Reading Room Vo l . V No. 1 Winter 2007 Department of Radiology At first glance, a clinic waiting room would not appear to be the ideal habitat for a clown fish that looks a lot like the star of a certain hit movie. But the radiology reception area at Children’s Hospital Boston at Waltham has proved to be just fine. There, “Nemo” and his piscine pals have a swimmingly good deal: a beautiful tank whose lights brighten and dim to simulate day and night; human caretakers who treat them to Cover Story Finding Nemo in a Suburban Radiology Suite ocean delicacies from From the Chief the staff-room freezer; By George A. Taylor, MD and—best of all—chil- A children’s hospital is a special place, dren who squeal with and, naturally, I’m particular to ours. recognition when they spy There’s a happy energy here that visitors their fluorescent friends. notice the minute they step into our lobby. It’s a hopeful spirit—one that buoys up sick children, soothes worried parents and motivates our talented Nemo’s aquatic wonderland is just Where’s Nemo? His pals enjoy their habitat in the new radiology suite at Children’s Hospital Boston at Waltham. one of the many amenities built into the 16,000-square-foot radiology suite medical teams to give their very best to patients every single day. that opened in the Waltham clinic in July 2006. Everything about the facility—from the Nancy Drinan, our new (and first) nature-themed décor to the multicolored ceiling lights that distract children during director of editorial services, has a theory imaging procedures—was carefully planned. about why Children’s Hospital Boston is so unique. It’s the staff, she says: “Kudos to the hospital,” said Keith Strauss, director of radiology physics and engineering. “You’ve got to like kids. If you like kids, “They wanted to create an outpatient environment where patients would not feel they you’re patient, kind, generous of spirit.” were walking into a hospital. And they succeeded.” Nancy’s not talking about just the doctors, continued inside continued inside www.c hildrenshospital.org From the Chief, continued from p. 1 Nemo, continued from p. 1 nurses and technologists. Here, everyone Longwood Avenue department can now be Strauss and the Radiology Department’s technical directors, Linda Poznauskis and Royal Davis, were part of a multidisciplinary team that brainstormed and planned for more than a year in an effort to get the new facility just right. The result is a pleasing blend of form and function that lowers the anxiety level of young patients while meeting the technical requirements of the staff and equipment. found in the radiology suite of the hospital’s An environment for children satellite clinic in Waltham. Our cover story “Psychologically, it’s important that the patients feel like they are the focus,” said Poznauskis, who oversees a staff of more than 100 technologists in Boston, Waltham and Lexington. One way to ensure this, she realized, was to shield patients and their families from as much of the medical hustle-and-bustle as possible. So, a circular waiting room, adorned with woodsy touches appropriate to its forest theme, occupies the place of honor in the first-floor space. Procedure rooms open off it and connect to a back hallway where staff can move around without disturbing patients and their families in the waiting room. contributes to our mission. She does, every day, as she helps our faculty prepare their research for publication and edits grant proposals for funding that will enhance our ability to diagnose and treat sick children. See the back cover for more about Nancy. The same positive energy that infuses our busy introduces our new facilities and the dedicated professionals who work there. I’d like to give special kudos to the team that made it happen: Keith Strauss, Linda Poznauskis, Royal Davis and John Speziale. They spent months planning and working with architects and facilities planners so that the children who come to Waltham for a CT scan or an MRI receive the same excellent care we provide at Longwood. I’d like to single out one more individual for recognition, even though he’s not on my payroll. Bob Widdop is a retired telephone company lineman and cancer survivor who founded the Big Apple Circus’s Clown Care Unit here in 1996. Dressed as Nurse B.B., Bob makes “clown rounds” to cheer patients large and small. He’ll never make a best-dressed list in those size 49 shoes and that red nose, but who cares? He recently received a bigger honor—his portrait Imaging from A to Z The radiology suite offers magnetic resonance imaging (MRI), computed tomography (CT) scans, ultrasound, diagnostic X-rays, fluoroscopy and nuclear medicine procedures, plus a 3-tesla MRI magnet that will be used primarily for research. Two radiologists from the main hospital work at Waltham every day under the leadership of Rick Fair, MD. Operations Manager Patricia Devine manages the staff, and the facility offers flexible hours to accommodate patients. Pediatric radiologist Rick Fair, MD, is in charge of the radiology service at Waltham. Fair and the other radiologists work in a reading room at Waltham, interpreting images and dictating reports into the hospital’s PACS (picture archive and communication system), while nuclear medicine doctors in Boston use a seamless technology link to review bone scans and other images generated by the single photon emission computed tomography/SPECT-capable gamma camera at Waltham. The radiology suite supports the work both of the Children’s Hospital Boston specialists— particularly the orthopedists—who practice at the Waltham clinic and of pediatricians and other doctors in the area. The Radiology Department estimated that about 10,000 imaging studies would be performed during the year after the suite opened, but the volume of studies is already higher than expected. Excellent facilities; fast results Another way to ensure child-centered care was to incorporate distractions into the environment of each procedure room. Some rooms feature hidden light banks that morph into a rainbow of hues; others have restful backlit mosaics in the ceilings that kids can watch while undergoing CT scans or nuclear medicine procedures. “We wanted to use distraction techniques rather than to sedate patients,” said Davis, the technical director for nuclear medicine/PET. Families are responding positively to the new suite. “Parents are always complimenting the facility,” said Keshaunda Chinn, a tech aide. “We always get comments on how beautiful it is.” In addition to two fish tanks, the waiting room features giant etched-glass “leaves” hanging from the ceiling, pint-sized play tables, two plasma TVs and original artwork. “Patients and families say it’s much less stressful not having to commute into Boston and find parking,” said Cheryl Iuliano, assistant chief technologist at Waltham. “People are loving this. The majority of patients and families we see here are just thrilled.” “Grease” comes to the radiology suite at Waltham for Halloween. Back, left to right: Shaunda Chinn, Donna Duncan, Stephanie Bodgan, Cheryl Iuliano, Patty Devine, Arnie Cyr, Monique Thibodeau, Rich Farago, Christopher Lowe, Jeanne Chow, Kevin Studley. Front: Sara Fuller, Angela Younger, Diona Roby, Victoria Dune, and Jamie McCarey. “Patients are being treated well,” said S. Ted Treves, chief of the Division of Nuclear Medicine/PET. “They let us know that their procedures were done well and with a lot of care, and they appreciate the speed with which we can report back to their doctors. I don’t think there’s another satellite pediatric imaging facility in the Boston suburbs that’s as well equipped.” 䡲 Children’s Hospital Boston at Waltham is located at 9 Hope Ave., Waltham, Mass. 02453. To make an appointment, please call 781-216-1100. now hangs with oil paintings of the hospital’s notables on the “wall of fame” in the Hunnewell building. Take a look. Meanwhile, enjoy this issue of Reading Room. For directions to the Waltham suite, please see www.childrenshospital.org/locations. “People are loving this. The majority of patients and families we see here are just thrilled.” –Cheryl Iuliano, assistant chief technologist at Waltham Hospital Acquires MicroPET Scanner Children’s Hospital Boston has acquired the Longwood Medical Area’s first stateof-the-art microPET research facility for noninvasive small-animal imaging. The microPET scanner allows real-time, in vivo evaluation of many physiologic processes, such as blood flow, glucose metabolism and protein synthesis. It also promises to accelerate the speed of many basic and preclinical investigations. S. Ted Treves, MD, the hospital’s chief of Nuclear Medicine/PET, is the director of the new facility and chair of the MicroPET Research Committee. Please contact him at 617-355-7935 or [email protected] for more information. The facility is open to all qualified users. Wordsmith Finds a Niche in Radiology Nancy Drinan, the Radiology Department’s first director of editorial services, is busy. She’s in the midst of drafting a patient consent form that will be comprehensible to someone with a sixthgrade education, helping several faculty members write textbook chapters and editing proposals for research funding. And she’s assisting with the organization of a conference for brain tumor researchers. “When George Taylor and I first talked about hiring her, we worried that there wouldn’t be enough work,” said S. Ted Treves, MD, chief of the Division of Nuclear Medicine/PET and professor of radiology at Harvard Medical School (HMS). “Now she is booked two months in advance.” That’s just fine with Drinan, a former English teacher who came to Children’s last July Nancy Drinan, director of after six years as editorial services. manager of editorial services and special projects in the radiology department at Brigham and Women’s Hospital. There, under the direction of Ferenc Jolesz, MD, she drafted—and redrafted—a 2,000-page grant application that won the hospital $17 million in support of an image-guided therapy center. The move from the Brigham, where she worked in a research laboratory, involved more than just changing offices. “Here, one of the exciting things for me is being closer to patient care, and particularly to small children,” she said. “I see on a daily basis what our faculty do to save lives.” Drinan’s work involves everything from correcting punctuation to completely rewriting documents as diverse as letters of recommendation, journal articles and grant applications. “Whatever I need to do to get the job done, I do it,” she said. The radiologists, busy with clinical duties and research, are very appreciative. That may be due partly to Drinan’s approach to the job. She regularly attends faculty meetings so that she can understand their needs and concerns; that presence also makes her more accessible. “If they see me at the meeting, they may say, ‘Nancy, by the way, I have a paper to get out the door in three weeks,’” she said. Drinan also attends monthly research meetings in the Division of Nuclear Medicine/PET. “I benefit from hearing what’s in the pipeline, what’s going to turn into a grant and what’s going to turn into a paper,” she said. “I also like to generate ideas and serve as a sounding board. I think of myself as a creative person—a nonscientist who can offer an outside perspective or come up with ideas and questions that wouldn’t necessarily occur to the researchers.” Edward Lee, MD, MPH, a pediatric radiologist and HMS instructor, has been working closely with Drinan on a number of projects. As a junior faculty member, he appreciates the expertise she provides. “Dr. Taylor wants to create an environment that is full of support systems that enable junior faculty to come in and succeed,” said Lee. “I’m very grateful because I feel sure there aren’t many places that offer such help.” Drinan says she enjoys being a “behind-thescenes” person and gets enormous satisfaction from guiding a project to fruition. “My greatest feeling of gratification comes when the ‘job’ is successful: the manuscript gets published; the investigator is awarded a grant; someone receives a promotion.” “Even though I’m sitting at the screen, fixing words, I’m never very far removed from the mission of this hospital,” she said. “Opportunities to do something good present themselves every day.” 䡲 Hospital Honors Clown-in-Chief The official portrait of Bob “Nurse B.B.” Widdop. Photograph by George A. Taylor, MD. Visitors who find themselves in the stairwell of the hospital’s Hunnewell building can be forgiven for doing a double take as they gaze upon the luminaries commemorated in oil and canvas on its elegant walls. There, nestled among the solemn portraits of the chiefs of service, is another chief—Bob Widdop, who founded the hospital’s Big Apple Circus Clown Care Unit in 1996. But he’s wearing a garish plaid suit, a nurse’s cap and, in place of a pocket watch, a rubber chicken! Widdop, who makes clown rounds as “Nurse B.B.,” was immortalized by Radiologist-in-Chief George A. Taylor, MD, who photographed him in the hospital library’s Gamble Reading Room and had the image printed on canvas. “That hall is full of pioneers in medicine, and, in his own way, Bob is a pioneer in the healing arts as well,” said Taylor, an amateur photographer who has photographed Widdop and his clown colleagues during the past few years. “Bob is an intuitive healer; he understands what it’s like to be sick and realizes the strong power of humor and humanity in healing. He’s an amazing guy.” 䡲 Reading Room © 2007 Children’s Hospital Boston Department of Radiology 300 Longwood Avenue Boston, MA 02115 617-355-7828 [email protected] The late Dr. Edward B. D. Neuhauser, chair of the Radiology Department from 1941 to 1974. This painting, made by Frank E. Bensing in 1959, hangs in the hospital’s Neuhauser Reading Room. Department Launches Web Site for Fellows Visit www.bostonpedrad.org for information about the pediatric radiology, neuroradiology, and nuclear medicine fellowships offered at Children’s Hospital Boston. Radiologist-in-Chief John A. Kirkpatrick Professor of Radiology George A. Taylor, MD Writing & Editing Kathleen Clute [email protected] Copyediting Joy Sobeck Design Sharon Elwell, Elwell Design [email protected] Photography & Digital Imaging George A. Taylor, MD Kathleen Clute Administration Jane Choura
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