Posts tagged ‘patient care’
It used to be that the only time you would see an anesthesiologist was in the operating room to help control your pain levels while undergoing surgery. Today’s practice of pain medicine looks much different, with anesthesiologists more involved in medical care before, during and following surgery. One of the ways a growing group of health care organizations in the nation—including Penn State Hershey—is formally acknowledging this expanding role by changing how anesthesiology practitioners are referenced.
At Penn State Hershey, the Department of Anesthesiology has been renamed the Department of Anesthesiology and Perioperative Medicine.
For those with diseases like hepatitis C or fatty liver disease, Penn State Hershey has offered the region’s comprehensive liver care – including the ability to do live donor transplants – for the past two years. Penn State Hershey Liver Center has been diagnosing and managing liver disease since evolving out of the hospital’s transplant program in October of 2013.
On July 23, Melissa Masse celebrated her 34th birthday in the operating room of Penn State Hershey, watching Dr. Riaz Shah hold up a kidney while the medical team sang “Happy Birthday.”
Earlier that morning, doctors had harvested a kidney from her husband, Chris, and sent it to a major metropolitan area where it would be given to someone as unknown to the Masses as the donor whose organ became a birthday present for Melissa.
The surgeries were just two links in a complex transplant chain that allowed four people to receive healthy kidneys despite not having compatible live donors. Known as a “kidney swap,” Penn State Hershey offers the program as an alternative to dialysis and years of waiting for a deceased donor organ.
Melissa had been diagnosed with diabetes at age 11, but it wasn’t until stomach trouble and vomiting sent her to an emergency department in August 2012 and doctors noted her poor kidney function that she was sent to a specialist. By the end of the year, the South Williamsport woman was added to the list of people waiting for a healthy kidney.
Because the average person waits more than six years for a kidney, and because the mortality rate for those on dialysis is 50 percent after five years, Melissa’s husband offered to be a live donor. Unfortunately, he wasn’t a match. Nor was her boss. Or her best friend.
“I was devastated,” Chris said. He knew his wife was hoping for a live donor so there would be less chance her body would reject the new kidney. So he told transplant coordinator Vicky Reilly that he would donate his kidney to someone he had never met so that his wife could receive a healthy kidney from someone she had never met. (more…)
More than 30 years ago, in the middle of the Pacific Ocean, Kurt Holtzer and fellow Navy sailors played cat-and-mouse with enemy Russian ships.
Sometimes, the ships passed so close they could see Russian sailors on deck. At times, they exchanged waves of greeting. In other instances, the gestures were less pleasant. Always, they prepared for battle – ready to take aggressive measures against each other if given the order.
Fast forward to 2012.
Holtzer, a supervisor for the Penn State Hershey biomedical team, has just been diagnosed with leukemia and is being cared for by oncology nurse Andrey Chuprin. As the two become close and swap stories, Holtzer discovers that Chuprin had served in the Russian Navy in the same part of the Pacific Ocean at the same time he was there.
“On that water, we were mortal enemies,” Holtzer said. “But as I lay in my oncology bed, Andrey (was) fighting to save my life. Today, we are like brothers. What a tremendous turn of events.”
Like any large employer, Penn State Hershey has its share of veterans – men and women who served their country before coming to serve on campus. They aren’t always easy to spot, but they are all over campus, putting the skills and experiences they gained during their time in the service to work for patients and their families. (more…)
Penny is a small, fuzzy gray bear with deep brown eyes who wears pink overalls with heart-shaped buttons. She has a floppy hat with an equally pink flower. Her first memory was waking up at Penn State Hershey Children’s Hospital nestled among her other bear and animal friends who were available for adoption at the Teddy Bear Clinic at Penn State Hershey Children’s Hospital.
Penny and her friends were in Hershey to celebrate Child Life week and to help the Child Life specialists talk to the children about their fears of hospitals and going to the doctor. Child Life specialist Carrie Myers, who organized the event, works in the emergency department and sees scared little patients all the time.
“This is a time when we, as Child Life Specialists and other medical professionals can address misconceptions children have about the hospital or medical procedures,” she said. “It also teaches them that the hospital can be a fun, safe place.”
Clara and Laura Wade (ages 3 and 1) from Williamsport, Pa, whose new baby brother was born with a ‘broken’ heart that the doctors needed to fix, took home two of Penny’s friends, Bear and Dog. The girls listened to their new friends’ heartbeats and took their temperatures as they visited the stations where nurses and therapists helped them give their bears checkups. They saw many of the same instruments that the staff uses when taking care of 14-day-old Timothy after his open heart surgery. Their dad, Martin, hoped the experience would help the girls understand their brother’s surgery and recovery. “I told them baby brother’s heart was broken and had to be fixed,” he said. “I think this will help them when he’s getting poked and prodded, to know that It’s all to make him healthy, not hurt him.”
When you walk into a room filled with smiles, laughter, toys, games, and an over-all atmosphere of fun, it’s easy to forget you’re in a hospital.
That is exactly the goal of the Child Life Program at Penn State Hershey Children’s Hospital. Child Life offers patients support through its programming, including a fall visit from Olympic gold medalist Jamie Gray. Originally from nearby Lebanon, Pa., Gray was inspired to visit Hershey by the young patients she met at St. Jude Children’s Research Hospital in Baton Rouge, La.
Much to the delight of the Hershey children and their families, Gray recently participated in their weekly BINGO game, spending time with families and answering questions about the Olympics. Sharing her gold medal in 50-meter rifle three position, she didn’t even mind when one little friend got chocolate from his hands on it.
Gray was touched by the children’s resiliency, especially after watching her mother, Karen Beyerle, battle and defeat breast cancer.
“I think it’s amazing to see how happy they are going through so much adversity,” she said. “I think they’re inspiring, honestly.”
It isn’t hard to see the difference Child Life makes with while watching 8 year-old Izaiah Robinson from Boalsburg, Pa., nearly running to the prize table, with a huge smile across his face. (more…)
Before August 2012, if you had asked Bob Phillips of Palmyra, Pa. about his health, he would have told you he’s been nothing but healthy during his 73 years on this earth. No serious health concerns meant he had not been to a doctor in 25 years.
So he never expected to turn 74 amid a five-month stay at Penn State Milton S. Hershey Medical Center or that he would become a milestone in medical history.
Phillips has become the oldest in the United States and first person in Pennsylvania who has received a total artificial heart (TAH) to be discharged to live at home with a portable driver, the external power source for the heart, while awaiting a donor heart.
He never saw it coming.
“I was never sick,” Phillips said. “I was 73 years old and I thought if I had gotten that far I’d be cruising down the main stretch.”
Just a few short months ago, Phillips was returning from a Sunday afternoon trapshoot when he noticed an odd pain in his shoulders and chest. During his 30-minute drive home alone, the pain subsided and he thought nothing more of it. The next morning, he mowed the lawn and took his daily walk. His week continued as normal until Thursday afternoon, when the symptoms returned.
His wife Norma insisted he call a doctor immediately. He did so–reluctantly–and was told to go straight to the emergency room.
The couple learned that Phillips had suffered a massive heart attack. He was initially treated with two stents in his heart. He remained in cardiogenic shock and required therapy designed to give his heart time to rest. This therapy, extracorporeal membrane oxygenation (ECMO), uses a machine to do the work of the heart. An ultrasound later revealed a hole in the center of his heart and a heart rupture that was beyond repair.
His only option for survival was a total artificial heart connected to an external power source at all times.
Phillips was in a state of disbelief. How could his heart be damaged beyond repair?
“I always felt good; always exercised,” Phillips said. “I never dreamed that anything like this was happening to me. I was never doubled-over or short of breath or anything like the classic stuff you see.”
What he did not realize is he had coronary artery disease, and that led to advanced cardiogenic shock. On the spectrum of severity, his heart attack was the highest. (more…)