MUSC Catalyst

February 10, 2012 MEDICAL UNIVERSITY of SOUTH CAROLINA Vol. 30, No. 24

“”

Sleep is a necessity,not a luxury. It’sjust as important asnutrition.

The world would be a much better place ifpeople would get more sleep.

That’s what Fitzgerald Drummond, M.D.,and staff at MUSC’s Sleep Disorders Centerbelieve. Drummond would like physicians totake sleep disorders more seriously, assessingpatients on the quality of their sleep justas they gather information on other healthmarkers, such as weight and blood pressure.

Recent studies indicate that nearly onein three adults in the U.S. reported gettingless than seven hours of sleep per night, andabout 50 to 70 million Americans suffer fromchronic sleep disorders. Sleep specialists arefinding chronic sleep loss to be associatedwith a wide range of health issues, including

obesity, diabetes, high blood pressure,stroke, cardiovascular disease, depressionand other psychological disorders.

What Joe Secondary, sleep technologistat MUSC, finds is that most people aren’taware of the huge impact the quality oftheir sleep has on the quality of theirwaking hours.

“Sleep is a necessity, not a luxury. It’s

just as important as nutrition. It’s just asimportant to sleep better as it is to eat better.One of the things that we’re sacrificingbig time in our busy, busy lifestyles is ournutrition – our obesity rates are higher.We’re sacrificing our nutrition, and we’resacrificing our sleep as well. We’re shavingtime here and we’re shaving time there. Nowwe’re getting less sleep, and we’re seeingmore sleep disorders.”

A common sleep disorder, obstructivesleep apnea (OSA), affects more than 18million Americans. MUSC soon will beoffering portable sleep testing studies toevaluate adult patients for this condition,which is characterized by repeated episodesof upper airway collapse during sleep.

Secondary said the studies will allow

SNOOZEor you lose

MUSC sleep experts sharewake-up call to the criticalrole sleep plays in health

See Snooze on page 8

By Dawn Brazell

Public Relations

6

3Future

Dentists

Local charitieswill benefit

from College ofMedicine’s event.

4

11

5

Wofford Collegestudents take

advantageof dentistrypartnership.

Currents

Meet Woody

Classifieds

Inside

theCatalystOnline

http://www.musc.

edu/catalyst

CharityBall

Joe Secondary

2 The CaTalyST, February 10, 2012

The Catalyst is published once a week.Paid adver tisements, which do notrepresent an endorsement by MUSCor the State of South Carolina, arehandled by Island Publications Inc. ,Moultrie News, 134 Columbus St. ,Charleston, S.C., 843-849-1778 or843-958-7490. E-mail: [email protected].

Editorial of ficeMUSC Office of Public Relations135 Cannon Street, Suite 403C,Charleston, SC 29425.843-792-4107Fax: 843-792-6723

Editor: Kim [email protected]

Catalyst staff:Cindy Abole, [email protected] Brazell, [email protected]

What better month to focus on heart health thanFebruary. Hearts will be plastered on every

greeting card, chocolate box and jewelry advertisementto promote Cupid and his sweethearts.

Let’s take advantage of all this attention on ourimpressive cardiac muscle to outline the importancethat fats in our diet have for heart health. Americans

have actually reduced theintake of calories fromfats from 45 percent inthe 1960s to 33 percentnow. Experts point outthat it’s the type of fat thatimpacts our cardiovascularhealth the most. Here’s abreakdown starting withthe worst fats and finishingwith the heart healthy fats.

Trans fats are acategory of fats that are artificially created by partiallyhydrogenating an unsaturated oil yielding a solid,extremely shelf-stable fat, such as those in packagedbaked goods and crackers. Trans fats wreak havoc on

our cardiovascular system by raising harmful LDL,lowering beneficial HDL and triggering inflammation.

By eliminating artificial trans fats from our dietsalone, Americans could prevent approximately 200,000heart attacks and associated deaths each year. Whilefood labels list trans fats, a quantity is shown onlyif a serving of the food contains more than 0.5gof trans fats. There is no safe amount of trans fat,so to completely avoid them, read the ingredients.If any ingredients are “hydrogenated” or “partiallyhydrogenated,” then definitely skip that product. Friedfoods in fast food restaurants are also a common sourceof trans fats.

Saturated fats, those found in animals, seafood anda few plant sources (coconut and palm oils), are non-essential, so our bodies make all the saturated fats weneed. We actually don’t have to eat any. Saturated fatshave undesirable effects on our cardiovascular system,primarily by raising our LDL cholesterol, which is the“bad” cholesterol in our blood. It is best to reducesaturated fat and focus on the healthy fats. Choose leanmeats or vegetable proteins, low-fat dairy and olive orcanola oils instead of butter or margarine.

Polyunsaturated fats are found in corn, soybean, andflaxseed oils, fish, walnuts and flax seeds. One typeof polyunsaturated fats that gets a lot of attention isanti-inflammatory omega-3 fats, which are found infatty fish, flax seeds, walnuts, and canola oil. Omega-3fats are essential, because our bodies cannot makethem. They are crucial for brain development andmaintenance.

Monounsaturated fats have a powerful protectiveeffect on our cardiovascular system. Monounsaturatedfats are found in canola oil, olive oil, peanut oil,nuts and seeds, and avocados. Both poly- andmonounsaturated fats do the opposite of trans fats;they decrease LDL, increase HDL and have an anti-inflammatory effect. Most Americans do not getenough unsaturated fats.

To summarize:q Replace trans fats and saturated fats with heart-healthy poly- and monounsaturated fats, such as fattyfish, nuts, seeds, avocados and canola and olive oils.q Strictly avoid foods with trans fatsq For information, visit the American HeartAssociation at http://www.heart.org.

Nutritionmatters

Lucie Maguire Kramer

Eliminating trans fats may help prevent heart attacks

Internal Medicine to sponsorstudent career day Feb. 17

The Department of Medicine will behosting an Internal Medicine StudentCareer Day from 11 a.m. to 1 p.m.,Feb. 17 on the first floor of the ColbertEducation Center & Library building.

Any medical student wishing tolearn more about the careers andopportunities available within InternalMedicine are welcome to attend. Thedivisions being represented will beCardiology, Emergency Medicine,Endocrinology, Gastroenterologyand Hepatology, General InternalMedicine/Hospitalists, Hematology/

Oncology, Infectious Diseases,Nephrology, Pulmonary/Critical Care,and Rheumatology. Representativesfrom Internal Medicine, Residency,Emergency Medicine Residency, Med/Pediatrics and Med/Psychiatry will alsobe available to answer questions.

Free registration for the AmericanCollege of Physicians will alsobe provided. There will also beopportunities for students to win prizes.

If you have any questions, contactMary Ann Snell, student coordinator, at792-7282 or email [email protected].

The CaTalyST, February 10, 2012 3

Partnership hopes to prepare state’s future dentists

For years, Wofford College studentswho showed an interest in dentistry havetaken advantage of a pre-dental advisingand dental interim program establishedby the school. Results of this partnershiphave prepared some of the state’s dentalprofessionals while improving the oralhealth of many South Carolinians.

In January, Wofford students LindsayWarren, Emmanuel Lakis, BeccaBryson, Brantlee Tinsley, Greg Valainisand Andrew Hansen signed up withCharles Bass’ Independent Projects inthe Sciences class. Bass, Ph.D., is the Dr.and Mrs. Larry Hearn McCalla Professorin Wofford’s Department of Chemistry,and has led this effort for more than 15years. As part of the curriculum, studentsspent three days visiting MUSC’s dentalschool meeting with faculty, staff andstudents.

Bryson, a junior from Kingston, Tenn.,is a third-year biology major and businessminor. Bryson found the experience

helpful.“Being a participant in this program

has helped me realize the hard work andcommitment that’s involved in achievinga quality dental education. I’m glad tohave been part of this experience.”

Bennettsville native Lakis is a third-year chemistry major. He initially feltthat medicine was his life’s calling.But after spending time shadowing aphysician as part of an internship, Lakiswas unsure about the long work hours

and challenges. He signed up for Bass’dental project class and was impressedwith what he saw. Mostly, Lakis wasdrawn to the technical and clinicalaspects of dentistry as featured in theAisic and Riva Hirsch Dental SimulationLab and the James B. Edwards DentalClinical Education Center.

The experience allowed the students tomeet with dental faculty and enrollmentand financial aid personnel to reviewrequirements necessary to apply to dental

school. They also attended scheduleddental classes for each dental year tosample the curriculum and met withcurrent dental students, especiallyWofford alumni.

Tariq Javed, DMD, associate deanfor academic and student affairs inthe dental school, is a proponent ofthe partnership. “We commend theleadership and commitment of Dr. Bassand the school’s successful pre-dentalprogram throughout these many years.”

Matthew Nimmich, a third-year dentalstudent and 2009 Wofford Collegealumnus, met with the visiting students.These students shared their experiencesincluding addressing questions aboutthe dental school applications processhousing, debt and student life.

“I thought that Wofford’s dentalinterim program was very helpful to meas an undergrad student. The programallows college students a chance to geta month’s worth of shadowing withdentists in the upstate area as well as aweeklong experience to observe daily lifeat dental school.”

By CinDy aBole

Public Relations

Wofford students visit the College of Dental Medicine Jan. 12.

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To Medical Center Employees

W. Stuart SmithVice President for Clinical Operations and Executive Director,MUSC Medical Center

People – Fostering employeepride and loyaltyEmployee of the Month– December

Lori Stivers,Ambulatory Careadministrativeassistant, was praisedfor her efforts inhelping a HollingsCancer Centerpatient and her daughter realize a specialChristmas gift and participation in the2011 MUSC Holiday Parade. Stivers,who is a member of the MUSC AngelTree board, responded by acquiringa Disney Cinderella costume andother items to share with the patient’sdaughter. Stivers’ commitment inspiredall types of support in time for the Dec. 9event. (Nominated by Carmen Rice).

Service – Serving the publicwith compassion, respect andexcellence

MaggieThompson, Patientand Family CenteredCare Groupmanager provided anoverview about hergroup. The grouphas three key areasof responsibility:serve as patient family liaisons, workto support the adoption of patient andfamily centered philosophy and practices,and oversee the patient survey process.She introduced her team including LisaM. Montgomery, Torri Jacobsen andTrenace Washington.

The Centers for Medicare andMedicaid Services requires hospitalsto have a formal process to receiveand respond to patient complaints.The patient family liaison process wasestablished to centrally manage themedical center’s response to patient andfamily concerns or complaints.

Patients and families can expressconcerns via a phone line, 792-5555,letters, an intranet form, in-personmeetings, as well as requests through staffor physicians. Complaints are tracked in

a secure database to ensure that all areresolved appropriately. The team alsocollaborates with Risk Management tomanage clinical issues.

The medical center’s currentcomplaint volume averages between 80to 100 new complaints per month. Theirgoal is to resolve 75 percent or morewithin seven days. In the last quarter,the group resolved 90 percent withinseven days. However, reports indicatethat staff are receiving multiple callbacks from patients asking for additionalhelp, to disagree with an outcome froma complaint or share new concerns.Thompson shared some complaintstories with managers using alias namesfor patient confidentiality. These storiesillustrate how her group respondscompassionately to patient complaintsand how they use some to launch processimprovement projects, which will resultin overall improved care of patients.For information, contact Thompson [email protected].

Wellness updateSusan Johnson, Ph.D., Employee

Wellness Program coordinator, reviewedthe campus’ plans for smoking cessationsupport aligning with the campus’ March1 tobacco-free campus policy. Johnsondiscussed the Lunch and Learn eventsincluding a holistic approach to smokingcessation on Feb. 15 and successfulquitting strategies on Feb. 29. Alsoscheduled are tobacco-free Tuesdayssessions on Feb. 14 and Feb. 28 (Pitchthe Pack) and Feb. 21 (Quit for Life).

Other programs being explored arehealth care worker fatigue, which is aJoint Commission sentinel event alert.Surveys will be administered to shiftworkers in the coming weeks. A Lunchand Learn event on sleep strategies forshift workers will be held at 12:15 p.m.,Feb. 13 in Room 118, Colbert EducationCenter & Library building.

Other February wellness events mobilemammograms — Harborview OfficeTower, Feb. 15; Pilates and yoga, Feb. 15;Tuberculosis Skin Test Satellite Clinic,Feb. 2l; and a worksite screening, Feb. 22(Wellness Center auditorium).

We have sought to increase attendance at the medical center town hall meetings andI am pleased we are on track to exceed 1,500 participants when the town hall sessionswrap up this week. A Tegrity recording of the town hall presentation will be posted on theintranet the week of Feb. 13.

Among other topics, we discussed plans for implementation of a tobacco-free campuspolicy throughout MUSC effective March 1. The tobacco-free campus implementationplan has been met with enthusiastic support, for the most part, but questions were raisedduring town hall meetings concerning enforcement. The monitoring and enforcement of thispolicy is the responsibility of all employees, students and volunteers. Each individual shouldconsistently and politely bring any infraction of this policy to the attention of the personor persons observed violating the policy. MUSC Department of Public Safety and medicalcenter Safety & Security will assist in the enforcement of this policy by reporting violationsto the appropriate manager or supervisor. Tobacco-Free Campus Policy information cardswill be available to facilitate the education and enforcement of the policy. Educationconcerning the implementation, including support for smoking cessation, will continue inthe months ahead. Visit http://academicdepartments.musc.edu/tobaccofree/.

During our sessions we have recognized a outstanding accomplishments by individualsand groups, including recognition of PICU by the S.C. Hospital association for a trackrecord of two years with no central line-associated blood stream infections. At the Feb.7 management communication meeting, Bill Spring, Heart & Vascular Administrator,congratulated Dawn Taylor, interim operations coordinator, CTICU, and her teamfor being in their 21st month without a central line-associated blood stream infection(CLABSI). There are other demonstrations of quality excellence such as the team on9West, under the direction of Ramona Smith, which has been 24 months CLABSI free.

Finally, I want to congratulate College of Nursing faculty members and medical centernursing leaders for being selected for the distinguished Palmetto Gold award. Each year 100nurse professionals throughout the state are selected as Palmetto Gold recipients for theirexcellence in nursing practice and commitment to the profession.

CON winners: Berry Anderson, Ph.D., R.N., assistant professor; Ruth Conner, Ph.D.,R.N., assistant professor; Brian Conner, Ph.D., R.N., assistant professor; Sally Kennedy,Ph.D., APRN, FNP-C, CNE, assistant professor; and Ida Spruill, Ph.D., R.N., LISW,FAAN, assistant professor. Medical center winners: Perette Sabatino, R.N., BSN, StrokeProgram manager; Linda Formby, BSN, CIC, manager, Infection Prevention & Control;Leianne Jinkins, R.N., BSN, CPUI, VABC, VAIN Team; and Deb Cassidy, R.N., BSC,assistant nurse manager and Unit Educator, 6 East.

MUSC Excellence websiteJoan Herbert, organizational

performance director, spoke aboutchanges to the medical center’s MUSCExcellence information accessible via theMUHA intranet.

All Leadership Development Instituteinformation will be merged to oneMUSC Excellence link. This will includecommunications meeting reports,presentation materials, service teams andother resources.

Announcementsq Dan O’Donnell was named thenew director of Organizational Access,

Revenue Cycles Administration.O’Donnell previously worked at theCleveland Clinic and Akron (Ohio)Medical Center.q Dawn Taylor, CTICU interimoperations coordinator, and hercardiothoracic team at Ashley RiverTower were praised for reaching the 21stconsecutive month without a centralline-associated bloodstream infectionq Leandra McHellon is the newoffice manager in Women’s Services.McHellon worked previously as a grantsadministrator for the Digestive DiseaseCenter.q The next meeting is Feb. 21.

Currents Feb. 7


Meet Woody

Woody Coker, M.D.DepartmentGeneral Internal MedicineHow long at MUSC8 yearsHow are you changing what’spossible“Growing up” at MUSC has givenme opportunities to be involved inmultidisciplinary approaches from medicalstudent to attending physician to cancerresearch and drug development. In July, Iwill continue on as a hematology/oncologyFellow.Greatest moments in your lifeThe birth of my children: Ford, 8, Dean, 4,and Dylan Estelle, 2Dream jobPracticing hematology/oncology andexploring the horizons in cancer researchFavorite place in the worldHome, then Disney WorldMeal you love to cookI enjoy desserts. My Bananas Foster isreally good and I won $500 for my firstplace prize with my chocolate bourbonpecan pie.

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Public Relations

2012 MUSC Charity Ball marks 25th anniversaryIn what is the most anticipated social

event of the academic year, the CharityBall marks its 25th anniversary, withplans to break prior fundraising efforts.

The Charity Ball gives students,alumni, faculty and staff the opportunityto support local charities whileinteracting outside of the classroom.Shivam Desai, a second-year College ofMedicine (COM) student, decided tojoin the committee as soon as he cameto MUSC. “I wanted to get involved inworking for a good cause while becomingfamiliar with the community. I havedefinitely learned a lot about Charlestonthrough this experience,” he said.

The ball is co-sponsored by membersof the COM Student Council andthe Medical Student Alumni Council(MSAC). The alumni council seeksdonations for the silent auction whilethe student council promotes the eventto the public and advertisers.

The committee members workmonths in advance with the help ofCharity Ball director, Krista Mysock, toprepare for the event. Mysock said theball raised more than $19,000 last year,with this year’s goal to raise even moremoney. More than 400 MUSC students,physicians, faculty and staff along withseveral members of the Charlestoncommunity attended last year.

Dean emeritus and professor LaytonMcCurdy, M.D., has been attending theball since 1990. He has made several

contributions to the ball throughout theyears ranging from donating artwork toauctioning off his bartending services fora night. “This event is just too good tomiss,” McCurdy said.

The Charity Ball committee memberswork with MUSC Gives Back to reviewand select the charities from a large poolof non-profit organization applicants.Some organizations have been recipientsfor many years while others arenewcomers.

One charity, Crisis Ministries, hasbeen a longtime recipient of ball fundssince the event’s first year. Amy Zeigler,Crisis Ministries director of communityoutreach, said the organization is gratefulfor the continued support. “The fundinghelps us to finance our full-time healthclinic and provide medication to thosewithout financial assistance programssuch as Medicaid.”

This year’s ball will be held atMemminger Auditorium Feb. 18.Hamby Catering and Events will providethe décor and heavy hor d’oeuvres for

the evening. Guests will be entertainedby live music from the band PermanentVacation and given the chance to bid onartwork, jewelry and getaways.

2012 Charity Ball reCipients

Crisis Ministries; The CommunityCenter at St. Matthews LutheranChurch; Helping and Lending OutreachSupport; Lutheran Hospice Lowcountry;Sea Island Habitat for Humanity;MUSC Student Initiatives: CommunityAid, Relief, Education, and SupportClinic; Crisis Ministries WednesdayNight Clinic and Fight for Sight.

Tickets and donations may be made athttp://www.musc.edu/charityball.

Attendees bid on silent auctionitems during the 2011 Charity Ball.

COM Student CouncilKristie Day, Michael Fitzgerald, KevinGibbs, Stephanie Robinson, StephenRamey, Shivam Desai, Simone Maybin,Maggie Stafford and Taylor Stukes

Medical Student Alumni CouncilSatara Brown, Crystal Fancher andRyan Wade

The Catalyst, February 10, 2012 7

Child life specialist Erin Farella talks to Frida and Bambi duringMUSC Pediatric Emergency Department’s (ED) Teddy Bear ClinicJan. 28. Children were invited to experience the hospital in a non-threatening way by bringing their favorite teddy bear or stuffedanimal to the ED to be a patient for the day. At the clinic, childrenwere exposed to the hospital environment in a hands-on experienceand parents met the staff. The Pediatric ED’s Teddy Bear Clinic,located at 96 Jonathan Lucas St., saw 34 “patients,” 64 percent ofwhom had never been to MUSC prior to this event. The next TeddyBear Clinic is planned for the summer.

Teddy Bear Clinic sees patients eMployee Wellnessq Tobacco Free Tuesdays: Freeone-session class created to provideemployees and students the opportunityto learn about cessation options duringtheir lunch break. The next class is atnoon, Feb. 14. To register, email [email protected] “Pitch The Pack” Smoking CessationClinics: Monthly three-session cessationclinics facilitated by a multi-disciplinaryteam is free for MUSC employees,students and family members. The nextclinic begins at 5:30 p.m. Feb. 13. Visithttp://mcintranet.musc.edu/health1stand click on “Smoking CessationEnrollment Form” to register or [email protected] Lunch & Learn: This session,from 12:15 - 12:45 p.m., Feb. 15, willintroduce techniques and supportingresearch that can lead to natural smokingcessation, with long-term efficacy thatbeats the odds of many pharmaceuticalapproaches. Email [email protected] to register.q Lunch & Learn: Sleep Strategies for

Shift Workers. Discover how to reducenegative effects of fatigue though sleephygiene from 12:15 - 12:45 p.m., Feb. 13.Email [email protected] MUSC Employee Fitness Series:Join Katie Blaylock for a free pilates/yoga class from 4:15 – 4:45 p.m., Feb.15. Registration is required. Sign up bysending your name and email to [email protected] Worksite Screening: The nextworksite screening will be held Feb. 22in the Wellness Center auditorium. Thisscreening is available to employees withthe State Health Plan for $15 (coveredspouses can also participate for $15).Employees and spouses without thisinsurance can participate for $42. Visithttp://www.musc.edu/medcenter/health1st and click "Worksite Screening."q Mobile mammograms: The HollingsCancer Center Mobile Van will beconducting mammograms from 9 a.m.to 6 p.m., Feb. 15 at Harborview OfficeTower. Call 792-0878 to schedule anappointment.

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testing to be done in the comfortof people’s homes, providing morescreening and evaluation options andalmost doubling the number of patientswho can be treated.

The MUSC sleep center has purchasedtwo portable units and will be initiatinginpatient tests within the next fewmonths to evaluate the procedure forhome use. Ultimately these portable testswill reduce costs to insurance companiesand patients.

“It’s an advantage of the patient tobe in their home as opposed to beingin a strange environment. There’s lessequipment to wear. These studies arefor obstructive sleep apnea patientsspecifically, which is the majority of ourpatients. It looks at respiration, oxygenlevels, pulse and EKG. It’s four channelsas opposed to 18.”

The field of sleep study compared toother medical specialties still is in itsinfancy. The first continuous positiveairway pressure or CPAP devices beganbeing used in the 1980s, he said. Nowspecialty areas are developing includingresearch into pediatric sleep disordersand into the rising number of peoplewho suffer from insomnia.

Andrei B. Vedeniapin, M.D.,assistant professor in the Departmentof Psychiatry and Behavioral Sciencesand one of MUSC’s insomnia experts,said there is no magic pill so far to curechronic insomnia. Chronic insomnia ismore complicated than a case of sleepdeprivation or poor sleep related to acondition such as sleep apnea. It’s aseparate medical diagnosis, he said.

Chronic insomnia may lead to daytimesleepiness and fatigue and contributeto developing anxiety, depression orsubstance abuse. The patient is advisedon good sleep hygiene rules, butsometimes following these rules still isnot enough to give patients sufferingfrom chronic insomnia a good night’ssleep where they awaken feeling rested.

“Then, sleep medicine together withpsychology and psychiatry may provideimportant help to patients with chronicinsomnia.”

MUSC has a Sleep Research DataRepository Project that is collectingcomprehensive sleep-related informationon people with sleep disorders, with one

focus area being insomnia. Thisrepository will provide informationfor future research projects in thisarea. There also are weekly sleepresearch meetings at the Department ofPsychiatry and Behavioral Sciences thatare dedicated to discussions about newsleep-related research being conductedwithin the department and worldwide.The meetings are for all professionalsinterested in sleep research and sleepmedicine, he said.

A problem for many people, whetherthey have chronic insomnia or not, issleep deprivation. The National SleepFoundation recommends that adultsreceive between seven to nine hours pernight; school children age 5 to 12, 10 to11 hours; and adolescents, 11 to 17 yearsold, eight and a half to nine and a halfhours.

Secondary said the more consolidatedREM or rapid-eye movement sleephappens during the second half of thenight, more in the early morning hours.Electronic stimulation and busy lifestylesmake it harder to get to bed earlier, sothat REM sleep often gets sacrificed.

Other important factors aremedications that can interrupt sleep andsubstances such as alcohol and caffeine.“In REM your brain is very active.That’s where the brain is preparing forthe new challenges of the day. Alcoholas a sedative makes you sleepy, but itcan lead to a more fragmented and lessrestorative sleep. It also can increase

apnea problems.”Secondary likes to educate the public

on healthy sleep habits and the latesttreatments, medications and devices– such as customized CPAP machinesincluding a smaller one for womenthat’s now available. One of the newtreatments is a clinical trial studyingthe effectiveness of a new therapyfor patients with moderate to severeobstructive sleep apnea. MUSC isparticipating in the STAR clinical trialthat uses an implantable therapy thatworks with the body’s natural physiologyto prevent airway obstruction.

Secondary said it’s important thatmore research is being done about sleepdisorders, especially given the rise ofsleep disorders in children. In somecases, children are being medicated forsuch conditions as ADHD when theirsymptoms could be solved by addressingtheir sleep deprivation. It’s importantthat parents realize that children needmore sleep than they may think. Somestates have pushed back school starttimes in recognition that students needlater start times, he said.

“I wish people knew how importantsleep is to their long-term health. Yousacrifice sleep, and you sacrifice years offthe end of your life. If you sleep better,you’re going to live better. You’re goingto have more energy during the day,and you’re going to feel more rested,and you’ll function better. It’s a generalbuilding block of your life.”

1. Train the brain that the bed’sfor sleep. It’s a psychologicalfactor. You want the brainto know it’s not your officeor play area. It’s not yourFacebook time. You want totrain your body so that yoursleep hormones initiateproperly.

2. Create a dark environment.Turn off the TV and otherelectronic equipment. Thebursts of light from electronicsources can disrupt people’scircadian rhythm.

3. Limit nicotine, caffeine andalcohol before bed. Alcoholand caffeine can affect thequality of sleep. You canhave increased arousalsand fragmentation, and itdecreases rapid eye movementsleep.

4. Set up a sleep schedule.Make sleep intentional andadjust your schedule to allowthe mind to wind down.Try to settle issues beforegoing to bed and have arelaxing routine before bed.Any relaxation technique –breathing exercises or yoga– can help. “A lot of peoplefind their minds are racing –there’s too much going, toomuch thinking – and theycan’t wind down.”

5. Avoid exercise too close tobedtime.

6. Try keeping a sleep diary. Youcan download one at http://yoursleep.aasmnet.org/pdf/sleepdiary.pdf. Pay attentionto your fatigue levels duringthe day. “People have gottenso used to it that they don’trealize they are fatigued.Track what’s going on.”

tips FOr sweet DreamsHere are sleep technologist JoeSecondary’s suggestions for a greatnight’s rest.

Snooze Continued from Page One

Sleep technologist Joe Secondary enjoys educating patients about sleep.For information on the Sleep Disorders Center, visit http://www.muschealth.com/sleeplab/ or watch a video at http://tinyurl.com/74aj5xv.

The CaTalysT, February 10, 2012 9

Responding toresearch citing thelevel of health careworker fatigue,MUSC EmployeeWellness is developinga campaign to createa work environmentthat minimizes theeffects of fatigue onemployees.

The first part of thecampaign will be togather informationfrom nurses andother shift workers who are being askedto respond to surveys in a researchstudy. Research suggests that health careworkers, particularly nurses, tend towork longer shifts with fewer breaks thanmost Americans. The study is designedto determine the effects of this long andoften unpredictable schedule on overallnutritional health and wellness.

There will be multiple surveys doneto hit all shift workers, with the firstset starting Feb. 17 to focus on nurses.

Survey hopes to help shift workers, sleep habitsThe surveys are conducted by theMUSC Employee Wellness Program inpartnership with the MUSC DieteticInternship. The results will be usedto help create a campaign designed toimprove specific concerns and issuesrelated to shift work. This survey isvoluntary and anonymous.

One of the recent reports on the needfor this kind of focus was an alert fromThe Joint Commission on health careworker fatigue and patient safety focusingon the need to address the issue, giventhe consequences of fatigue to bothpatients and workers, primarily basedon research related to nurses workingextended shifts and studies looking atthe impact of long resident duty hours.Recommendations in this alert givehealth care organizations strategies tohelp reduce the risks of fatigue that resultfrom extended work hours, reducing thelikelihood that fatigue will contribute topreventable patient harm.

For more information, visit http://www.jointcommission.org/sea_issue_48/.

Shift work sleep disorder affects peoplewho frequently rotate shifts or work atnight, causing a recurrent pattern ofsleep interruption, resulting in insomniaor excessive sleepiness during wakinghours. Health care workers, nurses inparticular who work the night shift aremore likely to have poor sleep habits, apractice that can increase the likelihoodof committing serious errors that canput the safety of themselves as well astheir patients at risk, according to a study

published by the American Academy ofSleep Medicine.

For information on the importance ofsleep, visit http://www.muschealth.com/sleeplab/ or attend “Sleep Strategies forShift Workers” session at 12:15 p.m.,Feb. 13 in Room 118, Colbert EducationCenter & Library. Email [email protected] to register.

Contact Susan Johnson at [email protected] to become involved inemployee wellness at MUSC.

Healthat workSusan Johnson

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Rental Properties

CLASSIFIED PCLASSIFIED PAGEAGE• Household Personal Items for

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MUSC Catalyst

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Transcript of MUSC Catalyst