MUSC Catalyst

April 1, 2011

MEDICAL UNIVERSITY of SOUTH CAROLINA

Vol. 29, No. 31

InsIde Med Student’S

4

journey

Project to step up wellness Q: What is the Working Well project?

It is a three-year, $1.2 million grant funded by The Duke Endowment aimed at helping hospitals in S.C. reduce chronic disease associated with tobacco use, poor nutrition, physical inactivity and obesity. The target is to help our employees and make wellness an organizational priority, not just an after-thought or something we have to figure out how to do on our own time.

Q: Why are you so excited about it?

People spend the majority of their day at work. By making policy changes and access

Q&A

Dr. Susan Johnson

Wellness Program Coordinator

talks about reshaping wellness.

changes—what food choices they have or if they’re given 10 minute activity breaks every day or they can walk outdoors without smelling smoke—will affect their productivity and well-being.

This program is going to address all those things. It’s going to make healthy choices more affordable and more accessible.

The policy stuff a lot of people are going to be excited about because it will make healthier choices part of the cultural norm of MUSC. Imagine your typical workday including a break to do some yoga stretching, a walking meeting with your manager, a trip to the cafeteria to visit a designated healthy food station and finishing your day at the Wellness Center with a spin class.

Q: Where did the program originate?

In the summer of 2009, the S.C. Hospital Association and Eat Smart, Move More, S.C. partnered to provide the WorkHealthy See Project on page 8

Chelsey Baldwin expresses gratitude to the Anatomical Gift Program.

new irS ruling

9

Moms using breast pumps can now get a tax break, thanks to a new grant.

2 Campus News Meet Abbie

5 10

Applause

t h e C ata ly S t online http://www. musc.edu/ catalyst

2 The CaTalysT, April 1, 2011

PeoPle

Around CAmpus

s

weblink

John Bosso

John Bosso, PharmD, chair, Department of Clinical Pharmacy and Outcomes Sciences, was inducted into the National Academies of Practice March 26.

Elected members are practitioners and scholars who have achieved distinction while spending a significant portion or all of their careers in direct patient care.

Michelle Hudspeth

Public Relations public information coordinator Megan Fink explains how the social media platform, Twitter, works to a room full of employees in MUSC’s first Twitter 101 workshop held March 24. Given the interest on the subject, another Twitter workshop will be held in May.

Eric Powers Eric Powers, M.D., director, Heart & Vascular Service Line, Department of Medicine, was selected as the recipient of the Lewis W. Blackman Patient Safety Champion Award in the Caregiver category. The awards program recognizes individuals who have demonstrated dedication and leadership in advancing the quality and safety of health care for S.C. patients.

evenTs Annual Rotary Wheels The 21st Annual Rotary Wheels, sponsored by the Rotary Club, will begin at 7 a.m. April 29 at the Citadel Holliday Alumni Center, 69 Hagood Ave. The event will include a breakfast and live auction to benefit the Center for Drug and Alcohol Programs at MUSC. Guest speakers will be MUSC’s Layton McCurdy, M.D., and Ken Burger of the Post and Courier.

For information, contact Sylvia Rivers at 792-9531 or riverssy@musc.edu.

Disability Awareness Walk

Editor: Kim Draughn catalyst@musc.edu Catalyst staff: Cindy Abole, aboleca@musc.edu Dawn Brazell, brazell@musc.edu

Family Connection, a support network for families who have children with special needs, is hosting the annual Disability Awareness Walk and Festival May 14 at Hampton Park. Registration begins at 9 a.m. and the walk starts at 10 a.m. The event will include music, pony rides, refreshments, a jump castle and informational vendors. There is no fee to walk, but event T-shirts are $10 a piece. Call 556-5010 or visit http:// www.familyconnectionsc.org.

greatread

“When Fred the Snake Got Squished and Mended” by Peter Cotton, M.D., MUSC professor, Gastroenterology & Hepatology, describes how Fred, the snake, was mended back together after he was run over by an ambulance. To sew the two halves back together, a doctor required a special jungle thread that Jungle Jim was able to get from underneath a rhino.

Copies, $5, are available from Rita Oden at 876-7226 or odenr@musc. edu.

Reviewer: Elaine Rawls, R.N., Digestive Disease Center

blogroll

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

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

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.

Check out the new website by MUSC’s Hollings Cancer Center (HCC) at http://hcc.musc.edu/ index.htm. Vicky Agnew, director of strategic communications, said the new website allows HCC to feature important people, late-breaking news and the latest clinical trials.

“Given our dual missions of treating patients and conducting research, our site has to meet the needs of several audiences – patients, physicians at MUSC and elsewhere, and our researchers and outside collaborators, and donors. Our goal was to ensure the site is easy to navigate while being warm and welcoming.

We hope we’ve succeeded.”

s

Michelle Hudspeth, M.D., division director of pediatric hematology oncology and director of pedicatric blood and marrow transplantation, received the Leukemia and Lymphoma Society’s Partners in Progress Award in February. The award recognizes those in the medical, research and business worlds who have impacted its mission: to cure leukemia, lymphoma and Hodgkin’s disease, and improve the quality of life of patients and their families.

sTaffPICks

Want to know the best way to improve core strength? Check out the MUSC Health’s Women Speak - straight talk about women and infant health blog at http://blogs. musc.edu/womenspeak/. You can check out the latest installment in the booty camp series, complete with instructional photos and advice.

The CaTalysT, April 1, 2011 3

Researcher published in ‘Nature Physics’

Joseph A. Helpern, Ph.D., and his co-authors from New York University (NYU) School of Medicine were published in the peer reviewed international scientific journal, Nature Physics, published online March 6.

The paper describes a mathematical relationship between biological membrane permeability and how it affects the movement (diffusion) of water or other molecules that has gone unknown for more than 70 years. Helpern states that “knowledge about biological (cell) membrane permeability can help us Helpern understand how biological tissues function, when they are healthy, and more importantly when they are not, like in diseases such as cancer, stroke and multiple sclerosis, etc.” It is thought that this new discovery will provide a new approach to studying diseases. The research for his publication began at NYU School of Medicine prior to Helpern joining the faculty at MUSC as vice chairman for radiology research, CoEE Endowed Chair in Brain Imaging and director of the new Center for Biomedical Imaging.

Helpern explained the significance of this work in a recent interview. “Membranes exist in most every material. To function properly, biological tissues (cells)

depend on the properties of membranes. Membranelike barriers also exist in other materials like porous media (oil shale, ceramics and cement) where their properties can be important for oil retention and material strength. One of the most fundamental properties of any membrane is its permeability (leakiness) to liquid substances like water. As a water molecule randomly moves around and bumps into a membrane, sometimes it passes through and sometimes it does not. Whether or not it does depends on the membrane permeability.”

For years, no one had been able to figure out how to measure membrane permeability without disturbing or destroying the biological tissue (living organism) or porous media. “Since diffusion of molecules can be probed by either passing an electric current through the sample or by using magnetic resonance imaging, this new result makes possible, for the first time, the noninvasive measurement of membrane permeability,” said Helpern. The mathematical relationship is derived by borrowing advanced theoretical techniques from an area of science called condensed matter physics.

Helpern and his colleagues are developing noninvasive imaging methods that will be used to diagnose diseases such as Alzheimer’s disease, attention-deficit hyperactivity disorder, cancer and stroke. Visit http:// dx.doi.org/10.1038/nphys1936.

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Medical student grateful for Ebenezer’s donor gift

Editor’s Note: Chelsey Baldwin of Little River is a first-year medical student. This column follows the journey of her class in becoming doctors.

B

ehind the doors of the sixth floor human anatomy laboratory in the Basic Science Building, I have experienced sights and conversations that I don’t believe I’ll ever forget.

I’ve held every organ of the human body. I’ve witnessed the aftereffects of aneurysms and muscle wasting. I’ve also followed major nerves and vessels as they course through obscure foramens and canals, and have seen abnormalities of structures caused by disease processes. There is a plethora of material to learn in the Chelsey Baldwin human dissection laboratory, both medical and social. Spending several hours in lab each week, I have designated time for social interaction.

Throughout the course of our time spent together, I’ve come to learn that the clearing of fat is best accompanied by gossip. Long dissections double as much needed social time and “that’s what she said” jokes never get old. Yet beyond the social pleasantries of lab, I have grown accustomed to the patterns of the human body through debates of nerve and vessel pathways and memory tricks (the more vulgar, the more memorable), and most importantly through the exploration of our cadavers.

I remember hoping that my cadaver would be a male. My reasoning—it would be less personal. Despite the fact that I got my wish, there is nothing about human dissection that isn’t personal.

Attempting to detach oneself from the reality that the specimen was a human being is a defense mechanism that is only temporarily necessary. However, acknowledging that my cadaver used to be a person and possessed all the details of life that make us human added depth to the experience.

And as a person, he needed a name.

Medical musings

The MUSC Choir performs March 28 at a remembrance service held at St. Luke’s Chapel to honor donors to the Anatomical Gift Program. Students shared music and their reflections to honor the donors and their families for their part in the advancement of medical science. Pictured right, Sylvia Berry Goodman of the College of Health Professions reads “We Remember Them.”

We began calling our cadaver Ebenezer, viewed dissection as a crucial part of Ebby for short, for he was an elderly our education as physicians, however man with a hunched back, and we found upon accepting such an educational the name fitting. Having examined his opportunity, it is now a debt that we wasting muscles and various structural all must repay. Since we know nothing abnormalities, I constructed segmented of our cadaver’s life or family, this pieces of his life, rarely taking the time to debt cannot even be paid back to them acknowledge that these beliefs about his indirectly. personality and life story were of my own Instead, Dr. Schabel led us to his doing. Throughout the year I had grown conclusion, that it’s our bodies that attached to this body not only because we owe to future physicians. We must of the minor bits of personality that I complete the cycle: from the scalpel had concocted, but also because his body to the table—the thought of which is had provided the most unique learning often hard to embrace. I feel like it experience that I had ever had. should be easier to commit my body I often translated the beauty of the to the dissection lab after experiencing structures into a masterpiece that was a the educational benefits of human product of my group’s dedicated hours of dissection. I believe that Dr. Schabel’s work and Ebenezer’s own desire to give reasoning makes sense, and it is my us something great. And that he did. The opportunity to give future physicians an donation of his body is truly the most opportunity to learn the intricacies of generous gift that I have ever been given. the human body just as Ebenezer did for It’s a gift of such importance that seems me. However, ironically enough when to require a follow-up or repayment. speaking of death, the fear of the known Yet how could I repay this debt? can be a quite terrifying place as well.

The answer fell quite uncomfortably I hope that my hesitancy is a product in my lap in the latest installment of of my age, and therefore my inability medical history given in a lecture in the commit to a postmortem plan may be Waring Historical Library. One of my forgiven. For now through, I thank favorite lecturers, Dr. Stephen Schabel, Ebenezer as best I know how: Our was discussing the staples of medical group’s dissections are always done with education—one of which he believed care and tend to be a product we take to be cadaveric dissection. Dr. Schabel much pride in. I feel like getting the

most out of each dissection is a way to acknowledge and show appreciation for the magnitude of the gift we have received. I also plan to be an advocate for maintaining cadaveric dissection in medical curriculum. With rumors of change towards a computerized experience, I feel that this is a movement I must oppose. While it is true that digital specimens can augment anatomical learning, I don’t wish to discount Ebenezer’s gift in such a way as to insinuate that a computer screen can come close to replacing the experience his body afforded me. Human dissection is a part of a long tradition of those concerned with the healing of the human body and one in which I feel strongly about maintaining for future generations of doctors.

I attended the Anatomical Gift Program’s memorial service and there among the poems and swirling notes of my musically-gifted peers, I thanked Ebenezer. I remembered all the beliefs that I had about him and then resolved that the only thing that I can be sure of was that Ebenezer was a generous man who had the courage to see past the immediate unpleasantries of dissection to the beauty of the knowledge which he has bestowed upon me.

For that I will always be thankful.

The CaTalysT, April 1, 2011 5

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Spanish health system provides coverage for all ana Corberan

Biostatistics & Epidemiology

T

he origin of the Spanish health system dates back to the dictatorship of Francisco Franco, who ruled the country after the Spanish Civil War. In the late 1930s, Franco’s government created a social security system in order to manage a national mandatory sickness program.

Initially created to cover industrial and manual workers, the system in 1975 encompassed 85 percent of the population. After Franco’s death in 1975, the Spanish Constitution of 1978 required the creation of a universal, general, and free national health system with guaranteed equal access for all Spanish citizens.

To date, Spain still holds a national health care system that is financed by funds raised through general taxation. It provides all Spanish residents with universal coverage with no out-of-pocket expenses, regardless of their economic or employment situation. Spanish patients cannot choose their physicians, but rather they are assigned a primary care doctor from a list of physicians in their community.

If more specialized care is needed, the primary care physician refers patients to a network of specialists.

Because the system is based on universal health care, non-residents and tourists (and even people living

La Rambla, a street in central Barcelona, is popular with tourist and locals alike. Spain has a population of approximately 46 million.

Facts about Spain q Madrid, Spain’s capital city, is located in the exact center of the country. q The Spanish political system is organized as a democracy with a parliamentary government under a constitutional monarchy. q People in Spain have a life expectancy of 81.1 years. q The fertility rate is one of the lowest in the European Union, 1.4 children per woman. q Seventy-three percent of Spaniards are Catholics. q Elementary education is free and compulsory from the age of 6 to 16. q The major industry in Spain is tourism; its beaches, gastronomy and festivities are internationally recognized.

in the country illegally) are never denied treatment.

Health expenditure in Spain has followed the upwards international trend. As a percentage of the gross domestic product, the total health care expenditure in Spain is 8.5 percent.

While the Spanish health care system is ranked seventh best in the world by the World Health Organization, it also has its flaws. Most people in Spain who can afford to purchase private health care, choose this option. This preference is not caused by a lack of coverage of the public system, but it is mainly due to the long waiting periods that patients usually have to face. About 12 percent of the population currently has private health insurance.

The Plaza Pilar in Zaragoza, Spain, hosted Expo 2008 in the summer of 2008, a World's Fair on water and sustainable development. It will host another fair in 2014, the Flowers Expo, and it is a candidate to be European Capital of Culture in 2016. Zaragoza wants to be a candidate city for the Winter Olympic Games 2022. The project is similar to Torino 2006 and Vancouver 2010.

Editor’s note: The Global Health page focuses on raising awareness of international health issues through an academic venue with the purpose of improving the quality of care for patients. E-mail globalhealthnews@musc.edu.

The Catalyst, April 1, 2011 7

New implanted stent system evaluates blood flow MUSC became one of the first centers nationwide to implant the MISAGO Self-expanding Stent System, as part of a clinical trial evaluating the system’s ability to improve blood flow to the lower extremities for patients suffering from peripheral artery disease (PAD).

The clinical trial, called the Occlusive/Stenotic Peripheral artery REvascularization Study (OSPREY) in the U.S., will evaluate the safety and efficacy of the stent system for use in the superficial femoral artery (SFA), the main blood vessel that supplies blood to the legs and feet.

For patients suffering from PAD, the MISAGO stent system offers a way to improve blood flow to clogged vessels that supply blood to the lower extremities. An estimated eight million Americans suffer from PAD, with the most common symptoms including cramping, pain or tiredness of the leg or hip muscles while walking or climbing stairs. Most cases of PAD can be managed with lifestyle changes and medical therapy; however, left untreated, this condition can lead to gangrene and amputation of the affected limb.

Marcelo Guimaraes, M.D., MUSC assistant professor of vascular & interventional radiology and principal investigator on the study, said MUSC is pleased to be a part of this landmark trial.

“This is a unique and exciting opportunity to be

a part of the first international initiative to streamline the regulatory process to facilitate future medical device approvals between countries. I believe this is also important, because it will increase the population awareness of peripheral arterial disease, its symptoms, how to prevent it and how to manage it adequately.”

Guimaraes A unique feature of the OSPREY clinical trial is that it will simultaneously enroll patients in the U.S. and Japan. Referred to as “Medical Device Collaborative Consultation and Review of Premarketing Applications” under the larger Harmonization by Doing (HBD) initiative, the trial was selected to pilot this approach of shortening the gap between product approvals in these two significant world healthcare markets. The pilot program is a cooperative effort led by the U.S. Food & Drug Administration, the MHLW-PMDA (Japan’s regulatory bodies), Terumo Corporation based in Tokyo, Japan, and Terumo Medical Corporation, a U.S.–based subsidiary of Terumo Corporation.

PAD is highly prevalent among individuals with a history of smoking, diabetes, high blood pressure, high

Best graduate schools report cites programs

Eleven MUSC programs ranked in the top 100 spots for the U.S. News Media Group’s 2012 edition of America’s Best Graduate Schools.

Of the 11 programs in top 100 spots, the Center for Drug and Alcohol Programs (CDAP), the Division of Clinical Neuroscience in the Department of Psychiatry, and Addiction Neuroscience faculty in the Department of Neuroscience have again been ranked in the top 10 nationwide through collaborative efforts regarding their educational and training efforts in alcohol and substance abuse.

Raymond Anton, M.D., Distinguished University Professor and CDAP director said that the solid research support in CDAP, Clinical Neuroscience Division and the Neuroscience Department, coupled with a growing addiction psychiatry clinical faculty, allows MUSC to attract some of the brightest graduate students, post-doctoral trainees, and psychiatry residents interested in alcohol and substance abuse.

“We are honored to be ranked amongst some of the most prestigious academic institutions in the U.S. for our work in this area,” he said. “Once again the depth and breadth of our training, which spans from basic cellular through clinical addiction specialist treatment, have received national recognition by our colleagues.”

The following are additional MUSC programs and

their rankings: • Nursing, 50th • Medicine- Primary Care, 58th • Medicine- Statistics, 58th • Medicine- Research, 60th From the area of health professions: • Occupational Therapy, 24th • Physician Assistant, 25th • Nursing Anesthesia, 26th • Health Care Management, 29th • Speech-Language Pathology, 60th • Physical Therapy, 69th Lisa Saladin, interim dean of the MUSC College of Health Professions (CHP), said these latest rankings are a reflection of the national recognition CHP has achieved because of the outstanding quality of its faculty, students and staff.

“The health care disciplines represented in the College of Health Professions are poised to assume an even more significant role in the provision of health care with health care reform on the horizon, and I anticipate that we will continue to experience growth while maintaining exceptionally high quality.”

The results are published online at http://gradschools.usnews.rankingsandreviews.com/best-graduateschools.

cholesterol and in the elderly population. According to Guimaraes, patients who visit the Vascular & Interventional Radiology (VIR) clinic at MUSC have their complaints thoroughly evaluated, with limb pulses and blood pressures checked for about 20 minutes.

“We offer an inexpensive and quick way to grade the level of disease and to make a decision if further diagnostic studies or immediate treatment are needed.

It is a great opportunity to educate our patients and to prevent this terrible and highly prevalent disease,” Guimaraes said. “The Peripheral Vascular Disease screening program is offered at no additional cost to all patients who come to the VIR clinic at MUSC. We have a multidisciplinary approach in the evaluation of patients with PVD. MUSC is a medical institution where the best therapy—either by risk factors management, medications, open surgery or minimally invasive procedures—is offered for the treatment of any vascular disease from head to toe.”

In the U.S., OSPREY is a single-arm, multi-center, non-randomized prospective clinical trial for the treatment of atherosclerotic stenoses and occlusions of the SFA and will include up to 350 patients involving 30 centers in the U.S. and Japan.

For more information, visit http://www.muschealth. com/pvd/index.htm.

8 The CaTalysT, April 1, 2011

ProjeCT Continued from Page One America (WHA) Assessment to acute care hospitals in South Carolina.

WHA is a program developed by N.C. Prevention Partners (NCPP) to assess, implement and maintain evidencebased and effective worksite wellness environments and policies. It was developed by NCPP’s staff and advisory team of leading national experts in worksite wellness policy.

NCPP collected survey information from hospitals from December 2009 through February 2010, and analyzed the results in February 2010. Fifty-five hospitals and systems participated in the survey, representing nearly 85 percent of all acute care hospitals in the state.

Q: How did MUSC fare?

We participated in a comprehensive wellness survey with 55 other hospitals in S.C. to provide baseline data for this project. When comparing our scores with the average scores for S.C. hospitals, you can see that we have a lot of room for improvement and for me, these scores are a call to action and motivate me to do what I can to help MUSC become a leader in our state and beyond in the area of employee wellness.

Average overall scores for the state were: physical activity, D; nutriton, B; and tobacco, C. MUSC’s scores were: physical activity, C-; nutriton, C; and tobacco, B. Folks may be wondering how we scored so low, particularly in the area of physical activity. The survey focuses on an overall culture of wellness, based on core principles in each section.

So for physical activity, for instance, poor scores result from limited access to on or off-site physical activity equipment and facilities, limited use point-of-decision prompts to encourage employees to adopt active alternatives to sedentary behaviors and a lack of policies to encourage employees to be active and productive during the work day.

It may seem disappointing at first glance, but it’s better to think of this as an opportunity for improvement. We just need to establish support, create a plan of action, and implement these initiatives in a coordinated way using our own resources as well as those in the community and provided by the grant.

include online toolkits, assessments, webinars, workshops, support and networking opportunities. The project staff will provide us with free, customized assistance.

Q: How will making policy changes cause long-term improvements?

Susan Johnson (far left) visits Wake Forest Baptist Medical Center, where they have areas designated for healthy food choices.

Q: How did MUSC get involved?

In October, a Working Well Boot Camp was held in Columbia to present the project to hospital executives and call for leadership in anticipation of a grant award. I had just joined MUSC in September and was so excited to hear about this project and attended that meeting. While there, I offered to be a part of the advisory team for the project and indicated that MUSC would like to be considered as a “Center of Excellence” as we began to meet the indicators for this distinction. In December 2010, the $1.2 million grant was awarded by The Duke Endowment with the project to run January, 2011 through January, 2014.

In recognition of our leadership in being one of the first 25 hospitals to commit to Working Well, we were invited to join the Working Well Staff at SCHA on March 10 and 11 for a two-day inside look at how North Carolina is successfully implementing this initiative. Including myself, other attendees included the two Working Well staff members, Kendyl Schultz and Jen Wright, SCHA Vice President Jim Head, and representatives from Palmetto Health, Laurens County Healthcare System, Greenville Hospital System, and Carolinas Hospital System.

Q: How did your training help?

It was an intensive two days that left us all extremely excited and motivated and at times a bit overwhelmed. The first

day was the Prevention Academy, held at RivalHealth in Raleigh. We got to see results of a three-year N.C. Hospital Worksite Wellness Project established by NCPP. The next day we participated in tours of two hospitals that are designated

by NCPP as Centers of Excellence. It was extremely valuable to be able to see these programs in action. For me, it was especially helpful to tour Wake Forest Baptist Hospital since they are similar to MUSC in terms of being a teaching hospital and university. By the end of the two days, our South Carolina group, along with folks from NCPP and our new New York city colleague who will be implementing the program in all New York city hospitals, had established an incredible bond as we look forward to working closely for the next three years on this project.

Q: How will it be implemented?

Each participating hospital begins by informing the administrative leadership team and establishing their support through completing and submitting a signed executive commitment to wellness, which MUSC did in November. We then are to identify Wellness Champions within the organization to serve on committees.

I’m in the process of doing this. We then assess the organization’s current policy and environment in relation to wellness and are given a customized plan of action. Tools to help us succeed in implementing our plan of action

Changing policies makes the program sustainable. It means that after the grant is over and the staff has changed, the values, environmental changes and expectations relating to wellness will remain as a part of the organization.

That is what leads to cultural change within an organization. Potential impacts include reducing health care costs for employees; decreased absenteeism, turnover and workman’s comp claims; and increased moral and recognition as a leader in worksite wellness.

Q: What are your expectations?

My hope is that we can create an excitement within the organization at all levels for what is possible in making employee wellness a priority and a mission. Hospitals are natural leaders in prevention, and we have resources available to help our own employees and community members lead healthier lives and avoid unnecessary illness and health care costs. My goal for MUSC is that we step forward as leaders in this program and work together to become one of the first hospitals in South Carolina to receive the designation of a Center of Excellence. By doing so we will need to lead by example and make wellness a priority for ourselves, then help others do the same.

Q: How can people help?

We need people to rethink how they do business in their work areas in a way that makes wellness a priority. It’s not going to be a one-size-fits-all solution.

We are looking for employees in each unit to be creative in thinking of ways to implement this in their own unique settings. They need to be flexible in how they apply these policies. We are in the process of forming committees in the three focus areas of physical activity, nutrition and tobacco cessation.

If you are interested in joining one of these committees or would like more information, send me an e-mail at johnsusa@musc.edu.

The CaTalysT, April 1, 2011 9

IRS ruling grants tax breaks for nursing mothers

Public Relations MUSC lactation consultants praise the new IRS ruling that grants a tax break for nursing mothers using breast pumps and other breast-feeding supplies.

Jeanne Barreira, certified nurse midwife and lactation consultant at MUSC, said this new change is exciting.

Many mothers will start to breast-feed, but find it difficult to continue past six to eight weeks when it’s time to return to work. “It makes it hard for them to maintain their milk supply depending on if their employer supports breast-feeding. We do here at MUSC, however not a lot of employers do.”

All the nurses in the perinatal services have been through breast-feeding training programs that include both the low and high-risk infant, she said. This is one part of the many things MUSC does to support the breast-feeding mother. Employees who deliver at MUSC are given a breast pump kit, access to the lactation room on the first floor of the university hospital and Room 2101C in Ashley River Tower. Also if they have any problems, they can consult with lactation consultants.

Barreira said there are many benefits to breast-feeding.

The breast milk provides babies with antibodies that will help provide protection against allergies, asthma

and other respiratory illnesses, bacterial and viral infections, obesity and other ailments. It also benefits the nursing mother to help her avoid Type 2 diabetes, ovarian cancer, breast cancer and postpartum depression.

A Harvard Medical School study showed that $13 billion a year would be saved in heath care costs and prevent the premature deaths of 900 infants each year if 90 percent of mothers followed the standard medical advice of feeding infants only breast milk for the first six months.

The new ruling means that families can use pretax funds from their flexible spending accounts and health savings accounts for pumps and other supplies. Most quality breast pumps cost anywhere from $250 to $350 and do not include the kit, which costs about $50, and other paraphernalia that can all total up to $1,000 in one year. This tax cut gives more women the opportunity to breast-feed their children for a longer duration which provides many health benefits for the mother and child. This is consistent with the

Nominees for Outstanding Clinician Awards being accepted before April 22

The Vice President for Academic Affairs and Provost invites nominations for the 2011 MUSC Foundation Outstanding Clinician Awards.

The Outstanding Clinician Award honors full-time faculty of any duration of service who have made outstanding contributions to patient care at MUSC. Currently active clinicians who commit a significant proportion of their time caring for patients in ambulatory or inpatient settings are eligible for this award. Awardees will have demonstrated a high level of professionalism, integrity, and devotion to patient care. They will have gained recognition as dedicated, compassionate and highly effective clinicians. Their clinical excellence and service commitment identify them as role models for residents, students and their faculty colleagues. An additional consideration will be their abilities to collaborate in an effective interprofessional manner.

Eligibility q Appointment to the full-time faculty of MUSC. There is no age or length of service requirement. q There shall be no more than three awards given in a single year. The monetary reward of $3,000 will be used at the discretion of the awardees.

The nomination packet should consist of the full curriculum vitae of the nominee with an expanded description of the section of clinical activity; three letters of support, with at least one from a peer; and a statement from the nominator (not to exceed 1,000 words) outlining the candidate's qualifications for the award.

Deadline for nominations is Friday, April 22.

Submit nominations to Mark Sothmann,Ph.D., vice president for academic affairs and provost, 179 Ashley Avenue, Colcock Hall, MSC 002, MUSC.

Lactation consultant Jeanne Barreira, right, demonstrates how the breast pump works to new mom, Meredith Strehle.

American Academy of Pediatrics recommendation that mothers should breast-feed for one year.

Meredith Strehle, manager in the Children’s Hospital and Perinatal Services, is a new mother who bought her pump and received her tax break. “Pumps make it very convenient for working mothers to provide the best nutritional source for their child and have a full-time career at the same time.”

For information on lactation consultants go to http://www.muschealth.com/women/lactation/.

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10 The CaTalysT, April 1, 2011

Applause Program honors employees, students The following employees received recognition through the Applause Program for going the extra mile: Medical Center

Valerie Collins, Medical Records; Doris Thomas, Medical Records; Jessica Hardy, Women’s Services; Dandre Jackson, RT Children’s Services Registration; Betty Drayton, Environmental Services; Melvena Nelson, Environmental Services; Michael Sawin, 10W; Jill Norman, 10W; Vicki Foreman, 10W; Alix Booster, 10W; Lisa Braswell, Therapeutic Services; Brian Baker, 10W; Gayle Wadford, 10W; Karen Boyd, 10W; John Carson, 10W; Wendy Williams, 10W; Brett Mills, 10W; Karen Newcome, 10W; Tamara Smith, 10W; Julia Hodges, 10W; Wyteshia Brown, 10W; Jennifer Haughney, 10W; Marianne Wittenmyer, 10W; Jacqueline Russell, 10W; Laurie Moultrie, 10W; Emmanuel Tria, 10W; Mary Cochran, Safety & Security/Volunteer & Guest Services; Kelcy Dexter, Oncology & Medical/Surgical Services; Alanese Champaigne, Business Operations Administration; Stephanie McGowan, Therapeutic & Professional Support Services; Eileen Palmer, Infectious Diseases Division; Sarah Whitlock, Physical Therapy; Cherise Pelzer, Medical Records; Sandra Purdie, PAS; Lindsey Smith, Ashley Avenue Physical Occupational Therapy; Joel Cook, Dermatology; Nathalee Nelson, PAS; Carolyn Keller, 8W; Clarence Isler, Safety & Security; John Oliver, Musculoskeletal; Shirley Bluford, Radiology; Willie Brown, PACU; Tom Martin, Safety & Security/ Volunteer & Guest Services; Alaina Heyward, 10W; Mona Murdaugh, 8W; Diana Gifford, MACC; Ann Putila, 8W; Carolyn Harrison, PAS; Tonnia Mullen, MACC; Ashley Charlebois, 8E; Sadie Jefferson, Envi-

ronmental Services; Krystal Kasten, 5E; Susan Thigpen, 7E; Tiffany Infinger, 7E; Lakeisha Williamson, Therapeutic Services; Rodney Greene, Safety & Security/Volunteer & Guest Services; Carnice French, ART 6E; Janette Ward, STNICU; Michael Snyder, Safety & Security; David Bright, Safety & Security; Joseph Secondary, Therapeutic Services; Sherrel Brightman, Environmental Services; Jim Fisher, Office of Development; Gail Pope, Hollings BMT; Natalie Bradford, Department of Medicine; Effie Hatchett, Psychiatry; Megan Calhoun, Dietetic Services; Jessica Hardy, Women’s Services; Erin Langendorfer, ART OR; Brenda Brown, Women’s Services; Fred Scruggs, 10W; Mary Johnson, Pediatrics Hematology/Oncology; Timothy Rivers, Dietetic Services; Jennie Curry, ART 6 W; Sarah Watson, 9 PCU; Laura Finklea, 9 PCU; Joy Singleton, ART 6 E; Patricia Humphrey, ART 6E; Nicholas Garn, Safety & Security/Volunteer & Guest Services; Cindy Tyler, HVC; Chad Vick, MedSurg ICU; Jonathan Donevant, MedSurg ICU; Shatora Williams, Endoscopy/ GI Clinic; Valerie Collins, Medical Records; Janice Petrilla, Radiology; Mary Alston, Hollings Clinics; Sharon Hilliard, Radiation Oncology; Amanda Anderson, Hollings Registration; Fred Jones, Engineering & Facilities; Antonio White, Engineering & Facilities; Karen Carnevale, Hollings Chemotherapy; Jennifer Logan, Venipuncture; Holli Hoagland, Radiology Jinni Bullard, Hollings Chemotherapy; Kaela Self, Hollings Registration; Ivy Mack, Hollings Registration; Mar-Yam McFadden, Radiology; Martha McRae, Business Operations Administration; Darryl Lee, Business Operations Administration; Debra Oree, RT Children’s Services Registration; Carrie Maxwell, Hollings Chemotherapy

Person of interest The person of interest is in front, dressed in black. If you have information, contact Sgt. Charles Davis at 792-0334 or 792-4196.

Carmen Eikenberry, Hollings Chemotherapy; Tess Morris, Hollings Clinics; Cheryl Graham, Hollings Chemotherapy; Sheila Prynkiewicz, Pediatric ED; Emily Nowell, Venipuncture; Amber Sturges, Storm Eye Institute; John Conaster, Obstetrics-Gynecology; Sarah Daugherty, 10W; Brian Baker, 10W; Sam Guffey, 10W; Toschua Thomas, 10W; Jessica Stout, 10W; Kelli Bryant, Ambulatory Care; Evelyn Polite, ART OR; Cassandra Reid, Information Services; Cassandra Poinsett, Venipuncture; Deloris Polite, CCU; Karen Legare, ART Pre-Op Surgery; Katherine Cox, Meducare Charleston; Paul Hasenfuss, Meduflex Team; Allison Reece, Parking Management; Connie Whitmire, CCU; Jackie Jacobus, Newborn-Special Care Nursery; Debra Cohen, Newborn-Special Care Nursery; Shurene Simmons, PAS; Terry Moore, Environmental Services; Muriel Grant, Neuroscience ICU; Cristina Diano, PCICU; and Tamika Stephens, Environmental Services.

University

Mary Albano, College of Dental Medicine/Pediatric Orthodontics; Daryl Bonnette, Engineering & Facilities/ Grounds; Laura Bradfield, OCIO-Information Services; Carlos Cruz, Engineering & Facilities/Grounds; Neil Diez, Education & Student Support; Kathi Fort, Engineering & Facilities/Grounds; Adam Gordon, College of Dental Medicine; Marianne Grac, Pulmonary, Critical Care, Allergy & Sleep Medicine; Kim Hagmann, Wellness Center; Tom Hamm, Education & Student Support; Martha Jones, Public Safety; Kari McDuffie, Wellness Center; Janis Newton, Wellness Center; Dianne Terry, Education & Student Support; and Wendy Williams, Wellness Center.

The CaTalysT, April 1, 2011 11

CLASSIFIED P AGE • Household Personal Items for MUSC employees are free.

All other classifieds are charged at rate below. Ads considered venture-making ads (puppy breeder, coffee business, home for sale, etc.) will be charged as PAID ADS •• PROOF OF ELIGIBILITY REQUIRED * NO MORE THAN 3 LINES * FREE ADS RUN 2 WEEKS ONLY!

Rental Properties

Misc. Services

Folly Beach Condo 2br 2ba, Walk to Beach NO Smoking, NO pets $1000 mo.year lease OR $165k buy 843-743-6574

Professional CNA looking for Private Duty work, 15 yrs exp. have ref’s. 843-834-0035

Homes For Sale

Johns Is. Home 2100 sqft 3BR, 3BA home w/ marsh views and dock to Stono River 15 mins from MUSC 5 years young call 559 7066 $369K Possible rent to own contract. 1369 river rd /forsalebyowner. com

Discount

Furniture Mattress Set - Orig $1000, Like new, King Posturopedic Plush pillowtop set. Metal frames $200.00 OBO 843-849-6695.

Transportation

10

%

NC Vacation Home For Sale 2200 sq ft, in gated community. Move-in condition, longrange mtn views, on golf course. Fly-fishing nearby. $210,000. Call 860-3329 bconner@bellsouth.net

Bring this coupon to CASA VIDA to receive 10% discount off any purchase Monday- Friday 8am to 6pm

IP05-489288

2003 Mitsubishi Eclipse GS $5000 OBO 571-2181

303 CESSNA AVE WEST ASHLEY 3 BD, 1.5 BA, 1358 sq ft $155,000 800-603-5624, ext 5449

668 SCHOONER RD JAMES ISLAND 3 BD, 1.5 BA, 1106 sq ft $179,500 800-603-5624, ext 5599

Matthew W. Poole mpoole@carolinaone.com Charleston Pier Partners Cell (843) 830-0027 Fax (843) 202-8566

1327 HEADQUARTERS PLANTATION JOHNS ISLAND 4 BD, 3.5 BA, 3286 sq ft $695,000 800-603-5624, ext 7009

Randall Sandin rsandin@carolinaone.com Charleston Pier Partners Cell (843) 209-9667 Fax (843) 202-8928

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2BR/2BA 1st floor condo avail.

10 min to DT & Folly Internet,Cable,W/D incl. Sec. Dep. req. Avail 5/1 843-499-1144

Vacation Properties

IP05-505406

PAID ADS are $3 per line (1 line = 28 characters) DEADLINE: TUESDAY – 10:00 AM * CLASSIFIED ADS CAN BE E-MAILED TO sales@moultrienews.com, OR MAILED (134 Columbus St., Charleston SC 29403) Please call 849-1778 with questions. *Must provide Badge No. and Department of Employment for employees and Student I.D. Number for MUSC Students.

IP01-213824a

1265 Folly Rd • Charleston SC • WWW.CHARLESTONPIERPARTNERS.COM

12 The CaTalysT, April 1, 2011

FOR SALE

$186,000 Well Below Appraised Value 1953 High Meadow, Johns Island, SC 29455

There’s a lot of talk these days about Montessori-style education. We offer the only internationally – accredited Montessori program in South Carolina.

Charles Towne Montessori: We do Montessori right!

Beautiful, completely refurbished home in Winnsboro Lakes. Just fifteen minutes from the beach and from downtown Charleston! Fantastic floorplan with 10 foot ceilings and wood floors throughout. Slate entrance hall. Tile baths. New carpet in spacious FROG. Great living room with wood burning fireplace. Traditional woodwork. Fenced in back yard with patio.

Features: 1600 square feet. 3 bedrooms(4 with FROG). 2 full baths. Living room with fireplace. Dining room. Breakfast room. Kitchen pantry. Entrance foyer. Laundry room. Utility room. Central air. Patio. Fenced back yard. Oversized one car garage. Public water and sewer.

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NOW ACCEPTING APPLICATIONS For more information about our Summer Camp please call or visit our website

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Opening in Columbia SC May 2011!

Now You Can Afford To Cater!

April $6.99 Specials

Cheesy Ham & Potato Casserole

Savory ham and potatoes topped with Cheddar and Mozzarella cheeses and baked until golden brown, a Garden Salad with assorted dressings and Banana Pudding.

Chicken Stir Fry

Seared chicken tossed with Asian vegetables, teriyaki sauce served with fried rice and Mom's Warm Double Chocolate Brownies. Add a Garden Salad for only $1.50.

Buffalo Wings

Tossed with either BBQ or Hot sauce served with Caesar Salad, Macaroni Salad and Mom's Warm Double Chocolate Brownies.

Beef Tortellini

Tortellini filled with beef and smothered in Johnny's Marinara then baked and served with Vegetable Medley, Caesar Salad and Mom's Warm Double Chocolate Brownies.

Assorted Sandwiches & Wraps

A selection of customer favorites including vegetarian options served with pasta salad and fresh fruit salad. Includes all condiments, Mom's Double Chocolate Brownies and beverage set-up (Lemonade & Iced Tea)

Hot Breakfast Buffet:

Fast Break:

Mid-Morning Break:

IP03-502458

Scrambled Eggs, Homestyle Assorted Cookies & Granola Bars, Warm Cinnamon rolls, Meat & Potatoes, Bacon, Sausage, Fresh Fruit, Yogurt, Juices, Cheese Biscuits, Fresh Fruit Fresh Fruit, Cinnamon Sodas and Water. and Assorted Juices.

Rolls & Assorted Juices. $4.99 per person $4.99 per person $6.99 per person Catering Specials are served with utensils, service ware, cups, ice, lemons, Iced Tea, Lemonade & customer service you expect from Iacofano's. Call 843-849-3535 today to order!

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