MUSC The Catalyst

August 26, 2011

MEDICAL UNIVERSITY of SOUTH CAROLINA

Vol. 30, No. 2

New center for rehab offers hope

For the more than 40 patients annually who find themselves coping with the emotional and physical fallout of having a spinal cord injury, the recently opened Center for Spinal Cord Injury offers hope for a better quality of life.

For the medical professionals who want to help these patients achieve that, the center represents a way to see what will happen joining the collaborative efforts of Roper Rehabilitation Hospital, MUSC Health, Carolinas Rehabilitation and the Spinal Cord Injury Research Fund (SCIRF).

The center officially opened July 15 in the sixth floor rehabilitation gym at Roper See Rehab on page 8

MUSC researcher Dr. Mark Bowden assists Charles Cole at MUSC’s Center for Rehabilitation Research in Neurological Conditions at 77 President St. Bowden’s excited about how the Center for Spinal Cord Injury will open up opportunities for research collaborations.

InsIde ReseaRch Funding

2

Introducing...

Total grant support from outside sources exceeded $238 million.

FaculTy senaTe nOminaTiOns

4

SCCP’s new Upstate class

T

here’s no place like home.

That’s what third-year pharmacy student Casey Clark found when she started classes at the S.C. College of Pharmacy’s new Upstate campus in Greenville.

The college officially welcomed the inaugural class Aug. 17 with 17 third-year pharmacy students transferring to the new campus at Greenville Hospital System University Medical Center (GHS) – a new site for the statewide public pharmacy college.

MUSC and the University of South Carolina are founding institutions of the S.C. College of Pharmacy (SCCP), which was formed in 2004 when the universities’ two independent pharmacy colleges integrated.

Clark, who has been enjoying the beaches and MUSC campus,

Casey Clark is closer to home now that she’s part of SCCP’s pharmacy class in Greenville. Top photo: The Health Science Education Building where the program will be housed in 2012. said she welcomes the change because of her extensive family ties and her career goals of working as a hospital pharmacist

in that area. This will make it easier for her to network and make relationships at places she’d like to work, she said.

The space is high-tech, and she likes the smaller class, where everyone really can get to know each other, she said.

The Upstate campus, which received accreditation approval this past summer, was created to better serve pharmacy students living in the Upstate and give students and faculty better access to health outcomes research.

Joseph T. DiPiro, PharmD, SCCP executive dean, said the opening of the campus marks the college’s arrival as a statewide institution. “Our students have regional access to resources from a major academic medical center, a comprehensive university and a See Upstate on page 8

Full-time faculty may serve as a senator or alternate.

Nominations close Sept. 5.

3 Medical musings 5

Meet Julie

11

Classifieds

T h e c aTa ly s T Online http://www. musc.edu/ catalyst

2 The CaTalysT, August 26, 2011

MUSC funding tops $238M, biomedical research grows

Despite a sluggish economy and pressure to reduce federal research funding, MUSC achieved a record amount of research funding this fiscal year.

Total grant support from outside sources topped $238 million. Research awards surpassed the $200 million mark for the fourth consecutive year, with a $4.4 million dollar increase from last year. The record funding includes more than $117 million from the National Institutes of Health.

“The continued growth of the research programs in the face of general economic challenges is simply amazing and is an important contributor to our regional economy. We have an outstanding research team at MUSC,” said Stephen M. Lanier, Ph.D., associate provost for research and pharmacology professor.

Biomedical research is becoming an important part of the regional economy and is one of the strategic areas for growth in the plans of the Charleston Regional Development Alliance.

Research funding at MUSC creates new jobs in the region as research teams move to the area and expand their programs by hiring staff.

Six new SmartState Endowed Chairs joined MUSC this past year as part of the Centers of Economic Excellence Program (http://www.sccoee.org/ chairs.asp) and relocated their research programs to Charleston.

President Ray Greenberg, M.D., Ph.D., praised the SmartState Endowed Chairs

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 Dawn Brazell, brazell@musc.edu

program for giving the state an edge in what has become a highly competitive market for scientists. “The General Assembly created this program, and it has proven to be a model for growing the knowledge-based economy of our state.”

The Charleston Innovation Center, an incubator for new companies developed through a partnership with the South Carolina Research Authority, the City of Charleston and MUSC, continues to attract companies and research teams to the region and currently serves as home for eight biopharmaceutical and biotechnology companies.

The upcoming year will witness the opening of two new research buildings focusing on drug discovery and bioengineering in the heart of the MUSC campus, both of which were supported in part by the Research University Infrastructure Act passed by the General Assembly in 2004. These buildings will be a key platform for further growth of research programs and include advanced technology resources, state-of-the-art laboratories and conference facilities. Of particular importance, the buildings will have faculty from Clemson University and the University of South Carolina working side-by-side with MUSC scientists.

Lanier noted, “Such collaborative initiatives will give South Carolina an advantage and will lead to the development of new technologies and therapies that will benefit the broad community we serve.”

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.

Prospective physicians gain from summer program

Students from the 2011 MUSC Summer Institute share a celebratory moment on Aug. 5 as they mark the end of this year’s six-week program to prepare qualified undergraduate students to become physicians. The effort is a joint program sponsored by the College of Medicine and Center for Academic Excellence and taught by 15 graduate-level student instructors. Students committed themselves to an eight-hour daily study program, which emphasized passagebased learning, test preparation and related strategies to help them improve their scores. The participants are: Mary Ashley Mercer, Alaina McClerklin, Megan Jones, Melissa Youseff, Janae Hunter, FranceOlivia Zurenda, Chanell Bonnette, Whitney Tidwell, Margaret Ball and Rhett McKnight. Not pictured: Dezirea Jones and Narjah Martin.

The CaTalysT, August 26, 2011 3

Putting research into play during summer program Editor’s Note: Chelsey Baldwin of Little River is a second-year medical student. This column follows the journey of her class in becoming doctors.

I

t has felt like the hottest summer ever. I haven't checked the records or anything, but I have contemplated the supposed record highs each day as I trudged through campus in the sticky humidity.

Every day, similar routine: throw down my million bags I've decided to carry, pant in my office for five minutes, which isn't really my office, just one that Chelsey Baldwin I have taken over for the summer, wipe down the sweat with the sweatshirt I'll be shivering in 30 minutes later, and finally go see what Adrian is up to.

Adrian Parker, research coordinator

Medical musings

for radiology/neuro-interventional, sits in the office next to mine. This is extremely convenient because Adrian is my access to all data and happens to be entertaining to sit next to as well.

"Tell me if I'm crazy," I preface my latest idea for presenting the data I've collected. The first step is always bouncing ideas off Adrian. The next step is translating Adrian's response into either "yes, you are indeed crazy" or a "run it by Turk" answer. Dr. Aquilla Turk is my mentor for my summer project and usually my next stop when playing with a new idea. Turk's advice usually consists of finding a smaller focus, a notion I've been fighting since spending over a month on data collection. I secretly want to use it all in some cleverly interwoven enormous argument, but that isn't the way it's done. I spent a good amount of time this summer in the Summer Health Professional Program being acquainted with the way that research is done.

During one such attempt to direct my work, Dr. Turk received a phone call

about a case that had just arrived in the Emergency Department (ED) involving a patient who had experienced a stroke earlier that morning. Dr. Turk was asked to take a look at the computed tomography scan (CT) of the patient's brain. I began to vibrate in my seat.

While my research has been focused down to treatment of small aneurysms, I was aware that Dr. Turk and his colleagues use endovascular approaches to treat stroke victims as well. The thought of clicking through medical records while this case was going on was nearly unbearable.

Before Dr. Turk could finish explaining why our meeting would be cut short, I had already interjected, "Can I go?" I followed Dr. Turk to the control room where he scrolled through the images of the stroke patient's brain. While I'm far from an expert in determining meaning of these images, the sighs and shaking of heads when a large dark area comes across the screen indicates that we have reached the region

of infarct. It was decided in the control room that the infarct wasn't significant and that Dr. Imran Chaudry, a partner of Dr. Turk, would take the case.

Scared of being left to my record scrolling, I look back and forth between Turk and Chaudry. Turk notices me, "Oh yeah, take Chelsey." With a grin, I run off to go grab my white coat and stuff its pockets with my note pad, pens and anything else on my desk that will fit.

Dr. Chaudry, Dr. Eric Nyberg, the new endovascular fellow, and I make our way down to the ED. The first room we enter is a rather small control room.

One side of the control room is made of glass, through which I can see the patient lying in a CT machine.

Dr. Chaudry and another attending physician discuss and agree upon the endovascular approach for treatment.

Once consensus is achieved among the physicians, the tiny room begins to clear out and I am able to approach the See MusIngs on page 9

Supplies needed Alliance of Hispanic Health is collecting school supplies and other items to benefit Our Lady of Mercy on Johns Island.

Items needed include pencils, pens, markers, and construction paper.

Donations will be collected through Aug. 31 at the following locations: 135 Cannon St. (Women's Health), Rutledge Tower front desk, Children's Hospital information front desk, Ashley River Tower information desk, and the Harper Student Center.

For information, email yountsc@musc. edu.

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University F&A

Employees recognized for performance Lisa Montgomery, center, vice president, Finance & Administration, congratulates Rosalind Giddens, left, and Diane Campbell.

Giddens, University Purchasing Services, received the Employee of the Year for University F & A and Campbell, University Mail Services, was selected as the Cindy Garmon PEER of the Year winner.

The university’s Finance & Administration Division recognized staff from the Engineering & Facilities, Finance, and Operations departments who were nominated during the fourth quarter for their commitment to MUSC Excellence.

Employees of the Quarter Lester Dempsey, Zone 4, Engineering & Facilities “Lester has served as project manager for several renovation projects at the Wellness Center during the past few months. During this time Lester has functioned well Lester Dempsey, left, accepts above his normal his plaque of appreciation job responsibilities. from George Summerford, Lester has building engineer. promoted the principle of excellence many times over. He has worked through the night on many occasions to ensure there were no problems. He has personally made sure that all work was conducted above our expectations. He ensured that all work was not only completed on time, within budget, but most importantly that the quality of the work exceeded our expectations.”

Nominated by Bobby Shaw, Student Health, Wellness Center

Mark Trauger, Pubic Safety “On the night of June 8, I arrived at the Hagood parking lot at 11:30 p.m. to find my car had become jammed on the concrete space divider in my spot. I could not back up or go forward and was quite unsure what to do. Officer Mark Trauger came to my aid. He went so far as to jack my car up in an attempt to help get it free. He

worked for at least 30 minutes with my car on his hands and knees with not much light and in a rather warm temperature. I did not at all feel like my situation was a nuisance to him, though I am sure what he did was not in the job description. He easily could have shrugged his shoulders and walked away. I see this as an example of going the extra mile and for that I am very grateful.

One of the things I love about working at MUSC is being able to interact with professionals who not only do their jobs, but do them with a great attitude.”

Nominated by Mary Riddle, Transfusion Services

Nominations accepted for 2011 faculty senate

By Brooke Fox Faculty Senate Governance Committee

The nomination period for faculty senate is open.

As a senator or alternate, members of faculty senate will have the opportunity to actively shape MUSC policies to better serve the interests and needs of its faculty.

In addition to sharing in the governance of the university, faculty senate is also an excellent forum for getting to know and networking with faculty members from other departments and colleges.

Faculty senate meetings are held once a month. Senators are elected to a twoyear term and shall be eligible to serve

a maximum of three consecutive terms.

The terms of senators from each unit are staggered: one-half is elected each year. Alternate senators are elected to a one-year term. When a senator resigns the alternate with the greatest number of votes in the prior election automatically advances to the ex-senator’s position and completes the remainder of this term.

Senators should represent the views and interests of the faculty of their electoral units and the faculty-at-large.

Senators are expected to attend at least two-thirds of monthly meetings of the faculty senate and serve on at least one committee of the faculty senate.

A senator who knows in advance that he or she will be unable to attend a meeting of the faculty senate is

responsible for arranging for one of the electoral unit’s alternate senators to attend.

All faculty holding full-time primary academic appointments at MUSC with the rank of instructor or above are eligible to serve as faculty senators and alternates. This includes faculty with modifiers “research” or “clinical.” A tenure-track position is not required.

Go to http://www.carc.musc.edu/ faculty_senate to make nominations.

Nominations close at 5 p.m., Sept. 5.

For more information, see http:// www.musc.edu/facsen/ or contact your current senators (listed on this website).

Guidelines for senators and alternates are in the bylaws and may also be found online.

9/11 observance to be held In observance of the 10th anniversary of 9/11, MUSC will commemorate the events that took place in New York, Pennsylvania and the Pentagon from 11 a.m. to 1 p.m. Sept. 9 at St. Luke’s Chapel.

The chapel will be open for a time of reflection and a series of framed photographs of those who perished on 9/11 will be on display.

A lecture, with David Prezant, M.D., chief medical officer of the New York Fire Department, will be held from noon to 1 p.m. Sept. 20 at Storm Eye Institute Auditorium. Prezant will speak on his experiences in providing medical care at the World Trade Center site on 9/11/2001.

The CaTalysT, August 26, 2011 5

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What is in your CD player Mottafapotta and Regina Spektor What do you do on a rainy day Take a nap Best thing about living in Charleston The history Dream vacation Anywhere with clear, blue water Who in history would you like to meet My grandfather on my mother’s side. He died when I was 5.

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University Press’ North Charleston production employees pitch in to assemble pages in a College of Medicine student booklet. They gather around a turntable device, which is used for short run, saddle stitch projects. Right photo: Gordon Knight, left, and Jim Corr review a print project from the Xerox 1000 color printer. Visit https:// universitypress.musc.edu/musc/Login.aspx.

University Press expands its capabilities, online service

By CIndy aBole Public Relations

For more than 25 years, MUSC’s University Press has provided the MUSC community a full range of printing services that support the university’s clinical, research and academic missions.

University Press has evolved into a one-stop shop providing offset and digital printing services, binding and finishing, document services, publications design and customized materials for the MUSC community and its customers. It is managed by Jim Corr, who came to MUSC in 2008 as part of the department’s restructuring.

“Our strategic plan was to provide graphic design and printing excellence to all colleges and hospitals at MUSC,” Corr said. “This included providing a powerful web presence.”

Kathy Brower of the Medical Director’s Office and liaison to the hospital’s medical forms committee, and Geoff Cormier, University Press’ graphic design supervisor, worked closely to put forms onto its website. This included reviewing specs, copy, form construction and pricing. These items are the OTC700, 800 and UP series forms. Cormier and his team created and established a secure, interactive dashboard to allow users to access its library of 900-plus forms and project templates to order items or create and validate customizable jobs.

“Periodically, personnel were using incorrect

documents and outdated forms with some breaching confidentiality and information security issues within the hospital,” said Brower. “There collaboration was the perfect situation for both of us.”

University Press helped reorganize materials and move them to a digital PDF format making it easy for staff to access the forms and process reorders.

For the past three years, College of Medicine curriculum and educational technologist Inda Johnson and associate dean for curriculum-basic sciences Debra Hazen-Martin, Ph.D., have worked closely with Corr and University Press to prepare and print its 1,000plus page syllabus and course pack for 350 of the college’s integrated curriculum (first and second year) medical students. This year, Johnson submitted the job electronically on Aug. 11; a final job proof was prepared and sent back to Johnson for validation by Aug. 15; and the project was delivered on campus by Aug. 19.

According to Johnson, they’ve been very happy with their working relationship with University Press. “Staff are very helpful and supportive; the quality work is exceptional; and turnaround time is quick and timely for us,” she said.

Corr divides his time between the graphic design office at the Bee Street Parking Garage and University Press in North Charleston. Corr works with an experienced team of two graphic designers (Bee Street) and eight press area employees, who have more than 170 years of print and design experience between them.

In addition to the black and white and color print

MUSC University Press Graphics Design (Bee Street) — Geoff Cormier, and Audrey Czwakiel; Printing Services (North Area) — Gordon Knight, Eric Cooke, Roger Brownlee, Felecia Legare, Alfred Bryant, Curtis Brown, Percilla Coaxum and Sandra Parker; Manager — Jim Corr services, University Press can customize projects such as business cards, campus envelopes, business forms, mailing labels, notepads, pocket folders and supply paper stock (8.5 x 11-inch paper and 11 x 17-inch paper, blank NCR paper, tamper proof prescription paper and letterhead stationery). They also can produce tri-fold brochures, annual reports, note cards and invitations.

Since 2008, University Press has experienced an 8 percent growth in revenue, allowing them to reinvest in themselves through newer technologies and upgraded equipment. According to John Runyon, Busimess Services manager, because of reduced services University Press has been able to take on print jobs for other state institutions and agencies including The Citadel, College of Charleston, State Ports Authority and others.

Corr said the selling strategy is simple.

“We give the customers what they want, when they want it at a competitive price. Regardless of order sizes, every order is important to us because these orders are important to our customers.”

For information on printing services, call 792-8866.

The Catalyst, August 26, 2011 7

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upsTaTe

Continued from Page One

large, progressive hospital system.”

GHS has been involved in pharmacy education for more than 10 years, serving as a clinical rotation site for hundreds of fourth-year pharmacy students. In 2005, GHS announced it would invest $5 million over 10 years to help expand and promote pharmacy education in the Upstate. Fast forward to 2011, and pharmacy students are preparing to receive onsite didactic and clinical training from 16 clinical pharmacists at GHS, who also serve as part-time college faculty members.

GHS President and CEO Mike Riordan said it’s an exciting time for GHS and the Upstate community.

“Today we celebrate the opening of the new S.C. College of Pharmacy campus here at GHS, and a year from now we look forward to the possibility of celebrating the first class of students admitted to the new University of South Carolina School of MedicineGreenville,” he said.

“We also know that medical students are likely to stay where they train, and it’s our hope that these pharmacy students, and other medical students training at GHS, will remain in the Upstate long after they’ve completed school.”

SCCP enrolls a total of 760 students, or 190 per class, with 110 on the Columbia campus and 80 on the Charleston campus. Up to 25 total students entering

rehaB

Continued from Page One

Hospital, offering several treatments for patients with spinal cord injuries, including physician assessments, lab work, physical therapy, occupational therapy and case management.

MUSC President Ray Greenberg, M.D., Ph.D., said patients with spinal cord injuries often have a range of health care needs that are difficult for any single health care system to meet.

“By combining the resources of the partners, we are able to better serve the needs of these patients. Not only will we reduce costs by avoiding unnecessary duplication of effort, we will improve the quality of care provided. This is a win for the community, a win for the health systems, and a win for the patients.

We expect this collaboration to set a precedent for how we can work together in other areas as well.”

David L. Dunlap, Roper St. Francis Healthcare President and CEO, agrees.

“This new center and our successful collaboration represent an important step forward in the treatment for spinal cord injury patients,” he said. “This

The first class of third-year pharmacy students at GHS. their third year have the option to transfer from either campus to the new campus at GHS. A full-time SCCP Upstate regional director and GHS faculty, along with part-time faculty at Spartanburg Regional Healthcare System, provide student advisement.

During their third year, SCCP-GHS students will receive the same curriculum as SCCP students at the other two campuses and will use distance education technology to supplement local instruction.

Typical courses include pharmacotherapy, clinical pharmacokinetics, clinical assessment and clinical applications.

In their fourth year, SCCP-GHS students have the opportunity to stay in the Upstate for the nine, one-

innovative clinic not only fills a void for hundreds of patients in the region, but also demonstrates the value of what our medical community can achieve by working together for our patients.”

The Tri-county area averages 43 new spiral cord injury cases per year with about 1,000 people in the area living with spinal cord injury, according to Nancey Tsai, M.D., a board-certified physiatrist and medical director for CSCI. “Too often, when a person with spinal cord injury needs medical care, they find themselves in a system that’s difficult to navigate because not all health care providers have access to specialized equipment and training to treat the unique needs of this population,” Tsai said.

Charles T. Cole Jr., a retired bank executive and longtime active member in the Charleston community, has seen firsthand the importance of offering spinal cord injury patients a central place to receive care. Cole, who was left with a devastating spinal cord injury following a fall in 2008, felt fortunate to have received treatment from both Roper St. Francis and MUSC and wanted others

month rotations that comprise the entire fourth-year curriculum, covering areas such as internal medicine, drug information, critical care, infectious disease, neonatal intensive care, pediatric intensive care, psychiatry and primary care.

SCCP offers approximately 300 rotations each year in the Upstate, with nearly 100 of those available at GHS. Other SCCP partner institutions include Spartanburg Regional Healthcare System, Bon Secours St. Francis Health System, Self Regional Memorial Hospital and AnMed Health, as well as community pharmacy partners in the Upstate.

In total, the college offers approximately 2,100 rotations annually, primarily in South Carolina but also around the country and internationally.

The new campus couldn’t come soon enough for pharmacy students like Mary Lawson, a mother of two living in Spartanburg.

“The first two years were pretty hard spending nights apart in addition to all the studying, so my family and I are super happy we will be all back together again,” said Lawson, who spent her first two years of pharmacy school splitting time between home and Columbia, where she attended classes on the SCCP-USC campus.

“This year I will be in class every day, and I think the small class, getting to know professors and staff better, and being caught up in all classes will really be a great help.”

to have the same opportunity. He and his wife, Joanne, worked with the three hospitals and SCIRF to successfully initiate efforts to establish the Center for Spinal Cord Injury.

“Sitting in a wheelchair, immobilized, I had a lot of time to think, a lot of time to reflect on how I could turn this injury into something that would help others who have similar conditions,” Cole said. “This center represents a dream and a vision that these three hospital communities can collaborate for the common good of spinal cord injury patients.

James S. Krause, Ph.D., associate dean for research at MUSC’s College of Health Professions and scientific director for SCIRF, said the grand opening is the culmination of years of planning and marks a time of celebration.

“It is essential to have high quality clinical services in the Lowcountry where they are readily accessible to those with spinal cord injury,” he said. “Having outstanding services and follow-up care is essential to health and well-being after a spinal cord injury. “ The Center for Spinal Cord Injury

comprises a team of medical specialists from Roper Rehab and MUSC Health, including neurology, pain management, pulmonology, urology, endocrinology, gynecology and gastroenterology.

Other team members include certified rehabilitation nurses, a wound care nurse, certified wheelchair and orthotics specialists, a pharmacist, a registered dietitian and board certified spinal cord injury physiatrists. Physician and nursing assessments, lab work, physical and occupational therapy evaluation and case management are among services that will be offered.

Carolinas Rehabilitation served as a model in shaping the Center for Spinal Cord Injury. One of the board certified physiatrists (a medical doctor specializing in physical medicine and rehabilitation) will travel regularly to Charleston to lend expertise consultation.

Initially, the CSCI will be open on the third Friday of each month and will treat 10 patients on a single day, with most patients requiring four or more hours of screening, instruction and treatment.

Additional clinic days and times will be added as the center grows.

The CaTalysT, August 26, 2011 9

Hospice program to discuss medical, secular ethics Representatives from Lutheran Hospice’s Gesher Program, along with local rabbis and physicians, will discuss the differences between Jewish medical ethics and secular ethics and how they affect medical decisions on a daily basis.

The seminar will be held from 3 to 5 p.m., Sept. 11 at Synagogue Emanu-El, 5 Windsor Drive. Some of the questions discussed will be: “When is someone terminal according to Halacha?” and “How does the patient/doctor relationship differ according to Jewish medical ethics?”

Panelists for the seminar include MUSC’s Jacobo Mintzer, M.D., and Sewell Kahn, M.D.. The moderator will be Jerome Kurent, M.D., MUSC Department of Neurosciences. Kurent and Kahn also are on MUSC’s ethics committee.

For information, call Sandra Slavin or Stephanie Bowden at 856-4735.

MusIngs

Continued from Page Three

screens displaying the latest state of the patient's brain.

Chaudry points out vessels to me. "Do you see that there is a clot as low as the ophthalmic artery?"

One fact about the ophthalmic artery that has stuck with me is that it's the first branch of the internal carotid, therefore I considered it to be a pretty detrimental location for blood flow to have stopped.

I look from the patient on the table on the other side of the glass, he is conscious and appears to comprehend commands, and then back to the image of his blocked internal carotid artery, slightly puzzled. Days later I was reminded by Dr. Turk that the patient's condition was possible because a clot on the right internal carotid will not greatly affect the left side of the brain where speech and speech cognition are located.

As we finished looking through the newest CT, the patient was being moved back to main area of the ED, so we followed to obtain consent for the upcoming procedure.

After the patient signs, Dr. Nyberg brings the form over to me, "See how he only signs on the right-most portion of the line?" I nod; I had learned about one-sided neglect due to impaired brain function in the past year and saw how the signature was crammed to one side of the designated line. After the patient made it upstairs to the angio-suite for his

procedure, I resolved to go back to my research. Back in the quiet, calm of my office I sighed and reluctantly restarted my data collection.

This is not to say that I don't enjoy research. Sifting for data points can seem extremely monotonous, especially compared to the excitement of the ED. However, pulling my data together, running analysis and drawing conclusions was a process I enjoyed.

In my research project, I was primarily looking to see if the rate at which patients came into MUSC with very small cerebral aneurysms (smaller than 4 mm)that had ruptured seemed to dispute the existing literature that suggests that this size aneurysm essentially ruptures at a non-significant rate.

I remember recounting for a friend that in these final phases I felt like I was doing something that would matter.

If I am able to effectively display that ruptured very small cerebral aneurysms are as clinically significant as any other size, it may persuade other physicians to treat this size of aneurysm as aggressively as larger aneurysms.

I gave my best attempt to cram my findings and state my conclusions in a 15-minute presentation at the end of July. The presentation really served as a good bench mark in my attempt to convey my findings; however, it is far from the end point. I hope in another year, I'll have a published paper to show for my work this summer.

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Chelsey Baldwin presents her research, "The Treatment of Cerebral Aneurysms: Does size matter?" July 28 during the final presentations of the Summer Health Professional Program.

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10 The CaTalysT, August 26, 2011

Yoga exercises may alleviate work-related stress

Sitting at a desk all day is hard on the body.

Repetitive work-related postures and motions, demanding schedules and less-thanperfect work environments can leave the body and mind drained.

One way to relax and refresh your stationary muscles and joints is to do some yoga moves in the office.

Yoga can alleviate the effects of work-related stresses and even just five minutes of simple breathing and stretching can relieve stress, increase productivity and reduce negative effects of prolonged sitting.

Susan Johnson There are many benefits of yoga, even simple exercises done at a desk and may include the following: q Enhanced memory and decision making q Increased energy, stamina, and mental alertness q Improved flexibility, strength, and overall health q Improved posture and body awareness q A stronger immune system q Increased ability to manage emotions

Health at work

FIve-MInuTe yoga WorkouT 1. Forward bend — eases tension in upper back and

neck. Breathe in and bend forward. Breathe out and let the head and arms hang over the knees. Relax into the position and hold for a few seconds while breathing normally. Breathe in and slowly come back up to seated position.

2. Spinal twist — increases circulation and flexibility in the spine. Sit facing forward and place the left hand on the outside of the right knee. Place the right arm over the back of the chair. Breathe in and breathe out, twisting to the right and turning the head as well. Push against the right knee to create more leverage. Breathe normally and hold the position. Release slowly and come back to facing forward and repeat on the opposite side.

3. Side stretch — increases flexibility of the spinal column, improves respiration, and reduces waistline. Sit facing forward with feet slightly apart, breathe in and raise arms out to the sides. Breathe out and bend to the left, reaching toward the floor with the left hand and the right hand pointing toward the ceiling. Breathe in and come back to starting position. Repeat on the right side.

4. Knee squeeze — relaxes lower back, improves digestion and respiration. Breathe out completely, then breathe in as you use both hands to grab around the front of the knee pulling it to the chest, while holding

the in breath. Lower the head to the knee, hold for a few seconds and release slowly while breathing out.

Repeat on the right side.

To learn more exercises that can be done at a desk, visit MUSC Wellness Center staff in the Children's Hospital lobby from 11 a.m - 1 p.m., Aug. 31 or sign up for the lunch and learn by emailing musc-empwell@ musc.edu. Space is limited.

Employee Wellness events q Lunch & Learn - Desk Exercise: Exercise Bands for Fitness from 12:15 - 12:45 p.m., Aug. 31 in Room 118, Colbert Education Center & Library. Take 30 minutes during lunch to learn how a 10-minute exercise band workout performed at a workstation can lead to better health and fitness. Free exercise bands for all attendees.

Space is limited so register at musc-empwell@musc.edu. q Join MUSC Employee Wellness Heart Walk Team.

American Heart Association's 2011 Lowcountry Heart Walk will take place from 8 -11 a.m. Sept. 17, at Liberty Square near the South Carolina Aquarium. Visit http://www.startlowcountrysc.org to join the MUSC Employee Wellness Team. Free pedometers for team members.

Email johnsusa@musc.edu to become involved in employee wellness at MUSC.

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