St. Joseph's magazine

ST. JOSEPH’S magazineA magazine for the friends of St. Joseph’s Hospital and Medical Center Volume 8, Issue 1, 2012

The Devil in The DusTvictims of valley fever

find relief in new center

no place like homepatients make st. Joseph’s

their medical home

Growth is imperative even when we find ourselves in times of economic restraint and cutbacks. Buthow do we grow when resources are so scarce?

One way is by collaborating with others in the community who share our mission and goals. St. Joseph’s Hospital and Medical Center and the University of Arizona recently forged two collab-orations that should pay big dividends for our community in thefuture.

The first of these collaborations brings the University of ArizonaCancer Center—our state’s only National Cancer Institute-desig-nated comprehensive cancer center—to the campus of St.Joseph’s Hospital. Together, in partnership with community-basedoncologists, we will work to transform the delivery of cancer care and to establish a premier center for oncology, withan emphasis on high quality patient care and translational research.

In a second partnership, we are working with the University Of Arizona College Of Medicine todevelop the new Valley Fever Center, which will open on our campus in April. This collaboration willput a much-needed focus on what is truly Arizona’s disease.

Strategic alliances such as these will enable both our organizations to continue to do what wedo best, while bringing the best medicine possible to our community.

Inside these pages, you’ll also learn about St. Joseph’s Lung Cancer Screening Program, ournew medical home model, and, of course, some of the many individuals and companies who sup-port our organization through contributions of time, effort and money.

Thank you for all that you do for St. Joseph’s Hospital and Medical Center.

Linda Hunt Kathy X. KramerSenior Vice President of Operations, President and CEODignity Health Arizona St. Joseph’s FoundationPresident/CEO, St. Joseph’s Hospital and Medical Center

P.S. Your continued support is vitally important to the work we do. Please make your gift to St. Joseph’s Foundation today. A giving envelope is enclosed for your convenience, or give onlineat SupportStJosephs.org.

OPENING THOUGHTS

On our cover: A massive dust storm rolls through Phoenix on July 5, 2011. Photo by Daniel Bryant.

3 Valley FeverPatients with Arizona’s disease have new center ofexcellence.

6 No Place Like HomeMedical Home program provides primary care.

10 Cancer PowerhouseUniversity of Arizona and St. Joseph’s join forces.

12 On the Leading EdgeLung Cancer Screening Program targets those at high risk.

14 Why I GiveCaring for women is at the heart of Shelby Butterfield’sgift.

16 Outdoing the GrinchCommunity digs deep to fill void of stolen toys.

18 Barrow Turns 50Celebrating an inspiring past, amazing future.

19 Barrow50.orgPatient stories in their own words.

20 Benefactor Briefs

22 News

28 Move the Needle Toward the Good

ST. JOSEPH’S magazineA magazine for the friends of St. Joseph’s Hospital and Medical Center Volume 8, Issue 1, 2012

contents

Lindsey [email protected]

Catherine MenorAssistant editor

Justin DetwilerArt director/designer

Brad Armstrong, Daniel Bryant, D Squared ProductionsPhotography

Sally Clasen, Melissa Morrison Contributing writers

Panoramic Press

Linda Hunt, Senior Vice President of Operations,Dignity Health ArizonaPresident/CEO, St. Joseph’s Hospital and Medical Center

Kathy X. KramerPresident and CEOSt. Joseph’s Foundation

• H o w t o R e a c h U s •St. Joseph’s Magazine is published by St. Joseph’s Foundation. We welcome your comments, suggestions and requests to be added to or deleted from our mailing list. Call 602-406-1041, email [email protected], or send mail to St. Joseph’s Magazine, Office of Philanthropy, St. Joseph’s Hospital and Medical Center, 350 W. Thomas Rd., Phoenix, AZ, 85013. Please include your name, address, email address and daytime telephone number in all correspondence. Visit us online at www.SupportStJosephs.org.

S T . J O S E P H ’ S M A G A Z I N E2

SAME MISSION

NEW NAME

Since 1986, the organization to which St. Joseph’sHospital and Medical Center belongs has existed

under the name Catholic Healthcare West. That namehas officially changed to Dignity Health.The word “dignity” perfectly defines what we stand

for: showing respect for all people by providing med-ical excellence.That means utilizing the most advanced medical

technology. It means clinical expertise, by way of thenation’s top doctors and nurses. It means workingclosely with our patients so that they can lead healthy,meaningful lives. And, of course, it means doing all ofthis with compassion – the type of compassion thatincludes finding ways to deliver high quality care at thelowest possible cost, so it’s accessible to all.

If that sounds familiar, it’s because we’re still part of thesame organization: not-for-profit and rooted in theCatholic tradition from which our mission, vision andvalues were born. However, as a result of changes to ourparent organization’s governance structure, which arebeing implemented along with the new name, Digni-ty Health is not an official ministry of the CatholicChurch.Over the next several months you may start to

notice the signs around our hospital changing to a newcorporate name and logo. Rest assured, our hospital willremain St. Joseph’s Hospital and Medical Center. Please visit www.DignityHealth.org for more infor-

mation. We look forward to carrying out our missionas we honor the dignity of each patient we serve.

S T . J O S E P H ’ S M A G A Z I N E 3

It’s a disease that frequently is misdiagnosed. It can present itself in a variety of ways but often feels like the fluwith symptoms such as high fever, chills, sweating and fatigue. But it often doesn’t go away as quickly as theflu. Doctors can have a difficult time diagnosing what’s wrong, and the symptoms can continue for weeks, months,even years. Life was humming along for Jim Meenaghan until April 2009 when he came down with a 104-degree fever.

Night sweats kept him awake and contributed to exhaustion that had already set in, his appetite dwindled, andhe was constantly out of breath. “My wife, Jean, has a nursing background, and she rarely gets rattled by health issues, but this time she said,

‘This is serious,’ and made me get medical attention.”Meenaghan visited a pulmonary specialist who immediately suspected valley fever. He was put through a

gamut of tests and ultimately placed on medication. “My case was caught early, which makes me one of the luckyones,” he said, “but I was knocked on the seat of my pants for most of 2009 and into a good portion of 2010.This disease can be so debilitating, leaving people disabled for life and killing 35-45 each year in Arizona alone.” The valley fever diagnosis led Meenaghan to study up and learn as much about the disease as possible. “I

started to discover that there was somewhat of an accepting attitude about valley fever – that if you live in Ari-zona you simply run the risk of contracting it. That, coupled with the difficulty of getting an accurate diagno-

Valley fever spores, known as arthroconidia, are introduced tothe air when soil is disrupted during construction or wind stormssuch as the one in Phoenix last summer.

VALLEYFEVER

PATIENTS WITH ARIZONA’S DISEASE FIND RELIEF IN NEWCENTER OF EXCELLENCEby Lindsey Burke


sis and delays in treatment, made me think there wasso much room for improvement.”That gave him an idea.

Valley Fever Expert Joins St. Joseph’sMeenaghan’s idea was born out of the lack of expert-

ise found in the Phoenix area. “When I started askingaround about who was the foremost expert on valleyfever, the name John Galgiani, MD, kept coming up. Buthe was based in Tucson – and that made me thinkabout how we could better serve patients in the Phoenixarea to combat this disease.”One thing led to another, and a new agreement

between St. Joseph’s Hospital and Medical Center andthe University Of Arizona College of Medicine –Phoenix created the Valley Fever Center based at St.Joseph’s. The center will be directed by John Galgiani,MD, who has more than 30 years of experience intreating and researching valley fever and founded theValley Fever Center of Excellence in Tucson.“Dr. Galgiani really is the foremost expert on val-

ley fever. We are so lucky to have his expertise here inPhoenix,” Meenaghan said. The Valley Fever Center for Excellence was approved

in 1996 by the Arizona Board of Regents to help all ofArizona with this disease through education, researchand improved patient care. Research programs under-way include improving diagnostics, developing possi-ble cures and discovering preventative vaccines. Twoyears ago, the Valley Fever Center for Excellence estab-lished the Valley Fever Alliance of Arizona Clinicians,an organization of clinicians dedicated to improvingcommunication and patientreferrals.“One-half of all valley

fever infections in the U.S.occur in Maricopa County,”said Dr. Galgiani, “so havinga presence in Phoenix meansbeing able to treat patients inthe location where most ill-nesses occur. What makesthis center even more specialis that it will be a resource todoctors across the state.They can send patients in,we can cross practice plansand provide expertise in allmodalities under the same

roof. We are able to take what we’ve been doing for yearsand bring it right to the bedside.”The new Valley Fever Center in Phoenix will add

to the Alliance’s capabilities by centralizing patientinformation and making it accessible to all centerphysicians, whether or not they are physically based atSt. Joseph’s Hospital. The new center will also offercase management services, which are often difficult toobtain for patients when they are not hospitalized.Once fully developed, the new center will offer themost seriously afflicted patients all the medical and sur-gical resources and expertise essential to obtaining thebest possible results.

Arizona’s DiseaseValley fever (coccidioidomycosis) is an infectious dis-

ease caused by a fungus that grows in the soil of cer-tain parts of the western hemisphere. It is most abun-dant in dry regions of the San Joaquin Valley ofCalifornia and the Sonoran desert surrounding Phoenix,Casa Grande and Tucson, with over 80 percent of allArizona infections occuring in the Phoenix area. Exposure occurs after a spore from the fungus

becomes airborne because of soil disruption or wind,and is inhaled. While many people have immune sys-tems equipped to fight it off, approximately one thirdof those exposed to the spore will contract valley fever. “Once in the lung where the disease primarily lives,

it can spread to other areas of the body and cause skin,bone, spinal cord or brain infections, and even death,”says Priya Radhakrishnan, MD, professor of InternalMedicine at St. Joseph’s Hospital and Medical Center

and facilitator of ValleyFever Center services with-in the hospital’s InternalMedicine Department. “It’sso important to catch thisdisease in its earliest stages,and that’s why accurate diag-nosis and prompt treatmentis critical. This center is abenefit to our communityand beyond. Because wehave so many visitors to Ari-zona who can just as easilycontract valley fever whilevisiting here, the regionaland international implica-tions are great.”

“One-half of all

valley fever

infections in the

U.S. occur in

Maricopa County.”John Galgiani, MD

Supporting the Crucial First StepsJim and Jean Meenaghan have not only supported

the center’s development, but also made a lead gift of$250,000 to get the center underway. “We are so fortunate that St. Joseph’s answered the

call to establish this program,” says Jean Meenaghan,who has served on the Women’s Board of Barrow Neu-rological Foundation since 1999. “It’s a terrible dis-ease, and when you start talking to people about it, it’sas if everyone knows somebody affected by valleyfever. This partnership will provide a facility where casescan be managed from beginning to end and educationabout valley fever will reach countless more.”“Together with the University of Arizona College

of Medicine - Phoenix, we can significantly improvepatient care,” says Dr. Radhakrishnan. “We’ll also be atthe forefront of diagnostics and be able to study the pub-lic health impact of the disease. We will deliver expertcare, educate the public, educate physicians and moveforward on ground-breaking research. And with tech-nology as simple as Skype, we can extend our servic-es internationally for those with limited knowledgeabout Arizona’s disease.” “It is imperative to preserve the knowledge that Dr.

Galgiani has,” says Jim Meenaghan. “And with these twogreat institutions coming together to form this new cen-ter, we are doing just that. We want to look back in fiveyears and know that we are the premier center whenit comes to valley fever.”


Jim and Jean Meenaghan

John Galgiani, MD.

“We want to look back in five years and know that we

are the premier center when it comes to valley fever.”

Jim Meenaghan

NO PLACE LIKE HOMEMEDICAL HOME PROGRAM PROVIDES PRIMARY CARE

by Sally J. Clasen


Joe andPhyllisHernandez

Navigating the complexities of the medical worldtoday can be a daunting journey, especially if

you seek health services regularly. It’s not easy to keepmedical records straight, schedule last-minute appoint-ments or understand when or who to see when you aresick, all factors that contribute to the frustration—andrising cost—of managing one’s healthcare.Sixty-six-year-old Joe Hernandez and his wife of 30

years, Phyllis, age 55, are no strangers to finding theirway through the layers of healthcare. Over the years,the Hernandezes, whose family owns the Carolina’srestaurant chain, have sought medical attention at St.Joseph’s Hospital and Medical Center for chronic prob-lems—both have diabetes—as well as acute conditions,including Joe’s month-and-a-half-long stay at BarrowNeurological Institute following brain aneurysm sur-gery. While the couple believes they always have receivedexceptional care, they now feel in more “familiar” ter-ritory, thanks to St. Joseph’s Medical Home Program.

High Quality, Reduced CostsIn January 2010, the Family Medicine Clinic

launched the Medical Home Program in partnershipwith Mercy Care Plan, St. Joseph’s Medicaid-affiliatedprogram. A “medical home” environment establishesa continuum of care between a personal physician andpatients to help them manage their health more effec-tively while allowing the hospital to reduce costs.“The current paradigm of delivering the highest

quality care at the lowest cost is difficult. The goal ofthe medical home concept is to continue to deliverhigh quality, cost-effective healthcare services but in acollaborative way,” explains Brett McClain, chief oper-ating officer and vice president of Operations at St.Joseph’s Medical Group. A key focus of the medical home initiative is to

reduce the number of unnecessary ER visits by frequentusers who don’t have life-threatening issues. The tripsare costly for patients, providers and payors, and canstrap a facility system-wide, according to McClain. Tohelp deter ER misuse, patients are automatically sched-uled for a follow-up appointment with a primary carephysician at the time of discharge, rather than the tra-ditional practice of instructing them to follow-up withtheir doctor. The process creates a health safety net that shrinks

costs while encouraging patients to take responsibili-ty for their health in the future and seek treatmentappropriately instead of returning to the ER repeated-

ly for non-emergency problems, says McClain.The medical home team tracks and shares informa-

tion about patients, such as prior insurance claims andmedical records, so they can identify those who rely onthe ER for unnecessary or preventable trips and thenmakes recommendations for managing their healthoutside the ER. As part of the strategy to encouragepatients with non-emergency needs to visit a primarycare setting, the St. Joseph’s Family Medicine Clinic hascreated same-day appointments, increased staff andextended hours.

No Place Like a Medical HomeIn addition to targeting family medicine patients, the

Medical Home Program has expanded to include indi-viduals treated by St. Joseph’s internal medicine and gen-eral pediatrics clinics. While Mercy Care patients con-stitute a large portion of patients served through theMedical Home Program, services are available to thosecovered by other insuranceplans. With each new visit to St.

Joseph’s, the Hernandezes areable to recognize how the pro-gram provides a smootherhealthcare experience. Forexample, Joe developed a uri-nary tract infection, whichbecame progressively worse overone weekend. By Monday, hehad a 104-degree temperatureand knew he needed to see adoctor quickly. He could havegone to St. Joseph’s ER, but hehad a more practical—and con-venient—option. “Within two hours of call-

ing the clinic, Joe was scheduled for an exam,” says Phyl-lis. “You never know when you’re going to be sick,” addsJoe. “The medical home idea helps me avoid going tothe ER for my ongoing health issues.”Besides better access, another advantage of the med-

ical home is that patients’ medical records are nowkept electronically, which means X-rays, CT/MRI scans,lab results and important health history like prescrip-tion use can be accessed immediately by emergency-room doctors as well as the primary care experts, whicheliminates the need to order duplicate tests.The idea that they don’t have to organize and shut-

“The medical

home idea

helps me

avoid going to

the ER for my

ongoing

health issues.”


tle test results and other important medical details toeach doctor’s visit is a particular relief to the Hernan-dezes. “You don’t have to keep or take a list to appoint-ments anymore. The information is just right there atthe doctor’s fingertips,” says Phyllis. “It’s a great improve-ment from the past. The system is easier for the patient,it’s easier for the doctor, and it’s easier for referrals.”

Education is a critical element of treatment in themedical home approach.“The goal is to teach patients about taking respon-

sibility for their long-term care by using the tools pro-vided through the Medical Home Program,” McClainsays. The new healthcare paradigm demonstrates that it’s

possible to continue to provide high-quality care at alower cost. In the first six months of 2011, the medicalhome program reduced the total cost per member by4 percent—a $1.3 million annual savings. In addition,ER visit costs declined 12 percent and fees associatedwith inpatient stays dropped 8 percent.

New and Improved The Hernadezes have benefited from every aspect

of the Medical Home Program. They also are helpingshape the direction of the new medical model by mak-ing suggestions on how to improve patient care asmembers of the Family Medicine Clinic’s Patient Advi-sory Group. One suggestion was to establish a diabet-ic support group, which the couple now attends oncea month. Plus, they are enjoying the tangible results of tak-

ing charge of their health destiny. Joe has lost 30 pounds,walks regularly and is now using an insulin pumpinstead of shots to maintain his blood sugar levels. “We feel special, like we are part of them—a fami-

ly,” he says of the team of medical home physicians whoprovide and coordinate care for the couple’s variedhealth issues. “Everyone seems to be more knowl-edgeable about what is going on. St. Joseph’s was goodin the beginning, but it’s even better now.”

The goals of St. Joseph’s medicalhome are to provide patients with:

• A personal physician who isresponsible and knowledge-able

• Care that looks at the wholeperson, including behavioralhealth and social issues

• Coordinated and integrated care– from primary medical care tosubspecialty needs

• An approach focused on high-quality care and a safe envi-ronment

• Enhanced access to care, whichallows for care after normalbusiness hours and on Satur-days.

The medical home is designed tohelp patients control their healthissues, prevent future issues andreduce unnecessary visits to theER for healthcare.

St. Joseph’sMedical Home

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It was spring 2011, and Shahnaz Staesche’s belly wasgrowing larger and more uncomfortable, seeminglyby the day. The petite 59-year-old tailor thought itmight just be food poisoning but was concerned enoughto make an appointment with her physician.Her pap smear was normal. The ultrasound showed

nothing. But the CT scan prompted a call from the nurse,who summoned Staesche to the office, refusing to tellher why.When she was face-to-face with the doctor, Staesche

didn’t hear anything after the word “cancer.” Specifical-ly, she had stage 4 ovarian cancer, a disease whose exis-tence is usually detected when it is far advanced, asStaesche’s was.“I was looking at [the physician], like What am I

going to do?” she says.Her husband, Herbert, says, “I was scared, period.

You hear of the same cases like Shahnaz’s, and they don’tmake it. People say, get a second opinion, a third opin-ion. That takes time. You don’t have time.”

Heavy HittersFortunately, the first and only oncologist who

Staesche saw was Bradley Monk, MD, whose special-ty at St. Joseph’s Hospital and Medical Center is gyne-cologic cancers. St. Joseph’s has staked out a reputationas a treatment center for diseases such as Staesche’s.“There’s real value in a high-volume center,” Dr.

Monk says. “There’s objective evidence that the centers

that deal with those complicated issues on a regular basisdo better. If you’re accustomed to seeing those prob-lems and have experience, you can have a better out-come and lower complication rates.”Staesche is a prime example. Her cancer was malig-

nant and her prognosis poor, according to conven-tional wisdom.“She looked nine months pregnant, because her

whole belly was full of metastatic ovarian cancer,” Dr.Monk says. “I thought there was a chance based on ourexperience and our multidisciplinary approach thatshe could have a response to chemotherapy and maybeeven experience a remission.”Within days, Staesche began the first of several

chemotherapy treatments to shrink the tumors. In Julyshe underwent a radical debulking surgery includinga total hysterectomy to remove what was left. She con-tinued with follow-up chemo to kill any cancerouscells that previous interventions hadn’t vanquished.With her glowing skin, thick wavy hair and toned

body, she does not look like a woman for whom hos-pice care was a legitimate option less than a year ago.“Everyone says I’m 10 years younger than before,”

she says, Herbert by her side, from their Glendalehome, decorated with items from their respective coun-tries of origin, Iran and Germany.“I can’t promise her she’s cured,” Dr. Monk says. “But

I can tell you that her longevity has been extended and

By Melissa F. Morrison

CANCER POWERHOUSEUNIVERSITY OF ARIZONA AND ST. JOSEPH’S JOIN FORCES


that the quality of her life is good, and this is a testa-ment to comprehensive, multidisciplinary gynecolog-ic cancer care at a high-volume center.”

Collaborating to Kick CancerNow that St. Joseph’s is collaborating with Univer-

sity of Arizona’s Cancer Center, the opportunity toadvance the kind of treatments that benefited Staeschewill be amplified. The University of Arizona’s CancerCenter is one of just 40 nationally designated by theNational Cancer Institute as comprehensive; it is the onlysuch designated center based in Arizona. The dealwith St. Joseph’s will bring its well-funded expertise tothe largest concentration of cancer patients in the state. “It’s a mark of excellence,” Thomas Brown, MD,

MBA, the center’s Chief Operating Officer, says of theNCI designation. “You have to demonstrate that you’redoing state-of-the-art research on development andcure strategies for cancer, as well as having a significantoutreach program.”One of the hallmarks of such centers is the multi-

ple disciplines that combine forces to treat patients: med-icine, surgery and radiation, as well as nursing, phar-macology, social work, spiritual care and integrativemedicine. “All those folks comprise the team,” Dr.Brown says.Dr. Monk says, “It’s not enough to cure anyone any-

more; we have to help them live well, as well as long,so we’ll have a focus on nutrition and integrative med-icine and survivorship.”The proposed $135-million facility on the Biomed-

ical Campus in downtown Phoenix will house thecombined efforts of dozens of oncologists andresearchers. Its 250,000 square feet will accommodateoutpatient clinics for gastrointestinal/genitourinary,skin, lung and women’s oncology; a chemotherapyinfusion center, state-of-the-art radiation oncologytechnology; and imaging, among other uses. Groundis expected to be broken at Fillmore and Seventh streetsthis summer, with the building completed by 2014. Itwill be the site of most outpatient treatment, whileinpatient treatment will remain at St. Joseph’s, whichis 2.5 miles away.The first diseases upon which the St. Joseph’s/UA col-

laboration will concentrate include colon, lung andskin cancers, Dr. Brown says.The UA Cancer Center has distinguished itself

particularly in its skin, lymphoma and gastrointestinalcancer programs, says Dr. Brown, whose specialty is GI

oncology. Meanwhile, St. Joseph’s Medical Center boastsexpertise in brain and pediatric cancers, with the world-renowned Barrow Neurological Institute and PhoenixChildren’s Hospital’s Center for Cancer and Blood Dis-orders.Additionally, the UA Cancer Center focuses on new

cancer drug development, cancer imaging and pre-vention, all elements it will bring from Tucson toPhoenix. For example, its Cancer Health DisparitiesInstitute identifies barriers to prevention and cureinfluenced by minority status and socio-economic lev-els, Dr. Brown says.

Moving ForwardPrevention is key to the center’s mission. “The eas-

iest way to cure cancer is to prevent it,” Dr. Brown says. For doctors Brown and Monk, the collaboration

will mean amplifying their respective institution’s workto prevent and cure cancer in Arizonans.“Although we do a good job here, we need to expand

these services to the entire Valley,” says Monk, who serveson the joint-operating committee. “Even though we’repracticing state-of-the-art medicine, not everyone hasaccess to it.”For Staesche, whose cancer is in remission, the col-

laboration will mean that more women will have theexperience she did.“The benefit is, I’m alive!” she says.

Shahnaz Staesche


It’s a sad fact that six in 10 peoplediagnosed with lung cancer will bedead within one year. However, if lung cancer is detect-

ed early, eight in 10 will be alive in fiveyears. And with 600 people in theU.S. diagnosed with lung cancer everyday, that’s a lot of lives that can besaved with early detection. “Evidence shows that screening

patients who are considered at risk forlung cancer with low-dose CT scanscan save thousands of lives per yearin the United States,” said Priyumva-da Naik, MD, transplant pulmonolo-gist and director of the PulmonaryNodule Clinic at St. Joseph’s. Patty Rogers

ON THE LEADING EDGENEW LUNG CANCER SCREENING PROGRAM TARGETS THOSE WITH AT RISKby Lindsey Burke


Patty Rogers, 72, from Peoria, knows just howimportant early detection is. In 2005, Rogers was admitted to a Valley hospital

for abdominal adhesions, which required surgery. TheX-ray of her abdomen taken in the hospital capturedthe bottom portion of her right lung and revealed a spotthat concerned the discharge physician. “He told me I should follow up on it, which I did,

but my primary care doctor wasn’t concerned,” Rogerssaid. But Rogers’ daughter was concerned – anddemanded that she follow up with a pulmonologist atSt. Joseph’s. “I met with Amy Silverthorn, MD, and Paul

Conomos, MD, who gave me a needle biopsy. Theresults came back, and they told me I had lung cancer,”she said. “And then I was introduced to my surgeon,Dr. Kuo.”Rogers had smoked cigarettes for more than 20

years and has a family history of cancer. “My father diedof lung cancer,” she said. “He was a smoker and workedin a coal mine and was always around asbestos becauseof construction work. And my brother died of COPD(chronic obstructive pulmonary disease).”

Screening Those at High RiskRogers’ smoking and health history would have

made her a prime candidate for St. Joseph’s new LungCancer Screening Program, which offers those consid-ered high risk the opportunity to be screened and diag-nosed before symptoms develop.“Lung cancer is the leading cause of cancer death,”

said Elbert Kuo, MD, MPH, MMS, cardiothoracic sur-geon and director of the Lung Cancer Screening Pro-gram at St. Joseph’s. “It kills more people than breast,prostate, colon and pancreatic cancers combined. Lungcancer screening is a big next step in the battle to savelives – it’s like mammography for breast cancer. Screen-ing the right people can save lives.” St. Joseph’s Lung Cancer Screening Program is laud-

ed by the American College of Surgeons’ Commissionon Cancer as a best practice model. Each abnormal find-ing is reviewed by a multidisciplinary team of lungcancer specialists including a board-certified thoracicradiologist, and recommendations are communicatedto the patient and their primary care doctor.“What’s really important about our program is that

it’s not simply a test – patients who are screened get tosee a doctor, and that’s not the case with many otherprograms out there. In fact, in our program, patients

see six specialists before they even come to clinic,” saidDr. Naik. “Several of our patients who have beenscreened came back negative for lung cancer, but wefound some other serious health concerns, includinginfections, evidence of coronary disease, even liver,kidney and thyroid disease.”When other lung-related concerns present on a

cancer screening, patients are often referred to St.Joseph’s Pulmonary Nodule Clinic, which diagnoses andmanages non-cancer pulmonary nodules and masses.Like lung cancer cases, pulmonary nodules are han-

dled in the same manner – findings are reviewed by amultidisciplinary team composed of infectious dis-ease, pulmonary, thoracic radiology, thoracic surgery,internal medicine and oncology specialists. The teamdevelops a treatment plan based on the diagnosticimages and refers each patient to the appropriate spe-cialist.“We are excited about the Lung Cancer Screening

Program and our Pulmonary Nodule Clinic and believethat together, these programs will make a huge impacton our fight against lung cancer,” said Dr. Kuo.

Breathing EasyDr. Kuo performed Rogers’ lung cancer surgery in

July 2011. “He explained everything so thoroughly before my

surgery. He said, ‘I really think we’re going to come outof this, and you’re not going to need chemo or radia-tion.’ Had I not come to St. Joseph’s, I honestly mightbe dead right now,” she said. “I tell everyone, if you smokeor have other key risk factors, get screened. It’s soimportant.”The cost for lung CT is $199 and includes a session

with St. Joseph’s lung cancer screening doctor to go overresults. Currently, most insurance companies do notcover the screening. For more information, call tollfree 855-LUNGSCREEN or visit stjosephs-phx.org/thoracic.


The new Butterfield Women’s Health Library in St.Joseph’s Center for Women’s Health is not only a

place for women to gather crucial health information,but also a respite for those who need a quiet moment.The library, made possible by a gift from Shelby But-

terfield, is complete with resources on women’s healthtopics including pregnancy, fertility, gynecologic exams,pelvic pain and cancer. Patients can browse Mosby’spatient education resources online. “Our online resources are vetted by physicians and

are a reputable source for medical information thatyou can’t find just surfing the web,” said Mary Steiger-wald, operations manager at the Center for Women’sHealth. The library also is stocked with DVDs on topics rang-

ing from robotic gynecological surgery to breast feed-ing. Books and pamphlets provide additional informa-tion on parenting, general health and health concernsas women approach mid-life.“I wanted to see a space that provided a calm, sooth-

ing environment for women who may be dealing withdifficult news following an appointment with theirdoctor,” said Butterfield. “It can be challenging forwomen who may be going through fertility treatments

to have kids running around the waiting room, or forwomen who just received a cancer diagnosis – so thisspace is reserved for those who need a calm and quietplace for reflection.”Butterfield’s first gift to St. Joseph’s supported the

MOMobile, a fully equipped vehicle for maternity care.Its purpose is to provide early and continuous prena-tal care to women in their communities. The MOMo-bile has two exam rooms, an ultrasound machine, anexternal fetal monitor and laboratory. She also hassupported other projects at St. Joseph’s, including theBarrow Children’s Cleft and Craniofacial Center.Her most recent gift to the Women’s Center also

included the purchase of new, state-of-the-art equip-ment, including a new loop electrosurgical excision pro-cedure (LEEP) machine, colposcope and upgradedultrasound machines. Cooper Surgical made a match-ing gift and donated a second LEEP machine. “In addition to the great care they receive at St.

Joseph’s, women need a place to go for education andresources regarding their health,” Butterfield said, “Andthat’s precisely what this library provides.”

Shelby Butterfield andMary Steigerwald.

CARING FOR WOMEN IS AT THE CORE OF SHELBY BUTTERFIELD’S GIFT

WH

Y I G

IVE


Top left: Shelby Butterfield andMary Steigerwald cut the ribbonon the new Butterfield Women’sHealth Library.

Above: Shelby Butterfield andLinda Hunt, President/CEO of St.Joseph’s Hospital and MedicalCenter.

Left: Shelby Butterfield, IvorBenjamin, MD, Mary Steigerwald,John Farley, MD, COL(ret), TracyContant, MD, Bradley Monk, MD,FACS, Richard Blumrick, MD.

Atremendous outpouring of support from the com-munity enabled patients at St. Joseph's Children's

Rehabilitative Services to celebrate Christmas after a real-life Grinch stole approximately $20,000 worth of toysintended for the patients during the holiday season.Members of the community quickly offered their sup-port to replace the stolen items for children with chron-ic and life-long medical conditions.“Every year, Santa visits CRS to provide each patient

with a toy,” says Lori Takeuchi, Child Life coordinatorat St. Joseph's CRS clinic. “Many of our patients aren'table to visit with Santa in the community due to theirillness, so CRS provides a healthy environment forthem to spend time with Santa. Thanks to the commu-nity, our patients were able to celebrate Christmas thisyear.”In addition to numerous individual donors, St.

Joseph’s Foundation would like to thank the followinglarge donors whose quick response and incredible gen-erosity helped to replenish the toys:

Allison + PartnersArizona CardinalsArizona DiamondbacksBooks are Fun

Brian R. KotarskiChannel 12Chris WiggintonDaisy Mountain Fire FightersPage DeckerDiane Beardsley-PopIntel Corp.Comvoice, Inc.Executives’ Association of Greater PhoenixGammage & BurnhamGlenn HutchinsonJ&B AssociatesKaren HolmesKids Stop ToysMcMurray Charities, Inc.PhilosophyPhoenix CoyotesPhoenix SunsRidenour, Hienton & LewisStephen A. Wigginton, MDThe Sundt Companies, Inc.Teca Roofing Systems, LLCThere are so many more who – just like Santa Claus

himself – dropped off toys unbeknownst to the hospi-tal. Thank you for your generosity.

OUTDOING THE GRINCHCOMMUNITY DIGS DEEP TO FILL VOID OF STOLEN TOYS


As one of the world’s most renowned medical facil-ities celebrates its 50th anniversary, surgeons at Bar-

row Neurological Institute are convinced their work isbecoming so advanced they could put themselves outof business in the next half century.Ranked among the Top 10 hospitals in the nation for

neurology and neurosurgery, Barrow has attracted roy-alty, rock stars, business moguls and sports icons fromaround the world because of its expertise in brain andspinal disorders. Located at St. Joseph’s Hospital and Med-ical Center, Barrow performs themost brain surgeries per year inthe United States and is home tothe Muhammad Ali ParkinsonCenter.“Our surgeons will largely put

themselves out of business in thecoming years. Our profession willdrastically change and that is verygood news,” says Robert Spetzler,MD, Director of Barrow andrenowned neurosurgeon. “Rapidadvances in minimally invasivesurgery and gene and stem celltreatments will mean the tradi-tional role of the brain and spinal surgeon will disap-pear.”Doctors at Barrow say the 50th anniversary marks

the beginning of the “golden age” of the Institute whenBarrow will be at the forefront of finding answers to someof the most devastating neurological conditions. Theypredict that during the next 50 years:

• Alzheimer’s disease will be cured or effectively treat-ed.

• Parkinson’s disease will be cured.• Stem cell therapy will revolutionize the care of brainand spine disorders.

• Malignant brain tumors will be effectively treated andcontrolled.

• Degenerative disk disease will be cured.

As part of the anniversary activities, Muhammad Aliand representatives from Celebrity Fight Night Foun-

dation, which helps raise funds for the Institute, recent-ly visited Barrow to present physicians with a com-memorative award for their 50 years of excellence. Bar-row Neurological Foundation has announced ananniversary fund-raising initiative as part of the year’sfestivities.“Barrow will not only use this milestone as an oppor-

tunity to celebrate its past but will also look ahead to itsfuture and take medicine into new frontiers,” says LindaHunt, President and CEO of St. Joseph’s. “Within the next

year, major announcements andevents will be highlighted in cel-ebration of Barrow’s 50th anniver-sary.”Barrow has launched a new

website, Barrow50.org, whichcontains amazing stories frompatients and doctors fromthroughout the last 50 years. Onestory will be added to the siteeach week. The first round of sto-ries includes a young girl whotraveled from Denmark toPhoenix for treatment at Barrow.The Institute was started in

1962 by a Chicago neurosurgeon, John Green, MD,who recognized the dearth of medical services in theSouthwest and even had to bring his own surgicalinstruments with him from Chicago. Wealthy busi-nessman and philanthropist Charles Barrow was instru-mental in its launch with a $500,000 gift after his wifewas treated successfully by Dr. Green.Since its founding, Barrow at St. Joseph’s has grown

into one of the nation’s best centers for neurology andneurosurgery, employing hundreds of specialists. Bar-row has the largest neurosurgery residency program inthe U.S., training more neurosurgeons than anywherein the world. It also is one of the busiest brain tumor treat-ment centers in the nation.“Barrow has a rich and bold legacy that comes to life

every day in patients who come from all over the worldfor our extraordinary medicine,” says Dr. Spetzler. “Inthe next 50 years, we will see advances unlike anythingwe have witnessed before.”

BARROW TURNS 50CELEBRATING AN INSPIRING PAST, AMAZING FUTURE.


St. Joseph’s Barrow Neurological Institute – theneurosurgical center that performs the most brain

surgeries per year in the United States and is home tothe Muhammad Ali Parkinson Center – is celebratingits 50th anniversary this year. Barrow launched Barrow50.org in mid-January. The website featuresamazing stories from patients and doctors from through-out the last 50 years.

Ilya MorchWhen Ilya Morch of Den-mark was six, her parentslearned she had three cere-bral cavernous malforma-tions (CCMs), abnormalblood vessels in the brainthat bleed easily. Ilya

underwent five surgeries in Denmark, but one CCMwas too risky to treat. Nine years later, her left eyebegan to droop, a sign the CCM was beginning to

cause paralysis. Afterextensive research, Ilya’sparents flew her to Bar-row where she under-went a successful opera-tion.

Erik HumphreyWhen Erik Humphrey ofPhoenix was diagnosed

with a brain tumor in 2003, he was given a few yearsto live. Erik, then 32, underwent aggressive brain tumortreatment at Barrow. Now, nearly nine years later, Erik’stumor has not returned, an amazing feat consideringthat few people with a malignant brain tumor survivemore than 13 months. Since his diagnosis, Erik and hiswife have had three children. Erik skis, hikes and man-ages an interior design firm.

Mackenzie SaundersMackenzie Saunders was playing soccer in 2009 when

she collided withanother player.The 11-year-oldAhwatukee girltried to keep play-ing, but soon lostfeeling in herbody. At a Valley

hospital, doctors found she had a spinal cord injury.When Mackenzie arrived at Barrow Neurological Insti-tute for rehabilitation, she could not move the lower partof her body. Within days, Mackenzie would move herlegs, and within weeks, she could walk.

Watch these amazing stories and many more includ-ing rocker Bret Michaels, baseball great Joe Garagiola andneurosurgeon Robert Spetzler, MD, at Barrow50.org.

BARROW50.ORGPATIENT STORIES INTHEIR OWN WORDS


Laura Hart Burdick FoundationA $21,000 gift from the Laura Hart Burdick Foun-

dation will help support lung transplant patients at St.Joseph’s. The funds were raised at Laura’s Run, a 5K heldMarch 17 at the Scottsdale Sports Complex in Scotts-dale, Ariz. This year’s fundraiser included events for run-ners and walkers, as well as a kid’s dash and doggie runso that the whole family could join in the fun. Formore, visit laurahartburdickfoundation.com.

“Is-Kids” Books Boost Self EsteemLocal businessman Dick Eisenach, author of the

children’s book series “Is-Kids Adventure Series,” writ-ten for children ages 6 through 10, recently gave 300copies of the books to St. Joseph’s pediatric patients. Thebooks focus on self-worth, self-esteem and personalvalue.

Ridenour, Heinton and Lewis Support pediatric patients Kids will be seeing more clearly thanks to support

from the law office of Ridenour, Heinton and Lewis.Their commitment will support the Pediatrics ClinicEyeglass Program and purchase new gliding rockingchairs for the Nursery Intensive Care Unit (NyICU). A vision exam and eye glasses are almost impossi-

ble to obtain for the uninsured child, but over theyears, St. Joseph's Pediatrics has developed an excellentworking relationship with optometrists Central PhoenixEye Care. These doc-tors will examine andprescribe glasses to chil-dren in need. St. Joseph’s NyICU

is a Level III PerinatalCenter and NurseryIntensive Care Unit, thehighest classificationavailable to hospitalsoffering maternity serv-ices. The NyICU is staffed by neonatologists, highlyskilled nurses, neonatal nurse practitioners and otherphysicians who treat premature and critically-ill infants.The NyICU treats infants from throughout the

Southwest and serves as the first home for nearly 800premature babies each year. These infants often weighless than a pound and stay in the unit for weeks or evenmonths. The unit is equipped with 65 licensed beds and is

capable of handling complex illnesses that can’t beaccommodated in Level II nurseries and even some LevelIII nurseries. All 65 beds are licensed as Level III ICU,which allows the team the flexibility to place infants inthe area that is best suited to their medical and familyneeds.

BENEFACTOR BRIEFS


Doug Griffin Fore-A-FriendDoug Griffin was just 30 years old when he passed

away from brain cancer. He left behind Kristen, his highschool sweetheart and wife of 8 years, and his 1-year-old son James. Doug had battled an inoperable, malig-nant brain tumor for a year and a half. Doug’s friendscontinue to honor his memory with the Fore-A-FriendGolf Tournament, now in its ninth year. The 2012 tournament will take place Saturday, May

12, at Superstition Springs Golf Course in Mesa. Thisyear’s event will benefit Barrow Neurological Institutewhere Doug was treated. Last year’s tournament gen-erated $7,000 for Barrow. The tournament will beginat 12:30 p.m. with check-in beginning at 11:30 a.m. Costis $85 per player and includes 18 holes of golf and areception dinner. For more information, visitgolfinvite.com/foreafriend.

Cameron T. Haselhorst InvitationalGolf TournamentEach spring, the friends and family of Cameron T.

Haselhorst, a former patient of the Pediatric ICU at St.Joseph’s, hosts an annual golf tournament. This year’stournament will take place on Saturday, May 5, at GoldCanyon Golf Resort.The event raises funds for St. Joseph’s as a thank-you

for the care doctors and nurses gave to Cameron whoweighed just over two pounds when he and his twinbrother, Tyler, were born at St. Joseph’s in 2002. Tylerdid not survive. Cameron also received life-saving careat St. Joseph’s in 2005.Cameron’s friends and family host the event to

thank the staff for the care he received and to raise fundsfor the hospital. For more information about theCameron T. Haselhorst Invitational Golf Tournamentat Gold Canyon Golf Resort, call 520-463-2898.


NEWSSisters of Mercy among Arizona’sMost Intriguing

As Arizona marks 100years since becomingthe 48th state, the Ari-zona Centennial Lega-cy Project: Arizona’s48 Most IntriguingWomen announcedthe honorees, hailingfrom all walks of life. The Sisters of

Mercy are the hon-orees in the institu-tional category. They

were cited for their dedication to a more merciful lifeand a just world. “Individually, the 48 Women governing board knew

there were many Arizona women who are workinghard every day to enhance the lives of others and to makeArizona the best state it can be,” said Connie Robinson,chairperson of the 48 Women project. “The level ofstatewide involvement and the number and quality ofthe nominations confirmed that. In fact, the scope oftheir work and commitment is remarkable.”Partnering with the Arizona Historical Society and

the Arizona Community Foundation, the 48 Womenproject was created to honor women from diversebackgrounds whose leadership and commitment con-tribute in a positive way to the future of Arizona dur-ing its centennial year.

St. Joseph’s Appoints Dr. Ross Bremner to New Role St. Joseph’s has named Ross Bremner, MD, PhD, asdepartment chair of the Center for Thoracic andEsophageal Disease of the Heart & Lung Institute. Inthis new position, Dr. Bremner is responsible for theentire thoracic and esophageal disease program,including lung disease and lung transplantation - asignificant expansion of his responsibilities.

Dr. Bremner,who is also theChief of ThoracicSurgery, joined theSt. Joseph’s team in2006. He wasinstrumental inestablishing the Val-ley’s first lung trans-plant program. Theprogram is nowpoised to be one ofthe dominant lungtransplant centers inthe U.S. and completed its 100th transplant last year.

Neurologist Named Alumnus ofthe YearThe University of California-San Francisco recentlynamed William Shapiro, MD, PhD, Alumnus of the Year.Dr. Shapiro, who serves as the vice chairman of Neu-rology and chief of Neuro-Oncology at Barrow Neu-rological Institute at St. Joseph’s, received his medicaldegree from the University of California-San Francis-co in 1961. He has studied brain tumors in both a lab-oratory and clinical setting for the past 40 years, pub-lishing more than 200 original papers and chapters ona variety of neuro-onco-logical subjects. He is therecipient of numerousawards, including theResearch Career Devel-opment Award, the Anneand Jason Farber Foun-dation Award in BrainTumor Research, and aLife Time AchievementAward from the Society forNeuro-Oncology.

Ross Bremner, MD, PhD.

William Shapiro, MD, PhD.

Sisters of Mercy, 1973.


Phoenix Fire, St. Joseph’s LaunchChest Pain Awareness CampaignThe City of Phoenix Fire Department and St. Joseph’s

Hospital and Medical Center announced a public edu-cation campaign aimed at informing Valley residentsof heart attack symptoms and encouraging them to notdelay in getting medical help.The campaign tagline is: Got Chest Pain? Don’t

Deny – Don’t Delay – Dial 911Heart disease is the nation’s number 1 killer, and

about 325,000 people a year die of a heart attack beforethey make it to a hospital. Many of those deaths can beprevented by acting fast. The campaign will include public service announce-

ments on Phoenix Channel 11, water bill notices andposters in libraries, community centers and fire stations.More information is available at www.gotchestpain.org.The fire department and St. Joseph’s will distribute theeducational materials at community events, and tele-vision and radio outlets will be encouraged to commu-nicate the chest pain campaign.Linda Hunt, senior VP of operations, Dignity Health

Arizona and president/CEO, of St. Joseph's said, ”Whena loved one is in cardiac arrest or experiencing chestpain, we say ‘time is muscle.’ The sooner a person canreceive the care he or she needs, the stronger the chanceof survival and recovery. We have designed this cam-paign to get that message out loud and clear.”Phoenix Fire and St. Joseph’s have a strong working

relationship. In 2009, St. Joseph’s took the lead to bringthe other central area hospitals together to help the City’sFire Department acquire the wireless EKG technolo-gy it needed to speed communication between fieldresponders and hospital emergency departments. St.Joseph’s found an initial donor, and in Phase I the FireDepartment established wireless connections with sev-eral central city hospitals. Through additional donationsfrom other health systems and foundations, the FireDepartment now has a regional system of care forpatients experiencing heart attacks.

City of Phoenix Fire Chief Bob Khan said, “Once thesystem was in place, a key component to implement-ing this advanced technology was educating the pub-lic about the critical importance of recognizing thesymptoms of a heart attack, not denying or minimiz-ing the existence of their symptoms, and calling 911immediately.”John Shufeldt, MD, an Emergency Department

physician at St. Joseph’s, provided information on themost common signs of a heart attack:• Chest discomfort: uncomfortable pressure, squeez-ing, fullness or pain.

• Shortness of breath with or without chest discom-fort.

• Other signs, which may include breaking out in a coldsweat, nausea or lightheadedness, pain or discom-fort in one or both arms, the back, neck, jaw orstomach.Chest pain is not the only heart attack signal. Women

are more likely than men to experience other commonsymptoms, particularly shortness of breath, nausea/vom-iting, and back or jaw pain.The goal of this campaign is to have all Valley hos-

pitals help communicate this information and encour-age other municipalities to inform their residents.


More than 100 years ago, the Sis-ters of Mercy made a plan: They

would build a hospital, and they wouldask members of the community to sup-port their efforts through charitablegiving. By giving, the community wouldhelp build something that made a dif-ference in the world – something thatmoved the needle toward the good.Today, benefactors with the fore-

thought to make planned gifts contin-ue to guide the future of St. Joseph’sand to guarantee its vibrant future. Wecall them “planned gifts” because withcareful planning and execution, youcreate a mutually beneficial environ-ment in which both you and St. Joseph’sthrive. You also help to create extraor-dinary opportunities for improving

patient care, medical education andresearch.There are many types of planned

gifts, from bequests in an estate plan orwill, to annuities, charitable remaindertrusts, charitable remainder annuitytrusts, life insurance policies and lifeestate gifts. Planned giving also mayhelp you maximize the tax advantagesof giving while allowing you to make agift that you may not have thought pos-sible. The work being done here at St.

Joseph’s Hospital and Medical Center allbegan with a plan. And when you makea planned gift to St. Joseph’s, that workwill live on.

MOVE THE NEEDLE TOWARD THE GOODBy Kathy X. KramerPresident and CEOSt. Joseph’s Foundation and Barrow Neurological Foundation

“The work being done here

at St. Joseph’s Hospital and

Medical Center all began

with a plan. And when you

make a planned gift to

St. Joseph’s, that work will

live on.”

Get a behind-the scenes look at how magicians trick us, what magic tells us about the brain and why it ma9ers. Proceeds bene8t Barrow Neurological Institute.

Tickets go on sale May 2012. Tickets: $75, $100 and $150 (includes VIP reception before the show)For more information, call 602-406-3041.

�� Sept. 17, 2012 | 6 p.m.

Phoenix 7eatre

�� Mac King and the Amazing Randi

Stephen Macknik, PhD, and Susana Martinez-Conde, PhD

Nonprofit Org.U.S. Postage

PAIDPermit No. 685Phoenix, AZ

Dignity HealthSt. Joseph’s Hospital and Medical Center350 W. Thomas Rd.Phoenix, AZ 85013

[email protected].

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