wide electronic health records implementation was bold, yet

calculated.

“Going into Epic created a lot of change,” he said. “We needed to be able to

manage that change much more efficiently. We were using another version of a service

desk management tool, but it was about five or six years old. There was a need

to upgrade that system due to its age and the

vulnerability of that system.

“Knowing that Epic was

coming, we thought

it would be a

good

Chancellor

University of Mississippi:

dan Jones, M.d.

Vice Chancellor for

Health Affairs:

James E. Keeton, M.d.

cENTERVIEW | June 25, 2012

Editor:

Bruce coleman

Staff Writers:

Patrice Sawyer Guilfoyle,

Jen Hospodor, Jack Mazurak,

Matt Westerfield

June 25, 2012

Published by the Division of Public Affairs at the University of Mississippi Medical Center

Photographer:

Jay ferchaud

Support Staff:

lynn Griffin, Peggy Wagner

Chief Public Affairs and

Lead Designer:

To browse archives or read

the most current CenterView,

visit the Public Affairs website

Communications Officer:

Tom fortner

derrick dyess

http://publicaffairs.umc.edu

CenterView is printed by the UMMc department of Printing —

For more news and information of interest to the Medical Center family, visit Medical Center News online (http://info.umc.edu/)

time to look at some of the different customer service tools that were available to

help us manage the EHR transition.”

DIS leadership landed on LANDesk, not just for what

it could provide IT staff during the Epic transition, but also

for how it would help them manage Service Desk queries

in the future.

Medical Center employees may continue to access the

Service Desk by calling 4-1145 or e-mailing servicedesk@umc.

edu. But the centerpiece of the new system is a state-of-theart

in-service portal that provides employees unprecedented

Kuiper

access to their Service Desk queries 24 hours a day, seven days

a week.

“There’s a lot of automation behind LANDesk,” Kuiper said. “One of

the most important aspects of this new system is the ability for end-users to

log into their “myservicedesk” portal, where they can log new incidents and

review existing tickets without having to call or e-mail the service desk.

“It’s mobile device-aware, it integrates with our other infrastructure

technologies and it seems to be a very easy system to learn and to manage.”

The portal also notifies employees of any system outages without having to call

or e-mail the service desk.

Kuiper said LANDesk also provides a dynamic inventory management tool that

uses bar-code readers to help track inventory.

“We can track inventory from the time it’s ordered until we deliver it to the

customer, and help manage it during its life cycle,” he said.

Employees can access the portal by typing “myservicedesk” into their Internet

address bar and entering their UMMC login credentials.

DIS staff have embraced LANDesk with gusto. The enhanced automation

allows for less hands-on ticket processing from their end, while UMMC employees

can manage their own incidents and request certain software installations to their

workstation automatically. The system provides DIS staff greater access to their

assigned incidents due to cross-platform compatibility.

“We’re still in the midst of the Epic transition, and that continues to be our

main focus,” said Kuiper, who noted the Epic Command Center will continue to

field EHR calls well into July. “But the service desk could not have handled the

Epic transition as well without the conversion to LANDesk. The old system was

very hardware-intensive and the extra load of incidents would have made it difficult

at best to maintain a stable system.”

“Going forward, LANDesk will allow us to focus more of our resources on the

end-user rather than having to manage the system.”

For more information about LANDesk, visit http://servicedesk.umc.edu/.

centerview, published every other week, is

the internal publication of the University of

Mississippi Medical center, the state’s only

academic health sciences center. content

features news of interest for and about Medical

center faculty, staff and students. content may

be reprinted with appropriate credit. ideas for

stories are welcome and may be submitted

by e-mail to bcoleman@umc.edu or

delivered to:

division of Public affairs

The University of Mississippi Medical center

2500 North State Street

Jackson, MS 39216-4505

(601) 984-1100


Restoring

RENOVATION

New SOD lab represents

technological leap into ‘digital dentistry’

By Matt Westerfield

Counting those who marched in last month’s commencement, the School of Dentistry

has reached a landmark by graduating more than 1,000 dentists since enrolling its

first class in 1975. And virtually every one of those graduates has worked in the original

restorative clinic laboratory to build crowns, bridges and dentures for their patients.

But it’s the start of a new era at the school: Current students will learn to build their

restorations in a newly renovated, state-of-the-art laboratory loaded with cutting-edge

equipment, flat-screen TVs and a brand-new student lounge. The lab is located on the

fourth floor.

A ribbon-cutting ceremony and reception is scheduled from 3-4:30 p.m. on

Friday, July 13, in the new lab.

“This is where they spend the majority of their time during their third and fourth

years,” said Dr. Larry Breeding, professor and interim dean of clinical affairs. “I think that’s

why we were able to get so much donor support — they all remember working in it.”

Current students who have been displaced to other lab space around the school

during construction began using the new lab last week.

Construction on the new lab began

last summer, following a fundraising

campaign to supplement the $2.4

million price tag, much of which was

funded through a state appropriation.

Thanks to alumni support, the EXCEL

Campaign raised more than $400,000,

exceeding its original goal by $100,000.

Marla Martin, director of clinical operations,

said that money paid for the lab’s

upgraded equipment.

The new lab features 40 workstations

— including four that were de-

dr. larry Breeding displays the cadent

signed to be compliant with Americans

iTero digital impressions system. with Disabilities Act standards — a new

digital CAD/CAM room, workspace

solely for the dentistry technicians on staff, and a student lounge and coffee bar overlooking

the northeast corner of campus.

The lab makeover also reflects the school’s leap into the digital age of dental

restoration. Although Dr. Breeding and the staff have made some use of computer-aided

design and computer-aided manufacturing technology, new equipment representing the

future of the industry will dramatically aid students in keeping on the forefront of digital

dentistry.

After 27 years of service as a faculty member, Dr. Gary Reeves was

named dean of the School of Dentistry in May.

Reeves, who served six years in the U.S. Army before coming to the

school as a student in 1980, has served as interim dean since 2010. He

took the School of Dentistry helm after the previous interim dean, Dr.

Butch Gilbert, retired in February 2010. Reeves is the school’s first dean

since Dr. James Hupp, whose tenure lasted from 2002-08.

Dr. James Keeton, vice chancellor for health affairs, said he is

thrilled to have someone as respected as Reeves lead the school.

“His loyalty to the school and his reputation are beyond

reproach,” Keeton said. “Dr. Reeves has devoted his entire professional

career to this school, and he knows every aspect of it. As

dean, he is committed to addressing the oral-health challenges in

Breeding says the lab now boasts two different systems for taking digital impressions:

the Cadent iTero and the CEREC AC Connect, both of which are portable units

that can be wheeled to the bedside and capture 3D virtual impressions by putting a

special camera in the patient’s mouth.

“The other thing we have is a printer that will print out an actual plastic pattern that

can be cast in metal, as opposed to using wax,” said Breeding. “That’s getting to be a big

thing in the industry because dental techs are in short supply.”

Breeding said the lab will still emphasize the traditional processes for making

crowns, bridges and dentures, “but what we’re doing now with this new technology will

allow us to move into the digital age,” he said. “The industry is moving in that direction,

driven partly by the technology and shortage of dental technicians.

“And one of the side benefits is you can look at the 3-D image on the screen and get

instant feedback. With the traditional system, it will take two or three hours before you

can see what the cast looks like. From a teaching standpoint, it’s good for students to see

that instantly so they can see exactly what they need to fix.”

Dr. Gary Reeves, dean of the School of Dentistry, agreed with Breeding on the lab’s

benefits for students.

“This new clinical laboratory has the latest cutting-edge technology for the

fabrication of dental restorations,” Reeves said. “The training our graduates receive

here will allow them to continue to be some of the best-trained clinicians in the

country.

“This space is also a lot more pleasant for our students to spend the many hours that

are necessary to be there.”

Interim dean takes School of Dentistry’s helm

Mississippi and to producing highly qualified

dentists to meet those needs.”

Reeves became professor of care planning

and restorative sciences in 1996, was named

associate dean for clinical affairs in 2003 and

served in Iraq with the Mississippi Army National

Guard, Dental Corps, in 2004.

Reeves

Keeton said Reeves will be instrumental

in helping to keep UMMC well-positioned for future changes to the

health-care industry.

“He understands how health care is evolving in America, and he

will make certain the dental school can adapt to any changes and

remain true to UMMC’s overall mission,” Keeton said.

June 25, 2012 | cENTERVIEW

3

CENTERVIEW


4

CENTERPIECE

Juergens

TENURE TRACKS

Retirees recall experiences of a lifetime at UMMC

Call them the 40-and-over Club. The University of Mississippi Medical Center honored 67 retirees who have

25 or more years of service to the institution at a ceremony on June 22, and of those employees, four had a

career that spanned 40 or more years. Who are they? What motivated them to stay? These are their stories.

Librarian counts friendships

among greatest collections

By Patrice Sawyer Guilfoyle

In 44 years, David Juergens has collected

enough memories and stories to fill several

shelves in the Rowland Medical Library where

he spent his entire Medical Center career.

There’s the conversation he had with Dr.

Arthur Guyton, former professor and chair

of physiology, about finding a tombstone of

a possible Guyton ancestor in one of the

cemeteries on the Medical Center property.

As a history buff, he spent many a lunch

hour walking through historical cemeteries

that border the Medical Center, reading

gravestones and identifying other signs of

graves such as depressions in the soil.

“It’s the living you may have to

fear, not the dead,” he said.

He worked with Dr. Robert E. Blount, Medical

Center director from 1971-73, to find information on a family matter.

He assisted the first School of Nursing dean, Christine Oglevee, with

developing the first SON Humanities Collection when nursing students

lost library privileges at Millsaps College.

When Juergens detected a physical ailment in 1982 that concerned

him, he reached for the phone and called a friend – Dr. James D. Hardy,

professor of surgery and first chair of the Department of Surgery. Hardy

made an appointment for Juergens to see him in his private office, and

he confirmed Juergens’ suspicions.

“He set up the surgery within a few days after that,” Juergens said.

“All of these experiences and others like them, such as hunting for

treasure at Goodwill Industries in Jackson with Dr. T.D. Lampton, former

director of student/employee health, and experiencing the many expressions

of generosity given the library and kindnesses toward me by Dr. Julius M.

Cruse, professor of pathology, have meant a great deal to me,” he said.

These interactions are examples of the professional and personal

friendships Juergens formed with library colleagues, faculty and staff

from Mississippi and beyond. At 75, Juergens, UMMC’s first collection

development/acquisitions librarian, has decided to retire, “while I still

feel at the top of my game,” he said.

Juergens will pursue such activities as genealogy, gardening, collecting

and restoring found treasures and some traveling.

A search for a new career opportunity led Juergens to UMMC. He

has a master’s degree in psychiatric social work and previously worked

for the Kentucky Department of Mental Health.

In 1968, he answered an advertisement by the Medical Center

for an acquisitions librarian with a behavioral and social sciences

background.

Juergens has led or assisted in numerous library projects, including

managing the used book sales for Friends of Rowland Medical

Library for 16 years, helping to identify and document more than 180

Mississippi women in the health sciences for the Changing the Face of

Medicine national traveling exhibit in 2008, and establishing the first collection

of dental books at UMMC in time for the opening of the School

of Dentistry in 1975.

Dr. Helen Turner, associate vice chancellor for academic affairs, said

she was grateful for Juergens’ 44 years of dedicated service to UMMC.

“During this time he has worked tirelessly to improve the Rowland

Medical Library collections and archives for the benefit of our students,

faculty and patients,” she said. “We wish him well in his retirement.”

Of all of his accomplishments, what does Juergens consider his greatest

achievement?

“Organizing, managing and serving patrons who use the UMMC

institutional and library archives,” he said.

Operations supervisor transforms

temp work into SOD career

By Morgan Lee

What began as a

summer job in 1973

turned into a 40-year

career for Linda

Cook.

“I started working at

UMMC and planned on

it just being a summer

job, but I liked it so

much and opportunities

opened and I just didn’t

want to leave,” said Cook,

supervisor of business operations in the School of Dentistry.

“I’ve met a lot of great people here and have seen many of

them go.”

Cook received the B.E. from Mississippi State in 1973. That summer,

she took the advice of her father, Clyde Harrison, who was then director

of television at UMMC, and worked as an ob-gyn business administrative

secretary for a government-funded nurse midwifery program at the

Medical Center.

When the funding for that program ran out in 1985, Cook began

working as supervisor of business operations in the School of Dentistry.

While working at UMMC, Cook met her husband, Dave. Like her

father, Dave worked in television.

Cook has post-retirement plans to work part-time at a catering

company. She also plans to spend more time playing tennis and visiting

family.

Jacque Lynch, director of business operations in the School of Dentistry,

called Cook a “great co-worker.”

“Linda has a great work ethic and anyone who knows her understands

what a wealth of information she can provide regarding UMMC

policies and processes,” Lynch said. “She is extremely knowledgeable

and conscientious and, regardless of what is going on, Linda always

smiles.

“We are going to miss her more than she realizes, but we are happy

that she will have time to enjoy herself.”

Cardio tech known for putting

patient safety, satisfaction first

CENTERVIEW | June 25, 2012 February 27, 2012 | CENTERVIEW

By Morgan Lee

In the 1970s, Sherline Wilson remembers installing an artificial heart

into a calf named Alice, whom she grew to love.

Wilson began researching artificial hearts and lungs at UMMC as a

noninvasive cardiology technician right out of high school. She has been

in the heart station working with X-rays, EKGs and heart ultrasounds for

nearly 45 years.

“Out of all the years

I’ve worked here, I can

truly say I have enjoyed

every minute,” Wilson

said. “When I brought

my mom here to receive

a pacemaker, it was like

coming home again.

“I’ve worked

with a great group of

people and I have

been blessed. I have

learned a lot and I

am going to miss

UMMC.”

She retired in May, but Wilson

still wakes at 5 a.m. every day. She plans to visit her son and grandchildren

in Memphis and spend more time fishing. Her main goal is to

explore Mississippi, the place she has lived all of her life.

By the time Dr. Thomas Skelton, professor of cardiology, started

medical school at UMMC in 1977, Wilson had been working almost 10

years.

“As a cardiovascular technician in various roles, you can just imagine

how much new information, new technology and new work skills she

has had to understand and develop over 45 years,” Skelton said. “I’ll

CookWilson

remember her as someone whose diagnostic work was done professionally

and with the right priorities: Patient safety, comfort and satisfaction

always came first.”

Skelton said that if Wilson saw something of concern on one of the

studies she performed, she was quick to get confirmation with one of the

cardiology staff.

“For many of us at all levels, she taught us from her experience and

by her actions,” he said. “We celebrate 25- and 30-year careers all the

time at UMMC, but it’s just phenomenal to celebrate a lifetime career of

45 years.”

Oncologist steps aside to step up

funding for endowed chairs

By Patrice Sawyer Guilfoyle

After Dr. Ralph Vance

graduated from Murrah High

School in 1964, he spent a

summer at the Medical

Center working as an

orderly.

“At that time, there

were separate water

fountains with signs for

white people and colored

people and separate restrooms,”

he said. “Thank

God when I came back

after four years at Ole

Miss, those labels were

gone.

“I’ve seen the university, over the

years, make drastic changes for the better.”

On June 29, Vance, professor of medicine and an oncologist, will

cap a 40-year career at UMMC. But don’t expect him to take it easy. He

plans to help the University of Mississippi and the Medical Center in

their efforts to fund endowed chairs and professorships.

“I’ve worked since 7th grade. I don’t know how to sit down,” he said.

For more than three decades, Vance has volunteered with the American

Cancer Society, having served as state division president, the first president

of the Mid-South Division and national president of the society.

When Vance began his fellowship training in hematology-oncology

35 years ago, the overall survival rate of those diagnosed with cancer

was in the mid-30s. Now the survival rate is greater than 75

percent.

“The American Cancer Society has been a huge part of my life,” he

said. “It was a great thing for me.”

For his work with the ACS, the Cancer League honored Vance at its

gala last year.

Vance was instrumental in establishing Camp Rainbow, a summer

camp for children affected by cancer. The camp has welcomed children

for 29 years. Additionally, he has taught dozens of medical students

over the years, and he’s still amazed that physicians around the state

remember him.

Vance and his wife, Mary Douglas, are building a home in Oxford

and plan to move there this summer. It sits directly across from

his alma mater.

Vance

PHOTO OF RETIREES ON PAGE 8

5

CENTERPIECE


6

CENTERLIFE

MlS program staff, from left, dr. felicia Tardy, dr. Stacy

vance, Tom Wiggers, dr. Renee Wilkins, and dr. laToya

Richards

Everything OLD

is NEW again

Medical Laboratory Science Program reinvents itself with new name, new energy

By Matt Westerfield

In some ways, medical laboratory science is one of the youngest and one

of the oldest programs in the School of Health Related Professions.

It’s young in that it is now a stand-alone program, where until recently

it had been grouped with cytotechnology and health sciences under the

Department of Diagnostic and Clinical Health Sciences. It also has a new

name, swapping “clinical” for “medical” laboratory science to more accurately

represent a profession that largely remains behind the scenes.

These changes, along with strong enrollment and increasing awareness,

are helping the program overcome an identity crisis that has shadowed it for

much of its history, dating back to its inception as a hospital-based certificate

program in 1956.

“We’re the hidden profession,” said Dr. La’Toya Richards, associate

professor and program director. “I’m the person who runs all your laboratory

tests, but most people think we are the people who draw blood because those

are the only ones who have face-to-face contact with the patient.

“When people see the face of the lab, they’re looking at a phlebotomist,

when most medical laboratory scientists are degreed individuals who work

behind the scenes.”

The NAMe ChANge is A direCT resulT of the recent merging of

the profession’s two credentialing agencies, the American Society for Clinical

Pathology (ASCP) and the National Credentialing Agency for Laboratory

Personnel (NCA), Richards explained.

Previously, a professional was credentialed either as a medical technologist

or as a clinical laboratory scientist, adding to the confusion. But now that

there’s a single licensure exam, there will only be the MLS credential.

This confusion has contributed to persistent recruitment challenges for

the program ever since it was incorporated into SHRP as a bachelor of science

program in 1977, despite a robust demand for the profession nationwide.

“They really changed the name to clarify the profession,” said Dr. Renee

Wilkins, assistant professor and coordinator of the online progression track.

“That’s why we’ve had recruiting issues because the career has an identity

crisis. It’s gone through three name changes, so people are confused.”

cENTERVIEW | June 25, 2012

Richards, who began as a health sciences faculty member, was named

program director in 2007, about a year after the program became part of

the Department of Diagnostic and Clinical Health Sciences. That move was

prompted partly by low enrollment numbers and partly because of faculty

challenges.

lAsT yeAr, Mls beCAMe iTs owN program again, albeit one that

is temporarily without a chairman.

In fact, Richards and her colleagues all are relatively fresh faces to the

faculty with the notable exception of Tom Wiggers.

Wiggers, associate professor, was the very first faculty member hired

when the program launched at SHRP in 1977 under its first chairman, Frances

Freeman. He had just earned his master’s degree.

“I laugh at them occasionally,” Wiggers said of his younger colleagues. “I

tell them they don’t know what hard times are. I remember a year that we

graduated three students.

“By the time you add up the (current) traditional and progression students, we

have 62 students in the program. Enrollment is as high as it’s ever been.”

The early days of the program were frankly awful, Wiggers says. It

struggled with little visibility, few students and poor funding. So what was it

that kept him here?

“In those days under Dean Tom Freeland, the feeling of this school was

that you were part of a family,” he said. “You loved coming to work every

day, and it was a wonderful place to be.”

TodAy, wiTh AN eNergeTiC youNg FACulTy, including

Richards and Wilkins as well as Dr. Stacy Vance and Dr. Felicia Tardy — all

former students of Wiggers’ — he says he’s optimistic for the future. In fact,

Wiggers says that family atmosphere has returned to what it was like in those

early years.

“I’ve been around a long time, and this is the best core faculty this program

has had since its inception,” he said. “The current faculty — with the

exception of myself — are all Ph.D.s and all generalists, all certified. We’ve

never had that before.

“It’s the broadest scope of knowledge the faculty has ever had.


coNTiNUEd fRoM fRoNT PaGE Ò

Stem-cell therapy could thwart ‘ischemic cascade’ in the brain

The UMMC Comprehensive Stroke Center is one of 10 U.S. sites enrolling

a total of 120 patients into the study. The center aims for about 12 from Mississippi.

Dr. Alexander P. Auchus, professor and McCarty Chair of Neurology at

UMMC, serves as principal investigator for Medical Center’s portion of the

clinical trial.

“These are pluripotent stem cells derived from adult bone marrow,”

Auchus said. “No fetal or embryo-derived cells were used in making this

treatment.”

“Pluripotent” means the cells can transform into many different types of

tissue: bone, muscle, connective tissue and more. That ability makes stem

cells promising for a wide range of medical treatments.

But for biomedical scientists, precise control and manipulation of the cells’

pluripotency has proved difficult in some circumstances.

“All AdulTs hAve A sMAll AMouNT of stem cells in their bone

marrow,” Auchus said. “These were removed from a donor, grown in culture,

frozen and distributed to the participating centers.”

Study participants get randomized into either a control group, which

receives a harmless placebo, or the test group, which gets the experimental

therapy. At UMMC, Bone Marrow Transplant Lab personnel prepare the

injections.

“This is a collaboration between many players,” said Tereza Holman,

BMT Lab director. “This is more of a straightforward procedure for us than

our normal processing of peripheral blood stem cells and bone marrow for

transplants.

“But at the same time, a clinical trial like this could not have been done if

there wasn’t a lab trained in these preparations.”

Auchus said after a patient consents, the person either gets injected with a

placebo or 2.4 million stem cells in solution, all in one infusion, given over an

hour. The stem cells circulate through the patient’s bloodstream.

Brain cells in the stroke-injured area deploy signaling molecules known as

cytokines that flag down the stem cells. The stem cells – like icing a twisted

ankle – may keep the injured brain tissue from

inflammation, Auchus said.

“This is not about removing the clot,” he

said. “It’s about keeping the brain from swelling,

getting irritated and causing further damage as

the area deprived of blood flow reacts.”

That domino effect, called an ischemic cascade,

can trigger more severe paralysis, speech

and cognitive problems and leave the patient

weaker and more vulnerable to greater injury or

death from another stroke.

Holman

Mississippi rANked 46Th in the nation for stroke deaths between

2005 and 2007, according to the American Heart Association. With 128,842

lives lost in 2009, stroke continued as the nation’s fourth-leading cause of

death behind heart disease, cancer and chronic lower respiratory diseases,

according to the Centers for Disease Control and Prevention.

Unhealthy lifestyles, including obesity, tobacco use, hypertension and lack

of exercise, contribute to stroke’s likelihood, along with genetic factors.

Stroke remains a frustrating illness for physicians, Auchus said. In

standard treatment, patients are assessed in an emergency room, get CT scans

from a radiologist and receive a clot-busting medication in consult with a

neurologist.

“The only clot-busting medication is FDA-approved for use up to three hours

from symptom onset but is commonly used up to four-and-a-half hours from

onset,” Auchus said.

If the clot lodges in a reachable blood vessel, neuro-interventionalists can

insert an image-guided catheter into the artery to poke, pop or remove the

blockage. Catheterization is considered viable for up to about six hours following

onset. After catheterization, the patient moves to a neuro-ICU, where

specialists treat and monitor progress.

Auchus welcomed new options, saying stem-cell therapy could extend the

treatment window to 30 hours after symptoms begin.

Ohio-based biotech researcher Athersys developed the experimental

therapy and organized the trial. If this phase II trial proves effective, Athersys

will start a phase III trial with about 600 patients.

“They wouldN’T hAve piCked us if we didn’t have the expertise,”

Auchus said of the Comprehensive Stroke Center.

Last year the center admitted more than 500 patients for stroke. Regardless

of whether patients enroll, and which injection participants receive, all

patients get the stroke center’s standard of care, he said.

Study participants receive follow-up MRIs from the Department of Radiology

to examine the size of the stroke, and exams for function and strength at

seven days, one month, three months and one year.

Auchus said not all stroke patients will qualify for the trial. Among other

factors, candidates must have no cancer history, have their spleen and they

must be enrolled within 30 hours of the onset of symptoms.

Mississippi’s first participant in the study arrived at Forrest General within

two hours of symptom onset, received the clot-buster drug and was transported

via helicopter to UMMC, a procedure commonly called “Drip ‘n Ship.”

For those reasons the Clarke County patient was a good candidate, Auchus

said. Thanks to UMMC’s AirCare, the patient arrived at the Medical Center’s

Emergency Department five hours after onset.

“This is more of a straightforward procedure for

us than our normal processing of peripheral blood

stem cells and bone marrow for transplants.”

— Tereza Holman

“We considered putting in a catheter but imaging showed us the clot

was too far away,” Auchus said. “Although the clot was out of reach, the

brain’s reaction to loss of blood flow was still within the realm of treatment.”

The patient, with family support, decided to enroll in the clinical trial.

Following standard and trial treatments the patient left the neuro ICU on day

three with some minor weakness as the only residual deficit.

“The family was glad to have a center where the patient had options,”

Auchus said. “And the patient is home and continues to improve.”

June 25, 2012 | cENTERVIEW

7

CENTERVIEW


8

ceremony honors Medical center retirees

forty three out of 44 retiring faculty and staff members gathered for the University of Mississippi Medical

center’s 2012 Retirement ceremony on friday, June 22, at the Norman c. Nelson Student Union. The

ceremony highlighted retiring faculty and staff with 25 years or more of service to the institution and retiring

department heads with at least 20 years of service.

front row from left: Shurla Mance, Shirley Mcleod, Jan Robinson, leila Sanders, linda Smith, david Juergens,

collett Howard, Thomas Horton, Mamie Henderson.

Second row: challer Pilgram, Paula Stubbs, Betty Mccoy, Renee lloyd, Janet Kellum, dr. J. david duncan,

June Thornton, vickie colbert, linda cook, Pauline darnell, Patricia anderson, alfredia Banks and Jessie Harrison.

Bryant’s 5K run to benefit Batson

Mississippi Gov. Phil Bryant will host

the first “Gov. Phil Bryant’s 5K Run

for Health” at 8 a.m. on Saturday,

June 30, beginning at the

Governor’s Mansion on capitol

Street in downtown Jackson. The

event will include a 5K run and

a one-mile fun run for children. all proceeds will

benefit the Batson children’s Hospital. for more

information or to register, visit

http://www.governorbryant.com/5k/.

cENTERVIEW | June 25, 2012

Third row: Eula long, dr. William Rock Jr., Judy

Guthrie, donna Trotter, Marilyn Burns and

francine fry.

Back row: alice Mayes, diann Munson, Pierre Smith,

Mildred Smith, Jeffery Simmons, Sherline Wilson,

Bruttie allen, dr. Helen Turner, linder Beasley, cathy

Hansen, Marlon Beckley, Neva Greenwald, Jackie

Green, carolyn Thompson and linda dear.

SUMMERVIEW

With the publication of last issue, centerview has moved to

its once-a-month summer publication schedule. The official

publication of the University of Mississippi Medical center

will be available the week of July 23-27 and the week of

aug. 27-31. centerview will resume its biweekly publication

schedule the week of Sept. 10-14.

RETIREE FEATUES ON PAGE 4 & 5

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