By Sally Lemke, MS, RN
Here’s a devastating fact for youth living in underserved neighborhoods: Poor health can translate into poor school attendance, lower educational achievement and a shorter life.
Now here’s a better one: School-based health care offers this group a chance to beat the odds.
Offered through safety-net clinics, school-based health centers provide primary, preventive and mental-health services to the children and youth who can’t otherwise access quality health care. The centers are powerful tools for addressing health equity, because they not only increase access to care but also promote educational attainment.
Research shows that kids in schools with health centers are 22 percent more likely to have had a health care visit in the past year. As an administrator for three school-based health centers serving five schools and 1,400 students on Chicago’s West Side, I see the benefits directly.
By Richard Jaffee, 1936-2018
Richard Jaffee, the chair of Rush University Medical Center‘s Board of Trustees from 2008 to 2013, died at Rush on Jan. 23. Among his immense contributions to Rush, Jaffee was the speaker at Rush University’s 2013 commencement. His speech reflects the intelligence, foresight and altruism that made Jaffee a transformational leader at Rush.
I selected health rather than health care as my topic as it encompasses all of us, not just the vast health care industry. 2053, my target year, will approximate the working life of our 2013 graduates. A look that far into the future removes us from immediate concerns and controversial issues.
Let’s look at our health in three time frames: past, present and future. As Lincoln said in his House Divided Speech “If we know where we have been and where we are now, we can best understand where we where we are headed.”
When I was born in 1936, I was expected to live to 61. If I were born today, that number would be 81. Now that I am 77, the statisticians have assigned me 10 more years. Thank you very much.
Gina meets with medical oncologist Marta Batus, MD, and thoracic surgeon Christopher Seder, MD.
As a lifelong smoker, Gina knew the risks of smoking — but, like many people, she pushed these thoughts out of her mind.
“For years, my very dearest friend and I would sit on the phone together, have coffee and smoke cigarettes,” Gina remembers. “Then she was diagnosed with lung cancer and died from it. Even though I saw what she and her family went through, I was still in denial that anything could happen to me.”
Five years ago, at age 70, Gina got a wake-up call to start taking control of her health: She was diagnosed with breast cancer.
She had a mastectomy at Rush and was soon cancer-free. With a new lease on life, she began running, cut down to three cigarettes a day, and started listening to shamanic drum chants and doing positive-thinking exercises. She also continued her regular breast cancer follow-ups at Rush with medical oncologist Melody Cobleigh, MD, and nurse practitioner Teri Dougherty, NP.
Still, Gina’s smoking history and age put her at high risk for lung cancer. So at an appointment last summer, Dougherty talked to Gina about her risk factors and suggested that Gina was a good candidate for a lung cancer screening test — a low-dose CT scan that can detect lung cancer at its earliest stages, before symptoms arise and when it may be most curable.
Proteus is the world’s first digital medicine service, which unlocks never-before-seen insight into patient health patterns and medication treatment effectiveness. While Proteus Discover is FDA-approved, Rush is only one of eight health systems in the world implementing this cutting-edge technology outside the scope of a clinical trial.
Two Rush staff members shared their thoughts about working with the Proteus device, which helps encourage people to take their medication via an ingestible sensor the size of a grain of sand, a wearable sensor patch and a mobile app.
Kerensa Vinson, MSN, RN
I joined the Proteus implementation team in January of 2017. The implementation team has had the highest acceptance rates seen with other customers leveraging a population health approach to introduce patients to the technology. This experience, paired with critical thinking and problem-solving, has allowed our team to quickly identify improvements to the workflows.
My patients have experienced life-changing results with the Proteus tool. Patients have seen marked improvements in their medication compliance as well as improved or controlled blood pressure. In addition, Proteus has had the unexpected benefit of improving communication between the physicians and the patients.
We often hear from patients and their family members who want to thank the doctors, nurses and other staff members for their care at Rush. Click the images to see their stories.
“I was a nervous wreck while my love was in surgery. When it was over, Dr. Nicole Siparsky sat down with me and assured me that my love was all alright. She explained every question in detail, as well as what took place and what to expect. Dr. Patrick constantly came to check in on my love. He was kind, patient, informative and straight to the point. The nurses were very kind, helpful, giving and we felt they went above and beyond to make us comfortable.”
“Navigating the health care system was a nightmare. By the time our daughter was finally transferred to Rush, we were traumatized. The 8 North JRB staff took amazing care of our daughter. We were a mess, full of nerves and anxiety. Yet they were infinitely patient, reassured us and repeatedly offered the support we needed. We saw the difference excellent medical care can make. My daughter stated, ‘I don’t know if it’s the meds that are working or if it was being at Rush for five days that made me better.’ We are full of gratitude.”
“Our daughter has proven to be a warrior — handling each test, scan and appointment with such strength it would make any adult cry. Her doctor was amazing, holding our hand through the entire process. The real champions for her were the people from Child Life. Lori Franz made her last EEG seem like it was just that — her last. From sitting and talking with her to decorating the room in an underwater theme, we can’t thank you enough!”
“My father suffered a massive heart attack. My parents reside two hours west of Chicago. As a nurse I wanted him to have the best care possible and suggested Rush. The transfer was seamless. The cardiologist in my small town was able to talk to Dr. Robert March, and he accepted my dad’s transfer. The outpatient follow-up, including a call from our surgeon, cannot be matched.”
“Felicia Ortiz was my son’s patient care technician. Her actions and kind heart helped make a terrible situation just a little better for him. Each time she had any interaction with him, she was so kind and soft spoken. She always spoke to him with such respect and tried to make a connection with him. Her dedication to those around her speaks volumes for her integrity and excellent work ethic.”
“Our world was rocked as I gave birth to our beautiful daughter, Hannah Rose, who was born with Down syndrome, pulmonary hypertension and three holes in her heart. We were in the hospital for 70 days. On day 68 we received a generous gift from the nursing staff on the Rush bone marrow transplant unit. We were able to use it to buy a bulk supply of formula. This staff shared our story with the surgical intensive care unit’s Nurses Helping Nurses organization, who took our little family under their wing.”
“Dr. Srinivas Vourganti went above and beyond the call of duty by using the most meticulous, detailed, time-intensive procedures to absolutely minimize damage to good tissue during our brother’s surgery. He came to our waiting room, sat down and essentially gave us a TED Talk, explaining in terms largely understandable to a lay person exactly how he performed the surgery, what characterizes the healing process and the prognosis. Medicine and Rush are so much better for having the gift of Dr. Vourganti’s presence.”
“Working at Rush, I know what an incredible team of people we have. However, during my hospitalization my expectations were far exceeded. I was admitted to labor and delivery from clinic with new-onset, severe pre-eclampsia. I was 35 weeks pregnant. From the moment of my admission, to the birth of my daughter, to her transfer to the neonatal intensive care unit and then to the mother baby unit — each and every person who entered our room was kind and compassionate.”
“Dr. Rasa Kazlauskaite is unbelievably compassionate and caring. Dr. Rasa has made herself infinitely available to us and has allowed us to text her with any important questions and concerns we have. The remarkable care she has provided should not go unnoticed. We are truly grateful for her.”
“I was diagnosed with stage 3 colon cancer during a routine colonoscopy. After surgery, I was fortunate enough to find myself in room 995 North Atrium. I cannot imagine a better place to recover than under the care provided by that team. After discharge, I entered a six-month treatment program of aggressive chemotherapy. I’ve had the privilege of meeting and working with some of the finest medical professionals imaginable in the Cancer Center. They were always a source of positive energy and strength.”
Sandra Swantek, MD
Sandra Swantek, MD, has dedicated her career to ensuring quality mental care for older adults. She will be honored for her work when she receives the 2018 American Association for Geriatric Psychiatry Jackson-Siegal Clinician of the Year Award.
In this Q&A, the medical director of Rush’s geriatric psychiatry program tells us about herself and the honor, which she’ll receive in March in Honolulu.
Tell us about your background.
I’m originally from Detroit. I received my undergraduate degree in communications from Michigan State University, East Lansing Michigan. I worked at a public radio station then a Detroit television station. I transitioned to communications work at a hospital on the east side of Detroit and created a community education program for a young hospice program. I recognized that I enjoyed working in a health care environment, and that I wanted to take on a different role in health care. I eventually realized that I wanted to be a psychiatrist.
I was 10 years out of school by then and not certain that I could do it. I started premed classes on my 30th birthday, all while working a day job. Medical school was both an exciting and terrifying challenge.
By Angela Moss, PhD, RN, APRN-BC
Health insurance is a common proxy measurement for access to health care services. That is, if a person has health insurance, they also have access to health care services and time to seek regular visits. Unfortunately this isn’t always the case.
A new Gallup-Sharecare Well-Being Index shows the number of adults without health insurance is up 3.5 million this year. But those with health insurance also may not have access to doctors, nurses or clinics.
One of those Americans is my patient; I’ll call him Joe. He has worked two full-time jobs for all of his adult life. Joe is 57 years old and regularly works the evening shift six or seven days a week from 2 to 11 p.m. in a distribution factory operating heavy machinery. He then clocks in for his night shift warehouse job at another factory from midnight to 7 a.m.
For nearly 30 years, Joe has had about four hours of sleep a day between 9 a.m. and 1 p.m. He smiles proudly and says he supported his family with his tough schedule. He put three kids through college and now all three are independent, successful professionals who are free from college loan debt. He and his wife own their home and two vehicles outright.