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Sacramentan Still Going Strong 25 Years After Heart Transplant

Posted on Nov 1, 2019 in Cardiac, Quality, Scroll Images, Sutter Medical Center, Sacramento

SACRAMENTO, Calif. – When Mick Doughty, 68, was put on the heart transplant list in the 1990s, Sutter pioneering heart surgeon Paul Kelly, M.D., said a new heart would extend Mick’s life by 10 years … 20 years at the most.

“I told him, ‘Oh, I’ve got to beat that.’” Doughty says with a smile.

It’s now been 25 years since his transplant, and Doughty credits his longevity to the incredible care he’s received at Sutter Medical Center, close to his home in Sacramento.

To celebrate Doughty’s milestone, the Sutter Heart Transplant Program at Sutter Medical Center, Sacramento, threw the native Irishman a party and presented him with a few gifts, including a new “Irish ticker” to replace the one that was taken out: a pocket watch from Ireland.

During the event, which also featured talks by Dr. Kelly – who began Sacramento’s only heart transplant program in 1989 – and the current medical and surgical directors of the program, John Chin, M.D., and Robert Kincade, M.D., Mick entertained the audience with funny stories in his Irish brogue. The physicians say that Mick has done everything he’s had to do to ensure a long life, and that includes his sense of humor.

“He does everything he is supposed to do” to keep himself healthy, says Dr. Kincade. “And he’s just a character, he’s the life of the party.”

The Sutter Medical Center, Sacramento Heart Transplant Program, the only heart transplant center in the Central Valley, has consistently shown quality measures that are among the best in the nation, and Doughty’s longevity is living proof of that quality.

In the 30 years, the cardiac surgeons, cardiologists and care teams at Sutter Medical Center have transplanted 216 heart patients throughout Northern California to incredible success. Doughty is one of a handful of their patients who have reached the 25-year mark. According to the National Institutes of Health, the average life expectancy for a heart transplant is 9.16 years, and a relative few live past 20 years with a new heart. With his active lifestyle, Doughty believes he’ll outlive the current Guinness world record holder, who lived 34 years with his new heart.

“People ask me all the time how I’m feeling, and I say, ‘Never better,’” Doughty says.

“That’s what it’s all about, giving people back their lives, and giving people a quality of life,” says Dr. Chin. “It’s very, very gratifying. It’s why we do this.”

When asked what 25 more years of life have given him, Doughty started to list off a number of family and professional events, including his 25th wedding anniversary, his children’s graduations, his son’s wedding, being named “Sacramento’s Financial Planner of the Year.” Then he paused and said, “You know what, I think it’s the day to day, waking up every morning, living life – that is as important as all the milestones.” View a news story on Doughty’s party by clicking here.

Mick Doughty, center, thanks Drs. Paul Kelly and John Chin for the heart transplant that has extended his life for 25 years … and counting.

Quelling the Storms of Seizures in People with Epilepsy

Posted on Nov 1, 2019 in Affiliates, California Pacific Medical Center, Innovation, Neuroscience, Quality, Research, Scroll Images, Sutter Medical Center of Santa Rosa, Sutter Medical Center, Sacramento, Transformation, Uncategorized

SAN FRANCISCO, Calif. – An electrical “storm” in the brain causes seizures in people with epilepsy, producing symptoms that may include lapses in consciousness, twitching or jerking movements, weakened or limp muscles, spasms, blurred vision, experiencing unusual smells or tastes, and changes in sensation or emotions.

Epilepsy—a neurological disorder caused by abnormal electrical activity in the brain—impacts almost 3.4 million nationwide.1 Despite advances in epilepsy treatment, approximately one-third of adults with the illness experience recurrent seizures.2

Epileptic seizures are generally categorized into three main groups: generalized (affecting both sides of the brain), focal (seizures that start in one area of the brain), and those that could start anywhere.

The stormy weather of seizures can clear with medications called anti-epileptic drugs (AEDs). AEDs can to stop seizures from occurring, but they do not always lead to a remission or cure epilepsy. With the right AEDs, up to 70% of people with the illness may remain seizure-free, and sometimes may “outgrow” seizures or go into remission. For other people whose seizures are uncontrolled with conventional AEDs, other treatments including surgery may be an option. Surgery may involve removing part of the brain that causes the seizures.

Michael Chez, MD

“Knowing where seizures start in the brain provides us clues into what occurs during a seizure, what other conditions or symptoms may be seen, how they may affect someone and, most importantly, what treatment may be best for that seizure type,” says Michael Chez, M.D., a pediatric neurologist and epileptologist, and Sacramento regional director of pediatric epilepsy and research at the Sutter Neuroscience Institute.

“Life without seizures and improved quality of life is what specialists aim to provide epilepsy patients, through a treatment plan personalized to their particular type of epilepsy and seizures,” says Dr. Chez.

Two Sutter hospitals, California Pacific Medical Center and Sutter Medical Center, Sacramento are renowned for providing patients specialized Level 4 epilepsy care— a designation by the National Association of Epilepsy Centers—guided by leading-edge research. Sutter researchers are uncovering new clues about how epilepsy develops and how it can be treated more effectively.

Sutter examining new ways to ‘map’ and monitor brain activity

Epilepsy is usually diagnosed with magnetic resonance imaging (MRI) and electroencephalogram (EEG) testing. Those techniques are also used to regularly monitor brain activity in people with the illness. Sutter researchers are studying the use of novel neuroimaging techniques to visualize and track the brain’s electrical activity in people with epilepsy.

For patients with refractory epilepsy (in whom medications are not adequately controlling seizures), a new “high-density” EEG machine is being tested to locate precisely where a patient’s seizures originate in the brain.

“Use of these high-density or high-array EEG machines can help dramatically accelerate research and patient care by identifying the focal point of a seizure,” says Kenneth Laxer, M.D. a researcher in the Sutter Pacific Epilepsy Program at Sutter’s California Pacific Medical Center (CPMC).

With more than 40 years’ experience in epilepsy research, Dr. Laxer is renowned for studying neuroimaging techniques including magnetic resonance spectroscopy for the evaluation and management of the illness. With high-density EEGs, the patient wears a net over their head, and the brain’s electrical activity is recorded from 250-plus electrodes. The recordings are combined with the patient’s own high-resolution MRI scan to help localize the seizure focus. Surgeons use these precise images to remove the section of the brain that’s causing the seizures.

“If we pinpoint that abnormal area, we can remove a smaller portion of the abnormal brain tissue and therefore decrease the risk of serious complications from the surgery,” says Dr. Laxer. He notes that 50-70% of patients who undergo a focal resection may become seizure free. “Most of these patients remain on seizure medications, frequently at reduced dosages; however, the goal of surgery is to bring the epilepsy under control—not to stop epilepsy medication use. Patients who undergo such surgeries typically experience improved quality of life.” Stay tuned later this month for Part 2 of this series on Sutter epilepsy research, which will include information on neuromodulation and anti-epileptic medications.

Stay tuned later this month for Part 2 of this series describing epilepsy research at Sutter.

References: 1. Centers for Disease Control and Prevention. https://www.cdc.gov/epilepsy/about/fast-facts.htm 2. Epilepsy Foundation. https://www.epilepsy.com/learn/types-seizures/refractory-seizures SAN .

Lucky Landing: Mobile Stroke Unit Treats Traveler at SFO

Posted on Oct 28, 2019 in Expanding Access, Innovation, Mills-Peninsula Health Services, Neuroscience, Quality, Research, Scroll Images, Uncategorized

BURLINGAME, Calif. – It was a 9-1-1 response three years  in the making.

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Stroke Patient on Integrated Health Network: ‘This Is How Medicine Should Work’

Posted on Oct 25, 2019 in California Pacific Medical Center, Innovation, Neuroscience, Novato Community Hospital, Quality, Scroll Images, Uncategorized

When Patricia Mosier had a stroke, she was worried she wouldn’t be able to stay active. However, the integrated network of care from her community hospital in Novato to the more advanced neuroscience services at San Francisco’s California Pacific Medical Center got her back doing the activities that she loves. “This is how medicine should work,” she says about the continuum of care she received from Sutter’s integrated network. See her story in the following video:

For more on Sutter’s integrated network and how it leads to healthier communities, go to www.sutterhealth.org/newsroom/can-expect-integrated-network.

Sutter’s Eden Medical Center Welcomes New CEO

Posted on Oct 25, 2019 in Eden Medical Center, People, Scroll Images

CASTRO VALLEY, Calif.Patricia Ryan recently began her new role as chief executive officer of Eden Medical Center in Castro Valley.

Eden Medical Center CEO Patricia Ryan

Ryan comes to Eden, part of the Sutter Health not-for-profit integrated network of care, from O’Connor Hospital in San Jose, California where she was chief operating officer. At O’Connor, she also served as interim CEO for one year, and most recently was the hospital executive. Ryan has extensive leadership experience in acute care hospital operations, physician partnerships, joint venture management and the continuum of care, including skilled nursing, home health, acute rehab and behavioral health.

“I’m so pleased to have a leader as capable and enthusiastic as Pat to lead Eden Medical Center. Her outstanding healthcare leadership experience will ensure we evolve along with our community,” said Julie Petrini, president and CEO of Sutter Bay Hospitals.

Prior to O’Connor Hospital, Ryan held vice president positions for Sutter’s Mills‐Peninsula Medical Center in Burlingame, California. At Mills-Peninsula, she provided strategic and operational leadership as Vice President of service lines and as Vice President of ambulatory services.

Previously, Ryan held leadership positions for Princeton Healthcare System in New Jersey, Main Line Health System in Pennsylvania, Manor Healthcare Corporation in Maryland and Continental Medical System in Pennsylvania.

Ryan earned her bachelor’s degree in social work from Juniata College in Pennsylvania and a master’s degree in health administration from the Pennsylvania State University.

Outgoing CEO Stephen Gray will transition to his new role as chief Administrator of Sutter Maternity & Surgery Center and Palo Alto Medical Foundation in Santa Cruz.

Expectant Mom Suffers Massive Stroke: How a Health Network Saved Her and Her Baby

Posted on Oct 25, 2019 in Affiliates, Carousel, Expanding Access, Innovation, Neuroscience, Pediatric Care, People, Quality, Scroll Images, Sutter Davis Hospital, Sutter Medical Center of Santa Rosa, Sutter Roseville Medical Center, Women's Services

Just two days from delivering her third child, Vivian Dos Santos suffered an intracerebral hemorrhage – a life-threatening stroke. Watch her amazing story, with details on how an integrated health network saves and blesses lives, by viewing the following video. You may want some tissues handy just in case …

For more on her story, and to view an infographic on Sutter’s integrated system, go to www.sutterhealth.org/newsroom/can-expect-integrated-network.