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Winter 2008-2009 - Mayo Clinic

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<strong>Winter</strong> <strong>2009</strong><br />

<strong>Mayo</strong> Alumni<br />

Child Life<br />

Therapeutic play is effective<br />

in reducing psychological and<br />

physiological stress for children


<strong>Mayo</strong> Alumni<br />

<strong>Winter</strong> <strong>2009</strong><br />

Features<br />

2 The needs of the patient come first …<br />

regardless of their age<br />

Child Life specialists at <strong>Mayo</strong> <strong>Clinic</strong> help ensure pediatric patients’<br />

needs are met, including play. It’s not all fun and games — research<br />

indicates that therapeutic play is effective in reducing psychological and<br />

physiological stress for children facing medical challenges. Child Life<br />

staff combine pediatric science with face-to-face contact to ensure<br />

children are prepared for medical experiences.<br />

10 Center for Tobacco-Free Living<br />

<strong>Mayo</strong> <strong>Clinic</strong>’s new Center for Tobacco-Free Living was designed to<br />

provide hope to people who have struggled with trying to stop smoking.<br />

Through guilt-free education and access to <strong>Mayo</strong>’s Nicotine Dependence<br />

Center treatment services, the new center hopes to attract some of the<br />

more than 600 patients a day who pass its space on the 18th floor of the<br />

Gonda Building.<br />

16 Leadership Council for Alumni Philanthropy<br />

One of seven leadership councils supporting The Campaign for <strong>Mayo</strong><br />

<strong>Clinic</strong>, the Leadership Council for Alumni Philanthropy has a goal to<br />

secure $28 million in alumni gifts by the end of <strong>2009</strong>. Educating alumni<br />

about <strong>Mayo</strong>’s funding needs in order to maintain its leadership position<br />

in health care is essential to the council’s success.<br />

20 New emergency cardiac “super” drug<br />

<strong>Clinic</strong>ians and researchers around the world are closely watching<br />

results of clinical trials of CD-NP, a chimeric protein that has therapeutic<br />

potential to treat acute and chronic congestive heart failure and improve<br />

renal function in patients undergoing heart surgery. <strong>Mayo</strong> <strong>Clinic</strong><br />

physician-scientists John Burnett, M.D., and Ondrej Lisy, M.D., Ph.D.,<br />

developed the new drug.<br />

<strong>Mayo</strong> Update<br />

22 News Briefs<br />

22 Staff News<br />

23 Obituaries


G<br />

iven the current national and international economic crisis,<br />

we have invited <strong>Mayo</strong>’s president and CEO, Denis Cortese, M.D.,<br />

to comment on the organization’s short- and long-term responses<br />

to the situation.<br />

<strong>Mayo</strong> <strong>Clinic</strong>’s financial health<br />

The challenges facing health care today are great, and they’re not<br />

likely to subside, even when our nation’s economy rebounds.<br />

Although we did not foresee the current global economic crisis,<br />

we did anticipate major economic challenges in health care based on<br />

Medicare reimbursement rates and the number of people reaching<br />

retirement age.<br />

In the last few years we have taken a number of steps to improve<br />

<strong>Mayo</strong>’s financial outlook including: fully funding our pension plan,<br />

building our endowment, conducting a capital campaign to sustain<br />

our education and research missions, and launching our <strong>Mayo</strong> <strong>Clinic</strong><br />

Health Policy Center to influence health care reform. This has put us<br />

in a better position to deal with the current crisis, but increasingly the<br />

economic downturn has underscored the importance of our ability to<br />

adapt and change.<br />

Short- and long-term responses<br />

We’re taking a number of immediate actions to improve our short-term<br />

financial outlook, including increasing access for patients who meet our<br />

triage criteria, aggressively managing expenses, delaying some capital<br />

projects and reducing planned capital expenditures, and fast-tracking<br />

projects that have potential for the greatest positive impact.<br />

For the long term, our strategic plan continues to be our guide.<br />

Our goal for <strong>2009</strong> and beyond includes transformational change that<br />

will allow us to increase the value of our care for our patients. We will<br />

accomplish this by relentlessly pursuing quality, driving out waste,<br />

improving our efficiency and effectiveness by integrating across the<br />

enterprise, developing new and innovative models of care, and<br />

evolving to meet the needs of tomorrow’s patients through<br />

individualized medicine.<br />

Best regards,<br />

About the cover<br />

<strong>Mayo</strong> <strong>Clinic</strong> formally established<br />

a Child Life Program in 1988 to<br />

facilitate the emotional and<br />

physical well-being of our<br />

youngest patients.<br />

Denis Cortese, M.D.<br />

President and CEO<br />

www.mayo.edu/alumni | 1


2 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


Child Life<br />

Child Life specialists help ensure pediatric patients’ needs are met, including playtime<br />

eds are met includi<br />

time<br />

P<br />

hilip Fischer, M.D., medical director of <strong>Mayo</strong><br />

Eugenio Litta Children’s Hospital, says the patient<br />

care he provides is most effective when it’s part of a team.<br />

“Coordinating my care with that provided by the Child Life<br />

team makes our patient care better,” says Dr. Fischer, a<br />

professor of pediatrics in the College of Medicine.<br />

A central goal of pediatric health care is to facilitate the<br />

emotional and physical well-being of children in the hospital.<br />

Research indicates that therapeutic play is effective in<br />

reducing psychological and physiological stress for children<br />

facing medical challenges.<br />

“What looks like play to a child is actually therapy,”<br />

says Dr. Fischer. “Child Life staff combine the best of<br />

pediatric science with fun and practical face-to-face contact.<br />

They have a true understanding of child development<br />

and techniques of play.”<br />

Child Life staff augment medical care in these ways:<br />

• Ease pediatric patients’ fears<br />

• Teach and prepare children for medical and<br />

surgical procedures<br />

• Help children and families cope with the stress<br />

of being in the hospital<br />

• Advocate for family involvement in the<br />

hospital experience<br />

• Engage children and families in activities and<br />

the treatment experience<br />

• Support families during grief and bereavement<br />

• Provide information and resources<br />

For inpatients at <strong>Mayo</strong>’s children’s hospital — the <strong>Mayo</strong><br />

Eugenio Litta Children’s Hospital located within Saint Marys<br />

Hospital, Child Life specialists work closely with physicians,<br />

nursing staff and other team members, including parents,<br />

to determine and meet patients’ needs. In the pediatric<br />

emergency room, Child Life specialists are present 10 hours<br />

a day to assist patients, nurses, physicians and other<br />

team members.<br />

“A hospital stay can be frightening and traumatic for<br />

a child who may be away from family members and other<br />

comforts of home,” says Randy McKeeman, director of<br />

Child Life Services at <strong>Mayo</strong> <strong>Clinic</strong> and a certified child life<br />

specialist. “Children in the hospital may be lonely and lack<br />

stimulation. Research in recent years shows that stress can be<br />

a major inhibitor in the ability of a patient to heal and stay<br />

“What looks like play to<br />

a child is actually therapy.”<br />

healthy. Child Life specialists help children effectively<br />

manage stress and, hopefully, heal faster. Research shows<br />

that the long-term implications of a negative medical<br />

experience can be profound — post-traumatic stress,<br />

increased fears and decreased cooperation — for pediatric<br />

patients not effectively prepared for a medical experience.”<br />

During therapeutic play, children are encouraged to<br />

ask questions and express feelings about their fears and<br />

concerns. Child Life staff can elicit valuable information<br />

while helping young patients learn what to expect from<br />

medical procedures.<br />

All in a day’s work: Dr. Philip Fischer (left), medical director<br />

of <strong>Mayo</strong> Eugenio Litta Children’s Hospital, works closely<br />

with Child Life staff, including (from left) Jane Heser,<br />

Randy McKeeman and Carli Kramer.<br />

www.mayo.edu/alumni | 3


Sean Trewin (left) with his family, including<br />

sister Abby and parents Patrick and Karen,<br />

and (above) when he was treated for Burkitt’s<br />

lymphoma at <strong>Mayo</strong> <strong>Clinic</strong>.<br />

“Several studies have shown that therapeutic play is<br />

effective in decreasing anxiety and fears for children,” says<br />

McKeeman. “Children not only showed greater cooperation<br />

during stressful procedures, but they also were more willing<br />

to return to the hospital for further treatment. Other studies<br />

show physiological benefits from therapeutic play, including<br />

lower blood pressure and pulse rate, less palm sweating,<br />

and a shorter time between surgery and first voiding.<br />

<strong>Mayo</strong> <strong>Clinic</strong>’s primary value is that the needs of the<br />

patient come first, and Child Life services support that.”<br />

Patients’ perspective<br />

Sean’s story<br />

Four-year-old Sean Trewin described the effect of anesthesia<br />

administered prior to his bone marrow biopsies as “hard<br />

snow that makes my head feel funny before I go to sleep.”<br />

His mother, Karen, relayed that information to a Child Life<br />

specialist at <strong>Mayo</strong> Eugenio Litta Children’s Hospital, who<br />

speculated that the anesthesia might be acting too quickly.<br />

The Child Life specialist talked to Sean’s anesthesiologist<br />

about slowing down the rate at which the medication was<br />

administered. Sean noticed the difference and told his<br />

mother he felt better.<br />

“The Child Life specialist advocated for us and made<br />

Sean’s treatment easier,” says Karen Trewin, who lives in<br />

Decorah, Iowa. “They were a great resource for us at a very<br />

trying time in our life. Child Life services showed us that<br />

<strong>Mayo</strong> was there for us in all aspects of the patient experience,<br />

in all facets of our care.”<br />

Sean, now 13, had Burkitt’s lymphoma. When his<br />

parents received his diagnosis, his mother was so upset that<br />

she fled the room. Jane Heser, a certified child life specialist,<br />

comforted her in the hallway.<br />

“I was pregnant with my daughter at the time, and it<br />

was all so overwhelming,” says Karen Trewin. “Sean’s first<br />

hospitalization was eight weeks long. I alternated between<br />

being frantic and hopeful. Jane and her colleagues were as<br />

much a comfort and help to my husband, Patrick, and me as<br />

they were to Sean.<br />

“They told me it was important for Sean to be around<br />

other people and have stimulating activities, and also<br />

important for us to take a break. The staff did activities with<br />

Sean on Easter so we could go out to dinner with my parents,<br />

who were visiting.”<br />

4 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


Will’s story<br />

When 6-year-old Will Canan was diagnosed with a cancerous<br />

brain tumor, a Child Life specialist helped his parents, Liz<br />

and Tom, determine how to explain the condition to Will and<br />

his sister, Katherine, then 8.<br />

“Katherine asked me questions like, ‘Is cancer<br />

contagious?’ and ‘Is Will going to die?’” says Liz Canan.<br />

“The Child Life specialist assured me these questions were<br />

normal and helped me answer them. Within 12 hours of<br />

Will’s diagnosis, he was undergoing an eight-hour surgery.<br />

We were emotionally and physically exhausted, and Will was<br />

quite ill afterward. Child Life staff planned activities and<br />

crafts for Katherine and took her to the playroom. Siblings<br />

are often forgotten when they have a sick brother or sister in<br />

the hospital. Katherine enjoyed this time, thanks to the help<br />

from Child Life staff. They gave her undivided attention,<br />

which we couldn’t give her then. It was an incredible support<br />

to our family when we most needed it.”<br />

During a recent visit to the pediatric subspecialty clinic,<br />

Will ran into a friend who also has cancer. “As the boys<br />

played electronic games, Will explained the particulars of a<br />

treatment the other boy would be having — a treatment Will<br />

previously had,” says Liz Canan. “He used language he<br />

learned from Child Life staff. The conversation was so<br />

casual and normal. Child Life staff helped ease Will’s<br />

anxieties when he had procedures, and Will helped ease a<br />

friend’s anxieties. I consider that a tribute to those at <strong>Mayo</strong><br />

who have provided his care. They included him in what<br />

was going on with his illness and, as a result, he has been<br />

an easy patient. He has handled his illness with maturity<br />

and grace, free of fear.”<br />

Will Canan (above) was treated for a cancerous brain tumor at <strong>Mayo</strong> <strong>Clinic</strong>.<br />

His family includes parents Tom (left) and Liz (right) and sister Katherine.<br />

www.mayo.edu/alumni | 5


Rioghna’s story<br />

When Rioghna Pittock had surgery to reverse an ostomy<br />

she’d had since age 2, her siblings, Hannah, 10, and John, 8,<br />

didn’t realize how sick their 5-year-old sister would look<br />

when they visited her in the hospital.<br />

“Everyone in the family was very excited as Rioghna<br />

kissed her siblings goodbye the morning of the surgery,” says<br />

their mother, Siobhan Pittock, M.D., a consultant in Pediatrics<br />

and Endocrinology and instructor in pediatrics at <strong>Mayo</strong><br />

<strong>Clinic</strong>. “The other kids expected Rioghna to be just as excited<br />

as she was before the surgery. They were quite shocked when<br />

she appeared tired and pale. Child Life staff distracted them<br />

with toys and crafts so they had time to adjust.”<br />

“It’s never a good situation when a child is in the<br />

hospital. I’m so glad <strong>Mayo</strong> has tremendous Child Life<br />

services because not every hospital does,” says Dr. Pittock.<br />

“It was a good experience for me to be on the side of<br />

benefiting from Child Life services because I promote them<br />

to my patients. It’s good to see firsthand that what I tell<br />

patients and their families is so true. Child Life staff are<br />

excellent extenders of the care we provide. As far as I’m<br />

concerned, Child Life services are a vital, essential part of<br />

pediatric care at <strong>Mayo</strong>. They notice things about family<br />

dynamics that providers may not notice, and the children<br />

sometimes tell them things they don’t tell us.”<br />

Rioghna Pittock when she was in the hospital (above)<br />

and today (left), with her family: (clockwise from top<br />

left) Dr. Sean Pittock, a <strong>Mayo</strong> <strong>Clinic</strong> neurologist;<br />

Dr. Siobhan Pittock; baby brother Fionn; brother<br />

John; and older sister Hannah.<br />

6 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


Providers’ perspective<br />

Jane Heser’s story<br />

“I try to see things through the child’s eyes,” says Jane Heser,<br />

a Child Life specialist. “I consider myself a teacher who helps<br />

pediatric patients understand what’s going on, what pieces of<br />

equipment are for, what’s required of them and how they can<br />

cope with it all. We use simple, honest, developmentally<br />

appropriate language, and respect kids as intelligent,<br />

sensitive learners.”<br />

Heser tapes tubes on a doll to show a child the purpose<br />

of different medical tubes. She engages a mother and 2-yearold<br />

in a game of peekaboo to coax the child to wear an<br />

oxygen mask. She distracts a toddler with a spinning toy<br />

while blood is drawn. She leads Halloween trick-or-treaters<br />

on a parade through the main level of the hospital. She helps<br />

patients learn about medical procedures in the hospital’s<br />

medical play area, complete with a small X-ray box.<br />

Her job isn’t all fun and games. She helps a teenager plan<br />

his funeral. She helps parents make plaster hand molds and<br />

handprints of their terminally ill children. She helps make<br />

memory boxes for parents to preserve precious reminders of<br />

their children, including locks of hair. She helps parents and<br />

children with difficult conversations about death and dying.<br />

Heser shares a story about four siblings. One sister was<br />

having a bone marrow transplant, and the other was the<br />

donor. Heser worked with the sisters to show them how<br />

medication would be administered during surgery and how<br />

the transplant would happen. The transplant patient never<br />

lost her spirit during her monthlong hospitalization, says<br />

Heser, in part due to visits with her siblings.<br />

“Those visits were the highlight of her day,” says Heser.<br />

“I planned activities and crafts for them, and they were eager<br />

to participate. It was wonderful to see how important togetherness<br />

was for this family and this patient. A family should<br />

have the opportunity to do what it normally does, even when<br />

a member is in the hospital.”<br />

“I’m so glad <strong>Mayo</strong> has tremendous<br />

Child Life services because not<br />

every hospital does.”<br />

<strong>Mayo</strong> <strong>Clinic</strong> was ranked as one of America’s Best Children’s<br />

Hospitals by U.S. News & World Report (June 9, <strong>2008</strong>). <strong>Mayo</strong><br />

was ranked in three specialties: neurology and neurosurgery,<br />

digestive disorders, and heart and heart surgery. <strong>Mayo</strong> <strong>Clinic</strong><br />

has been ranked as a top pediatric hospital every year since<br />

U.S. News & World Report began ranking hospitals.<br />

www.mayo.edu/alumni | 7


Carli Kramer’s story<br />

Carli Kramer’s interest in Child Life services stems from<br />

an experience as a teen growing up in Rochester. A friend<br />

was treated for cancer at <strong>Mayo</strong> <strong>Clinic</strong>, and Kramer noticed<br />

how Child Life services supported the family. She says<br />

pursuing a career in the profession was “a small way to<br />

honor my friend.”<br />

Kramer works in the Emergency Department. “We<br />

move at a quick pace, meeting families and assessing their<br />

needs in a short time,” she says. “We prepare kids and<br />

families for tests, procedures and surgeries and help them<br />

through it. We do a lot with play and distraction, getting<br />

even the youngest kids through tough procedures like<br />

stitches and IVs.<br />

Kramer tells about a young patient who had nursemaid’s<br />

elbow. “She was in hysterics. I tried for 15 minutes to comfort<br />

her,” says Kramer. “Then I brought in ‘The Little Mermaid’<br />

DVD. The girl immediately stopped crying and chattered<br />

nonstop about the characters she loved. She was treated<br />

without a fuss. Sometimes simple things or just the right<br />

familiar item make all the difference.”<br />

The hardest part of the job, says Kramer, is when a child<br />

dies. “It is one of the most humbling parts of what I do,” she<br />

says. “A little boy died, and his parents needed time to say<br />

goodbye. His 7-year-old brother was outside the room. I<br />

asked him if he wanted to talk or do something. He spotted<br />

Guitar Hero nearby and said he wanted to play. He showed<br />

me how to play, and we laughed about my mistakes. I helped<br />

him check out of what was going on in a healthy way. Kids<br />

work through things differently, and play is a huge part of<br />

it. It’s the ‘business of childhood’ and most often your<br />

best way in.”<br />

“Play teaches children how<br />

to handle the world and is<br />

the primary way in which they<br />

relate to their environment.”<br />

8 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


Dr. Philip Fischer and his family hosted Harka (fourth from left) when she had heart surgery at <strong>Mayo</strong> <strong>Clinic</strong> four years ago.<br />

Dr. Fischer visited her family (pictured) at their home on the outskirts of Ulaan Bataar, Mongolia’s capital city in March <strong>2008</strong>.<br />

Dr. Fischer’s story<br />

Dr. Fischer participates in organizations that bring pediatric<br />

patients from third-world countries to <strong>Mayo</strong> <strong>Clinic</strong> for<br />

medical care. The Fischer family has hosted some patients<br />

and families.<br />

“Some of these patients are from countries where<br />

physicians don’t necessarily explain medical things to them,<br />

and families aren’t accustomed to being involved in decision<br />

making,” he says. “Child Life staff are a bridge between<br />

medical staff and these patients and their families.”<br />

Jane Heser, a Child Life specialist, worked with one<br />

patient who was staying with the Fischers. “Jane let him<br />

dress up like a doctor to teach him what to expect in the<br />

hospital,” says Dr. Fischer. “At home, during his recovery, he<br />

dressed up like the doctor and I was his patient. Hands-on<br />

activity like this is important for children’s understanding<br />

and can make the difference between a miserable patient<br />

experience and a simple, easy experience. It’s amazing how<br />

fear can be erased, optimism can be restored, spinal taps<br />

can be less traumatic, stitches can hurt less, and nasogastric<br />

tubes can be swallowed more easily.<br />

“Children from all cultures play. It is essential to<br />

human development. Research shows that play has a<br />

positive effect on cognitive and social development,<br />

particularly when adults participate in play with children.<br />

Play teaches children how to handle the world and is the<br />

primary way in which they relate to their environment.”<br />

www.mayo.edu/alumni | 9


No lectures, no blaming, no judging<br />

Center for Tobacco-Free Living educates and motivates tobacco users to seek help<br />

I<br />

n November <strong>2008</strong>, <strong>Mayo</strong> <strong>Clinic</strong> opened its Center for<br />

Tobacco-Free Living on the 18th floor of the Gonda<br />

Building. Part of the Nicotine Dependence Center, the new<br />

1,000-square-foot facility features interactive displays — The<br />

Anatomy of Addiction; Smoke and Mirrors: The Truth Behind<br />

Big Tobacco; The Science of Quitting; and Supporting a<br />

Tobacco-Free World.<br />

The Center for Tobacco-Free Living was intentionally<br />

located on the same floor as the Annenberg Pulmonary<br />

Medical Center. Many pulmonary patients use tobacco, and<br />

some of these 600-plus patients a day walk past the new space<br />

on their way to appointments. For those who stop by, tobacco<br />

treatment specialists are available to answer questions and<br />

schedule consultations.<br />

“This center is designed to provide hope to people<br />

who have struggled with trying to stop smoking, provide<br />

information about why quitting is difficult and provide<br />

easy access to tobacco dependence treatment services,” says<br />

Richard Hurt, M.D., director of the Nicotine Dependence<br />

Center at <strong>Mayo</strong> <strong>Clinic</strong>, a consultant in Internal Medicine<br />

and professor of medicine.<br />

“Few people aren’t aware that tobacco is harmful, but<br />

those who use it often feel ashamed and stigmatized,” says<br />

Michael Burke, Ed.D, coordinator of Nicotine Dependence<br />

Center treatment programs. “This new facility helps patients<br />

and their loved ones understand the powerful biological<br />

component of tobacco dependence, and provides information<br />

about proven, effective treatments. The new center also<br />

includes compelling information about how tobacco has been<br />

marketed and exciting information about genetic research<br />

into nicotine addiction using a zebrafish model.” (see page 14)<br />

Smoke and Mirrors: The Center for Tobacco-Free Living features<br />

information detailing how tobacco companies market a product that<br />

contributes to the leading cause of preventable deaths in the United States.<br />

10 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


The Tobacco-Free Living center’s primary goal is to<br />

support those seeking treatment for tobacco dependence<br />

by providing:<br />

• Research-based information about the biological basis<br />

for tobacco dependence and why some people have more<br />

difficulty quitting tobacco than others<br />

• Personal stories from patients who became tobacco-free<br />

• Information about the most effective treatment methods<br />

• Easy access to treatment<br />

All information is presented nonjudgmentally. “People<br />

who use tobacco don’t want lectures,” says Tom Gauvin, a<br />

counselor in the Nicotine Dependence Center. “They have<br />

already heard about the dangers of tobacco, and they may<br />

feel ashamed about their lack of success in quitting. By<br />

using the disease model to help patients understand tobacco<br />

dependence, we alleviate the guilt and shame and increase<br />

the chances of success for these individuals.<br />

“The Center for Tobacco-Free Living is intended to be a<br />

safe environment in which tobacco users can be supported<br />

and become engaged in the possibility of treatment. The<br />

straightforward, educational, positive tone is designed to<br />

excite and encourage people in their fight against tobacco.<br />

Ideally, of course, the center is an accessible clinical entry<br />

point for treatment in our Nicotine Dependence Center,<br />

but we want people to seek effective treatment anywhere.”<br />

Sheila Stevens, coordinator of education programs<br />

at the Nicotine Dependence Center, says that tobacco<br />

dependence treatment is underutilized. “More than<br />

40 million people in the United States smoke,” she says.<br />

“Most want to stop but, without treatment, only 3 percent to<br />

Grand opening: (from left to right) Glenn Forbes, M.D., CEO of <strong>Mayo</strong><br />

<strong>Clinic</strong> in Rochester; Andrew Limper, M.D., chair of the Department of<br />

Pulmonary and Critical Care Medicine; Richard Hurt, M.D., director<br />

of the Nicotine Dependence Center; and Denis Cortese, M.D.,<br />

president and CEO of <strong>Mayo</strong> <strong>Clinic</strong>, opened the Center for Tobacco-<br />

Free Living on Nov. 20, <strong>2008</strong> — the date of the American Cancer<br />

Society’s 33rd annual Great American Smokeout.<br />

5 percent of quit attempts are successful. Many people don’t<br />

understand that treatment greatly increases their chances of<br />

successfully quitting. If someone has diabetes, a combination<br />

of education and medication helps them manage their illness.<br />

If the first effort does not succeed, medication is changed,<br />

more counseling is provided and the health care team keeps<br />

working with the patient. That doesn’t often happen with<br />

smoking. Patients get lectured, and their willpower is<br />

questioned. Our counselors work hard to develop effective<br />

partnerships with patients without lecturing or blaming.“<br />

The Nicotine Dependence Center provides outpatient,<br />

residential and hospital services. Many patients in the residential<br />

program have tried other types of treatment without<br />

success. <strong>Mayo</strong>’s residential program has a 52 percent success<br />

rate for one year after treatment. Among outpatients, the<br />

The Anatomy of Addiction: This display in the Center for Tobacco-Free Living shows how addiction to nicotine occurs.<br />

Cigarettes rapidly deliver a large amount a highly addictive substance, which causes changes in the brain. These changes<br />

cause craving and withdrawal.<br />

www.mayo.edu/alumni | 11


success rate is 28 percent after a year. Some patients who are<br />

hospitalized at <strong>Mayo</strong> <strong>Clinic</strong> for another reason are treated<br />

simultaneously for tobacco use. Approximately 32 percent of<br />

those patients are tobacco-free one year later. This compares<br />

with the average success rate of 3 percent to 5 percent for<br />

people who try to quit tobacco use without treatment.<br />

“We’re proud of our success, but we’re relentless in the<br />

pursuit of new ways to help patients,” says Ivana Croghan,<br />

Ph.D., coordinator of research programs at the Nicotine<br />

Cigarette smoking accounts for<br />

90 percent of lung cancer cases.<br />

Dependence Center and an associate professor of medicine.<br />

“We have conducted more than 180 research studies in the<br />

last 20 years, and we try to quickly translate what we learn<br />

into better patient care. We have been instrumental in<br />

testing many of the current treatments, including nicotine<br />

replacement products — patches, gum, inhaler, nasal spray<br />

vaccine, lozenges; bupropion, varenicline, gabapentin, herbal<br />

medication and combinations of medications. We have<br />

worked with various forms of tobacco dependence, including<br />

chewing tobacco; different types of users, including<br />

adolescents, young adults, adults and Alaskan natives; and<br />

concurrent medical conditions including ADHD, COPD,<br />

cancer and alcoholism.”<br />

Nicotine Dependence Center<br />

<strong>Mayo</strong> <strong>Clinic</strong>’s Nicotine Dependence Center was one of the<br />

first in the country to focus exclusively on treating patients<br />

who have tobacco dependence. Since 1988 when it opened,<br />

the center has treated more than 40,000 patients. Treatment<br />

usually combines counseling and medication. Specialists<br />

trained in motivational interviewing help patients build<br />

upon their strengths to succeed.<br />

An eight-day residential treatment program is effective<br />

with patients who have tried other methods without success.<br />

Education<br />

The Nicotine Dependence Center has educated more<br />

than 8,500 health care professionals about evidence-based<br />

treatment. Participants in these education programs have<br />

included physicians, nurse practitioners, physician<br />

assistants, dentists, psychologists, chemical dependency<br />

counselors, respiratory therapists, nurses, social workers<br />

and other professionals.<br />

In <strong>2009</strong>, the Nicotine Dependence Center will begin<br />

offering classes via webcast.<br />

The center also offers an intensive five-day course for<br />

health care providers who work with tobacco-dependent<br />

patients. Successful completion earns providers the Tobacco<br />

Treatment Specialist Certification.<br />

The Science of Quitting: Visitors to the Center for Tobacco-Free<br />

Living learn that the key components for treating tobacco dependence<br />

are counseling and medications, including nicotine-replacement<br />

therapy and other prescription drugs. Treatment with medication<br />

can more than double an individual’s chances of quitting.<br />

12 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


Center for Tobacco-Free Living<br />

Research<br />

The Nicotine Dependence Center’s research program has<br />

made notable contributions to the field of addiction research<br />

and tobacco dependence interventions. Initially focused on<br />

nicotine replacement therapy trials, the research program<br />

has expanded to include behavioral interventions for tobacco<br />

users, population-based epidemiological studies, research to<br />

determine the cost-effectiveness of various interventions,<br />

outcomes research, and tobacco company document research.<br />

<strong>Mayo</strong> researchers have conducted more than 75<br />

randomized clinical trials involving more than 10,000<br />

research participants. The program continues to grow<br />

through investigator-initiated peer-reviewed grants and<br />

sponsored research. Investigators from the program have<br />

published more than 100 peer-reviewed articles in the<br />

last 10 years.<br />

To learn more about treatment or training<br />

programs, visit ndc.mayo.edu.<br />

The <strong>Mayo</strong> <strong>Clinic</strong> Nicotine Dependence Center:<br />

• Has treated more than 40,000 people in its outpatient and<br />

residential programs, or in the hospital setting. More than<br />

1,000 patients from six countries, 48 states and the District<br />

of Columbia have been treated in the residential program.<br />

• Has attracted more than 8,500 providers from around<br />

the world to its educational courses.<br />

• Has enrolled people from more than 35 states and<br />

eight countries in its Tobacco Treatment Specialist<br />

Certification Program.<br />

• Has hosted an annual International Tobacco<br />

Dependence Conference for 15 years.<br />

• Educates Rochester-area students and teachers about<br />

health and well-being.<br />

• Has made presentations to medical providers around<br />

the world.<br />

“In my more than 30 years at <strong>Mayo</strong> <strong>Clinic</strong>, this project has been<br />

the most creative I’ve been involved with. The team involved had<br />

boundless energy and unimaginable creativity.”<br />

Richard Hurt, M.D.<br />

Director: Richard Hurt, M.D.<br />

Coordinator of treatment programs: Michael Burke, Ed.D.<br />

Coordinator of education programs: Sheila Stevens<br />

Coordinator of research programs: Ivana Croghan, Ph.D.<br />

www.mayo.edu/alumni | 13


Center for Tobacco-Free Living<br />

Zebrafish provide clues<br />

to nicotine dependency<br />

Nicotine is the substance in tobacco that drives the<br />

addiction. A major genetic component has an important<br />

role in nicotine’s ability to lead to tobacco dependence in<br />

some individuals and not others. However, many questions<br />

remain about the pathways and processes that underlie<br />

these genetic differences.<br />

Researchers at <strong>Mayo</strong> <strong>Clinic</strong> in Rochester, led by Stephen<br />

Ekker, Ph.D., a professor of biochemistry and molecular<br />

biology, are using zebrafish to help understand the genetics<br />

behind different responses to nicotine. Zebrafish provide<br />

a useful model for studying genetics because these fish<br />

reproduce prolifically, develop rapidly, are transparent<br />

early in their development, and have a number of organs<br />

and tissues that are comparable to humans. Using<br />

sophisticated techniques for studying genetics, researchers<br />

have identified genes that, when expressed, make zebrafish<br />

more responsive to nicotine. Because these genes are<br />

similarly active in humans, further study may help to<br />

identify more effective and individualized treatments<br />

for people addicted to nicotine.<br />

youtube.com/mayoclinic<br />

Visit <strong>Mayo</strong> <strong>Clinic</strong>’s YouTube channel to view these<br />

videos:<br />

• “I’m so happy I quit smoking”<br />

• “Help to stop smoking”<br />

• “Stop smoking — why it’s so hard”<br />

During their first two months on YouTube, these<br />

videos were viewed 3,200 times.<br />

At current smoking rates, more<br />

than 1 billion people are expected<br />

to die in the 21st century from<br />

tobacco-induced illness.<br />

Laura Moore, a family nurse practitioner and tobacco treatment<br />

specialist at the Nicotine Dependence Center, showed her daughter,<br />

Halle, the zebrafish aquarium during the open house of the Center<br />

for Tobacco-Free Living.<br />

14 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


<strong>Mayo</strong> <strong>Clinic</strong> Alumni Association 66th Meeting<br />

Oct. 29–31, <strong>2009</strong><br />

Headquarters: Camelback Inn, Scottsdale<br />

Host: <strong>Mayo</strong> <strong>Clinic</strong> in Arizona<br />

Theme: Exploring New Frontiers —<br />

A <strong>Mayo</strong> Tradition<br />

General meeting chair: Victor Trastek, M.D.<br />

Scientific program chair: William Stone, M.D.<br />

Thursday, Oct. 29<br />

• Registration and pre-meeting activities<br />

• Evening welcome reception<br />

Friday, Oct. 30<br />

• General and breakout scientific sessions<br />

• President’s Gala — The Doctors <strong>Mayo</strong> Society dinner<br />

and program<br />

Saturday, Oct. 31<br />

• General and breakout scientific sessions<br />

• Named lectures: Judd-Plummer, Raymond Pruitt, and The<br />

Doctors <strong>Mayo</strong> Society Lifetime Distinguished Achievement<br />

• Presentation of <strong>Mayo</strong> <strong>Clinic</strong> Alumni Association Awards:<br />

Humanitarian and Professional Achievement<br />

Watch for updated meeting details and registration information.<br />

Alumni traveling to Dubai, Oman and Egypt in<br />

February 2010<br />

Make plans now to join colleagues, friends and mentors<br />

at the 2010 <strong>Mayo</strong> <strong>Clinic</strong> Alumni Association International<br />

CME Conference:<br />

Dubai Feb. 9−12<br />

Oman Feb. 6−9<br />

Pre-conference tour option<br />

Egypt<br />

Post-conference (seven-day maximum) tour option with<br />

Nile River cruise<br />

Mark your calendars. Details will be mailed soon.<br />

www.mayo.edu/alumni | 15


Alumni answer the call<br />

Alumni answer call for help, spearheaded by The Leadership Council for Alumni Philanthropy<br />

T<br />

he Leadership Council for Alumni Philanthropy is<br />

one of seven leadership councils supporting The<br />

Campaign for <strong>Mayo</strong> <strong>Clinic</strong>. To date, this group’s efforts<br />

have resulted in alumni contributions of $22.5 million to the<br />

campaign. The goal is to secure $28 million in alumni gifts<br />

by The Campaign’s conclusion at the end of <strong>2009</strong>. Overall,<br />

The Campaign for <strong>Mayo</strong> <strong>Clinic</strong> is on track to meet the goal<br />

of raising $1.25 billion.<br />

The Leadership Council for Alumni Philanthropy led by<br />

example: It was the first of the seven leadership councils to<br />

reach 100 percent member participation in The Campaign.<br />

“It’s significant to have all members of leadership<br />

councils financially support the philanthropic cause. When<br />

we approach others for support, they often ask about the<br />

support of staff and alumni,” says Joseph Fiore, M.D., a<br />

consultant at <strong>Mayo</strong> <strong>Clinic</strong> in Arizona who chaired the<br />

Leadership Council (formerly the Alumni Committee on<br />

Development) from 1982 to 2006.<br />

“Our Leadership Council knows <strong>Mayo</strong> is the best in<br />

the world and wants to be part of the preservation of this<br />

wonderful medical institution and its philosophy — the needs<br />

of the patient come first,” says Carl Soderstrom, M.D., current<br />

chair of The Leadership Council for Alumni Philanthropy.<br />

According to Dr. Fiore, the Alumni Association’s<br />

Executive Committee embraced development as one of its<br />

integral functions. “There’s an unavoidable reality —<br />

philanthropy and development are integral to <strong>Mayo</strong>’s<br />

survival,” he says. “We can no longer afford to support all<br />

three shields on the practice alone. Many alumni had never<br />

been asked to participate in supporting <strong>Mayo</strong> in this way.<br />

But when the prospect is proposed to them, they’re often<br />

eager to preserve the uniqueness of <strong>Mayo</strong>.”<br />

The Leadership Council for Alumni Philanthropy<br />

has focused on educating alumni about <strong>Mayo</strong>’s funding<br />

needs in order to maintain its leadership position in<br />

health care.<br />

Giving by <strong>Mayo</strong> alumni has more than tripled in the last three years, increasing<br />

from an average of $2 million per year prior to 2005 to more than $6.3 million<br />

per year from 2005 to <strong>2008</strong>.<br />

16 | <strong>Mayo</strong> AlumniI <strong>Winter</strong> <strong>2009</strong>


“Our greatest challenge in enlisting alumni support<br />

for The Campaign for <strong>Mayo</strong> <strong>Clinic</strong> was to alert them about<br />

the financial shortfalls that lurk in the future,” says<br />

Dr. Soderstrom. “Philanthropy is no longer a ‘nice to have.’<br />

Instead, it’s a must-have if <strong>Mayo</strong> is to remain a leader in<br />

academic medicine. This message resonated well with<br />

alumni. Helping this institution to advance medicine and<br />

educate future physicians and scientists is something alumni<br />

are willing to support.”<br />

Miguel Cabanela, M.D., a consultant in Orthopedic<br />

Surgery at <strong>Mayo</strong> <strong>Clinic</strong> in Rochester and chair of The Doctors<br />

<strong>Mayo</strong> Society, says it’s impossible for <strong>Mayo</strong>’s practice to fund<br />

research and education. “Philanthropy is more important<br />

with decreased reimbursement and the economic climate,”<br />

says Dr. Cabanela. “Our alumni know that <strong>Mayo</strong> <strong>Clinic</strong><br />

opens its doors to everyone, so they’ve supported The<br />

Campaign for <strong>Mayo</strong> <strong>Clinic</strong>.”<br />

Dr. Soderstrom attributes this support, in part, to<br />

<strong>Mayo</strong>’s history of reaching out to alumni through hosting<br />

international meetings, welcoming visiting alumni home<br />

to <strong>Mayo</strong> campuses, and offering effective programs<br />

through the Alumni Association.<br />

“<strong>Mayo</strong>’s alumni have the deepest respect for the<br />

organization and proclaim that regardless where they<br />

practice, they are much better at their work because<br />

of their education and training at <strong>Mayo</strong> <strong>Clinic</strong>,” says<br />

Dr. Soderstrom. “They tell us they feel like part of a<br />

family. In surveys, they have reported that they have<br />

incorporated aspects of the <strong>Mayo</strong> model into their practices<br />

and that they have enduring reverence for everything<br />

<strong>Mayo</strong> represents. When they became aware of the need<br />

for support to ensure <strong>Mayo</strong>’s three-shield excellence is<br />

maintained for generations to come, they answered the<br />

call willingly and eagerly.”<br />

“Our alumni know that <strong>Mayo</strong> <strong>Clinic</strong><br />

opens its doors to everyone, so<br />

they’ve supported The Campaign<br />

for <strong>Mayo</strong> <strong>Clinic</strong>.”<br />

If you would like information about ways to support<br />

<strong>Mayo</strong> <strong>Clinic</strong>, including a particular area of clinical practice,<br />

research or education, contact Robert Giere, director of<br />

Alumni Philanthropy, giere.robert@mayo.edu, 800-297-1185,<br />

or a member of The Leadership Council for Alumni<br />

Philanthropy.<br />

On average,<br />

approximately<br />

10 percent of<br />

alumni give to<br />

<strong>Mayo</strong> <strong>Clinic</strong>.<br />

www.mayo.edu/alumni | 17


About The Leadership Council<br />

for Alumni Philanthropy<br />

Leadership Council for<br />

Alumni Philanthropy<br />

• All members are <strong>Mayo</strong> alumni and most are not on<br />

<strong>Mayo</strong> <strong>Clinic</strong>’s internal staff.<br />

• Members are invited to join the Leadership Council<br />

by a small nominations committee.<br />

• The group was formerly the Alumni Committee on<br />

Development.<br />

• The council serves <strong>Mayo</strong> <strong>Clinic</strong> and the <strong>Mayo</strong> <strong>Clinic</strong><br />

Alumni Association by actively working as volunteers<br />

with the Department of Development in advising<br />

and supporting Development activities focused<br />

on alumni.<br />

Chair, The Doctors <strong>Mayo</strong> Society<br />

Miguel Cabanela, M.D.*<br />

Francis Chucker, M.D.<br />

David Dines, M.D.<br />

Peter Doris, M.D.<br />

<strong>Mayo</strong> <strong>Clinic</strong> Rochester<br />

Orthopedic Surgery, 1973<br />

Washington, D.C.<br />

Internal Medicine, 1961<br />

<strong>Mayo</strong> <strong>Clinic</strong> Rochester,<br />

Emeritus<br />

Internal Medicine, 1957<br />

Downer’s Grove, Ill.<br />

Internal Medicine, 1972<br />

Activities include:<br />

- Making recommendations about and contacting<br />

prospective alumni benefactors<br />

- Assisting with membership recruitment for<br />

The Doctors <strong>Mayo</strong> Society (TDMS)<br />

- Providing recommendations on TDMS programming<br />

- Identifying potential benefactors<br />

Secretary/Treasurer, Alumni Association<br />

Eric Edell, M.D.<br />

<strong>Mayo</strong> <strong>Clinic</strong> Rochester<br />

Pulmonary Diseases, 1988<br />

Past Chair, Leadership Council for Alumni Philanthropy<br />

Joesph Fiore, M.D.<br />

<strong>Mayo</strong> <strong>Clinic</strong> Arizona<br />

Dermatology, 1974<br />

Robert Giere<br />

Eric Edell, M.D. David Teegarden, M.D. Carl Soderstrom, M.D. Francis Chucker, M.D.<br />

18 | <strong>Mayo</strong> AlumniI <strong>Winter</strong> <strong>2009</strong>


R. Wynn Kearney, M.D.* Mankato, Minn.<br />

Orthopedic Surgery, 1972<br />

Past President, Alumni Association<br />

Scott Litin, M.D.*<br />

Sukumar Nagendran, M.D.<br />

Peter Sidell, M.D.<br />

<strong>Mayo</strong> <strong>Clinic</strong> Rochester<br />

<strong>Mayo</strong> Medical School, 1977<br />

Internal Medicine, 1981<br />

East Hanover, N.J.<br />

Internal Medicine, 1997<br />

Fort Myers, Fla.<br />

Thoracic Surgery, 1977<br />

Chair, Leadership Council for Alumni Philanthropy<br />

Carl Soderstrom, M.D. Peoria, Ill.<br />

Dermatology, 1972<br />

K.L. Spear, M.D.*<br />

Naples, Fla.<br />

Dermatology, 1983<br />

President, Alumni Association<br />

David Teegarden, M.D.<br />

Tyler, Texas<br />

Gastroenterology, 1975<br />

Suzanne Ildstad, M.D.*<br />

Moon Park, M.D.<br />

Louisville, Ky.<br />

<strong>Mayo</strong> Medical School, 1978<br />

Honolulu, Hawaii<br />

Anatomic and <strong>Clinic</strong>al<br />

Pathology, 1971<br />

Medical Director, Department of Development<br />

John Noseworthy, M.D.* <strong>Mayo</strong> <strong>Clinic</strong> Rochester<br />

Neurology<br />

Robert Giere, Ex. officio <strong>Mayo</strong> <strong>Clinic</strong> Rochester<br />

Development<br />

Karen Herman, Ex. officio <strong>Mayo</strong> <strong>Clinic</strong> Rochester<br />

<strong>Mayo</strong> Alumni Center<br />

Amy Williams, M.D., Ex. officio <strong>Mayo</strong> <strong>Clinic</strong> Rochester<br />

Nephrology, 1990<br />

Sarah Panetta, Ex. officio <strong>Mayo</strong> <strong>Clinic</strong> Rochester<br />

Development<br />

*Not available for photo<br />

Sukumar<br />

Nagendran, M.D.<br />

David Dines, M.D. Joseph Fiore, M.D. Peter Doris, M.D. Peter Sidell, M.D. Moon Park, M.D.<br />

www.mayo.edu/alumni | 19


I<br />

t relieves pressure on a failing heart, boosts kidney<br />

function to help clear the body of excess salt (natriuresis)<br />

and water, and may just be the newest emergency cardiac<br />

“super” drug.<br />

It is CD-NP, a chimeric protein rationally designed by<br />

<strong>Mayo</strong> <strong>Clinic</strong> physician-scientists John Burnett, M.D., and<br />

Ondrej Lisy, M.D., Ph.D. CD-NP is created by fusing a portion<br />

of the amino acid sequence of the recently discovered<br />

Dendroaspis natriuretic peptide (DNP) to a core structure<br />

of the human vasodilatory and antifibrotic protein C-type<br />

natriuretic peptide (CNP).<br />

Dr. Burnett calls the result of this synthesis a unique<br />

“super-natriuretic peptide.” He is director of <strong>Mayo</strong> <strong>Clinic</strong>’s<br />

Cardiorenal Research Laboratory, a consultant in the<br />

divisions of Cardiovascular Diseases and Physiology and<br />

Biophysics, and the Marriott Family Professor of<br />

Cardiovascular Research.<br />

“CD-NP has therapeutic potential to treat acute and<br />

chronic congestive heart failure, and also improve renal<br />

function in patients undergoing heart surgery,” says<br />

Dr. Burnett. He and Dr. Lisy, a fellow in Cardiovascular<br />

Diseases and an assistant professor of medicine, have<br />

worked for several years to create CD-NP.<br />

It’s a bird,<br />

it’s a plane, it’s a<br />

super-natriuretic peptide!<br />

“Our new drug is carefully designed to improve<br />

kidney function and relieve congestion in patients who<br />

have congestive heart failure,” says Dr. Lisy. “Most of the<br />

currently used drugs either worsen or do not improve<br />

renal function. This is a significant clinical problem.”<br />

In congestive heart failure, a chronic condition, the<br />

heart cannot effectively pump enough blood to the body’s<br />

other organs. Heart failure affects 5.3 million Americans<br />

and is a significant and growing public health problem.<br />

More than 650,000 new cases are diagnosed every<br />

year. In heart failure, worsening kidney function is an<br />

independent predictor of morbidity and mortality in<br />

heart failure.<br />

“The real elegance of this drug is the idea of exploiting<br />

the desirable properties of two peptides,” says Dr. Burnett.<br />

“We’re very excited about this combination drug. It has<br />

a lot of potential to aid patients in heart failure whose<br />

recovery might otherwise be hampered by subsequent<br />

kidney function. CD-NP is designed to be administered<br />

intravenously, but we envision new technologies in which<br />

we can turn this into a product that can be taken orally, like<br />

any other pill. You could have IV treatment in the hospital,<br />

then go home and follow up with a pill.”<br />

20 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


The parts of the whole<br />

CNP is a naturally occurring hormone produced in cells<br />

that line the wall of blood vessels. A 22-amino-acid molecule,<br />

CNP was first discovered in the brains of pigs. In humans, it<br />

works like nitroglycerin, dilating blood vessels. CNP also<br />

has very strong antiproliferative properties.<br />

DNP was originally isolated from the venom of the<br />

African green mamba snake (Dendroaspis angusticeps),<br />

a fast-moving, highly venomous tree dweller.<br />

“A constant review of the world’s research literature on<br />

natriuretic peptide biology led to intense study of the version<br />

found in the green mamba,” says Dr. Burnett.<br />

DNP attracted Dr. Burnett’s attention after it was<br />

isolated in 1992. DNP is genetically different from other<br />

natriuretic peptides, which act in concert with receptors in<br />

the cardiovascular system to keep fluids and toxins moving<br />

when the heart is under pressure. However, when kidneys<br />

fail, the body cannot clear these fluids and toxins. DNP<br />

appears to offer stronger support for the kidneys.<br />

In 1999, Dr. Lisy was lead author of the first in vivo<br />

animal study detailing DNP’s ability to flush water and<br />

sodium from the body. In subsequent studies of heart failure<br />

in animal models, he showed that DNP has a potent cardiac<br />

“unloading effect” by enhancing the glomerular filtration<br />

rate, a measurement of kidney function and by clearing salt<br />

and water.<br />

measuring glomerular filtration rate and renal function. In<br />

patients with stable chronic congestive heart failure, infusion<br />

of CD-NP not only was well tolerated (hypotension occurred<br />

only in very high doses) but it also significantly improved<br />

kidney function — the most promising finding.<br />

These results proved the initial hypothesis by Dr. Burnett<br />

and Dr. Lisy — that the administration of CD-NP in heart<br />

failure patients would lead to diuresis and improved kidney<br />

function with minimal blood pressure effects. The results<br />

also put clinical development of this new investigational<br />

drug on the fast track. Studies are under way to start<br />

Phase 2-b clinical trials.<br />

Particularly because the latest agents approved by the<br />

Food and Drug Administration to treat heart failure may<br />

have deteriorating effects on kidney function, results of the<br />

trials are closely monitored by clinicians and researchers<br />

around the world.<br />

What’s next<br />

In a very short time, CD-NP moved from preclinical studies<br />

at <strong>Mayo</strong> <strong>Clinic</strong>’s Cardiorenal Research Laboratory to clinical<br />

trials. This potential new drug has already progressed from<br />

the initial trial testing its safety in human volunteers to<br />

testing its efficacy in certain diseases.<br />

In October <strong>2008</strong>, interim data from a multicenter,<br />

open-label Phase 2 clinical study of patients hospitalized for<br />

acute heart failure was announced. Findings indicated that<br />

CD-NP infusion had very favorable cardiac unloading effects.<br />

It significantly reduced pulmonary capillary wedge pressure<br />

and increased diuresis, thus decreasing congestion.<br />

In December <strong>2008</strong>, data from a completed multicenter,<br />

open-label, ascending-dose clinical trial of CD-NP was<br />

announced. Preliminary results have defined the<br />

maximum-tolerated dose of CD-NP and characterized the<br />

effect on blood pressure and kidney function. The study<br />

showed improvement in the biomarkers used as surrogates<br />

Dr. Ondrej Lisy and Dr. John Burnett designed CD-NP, a<br />

“super-natriuretic peptide” with potential to treat congestive heart<br />

failure and improve renal function in patients undergoing heart<br />

surgery. <strong>Clinic</strong>ians and researchers around the world are closely<br />

watching results of clinical trials of this drug.<br />

www.mayo.edu/alumni | 21


<strong>Mayo</strong> Update<br />

News briefs<br />

1950s<br />

W. Philip Ball published<br />

“The Physician in <strong>Winter</strong>”<br />

in the October <strong>2008</strong> edition of<br />

The Journal of the American<br />

Medical Association (JAMA).<br />

Jorge Solis-Manjarrez had an<br />

Excellence in Medicine award<br />

named in his honor, Mexico City.<br />

1960s<br />

Herbert Semler promoted to clinical<br />

professor of medicine, Division of<br />

Cardiovascular Medicine, at Oregon<br />

Health and Sciences University,<br />

Portland.<br />

Lewis Woolner named clinical<br />

scientist of the year by the Association<br />

of <strong>Clinic</strong>al Scientists. He directs the<br />

Pathology Residency Program at the<br />

University of Louisville, Ky.<br />

1970s<br />

Ian Henderson received the<br />

Australian Orthopaedic Association<br />

Research Award in recognition of his<br />

contribution to orthopaedic research,<br />

Melbourne.<br />

Virinder Moudgil appointed<br />

provost and senior vice president<br />

for Academic Affairs at Oakland<br />

University, Rochester, Mich. He also<br />

was named chair of Academic Officers<br />

of the Presidents Council of the State<br />

Universities of Michigan.<br />

1980s<br />

Ann Montgomery promoted to<br />

clinical professor in the Department<br />

of Family Medicine at the University<br />

of Washington, Spokane.<br />

1990s<br />

Josef Gurian appointed assistant<br />

professor of surgery at Virginia<br />

Commonwealth University and<br />

received the award for excellence in<br />

teaching from the Medical College of<br />

Virginia Medical School, Richmond.<br />

He is vice president and incoming<br />

president of the Washington<br />

Metropolitan Otolaryngology-Head<br />

and Neck Society and was voted<br />

“Top Doctor” in Otolaryngology in<br />

Washingtonian Magazine.<br />

Stephen Meraw voted president<br />

elect of the Midwest Society of<br />

Periodontology and president of the<br />

Detroit District Dental Society Eastern<br />

Branch. He also was awarded a<br />

master’s degree in Health Care<br />

Management from the School of<br />

Public Health at Harvard University.<br />

Kenneth Stone elected chair of the<br />

Department of Orthopedic Surgery at<br />

Marshfield <strong>Clinic</strong>, Marshfield, Wis.<br />

2000s<br />

Pablo Castillo received the <strong>2008</strong><br />

Distinguished Teaching Award from<br />

the Minnesota Medical Foundation,<br />

University of Minnesota Medical<br />

School, Minneapolis.<br />

Thomas Kottke named medical<br />

director for Evidence-Based Health,<br />

HealthPartners, Minneapolis.<br />

Julie Thacker appointed assistant<br />

professor of surgery at Duke<br />

University, Department of Surgery,<br />

Durham, N.C.<br />

Jarrod Wall joined the faculty at the<br />

Southern Illinois University School of<br />

Medicine in Springfield as an assistant<br />

professor of general surgery.<br />

Staff News<br />

Michael Ackerman received the Luther<br />

Distinguished Service Award from<br />

Luther College, Decorah, Iowa.<br />

David Agerter named CEO of Austin<br />

Medical Center — part of <strong>Mayo</strong><br />

Health System.<br />

Brent Asplin named chair,<br />

Department of Emergency Medicine,<br />

<strong>Mayo</strong> <strong>Clinic</strong> Rochester.<br />

Charles Beatty received the Luther<br />

Distinguished Service Award from<br />

Luther College, Decorah, Iowa.<br />

Jeffrey Cornella named one of<br />

America’s Top Doctors for Women<br />

in Women’s Health magazine.<br />

Bart Demaerschalk appointed<br />

editor-in-chief of Journal of<br />

Brain Disease.<br />

Wyatt Decker received the American<br />

College of Emergency Physicians<br />

Heroes of Emergency Medicine Award.<br />

David Dennison participated in the<br />

American Society for Surgery of the<br />

Hand Young Leaders Program.<br />

Dennis Dickson received the<br />

American Parkinson Disease<br />

Association’s <strong>2008</strong> Fred Springer<br />

Award.<br />

David Dodick named one of America’s<br />

Top Doctors for Women in Women’s<br />

Health magazine.<br />

Sherine Gabriel installed as the 72nd<br />

president of the American College of<br />

Rheumatology at the annual meeting<br />

in San Francisco.<br />

Evanthia Galanis appointed<br />

to the board of the Society for<br />

Neuro-Oncology.<br />

22 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


Peter Gloviczki received the<br />

President’s <strong>2008</strong> Leadership Award<br />

at the 10-year celebration of the<br />

Vascular Disease Foundation in<br />

Washington, D.C. He also delivered<br />

the Robert R. Linton Distinguished<br />

Address at the Annual Meeting of<br />

the New England Society for Vascular<br />

Surgery in Newport, R.I.<br />

Todd Golde selected by Jacksonville<br />

Business Journal as a <strong>2008</strong> Health<br />

Care Hero.<br />

Thomas Grys certified a diplomate<br />

of the American Board of Medical<br />

Microbiology.<br />

Peter Harris received the <strong>2008</strong> Homer<br />

Smith Award from the American<br />

Society of Nephrology.<br />

Judith Kaur appointed by President<br />

George Bush to the National Cancer<br />

Advisory Panel to advise the<br />

director of the National Cancer<br />

Institute on cancer priorities.<br />

Rajiv Kumar received the <strong>2008</strong> Louis<br />

V. Avioli Founders Award from the<br />

American Society of Bone and Mineral<br />

Metabolism.<br />

Donald Layton received the Patient<br />

Volunteer-Advocate Award for<br />

Distinguished Service in Cancer<br />

Education.<br />

Carlos Mantilla received a Teacher<br />

of the Year Award from the <strong>Mayo</strong><br />

Graduate Student Association.<br />

Kay Medina received a Teacher of the<br />

Year Award from the <strong>Mayo</strong> Graduate<br />

Student Association.<br />

Michael Mohseni received a <strong>Mayo</strong><br />

<strong>Clinic</strong> Florida clinical research grant<br />

to continue the “Runners Science”<br />

study for a second year.<br />

Steven Moran received the <strong>2009</strong><br />

Sterling Bunnell Award, the highest<br />

honor bestowed on a hand surgeon<br />

by the Hand Society.<br />

Justin Nguyen named interim chair<br />

of the Division of Transplant Surgery,<br />

Department of Transplantation, <strong>Mayo</strong><br />

<strong>Clinic</strong> Florida.<br />

Stephen Riederer served as president<br />

of the 20th meeting of the MR<br />

Angiography Society in Graz, Austria.<br />

Juan Romero received the <strong>2008</strong><br />

Novartis Award for Hypertension<br />

Research.<br />

William Rupp named CEO of <strong>Mayo</strong><br />

<strong>Clinic</strong> Florida.<br />

Joseph Sirven appointed editor-inchief<br />

of epilepsy.com.<br />

Elson So chaired the National Institute<br />

of Neurologic Disorders and Stroke<br />

Workshop on Sudden Unexpected<br />

Death in Washington, D.C.<br />

Latha Stead received the Emergency<br />

Medicine Residents’ Association<br />

Mentorship Award from The American<br />

College of Emergency Physicians.<br />

She was the <strong>2008</strong> inaugural Visiting<br />

Professor of Emergency Medicine at<br />

Harvard Medical School, the first<br />

invitation for a <strong>Mayo</strong> <strong>Clinic</strong> physician.<br />

Nilufer Taner selected by Jacksonville<br />

Business Journal as a <strong>2008</strong> Health<br />

Care Hero.<br />

Michael Wallace selected by<br />

Jacksonville Business Journal as a <strong>2008</strong><br />

Health Care Hero.<br />

Susan Wilansky named one of<br />

America’s Top Doctors for Women<br />

in Women’s Health magazine.<br />

Obituaries<br />

1940s<br />

Professor Dr. med Rudolf Juchems, 79,<br />

died Sept. 5, <strong>2008</strong>. He received his<br />

medical degree from the University<br />

of Bonn in 1956 and completed his<br />

residency in Wuerzburg, Germany,<br />

in 1962 after a fellowship in internal<br />

medicine at <strong>Mayo</strong> <strong>Clinic</strong> in 1961. In<br />

1970, he was appointed professor and<br />

chair of the Department of Internal<br />

Medicine in Aschaffenburg, retiring in<br />

1996. He was a founding and honorary<br />

member of the <strong>Mayo</strong> Alumni German<br />

Speaking Chapter and hosted the first<br />

scientific meeting of this society in<br />

Bonn in 1996. A cardiologist<br />

specializing in internal intensive care<br />

medicine, he was a member and<br />

participated in scientific societies in<br />

Germany and abroad. He was a<br />

member of The Doctors <strong>Mayo</strong> Society<br />

and Plummer Society and honorary<br />

member of the European Council<br />

of Emergency Medical Care and<br />

Resuscitation Medicine. Professor<br />

Juchems received the Bundesverdienstkreuz<br />

am Bande, one of the highest<br />

civil orders of the Federal Republic of<br />

Germany. He is survived by his wife,<br />

Olga, and five children.<br />

Norman Christensen, 93, died<br />

Nov. 18, <strong>2008</strong>, in Sun City, Ariz.<br />

Dr. Christensen received his medical<br />

degree from Rush Medical College,<br />

University of Chicago, and completed<br />

a <strong>Mayo</strong> <strong>Clinic</strong> residency in internal<br />

medicine in 1947. He was a physician in<br />

the U.S. Navy during World War II.<br />

Dr. Christensen joined <strong>Mayo</strong> <strong>Clinic</strong>’s<br />

Department of Internal Medicine in<br />

1947 and led the <strong>Mayo</strong> <strong>Clinic</strong> “Tetanus<br />

Team” until he retired in 1976.<br />

www.mayo.edu/alumni | 23


<strong>Mayo</strong> Update<br />

Dr. Christensen’s family provided a<br />

leadership gift to <strong>Mayo</strong> <strong>Clinic</strong> to name<br />

a lecture hall on the 10th floor of the<br />

Gonda Building the Dr. Norman A. and<br />

Kathleen B. Christensen Lecture Hall.<br />

Colin Holman, 91, died Nov. 13, <strong>2008</strong>,<br />

on Mercer Island, Wash. Dr. Holman<br />

received his medical degree from the<br />

University of Pennsylvania Medical<br />

School, Philadelphia. He served in<br />

the military during World War II.<br />

Dr. Holman joined the Department of<br />

Radiology at <strong>Mayo</strong> <strong>Clinic</strong> in 1949 and<br />

retired in 1980. Dr. Holman was a past<br />

president of the American Society of<br />

Neuro-Radiology and the American<br />

Roentgen Ray Society and was an<br />

emeritus fellow of the American<br />

College of Radiology.<br />

Vernon Mattox, 94, died Dec. 11, <strong>2008</strong>,<br />

in Rochester, Minn. Dr. Mattox received<br />

his Ph.D. from the University of<br />

Virginia, Charlottesville. He joined the<br />

Department of Biochemistry at <strong>Mayo</strong><br />

<strong>Clinic</strong> in 1942 and was chair from<br />

1964 to 1971. He was a professor of<br />

physiological chemistry at the College<br />

of Medicine, <strong>Mayo</strong> <strong>Clinic</strong>, and in<br />

1973 was appointed as the Hill Family<br />

Foundation Professor of Biochemistry<br />

at <strong>Mayo</strong> Medical School. Dr. Mattox<br />

served on the editorial board of the<br />

Journal of <strong>Clinic</strong>al Endocrinology and<br />

Metabolism and was a member of the<br />

Minnesota Mental Health Medical<br />

Policy Commission. He was a member<br />

of the American Society of Biological<br />

Chemists, Inc., American Chemical<br />

Society, Endocrine Society and<br />

<strong>Mayo</strong> Alumni Association.<br />

1950s<br />

Frazier Fyke Jr., 84, died Sept. 21, <strong>2008</strong>,<br />

in Ridgeland, Miss. Dr. Fyke received<br />

his medical degree from the University<br />

of Pennsylvania, Philadelphia, and<br />

completed a <strong>Mayo</strong> <strong>Clinic</strong> residency in<br />

internal medicine in 1956. He served<br />

in the military during the Korean War.<br />

Dr. Fyke was in private practice in<br />

Jackson, Miss., and was a senior<br />

partner with Jackson Medical <strong>Clinic</strong><br />

and medical director of the Medical<br />

Assurance Company of Mississippi. He<br />

was a fellow of the American College of<br />

Physicians and former chief of staff at<br />

Baptist Medical Center, Jackson.<br />

Maurice Kelley Jr., 84, died<br />

Oct. 19, <strong>2008</strong>, in Hanover, N.H.<br />

Dr. Kelley received his medical<br />

degree from the University of<br />

Rochester School of Medicine and<br />

Dentistry in Rochester, N.Y., and<br />

completed a <strong>Mayo</strong> <strong>Clinic</strong> residency<br />

in gastroenterology in 1959. He was a<br />

captain in the Air Force Medical Corps,<br />

stationed in England. Dr. Kelley was<br />

an associate professor of medicine at<br />

the University of Rochester School of<br />

Medicine and Dentistry. In 1967, he<br />

became the first section chief of<br />

Gastroenterology at Dartmouth-<br />

Hitchcock Medical Center in Hanover<br />

and was a professor of medicine at<br />

Dartmouth Medical School. Dr. Kelley<br />

was a member of the American College<br />

of Physicians and received its Laureate<br />

Award in 1993. He was a member of<br />

the American Medical Association<br />

and American Federation for<br />

<strong>Clinic</strong>al Research.<br />

1960s<br />

Ernest Herrmann Jr., 83, died<br />

Sept. 8, <strong>2008</strong>, in Rockville, Md.<br />

Dr. Herrmann received his doctor of<br />

philosophy degree from the University<br />

of Maryland, Baltimore. He served<br />

during World War II with the<br />

U.S. Navy. Dr. Herrmann was on<br />

the <strong>Mayo</strong> <strong>Clinic</strong> staff from 1961<br />

to 1962 and established the Viral<br />

Laboratory. He was a faculty member<br />

of the Peoria School of Medicine,<br />

College of Medicine, University of<br />

Illinois, before retiring in 1987.<br />

Robert Ryan, 81, died Oct. 31, <strong>2008</strong>, in<br />

Rochester, Minn. Dr. Ryan received his<br />

medical degree from the University<br />

of Cincinnati College of Medicine and<br />

joined the Department of Biochemistry<br />

at <strong>Mayo</strong> <strong>Clinic</strong> in 1967. He served in the<br />

U.S. Army. Dr. Ryan was a professor of<br />

medicine in the College of Medicine,<br />

<strong>Mayo</strong> <strong>Clinic</strong>. He received the <strong>Mayo</strong><br />

Distinguished Investigator Award<br />

in 1986 and the <strong>Mayo</strong> Distinguished<br />

Alumnus Award in 1994. He was an<br />

officer of the Endocrine Society and the<br />

Society for the Study of Reproduction.<br />

He received awards from both<br />

societies, as well as the Drake Medal<br />

from the University of Cincinnati<br />

College of Medicine. Dr. Ryan served<br />

on the National Institutes of Health,<br />

Ford Foundation and World Health<br />

Organization. He retired from <strong>Mayo</strong><br />

<strong>Clinic</strong> in 1990.<br />

Roy Shorter, 83, died Oct. 27, <strong>2008</strong>,<br />

in Rochester, Minn. Dr. Shorter<br />

received his medical degree in 1948<br />

from Westminster Hospital Medical<br />

School, Imperial College London. He<br />

was a lieutenant in the Royal Naval<br />

Volunteer Reserves. Dr. Shorter was<br />

a special appointee in the section of<br />

Experimental and Anatomic Pathology<br />

in 1958 and returned to <strong>Mayo</strong> in 1961<br />

as a consultant in that section. He was<br />

a professor of pathology and internal<br />

medicine in the College of Medicine,<br />

<strong>Mayo</strong> <strong>Clinic</strong>. Dr. Shorter received the<br />

Teacher of the Year Award from <strong>Mayo</strong><br />

Medical School in 1986 and the <strong>Mayo</strong><br />

Medical School Faculty Service Award<br />

in 1989. He retired from <strong>Mayo</strong> in 1991.<br />

24 | <strong>Mayo</strong> Alumni <strong>Winter</strong> <strong>2009</strong>


<strong>Mayo</strong> <strong>Clinic</strong> Alumni<br />

Association Officers<br />

David Teegarden, M.D., Tyler, Texas<br />

President<br />

S. Mark Laney, M.D., Fort Worth, Texas<br />

President Elect<br />

Eric Grigsby, M.D., Napa, Calif.<br />

Vice President<br />

Eric Edell, M.D., Rochester<br />

Secretary-Treasurer<br />

Scott Litin, M.D., Rochester<br />

Past President<br />

Karen Herman, Rochester<br />

Director<br />

Executive Committee<br />

Terrence Cascino, M.D., Rochester<br />

(Department of Education Representative)<br />

Maria Collazo-Clavell, M.D., Rochester<br />

Michael Farnell, M.D., Rochester<br />

Jason (Jay) Golbin, D.O., Rochester<br />

(MSGME Representative)<br />

Margaret Johnson, M.D., Jacksonville<br />

Andrew Landstrom, Rochester<br />

(MGS Representative)<br />

Jeff McKenzie, MMS II, Rochester<br />

(MMS Representative)<br />

Stephen Riederer, Ph.D., Rochester<br />

Carl Soderstrom, M.D., Peoria, Ill.<br />

Daniel Wochos, M.D., Scottsdale<br />

Board of Directors 2007–<strong>2009</strong><br />

Kenneth Brookler, M.D., New York, N.Y.<br />

Thomas Daugherty, M.D., Winchester, Va.<br />

Nancy Elwess, M.D., Plattsburg, N.Y.<br />

Bernard Harris, M.D., Houston<br />

Robert Kazan, M.D., Chicago<br />

Peter Layer, M.D., Hamburg, Germany<br />

Kevin Madden, M.D., Scranton, Pa.<br />

Matthew Melin, M.D., St. Louis Park, Minn.<br />

Melissa Merideth, M.D., Bethesda, Md.<br />

Neal Richmond, M.D., Louisville, Ky.<br />

David Romness, M.D., Arlington, Va.<br />

Robert Spinner, M.D., Rochester<br />

Mack Sullivan, M.D., Elkhart, Ind.<br />

Pamela Sylvestre, M.D., Memphis, Tenn.<br />

Karl Tamussino, M.D., Graz, Austria<br />

Robert Van Dervoort Jr., M.D.,<br />

Nashville, Tenn.<br />

Nicole Webel, M.D., Seattle<br />

Torrence Wilson, M.D., Rochester<br />

Executive Editor — Priscilla Russell<br />

Editorial Assistant — Patricia Voerding<br />

Advisory Board — Steven Altchuler, Ph.D., M.D., Eric Edell, M.D., chair,<br />

Brigitte Barrette, M.D., Matthew Bernard, M.D., Charles Burger, M.D.,<br />

Michael Farnell, M.D., Michelle Felten, Nancy Henry, Ph.D., M.D., Karen Herman,<br />

Richard Hurt, M.D., Nicholas LaRusso, M.D., Paul Mueller, M.D.,<br />

Lonzetta (Loni) Neal, M.D., Priscilla Russell, Sylvester Sterioff, M.D.,<br />

William Stone, M.D., Robert Viggiano, M.D., Dietlind Wahner-Roedler, M.D.,<br />

Alexandra Wolanskyj, M.D.<br />

Alumni Center<br />

507-284-2317<br />

Karen Herman, Administrator<br />

507-538-0162<br />

mayoalumni@mayo.edu<br />

Physician Referral<br />

Arizona 800-446-2279<br />

Jacksonville 800-634-1417<br />

Rochester 800-533-1564<br />

mayoclinic.org/medprofs<br />

Patient Transportation<br />

<strong>Mayo</strong> <strong>Clinic</strong> MedAir, <strong>Mayo</strong> One<br />

800-237-6822<br />

mayomedicaltransport.com<br />

For information<br />

about alumni meetings<br />

and receptions,<br />

visit<br />

mayo.edu/alumni<br />

<strong>Mayo</strong> Alumni magazine is published quarterly and mailed free of charge to physicians,<br />

scientists and medical educators who studied and/or trained at <strong>Mayo</strong> <strong>Clinic</strong>,<br />

and to <strong>Mayo</strong> consulting staff. The magazine reports on <strong>Mayo</strong> <strong>Clinic</strong> alumni, staff and<br />

students, and informs readers about newsworthy activities throughout <strong>Mayo</strong> <strong>Clinic</strong>.<br />

Please send correspondence to: <strong>Mayo</strong> <strong>Clinic</strong> Alumni Center, Siebens 5-33, <strong>Mayo</strong> <strong>Clinic</strong>,<br />

200 First Street S.W., Rochester, MN 55905; or via e-mail to voerding.patricia@mayo.edu;<br />

or telephone 507-284-2450; or fax 507-284-8713. Send address changes to the <strong>Mayo</strong> <strong>Clinic</strong><br />

Alumni Center office at the preceding address or e-mail to mayoalumni@mayo.edu.<br />

<strong>Mayo</strong> <strong>Clinic</strong> is committed to creating and sustaining an environment that respects and<br />

supports diversity in staff and patient populations.<br />

MC4409rev0209


Address service requested<br />

Division of Public Affairs<br />

<strong>Mayo</strong> <strong>Clinic</strong><br />

Rochester, Minnesota 55905<br />

Board of Trustees announces<br />

named professorships<br />

The <strong>Mayo</strong> <strong>Clinic</strong> Board of Trustees recognized four<br />

awardees of <strong>Mayo</strong> <strong>Clinic</strong> named professorships at<br />

its quarterly meeting in November:<br />

Sundeep Khosla, M.D., Dr. Francis Chucker and Nathan Landow<br />

Research Professorship<br />

Walter Wilson, M.D., Edward G. Rosenow, III, M.D.<br />

Professorship in the Art of Medicine<br />

Diane Jelinek, Ph.D., Gene and Mary Lou Kurtz<br />

Professorship in Multiple Myeloma Research<br />

Douglas Packer, M.D., John M. Nasseff, Sr.,<br />

Professorship in Cardiology in Honor of Dr. Burton Onofrio<br />

To read the story in its entirety,<br />

visit mayo.edu/alumni.<br />

Non-Profit Organization<br />

U.S. Postage<br />

PAID<br />

Rochester, MN 55905<br />

Permit No. 135<br />

Let us help you communicate<br />

and stay up-to-date<br />

Don’t forget to register for the newly enhanced <strong>Mayo</strong><br />

<strong>Clinic</strong> Alumni Association Web site, mayo.edu/alumni.<br />

Registering will allow you to access:<br />

• Online Alumni Directory<br />

• Alumni Groups (departments, specialties, regional)<br />

• Colleague Notes<br />

• Events Calendar (including online dues payment)<br />

• Member Services<br />

Before you can access the password-protected<br />

“Alumni Services” feature, you must contact the<br />

Alumni Association office to obtain a verification<br />

number for use in registration.<br />

Alumni Association offi ce<br />

mayoalumni@mayo.edu<br />

507-284-2317<br />

mayo.edu/alumni

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