Fall 2010 - SSM Cardinal Glennon Children's Medical Center

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Inpatient Satisfaction Scores Soar in 2010! In July 2010, several of Cardinal Glennon’s inpatient satisfaction scores reached the 99th percentile in Press Ganey surveys. Transitional Care Unit 99 th percentile Neonatal Intensive Care Unit 99 th percentile Inpatient Unit: 4-North 99 th percentile SSM Cardinal Glennon building St. Louis’ first pediatric hybrid catheterization lab Cardinal Glennon Children’s Medical Center will elevate children’s heart care in the metro area with the addition of a pediatric hybrid catheterization suite, the first in St. Louis. The suite will allow cardiac cath interventions and heart surgery to be performed in one session, reducing procedure time and providing advanced cardiac care at one time rather than an extended period of time. For many infants, the procedures performed in the hybrid cath lab are lifesaving. Using catheter-based interventions, surgeons are sometimes able to address problems without using open cardiac surgery and cardiopulmonary bypass. For a small infant or those younger than one year, the possibility of wellness without an invasive procedure is significant. Fetal Care Institute constructs new space The St. Louis Fetal Care Institute will open a new clinic suite at Cardinal Glennon, bringing patients closer to pediatric specialists. In anticipation of longer stays for out-of-town patients or those meeting with several specialists in one day, the suite will include two nesting rooms complete with a couch, recliner, TV and computer. There will also be an examination and treatment room for ultrasounds and treatments such as amniocentesis. A monitor on the wall will make sure everyone in the room can see the images. Finally, a conference room large enough for a family and several specialists will provide ample space for consultations. Wireless Capsule Endoscopy Gastroenterologist performs first pediatric capsule endoscopes in St. Louis On June 24, Ajay Jain, M.D., of the Division of Pediatric Gastroenterology performed the first unique wireless capsule endoscopy in St. Louis. Since then, Dr. Jain has completed five capsules for SSM Cardinal Glennon patients. a way to directly visualize the small bowel, thus significantly helping this large group of patients. This also makes Cardinal Glennon the only pediatric hospital in the Saint Louis area to have an in-house capsule endoscopy facility. 2 The capsule provides direct visualization of the small bowel, an area inaccessible to regular endoscopy and colonoscopy. Though roughly the size of a Tylenol pill, the swallowed capsule houses: • A video camera • Lenses and battery • Light source As it traverses through the digestive system, it takes pictures and video, which are transmitted to a recorder via electrodes placed on the patient. Patients are free to move, go home or go to school during the procedure. In patients with chronic abdominal pain, small bowel Crohn’s disease or unidentified GI bleeding who might have remained undiagnosed or misdiagnosed, the capsule provides For more information and to earn CME credit from Saint Louis University, watch Dr. Jain’s presentation, “Wireless Capsule Endoscopy,” on Pediatrics on Demand! www.pediatricsondemand.com Username: ds\r010-online • Password: webcme Questions Email pediatricsondemand@ssmhc.com.
1 Year Later Andre Byrd, Jr., has been small since the moment he was born in April 2009. Now, 17 months old, his size is the least of his mother’s worries. “He is just so energetic we can barely keep up with him sometimes,” Sahreese Byrd says. “For everything he’s been through, you think you would be able to tell, but you can’t. I mean, he’s small, but everything else is great. He is such a blessing. He really is.” Andre was born 15 weeks early and without a heartbeat. He was quickly resuscitated and transferred from SSM St. Mary’s Health Center to Cardinal Glennon’s NICU. Neonatologists Michael French, M.D., and Greg Booth, M.D., treated Andre for hypotension, Patent Ductus Arteriosus (PDA), sepsis and lung disease. Since then, Andre has certainly lived up to how his parents immediately described him more than a year ago — Andre is a fighter. Not only did he survive, but he left his NICU bed three weeks before expected, taking only a heart monitor and 1/16 liters of oxygen. He has returned a couple times, once for a week-long stay in the PICU for an episode that required him to be re-intubated. Check up with Andre Check in with the Division of Neonatology “Compared to how early he was, he actually did really well,” she says. “He didn’t get any colds this winter, any flu, it has just been the occasional wheezing. He has come in for some breathing treatments and made lots of friends with the respiratory staff.” Andre Byrd, Jr., 17-months, was born at 25 weeks gestation and without a heart beat. Cardinal Glennon neonatologists successfully cared for him, sending him home three weeks early. Within the last year, the Division of Neonatology has also welcomed a new Director. Richard Cooke, M.D., joined Glennon’s 16 neonatologists as Division Director when William Keenan, M.D., stepped down in late 2009. Dr. Cooke says he joined Cardinal Glennon because of the hospital’s mission to provide compassionate care to everyone. He was also drawn to the hospital’s academic relationship with Saint Louis University. Dr. Cooke’s clinical and research interest is in fetal-infant nutrition. He notes that nutrition plays a critical role in determining outcomes, but that many unanswered questions remain about feeding high-risk infants. “Research is simply a way of giving the best possible care,” Dr. Cooke says. “We must know how to feed these infants in order to ensure they have the best possible short-term and long-term results.” Though he has stepped down as Division Director, Dr. Keenan continues to serve babies internationally. In June, the Helping Babies Breathe program officially launched in Washington, D.C., and 100 Master Trainers received training. Dr. Keenan played a critical role in the development of the program, which was a restructuring of the Neonatal Resuscitation Program that he helped develop and has trained 2.2 million providers worldwide. Sahreese Byrd and her son Andre Byrd, Jr., pose with two of their friends from the Cardinal Glennon NICU. From left: neonatologist Greg Booth, M.D., and hospitalist Stacey Monaco, M.D. Also, on Oct. 2, Dr. Keenan received the prestigious Virginia Apgar Award from the American Academy of Pediatrics at the AAP National Conference & Exhibition in San Francisco, Calif. He was recognized as a pioneer in the field of neonatal resuscitation and as one of the founding members of the Neonatal Resuscitation Program. In the U.S., the death rate for babies has dropped an estimated 70 percent since the adoption of the Neonatal Resuscitation Program in 1987. 3
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Fall 2010 - SSM Cardinal Glennon Children's Medical Center

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