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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>!

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