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SPRING 2011 - Baptist Health South Florida

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<strong>SPRING</strong> <strong>2011</strong>


<strong>Baptist</strong> <strong>Health</strong> <strong>South</strong> <strong>Florida</strong> Chairman of the Board,<br />

Judge Robert Dubé; President, Brian E. Keeley. Trustees:<br />

Tony Alonso, Calvin Babcock, Yerby Barker, Wendell<br />

Beard, George Cadman III, James Carr, the Rev. William<br />

Chambers III, the Rev. David W. Cleeland, George Corrigan,<br />

William Dickinson, Joyce Elam, Herbert Greene, M.D.,<br />

George Harth, Jay Hershoff, Charles Hood III, the Rev. Dr.<br />

Gary Johnson, Norman Kenyon, M.D., Rudy Kranys, the<br />

Rev. Richard Ledgister, the Rev. Wilner Maxy, Paul May,<br />

the Rev. Dr. Marcos Ramos, Aida Shafer, Ronald Shuffield,<br />

Roberta Stokes, W. Peter Temling, the Rev. Tom Thompson,<br />

Bill Tillett, Scott Weston, the Rev. Dr. William White.<br />

<strong>Baptist</strong> Hospital of Miami Board Chair, Calvin Babcock;<br />

President, <strong>Baptist</strong> Hospital Medical Staff, Eugene Eisner,<br />

M.D.; Chief Executive Officer, Bo Boulenger.<br />

<strong>South</strong> Miami Hospital Board Chair, Yerby Barker;<br />

President, <strong>South</strong> Miami Hospital Medical Staff, Guillermo<br />

Pol, M.D.; Chief Executive Officer, Lincoln Mendez.<br />

Homestead Hospital Board Chair, the Rev. William<br />

Chambers III; President, Homestead Hospital Medical<br />

Staff, George Tershakovec, M.D.; Chief Executive Officer,<br />

William Duquette.<br />

Mariners Hospital Board Chair, Jay Hershoff; President,<br />

Mariners Hospital Medical Staff, Elisa Brown-Soltero, M.D.;<br />

Chief Executive Officer, Rick Freeburg.<br />

Doctors Hospital Board Chair, Norman Kenyon, M.D.;<br />

President, Doctors Hospital Medical Staff, Jack Cooper,<br />

M.D.; Chief Executive Officer, Nelson Lazo.<br />

<strong>Baptist</strong> Outpatient Services Board Chair, Roberta Stokes;<br />

Chief Executive Officer, Patricia Rosello.<br />

<strong>Baptist</strong> <strong>Health</strong> Enterprises Board Chair, James Carr;<br />

Chief Executive Officer, Ana Lopez-Blazquez.<br />

<strong>Baptist</strong> <strong>Health</strong> <strong>South</strong> <strong>Florida</strong> Foundation Board Chair,<br />

Rudy Kranys; Chief Executive Officer, Stephen Parsons.<br />

Directors of Affiliated Boards Yvette Aleman, Dick<br />

Anderson, George Aronoff, Orlando Bajos, James Barker,<br />

Matthew Becherer, Kerrin Bermont, Robert Berrin, Michael<br />

Bileca, Bonnie Blaire, James Boruszak, Steven Brodie,<br />

Bette Brown, Joseph Buchanan, Robert Burstein, Miguel<br />

Cano, Willie Carpenter, Mark Caruso, M.D., Gerald Case,<br />

Ray Castellanos, Mauricio Cayon, Barron Channer, Maria<br />

Costa-Smith, Augustin de Goytisolo, Elizabeth Diaz de<br />

Villegas, Lani Kahn Drody, Joyce Elam, Tomas Erban, Manuel<br />

Fernandez, Carlos Garcia, Peter Gardner, Maria Garza,<br />

William Gilbert Jr., Robert Gintel, Gretchen Goslin, Michael<br />

Graham, M.D., Leif Gunderson, Barry Halpern, M.D.,<br />

Kent Hamill, James Harris, Alysa Herman, M.D., Elizabeth<br />

Hernandez, Gerald Hirsch, Nathan Hirsch, M.D., G. Glenn<br />

Huber, Jacque Huttoe, Jeanne Jacobs, Ph.D., David<br />

Johnson, Lane Jones, S. Lawrence Kahn III, George Kakouris,<br />

George Knox, Manuel Lasaga, Katrina Lavene, Cynthia<br />

Leesfield, Maria Camila Leiva, Orlando Leon, M.D., Andrew<br />

Levy, James Loewenherz, M.D., Victoria London, Miriam<br />

Lopez, John Maas, Bruce MacArthur, Joseph McCain,<br />

DMD, Derek McDowell, Jo McGregor-Ganus, Stanley<br />

Margulies, M.D., Joy Martin, Charlie Martinez, Andrew<br />

Menachem, Hans Mueller, Patricia Mull, Ramon Oyarzun,<br />

Martha Pantin, Johanna Paterson, Ann Pope, Samuel<br />

Porco Jr., DMD, Juan-Carlos Quintero, DMD, Ramón Rasco,<br />

Charlen Regan, Ian Reiss, M.D., Bonnie Rippingille, Domingo<br />

Rodriguez, Gonzalo Sanabria, Steven Sapp, Joel Schenkman,<br />

M.D., Betty Schilling, I.E. Schilling, Robert Shafer Jr., Emery<br />

Sheer, Joel Shepherd, Karent Sierra, DDS, Paul Soulé,<br />

Patricia Stanley, Lee Stapleton, Rene Taylor, Patricia Thorp,<br />

Bill Tillett, Joseph Traina, M.D., Sats Tripathy, Nick Waddell,<br />

Jeff Weiner, Warren Weiser, Lisa White, William Wilson III,<br />

Robert Zolten, M.D., Leonard Zwerling, M.D.<br />

EDITOR Jo Baxter<br />

CONTRIBUTING EDITOR Patty Shillington<br />

ART DIRECTOR Elizabeth Lane Lawhorn<br />

WRITERS Liz Doup, Sheila Konczewski, Sharon Harvey<br />

Rosenberg, Elizabeth Rosenthal, Anne Streeter, Adrienne<br />

Sylver, Phyllis Teitelbaum, Tanya Walton<br />

EDITORIAL ASSISTANTS Georgette Koch, Barbara Moore,<br />

Dee Moustakas, Dorothy Stein<br />

PHOTOGRAPHY Mabel Rodriguez<br />

TO SEND COMMENTS, ADDRESS CHANGES OR TO UNSUBSCRIBE,<br />

E-MAIL MyResource @ baptisthealth.net<br />

6855 Red Road, Suite 600,Coral Gables, FL 33143<br />

baptisthealth.net


Women&<strong>Health</strong><br />

Fibroid Center offers team approach<br />

F<br />

or four years, Kimberly Mitchell suffered<br />

with symptoms caused by noncancerous<br />

growths known as uterine fibroids.<br />

Birth control pills no longer alleviated<br />

the breakthrough bleeding and lower<br />

back pain. And the fibroids kept growing.<br />

“I got discouraged and wasn’t sure<br />

what to do,” said Ms. Mitchell, a Miami<br />

mother of three. Then she discovered<br />

<strong>South</strong> Miami Hospital’s Fibroid Center,<br />

which opened last fall as part of the hospital’s<br />

Center for Women & Infants.<br />

The Fibroid Center offers women a<br />

unique, multispecialty approach to diagnosing<br />

and treating their problems, all in<br />

one location.<br />

“This is a one-stop shop and very convenient<br />

for the patient,” said gynecologist<br />

Rafael Perez, M.D., medical director of the<br />

Center. “Everything is done in one place with<br />

experienced physicians evaluating all the<br />

treatments and using the latest techniques.”<br />

The Center features a team of specialists<br />

including gynecologists, robotic surgeons,<br />

diagnostic and interventional radiologists<br />

and fertility specialists. Along with<br />

the women and their own doctors, these<br />

specialists work together to develop and<br />

implement a treatment plan tailored to<br />

each patient.<br />

“Historically, for a woman to get all her<br />

options, she had to go to two or three doctors,’’<br />

said interventional radiologist Adam<br />

Geronemus, M.D. “Ours is a team approach.<br />

After looking at all the patient’s information,<br />

Kimberly Mitchell discusses treatment options with<br />

Rafael Perez, M.D.<br />

we collaborate. We’re able to<br />

give her all her options.”<br />

Dealing with fibroids can<br />

be emotional for women,<br />

especially when they want a<br />

family. “Many women are<br />

concerned about retaining<br />

their fertility,” said reproductive<br />

endocrinologist Maria<br />

Bustillo, M.D. “We do a lot of<br />

handholding.’’<br />

As many as 50 to 80 percent<br />

of women develop<br />

fibroids during their lifetime,<br />

though not all experience<br />

symptoms. Because fibroids<br />

vary in size and location,<br />

symptoms and treatments<br />

vary. Symptoms range from<br />

severe menstrual cramps and<br />

painful intercourse to anemia<br />

and miscarriages.<br />

The Center’s specialists perform different<br />

treatments to shrink the growths,<br />

including fibroid embolization, laparoscopic<br />

or robotic myomectomy, which<br />

leaves the uterus intact; removal of the uterine<br />

lining; and laparoscopic or robotic hysterectomy,<br />

which removes the uterus.<br />

Most insurance plans cover the Center’s<br />

services. In addition, each doctor bills<br />

the patient’s insurance company. An evaluation<br />

and office visit with a nurse practitioner<br />

for those without insurance is $50.<br />

Ms. Mitchell, 34, found the Center efficient<br />

and the staff accommodating. Drs.<br />

Perez and Geronemus presented her with<br />

several options, explaining each in detail.<br />

She decided on a robot-assisted hysterectomy,<br />

which typically results in less scarring<br />

and postoperative pain and a quicker<br />

return to normal activities than a traditional<br />

hysterectomy.<br />

Before going to the Center, “I wasn’t<br />

aware of all the methods and technology,’’<br />

Ms. Mitchell said. “Now that I’ve learned so<br />

much, it helped in making my decision.”<br />

To contact the Fibroid Center, call<br />

786-662-8585. — Liz Doup<br />

BREAST MRIs MAY SAVE LIVES<br />

Annual MRIs plus mammograms and breast exams may help save lives of<br />

women at high risk for breast cancer — those with mutations in the BRCA1 or BRCA2 genes or with a family history of breast<br />

cancer. A Dutch study published in The Journal of Clinical Oncology is the first to measure whether adding MRIs to mammography<br />

screening increases survival.<br />

In 2,157 high-risk women, researchers found that after six years of the combined screenings, 93 percent of those with the<br />

gene mutation were alive, compared to 74 percent who were alive at five years in earlier studies without MRIs. In women<br />

with the BRCA1 mutation, MRI was superior to mammograms in finding cancer. All of those with family histories of<br />

breast cancer were still alive after six years.<br />

In recent years, annual breast MRIs along with mammograms have been recommended for those at increased risk for<br />

breast cancer. MRI is better at finding tumors, but mammography is also needed to detect cancers missed by MRI. Breast<br />

MRIs are not advised for women with average risk because of the chances for finding abnormalities that aren’t cancer, leading<br />

to unnecessary biopsies and repeat scans.<br />

Talk to your doctor about what breast cancer screening regimen is best for you. A prescription is needed. To make an appointment,<br />

call 786-573-6000 in Miami-Dade, 954-837-1000 in Broward or 305-434-1588 (mammography only) in Monroe County.<br />

—Anne Streeter<br />

RESOURCE 3


MAYBE YOU’RE CURIOUS about weight-loss<br />

surgery and wonder what the life-changing program entails.<br />

Perhaps your spouse needs a stent placed in a blocked artery<br />

following a heart attack and you want to know more about the<br />

procedure. Maybe you’re at your wit’s end with back pain.<br />

And what exactly is a Gamma Knife, now that your friend has<br />

been diagnosed with an inoperable brain tumor?<br />

If you’re like millions of American adults, you turn to the<br />

Internet for information about health and medical issues.<br />

Helen Gonzalez did just that when yo-yo dieting was complicating<br />

her weight problem and risking her health. She went<br />

online to learn about the surgical options and found Anthony<br />

Gonzalez, M.D., medical director of <strong>South</strong> Miami Hospital’s<br />

Weight-loss Surgery Program. The mother of nine children<br />

and stepchildren, Ms. Gonzalez agreed to contribute to <strong>Baptist</strong><br />

<strong>Health</strong>’s weight-loss surgery blog, Winning at Losing, in<br />

the hope that sharing her experiences would help others.<br />

Research suggests<br />

that healthcare websites<br />

and blogs increasingly<br />

do make a difference.<br />

Eight out of 10 Internet users — roughly 60 percent of<br />

American adults — sought health information online in 2010,<br />

according to a <strong>Health</strong> Topics report by the Pew Internet and<br />

American Life Project. A decade ago, only 25 percent of American<br />

adults relied on the Web for health information.<br />

In response to the expanding use of the Internet,<br />

<strong>Baptist</strong> <strong>Health</strong> has broadened its online offerings to<br />

help educate patients and healthcare consumers.<br />

“Today we’re dealing with a more educated consumer,<br />

which makes a better patient,” said cardiologist<br />

Ted Feldman, M.D., medical director of <strong>South</strong><br />

Miami Heart Center. “People are taking responsibility<br />

for their care. We’re giving people tools to get<br />

educated and deal with these issues in the comfort<br />

of their own home. It’s a very exciting time.”<br />

Many of <strong>Baptist</strong> <strong>Health</strong>’s websites feature medical<br />

libraries with multimedia presentations, including<br />

videos, podcasts, animations and interactive<br />

programs. These tools allow patients and consumers<br />

to research a wealth of topics and gain an under-<br />

Helen Gonzalez, who has lost more<br />

than 100 pounds, blogs about it at<br />

<strong>South</strong>MiamiWeightloss.com.<br />

A Wealth of <strong>Health</strong><br />

on the Web


A primer on websites<br />

standing beyond what words alone<br />

can impart. In addition, Internet users<br />

can watch moderated webcasts of surgical<br />

procedures at <strong>Baptist</strong> <strong>Health</strong> hospitals<br />

and can even take <strong>Baptist</strong> Hospital<br />

childbirth classes online.<br />

Stories about real-life patients and<br />

their treatments add personal insight<br />

to the websites, as do blogs about<br />

Ted Feldman, M.D.<br />

breast cancer and weight-loss surgery.<br />

“I hope that other people who have similar or different issues<br />

than I did will benefit from what I write,” said Ms. Gonzalez,<br />

46, who underwent weight-loss and gallbladder surgery last<br />

summer and had lost 100 pounds by the new year. “This has<br />

been life-changing for me.”<br />

In the end, these constantly evolving virtual elements combine<br />

with the potential to improve patient care, say <strong>Baptist</strong><br />

<strong>Health</strong> medical leaders.<br />

Indeed, a 2009 Pew report titled The Social Life of <strong>Health</strong><br />

Information found that so-called “e-patients” reported overwhelmingly<br />

positive experiences from seeking out health<br />

information online. Specifically:<br />

• 60 percent of e-patients say they or someone they know has<br />

been helped by health information discovered on the Internet.<br />

• 41 percent have turned to an online news group, website or<br />

blog to read health-related commentary.<br />

• 24 percent have gone online to<br />

check reviews of doctors.<br />

While the impact of online health<br />

information already is evident, it’s just<br />

the beginning, said Dr. Feldman and<br />

interventional radiologist Barry<br />

Katzen, M.D., founder and medical<br />

director of <strong>Baptist</strong> Cardiac & Vascular<br />

Barry Katzen, M.D.<br />

Institute. They envision using Internet<br />

technology to transform the way medical care is given,<br />

once the accepted standards of care in the practice of medicine<br />

catch up with technology.<br />

Dr. Katzen would like to see patients receive real-time<br />

e-reminders to take their medication, for example, because<br />

<strong>Baptist</strong> <strong>Health</strong>’s expanding set of websites offers education<br />

about medical conditions, treatment options and<br />

other clinical information. Here’s a primer on <strong>Baptist</strong><br />

<strong>Health</strong> websites:<br />

<strong>Baptist</strong><strong>Health</strong>.net and <strong>Baptist</strong>Salud.net: <strong>Baptist</strong> <strong>Health</strong>’s<br />

home website gives an overview of the largest not-forprofit<br />

healthcare organization in the region, with details<br />

about <strong>Baptist</strong> Hospital, <strong>Baptist</strong><br />

Children’s Hospital, <strong>South</strong><br />

Miami Hospital, Doctors Hospital,<br />

Homestead Hospital and<br />

Mariners Hospital. You can<br />

check estimated wait times at<br />

hospital emergency centers<br />

and <strong>Baptist</strong> Outpatient Services’<br />

urgent care centers.<br />

<strong>Baptist</strong>Heart.net, <strong>Baptist</strong>Corazon.net and <strong>South</strong>Miami-<br />

Heart.com: Learn about cardiovascular conditions and<br />

their treatments, from aortic aneurysms and peripheral<br />

artery disease to structural heart defects and irregular<br />

heartbeats. Meet the doctors and some of their patients.<br />

Find heart-healthy recipes and interactive tools to assess<br />

your risk, and make an appointment for a vascular<br />

screening.<br />

<strong>South</strong>MiamiWeightloss.com: Get information about<br />

obesity, the different types of weight-loss surgery and<br />

the process of becoming a candidate for the surgery.<br />

You can calculate your body mass index (BMI) and read<br />

Winning at Losing, the blog with entries from weightloss<br />

surgery patient Helen Gonzalez, as well as members<br />

of <strong>South</strong> Miami Hospital’s Weight-loss Surgery<br />

Program team.<br />

<strong>Baptist</strong>SpineCenter.com: Learn about conditions of the<br />

back and neck, and the conservative, multidisciplinary<br />

approach to treating back pain. Find out when minimally<br />

invasive surgery may be the best option.<br />

MiamiGammaKnifeCenter.com: Complete with stories<br />

and videos of patients, this website provides details<br />

about Gamma Knife radiosurgery — what it is (a noninvasive<br />

treatment) and when it’s used (for certain brain<br />

tumors, facial nerve pain, blood vessel abnormalities<br />

and other head and neck and neurological conditions).<br />

GetTreatedBetter.com, ConsientaseBien.com, KidsGet-<br />

TreatedBetter.com and ConsientalosBien.com: These<br />

sites provide details about urgent care and diagnostic<br />

imaging tests, such as MRI, CT scan and mammography.<br />

BreastCancerHealingJourney.com: This blog, Healing<br />

Journeys, features posts from a breast cancer survivor<br />

and links to cancer information.<br />

Continued on page 6<br />

RESOURCE 5


Continued from page 5<br />

noncompliance with medication instructions is the top reason<br />

that medication therapy fails. Patients could report symptoms,<br />

ask questions and receive responses quickly and efficiently. In<br />

turn, the Institute would be better able to follow up on patients.<br />

“We’re interested in Internet tools that will allow us to communicate<br />

with patients through e-mail and PDA applications,” Dr.<br />

Katzen said. “I think we can use these websites to increase our link<br />

to our patients — not just providing them with information but<br />

proactively interacting with them to improve their health and get<br />

involved in the care cycle.”<br />

A big part of Dr. Feldman’s practice at <strong>South</strong> Miami Heart<br />

Center is preventive cardiology, in which he counsels patients<br />

about how to better control their cholesterol, blood pressure and<br />

other cardiovascular indicators. He pictures Web conferences<br />

with patients, when appropriate, allowing him to practice cardiology<br />

in a more safe, environmentally responsible and cost-effective<br />

manner.<br />

“Much of what I do is consultations — talking to people about<br />

lifestyle changes, side effects of medications, the risks and benefits<br />

of surgery. You could charge less, be more efficient and more<br />

green. Patients would love it.<br />

“It’s just a matter of time,” Dr. Feldman said, “before the Web<br />

becomes a place where people receive medical care.”<br />

—Patty Shillington<br />

Stay in touch — with us.<br />

It’s more important than ever to stay connected. That’s why you’ll find free Wi-Fi at all<br />

<strong>Baptist</strong> <strong>Health</strong> hospitals, medical plazas and facilities.<br />

It’s just one of the many ways <strong>Baptist</strong> <strong>Health</strong> is connected to our patients. We employ the<br />

latest technology to keep tabs on your medication and the status of your health. And our eICU<br />

LifeGuard allows specialists to closely monitor intensive care patients 24/7.<br />

We keep in touch with the latest trends in technology. That’s why we never lose touch<br />

with you — follow <strong>Baptist</strong> <strong>Health</strong>SF on Facebook, Twitter and YouTube.<br />

baptisthealth.net<br />

6 RESOURCE


KidStuff<br />

Intervene to stop bullying<br />

Tyler Clementi, 18. Seth Walsh, 13. Phoebe Prince, 15. Hope Witsell,<br />

13. Billy Lucas, 15. One was a talented violinist, another<br />

loved to show horses. We will never know, however, who these<br />

teens would have become because each one committed suicide<br />

after relentless bullying.<br />

The issue of bullying has received significant attention lately<br />

due to the rash of suicides by victims, but The Melissa Institute for<br />

Violence Prevention and Treatment has been helping kids and<br />

adults put an end to bullying for more than a decade.<br />

The Institute held two educational programs on bullying last<br />

fall — Banishing Bullying, a <strong>Baptist</strong> Children’s Hospital parenting<br />

class, and another program attended by more than 230 public<br />

school psychologists, social workers and counselors.<br />

“It’s important to understand that all bullying, whether it’s<br />

“It’s important to understand<br />

that all bullying ... requires adult<br />

intervention and assistance.”<br />

— Trish Ramsey, The Melissa Institute<br />

for Violence Prevention<br />

direct like hitting, kicking or taunting; or indirect, like spreading<br />

rumors, causing a person to be socially isolated or cyber-bullying,<br />

requires adult intervention and assistance,” said Trish Ramsay,<br />

education director of The Melissa Institute.<br />

“Bullying is a relationship problem that requires relationship<br />

solutions in all of the places where children live, learn, play and<br />

work,” said Debra Pepler, Ph.D., a member of the Institute’s Scientific<br />

Board and a distinguished research professor of psychology at<br />

York University in Toronto. Research has shown, she added, that<br />

when someone intervenes, bullying stops within 10 seconds in<br />

half of all cases.<br />

Support is necessary for the bully, the victim and the bystander.<br />

The bully needs to understand the impact of his or her behavior<br />

and find ways to achieve power and status through positive leadership.<br />

The victim needs protection and support<br />

in developing confidence and positive<br />

friendships. The bystanders need to recognize<br />

that inaction contributes to the problem<br />

and that there are ways they can stop<br />

bullying and support their peers.<br />

“Telling is not the same thing as tattling,”<br />

Ms. Ramsay said. “Telling will get someone<br />

out of trouble. Tattling is designed to get<br />

someone into trouble.”<br />

One mother at the parenting program<br />

said she was worried that her son would be<br />

bullied after they move this summer and he<br />

begins middle school in a new town. His<br />

height, far above that of his peers, she said,<br />

might make him a target.<br />

Ms. Ramsay advised the mother that role<br />

HEART DISEASE STARTS IN CHILDHOOD<br />

Parents concerned about their children’s health can add<br />

another worry to their list: heart disease. Research shows it<br />

starts in childhood.<br />

But the child who develops heart-healthy habits as a youngster<br />

or adolescent may reap benefits in adulthood, according to<br />

two new studies published in the American Heart Association<br />

journal Circulation.<br />

“This is exciting because we could be preventing cardiovascular<br />

disease later on by intervening early,’’ said Madeleen<br />

Mas, M.D., a pediatric cardiologist at <strong>Baptist</strong> Children’s Hospital.<br />

Cardiovascular disease remains the top cause of death in<br />

men and women in this country. Because obesity is linked to<br />

heart disease, physicians worry that the epidemic of overweight<br />

children portends a future explosion of cardiac problems,<br />

Dr. Mas said.<br />

One study suggests that the presence<br />

of such risk factors as abnormal<br />

cholesterol and high blood pressure<br />

by around age 9 strongly<br />

predicts that the neck artery walls<br />

will thicken by early adulthood. That<br />

thickening is a precursor to strokes and<br />

heart attacks.<br />

As a result, it’s important for parents to<br />

schedule a heart-risk evaluation for their child if a<br />

pediatrician already hasn’t suggested it, Dr. Mas said.<br />

These evaluations typically include questions about diet<br />

and exercise as well as checking the child’s cholesterol,<br />

blood pressure and body mass index, which measures weight<br />

in relation to height.<br />

If a problem exists, initial treatment focuses on lifestyle<br />

8 RESOURCE


All about kids<br />

playing could help her son stand tall and exude confidence, making<br />

it less likely that he will be bullied. In addition, she suggested the<br />

mother work to find a friend or two for her son before the school<br />

year starts.<br />

“Unfortunately, there’s not one answer that fits every situation,”<br />

Ms. Ramsay said.<br />

There may be times when it’s easy to find an adult or teacher for<br />

help; at other times, a bystander may defuse the situation by asking<br />

the victim to join him or her and walk away.<br />

Cyberbullying, or bullying that occurs online or through texting<br />

or other electronic means, can be very destructive, said Wendy<br />

Craig, Ph.D., a psychology professor at Queen’s University in<br />

Ontario and also a member of the Institute’s Scientific Board.<br />

“Technology is here to stay, and yet as adults and experts we are<br />

often behind our kids in Internet knowledge,” Ms. Craig said. “Kids<br />

can be bullied 24/7 now.” Because messages on Facebook, in Internet<br />

polls, on blogs and in texts stay in place, a child is bullied each<br />

time someone sees the original statement or threat.<br />

The experts agreed that parents, teachers and counselors need<br />

to be aware of bullying and the resources that are available to them,<br />

and that children, no matter if they are the bully or the victim,<br />

must get help.<br />

“We’re here to say that bullying must stop because there are<br />

children who are tormented to the point where they take their own<br />

lives,” Ms. Ramsay said. “And we’re here to say that bullying must<br />

stop because many children who bully turn into aggressive, violent<br />

adults.”<br />

For more details about bullying, go to melissainstitute.org,<br />

stopbullyingnow.hrsa.gov or stopcyberbullying.org.<br />

—Adrienne Sylver and Sharon Harvey Rosenberg<br />

changes — diet and exercise — not medication,<br />

Dr. Mas said.<br />

Indeed, changing unhealthy habits can make a<br />

difference. The second research study found that<br />

children who ate fruits and vegetables once a day<br />

had healthier arteries as young adults than children<br />

who consumed fruits and vegetables less than<br />

twice a month. The lower consumption was linked to<br />

stiffening arteries, a red flag for future heart problems.<br />

Parents concerned about their children’s heart health<br />

should set a good example by serving whole grains, fruits<br />

and vegetables, Dr. Mas said. Regular exercise that includes<br />

aerobic activities such as running, cycling or swimming is<br />

also good for the heart.<br />

“Eating healthy and exercising need to be part of a routine,”<br />

she said. “Just like brushing your hair or teeth.” —Liz Doup<br />

Join the parenting experts at <strong>Baptist</strong> Children’s Hospital for<br />

enlightening conversation and practical advice. Each program<br />

is held in the auditorium at <strong>Baptist</strong> Hospital and costs<br />

$5, unless otherwise noted. Programs are not intended for<br />

children, unless indicated. You must reserve your space by calling<br />

786-596-3812.<br />

BUILDING SELF-ESTEEM IN YOUR CHILDREN<br />

Thursday, March 24, 7-9 p.m. Whether they’re starting a<br />

new school, performing onstage, competing in<br />

sports or socializing with friends, it takes confidence<br />

to be a kid! Psychologist Andrew<br />

Lagomasino, Psy.D., helps parents learn to<br />

instill confidence in their children so they can<br />

believe in themselves while taking on life’s<br />

challenges. For parents of school-age kids.<br />

WHAT’S HAPPENING TO ME?<br />

Thursday, April 7, 7- 8:30 p.m., Children’s Diagnostic<br />

Center at Country Walk, 13500 SW 152 Street<br />

Yesterday she had training wheels. Today she has a training<br />

bra. What will tomorrow bring? Yvonne Brookes, R.N.,<br />

helps girls prepare for the changes they’ll face as their<br />

body matures from a child into an adult. For girls age<br />

8 –11. This program is FREE.<br />

RESPONSIBLE PARENTING<br />

Thursday, April 28, 7-9 p.m. Is your toddler<br />

testing you with temper tantrums?<br />

Is bedtime a nightly battle? Are your teens<br />

breaking curfew or talking back? Join<br />

psychologist Richard Toister, Ph.D., for tips to<br />

help you effectively discipline your child and<br />

manage the daily challenges and responsibilities of<br />

parenthood. For parents of kids of all ages.<br />

AGES AND STAGES: PLANNING FOR CHANGES<br />

Thursday, May 26, 7-9 p.m. New friends, new teachers,<br />

new beginnings, new worries… Whether your<br />

toddler is beginning kindergarten, your<br />

elementary student is moving on to middle<br />

school, or your teen is about to start high<br />

school, it can be a time of mixed emotions.<br />

Psychologist Kaia Calbeck, Ph.D., helps<br />

parents and students transition smoothly. For<br />

parents of preschool through high school students.<br />

8900 North Kendall Drive<br />

RESOURCE 9


Senior{Focus<br />

CT screening cuts lung cancer deaths<br />

Former or current smokers should take note of a recent study<br />

that found that those who were screened annually with lowdose<br />

spiral CT (computed tomography) scans had a 20 percent<br />

lower risk of dying from lung cancer than those screened<br />

with conventional chest X-rays.<br />

The results of the study were so compelling that the landmark<br />

National Lung Screening Trial (NLST) was stopped and the preliminary<br />

results reported.<br />

“These findings are significant since it appears that yearly<br />

screening with low-dose CT imaging can save lives of seemingly<br />

healthy people who have a history of<br />

heavy smoking,” said <strong>Baptist</strong> Hospital<br />

Chief of Radiology Jack Ziffer, M.D., Ph.D.<br />

“Reducing lung cancer mortality by 20<br />

percent will make a huge difference in<br />

sparing patients and their families from<br />

the devastation caused by this disease.”<br />

The National Cancer Institute, sponsor<br />

of the study, estimates that more than<br />

94 million current and former smokers<br />

in the United States are at high risk for<br />

Jack Ziffer, M.D.,Ph.D.<br />

lung cancer. In 2010, an estimated<br />

222,520 people were diagnosed with, and 157,300 died of, cancer<br />

of the lung and bronchus. Cigarette smoking is the most important<br />

risk factor, though lung cancer strikes some nonsmokers.<br />

Chest X-rays have long been used by doctors to look for signs<br />

of lung cancer in those patients with symptoms. But chest X-ray<br />

screening hasn’t reduced lung cancer deaths.<br />

Because CT can pick up much smaller tumors than X-rays, the<br />

newer technology has been proposed as a life-saving screening<br />

tool. Researchers wanted to find out if finding tumors earlier with<br />

CT would increase the odds of surviving lung cancer.<br />

The NLST, launched in 2002, focused on 53,454 former and<br />

current heavy smokers ages 55 to 74. Participants had smoked at<br />

least 30 “pack years” — one pack a day for 30 years, two packs a day<br />

for 15 years, or three packs a day for at least 10 years. Former smokers<br />

were included if they were 30 pack-year smokers who had<br />

Compared to a one-way view of the lungs from the front or side<br />

in a conventional chest X-ray (left), a low-dose CT lung scan gives<br />

cross-sectional images from many different directions that can<br />

be manipulated by radiologists for a more detailed analysis.<br />

stopped smoking within the previous 15 years.<br />

Participants at 33 American sites were randomly assigned to<br />

undergo either annual screening with CT scans or traditional<br />

chest X-rays for three years. After the three rounds of screening,<br />

the participants were to be followed for five years.<br />

There were 354 deaths in the CT group and 442 in the chest<br />

X-ray group. Of those screened with CT, 24 percent had a positive<br />

finding for an abnormality, compared to nearly 7 percent of those<br />

screened with X-ray. Follow-up tests, such as invasive biopsies,<br />

found no signs of cancer in the majority of those people whose CT<br />

or X-ray results indicated a possible abnormality.<br />

“This study only looked at current and past heavy smokers —<br />

those at highest risk for developing lung cancer,” Dr. Ziffer said.<br />

“The results of this trial will be used to develop national screening<br />

guidelines that will weigh the potential for saving lives against the<br />

disadvantages associated with the high rate of false-positive findings,<br />

and concerns for the cumulative effects of radiation from<br />

multiple CT scans — though the dose used for screening is much<br />

less than that used for diagnostic imaging.”<br />

Experts agree that the best way to prevent lung cancer is to never<br />

start smoking, or if already smoking, to quit. If you are concerned<br />

about your risk for lung cancer, talk to your doctor. — Anne Streeter<br />

HOW TO GET A LUNG, HEART SCREENING<br />

If you are at risk for lung disease or a heart attack, you may benefit from one or both of the following CT screening scans:<br />

• CT lung screening scans look for early signs of lung cancer and other abnormalities (see story above).<br />

• CT calcium scoring scans measure the buildup of calcium on the walls of coronary arteries, a sign of heart disease and<br />

potential heart attacks.<br />

Talk to your doctor about the benefits of these tests if you are over age 40; if you have diabetes, high blood pressure or high<br />

cholesterol, or have ever smoked; or if you have a family history of heart disease or lung cancer.<br />

A doctor’s prescription is required to schedule CT scans. If you need a physician, call <strong>Baptist</strong> <strong>Health</strong>’s free Physician Referral<br />

Service at 786-596-6557 in Miami-Dade or 954-837-1200 in Broward. To schedule an appointment, call 786-573-6000 in Miami-<br />

Dade or 954-837-1000 in Broward.<br />

The cost of a CT calcium scoring scan is $120; $250 for CT lung screening. If both tests are done on the same day, the total<br />

cost is $295. Insurance does not typically cover the cost of these tests.<br />

10 RESOURCE


SeniorCalendar<br />

March, April & May<br />

If you’re 55 or older, take advantage of the programs and health screenings offered by <strong>Baptist</strong> <strong>Health</strong> just for you. Programs are free<br />

(unless otherwise noted). Space is limited and registration is required for all programs. A tour of the host facility may follow. For programs<br />

in English, call 786-596-3812; for programs in Spanish, call 786-596-3814; or e-mail us at programs@baptisthealth.net. For more<br />

information on other <strong>Baptist</strong> <strong>Health</strong> programs, visit baptisthealth.net.<br />

<strong>Baptist</strong> Medical Plaza at Doral<br />

9915 NW 41 Street, Suite 210<br />

<strong>Health</strong> Resource Center<br />

Ending Knee Pain With New Technology,<br />

Wednesday, March 9, 6:30-7:30 p.m.<br />

(in English), 7:30-8:30 p.m. (in Spanish),<br />

Dr. Rafael Fernandez, orthopedic surgeon.<br />

Sounds Right: Treating Hearing Disorders<br />

(in Spanish), Tuesday,<br />

March 29, 7-8 p.m., Dr.<br />

Alberto Fernandez,<br />

otolaryngologist.<br />

AARP Driver Safety<br />

Program, Friday,<br />

April 1, 9 a.m.- 4 p.m. Fee $12 for members,<br />

$14 for nonmembers. Call 305-857-0531<br />

to register.<br />

Prostate Prognosis: Tackling the<br />

Problems, Wednesday, April 13, 7-8 p.m.,<br />

Dr. Darren Bruck, urologist.<br />

Help for Incontinence (in Spanish),<br />

Tuesday, April 26, 7-8 p.m., Dr. Robert<br />

Santa-Cruz, urologist.<br />

Strike Back Against Stroke, Friday, May<br />

13, 1-2 p.m., Dr. Paul Damski, neurologist.<br />

Osteoporosis Screening, Saturday,<br />

May 21, 10a.m.-1 p.m., $5 May special.<br />

<strong>Baptist</strong> <strong>Health</strong> Resource<br />

Center at Informed Families<br />

2490 Coral Way, 2nd Floor<br />

Living With Shingles (in Spanish),<br />

Friday, March 18, 1-2 p.m.,<br />

Dr. Felipe Del Valle, internist.<br />

Mindful Eating, Monday, March 28,<br />

7-8 p.m., Dr. Patricia Isis, licensed mental<br />

health counselor.<br />

Home <strong>Health</strong>: Choosing the Right One<br />

(in Spanish), Friday, April 8, 1-2 p.m.,<br />

Elsa Ivonnet, registered nurse.<br />

Osteoporosis: Improving Your Bone<br />

<strong>Health</strong> (in Spanish), Thursday,<br />

April 14, 7-8 p.m., Dr. Rafael Fernandez,<br />

orthopedic surgeon.<br />

Beating the Cholesterol Battle<br />

(in Spanish), Tuesday, May 17, 7-8 p.m.,<br />

Dr. Jaime Ghitelman, cardiologist.<br />

Osteoporosis Screening, Wednesday,<br />

May 18, 12:30-2:30 p.m., $5 May special.<br />

<strong>Baptist</strong> Medical Plaza at<br />

Westchester<br />

8820 Bird Road, Suite 400<br />

<strong>Health</strong> Resource Center<br />

Memory Loss: Aging or Alzheimer’s?<br />

Thursday, March 10, 7-8 p.m.,<br />

Dr. Jorge Marcos, neurologist.<br />

Vein, Vein, Go Away (in Spanish),<br />

Wednesday, March 23, 7-8 p.m.,<br />

Dr. Juan Carlos Pereda, vascular surgeon.<br />

Dermatology: What’s New,<br />

Wednesday, April 6, 7-8 p.m., Dr. Ileana<br />

Perez-Quintero, dermatologist.<br />

Women’s <strong>Health</strong> Resource<br />

Center<br />

8950 N. Kendall Drive, Suite 105<br />

Osteoporosis: Beatable, Treatable,<br />

Tuesday, March 8, 7-8 p.m., Dr. Santiago<br />

De Solo, rheumatologist. Osteoporosis<br />

screenings available following program<br />

for $15.<br />

What You Need to Know About<br />

Kidney Stones, Tuesday, April 5, 7-8 p.m.,<br />

Dr. Yekutiel Sandman, urologist.<br />

Shoulder Surgery:<br />

Getting Back in the<br />

Game (in Spanish),<br />

Monday, April 11, 7-8<br />

p.m., Dr. David Font-<br />

Rodriguez, orthopedic<br />

surgeon.<br />

Osteoporosis Screening, Monday,<br />

May 16, 3-6 p.m., $5 May special.<br />

Memory Loss: Aging or Alzheimer’s?<br />

(in Spanish), Tuesday, May 24, 7-8 p.m.,<br />

Dr. Gonzalo Yanez, neurologist.<br />

Medical Arts Surgery Center at<br />

<strong>South</strong> Miami Hospital<br />

6200 Sunset Drive, Suite 200<br />

Options for Treating Bladder Prolapse<br />

(in Spanish), Tuesday, March 22,<br />

7-8 p.m., Dr. Jaime Sepulveda-Toro,<br />

urogynecologist.<br />

Community Center<br />

at Ludovici Park<br />

17641 Old Cutler Road<br />

Palmetto Bay Library, 2nd Floor<br />

Makings of a <strong>Health</strong>y Heart,<br />

Wednesday, March 23,<br />

10:30-11:30 a.m.,<br />

Rita Hess, registered<br />

nurse.<br />

Healing Power of Faith,<br />

Wednesday, April 6,<br />

10:30-11:30 a.m.,<br />

Chaplain Guillermo<br />

Escalona.<br />

Treating Balance Disorders, Tuesday,<br />

May 3, 10:30-11:30 a.m., Flavio Leite,<br />

physical therapist.<br />

Ongoing Programs<br />

Osteoporosis Awareness Month<br />

Screening Special. Screening and<br />

consultation available by appointment.<br />

Fee $5 throughout May (regularly $15).<br />

Call 786-596-3812.<br />

SHINE. Get help with Medicare and<br />

other insurance concerns. Free.<br />

Call 305-670-6500, Ext. 270, for an<br />

appointment with a bilingual counselor.<br />

RESOURCE 11


Here&There<br />

New facilities convenient for testing, care<br />

<strong>Baptist</strong> <strong>Health</strong> now offers new and<br />

expanded services in convenient locations<br />

to help patients with a wide<br />

range of health concerns, from earaches<br />

and allergic reactions to sleep<br />

disorders and orthopedic injuries.<br />

A new <strong>Baptist</strong> <strong>Health</strong> Urgent Care facility<br />

in Coral Gables at 1240 <strong>South</strong> Dixie<br />

Highway provides treatment of minor illnesses<br />

and injuries in children and adults.<br />

Physicians and nurses care for a host of<br />

problems, including simple bone fractures,<br />

strains and sprains, nausea, fever, common<br />

colds and flu.<br />

<strong>Baptist</strong> Medical Plaza at Coral Gables<br />

now offers urgent care as well as diagnostic<br />

services at its new location, 10 Giralda Ave.<br />

CT scans are a new addition to the imaging<br />

services, which include MRI, digital<br />

mammography, digital X-ray and ultrasound,<br />

among others. The facility moved<br />

earlier this year from its previous location<br />

a few blocks away.<br />

Both urgent care facilities are open<br />

The new <strong>Baptist</strong> Medical Plaza at Coral Gables, 10 Giralda Avenue, offers<br />

urgent care and diagnostic services.<br />

daily, 11 a.m. to 11 p.m., and no appointment<br />

is needed. For diagnostic services,<br />

call 786-573-6000 to schedule an appointment.<br />

A doctor’s prescription is required.<br />

At three new <strong>Baptist</strong> Sleep Centers,<br />

Board-certified sleep specialists can evaluate<br />

and treat various disorders including<br />

upper airway resistance, sleep apnea,<br />

insomnia, narcolepsy, periodic leg movement<br />

syndrome and more.<br />

Two centers are in Miami-Dade; the<br />

third is in Broward. They are: <strong>Baptist</strong> Sleep<br />

Center at Galloway, 7400 SW 87 Ave., Suite<br />

220A; <strong>Baptist</strong> Sleep Center at Sunset, 6141<br />

Sunset Drive, Suite 130; <strong>Baptist</strong> Sleep Center<br />

at Pembroke Pines, 12251 Taft St., Suite 300.<br />

To schedule a sleep study, call 786-467-<br />

5240 in Miami-Dade, or 954-837-1400 in<br />

Broward, weekdays, 8:30 a.m. to 5 p.m. A<br />

doctor’s prescription is required.<br />

Doctors Hospital will open a sports<br />

medicine and rehabilitation center at 1222<br />

<strong>South</strong> Dixie Highway, Coral Gables, in late<br />

March.<br />

Physical and occupational therapists,<br />

using state-of-the-art equipment, will treat<br />

patients recovering from neck, shoulder and<br />

back injuries, hip and knee replacements<br />

and other orthopedic ailments. Therapists<br />

will emphasize the Pilates method, which<br />

uses a whole-body approach to rehabilitation.<br />

A certified hand therapist also will be<br />

available. The facility will be open weekdays,<br />

7 a.m. to 7:30 p.m. — Liz Doup<br />

FORTUNE SHINES ON BAPTIST HEALTH Fortune magazine has named <strong>Baptist</strong><br />

<strong>Health</strong> to its annual list of the “100 Best Companies to Work For” for the 11th year.<br />

“Our employees are people who care about others and about doing the best job they can, no<br />

matter their role,” said Brian E. Keeley, president and CEO. “Whether they are nurses at patients’<br />

bedsides, the people who answer phone calls or those who keep our facilities in top shape, they<br />

all contribute to the excellent care we provide to our patients every day. We, in turn, must take<br />

good care of our employees.”<br />

<strong>Baptist</strong> <strong>Health</strong> was recognized for the many family-friendly benefits offered to its nearly<br />

14,000 employees, including on-site child care, back-up care options for loved ones of any<br />

age, an award-winning employee wellness program with free fitness centers, one week paid<br />

parental leave, a $10,000 adoption benefit and LifeWorks, which offers employees 24/7 access to information and help with<br />

a variety of issues.<br />

For information about job opportunities at <strong>Baptist</strong> <strong>Health</strong>, go to baptisthealth.net and click on “employment.”<br />

12 RESOURCE


Camp out to combat cancer<br />

Games, entertainment, refreshments and an all-night camp-out will turn the<br />

grounds of <strong>Baptist</strong> and Homestead Hospitals into fun-filled fairgrounds for two<br />

American Cancer Society Relays for Life.<br />

The event at <strong>Baptist</strong> Hospital, which includes a survivors’ celebration and<br />

relay-style walk around the hospital lake, begins at 12 noon Saturday, March 19,<br />

and ends the next morning. A free screening for oral cancer will be offered by <strong>Baptist</strong><br />

<strong>Health</strong> physicians in a lakeside<br />

tent from 2 to 6 p.m.<br />

The Relay at Homestead<br />

Hospital is set to start at 4<br />

p.m. Saturday, April 29, and<br />

will continue all night. Last<br />

year, the two events raised<br />

$268,000 for the Cancer<br />

Society.<br />

For more information or<br />

to register for the Relay for<br />

Life at <strong>Baptist</strong> Hospital, call<br />

the Cancer Society at 305-<br />

779-2860. For the Homestead<br />

Relay, call 305-779-<br />

2862. Or go to relayforlife.org.<br />

—Phyllis Teitelbaum<br />

MARINERS, BAPTIST RECEIVE MEDICARE AWARDS<br />

Mariners and <strong>Baptist</strong> Hospitals both excelled in a Medicare-based pilot<br />

project that awards hospitals extra reimbursement for achieving high<br />

marks in quality measures.<br />

Mariners was the only hospital in <strong>Florida</strong> to achieve all of the Top Performance<br />

awards for which it was eligible, as well as the only one in the<br />

state to receive all of the overall awards (six of six) for which it was eligible.<br />

<strong>Baptist</strong> Hospital was one of 25 hospitals nationwide and the only hospital<br />

in <strong>Florida</strong> to receive 10 or more overall awards out of 12 possible.<br />

Based on its outstanding performance, <strong>Baptist</strong> received the fifth highest<br />

overall award amount ($213,968) in the national demonstration project.<br />

The five-year project was initiated by Medicare and the Premier healthcare<br />

alliance to give incentives to hospitals to improve clinical quality<br />

measures. Hospitals that performed well on quality measures related to<br />

heart surgery, treatment for heart failure, heart attack, pneumonia and<br />

other conditions received extra reimbursement from Medicare; those that<br />

performed poorly were penalized by receiving less payment than expected.<br />

The project served as the basis for a national value-based purchasing<br />

program, which is now law under healthcare reform. Overall, Medicare has<br />

awarded more than $48 million over five years to top hospitals.<br />

“Our accomplishments in this project are a testament to our ongoing<br />

effort to improve the quality of care for our patients,” said Thinh Tran, M.D.,<br />

who is <strong>Baptist</strong> <strong>Health</strong>’s chief quality officer.<br />

Kora Stoll with Landon.<br />

MOTHERHOOD IS A GIFT<br />

AFTER LIFESAVING<br />

BRAIN SURGERY<br />

As a new mother, Kora Stoll spends<br />

many happy hours gazing at her son,<br />

Landon Douglas, born November 28.<br />

And no wonder. Two years ago, Ms.<br />

Stoll didn’t know if she would live, let<br />

alone become a mother.<br />

A doctor had just told the fifthgrade<br />

teacher she had an aneurysm,<br />

a bulge in an artery wall in a dangerous<br />

location near her brain stem. If it<br />

ruptured, the results could be debilitating<br />

or fatal.<br />

Ms. Stoll was featured in the Fall<br />

2009 issue of Resource after Italo<br />

Linfante, M.D., successfully fixed the<br />

aneurysm during a risky, complicated<br />

procedure. The medical director of<br />

interventional neuroradiology for <strong>Baptist</strong><br />

Hospital’s Neuroscience Center and<br />

<strong>Baptist</strong> Cardiac & Vascular Institute is<br />

among only a few specialists skilled in<br />

repairing a brain aneurysm without<br />

cutting open the skull.<br />

Ms. Stoll’s recovery after the May<br />

2009 treatment was fast and complete.<br />

Early last year, she and husband Kevin<br />

learned she was pregnant.<br />

Ms. Stoll’s pregnancy went smoothly<br />

until her 29th week. Her blood pressure<br />

began climbing, a result of a kidney<br />

condition that also was linked to her<br />

aneurysm. Landon ultimately was born<br />

five weeks early by C-section but perfectly<br />

healthy.<br />

“We’re so in love with this little guy<br />

and in love with our lives,” Ms. Stoll said.<br />

“He’s a constant reminder to appreciate<br />

everything we have.” — Liz Doup<br />

RESOURCE 13


Here&There<br />

<strong>Baptist</strong> <strong>Health</strong> benefits community<br />

CELEBRATING 50 YEARS<br />

As one of the region’s largest employers with some 14,000 in its workforce, <strong>Baptist</strong> <strong>Health</strong>’s<br />

impact on the area’s economic recovery is significant. It is not only the largest private<br />

employer, it adds more than $3 billion to the local economy, according to a study by the<br />

Washington Economics Group. In the past year, the not-for-profit healthcare organization<br />

has:<br />

• Provided $222 million in community benefits that included charity care, free primary<br />

care at clinics and free or low-cost community education programs and health screenings.<br />

• Given charity care to 16,000 uninsured patients, including free surgeries for children<br />

with facial deformities and birth defects.<br />

• Supported primary health clinics that gave free care to another 63,000 patients.<br />

• Reached 145,000 community members, offering health screenings and talks by health<br />

experts to help them attain and maintain better health.<br />

• Poured more than $200 million into building the new West Kendall <strong>Baptist</strong> Hospital, due<br />

to open in April. The project also resulted in nearly 3,000 additional construction and construction-related<br />

jobs, and will add another 1,000 new jobs once the hospital is open.<br />

“<strong>Baptist</strong> <strong>Health</strong>’s faith-based mission is to help our community stay healthy,” said CEO and<br />

President Brian E. Keeley. “That mission has led us on a journey to promote wellness through<br />

health education and screenings, as well as to give high-quality, compassionate care to all. We<br />

will continue in those efforts by offering the latest technology, the most knowledgeable doctors<br />

and nurses and beautiful facilities with an environment that promotes healing.”<br />

⎯ Adrienne Sylver<br />

<strong>Baptist</strong> Hospital’s Gold Anniversary<br />

Ball, held around the lake at the<br />

hospital last November, was a<br />

golden success. More than 850<br />

guests attended, raising $1.6 million<br />

to support the hospital’s programs<br />

and services. Bo Boulenger,<br />

hospital CEO, is shown with Lourdes<br />

Jofre-Collett, who chaired the<br />

sellout event. “The ball was a tribute<br />

to those who have contributed<br />

to <strong>Baptist</strong> Hospital’s<br />

growth and success throughout<br />

the last 50 years,” Mr. Boulenger<br />

said. “We look forward to the<br />

next 50 years and continuing our<br />

tradition of medical excellence.”<br />

Among the many ways <strong>Baptist</strong> <strong>Health</strong> benefits the community is by giving free physicals<br />

to children like Sofia Jacob,12, so they can participate in Special Olympics events.<br />

Elvira Bhangu, R.N., made sure Sofia had a good time when she came for her exam.<br />

14 RESOURCE


PINEAPP GIVES ER WAIT TIMES, LOCATIONS<br />

With <strong>Baptist</strong> <strong>Health</strong>’s free PineApp, emergency and urgent care center<br />

locations and wait times are only a tap away for iPhone users.<br />

PineApp lets users of these smartphones quickly search <strong>Baptist</strong><br />

<strong>Health</strong>’s hospital emergency rooms and urgent care centers to find the<br />

closest locations and shortest wait times. Estimates of the time it will<br />

take to be seen at any <strong>Baptist</strong> <strong>Health</strong> location are based on real-time<br />

updates. GPS-enabled automated directions are also provided.<br />

You can download PineApp in English and Spanish at baptisthealth.net.<br />

PineApp will soon be available for Android smartphone<br />

users. You can also find emergency room and urgent care center location<br />

information and wait times online at baptisthealth.net; just click on “Hospitals<br />

and Facilities.”<br />

— Anne Streeter<br />

Mariners health fair March 12<br />

Mariners Hospital’s annual free Community <strong>Health</strong> Fair will be held<br />

Saturday, March 12, from 9 a.m. to 1 p.m. at the hospital, MM 91.5,<br />

Tavernier.<br />

Featured activities include free screenings for adults, including<br />

blood pressure, vision, cholesterol, glucose (diabetes) and osteoporosis.<br />

Appointments are not necessary and fasting is not required<br />

for the cholesterol test.<br />

The fair will have more than 30 booths staffed by local health<br />

organizations. In addition, hospital<br />

staff will answer medical questions<br />

on a variety of topics, including<br />

sleep disorders, heart health and<br />

diabetes. The Community Blood<br />

Centers of <strong>South</strong> <strong>Florida</strong> will hold a<br />

blood drive at the event.<br />

— Sheila Konczewski<br />

HOMESTEAD HONORED AS<br />

‘TOP HOSPITAL’<br />

Homestead Hospital has been named as one of<br />

65 Top Hospitals in the country by The Leapfrog<br />

Group, a prestigious national organization that<br />

monitors healthcare safety and quality in the<br />

nation’s hospitals. The selection was based on a<br />

survey of 1,200 hospitals across the U.S.<br />

Homestead was one of only three hospitals<br />

in <strong>Florida</strong> to be named to Leapfrog’s list of top<br />

hospitals. It was chosen for its performance in<br />

critical areas of patient safety and quality, including<br />

practices to reduce medical errors and prevent<br />

infections. Homestead was also chosen for<br />

its use of computerized physician order entry, a<br />

system that allows doctors to enter treatment<br />

orders directly into a computer, reducing the<br />

likelihood of medication mistakes.<br />

Homestead also earned two Excellence in<br />

<strong>Health</strong>care awards from the Studer Group, an<br />

industry organization. One recognized the hospital<br />

for its exemplary ratings from patients on<br />

the survey statement, “Always Quiet at Night,”<br />

and the other award recognized Homestead’s<br />

outstanding patient satisfaction in its outpatient<br />

services departments.<br />

“Earning the Top Hospital designation and<br />

the Studer Awards is a testament to the hard<br />

work and dedication of everyone in the hospital,”<br />

said Bill Duquette, CEO of Homestead Hospital.<br />

“I am proud of our commitment to patient<br />

safety and quality, and our continuous efforts<br />

to improve the way we care for our patients.”<br />

— Tanya Walton<br />

RESOURCE 15


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Doctors fix rare pregnancy problem<br />

Dozens of doctors and nurses assisted at the birth of Lila Male at<br />

<strong>Baptist</strong> Cardiac & Vascular Institute.<br />

The most common cause<br />

of maternal death during<br />

childbirth is severe<br />

bleeding. But doctors at<br />

<strong>Baptist</strong> Cardiac & Vascular<br />

Institute are using a relatively<br />

new procedure —<br />

inserting and inflating tiny<br />

balloons in the arteries that<br />

supply blood to the uterus<br />

and placenta to decrease the<br />

bleeding and potential hemorrhage<br />

that can occur with<br />

some pregnancy complications.<br />

In this case, it was<br />

placenta accreta.<br />

On November 19, Katrina<br />

Male, 27, became the<br />

first patient to receive the<br />

lifesaving treatment at <strong>Baptist</strong><br />

Cardiac & Vascular Institute. And her<br />

daughter, Lila, was the first baby born in a<br />

procedure room at the Institute rather<br />

than the Family Birth Place at <strong>Baptist</strong> Hospital.<br />

“An ultrasound showed that I had a<br />

problem with the placenta,” Ms. Male said.<br />

“I was amazed to learn about the technology<br />

that was available so that my baby and<br />

I would be safe and healthy.”<br />

Ms. Male had the most dangerous, and<br />

rarest, form of placenta accreta, called placenta<br />

percreta. It occurs when the placenta<br />

penetrates the uterine wall, sometimes<br />

attaching to the bladder or other internal<br />

organs, said Lucia Gaitan, M.D., her obstetrician.<br />

The finding led Dr. Gaitan to interventional<br />

radiologist Constantino Peña,<br />

M.D., medical director of vascular imaging<br />

at the Institute.<br />

A multidisciplinary team pulled<br />

together by the Labor and Delivery staff<br />

consisted of anesthesiologists, interventional<br />

radiologists, obstetricians, neonatologists,<br />

a gynecological oncologist, urologist,<br />

perinatologist, hematologist, and<br />

blood bank, labor room, surgery and Institute<br />

staff. They coordinated Ms. Male’s care<br />

when she was 30 weeks into her pregnancy.<br />

At 35 weeks, after some premature<br />

contractions, doctors decided it was time<br />

to deliver little Lila via C-section, and some<br />

30 healthcare professionals gathered in the<br />

procedure room.<br />

“We threaded a small catheter through<br />

the femoral artery in the leg, visualizing<br />

our way using X-ray,” Dr. Peña said. “When<br />

the catheter reached the proper place, we<br />

inflated the small balloons, which blocked<br />

the blood flow.”<br />

The technology is the same that is used<br />

during less-invasive treatments to open<br />

blocked blood vessels throughout the<br />

body. To open blood vessels, the balloons<br />

are inflated to leave an open path for blood<br />

flow. In this case, the balloons are left<br />

inflated, to stop blood flow.<br />

“This is such an exciting time in a<br />

woman’s life, and it’s wonderful to know<br />

that with advance planning and a team<br />

PHOTO: BETH ANN ROBERTS, R.N.<br />

approach that included<br />

doctors and specialists who<br />

don’t normally work together<br />

we prevented a potentially<br />

life-threatening situation,”<br />

Dr. Peña said.<br />

Dr. Gaitan performed a<br />

C-section after the balloons<br />

were inflated. Although the<br />

balloon procedure alone<br />

can be done under light<br />

sedation, Ms. Male had general<br />

anesthesia because, like<br />

many women who have placenta<br />

accreta, she required a<br />

hysterectomy when her<br />

daughter was born. In addition,<br />

the placenta had<br />

attached to the bladder,<br />

which required repair.<br />

“Even with the balloons, she lost eight<br />

liters of blood,” said Dr. Gaitan. “We prefer<br />

to avoid a hysterectomy, but in her case<br />

we had no choice. Fortunately, we had an<br />

amazing team, and baby and mom were<br />

fine. They went home after nine days.”<br />

Ms. Male said she had been told going<br />

into the procedure that it was possible she<br />

would need a hysterectomy. “My first<br />

daughter, Leilani, was born in 2009,” she<br />

said. “Even though I had thought about<br />

trying for a boy, I was prepared and OK<br />

with the hysterectomy.” There should be<br />

no long-term health issues due to her<br />

complications, but Ms. Male’s bladder is<br />

still continuing to heal.<br />

Doctors aren’t sure what causes placenta<br />

accreta, but they believe scar tissue<br />

from previous C-sections increases the<br />

chances of developing the problem. Ms.<br />

Male had a C-section when her first child<br />

was born. A form of placenta accreta is<br />

present in one in about 2,500 pregnancies,<br />

according to the American Pregnancy<br />

Association.<br />

— Adrienne Sylver<br />

16 RESOURCE

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