Imagine - Summer 2015 - University of Chicago Medicine

SUMMER 2015

PAGE 1

Robotic Knee Surgery Relieves Pain, Speeds Recovery

PAGE 3

How to Prevent the Most Common Running Injuries

PAGE 7

Q&A with Children’s Asthma Experts

PAGE 8

High-Tech Care Restores Young Father to Health

Triathlete regains her stride with minimally invasive hip procedure

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UCM_Imagine_10_v7.indd 1 6/26/15 10:03 AM

The University of Chicago Medicine

& Biological Sciences has been at the

forefront of medical care, research and

teaching for more than 90 years. Located in

historic Hyde Park on the South Side

of Chicago, the University of Chicago

Medicine & Biological Sciences includes:

Patient Care

» Center for Care and Discovery

» Comer Children’s Hospital

» Bernard A. Mitchell Hospital

» Duchossois Center for Advanced Medicine

» Numerous outpatient locations

throughout the Chicago area

Teaching Programs

» Pritzker School of Medicine

» Master’s and doctoral degree programs

» Postdoctoral programs

Research

» Medical and basic science units

Among our many honors and

acknowledgments: 12 Nobel laureates;

ranked 10th of all U.S. medical schools;

one of only 41 National Cancer

Institute–designated comprehensive

cancer centers; ranked third in nation

for National Institutes of Health grant

support per researcher.

University of Chicago Medicine & Biological

Sciences Executive Leadership

Kenneth S. Polonsky, MD, Dean of the

University of Chicago Biological Sciences

Division and the Pritzker School of Medicine,

and executive vice president for Medical

Affairs for the University of Chicago

Sharon O’Keefe, president of the

University of Chicago Medical Center

Jeffrey Glassroth, MD, dean for clinical

affairs, University of Chicago Medicine

T. Conrad Gilliam, PhD, dean for

basic science, Biological Sciences Division

Holly J. Humphrey, MD, dean for medical

education, Pritzker School of Medicine

IMAGINE IS PUBLISHED THREE TIMES

A YEAR BY THE UNIVERSITY OF CHICAGO

MEDICINE & BIOLOGICAL SCIENCES.

Editor: Anna Madrzyk

Assistant Editor: Gretchen Rubin

Email us at: [email protected]

Design: TOKY Branding + Design

Contributing writers

Thea Grendahl Christou, Tanya Cochran,

John Easton, Sarah Fell, Kevin Jiang,

Patricia Nedeau, Lisa Spengler, Anne Stein,

Tiffani Washington and Matt Wood

Contributing photographers

David Christopher, Bob Coscarelli,

Robert Kozloff, Jean Lachat,

Victor Powell and Nancy Wong

ADDRESS


5841 S. Maryland Ave., Chicago, IL 60637


Comer Children’s Hospital

5721 S. Maryland Ave., Chicago, IL 60637

Telephone 1-773-702-1000

Appointments 1-888-824-0200

Follow the University of Chicago Medicine

on Twitter at twitter.com/UChicagoMed or

visit our Facebook page at facebook.com/

UChicagoMed. You can read more about our

news and research at uchospitals.edu/news

and at sciencelife.uchospitals.edu.

This publication does not provide medical

advice or treatment suggestions. If you

have medical problems or concerns, contact

a physician, who will determine your

treatment. Do not delay seeking medical

advice because of something you read here.

For urgent needs, call 911 right away.

Read Imagine online at

uchospitals.edu/imagine.

The orthopaedic

specialists at the

University of Chicago

Medicine offer the

full range of solutions

for patients with

musculoskeletal conditions — from

nonsurgical care to hip and knee replace-

ments and surgery for complex conditions

of the muscles, tendons and bones.

When Sara Llibre was told she would never

run again as a result of damage to her

hip joint, the triathlete contacted our hip

preservation team for a second opinion.

Less than a year after minimally invasive

surgery, Llibre, of La Grange, Ill., competed

pain-free in an Ironman competition. This

summer, you’ll find her training six days a

week for upcoming races.

You can read more about Llibre on page 4

and learn about our orthopaedic programs

throughout this issue of Imagine.

Thanks to other state-of-the-art treatments

at UChicago Medicine, Kenny Beyer and

Andy Summers are also able to spend lots

of time outdoors this summer.

Beyer came to us for bronchial

thermoplasty, a new therapy — tested

here before it received FDA approval — for

patients with severe asthma. The Gurnee,

Ill., resident can now walk outside without

fear of having a severe asthma attack.

Summers was gravely ill from

complications of gallbladder disease

when he was transferred to our medical

center. After six months of highly

specialized treatment, Summers

is now able to enjoy time with his wife

and their four children at the family’s

favorite spot along the Kankakee River.

We bring you these and other stories to

demonstrate our commitment to taking on

the most challenging cases and to providing

advanced care to our patients. Please let us

know if we can help you.

GREETINGS FROM THE FOREFRONT OF MEDICINE

We are committed to providing advanced care to patients

from the greater Chicago area and beyond.

SHARON O’KEEFE

President of the University of Chicago Medical Center

KENNETH S. POLONSKY, MD

Dean of the University of Chicago Biological Sciences Division and the Pritzker School of Medicine, and executive vice president for Medical Affairs for the University of Chicago


UCM CONNECT 1 -888 -824 -0200 | UCHOSPITALS.EDU | UCHICAGOKIDSHOSPITAL.ORG » 1

Robotic Technique Relieves Knee Pain

Patients who have painful early- to mid-stage osteoarthritis may be able to avoid or delay total knee replacement thanks to a new robotic surgical technique.

Using 3D imaging for guidance, University of Chicago Medicine orthopaedic surgeons can resurface areas of the knee damaged by degenerative joint disease while sparing as much healthy bone and surrounding tissue as possible.

The minimally invasive approach, called MAKOplasty® partial knee resurfacing, offers several benefits for patients:

» PRECISE KNEE

RESURFACING, targeting only the arthritic portion of the knee.

» BETTER KNEE IMPLANT

POSITIONING AND

PLACEMENT, resulting in a more natural feeling knee than with total knee replacement.

» A QUICKER RECOVERY

AND A SHORTER

HOSPITAL STAY compared to total knee replacement surgery. Many patients are allowed to walk soon after surgery, drive within two weeks and return to daily activities soon after.

Because healthy bone is preserved, patients who undergo this procedure may still be candidates for total knee replacement later, if needed.

uchospitals.edu/ knee-makoplasty

KNEE REPLACEMENT ALTERNATIVE

As many as 80 percent of all people who have had a fracture related to osteoporosis are likely to break another bone. However, steps can be taken to prevent, or lower the risk of, a second fracture.

“The perfect time to intervene is after a patient has had a first fracture,” said orthopaedic surgeon Douglas Dirschl, MD, an expert on osteoporosis and fragility fractures.

The perfect time to intervene is after a patient has had a first fracture.

The new Bone Health Clinic at the University of Chicago Medicine identifies, evaluates and treats patients who have osteoporosis or who have had fractures related to low bone density. The clinic’s bone health specialists provide education and innovative treatment options for reducing the risk of additional breaks.

SERVICES AT THE BONE

HEALTH CLINIC INCLUDE:

» Bone health evaluation

» Bone density assessment with DEXA scans (dual-energy X-ray absorptiometry)

» Education to prevent or lower the risk of a second fracture

» Treatment for low bone mass and osteoporosis

» Surgical and nonsurgical care for fragility fractures

Bone health and fragility care at the University of Chicago Medicine follows guidelines developed by the National Osteoporosis Foundation and incorporated into the American Orthopaedic Association’s Own the Bone® campaign.

The Bone Health Clinic is available at two locations:

DUCHOSSOIS CENTER

FOR ADVANCED MEDICINE Hyde Park campus

UNIVERSITY OF CHICAGO

MEDICINE PHYSICIANS

AT MATTESON

Matteson, Ill.

uchospitals.edu/ bone-health

Reducing the Risk of Fragility Fractures

OSTEOPOROSIS EDUCATION

AT THE FOREFRONT OF ORTHOPAEDIC

CARE

Before surgery, a CT scan is taken of the knee and is used to create a 3D anatomical model of the knee. This model allows the surgeon to more accurately plan the surgery, knee resurfacing and implant placement. During surgery, the orthopaedic surgeon guides the robotic arm to prepare bone for a knee implant. The robotic system aids the surgeon by ensuring that bone removal is confined to affected areas, stopping the robotic arm if necessary.

Illustration courtesy of Stryker Orthopaedics

MAKOplasty robotic arm assisted partial knee resurfacing

Minimally invasive incision reduces damage to healthy soft tissue

Precision cutter enables bone-sparing resurfacing

Surgeon- controlled robotic arm


2 » THE UNIVERSITY OF CHICAGO MEDICINE IMAGINE MAGAZINE | SUMMER 2015

Seven As in a row

THE UNIVERSITY OF CHICAGO

MEDICINE WAS NAMED

ONE OF THE SAFEST HOSPITALS

IN THE COUNTRYfor the seventh consecutive time

by the independent Leapfrog

Group, a nonprofit organization

dedicated to measuring and driving

improvements in hospital safety.

Since the semi-annual survey began

in June 2012, UChicago Medicine is

one of only 182 U.S. hospitals, out

of about 5,000, to receive an

A in all seven survey periods.

READ MORE AT sciencelife.uchospitals.edu.


PARKINSON’S RELIEF

A successful treatment for two life-threatening and difficult-to-treat symptoms of Parkinson’s disease has been achieved by physicians at the University of Chicago Medicine. Deep brain stimulation (DBS) — sending electrical impulses to specific parts of the brain through an implanted “brain pacemaker” — treats many symptoms of Parkinson’s disease that cannot be controlled by medications, such as tremors. But the high-frequency impulses that are typically used usually do not improve swallowing problems that may cause choking or freezing of gait, which can lead to falls. UChicago Medicine researchers found that low-frequency DBS relieved problems with swallowing and walking in selected patients.

“Our findings can significantly and directly improve the quality of care for patients with Parkinson’s disease,” said neurologist Tao Xie, MD, PhD, lead author of the study published in Neurology.

ASPIRIN EN ROUTE

Half of all heart attack patients may not be receiving a recommended, potentially life-saving dose of aspirin on their way to the hospital. Using emergency medical services (EMS) information collected nationwide, University of Chicago Medicine researchers focused on ambulance runs involving people age 40 or older who were being monitored for suspected heart attacks. Paramedics had recorded giving aspirin to only 45.4 percent of these patients. Early use of aspirin by patients suspected of having a heart attack is known to lower the risk of death and is widely recommended. “It is important that aspirin be administered quickly by EMS if the patient has not already taken it,” said emergency medicine physician Katie Tataris, MD, University of Chicago Medicine EMS medical director and lead author of the study published in Emergency Medicine Journal.

SHARING BUGS

“Home Sweet Home” may be harboring some nasty bacteria. Researchers in Chicago and Los Angeles studied patients who had received emergency department treatment for Staphylococcus aureus skin infections. Scientists used whole-genome sequencing, a leading-edge technology, on bacterial samples collected from members of each patient’s household. The results showed that once bacteria gained admission to a household, they could spread from one person to another for several years. The bacteria studied, methicillin-resistant Staphylococcus aureas (MRSA), are strains of staph that have

grown resistant to commonly used antibiotics related to penicillin. This makes treatment difficult, allowing infections to spread and sometimes become life-threatening. “These bacteria ping-pong around from person to person,” said study director Michael David, MD, PhD, an infectious disease expert at the University of Chicago Medicine. “We want to find ways to disrupt this pattern and control the spread of MRSA.”

Imagine that!

NOT A HARMLESS HABIT

Repetitive, compulsive picking and scratching at the skin, to the point that it causes serious tissue damage, is known as excoriation disorder. A team of University of Chicago Medicine researchers studied 73 adults known to have excoriation disorder and found that those identified as highly impulsive showed higher levels of anxiety, depression and uncontrolled urges. Skin picking may begin as a response to genuine itchiness caused by allergies or other physical conditions but is categorized as a mental disorder. At its extreme it can lead to infections and severe bleeding, requiring skin grafts and surgery. The researchers, whose work is published in the Journal of Anxiety Disorders, continue working to better understand patients’ compulsions and to identify root causes of skin picking in order to develop effective treatments.


COMMON OVERUSE INJURIES

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Where to find our sports medicine specialists

DUCHOSSOIS CENTER FOR

ADVANCED MEDICINE (DCAM) 5758 S. Maryland Ave. Chicago


PHYSICIANS AT MATTESON One Prairie Center 4749 Lincoln Mall Drive, Suite 500 Matteson, IL


REHABILITATION

AND SPORTS MEDICINE 7411 W. Lake St., Suite 2110 River Forest, IL


PEDIATRIC SPECIALISTS 1020 E. Ogden Ave., Suite 207 Naperville, IL


The University of Chicago Medicine is proud to be the official hospital of the Chicago Area Runners Association (CARA).

1. Runner’s knee 2. Stress fractures 3. Shin splints

4. Achilles tendonitis 5. Plantar fasciitis

Although running is a great form of exercise and

a great way to stay healthy and fit, it has a high

incidence of injuries.

Ryan Hudson, MD Sports medicine physician

1FOLLOW A

TRAINING SCHEDULE

» Include rest days to allow for tissue recovery

» Integrate shorter conditioning runs so muscles and tendons can handle the stress of longer distances

» Don’t increase mileage more than 10 percent over

the prior week

2RECOGNIZE PAIN

YOU SHOULD NOT “RUN

THROUGH” THAT MAY

NEED MEDICAL CARE

» Has a severity greater than 3 out of 10

» Present at rest or disturbs your sleep

» Changes the way you walk or run

3 LEARN THE RIGHT

STRETCHES AND

CONDITIONING

EXERCISES

» These exercises can help your biomechanics

and reduce stress on tissues during running

3 important overuse

prevention exercises

PREVENTING COMMON RUNNING

INJURIES

University of Chicago Medicine physical therapist Steven Jackson, PT, PhD, OCS, demonstrates exercises for runners that can be done at home without equipment.

Watch the video at uchospitals.edu/preventing-running-injuries.

SIDE PLANK WITH LEG LIFT more

advanced strengthening exercise for

the hip abductors (muscles in the

buttocks and outside of the hip) as

well as the core muscles

DYNAMIC HAMSTRING STRETCH

before-you-run exercise to loosen

the hamstrings

SINGLE LEG SQUAT strengthening

exercise targeting quadriceps and

buttocks muscles



GOING THE DISTANCE AGAIN

Sara Llibre rides the 56-mile bike portion of Ironman 70.3 Puerto Rico in March 2015.

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UCHOSPITALS.EDU » 5

After running her first marathon in 2009, Llibre joined Endure It, a triathlon team in the western suburbs. The middle school teacher and mother of two from La Grange, Ill., competed in her first Ironman (2.4 mile swim/112 mile bike/26.2 mile run) in 2012.

Over time, though, heavy training took a toll on Llibre’s right hip. An MRI showed joint damage caused by femoroacetabular impingement, or FAI — a condition in which the hip bones rub together abnormally. After one orthopaedic surgeon told Llibre she’d never run again, a fellow athlete encouraged her to get a second opinion.

Members of Llibre’s triathlon team recommended University of Chicago Medicine orthopaedic surgeon Sherwin S.W. Ho, MD, a sports medicine expert.

Ho specializes in minimally invasive arthroscopic procedures for conditions of the shoulder, elbow, hip, knee and ankle.

“I could tell that Dr. Ho knew from my description of the pain exactly what I was dealing with,” Llibre said.

FAI occurs in individuals whose hip bones did not form normally during childhood growth and development. Structural defects result in the hip ball and socket hitting against each other. Because athletes work the hip joint frequently and vigorously, they may have damage and experience pain earlier in life than less active people.

Just a decade ago, Ho said, patients with FAI were diagnosed with tendonitis or arthritis and lived with pain until the condition was advanced enough to warrant hip replacement surgery.

“Today, with better imaging tests and more sophisticated minimally invasive tools, we can diagnose patients who have impingement and tears related to FAI and treat them before they get arthritis,” Ho said. “If we treat these patients early enough, we can save the hip and allow them to continue an active, healthy lifestyle.

“For athletes like Sara who want to do triathlons later in life,” he added, “the surgery can give them additional miles and years on their hips.”

Llibre said Ho didn’t promise her anything but told her the chances were good that she would be able to run again.

“And he was right.”

Ho performed Llibre’s 90-minute hip preservation procedure in January 2014. She started swimming three weeks after the surgery and biking at two months. By April, she was running again.

“I got such good advice from Dr. Ho about how much I could do and when to back off,” she recalled, adding,

“and I didn’t have to back off a lot.”

Eight months later, Llibre participated, pain-free, in Ironman Wisconsin, where she set a personal record and placed fourth in her age group.

Today, the 55-year-old trains six days a week, often twice a day. So far in 2015, she has completed the Ironman 70.3 Puerto Rico (second in her age group)

and plans to compete in at least three more races, including Ironman Steelhead 70.3 in Michigan this summer and Ironman Louisville in the fall.

“To me, Dr. Ho is a miracle worker,” she said.

H O

GOING THE DISTANCE AGAIN

The pain in Sara Llibre’s right hip was so severe, the triathlete could barely walk, much less train for a race. Hip preservation surgery at the University of Chicago Medicine returned her to Ironman form.

Our orthopaedic

surgeons are experts

in hip preservation

and joint replacement

surgery, including hip,

knee and shoulder

replacement.

UNIVERSITY OF

CHICAGO MEDICINE HIP

PRESERVATION / HIP

REPLACEMENT TEAM:

Muyibat Adelani, MD

Sherwin S.W. Ho, MD

Richard W. Kang, MD, MS

Hue Luu, MD

Our job as hip preservation specialists is to maintain our patient’s natural hip and delay or prevent the need for hip replacement later in life.

SHERWIN S.W. HO, MD

uchospitals.edu/ortho

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79% OF PATIENTS TREATEDwith bronchial thermo-

plasty reported a significant

improvement in their asthma-

related quality of life.

THE LARGEST INSURER IN ILLINOIS recently announced

it will cover bronchial

thermoplasty.

Clearing the Airways NON-DRUG TREATMENT HELPS

ADULTS WITH SEVERE ASTHMA

Most asthma symptoms can be controlled with medications and inhalers. But for people with severe asthma, attacks can be frequent — and life-threatening.

Despite daily breathing treatments and steroids, Kenny Beyer, 34, of Gurnee, Ill., made more than a dozen trips to the hospital for asthma-related treatments in 2010 and 2011. He spent 45 days as an inpatient, some in an intensive care unit. He barely made it out of the hospital in time for his wedding day.

“My allergist told me, ‘We need to do something else for you,’” Beyer recalled. The physician suggested he contact University of Chicago Medicine pulmonologist Kyle Hogarth, MD, about bronchial thermoplasty (BT), a new treatment for adults with severe asthma. The FDA had just approved BT after an international clinical trial showed promising results.

Bronchial thermoplasty is a minimally invasive procedure that uses heat to reduce the excess smooth muscle in the airways of people with severe asthma. Less muscle means decreased constriction during an attack, resulting in greater airflow. The most common side effect of treatment — temporary worsening of respiratory-related symptoms — usually resolves within a week. No new or long-term symptoms as a result of BT have been reported.

Patients who undergo BT continue to take prescribed asthma medications. “Bronchial thermoplasty is not a cure for asthma,” said Hogarth. “It’s an added therapy that helps bring asthma under better control.”

Today, Beyer is no longer dependent on oral steroids, but takes daily maintenance medications for his asthma. He occasionally takes additional medications during an exacerbation.

“I still have asthma, but the difference in my life is miraculous,” he said. “I no longer need to hibernate inside my house. I can walk outside, even on a humid day. I feel like I can do normal things.”

BREATHE EASY

Learn more at uchospitals.edu/bt.

During bronchial thermoplasty, physicians insert a thin flexible tube through the mouth, down the throat and into the major airways of the lungs. Then they pass a narrow catheter (Alair™ Bronchial Thermoplasty System) with a small expandable heat source at the tip, through that tube. The catheter delivers targeted heat to reduce excess airway smooth muscle tissue.

HOW BRONCHIAL THERMOPLASTY WORKS

Airway of Person without Asthma

Normal band of airway muscle

Open airway where air travels

Airway of Person with Severe Asthma

More airway muscle causes airway to narrow

This is the area where Alair applies heat to the airway wall during BT treatment

Airway of Person with Severe Asthma after Treatment

Reduced airway muscle after BT treatment

After BT, the inside airway wall and other tissue heals, but airway muscle is reduced

Images courtesy of Boston Scientific Corporation


I no longer need to hibernate inside my house. I can walk outside, even on a humid day.

KENNY BEYER


Our Experts Answer Questions About Childhood Asthma and AllergiesAsthma and allergies are among the most common disorders in children, and their prevalence is rising. The University of Chicago Medicine Comer Children’s Hospital offers comprehensive programs to treat these chronic conditions, led by B. Louise Giles, MD, a specialist in pediatric pulmonary medicine, and Raoul L. Wolf, MD, a nationally recognized authority in asthma and allergy management.

IS MY CHILD AT RISK OF

DEVELOPING ASTHMA?

Your child is at greater risk if your family has a history of asthma and/or allergies, and if he or she has been exposed to tobacco smoke.

WHAT ARE THE SYMPTOMS OF

CHILDHOOD ASTHMA?

Symptoms include wheezing, difficulty catching a breath and a cough that’s unusual or comes at specific times, such as during exercise.

WHAT CAN TRIGGER AN

ASTHMA ATTACK?

Three-quarters of children with asthma have an allergic component. For these kids,

attacks may be triggered by hay fever or other allergens, such as pets. Other triggers include viral infections, cold weather and/or poor air quality.

WHAT TREATMENTS

ARE CURRENTLY AVAILABLE?

Physicians at Comer Children’s create custom treatment plans, which may include medications and devices to help reduce inflammation and relax muscle cells in the airway.

WHAT LIFESTYLE CHANGES

SHOULD WE MAKE IF OUR CHILD

IS DIAGNOSED WITH ALLERGIES

OR ASTHMA?

Remove carpets, stuffed animals or anything that harbors allergens, and vacuum frequently. If your child is allergic to the family dog or cat, find another home for the pet or bathe it more often.

WHEN SHOULD WE GO TO THE

EMERGENCY ROOM?

Go to the emergency room if you’re worried about your child’s breathing. Warning signs of asthma may include off-color skin tone, a cough that prevents eating or drinking and the need to take medications more often than prescribed. In addition, difficulty talking or swallowing and/or rapid swelling may be symptoms of a severe allergic reaction.

Food allergies affect up to 15 million Americans, including one in 13 children. Our program at the University of Chicago Medicine combines leading- edge clinical care with high-powered research on causes and treatments.

UChicago Medicine recently was named as a member of the new FARE Clinical Network, an initiative by Food Allergy Research & Education, the nation’s leading organization dedicated to the 15 million Americans with food allergies. The FARE Clinical Network Centers of Excellence will be major sites for clinical research and will help build a food allergy patient registry.

AT THE FOREFRONT

Christina E. Ciaccio, MD, MSc,

treats children and adults

with allergic conditions

and asthma at our main

campus in Hyde Park and

at University of Chicago

Pediatric Specialists in

Merrillville, Ind.

OUR NEWEST ALLERGY SPECIALIST

The University of Chicago Medicine Comer Children’s Hospital is nationally ranked in three pediatric specialties — cancer, diabetes & endocrinology and neurology & neurosurgery. Only 83 of the nation’s children’s hospitals rank nationally in at least one pediatric specialty.


Nylah Washington, 4, sees an allergist at the University of Chicago Medicine Comer Children’s Hospital for her peanut allergy.



Ashley Summers calls her husband, Andy, “the luckiest unlucky guy I know.” Considering how gravely ill he was, most people would agree.

What started as a simple gallstone attack last fall progressed to a cascade of life-threatening problems, including an inflamed pancreas and a necrotic gallbladder.

Fortunately, the 32-year-old construction worker had more than luck on his side. Ashley, pregnant with their fourth child, was his advocate and emotional support. Uzma D. Siddiqui, MD, led Andy’s team of physicians at the University of Chicago Medicine Center for Endoscopic Research and Therapeutics (CERT). The physicians are all experts in interventional endoscopy for the treatment of complex gastro-intestinal disorders.

“Every doctor on the team knew my case every bit as well as Dr. Siddiqui did,” Andy said.

ENJOYING A SUMMERS DAYAndy and Ashley Summers and their four children, ages 7 months to 8 years old, spend family time near the Kankakee River.

“We’re used to seeing these conditions,” Siddiqui explained. “We’re used to working together and we can count on each other’s expertise.”

The first step was to stabilize Andy, who had been transferred to the University of Chicago Medicine at Ashley’s request when her husband’s condition deteriorated.

Siddiqui controlled Andy’s pain, got his electrolyte levels back to normal and inserted a feeding tube. She cautioned Ashley that it could take many months before her husband would be well again.

In subsequent procedures, Siddiqui used interventional endoscopic techniques to remove diseased tissue and drain infected fluid. A few months later surgeons removed his gallbladder.

“It’s been a long road, but we have been so blessed,” Ashley said. “Through everything, Dr. Siddiqui went way, way beyond what I ever anticipated. She got Andy home for all the important stuff — for the baby, for Christmas. She got him home, and she got him well.”

Last year, patients from 23 states and the District of Columbia came to the University of Chicago Medicine to be treated by CERT physicians.

AT THE FOREFRONT

95%CERT’s patient

satisfaction rating in 2014

SOURCE: PRESS GANEY PATIENT

SATISFACTION SURVEY

Uzma D. Siddiqui,

MD



Women Ages 18-75 Needed for Breast Imaging Research Studies The University of Chicago Medicine is committed to developing new methods that detect breast cancer early

HIGH-RISK LESION STUDY

To participate, you must have been diagnosed with a high-risk breast lesion, including atypical ductal hyperplasia (ADH), atypical lobular hyperplasia (ALH) and lobular carcinoma in situ (LCIS). The study requires a one-time MRI. Compensation is $100, paid parking and a $10 food coupon upon completion.

RESEARCH STUDY OF

BREAST DENSITY

To participate, you must be scheduled to start hormonal therapy for prevention of breast cancer or to undergo surgical removal of the ovaries, and have a recent mammogram. The study will require MRI images of your breasts at two time points, six months apart. Compensation for each MRI is $125, paid parking and a $10 food coupon.

Greg Karczmar, PhD, director of MRI research, is leading both studies. If you are interested in participating, please contact Sharon Harris

in the Department of Radiology at 773-702-2777.

To learn more, please visit uchospitals.edu/cert.

The Center for Endoscopic Research and Therapeutics (CERT) uses minimally invasive techniques to diagnose and treat patients with complex gastrointestinal disorders.

Our specialists in diagnostic and interventional endoscopy look and work inside the upper and lower digestive tracts using long, thin, lighted scopes equipped with tiny cameras, microscopes and other surgical tools. With these high-tech tools, we often are able to identify precancerous conditions before they can be found with standard tests, as well as treat early cancers and other complicated conditions without surgery.

Some of the procedures performed are available at only a few centers in the U.S.

Conditions we diagnose and treat include pancreatitis, Barrett’s esophagus, gastro-esophageal reflux disease, large colon polyps, and esophageal, bile duct and pancreatic cancers.

Our multidisciplinary team includes nurse coordinators who are dedicated to helping you navigate your treatment at the University of Chicago Medicine, whether you are here for a one-time procedure or for ongoing care.

INNOVATIVE CARE FOR COMPLEX

GI DISORDERS

AT THE FOREFRONT

performed each year

Center for Endoscopic Research and Therapeutics

IRVING WAXMAN, MD

Director, Center for Endoscopic Research and Therapeutics (CERT)

UZMA D. SIDDIQUI, MD

Associate Director, Center for Endoscopic Research and Therapeutics (CERT)

ANDRES GELRUD, MD, MMSc

Director, Pancreatic Disease Center and Advanced Endoscopy

VANI J. KONDA, MD

Director, Endoscopic Research and Education Programs

Tiny Incisions, Big Benefits Our robotic colorectal surgery program is among the busiest and most

experienced in Chicago.

Colorectal surgeons at the University of Chicago Medicine recognize the importance of preserving a patient’s quality of life, including bowel and sexual function, after surgery.

Our comprehensive robotic colorectal surgery program provides advanced treatment options for patients with colon cancer, rectal cancer, diverticulitis, inflammatory

bowel disease (Crohn’s disease and ulcerative colitis) and other colorectal conditions.

Robotic surgery is an innovative, minimally invasive procedure. The robot-assisted technique gives the surgeon 3D visualization, precise control over surgical instruments and improved range of motion. Smaller incisions mean less scarring. Other benefits may include reduced pain, fewer complications, shorter hospital stays and faster return to daily activities.

The University of Chicago Medicine has more than

350 OPEN CANCER CLINICAL TRIALSand more than 200 specialists in adult

and pediatric cancer.

ADVANCED ENDOSCOPIC PROCEDURES2,500



His gift for ingenuity gave her the gift of health.

When Andrea Rosengarden’s multiple myeloma, a blood cancer, returned with a vengeance, she turned to Andrzej

Jakubowiak, MD, PhD. With Andrea’s kidneys failing and all treatment options exhausted, Jakubowiak proposed a

treatment not yet tried in the U.S. combined with new drug therapy for her underlying cancer. Now long in remission with

fully functioning kidneys, Andrea, with her husband Michael, has made a generous donation to advance Jakubowiak’s

research into promising new treatments for multiple myeloma. This is the kind of

discovery that led to an Accelerator Award from the Multiple Myeloma Research

Foundation for the University of Chicago Medicine.

When you make a gift to the University of Chicago Campaign: Inquiry and Impact,

you support groundbreaking research and patient care that leads to innovative

treatments and improved results for patients.

Everybody has a gift. Imagine the impact yours could make. Learn more at givetomedicine.uchicago.edu or call (773) 702-6565.



Keep Your Heart Beating in a Regular Rhythm

Our physicians, surgeons and nurses have expertise in the diagnosis, management and treatment of a wide range of heart rhythm disorders, including atrial fibrillation and ventricular tachycardia. For more than 30 years, our team has

been a leader in catheter ablation, device therapy for heart failure, and lead management. In addition to having access to the latest technology, University of Chicago heart rhythm specialists frequently are able to treat heart conditions using minimally invasive techniques.

To make an appointment for an irregular heartbeat, Afib, skipped beats or any other heart rhythm problem, call 773-702-5988 or visit uchospitals.edu.

When it comes to cardiovascular care, the University of Chicago Medicine doesn’t miss a beat.

Coordinated Care in One PlaceThe new Heart and Vascular Center at the University of Chicago Medicine combines specialists in cardiology, cardiac surgery and vascular surgery to offer patients coordinated cardiovascular care in one setting.

» Heart transplant and ventricular assist devices

» Robotic heart surgery

» Bloodless cardiac surgery

» Complex valve repair and replacement

» Cardiovascular genetic diseases

More than 40 physicians

and surgeons are in the

integrated center serving

both adults and children.

» Coronary artery diseases and chest pain

» Heart and vascular imaging

» Heart failure

» Hypertension and heart disease prevention

» Peripheral vascular disease

» Medical and surgical treatment of complex arrhythmias

» Pulmonary hypertension

» Carotid and vertebral artery disease

» Median arcuate ligament syndrome

MATTERS OF THE HEART

Offered through a

partnership with the

Heart Health Foundation’s

Dare to C.A.R.E. program,

the screenings test for four common

vascular diseases: Carotid artery

disease, Abdominal aortic aneurysms,

Renal artery stenosis and Extremity

artery disease.

Screenings are held on Saturdays

at our Hyde Park campus.

DUCHOSSOIS CENTER

FOR ADVANCED MEDICINE

5758 S. Maryland Ave., Suite 5B

Chicago

The screening is painless and noninvasive. YOU ARE ELIGIBLE IF YOU ARE:

» Age 60 or older

» Age 50 or older with certain

risk factors, such as smoking,

diabetes or family history

» Age 40 or older with diabetes

Results will be shared with

your physician.

To make an appointment, call 773-834-5599. To learn more, visit uchospitals.edu/dare-to-care.

FREE VASCULAR DISEASE SCREENING

Heart and Vascular Center

His gift for ingenuity gave her the gift of health.

When Andrea Rosengarden’s multiple myeloma, a blood cancer, returned with a vengeance, she turned to Andrzej

Jakubowiak, MD, PhD. With Andrea’s kidneys failing and all treatment options exhausted, Jakubowiak proposed a

treatment not yet tried in the U.S. combined with new drug therapy for her underlying cancer. Now long in remission with

fully functioning kidneys, Andrea, with her husband Michael, has made a generous donation to advance Jakubowiak’s

research into promising new treatments for multiple myeloma. This is the kind of

discovery that led to an Accelerator Award from the Multiple Myeloma Research

Foundation for the University of Chicago Medicine.

When you make a gift to the University of Chicago Campaign: Inquiry and Impact,

you support groundbreaking research and patient care that leads to innovative

treatments and improved results for patients.

Everybody has a gift. Imagine the impact yours could make. Learn more at givetomedicine.uchicago.edu or call (773) 702-6565.



New Parking Garage OpenOur spacious eight-floor parking garage (Parking B) for patients, visitors and staff is located just north of the University of Chicago Medicine Center for Care and Discovery.

» 1,721 parking spaces

» Second-floor sky bridge connecting the garage and hospital

» Approximately 70 percent of spaces earmarked for patients and visitors, who may park on the first six floors

» Visitors may still use the parking garage across from Mitchell Hospital (Parking A). Valet parking also is available at the medical center.

UChicago Medicine to Lead March of Dimes Prematurity Research CenterNearly half a million babies are born too soon each year, including 18,000 in Illinois. The University of Chicago Medicine has joined forces with Northwestern University

Feinberg School of Medicine, Duke University School of Medicine and the March of Dimes Foundation to establish a collaborative aimed at unraveling the mysteries of premature birth and helping more women have healthy, full-term babies.

The new March of Dimes Prematurity Research Center will focus on identifying the regulatory genes responsible for ensuring a pregnancy continues to full term and how stress —

including a woman’s lifelong exposure to discrimination or poverty — can influence those genes. The March of Dimes will

commit $10 million over the next five years toward the effort.

The center is the fifth nationwide devoted to prematurity research.

To learn more about the new March of Dimes Prematurity Research Center, visit prematurityresearch.org/ uchicago-northwestern-duke.

Helping Hands More than 300 volunteers provided hands-on help in communities throughout the South Side of Chicago at the 13th annual Day of Service and Reflection (DOSAR) in May. DOSAR is the University of Chicago Medicine’s signature community event.

Nurses and Pritzker School of Medicine students led an asthma prevention course

at a magnet school, while 45 volunteers from the radiology department spruced up the Olive Branch Mission. A crew from support services cleared and mulched a community garden.

Volunteers worked with 25 community nonprofits during the event, organized by the Urban Health Initiative.

| ABOVE | University of Chicago Medicine volunteers transform a weed-choked lot into a tilled field. Plans are to turn the Englewood site into an urban farm.

The University of Chicago Medicine is on Becker’s Hospital Review’s 2015 list of “100 Great Hospitals in America,” a

compilation of some of the most prominent, forward-thinking

and focused health care facilities in the nation.


The late Janet D. Rowley, MD, established that cancer is a genetic disease. Her discoveries opened the door to today’s targeted treatments.

The Janet D. Rowley Discovery Fund supports the most compelling ideas in cancer research.

LEGENDARY CANCER

RESEARCHER INSPIRES

COUPLE’S GIFT

Cynthia Chereskin is no stranger to the ills of cancer. Several years ago, her husband, Benjamin Chereskin, was diagnosed with tongue cancer, and 11 years ago, her father, Glen Johnson, had bladder cancer. Both cases required innovative treatment, which they found at the University of Chicago Medicine Comprehensive Cancer Center.

Other hospitals treat oral cancers by removing portions of the tongue and surrounding tissues, but the University of Chicago Medicine’s approach involves a combination of chemotherapy and radiation therapy that is used to shrink the tumor. Fortunately, Benjamin’s cancer responded to therapy, and he did not need surgery.

Cynthia’s father had been told by a physician at another hospital there was nothing their team could do for his bladder cancer. However, he found hope through surgeon Gary D. Steinberg, MD, director of urologic oncology, who removed Glen’s bladder and reconstructed a new one using intestinal tissue.

“I feel incredibly lucky to live in Chicago and to have the University of Chicago in our backyard with these amazing doctors who have done so much in the name of research and medical science,” said Cynthia.

| LEFT | Cynthia and Benjamin Chereskin

In honor of her father, the Chereskins donated $1 million to the University of Chicago Medicine Comprehensive Cancer Center. Their founding gift established the Janet D. Rowley Discovery Fund, which supports the most compelling ideas in cancer research.

“Our work is devoted to finding better ways to prevent, detect and treat cancer,” said Michelle M. Le Beau, PhD, director of the University of Chicago Medicine Comprehensive Cancer Center. “We are so grateful for this generous gift, which will facilitate the translation of new discoveries from the laboratory to the clinic that extend and improve lives affected by cancer.”

The fund honors the late Janet D. Rowley, MD, whose pioneering discoveries in cancer genetics at the University of Chicago ushered in the current era of genome-guided research and treatment. It will support research that emulates her own legendary path: novel ideas and collaborative work that can lead to world-changing discoveries.

This new fund gives the leadership of the University of Chicago Medicine Comprehensive Cancer Center the flexibility to invest in the most promising research. Cynthia, who serves as president of the University of Chicago Cancer Research Foundation Women’s Board, believes more comprehensive research is needed.

“It is our hope that others will join us in supporting the University of Chicago Medicine Comprehensive Cancer Center to accelerate the pace of innovation and discovery in the fight against cancer.”

To make a gift to the Janet D. Rowley Discovery Fund, please visit givetomedicine.uchicago.edu/give.


Varicose Veins are so Last Summer.Don’t let another season pass you by.

Our physicians, nurse specialists and

ultrasound technologists work closely

to provide innovative vein treatment

options for medical or aesthetic reasons.

Many of our treatments are nonsurgical

or minimally invasive, which means little

or no pain and a quicker recovery.

Find out more about our innovative

varicose and spider vein treatments.

To make an appointment for a vein

evaluation, call 773-702-6128 or

visit uchospitals.edu/vein-clinic.


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Imagine - Summer 2015 - University of Chicago Medicine

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