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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