Breakthroughs - Fall 2017

breakthroughs LIVING WELL ON THE WESTSIDE | FALL 2017

STROKE OF

GOOD FORTUNE A cancer patient finds an innovative treatment at Saint John’s

letter

breakthroughs

from the Chief Executive In October we will celebrate 75 years of providing excellent service to our community. Many groundbreaking firsts have been performed at Saint John’s. We are proud of that history and continue to pursue lifesaving, innovative therapies, such as the revolutionary cancer immunotherapy medications that are the subject of our story on page 14 in this issue of Breakthroughs.

LIVING WELL ON THE WESTSIDE FALL 2017

SAINT JOHN’S HEALTH CENTER EDITORIAL STAFF

Chief Executive Marcel Loh Director of Marketing & Communications Connie Matthews Barilla

That leading-edge care extends to every

Marcel Loh Chief Executive

department of our Health Center. On page 26, you can read about some of the advances in neurology that make patients choose Saint

John’s for their care. For example, our neurosurgeons offer alternatives to spinal fusion surgeries for patients with herniated discs by offering an artificial disc replacement. Our brain surgeons are among the best in the business, providing state-of-the-art treatments

200 N. Sepulveda Blvd., Suite 110 El Segundo, California, 90245 Tel 310-376-7800 Fax 310-376-0200 moontidemedia.com

and taking on cases that other physicians deem too challenging. Our goal also extends to keeping the families in our community well—in mind body and spirit. With that in mind, we’ve significantly increased your access to primary care physicians affiliated with Saint John’s, adding the 24-member Santa Monica Family Physicians group to our network and further strengthening the family medicine base first established by our excellent physicians in The Doctors of Saint John’s.

The vulnerable members of our community remain a core part of our Mission. The Child and Family Development Center (CDFC) at Providence Saint John’s Health Center helps provide care for the children in our community with special needs. You can read our story about child mental health and the services provided by CFDC on page 8. Moreover, in this issue, we are delighted to introduce our new Mission director, Paul Makarewicz, who will lead our program that oversees spiritual care and services for under-served individuals and groups (page 24).

As we celebrate our past and plan for our future, we vow to continue to offer the best possible care to every individual who comes to us with a medical need. We are honored to serve our community and look forward to serving another 75 years and beyond.

With utmost respect,

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breakthroughs FALL 2017

VP, Branded Media Emily S. Baker Art Director Ajay Peckham Editor Shari Roan Copy Editor Laura Watts Contributors Victoria Clayton, Laurel DiGangi, Sandi Draper, Nancy Brands Ward Photographers Kristin Anderson, Kremer Johnson Photography Managing Partners Charles C. Koones Todd Klawin

24

contents departments 2 | Letter from the Chief Executive 10 | On the Horizon 31 | Happenings 34 | Shout Outs

in good health

6

14

features

profiles

14 | Working Wonders

22 | Top Dogs

Immunotherapy medications provide additional options in cancer treatment.

18 | The Pregnancy Paradox Studies show pregnancy can provide clues about a woman’s future heart health.

26 | Brain and Spine Care

Saint John’s neurologists add new services to treat even the rarest conditions.

4 | Is Fasting a Good Way to Lose Weight?

5 | Food to Start Your Day Off Right 6 | A Guiding Light in the Lobby 8 | Kids and Mental Health 12 | Welcoming the Santa Monica Family Physicians

Pawsitive Pet teams prowl the hospital hallways.

24 | Who We Are

As director of Mission, Paul Makarewicz communicates the hospital’s values to the world.

ON THE COVER Rusty Doms has found hope by entering a clinical trial on an innovative brain cancer treatment.

Photographed by Monica Orozco.

FALL 2017 breakthroughs

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in good health Health Briefs: Intermittent Fasting For Weight Loss?

Restricting your daily calorie intake in order to lose weight can be challenging. Many people feel every day is a battle and a sacrifice.

However, alternative fasting is a strategy that is becoming more popular, and a new study shows it works for some people.

Researchers at the University of Illinois, Chicago, assigned 100

About one-third of all of the study participants dropped out of the

obese adults who volunteered for the study into one of three groups.

study before the year was up—a testament to the difficulty of dieting.

One group fasted on alternate days; a second group restricted their

Slightly more of the alternate-day fasting dieters dropped out of

calories daily; and a third group made no changes to their dietary

the study compared to daily-restriction dieters. So perhaps alterna-

habits. After a year, the groups were compared.

tive-day fasting isn’t the best way to stick to a diet.

Alternate-fast group:

“Alternate-day fasting has been promoted as a potentially superior

• Ate only 25% of their calorie needs on fasting days, about 500

alternative to daily calorie restriction under the assumption that it

calories total. (Most adult men and women need from 2,000 to

is easier to restrict calories every other day,” the authors wrote. But,

3,000 calories daily)

they added, “Alternate-day fasting may be less sustainable in the

• Could “feast” on 125% of their calorie needs on non-fasting days

long term—compared with daily calorie restriction—for most obese

• Lost an average of 6% of their original body weight

individuals. Nevertheless, it is still possible that a certain smaller seg-

Daily calorie restriction group:

ment of obese individuals may prefer this pattern of energy restric-

• Ate 75% of their calorie needs daily

tion instead of daily restriction.” The study was published in JAMA

• Lost an average of 5.3% of their original body weight

Internal Medicine.

Aim for Good Heart Health in Middle Age Want to live to an old age? Aim for having the best possible heart health in middle age, and

LIFE’S SIMPLE 7

you will increase your chances of reaching

The American Heart Association has created a checklist to help people take small steps that can make a big different in your health.

that goal, say the authors of a new study. The researchers found that middle-age people with no major heart disease risk factors (no

from middle age through age 65 or older.

1. Manage blood pressure 2. Control cholesterol 3. Reduce blood sugar 4. Get active 5. Eat better 6. Lose weight 7. Stop smoking

Compared to people who had two or more risk

Source: American Heart Association

diabetes, non-smokers and normal weight, blood pressure and cholesterol levels) stay healthy far longer than others.

The study followed almost 18,000 adults

factors for heart disease, those without heart disease risk factors:

“Good cardiovascular health in middle age delays the onset of many types of disease so that people live longer and spend a much smaller proportion of their lives with chronic illness,” says study co-author Norrina Allen, PhD, assistant professor of preventive medicine at Northwestern University Feinberg School of Medicine in Chicago. The study was published in the journal Circulation.

It’s never too late, however, to improve your heart health and reap the benefits.

The American Heart Association created

a chronic illness (39% compared to 50%)

My Life Check® to educate the public on

• Lived an average of 3.9 years longer

• Saved almost $18,000 in Medicare costs

improving health by aiming to achieve seven

• Survived 4.5 years longer before

The people who had a favorable risk profile

health measures called Life’s Simple 7. It’s

developing a chronic illness • Spent 22% fewer of their senior years with

4

seven years longer without heart disease.

breakthroughs FALL 2017

and reached 65 without having a heart attack,

a composite measure of seven modifiable

stroke or congestive heart failure lived almost

heart-healthy factors.

in good health

Healthful Eating It’s back-to-school season, which for many of us means the end of leisurely weekday breakfasts at home. These simple make-ahead bars can be eaten hot or cold and are a perfect grab-and-go breakfast option for kids and parents alike! Besides being quick and convenient, this recipe can easily be made vegan and gluten-free, and each serving packs about 6 grams of fiber and 6 grams of plant-powered protein. The bars are a great source of heart-healthy omega-3 fatty acids–a nutritious and delicious way to kick-start your day!

Courtesy of Jane Cook, RD, nutrition director, Providence Saint John’s Health Center

Breakfast bar with quinoa, banana and chia seeds Makes 12-16 Bars

1 1/2 cups rolled oats (optional: gluten-free) 1 cup cooked quinoa 1 teaspoon baking powder 3 tablespoons chia seeds 1 teaspoon cinnamon 1/2 cup mashed banana (about 1 large or 2 small) 1/4 cup honey (or maple syrup for vegan)

cup unsweetened applesauce 2 tablespoons canola oil 1 teaspoon vanilla extract 1/2 cup unsweetened shredded coconut flakes 1/2 cup chopped dried cherries 1/2 cup chopped almonds 1/2

Preheat the oven to 350º F. Line a 9-by-9-inch baking pan with parchment paper or spray/grease with oil. In a large bowl, stir together the oats, quinoa, baking powder, chia seeds and cinnamon. In a small bowl, use a fork to mash the banana.

Then whisk in the honey, applesauce, coconut oil and vanilla. Pour the wet mixture into the dry and stir to combine. Fold in the coconut flakes, dried cherries and almonds. Transfer to the baking pan and smooth with the back of a spoon or spatula.

Bake on the center rack for about 25 minutes or until firm and golden brown. Remove from the oven and allow to cool completely in the pan.

Slice and top with your favorite fruit.

Store airtight in the refrigerator for up to five days or seal and freeze.

Preparation time: 15 minutes Cook time: 25 minutes

FALL 2017 breakthroughs

5

in good health New Co-Directors for the Cleft Palate Center Reza Jarrahy, MD, and Danelle

Palate Center, Dr. Jarrahy serves

M. Fisher, MD, have been named

as assistant chief of plastic surgery

co-directors of the Cleft Palate

at Olive View-UCLA Medical

defects that occur when a baby’s

Center at Providence Saint John’s

Center, co-director of the UCLA

lip and mouth do not form prop-

Health Center. Dr. Jarrahy is

Craniofacial Clinic and co-direc-

erly, resulting in openings or splits

a highly regarded craniofacial

tor of the UCLA Face Transplant

in the upper lip, the roof of the

surgeon with expertise in treating

Program.

mouth (the palate) or both.

cleft palate anomalies. He earned

Reza Jarrahy, MD

Danelle M. Fisher, MD

since 2001.

Dr. Fisher is a pediatrician with

Cleft lip and palate are birth

Nationally recognized for its

a bachelor’s degree from Stanford

a special interest in treating chil-

team approach to helping children

University, attended medical

dren with cleft palate. She gradu-

with cleft lip, cleft palate or cra-

school at the State University of

ated from medical school at Albert

niofacial abnormalities, the Cleft

New York at Stony Brook and

Einstein College of Medicine of Ye-

Palate Center at Providence Saint

completed a general surgery

shiva University, Bronx, New York,

John’s Health Center provides

residency at New York University

and completed an internship and

diagnostic, surgical, social and ed-

and the University of California,

residency at Children’s Hospital,

ucational services to children and

San Diego. He then completed

Los Angeles. She currently serves

their families.

a plastic surgery residency at

as chair of pediatrics at Providence

the University of California, Los

Saint John’s and has participated

Angeles, and joined the UCLA

in the cleft palate clinic for several

Craniofacial Surgery Fellowship.

years. She has been practicing

In addition to his role at the Cleft

pediatrics in an outpatient setting

For more information about the Cleft Palate Center, please call 310-829-8150 or email cleftpalatecenter@ providence.org.

A Friendly Face at the Front Door Health Center visitors who need

So Greenbaum may find herself

directions or have a question are

telling visitors: “Actually, you’re in

in good hands. Carlene “Carli”

the wrong place.” But her familiarity

Greenbaum has been named the new

with the complex from her years of

full-time greeter at the front desk in

volunteering at Saint John’s allows her

the hospital lobby. Greenbaum and

to direct people to the right place.

her staff of volunteers aim to make

Having Greembaum and the

visits to the hospital as comfortable

volunteers at the front desk creates

and easy as possible.

a warm and welcoming environment

She describes a typical day as half

for all who enter the Health Center.

“greeting and directing” and half

“It’s a pleasure to work with people

“detective work.” The Health Center

who are here to give back,” she says

campus is large, and doctors’ offices

of the volunteers. “It makes for a nice

may be in nearby buildings.

atmosphere at the front desk.”

6

breakthroughs FALL 2017

in good health Newborns Go Home With Handmade Gift

Saint John’s Earns Honors for Stroke Care

More than a decade ago, a group of women would

Center with the Get With the Guidelines® – Stroke Silver Plus Quality

meet each Monday in the Saint John’s Health

Achievement Award. Saint John’s also qualified for recognition on the Target:

Center cafeteria to knit caps and booties for the

Stroke Elite Plus Honor Roll. This award recognizes the Health Center’s

hospital’s newborns. That knitting circle has

commitment and success in implementing a high standard of stroke care by

since disbanded, but the project took root. Today

ensuring that their stroke patients receive treatment that meets nationally

more than 30 women continue to knit caps and

accepted, evidence-based standards and recommendations.

booties at home and deliver them to Saint John’s

The American Heart Association has honored Providence Saint John’s Health

The Get With The Guidelines program is designed by the AHA to help hospitals

so that every newborn has a cozy keepsake gift.

make sure patients get the benefits of the latest scientific guidelines. Last year

Some of the knitters perform volunteer shifts

Providence Saint John’s Health center was certified as a primary stroke center by

at the Health Center, while other knitters send

The Joint Commission on the Accreditation of Health Care Organizations. That

in the caps and booties, says Grenda Pearlman,

designation recognizes hospitals that meet stringent criteria and undertake exception

director of volunteer services. There are knitters–

efforts in the treatment of stroke and other neurovascular disorders.

friends or relatives of local volunteers–who live in Oregon, Arkansas and Arizona.

“It’s an easy way for them to give back to the

Putting Eyes on the Patient

community,” Pearlman says. “They know it’s a gift our patients really love. One of my favorite things is when a dad comes down to our office to pick out the cap and booties and says, ‘We have the set from when our daughter was born, now we’re getting a set for our son.’”

The program relies on donations to purchase yarn for the knitters. The volunteers can use their own patterns or use patterns provided by the Health Center. Certain colors are requested. And yes, pink and blue are still favorites, Pearlman says.

Safety is of the utmost importance. Although members of the medical team are frequently at a patient’s bedside, Saint John’s has introduced a new program to make sure appropriate patients are always monitored.

The TeleSitter Program is a remote video monitoring technology—a robot—that will help the health care staff monitor multiple patients simultaneously in real-time from remote settings.

TeleSitter sends audio and visual data via a portable camera cart. The monFor information on volunteering knitted caps and booties or on supporting the program, please contact Grenda Pearlman at 310-8298208 or grenda.pearlman@providence.org.

itoring can be useful for patients who are at risk of falling, have confusion or dementia, or who are restless and may disconnect their tubes or lines. Privacy is maintained at all times, and the camera does not record audio or visual activity.

The patient can also use the TeleSitter to summon assistance.

FALL 2017 breakthroughs

7

in good health

Head Strong A child’s success in school can depend on good mental health.

Written by NANCY BRANDS WARD

With fall approaching, parents are naturally thinking about how best to prepare their children to succeed in the school year. Breakthroughs sought the advice of Jeffrey Bourne, MD, about what parents can do to ensure that their kids–toddlers through preteens–are as healthy as possible both physically and mentally.

Dr. Bourne has been chairman of pediatrics for the past five years at Providence Saint John’s Health Center and serves on pediatric committees for the Health Center and UCLA Santa Monica. His professional insight was recently honed by his personal experience preparing his 3-year-old to enter preschool.

What’s the first thing

What should parents do when they see

in planning where they’ll do homework, store

parents should think

these symptoms?

their backpacks and make lunch the night

about in preparing young

Almost everyone has anxiety when faced with

before school. Visit schools to familiarize kids

children for school?

new situations. But if your child has frequent

with where they’ll be going. Attend orienta-

Well in advance of the school year, make

complaints or doesn’t want to go to school,

tions and back-to-school nights. And clear

sure that physical and dental issues are

it’s time to get professional help. Visit your

your own calendars of stressful activities for

addressed so kids are heading into school as

pediatrician to rule out physical illness and

the first week or two. The less stress you have

healthy as possible.

get advice on how to deal with your child’s

and the more on top of things you are, the

anxiety. Open a dialogue about concerns kids

better it will be for your kids.

Are kids’ mental health issues too

may have, reassuring them of your support.

often overlooked?

Tell your kids: “I’ve got your back,” or “This is

A recent study reports a decline in

Yes. Anxiety is by far the most frequent

a different year,” or “We’re going to help you

bullying at school. Should parents still

complaint I see. The transition to school is a

get past this.”

be concerned about it?

big change from summer and can be stressful.

Yes. Talk with your kids about bullying. If

Also, kids may have had negative experiences

What can parents do to head

they’re being bullied, tell them to look the

previously, such as bullying, poor academic

off problems?

bully in the eye, stand tall, and say, “I don’t

performance or social issues, which can cause

Focus on the positive while laying the

like what you’re saying” or “Don’t talk to

a lot of worry over what’s coming up this year.

groundwork for a stress-free transition to

me like that,” and then walk away. Also

school after the summer break. Get your kids

encourage them to tell an adult. Teach them

How can parents tell if their children

excited about school–take them shopping for

to support others who are being bullied

are anxious?

school supplies like crayons, backpacks and

by telling bullies to stop and alerting an

Anxiety can manifest as physical maladies,

lunch boxes. Arrange play dates with school

adult. If your child is a bully, set firm and

such as headaches, stomachaches, trouble

friends. At least a week in advance, revert to

consistent limits on any kind of aggressive

sleeping, dizziness or a lump in the throat

a school-time schedule of going to bed early,

behavior and be a positive role model.

(without symptoms of illness like fever or

getting up early enough for breakfast and en-

But also don’t just focus on the negative;

runny nose). It might also show up as depres-

gaging in quiet activities like coloring rather

encourage your kids to make friends with

sion, acting out or clinginess.

than video games and TV. Get kids involved

other kids.”

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breakthroughs FALL 2017

in good health Teaching Children to Live With Purpose “Kids today!” It’s a refrain heard from every generation. And

A SPECIAL PLACE FOR CHILDREN AND FAMILIES

S. Daniel Ganjian, MD, a pediatrician with the Doctors of Saint John’s, believes that kids today truly do face more difficult challenges than their predecessors. In his practice Dr. Ganjian sees too many kids across the social strata who are lost, anxious, depressed, self-harming and angry.

“All this comes from a lack of purpose,” he says. “With purpose, kids will blossom and be less prone to mental health problems.”

It’s the family’s job to instill purpose, he says, and the way to do that is for parents to begin as early as possible to help children build character by teaching these time-honored values:

1

Respect the family relationship. Do things together, including spending as little as 10 minutes a day, reflecting about purpose in life.

2

Don’t be cruel to animals.

Don’t take matters into your own hands.

Let the legal system deal with wrongdoing.

Respect property.

Don’t take anything that’s not yours.

3

4 5

For 25 years the Child and Family Development

6

Respect human life. Put violence in television, movies and video games in proper perspective. It is advisable to shield kids

Center (CFDC) at Providence Saint John’s Health Center has served young children and their families with mental health support. CFDC offers several programs and services, including an outpatient mental health program for youth up to age 21, a youth development program, a psychosocial program for adults with development disabilities, and crisis intervention for children and their families.

The CFDC’s therapeutic preschool provides a

Understand that

nurturing and safe environment for children ages 2 to

you’re not the most

5 who require early intervention for neurological,be-

important thing in

havioral or mental health conditions. The preschool is

creation.

a multidisciplinary, intensive day treatment program that relies on highly trained teachers, close child-staff

7

Don’t worship idols— not sports teams nor fashion icons nor

from violence in media

entertainers. Fame,

images until age 13. While

fortune and superfi-

older children may be

ciality should not be

exposed to violence in

the goal.

relationships, small groups and a personalized and sensitive environment.

Individual treatment plans are created to help each child reach his or her full potential. Services may consist of child-family therapy, parent education classes, parent support groups, speech therapy, occupational therapy, medication assessment and support, and educational transition services.

the media, parents should

Costs for services may be met through MediCal,

remind them that it’s never

Healthy Families or private payment. A sliding scale

OK to harm another person

payment plan is available to qualified families.

(unless it is self-defense).

For more information about the Child and Family Development Center, call 310-829-8921.

FALL 2017 breakthroughs

9

on the horizon

HOSPITAL EVENTS SEPTEMBER 11, NOVEMBER 13 Cancer—Look Good Feel Better Howard Keck ground lobby level, Team Conference Room Providence Saint John’s Health Center 2121 Santa Monica Blvd.

Are you a woman undergoing cancer treatment? Please join us for an American Cancer Society Look Good Feel Better class. You will receive free instruction on coping with appearance-related side effects of your treatment. A licensed beauty professional will provide makeup and skin care tips and suggestions for using wigs and head wear.

Registration is required.

To register, please call the American Cancer Society at 800-227-2345.

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breakthroughs FALL 2017

SEPTEMBER 19, OCTOBER 17, NOVEMBER 21 Parkinson’s Disease Support Group 6 to 7:30 p.m.

Flora Thornton Conference Room Providence Saint John’s Health Center 3rd floor “Life in Motion,” a new Parkinson’s disease support group for patients and their loved ones, is held monthly to provide support and guidance.

We will provide clinical updates and tools that may be helpful in navigating this complex condition. Bring your parking ticket to the meeting to be validated.

SEPTEMBER 20, OCTOBER 18, NOVEMBER 15, DECEMBER 20 Brain Tumor Support Group Providence Saint John’s Health Center 1 to 2 p.m.

No one understands being affected by a brain tumor like

someone in the same situation.

Please join our brain tumor support group led by a licensed psychotherapist and a nurse practitioner. The group, which meets the third Wednesday of the month, is for those with brain tumors and metastatic cancer in the brain, as well as their loved ones. You will have opportunities to talk with other survivors and hear from knowledgeable people, often including health care professionals, who provide insight and information about navigating the disease.

For more information contact Lind Roberts at 310-829-8524.

SEPTEMBER, DECEMBER Pituitary Tumor Support Group Providence Saint John’s Health Center This free support group provides education, support and empowerment for those dealing with challenges of pituitary tumors.

For more information on the meeting dates and times, call Sharmyn McGraw at

888-410-3334 or email pituitarybuddy@hotmail.com.

OCTOBER 6, NOVEMBER 10, DECEMBER 8 Stroke Support Group Providence Saint John’s Health Center 2 to 3 p.m.

Join us as we help stroke survivors and their families cope with the aftermath of a stroke. Free meetings are held on the first Friday of every month. We will discuss recovery, coping skills and resources. The group is facilitated by a stroke survivor and includes guest speakers with expertise in stroke recovery. Valet parking validated.

For more information contact group facilitator Dana Rivera at danasusanrivera@gmail. com or stroke.center@ providence.org.

on the horizon

OCTOBER 11–12 Community Education Forums: The Orthopedic Lectures—Arthritis, Joint and Bone Health The Flora L. Thornton Community Health Education Program, Providence Saint John’s Health Center October 11, 6:30 to 8:30 p.m.

October 12, 2 to 4 p.m.

You’re invited to to an orthopedic lecture entitled Arthritis Joint and Bone Health.

For information on the time and date, please call 310-829-8453.

ONGOING Smoking Cessation Freshstart is a smoking cessation program developed by the American Cancer Society and offered by Providence Saint John’s Health Center. The program is designed to help you take charge of your efforts to quit using tobacco. Join today and enjoy the benefits of living a tobacco-free lifestyle.

To register for the group or for more information, please contact Lauren Small at 310-829-8544.

From Cancer to Health™ Join this biweekly support group, From Cancer to Health™, to learn about the right tools to manage stress and gain support. Research shows that the program helps people reduce stress, improves social support, reduces physical side effects and facilitates easier communication with health care providers and family.

To register or for more information, please contact Lind Roberts at 310-829-8524.

Therapeutic Yoga for Cancer Patients 10 to 11 a.m.

Our occupational therapists conduct yoga classes tailored to cancer patient’s needs. The sessions are every Wednesday.

Registration is required; call Lind Roberts or Shannon Deslauriers at 310-829-8544 or 310-829-8542.

Childbirth Preparation Classes / Maternity Tours Providence Saint John’s Health Center Having a baby soon?

Providence Saint John’s Health Center offers classes and maternity tours at many convenient times. Classes include childbirth preparation, baby care basics, breastfeeding basics and Cesarean birth preparation. All classes are held at Providence Saint John’s Health Center on the third floor.

For information on the classes call 310-829-8887 or email elsa.ruedas@providence.org.

To find class times and make a reservation go to california.

providence.org/saint-johns/ services/obstetrics/ education-and-classes.

Nutrition Counseling Personalized nutrition counseling with a registered dietitian is available at Providence Saint John’s Health Center. Nutritionists can assist with weight loss, cancer prevention, healthy eating, disease prevention, pediatric and adolescent nutrition, vegan diets, glutenfree diets, and counseling on diabetes and insulin resistance including strategies to reverse diabetes. There is a fee of $120 for the initial hour-long session and $60 for followup sessions. Insurance may cover the counseling in some cases. For healthy inspiration from our team of nutrition professionals visit our website: dietitiansonamission.com.

For more information contact the nutrition education department, 310-829-8889 or cjndietitians@providence.org.

FALL 2017 breakthroughs

11

in good health

Your Neighborhood Doctors

A large group of primary care physicians teams up with Saint John’s.

Providence Saint John’s Health Center has welcomed the addition of 24 primary care physicians to the hospital network. Santa Monica Family Physicians (SMFP) has multiple locations on the Westside and provides care to both adult and pediatric patients.

Many members of SMFP have practiced in the community for decades, says David M. Cutler, MD, a family medicine physician with SMFP. The group was affiliated with Saint John’s years ago and is pleased to rejoin the network.

“We’re reuniting with this hospital and providing our patients with the quality of services they have come to expect over the years,” Dr. Cutler says.

Santa Monica Family Physicians patients will experience several benefits as part of the Providence Saint John’s family, says Mark R. Needham, MD, a family medicine physician with the group. Providence hospitals use the EPIC electronic health records system that allows primary care physicians and specialists to access records in a timely manner, providing highly coordinated care and patient convenience.

Moreover, SMFP patients who are in need of a referral to a specialist will have access to top-tier doctors, Dr. Needham says. “Our patients are able to get prompt, responsive sub-specialist appointments more easily in the Saint John’s community.”

Many Westside patients also seek the kind of compassionate care that the Health Center is known for.

“I’ve been on the medical staff at Saint John’s for 28 years,” Dr. Cutler says. “I’ve had both myself and family members admitted there and have had patients admitted. The attention that we get from the staff is outstanding, and the technology and expertise is as good as it could be anywhere. Regardless of what particular procedure we’re there for, we have the confidence in knowing other support services and functions will be readily available.”

“What I hear from patients all the time is Saint John’s is a cherished institution in Santa Monica,” adds Dr. Needham. “The health care ministry that they bring is one of highly personalized care to our patients. The staff has been there for many years. They are devoted to the philosophy of care at Saint John’s. Saint John’s emphasizes the dignity of each person.”

Santa Monica Family Physicians also abides by a philosophy of treating the whole patient. “Our group’s motto is: ‘We specialize in you,’” Dr. Cutler says. “Our primary focus is that every patient receives whatever they need, and we will accommodate them.”

The 24 primary care providers include 22 family physicians and two internal medicine doctors. The practice accepts many types of insurance plans. Later this year some SMFP offices will 12

breakthroughs FALL 2017

add extended hours and urgent care. SMFP doctors emphasize preventive care, such as cancer screenings and vaccinations, and building strong doctor-patient relationships.

“The thing that makes the greatest difference in a patient’s life is having continuity with a doctor over the years,” Dr. Needham says. “By knowing a patient really well, we’re much better able to diagnose conditions. When something goes wrong, such as a major illness, we already know that patient and are able to navigate them to the best specialist for their care and help them cope with anything that comes up.”

SANTA MONICA FAMILY PHYSICIANS Julia Blank, MD

Eileen McGrath, MD

Angelika Buddeberg, MD

Janice Miyakawa, MD

Megan Chen, MD

Michael Nagata, MD

Devora Cohen, MD

Mark Needham, MD

David Cutler, MD

Shahira Ramji, MD

Daina Danovitch, MD

Richard Ross, MD

Stephane Garcia, MD

Velinda Paranal, MD

Anita Gorwara, MD

Steven Seizer, MD

Richard Greenspun, MD

Manali Shendrikar, MD

Ted Hak, MD

Grace Tassa, MD

Stan Hubbard, MD

Nora Vasquez, MD

George LaBrot, MD

Jill Wei, MD

in good health FIND SANTA MONICA FAMILY PHYSICIANS AT THE FOLLOWING CONVENIENT LOCATIONS: Westwood

405

A

1831 A & B, Santa Monica (310-829-8903)

B

2701 Ocean Park Blvd., #118, Santa Monica (310-829-8917)

C

818 Alma Real, Suite 316, Pacific Palisades (310-829-8923)

D

2021 Santa Monica Blvd., Suite 424E (310-829-8945) and Suite 625E (310-829-8948), Santa Monica

E

1301 20th Street, Santa Monica, Suite 150B (310-829-8908)

F

1301 20th Street, Santa Monica, Suite 250 (310-829-8925)

Brentwood Park

C

405 2

D

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E

F 10

B 10

A

Santa Monica

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1

Venice

To contact Santa Monica Family Physicians, call 1-888-HEALING or go to smfp.org. Marina del Rey

A Milestone

Saint John’s celebrates 75 years of service to the community.

The stately, white building with its two front columns of rounded windows is long gone. But 75 years later a flourishing, modern-day hospital has taken its place. This year marks the 75th anniversary of Providence Saint John’s Health Center.

According to Robert S. Sherins, MD, a retired Saint John’s physician and assistant archivist, the desire for a hospital in Santa Monica arose during the Great Depression years of the late 1920 to 1930s by Catholics living in the city. Archbishop John Cantwell of the archdiocese of Los Angeles agreed with the idea and contacted the Mother General at the Mother House of the Sisters of Charity of Leavenworth, Kansas.

The Sisters stepped up and took on the task with Sister Mary Hypathia Coughlin, a trained engineer, studying the building blueprints daily and overseeing construction.

The 1994 Northridge earthquake marked a turning point in the life of the hospital. Instead of abandoning the severely damaged facility, however, the Sisters, community supporters and the Saint John’s Health Center Foundation trustees came together to construct a new facility.

Today, under the sponsorship of Providence St. Joseph’s Health, the 266-bed hospital routinely garners recognition for outstanding service, innovative research and safe and compassionate care.

Happy anniversary, Saint John’s!

Carmen Munoz

Anna Gutierrez

Education Coordinator

Junior Accountant

“My favorite thing about Saint John’s is the people. They’re friendly and nice. It’s like a second family. I think it goes back to the Sisters who started the organization. They established a mentality that this is like our second home, and we need to keep it clean and we need to be nice. The employees have carried that value on through the years, and patients see it.”

“Saint John’s is about family. My mother worked there. She started there at 15 years old. She had all of her children—there were five us— there. At one point all five us girls were working there at the same time. That’s why I say it’s family.

This feeling snowballs and extends to patients and their families.

Everyone is nice and warm and working on the same team. It’s peaceful, and everyone is so nice.

I’m proud to say I work there.”

FALL 2017 breakthroughs

13

IMMUNOTHERAPY DRUGS AND CLINICAL TRIALS ARE TRANSFORMING CANCER TREATMENT. Written by LAUREL DIGANGI Photographed by KREMER JOHNSON PHOTOGRAPHY

14

breakthroughs FALL 2017

SUZANNE NELSON, A STAGE IV BREAST CANCER PATIENT, WONDERED IF SHE WAS FACING THE END OF HER OPTIONS.

However, her diagnosis recently changed from one type of breast cancer to a type known as triple negative breast cancer, which is a particularly challenging form that

Her 10-year struggle had included its ups

does not respond well to standard therapies.

and downs of remissions and recurrences.

Nelson underwent radiation and chemother-

But with the support of her husband, Eric,

apy, but earlier this year scans of the tumor

three grown daughters and her church,

showed the cancer had spread to her spine

Nelson, 54, had always pulled through.

and sacrum as well as several areas through-

out her pelvis and an adrenal gland.

in combination with an investigational drug,

immuno-oncology and director of clinical

Imprime PGG, as a treatment for triple

research at the John Wayne Cancer Institute,

went on permanent disability, spending her

negative breast cancer. On February 22 she

she received an infusion of Imprime PGG

days napping on her lounger in her Culver

arrived at Providence Saint John’s Health

and an infusion of pembrolizumab. What

City home with barely enough strength to

Center with a renewed optimism: “I wore a

Nelson may not have realized was that, far

eat. “I was a mess,” she says.

mouse nose and ears and announced, ‘I’m a

from being a lab rat, entering a clinical trial

lab rat reporting for duty!’”

likely gives most patients the best possible

She left her job in human resources and

Fortunately, she learned of a Phase II clinical trial that was testing a standard immunotherapy drug, pembrolizumab (Keytruda),

Then, under the care of Steven

chances of survival.

J. O’Day, MD, director of

For more information on cancer services, immunotherapy and cancer clinical trials, go to providence.org/saint-johns and click on cancer under the services tab, or call 888-HEALING (432-5464).

FALL 2017 breakthroughs

15

Full Speed Ahead With the Cancer Revolution Five weeks later, after receiving four treatments of the combined therapy, Nelson was scheduled for a biopsy of a tumor on her adrenal gland, where the cancer had also spread. But during a scan to determine the tumor’s placement, she noticed that the surgical team seemed surprised at the scan results.

“They kept scurrying about,” she says, “asking me questions and triple-checking my wrist band.” Finally someone told her, “We can’t find anything to biopsy.” Overwhelmed with emotion, Nelson began to cry. “I couldn’t believe it,” she says. “The drugs were already working!”

Indeed they were. A week later another scan revealed that the base-

Steven J. O’Day, MD

I believe that in the next five to 10 years we’ll be using immunotherapy on all cancers— probably as the primary treatment.

Immunotherapy is driving the world cancer revolution.”

ball-sized tumor on her pelvis had shrunk to half its size. According to Dr. O’Day, Nelson is now in remission.

“I believe that in the next five to 10 years we’ll be using immunotherapy on all cancers—probably as the primary treatment,” he says.

“Immunotherapy is driving the world cancer revolution.”

O’Day, the key to Nelson’s remission was the investigational drug Imprime PGG used in combination with pembrolizumab.

“Unlike other immunotherapy drugs which affect T-cells directly, Imprime initially activates the body’s innate immune system, which

And today, thanks in a large part to Dr. O’Day, the John Wayne

has a cascading effect in activating T-cells,” says Dr. O’Day. “Preclinical

Cancer Institute in partnership with Providence Saint John’s Health

models and early clinical data suggest this would be very effective as a

Center is at the forefront of this revolution.

combination and allow more patients to benefit from immunotherapy.”

In addition, Dr. O’Day notes that a biomarker had been identified for

THE IMPRIME PPG TRIAL

Imprime PGG. A biomarker is a biological or genetic characteristic of

Unlike traditional treatments, which attack cancerous tumors, immu-

the patient that can help doctors know if a particular drug will work or

notherapy uses the body’s own natural immune system to fight the

be ineffective. “This will help us to predict better responses to the drug

disease. There are several different approaches to immunotherapy. In-

and select patients who would benefit most from this therapy,” he says.

travenous drugs called “checkpoint inhibitors,” such as pembrolizum-

Unlike chemotherapy, immunotherapy medications are not toxic and

ab, ipilimumab (Yervoy) and nivolumab (Opdivo), pump up the body’s

typically do not have the same harsh side effects associated with che-

natural immune system by activating its disease-fighting T-cells.

motherapy—such as nausea, fatigue and hair loss. But immunotherapy

“These therapies create a very active T-cell that can seek and destroy cancer which previously was hidden, either because the T-cell was exhausted and not able to attack the cancer or it wasn’t activated enough,” says Dr. O’Day. Dr. O’Day is a principal investigator for the Imprime PGG trial, in which Nelson participated, and is chairman of its steering

drugs are not without side effects. Dr. O’Day explains that these side effects are the result of the immune response being activated.

“These drugs can cause inflammation at the cancer—which we like— but also at normal tissues, and these can be serious,” he says. “But when managed appropriately, patients are fine with the side effects.”

Nelson experienced some side effects after her second infusion,

committee. He was also clinical investigator in the development of

including a high fever, chills and vomiting. “I was given drugs to

pembrolizumab and nivolumab and played a leadership role in the

mitigate the side effects, then went home and slept it off,” she says.

development of ipilimumab.

“By the fourth treatment, after my body was used to the drugs, all I

In fact, he has been a principal investigator for more than 100

felt was a very slight nausea.”

clinical trials, including several large, international Phase III studies.

Recognized as one of the world’s leading melanoma specialists, on

THOUSANDS OF CLINICAL TRIALS NATIONWIDE

March 25 he was awarded “The Duke” Special Service Award by the

Dr. O’Day notes that there are more than 1,000 clinical trials open

John Wayne Cancer Institute Auxiliary.

across the country testing a variety of potentially lifesaving immu-

Typically only a small percentage of triple negative breast cancer patients respond to standard immunotherapy. According to Dr.

16

breakthroughs FALL 2017

notherapy drugs across a number of cancers. In addition, there are many clinical trials currently being conducted at the Institute in

Full Speed Ahead With the Cancer Revolution FROM THOUSANDS OF TUMORS TO COMPLETE REMISSION Standard immunotherapy treatments have also had much success in treating patients with melanoma and in some instances have caused complete remission in patients whose prognoses would otherwise be grim. One example is Shelby Nish, 26, who was diagnosed with Stage IV melanoma 17 months ago after cancer was found in her placenta days after giving birth to her son, Barron.

“I had thousands of tumors in my body, including my brain, lymph nodes and bones,” she says. “It was terrifying, but my son gave me strength. There was no way I was not going to be here to care for him.”

Although she lives in El Cajon, Nish sought out Steven J. O’Day, MD, who put her on a combination of nivolumab and ipilimumab. She admits to having “every possible side effect” and at times felt too weak to walk and carry her son— afraid she might drop him.

“Whenever I felt afraid, I’d remember what my husband, Kevin, told me to say to myself: ‘I am powerful beyond measure,’” she recounts.

One day, 11 months after her first treatment, she got a call from her physician’s office. Fearing the cancer had spread, she was instead given the remarkable news that she had a clear scan. “I had never realized the burden the cancer had created,” she says, “because that moment I suddenly felt so light, as if I could actually float.”

Today, thanks to treatment, she is free to enjoy her son and is ready to continue her college studies, hoping to someday become a pediatric nurse.

“Shelby is in complete remission,” says Dr. O’Day, “A few years ago we had very little to offer patients with such widespread melanoma, and her story is evidence of the progress we’ve made.”

partnership with Saint John’s.

One particularly promising trial involves using a common cold virus, or coxsackievirus.

“We’re injecting it into tumors, and we’re giving it intravenously in combination with pembrolizumab across a number of tumors—not just melanoma but lung cancer and bladder cancer,” Dr. O’Day says. “So far the results look very promising.”

According to Dr. O’Day, nivolumab or pembrolizumab have also had dramatic results in patients with relapsed Hodgkin’s lymphoma.

He encourages cancer patients to examine all their options, to seek cancer centers of excellence that have access to standard immunotherapy, and to ask about breakthrough drugs and clinical trials that may apply to their particular cancers.

Nelson has continued to benefit from her participation in the clinical trial. In July a biopsy revealed that the remaining tumor in her pelvis has no cancerous cells. “I do still have metastasis in some bony places,” she says, “but not as much as before treatment.”

What’s more, she has recovered her energy and is back on her feet. She is also back in the water—with the Los Angeles Pink Dragons, a competitive dragon boat team of breast cancer survivors that she joined in 2010. She says that among dragon boat paddlers—teams of 20 who paddle a boat ornately crafted to resemble a dragon—a favored maxim is, “Rowers go backwards, but paddlers move forward.” And because Suzanne decided to participate in a clinical study and help cancer research move forward, she can continue to move forward in the water— and best of all, in life.

FALL 2017 breakthroughs

17

The Pregnancy–

Heart Connection

Doctors use pregnancy and fertility history to improve women’s heart health.

Written by VICTORIA CLAYTON Photography by KRISTIN ANDERSON

Jackie Klein first experienced cardiovascular health problems during pregnancy. However, with close monitoring she now enjoys excellent health.

M

ore than three decades

years down the road.

that’s often used in in-vitro and intrauterine

ago, Lisa, a Pacific Pali-

In one review of the research, published in

insemination treatments)—and an increased

sades Realtor, was diagnosed with pregnan-

the journal Open Medicine in 2014, research-

risk for cardiovascular disease. Dr. Weinberg

cy-induced high blood pressure with her first

ers concluded that gestational diabetes is asso-

cautions, however, that just because re-

baby and gestational diabetes with her second

ciated with an increased risk of cardiovascular

searchers are finding links between different

child. When Lisa had her children in the late

disease later in life. Research has also found

pregnancy and fertility experiences and

1990s, doctors believed that if the conditions

a link between pregnancy-related high blood

cardiovascular risk doesn’t mean women

were treated properly during pregnancy, both

pressure and preeclampsia (a condition char-

should panic.

mother and child would be fine—no further

acterized by high blood pressure and protein

There’s no evidence that infertility or fer-

treatment or monitoring required.

in the urine during pregnancy) and long-term

tility treatments cause cardiovascular disease

cardiovascular risk.

later. It may be, however, that an underlying

And that’s what Lisa thought too. She forgot her pregnancy-related health issues and

risk factor makes some women more vulnera-

concentrated on being a mom to her daughter,

ble to fertility issues or pregnancy conditions

now 30, and son, now 28.

as well as cardiovascular disease.

Over the last decade, however, Lisa’s blood

In total, however, the evidence suggests

pressure became slightly elevated. “Every time

that pregnancy-related health problems can

I got my blood pressure checked, they’d ask,

help illuminate a woman’s cardiovascular risk

‘Are you nervous?’” But the condition wasn’t

later in life, just like family history also helps

enough to warrant medication.

predict risk. Family history is also something

“And about 2-1/2 years ago I started having

doctors take seriously. In Lisa’s case, her

a sort of fluttering of the heart,” says Lisa, now

grandparents, parents and brother all suffered

57. She saw her doctor, who monitored the

from cardiovascular disease.

condition for some time and ultimately told her it was not a serious issue. No treatment

“It was heart, heart, heart with everyone in Nicole M. Weinberg, MD

would be required.

Then in December of last year Lisa went in for a routine annual exam, and her internist detected a heart murmur. Her cholesterol levels were also elevated. He recommended an echocardiogram.

Enter Nicole Weinberg, MD, a cardiologist at Providence Saint John's Health Center

ing at age 40,” says Lisa. (Her brother survived

Doctors now need to know all of a woman’s history— including her pregnancy history. That should help us better determine risk factors."

in Santa Monica. Medical professionals are paying very close attention to patients like

my family. My brother had a heart attack surfand is well today.)

According to the Centers for Disease Control and Prevention, heart disease is the leading cause of death for women in the United States. The latest research, says Dr. Weinberg, is really driving home the idea that doctors should now look for many more red flags than previously thought.

And a study published in March in the

And the silver lining in all of this is that

Lisa these days, Dr. Weinberg says. The pri-

Canadian Medical Journal established

they can possibly do a lot more good for

mary reason: Unlike 30 years ago, research

a link between failure to conceive after

women. “Doctors now need to know all of a

now suggests links between conditions such

undergoing one type of fertility treatment—

woman’s history—including her pregnancy

as pregnancy-induced high blood pressure,

gonadotropin-based fertility therapy (an

history. That should help us better determine

gestational diabetes and cardiovascular risk

ovulation-stimulating hormone therapy

risk factors. This way, if needed, we can try to

FALL 2017 breakthroughs

19

The Pregnancy–Heart Connection

intervene earlier and more effectively,” says Dr. Weinberg.

Closer monitoring of women who have had pregnancy-related cardiovascular problems should continue after childbirth—even if the condition resolves once the baby is born. For example, guidelines issued by the Agency for Healthcare Research and Quality suggest that women with gestational diabetes undergo postpartum screening for diabetes six to 12 weeks after childbirth. The American Diabetes Association recommends repeat testing at least every three years for women who had gestational diabetes.

Jackie Klein, another one of Dr. Weinberg’s patients, says it’s comforting— not frightening—to know that doctors are monitoring her closely and that she’s getting the treatment she needs. Klein, 50, gave birth to her third son eight years ago. Everything went well with the pregnancy. During delivery, she had an unusual spike in her blood pressure, yet the issue seemed to resolve quickly.

Eight days postpartum, however, her scalp

after my newborn,” she says.

Dr. Weinberg ultimately prescribed blood pressure medication and a statin choles-

take the prescribed medication,” says Klein, a former attorney.

Dr. Weinberg ordered several tests, in-

terol medication which, studies in the New

cluding a CT scan and a carotid ultrasound.

started to tingle, itch and burn during the

England Journal of Medicine and elsewhere

“Getting those tests made me feel a lot better,”

night. She didn't want to bother her exhaust-

have found, help reduce cardiovascular risk

says Klein. The results were reassuring: Klein’s

ed husband or wake up her doctor in the

for certain patients.

health issue had been detected very early.

middle of the night so she struggled through

“I’d been healthy my entire life—I exer-

her throbbing headache and discomfort until

cised and I ate well. So of course I was pretty

ed treatment and monitoring, but she could

morning. The symptoms were so odd, how-

shocked by all of this. But ultimately I un-

expect to be the active, healthy mom she’d

ever, that she called her doctor in the morn-

derstood that there was nothing I could have

always been. These days Klein is the president

ing, who told her to go the emergency room.

done to prevent it. I was probably genetically

of the parents’ association at her older son’s

Instead she fed her children breakfast, packed

predisposed, and the only thing I could do

high school, and she enjoys working out and

her two school-age children’s lunches and sent

was to follow the advice of my doctors and

meditation, which she says also helps with her

them off to school.

“When I finally got to the ER, they checked my blood pressure and it was through the roof,” says Klein, who was diagnosed with pregnancy-induced hypertension. She was admitted to the hospital, where she remained for a week. “I was so ill I couldn’t even look

20

breakthroughs FALL 2017

Yes, she had a chronic condition that need-

blood pressure.

If I knew then what I know now, I would not have waited until the morning to call my doctor, and I would not have delayed my departure for the hospital.”

Her message to all women, especially moms: No matter how healthy you’ve always been, you’re not invincible. “Don’t take care of everyone else before you take care of yourself. My instinct was to care of my children before following my doctor's instructions to

The Pregnancy–Heart Connection

immediately get to the ER. In doing so, I put myself and my family at great risk. If I knew then what I know now, I would not have

A HEALTHY PREGNANCY—AND BEYOND

waited until the morning to call my doctor, and I would not have delayed my departure for the hospital.”

Your health during pregnancy can be a barometer of

Lisa, meanwhile is awaiting results of a coronary CT angiogram, an

your future health and your baby’s future health. Do

imaging exam that she hopes will also provide reassurance that she’s

your best to follow your doctor’s recommendations

caught her condition early. Dr. Weinberg has also prescribed a statin.

for good pregnancy health, including:

“Honestly, I’m still a little shocked that anything is wrong with me,” says Lisa, who enjoys yoga and traveling. “But I’m also glad that

• Don't stop exercising unless your doctor tells you to.

it’s not being overlooked and that I’m getting proper treatment. My

Contrary to myth, moderate exercise several times a

condition is something I’ll have to continue to monitor, and I’ll have

week is great for most pregnant women.

to take some medication. But if that’s it, that’s not the worst thing in the world.”

• Get prenatal checkups. Doctors monitor women for

By The Numbers

pregnancy-induced hypertension, preeclampsia and gestational diabetes—all conditions that need to be monitored for the health of baby and mom.

• Keep weight gain reasonable, and follow your doctor's advice. A woman of normal weight is usually

#1

Heart disease is the leading cause of death in women

told to try to gain about 25 to 35 pounds.

• Being obsessed with your post-pregnancy weight isn’t practical or healthy, but in due time try to get

6

%

Pregnant women who have

back to a healthy weight. Being overweight or obese

pre-eclampsia (high blood

puts women at increased risk for cardiovascular

pressure during pregnancy)

disease. It’s entirely possible to return to your prepregnancy weight.

Women with pre-eclampsia

2X

have more than double the risk of developing chronic

• Be frank with your doctors. No matter what your age now, if you’ve had fertility or pregnancy issues, make sure your internist and other doctors know this part

hypertension in the future

of your health history. These details are often easy

10%

Rate of pregnant women

to forget once the issues resolve and years pass, but

who have gestational

doctors now need this information to properly assess

diabetes

your health risks.

Women with a history of gestational diabetes have a seven-fold increase of developing type 2 diabetes later

7X

For more information on finding a cardiologist visit providence.org/saintjohns or call 888-HEALING.

in life

FALL 2017 breakthroughs

21

profiles in health

All You Need is Love The Pawsitive Pet Program provides an important component to healing.

Written by SHARI ROAN | Photographed by KRISTIN ANDERSON

E

rin Pickerel sees a lot of special things while working with the volunteer teams in the Pawsitive Pet Program at Providence Saint John’s Health Center.

Pickerel, the hospital’s volunteer services coordinator, remembers one patient who was mired in a stubborn coma.

A therapy dog and handler stopped by for a visit with the patient’s family members who were gathered in the hospital room. A family member lifted the dog onto the patient’s bed and placed the patient’s hand on the dog— moving it slowly, back and forth, over the soft, warm fur. A few hours later the patient awakened from the coma.

“I knew the therapy team would interact with the family members, but the visit also helped the patient,” she recalls. “It was

amazing. Science has proven that the tactile interaction of petting an animal is good for the brain; it can connect body and mind.”

The Pawsitive Pet Program therapy teams have been working their own little miracles at Saint John’s since 2006. The beloved program depends entirely on the philanthropic support from generous— typically dog-loving—individuals.

Studies show pet therapy can contribute to healing by boosting emotional well-being and interaction with others and even prompting physical recovery by getting a patient to sit up and move around.

Colleen Wilson and her Dalmatian, Charlie, know the impact they have during their twice-a-month visits to Saint John’s. One day, Wilson and Charlie stopped by the room of a patient who was recovering from surgery.

The woman had lost her own dog recently, and between that loss and her health problems, she was in need of some good cheer. The patient smiled at Charlie, who is deaf, petted him and began to talk to Wilson.

“She was someone who was broken,” Wilson says. “But she loved dogs and loved talking about her dog. She clearly felt better seeing Charlie. That is what is so significant about the Pawsitive Pet Program. Seeing a dog like Charlie for even five minutes gives patients a break from their problems and puts a smile on people’s faces. It’s an important part of the hospital’s services.”

The Pawsitive Pet volunteer teams participate in vigorous training to learn

Joseph Suber and his dog Biscuit pause in a hallway to share some love with hospital nurses. The team is one of 41 Pawsitive Pet Program volunteer therapy teams.

22

breakthroughs FALL 2017

infection prevention and safety guidelines before being accepted into the program.

The dogs who make the cut are obedient, well-trained, have good impulse control and an even temperament, Pickerel says.

Their owners tend to be proactive in handling the dog and able to anticipate what’s needed in a situation.

Most importantly, both the handler and dog have to want to be there, she says. “The dog has to have desire to interact. The dog has to love it. They have to want to engage.

The handler has to be someone with compassion. I want to know: What is it that brought you here? Do you want people to feel better?”

Wilson, 28, is a lifelong dog lover who long wanted to volunteer in a pet therapy program. She found Charlie at a shelter in the Bronx, New York, about three years ago. The shelter operator told her that previous owners said Charlie wouldn’t pay attention to commands.

Wilson knew dalmatians had higher-than-average rates of deafness. She performed some simple tests and quickly determined that Charlie couldn’t hear a thing.

She took him home.

One day, while walking him in New York, Charlie came across a person in a wheelchair.

The dog stopped and gently laid his head in

profiles in health

Providence Saint John’s Health Center.

“A patient can feel isolated, sad, depressed and be in pain,” Pickerel says. “But when a therapy dog is in the room, the patient’s blood pressure goes down. Pain goes down. They eat better. They smile. Sometimes a volunteer will walk into the room, and a patient will say, ‘I’m scared.’ They are petting the dog while they are saying it. The dog is a conduit for them to express themselves. They wouldn’t tell a doctor or social worker or a family member they are scared. But they can tell a dog and tell a volunteer.”

For information on how to support the Pawsitive Pet Program, please contact Wendy Merritt at 310-829-8443.

the person’s lap.

“The woman smiled, and I thought, ‘OK, this is what Charlie wants to do,’” Wilson says. “I had always wanted a therapy dog. My last dog’s personality wasn’t conducive to that. When I got Charlie, I saw that he was drawn to children, seniors and people with disabilities. He likes to put smiles on people’s faces.”

Science has proven that the tactile interaction of petting an animal is good for the brain; it can connect body and mind.”

She taught Charlie about 50 commands or “words” using sign language. Then after moving to Santa Monica, Wilson inquired about volunteering at Saint John’s.

One of the pair’s favorite tricks is when she signs “I love you.” That’s Charlie’s queue to kiss her finger—or that of any patient he happens to be cuddled up against.

Last year the Pawsitive Pet teams performed 2,788 patient visits—almost a 25% increase from the prior year. They also visit children at the Child and Family Development Center at FALL 2017 breakthroughs

23

profiles in health

Mission Possible

New director shepherds Providence Saint John’s Mission and core values.

Written by SANDI DRAPER Photographed by MONICA OROZCO

D

irector of Mission is not a small role at Providence Saint John’s

unique needs of patients, family members and staff of the health care

Health Center. Filling the shoes of Sister Colleen Settles, who left

community. The chaplains’ focus is on supporting the deeper spiritu-

the post to serve in a leadership position in her order, wasn’t going to

al meaning and understanding of suffering and sickness, health and

be easy. Plus, the director of Mission must embody the Health Center’s

wellness. Chaplains are assigned throughout the hospital and work in

core values and its work among the poor and vulnerable. The arrival of

conjunction with the health care team.

Paul Makarewicz on April 3 has made for a smooth transition.

“Paul fulfills all of these needs as he joins us with more than 17 years

“I have the opportunity to really mentor and support our leaders and other caregivers in their own understanding of Mission and core

of leadership experience in community health development and out-

values—sometimes one-on-one and sometimes in presentations and

reach program services,” says hospital chief executive Marcel Loh. “Paul

reflections about the meaning of Catholic health care,” Makarewicz

comes to us from Catholic Charities of Los Angeles Inc., where he served as program director for Ventura County—managing all aspects of their business, community services and outreach programs to support those in need.”

Makarewicz has a theology degree from

says. “I find fulfillment in knowing that our

Part of our Mission is to care beyond the walls of the hospital. “The Mission is lived inside and outside the hospital.”

patients and families truly receive the compassionate care brought to them by our nurses and physicians and other caregivers who feel a deep call to serve in this ministry. That deep commitment brings such a quality of care to those in need. This is much more than a job.

Angelicum University in Rome, a master’s degree in social work from

It’s really a calling to work here. When people understand that and live

the University of Illinois, Chicago, and a second master’s in bioeth-

that, that’s the most rewarding part of this work. We bring the love of

ics from Loyola Marymount in Los Angeles. He is also familiar with

God to people in their difficult times.”

Providence, having spent more than nine years as Mission leader for Providence Little Company of Mary in the South Bay. “I was drawn to Catholic health care because of the Mission and

One way of doing that is the Health Center’s partnership with the Venice Family Clinic and the Westside Family Health Center. “We can help identify health care needs of the community and can bring

core values that we stand for, from the legacy of our founding Sisters,”

resources from the hospital to assist in meeting community needs,”

Makarewicz says. “I believe deeply in our Mission in revealing God’s

Makarewicz says.

love for all—especially the poor and vulnerable—putting that Mission

The center does a community health needs assessment every three

into action in the care that we provide. We live that Mission through our

years and is in the first year of a three-year plan based on results of the

core values of compassion, respect, excellence, justice and stewardship.”

most recent study. The five-point plan includes improving access to af-

Makarewicz serves on Loh’s executive leadership team. He also

fordable primary and specialty care, better management and prevention

oversees the spiritual care services, led by the department manager,

of chronic illnesses, growing prevention programs focused on reducing

Lorraine Ceniceros, and the community health partnerships led by Ron

obesity and improving nutrition, improving access to affordable mental

Sorensen, the director. Makarewicz co-chairs the ethics committee with

health and substance-abuse programs, and addressing the needs of a

Thomas Ciesla, MD.

growing homeless population.

The interfaith approach to spiritual care allows chaplains to serve the

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breakthroughs FALL 2017

“Part of our Mission is to care beyond the walls of the hospital,” he

profiles in health

explains. “The Mission is lived inside and outside the hospital.”

Another example of this is the Child and Family Development Center—a community mental health center serving low-income children and their families dealing with emotional and mental health issues.

Makarewicz, the ninth of 13 children born to a Polish Catholic family from St. Louis, says his family instilled in him a strong sense of faith and service. He and his wife, Carmen, a geriatric nurse practitioner who provides care to homebound seniors, were married in 2014. He has played the trumpet since he was 10, beginning with classical training and then moving into jazz and liturgical music.

“Whatever my job is here at Saint John’s, that work supports the Mission,” he says. “Every person—from environmental services to clinical nursing—is important to the Mission. It’s a culture that comes from a strong, loving community of caring people, and I’m honored to be a part of that. I’m privileged to have a role as Mission leader of a hospital celebrating 75 years with deep

Paul Makarewicz brings many years of expertise in community services to his new role as director of Mission at Saint John’s.

roots in the community.”

FALL 2017 breakthroughs

25

Pushing New Frontiers

From brain cancer to back pain to movement disorders, Saint John’s neuroscience experts look for the latest and best therapies.

Written by SHARI ROAN Photographed by MONICA OROZCO

26

breakthroughs FALL 2017

B

rain tumors sometimes make themselves known in baffling ways. For Redmond “Rusty” Doms, 77, the odyssey of symptoms began when people he was looking at—people he knew well—morphed into faces he didn’t recognize.

“I was starting to look at people, and all of a sudden their appearance would

change,” he recalls. “I knew who they were, but I’d look at them and didn’t know who they were. I’d lose my train of thought. I’d get a little disoriented.”

Doms—a longtime, cherished trustee of the Saint John’s Health Center Foundation—is often on the hospital campus. One day as he walked by his primary care doctor’s office, he

NEUROSCIENCE

mentioned the strange sensations. The doctor

each individual patient, and if one doesn’t

and improve the outcomes for these deadly

ordered a brain scan. The next day Doms’

exist, innovate.

diseases. We offer patients hope. That’s really

phone rang, and he answered to find Daniel

Brain cancer care is highly specialized, says

what clinical trials are all about.”

F. Kelly, MD—a Saint John’s neurosurgeon—

Dr. Achrol. Dr. Kelly, Dr. Kesari and Dr. Ach-

on the phone.

rol are also part of the Pacific Neuroscience

oncologists also strive to make treatments

Institute, which provides state-of-the-art care

more tolerable and precise. Dr. Kelly and Dr.

news for you. We’ve got a real problem, and

for patients with all types of brain tumors,

Achrol, for example, are experts in minimally

we want your wife and you to come in,’” Doms

as well as stroke, movement disorders and

invasive surgery.

recalls. He was diagnosed with late-stage

neurological conditions.

“Dan Kelly said, ‘Rusty, we’ve got some bad

glioblastoma, an aggressive brain cancer.

Today, however, Doms is fighting back

“This is the purpose of the Pacific Neuro-

Saint John’s neurosurgeons and neuro-

An advanced level of surgical and technical expertise is needed to provide the treatment

science Institute and the John Wayne Cancer

Doms received. For the administration of

against the cancer with the help of a trio of

Institute,” Dr. Achrol says. “We accept even

the investigational drug, Dr. Achrol mapped

neurosurgeons and neuro-oncologists who are

the most complex cases, and specialize in

his specific tumor in 3D using specialized

bringing to bear the best possible weapons.

advanced precision therapies not yet available

computer software to determine its mass

He had surgery by Dr. Kelly in May 2016 to

at other health centers.”

and optimal placement sites for treatment

remove as much of the tumor as possible,

catheters that deliver therapy to the entire

followed by chemotherapy and radiation

tumor, a process called “convection-enhanced

therapy. He has also used Optune, a device

delivery.” Then, using real-time MRI, Dr.

worn on the head to deliver electromagnetic

Achrol made small holes in the skull to insert

radiation to the tumor.

tiny catheters into the tumor along compu-

But the tumor progressed and, earlier this year, Doms became only the second person in the nation to receive an investigational therapy that features a “trojan horse” technique to deliver a bioengineered fusion protein that specifically targets the tumor. The MDNA55 Medicenna Trial is led by neurosurgeon Achal Singh Achrol, MD, who serves as principal investigator for the clinical trial in collaboration

I’ve got challenges, but overall I’m a happy patient.

Dr. Kelly saved my life, and Dr. Kesari gave me a chance at a normal life.”

with neuro-oncologist Santosh Kesari, MD, PhD. Dr. Kesari is professor of neurosciences

tationally-planned trajectories to deliver the bioengineered fusion protein, which features a “trojan horse” delivery system.

The bio-engineered fusion protein, called MDNA 55, binds to specific cell receptors, called IL4 receptors, that are only found on tumor cells—not normal brain tissue. Once attached to those cells, the protein delivers its payload: a toxin that is absorbed and kills the cells while leaving surrounding healthy tissue

Patients have access to more than a

unharmed. While chemotherapy only kills

and chair of the department of translational

dozen clinical trials at Pacific Neuroscience

cancer cells that are dividing, the toxin kills

neurosciences and neurotherapeutics at the

Institute, and about 10 other clinical trials are

both dividing and quiet, or slow-growing, can-

John Wayne Cancer Institute. Dr. Achrol is

in the planning stages, says Dr. Kesari. These

cer cells, thus increasing the odds that more of

chief of the glioma surgery program.

trials are particularly important for patients

the cancer will be destroyed.

“I’ve got challenges, but overall I’m a

with extremely challenging diseases, such

“While it’s technologically challenging, the

happy patient,” Doms says. “Dr. Kelly saved

as glioblastoma or metastatic brain cancers

concept itself is relatively straight-forward in

my life, and Dr. Kesari gave me a chance at a

from lung, breast and melanoma.

that you want to get the drug to every tumor

normal life.”

Doms’ unique treatment exemplifies the

“The standard-of-care treatments only take

cell,” Dr. Achrol says. “It’s a select group of

you so far in terms of survival,” Dr. Kesari

high-volume treatment centers that can offer

philosophy behind neurological care at

says. “That’s why innovations and clinical

this clinical trial. We are one of only two sites

Saint John’s: Find the best treatment for

trials are the only way to make a difference

on the West Coast that can do it and we’re cur-

FALL 2017 breakthroughs

27

NEUROSCIENCE

rently the leading enrollment site nationally of

periencing numbness in her face.

only a handful across the United States.”

She traveled more than 6,000

It’s fitting that Saint John’s physicians

miles to Saint John’s to receive

are leading the trial enrollment because the

this highly-specialized treatment.

treatment grew from research pioneered in

Moyamoya is a condition that

the 1990s by Robert W. Rand, MD, PhD—a

causes progressive blockage of

neurosurgeon associated with the John

blood flow through the major

Wayne Cancer Institute. The idea of injecting

blood vessels that carry blood

additional pioneering neuroscience research

a toxin directly into a tumor was a promising

to the brain. As blood flow to the brain is

is underway at Saint John’s including a

concept, but surgeons two decades ago lacked

decreased, patients are at risk of suffering a

Phase II clinical trial led by Dr. Achrol and

the technology to refine the treatment.

stroke. Dr. Achrol has specific expertise in the

Dr. Kesari focusing on helping patients

treatment for this disease, which involves tak-

overcome motor deficits long after a stroke.

“We are using a more sophisticated delivery

Dr. Achal Achrol and patient Joanna Torres

system—injecting the toxin directly into the

ing a blood vessel from the scalp and grafting

tumor at the time of surgery,” Dr. Kesari says.

it to the area in the brain at risk for stroke,

surgery to inject stem cells into the brains of

“We inject it through a catheter over many

bypassing the blocked vessels in the neck.

patients who have some lasting dysfunction—

hours to get as much drug as possible into

“It’s a meticulous dissection that takes place

The study involves minimally invasive

such as the inability to move an arm or leg—six

the entire tumor area, and we monitor it in

over the course of several hours using a micro-

to 90 months after experiencing an ischemic

real-time in the MRI machine.”

scope,” Dr. Achrol says.

stroke. The adult stem cells, known as mesen-

The concept of engineering a toxic payload

Torres had blockages on both sides of the

chymal stem cells, are engineered to express

to be delivered to the tumor without affecting

brain and underwent two surgeries to bypass

specific nerve growth factors. Based on prior

the surrounding tissue can be applied to other

both sides. She is now back home and healthy.

human studies at Stanford University, after

types of cancers, Dr. Achrol says.

“I feel really great,” she says. “I walked out of

the cells are injected in the brain they appear

that first consult, and I knew I needed to be

to reactivate neural pathways in the brain that

here. I knew I made the best choice.”

were turned off as a result of the stroke.

“I have a world of confidence with my doctors,” Doms says. “I couldn’t be in a better place. I think the people in neuroscience at Saint John’s are world-class.”

The Pacific Neuroscience Institute makes it

Saint John’s is one of only seven compre-

possible for patients to receive highly-complex

hensive centers around the country to offer

specialty neuroscience care in the community,

this advanced clinical trial. “The Phase I

BRAIN BYPASS USED FOR RARE NEUROLOGICAL CONDITION

Dr. Achrol says. “I was at Stanford for over 11

study at Stanford was a safety study and not

years. You see so many moyamoya cases there

designed to test efficacy,” Dr. Achrol says.

Dr. Achrol joins the Pacific Neuroscience

it becomes routine. But it is tremendously

“However, there were patients unable to move

Institute as director of neurovascular

satisfying to come to a new facility and develop

their arms years out from a stroke who were

surgery having trained under a pioneering

these same cutting-edge technologies to have

able to lift their arms again after treatment.

neurosurgeon at Stanford University: Gary

people come here for their care.”

There were some exciting results that make us

Steinberg, MD, who is an international authority on treating a rare disease called moyamoya with a procedure called brain

hopeful about this new therapy, and that’s why RESEARCH ON RESTORING FUNCTION AFTER STROKE

bypass. Recently Dr. Achrol performed the

Saint John’s neurologists and

first brain bypass procedure at Saint John’s

neurosurgeons are often able to use

to treat a case of moyamoya.

minimally invasive procedures to treat

Joanna Torres, 32, was diagnosed with the disease in Guam, where she resides, after ex-

28

breakthroughs FALL 2017

aneurysms, neurovascular abnormalities and vascular malformations. Moreover,

we are participating in offering the Phase II clinical trial here to our patients.”

For more information, go to pacificneuroresearch.org or call 888-HEALING (432-5464) or the Neuroscience Clinical Trial Team at 310-829-8265.

NEUROSCIENCE

Disk Replacement Surgery Turns a Corner

D

octors typically advise patients with back pain caused by disk problems to try conservative therapies, such as physical

We have mastered the art of minimally invasive surgery.”

therapy, injections or traction. When those strategies fail to help, disk replacement surgery is an option, and the good news for patients is that this type of surgery is more effective than ever.

“Surgery is always the last resort unless it’s a surgery to preserve spinal cord or

in the front of the neck, usual-

nerve function,” says Amir Vokshoor,

ly hidden under a neck fold or

MD, a neurosurgeon at Providence Saint

crease, to insert the device.

John’s Health Center. “Elective surgery

“We have mastered the art

for an artificial disk is always done after

of minimally invasive surgery,”

trying three to six months of conservative

Dr. Vokshoor says. “It needs to

care. However, we have seen revolutionary improvements in both the devices we use and

be done with extreme delicacy Dr. Amir Vokshoor

and meticulous care. When

the surgical approach.”

Artificial disk replacement surgery can be appropriate for people who have significant disk degeneration or herniation without

done perfectly it causes very thing we do. In the appropriate patients, they are very happy with the results.”

Safety is always the first consideration

little post-operative pain in the incision.”

Patients usually participate in physical therapy after surgery to help the muscles

arthritis, he says. In the past, many patients

when opting for the artificial disk replace-

readjust and improve posture. People who

who opted for surgery would often under-

ment surgery, however. For example, it’s not

are considering their options for treatment

go spinal fusion surgery, in which two or

recommended for people who have severe

of back pain should consult an experienced

more vertebrae in the lower back are joined

arthritis in the spine.

surgeon who can provide a range of options

together with no space between them.

Today’s devices are greatly improved over

and services.

But artificial disk replacement surgery

earlier versions. The latest devices are kine-

may be a superior option for some patients,

matic, he says. That means the disk shares

needs a disk replacement and who can benefit

Dr. Vokshoor says. Compared to spinal

the load with the spine and moves more

from a different type of surgery,” Dr. Vokshoor

fusion, patients who have disk replacement

naturally with the spine.

says. “It comes down to experience.”

surgery experience less pain and have better mobility and posture.

“The goal of disk replacement is to restore normal physiologic motion while maintain-

“An expert surgeon can help triage who

“The improvements in the device are ongoing,” he adds. “There are even newer devices now being tested in Europe and China that will be in the United States soon.”

ing the curvature of your spine,” he says.

Surgery to insert the disk has also im-

“Patient selection is the most important

proved. The surgeon makes a small incision

For more information on artificial disk replacement surgery or services for back and spine problems call 1-888-HEALING or visit our website.

FALL 2017 breakthroughs

29

NEUROSCIENCE

Movement Disorders Program Provides Comprehensive Services

T

he movement disorders program

propriate patients. And patients now have a

at Providence Saint John’s

choice between a device made by Medtronic

Health Center is expanding,

and a newer device made by Abbott (formerly

offering patients a full range

St. Jude). The newer device features Bluetooth

of diagnostic, treatment and supportive services, including a new Parkinson’s disease

wireless technology.

“The Abbott/St. Jude device is more

patient support group and access to evidence-

user-friendly and allows patients to check the

based physical therapy.

battery and more easily make programming

The movement disorders program was

changes that are allowed by the physician,”

established in 2016 and is under the direction

Dr. Petrossian says. “It’s good for people who

of neurologist Melita Petrossian, MD, and

are comfortable with the Apple software plat-

neurosurgeon Jean-Philippe Langevin, MD.

form. We’re excited to be able to offer this.”

The practice is aimed at treatment of such

Dr. Jean-Philippe Langevin and Dr. Melita Petrossian

It’s important for patients with movement

conditions as Parkinson’s disease, ataxia,

disorders to seek care with a neurologist

or insurance issues. The second half of the

dystonia and essential tremor.

trained in the movement disorders sub-spe-

meeting features discussion and sharing.

“We offer patients with Parkinson’s disease

cialty and who can offer a broad spectrum

Physical therapy has also shown to be of

and other movement disorders multidisci-

of care, Dr. Petrossian says. In addition to

great value to many patients. As a result, Dr.

plinary and comprehensive services,” Dr.

diagnostic and treatment services, the Saint

Petrossian has established a physical therapy

Petrossian says.

John’s movement disorders program provides

program with Performance Therapy that is

patients with access to a specialized physical

designed for Parkinson’s disease patients.

therapy program and support group.

Performance Therapy is a full-service, multi-

Dr. Petrossian and Dr. Langevin are attuned to the latest developments in the field and provide state-of-the-art options. For

A new nurse practitioner trained in move-

disciplinary physical therapy center affiliated

example, they now offer two types of deep

ment disorders facilitates a patient support

with Providence Saint John’s Health Center.

brain stimulation (DBS) devices. DBS is an

group that meets the third Tuesday of each

“We have created a really well-defined

innovative surgical treatment for patients with

month, from 6 to 7:30 p.m., in the Health

program for patients based on where they’re at

Parkinson’s disease, essential tremor, dysto-

Center. The group meets at night in order to

in the course of the disease,” she says. “There

nia and many other brain disorders.

provide access to patients, family members or

is an emphasis on prevention. Physical therapy

caregivers who work during the day

used to be thought of as a last resort. But there

DBS is often described as a kind of a pacemaker for the brain. Surgeons implant a bat-

The support group “really helps in patients’

is a lot of data showing that doing physical

tery under the skin near the collarbone. Leads

resilience in dealing with the symptoms,” Dr.

therapy early in the course of the disease and

or wires are then tunneled under the skin, in

Petrossian says. “A lot of people with Parkin-

getting on a personalized physical activity regi-

the neck, behind the ear and into deep regions

son’s disease will isolate themselves; they don’t

men is so helpful physically and psychological-

of the brain. Electrical stimulation—controlled

know anyone else with Parkinson’s disease.

ly and in the prevention of falls. It’s absolutely

by a small, programmable device—is delivered

This community of patients helps each other.”

vital that anyone who has Parkinson’s disease

to the brain to quell symptoms.

While not a cure, DBS can help control tremors and improve quality of life in ap-

Each meeting consists of a 45-minute

and is considering physical therapy go to a

presentation by an expert covering a different

program where people know Parkinson’s and

topic each month—such as surgery, medicaion

what works and what doesn’t help.”

For more information about the movement disorders center, go to pacificmovement.org or call 310-582-7433.

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breakthroughs FALL 2017

happenings PLAYA VISTA MEDICAL OFFICE OPEN HOUSE Providence Saint John’s celebrated the opening of a new medical office in Playa Vista in August. The open house festivities included a ribbon-cutting ceremony with the LAX Coastal Chamber of Commerce, activities for children, LA Lifeguard CPR instructions and a green-screen photo booth. The new medical office offers pediatric and primary care. Specialty offices will open later this year.

NATIONAL NURSES WEEK AND DAISY AWARDS Providence Saint John’s Health Center honored its nursing caregivers throughout National Nurses Week, May 6–12, celebrating the highquality care provided to patients every day. Nurses were treated to a tasty dinner and an “Around the World” entertainment lineup, including cultural dance performances, singing and more. Several registered nurses were honored for their commitment to providing excellent, compassionate care to their patients. Each was recognized during the annual DAISY award luncheon.

2017 Daisy Award Winners FALL 2017 breakthroughs

31

happenings BIKE BLESSING Saint John’s honored caregivers who care for the community and the environment by utilizing clean transportation.

Bikers and walkers gathered in Mullin Plaza on May 18 to receive an interfaith blessing and enjoy refreshments.

RENAISSANCE MUSIC CHORAL GROUP PERFORMANCE A youth choral group from the Renaissance Youth Center in the Bronx, New York City, performed for visitors and caregivers in the Healing Garden at Providence Saint John’s Health Center on July 31 and then entertained small groups of patients. The songs highlighted serious issues, such as violence and homelessness, as well as lighthearted themes.

The Youth Center exposes under-privileged youths to a variety of experiences. For many of the 10 singers, ages 13 to 17, the tour marked their first trip to the West Coast.

THE ANNUAL CAREGIVERS GUACAMOLE CONTEST Saint John’s held its 2017 guacamole contest and invited caregivers to put their best recipes to the test. Entries were judged on presentation and taste. Categories also included “best representation of Providence’s core values” and, in honor of the Health Center’s 75th anniversary, “best historical representation.” The grand prize first-place award was the preop team followed by the cath lab and surgery techs. Congrats to all winners!

32

breakthroughs FALL 2017

DIETITIAN JANE COOK HONORED FOR INTERNSHIP PROGRAM LEADERSHIP Jane Cook, RD, of Providence Saint John’s Health Center, has been selected as the Aramark Dietetic Internship Preceptor of the Year. Cook (pictured below, center) was honored for her commitment to dietetic interns, the internship program and the profession of dietetics. She has strived to help enhance the Aramark program and the interns’ learning experiences by finding a wide range of dietetic-related experiences. Cook will be recognized in October at the Food & Nutrition Conference & Expo in Chicago, a major conference for registered dietitians.

happenings NATIONAL HEALTH CARE WEEK Caregivers throughout Saint John’s celebrated National Health Care Week May 8–12 with a slate of festivities. The week was dedicated to honoring the wonderful people who are committed to caring for our patients and their families. Caregivers were recognized for their compassion, innovation and dedication. The week’s activities involved morning donuts, crossword puzzle contests and prize drawings, spiritual care blessings, a taco lunch and ice cream social.

CHILD AND FAMILY DEVELOPMENT CENTER CELEBRATES EARLY LEARNING In celebration of the National Association for the Education of Young Children’s Week of the Young Child, the Child and Family Development Center at Providence Saint John’s Health Center held activities throughout the week of April 24. The center’s children planted vegetable and flowering plants in the school garden, danced to practice their movement and language skills, and studied caterpillars and cocoons to learn about life cycles. To wrap up the week the children showcased their creativity by hosting an art show.

WOOLLY POCKET GARDEN PARTY All Saint John’s departments were invited to plant a flowering “woolly pocket” gardening container on Earth Day, April 20, in the hospital’s Healing Garden. The event celebrated Mother Earth and brings additional beauty to the grounds for all to enjoy. “To plant a garden is to believe in tomorrow.”

The puzzle contest also raised funds that were donated to the Cleft Palate Program. Holding the ckeck: Marcel Loh, Saint John’s chief executive, and Ann Masson, RN, Cleft Palate clinic coordinator.

FALL 2017 breakthroughs

33

shout outs

The staff at Providence Saint John’s Health Center pays close attention to feedback from our patients and visitors. We are proud to share some of the wonderful comments we’ve received in the past few months.

“We want to commend Room D’s teachers at the Child and Family Development Center. We are impressed (and frankly surprised and a bit in awe) of our son’s ability to express himself clearly, set boundaries for behavior he would not tolerate, maintain his calm and not engage in retaliatory behavior, move away and carry on. We love that our son is being taught these skills and that their practice is being reinforced and supported in Room D. We thank teachers Wiley, Tyra and Natsumi for their expert teaching. Our son is the better for being in their care.”

“My husband recently spent two weeks in your cardiac care units. So we have one major question: Do you send all of your employees to ‘Nice School’ for a two-month training course before they begin to work there, or do you administer ‘Nice Pills’ to every employee at the beginning of each shift? Honestly, we never could have imagined the level of care, both physical and psychological, which we received at Providence Saint John’s Health Center. I insist on the ‘we’ as I could

“I was a patient today in the Breast Center, and I had to have a

not have gotten through those two weeks without the

mammogram and ultrasound. I wanted to let you know that while I

emotional support I received.”

was a bit nervous about these exams, the staff really made me feel warm, calm and comfortable during the experience (as it was a first for me). Stacey Patterson handled my mammogram, while Fuschia handled the ultrasound. Ruby was prepared to jump in as she allowed me to pick between her and Stacey for the exam—that part

“I could call Svetlana Akoyeva a saint, but that would be an insult.

She is, in fact, an angel. Svetlana’s mastery as a scientist is but

showed me that no matter what, either ladies were ready to serve

one of her many gifts. It is her communication skills that make

me. This is what health care is about! And I wanted to let you know

her unique. She instills hope and confidence where there was

that you really should be proud of the team you lead!”

only frustration and despair. I believe that if anyone can save my anorexic daughter’s life, it is she. She is a consistent source

My husband recently spent two weeks at

of inspiration and reassurance, and for that there is no financial

Providence Saint John’s. I was told I could spend

recompense. She clearly has a Mission and awakens consciousness

the night at the hospital but was advised that I

of their Mission in her patients. She represents the very best

would sleep better at home and would therefore be more

Providence Saint John’s has to offer, medically and spiritually.”

able to support my husband during the rough days ahead.

So each day I trudged home at 9:30 or 10 p.m. and returned every morning at 8:30 a.m. It was a grueling time for us, but one small thing that helped me face each day was the possible encounter with Miriam Sukal at the reception desk.

Miriam brought a ray of sunshine into my life. She was warm, encouraging and helpful. I always looked forward to seeing her at the desk and felt disappointed with it was not her shift. Thank you for having such a special employee.

Please express my gratitude to Miriam.”

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breakthroughs FALL 2017

“Hello Child and Family Development Center. We miss you guys so much!

You guys run an amazing program, and I want you to know how much we appreciate our time spent with you both and the rest of the staff. You show genuine care, compassion and enthusiasm for our children, which is a very special thing to come by.”

Your life is filled with generosity - toward family, friends and your community. By remembering Providence Saint John's Health Center in your estate plans, you are ensuring that your legacy will continue well into the future. A bequest can help fund cutting-edge technology as well as innovative clinical care that helps shape the medicine of tomorrow. All of this can be done without impacting resources during your lifetime. You will leave a lasting legacy of giving and make a significant difference for generations to come.

If you would like additional information or sample bequest language, please call Tanya Lopez at 310-582-7095 or email at Tanya.Lopez@StJohns.org or visit www.newsaintjohns.org/plannedgiving

www.SaintJohnsFoundation.org

NONPROFIT ORGANIZATION U.S. POSTAGE

PAID LOS ANGELES, CA PERMIT NO. 31327

Saint John’s Health Center 2121 Santa Monica Boulevard Santa Monica, CA 90404 USA

310.829.5511 1.800.STJOHNS www.newstjohns.org

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How pregnancy can provide clues to heart health later in life.

7

The Health Center’s beloved four-legged volunteers stay the course.

Technology to keep “eyes” on the patient.