Infection Control - St. Joseph Medical Center
Infection Control - St. Joseph Medical Center
Infection Control - St. Joseph Medical Center
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Fall 2009 / sjmcmd.org<br />
Mission Possible:<br />
<strong>Infection</strong> <strong>Control</strong><br />
TLC’s Little Couple<br />
Chooses <strong>St</strong>. <strong>Joseph</strong><br />
Faster ER Care<br />
Thanks to the<br />
Auto Industry<br />
High-Tech Knees<br />
Meet High Demand<br />
page 3 page 9 page 11<br />
Page 4
Fall 2009<br />
In This Issue<br />
Featured <strong>St</strong>ories<br />
3 The Little Couple Chooses <strong>St</strong>. <strong>Joseph</strong><br />
TLC airs OB consult with national specialist<br />
3 Ooh Baby, the Secret’s Out<br />
Exceptional maternity services<br />
On the cover...<br />
Dr. Richard Boehler, chief medical<br />
officer, and Leigh Chapman, RN,<br />
BSN, manager of <strong>Infection</strong> <strong>Control</strong>,<br />
lead the charge to fight infection.<br />
See pg. 4<br />
4<br />
4 Mission Possible: <strong>Infection</strong> <strong>Control</strong><br />
Lowering MRSA and preventing H1N1<br />
5 Rapid to the Rescue<br />
Expert trio increases Code Blue survivals<br />
7<br />
12<br />
1A–4A<br />
6 Like Mother, Like Son?<br />
A male breast cancer survivor’s story<br />
7 A Cozy Courageous Feeling<br />
Nurses create blankets for cancer patients<br />
7 Help End Prostate Cancer<br />
The Great Prostate Cancer Challenge<br />
8 Meet the Surgery Chaplain<br />
Personal visits lead to better outcomes<br />
8 New Interfaith Room Welcomes All Beliefs<br />
A space for prayer and meditation<br />
In the Spirit<br />
Inspired giving through the<br />
<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Foundation.<br />
9 Faster ER Care<br />
Auto industry methods decrease<br />
treatment time by 25%<br />
10 Maximizing Function After a Torn Meniscus<br />
Calvert Hall athlete back in the game<br />
11 High-Tech Knee Replacement<br />
Meets high demand<br />
housecall is published quarterly<br />
by the Marketing Communications<br />
department at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong><br />
<strong>Center</strong>, a member of Catholic Health<br />
Initiatives. Information is intended<br />
to educate our readers and is<br />
not a substitute for consultation<br />
with a physician.<br />
Kirstan Cecil, Director,<br />
Marketing Communications<br />
Vivienne <strong>St</strong>earns-Elliott,<br />
Writing, project management<br />
Patti Wells, In the Spirit writer<br />
Baltimore magazine Custom<br />
Communications, Design and printing<br />
<strong>St</strong>acy Zarin, Cover Photography<br />
Christine Langr, Mitro Hood,<br />
Photography<br />
We are an equal opportunity<br />
employer and, in conjunction with<br />
applicable laws, do not discriminate<br />
on the basis of race, color, religion,<br />
sex, national origin, age, or physical<br />
or mental handicap. <strong>St</strong>. <strong>Joseph</strong><br />
<strong>Medical</strong> <strong>Center</strong> accepts patients<br />
without regard to race, color, national<br />
origin, disabilities, age or religion.<br />
Copyright © 2009.<br />
12 Technobytes<br />
Spyglass, radiosurgery, da Vinci and more!<br />
‰ Comments, requests, change of address? Contact us at 410-337-1338 or housecall@catholichealth.net.<br />
Fall 2009 <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> / sjmcmd.org
Obstetrics<br />
Ooh Baby,<br />
The Secret’s Out<br />
‰<br />
It’s not the best kept secret<br />
in town anymore… More parents<br />
are discovering the exceptional<br />
quality of maternity services at<br />
<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong>.<br />
Our Labor & Delivery Unit<br />
combines comfort with modern<br />
technology for the birthing experience,<br />
and our Mother/Baby Unit<br />
features large, private rooms that<br />
are elegant and family-centered.<br />
Parents have peace of mind that<br />
there’s onsite, 24-hour staffing<br />
by a board-certified obstetrician<br />
and that we have a Level IIIB<br />
designation from the state to treat<br />
high-risk obstetric patients and<br />
newborns. The Perinatal <strong>Center</strong>,<br />
in collaboration with the patient’s<br />
midwife or obstetrician, manages<br />
high-risk conditions including<br />
premature labor, multiple births<br />
or complications of advanced<br />
maternal age or diabetes.<br />
One pregnant mom, who chose<br />
<strong>St</strong>. <strong>Joseph</strong> for the cesarean section<br />
delivery of her second child<br />
and went through the Perinatal<br />
<strong>Center</strong> recently, said, “<strong>St</strong>. Joe’s is<br />
already better than my first birthing<br />
experience, and I haven’t even<br />
had the baby yet! I can’t get over<br />
the quality of care, the nurses and<br />
the way everything is handled so<br />
well. <strong>St</strong>. Joe’s really is the best!”<br />
The Little Couple Chooses<br />
<strong>St</strong>. <strong>Joseph</strong> for OB Consult<br />
A trip down memory lane for renowned care<br />
<strong>St</strong>. <strong>Joseph</strong>’s Obstetrics program knows good things come in little packages. That’s why<br />
<strong>St</strong>. <strong>Joseph</strong>’s Mother/Baby services are intimate, personal and highly specialized<br />
—especially for moms at high risk of complications.<br />
So, it was no great surprise when producers for The Little Couple show on TLC<br />
(The Learning Channel) came knocking on <strong>St</strong>. <strong>Joseph</strong>’s door.<br />
The Little Couple, Dr. Jennifer Arnold and husband Bill Klein, who are both less<br />
than four feet tall, came to consult nationally renowned, high-risk obstetrician and<br />
medical geneticist Dr. Judith Rossiter, head of Obstetrics & Gynecology at <strong>St</strong>. <strong>Joseph</strong>,<br />
about having a baby.<br />
“I enjoyed meeting Jen and Bill. I’ve been very fortunate to work<br />
with many women with various forms of dwarfism and to follow<br />
some through entire pregnancies,” said Rossiter.<br />
Surgeries as Children<br />
It wasn’t Jen and Bill’s first time at <strong>St</strong>. <strong>Joseph</strong>; as children, both<br />
were treated here by the famous Dr. <strong>St</strong>even Kopits, who performed<br />
surgeries customized to address each little person’s unique needs.<br />
Jen and Bill benefitted from his brilliance.<br />
Jen visited her nurse, Kathy Reisig, RN,<br />
who took care of her for two months and<br />
still works in Pediatrics. Both had tears in<br />
their eyes upon their reunion.<br />
Bill remembered Jen from their<br />
stay on Pediatrics— destiny reunited<br />
them through a little people<br />
dating site.<br />
The Little Couple <strong>St</strong>. <strong>Joseph</strong> episode<br />
aired August 4. “We hope<br />
to inspire kids with new diagnoses<br />
of spondyloepiphyseal<br />
dysplasia and let them and<br />
their parents know that they<br />
can have fulfilled lives,” said<br />
Jen, who is a neonatologist<br />
at Texas Children’s Hospital.<br />
“For some couples, like Jen and Bill, the risks<br />
of pregnancy seem overwhelming. I try to provide<br />
as much information as possible so they can make<br />
an informed decision about whether pursuing<br />
a pregnancy is right for them.”<br />
Judith Rossiter, M.D., Head of Obstetrics & Gynecology<br />
at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong><br />
Photo courtesy of TLC<br />
Fall 2009
In This Issue<br />
Mission Possible:<br />
<strong>Infection</strong> <strong>Control</strong><br />
It turns out that mom really<br />
knows best when she says,<br />
“Wash your hands<br />
before dinner!”<br />
“Excellent hand hygiene is the single most important thing to reduce<br />
the spread of infection,” said Leigh Chapman, RN, BSN, manager of <strong>Infection</strong> <strong>Control</strong><br />
at <strong>St</strong>. <strong>Joseph</strong>, where handwashing has been taken to the highest level to combat<br />
well known infections such as MRSA and H1N1.<br />
Featured in USA Today<br />
As a result of <strong>St</strong>. <strong>Joseph</strong>’s gold standard in handwashing, which is<br />
137 percent better than the average national hospital, MRSA infections<br />
at <strong>St</strong>. <strong>Joseph</strong> have been dramatically reduced by 49 percent.<br />
Not only were these results featured in USA Today in June, but<br />
<strong>St</strong>. <strong>Joseph</strong>’s <strong>Infection</strong> <strong>Control</strong> professionals also published<br />
a paper about these breakthrough results in an<br />
esteemed medical journal. Entitled “Sustained Hand<br />
Hygiene Initiative Reduces MRSA Transmissions,”<br />
the paper explains that the average U.S. hospital<br />
“rarely is able to achieve and sustain higher than a<br />
50 percent compliance rate” in handwashing. * It is<br />
an unsettling reality that patients who come to the<br />
average hospital for healing may need to be wary of<br />
catching something they did not arrive with.<br />
A Ton of Prevention<br />
“It should give families peace of mind to know<br />
that when it comes to vigilant handwashing,<br />
<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> exceeds national standards,”<br />
explained Dr. Richard Boehler, <strong>St</strong>. <strong>Joseph</strong>’s<br />
chief medical officer. While the national average<br />
for handwashing at hospitals is just 40 percent,<br />
<strong>St</strong>. <strong>Joseph</strong> has been better than 90 percent over<br />
the last three years!<br />
Hand Sanitizer<br />
or Soap?<br />
“You can never go wrong<br />
with soap and water,” said<br />
Dr. Boehler. Sanitizer is good<br />
if hands aren’t visibly dirty.<br />
Use soap & water:<br />
• Before you eat<br />
• After the restroom<br />
• For visibly soiled hands<br />
For more details, go to:<br />
www.sjmcmd.org<br />
In addition, <strong>Infection</strong> <strong>Control</strong> is constantly monitoring for<br />
infection at the hospital. “We aggressively identify patients who<br />
are infected or carriers and isolate them,” said Chapman. And<br />
thanks to a high-tech machine that rapid tests for infection,<br />
<strong>St</strong>. <strong>Joseph</strong> can identify MRSA in two hours instead of the usual<br />
48 hours needed.<br />
“<strong>St</strong>. <strong>Joseph</strong> goes that step beyond,” added<br />
Chapman. “<strong>St</strong>ate guidelines require testing in the<br />
Intensive Care Unit, but we are on the lookout for<br />
highly suspect or high-risk patients such as those<br />
from nursing homes with a history of infection.”<br />
“We routinely isolate high-risk patients for the<br />
safety of others,” stated Boehler.<br />
Always on the lookout for new ways to improve<br />
infection control, <strong>St</strong>. <strong>Joseph</strong> also took the initiative<br />
to place handwipes on all patients’ meal trays for<br />
convenient hand hygiene before meals.<br />
“We visited the nation’s leading hospital in<br />
infection control practice—the V.A. Hospital in<br />
Pittsburgh—and adopted a number of their best<br />
practices. Our results have even exceeded theirs,”<br />
said Boehler.<br />
* Journal of Clinical Outcomes Management, April 2009, “Sustained Hand<br />
Hygiene Initiative Reduces MRSA Transmissions,” by Robert Ancona, M.D.,<br />
Richard Boehler, M.D., and Leigh Chapman, RN.<br />
Fall 2009 <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> / sjmcmd.org
Rapid Response<br />
Rapid to the Rescue!<br />
The Rapid Response Team (RRT)<br />
is an expert trio of a critical care<br />
physician, an intensive care nurse<br />
and a respiratory therapist that rushes<br />
to the patient’s bedside when called<br />
by the nurse or family. It’s a little like<br />
having an ambulance pull into the<br />
room— within minutes. In 2005,<br />
<strong>St</strong>. <strong>Joseph</strong> became the first Baltimore<br />
“There aren’t that<br />
many things in my<br />
career that I have<br />
seen have such a<br />
profound impact<br />
as the Rapid<br />
Response Team<br />
at <strong>St</strong>. <strong>Joseph</strong>.”<br />
Dr. Richard Boehler,<br />
Chief <strong>Medical</strong> Officer<br />
hospital to assemble an RRT. They’ve<br />
handled more than 1,700 calls from staff<br />
worried about unexpected changes in<br />
patients—such as instability or difficulty<br />
breathing. The team has prevented<br />
cardiac arrests and sudden deaths.<br />
“Code Blues at <strong>St</strong>. <strong>Joseph</strong> are down by<br />
50 percent,” said Dr. Richard Linthicum,<br />
RRT critical care physician.<br />
<strong>St</strong>. <strong>Joseph</strong>’s High<br />
Quality Quotient:<br />
Zero Tolerance<br />
plus Rapid Response<br />
Several benchmarks stand out in<br />
the remarkable quality of care at<br />
<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong>. The<br />
hospital can say, with genuine pride:<br />
• <strong>St</strong>. <strong>Joseph</strong> is among a select<br />
few U.S. medical centers to<br />
complete the rigorous full<br />
Joint Commission Survey with<br />
zero RFIs (Requirement for<br />
Improvement). Our last triennial<br />
Joint Commission survey in<br />
February 2008 resulted in this<br />
remarkable outcome. These<br />
surveys are intended to identify<br />
opportunities for improvement in<br />
delivery of care by this external<br />
regulatory agency. This significant<br />
accomplishment exemplifies<br />
<strong>St</strong>. <strong>Joseph</strong>’s commitment to our<br />
patients and our community.<br />
• <strong>St</strong>. <strong>Joseph</strong>’s Rapid Response<br />
Team increases patient survival<br />
rate by 233 percent. The national<br />
average for survival for a Code<br />
Blue (CPR) is 15 percent. Our rate<br />
is 50 percent.<br />
• <strong>St</strong>. <strong>Joseph</strong>’s overall mortality<br />
rates are less than half of what is<br />
predicted based on the severity of<br />
cases treated. Sepsis mortality (a<br />
dangerous inflammatory response<br />
due to infections) is the number<br />
one cause of death at a hospital.<br />
Our extremely low mortality rate<br />
places us in a select group of top<br />
15 percent of U.S. hospitals.<br />
H1N1 Vigilantes<br />
When news of the H1N1 flu flooded the Baltimore area earlier this year, <strong>St</strong>. <strong>Joseph</strong>’s<br />
<strong>Infection</strong> <strong>Control</strong> department took the lead by immediately putting steps in place to<br />
identify symptoms, isolate possible cases, test for a diagnosis, welcome the worried<br />
to the Emergency Department, and provide messages to prevent illness and reassure<br />
the public. As a result, the local media flocked to <strong>St</strong>. <strong>Joseph</strong> to interview Dr. Richard<br />
Boehler, <strong>St</strong>. <strong>Joseph</strong>’s CMO, Leigh Chapman, RN, BSN, manager of <strong>Infection</strong> <strong>Control</strong>,<br />
and infectious disease specialist Dr. Charles Haile about H1N1—getting expert<br />
answers, advice and precautions.<br />
‰<br />
Don’t Let the<br />
Flu Get You!<br />
Visit www.sjmcmd.org for tips on<br />
keeping your family infection free<br />
and for flu shot updates.<br />
SJMcmd.org / <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Fall 2009
Oncology<br />
Like Mother<br />
Like Son?<br />
Male Breast Cancer Survivor<br />
Every year on Cancer Survivors Day, <strong>St</strong>. <strong>Joseph</strong>’s Cancer<br />
Institute celebrates with a reunion at an Orioles game,<br />
and one cancer survivor throws out the first pitch. This<br />
year, with more than 650 survivors, their families and staff<br />
present, a breast cancer patient had the honor, which<br />
means that a woman tossed out the ball—right? Wrong!<br />
Mike Nelsen, age 49, a breast cancer survivor and director of Sales<br />
at McCormick & Company, was the ceremonial pitcher.<br />
In November 2008, Nelsen noticed a small bump on his<br />
right breast. His internist referred him to Dr. Michael Schultz,<br />
director of The Breast <strong>Center</strong> at <strong>St</strong>. <strong>Joseph</strong>. A biopsy was<br />
positive. About one percent of all breast cancers occur to men.<br />
During his long, successful career, Schultz has treated about<br />
30 men with the disease.<br />
Get it done<br />
Though Nelsen may have what most<br />
consider a woman’s disease—annually<br />
about 190,000 women contract breast<br />
cancer compared to 1,900 men—he<br />
had a man’s reaction. “I was quite<br />
surprised, but it is what it is. I wasn’t<br />
devastated. I knew we had to get the job<br />
done,” Nelsen said. His disease<br />
“was treated along the same paradigms as female breast cancer,”<br />
said Schultz. By December, Nelsen had undergone a full mastectomy<br />
and removal of some lymph nodes, done by Schultz.<br />
<strong>St</strong>. <strong>Joseph</strong>’s Breast <strong>Center</strong> provides comprehensive conveniences<br />
for diagnosis and care under one roof. A multidisciplinary<br />
conference gathers all the experts together to plan treatment; a<br />
nurse navigator guides patients through the journey. Nelsen’s next<br />
step was chemotherapy. Once again, he encountered a rare situation;<br />
a negative reaction to chemotherapy irritated his intestine.<br />
In the genes?<br />
So, The Breast <strong>Center</strong> arranged genomic testing of the tumor<br />
to determine the probability of his cancer recurring. The test,<br />
called Oncotype DX by Genomic Health, provided good news:<br />
his cancer had a low chance of recurrence; he could be treated<br />
without chemotherapy.<br />
Now on a standard, five-year regimen of Tamoxifen therapy,<br />
Nelsen joked, “Not only do I have a woman’s disease, I get hot<br />
flashes too.”<br />
“Mike is fortunate that we were able to utilize our multidisciplinary<br />
approach to tailor his breast cancer treatment to his<br />
particular tumor,” said Schultz.<br />
Genetics could reveal more answers, so Nelsen is undergoing<br />
genetic testing. His mother died of ovarian cancer, after having<br />
breast cancer in her 40s and melanoma in her 50s. His aunt had<br />
ovarian cancer. His 23-year-old daughter is already watchful and<br />
had a mammogram. “It seems like it runs in our family, but we<br />
don’t really have verification,” said Nelsen, who also has a twoyear-old<br />
adopted daughter.<br />
But, he doesn’t spend any time dwelling on ‘why me?’<br />
“I’m generally healthy. It’s just a weird occurrence,” he reflected.<br />
“It creates a lot of awareness among my male friends.”<br />
‰ Male Breast Cancer<br />
• Usually occurs between ages 60–70<br />
• Risks include exposure to radiation,<br />
family history or high estrogen levels<br />
• Linked to cirrhosis or an extra X<br />
chromosome (known as Klinefelter’s<br />
syndrome)<br />
Genetic testing will help<br />
Mike Nelsen’s older daughter<br />
find out if she is at risk for<br />
breast cancer.<br />
Fall 2009 <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> / sjmcmd.org
Oncology<br />
A Cozy Courageous Feeling<br />
The recovery room nurses at <strong>St</strong>. <strong>Joseph</strong> believe in<br />
wrapping their patients in comfort and care—literally.<br />
Blankets of Courage debuted last<br />
spring when the nurses began making<br />
colorful fleecy blankets for cancer<br />
patients taking the next step from surgery<br />
to chemotherapy in The Cancer Institute’s<br />
atrium. These patients often have surgeries<br />
such as mastectomy, biopsy or creation of<br />
a port-a-cath site through which chemotherapy<br />
is received.<br />
Now they take that step wrapped in cozy<br />
creations, which ward off the chills brought<br />
on by chemotherapy, while providing spiritual<br />
and emotional warmth.<br />
“Understand you are not alone,”reads<br />
the poem written by Selina Clow, RN, that<br />
accompanies the blanket. She went on to<br />
pen, “Embrace yourself in the warmth, caring,<br />
comfort of the Blanket of Courage.”<br />
“There is a need for more than just treating<br />
patients post-operatively,” said Noreen<br />
Rodgers, RN, a PACU nurse. (PACU stands<br />
for Post Anesthesia Care Unit or recovery<br />
room.) “We’re moved all the time<br />
by how very young and very sick our<br />
cancer patients are.”<br />
“The blanket idea was just meant<br />
to be,” explained Betsy Niehoff, RN.<br />
“Everyone in our unit came together<br />
to make them. <strong>St</strong>. <strong>Joseph</strong> volunteers<br />
are now joining the effort.”<br />
Each patient’s name is embroidered<br />
on their blanket, and the<br />
nurses visit patients on their first chemotherapy<br />
day to make the presentation.<br />
Fundraisers among the nurses, doctors<br />
and the daughter of OR nurse<br />
Mary Mulvey, RN, who turned it into<br />
her senior project at Francis Scott Key<br />
High School in Union Bridge, MD,<br />
make blankets possible.<br />
Anyone interested in contributing or<br />
volunteering for Blankets of Courage<br />
should contact the <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong><br />
<strong>Center</strong> Foundation at 410-337-1397.<br />
Embrace<br />
yourself in the<br />
warmth, caring,<br />
comfort of the<br />
Blanket of<br />
Courage.<br />
Help End Prostate Cancer!<br />
Prostate Cancer Awareness Month at <strong>St</strong>. <strong>Joseph</strong><br />
5K Run/1 Mile Fun Walk: Saturday, September 26, 8 a.m.<br />
Free Prostate Cancer Screenings: 9 a.m.–12 noon<br />
The Great Prostate Cancer Challenge is<br />
back for the third year on the <strong>St</strong>. <strong>Joseph</strong><br />
campus. Co-sponsored by Chesapeake<br />
Urology Associates, this terrific event raises<br />
funds to help support ZERO—The Project<br />
to End Prostate Cancer. Family-friendly<br />
activities include a <strong>St</strong>roller <strong>St</strong>roll and a<br />
Kids’ Run, plus food, refreshments, exhibits<br />
and a chance to try out a da Vinci Robotic<br />
Surgical System on display.<br />
• $30 pre-race registration<br />
$35 race-day registration<br />
• Long-sleeved performance tees<br />
for the first 1,500<br />
registered participants!<br />
‰<br />
Get a Free Prostate<br />
Cancer Screening!<br />
Men, have your prostate screened<br />
conveniently, quickly and expertly!<br />
Chesapeake Urology physicians and<br />
<strong>St</strong>. <strong>Joseph</strong>’s Cancer Institute are offering<br />
screenings for men who meet these<br />
eligibility requirements:<br />
• Ages 50-75 or<br />
• Age 40 or older if African-American<br />
or have a first-degree relative<br />
diagnosed with prostate cancer<br />
• You have not had a screening<br />
in the last 12 months.<br />
• You have not had prostate cancer<br />
Screenings at <strong>St</strong>. <strong>Joseph</strong>’s<br />
Cancer Institute, first floor.<br />
For eligibility questions or an<br />
appointment, call 410-337-1479.<br />
Last year, more than 90 men<br />
were screened!<br />
Go to www.GreatProstateCancerChallenge.org<br />
SJMcmd.org / <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Fall 2009
Faith<br />
Meet the Surgery Chaplain<br />
Spreading blessings and calm in the presurgical area leads to better outcomes<br />
<strong>St</strong>. <strong>Joseph</strong>’s beautiful new<br />
front entrance and Surgical<br />
Services waiting area inspire<br />
confidence, but once patients<br />
come into the Ambulatory<br />
Surgery Unit (ASU), their caregivers<br />
fill them with even more assurance<br />
that they are in the best of hands.<br />
They meet highly skilled nurses and<br />
are greeted by a warm, supportive<br />
person whom they did not expect—<br />
Father Bogdan Palka, ASU chaplain,<br />
watches over the ASU patients and<br />
staff—his flock—offering blessings<br />
and comfort no matter what<br />
denomination a person is. He tries to visit every patient, approximately<br />
20-40 a day, and is seldom turned down.<br />
“I offer them a prayer, a blessing, or anointing of the sick.<br />
I call it my spiritual medication to quench their anxiety,” said<br />
Father Bogdan with a smile, in his charming Polish accent.<br />
He describes the area as a mosaic of faiths and keeps Jewish<br />
and Hindu prayers on hand.<br />
The nurses look forward to his arrival each morning.<br />
“He laughs. He jokes,” said Mary <strong>St</strong>oecker, RN. “There’s a real<br />
human behind the collar. He’s always there for us.”<br />
“He has a calming effect. It doesn’t matter what your religion<br />
is,” said Regina Schuch, RN.<br />
Less Pain, More Peace<br />
So calming, that according to Dr. Paul McAfee, head of Spinal<br />
Surgery at <strong>St</strong>. <strong>Joseph</strong>, “Father Bogdan performs an incredibly<br />
important service to patients of all faiths. After his visit, they’re<br />
much less agitated in the OR, and they actually need less pain<br />
medication when they wake up. Father Bogdan is one of the<br />
greatest people I’ve ever met.”<br />
“You see a peace, an appreciation from patients,” said Deborah<br />
Hall, RN. “You cannot ask for anything better before surgery.”<br />
“Spiritual care is just as important as the registration or medication<br />
part,” explained Susanne DeCrane, director of Spiritual<br />
Care at <strong>St</strong>. <strong>Joseph</strong>. “Patients almost feel like a weight’s been<br />
lifted off their shoulders. To my best knowledge, we are<br />
the only hospital with spiritual care dedicated to the<br />
presurgical area,” said DeCrane.<br />
“Jewish prayer books or<br />
“It is a space for prayer<br />
the Koran are available.<br />
and meditation,<br />
For those of the Muslim<br />
designed for people<br />
tradition, the room<br />
features to bring shelves in their to faith” place<br />
their Susanne shoes DeCrane, and a very<br />
subtle<br />
Director of Spiritual<br />
marker<br />
Care<br />
indicating Mecca.”<br />
New Interfaith Room Welcomes All Beliefs<br />
Nourishing and comforting the spirit is of the utmost importance at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong><br />
<strong>Center</strong>, which is why our Spiritual Care <strong>Center</strong> recently opened the new Interfaith Room.<br />
“The concept is a room that isn’t defined by religious symbols of any tradition,”<br />
explained Susanne DeCrane, <strong>St</strong>. <strong>Joseph</strong>’s director of Spiritual Care. Located by<br />
the Meditation Garden on the first floor, “this neutral room is warm and welcoming.<br />
It is a space for prayer and meditation, designed for people to bring in their faith—it<br />
can become a Jewish, Muslim or Hindu space, or any type of spiritual space a person<br />
needs.” For example, Jewish prayer books or the Koran are available. For those of<br />
the Muslim tradition, the room features shelves to place their shoes and a very subtle<br />
marker indicating Mecca.<br />
“We support the faith traditions of our patients in many ways. We have more than<br />
130 visiting clergy, including most Protestant denominations, Rabbis and an Imam.<br />
We provide electric menorahs on request for the Sabbath. Just let us know; we’ll do our<br />
best to support your spiritual needs,” added DeCrane. Spiritual Care can be reached<br />
at 410-337-1109.<br />
Fall 2009 <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> / sjmcmd.org
DIn te Spirit d<br />
Inspired giving through the <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Foundation<br />
Oh,What a Night!<br />
Hands quickly raised to bid on the live auction…<br />
dancing to Shades of Blue…mingling among friends…<br />
Guests at the Hyatt Regency Inner Harbor on<br />
Saturday, April 18 could feel the commotion from<br />
“Life in Motion,” <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong>’s Gala<br />
benefiting The Orthopaedic Institute at <strong>St</strong>. <strong>Joseph</strong>.<br />
With 800 guests in attendance, the Gala netted<br />
over $300,000 to support an orthopaedic program<br />
that has received national awards and recognition.<br />
David Dalury, M.D., one of the honorary chairs of the<br />
Gala and a Foundation board member, commented:<br />
“The Institute at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> is one of<br />
the largest in the state, leaders not only in orthopaedics<br />
but pain management, as well. I’m delighted that so<br />
many of our support staff could be a part of the<br />
evening as many of them will benefit from the Gala.<br />
(Continued on following page)<br />
(clockwise from top)<br />
David Dalury, M.D., Kim Tortolani, Justin Tortolani, M.D.;<br />
Baltimore County Executive Jim Smith, James Ricely, M.D., Peggy Ricely;<br />
Gala Co-Chairs, Victoria and Carmen Deyesu;<br />
Heather Troyer, C.N.A., Amy Baker, R.N., Heather Gamber, R.N.,<br />
Nicole Wallace, R.N., Sarah <strong>St</strong>aley, C.N.A., Charmaine Harper, R.N.<br />
SJMcmd.org / <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> foundation Fall 2009 A
Oh,What<br />
a Night!<br />
(Continued)<br />
Half of the proceeds<br />
will support educational<br />
programs, including the<br />
Orthopaedic Fund for<br />
Nursing Excellence. The<br />
fund enables our nurses<br />
to receive orthopaedic<br />
certification, scholarship<br />
assistance and attend<br />
leadership development<br />
programs.” Dr. Dalury<br />
added, “It was particularly<br />
poignant for those of us<br />
who work at The Institute<br />
to see so many of our<br />
former patients moving<br />
about the Gala with such<br />
ease and grace. That is<br />
what the evening was all<br />
about. We are grateful<br />
to our generous sponsors<br />
who made “Life in<br />
Motion” such a success.”<br />
The dance floor is alive with<br />
motion; Jim Narutowicz, one of<br />
our patients featured in<br />
Gala video, is recognized.<br />
Michael Schultz, M.D., medical director of The Breast <strong>Center</strong>, cancer survivors Melody McMillen and<br />
Mike Nelsen, along with Mark Krasna, M.D., medical director of The Cancer Institute pose with The Oriole Bird.<br />
Both McMillen and Nelson threw ceremonial first pitches at the game.<br />
It’s hard to say exactly why the Orioles<br />
handily beat the Atlanta Braves 11-2 on a<br />
picture perfect Sunday afternoon. Perhaps<br />
it was the superior hitting but there may<br />
just have been an extra dose of good karma<br />
at Camden Yards on June 14th.<br />
Because of the generosity of the Orioles<br />
Foundation, cancer survivors from<br />
<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong>’s Cancer<br />
Institute were treated to a wonderful<br />
day at the ballpark. The Foundation has<br />
a longstanding relationship with Mark<br />
Krasna, M.D., medical director of The<br />
Cancer Institute. For the past three years<br />
the Orioles have sponsored <strong>St</strong>. <strong>Joseph</strong>’s<br />
Survivor’s Day, an event that is about fun,<br />
family and friends, not disease. Twentysix<br />
suites filled with food, beverages and<br />
t-shirts, accommodated 650 guests that<br />
included cancer survivors, their guests and<br />
medical center caregivers. Two survivors<br />
had the honor of throwing the first pitches.<br />
Michael Schultz, M.D., medical director<br />
of The Breast <strong>Center</strong> at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong><br />
<strong>Center</strong> Cancer Institute, says the day<br />
is always emotion packed, both for the<br />
patients and the medical staff. “So many<br />
patients are used to seeing their physician<br />
and support staff in a clinical setting,<br />
where their illness is paramount. To be<br />
S U RV I V O R ’ S D AY<br />
at this wonderful event, where everyone<br />
is celebrating their health, is a beautiful<br />
thing to see.” Adds Krasna, “Many of the<br />
patients are running from suite to suite,<br />
greeting and hugging each other. They’ve<br />
become friends through avenues like shared<br />
treatment modalities or support groups.”<br />
“Cancer has directly or indirectly touched<br />
nearly all of our lives in some way,” says<br />
Orioles Director of Communications Greg<br />
Bader. “The Orioles are proud to recognize<br />
and support those who have defeated this<br />
terrible disease, and we hope that a day at<br />
the ballpark provides a welcome distraction<br />
for those who have battled against it.”<br />
Rosmarie Jones and Breast <strong>Center</strong> Coordinator<br />
Susan Feild reunite at Survivor’s Day.<br />
A Fall 2009 <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> foundation / sjmcmd.org
ZEN & NOW GIFTS<br />
IS HERE!<br />
Visitors to Zen & Now Gifts can enjoy a unique shopping experience,<br />
buying everything from stylish outfits to delicious candy in one location.<br />
Many immediately say “top notch” health care when they<br />
are asked about <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong>. Now they are<br />
adding “terrific shopping” to their accolades! With the<br />
opening of the 2,000 square foot Zen & Now Gifts in July,<br />
<strong>St</strong>. <strong>Joseph</strong> has become a destination for shoppers.<br />
WORK AND PLAY<br />
COME TOGETHER AT ST. JOSEPH<br />
When <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> Foundation needs support<br />
for special projects, we don’t have to search far to find<br />
a dedicated group of people who are always on board<br />
to raise money and have a great time doing it. The<br />
Employee Events Committee (EEC), spearheaded<br />
by John Bruchalski, Jed Castellucci and Pam Wood,<br />
holds two spring fundraising events for employees<br />
at <strong>St</strong>. <strong>Joseph</strong>: the Saint Patrick’s Day party and the<br />
Golf Tournament at Oakmont. This year’s Employee<br />
Events proceeds went to The Orthopaedic Fund<br />
for Nursing Excellence. As evidence of the events’<br />
popularity, over 300 people came to the <strong>St</strong>. Patrick’s<br />
Day party and 100 golfers turned out at Oakmont,<br />
raising nearly $13,000!<br />
“It doesn’t matter whether we’re on the golf course or<br />
dancing to Irish music; our employees always get in the<br />
spirit of the occasion. People call us months in advance<br />
to make sure they get the events on their calendars,”<br />
comments Bruchalski. Adds Castellucci, “It’s great to<br />
see different departments support each other. Wood<br />
concludes, “The help we get from employees is always<br />
amazing. It’s an honor to be a part of this committee.”<br />
In lovely, soothing surroundings, browsing among stylish<br />
women’s apparel and accessories, it’s easy to forget you<br />
are in a hospital setting and not a trendy boutique. In<br />
keeping with <strong>St</strong>. <strong>Joseph</strong>’s mission of treating body and<br />
spirit there are aromatherapy products along with organic<br />
creams and lotions from Archipelago. And of course there<br />
are toys, flowers, gifts, balloons and snacks. There truly is<br />
something for everybody.<br />
A percentage of every sale from Zen & Now supports<br />
programs and services at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong>. The<br />
store operates seven days a week, from M–F 8:00 AM–8:30<br />
PM, Sat and Sun. 9:00 AM–8:00 PM. Come and see us!<br />
(left to right) Jed Castellucci, Greg Hicks, Kate Castellucci and<br />
<strong>St</strong>acy Prinzing enjoy the Saint Patrick’s Day Party held on<br />
March 14, 2009.<br />
q 22 nd Annual golf tournamentn<br />
Join us on Monday, September 21, 2009<br />
at Chestnut Ridge Country Club, Lutherville, Maryland.<br />
Don’t miss this opportunity to support <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong>’s Digestive Disease <strong>Center</strong><br />
(DDC). With a reputation for diagnosing and treating difficult digestive symptoms, the DDC<br />
is a vital resource for the community. <strong>St</strong>arting with lunch, followed by an afternoon on the links<br />
and concluding with cocktails and dinner, the Tournament is an event not to be missed! Please<br />
call 410-337-1397 for additional information.<br />
SJMcmd.org / <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> foundation Fall 2009 A
With Gratitude to Our Wonderful Donors<br />
and Community Partners<br />
<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Foundation Raises Over $3.6 million in FY09<br />
In a year that has seen virtually<br />
everyone affected by economic challenges,<br />
the Foundation at <strong>St</strong>. <strong>Joseph</strong><br />
<strong>Medical</strong> <strong>Center</strong> is proud that our<br />
friends continued their strong<br />
support for the medical center.<br />
Between July 1, 2008 and June<br />
30, 2009, the Foundation received<br />
$3,654,807 from our partners who<br />
remain vested in the quality of<br />
healthcare they receive; continue<br />
to find excellence at <strong>St</strong>. <strong>Joseph</strong> and<br />
are pleased to support an institution<br />
that delivers quality, excellence<br />
and compassion.<br />
The impact of these gifts can be<br />
seen everywhere throughout the<br />
medical center. The beautifully<br />
renovated meditation garden, chapel<br />
and heritage wall were fully funded<br />
through private gifts as was much<br />
of the commissioned artwork that<br />
complements the new main entrance.<br />
Funds raised this past year<br />
Visitors to the meditation garden, part of The Keeler<br />
Spiritual Care <strong>Center</strong>, enjoy a moment in the sunshine.<br />
The renovation was donor funded.<br />
translate into medical students<br />
conducting leading edge research<br />
in The Cancer Institute and nurses<br />
in The Orthopaedic Institute<br />
receiving special certification.<br />
Advanced software has been<br />
purchased for both The Cancer<br />
and Orthopaedic Institutes and<br />
the Cath labs are being outfitted<br />
with grant funding from the <strong>St</strong>ate<br />
of Maryland.<br />
Donor dollars also allowed the<br />
“extra touches” that are critical to<br />
wellness for some of our most<br />
vulnerable patients—massages for<br />
our neonatal intensive care unit<br />
babies and yoga therapy for our<br />
inpatient psychiatric patients.<br />
Many more projects and services at<br />
<strong>St</strong>. <strong>Joseph</strong> receive the benefit of our<br />
steadfast donors. We are humbled<br />
by the generosity of the community<br />
we are so proud to serve.<br />
You can make a gift to the <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Foundation by using the provided envelope. For more information,<br />
please call the Foundation at 410-337-1397 or visit us online at sjmcmd.org/giving. All of us at <strong>St</strong>. <strong>Joseph</strong> thank you.<br />
Good News...Good Deeds.<br />
In June, <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Foundation was awarded two grants,<br />
totaling $409,000, by Catholic Health Initiatives. Both grants strengthen<br />
the work of <strong>St</strong>. <strong>Joseph</strong>’s outreach and patient care initiatives.<br />
Gala 2010: An Evening With Our <strong>St</strong>ars will benefit<br />
The Cancer Institute at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong>.<br />
On Saturday, April 17, 2010, The Marriott Waterfront<br />
Hotel will be the setting for a nostalgic trip back to<br />
“Old Hollywood.” Gala chairs, Michael Schultz, M.D.,<br />
medical director of The Breast <strong>Center</strong>, and his wife,<br />
Joan will be producing and directing the event,<br />
assisted by honorary co-chairs Phyllis and Leonard<br />
Attman. Please call The Foundation at 410-337-1397<br />
to add your name to the invitation list!<br />
<strong>St</strong>. Clare <strong>Medical</strong> Outreach: $234,000 over three years<br />
This grant underwrites a social worker and part-time registered<br />
dietician to support the clinical staff of <strong>St</strong>. Clare <strong>Medical</strong> Outreach<br />
at the Esperanza <strong>Center</strong>.<br />
Village Wellness Program: $175,000<br />
The Village Wellness Program (VWP), a <strong>St</strong>. <strong>Joseph</strong> outreach<br />
initiative in Tanzania, received funding to hire a full-time director to<br />
manage the program “on the ground” in Tanzania. Flora Myamba,<br />
Ph.D., (at right) a native of Tanzania, began serving as VWP<br />
director in the Karatu district in July 2009.<br />
A Fall 2009 <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> FOUNDATION / sjmcmd.org
EMergency Care<br />
Faster ER Care, Thanks<br />
to Auto Industry Methods<br />
Treatment time decreased by 25%<br />
When you rush a family<br />
member to your neighborhood<br />
emergency department, the first<br />
thought that crosses your mind<br />
is how long of a wait you’ll have.<br />
According to Press Ganey Associates,<br />
the average wait in a U.S. emergency<br />
department (ED) is 3.7 hours. And<br />
between 1996 and 2006, 32 percent more<br />
Americans sought ED care. This has led to<br />
a troubling situation—when an ED reaches<br />
capacity, ambulances get diverted away<br />
to distant EDs. To try to ease ED crowding,<br />
many hospitals have scrambled to open<br />
up more beds, but that doesn’t really help,<br />
explained Durenda Juergensen, RN, assistant<br />
vice president of Nursing Operations<br />
at <strong>St</strong>. <strong>Joseph</strong>. “Opening up additional<br />
expensive capacity isn’t the solution.<br />
We need to attack the root cause of the<br />
patient backups in the ED—the length of<br />
time it takes to treat each patient.”<br />
So, <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> forged<br />
ahead with innovations—and succeeded.<br />
“We’ve had a 25 percent decrease in<br />
length of stay in the ED,” said Dr. Gail<br />
Cunningham, chief of <strong>St</strong>. <strong>Joseph</strong>’s ED.<br />
“The impact has been dramatic. By<br />
reducing our ambulance divert times,<br />
we are accommodating ambulances<br />
and patients better, and have sped up<br />
treatment time. Our yellow ambulance<br />
diverts are down approximately 60 percent<br />
and red diverts (critical care situations)<br />
are down 85 percent.”<br />
The road to success was to utilize<br />
so-called “lean methods” from the auto<br />
industry. To do this, <strong>St</strong>. <strong>Joseph</strong> recruited<br />
an expert from that field; Dave Norton,<br />
nicknamed “The Lean Guy.”<br />
“Lean creates speed, by improving cycle<br />
time, and efficiency, through elimination<br />
of waste. We improved patient flow, eliminated<br />
delays, standardized process steps<br />
to ensure they are done perfectly, and<br />
organized our workplace effectively,” said<br />
Norton. “For example, we improved chest<br />
pain patients’ time from arrival to an EKG<br />
‰ When to go to the ER *<br />
• Chest pain lasting more than<br />
two minutes<br />
• Uncontrolled bleeding<br />
• Severe or sudden pain<br />
• Coughing or vomiting blood<br />
• Difficulty breathing, shortness of breath<br />
• Sudden dizziness, weakness,<br />
change in vision<br />
• Severe/persistent vomiting or diarrhea<br />
• Change in mental status<br />
Do not delay—call 911!<br />
*According to the American College of Emergency Physicians<br />
by 50 percent. Patients get to key treatments<br />
and decision points faster.”<br />
“<strong>St</strong>. <strong>Joseph</strong>’s capabilities are vitally<br />
important to the community’s health.<br />
Being a major provider of emergency<br />
services, including heart and stroke, we<br />
still provide the highest quality of care<br />
—but faster than before,” said Jurgensen.<br />
Lean time-savers include:<br />
• ED zone/room and staff are readied before an ambulance arrives<br />
• Patient moves quickly into triage station where nurse and technician are both located<br />
• A tracking system proactively reports patients’ test and lab data<br />
SJMcmd.org / <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Fall 2009
orthopaedics<br />
Maximizing Function<br />
After a Torn Meniscus<br />
Advanced repair gives Calvert Hall athlete a long career<br />
It was a hot August day on the Calvert Hall School fields<br />
and the highly-ranked varsity soccer team was scrimmaging. Midfielder<br />
Elliott Crompton aggressively jumped up for a header and, as<br />
he came down on the ground, “something weird happened”<br />
in his knee. “No big deal,” he thought, and kept playing.<br />
But his mom got a frantic call at work the next day. “I can’t move,” said<br />
Elliott, who was sitting at his computer with his knee locked.<br />
His mother rushed home and somehow got Elliott over to see Calvert<br />
Hall’s sports trainer Chris Zinn for his opinion. Zinn had a pretty good<br />
hunch about what had happened, and Elliott and his mom decided<br />
to make an appointment with orthopaedic surgeon Dr. A.J.<br />
Detterline, also the team’s physician.<br />
The diagnosis was a pretty common sports injury<br />
—a tear to his lateral meniscus, the outer cartilage<br />
that cushions the knee.<br />
Then Elliott made another very important<br />
decision with his doctor’s guidance. He opted<br />
for treatment with a lengthier recovery, but<br />
the best possible result. Instead of removing the<br />
meniscus, Detterline performed an intricate operation to<br />
repair it. In the hands of an expert, this gave Elliott many playing<br />
years on his knee.<br />
“There are a fair amount of athletes who don’t want to<br />
take the time to recover from a meniscus repair,” explained<br />
Detterline, who trained at the Cincinnati Sports Medicine<br />
and Orthopaedic <strong>Center</strong> with Dr. Frank Noyse, a worldrenowned<br />
knee surgeon and pioneer. “But in our practice,<br />
we see patients in their 20s with arthritis due to injuries for<br />
which the meniscus was removed. For a lateral-sided injury,<br />
arthritis can develop rather rapidly, in as little as a few years.”<br />
Elliott’s rehabilitation was<br />
very comprehensive.<br />
“I wanted to give Elliott the best chance<br />
to heal,” said Detterline. “No one wants<br />
a knee replacement when they’re 35.<br />
I used an inside-out technique, passing seven stitches from inside the<br />
joint to outside the joint, forming a U shape around the meniscus.”<br />
Simultaneously, he moved the meniscus back into place while<br />
viewing his work through an arthroscopic camera.<br />
After a season off, Elliott is back on the field.<br />
“Dr. Detterline recognizes the competitiveness of<br />
Calvert Hall athletics, but his first and utmost<br />
concern is the health and safety of our athletes,<br />
which is a most attractive quality,” said Zinn.<br />
A leg up on knee<br />
Cartilage repair.<br />
<strong>St</strong>ate-of-the-art techniques<br />
• Meniscus Transplant: Cadaver meniscus<br />
transplanted into someone relatively<br />
young with good knee alignment and very<br />
little arthritis. Done when most of or all<br />
the meniscus has been removed.<br />
• Osteochondral Transplant: For small,<br />
isolated cartilage injuries in the shape<br />
of a pothole. Fills in the pothole with<br />
the patient’s cartilage taken from<br />
a low-stress area.<br />
• Chondrocyte Implantation: Cartilage cells<br />
are harvested through an arthroscopic<br />
procedure and stimulated to grow in the<br />
laboratory, then replanted into the knee.<br />
• Bone Marrow <strong>St</strong>imulation: Small<br />
perforations are made in the bone<br />
arthroscopically to stimulate formation<br />
of a scar cartilage.<br />
• The bottom line: “There are options to<br />
help people remain active and do the<br />
things they enjoy while keeping them<br />
pain and symptom-free,” said Detterline.<br />
Dr. A. J. Detterline (left) with Chris Zinn,<br />
Calvert Hall School trainer.<br />
Lecture Series<br />
The Need for Good Knees:<br />
By Dr. A.J. Detterline<br />
Thursday, October 8, 7 p.m.<br />
See page 14.<br />
10 Fall 2009 <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> / sjmcmd.org
orthopaedics<br />
High-Demand, High-Tech<br />
Knee Replacement<br />
If you need a knee replacement and<br />
you’re a real go-getter, intent on making<br />
a comeback, the mobile bearing<br />
knee could be just what the orthopaedic<br />
surgeon orders.<br />
According to Dr. John Naiman,<br />
“People hit the ground running with this<br />
type of knee replacement.” As an orthopaedic<br />
surgeon who has been performing<br />
this technically demanding knee replacement<br />
for years, Naiman is very enthusiastic,<br />
saying, “It’s a high-demand knee, It’s<br />
for patients who lead very active lives.”<br />
The mobile bearing knee has two<br />
bearing interfaces instead of one with<br />
the standard knee replacement. It provides<br />
patients with a more fluid, natural<br />
gait. However, “people have to be very<br />
aggressive with their rehabilitation,”<br />
emphasized Naiman.<br />
For surgeons, the mobile knee is, “harder<br />
to install; greater surgical precision is<br />
required, but the benefits to be reaped are<br />
well worth it,” he said. “<strong>St</strong>. <strong>Joseph</strong> is way<br />
ahead of the curve. We’ve been offering<br />
mobile knees for seven years, but they’ve<br />
only been on the national market four<br />
years. We have tremendous experience.”<br />
Elaine Casey, age 61, opted for the<br />
mobile knee after receiving<br />
intermediate treatment from<br />
Naiman for 14 years. “My<br />
arthritis began in my 40s. I had<br />
been taking Aleve and getting<br />
cortisone shots. It was finally<br />
time. I couldn’t walk from one<br />
end of the mall to the other.”<br />
Casey was back to work<br />
in two months;<br />
“It was supposed to be<br />
a three-month recovery.<br />
The outcome was better<br />
than I thought it would be.<br />
To anyone who needs<br />
this knee replacement,<br />
I say, ‘Go for it!’”<br />
“Elaine is representative of younger,<br />
active patients who are a good match for<br />
the knee. She was very aggressive about<br />
her recovery,” said Naiman.<br />
Excellent rehabilitation<br />
Rehabilitation at <strong>St</strong>. <strong>Joseph</strong> begins with an<br />
“intraoperative pain cocktail that is injected<br />
and allows people to be more active in<br />
their immediate rehab and do what is necessary<br />
to make the mobile bearing knee<br />
work,” he said.<br />
“I didn’t need oral pain medicine; I<br />
threw it away. The recovery was amazing,”<br />
said Casey.<br />
Dr. John Naiman has<br />
performed mobile bearing<br />
knee replacements, which<br />
provide a more natural<br />
gait, for the past<br />
seven years.<br />
Naiman credits the outstanding<br />
Orthopaedic Unit staff for the excellence<br />
of <strong>St</strong>. <strong>Joseph</strong>’s rehabilitation outcome. “It’s<br />
the occupational therapists, the physical<br />
therapists and the nurses,” he said. “The<br />
team gets patients up, active, and going<br />
quickly. You work hard in the hospital but<br />
that sets your path for rehabilitation.<br />
The mobile bearing knee is attached<br />
to the femur (thigh bone) with a porous<br />
coating instead of cement. “The body’s<br />
own bone grows into the coating and<br />
bonds to the component,” said Naiman.<br />
He has had patients who could compare<br />
the traditional knee replacement<br />
after coming to him for a mobile bearing<br />
replacement for their second arthritic<br />
knee. “People tell me that the mobile one<br />
just feels better,” he said.<br />
‰<br />
Mobile Bearing Facts<br />
• Good for high level of activity<br />
• Requires good bone quality<br />
• Depends on biologic ingrowth<br />
• Technically demanding to install<br />
• Needs aggressive rehabilitation<br />
SJMcmd.org / <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Fall 2009 11
Technobytes<br />
A Record in<br />
Da Vinci Surgery!<br />
Spyglass<br />
Voyage to the Digestive Tract<br />
Gastroenterologist Dr. Joshua Forman performed<br />
the first Spyglass Direct Visualization<br />
procedure at <strong>St</strong>. <strong>Joseph</strong> in June, and<br />
although Spyglass sounds like something<br />
from a James Bond movie or a scope for<br />
finding pirate treasure, the new technology<br />
provides a bird’s eye view of the complex<br />
ducts of the digestive tract.<br />
It can help diagnose problems of the liver,<br />
bile ducts and pancreas —troubleshooting<br />
conditions ranging from gallstones to<br />
cancer, explained Dr. Andrew Rosenstein,<br />
gastroenterologist.<br />
“Not only does Spyglass make diagnosis<br />
easier, patients who might have needed surgery<br />
for large bile duct stones can now be<br />
treated safely using lithotripsy with guidance<br />
visualized by SpyGlass,” said Forman.<br />
Photo courtesy of Boston Scientif<br />
Spyglass, which visualizes the biliary tree<br />
and pancreas, is performed by doctors at<br />
<strong>St</strong>. <strong>Joseph</strong>’s Digestive Disease <strong>Center</strong>.<br />
ic Corporation<br />
<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> may have the most<br />
experienced physicians in da Vinci surgery in<br />
Maryland—they have performed well over<br />
600 robotic-guided surgeries, including prostatectomies,<br />
hysterectomies, and pancreatic and<br />
colorectal surgery. “This is a huge landmark,”<br />
said Dr. Marc Siegelbaum, chief of Urology. “We<br />
are one of the premier places in the country for<br />
da Vinci prostatectomy (surgery for cancer<br />
contained to the prostate gland).<br />
“<strong>St</strong>. <strong>Joseph</strong> had the foresight and leadership<br />
to be the first to introduce da Vinci as a community<br />
hospital in early 2005,” said Dr. Daniel<br />
Dietrick, <strong>St</strong>. <strong>Joseph</strong>’s chief of Surgery. “When<br />
we began, only five percent of prostatectomies<br />
were being done with the da Vinci; now that<br />
is close to 80 percent world wide.” Da Vinci is<br />
one of many reasons that Baltimore magazine<br />
named <strong>St</strong>. <strong>Joseph</strong> one of the best Baltimore<br />
hospitals for prostate cancer treatment.<br />
Da Vinci prostatectomy benefits<br />
• Minimal blood loss, almost no<br />
blood transfusions<br />
• Less foley catheter time<br />
• Shorter hospital stay; less than 24 hours<br />
• Faster return to urinary control<br />
• Minimal pain<br />
• Increased surgical cures<br />
In addition, <strong>St</strong>. <strong>Joseph</strong> surgeons have used da<br />
Vinci for hysterectomies, pancreatic cancer surgery<br />
and even colorectal cancer.<br />
Beautiful New Sleep <strong>Center</strong><br />
Beckons a Good Night’s Sleep<br />
Do you have a loud snorer in your home? The newly redesigned Sleep <strong>Center</strong> at<br />
<strong>St</strong>. <strong>Joseph</strong> may be just what the sandman ordered. The staff constantly receive thank you<br />
notes from spouses who can finally sleep following their loved one’s treatment.<br />
“Obstructive sleep apnea is the number one diagnosis we see. People’s bodies actually<br />
work harder at night when they snore due to sleep apnea. Patients often say they feel ten<br />
years younger once they’ve been treated and can get a good night’s sleep,” said Terry Cox,<br />
manager of The Sleep <strong>Center</strong> and Respiratory Care at <strong>St</strong>. <strong>Joseph</strong>. Restless leg syndrome is<br />
the number two diagnosis.<br />
The <strong>Center</strong> features six comfortable, spacious bedrooms with private bathrooms.<br />
<strong>St</strong>ate-of-the-art sleep equipment includes high-tech cameras and hands-free communication<br />
between patient and techs in every room.<br />
Children with sleep problems get special treatment. “What sets us apart is that Dr. Robert<br />
Meny, our pediatric sleep doctor, is one of the most esteemed specialists in his field in the<br />
country,” added Cox. To find out more about The Sleep <strong>Center</strong>, call 410-337-1240.<br />
12 Fall 2009 <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> / sjmcmd.org
Techno Bytes<br />
Radiosurgery—A Giant Leap<br />
“Knifeless Surgery” for Inoperable Brain, Spine and Lung Tumors<br />
Dr. Neal Naff, who has performed<br />
radiosurgery for brain and spine<br />
lesions since 2003, calls the<br />
technology “revolutionary.”<br />
<strong>St</strong>. <strong>Joseph</strong> entered a new era in the treatment<br />
of brain surgery in mid June when a patient<br />
received radiosurgery—a remarkable technology<br />
termed “knifeless surgery”—for an<br />
inoperable brain tumor. Dr. Neal Naff, chief of<br />
Neurosurgery, and Dr. Jason Citron, director<br />
of the Radiation Oncology <strong>Center</strong>, performed<br />
radiosurgery for a patient with renal cell (kidney)<br />
cancer that had metastasized to his brain.<br />
Radiosurgery delivers a high radiation dose in<br />
a very precise volume to a tumor. Done on an outpatient<br />
basis, treatment takes just one half hour.<br />
Naff, who began doing radiosurgery in 2003, is<br />
the most experienced Baltimore area neurosurgeon<br />
in this specialty for brain and spine lesions.<br />
“Radiosurgery is directed at the tumor and<br />
spares the surrounding tissue,” he explained.<br />
Although its main application is for brain<br />
metastases, meningiomas and other benign<br />
brain tumors, cerebral arteriovenous malformations<br />
and pituitary adenomas, <strong>St</strong>. <strong>Joseph</strong><br />
<strong>Medical</strong> <strong>Center</strong> is “expanding radiosurgery<br />
and investigating treating lung cancer and liver<br />
metastases for patients who cannot tolerate<br />
surgery,” said Dr. Mark Krasna, director of<br />
<strong>St</strong>. <strong>Joseph</strong>’s Cancer Institute. To perfect this,<br />
“a special, unique device that synchronizes the<br />
patient’s breathing with radiation delivery is<br />
being installed for lung cancer treatment.”<br />
Above: At a press conference,<br />
Baltimore County EMS<br />
providers received a Certificate<br />
of Appreciation from <strong>St</strong>. <strong>Joseph</strong><br />
staff: Durenda Juergensen,<br />
AVP of Nursing, (second from<br />
left) and Dr. Gail Cunningham,<br />
chief of Emergency Department<br />
(far right). Right: A portable<br />
automated external defibrillator.<br />
Paramedics<br />
and AEDs<br />
A Lifesaving Combination<br />
<strong>St</strong>. <strong>Joseph</strong>’s Emergency Department staff<br />
joined Baltimore County EMS providers to<br />
celebrate National CPR and AED Awareness<br />
Week in early June and to honor paramedics<br />
for responding to emergencies and saving lives!<br />
AEDs (automated external defibrillators), CPR<br />
and the paramedics’ expert skill all combine to<br />
accomplish miracles. AEDs are computerized<br />
mechanical devices that can shock a stopped<br />
heart back into rhythm.<br />
A number of patients who were brought to<br />
<strong>St</strong>. <strong>Joseph</strong>’s Emergency Department by paramedics<br />
gave testimony at a press conference<br />
held at the Parkville Fire Department about how<br />
they were saved twice—first by the EMS crew<br />
and an AED, and then by <strong>St</strong>. <strong>Joseph</strong>’s outstanding<br />
emergency staff.<br />
“<strong>St</strong>. <strong>Joseph</strong>’s partnership with Baltimore<br />
County EMS enables our emergency staff to<br />
proactively prepare for a cardiac emergency<br />
while the ambulance is in route here,” said<br />
Durenda Juergensen, <strong>St</strong>. <strong>Joseph</strong>’s assistant vice<br />
president of Nursing.<br />
<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> salutes Baltimore<br />
County EMS for their outstanding service to<br />
our community!<br />
SJMcmd.org / <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Fall 2009 13
Community & Family Programs<br />
Unless otherwise designated, call 410-337-1479 to register<br />
or schedule your appointment. All activities are FREE and<br />
held at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> unless otherwise indicated<br />
Events markedioffer online registration at www.sjmcmd.org.<br />
Health and<br />
Wellness Classes<br />
Yoga<br />
Various. Registration required.<br />
Call 410-427-5557 for schedules<br />
and prices.<br />
Joint Replacement /<br />
Arthritis Seminar<br />
Think nothing can be done to<br />
help your arthritis? Learn<br />
about the latest treatments!<br />
Call 410-337-1337 for dates<br />
and times.<br />
AARP Driver Safety Program<br />
Course to improve driving<br />
skills. Ages 50 and older. AARP<br />
members: $12; non-members:<br />
$14. Registration required.<br />
Saturday, October 17, 9 a.m.–<br />
2 p.m.; Saturday, November 28,<br />
9 a.m.–2 p.m<br />
Lymphedema Management<br />
Program<br />
Lymphedema can result from<br />
removal of lymph nodes,<br />
radiation, trauma, surgery or<br />
infection. Program focuses<br />
on reducing swelling through<br />
physical therapy and selfmanagement<br />
education. Fee:<br />
may be insurance reimbursable.<br />
Call 410-337-1412 for appointment<br />
information.<br />
Phase II Cardiac Rehab<br />
Program<br />
Monitored exercise, education,<br />
counseling, and behavior modification<br />
helps participants recover<br />
from cardiac events (heart attack,<br />
open heart surgery, stents) and<br />
reduces risk for future heart<br />
problems. Fee: may be insurance<br />
reimbursable.<br />
Call CV Fitness at 410-337-1366.<br />
Topics of Interest<br />
Bariatric Surgery i<br />
Information on LAP-BAND,<br />
gastric by-pass surgical weight<br />
loss options. Presented by<br />
<strong>St</strong>. Agnes Hospital experts in<br />
weight loss surgery, Andrew<br />
Averbach, M.D., or David von<br />
Rueden, M.D. Third Monday<br />
every month, 6:30 p.m. October<br />
19 and November 16 (none in<br />
December) Call toll-free at 866-<br />
690-WELL (9355) to register.<br />
ADHD and Academic Ups<br />
and Downs i<br />
For parents struggling with<br />
helping school-age students<br />
with problems common to<br />
ADHD. Introduces you to<br />
highly successful strategies.<br />
Presented by <strong>St</strong>anley Sack,<br />
Ph.D., and Dave LaSalle,<br />
Academic Support and Coach.<br />
Tuesday, October 20, 6:30 p.m.<br />
The Need for Good Knees<br />
Treating and Managing<br />
Knee Injuries and Pain i<br />
Pain in your knees can become<br />
debilitating. Knowing your<br />
diagnosis and what you and your<br />
physician can do about it can<br />
get you moving again. Presented<br />
by A.J. Detterline, M.D.<br />
Thursday, October 8, 7 p.m.<br />
Heart Failure:<br />
Common but Unrecognized!<br />
More people are surviving<br />
heart attacks but may have<br />
weakened hearts. Treatments<br />
may help patients live more<br />
normal, fulfilling lives. Find<br />
out what you need to know to<br />
decrease your chances of hospitalization.<br />
Dinner included.<br />
Registration required by phone.<br />
Presented by Jennifer Lieu, CRNP.<br />
Tuesday, November 10, 7 p.m.<br />
Updates on Radiation<br />
Treatment for Lung &<br />
Esophageal Cancer<br />
Sponsored by LUNGS program–<br />
Learning, Understanding,<br />
Navigating, Growing, and<br />
Survivorship. Light dinner<br />
offered. Registration required<br />
by phone. Presented by<br />
Jason Citron, M.D. Wednesday,<br />
October 14, 5:30 p.m.<br />
Call 410-337-4543 to register.<br />
SCREENINGS<br />
Breast Cancer Screening<br />
FREE clinical breast exam and screening mammogram for women 40<br />
years and older, who have not had a mammogram within the past year,<br />
do not have personal history of breast cancer, nor have had breast<br />
reduction surgery. Appointment required. Call for eligibility.<br />
Saturday, October 17, 8:30 a.m.–12:30 p.m.<br />
Varicose Veins Screening<br />
For ages 20–70, with visible vein distortion (elongated, rope-like,<br />
bulged and thickened veins underneath the skin). If left untreated, it<br />
can lead to a chronic, debilitating and, sometimes, serious condition.<br />
Screening includes visual inspection of your legs.<br />
Appointment Required. Tuesday, October 27, 4–7 p.m.<br />
Prostate Cancer Screenings<br />
by Chesapeake Urology doctors and <strong>St</strong>. <strong>Joseph</strong>’s Cancer Institute.<br />
Eligibility requirements: • Men, ages 50-75 or • Age 40 or older<br />
if African American or have a first-degree relative diagnosed<br />
with prostate cancer • You have not had a screening in the last<br />
12 months • You have not had prostate cancer.<br />
Takes place at <strong>St</strong>. <strong>Joseph</strong>’s Cancer Institute, first floor.<br />
For eligibility or an appointment, call 410-337-1479.<br />
Saturday, September 26, 9 a.m.–12 noon<br />
TRAINING<br />
Heartsaver CPR<br />
Instruction on adult, infant, and<br />
child CPR and relief of airway<br />
obstruction. For lay rescuers<br />
requiring credentialing<br />
documentation. Registration<br />
required. $50. Saturday,<br />
October 3, 9 a.m.–1 p.m.<br />
CPR for Health Care Providers<br />
Instruction on adult and pediatric<br />
CPR, FBAO, 2-person rescue<br />
CPR, barrier devices and AED.<br />
For health care professionals<br />
(physicians, nurses, etc.)<br />
who respond to cardiac and<br />
respiratory emergencies.<br />
Registration required. Fee $50.<br />
Call 410-337-1960. Saturday,<br />
November 14, 9 a.m.–1 p.m. &<br />
Saturday, December 5, 9 a.m.–1 p.m<br />
ONGOING DIABETES<br />
PROGRAMS<br />
Call 410-337-1382 for information<br />
and to register.<br />
Diabetes Self-Management<br />
Education Program<br />
ADA nationally recognized. Onehour<br />
individual assessment and<br />
The 2009 Great Prostate Cancer Challenge<br />
5K Run and One-Mile Fun Walk<br />
Saturday, September 26, 2009, 8 a.m.<br />
at <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong>. For information,<br />
visit www.greatprostatecancerchallenge.com<br />
nine hours of multidisciplinary<br />
taught group classes. Fee: May<br />
be insurance reimbursable.<br />
Diabetes In-Check<br />
Two-hour annual follow-up for<br />
those who completed 2008<br />
class. Fee: May be insurance<br />
reimbursable.<br />
Diabetes Information Exchange<br />
Monthly meeting offers variety<br />
of diabetes topics. First Tuesday<br />
every month at 1 p.m. October 6,<br />
November 3, and December 1.<br />
14 Fall 2009 <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> / sjmcmd.org
Community & Family Programs<br />
SUPPORT GROUPS<br />
Breast Cancer SOS<br />
(Survivors Offering Support)<br />
Mentorship training, partner<br />
support, and transition to<br />
wellness workshops for<br />
patients and caregivers. Call<br />
410-427-2513 for information.<br />
Caregivers<br />
First Thursday every month,<br />
7 p.m. October 1, November 5,<br />
and December 3.<br />
Call 410-337-1109 to register.<br />
Crohn’s Disease and Colitis<br />
Tuesday, November 10, 7 p.m.<br />
Call 410-337-1537 to register.<br />
LUNGS Cancer Support<br />
Learning, Understanding,<br />
Navigating, Growing,<br />
Survivorship for newly diagnosed<br />
lung cancer patients.<br />
Call 410-337-4543 for<br />
information.<br />
Ostomy Support<br />
Sunday, September 13, 2–4 p.m.<br />
Call 410-337-1845 for<br />
information.<br />
Pregnancy Loss<br />
First Monday of every month,<br />
7 p.m. October 5 and November<br />
2 (none in December). Call<br />
410-337-1109 to register.<br />
Widow/Widowers<br />
Six-week evening series for<br />
persons whose spouse died<br />
more than three months ago.<br />
Registration required.<br />
Mondays: Sept 14, 21, 28, and<br />
Oct 5, 12, 19, 5–6:30 p.m.<br />
Call 410-337-1109 to register.<br />
SPIRITUAL<br />
OFFERINGS<br />
Call 410-337-1109 for more<br />
information on this offering:<br />
Memorial Mass for<br />
Deceased Patients<br />
Hospital Chapel<br />
Tuesday, November 10, 7 p.m.<br />
Family Programs<br />
Call 410-337-1880 for information, dates and times, or to register.<br />
Taught by registered nurses with maternal-child health nursing experience, certified in their fields.<br />
Family<br />
Education<br />
CLASSES<br />
Breastfeeding Class<br />
Certified lactation consultant<br />
reviews basics including<br />
advantages, how-tos, special<br />
considerations and more.<br />
$20 per couple. Second Saturday<br />
of every month, 1–3:30 p.m.<br />
October 10, November 14,<br />
and December 12<br />
Childbirth Education<br />
Series<br />
In-depth instruction about<br />
labor and delivery, breathing<br />
techniques and relaxation, plus<br />
Cesarean birth, pain management<br />
and postpartum care.<br />
$60 per couple. Tour included.<br />
Offerings (Call for start dates):<br />
5-week evening series, Mondays<br />
or Wednesdays. 3-week evening<br />
series, Thursdays or Saturdays.<br />
Childbirth Review Class<br />
For couples who previously<br />
completed childbirth classes.<br />
Reviews labor and delivery,<br />
breathing techniques, plus<br />
sibling preparation. Tour not<br />
included. $20 per couple.<br />
Call for dates and times.<br />
Grandparents’ Class<br />
For those expecting their<br />
first grandchild at <strong>St</strong>. <strong>Joseph</strong>.<br />
Covers latest trends in maternity<br />
and infant care, including<br />
infant CPR. $10 per person.<br />
Held monthly, 6–8:30 p.m.<br />
October 22 and December 3<br />
Family Ties<br />
Infant Massage<br />
For parents and newborn<br />
babies through six months.<br />
Benefits include bonding<br />
and attachment, relaxation<br />
and stress reduction. Babies<br />
experience a sense of<br />
trust, while relaxing<br />
to their parent’s<br />
gentle touch. Two<br />
weekly classes,<br />
90 minutes each.<br />
Fee: $30 for both<br />
September 11 &<br />
18. 1–2:30 p.m.<br />
Call for<br />
more dates.<br />
Kangaroo Kapers<br />
For children ages 3–7 with<br />
families expecting new<br />
siblings. Includes mother/<br />
baby unit tour. $10 per child.<br />
October 10, November 14,<br />
December 12<br />
Mothering Matters<br />
Free support group for new<br />
moms and their babies. Meets<br />
every Thursday, 10:30 a.m.–<br />
12 noon. Call for location.<br />
Join <strong>St</strong>. <strong>Joseph</strong> Teams at these Great Health Causes!<br />
Diabetes: American Diabetes<br />
Association <strong>St</strong>ep Out Walk<br />
Rash Field, Inner Harbor.<br />
October 3, 9 a.m. Go to<br />
www.stepout.diabetes.org or call<br />
The <strong>St</strong>. <strong>Joseph</strong> Diabetes Management<br />
<strong>Center</strong> at 410-337-1382.<br />
Colon Cancer: Susie’s Cause 5K<br />
Run & Family Walk<br />
Towson Courthouse. October 4,<br />
8:30 a.m. Visit www.charmcityrun.<br />
com. Race chairman: Dr. Howard<br />
Berg, director of Colorectal<br />
Oncology at <strong>St</strong>. <strong>Joseph</strong>.<br />
Pancreatic Cancer: PanCAN<br />
Purple <strong>St</strong>ride Maryland<br />
Oregon Ridge Park. October 11,<br />
1- 4:30 p.m. Go to www.pancan.<br />
org/purplestridemaryland09 or call<br />
Maria Conigliaro, Cancer Institute<br />
nurse coordinator, 410-427-2321.<br />
Breast Cancer: Susan G. Komen<br />
Race for the Cure<br />
Hunt Valley, MD. October 18.<br />
Visit www.komenmd.org or<br />
call Susan Field, RN, <strong>St</strong>. <strong>Joseph</strong><br />
Breast <strong>Center</strong> coordinator,<br />
410-427-5509.<br />
SJMcmd.org / <strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> Fall 2009 15
7601 Osler Drive<br />
Towson, MD 21204-7582<br />
Non Profit Rate<br />
US Postage<br />
PAID<br />
Mechanicsburg, PA<br />
Permit No. 301<br />
FREE Lecture!<br />
The Need for Good Knees<br />
See page 14<br />
Looking for an<br />
Expert Doctor?<br />
<strong>St</strong>. <strong>Joseph</strong> <strong>Medical</strong> <strong>Center</strong> offers more than 1,200 physician experts and 50 specialties—from cancer care<br />
and obstetrics to orthopaedics and cardiology. Our friendly Doctors Directory representatives will personally<br />
work with you to find a physician to match your unique needs. Call today, and we will search among our highly<br />
qualified physicians for the one with the right location, experience and approach for you.<br />
Doctors Directory Call 410.337.1337<br />
www.sjmcmd.org<br />
Welcome to the Home of <strong>Medical</strong> Breakthroughs…Welcome to <strong>St</strong>. <strong>Joseph</strong>!