November 16, 2012
Vol. 31, No. 14
MEDICAL UNIVERSITY of SOUTH CAROLINA
Inside Mount Pleasant welcomes first ReseaRch Day
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pediatric after-hours care clinic By Gerry Le Public Relations
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More than 220 abstracts were presented during the annual Perry Halushka Research Day.
VisiOn
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sympOsium
The Storm Eye Institute received a grant from the Lions Club to help pay for retinal imaging equipment. 2
Applause
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Meet Andrew
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Classifieds
T h e c aTa ly s T Online http://www. musc.edu/ catalyst
Eleanor Ross, 11, cuts the ribbon officially opening the new Children’s Hospital After Hours Care & Child Specialties clinic in Mount Pleasant. Helping celebrate are Isle of Palms representative Mike Sottile, from left, Mount Pleasant Mayor Billy Swails and Sullivan’s Island Mayor Carl Smith. MUSC’s John Sanders, right, holds the ribbon. Registration representative Sophia Bacani, left, discusses operation procedures with registered nurse Cindy Dollason at the new pediatric After Hours Care & Clinic Specialties. The clinic is located at 2705 Highway 17 North, (corner of Highway 17 North and Hamlin Road). Hours of operation are 4 to 10 p.m., Monday through Friday and noon to 7 p.m., Saturday, Sunday, and holidays. For information, visit MUSCkids.com/ afterhours.
he MUSC Children’s Hospital after-hours care and specialty clinic in Mount Pleasant opened for business Nov. 5. The clinic is specifically geared toward children, up to the age of 18, who need non-urgent care. The clinic’s procedures include, but are not limited to, pediatric cardiology, pediatric genetics and heart health. The after-hours care clinic, which is the first one in the area, is hoping to serve patients during off hours. The clinic is also open from 8 a.m. to 4 p.m., Monday through Friday, for specific pediatric specialty clinics. This 10-exam room facility run by Dan Kitchens, R.N., clinic manager, will work closely with the MUSC Children’s Hospital after-hours care and specialty clinic in North Charleston. Due to the limited scope of services, provisions can be made for patients requiring transfer to another facility. “Our after-hours clinic allows us to really meet the needs of the community,” said Kitchens. “Our North Charleston site has done a lot for the pediatric population and their families in over a year that they have been open. We are hoping to do the same thing in the Mount Pleasant area.” According to Kitchens, the Children’s Hospital after-hours care and specialty clinics at MUSC are committed to providing family- and child-centered care. The staff, through collaboration and commitment, provides excellence in patient care, teaching, and research in an environment that is respectful to others, adaptive to change and accountable for outcomes. For information on the clinic, call 876-2222.
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Applause Program The following employees received recognition through the Applause Program for going the extra mile: Medical Center Jessica Johnson, Safety & Security; John Parler, Volunteer & Guest Services; Coco Dumont, Volunteer & Guest Services; Emily Shaver, Med/Surg ICU; Dena Middleton, 6W; Melissa Parker, 6W; Darian Epps, 6W; Theresa Stephens, 6W; Janessa Sumter, Dietetic Services; Moya McFadden, Radiology; Darryl Lee, Revenue Cycle/Operations; Stacy Sergent, Pastoral Care; Ana Virella, Women’s Services; Hiram Graves, Environmental Services; Kathy Chessman, Clinical Pharmacy & Outcome Sciences; Dedra Bennett, Family Medicine Lab; Kathleen McFarland, Family Medicine; Bret Johnson, Meduflex; Nora Hollingsworth, Radiology; Keri Walker, Peri-Anesthesia; Israel Singleton, MedSurg Registration; Debbie Cepeda, Revenue Cycle Operations; Deborah Stewart, Newborn Special Care; Paul Herndon, Transplant; Kathy Martin, Pre-Op Testing; Donna Chapman, Revenue Cycle Operations; Lisa Klasek, 8E; Kellyn Schroeder, 8E; Fletcher Springer, Radiology; Ava Goodhue, PACU; Steven Saef, Emergency Medicine; Nick Garn, Volunteer & Guest Services; Michelle Sharp, Children’s Services; Melissa Parker, 6W; Faye Parker, Volunteer & Guest Services; Shatora Williams, GI Clinic; Michelle Turner, Women’s Services; David Soper, OB-GYN; Suzanne Richardson, Heart & Vascular Heart Valve Center; Cornelia Spitz, Surgical Services; Patricia Brown, 6W; Maude Smith, 6W; Dorothy Weiss, 6W; Brandon Gates, 6W; Christina Moore,
Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723 Editor: Kim Draughn catalyst@musc.edu Catalyst staff: Cindy Abole, aboleca@musc.edu Ashley Barker, barkera@musc.edu
Digestive Disease Center; Elizabeth Devereaux, OR; Lori Wilson, Central Supply; Patrenia Franklin, Dietetic Services; Tiffany Carter, Meduflex; Erika Medina, 6E; Adrienne Gregory, Revenue Cycle Operations; Ruth Pinckney, Revenue Cycle Operations; Cheryl Capers, Storm Eye; George Magrath, Storm Eye; Betty Capers, Environmental Services; Tammy Kindt, Respiratory Therapy; Joseph Tkach, 9W; Alanese Champaign, Revenue Cycle Operations; Lisa McCormick, 7C; Ashleigh Millen, 10W; Jill Norman, 10W; Tosha Thomas, 10W; Sam Guffey, 10W; Bette Tezza, 10W; Philip Egloff, Pharmacy; Gerald Silvestri, Pulmonary, Critical Care, Allergy & Sleep Medicine; Kimberly Rodenberg, Hollings; Jessica Bonavita, Revenue Cycle Operations; Sharon Dupree-Capers, Revenue Cycle Operations; Elouise Elliott, 8W; Austin Younger, Residents Surgery; Jordan Nemeth, Transplant; Henrietta Spencer, Rheumatology; Krystal Gooden, Revenue Cycle Operations; Sheri Stewart, Pediatrics, Clinical Resource; Caroline Delongchamps, Children’s Services; Laci Dickson, 9E; Angel Grant, 9E; and David Frisby, Central Supply. University Mark Adams, Engineering & Facilities; Barbara Ball, Grants & Contracts Accounting; Dwight Chamberlain, Engineering & Facilities; Lester Dempsey, Engineering & Facilities; Melva Dobson, MUSC Foundation; RhaShun Grant, Engineering & Facilities; Lou Madata, Engineering & Facilities; K. Gale O’Neal, Human Resources; Josh Turner, Engineering & Facilities; and Antonio Wright, Engineering & Facilities. The Catalyst is published once a week. Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: sales@moultrienews.com.
Stress syndrome, addictions have common treatments By Dawn BrazeLL Public Relations Close to half of those with posttraumatic stress syndrome (PTSD) also suffer from substance use disorders. That’s why MUSC researchers Kathleen Brady, M.D., Ph.D., and Sudie Back, Ph.D., hope to educate therapists and the public about an influential change in how to best treat this population. These MUSC researchers collaborated with colleagues in Australia to test exposure therapy, an evidence-based cognitive-behavioral treatment for PTSD and addiction developed by the MUSC research group, in the treatment of individuals with co-occurring PTSD and addictions. The study was conducted in Sydney, Australia in collaboration with investigators from the University of New South Wales. Brady said that she wasn’t surprised by the findings, published in the Journal of the American Medical Association, that this patient population could be treated for their PTSD without worsening symptoms of addiction. (Read the abstract at http://tinyurl.com/bdaqsot) “Because this was almost an heretical idea in terms of how the treatment for this difficult portion of the population had been, it really has opened up a new avenue for treatment of people with cooccurring PTSD and stress disorders and addictions that is much more efficacious and more humane.” The fact that these findings set a new standard for handling treatment is exciting to Brady, a longtime researcher in this area. “This is a common problem and so pertinent because we have so many veterans returning from our recent wars with problems related to PTSD and addictions. Therapists need effective tools to address these problems.” Another aspect that made this study interesting is the collaboration with MUSC and University of New South Wales researchers, who used the manual “Concurrent Treatment of PTSD and Substance Use Disorders Using
Dr. Kathleen Brady with her latest manual on PTSD. Prolonged Exposure (COPE)” that was developed based on work by Brady and colleagues. “We have been working in PTSD for a long time. We were the first group who conducted trials exploring medication treatments for this comorbidity and have been involved in neurobiologic exploration of the stress response in individuals who have co-occurring disorders,” she said, adding that it’s one reason MUSC has become a specialty center for PTSD treatment. “Once you get a critical mass in an area, it becomes a magnet for new trainees and more experienced colleagues who want to collaborate and be part of the excitement of new discovery.” Colleagues in Australia read about the manual and asked to collaborate on a study. Brady said they’ve developed a close partnership, and it was helpful to conduct the research there given funding was easier to obtain and the timeframe for the completion of the study could be shorter. “It’s such a rich experience to interact with others who come from a different perspective.” For the study, researchers enrolled 103
See sTress on page 9
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Congratulations to the winners of the Perry V. Halushka MUSC Research Day, held Nov. 2. For information, visit http://www.musc.edu/grad/srd.
ReseaRch Day hOnORs sTuDenTs T
he annual Perry V. Halushka 2012 MUSC Research Day was held Nov. 2 at the Wellness Center Gym and in the College of Health Professions. The research day was open to all students, postdoctoral residents and fellows at MUSC and students, postdoctoral residents and fellows at other institutes who had participated this past year in research programs at MUSC. During the research day, more than 220 abstracts were presented. This consisted of 140 poster presentations and 87 oral presentations in 20 different categories. This year’s keynote address was presented by Mary Kennedy, Ph.D., in the Division of Biology and the Allen and Lenabelle Davis Professor of Biology at the California Institute of Technology. The winners are listed below: Undergraduate I Poster—First place: Sloan Miler; second place: Hannah Hughes Clinical/Professional/Masters I Poster—First place: Allison W. Prince; second place: Lauren A. Stokes Clinical/Professional/Masters II Poster—First place: Caitlin J. Moore; second place: Daniela A. Riley Clinical/Professional/Masters III Poster—First place: Douglas J Roberts-Wolfe; second place: Matthew J. Duffin Clinical/Professional/Masters IV Poster—First place: Mandev G. Guram; second place: Kaelyn M. Rogers Clinical/Professional/Masters V Poster—First place: Danielle N. Woodford; second place: Benjamin A. Harlan PhD I Poster—First place: James B. Small; second plce: Sara D. Johnson PhD II Poster—First place: Krystal Dole; second place: Brittney M. Cox PhD III Poster—First place: Denise M. Kimbrough (Kinard-Gadsden Award); second place: Haley B. Lindner
PostDoc/Resident/Fellow I Poster—First place: Yazhi Xing; second place: Wei Chen PostDoc/Resident/Fellow II Poster—First place: Ying Xiong; second place: Kamala P. Sundararaj Undergraduate II Oral—First place: Leopold Adler IV; second place: Matthew Berger Clinical/Professional/Masters VI Oral—First place: Tanisha R. Hutchinson; second place: Chris D. Clark Clinical/Professional/Masters VII Oral—First place: Shivani S. Patel; second place: Shivangi Lohia Clinical/Professional/Masters VII Oral—First place: Taylor M. Stukes; second place: James C. Gray PhD IV Oral—First place: Kimberly Sauls; second place: Christopher B. Johnson PhD V Oral—First place: Oday Alsarraf; second place: Jordan D. Gruber PhD VI Oral—First place: Lindsay T. McDonald (Eric James Award); second place: Caitlyn Ellerbe PhD VII Oral—First place: Joseph J. Taylor (Willard & Betty Peterson Award); second place: Shanmugam Panneer Selvam PostDoc/Resident/Fellow III Oral—First place: Philip J. O'Herron; second place: Michelle H. Nelson Special Awards Innovation—First place: Benjamin Josey; second place: Jonathan Zurcher Sigma Xi—First place: Amy Young Interprofessional—First place: Lauren E. Shuler; second place: Stephanie A. Scheppmann Health Disparities Poster—First place: Benson Langdon; second place: Dion Foster. Health Disparities Oral—First place: Kathleen Cartmell; second place: Ellen Maher VA Oral—First place: Lindsay McDonald; second place: Jessica Trombetta-eSilva. VA Poster—First place: Dayvia Laws; second place: Daniela Riley
Top photo: Joy Buie, Department of Microbiology & Immunology, explains her poster to the event keynote speaker Dr. Mary Kennedy. Left photo: Danielle Lowe, left, listens to Lauren Stokes during the Nov. 2 poster presentation. Stokes placed second in the Clinical/ Professional/ Masters I Poster.
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Meet Andrew
Andrew Brock, M.D. Department Medicine — Gastroenterology How long at MUSC A total of more than 8 years Children Benjamin, 6, Maggie, 4, and a third one on the way Meal you enjoy cooking Any fresh fish whole Food you must have in the pantry Trader Joe’s Almond and Cashew granola Favorite radio station Pandora Dream vacation Anywhere I can get a full night’s sleep Pets Cats, Sebastian and Okar. We also have 10 fish. Music in your player right now They Might Be Giants, Here come the ABC’s
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Lions learn about importance of screening in children By ashLey Barker Public Relations
Faculty members at the Storm Eye Institute (SEI) spent part of Tuesday, Oct. 30 speaking to members of the South Carolina Lions Club about the latest in care and research in ophthalmology for the third S.C. Lions Vision Symposium. The symposium featured 15-minute presentations from 10 clinicians and vision scientists, who discussed scleral contact lenses, new research on the retina and the risks of lipofuscin accumulating in the back of the eye causing vision degeneration. Associate professor Mae Millicent Peterseim, M.D., who happens to be a Lion, shared her research on new equipment that detects risk factors for amblyopia, or lazy eye, in children. Amblyopia occurs when vision doesn’t develop properly in one eye. The condition occurs in 2 to 4 percent of children, but it’s responsible for vision loss in more children than all other causes combined, she said. About 80 percent of cases can be successfully treated. The problem is the lack of vision screening in young children, which is necessary to detect the disorder. Schools in South Carolina only have recommendations for vision screenings in children, not requirements. “They don’t know any better. I’ve had 8-year-olds and 9-year-olds say to me, ‘Oh I thought everyone had one good eye and one bad eye.’ Those are the ones who we are trying to pick up because we can treat it,” said Peterseim. In order for the treatment to work, patients have to be identified before age 9. Peterseim has been doing research comparing equipment to help detect risk factors for amblyopia, such as eye misalignment, cataracts and droopy lids, as well as a need for glasses. PlusoptiX has a vision screener that takes a picture in less than one second from a distance of 3.3 feet. The picture is used to estimate prescriptions for glasses. The computer also instantly provides a “refer” or “pass” result. Refer patients are encouraged to go to a doctor for a more in-depth exam; no problems were identified in patients who receive a pass result from the screener. Peterseim said the scanner works well on uncooperative children because no physical contact is required. When the trigger of the scanner is pulled, a “sound target” attracts the eyes and the picture is taken. “PlusoptiX worked well as a screener and as an autorefractor,” said Peterseim, who has been conducting a study at MUSC on the various scanners on the market. Her staff has been looking at preliminary data and using the screener in the Charleston County school system in conjunction with the Association for the Blind. The MUSC study has more than 200 children enrolled. “We felt good about the way that it worked in the
Left photo: PlusoptiX President Cyd McDowell shows South Carolina Lions Club members the plusoptiX S09. The screener, above, takes a picture in less than one second from a distance of 3.3 feet. The Storm Eye Institute received a $62,000 grant from the Lions Clubs International Foundation to help pay for an Optos-TX, a sophisticated camera and computer that does retinal imaging.
“They don’t know any better. I’ve had 8-year-olds and 9-year-olds say to me, ‘Oh I thought everyone had one good eye and one bad eye.’ Those are the ones who we are trying to pick up because we can treat it.” Dr. Mae Millicent Peterseim schools,” Peterseim said. “We liked the change in referral criteria because then you’re not doing exams on all the children—you’re just kind of narrowing in on those that you really need to see.” Cyd McDowell, president of plusoptiX, explained that the idea for the equipment originally came from work to measure refraction in chimpanzees before and after Lasik eye surgery. “(the plusoptiX founder) had said, ‘If we can do this for chimpanzees, let’s do this for little kids. Chimpanzees can’t read an eye chart, neither
can a 2-year-old. Let’s actually start catching amblyopia when we can.’” The approximately 75 Lions who attended the symposium represented all four districts in S.C. They were treated to a demonstration of the plusoptiX S09 and were shown the future model, which is powered by rechargeable batteries, has a screen similar to an iPhone and will be released in January 2013. In addition to learning about the importance of vision screening in children, the Lions were taught about new advances in the treatment of dry eye syndrome, the process of taking a new drug to the marketplace, advancements in ocular-plastic surgery, and how scientists are using human skin cells to regenerate the retina in the SEI laboratories. The group was invited to the symposium to be thanked for the financial support of research at the SEI and to learn about how their gifts are being used. “The Lions of South Carolina and Lions Clubs International have been very supportive of the Storm Eye Institute since the 1970s,” said Toni McHugh, SEI’s director of development. They donated $750,000 in the 1990s to help build the top three floors of the SEI, and they go out into their local communities to educate residents about the Storm Eye facilities. SEI recently received a $62,000 grant from the Lions Clubs International Foundation to help pay for an Optos-TX, a sophisticated camera and computer that does retinal imaging, according to McHugh. For more information about the S.C. Lions, visit www.SCLions.org. To read about Lions Club International, visit www.LionsClubs.org.
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seRVice Of RemembRance
The family of David Willis lights a candle to remember their child during the Service of Remembrance Nov. 2 at St. Luke’s Chapel. Megan Bennett, R.N., left, and Emily Dorman, right, helped light a candle for each of the 82 children who died this past year at MUSC or at home following care at MUSC. Lacey McInish, center, read the names of each of the children, along with Dr. Mark Scheurer and Natalie Emanuel, R.N. (not pictured).
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sTress Continued from Page Two participants, who met the diagnostic criteria for both PTSD and substance dependence. The subjects were randomly selected to either receive both prolonged exposure therapy and treatment for substance dependence or to only receive treatment for substance dependence. Those participants involved with the integrated approach spent the first few sessions learning cognitive behavioral therapy strategies to deal with substance abuse, and then they were treated for their PTSD symptoms. Brady said they focused on teaching the patients the relationship between their trauma and their addictions and how the conditions are in a “feedforward, vicious cycle.” At a nine-month follow-up visit, both groups experienced reductions in PTSD symptoms, but subjects in the integrated group also showed a reduction in the severity of their PTSD symptoms without any increase in the severity of their
substance use. Brady said they’ve had good experience with the integrated approach so far. “We were true believers that this works. We think this study will change the way clinicians approach this particular population, which is a substantial number of people with addictions. This will improve their treatment and relieve their suffering more rapidly than anything that has been used before.” Beyond the scope of the study is a bigger message. “The message I’d like to get out to the public is that addictive disorders are treatable disorders. There’s a neurobiology to these disorders and there are effective treatments. We need to support that. There are a number of people in this country and throughout the world who can live much happier lives and make greater contributions. Why have people suffer with addictions, waste their lives and drain the resources of our society when a small investment in treatment can lead to incredible gains at the individual and societal level?”
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Demonstrations for eating healthy during holidays T he third annual Healthy Holiday Live! will be held at noon, Nov. 16 in front of the Drug Discovery Building. The event, sponsored by the MUSC Office of Health Promotion and Sodexo, will focus on tips for creating eco-friendly holiday meals and celebrations. In keeping with MUSC’s mission to improve health and maximize quality of life, MUSC is becoming a leader in promoting local, healthy, sustainable choices and celebrates these efforts at this event. The MUSC Sustainability and Recycling Program strive to reduce the environmental impact of Susan Johnson the campus by advancing energy efficiency, water conservation and encouraging recycling. MUSC Urban Farm demonstrates and educates participants on organic farming techniques and composting. Sodexo Dining is working to reduce the environmental impact of our hospital by advancing energy efficiency, water conservation, composting and recycling. In addition, MUSC Sodexo is an official participant of the Certified South Carolina Grown Fresh on the Menu program,
Health at work
committing to use at least 25 percent local produce in its food operations. Buying local and organic helps preserve the environment by minimizing transportation and chemical pollutants. A panel of speakers will discuss topics related to greening holiday cooking, decorating, gifting and more. The main event features live cooking demonstrations by MUSC executive chefs Brett Cunningham and Ferando Middleton using organic, healthy and sustainable ingredients and culinary methods. Tasting samples and recipes will be provided and representatives from MUSC and the Charleston community will be available to answer questions and provide information on keeping it green and healthy this holiday season. The MUSC farmers market and local businesses will also be on hand, providing green products and services for the holidays and throughout the year. Free samples include: (first course) roasted beet and citrus salad with balsamic dressing; (second course) blackened local shrimp with a citrus glaze; (third course) local stone claw crab cakes with a spicy remoulade, accompanied with Carolina rice pilaf and toasted sesame seed green beans with garlic; and (fourth course) sweet potato pudding parfait.
Employee Wellness events q MUSC employee appreciation day at Charles Towne Landing will be held from 9 a.m. to 4 p.m., Nov. 17. Free admission with employee ID for up to four family members. q Flu shot satellite clinic: A flu shot clinic will be held from 11 a.m. to 1 p.m., Nov. 28 in the Children’s Hospital lobby. For faster service bring a completed influenza consent form, found in My Records. q Fitness series: The free fitness series continues from 12:15 to 12:45 p.m., Nov. 21 at the MUSC Wellness Center. Pilates and yoga includes stretching while elongating muscles. Email musc-empwell@musc.edu to register. A free day-pass to the Wellness Center will be given to all participants. q Farmers markets: Fruits and vegetables are available from local farmers from 7 a.m. to 3:30 p.m. at the horseshoe and the area next to Ashley River Tower. On Nov. 16, the farmers market will be in front of the Drug Discovery Building as part of Healthy Holiday Live. Contact Johnson at johnsusa@musc.edu for information on the Office of Health Promotion at MUSC and Suzan Benenson Whelan at whela@musc. edu for specific information about Employee Wellness. Visit http://mcintranet.musc.edu/employeewellness/.
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Survivor of Suicide Day to be held On Nov. 17, hundreds of conferences for survivors of suicide loss will take place throughout the country and around the world. This unique network of healing conferences helps survivors connect with others who have survived the tragedy of suicide loss and express and understand the powerful emotions they experience. International Survivor of Suicide (ISOS) Day is for survivors of suicide loss, their family and friends, and the clinicians who support them. Participants may attend a conference in person or watch online. There will also be a live online chat with other survivors of suicide loss. ISOS Day will be held from noon to 3 p.m. at Trident United Way, 6296 Rivers Ave., North Charleston. For information, email Charlotte Anderson at 211director@tuw.org. Community medical clinic needs help The mission of Murray Community Medical Clinic, located in Summerville, is to help members of the community achieve healthier lifestyles by providing reliable, easyto-comprehend health information and services. Volunteer help is needed from medical assistants, physician assistants, pharmacy technicians, nurses, and other clinical staff. The next day of operation is Nov.30. If interested, email robia@musc.edu.
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