MUSC Catalyst 2-27-2015

February 27, 2015

MEDICAL UNIVERSITY of SOUTH CAROLINA

Vol. 33, No. 26

TrueBeam technology targets tumors with eagle-eye precision

By Mikie Hayes Public Relations

G

inny Macy casually enters the Hollings Cancer Center in Mount Pleasant with her two daughters as if she’s running into Target to pick up laundry detergent. Smiling, chatting and in good spirits, she sports a slate blue turban which covers both her head and the fact that she lost all her hair during recent rounds of chemotherapy.

She kisses her daughters, ages 12 and 9, and heads back for her radiation treatment. The girls sit in the waiting room and debate whether they even have enough time to pull out their homework and get started; they won’t even be there for 15 minutes.

Her radiation oncologist, Jennifer Harper, M.D., associate professor in the Department of Radiation Oncology, greets Macy, who then changes into a hospital gown the color of which matches her turban as well as her large, expressive gray-blue eyes.

Two radiation therapists, Brie Lawrence and Heather Vickery, take things from there and prepare her for her treatment. Radiation therapists are vital members of the cancer team who actually administer the radiation treatments according to the prescription and instruction of the planning team that is led by the radiation oncologist and includes medical physicists and dosimetrists.

Previously, Macy had undergone a lumpectomy and then chemotherapy for breast cancer; this part of her treatment plan includes receiving radiation. Each dose of radiation is called a fraction. Today will be her eighth dose; she has 22 more fractions to go. When a fractionated treatment plan is prescribed, it means the overall necessary dose of radiation for that patient is divided into smaller, better-tolerated doses over the course of many days, weeks even.

In Macy’s case, she will undergo a total of 30 fractions. Fractionation is done because it allows normal cells time to recover in the 24 hour interval between treatments. Tumor cells are generally less

8

photos by Sarah Pack, Public Relations

Radiation therapists Heather Vickery, left, and Brie Lawrence position patient Ginny Macy in the TrueBeam linear accelerator for her radiation treatment at Hollings Cancer Center Mount Pleasant. efficient in repair between fractions, which results in tumor cell death.

The radiation she receives comes in the form of photon energy that is generated from a machine called a linear accelerator. And this is not just any linear accelerator: This is the most advanced generation Varian TrueBeam — the Rolls Royce of the field.

This accelerator delivers pinpoint doses of radiation quickly, precisely and in such a way as to minimize damage to normal surrounding tissues. It is housed in a special room called the vault which was built to exacting safety specifications with six-foot-thick concrete walls and reinforced floors and safety doors.

While the vault might have an ominous sound to it, it’s quite the contrary. The lighting is warm and the therapists can pipe in music through the TrueBeam that

Diplomatic Visit Tanzanian Ambassador thanks MUSC for partnership.

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See TrueBeaM on page 6

Brie Lawrence communicates with Macy and prepares to administer her treatment.

Author Speaks

Child Salinas Life Month Obituary 4 4 Carlos

A spinal cord injury advocate speaks to student about experiences, advice.

Meet Cynthia Cherie 5 5 Meet

READ THE CATALYST ONLINE - http://www.musc.edu/catalyst

10 11 Employee Patient Welllness Safety Awareness

2 THe CaTalysT, February 27, 2015

PeoPle

Around Campus

evenTs

Marcelo Guimaraes

February Wellness Fair

Marcelo Guimaraes, M.D., associate professor of Radiology, was named director of Vascular and Interventional Radiology in the Department of Radiology & Radiological Science. Guimaraes, who completed an interventional radiology fellowship at MUSC, will assume this role on May 1.

The Tri-County Black Nurses Association will host the 25th annual Delma Woods and Aleta McLeod-Bryant Health and Wellness Fair on Saturday, Feb. 28. The free event provides health information, vendors, screenings and other offerings. Contact spruilli@musc. edu.

Ronald McDonald House

photo by Cindy Abole, Public Relations

Janis Newton

Janis Newton has been named director of the MUSC Wellness Center. Newton, who is a graduate of Clemson University, has more than 40 years experience in the health and fitness buisness. She previously served as program director and interim director for the facility. Newton is credited for establishing innovative programs at the Wellness Center including the Healthy Charleston Challenge, Boot Camp, P90X and other fitness plans

Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425.

843-792-4107 Fax: 843-792-6723

Editor: Cindy Abole

catalyst@musc.edu Catalyst staff: Mikie Hayes, hayesmi@musc.edu Dawn Brazell, brazell@musc.edu J. Ryne Danielson, daniejer@musc.edu Helen Adams, adamshel@musc.edu Sarah Pack, packsa@musc.edu Jeff Watkins, watkinsj@musc.edu

MUSC Womens Club’s Irene Smith, from left, Nancy Pelligrini and Judy Diehl water and assemble flower arrangments from blooms and garden greens as part of the group’s annual Posies for Patients program. They prepared more than 200 fresh flower arrangements to be distributed to adult patient care areas around the hospital. For information about the MUWC, visit http://academicdepartments.musc.edu/womensclub.

Bruce Ovbiagele

Bruce Ovbiagele, M.D., professor in the Department of Neurology, has been named vice chair of the American Heart Association’s Cardiovascular Disease in Women & Special Populations Committee.

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.

John J. Schaefer, III

John J. Schaefer, III, M.D., associate dean of MUSC’s Healthcare Simulation Center, was recently awarded the Presidential Citation by the Society for Simulation in Healthcare.

A fundraiser to benefit the Ronald McDonald House of Chrleston will take place Monday, March 2 at the Chick-fil-A on James Island. Ten percent of all sales that day will go toward the expansion of the facility, which supports patients and families at the MUSC Children’s Hospital.

Contact novakovi@musc.edu.

CARES Clinic 5K Runners and donors are still needed to support this event on Saturday, March 7 at James Island County Park. Race starts at 9 a.m.

To register, visit http://tinyurl.com/ q9m6daw.

YES Family Fund Grant applications for the 2015 YES Family Fund are being accepted to support projects that impact MUSC’s mission through education, patient care and research. Apply at http://tinyurl. coml2g4yfb.

THe CaTalysT, February 27, 2015 3

Beyond the fun and games: why hospitalized children play

By BeTsy MCMillan

The 2014 American Academy of Pediatrics Policy Statement on Child Life includes strong recommendations for the inclusion of child life services, stating: “Child life services should be delivered as part of an integrated patient–and family– centered model of care and included as a quality indicator in the delivery of services for children and families in health care settings. Providing therapeutic play to children undergoing health care experiences is feasible in most health care settings. Interventions should be completed under the direction of a child life specialist and individualized specifically to meet the child’s developmental, psychosocial and medical needs.”

Children’s Hospital Child Life Services

P

lay is a fundamental part of childhood. We can all look to our own childhood and fondly recall a favorite real or imaginary game, toy and playmate. The game may have been one you played with game pieces or one of astronauts, doctor or school. The toy may have been that “something special” that Santa brought or a wonderful stick you found outside that could slay dragons or turn frogs into princes. That playmate may have been your friend down the street or one that only you could see and talk with. No matter if play is real or make believe, no matter our culture, gender or age, we all spent much of our childhood in play, and some of us still are at it.

Play for HosPitalized CHildren For children facing medical stressors, play takes on an even greater importance. The hospital can be an anxiety-arousing environment for children, adolescents and their families. Therapeutic play is effective because it addresses the emotional responses of children during health care encounters. While there is nothing familiar, comfortable or within a child’s control in the hospital, we can offer play. Therapeutic play interventions cause improvement in the child’s affect, anxiety symptoms, level of distress, depression symptoms, regression, aggression and fear, as well as enhance a child’s ability to cope.

Former patient Adam Lachgar playing in the Atrium’s sand box.

photos provided A pediatric patient plays with hand puppets. toys and environments During hospitalization, children need a safe place, a place to be a child and laugh, be loud and messy — all the things that children do best. Hospital playrooms offer that opportunity. They are places where the hospitalized child escapes, takes charge, makes choices and forgets about all that is medical, strange and painful. Toys speak a child’s language. Our patients quickly learn: If they have toys here, then this place understands I am first a child and then your patient.

Play compensates for all the scary and unknown.

During March, MUSC’s Child Life department celebrates Child Life Month. We recognize all the

children and families have benefitted and continue to benefit from play during their stays at the Children’s Hospital. Our staff of 12 facilitates therapeutic play opportunities every day in all different environments: the Pediatric Emergency Department, operating rooms, inpatient rooms, Pediatric Intensive Care unit and Atrium. Wherever a child may be, they are entitled to play. It is not a privilege. It is a right. We do so daily because we see firsthand the benefits. Though research will back us up, it is the photos, stories and positive coping that confirm children need more than medicine; they need to play.

For information, visit http://www.musckids.org/ childlife/specialists.htm.

4 THe CaTalysT, February 27, 2015

Research Impact Systemic lupus erythematosus is a devastating illness with inadequate treatments available.

The long–term goal of this research is to test the efficacy and safety of mesenchymal stem cells as a treatment for patients with SLE. To adequately evaluate MSCs, the team is planning a well–

Dr. Elena Vazey q Postdoctoral

Fellow, Department of Neurosciences q NIH K99 award: $106,953 (Year 1 cost) q July 2014 to June 2016

R00). The program’s purpose is to increase of Rheumatology & Immunology q NIH R34 award: $255,067 (Total Project Costs) q July 2014 to June 2015

and maintain a strong cohort of talented, NIH–supported, independent investigators.

It is designed to facilitate a timely transition of outstanding postdoctoral researchers from mentored, postdoctoral research positions to tenure–track faculty positions.

Making accurate decisions and then using

Dr. Diane L. Kamen q Associate professor, Division of Rheumatology & Immunology q Joint award with Dr. Gilkeson

these decisions to act are both fundamental processes, but can be severely compromised and anxiety disorders, ADHD and dementia.

This study will characterize brain systems at better define the roles of specific brain neurons

L. Kamen, M.D., associate professor, both of the Division of Rheumatology and Immunology, plan to study, “Mesenchymal Stem Cell Therapy for Active Systemic Lupus Erythematosus.”

This NIH R34 planning grant will allow MUSC researchers to complete protocol development and set up the administrative and regulatory structures necessary at each of the sites for successful implementation of a multicenter trial for patients with active SLE.

that regulate the execution of decision–making behaviors. Understanding the neural systems involved and potential disruption in psychiatric disease will facilitate development of future therapies to improve optimal decision–making.

Dr. Gayenell S. Magwood q Department Chair,

College of Nursing q NIH R34 award: $160,987 (Year 1 cost) q September 2014 to July 2016

Elena Vazey, Ph.D., postdoctoral fellow in the Department of Neurosciences, was awarded an NIH Pathway to Independence Award (K99/

This R34 two–year planning project will develop, implement and evaluate a pilot multilevel diabetes prevention program intervention.

pilot test a translational community based DPP intervention or Family HealthCare Network/ Federally Qualified Health Care usual care.

Dr. Andrea M. Wessell q Research associate professor, Department of Family Medicine q AHRQ R18 award: $277,173 (Year 1 cost) q Sept. 30 2014 to September 29, 2017

in many psychiatric disorders including mood

the interface between decisions and actions to

Gary S. Gilkeson, M.D., professor, and Diane

Primary Care to Prevent Diabetes.”

control design to allocate 60 participants to

with active SLE disease and be conducted at Dr. Gary S. Gilkeson q Professor, Division

Intervention Linking Public Housing with

Researchers will use a randomized wait list

controlled clinical trial that will enroll patients multiple medical centers.

awarded a grant to conduct a study titled, “Novel

Gayenell S. Magwood, Ph.D., R.N., department chair in the College of Nursing, was

Andrea M. Wessell, PharmD, research associate professor, Department of Family Medicine, was awarded an AHRQ R18 grant to study, “Reducing ADEs from Anticoagulants, Diabetes Agents and Opioids in Primary Care.”

The project aims to clarify risk factors for adverse drug events from high priority medications through a literature review and translate them into a working set of clinical quality measures that can be implemented in primary care. It also will use a community engaged action research approach to test the impact of a refined set of preventive strategies for ADEs on practice performance on clinical quality measures in a group–randomized trial.

The Catalyst’s Research Impact column showcases the research community’s grant activities. Email stories to research@musc.edu.

THe CaTalysT, February 27, 2015 5

Meet Cynthia

Cynthia Li College College of Health Professions, Ph.D. in Health and Rehabilitation Science How you are changing what’s possible at MUSC By smiling and respecting each person. I work hard and enjoy doing research in the rehabilitation science field.

How long at MUSC 2 years Family and pets Dad, Ji-Chuan; mom, Chun-Shu; brother, Terry; sister, Sophia; and dog, Kelly A unique talent you have Playing the piano with my eyes closed Who in history would you most like to meet and why Walt Disney because he helped people believe that their dreams can come true Best thing about living in Charleston MUSC is an awesome school, great friends, delicious food, history and beautiful beaches Favorite quote “Live as if you were to die tomorrow. Learn as if you were to live forever.” — Gandhi

6 THe CaTalysT, February 27, 2015

TrueBeaM Continued from Page One makes the patient most comfortable. Not that Macy will have time to listen to even one complete song.

Macy, Lawrence and Vickery round the corner to the vault, chatting the entire way. Familiar with the setup, Macy hops up on the table, which technically is called a couch, and the therapists precisely position her based on the exacting calculations the team has prescribed.

Lawrence and Vickery return to the control room where a sophisticated system of closed–circuit television screens, computers and related equipment enables them to clearly see and hear Macy at all times, communicate with her and safely and accurately administer the beams.

Two one–minute doses later, Macy is done. She says with a laugh, “It’s crazy quick. It takes me longer to get up on the table than it does to have the treatment.”

Harper agrees, “This machine is extremely fast and safe. One of the TrueBeam’s major advantages is its advancements in safety features,” she says. “The onboard image guidance system, for instance, helps assure the patient and physician that each of these 30 treatments is accurately delivered while preserving healthy tissue.”

“You did great,” Harper tells Macy.

“I feel great,” Macy replies. “I don’t feel a thing. I thought I would feel at least heat or something, but I didn’t. It’s amazing.

My daughters came back and watched the second time I did it. Now they read their books, do homework or just hang out for a few minutes.”

The fact that she hasn’t had to leave the community she’s lived in her whole life to receive the finest care available is not lost on Macy. “I had everything done at MUSC,” she explains. “Dr. Lockett did my surgery, then I did chemo at Mount Pleasant East with Dr. Giordano, my oncologist. It was very convenient.

My experience has been incredible. Not that I recommend it,” she laughs. “But everybody has been wonderful.”

She added, “I’ll be done with radiation on St. Paddy’s day — that will be a celebration.”

When Macy came to MUSC, she was confident that the most cutting–edge procedures, protocols and equipment would be in place to help her. She’s particularly happy that she’s one of the first to receive her radiation therapy with the new TrueBeam technology which was recently installed at MUSC. After having been closed for nearly six months for the installation of the new linear accelerator, Hollings Cancer Center Mount Pleasant unveiled the TrueBeam system in January, and the first patient underwent treatment Jan. 12. A very similar model had been installed at Hollings Cancer Center on the peninsula in August. Both linear accelerators are used in the treatment of many different types of cancer, such as breast, lung, prostate, abdomen, liver, pancreas, kidney, spine, bone, and head and neck.

The TrueBeam is an advanced imageguided radiation therapy system used to treat cancer with speed and accuracy while avoiding and thereby sparing healthy tissues and organs. It’s able to rotate around the patient’s body to deliver radiation therapy from nearly any angle, and due to the design of the components, the beams can actually be calculated to match the shape of the tumor.

Light years ahead of its predecessor, the TrueBeam is the newest model of medical linear accelerators. It transforms electrons into photons by shooting them at a metal target at nearly the speed of light. The energy from that impact is measured in millions of volts. When those photons come in contact with cancer cells, the result is so lethal that the cancer cells will lose their ability to reproduce, and they die.

MUSC Chief Executive Officer Patrick Cawley, M.D. calls this latest weapon in MUSC’s arsenal in the fight against cancer a game changer.

“We are extremely proud that we can offer our patients the very finest in radiation oncology services with the addition of the two Varian TrueBeam linear accelerators that have recently been installed at our Hollings Cancer Center locations downtown and Mount Pleasant. When we combine this next generation, cutting-edge technology with our superior team of experts in the field

photo by Sarah Pack, Public Relations

Hollings Cancer Center radiation oncologist Dr. Jennifer Harper explains how the TrueBeam system will work on patient Ginny Macy.

“If a patient moves out of position, even slightly, the AlignRT system detects this and treatment is halted.”

Daniel McDonald of radiation oncology, MUSC is able to deliver unparalleled treatment options and ensure our patients are treated as safely and effectively as possible."

Daniel McDonald, a medical physicist and instructor in the Department of Radiation Oncology, has had extensive experience working with the TrueBeam systems. He notes several new features the system offers that the team is excited about.

One of those features is the advanced onboard imager which has the capability of taking X–rays or rotating 360 degrees around the patient to create a 3-D picture or computer tomography (CT).

The onboard imager is housed on the linear accelerator and is controlled by two robotic arms. The collected images confirm the location of the tumor, allowing the treatment team to deliver targeted radiation with submillimeter accuracy — literally fractions of millimeters.

For an external picture, the system

uses the AlignRT system which includes three cameras that hang from the ceiling of the vault. The cameras project a light pattern onto the patient, while a second lens in each camera collects information about the way this light pattern “looks” on the patient. This allows for precise motion tracking and positioning with sub–millimeter accuracy, without the use of additional X–rays. With this system, patients can feel confident that even the slightest motion, such as a cough, hiccup or sneeze, is tracked and will not affect their radiation treatment.

“If a patient moves out of position, even slightly, the AlignRT system detects this and treatment is halted,” McDonald explained.

Respiratory gating is a similar advantage of the machine. Many tumors located in places like the lungs or abdomen move when a person breathes in and out. TrueBeam and the AlignRT system offer the capability to accurately track a patient’s breathing motion, both internally and externally, allowing for the creation of treatment plans that “see” tumor motion and protect nearby organs and healthy tissues from unnecessary radiation.

Another unique feature, according to McDonald, is the new PerfectPitch™ 6 Degrees of Freedom Couch, a robotic correction table that allows the radiotherapy team to move the patient —

See TrueBeaM on page 7

THe CaTalysT, February 27, 2015 7

TrueBeaM Continued from Page Six based on imaging — in three new directions, pitch, roll and yaw, in addition to moving them vertically, laterally and longitudinally. This system will further enhance accuracy and efficiency of treatments, especially in delicate areas of the body where millimeter accuracy is essential.

“Both TrueBeam machines are equipped with specialized couches, allowing us to correct not only patient position, but also any type of patient rotation.

This gives us the ability to more accurately reproduce simulation conditions each day, ensuring each patient receives treatment exactly as planned,” said McDonald.

Harper agrees. Day in and day out, she deals with some of the toughest cases. For her, it all boils down to her patients and the best and safest ways to help them fight cancer. Offering the most cutting–edge treatments and technology like TrueBeam provides a comfort; she knows her patients are receiving the finest care available. “I’m pleased that Mrs. Macy is able to undergo her radiation treatments in a system as advanced as the TrueBeam. She is so gracious — she has a heart-warming smile that she’s quick to share. It’s so important that MUSC has this level of technology to offer our patients.”

McDonald sums it up, “With the addition of these

varian trueBeam system

photo by Mikie Hayes, Public Relations

An open house to unveil the second TrueBeam system was held at the Mount Pleasant location of Hollings Cancer Center on Feb. 12. state–of–the–art treatment machines, MUSC reaffirms its position as the hospital with the most advanced radiation therapy center in South Carolina. The improvements offered by the new TrueBeam machines are all about our patients. With this technology we’re able to treat more safely, more accurately and more rapidly — allowing our patients to receive unmatched care and to get back to their lives.”

CeleBrating Kindness to Patients, otHers

photos by Jane Ma, Public Relations

Above: Medical students with the Gold Humanism Honor Society celebrated Valentine’s Day with the group’s annual Solidarity Day Project. The group encouraged employees and others to create “appreciation grams” to individuals and recognized one medical center employee who demonstrated compassionate care. Right: Student Katie Rosa, left, and Christian Hicks present a thank you heart, $20 Wickliffe House gift card and other recognition to winner Rene Brown of dietary services, who received the most notes.

TrueBeam boasts technology that is unparalleled in other linear accelerators: q It can deliver treatments up to 75 percent faster than other advanced radiation machines. q “Intelligent" automation results in up to a five-fold reduction in the steps needed for imaging, positioning and treating patients. q A standard intensity-modulated treatment would typically take 20-30 minutes. With TrueBeam, it can be done in less than 15 minutes. q RapidArc® technology in TrueBeam can mean beam-on times as short as 2 minutes. q The system performs accuracy checks every 10 milliseconds throughout an entire treatment. q The precision of a TrueBeam system is measured in increments of less than 1 millimeter. q More than 100,000 data points are monitored continually during treatment to ensure safety.

8 THe CaTalysT, February 27, 2015

Tanzanian ambassador visits, shows support to partnership MUSC’s work in Tanzania strengthens health care in that country and in the United States.

By J. ryne Danielson Public Relations

T

anzanian ambassador to the United States, Liberata Mulamula, visited MUSC Feb. 5 as part of an ongoing partnership between her country and MUSC. Mulamula attended a luncheon hosted by the MUSC Center for Global Health, along with representatives of the Medical University and the South Carolina General Assembly, before touring Ashely River Tower.

The United Republic of Tanzania, an east African country of 50 million people, is one of the poorest countries in the world. According to the United Nations, most Tanzanians survive on less than a dollar a day, infant mortality is 10 times that of the United States and average life expectancy is just 55.

Mulamula believes access to health care is one of the key challenges facing her country in the 21st century. She speaks from experience. The ambassador comes from northwest Tanzania, she explained, about 800 miles from the capital of Dar es Salaam. When the ambassador’s mother began losing her eyesight three years ago, local doctors

thought it was cataracts. Only later did they discover her mother was diabetic.

“There was an American doctor in Dar es Salaam,” Mulamula said. “We were told this American doctor was the only one who could save my mother. So we drove 800 miles to see this doctor. She tried her best, but my mother lived only a couple months before she passed on.”

Mulamula’s father died of heart failure not long after that. “Intervention came too late,” she said. “It’s always late.

To get attention, you have to have an emergency. When you go for a checkup [in Tanzania], the doctor asks ‘can it wait?’ So you wait. You go back, he says ‘I have emergencies. Can it wait?’ So you wait. We miss out on preventative care.”

Mulamula was not accustomed to the attention she got from American doctors upon relocating to Washington. During her first visit to a doctor in the United States, she was told she needed routine cancer screenings. “When he told me what was involved I said, ‘Can it wait?’

But he said, ‘no.’ Nobody in Tanzania gets this kind of test.”

There just aren’t enough doctors.

“In the United States,” Mulamula said, “there is one doctor for every 400 patients. In Tanzania, we have one

photo provided doctor for every 30,000 patients. We have only 275 hospitals to take care of 50 million people.”

A consortium of U.S. and Tanzanian institutions, including MUSC, Clemson University, Muhimbili University of Health and Allied Sciences in Dar es Salaam and Arusha Technical College in Arusha, Tanzania, was created to address this paucity of doctors headon. This long-term partnership seeks to conduct high-impact research, develop

appropriate technologies, provide bilateral training and strengthen local health care infrastructures in Tanzania.

Kathleen Ellis, director of operations at MUSC’s Center for Global Health, said that Mulamula’s vist to the Medical University was symbolic of the growing need for cross-institutional collaboration, not just in the United States, but across the world, where appropriate technology is in increasing demand.

See Tanzania on page 10

Join us for an evening of music and mingling, dinner and learning more about the Diocese of Charleston’s missionary work in Guatemala.

Saturday, the twenty eighth of February two thousand fifteen at six-thirty in the evening. Cocktail Attire

Tanzanian Ambassador Liberata Mulamula, second left, and Economic Affairs Plenipotentiary Paul Mwafongo, is joined by MUSC President Dr. David Cole and Provost Dr. Mark Sothmann.

To Purchase Tickets: Contact Teresa Garcia 843.531.5540 I tgacia@catholic-doc.org Or visit our website: http://sccatholic.org/guatemalangala

IP02-1290806

Blessed Sacrament Church, 5 Saint Teresa Dr., Charleston SC 29407

THe CaTalysT, February 27, 2015 9

National disability advocate speaks to OT students By alex JaCkson Special to The Catalyst

F

or people with spinal cord injuries, it can be difficult adjusting to a new way of living. Gary Karp, who is a paraplegic, travels the country speaking to occupational therapy and physical therapy students.

Karp, 60, was injured at 18 years old after falling out of a tree, leaving him paralyzed from below the waist.

He credits his success in living an active, independent lifestyle to the rehabilitation staff that helped him after his accident.

Rehabilitation specialists focus on many aspects of life, ranging from physical, psychological and emotional issues. They teach patients how to transfer to and from their wheelchairs and help with coping strategies after a traumatic accident.

Karp mentioned that the length of time people stay in rehab facilities has shortened since he was in rehab. He encouraged the students to create the optimal therapeutic relationship with their patients while they’re on the road to recovery.

Amanda Giles, OTR/L, an occupational therapy instructor at MUSC, helped organize Karp’s visit to speak to her first-year students. “My hope is that the students will feel empowered and humbled to be a part of the

rehabilitation and recovery process that occurs after disability,” Giles said.

When he is not doing speaking tours, Karp is practicing his hobby of juggling.

He even demonstrated his skills to the class.

Among his many advocacy efforts, Karp is a regular contributor to New Mobility Magazine, a national disability publication. He has also written two books on spinal cord injury. “Life on Wheels” is a comprehensive guide to living fully with mobility issues.

His second book, “Disability and the Art of Kissing,” talks about dealing with intimacy. Karp says this subject is rarely discussed in rehabilitation centers, but it is an important part of the recovery process.

Daniel Shelton, an MUSC occupational therapy student, was glad Karp talked about sexuality for people with spinal cord injuries. “The conversation needs to be facilitated a little more frequently in treatment,” Shelton said.

The Christopher and Dana Reeve Foundation sponsors Karp to speak to students and rehabilitation specialists.

The Reeve Foundation is dedicated to curing spinal cord injury through research and improving the quality of life for those living with the disability.

“Gary brings a fresh perspective to the stereotypical view of disability. He reminds us that disability is only one part

Advocate and author Gary Karp holds up one of two books he has written about life with paralysis. His visit was funded by the Christopher & Dana Reeve Paralysis Resource Center.

photos by Alex Jackson, College of Health Professions

Spinal cord injury educator Gary Karp demonstrates his juggling skills as part of his Feb. 12 visit speaking to therapy students at MUSC. Karp’s goal is to help students understand the values of honing relationships with patients who cope with traumatic life changes. of a person — that there is a unique set of interests, attitudes, personalities and ambitions behind every individual they meet,” Giles said.

Karp shows that he and others can accomplish a lot living with disabilities.

Editor’s note: Alex Jackson is a research assistant in the College of Health Professions

10 THe CaTalysT, February 27, 2015

Question: Is butter back?

A scientific paper published q Worksite Screening: last year, and the subsequent Friday, March 13 — story by Mark Bitman in the (Room HE 628h, Clinical New York Times, fueled the Sciences Building) This debate on how harmful saturated screening, valued at about fat is to cardiovascular health $350, is available to and whether butter and cream employees with the State could again be consumed in Health Plan (including abundance. Despite widespread MUSC Health Plan) at rejection of the former study no charge for the basic by nutrition researchers and test. Employees and cardiologists, the public was left their spouses, without dazed and confused. insurance, can participate Susan Johnson Last week, the scientific report for $46. For information, of the 2015 Dietary Guidelines visit www.musc.edu/ Advisory Committee was released. These employeewellness/2015Worksite guidelines are updated every five years Screening and register at link provided. using the most current scientific data to q Employee Fitness Series — 12:15 develop dietary recommendations for to 12:45 p.m., March 18. Physio-ball Americans. Among the topics examined, Workout. This free class will deliver an the committee reexamined the evidence overall body workout that will challenge on saturated fat and reaffirmed the and improve muscular endurance, recommendation to consume less than strength, improve cardiovascular fitness, 10 percent of calories from saturated core strength and control. Participants fat and that those calories should be will receive a free day pass to the replaced with unsaturated fats, especially Wellness Center. Email musc-empwell@ polyunsaturated fats or doing so reduces musc.edu to register. both the risk of cardiovascular disease q Quit Smoking in 2015 — MUSC and mortality. Replacing total fat with is conducting a research study to see carbs does not have the same benefit. if magnetic stimulation can reduce The U.S. population overconsumes nicotine cravings and make it easier to saturated fat, the top sources being stop smoking. Payment for participation burgers, cheese, snacks and sweets. To is provided and free parking is available. lower sat fat intake without increasing For information, contact Scott total carbs, whole foods (whole grains, Henderson, 792-5560. legumes, vegetables, and fruits) should q Chair massages — Free massages replace refined carbs and sugar, and are offered to employees midday on healthy sources of fats (plant oils, fatty Wednesdays. Check broadcast messages fish, soy, and nuts/seeds) should replace for locations and times. saturated fats (butter, cream, cheese, full q Farmers Markets — Fresh fruits and fat diary, high fat meats, tropical oils vegetables are available from local (including coconut) – and replace those farmers on Fridays from 7 a.m. to 3:30 greasy sandwiches and snack foods with p.m. at the Horseshoe. fresh, colorful and delicious choices Visit http://www.health.gov/ MUSC Wellness Center dietaryguidelines/2015-scientificq Foam Rolling (SMR) is a great way report/02-executive-summary.asp to learn how to foam roll safely and effectively . q Piloxing Barre is a well-rounded, Wellness Events low impact fusion of ballet, Pilates and q Bite Into a Healthy Lifestyle — March boxing. is National Nutrition Month. Check broadcast messages and Facebook MUSC Urban Farm (MUSC Food and Nutrition) for q Midday Work and Learn — 12:15 to activities from March 9–31 at the 12:45 p.m., Tuesdays cafeterias, Wellness Wednesdays and q Third Saturday Family-friendly Work Urban Farm lunch and learns. Look for and Learn — 9 to 11 a.m., March 7 and weekly specials and promotions at both March 21 cafeterias.

Health at work

Tanzania Continued from Page Eight An appropriate technology, Ellis said, is one that is suited to the environment in which it will be used. Low-resource settings require low-cost innovations.

These are often small-scale, decentralized technologies, adapted to the cultures that need them.

For example, Clemson’s bioengineering team has developed a printable glucose test strip, which can aid in diagnosing and managing diabetes. This strip can be printed for about a penny, using a standard inkjet printer loaded with enzymes instead of ink, making it well-suited for rural, impoverished areas whether they be in Tanzania or South Carolina.

Michael Sweat, Ph.D., director of the Center for Global Health, has been working with Muhimbili University for 20 years to address the HIV/AIDS epidemic in Tanzania.

“The research we conducted during the past decade in rural Tanzania has taught us a lot about how to best approach HIV prevention in the United States,” Sweat said. “The problem of reaching rural populations with care and prevention is virtually the same in Tanzania as it is in South Carolina.”

Sweat is now working to develop and coordinate preventive care screenings that will combine best practices and ultimately benefit both populations.

“This is a mutually beneficial collaboration that not only affects our

state, but several nations, and potentially, the future of health care,” said MUSC President David Cole, M.D., FACS. For MUSC students, the bilateral training opportunities this collaboration affords are among the many benefits.

Not only do American clinicians help to train Tanzanians, but American students receive important experience they could find nowhere else.

Caroline West, a third-year student in the College of Medicine, received a travel grant from the Center for Global Health to travel to Tanzania in 2014. “At Muhimbili,” she said, “I participated in the care of patients with diagnoses I would not necessarily have seen here in the U.S. but have read about extensively – like rheumatic heart disease.”

For Tanzanian physicians, the training they receive means they will now be able to serve millions of their fellow citizens who will enjoy improved access to the care they need.

Thanks to the partnership between MUSC and Tanzania, things are changing for the better, Mulamula said.

“In 2005, the total number of graduating doctors was 250. Now, we have 1,500 and we are expecting 15,000 in just a few years to come.’”

“MUSC is an icon for Tanzania,” she continued. “You don’t know what this means for my country. This is saving lives. I feel overjoyed. I feel overwhelmed.

There is no better way to say thank you than to say it in Swahili: ‘Asante sana.’”

musC’s team in tanzania q Scott Reeves, M.D. chair, Department of Anesthesia and Perioperative Medicine, College of Medicine q Eric Powers, M.D. director, Acute Coronary Syndrome Center, professor of Medicine, Division of Cardiology q Peter Zwerner, M.D. vice chair, Clinical Affairs, associate professor of Medicine, Division of Cardiology q Michael Sweat, Ph.D. director, Center for Global Health, professor, Department of Psychiatry and Behavioral Sciences

q Preston Church, M.D. associate professor, Division of Infectious Disease q Andrea Summer, M.D. associate professor of Medicine, Department of Pediatrics q David Ploth, M.D. professor of Medicine, Division of Nephrology For information about MUSC’s ongoing partnership with Tanzania or to donate to MUSC’s Center for Global Health, visit http://tinyurl. com/ptj87eg or contact Kathleen Ellis at ellisk@musc.edu.

THe CaTalysT, February 27, 2015 11

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Patient Safety Awareness Week is a worldwide educational and awareness campaign that begins on March 8 and goes through March 14. MUSC will be celebrating this week with events that will include educational materials and games and drawings with fabulous prizes like restaurant gift cards.

The highlight of Patient Safety Awareness Week is Safety Palooza on Wednesday, March 11. There will be food trucks, poster presentations from MUSC students and clinicians, lots of folks with fascinating safety information and more prizes. There will even be a parade which will be led by pet therapy dogs outfitted in their finest safety gear.

MUSC students and clinicians who want to share their safety research are encouraged to participate in the 2nd Annual Patient Safety Poster Contest. The contest is open to anyone affiliated with MUSC and is highly recommended to students and residents. Submissions are due March 9. The poster session will take place from 11 a.m. to 1 p.m. on March 11 in the Horseshoe, and judging will take place during those two hours. Winners will be announced at 1 p.m. (at the poster session conclusion,) and ribbons and donated prizes from a local business will be awarded.

Abstracts should be original and address quality or patient safety related issues. Each abstract should

Patient Safety Awareness Week March 8-14, 2015 March 9

7 a.m. to 8 a.m. — Safety for Night Shift: Sweets and treats, Ashley River Tower Mezzanine March 11 All day — Safety Wednesday: Regularly scheduled safety rounds 11 a.m. to 1 p.m. — Safety Palooza: MUSC Horseshoe March 13 7 a.m. to 8 a.m. — Safety for Night Shift: Sweets and safety treats, Children’s Hospital and Rutledge Tower connector have the following heading: Background, Methods, Results and Conclusions. The number of authors per submission will be limited to six, with one author labeled as the presenter at the poster session.

Poster submissions are due March 9 and can be sent to Pat Gaylor at gaylor@musc.edu. For more information, email patientsafety@musc.edu.

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