Fall 2010 - SSM Cardinal Glennon Children's Medical Center

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Access Center assists an early morning delivery Shortly after giving birth on Aug. 11, Portia Rushing learned her son, Padien, was being transferred from Touchette Regional Hospital to Cardinal Glennon for “an episode with his heart.” At 5:58am, Jason Kesselring, M.D., dialed the Cardinal Glennon Access Center to discuss Padien’s elevated heart rate of 280 and apparent supraventricular tachycardia (SVT). To determine whether or not a transfer was needed, he quickly consulted with a neonatologist as well as cardiologist Renuka Peterson, M.D., who advised medication for the rhythm. “The Access Center just makes everything easier and more efficient,” Dr. Kesselring says. “You don’t have to remember the NICU’s number, the ED’s number or the transports team’s number. You just dial and get someone who knows what they Do You Know: How to Use Weight Management Do you know: “During the past two decades, the prevalence of children who are obese has doubled, while the number of adolescents who are obese has tripled.” (American Academy of Pediatrics). are doing immediately.” Initially, parents of overweight and obese children should seek advice from their primary care provider. However, when more intensive weight management services are needed, it is best to use a pediatric weight management program, as services for adults or commercial weight loss programs are often not appropriate for children because of developmental and nutritional issues. • Due to growth and development, tracking progress in children goes beyond body weight. Growing children must be carefully weighed and measured at each visit to calculate BMI and plot this value on a growth curve or calculate a standard deviation score. In adults, this is not necessary, as body weight or BMI alone are sufficient to track progress. • Children have different nutritional needs than adults, especially in terms of portion size and daily allowances of nutrients. • Most importantly, children and many adolescents are not fully independent in terms of living a healthy lifestyle. They are easily influenced by adult role models, social cues, advertising, the environment and peer pressure. It takes a skilled team of pediatric specialists to recognize these influences and work within the context of the family and social environment to care for the child. The Access Center was the first in St. Louis and is answered 24 hours a day, 7 days a week by transport-trained nurses. Physicians are also available any time to consult on possible transfers or basic questions. According to Access Center Director Karen Zahn, the Center has made transferring NICU babies quick and convenient for offsite locations. “Physicians can consult directly with the neonatologist and any other specialist to determine immediately if the baby needs to be transferred or not, and what they should do in the mean time,” Zahn says. “It makes everything more efficient for the physicians, transport team and, most importantly, the patient.” Top Row from Left: Kathryn Helling, RD, Clinical Nutrition; Amy Ford, PsyD, Psychology. Bottom Row from Left: Elizabeth Babusis, M.D., Lipid Disorders & Weight Loss; Nadim Kanafani, M.D., Endocrinology & Diabetes; Kathy Spranaitis, PNP, Gastroenterology; Joel Nadler, PhD, Psychology Cardinal Glennon’s Weight Management Program includes pediatric specialists from endocrinology, lipid disorders, psychology, nutrition and gastroenterology. Patients work closely with providers who support behavior change through collaborative goal setting and motivational interviewing techniques. Education focuses on medical, behavioral and nutritional aspects of pediatric weight management. A patient’s initial visit lasts two to three hours and includes a one-hour nutrition class and healthy lunch. Depending on individual needs, patients can be seen as often as every three to four weeks. 4 To refer a patient, please have families call (314) 268-2700 ext 1695.
Glennon Expands Cochlear Implant Program The Division of Otolaryngology and the Department of Audiology have recently expanded their services, offering comprehensive hearing assessments to patients, full ENT and Audiology services at two locations — Cardinal Glennon and St. Anthony’s Medical Center in St. Louis — and dedicated cochlear implant audiologists. The Cochlear Implant Program, led by ENT surgeon Anita Jeyakumar, M.D., cares for all children with moderate to severe hearing loss. Prior to making the decision to implant, each patient visits extensively with surgeons, audiologists, social workers and experienced nurses. The comprehensive approach also ensures coordinated visits with other specialities; hearing tests with or without sedation; communication with referring physician Cochlear Implant Program Director Anita Jeyakumar, M.D., performs a cochlear implant. Diversions within 24 hours of appointment; and education for parents. “Our goal is to be a resource to parents and children as they navigate through the child’s hearing loss,” Dr. Jeyakumar says. “For some, implantation is the solution, but for others it is not. Our belief is that every child deserves to hear, and we will do everything we can to provide a solution.” Full ENT and Audiology Services @ SSM Cardinal Glennon 1465 S. Grand Blvd, St. Louis, MO 63104 ENT: 314.268.4010 Audiology: 314.577.5671 St. Anthony’s Medical Center 10010 Kennerly Rd., St. Louis, MO 63128 ENT: 314.842.3535 Audiology: 314.577.5671 Andrew Sutton Physician Services Team Leader Dining Acero www.fialafood.com 314.644.1790 I’m hesitant to tell you about Acero. Not because the food or the service falls short of outstanding. Quite the contrary, this place is so fantastic, and so small, I want to keep it all to myself. Tucked at the end of a row of shops in Maplewood, this quaint spot focuses on perfecting the rustic Italian meal. Acero is owned by Jim Fiala (Liluma, Terrace View, The Crossing) and excels in providing a memorable experience through house-made pasta, imaginative dishes and attentive service. The three courses for $30 has to be the best deal in town. I’ve been twice, and I honestly feel I’m committing a crime for not paying more for my meal. Tricia and I both enjoyed the three course option during our last visit. We shared a couple “quartinos” of Soave, a crisp, citrus-forward wine from Italy, and kicked things off with the Acero salad, a blend of romaine, egg, onion, salumi and herb vinaigrette. The saltiness of the salumi, the heartiness of the egg and the zest of the vinaigrette all sing together in a delightful chorus. The delight carried through in to my second course, tagliatelle with morel mushrooms. The freshness of the house made pasta shines through and plays against the olive oil and earthiness of the mushrooms. Honestly, I could eat the tagliatelle as a meal, and I’m sure many people do. Tricia raved about her entree, a fresh-caught walleye, and I was blown away by my scallops. An imaginative presentation, the scallops are prepared with mandarin oranges, which lend a pleasing citrus flavor. Desserts are quite tasty. The highlights include the affagato - a shot of espresso poured on top of vanilla ice cream, and the warm chocolate torte, which also comes with a side of vanilla ice cream. Acero is small. The food is excellent. The service is personable. Reservations are recommended. Beverages Tricia and I recently popped open a bottle of 2007 Delas “St. Esprit” Cotes-du-Rhone. The Delas is a fine example of the outstanding Rhone wines cranked out in the 2007 vintage. An excellent value ($15.00), this blend of 75% Syrah and 25% Grenache paints the glass a deep garnet color. The nose reveals chocolate, cedar, caramel and cola. Fruit-forward, layered, and with moderate tannins, black cherry stands out as the dominant player on the palate. A pleasing, medium finish rounds out this very enjoyable wine. Get some soon. The word is out on the value and quality of the 2007 Rhone vintage. 5
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Fall 2010 - SSM Cardinal Glennon Children's Medical Center

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