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For children and families dealing with a lifethreatening<br />

illness such as cancer, sometimes an<br />

enjoyable getaway is just what the doctor ordered.<br />

Located in Riverside County near Palm Springs, Camp<br />

Ronald McDonald for Good Times ® provides residential<br />

camping opportunities for cancer patients, as well as<br />

their siblings and parents, at no cost to the families.<br />

Cancer patients up to 18 years at any stage of illness<br />

or treatment may participate, which means medical<br />

supervision is required. Theodore Moore, M.D., and<br />

other pediatric hematology and oncology staff regularly<br />

volunteer their time and clinical expertise to support<br />

the camp.<br />

“When a child has cancer, so much of their life is<br />

affected by the stigma of the disease,” Dr. Moore<br />

explains. “It’s very important for children and their<br />

families, as they go through the therapy for cancer,<br />

to have some normalcy in their lives, and camp is<br />

one of the things that allow that.”<br />

It begins with U<br />

Employee News<br />

Multidisciplinary team<br />

treats children with autism<br />

Autism spectrum disorders (ASDs) are<br />

developmental disabilities characterized by<br />

signifi cant impairments in cognition, social<br />

interaction and communication, as well as the<br />

presence of unusual behaviors and interests.<br />

An estimated one in 150 children may have<br />

an ASD, and the prevalence of reported cases<br />

is increasing.<br />

Th rough the Early Childhood Partial Hospitalization<br />

Program (ECPHP) at Resnick Neuropsychiatric<br />

Hospital at <strong>UCLA</strong>, children aged<br />

2 through 6 years with ASDs and other<br />

behavioral disorders receive comprehensive<br />

assessments and short-term integrated day<br />

<strong>UCLA</strong> Health System faculty and staff<br />

volunteer at Camp Ronald McDonald<br />

<strong>continued</strong> on <strong>page</strong> 5<br />

Dr. Moore was recruited as a volunteer approximately<br />

15 years ago by another <strong>UCLA</strong> employee, Fran Wiley,<br />

R.N., who has been a nurse specialist in the <strong>UCLA</strong><br />

Division of Hematology and Oncology for more than 30<br />

years and was one of the early founders of the camp.<br />

<strong>continued</strong> on <strong>page</strong> 2<br />

Left to right: Barbara Buchbinder, R.N., Fran<br />

Wiley, R.N., M.S.N., Jesset and LaVette Bowles,<br />

R.N., F.N.P., Debbie Ward R.N., Ted Moore, M.D.<br />

On the web:<br />

<strong>UCLA</strong> Website Provides<br />

Interactive Information<br />

IN THIS ISSUE<br />

<strong>UCLA</strong> People:<br />

3 Lori Baudino Inspires with Dance<br />

Inside Stories:<br />

2 SM<strong>UCLA</strong> Pharmacy Remodel<br />

2 Transitional Care Program for CHD<br />

4 Med-Peds Program Offers Support<br />

4 PRS Expands Outreach<br />

4 <strong>UCLA</strong> Monitors Swine Flu<br />

5 Image Gently at <strong>UCLA</strong><br />

Wellness Initiative:<br />

6 Annual Wellness Fairs<br />

6 Lunchtime Presentation<br />

MAY 2009<br />

The <strong>UCLA</strong> Health System Website provides<br />

valuable links to:<br />

Flu IQ<br />

Health Encyclopedia<br />

Women’s Health Center<br />

Surgeries and Procedures<br />

Heart Center<br />

Community Calendar<br />

To view these, and more, go to:<br />

www.uclahealth.org/HealthResources<br />

News Shorts:<br />

6 SM<strong>UCLA</strong> Newsmakers<br />

6 <strong>UCLA</strong> Makes List of Top Hospitals<br />

6 May National Healthcare Recognitions


2<br />

SANTA MONICA<br />

Pharmacy Remodel<br />

When Facilities Manager Pat Rugg met with<br />

SM<strong>UCLA</strong> Chief Administrative Offi cer Posie<br />

Carpenter and Diane Zalba, director of Pharmaceutical<br />

Services, earlier this year to discuss<br />

remodeling the SM<strong>UCLA</strong> pharmacy, it probably<br />

seemed like “mission impossible.”<br />

He was asked to convert the basement-level<br />

space into a more effi cient and aesthetically<br />

pleasing work environment for pharmacy staff<br />

members so they, in turn, could better serve<br />

caregivers — and do so with little budget.<br />

Th ree months later, “mission impossible” has<br />

become “mission accomplished!” Th e 5,000-<br />

square-foot pharmacy has been completely<br />

reconfi gured to create more open work spaces,<br />

larger storage areas and a better overall design.<br />

Pat collaborated with Director of Transition<br />

Planning Amy Wills, Posie, Diane and her<br />

pharmacy staff to design a better layout for the<br />

department, then utilized his Facilities team to<br />

execute the vision, including the installation of<br />

new casework, countertops and fl ooring. He<br />

also worked with Security, MCCS and Telecommunications<br />

on necessary infrastructure.<br />

Th e remodeled pharmacy features larger IV Prep<br />

and Receiving areas, as well as a staff break room<br />

and a new waiting area so employees no longer<br />

have to sit in the hallway waiting for prescriptions.<br />

Th ere are also more storage areas in more logical<br />

places, enhancing productivity. Landscaping was<br />

even added to a niche outside one of the windows.<br />

Although pharmacy staff ers are still getting<br />

accustomed to their new space, the feedback<br />

has been favorable. “Once everyone gets used to<br />

things in new places, I think they’re really going<br />

to like it,” says pharmacist Harry Sands.<br />

Transitional care provides support for adolescents,<br />

young adults with congenital heart disease<br />

Congenital heart disease (CHD), one of most common birth defects in the United<br />

States, affects one out of every 120 babies. But with major advances in diagnosis,<br />

medical treatment and surgical techniques, up to 90 percent of these infants will<br />

live into adulthood. The Division of Pediatric Cardiology and the Ahmanson/<strong>UCLA</strong><br />

Adult Congenital Heart Disease Center recognized the need for a seamless, gradual<br />

transition for their adolescent patients and partnered to create the <strong>UCLA</strong> Transitional<br />

Care Program for Adolescents/Young Adults with Congenital Heart Disease,<br />

coordinated by Anthony Chang, M.D., and Mary M. Canobbio, R.N.<br />

The program prepares teens, young adults and<br />

their parents to move <strong>from</strong> child-focused to adultbased<br />

healthcare by providing comprehensive<br />

treatment for adolescents ages 15 to 20 years old.<br />

The monthly clinic provides education about<br />

the importance of life-long cardiac care, selfmanagement<br />

and an understanding of critical<br />

lifestyle choices facing adults living with CHD,<br />

including exercise, nutrition, medication coverage,<br />

health and life insurance and psychosocial<br />

development. Additionally, a number of noncardiac<br />

services have been added, including<br />

gynecologic services.<br />

“Teaching the patient to assume responsibility<br />

Mary M. Canobbio, R.N.<br />

for his/her own care and feeling confi dent about<br />

it is a very important goal of our program,” Mary observes. “Everyone needs a support<br />

group, and we hope we can provide that to our patients and their families.”<br />

Camp Ronald McDonald <strong>continued</strong> <strong>from</strong> <strong>page</strong> 1<br />

Theodore Moore, M.D.<br />

During each camp session, as many as 140 campers take part in activities<br />

ranging <strong>from</strong> swimming, horseback riding and hiking, to crafts, pottery and<br />

dancing. The goal for the children and their families is to relax and have<br />

fun. The goal for Dr. Moore and the other clinical volunteers in the camp’s<br />

medical clinic, known as Camp Med Shed, is to provide medical care<br />

ranging <strong>from</strong> daily chemotherapy treatments to fi rst aid for scrapes and<br />

bruises. No distinction is made between the children with cancer and their<br />

family members, which, says Dr. Moore, allows him to spend quality time<br />

with entire families affected by cancer.<br />

“It’s an opportunity to build relationships and trust that you would not<br />

otherwise have in a clinic or critical care setting,” he says. “We get to see<br />

the children playing and having fun, which is what we really treasure.”<br />

Dr. Moore encourages his <strong>UCLA</strong> Health System colleagues to participate as camp volunteers. Those interested<br />

in volunteer opportunities may contact the camp director at (800) 625-7295.


What is dance therapy?<br />

Dance/movement therapy is an expressive<br />

psychotherapy that combines the theories of<br />

psychoanalysis and early child development<br />

to facilitate and foster positive psychological<br />

and emotional growth for an individual. Th is<br />

therapeutic approach incorporates movement<br />

expression into everyday action to provide a<br />

place for self-exploration, self-awareness and<br />

overall well-being. Th e wonderful thing about<br />

dance therapy is that you don’t need to speak<br />

the same language because movement reveals<br />

so much without words.<br />

What do you do as a dance therapist?<br />

I conduct 15- to 30-minute sessions with<br />

children <strong>from</strong> 2 to 18 years old, all enduring<br />

long-term hospitalization, heightened pain<br />

or anxiety. I meet the children, join them<br />

in their current activity, whether they are<br />

lying down in their room or playing in the<br />

playroom. I typically start with a warm-up to<br />

get their bodies moving based on how they<br />

are feeling in that moment — jumping around<br />

or just deep breathing — it doesn’t necessarily<br />

have to be dancing. I just try to make my<br />

interactions very non-intrusive and fi nd that<br />

my play-based and fun approach really helps<br />

children open up and express themselves.<br />

Sometimes it’s hard for children to express<br />

themselves verbally, to try to fi nd the right<br />

words to communicate and articulate their<br />

feelings. By analyzing their most basic body<br />

movements, I can get a full range of their<br />

feelings and they can feel supported, as there<br />

is no wrong way of moving.<br />

<strong>UCLA</strong>people<br />

Lori Baudino, Psy.D., ADTR, Dance/Movement Therapist<br />

Dance therapist inspires patients with movement<br />

As a clinical psychologist and dance/movement therapist, Lori helps patients at Mattel<br />

Children’s Hospital <strong>UCLA</strong> to turn their emotions into motion.<br />

How did you get connected with<br />

Mattel Children’s Hospital <strong>UCLA</strong>?<br />

I have bachelor’s degrees in psychology and<br />

dance, and a master’s degree in creative art<br />

therapy, specializing in dance/movement<br />

therapy, and a doctorate in clinical psychology.<br />

I’ve always been a dancer and have always<br />

believed that our body language helps<br />

us express how we feel emotionally and<br />

psychologically. As the West Coast dance<br />

therapist for the Andrea Rizzo Foundation<br />

(Dréa’s Dreams), which provides grants that<br />

exclusively fund dance therapy/expressive<br />

movement programming for children with<br />

cancer and special needs, I approached<br />

Amy Bullock, director of Child Life/Child<br />

Development Services, and talked about the<br />

program we wanted to provide to the pediatric<br />

patients at Mattel. Since November 2008, my<br />

time here has grown <strong>from</strong> one hour a month<br />

to six hours a month.<br />

Is there a particularly memorable<br />

experience you’ve had?<br />

Every time I come to <strong>UCLA</strong>, I leave with<br />

happy memories. I recently met with a<br />

7-year-old patient who was in his room with<br />

his family, where no one was interacting. I<br />

started a movement exploration with him<br />

and we ended up in imaginary play, with the<br />

child taking us to his favorite store and to his<br />

house. Th rough movement, the child explored<br />

walking, fl ying and moving his body in ways<br />

he was unable to physically accomplish. He<br />

was able to explore and express his needs<br />

and wants to his family, and he discovered<br />

appropriate coping strategies and skills for<br />

maintaining his stay in the hospital. Th e child<br />

and his parents began to share stories and<br />

past memories and everyone laughed. Th e boy<br />

really livened up, and the nurse joined us and<br />

was amazed by how much he expressed himself<br />

in that short time. Th e family connected with<br />

each other, and through this experience, the<br />

boy was able to share with us his feelings of<br />

missing home. Th is was a way he could visit,<br />

while still being in the hospital.<br />

“ Our body language<br />

helps us express how<br />

we feel emotionally<br />

and psychologically.“<br />

What do you fi nd most challenging<br />

about being a dance therapist?<br />

People are unsure of what dance therapy is,<br />

and it’s challenging teaching and educating<br />

them. It’s usually easier to have people observe<br />

and participate in order to understand and<br />

support their child’s individual challenges,<br />

fi nding ways to express their every need<br />

and want in a place of acceptance and<br />

understanding through movement.<br />

What are your personal hobbies?<br />

I love to travel, spend time with family and<br />

friends, hike and to dance for fun. I’ve been a<br />

therapist for more than seven years and have<br />

had the opportunity to travel around the world<br />

to work with children. I’ve lived and worked in<br />

Australia, Africa, Ecuador, Washington, D.C.,<br />

New York and now California.<br />

3


Residency-based program eases transition for<br />

adolescents with chronic, complex illnesses<br />

As many as 60 percent of patients with chronic or complex medical problems experience gaps<br />

in medical care, health insurance coverage or both during their transition <strong>from</strong> adolescence<br />

to adulthood. Th e <strong>UCLA</strong> Med-Peds Transition Care Program helps to prevent these patients<br />

<strong>from</strong> falling through the cracks by providing patient medical assessments and referrals to<br />

primary-care physicians and specialists who care for adult patients. Th e program also provides<br />

assistance in obtaining appropriate adult health insurance coverage, patient self-care education<br />

and connections to educational and vocational training resources in the community. Th e <strong>UCLA</strong><br />

program is unique in that it is run by medical residents with faculty supervision.<br />

From left to right: Debra Lotstein, M.D.,<br />

Ron Lopez, Monica Mau, M.D.<br />

“Information about insurance coverage or communitybased<br />

services is really important in the lives of our<br />

patients, but they’re not particulars most of us have<br />

traditionally learned about in medical school or in<br />

residency rotations,” explains Debra Lotstein, M.D.,<br />

M.P.H., the program’s medical director. “It’s a newer<br />

part of the curriculum to have residents really understand<br />

the healthcare system.”<br />

During their four-year residency, each of the 16 medical<br />

residents trains under the supervision of three faculty members, who are board-certifi ed in<br />

both internal medicine and pediatrics. Th ey also work closely with a program coordinator and<br />

social workers <strong>from</strong> other pediatric services within <strong>UCLA</strong> Health System. Th e residents receive<br />

comprehensive training in treating a complex patient population, primarily aged 15 to 25 years,<br />

with either one major medical problem or with multiple chronic illnesses, which requires<br />

multidisciplinary services <strong>from</strong> many types of clinical and non-clinical providers and resources.<br />

“While it can be challenging to address patient care issues oft en considered outside the scope<br />

of medical care,” notes Dr. Lotstein, “it is also rewarding to see patients appreciate our support<br />

and to see residents get excited to learn more about the diff erent aspects of care.”<br />

PRS EXPANDS OUTREACH<br />

Our Physician Referral Service (PRS) program<br />

has expanded with the goal of making referrals<br />

<strong>from</strong> community physicians and referring<br />

medical groups simpler, trackable and more<br />

focused. Th ese changes became eff ective April 29<br />

when the specifi c and geographically focused<br />

outreach liaison activity ceased in response to<br />

the need to pare costs, gain greater effi ciency<br />

and move to a longer term plan to improve the<br />

handling of referral relationships.<br />

Th e PRS nurses and referral coordinators are<br />

available Monday through Friday, 8 a.m. to 5 p.m.,<br />

and are trained to provide personalized help<br />

to referring physicians and patients in a timely<br />

manner. PRS is also available to address any<br />

questions regarding referring medical groups.<br />

Referring physicians can either:<br />

• Fax the patient referral information<br />

to (310) 301-5391<br />

• Call (800) <strong>UCLA</strong>-888 (825-2888)<br />

• Email access@mednet.ucla.edu<br />

Our Marketing Department is available to assist<br />

in promoting new physicians or programs.<br />

Email darogers@mednet.ucla.edu or call<br />

(310) 794-8173.<br />

<strong>UCLA</strong> Monitors Swine Flu<br />

<strong>UCLA</strong> Health System is closely monitoring<br />

developments in the nationwide public health<br />

emergency involving swine infl uenza A, also known<br />

as H1N1. “We have implemented detection and<br />

treatment plans based on Centers for Disease (CDC)<br />

guidelines, we have sent out information on testing<br />

procedures and anti-viral therapy recommendations<br />

to our healthcare providers, and we are prepared to<br />

initiate measures to protect our staff and patients,”<br />

notes Tom Rosenthal, M.D., chief medical offi cer.<br />

If you develop fl u-like symptoms that include high<br />

fever, cough, runny nose, muscle aches and nausea/<br />

vomiting, please contact your personal physician<br />

and do not come to work. Infl uenza is thought to<br />

spread mainly person-to-person through coughing<br />

or sneezing.<br />

4


Helping children with autism<br />

<strong>continued</strong> <strong>from</strong> <strong>page</strong> 1<br />

treatment <strong>from</strong> a multidisciplinary team<br />

of experts, including clinical psychologists,<br />

psychiatrists, occupational therapists, speech<br />

and language therapists, nurses, social workers,<br />

recreational therapists and behavioral specialists.<br />

“Our program is unique in both the intensity<br />

and multidisciplinary nature of the treatment<br />

we off er,” says Tanya Paparella, Ph.D., a clinical<br />

psychologist and co-director of ECPHP. “We<br />

collaborate in a very innovative way using the<br />

knowledge of each specialist, which is based on<br />

the most recent, validated research, and then we<br />

tailor our goals to the specifi c needs of each child.”<br />

Th e team treats approximately 100 children<br />

annually, working together with parents,<br />

teachers, community organizations and others<br />

to address acute functional or behavioral<br />

problems by developing a customized, shortterm<br />

intervention and a foundation for longterm<br />

monitoring, support and feedback. “We<br />

have children who come to us aft er struggling<br />

in general education classrooms, those who<br />

are not making progress in special education<br />

programs, and those who have not yet been<br />

diagnosed with an ASD,” explains Stephanny<br />

Image Gently improves pediatric CT imaging at <strong>UCLA</strong><br />

New imaging protocols have been<br />

implemented at all <strong>UCLA</strong> radiology<br />

facilities to help reduce the risk of radiation<br />

exposure to children undergoing computed<br />

tomography (CT) scans, a benefi cial, often<br />

life-saving procedure. A CT scan uses X-rays<br />

to generate detailed, specialized images of a<br />

body structure and is often the gold standard<br />

for diagnosing many illnesses and injuries.<br />

“CT scans produce images of excellent<br />

quality with a very short time of radiation<br />

exposure to pediatric patients,” notes<br />

M. Ines Boechat, M.D., F.A.C.R., chief<br />

of pediatric imaging at Mattel Children’s<br />

Hospital <strong>UCLA</strong> and current president of<br />

the Society for Pediatric Radiology. <strong>UCLA</strong><br />

adopted the guidelines <strong>from</strong> Image Gently,<br />

Stephanny Freeman, Ph.D., far left, Tanya Paparella, Ph.D., far right, with ECPHP team.<br />

Freeman, Ph.D., also a clinical psychologist and<br />

co-director of ECPHP. “As a team, we provide<br />

them with therapy within each developmental<br />

domain every weekday for approximately 10 to<br />

12 weeks, which is critical to making a change<br />

in a child’s behavior.”<br />

Communication, which involves multiple daily<br />

meetings, rounds, phone calls, email, interactions<br />

with parents and visits to classrooms<br />

a campaign to raise awareness in the medical<br />

community about the opportunities to lower<br />

radiation dosages in the imaging of children.<br />

“Although there is no direct proof linking<br />

radiation exposure to cancer, evidence<br />

and other community locations relevant to the<br />

patients, is key to ensuring therapeutic consistency.<br />

Working together, the team is able to<br />

empower parents and other caregivers to make<br />

good decisions and provide the best ongoing<br />

support network for each child. Dr. Paparella<br />

says, “It’s all about our patients, and it is the<br />

creativity and commitment of our entire team<br />

that makes a diff erence in their lives.”<br />

shows that CT imaging of children does<br />

not require the same dosage of radiation<br />

as adults,” says Dr. Boechat. “The Image<br />

Gently protocols set forth guidelines of<br />

radiation dosages based on a child’s size<br />

and weight. By reducing radiation dosages,<br />

we hope to minimize a child’s risk. This<br />

is especially important for children who<br />

require many scans over the course of an<br />

illness.” Exposure to radiation has unique<br />

implications for children because children<br />

are more sensitive to radiation, and may be<br />

exposed to radiation <strong>from</strong> imaging over a<br />

longer period of time.<br />

Find other Health Tips for Parents on a variety<br />

of relevant topics at www.uclahealth.org/<br />

healthtips<br />

5


news SHORTS<br />

wellness INITIATIVES<br />

LUNCHTIME PRESENTATION:<br />

STRESS AND DEPRESSION —<br />

HOW ONE AFFECTS THE OTHER<br />

Join the <strong>UCLA</strong> Staff and Faculty Counseling<br />

Center for a discussion on the eff ects stress<br />

and depression can have on the mind and<br />

body. Learn tools to eff ectively manage stress<br />

to improve your mood and quality of life.<br />

Wednesday, May 20, noon to 1:00 p.m.<br />

RR<strong>UCLA</strong> Conference Room #B124<br />

PASSPORT TO WELLNESS<br />

ANNUAL WELLNESS INITIATIVE<br />

HEALTH & WELLNESS FAIRS<br />

Westwood<br />

Wednesday, June 3<br />

6:00 p.m. to 8:00 p.m. (evening fair)<br />

RR<strong>UCLA</strong> Dining Commons<br />

Th ursday, June 4<br />

11:00 a.m. to 1:30 p.m. (day fair)<br />

RR<strong>UCLA</strong> Dining Commons Patio<br />

Santa Monica<br />

Wednesday, June 10, 2:00 p.m. to 4:00 p.m.<br />

SM<strong>UCLA</strong> Cafeteria<br />

Detailed information will be announced<br />

by email.<br />

<strong>UCLA</strong> MAKES LIST OF TOP HOSPITALS<br />

Ronald Reagan <strong>UCLA</strong> Medical Center has been selected as one of the country’s<br />

leading hospitals, and one of the most highly recommended in a number of<br />

medical specialties, in a major survey of physicians across the nation. Th e results<br />

of the survey, conducted by the non-profi t research organization Consumers’ Checkbook,<br />

appears in the May–June issue of AARP Th e Magazine.<br />

“Th is is a wonderful tribute to our entire healthcare team,” says David Feinberg, M.D., chief<br />

executive offi cer and associate vice chancellor of the <strong>UCLA</strong> Hospital System, “Our physicians<br />

and staff go the extra mile every day to save lives and deliver compassionate care to patients<br />

in our community and <strong>from</strong> around the world.”<br />

Consumers’ Checkbook surveyed doctors across the United States, asking if they would<br />

recommend that patients seek care at hospitals in other communities for certain extremely<br />

diffi cult cases, and if so, which hospitals they would recommend.<br />

<strong>UCLA</strong> Health System Employee News<br />

Director of Marketing: Pattie Cuen | Marketing Communications Manager: Judi Goodfriend | Editor: Tiffani Quach Mendinueto |<br />

Contributors: Ted Braun, Kimberly Enard | Design: Oglesby Design | Photography: Robert Hernandez, Margaret Sison<br />

Copyright ©2009 <strong>UCLA</strong> Health System. All rights reserved. Email: tquach@mednet.ucla.edu<br />

<strong>UCLA</strong> Health System Marketing | 10920 Wilshire Blvd., Suite 1850, Los Angeles, California 90095-6923<br />

WWW.<strong>UCLA</strong>HEALTH.ORG 1-800-<strong>UCLA</strong>-MD1 (1-800-825-2631)<br />

Newsmakers<br />

Congratulations to two SM<strong>UCLA</strong><br />

employees who were honored in<br />

March for “Women’s History Month.”<br />

Gail Abarbanel, director<br />

of social services and the<br />

hospital’s nationally known<br />

Rape Treatment Center,<br />

was honored at the 24thannual<br />

“Women of the Year”<br />

luncheon hosted by the Los<br />

Angeles County Commission<br />

for Women.<br />

Jean McNeil Wyner,<br />

physician and community<br />

liaison, was recognized by<br />

the Santa Monica League<br />

of Women Voters for her<br />

longstanding record of<br />

community service.<br />

MAY RECOGNITION<br />

Please take a few minutes to<br />

recognize May national healthcare<br />

observances for:<br />

American Stroke Month<br />

Arthritis Awareness Month<br />

Better Hearing and Speech Month<br />

Healthy Vision Month<br />

Trauma Awareness Month<br />

Nurses Week<br />

Hospital Week<br />

Employee Health and Fitness Day<br />

6

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