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the pursuit of parkinson's - The University of Alabama at Birmingham

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An Upd<strong>at</strong>e on <strong>the</strong> UASOM in Huntsville and Tuscaloosa<br />

By Dawn Mesa<br />

With <strong>the</strong> recent opening <strong>of</strong> <strong>the</strong> new clinical building,<br />

UASOM faculty and students in Huntsville are<br />

thrilled to be loc<strong>at</strong>ed under one ro<strong>of</strong>. Consisting <strong>of</strong><br />

three stories with approxim<strong>at</strong>ely 93,000 square feet<br />

<strong>of</strong> space, <strong>the</strong> building had its grand opening celebr<strong>at</strong>ion<br />

in March.<br />

<strong>The</strong> first floor <strong>of</strong> <strong>the</strong> building houses <strong>the</strong> VA clinic, as<br />

well as lease space for a pharmacy and a durable medical<br />

equipment showroom. <strong>The</strong> second floor is where <strong>the</strong><br />

family medicine center is loc<strong>at</strong>ed—with OB/GYN,<br />

pedi<strong>at</strong>rics, and internal medicine clinics. O<strong>the</strong>r clinical<br />

activities also take place on <strong>the</strong> second floor, with 36<br />

exam rooms and a special procedures area. <strong>The</strong> administr<strong>at</strong>ive<br />

and faculty <strong>of</strong>fices are loc<strong>at</strong>ed on <strong>the</strong> third floor,<br />

along with <strong>the</strong> medical library, three classrooms, three<br />

<strong>The</strong> new clinical space <strong>at</strong> <strong>the</strong> UASOM Huntsville<br />

brings all <strong>of</strong> its departments toge<strong>the</strong>r in one place.<br />

conference rooms, a student and resident lounge, and an<br />

auditorium. At <strong>the</strong> same time, <strong>the</strong> UASOM has kept<br />

space available in <strong>the</strong> new facility for future growth.<br />

Founded in 1973, <strong>the</strong> UASOM Huntsville had<br />

been housed in two loc<strong>at</strong>ions since its inception.<br />

This new building places all <strong>of</strong> its departments and<br />

people under <strong>the</strong> same ro<strong>of</strong>. “It’s given us an opportunity<br />

to be one cohesive group,” says Paula<br />

Cothren, director <strong>of</strong> academic programs and<br />

administr<strong>at</strong>ive affairs in Huntsville.<br />

In addition to <strong>the</strong> new facility, <strong>the</strong> Huntsville program<br />

recently became a member <strong>of</strong> <strong>the</strong> Nor<strong>the</strong>rn<br />

<strong>Alabama</strong> Health Educ<strong>at</strong>ion Consortium (NAHEC)—<br />

a pipeline program designed to help identify and mentor<br />

students in junior colleges throughout <strong>the</strong> st<strong>at</strong>e<br />

who are interested in careers in health-rel<strong>at</strong>ed fields<br />

including medicine, nursing, and pharmacy.<br />

NEW BUILDING, ONGOING PROGRAMS<br />

Looking to <strong>the</strong> south, ground was recently broken<br />

for a new UASOM Tuscaloosa building.<br />

According to William Curry, M.D., FACP, associ<strong>at</strong>e<br />

dean <strong>of</strong> <strong>the</strong> Tuscaloosa program, “It’s really going to<br />

be a gre<strong>at</strong> building, functionally and appearancewise.”<br />

Construction began in December 2002 and<br />

is sl<strong>at</strong>ed to be complete in April 2004. Totaling<br />

77,000 square feet, <strong>the</strong> two-story building will<br />

house all faculty and departmental <strong>of</strong>fices, as well as<br />

central administr<strong>at</strong>ion, clinics, <strong>the</strong> health-sciences<br />

library, medical student affairs, and all support<br />

services. A few <strong>of</strong> <strong>the</strong> rural programs will remain in<br />

Nott Hall because <strong>the</strong>y serve a lot <strong>of</strong> undergradu<strong>at</strong>e<br />

and gradu<strong>at</strong>e students, says Curry.<br />

Ano<strong>the</strong>r development in Tuscaloosa th<strong>at</strong> involves<br />

both p<strong>at</strong>ient care and clinical teaching is <strong>the</strong> conversion<br />

<strong>of</strong> <strong>the</strong> medical records system from a paperbased<br />

to an electronic system. Implement<strong>at</strong>ion<br />

began in April 2002, and <strong>the</strong> last remaining department<br />

was brought on in July 2003.<br />

<strong>The</strong> Rural Health Scholars Program for rural highschool<br />

students is still a big initi<strong>at</strong>ive <strong>at</strong> <strong>the</strong> UASOM<br />

Tuscaloosa, as is <strong>the</strong> Rural Medical Scholars Program,<br />

which is in its eighth year. In this program, rural college<br />

students receive early admission to medical school<br />

if <strong>the</strong>y have expressed an intent to return to rural<br />

<strong>Alabama</strong> communities to practice medicine once <strong>the</strong>ir<br />

formal medical educ<strong>at</strong>ion is complete. <strong>The</strong>re is also a<br />

Rural Minority Scholars Program in place th<strong>at</strong> targets<br />

minority students <strong>at</strong> <strong>the</strong> same high-school level as <strong>the</strong><br />

Rural Health Scholars Program. “We are looking for<br />

ways to expand th<strong>at</strong> ‘pipeline’ concept to get more<br />

rural college students interested in health pr<strong>of</strong>essions,<br />

especially rural medicine,” Curry says.<br />

<strong>The</strong> Institute for Rural Health Research, under<br />

John C. Higginbotham, Ph.D., MPH, <strong>at</strong> <strong>the</strong><br />

UASOM Tuscaloosa has a number <strong>of</strong> communitybased<br />

research projects under way th<strong>at</strong> have to do with<br />

dispar<strong>at</strong>e outcomes in cancer and infant mortality<br />

r<strong>at</strong>es, particularly common in rural <strong>Alabama</strong>. <strong>The</strong><br />

biggest single project <strong>the</strong>y have in place is Project<br />

EXPORT (Excellence in Partnerships for Community<br />

Outreach, Research on Health Disparities and<br />

Training), which is a five-year, $5-million-plus collabor<strong>at</strong>ive<br />

effort between <strong>the</strong> Tuscaloosa program and<br />

Construction continues on <strong>the</strong> new UASOM<br />

building in Tuscaloosa.<br />

Tuskegee <strong>University</strong>. <strong>The</strong> funds are being used to<br />

establish a center <strong>of</strong> excellence through facilities on<br />

both campuses. <strong>The</strong> center will demonstr<strong>at</strong>e <strong>the</strong> effectiveness<br />

<strong>of</strong> a str<strong>at</strong>egy combining <strong>the</strong> methods <strong>of</strong> public<br />

health and bioethics in programs <strong>of</strong> research, educ<strong>at</strong>ion,<br />

and outreach to reduce disparities in disease<br />

and disabilities in <strong>the</strong> Black Belt region <strong>of</strong> <strong>Alabama</strong>.<br />

progressed so far th<strong>at</strong> he was forced into early<br />

retirement from his practice <strong>at</strong> St. Vincent’s<br />

Hospital. But it wasn’t until November 1995 th<strong>at</strong><br />

he was actually diagnosed with <strong>the</strong> rare disease.<br />

“Prior to th<strong>at</strong>, I thought I had ALS [amyotrophic<br />

l<strong>at</strong>eral sclerosis] because I had a lot <strong>of</strong> symptoms <strong>of</strong><br />

Lou Gehrig’s disease,” he says. But, to his relief, a<br />

steak dinner proved th<strong>at</strong> diagnosis wrong. “I came<br />

home and my wife had cooked some steak,” says<br />

Henderson. “With ALS, you lose <strong>the</strong> ability to swallow<br />

before you lose <strong>the</strong> ability to chew. When I was<br />

e<strong>at</strong>ing <strong>the</strong> steak, I found th<strong>at</strong> I couldn’t chew.”<br />

Since <strong>the</strong>n, he’s come a long way in improving<br />

his health. “I feel as good as I will feel until we find<br />

a cure for MG,” he says. “I <strong>at</strong>tribute th<strong>at</strong> to <strong>the</strong>rapy<br />

and my coming to peace with <strong>the</strong> fact th<strong>at</strong> I am<br />

66 years old and have MG.” He also points to<br />

keeping his stress level down, meaning th<strong>at</strong> he can’t<br />

return to work despite his desire to do so. But for<br />

someone not “working,” he certainly is making a<br />

difference in <strong>the</strong> world.<br />

In addition to his new role as author, Henderson<br />

is also <strong>the</strong> founder and chairman <strong>of</strong> <strong>the</strong> Intern<strong>at</strong>ional<br />

Autoimmune Disease Research Found<strong>at</strong>ion, and he<br />

counsels o<strong>the</strong>rs with autoimmune diseases. He’s also<br />

enlisted UAB physiology pr<strong>of</strong>essor J. Edwin Blalock,<br />

Ph.D.—who’s had some successful breakthroughs<br />

already—to research cures, and he’s working on getting<br />

more funding through <strong>the</strong> N<strong>at</strong>ional Institutes <strong>of</strong><br />

Health and o<strong>the</strong>r sources.<br />

So far, though, <strong>the</strong>re haven’t been enough financial<br />

resources dedic<strong>at</strong>ed to autoimmune disease<br />

research, he says. “We want our fair share <strong>of</strong> funding<br />

for research,” considering th<strong>at</strong> <strong>the</strong> number <strong>of</strong> workdays<br />

lost by a p<strong>at</strong>ient with autoimmune disease is<br />

double those lost by all heart disease and stroke<br />

p<strong>at</strong>ients combined, he says.<br />

While <strong>the</strong> b<strong>at</strong>tle for funding continues, so does his<br />

b<strong>at</strong>tle against MG. “I have good days and bad days,”<br />

he says, adding th<strong>at</strong> his emotional and spiritual<br />

health are factors th<strong>at</strong> help keep his MG in check.<br />

17

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