ShepherdTV.org SpinalColumn Now offering video, podcasts and blogs See Page 2 ® The Magazine of Shepherd Center: Providing Medical Treatment, Research and Rehabilitation | spinalcolumn.org A Reach that Extends Around the Globe Shepherd Center extends its successful brand of injury rehabilitation to an international population. + on an injury prevention Shepherd Center staff and former patients spread the word on how to prevent catastrophic injuries on the road, off the road and in the water. Doctors as Patients Doctors gain new insight as patients. Driving Coach Device helps drivers with brain injuries. Patient Profile Former patient now a Shepherd nurse. Practical Experience Residents learn from Shepherd physicians. Summer 2010 The Magazine of Shepherd Center Summer 2010 Photo by Gary Meek Letter from James Shepherd SpinalColumn® Dear Friends, Shepherd Center has world-class facilities that are unmatched by any other rehabilitation hospital specializing in spinal cord and brain injuries. While we are blessed to have these facilities – thanks to our generous donors – we are most proud of our staff's accomplishments. Their efforts drive the excellent patient care and outcomes we deliver. Our staff has fully embraced the values and standards of excellence that my parents and I – along with Drs. David Apple, Herndon Murray and Allen McDonald – established early on in our vision for Shepherd Center. Together – and under the leadership of CEO Gary Ulicny – we have a passion for innovation. It gives us a clinical edge, which translates to rehabilitation care that exceeds expectations and sets the bar above our peers elsewhere. Here are some examples of the excellence and commitment of our staff: •Shepherd Center nurses pursue advanced certifications through professional organizations, including: Association of Rehabilitation Nursing; American Association of Critical Care Nurses; International Association of Multiple Sclerosis Nurses; and the Wound, Ostomy and Continence Nurses Society. •Shepherd Center therapists do the same through the American Physical Therapy Association; American Society of Hand Therapists; American Occupational Therapy Association; Consortium of MS Centers; and the Rehabilitation Engineering and Assistive Technology Society of North America. •Our case managers pursue these certifications through the Case Management Society of America, National Association of Social Workers and the American Case Management Association. •Our case managers recently received a national “Case in Point” Platinum Award for Excellence in Case Management for Rehabilitation Programs. •Our nursing staff was recognized in 2009 by the American Nurses Association with the NDNQI Award for Outstanding Nursing Quality™ in the category of Rehabilitation Hospitals. Also, Shepherd Center has helped thousands of people return to an active and productive lifestyle through therapeutic recreation. Some former patients even participate in competitive adaptive sports through one or more of the 12 sports team we sponsor. And we have some star athletes, such as Curtis Lovejoy, who have earned medals at the Paralympic Games, as well as in national and world championship competitions. These accomplishments provide evidence that Shepherd's staff is dedicated to delivering excellent care. Our visitors see it in the smiles and determination on the faces of our patients and staff. Like proud parents, we couldn’t be more pleased. Shepherd Center 2020 Peachtree Road, NW Atlanta, Georgia 30309 404-352-2020 [email protected] www.spinalcolumn.org Editor Jane M. Sanders Design Soloflight Design Contributing Writers Lauren Angelo, Sara Baxter, Larry Bowie, Amanda Crowe, Kayla Eubanks, Dean Melcher, Ivy Oxendine, Anne Pearce, Cara Puckett, Bill Sanders, Midge Tracy Contributing Photographers Leita Cowart, Neil Dent, Louie Favorite, Kristen Bartlett Grace, Beth N. Gillem, Billy Howard, Gary Meek Board of Directors James H. Shepherd, Jr., Chairman Gary Ulicny, Ph.D., President and CEO Emory A. Schwall, Vice President William C. Fowler, Treasurer Stephen B. Goot, Corporate Secretary Alana Shepherd, Recording Secretary Members Fred V. Alias, Gregory P. Anderson, David F. Apple, Jr., M.D., Brock Bowman, M.D.*, Wilma Bunch*, James M. Caswell, Jr., Sara S. Chapman, Clark Dean, John S. Dryman, Mitchell J. Fillhaber*, David H. Flint, Stephen B. Holleman*, Michael L. Jones, Ph.D.*, Tammy King*, Donald Peck Leslie, M.D., Bernie Marcus, Joseph R. Moderow, Julian B. Mohr, Charles T. Nunnally III, Sally D. Nunnally, Clyde Shepherd III, J. Harold Shepherd, Scott H. Sikes*, James E. Stephenson, James D. Thompson, Goodloe H. Yancey III† * † Ex Officio Emeritus Spinal Column is published quarterly by Shepherd Center, a private, not-for-profit hospital specializing in the treatment of people with spinal cord injury and disease, acquired brain injury, multiple sclerosis and other neuromuscular disorders, and urological problems. E-mail change of address information or request to be removed from our mailing list to [email protected], or by mail to Shepherd Center, Attn: Spinal Column Mailing List, 2020 Peachtree Road, NW, Atlanta, Georgia, 30309. Please include mailing label. Spinal Column accepts no advertising. Spinal Column is a registered trademark of Shepherd Center. About the Cover: Former spinal Warm regards, James H. Shepherd, Jr. Chairman of the Board cord injury patient Natalie Shinn of Rockledge, Fla., is an advocate for driving without distractions. Photo by Kristen Bartlett Grace ShepherdTV.org SpinalColumn Now offering video, podcasts and blogs See Page 2 ® The Magazine of Shepherd Center: Providing Medical Treatment, Research and Rehabilitation | spinalcolumn.org A Reach that Extends Around the Globe Shepherd Center extends its successful brand of injury rehabilitation to an international population. Doctors as Patients Doctors gain new insight as patients. Driving Coach Device helps drivers with brain injuries. Patient Profile Former patient now a Shepherd nurse. Practical Experience Residents learn from Shepherd physicians. Summer 2010 + DERBY DAY 2010 New venue is a hit with the Derby Day crowd. The Magazine of Shepherd Center Summer 2010 Photo by Gary Meek Letter from James Shepherd SpinalColumn® Dear Friends, Shepherd Center has world-class facilities that are unmatched by any other rehabilitation hospital specializing in spinal cord and brain injuries. While we are blessed to have these facilities – thanks to our generous donors – we are most proud of our staff's accomplishments. Their efforts drive the excellent patient care and outcomes we deliver. Our staff has fully embraced the values and standards of excellence that my parents and I – along with Drs. David Apple, Herndon Murray and Allen McDonald – established early on in our vision for Shepherd Center. Together – and under the leadership of CEO Gary Ulicny – we have a passion for innovation. It gives us a clinical edge, which translates to rehabilitation care that exceeds expectations and sets the bar above our peers elsewhere. Here are some examples of the excellence and commitment of our staff: •Shepherd Center nurses pursue advanced certifications through professional organizations, including: Association of Rehabilitation Nursing; American Association of Critical Care Nurses; International Association of Multiple Sclerosis Nurses; and the Wound, Ostomy and Continence Nurses Society. •Shepherd Center therapists do the same through the American Physical Therapy Association; American Society of Hand Therapists; American Occupational Therapy Association; Consortium of MS Centers; and the Rehabilitation Engineering and Assistive Technology Society of North America. •Our case managers pursue these certifications through the Case Management Society of America, National Association of Social Workers and the American Case Management Association. •Our case managers recently received a national “Case in Point” Platinum Award for Excellence in Case Management for Rehabilitation Programs. •Our nursing staff was recognized in 2009 by the American Nurses Association with the NDNQI Award for Outstanding Nursing Quality™ in the category of Rehabilitation Hospitals. Also, Shepherd Center has helped thousands of people return to an active and productive lifestyle through therapeutic recreation. Some former patients even participate in competitive adaptive sports through one or more of the 12 sports team we sponsor. And we have some star athletes, such as Curtis Lovejoy, who have earned medals at the Paralympic Games, as well as in national and world championship competitions. These accomplishments provide evidence that Shepherd's staff is dedicated to delivering excellent care. Our visitors see it in the smiles and determination on the faces of our patients and staff. Like proud parents, we couldn’t be more pleased. Shepherd Center 2020 Peachtree Road, NW Atlanta, Georgia 30309 404-352-2020 [email protected] www.spinalcolumn.org Editor Jane M. Sanders Design Soloflight Design Contributing Writers Lauren Angelo, Sara Baxter, Larry Bowie, Amanda Crowe, Kayla Eubanks, Dean Melcher, Ivy Oxendine, Anne Pearce, Cara Puckett, Bill Sanders, Midge Tracy Contributing Photographers Leita Cowart, Neil Dent, Louie Favorite, Kristen Bartlett Grace, Beth N. Gillem, Billy Howard, Gary Meek Board of Directors James H. Shepherd, Jr., Chairman Gary Ulicny, Ph.D., President and CEO Emory A. Schwall, Vice President William C. Fowler, Treasurer Stephen B. Goot, Corporate Secretary Alana Shepherd, Recording Secretary Members Fred V. Alias, Gregory P. Anderson, David F. Apple, Jr., M.D., Brock Bowman, M.D.*, Wilma Bunch*, James M. Caswell, Jr., Sara S. Chapman, Clark Dean, John S. Dryman, Mitchell J. Fillhaber*, David H. Flint, Stephen B. Holleman*, Michael L. Jones, Ph.D.*, Tammy King*, Donald Peck Leslie, M.D., Bernie Marcus, Joseph R. Moderow, Julian B. Mohr, Charles T. Nunnally III, Sally D. Nunnally, Clyde Shepherd III, J. Harold Shepherd, Scott H. Sikes*, James E. Stephenson, James D. Thompson, Goodloe H. Yancey III† * † Ex Officio Emeritus Spinal Column is published quarterly by Shepherd Center, a private, not-for-profit hospital specializing in the treatment of people with spinal cord injury and disease, acquired brain injury, multiple sclerosis and other neuromuscular disorders, and urological problems. E-mail change of address information or request to be removed from our mailing list to [email protected], or by mail to Shepherd Center, Attn: Spinal Column Mailing List, 2020 Peachtree Road, NW, Atlanta, Georgia, 30309. Please include mailing label. Spinal Column accepts no advertising. Spinal Column is a registered trademark of Shepherd Center. About the Cover: Shepherd Center's Warm regards, James H. Shepherd, Jr. Chairman of the Board annual Derby Day fundraising event attracts guests from throughout metro Atlanta for a day of fun, games and eye-catching hats. Photo by Jim Fitts Summer2010Contents SpinalColumn The Magazine of Shepherd Center: Providing Medical Treatment, Research and Rehabilitation 12 14 A Renewed View of Recovery: Physicians who were once under Shepherd's care gain a unique perspective as patients. Photo by Louie Favorite Cover Story 18 Around the Globe: Shepherd Center extends its successful brand of rehabilitation to an international population. Injury Prevention Mission Shepherd Center spreads the word on how to prevent brain and spinal cord injuries on the road, off the road and in the water. Photo by Gary Meek Features Electronic Driving Coach: Device under development at Shepherd Center and Georgia Tech could help drivers with brain injuries. 20 20 An Experience Like No Other: Emory University medical residents learn from Shepherd Center physicians. Departments 2 Short Takes 22 Research: Pharmaceutical Paradox 24 Patient Profile: Kristie Summers 26 Managed Care Corner 27 Medical Staff Profile: Darryl Kaelin, M.D. 28 Shepherd Alums 30 Foundation Features 42 Tributes If you would like to make a gift to support the work you have read about, please contact Scott H. Sikes at the Shepherd Center Foundation at 404-350-7305 or visit shepherd.org. ShortTakes Shepherd Snapshots: A Look at News and Other Notes Shepherd Center’s online video site, ShepherdTV.org, has been enhanced to allow visitors even more interactive options for learning about Shepherd Center. In addition to HD video, ShepherdTV now includes weekly podcasts featuring interviews with Shepherd’s medical experts on topics related to spinal cord and brain injury. Visitors can also catch up on the latest blogs from former patients, who write about their lives following rehabilitation at Shepherd Center. To get started, visit ShepherdTV at shepherdTV.org. Shepherd Center Launches New Online Retail “Shepherd Store” Shepherd Center has launched an online retail store for Shepherd Center apparel and accessories at shepherdstore.org. Shepherd teamed up with Champion Apparel and Promotions Inc. to create the merchandise and retail site. Below: Paralympic gold medalist Curtis Lovejoy models a new Shepherd Center T-shirt. Photo by Billy Howard ShepherdTV Site Features New Video, Podcasts and Patient Blogs To visit the Shepherd Store, go to shepherdstore.org or shepherd.org. The online store, called the “Shepherd Store,” carries T-shirts, hats, polo shirts and tote bags in a variety of colors, sizes and styles – all imprinted with the Shepherd Center logo. In addition, a special T-shirt commemorating the 35th anniversary of Shepherd’s founding will be available while supplies last this summer. “After they’ve returned home, we often hear from patients and their families who grow somewhat nostalgic about their time at Shepherd and want to know how they can purchase a Shepherd shirt, hat or some other item from our gift shop,” says Larry Bowie, director of public relations. “Now, it can all be ordered online and shipped anywhere in the United States or overseas.” Shirts at the Shepherd Store are available in men’s and women’s styles, small to extra large. There are also a variety of men’s and women’s styles, including a slimmer cut option for women. Hats are also available in several sizes and colors. The Shepherd Store will offer seasonal items, as well, such as cotton hoodies, fleece jackets and pants in the winter. Bulk orders are also available for communities planning fundraisers for patients. Shepherd Center’s Case Managers Honored with National Award Shepherd Center’s case managers were honored on April 20 with a national Case in Point Platinum Award for Excellence in Case Management for Rehabilitation Programs and an honorable mention for Overall Case Management Program from the Commission for Case Management Certification. The awards recognize the leading medical management programs that serve patients across the care continuum. Shepherd case managers Cheryl Smith and Marilyn Taylor accepted the awards on behalf of the Shepherd staff at an event in Washington, D.C, honoring 29 winners and more than 100 honorable mentions. The event featured best-in-class initiatives and industryleading personnel. “This is a tremendous accomplishment by Shepherd Center’s case management staff,” says Gary Ulicny, Ph.D., president and CEO of Shepherd Center. “The awards are a much-deserved recognition of their contributions.” Shepherd’s case managers were nominated for the awards by: Tammy King, Shepherd's chief nurse executive; Sarah Morrison, spinal cord injury program director; and Susan Johnson, acquired brain injury program director. The nomination highlighted Shepherd’s case management services from the time of admission to post-acute care to post-discharge follow-up care. It included outcomes that case managers oversee, return-to-the-community statistics, return-to-work and return-to-school rates, and information on case managers’ work in managing Shepherd patients in the community through the Independent Care Waiver Program. The nomination also highlighted some of Shepherd’s unique specialty case management processes, including those for military service members receiving treatment in Shepherd’s SHARE Initiative; patients in Shepherd's wellness program, Beyond Therapy®; and spinal cord injury patients participating in therapy through the NeuroRecovery Network at Shepherd. You can view the Platinum Award winners and honorable mentions at: www.dorlandhealth.com/platinum-awards-finalists.html. And read capsules on the award-winning programs at: www.dorlandhealth.com/cip-platinum-awards-winners.html. 2 Spinal Column w w w. s p i n a l c o l u m n . o r g Neurorehabilitation Conference to be Held at Shepherd Center Shepherd Center will co-host and serve as the conference site for the 2010 North American Neurorehabilitation Symposium organized with Hocoma, a Swiss medical technology company that specializes in robotic rehabilitation therapy for neurological movement disorders. Its products include Lokomat®, Armeo® and Erigo®. The event will be held at Shepherd Center on Aug. 27-28, 2010. Topics include new information in neurorehabilitation, motor learning and motor control, robotic technology in rehabilitation, and motivating patients with virtual environments, as well as research in spinal cord injury, stroke, traumatic brain injury, cerebral palsy and other pathologies. The conference is expected to bring together scientists and engineers from highly recognized institutions worldwide and clinical users of innovative therapeutic methods and technologies. The event is intended to offer clinicians and scientists a valuable platform to discuss trends, share expertise, exchange ideas and gain knowledge to assess and use new technologies and therapy concepts in their daily practice. — Larry Bowie For more information about the North American Neurorehabilitation Symposium 2010, visit nanrs2010.com. Shepherd Center and SkiMore Tours Offer Annual Adaptive Skiing Trip Shepherd Center and SkiMore Tours have planned a trip to Aspen, Colo., in winter 2011 for adaptive snow skiing for beginners to advanced skiers with physical disabilities. The trip, scheduled for Feb. 11-16, 2011, includes private and group adaptive skiing lessons, lift tickets, equipment, hotel accommodations, transportation from the airport to the hotel and two group dinners. People of all abilities are welcome, as well as their families and friends. Advance registration is required. For more information, contact Shepherd Center therapeutic recreation therapist Katie Murphy at 404-350-7465 or [email protected] Or, go to www.skimoretours.com. Above: Shepherd Center Therapeutic Recreation Department staff lead an annual group of former patients, their families and friends on an annual ski trip to Colorado. We are the Champions! Shepherd Center’s sports teams have been racking up some impressive wins lately. Here are some highlights: •Skier Bill Furbish competed at the 2009 World Disabled Water Ski Championship in Vichy, France, where Team USA won the gold medal. Bill captured a gold medal in slalom and a second-place finish in trick skiing. •The Shepherd Stealers wheelchair basketball team placed second at the National Wheelchair Basketball Association championship tournament. Paul Schulte was selected to the All Tournament Team, and Nick Ford was selected to the second All Tournament Team. • The Shepherd Smash quad rugby team finished seventh in Division I — the team’s best-ever finish since the establishment of the current playoff system. •Shepherd swimmer Curtis Lovejoy has been selected to participate in the World Swimming Championships in the Netherlands in August. Left: The Shepherd Stealers wheelchair basketball team plays in tournaments around the nation. For more information on the 12 sports teams that Shepherd sponsors, see shepherd.org/sports. Register now! All Sports Camp Scheduled for This Fall Shepherd Center’s annual All Sports Camp is scheduled for Sept. 30 through Oct. 3 at Roosevelt Sports Training Complex in Warm Springs, Ga. The camp is designed for people ages 16 and up with spinal cord injury or disease, multiple sclerosis, spina bifida, post-polio syndrome, amputation, GuillainBarré syndrome, transverse myelitis or amyotrophic lateral sclerosis (ALS). Participants will get hands-on training in nine sports: track and field, basketball, rugby, tennis, golf, handcycling, football, canoeing/kayaking and fencing. Instructors include some of the world’s top coaches and nationally ranked athletes, including Shepherd Center alumnus and Paralympic gold medalist Curtis Lovejoy and national record-setting, wheelchair racer Rafael Ibarra. For more information, contact Matt Edens at 404-367-1287 or [email protected] Summer 2010 3 CoverStory Shepherd Center staff and former patients spread the word on how to prevent catastrophic injuries on the road, off the road and in the water. By Bill Sanders On an Injury Prevention Mission 4 Spinal Column w w w. s p i n a l c o l u m n . o r g In this section, six former patients tell their stories and deliver powerful injury prevention messages. Photo by Gary Meek 1 Pictured: Josh Gilbert of Athens, Ga., sustained a traumatic brain injury in 2006 when he has skateboarding without a helmet. Typically, Josh Gilbert wore a helmet and knee and elbow pads when skateboarding. But on Dec. 12, 2006, the buckle on his helmet was broken, so he didn’t wear it. Natalie Shinn was sending a short text message while driving on July 6, 2009. She knew it was dangerous, but she’d done it before with no serious consequences. Kevin Raysor knew he could break a bone while skimboarding in shallow water. But bones heal in time, and most of his close friends were into the sport. In these cases and so many others, the results were brain and/or spinal cord injuries. Every year, Shepherd Center admits dozens of patients whose catastrophic injuries could have been avoided had they taken a minute to think through their actions. “I hate seeing patients, especially adolescents, with these types of preventable injuries,” says Shepherd Center physical therapist Cathi Dugger. “Adolescents often think they’re invincible. The adolescent brain is not fully developed, and thus they often can’t fully reason the potential consequences of their choices.” That’s why Shepherd Center continues to emphasize the injury prevention aspect of its mission – particularly at this time of year when people tend to spend more time swimming, diving, skating, four-wheeling and traveling by car. “I see it all the time,” says Pete Collman, community relations coordinator for Shepherd’s YiPES!! and ThinkFirst injury prevention programs. “People say they never thought this would happen to them, and I want to bang my head against a wall when I hear that. If I had a nickel for every time I tell people, ‘Yes, it could happen to you,’ I’d be rich. Driving distracted, diving, skateboarding or riding an ATV without a helmet – eventually, those things will catch up to you in some form or fashion.” Spearheaded by Herndon Murray, M.D., medical 2 3 4 5 6 director of Shepherd’s Spinal Cord Injury Program, YiPES!! (Youth and Injury Prevention Education at Shepherd) was launched in 2009 to expand the hospital’s 20-yearold commitment to injury prevention. In partnership with the ThinkFirst National Injury Prevention Foundation, Collman, Dugger and other Shepherd staff members make presentations to school and civic groups. YiPES!! uses online social networking and multimedia to reach a larger audience of young people with the hospital’s injury prevention messages, which come straight from people who have experienced preventable injuries first hand. “Kids are influenced by their peers – in both bad and good ways,” Dr. Murray says. “When it comes to injury prevention, we believe that adolescents and young people who have sustained spinal cord or brain injuries can be most effective in convincing their peers to think before they act.” Summer 2010 5 the dangers of water sports Photos Courtesy of Serivce Dogs of Virginia This is the time of year when people, especially young men, mindlessly and carelessly dive head first into a body of water without first checking the depth and conditions. At the very least, Shepherd preaches the Think First mantra: Feet First the First Time. But Collman says that’s really not taking it far enough. “Last year 16 young people, none over age 26, came to Shepherd and may never walk or use their hands again because they dove into a body of water they shouldn’t have,” he says. “Some dove into rivers, some into oceans with a sandbar, some into lakes, and some even dove into shallow pools. People just have a false confidence that they are not going to hit something submerged. “‘Feet First the First Time’ is a good start, but I say don’t take that chance. Period. I don’t care 1 Luke Morris 6 Spinal Column how many times you did it last year; you should never do it again. Cross it off the list,” Collman says. When he preaches this message at schools or civic clubs, he knows he has the audience’s attention because he is a paraplegic – due to a spinal condition called transverse myelitis – and uses a wheelchair. “I can tell them, ‘Folks, it’s not just because I said so.’ Teens need to know why. If you dive in, get knocked unconscious and someone gets you out, that’ll do damage to you. When I tell them, ‘Here’s what life is like after the injury,’ they get it. I call it ‘shock and awe’ to get their attention.” Luke Morris, 22, of Standardsville, Va., sustained an incomplete C-5 spinal cord injury (SCI) in July 2008 when he dove into a river he’d dove into a hundred times before. Luke’s experience shows that “Feet First” isn’t always enough. He had every reason to think the river, less than a mile from his house, was deep enough and void of any dangerous rocks on the riverbed. “I hit a rock,” he recalls. “I felt like I was on fire. My friends helped me get out. I remember everything that happened and I instructed them on what to do after they got me to the edge of the river. My friends thought I was just in shock, but I knew it was something more. Now, there’s nothing I can do about it, so I don’t look back and get mad at myself. That wouldn’t do any good. But I will say this: Now, I don’t see the point of diving into rivers or pools. You’re taking a big risk that you don’t need to take. It’s pointless.” Luke is paralyzed from the chest down. He has no movement in his fingers or hands, but can lift his wrists using his wrist flexor muscles. But he has found ways to continue doing the things he loves, like hunting and mud bogging in his four-wheel drive truck. Earlier this year, Luke received an assistance dog named Polar from Service Dogs of Virginia, and it has made all the difference in the world, he says. Polar helps Luke in many ways, including opening and closing doors, taking off his sweatshirt and socks, and picking things up he drops. The service dog and the family training Luke and his mother, Linda Morris, received from Shepherd Center have been two positives to come from Luke’s accident. “Shepherd was the best place we could have gone,” Linda says. “We learned so much there. I didn’t know anything about SCI. Without Shepherd, I don’t know where we’d be. It was a long way from home, but it was well worth it and definitely the right decision. There was so much to learn, and their knowledge and patience was unbelievable.” Luke is still a bit reluctant to preach too hard about not diving. Linda, on the hand, looks for every opportunity to tell Luke’s story. “I’d love to preach it from soapbox,” she says. “What happened to Luke was not a fluke. I saw too many people at Shepherd and have met many since we came home who have had diving accidents. I don’t consider it a fluke accident at all because it is completely preventable. I admit, I had never thought about it before this. I’d thought about car accidents, or dying, but never thought about an SCI. I’m sure a lot of people don’t think about it. I now take any opportunity I can, at the Top Left: Luke Morris of Standardsville, Va., recently received an assistance dog named Polar from Service Dogs of Virginia. Bottom Left: Luke advises everyone to avoid diving because that's how he sustained a spinal cord injury that left him paralyzed. w w w. s p i n a l c o l u m n . o r g Photo Courtesy of Kevin Raysor to it, and my parents are glad,” Kevin says. Before the accident, Kevin competed in skimboarding. In fact, he was preparing for a competition the week before the accident. “Skimboarding is a really athletic sport,” Kevin says. “You can do some things with skimboarding that you can’t do when you’re surfing or skateboarding. But if you don’t know what you’re doing, you can get hurt, and it can happen even if you do know what you’re doing. People fall and break bones. I broke my ankle a while back. I know one or two others who broke their necks while skimboarding. They were also patients at Shepherd. “All my friends I used to skimboard with wish I would come back to the sport, but I’m not going to,” Kevin says. “I still keep in touch with them, though. They respect my decision to not return.” Kevin advises people who skimboard to avoid doing flips. If they do, flip in deep water just in case. Don’t go straight into a wave, but skimboard parallel with the shore. Also, he says to watch out for people around you because can get injured badly by another board. “My decision to go to Shepherd made it possible for me to become what I am today,” Kevin says. “I probably would have died otherwise; I lost so much weight. I was able to get back into the environment and the community through the outings we went on at Shepherd. Also, I learned that I was not the only person in this situation. I was around people with a similar experience, and it was inspiring and made me more comfortable.” 2 kevin raysor Left: After completing therapy at Shepherd Center, Kevin Raysor of Jensen Beach, Fla., can now walk. Above: Kevin sustained a spinal cord injury in a skimboarding accident in July 2008. He no longer participates in the sport. Photo by Perry Ann Williams bank or the grocery store, wherever, to tell people not to dive. I think it should be outlawed. It can happen in a split second and change your life forever.” Although diving is the most common way people sustain spinal cord injuries in the water, it is by no means the only way. Kevin Raysor, 19, of Jensen Beach, Fla., was skimboarding in the ocean when a small wave knocked him off his feet. He’d been doing the sport for a couple of years, and on a rainy July day in 2008, he thought the waves were perfect for a ride. The choppy water caused him to fall, and he landed on his head and right shoulder. It was like hitting the bottom of a pool with his head, he says. Kevin sustained a C-5 to -6 incomplete SCI. He transferred to Shepherd Center’s ICU about a month after the accident and moved to a regular room a week later. Kevin was an inpatient for a little more than a month. Then he completed Shepherd’s day program and the NeuroRecovery Network program, which involved locomotor training on a treadmill. By the time he finished therapy, Kevin had regained almost all the neurological function he lost in the accident. He continued therapy back at home twice a week through spring 2009. During the recovery period, Kevin lost 40 to 50 pounds and has only recently regained that weight. He has regained most of his strength, too, though his cardio workouts are not as good as they were before the accident, when he was running 13 miles a day, he says. He’s also returned to water sports – surfing now because it’s done in much deeper water and is therefore safer than skimboarding. “I think skimboarding would be fun, but I don’t think I will go back “My decision to go to Shepherd made it possible for me to become what I am today.” — Kevin Raysor Summer 2010 7 3 danielle vincent — Danielle Vincent Photos by Louie Favorite Main: Danielle Vincent of Douglasville, Ga., is still recovering from a brain injury she sustained in a 2006 car accident. Inset Top: Danielle advises drivers to avoid distractions. Inset Bottom: Danielle has lots of support from her mom. “My message to folks is this: Think twice. I could say it in more words. But that says it all. ” The Dangers of Distracted Driving Danielle Vincent, 22, knew better than to take her eyes off the road when driving – even for the second or two it would take to grab a CD case from the passenger seat floor. But on Feb. 21, 2006, despite sensing she might regret it, she looked away from the road and reached for her music. Taking her eyes off the road for a few seconds wasn’t an indication that Danielle was a habitually careless driver. But in those few seconds, her life changed forever. “It’s very frustrating to look back on,” says Danielle, who 8 Spinal Column lives near Douglasville, Ga. “In retrospect, I can see how arrogant I was behind the wheel. It’s a very dangerous attitude to think you can take your eyes off the road like that. Life can change so quickly. Something told me I’d regret the decision, but I reached for it anyway. I went into a ditch, hit a tree and almost died.” When paramedics found Danielle, they first thought she was dead. She was taken by medical helicopter to Grady Memorial Hospital in Atlanta, where she stayed for 16 days with a diffuse brain injury. “There were a lot of variables that we didn’t know,” Danielle says. “For a while, my life was still in danger, but I don’t remember any of that. I don’t remember being at Grady or any of my time in a hospital. It was six months after my hospital stay before my memory came back. I still don’t remember my time at college before the accident, or my high school graduation, which was a year before. I’m still working to overcome memory issues now.” Today, Danielle takes online college courses and lives with her parents. Neither of those things were what she had planned before her accident. She says that’s what makes her want to shout from the rooftops, “Your life can change forever in a split second!” Of course, everyone knows that. If asked, Danielle would’ve said she knew it two minutes before reaching for the CD case. But people often don’t live like they know it. w w w. s p i n a l c o l u m n . o r g 4 Left: Natalie Shinn of Rockledge, Fla., sustained a spinal cord injury when she wrecked her car while texting. Today, after a lot of therapy, she is walking again. Below: Natalie wants to be an occupational therapist because of her injury experience. Photos by Kristen Bartlett Grace Natalie Shinn “My message to folks is this: Think twice. I could say it in more words. But that says it all. Think twice before you do anything because life can change and change forever.” A distracted driving mistake by Natalie Shinn of Rockledge, Fla., is one that may be even more common than Danielle’s. Natalie, 20, was texting while driving in July 2009 when she ran her small pickup truck off the road, overcorrected and went into the median, hitting a culvert. Her truck flipped seven times, and she was ejected from the vehicle even though she was wearing a seatbelt. Natalie, who was found unconscious about 40 feet from where the truck landed, sustained a C-5 to -6 incomplete spinal cord injury (SCI). Natalie does not remember the accident, even though she’s told she regained consciousness shortly after state troopers found her. She apparently told them she was texting. Natalie didn’t realize until two days later how seriously she was injured. Soon, Natalie transferred from Orlando Regional Medical Center to Shepherd Center for rehabilitation in Shepherd’s inpatient and day programs. She continued therapy for a couple months after returning home. Today, she is able to walk unassisted, and she recently started to run a little. Natalie’s right side was most affected, and she struggled to lift with her right arm and use a pen or pencil. Today, she can do both normally. She still experiences some pain, but she’s dealing with it by putting mind over matter. In fact, her positive attitude has played a significant role in her recovery, Natalie says. She has also returned to her studies at the University of Central Florida (UCF) in Orlando. “It was scary at first, not knowing what was going to happen,” Natalie recalls. “I had hope that I would walk again because I had some slight movement after having surgery.” Natalie regrets texting while driving and advises her peers not to do it. “Texting can be as bad as drunk driving,” she says. “You think you’re in control, but anything can happen. I tell my story to others and tell them not to text while driving.” In part, because of her experience with spinal cord injury, Natalie is majoring in health sciences at UCF and wants to be an occupational therapist (OT). She was interested in a career in physical therapy before her accident. “I meet a lot of people who want to be physical therapists,” Natalie says. “But OT also had a big impact on me. At Shepherd, my OTs were Cindy Hartley and Mandy Gillot, and they were great.” Summer 2010 9 the dangers of Road sports 5 Josh gilbert Josh Gilbert, 27, was training for a career in professional golf while working as a bartender at Wild Wings in Athens, Ga. His schedule was intense, and on Dec. 12, 2006, he needed to clear his head. For him, the best way to do that was to go skateboarding. Ever since he was a kid, getting on a skateboard provided an adrenaline rush. The bigger the hill, the better the thrill. Josh almost always wore a helmet and knee and elbow pads when skateboarding. But the buckle on his helmet was broken, so he didn’t wear it that day. Fate caught him. While skateboarding down a steep hill, he fell off his board and hit the back of his head on the pavement. Josh did not lose consciousness, but was disoriented, combative and bleeding from his ear as his friends called for help. He spent 11 days at Athens Regional Medical Center before transferring to Shepherd Center for two weeks of inpatient rehabilitation for a traumatic brain injury. He continued therapy for about another two months in the day program at Shepherd Pathways. Josh recalls that rehabilitation was difficult. His memory was sketchy, and he was confused about where he was and how much time had passed. At one point, he thought he was the prisoner of a law enforcement agency. Finally, his selfproclaimed, goofy sense of humor returned, and he realized he was starting to get better, he says. “I’ve always been very verbose, but it was worse after my injury,” Josh says. “I wanted to become more succinct and get better. And I did recover relatively quickly. I had to prove it to myself, but it was hard to come to terms with what had happened.” Josh’s friends were a great support to him during his recovery, he says. Playing off Josh’s nickname, they made “Jaybird Experience” bracelets, much like the Livestrong bracelets, to rally community support. Josh also credits his treatment team at Shepherd with his recovery. “Shepherd Center was incredible and encouraging,” “Shepherd Center was incredible and encouraging. I was so lucky to be there. ” — Josh Gilbert Photos by Gary Meek Right and Below: Josh Gilbert of Athens, Ga., sustained a traumatic brain injury in a 2006 skateboarding accident in which he wasn't wearing a helmet. Today, he has recovered and encourages people, especially children, to wear helmets. 1 0 Spinal Column w w w. s p i n a l c o l u m n . o r g he explains. “I should positively use what I have overcome – use it to help educate and prevent others from having to experience it firsthand. I saw how fragile life can be. Everything can change so fast.” Jason Deal, 24, of Montgomery, Ala., knows how fragile life can be, too. He had been riding fourwheeled, all-terrain vehicles (ATVs) for most of his life. Like Josh, he almost always wore a helmet — almost always. On Aug. 12, 2005, he drove his ATV at a motocross track at a friend’s house. “I was wearing a helmet the whole time,” Jason says. “Then, when we were done, I took it off, got off the track and was going down their driveway, only going maybe 20 miles per hour. It had just turned dark, and I’d never been there before. Their driveway had a sharp, 90-degree turn, and I didn’t remember it being there.” When he suddenly encountered the curve, he hit a ditch and was thrown from the ATV. Jason sustained a C-3 to -4 complete SCI in the accident. “I’d been riding four-wheelers since I was 6 years old and thought that I’d be able to anticipate anything I might come upon,” Jason says. “Since nothing had ever happened to me, I wasn’t fearful enough. A helmet probably would have helped because doctors said I had a compound fracture, and a helmet would have absorbed some of the impact.” Jason was taken to Jackson Hospital in Montgomery and then to the University of AlabamaBirmingham Hospital for 38 days before transferring to Shepherd for inpatient and day program rehabilitation. Today, Jason works for his father’s cabinet manufacturing 6 Below Top: Jason Deal sustained a spinal cord injury in an ATV accident in 2005. Today, he's back at work in his family's business. Below Bottom: Jason volunteers with a boy's mission group at his church. Jason Deal Photos by Beth N. Gillem Josh says. “I was so lucky to be there. When I wanted to leave therapy before I was really ready to, my therapists didn’t make any negative comments. They just continued to encourage me.” Josh cites Shepherd Center Acquired Brain Injury Program Director Susan Johnson, whom he and his family knew before the injury, as a particular encouragement to him. “She would tell me that I was looking better and that I was improving,” he recalls. Josh has come a long way since his rehabilitation. The injury changed his perspective; he believes God allowed him to survive the accident because he has a purpose for him. “There is something in my heart now,” Josh says. “I don’t take things for granted anymore. My confidence is high.” Josh is slowly returning to golf and sees glimmers of hope for returning to competition. He has played in several tournaments and is also learning about sales and marketing, hoping to start a career in that field. Josh still skateboards occasionally, but with much more caution and a full assortment of protective gear. He also enjoys visiting local skate parks to watch others skate. When opportunities arise, he always encourages them – especially the young kids – to wear a helmet and pads. Josh recommends skating only in parks at lower speeds and forgoing the “hill-bombing” style he was pursuing when injured. His injury experience taught him a valuable life lesson, Josh says. “Seeing the struggles of other patients at Shepherd made me realize that anything can happen and that I should not react negatively to my own struggles,” business. Before his accident, Jason did the cabinet construction, and his dad stayed in the office, talking to clients. Because Jason is paralyzed from the chest down, the two had to switch roles. Jason now enjoys meeting with customers and occasionally drawing plans on the computer for them. Like so many others, Jason, too, has an injury prevention message. “Regardless of whether it would have helped me, always wear a helmet,” he says. “My mom can’t stand it when I say this, but if I regain some more function, I might get back on an ATV. But I’d always wear the helmet and I’d take a lot more safety precautions.” + To read this story and view more photographs online, visit www.spinalcolumn.org Summer 2010 1 1 Photo by Gary Meek DrivingCoachFeature Electronic Driving Coach An assistive technology device under development at Shepherd Center and Georgia Tech could aid drivers with brain injuries and other cognitive deficits. By Jane M. Sanders After sustaining a severe brain injury in a motorcycle accident, Freddie Alexander underwent rehabilitation and eventually returned to driving a car. But he had a series of minor accidents and received traffic citations that made his car insurance skyrocket. His wife feared for his safety, and his doctor advised him to undergo a driving evaluation at Shepherd Center. Driver rehabilitation specialist Michele Luther-Krug observed that Freddie’s driving habits improved when she gave him regular prompts, but without them, he became inattentive and even dangerous. She planned to tell Freddie he should not drive independently. But Luther-Krug collaborated with John Anschutz, the director of Shepherd’s Assistive Technology Center, and an idea began to hatch. Knowing how effective Luther-Krug’s prompts were in helping Freddie’s driving improve, Anschutz used off-the-shelf components and wrote a software program to create an automated driving coach system that mimics Luther-Krug’s feedback. After a training program that 1 2 Spinal Column included supervised driving by Freddie’s wife, Freddie has been driving independently for almost a year now with no incidents. “Sometimes, I forget to do things while I’m driving, and this system helps remind me of what I should do,” Freddie says. “It’s like someone sitting beside me. This system has made a big difference for me, and I commend Shepherd Center for helping me out.” The prototype system Freddie is using works like this: It plugs into the car’s cigarette lighter for power. The driver gets intermittent verbal reminders to check mirrors, speed, and distance from other vehicles and objects. When the driver completes a task, such as checking the mirrors, the driver presses a button positioned on the car seat’s armrest and then gets a brief verbal message of encouragement. If the system reminds a driver to complete a task and does not receive a response within three minutes, the system’s prompts increase in frequency. “You have to want to be a safe driver for this system to work,” Anschutz says. “And the driver must recognize that he w w w. s p i n a l c o l u m n . o r g Facing Page: Former brain injury patient Freddie Alexander of Smyrna, Ga., uses an electronic driving coach under development by Shepherd Center and Georgia Tech. + To read this story and view more photographs online, visit www.spinalcolumn.org Shepherd Center Helps Restore Independence Through Assistive Technology Giving independence to people with disabilities through assistive technology – from the acute-care stage to rehabilitation to the return to home – is the goal that drives Shepherd Center’s Assistive Technology Center. Shepherd Center has developed numerous assistive technology devices for patients with paralysis and other physical and cognitive impairments. People often use these devices while at Shepherd and sometimes at home, as well. One recent example is an integrated sip-and-puff control system that allows high-level quadriplegics to use a single device to adjust lights, control a television’s power and channels, make phone calls and summon for help. “It gives the person control of their environment, which is empowering and like food for the soul,” says John Anschutz, director of Shepherd’s Assistive Technology Center. As donor funds become available, the goal is to get this system into the hospital rooms of all Shepherd patients who need it, and then into patients’ homes – perhaps making it work via an iPod. In another recent effort, rehabilitation engineering technologist Kevin Grogg devised a sip-and-puff infrared remote control dubbed a “Weemote.” With a sip, a user can power a TV on or off. With a puff, the Weemote scans through a user’s pre-programmed 10 favorite TV channels. The device may become available through the Shepherd Center Apothecary for $200 to $300. “We try not to make things from scratch,” Anschutz says. “We look for commercially available options first because they have better technical support for these products than we can provide for something we develop.” Shepherd is always looking for commercial partners to collaborate with on the development and manufacture of assistive technology devices. Also, staff members in the Assistive Technology Center can evaluate acute-care facilities to see if Shepherd’s sip-and-puff control system, or something similar, could be feasible for nurse call systems in those settings. Below: Shepherd Center's Assistive Technology Center created a sip-and-puff interface so patients with limited movement can operate an iPod music player. Photo by Gary Meek or she has a deficit. To Freddie, it was important to be able to drive independently, so he was motivated to use the system.” Anschutz and Luther-Krug – along with vice president of technology Mike Jones, Ph.D., and director of brain injury research, Ron Seel, Ph.D. – have applied for a patent for the automated driving coach. While they await its approval, the system continues to be refined and improved in collaboration with researchers at the Georgia Institute of Technology and an Atlanta-based startup company called Centrafuse™, which designs automotive software. At Georgia Tech, researchers led by Bruce Walker, an associate professor of psychology and interactive computing, are conducting research to determine what speech and non-speech sounds and cues would be least intrusive and most helpful to users of the automated driving coach. To that end, Walker’s graduate students have been gathering feedback from Shepherd Center patients who have used the automated driving coach. “My lab has experience in creating both effective and user-acceptable auditory interfaces,” Walker says. “It’s very important to have a combination of cues that are not intrusive. We don’t want people to turn them off. We want to help them be better drivers.” In addition to refining the auditory interfaces, Anschutz and Walker are consulting with Centrafuse™ on how to give the automated driving coach more functionality in a vehicle using the company’s software platform, which can run on a touch-screen dashboard computer. “The system has a lot of possibilities we’ve not explored yet,” Anschutz says. “It could be a good fit to go into a car’s PC. If it was integrated with the car, the system could do a lot more.” The automated driving coach differs from anything on the market from carmakers, such as an alarm system that notifies drivers when they’ve veered out of their lane. “The automated driving coach gets at the problem before this point,” he explains. “It is meant to keep the driver engaged and active.” Eventually, the researchers plan to conduct a more objective evaluation of the automated driving coach with potential users in both a simulator, as well as a real vehicle. In addition to helping people with brain injuries, the system could help new drivers, people with attention deficits and/or anxiety, and senior adults, researchers say. The system could be customized to address the various skills these groups need for safe driving. Summer 2010 1 3 DoctorsasPatientsFeature Physicians who were once under A Renewed View of Recovery Shepherd Center’s care gain a unique perspective — what it’s like to be a patient. By Sara Baxter 1 4 Spinal Column w w w. s p i n a l c o l u m n . o r g Photo by Gary Meek Photo Courtesy of Bill Holloway spinal cord injury. She awakened from surgery paralyzed at As a vascular surgeon, Bill Holloway, M.D., would often see the L-5 to -S-1 level, unable to move her legs and with loss of patients who required leg amputations because of gangrene. bowel and bladder control. After she was stabilized at Piedmont Halfway through his career, he found he could relate directly to Hospital, they wheeled her through the connecting tunnel to their plight. Shepherd, where she began three weeks of inpatient therapy. In August 1983, Dr. Holloway, of Greenwood, S.C., was “I had to learn how to walk all over again,” recalls Dr. Crisco, on his way to the emergency room to see a patient when his who eventually spent a year in outpatient therapy at Shepherd. vehicle was hit head-on by another. He sustained multiple Along the way, she reached several major milestones: regaining injuries, including a spinal cord injury at the T-5 level, and was bladder control, walking with the aid of a walker and getting her hospitalized at Roger Peace Rehabilitation Hospital in Greenville, right leg strong enough to drive. S.C., for four weeks. “I was ecstatic when the occupational therapist determined Dr. Holloway, who lost the use of his legs and would later I was able to drive,” she says. “I no longer had to depend on undergo rehabilitation at Shepherd, returned to work just three people to drive me to work or therapy – it was an added level months after the accident. He went on to practice medicine of independence.” for nearly 20 years before his retirement in 2002, performing Today, 12 years later, Dr. Crisco is thousands of operations from walking with the assistance of a single a wheelchair. Dr. Holloway is among a number of forearm crutch, though she can walk “Facing a leg amputation is quite physicians and other healthcare short distances unassisted on flat traumatic for patients,” he says. professionals who experienced surfaces. This summer, she plans to “My situation made it easier for me events that eventually landed them compete in her first open-water swim in talk to them and show them that in rehabilitation at Shepherd. They Grand Cayman Island. life goes on. They would see me now have the rare perspective of Those feelings of frustration and without use of both of my legs and what it’s like to treat a patient independence represent a greater figure they would do OK with the and be treated as one. understanding that many physicians like use of just one.” Dr. Crisco say they’ve experienced after Dr. Holloway is among a being a patient. They learned what it’s like to be on the other side. number of physicians and other healthcare professionals who “I definitely have more empathy now for my patients,” says Dr. experienced events that eventually landed them in rehabilitation Crisco, who as a diagnostic surgical pathologist spends most at Shepherd. They now have the rare perspective of what it’s like of her time peering into a microscope, though she does have to treat a patient and be treated as one. some direct contact with patients. One aspect of her job involves “When you’re injured, as a doctor, at first you have that performing fine needle aspirations, in which she extracts cells sense of feeling helpless,” says Carol Crisco, M.D., a from patients to determine if they have cancer or other diseases. pathologist at Wellstar Kennestone Hospital in Marietta, Ga. “They know that what I’m doing will in many cases determine Complications during elective surgery left her paralyzed. “You’re whether they have cancer, and they’re scared,” she says. “I tell used to being the person in control, and suddenly you’re not in control anymore.” Above Left: Bill Holloway, M.D., of Greenwood, S.C., sustained Dr. Crisco was undergoing a Nissen laparoscopic procedure a T-5 spinal cord injury half way through his career as a vascular in 1998 to fix esophageal reflux disease, which was complicated surgeon. He returned to practice for 20 years after his injury. Above by an aortic aneurysm. During surgery to correct the aortic Right: Carol Crisco, M.D., sustained an L-5 to S-1 spinal cord injury aneurysm, an inadequacy of blood flow caused an ischemic in 1998. Today, she is a pathologist practicing in Marietta, Ga. Summer 2010 1 5 Photo Courtesy of Aubrey McElroy Photo by Gary Meek them, ‘I know what you’re feeling.’ But before I went through this, I had little understanding of just how terrified they were.” Drew Seibert, M.D., a gastroenterologist, can appreciate Dr. Cisco’s change in awareness. After falling in his bathroom in 2006, he became a quadriplegic. Although he hasn’t returned to work since his accident, he believes his experience will help him when he returns to practice medicine someday. “Since I have experienced what it is like to be a patient, I will be more understanding to what the patients are feeling,” Dr. Seibert says. “Before, I used to do procedures routinely like they were nothing. But undergoing procedures myself since the accident has definitely changed my perspective, giving me a better feel for the apprehension and fear patients may have.” Another dimension of doctors becoming patients involves their medical knowledge. But having a clearer time to get my head wrapped around my new reality. I think being a doctor made it difficult at times. I knew what I needed to do to improve, but things didn’t always happen at the right time. So I would get impatient. This experience definitely helped me learn patience.” Patience is a lesson that Aubrey McElroy, M.D., also had to learn. He sustained a complete T-12 spinal cord injury in a paragliding accident in 2000. While receiving initial treatment at a Tennessee hospital, he questioned everything the doctors were doing. “I was quite vocal,” Dr. McElroy recalls. “We had different goals.” Ten days after his accident, he was transferred to Shepherd, where he was immediately impressed with the level of care he received. Still, his medical knowledge made him skeptical in some cases. “I couldn’t see the purpose of some of the things they were doing in therapy,” he says, “but I tried to accept my role as a patient.” After five weeks at Shepherd, Dr. McElroy returned home to Johnson City, Tenn., and was able to resume his private practice in family medicine three months later. Though initially told he would never walk again, he actually walked out of Shepherd with the help of two long leg “Since I have experienced what it braces and arm crutches. He now walks is like to be a patient, I will be more with only the aid of a forearm crutch. understanding to what the patients are Dr. McElroy was so impressed with feeling. Before, I used to do procedures the way the Shepherd staff handled routinely like they were nothing. But undergoing their patients and the families, he later incorporated aspects of Shepherd care procedures myself since the accident has into his own practice. definitely changed my perspective, giving me “My Shepherd experience gave me new a better feel for the apprehension and fear insight into pain and pain management,” patients may have.” — Drew siebert, M.D. he says. “I’m looking at pain and its treatment in a new way. There are pain understanding of their condition, generators that do not show up on imaging studies. I am using treatment and recovery – they are, after a more comprehensive approach similar to the way they did it at all, doctors – can be both an asset and Shepherd Center. I focus on what patients can do, not what they a liability. can’t do. And I’m now taking a more holistic approach.” “I had a little better handle on what I was That holistic approach applies to other areas, as well. He now up against,” Dr. Seibert says, “but it took a long looks at the patient not only from a medical standpoint, but also 1 6 Spinal Column w w w. s p i n a l c o l u m n . o r g Photo by Gary Meek Facing Page Left: Drew Seibert, M.D., of Atlanta, sustained a C-1 to -3 spinal cord injury in 2006. He continues his recovery in Beyond Therapy®. Facing Page Right: Aubrey McElroy, M.D., of Johnson City, Tenn., sustained a T-5 spinal cord injury in 2000. With his wife's support, he returned to practice as a family physician several months later. This Page: John Lin, M.D., medical director of Shepherd Center’s Spinal Cord Injury Day Program, sustained a T-1 complete spinal cord injury in 1991 when he was in college. He then decided to become a doctor. from a work, home and family standpoint – something he learned at Shepherd, Dr. McElroy explains. “I’ve also learned to mobilize resources before I need them,” he says. “I proactively start working on nursing home placement, Social Security disability, hospice and other things for my patients ahead of time.” Unlike Drs. Holloway, Crisco, Seibert and McElroy, John Lin, M.D., was not a physician when he was a patient at Shepherd. But his experience at Shepherd made him want to become one. In 1991, Dr. Lin was home from college visiting his parents in Charleston, S.C., when he experienced an aneurysm-like event known as an epidural arteriovenous malformation, which suddenly left him paralyzed. He was at Shepherd for two months with a T-1 complete spinal cord injury. The expertise of the doctors and therapists, as well as the overall positive environment at Shepherd inspired Dr. Lin to go into medicine. “I was already considering going to graduate school to study physical chemistry,” he recalls. “I went to talk to [Shepherd Medical Director] Dr. Donald Leslie and told him I thought I wanted to be a doctor.” So he became the first student in a wheelchair to be admitted to the Medical University of South Carolina. And throughout his medical training, he says Dr. Leslie’s mentorship was instrumental. “I initially thought of physical medicine and rehabilitation as a specialty, but I didn’t want to be a rehab doctor in a wheelchair,” he says. “I thought that was too cliché.” So he elected to do a double residency in internal medicine and physical medicine and rehabilitation (PM & R). While he enjoyed the subspecialty of internal medicine, he ultimately chose PM & R. He worked at Emory University Hospital and the VA Hospital in Atlanta before joining Shepherd in 2005 as medical director of post-acute services. Being in a wheelchair gives Dr. Lin a special understanding of his patients because he can see their situation from both sides, he says. But it wasn’t easy at first. “When I was a medical student, it was hard,” Dr. Lin admits. “I had to keep reliving the process of becoming paralyzed. I was more emotional, and it hurt my objectivity.” That emotional struggle has lessened over time. “It’s easier now to be objective, which is good for everyone. If you get too immersed, you are not doing your job. When I see patients as a doctor, I have to be a doctor.” Although they were doctors – or considering a career as one — when they were injured, these physicians were also regular people who had to adjust to a new way of life. And that can be difficult no matter who you are. “I went through all the stages of grief,” says Dr. Crisco, who found the limits on her athletic activities to be one of her greatest challenges. “I’m still working on acceptance.” Sometimes, her fellow hospital employees who drive patients around in electric carts will see her walking with her crutch and ask if she needs a ride. “That makes me furious,” she says. “I take it as a blow to my self-esteem.” Dr. Seibert credits Shepherd with helping him adjust to life as a quadriplegic, but he admits it was a difficult adjustment. “After an injury, nothing is the same – even something like brushing your teeth,” he says. “Everything I do is funneled through, ‘How do I do this with my injury?’” Dr. Seibert, who was recently hired as a medical reviewer at WebMD in Atlanta, hopes to return to practicing medicine in the near future. Though he didn’t receive initial treatment at Shepherd, Dr. Holloway believes his visits to the Shepherd Pain Institute through the years helped him cultivate a positive attitude. “Through the years, the influence of the Shepherd philosophy made me realize that even with a spinal cord injury, anything was possible,” Dr. Holloway adds. + To read this story and view more photographs online, visit www.spinalcolumn.org Summer 2010 1 7 GlobalInfluenceFeature Shepherd Center extends its successful brand of injury rehabilitation to an international population. By Bill Sanders a reach that extends Around the Globe Shepherd Center Medical Director Donald Peck Leslie, M.D., has seen patients from more than 25 foreign countries come to Shepherd Center for treatment and rehabilitation during the past decade or so. But that’s not enough for Dr. Leslie. He is stepping up outreach efforts to boost the hospital’s international reputation and involvement in rehabilitation care across the globe. “I want Shepherd Center to have more of a global presence, with liaisons around the world and more patients from across the globe,” Dr. Leslie says. “It’s simply the right thing to do.” Last year, he visited India on two occasions to consult with medical colleagues, examine patients and train two parents on how to use sophisticated, robotic gait training equipment they had bought for their paralyzed son. Earlier this year, he consulted with colleagues from Saudi Arabia, traveled to post-earthquake Haiti to treat people with spinal cord injuries and helped form a coalition that has 1 8 Spinal Column established a clinic to fabricate prosthetics for amputees and help them learn to walk again. Meanwhile, at least one foreign patient is also taking on the role of global ambassador for Shepherd. Josh Clift, who has a spinal cord injury and is being treated in Shepherd’s Beyond Therapy® program, is planning a future where his native Australia will have a facility akin to Shepherd Center and laws that resemble the Americans with Disabilities Act (ADA). Yeah, mate – Shepherd Center is reaching out “Down Under,” too, Dr. Leslie says. In fact, there aren’t too many places in the world beyond the scope of his vision for Shepherd, which already has been recognized by U.S. News and World Report as a leading rehabilitation hospital in the United States and has treated patients from all 50 states. Word is spreading internationally. “In the past, in some cases, patients or their families haven’t been willing to make the trip overseas, and that’s w w w. s p i n a l c o l u m n . o r g “It became incredibly exhausting after a couple of months, but every time I got back from Haiti, I was so glad we had gone.” — Donald Peck Leslie, M.D. Photo by Gary Meek “I want to create more opportunities for people in Sydney,” Josh says. “I’ve always been civic- and activist-minded. Two months before my first accident, I organized a large breast cancer fundraiser because my mother has it. That spirit has always been a part of me. This has brought out some more qualities that I didn’t know I have.” As for the name of the foundation: “It is pretty simple, what I am chasing is a fairytale, though I’m not after Prince Charming, but being able to walk again. I would kiss a thousand frogs to do that. By supporting my foundation in whatever way people can, they will have kissed a frog and become part of my fairytale.” Photo by Louie Favorite understandable,” Dr. Leslie says. “Some think it’s too far and complicated. But geography shouldn’t stand in the way of the best rehabilitation, and because of our new Woodruff Family Residence Center, families from India and Australia have had a place to stay while they were here. We belong to a number of international organizations and we feel like we can partner with a lot of clinicians worldwide.” Most recently, efforts have been focused on helping Haiti. Three Haitians with spinal cord injuries have been treated at Shepherd. And Dr. Leslie and several physical therapists have made numerous trips to Haiti as part of the Haitian Amputee Coalition, a group that includes Atlanta businessman Harold Anderson, himself an amputee, Ivan Sabel’s Hanger Orthopedics Group and the Catholic Medical Mission Board office in Port-au-Prince. “It became incredibly exhausting after a couple of months, but every time I got back from Haiti, I was so glad we had gone,” Dr. Leslie says. Remarkably, Haitians in a clinic that Dr. Leslie and the Coalition established may have been getting better treatment than spinal cord injury patients in Australia, where options are limited. Josh Clift was injured in Australia and eventually made his way from his home near Sydney to Shepherd Center to continue rehabilitation. “One of my close friends has a business and family in Atlanta, and he informed me that I needed to get to Shepherd,” Josh explains. “Then I spoke to the Australian Paralympic head coach, and he suggested two places – Shepherd Center or a place in Switzerland. So, Atlanta it was.” Josh was injured playing rugby when he fractured his C-4 and -5 vertebrae. The vertebrae were fused together, and after 12 weeks in a neck brace, he regained full function. Then, a week later, Josh was injured again – this time in a car crash. He dislocated his C-6 to -7 vertebrae, causing a more severe injury that left him paralyzed and using a wheelchair – at least for now. “In the future, I’d like to be walking, say in five years, and be out of the chair and back to work,” Josh says. “I also want my Kiss the Frog Foundation to introduce something similar to the ADA in Australia and to help set up a rehabilitation facility there. And I want to be a part of sending someone each year to Shepherd Center.” For now, Kiss the Frog Foundation (see www.kissthefrog.org.au) raises money mostly for Josh to continue his treatment in Beyond Therapy® and cover his living expenses in Atlanta. But Josh’s vision for Kiss the Frog is bigger than that. Top: Atlanta businessman Harold Anderson, left, and Shepherd Center Medical Director Donald P. Leslie, M.D., right, helped bring Haitian spinal cord injury patient Kesner Salvent to Shepherd Center. Bottom: Josh Clift of Australia participates in Shepherd Center's Beyond Therapy® program. He wants to create a similar program in his native country. Summer 2010 1 9 Photo by Gary Meek ResidencyFeature Doctors in Emory University’s residency program learn about physical medicine and rehabilitation through rotations at Shepherd. By Sara Baxter like no other When Matthew Richardson, M.D., started his residency at Shepherd Center, he was given a tour of the hospital by fellow resident Jeffrey Grossman, M.D. Little did the two know that five years later, they would be founding partners of their own medical practice. Drs. Grossman and Richardson are just two of the many physiatrists – rehabilitation physicians who diagnose and treat pain and restore maximum function lost through injury, illness or disabling conditions – who have worked at Shepherd during their residency in physical medicine and rehabilitation (PM &R) at Emory University. Residents in the Emory program spend eight months at Shepherd, usually in two-month increments spread out over the course of three years. The residents rotate with all the Shepherd physicians, allowing them to see all aspects of the Center. “Shepherd gives them a unique experience that they don’t see anywhere else in their residency,” says John Lin, M.D., Shepherd’s medical director of post-acute services and director 2 0 Spinal Column of the Shepherd rotation for the Emory program. “They are exposed to everything – the subspecialty clinic, skin-wound clinic, urology, orthopedics and upper-extremity clinics.” Physicians trained at Shepherd are now practicing the hospital’s successful brand of rehabilitation medicine across the nation. Here, we provide an update on three physiatrists who are former Emory residents who completed rotations at Shepherd. Dan Marin, M.D., who did rotations at Shepherd from 2005 to 2008, now treats people with acute and chronic spine disorders at the University of South Florida’s Comprehensive Spine Care Program in Tampa. Dr. Marin provides therapy, conducts spinal cord stimulation and administers a variety of injections, as well as other interventional procedures. Above: John Lin, M.D., Shepherd’s medical director of postacute services and director of the Shepherd rotation for the Emory University medical residency program, reviews X-rays with residents Ricardo Colberg, M.D., and Wesley Chay, M.D. w w w. s p i n a l c o l u m n . o r g Photo Courtesy of Dan Marin Photo by Gary Meek He likes the results-oriented nature of physiatry. “The Dr. Richardson’s time at Shepherd clarified what he wanted to focus on restoring function is profound,” Dr. Marin says. do with his own practice. “It helped me set goals and gave me an “There’s a bar of improvement in how the patients are living idea of the quality of medicine I should aim for,” he says. their lives, and it’s a very practical program to me.” Jeffrey Grossman, M.D., a non-surgical lumbar and cervical Though his practice doesn’t provide catastrophic care, Dr. specialist, decided to become a physiatrist because of the Marin is grateful for the exposure he got at Shepherd, which specialty’s focus on improving quality of life for the patient. influences how he practices today. “It’s one of the fields of medicine in which you not only make “Shepherd provides the most advanced perspective and a specific diagnosis, but choose from a multitude of effective enables you to see what is treatments,” he says. “You can possible in terms of high make a significant difference for a standards of care,” he says. patient who is in a time of need.” “You take a look at how you Dr. Grossman founded can help each person’s life Peachtree Spine Physicians in individually. My rotation March 2003, and it has grown at Shepherd taught me to from three employees in a stay optimistic and focused. single location to six physiatrists It’s very strenuous, but the working in seven locations around number of people you see and metro Atlanta. the number you help stay with He saw Shepherd as a place you forever.” where patients and service were Matthew Richardson, placed at the highest priority, M.D., an interventional and he and Dr. Richardson apply spine physiatrist at Peachtree these same principles to their Spine Physicians in Atlanta, practice. considered residency “Shepherd isn’t just another programs at Cornell, facility in Atlanta,” he says, “and Stanford and Harvard we don’t want to be just another universities, and elsewhere, practice – we want to be the best. “Shepherd isn’t just another facility in before choosing Emory solely They set the bar high, and we’re Atlanta, and we don’t want to be just another living up to that standard. If because of its involvement practice — we want to be the best. They set with Shepherd Center. your goal as a physician practice the bar high, and we’re living up to that “Shepherd blew me away,” is to deliver the best patient standard. ” — Jeffrey Grossman, M.D. he says. “It blended the service and care, it is essential academic environment with that you create an optimal work the private institution side of environment for your staff and medicine, and it seemed to be physicians.” the best of both worlds. Everyone at Shepherd is dedicated, Though none of these doctors is working in catastrophic care, all well-trained, competent and super compassionate. You can’t agree their time at Shepherd was invaluable in shaping them into help but take that with you.” the doctors they’ve become today. And that is Shepherd’s goal. After his residency, Dr. Richardson went to Berkeley, “Shepherd is committed to the residency program and Calif., for a fellowship in interventional spine and pain producing competent and well-trained doctors,” Dr. Lin says. medicine and also spent a year in private practice. He “Every physician here knows it takes a lot of work to train returned to Atlanta in 2004 and joined Dr. Grossman at residents. But everyone – doctors, residents, patients – benefits Peachtree Spine Physicians. from this program.” Above: Physiatrists Matthew Richardson, M.D., left, and Jeffrey Grossman, M.D., completed a rotation at Shepherd during their residency at Emory University. Their practice is Peachtree Spine Physicians, which has seven offices in metro Atlanta. Left: Dan Marin, M.D., who completed several rotations at Shepherd, treats patients at the University of South Florida’s Comprehensive Spine Care Program in Tampa, Fla. Summer 2010 2 1 Research Pharmaceutical Paradox Sleep medication raises alertness in some people who are minimally conscious or in a vegetative state. By Jane M. Sanders 2 2 Spinal Column w w w. s p i n a l c o l u m n . o r g The best two hours of Amanda Drucker’s day are the two that Hospital of the University of Pennsylvania in Philadelphia. These follow her daily dose of the sleep medication zolpidem, also studies will be done without the drug to help researchers underknown as Ambien. Ironically, that is when Amanda, 29, who stand how the brains of people known to respond to the drug differ has a severe brain injury, is most active and alert. from those who do not respond. “It’s the only time of day we can get her to eat a decent meal,” Researchers hope this information will further their understandsays Amanda’s father, the Rev. Doug Drucker, of McDonough, ing of the drug’s paradoxical mechanism of action, and ultimately, Ga. “She is very withdrawn without the zolpidem. that will help them predict which patients with DOCs But after Amanda takes it, she starts talking and may benefit from the treatment. walks a little. Her face becomes less distorted, and Zolpidem is an inhibitory drug that promotes sleep her body relaxes.” and may also turn off neural networks that impair conResearchers hope sciousness. When it allows a higher state of consciousAmanda’s experience with zolpidem – is simithis information ness, it’s working like a double negative, explains Dr. lar to a dozen or so cases reported worldwide in will further their Kaelin, medical director of Shepherd’s Acquired Brain medical journals in the past decade. After taking zolpidem, some people with disorders of conInjury Program. understanding sciousness (a minimally conscious or vegetative Researchers also hope to determine the types of of the drug’s state stemming from a brain injury) experience cognitive processes – such as attention, memory and paradoxical heightened consciousness for several hours. functional motor processes – affected by the drug mechanism Shepherd Center physicians Rhonda Taubin, in people with DOCs. And, they want to pinpoint of action, and M.D., Gerald Bilsky, M.D., and Darryl Kaelin, the location of the affected pathway in the brain, Dr. M.D., have documented three patients, including ultimately, that Kaelin adds. Amanda, who have had this experience. Shepherd “If we can determine the specific location where a will help them physicians discovered the paradoxical effects of person’s brain is injured, we can better treat the type predict which zolpidem by happenstance when they prescribed of injury they have,” Dr. Kaelin says. “Not all injuries patients with it to their patients for sleep problems. that result in disorders of disorders of Now, to formally study zolpidem as a potential consciousness are the same. treatment for disorders of consciousness (DOC), As we understand the consciousness Shepherd Center is participating in a nationwide may benefit from affected pathway, we can study funded by the National Institute on Disindividualize treatment to be the treatment. ability and Rehabilitation Research and led by more successful in helping John Whyte, M.D., Ph.D., at Moss Rehabilitapatients.” tion Research Institute in Pennsylvania. These answers cannot come too soon Shepherd expects to enroll about 20 people in the first segfor Amanda Drucker’s family. For now, ment of the three-phase study over the next year. Participants she takes zolpidem only once daily bemust be medically stable, at least age 18 and have had a DOC cause it’s not yet known whether it’s safe for at least four months. to take more frequent doses. “This study provides an opportunity to identify the types of “I just can’t imagine what it would be brain injuries in people with disorders of consciousness that may like if Amanda was alert for maybe six respond to zolpidem treatment,” says Ron Seel, Ph.D., director of hours a day,” Amanda’s father says. “It brain injury research at Shepherd. “We hope that as many as 10 would absolutely make a real difference in percent of people with DOCs may experience increased alertness her quality of life.” Top: Darryl Kaelin, M.D. and activity for a short time after taking the drug.” For information on participating Bottom: Ron Seel, In Phase 1 of the study, participants will take a sugar pill in the study, contact Riya Rajan Ph.D. (placebo) one day and zolpidem on another day. Family memat 215-663-6456 or bers, who won’t know which pill is given on which day, will rate [email protected] whether participants improve while on the drug. Participants who improve based on family reports will proceed to Phase 2 in which the same protocol will be followed, but a healthcare professional will assess the patient’s response using a standardized measurement scale. In Phase 3, some Phase 2 patients who experience an improvement in consciousness in response to zolpidem – as well as some who do not – will undergo high-resolution structural and functional-MRI scans and EEG recordings at the Summer 2010 2 3 Photo by Louie Favorite PatientProfile + Determined to Care for Others Former spinal cord injury patient Kristie Summers returns to Shepherd Center as a nurse. By Bill Sanders Kristie Summers is one Shepherd Center nurse who can look a patient in the eyes and truly understand what they are feeling. What it’s like to be in a horrible car crash, to wonder if you’d ever be able to walk again, to undergo physically and emotionally demanding rehabilitation at Shepherd Center– Kristie has done them all. So when she says, “I know how you feel,” there’s a genuineness behind those words. “Going through what I went through absolutely helped shape me into the nurse I am,” Kristie says. “I was compassion2 4 Spinal Column ate to begin with; you have to be. But what I experienced here had a lasting impact. At Shepherd, everyone is so passionate about their jobs, and they are so empathetic. They didn’t make me feel as helpless as I felt. They were good at doing things for me when that’s what I needed and letting me do things on my own when I needed to.” In April 2007, Kristie was driving in Nashville, where she was a nursing student, and she took her eyes off the road for a split second to grab her cell phone. w w w. s p i n a l c o l u m n . o r g “Sometimes, I share my story with patients. Sometimes I just drop some hints and remind them that they are in the best place they could be, and I know that for a fact.” — Kristie Summers “Although she is relatively new to our department, she has already shown leadership as she has agreed to represent ABI as a skin care champion,” says unit manager Gail Greene, RN, BSN, CRRN. “And Kristie has impressed us all with her cheerful dedication to providing great care, and her willingness to serve in a peer-support role for others when she's able. I have no doubt she will touch many lives through her service.” Kristie shares her story with patients and their family when it’s appropriate, she says. “It depends on the situation,” she says. “My results are not typical, not even remotely. To bounce back like I did, it just doesn’t happen that often. So I give patients encouragement, but try not to give false hope. If I know from their records that they have a complete spinal cord injury, I don’t say, ‘Look, it happened to me.’ Sometimes, I share my story. Sometimes I just drop some hints and remind them that they are in the best place they could be, and I know that for a fact.” Facing Page: Former spinal cord injury patient Kristie Summers is now a nurse in Shepherd Center's Acquired Brain Injury Unit. Below: Kristie enjoys a laugh with Gerald Bilsky, M.D., associate medical director of the unit. Photo by Louie Favorite “There was a fork in the road, and I went down a 50-foot embankment near my apartment complex,” she recalls. Kristie sustained a C-6 incomplete spinal cord injury and a collapsed lung. Vanderbilt University Medical Center surgeons fused Kristie’s C-5 to C-7 vertebrae, but they weren’t optimistic. She now knows that doctors there told her mom that if Kristie was ever able to wean off a ventilator, she’d regain only minimal function and likely would have severe brain damage for however long she lived. But after seeing the tiniest bit of improvement, a slight movement in her legs, the Vanderbilt doctors recommended that Kristie go to Shepherd Center. A week after the crash, she was admitted. “It was still looking dicey, even after I got here,” Kristie says. “I don’t think there was much hope then of me getting significantly better. But fairly rapidly, I started improving and did so for the next three weeks.” While an inpatient, Kristie worked tremendously hard, recalls Shepherd physical therapist Corrie Abegglen. “She and her mom were dedicated to her recovery and did everything they could to help her improve,” Corrie says. “Kristie was so motivated to return to nursing that she did her best every day. She has such a positive attitude and drive to achieve her goals. I was not surprised that she was able to make a full recovery and return to nursing.” Kristie was only a month away from graduating from nursing school when she was injured. When it became clear her life was no longer in danger and she was regaining function, professors at Tennessee State University in Nashville decided to make it a little easier – at least logistically– for Kristie to graduate with her class. “My professor brought the final exam to Atlanta for me, and I took it and graduated,” Kristie recalls. “Even then, though, I didn’t think I’d be able to be a nurse out on the floor. I thought I could do something behind the scenes, but not be on my feet for a full shift. I wanted to, but I didn’t think I could.” Within a few months, however, Kristie realized she could fulfill her career dream. She applied for jobs in Nashville without even thinking about working at Shepherd. She’d been away from home for eight months, and she wanted to be back near family and friends. She got her first nursing job in Nashville and then moved to another job in the city. But Nashville’s pull on her began to lose its grip. She now works in Shepherd’s Acquired Brain Injury (ABI) Unit, where her compassion is evident to the staff and families of her patients. + To read this story and view more photographs online, visit www.spinalcolumn.org Summer 2010 2 5 ManagedCareCorner Common Ground Shepherd Center teams up with managed care plans for successful outcomes. By Amanda Crowe, MA, MPH When it comes to maximizing outcomes for people with spinal cord injuries (SCI), making sure health insurers and experts in spinal care and rehabilitation are on the same page is integral to quality care. Facilitating ongoing dialogue between these two parties is essential, especially as payors Above: Colleen (and consumers) increasingly ask for McCrory is director effectiveness data about specific SCI of marketing and therapies, and clinicians want to be able managed care. to deliver the most appropriate and promising medical and rehabilitative care to patients. “Benefits are much more complex these days,” says David C. Epstein, M.D., senior medical director at CIGNA Healthcare. “The shift to self-insurance coupled with escalating healthcare costs means that employers – who are now the ones writing the checks – are demanding greater transparency and accountability of their health care benefit dollars.” Shepherd Center routinely collects outcomes data to track the success of certain therapies. But dialogue about the best course of treatment for SCI must broaden nationally, says Colleen McCrory, director of marketing and managed care at Shepherd. Many insurers focus only on rehab facilities or services in their state, potentially limiting patients’ access to cutting-edge therapies. “Why should managed care contracts be limited to certain states or regions?” asks McCrory, who says one of the best models to refer to comes from the workers’ compensation community. “Because they are managing patients (medically) for a lifetime, they are truly interested in getting patients to the right facility – and as early as possible,” she explains. “If managed care companies, which tend to focus only on the state or the immediate care community they serve, adopted National Centers of Excellence standards like the worker’s comp industry, we could see better outcomes.” Dr. Epstein agrees, citing CIGNA customers’ access to a national network of Centers of Excellence for many complex illnesses, but is also quick to reinforce the collective need to contain costs and improve outcomes. “The days of being 2 6 Spinal Column able to ignore total costs are no more. We don’t have unlimited resources,” he says. “This also presents an opportunity for payors to work more closely with Shepherd and others to articulate the best treatment plan for each patient.” “We are trying to encourage medical directors to look at performance-based reimbursement,” McCrory says. “Managed care companies should request outcomes data and use Centers of Excellence as benchmarks for evaluating the ‘gold standard’ in spinal cord care.” Ultimately, the commitment to collaborate is key. “There are times we disagree, but we stay at the table to decide what’s best for the patient and what resources are realistically available,” Dr. Epstein says. Doing so can help ensure that responsible and informed treatment decisions are made. McCrory and Dr. Epstein recommend that insurers and health providers: Start talking early. Frank, early discussions about 1] a patient’s plan of care and what is and is not covered (e.g., transportation, length of stays, levels of care) under their benefit plan is critical and helps identify potential hurdles early on. Managed care organizations should also be educated about the clinical advantages of specialized facilities. common ground. When managed care com2] Find panies and healthcare professionals partner, it can be a win-win situation, especially when treatment decisions are based on maximizing post-injury functioning and restoring quality of life. Getting patients the right care from the start often means cost-savings later. solution-oriented and creative. A long reha3] Be bilitation stay might quickly exhaust a person’s ben- efits, presenting a major challenge to recovery. To be good stewards of patient benefits, insurers and care providers often need to think creatively to help patients get what they need, McCrory says. For example, if a patient’s benefits only allow for 45 days of rehabilitation, but the person has 120 days at a skilled nursing facility, can insurance companies “flex” the remaining benefits to meet the clinical and medical needs of the patient? One solution might be to take advantage of Shepherd’s day program. Timing is also an issue. Insurers don’t want to exhaust a patient’s rehabilitation benefits by admitting them to this level of care if they have acute medical issues that need to be resolved (e.g., a patient who needs surgery for skin breakdown). Instead, they might hold rehabilitation days until the patient can actively participate. national best practices. Ultimately, 4] Establish Centers of Excellence would help to provide mea- surable and comparable data on patient outcomes. w w w. s p i n a l c o l u m n . o r g Q&A Q+A with Darryl Kaelin, M.D., Medical Director, Acquired Brain Injury Program Interviewed by Kayla Eubanks Q:Shepherd Center is known for having one of the best acquired brain injury (ABI) programs in the country. What makes Shepherd’s ABI Program distinctive? A: B ecause our ABI program and the staff within it specialize in managing ABIs specifically, it allows a level of expertise beyond traditional rehabilitation units. It is the reason we can provide the quality of care we deliver. Additionally, we are one of the largest ABI programs in the country, which means we see more patients with severe, complex or rare injuries than other programs. Q:You are also the medical director of the brain injury research program at Shepherd Center. What’s new in brain injury research? A: W e are conducting what we hope will be the largest research investigation ever completed that looks at medications used in the inpatient rehabilitation setting. The study compares the effects of Bromocriptine (used to treat Parkinson’s disease) and Ritalin versus placebo to see which helps improve attention and cognition more. On the outpatient side, we are looking at what determines a person’s outcome – beyond the physical extent of a person’s injury. This federally funded study will look at the biological, social and psychological factors that play into outcomes. Another study we are conducting is a safety study that we hope will create a measurement tool for clinicians to use in determining what level of supervision a person needs. It will enable them to assess when it is safe to leave the patient alone and for how long. About 150 attendees will participate in workshops and lectures led by international leaders. Two popular topics will be robotic therapies to improve function and new technologies, such as stem cell therapy and electrostimulation. Q:What future innovations do you foresee in ABI rehabilitation? A:Exciting things are happening in the area of new technologies. Electrostimulation, for example, is being used to stimulate the brain shortly after injury to help it recover more fully and fix areas that were damaged. For some time, doctors have used the Lokomat robotic device to build strength and coordination in patients with spinal cord injuries. Now, it is being used for people with brain injuries for the same purpose. Both of these innovations are showing great potential. Q:Are there any stories of hope that stick out in your mind from the years you’ve been a doctor? A:I find it particularly rewarding when I help patients return to work, especially when my patients are fellow doctors or healthcare professionals. It’s a unique situation to use my passion to aid another clinician to return to his or hers. + To read this story and view more photographs online, visit www.spinalcolumn.org All of these studies should be completed by the end of 2010. Q:Why did you become a doctor and choose physical medicine and rehabilitation (PM&R) as your specialty? A: I believe that medicine chose me. At age 5, I knew it was what I needed to do. It’s always been my passion and dream, and I feel fortunate to have accomplished that. PM&R is natural fit coming from my background in playing sports. It is a true delight to work with a team and help a patient who has a significant setback regain function and independence. Q:On Aug. 27-28, Shepherd is hosting the North American Neurorehabilitation Symposium (NANRS). Tell us about this conference and its significance. A: T his conference will bring together leading thinkers, researchers and clinicians in neurorehabiltiation. It will set directives for the field in what needs to be researched, INTERESTING FACTs: Photo by Gary Meek increase collaboration among major centers of care and highlight the excellent services we provide here at Shepherd. Darryl Kaelin, M.D Board Certification: Physical Medicine and Rehabilitation Experience: 15 years Random Facts: • Dr. Kaelin’s wife, Brenna, is a critical care nurse at Piedmont Hospital. They have three children: Audrey, 18, Austin, Residency: 15 and Adam, 11. Medical College of Virginia, • He loves to travel, especially Richmond,Va. in Europe. Medical School: • He played baseball at the University of Louisville University of Notre Dame, and Medical School it’s still his favorite sport. Summer 2010 2 7 ShepherdAlums By Kayla Eubanks Matt Curran of Boston, Mass. Nick Calabrese of Avon Lake, Ohio. Kate Crews of Metairie, La. Karen Jones of Atlanta, Ga. After sustaining a brain injury and T-9 to -10 spinal cord injury (SCI) in an ATV accident at age 15, Nick Calabrese of Avon Lake, Ohio, spent three weeks at Metro Health Hospital in Cleveland, Ohio, before being flown to Shepherd Center. He spent five days in the dual-diagnosis unit and later transferred to the SCI unit, where he worked for five weeks on his recovery. A few years later, he decided to act on a business idea he had before his accident – creating a clothing line inspired by his love for Halloween and all things nightmarish. Before Nick graduated 2 8 Spinal Column FROM NEAR AND FAR Former Shepherd Center patients from across the nation report on their productive lives post-injury. from high school, Unlucky Clothing Company was born. Its array of T-shirts, long-sleeve shirts, hats, hoodies, buttons and stickers will be sold on GetUnlucky. com, which is under construction, and feature graphic designs of vampires, ghouls and ghosts. A portion of the proceeds from his sales will go to charities that support cancer and paralysis research. “After high school, I graduated from college with an associate’s degree in marketing and another in business administration,” Nick says. “I am considering going back to school for a graphic design degree.” In addition to his Unlucky Clothing line, Nick expresses his love of life through tattoos, covering his arms and chest. “I can’t pick one favorite, but I really like the ‘Nightmare Before Christmas’ sleeve on my right arm, ‘Unbreakable’ across my chest, and a dragon, which is a symbol of strength,” Nick says. “I always felt that life was colorful and tried to express my feelings and personality in everything I did. To me, tattoos are the best way to do that.” When Kate Crews of Metairie, La., arrived at her local emergency room in June 2008, doctors didn’t think she would w w w. s p i n a l c o l u m n . o r g make it through the night with such serious injuries. She had sustained an acquired brain injury (ABI) after an elevated truck hit the car she was riding in, striking her directly in the head. She was transferred to the Shepherd Center Intensive Care Unit for five days and then moved to the ABI unit. Because she was still in a coma and unable to participate in therapy, she was sent home until she regained consciousness two and a half months later. She spent two months as an inpatient and seven months as an outpatient at Shepherd Pathways. Now home, Kate continues her rehabilitation and occupational therapy and is attending McNeese State University. The accident inspired her career choice. “Shepherd Center not only miraculously helped me heal and become the person I am today, but also inspired me to become an occupational therapist and help people like my therapists helped me,” Kate says. “My therapists Erin (Mattingly) and Nicole (LoBianco) helped me awake from my unconscious state and emerge with grace. I owe my life to many people, including them.” Kate hopes to start driving in the near future and possibly start a part-time job with her occupational therapist. She then plans to finish her psychology degree before attending graduate school for an occupational therapy degree. “I thank God for His love and for giving me the courage to keep trying. Everyone at Shepherd Center will remain close to my heart forever,” she says. Matt Curran of Boston, Mass., was 21 when he was injured in an accident that paralyzed him below the T-3 to -4 levels on his spinal column and caused a brain injury. At Shepherd Center, he spent roughly three months in rehabilitation and walked out with crutches and leg braces. Nine years later, Matt is walking again and has no noticeable effects from his brain injury. He’s earned a bachelor’s degree and an MBA in finance from Providence College and a master’s degree in accounting from Bentley University. “Finishing my degrees has ‘tested’ my brain and helped me get comfortable that there’s nothing wrong up there,” Matt says. “I still don’t have great balance on my right side, but I am working on it. I can swim and golf and hope to return to the ice someday since I was a college hockey player before my accident.” Now a finance manager for Iron Mountain, Matt’s career has required international travel. Traveling with a spinal cord injury proves challenging at times, but he’s learned tricks along the way. “Long flights increase my spasticity, making my legs, hips and back even more stiff than they usually are,” Matt says. “The key is to stay at a hotel with a pool or a gym. Swimming and exercise are the best things I can do to stay loose.” During and after his time at Shepherd Center, Matt relied on his Catholic faith and family for support. There wasn’t a moment where one of his parents wasn’t by his side. “That support and faith gave me a sense of hope and ability to trust in something bigger than X-rays and CT scans,” Matt says. “This, combined with extended family at Catholic Memorial High School and Providence College, was instrumental in my recovery — along with a lot of hard work.” As a married mother of two daughters and a fourth grade teacher, Karen Jones of Atlanta, Ga., is a busy woman. She is completing a doctorate in education, specializing in teacher leadership and writing a parental involvement guide. Karen also volunteers as a Girl Scout troop leader, tutor and conductor of parental involvement seminars and abstinence education lectures. No one would know that she had multiple sclerosis (MS) unless she told them. “I was diagnosed with MS in 2002,” Karen says. “Initially, it did not affect me, but after about two years, many things changed. I began to feel more fatigued and not able to do as much physically. I tried really hard to do everything as normal as possible because only my immediate family knew, and I did not want anyone else to know. I thought they would act differently toward me because of my condition, even though I looked healthy.” Karen learned of the Andrew C. Carlos MS Institute at Shepherd Center from her home health nurse. The nurse told Karen that Shepherd is excellent at treating people with MS. She called the next day to schedule an appointment. “Even though it is really hard for me, I am blessed that I can still work, walk, talk and do most things,” she says. “It hurts my heart to see fellow people with MS in a worse condition than I am.” In her spare time, Karen enjoys traveling, music, sewing, arts and crafts, cooking and shopping with her daughters. What’s New? We want to stay current on any personal or professional news in your life. Send us an update and a photo (we’ll return it to you): Jane Sanders, Spinal Column Magazine, 2020 Peachtree Rd., N.W., Atlanta, GA, 30309. You can also e-mail us at [email protected] Summer 2010 2 9 FoundationFeatures Photo by Gary Meek Summer 2010 Bert, along with his wife Dawn and Dive Masters Graham Wilson and Risa Matthew, have organized an adaptive scuba trip every year since. Bonaire is always a favorite destination because of the ideal dive conditions and excellent accessibility. Volunteers pay their own expenses and dive in buddy teams with patients. A quadriplegic may need two buddies to dive with him or her, whereas a paraplegic can often dive alone after some slight modifications to the way that he or she enters the water. “He has contributed countless hours to grow the program and has made a positive impact on the individuals who have completed scuba sessions. It has been our privilege to work with him.” — Becky Washburn, manager of Shepherd’s ProMotion/Beyond Therapy® Program Volunteer Profile Bert Quist Dive shop owner teaches scuba to bring fun and adventure into patients’ lives. By Lauren Angelo Thirteen years ago, a Shepherd Center patient rolled into [email protected] Sea, a dive shop owned by Bert and Dawn Quist, located just down the road from Shepherd. Then another patient appeared, and though Bert knew nothing about scuba diving with a disability, his curiosity had been piqued, and some research led him to the Handicapped Scuba Association. Shortly thereafter, he approached Shepherd about offering some lessons in the hospital’s pool, and the rest, as they say, is history. Bert began by offering lessons in the pool. They were so popular that he started offering them at some of Shepherd Center's adaptive sports camps and clinics, and then began offering full scuba lessons. Bert discovered that many people had tried scuba in a pool and loved it, but had not become certified. When he asked why, the response was usually, “Why get certified if we’re only going to dive in the pool?” Bert’s response was a challenge to the patients. “I laid it out there,” he says. “I told them, ‘You guys get certified, we practice and get this down, and we will dive somewhere really cool.’” The patients met his challenge, and that led to the first adaptive scuba trip in 2001 to Bonaire in the Caribbean. 3 0 Spinal Column Diving is contagious, and patients’ friends and family members often join the fun and become certified, as well. The scuba program is evidence of a truly effective partnership between Shepherd and members of the Atlanta community. Bert says Shepherd’s staff and resources have supported him greatly in his efforts to learn more about disabilities. “Shepherd, with their world-class expertise, has helped us learn how to best help their patients,” Bert says. At the same time, Shepherd and its patients benefit, says Becky Washburn, manager of Shepherd’s ProMotion/Beyond Therapy® Program. “He has contributed countless hours to grow the program and has made a positive impact on the individuals who have completed scuba sessions,” she says. “It has been our privilege to work with him.” Bert is incredibly modest about the role he has played in bringing this program to Shepherd. The most rewarding aspect for him is the immediate feedback he gets as patients enjoy themselves in the water. “After a dive, you see firsthand how pumped up they are,” Bert says. He finds it particularly meaningful when patients who sustained an injury during an activity like snowboarding are able to regain a sense of adventure in their lives. Bert is also amazed by how supportive Shepherd is of not only scuba, but activities such as wheelchair rugby, fourwheeler riding and snow-skiing. “This is certainly a different hospital than the ones I was used to,” Bert says. “In life, you will always get a million different reasons not to do something, but at the end of the day you have to ask yourself, ‘why not?’” Above: Bert Quist, owner of [email protected] in Atlanta, volunteers his time to teach scuba lessons to Shepherd Center patients. He also leads an annual scuba trip to the Caribbean for former patients. w w w. s p i n a l c o l u m n . o r g Atlanta attorney aids people with brain and spinal cord injuries in the courtroom, as well as the therapy gym. Donor profile Tommy malone Tommy Malone, a personal injury and litigation lawyer in Atlanta, most likely didn’t know how involved he would become in the field of brain and spinal cord injuries when he began practicing law more than 40 years ago. Since that time, however, he has become a leading advocate for people affected by brain and spinal cord injuries and is a longtime donor to Shepherd Center. Tommy’s professional work is driven by a desire to help people, especially those harmed by another person’s carelessness. His specific focus on brain injuries increased as he learned more about the great benefits that rehabilitation therapy offers. “The attention that has been placed on traumatic brain injury has increased tremendously over the years,” Tommy says. “I always enjoyed trial work and representing injured people, and as medicine developed, so did my awareness of what is involved in a brain injury and what can be accomplished through therapy.” The cost is significant for the therapy sometimes needed after a brain or spinal cord injury. Tommy and his law partner and son, Adam Malone, believe this is where they can make the most difference for others. In the courtroom, they work to prevail in cases so people with catastrophic injuries may get the funds necessary to receive the best care and treatment available to them. Outside the courtroom, Tommy and Adam donate to Shepherd, in part because the hospital provides the very best treatment to so many of their clients. “I have tried to give back in a financial way to help others who are doing so much hands-on work,” Tommy says. “My time is so committed to representing people in the courtroom, that I haven’t had the opportunity to volunteer. I think I do more by looking after the people who count on me to look after them and by giving back in a financial way.” Happily, Tommy has stayed in touch with many of his clients and witnessed the difference he has made in their lives. His firm Photo by Leita Cowart By Lauren Angelo hosts a birthday party every five years, and clients he has represented return for the celebration. He describes one man who, in videos of his early days in rehabilitation, could not move in response to a balloon bouncing off his arm. Videos taken later show him knocking the balloon across the room with a badminton racquet. Thirty or 40 years ago, doctors might have given up on this patient, but today, to see someone improve so drastically, convinces you that there is a great deal of improvement possible with the right care and treatment, Tommy says. He believes Shepherd patients receive the highest caliber of treatment, and Tommy says he’s satisfied knowing that his donations help Shepherd improve the conditions and lives of patients in the same way that his young client’s ability to react to the balloon improved. Knowing that his contributions truly make a difference is one of the most rewarding aspects of donating because he believes that there is no greater joy than making a meaningful difference in someone else’s life. “I have tried to give back in a financial way to help others who are doing so much hands-on work…. I think I do more by looking after the people who count on me to look after them and by giving back in a financial way.”— Tommy Malone “It’s just rewarding to be considered a part of the Shepherd family of folks who care,” Tommy says. “I make my living representing people who have these conditions that Shepherd does so much to help. I’m a person who knows the benefit of giving back and the joy that it brings.” Above: Atlanta attorney and Shepherd Center supporter Tommy Malone, right, chats with Shepherd Medical Director Donald Peck Leslie, M.D., in Tommy's office. Summer 2010 3 1 FoundationFeatures Personal and professional ties to Shepherd Center motivate involvement with The Legendary Party 2010. By Lauren Angelo Photo by Gary Meek Though the event isn’t until this fall, plans are well under way for Shepherd Center’s largest fundraiser – The Legendary Party – scheduled for Nov. 6 at The Ritz Carlton, Buckhead. This year, the chair, the honoree and the floral designer of the popular black-tie event all have either personal or professional ties with Shepherd. Dorothy Mitchell-Leef, M.D., Above: Dorothy Mitchell-Leef, M.D., is the Chairman of the 2010 is the first physician Legendary Party, which has the to chair Shepherd's theme of “The Legend of The Sun Legendary Party. King, Reflections of Versailles.” In 2009, Dr. Mitchell-Leef served as Chairman-elect, and she also hosted the Patron Party, a sponsor recognition event in her home a few weeks before the gala to honor the fundraiser’s sponsors and guests. Her good friend and long-time Shepherd supporter, Cyndae Arrendale, who chaired the 2009 Legendary Party, asked her to chair the 2010 party. “I knew I couldn’t say no,” she recalls. Dr. Mitchell-Leef, a reproductive endocrinologist and fertility specialist with Reproductive Biology Associates, is the first physician to chair the ball, which can be a full-time job in itself. “Being chair is a huge job,” says Dean Melcher, director of annual giving at Shepherd. “You drive the whole vision of the party and solicit sponsorships. She has put a lot of thought into what the guest will experience, all in support of a good cause.” The doctor’s ties to Shepherd date back to 1993, when she began professionally consulting with Shepherd patients who had infertility issues. As a result, she has helped many male patients with spinal cord injuries become fathers. In January, she saw another side of Shepherd that helped her efforts to raise money for The Legendary Party. After undergoing knee replacement surgery, she did some of her rehabilitation at Shepherd. “This allowed me to see everything that goes on there,” she says. “I started asking the physical therapists what things cost Photo by Gary Meek The Ties That Bind and what kinds of equipment they still needed. It was a great way for me to connect to the needs of Shepherd. It gave me a different perspective.” She took this information and used it in her fundraising letters. “I wanted to impress upon the donors and sponsors the specific things their money could provide for the care of these patients,” she says. “As a doctor, I know how important it is to have a great facility and the proper equipment.” As planning continues for this year’s big event, Parties to Die For, a local business headed by Tricky Wolfes and Kathy Rainer, is developing ideas for designing flower arrangements and decor for the party. Tricky and her design partner will create floral arrangements that fit the era of Louis XIV. “It will be grandiose and colorful,” she promises. “It will be an evening fit for a king.” Though this is the first time she’s doing the party, Tricky has had a lot of personal experience with Shepherd. Her son sustained a brain injury in a car accident in 1995. He has been a patient at Shepherd, and is currently receiving therapy at Shepherd Pathways. “I know first hand all the good things Shepherd does and how difficult their work can be,” Tricky says. “I am thrilled to be a part of it all.” + 3 2 Spinal Column “Being chair is a huge job,” says Dean Melcher, director of annual giving at Shepherd. “You drive the whole vision of the party…. She has put a lot of thought into what the guest will experience, all in support of a good cause.” The Honorary Chair of The Legendary Party is Eula Carlos, who, through generous donations, has funded the Eula and Andrew C. Carlos Endowed Chair for Multiple Sclerosis Research. She has also been a tireless volunteer through the years. “She is one of the unsung heroes of philanthropy,” Dean says. “It touched my heart to be honored this way, but I feel as if I need to honor Shepherd,” Eula says. “Shepherd helps so many people in so many ways. I am grateful for what they do.” Above: Legendary Party Chairman Dorothy Mitchell-Leef, M.D., center, discusses party plans with Dean Melcher and Cara Puckett of the Shepherd Center Foundation. w w w. s p i n a l c o l u m n . o r g Photo by Gary Meek WHY NOT YOU? BECOME A BRIDGE BUILDER AND LEAVE A LEGACY. When Duane Morrow was a spinal cord injury patient at Shepherd Center, he was what therapists call a “super quad” – highly motivated, hard-working and lightning-fast in meeting his therapy goals. He would even work out in the Shepherd Center fitness center before his daily therapy. Duane, who sustained a quadriplegic-level spinal cord injury while playing rugby in 2004, underwent inpatient and outpatient treatment at Shepherd, and was one of the first participants in Shepherd’s Beyond Therapy® program. Today, with help from medication and an electrical nerve stimulation device, Duane walks with the aid of a cane. He is also active in adaptive sports and has a busy career and family life. Now a Trustee of the Shepherd Center Foundation, Duane wanted to help patients who will follow after him by remembering the Foundation in his estate plans. “I am thankful to have the opportunity to share the resources I have been blessed with to help other people,” Duane says. He included a bequest in his recently prepared will, and in so doing became a member of Shepherd’s coveted Bridge Builders Society. Giving to the Foundation through a will bequest, retirement account, insurance policy, charitable trust or gift annuity are popular ways of becoming a Bridge Builder. Learn more about charitable giving by visiting www.shepherd.org/plannedgiving, or by calling Ty Tippett, Senior Director of Planned Gifts, at 404-350-7308, or Jen Swindall, Planned Giving Associate, at 404-350-7301. BECOME A BRIDGE BUILDER AND LEAVE A LEGACY. WHY NOT YOU? Summer 2010 3 3 FoundationFeatures Derby 2010 DAY New venue is a hit with the Derby Day crowd. By Dean Melcher Photos by NEIL DENT In its 28-year history, Shepherd Center’s Junior Committee has put on one terrific Derby Day after another, and the Saturday, May 1, event was no exception. This year’s Kentucky Derby-themed fundraiser was held at its new venue – The Georgia International Horse Park in Conyers, Ga., site of the 1996 Olympic Games' equestrian events. More than 1,200 patrons and sponsors were on hand to enjoy live music, play games, bid on exciting auction items and, of course, cheer on Super Saver as he won the world-famous horse race. 3 4 Spinal Column w w w. s p i n a l c o l u m n . o r g There were so many great things about Derby Day 2010 that it’s nearly impossible to pick the favorite. So, here are some highlights: • T he Crowd. From beautiful hats, sundresses, seersucker suits and khakis to T-shirts and jeans, young professionals, former Shepherd Center patients and longtime supporters celebrated a fun day in the afternoon sun and an evening on the dance floor. • T he Music. The afternoon started with a great mix of recorded music, which quickly transitioned to a lively set of favorites from Sun Domingo on the main stage in the Patron Tent. After the live auction, Atlanta's favorite club band, Yacht Rock Schooner, took the stage and put on a fantastic, crowd-pleasing show of ‘70s classics. White captain’s hats were everywhere as the crowd danced until “last bus now boarding” was announced. • The Festivities. There’s so much to do at Derby Day that it’s hard to fit it into only eight hours. From meeting new people and mingling with old friends to playing highly competitive matches of corn hole, lawn games, joining “high-stakes” casino games, playing the ponies, and bidding on spectacular live and silent auctions, Derby Day offered a full day of fun and an evening of partying. • The Venue. The location was very easy to access from Atlanta, and the intimate setting made for a more social and festive atmosphere. • The Committee. The 232-member Junior Committee, led by Co-Chairs Miller Jackson and Kirk Martin, and the Executive Committee worked since August 2009 to plan and implement this wonderful event. Every detail was carefully thought out, and the dedicated Junior Committee volunteers solicited sponsorships and auction items, sold tickets, T-shirts, commemorative Derby Day ties from Southern Proper, set up the event, served food and drinks, staffed the game tables and completed countless other tasks to ensure the event went smoothly, the crowd had a great time and the event raised money for Shepherd Center. We can’t thank them enough for their wonderful efforts! • The Cause. Derby Day raises money for Shepherd Center’s internationally acclaimed Therapeutic Recreation Program (TR). TR is funded entirely with donations, and Shepherd’s TR specialists work with the Center’s patients to introduce them to a world of accessible sports, and leisure and creative activities that improve their physical, cognitive and social functioning so they can return to independent, active and healthy lifestyles. Our heartfelt thanks goes to all the volunteers, sponsors, patrons, auction donors and other in-kind donors who made this year’s Derby Day a huge success. For information about Derby Day or the Junior Committee, please contact Anne Pearce, Annual Events Manager in the Shepherd Center Foundation, at [email protected] or (404) 350-7302. Left: Derby Day 2010 Co-Chairs Kirk Martin and Miller Jackson relax after leading 232 volunteers in organizing another great Derby Day event. Center: For many, the highlight of Derby Day is watching the "fastest two mintues in sports." Right: The Junior Committee Executive Board enjoys the payoff of their hard work. Bottom row, left to right: Philip Mize, Orin Romain, Kirk Martin. Middle row: Hunter Ross, Hamilton Bridges, Stuart Griswold, Dan Lenahan, Shannon Shipley, Anne Pearce, Miller Jackson, Nadine Helal and Wesley Snapp. Back row: Reagan Michaelis, Scott Tucker, Lauren Tucker, Trey Weatherly and Brenden Harper. Summer 2010 3 5 FoundationFeatures 2010 DerbyDay Sponsors Winner’s Circle Sponsors JLC Southeast, LLC Resource Real Estate Marketing Cooper-Atlanta Transportation Services Triple Crown Sponsors AirTran Airways Choate Construction Company The Coca-Cola Company Gallagher Electric & Engineering Company Platinum Sponsors Bear Claw Condominiums Bell Capital Mgt. Janyce and Mark Dawkins David and Jennifer Kahn Family Proof of the Pudding The Ranches at Belt Creek The Charles and Catherine B. Rice Foundation Mary and Jeff Sadler www.AnneLattimore.com Gold Cup Sponsors Amelia Island Plantation AmWINS Brokerage of Georgia Bachelor & Kimball Joan and Robert Berto Bickers Consulting Group, LLC Brainjogging Wheeler Bryan – Chappell Bryan Broyhill Family Foundation Miles Burdine – Kingsport, Tenn., Chamber of Commerce Chase Meadow Lane Farm Neil Dent Photography Diversified Metal Fabricators Melissa Thomas Durand, DMD, PC Angi and Michael Evert Lora and Geoff Fishman/ Credit Suisse Genuine Parts Company Judy and Mike Harhai Honours Golf Hooters of America Carol and Rick Hoskinson ImagineAir Junior Committee Executive Board/Parramore & Quinn, Inc. Mr. and Mrs. John Ryd Bush Long Mainly Baskets Medicraft 3 6 Spinal Column Sherri and Ron Michaelis/ Cadeau Stationary & Gifts Joe Mueller Jill and Talbot Nunnally Anne W. Pearce Elizabeth R. Pearce Piedmont Center ProFloors, LLC Stacey and Brad Ray Judi and Jeff Raymond Donna and Bill Richardson Nancy and Pete Selleck The Sembler Company Shaw Industries Group, Inc. Alana and Harold Shepherd Snapper Industrial Products/ The Snapp Family E. R. Snell Contractor, Inc. Urban Body Studios Adelaide C. Ward Alison and Scott Ward Mr. and Mrs. Leonard Wood Silver Cup Sponsors Michael Alamo Alpha Capital Management Anonymous (2) Jane and David Apple Atlanta Braves Atlanta Hawks and Thrashers Atlanta Kick/Operation Bootcamp Big Green Egg Butler, Wooten & Fryhofer, LLP Jim Calise Classic Weddings by Louise Hanlon Dr. Harvey “Chip” Cole and Oculus Skin Care Centre Scott Correale CrossFit North Atlanta Vivian DuBose Dr. Anna Elmers Eyeshop Atlanta Framers on Peachtree Helen and Charlie Frenette Friends of Hunter Ross in memory of Nan Ross Patty and Bob Fryer The Gables Antiques Donny Gillis The Leonard & Jerry Greenbaum Family Foundation Mr. and Mrs. Geoffrey P. Hall Hooters of Conyers Nancy and Andy Isakson Treva Jackson Dr. John Lin Livingston Restaurant + Bar The Mainland Company A Masterpiece Remodeling Cynthia and Jonathan McCague Dr. Roy A. McDonald McGriff, Seibels & Williams, Inc. Elizabeth and Chris Morris National EMS Dickey Netherland Linda and John O’Hara Payscape Advisors Perfect Circle Renewable Energy, LLC Pittman Construction Company Premier Southeast Sales, Inc. and Snapper Industrial Products Sandra Ramsey Erwin Reid Stephanie and Paul Repp Neil and Rosemary Richie The Ritz-Carlton, Amelia Island River Street Inn Rogers Bridge Company, Inc. Sabot – Shoes, Clothing & Accessories Seabrook Family Trust Seda Vale Foundation Edyth Shadburn David Shipley and Jenny Coleman Valerie and Scott Sikes Elizabeth and Boynton Smith Charles Smithgall III Frank Tantillo That Garrison Girl Tibi Tootsies Mr. and Mrs. Vernon Whitman Charity and Michael Whitney Woodlands Inn Derby Day Patrons Betty Buice Betty and Sean Coy Charlotte P. Ellithorp William Espy Thomas F. Farrell Cindi and Tim Finnigan John J. Fleming The Family of Alexandra Futch Mary Gilbreath Aaron Green Healthcare Georgia Foundation David Hegg Richard Hemingway Doug Hopkins – The Coca-Cola Company Benjamin Mize Modern Properties Group, LLC Debbie Murphy Ron Neyhart June and Michael O’Driscoll Ann Shipley Mr. and Mrs. Joseph R. Sivewright Jim Staley Kurt and Frances Swensson Jeff Taylor Mr. and Mrs. Tom Usilton Deborah and Thomas Ward Maureen and John Webster Lee Zell Derby Day Junior Patrons Sally and Lyman Aldrich Clare J. Anderson Lana and Lamar Ball Elsie Brumby Ron Burch Matt Calvert Sara and Donnie Chapman Merritt Dyke Rhonda and Rich Gaffoglio Linnea Geiss Nicklaus Hogan Felicia and Allen Jackson Darlene and John Kozarek Kanda and Vernon Martin Kirk Ossewaarde Susan and Roger Pitt Joycelyn Romain Pope Eric Rose Springer Mountain Farms Nancy Bea Staley Terri Vann Christine and Mike Vinson Ann Marie and Joe Ziegler Above Left: These Derby Day patrons are ready for an afternoon of good food and drinks, bidding on auction items and watching the Kentucky Derby. Above Right: The 28th Annual Derby Day, held at the Georgia International Horse Park, was attended by 1,200 Shepherd Center supporters, many wearing their favorite widebrimmed derby hats. w w w. s p i n a l c o l u m n . o r g Derby Day 2010 Committees Derby Day 2010 Executive Board Miller Jackson and Kirk Martin – Derby Day Co-Chairs Stuart Griswold and Shannon Shipley – Membership Co-Chairs Reagan Michaelis, Lauren Tucker and Philip Mize – Auction Co-Chairs Hamilton Bridges, Wes Snapp, Orin Romain and Trey Weatherly – Field Operations Committee Dan Lenahan and Scott Tucker – Sponsorship Co-Chairs Brenden Harper and Hunter Ross – Beverage Co-Chairs Nadine Helal – Treasurer Anne Pearce – Shepherd Center Events Manager Derby Day 2010 Committee Co-Chairs Carrie Dunton and Tom Rittle – Food Co-Chairs Mary Ann Bridges and Amanda Kimbrough – Decorations Co-Chairs Duvall Brumby and Ashley Coker – Race Day Games Co-Chairs Jami Hanzman and Bobby Norwood – Games Co-Chairs Joe Revnes – Band and Entertainment Co-Chair Katie Mingo and Taylor Ward – Tickets Co-Chairs Robert Kerr – T-shirts Co-Chair Kelly Backus and Callie DeVore – Public Relations Co-Chairs Stephanie Milne – Signage Co-Chair Above: T-shirt Co-Chair Robert Kerr, third from the left, prepares volunteers for a fun afternoon of selling Derby Day T-shirts to event patrons. 2009-2010 Junior Committee Amy Abbott Trip Addison Paul Aglialoro Morgan Akers Tori Allen Sabrina Altenbach Meredith Anderson Jordan Atkinson Kelly Backus Kelly Baird Elizabeth Balentine John Ball Stewart Barber William Barlar Bryan Barton Lisa Baxter Victoria Beasley Emily Beck Gavin Beck Jay Beckner Thomas Benton Maribeth Bidez Catherine Bloodworth Jennifer Bobowski Dana Bolnick Bunny Boyd Blair Brading Kate Bradley Alex Branch Joe Bricker Hamilton Bridges Mary Ann Bridges Demaris Brooks Duvall Brumby Leila Brumby Gena Bryant Katie Buice Emily Burch Laura Burdine Jarred Bussert Patrick Butkus Anne Russell Calvert Quint Cannon Kari Carlos Liz Caskie Malia Chang Catherine Chapman Kate Cheshier Will Childs Ashley Coker Mary Stuart Couch Elinor Cowan Jessica Crutchfield Chad Cunningham Will Curry Katie Cyphers Amanda Dalton Andrew Daly Brittany Davidson Brooke Davis Danielle DeBorde Caroline Dennis Callie DeVore Carrie Dunton John Ellithorp Kelly Emerick Marianne Estes Emily Evert Scott Farmer Kathleen Farr Keri Fleming Lindsay Fraley Ashley Fransoso Alexandra Futch Katie Gaffoglio Gregory Garmon Edith Garrett Jenn Gay Jackie Gehner Corinne Gersten John David Gifford Laura-Leigh Gillis Elizabeth Gray Drew Griswold Lindsay Griswold Stuart Griswold Kelly Grunderman Louis Gruver Hank Gurley Heather Hahn Bettina Hall Jami Hanzman Brenden Harper John Harrell Bailey Harvard Rebekah Hay Ashley Hayes Emily Hedrick Nadine Helal Caroline Hemingway Roscoe High Megan Hinkle Isabelle Isakson Allison Jackson Miller Jackson Jennifer Jenkins Austin Johnson Shannon Johnston Justin Kanitz Eric Katz Caroline Kelley Rachel Kelley Mimi Kelly Joanna Kerr Robert Kerr Amanda Kimbrough William King Tyler Knight Travis Koehler Emily Kozarek Stephanie Kozol Libba Kukley Kelsey Lange Kristen Leeman Dan Lenahan Lauren Leverette Abigail Linton Amanda Loggins Katie Long Edmund Lord Michael Lowe Matt Lundberg Morgan Machen Sara Manning Kate Markesky Kirk Martin Mary Eliza Massengill Joe Mays Tippa McClure Sanders McCown Mackin McKinney Rod McLeod Chris McShane Patrick McShane Kate McWilliams Alex Meddock Laura Menaquale Reagan Michaelis Rachel Miles Stephanie Milne Katie Mingo Andy Mitwol Philip Mize Katy Mobley Jay Moody Maggie Morris Joe Mulrooney Kate Murr Hanna Nation Tara Nelson Caroline Norton Bobby Norwood Talia Orred Margaret Oswald Magan Overcash Carla Paschke Ashley Patterson Christopher Pearce Jason Perry Emily Pilcher Gregory Power Michael Power Lauryn Prattes Michelle Price Cara Puckett Marisa Puckett Evan Purmort Dustin Ramsey Michael Ramsey Katie Redeker Jordan Redella Joe Revnes Tom Rittle Michael Roberts Audrey Rogers Heather Rogers Orin Romain Hunter Ross David Scherer Michael Schreiner Lindsey Selleck Shannon Shipley Emily Shoemaker John Simpson Caroline Sivewright Amanda Smith Wesley Snapp Scott Springfield Bea Staley Linsey Star Laura Strickler Kate Swensson Allie Swinford Lindsey Taylor Rachel Taylor Maggie Temple TeMaya Thompkins Hagan Thompson Michelle Thornton Andrew Tritt Lauren Tucker Scott Tucker Sarah Gray Tullidge Brandon Tyler Chris Vaky Jennifer Varon Gina von Sternberg Michael Votta Daniel Ward David Ward Taylor Ward Trey Weatherly John Webster Lee White Ellen Williams James Williams Aaron Wise Anne Temple Wise Katherine Young Sarah Zeeman Jen Zei Libba Zukley Summer 2010 3 7 Independent Shepherd Center Volunteers Honored Photo by Meredith Missroon Shepherd Center’s independent volunteers were honored on May 6 at the Annual Independent Volunteer Appreciation Dinner. The event formally celebrates the importance of these volunteers and recognizes the year’s volunteer achievements. Scott Sikes, executive director of the Shepherd Center Foundation kicked off the night in high spirits. Then guest speaker Wes Varda, a former brain injury patient and a current volunteer, spoke of his experience as a patient and the benefits of volunteering during his recovery. Many members of Wes’ Shepherd Center treatment team attended the dinner in celebration of his incredible progress. Volunteer Services announced that more than 40 volunteers earned a new milestone award for the number of hours they have given to Shepherd Center. James Curtis, a volunteer in the Foundation, the Noble Learning Resource Center and the Respiratory Therapy Department, again won the award for the most volunteer hours given in the 2010 fiscal year. Meanwhile, spinal cord injury patient peer supporter Queen Noregia surpassed 4,500 total volunteer hours! Volunteers were given blue reusable shopping bags featuring the Shepherd Center logo and the word “Volunteer” screen-printed in white. Additionally, a dozen Shepherd Center departments donated more than $800 worth of gift certificates in appreciation of the volunteers; these were distributed as door prizes. “Shepherd Center is a better place because of the love and dedication all of our volunteers show day after day,” says Volunteer Services director Midge Tracy. — Ivy Oxendine Above: Volunteer Bud Hene and his wife Patty take in the view of Buckhead from the 7th floor terrace at Shepherd Center. 3 8 Spinal Column tography Photos by Chris Collins Pho FoundationFeatures Shepherd Center Society Hosts a Successful Casino Night Shepherd Center Society’s Second Annual Casino Night was a tremendous success! Held at Ventanas in the Luckie/Marietta district of downtown Atlanta on March 6, the event attracted 200 guests. They enjoyed delicious fare prepared by Proof of the Pudding, while listening to the sounds of Chinua Hawk and placing their bets in the casino – all in the name of helping raise funds for Shepherd Center. Ventanas sits upon the 14th and 15th floors of the Hilton Garden Inn with twostory, floor-to-ceiling windows and an outdoor patio that created a truly memorable evening. The casino was busy with guests playing poker, blackjack and craps with chances to win prizes, including golf lessons, salon and spa gift certificates, and a luxury package that included a stay at the Four Seasons Atlanta, a helicopter ride around the city, a gift card to Tiffany’s and more. The evening’s success was due in large part to the leadership of Casino Night 2010 Co-Chairs Lauren and Mike Imber and Sarah and Jamie Shepherd. We hope you’ll join us for the Shepherd Center Society’s Third Annual Casino Night in 2011. Four-of-a-Kind Sponsors Gleneagles Capital Mgmt. Harry Norman, Realtors Jessica and Justin Jones Rogers Bridge Company, Inc. Full House Sponsors Alex Amit Beard-Shuford Financial Group Bennett Thrasher Jim Calise Chris Collins Photography Mr. and Mrs. John Davenport DYE Aviation Facilities Eon at Lindbergh Apartments Mr. and Mrs. Danny Fordham Elise Jacobs Erin Jernigan and Jessica Toney Sherry and John Lundeen Alana and Harold Shepherd Sarah and Jamie Shepherd Valerie and Scott Sikes Three-of-a-Kind Sponsors Virginia Miller Jackson Christopher C. Rollins Cindy Lynn Dunaway Interiors, LLC Four Seasons Hotel – Atlanta Mimi and Jason Godwin Amy and Alex Panos Anne W. Pearce Caeser Pruett Angela Raub – Brightworth Daryn Schwartz Miss Julie Shepherd and Mr. David White Sunbelt Technologies Lauren and Scott Tucker Brittany and Zach Wilson Wild Card Sponsors Mr. and Mrs. H.E. “Sonny” Cauthen Amy Gaines Georgia and Allen Mikul George Panos Ryan Schwartz Above Left: Left to right, Albie Whitaker and Daryn Schwartz, 2009-2010 SCS Co-Chairs, antipcate the successful night ahead, along with Casino Night 2010 Co-Chairs Jamie and Sarah Shepherd and Lauren and Mike Imber. Above Right: Some were lucky, and some were not, but everyone had a great time helping to raise money for Shepherd Center. w w w. s p i n a l c o l u m n . o r g Shepherd Alum Receives Minivan at Annual Joint Meeting of the Boards Photos by Midge Tracy patients without insurance, ultimately helping to restore their hope and rebuild their lives. New board members also were introduced.They are: • Shepherd Center Advisory Board: Shaler Alias, Tammie Dunlap, Carol Goodman, Bob Hagemeyer, Ross Mason, Paul McLaughlin, Evelyn Mims, Ann Platz, Bill Saling and Suzan Schumacher • Advisory Board Ex-Officios: Miller Jackson, Kirk Martin, Karen Mathews, Dorothy Mitchell-Leef, John Rooker, Daryn Schwartz and Albie Whitaker • Shepherd Center Foundation Board of Trustees: Jimmy Alston, David Kahn, Duane Morrow, Juli Owens, Mike Stephens • Shepherd Center Board of Directors: Clark Dean and Doug Lindauer — Ansley Martin and Dean Melcher Photos by Caroline Hemingway The life of former spinal cord injury patient Tracy Robinson has improved dramatically thanks to a gift she received on May 24 from an anonymous donor. At the annual joint meeting of the Trustees, the hospital Board of Directors and the Foundation Advisory Board, Tracy received the keys to a fully loaded, accessible minivan. “Having your own reliable and flexible transportation is paramount to a person’s independence,” Tracy says. “Public transportation like MARTA is limited in both service and appropriate vehicles, and if you don't live and work in MARTA’s route, you have to either hire very expensive transportation, or rely on friends and family.” One year ago, Tracy was diagnosed with a spinal cord tumor that caused paralysis at the T-5 level. She underwent rehabilitation therapy in Shepherd Center’s Day Program. Today, Tracy is high functioning and extremely independent. But she needed a vehicle to drive herself to work and in the community. After a few minor alterations, including the installation of hand controls, the minivan makes it possible for Tracy to drive herself to work, go grocery shopping, visit friends and travel. Another highlight of the joint board meeting was the recognition of Cookie Aftergut and Solon Patterson for their many years of service and contributions to Shepherd Center. For example, Cookie and her friends serve the patients of Shepherd Center a Christmas meal. This allows many staff the opportunity to celebrate the holiday with their loved ones. Solon and his wife Marianna started a patient care endowment fund with the Shepherd Center Foundation. The fund helps meet the needs of Above: Shepherd Center Foundation Board of Trustees member Doug Lindauer presents former spinal cord injury patient Tracy Robinson with the keys to a fully accessible minivan, a gift from an anonymous donor. Shepherd Center Auxiliary Celebrates its Fundraising Season with the Presentation of a Check to Shepherd The Shepherd Center Auxiliary celebrated its 2009-2010 fundraising season with the presentation of a check for $459,775 to James Shepherd, Shepherd Center co-founder and chairman of the board, at the Auxiliary’s annual meeting and luncheon on April 22 in the hospital’s Callaway Auditorium.The Auxiliary raised these funds through its efforts with the 2009 Legendary Party, Pecans on Peachtree and other events. At the annual meeting and luncheon, 125 Auxiliary members and their guests also heard an inspirational talk from former spinal cord injury patient Marat Pashkevich of Marietta, Ga. Marat talked about the paralysis he experienced because of a diving accident, his long path toward recovery and his positive experience at Shepherd. His proudest achievement was learning how to skate again, he said. Marat and his father, Slava, both expressed their gratitude to Auxiliary members for the fundraising efforts they organize to support patients and their families. Auxiliary President Marla Bennett presented service hour awards to Sydell Harris, Carol Olsen, Peggy Goldberg, Jim Dodgson, Jane Ulicny, Jeannine Kirkland, Bart Marks, Stephen Lore and Lois Puckett. Another highlight of the meeting was the presentation of The Peggy Schwall Spirit of Excellence Award for 2010 to Carol Olsen. Peggy volunteered more than 2,100 hours of service to Shepherd Center and the Auxiliary from 1982 until her death in 2002. To honor Peggy’s spirit, the Auxiliary presents this award to a member with at least 500 volunteer hours of service to Shepherd and who displays extraordinary enthusiasm, passion and service to the Auxiliary. — Midge Tracy Top: Shepherd Center Auxiliary President Marla Bennett presents the group's 2009-10 fundraising check to Chairman of the Board James Shepherd. Bottom Left: Former spinal cord injury patient Marat Pashkevich, left, prepares to deliver an inspirational message as the event's guest speaker. Bottom Right: Left to right, Evis Babo, DMD, Bridgette Morris, Ann Tatum and Linda Morris enjoy the luncheon. Summer 2010 3 9 FoundationFeatures Shepherd Cup Golf Tournament Play a round for a great cause. Taking Shepherd Center’s largest fundraising event to the next level, thelegendaryparty.com has a host of features and links designed to both showcase the event for new attendees, as well as simplify and streamline sponsorship, registration and seating for patrons and sponsors. The new website provides information about the event, sponsorship descriptions, online registration and payment, and RSVP capability for the Patron Party and The Legendary Party. Thelegendaryparty.com also has links for seating requests and table assignments, links to purchase tickets to The Legendary Party and Legendary Late Night events, and signup for The Ladies & Gentlemen's Committee. Of course, the website also features online photo galleries where users can view and order pictures from last year’s gala and Patron Party, as well as this year’s kick-off luncheon, Patron Party and Legendary Party. The 2010 Legendary Party, with the theme of “Legend of The Sun King, Reflections of Versailles,” will be held Saturday, Nov. 6, at The Ritz-Carlton, Buckhead. Dorothy Mitchell-Leef, M.D., is Chairman, Bill and Cindy Voyles are Chairmen-elect, and Eula Carlos is serving as Honorary Chairman. For information about the event and sponsorship opportunities, contact Cara Puckett, Shepherd Center Foundation Annual Events Manager, at [email protected] or 404-350-7778. You can also visit thelegendaryparty.com. — Dean Melcher 4 0 Spinal Column Photos by Cara Puckett The Legendary Party Goes Online Plans are already in place for this fall’s Shepherd Center Cup golf tournament and Tee-Off Party! Event Chairman John Rooker has formed a great committee, and they are already hard at work securing sponsors and fantastic auction items. The tournament kicks off with the Tee-Off Party on Thursday, Oct. 7. Silent and live auctions, cocktails and heavy hors d’ouevres will be provided. The highlight of the auction last year was a fantastic trip to play at the birthplace of golf – St. Andrews, Scotland. Provided by John Boykin of Business Golf International (www.businessgolfinternational.com), this once-in-a-lifetime trip featured golf on each of the four courses accompanied by a pro, dinner and accommodations at an historic hotel. The auction committee – led by Amy Solloum, Bronson Smith, William Stallworth and Winston Wiant – is securing more remarkable auction items for this year’s event, which is a must for golfers and non-golfers alike. Tickets for the Tee-Off Party are provided with tournament sponsorships and also can be purchased in September. On Monday, Oct. 11, the event continues at Cherokee Country Club. Golfers will tee off at 1 p.m. after enjoying a lunch on the green. Following play, the golfers will enjoy a great feast and an awards presentation. In its 26-year history, the golf tournament has raised more than $1 million to benefit Shepherd Center’s annual fund, which supports vital patient programs ranging from chaplaincy to assistive technology and family housing. For sponsorship information, please contact Cara Puckett at [email protected] or 404-350-7778. — Cara Puckett Above, Left: Charles Beard, Jordan Phillips, William Stallworth and Hamilton Dickey formed a team for the 2009 Shepherd Center Cup. Above, Right: Golfers, sponsors and guests enjoy the auction at the 2009 Tee Off Party. w w w. s p i n a l c o l u m n . o r g Guest Column on Behalf of Scott H.Sikes Shepherd Center Foundation Executive Director By Midge Tracy Director of Volunteer Services, Shepherd Center Shepherd Center Auxiliary and Peach Corps Photo by Leita Co Photo The Auxiliary/Peach Corps has raised more than $6.5 million in the past 28 years, and nearly every department and program at Shepherd has benefited from their generosity. There is a new floor in the Livingston Gym, utility vehicles for therapeutic recreation outings, materials for spinal cord injury patient graduations and this year, they will fund a new passenger van for Shepherd Pathways! by Leit a Cowa rt We’ve all heard the postal carriers’ motto, “Neither snow nor rain nor heat nor gloom of night stays these couriers from the swift completion of their appointed rounds.” Well, the same motto can be applied to the Shepherd Center Auxiliary and Peach Corps service groups. They number nearly 400 men, women and children who work tirelessly on behalf of Shepherd patients, their families and Shepherd employees. In fact, the nurses’ station on the soon-to-be-renovated second floor of the Shepherd Building is being built with funds raised from the Auxiliary’s activities during the past fiscal year. Also, two patient rooms on the new fifth floor of the MarcusWoodruff Building were paid for by the Auxiliary. The Auxiliary is also responsible for building the chapel and providing support to the Chaplaincy Program on an annual basis. The Peach Corps “kids” and their parents are responsible for hosting two cookouts annually in the Shepherd Center Garden. wart Working Overtime for Us The Auxiliary/Peach Corps thanks you for supporting their annual Pecans on Peachtree fundraiser, as well as their jewelry sales, bake sales and book cart. Every penny earned from these fundraisers helps us fulfill our mission to provide the best care possible for our patients. For additional information about Auxiliary or Peach Corps membership, contact me at 404-350-7315 or [email protected] Information is also available at www.shepherd.org/volunteer. Right, From Top to Bottom: Shepherd Center Auxiliary and Peach Corps volunteers help brighten the day for patients by making fall decorations and delivering them to patient rooms. Volunteers also assist with bulk mailing projects. Summer 2010 4 1 Tributes Honorariums Honorees are listed first in bold print followed by the names of those making gifts in their honor. This list reflects gifts made to Shepherd Center between Feb. 1, 2010 and April 30, 2010. Marti Hegg Mr. and Mrs. Edwin A. Wahlen, Jr. Emily Purcell Mr. and Mrs. V. Thomas Purcell Minna Hong Mr. and Mrs. Christopher R. Hardage Barry (Toby) Regal’s Recovery Mr. and Mrs. Ernest Luttazi Mr. and Mrs. J. K. Hope Mr. Clarence D. Williams Shannon Ridgeway and all involved in her care at SC in 2002 Mr. and Mrs. Steve Ridgeway Dr. Richard Hunter Heritage Sunday School Class Becky McDowell Arnall’s Recovery Ms. Joan B. Neal Jeff and Amy Asher – Love and friendship Mr. Eugene S. Asher Allen Blackwell National Behavioral Consortium Fred Bleiberg National Distributing Company/Atlanta Wholesale Zach Bobowski Ms. Marye Elizabeth Edenfield Jack Boyan’s Recovery Mrs. Lynne Daly B. B. Brown – “Thanks” Dr. David F. Apple, Jr. Raven Campbell – “Always great help” Dr. David F. Apple, Jr. Kathryn Cargile, OT Mr. and Mrs. Steven H. Dowlen Eula Carlos Ms. Theodora Campbell Mr. and Mrs. John G. Patronis Laurie Carter – “A fond farewell to the original ‘biddies’” Dr. David F. Apple, Jr. Steve and Jeanette Clarke Mr. Richard O. Anderson Ellen Crowe’s Recovery Ms. Carroll Shipley Chase Finger Mr. and Mrs. Mark Dickherber Fourth Floor Therapists at Shepherd Center – For Excellent Care Ms. Donna Kurtz Mr. and Mrs. Neil Gerald Mr. and Mrs. Edwin A. Wahlen, Jr. Bert Glaser’s 60th Birthday and Recovery Ms. Ruth E. Classon Ms. June Manzo Staff of The National Retina Institute Mr. William Trageser Arlene Jacobson’s 65th birthday Mr. and Mrs. Russell P. Adamson Ms. Karen C. Cole Cynthia Johnson – “Always great help” Dr. David F. Apple, Jr. Brenda Jones – “Always great help” Dr. David F. Apple, Jr. Todd Jones – “Thanks for a job well done!” Dr. David F. Apple, Jr. Deborah Krotenberg’s Recovery Dr. and Mrs. Sheldon H. Feldman, M.D. Mr. and Mrs. Marvin Krotenberg Cathy Gragg – “A fond farewell to the original ‘biddies’” Dr. David F. Apple, Jr. Trevor J. Lee’s Birthday Mr. Guy M. Lee, Jr. Esther Grosswald’s Recovery Mr. and Mrs. Milton Jacobson Gary Gruenhage Mr. and Mrs. Charles S. Frenette Marsha Hanson – “Congratulations on your promotion!” Dr. David F. Apple, Jr. Jami Hanzman Mr. Jared Davidson Mr. Benjamin S. Stein Caroline Hazel’s Birthday Mr. and Mrs. Charles W. McDaniel Above: Community member Karen Smith, right, visits with patient Lisa Jarrett of Cordova, Tenn., at the Shepherd Center peer support program's "Spring Fling" event. 4 2 Spinal Column Maurice Jackson – “Always great help” Dr. David F. Apple, Jr. Peggy Goldberg – A Devoted Shepherd Center Volunteer Mr. and Mrs. Herbert L. Heltzer Photo byJerry Watkins Jack Ellenburg’s Recovery Mrs. Fran I. Ellenburg Nancy Fendler – “A fond farewell to the original ‘biddies’” Dr. David F. Apple, Jr. Douglas Lindauer Ms. Beverly L. Greenberg Amanda Loggins Mr. Aaron Green Stephen M. Lore Mr. and Mrs. Steven H. Dowlen Donna Loupus – “A fond farewell to the original ‘biddies’” Dr. David F. Apple, Jr. Mark Rogers Ms. Lisa Boone Jane Sanders – “You make us look good!” Dr. David F. Apple, Jr. Maxy Schube’s Recovery Mrs. Phyllis Arogeti Thomas R. Sessions Mr. Tommy Sessions Shepherd Center Auxiliary Board Members Mrs. Marla Bennett Selma Singer – For a Complete and Speedy Recovery Ms. Betty Schaffer Claire Smith’s 90th Birthday Dr. and Mrs. David Apple Donald Peck Leslie, M.D. Mr. Emory Schwall Mr. and Mrs. J. Harold Shepherd Mr. and Mrs. James H. Shepherd, Jr. Shepherd Center Foundation Shepherd Center Volunteer Services Mr. and Mrs. Dell Sikes Mr. and Mrs. Terry Tracy Dr. and Mrs. Gary Ulicny Jeffrey Starr – Belated Merry Christmas Mr. and Mrs. George Higgins Dr. Ben Thrower Ms. Helen Walzer Ty Tippett Ms. Celia Anderson Chelsea and David McDonald’s Wedding Reverend Alan Roof U.S. Soldiers Mr. and Mrs. Al Benton Michael McGovern’s 11th Birthday Mrs. Elizabeth McGovern Chance Veazey’s Recovery Mr. Richard Hemingway Philip Mize Mr. and Mrs. Adair Watters Molly Welch Mr. Gerald Welch John Morawski – “Congratulations on student of the year!” Dr. David F. Apple, Jr. Graham Welsh Mr. Curt B. Jamison Jake Nicolopulos’ Recovery Mr. and Mrs. Joe Crudup Ernie and Beth Wetzler – On the Birth of Ernest Lee Wetzler III Mr. and Mrs. James H. Shepherd III Drew Oswald, PT Mr. and Mrs. Steven H. Dowlen Danny Williams Mr. Clarence D. Williams Cherry S. Peurifoy Mr. and Mrs. David T. Bloom William G. Pritchard Mr. and Mrs. Stuart Schwarzchild Craig Williams’ Recovery Mrs. Emmie M. Williams Pat Williams Ms. Laynne Holloway w w w. s p i n a l c o l u m n . o r g Memorials Karl Michael Anschutz and Laura Ann Anschutz Ms. Esther L. Abisamra Ms. Hope Abisamra David, Rhonda and Jordan Alfredson Mr. and Mrs. Thomas A. Anschutz Dr. David F. Apple, Jr. Mrs. Sally C. Atwell Ms. Lois Barron Ms. Sandra Bauman Mr. and Mrs. C. Duncan Beard Ms. Jennith Bernstein Dr. Gerald S. Bilsky Mr. and Mrs. Rob Black Mr. and Mrs. Alan Blackburn Mr. Jason S. Blumenkrantz and Ms. Sharon E. Sonenblum Ms. Amy S. Bohn Dr. Brock Bowman Ms. Laura J. Brown Bruno Independent Living Aids Mr. and Mrs. Charlie Bryant Ms. Wilma Bunch Ms. Cindy Byrd Chrissy and Neal Carson Ms. Sally Chamberlain Chancey’s Wrecker Service Mr. M. Craig Chisholm Mr. Carson D. Cochran Ms. Lora Coggins Ms. Laura Cohen Mr. and Mrs. Bruce Cole Ms. Patricia Daviou Mr. and Mrs. Fred W. Crawford Mr. Terry D. Dockery Mr. and Mrs. Dennis M. Drennan Mr. and Mrs. Peter Dykstra Ms. Martha V. Ellwanger Dale L. Evans, D.D.S. Ms. Ruth T. Fierman Mr. Julian Fiske Mr. and Mrs. Henry J. Fowler, Jr. Friends at Shepherd Center Mrs. Barbara K. Furbish Mr. and Mrs. William A. Furbish Mr. and Mrs. Greg Gersch Mrs. Roberta Gorham Mr. and Mrs. Fred W. Greer, Jr. Mr. Nick Gutwein Mr. and Mrs. Christopher R. Hardage Mr. and Mrs. Dale L. Hardy Mr. and Mrs. Mark P. Hartigan Mr. and Mrs. Mark C. Hegberg Ms. Polly Hogue Ms. Gina Holecek Ms. Jo Hopper Mrs. Mary Kay Howard Mrs. Lesley M. Hudson Mr. and Mrs. Michael S. Jarrell Mr. Corliss Johnson and Ms. Pam Dugan Ms. Jane A. Johnson Mr. and Mrs. Mark L. Johnson Dr. and Mrs. Michael L. Jones Ursula and Leonard Kaminski Mr. George H. Kirkland III Dr. Jill M. Koval Cathryn A. Lawrence, Ph.D. Dr. Donald Peck Leslie Ms. Michele Luther-Krug Mr. and Mrs. Timothy J. Lynch Mr. and Mrs. Robert M. Matthews Ms. Christine L. Maurer Mr. Jeff McCloud Ms. Colleen McCrory Mrs. Donald McDaniel Ms. Carrie McKee Mr. Dean Melcher Methodist Richardson Medical Center Foundation MobilityWorks Mr. John T. Morris Mr. and Mrs. Orrin D. Morris Mr. and Mrs. James L. Mueller Ms. Carole B. Nation National Mobility Equipment Dealers Association Ms. Donna Neff Ms. Benita Nelson Mr. and Mrs. Mario S. Ninfo Mr. and Mrs. Eberhard Reissig Mrs. Barbara M. Robbins Rockdale High School Dugout Club Mr. Marty Sargent Mr. and Mrs. Rocco Schiavone Mr. Emory A. Schwall Dr. and Mrs. Ron Seel Mr. and Mrs. J. Harold Shepherd The Shepherd Center Auxiliary Shoal Creek Elementary School Mr. and Mrs. Dell B. Sikes Ms. Dorothy Simpson Mr. and Mrs. Mike Simpson Ms. Robin J. Skolsky Mr. and Mrs. Mark W. Slonaker Mrs. Cynthia Smith Mr. and Mrs. Doug Smith The Braun Corporation Mr. and Mrs. Scott Thompson Ms. Evelyn W. Titrud Mr. and Mrs. Terrence M. Tracy Dr. and Mrs. Gary R. Ulicny Mr. and Mrs. Jeffrey Van Natta Mr. and Mrs. Heyso Von Kalben Mr. and Mrs. Charlie Wallace Mr. James M. Walters Edie and Alton Wiggers Brittany and Zach Wilson Mr. Rodney Wilson Ms. Barbara K. Yarbrough Mr. and Mrs. Ralph Yates Laura A. Anschutz – In Memory of Laura and in Honor of her Birthday Mr. and Mrs. Werner Anschutz Photo by Louie Favorite Deceased friends of Shepherd Center are listed first in bold print followed by the names of those making gifts in their memory. This list reflects gifts made to Shepherd Center between Feb. 1, 2010 and April 30, 2010. Above: Former brain injury patient Molly Welch participates in Shepherd Center's Beyond Therapy® program. Exercise specialist Ben Cooper guides Molly's training. Bernice S. Apple Mrs. Judith Ralston Ginnie Bailey Mr. Mike Bailey Harry Joseph Baldwin Mr. and Mrs. J. Harold Shepherd Perry Ballard Mrs. Charles H. Peterson Tommy Beard Dr. and Mrs. John R. Castle Morris Beton Phyllis, Ricky, Jeff, Alice and Tammy Arogeti Cecil Boatright Ms. Winona C. Quinn Louis Palmer Bondurant, Jr. Mr. and Mrs. William O’Connor Peter T. Bossert Mr. and Mrs. Michael Rowe Ms. Helen Walzer Mr. Todd Walzer Stephen Boyce Mrs. Jane K. Hall Jimmy Breedlove Major Benjamin L. Garrett Jack M. Browdy Ms. Betty Schaffer Johnny C. Burnette – “In Loving Memory of Our Dear Friend” Phyllis, Ricky, Alice, Jeff and Tammy Arogeti Margaret H. Busbin Mr. and Mrs. Robert H. Antonisse Mr. and Mrs. John Busbin Mr. and Mrs. James M. Caswell, Jr. Mrs. Betty W. Dykes and Mr. Lars Steib Judge and Mrs. John S. Langford Mr. and Mrs. J. Harold Shepherd Dana Carr Mr. and Mrs. Mark J. Ackley Dr. Brock Bowman Mr. and Mrs. Joseph M. Cascio Mr. Andrew C. Dinsmore Marcus Jones Junior League of Greater Elmira-Corning Mr. Christopher Kearney Mr. Michael J. Listas Laura and Carl Schmidt Albert S. Cohen Ms. Deborah Maslia and Mr. J. Paul Whitehead Jennifer Coleman – “In Loving Memory” Mrs. Irene Coleman Margaret B. “Peggy” Conner Mr. and Mrs. Donald C. Chapman, Jr. Mr. and Mrs. John E. Duggan Summer 2010 4 3 Tributes Mr. and Mrs. Theodore M. Forbes, Jr. Mr. and Mrs. Edgar J. Forio, Jr. Mrs. Evelyn Powers Mr. Spencer W. Smith, Sr. Mrs. Joan Woodall Stanley Friedman Mr. and Mrs. Victor L. Cohen Joseph Cornwell Ms. Dana Shepherd Robert Goodrich Anne and Bill Lippincott, Crispin and Clayton Marguerite A. Dewhurst Mr. William D. Grant Dollie Donald Mr. and Mrs. Joel K. Isenberg Thomas A. Duggan Ms. Sarah W. Barlow Ms. Rebecca G. Benton Mr. Robert Benton II Matthew S. Ellis, M.D. Mr. and Mrs. Nathanael A. Fortune Mr. and Mrs. Robert R. Geers Dr. and Mrs. Clark J. Godshall Mrs. Nancy E. Godshall Ms. Elizabeth L. Gruner Mrs. Christine A. Magliocco Mr. and Mrs. Richard Pilon Mr. and Mrs. Larry Robinson Barbara Findley Mr. and Mrs. James W. Mize Ms. Jane S. Greenberger and Mr. P. Douglas Wexler Dale Pomerance Gillett Ms. Betty Schaffer Stewart Hammond Ms. Susan N. Wells Sylvia Hansell Mr. and Mrs. Theodore M. Forbes, Jr. Edward J. Henning Mr. and Mrs. Milton Kassel Gloria Ann Herald Mr. and Mrs. Robert H. Antonisse William “Bill” Leigh Hix Mr. and Mrs. James M. Caswell, Jr. Julie Hudson Mr. and Mrs. Clyde E. Baker Mr. and Mrs. Franklin W. Davis Mr. and Mrs. Greg Davis Mr. Randy Davis Mr. and Mrs. Rick Dayton Mid-State Masonry Contractors, Inc. Mr. and Mrs. Brad H. Park Mr. and Mrs. Michael K. Ripley Mr. and Mrs. James F. Sanderson Thompson Funeral Home of West Columbia, Inc. Mr. and Mrs. Lawrence M. Wilund Patsy Hurst Mrs. Frank C. Bowen, Jr. Mr. and Mrs. James M. Caswell, Jr. Mr. Robert H. Hogg III Mr. and Mrs. J. Harold Shepherd Jake Ms. Felicia Buckner Hugh Jones Dr. David F. Apple, Jr. Mrs. Sally C. Atwell Dr. Brock Bowman Ms. Ruth T. Fierman Mr. Mitchell J. Fillhaber Friends at Shepherd Center Mrs. Mary Kay Howard Mrs. Lesley M. Hudson Dr. Donald Peck Leslie Mr. and Mrs. Dell B. Sikes Marcus L. Jones III Dr. David F. Apple, Jr. Mrs. Sally C. Atwell Dr. Brock Bowman Friends at Shepherd Center Mrs. Lesley M. Hudson Dr. Donald Peck Leslie Mr. and Mrs. Dell B. Sikes Michele, Matt, John, Ruthie, Erin, Pat, David, Jennith, Chris and Robin Irvin Kaelin Dr. David F. Apple, Jr. Dr. Gerald S. Bilsky Mr. and Mrs. J. Harold Shepherd Mr. and Mrs. Mark W. Slonaker Mr. and Mrs. Terrence M. Tracy Lee Kagan Mr. and Mrs. Milton Jacobson Judge Arthur Kaplan Mr. and Mrs. Milton Jacobson Dr. John Dudley King, Sr. Mr. and Mrs. O. M. Hawkins Photo by Louie Favorite John David Kitchens Mr. and Mrs. Charles W. Candler, Jr. Mrs. Patsy London Mr. and Mrs. Eddie C. Newsome Ms. Betty Palmer Jackie D. Sims Mr. Dean Talkington Mr. James A. Talkington WTHO-FM/WTWA Radio Above: Former spinal cord injury patient I.B. Jang participates in Shepherd Center's Beyond Therapy® program. Exercise specialist Nic Dietrich guides I.B.'s training. 4 4 Spinal Column Minnie Kolodkin Mrs. Phyllis Arogeti Herbie Lieberman Phyllis, Ricky, Jeff, Alice and Tammy Arogeti Pen Lybrook Ms. Phyllis Brooks Nancy McCoy Anderson Area Touchdown Club Mr. and Mrs. R. H. Anderson Mr. and Mrs. Frank W. Breazeale Mr. and Mrs. Peter A. Cook, Jr. Ms. Ann F. Croxton Mr. and Mrs. Joe Crudup Mr. and Mrs. David Hendricks Mr. and Mrs. Thomas G. MacLennan Mr. Joseph J. Mancino, Jr. Ms. Judy Mancino Avis J. McCallum Mr. and Mrs. Stan J. McCallum Mr. and Mrs. Benjamin Parker Mr. and Mrs. Robert A. Prince Ms. Mary Jane Pruitt Mr. and Mrs. Michael Snipes Mr. and Mrs. J. David Standeffer Ms. Laura Jo Terry William H. McKee Mrs. Patricia C. Williams Doris M. Mills Mr. and Mrs. Lloyd Holmes Mr. and Mrs. Jimmie McFarland Mr. and Mrs. Brooks Royals Mr. Joe Dale Royals Mr. and Mrs. Larue Royals William F. Moore Dr. David F. Apple, Jr. Dr. William W. Moore, Jr. Mr. and Mrs. Kamal Abulsaad Duggan & Massey, PC Mrs. Mitchell F. Hall, Jr. Dr. and Mrs. Griffith Harsh Ms. Ursula Knaeusel Lawrence-Arendall-Humphries Real Estate, Inc. Dr. and Mrs. Clinton E. Massey Medical Association of Georgia Mr. and Mrs. Arnold Mellits Mr. and Mrs. Frank C. Owens, Jr. Ms. Geraldine F. Sharp Mr. and Mrs. J. Harold Shepherd The Episcopal Church of the Epiphany Ms. Cynthia Tzavaras and Christina Robert Harlan Moseley Mr. and Mrs. Sidney Kollme Beverly Moser Mrs. Annie Keaton Mr. and Mrs. Charles Keaton Pamela W. Murphy Ms. Deborah L. Murphy Dean North Mrs. R. B. Lippincott, Jr. Robert North Mr. and Mrs. David L. Bowers Cardiovascular Epidemiology Group UNC-CH Steve Owens Mr. and Mrs. Jarrett L. Davis III Lawrence F. McArdle Mrs. Barbara J. McArdle Arthur Allen Paty III Mr. and Mrs. Theodore M. Forbes, Jr. Mr. and Mrs. J. Harold Shepherd Julian McCamy Mr. and Mrs. William C. Smith John Oliver Platz Ms. Dana Shepherd w w w. s p i n a l c o l u m n . o r g Photo Courtesy of Connor Whitesell Dent Sullivan Mr. and Mrs. James C. Davis Ervin Sexton “Tripp” Tate Ms. Janis Chastain Ms. Joyce Chastain Lisa Tunnell Mrs. Joan Woodall Ralph Veazey Sarah and Michael Hall Mr. and Mrs. Robert H. Hodnett Patty and Hollis Owens Sharon and Michael Rawls Dane and Ronnie Roby Beverly and Rob Stroud Angela and Rick Thompson Donna and Ben Troxler Christopher Gerard Wetherington Longhorn Butcher Shop Cleveland R. “Cleve” Willcoxon Mr. and Mrs. James M. Caswell, Jr. Mr. and Mrs. Jarrett L. Davis III Mr. and Mrs. J. Harold Shepherd Mrs. Joan Woodall Charles H. Wills Mrs. Patricia C. Williams Above: Former spinal cord injury patient Connor Whitesell of Bluffton, Ind., skis during Shepherd Center's 2010 Adventure Skills Workshop (ASW). Connor and his parents drove 1,300 miles to attend ASW for the first time. They said they loved it and plan to return next year. Karin Rawlins Mr. and Mrs. Ron Pepper Irene Reissig Mr. and Mrs. Bill Klueber MicroStrategy South Region – Tess Dean and Eric Franz Mr. William Smith Systems Evolution, Inc. Mr. Korula Varghese Ms. Cynthia Wagner Mr. and Mrs. Harry E. Wilson, Jr. Gloria Richardson Mr. Spencer W. Smith, Sr. Sade Safia Richter Dr. Gerald Bilsky Dr. Brock Bowman Dr. Anna Elmers Dr. Payal Fadia Dr. Darryl Kaelin Dr. Donald Peck Leslie Dr. John Lin Dr. Ben Thrower Eli Rishty Mr. and Mrs. James D. Schloss Nan Ross Mr. Jason H. Brantley Mr. Daniel Brennan Mr. Brian Earp Ms. Nadine Helal Ms. Reagan Michaelis Mr. Philip Mize Mr. and Mrs. Stephen Owens Ms. Anne W. Pearce Mr. and Mrs. Nick Humphries Mr. Brad Reed Mr. Wesley D. Sherer Mr. and Mrs. Scott Tucker Dorothy Toohey Schultz Mr. and Mrs. William T. White Isabella Scott Mr. and Mrs. John J. Heichberger Ms. Jenny Kelly and Cami Patrick Starr Mr. and Mrs. Roger K. Bailey Ms. Elaine Dennis Mr. Danny Hammond Ms. Michele Hill Ms. Kay O’Daniel Mr. and Mrs. Ray Pace Dr. William D. Stone Mrs. Patricia C. Williams Bengt Stromquist Mrs. Gloria Landreth Paul A. Shea Mr. and Mrs. Robert C. Kennedy Ms. Heather Pullen Ms. Loretta B. Silber Andrew Grant Shepherd Ms. Mildred I. Shepherd Susan Atkinson Sherr Mr. and Mrs. Steven Schaikewitz Candice R. Smith Ms. Betty Burgess Friends and Fellow Realtors at Fayette County Board of Realtors Fayette County High Miss Caroline Harrell Mrs. Dorothy E. Nix Mr. and Mrs. Brian Rhoades Weissman, Nowack, Curry & Wilco, P.C. John Dickerson Smith Mr. and Mrs. James M. Caswell, Jr. Photo by Jerry Watkins Alice Pressly Mr. and Mrs. Theodore M. Forbes, Jr. Milton H. “Jay” Woodside Mr. Nicklaus E. Hogan Mr. and Mrs. Vernon D. Martin Above: Community members Marlon and Yolanda Martin attend the Shepherd Center peer support program's Spring Fling event for patients and their families. Summer 2010 4 5 Non-Profit Org. U.S. Postage PAID Atlanta, GA Permit No. 1703 Address Service Requested mn.org spinalcolu Photo by Midge Tracy magazine Read the e at: onlin Shepherd Center’s Peach Corps kids relax after serving hamburgers, hot dogs and all the fixings to 300 patients and family members at the group’s annual Spring Cookout and Ice Cream Social. The Peach Corps is a volunteer service group of families with young children who come to Shepherd Center several times a year to brighten the day for patients.
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