st. joseph's barrow neurological institute

6
neurosurgeon and chief of the Spine Section at Barrow. “It’s also an injury that’s easily overlooked even with a CT scan or MRI.” Fortunately, Barrow neurosurgeons have been among the world’s leaders in perfecting what’s called the threaded Steinmann pin technique — a procedure that Barrow surgeons have performed more than 100 times — more than any other hospital in the world. During surgery, a custom-crafted titanium rod was contoured to precisely fit Micah’s anatomy and then secured with wires and a piece of rib to reattach the base of his skull to his spine. As he grows, Micah’s bone will grow around the stabilizing implant. “I’ll never forget what Dr. Theodore told us,” said John Andrews, Micah’s father. “He said, ‘I’ll take care of him. I’ll operate on him as if I’m operating on my own son.’” The surgery took place on Micah’s ninth day in the hospital, and he awoke from his coma on day 12, but the outcome was still uncertain. He was making noises and clenching his fists, which allayed the fear of paralysis, but he was clearly in a state of frustration. On day 13, relief finally came. John whispered an inside family joke in Micah’s ear — and he smiled. “That’s when Micah came into himself again,” said his mother, Heather. “Doctors and nurses were outside the room, and when he smiled, everyone poured in, laughing, smiling and cheering.” As an inpatient and outpatient at Barrow, Micah has gone through a variety of speech, occupational and physical therapy — progressing from awkward walking to a full-on run. He’s gone from only using five words to being fully conversational. Perhaps most important to the family, Micah’s memories, personality and sense of humor remain fully intact. “He’s beyond what they initially projected and is learning and progressing every day,” said Heather. “We’re just so thankful to the Barrow doctors, hospital staff, emergency staff and God that it was such a miracle.” W atch Micah Andrews run, jump, read or give a wide grin after cracking a joke, and you’d imagine you’re looking at an average 4-year- old boy — with his attention turning from the Wiggles, to pirates and air guitar, to magnets. But in one important respect, Micah is quite different from his pre-K peers. He was internally decapitated, a nearly fatal injury, in a car crash — and has survived and thrived thanks to a highly unusual procedure performed by surgeons at Barrow Neurological Institute ® at St. Joseph’s Hospital and Medical Center. On August 4, 2010, Micah was fastened in a car seat in the back seat of a car when it was hit by another vehicle near his home in Laveen. When emergency responders arrived, Micah was unconscious. At St. Joseph’s Level I Trauma Center, he was outfitted with a halo to avoid further damage. Micah had suffered a traumatic brain injury, but more dire was the injury to the young boy’s neck. The supporting structures connecting the base of his skull to his upper cervical spine had been torn apart, an injury known in medical terms as occipitoatlantal dislocation, or colloquially as internal decapitation. “It’s a highly dangerous injury. It is almost always fatal,” said Dr. Nicholas Theodore, Micah’s 50 years of bringing great minds together BY: SARAH PADILLA F rom pioneering spinal procedures to identifying genes responsible for potentially devastating conditions, Barrow Neurological Institute® at St. Joseph’s Hospital and Medical Center has been at the forefront of medical advances since its inception. And, as the Phoenix facility celebrates its 50th anniversary, Barrow doctors believe the most significant accomplishments are yet to come. Consistently ranked among the top 10 hospitals in the nation for neurology and neurosurgery, Barrow’s expertise in brain and spinal disorders draws patients from around the world. The Institute, located in Central Phoenix, performs the most brain surgeries per year of any hospital in the United States. Barrow doctors refer to the anniversary as the start of their “golden age.” They predict that the next 50 years will bring answers to some of the most challenging neurological conditions, including Alzheimer’s disease, Parkinson’s disease and malignant brain tumors. “Our surgeons will largely put themselves out of business in the coming years,” says Dr. Robert Spetzler, director of Barrow. “Rapid advances in minimally invasive surgery and gene and stem cell treatments will mean the traditional role of the brain and spine surgeon will disappear.” In addition to its hundreds of doctors and nurses, Barrow employs more than 40 full-time basic medical researchers, who are dedicated to developing effective treatments for conditions such as multiple sclerosis Parkinson’s disease, brain tumors, ALS and epilepsy. Several procedures pioneered at Barrow have become part of standard medical practice around the world. These include spinal thoracoscopy, a method of operating on the spine through small incisions in the chest, developed by Barrow neurosurgeon Dr. Curtis Dickman. Barrow researchers also discovered the gene responsible for the inherited form of cerebral cavernous malformations, an irregular cluster of blood vessels in the brain, and developed a blood test to identify the gene. Barrow was started in 1962 by a Chicago neurosurgeon, Dr. John Green, who recognized the dearth of medical services in the Southwest. Wealthy businessman and philanthropist Charles Barrow was instrumental in its launch with a $1.1 million gift after his wife was treated by Green. Today, Barrow has the largest neurosurgery residency program in the U.S. and is one of the nation’s busiest brain tumor treatment centers. Last year, Barrow launched an affiliation with Phoenix Children’s Hospital to form the second largest pediatric neuroscience program in the nation. Under the direction of Dr. Roy Patchell, chairman of Neurology, Barrow Neurology Clinics had approximately 25,000 patient visits last year. “Barrow has a rich and bold legacy that comes to life every day in patients who come from all over the world for our extraordinary medicine,” says Spetzler. “In the next 50 years, we will see advances unlike anything we have witnessed before.” Miracle Micah Nearly two years after being internally decapitated— 4-year-old Micah Andrews has made a remarkable recovery BY: JAKE POYNER PHOTO BY: RICK DELIA Barrow doctors predict that the next 50 years will bring answers to some of the most challenging diseases. Surgeons at Barrow Neurological Institute ® at St. Joseph’s Hospital and Medical Center operated on more than 5,000 patients last year. “I’ll take care of him. I’ll operate on him as if I’m operating on my own son.” Micah Andrews, 4, plays with his older sister Elizabeth, 6, in the healing garden at Barrow Neurological Institute ® at St. Joseph’s Hospital. Bret Michaels Rocker Bret Michaels was rushed to Barrow in 2010 after suffering from a subarachnoid brain hemorrhage. The brain hemorrhage left the musician in critical condition and hospitalized at Barrow for several days. Michaels has since made a full comeback. To see Michaels’ video, visit barrow50.org and click on the 50 Years, 50 Faces icon. Micah Andrews greets his surgeon Dr. Nicholas Theodore at Barrow Neurological Institute ® at St. Joseph’s Hospital and Medical Center in Phoenix. At 2 years of age Micah suffered a usually fatal injury. 1-877-602-4111 WWW.THEBARROW.ORG MAY 11, 2012 St. Joseph’s Barrow Neurological Institute® Celebrates 50 Years THE ARIZONA REPUBLIC CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING MAY 11, 2012

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St. Joseph's Barrow Neurological Institute Celebrates 50 years

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Page 1: St. Joseph's Barrow Neurological Institute

neurosurgeon and chief of the Spine Section at Barrow.

“It’s also an injury that’s easily overlooked even with

a CT scan or MRI.”

Fortunately, Barrow neurosurgeons have been

among the world’s leaders in perfecting what’s called

the threaded Steinmann pin technique — a procedure

that Barrow surgeons have performed more than

100 times — more than any other hospital in the world.

During surgery, a custom-crafted titanium rod was

contoured to precisely fit Micah’s anatomy and then

secured with wires and a piece of rib to reattach the

base of his skull to his spine. As he grows, Micah’s bone

will grow around the stabilizing implant.

“I’ll never forget what Dr. Theodore told us,” said

John Andrews, Micah’s father. “He said, ‘I’ll take care

of him. I’ll operate on him as if I’m operating on my

own son.’”

The surgery took place on Micah’s ninth day in

the hospital, and he awoke from his coma on day 12,

but the outcome was still uncertain. He was making

noises and clenching his fists, which allayed the fear

of paralysis, but he was clearly in a state of frustration.

On day 13, relief finally came. John whispered an

inside family joke in Micah’s ear — and he smiled.

“That’s when Micah came into himself again,” said his

mother, Heather. “Doctors and nurses were outside

the room, and when he smiled, everyone poured in,

laughing, smiling and cheering.”

As an inpatient and outpatient at Barrow, Micah has

gone through a variety of speech, occupational and

physical therapy — progressing from awkward walking

to a full-on run. He’s gone from only using five words

to being fully conversational.

Perhaps most important to the family, Micah’s

memories, personality and sense of humor remain

fully intact. “He’s beyond what they initially projected

and is learning and progressing every day,” said

Heather. “We’re just so thankful to the Barrow doctors,

hospital staff, emergency staff and God that it was

such a miracle.”

Watch Micah Andrews run, jump, read or give

a wide grin after cracking a joke, and you’d

imagine you’re looking at an average 4-year-

old boy — with his attention turning from the Wiggles,

to pirates and air guitar, to magnets.

But in one important respect, Micah is quite

different from his pre-K peers. He was internally

decapitated, a nearly fatal injury, in a car crash —

and has survived and thrived thanks to a highly

unusual procedure performed by surgeons at

Barrow Neurological Institute® at St. Joseph’s

Hospital and Medical Center.

On August 4, 2010, Micah was fastened in a car seat

in the back seat of a car when it was hit by another

vehicle near his home in Laveen. When emergency

responders arrived, Micah was unconscious. At

St. Joseph’s Level I Trauma Center, he was outfitted

with a halo to avoid further damage.

Micah had suffered a traumatic brain injury, but

more dire was the injury to the young boy’s neck.

The supporting structures connecting the base of his

skull to his upper cervical spine had been torn apart,

an injury known in medical terms as occipitoatlantal

dislocation, or colloquially as internal decapitation.

“It’s a highly dangerous injury. It is almost

always fatal,” said Dr. Nicholas Theodore, Micah’s

50 yearsof bringinggreat mindstogetherBY: SARAH PADILLA

From pioneering spinal procedures to identifying

genes responsible for potentially devastating

conditions, Barrow Neurological Institute®

at St. Joseph’s Hospital and Medical Center has

been at the forefront of medical advances since its

inception. And, as the Phoenix facility celebrates its

50th anniversary, Barrow doctors believe the most

significant accomplishments are yet to come.

Consistently ranked among the top 10 hospitals in

the nation for neurology and neurosurgery, Barrow’s

expertise in brain and spinal disorders draws patients

from around the world. The Institute, located in

Central Phoenix, performs the most brain surgeries

per year of any hospital in the United States.

Barrow doctors refer to the anniversary as the start

of their “golden age.” They predict that the next 50 years

will bring answers to some of the most challenging

neurological conditions, including Alzheimer’s disease,

Parkinson’s disease and malignant brain tumors.

“Our surgeons will largely put themselves out of

business in the coming years,” says Dr. Robert Spetzler,

director of Barrow. “Rapid advances in minimally

invasive surgery and gene and stem cell treatments

will mean the traditional role of the brain and spine

surgeon will disappear.”

In addition to its hundreds of doctors and nurses,

Barrow employs more than 40 full-time basic medical

researchers, who are dedicated to developing effective

treatments for conditions such as multiple sclerosis

Parkinson’s disease, brain tumors, ALS and epilepsy.

Several procedures pioneered at Barrow have become

part of standard medical practice around the world.

These include spinal thoracoscopy, a method of

operating on the spine through small incisions in the

chest, developed by Barrow neurosurgeon Dr. Curtis

Dickman. Barrow researchers also discovered the

gene responsible for the inherited form of cerebral

cavernous malformations, an irregular cluster of

blood vessels in the brain, and developed a blood test

to identify the gene.

Barrow was started in 1962 by a Chicago

neurosurgeon, Dr. John Green, who recognized the

dearth of medical services in the Southwest. Wealthy

businessman and philanthropist Charles Barrow was

instrumental in its launch with a $1.1 million gift

after his wife was treated by Green.

Today, Barrow has the largest neurosurgery

residency program in the U.S. and is one of the

nation’s busiest brain tumor treatment centers. Last

year, Barrow launched an affiliation with Phoenix

Children’s Hospital to form the second largest pediatric

neuroscience program in the nation. Under the

direction of Dr. Roy Patchell, chairman of Neurology,

Barrow Neurology Clinics had approximately 25,000

patient visits last year.

“Barrow has a rich and bold legacy that comes to life

every day in patients who come from all over the world

for our extraordinary medicine,” says Spetzler. “In the

next 50 years, we will see advances unlike anything

we have witnessed before.”

Miracle Micah

Nearly two years after beinginternally decapitated—4-year-old Micah Andrews hasmade a remarkable recoveryBY: JAKE POYNER PHOTO BY: RICK DELIA

Barrow doctors predict thatthe next 50 years will bringanswers to some of the mostchallenging diseases.

Surgeons at Barrow Neurological Institute® atSt. Joseph’s Hospital and Medical Center operatedon more than 5,000 patients last year.

“I’ll take care of him.I’ll operate on himas if I’m operatingon my own son.”

Micah Andrews, 4, plays with his older sisterElizabeth, 6, in the healing garden at BarrowNeurological Institute® at St. Joseph’s Hospital.

Bret MichaelsRocker Bret Michaels was rushed toBarrow in 2010 after suffering from asubarachnoid brain hemorrhage. The brainhemorrhage left the musician in critical conditionand hospitalized at Barrow for several days.Michaels has since made a full comeback.To see Michaels’ video, visit barrow50.org andclick on the 50 Years, 50 Faces icon.

Micah Andrews greets his surgeon Dr. Nicholas Theodore at Barrow NeurologicalInstitute® at St. Joseph’s Hospital and Medical Center in Phoenix. At 2 years of ageMicah suffered a usually fatal injury.

1-877-602-4111 WWW.THEBARROW.ORG MAY 11, 2012

St. Joseph’s BarrowNeurological Institute® Celebrates 50 Years

THE ARIZONA REPUBLIC CREATED BY REPUBLIC MEDIA CUSTOM PUBLISHING MAY 11, 2012

Page 2: St. Joseph's Barrow Neurological Institute

It all started when Erik Humphrey

dropped his keys.

“I was at my sister’s wedding and

couldn’t get the door locked,” he recalled.

“My keys kept falling out of my hand.”

The results of a brain scan were

shocking: a malignant, two-inch brain

tumor. Humphrey was given no more

than three years to live.

“My Barrow surgeon Dr. Kris Smith

and I agreed on very aggressive surgery

where they’d take more of the ‘good’

area of my brain to try to make sure

they got all the cancer,” he said. After

surgery, Humphrey underwent physical

therapy and radiation treatments. He

also entered a clinical trial at Barrow

where he was given an experimental

oral chemotherapy pill.

Eight years later, Humphrey’s tumor

has not returned. Now 40 years old,

Humphrey is the father of three young

toddlers, has learned to ski and hike,

and manages a successful interior

design firm.

“I’m very thankful and very blessed.”

Barrow Brain Tumor Research CenterThankfully for Humphrey and for the

thousands of brain-injured or diseased

patients who come to St. Joseph’s

Barrow Neurological Institute® each

year, the Institute is on the forefront of

finding answers to some of life’s most

devastating neurological conditions.

One research center at Barrow doing

ground-breaking work is the Barrow

Brain Tumor Research Center, led by

Dr. Nader Sanai. The research center

opened in 2010 and since that time, has

treated approximately 2,500 patients.

Barrow has one of the highest volumes

of brain tumor patients of any hospital

in the United States.

“The center was assembled to take

advantage of the critical volume

of brain tumor patients who come

to Barrow and combine that with

research designed to change clinical

therapies or create new clinical

diagnostics,” Sanai said. “Simply

put, our objective is to increase

the survival rate of those who are

diagnosed with a brain tumor.”

One way the center is helping patients

is through the expansion of the number

of clinical trials available to patients

like Humphrey. “We are using non-

traditional approaches in working with

partners such as the pharmaceutical

industry, biotechnology companies, and

universities world-wide,” Sanai said.

“We’re trying to erase every boundary

that ever limited the progress of brain

tumor research.”

Barrow Center for NeuromodulationAlong with brain tumors, Barrow is

also world-renowned for its research

and treatments in areas such as brain

mapping and deep brain stimulation,

or DBS. At the Barrow Center for

Neuromodulation, that research has

been extensive and fruitful.

“We are increasingly recognizing

that abnormalities in brain circuitry

may contribute to various disorders

such as Parkinson’s, Alzheimer’s and

epilepsy,” said Dr. Francisco Ponce,

director of the Barrow Center for

Neuromodulation. “DBS, in effect,

helps by correcting abnormal rhythms

in the brain, similar to a cardiac

pacemaker.”

In the past, DBS has been used almost

exclusively for patients with movement

disorders, but brain mapping and other

technologies will expand its use into

areas such as depression, obsessive

compulsive disorder, addictions, autism

and chronic pain.

“The ability to map and image brain

circuits shows us a lot about brain

functions,” said Ponce. “In the past, our

understanding of behavioral disorders

was based on symptoms. With brain

mapping, we can find the actual

causes of these behaviors.”

Fighting chanceBY: SARAH PADILLA

Muhammad and Lonnie Ali assist Linda Hunt, President and CEO of DignityHealth Arizona, at the ribbon-cutting at Barrow’s Muhammad Ali ParkinsonCenter. Dignity Health is the parent organization of Barrow and St. Joseph’s.

While treatment options for

people with Parkinson’s

disease have improved

dramatically in recent years, the

battle against the disease is far from

over. That’s why the Muhammad Ali

Parkinson Center in Phoenix is taking

its fight to the next level.

Part of Barrow Neurological Institute® at

St. Joseph’s Hospital and Medical Center,

the Muhammad Ali Parkinson Center is a

National Parkinson Foundation Center of

Excellence. It is the most comprehensive

Parkinson’s treatment center in the

United States, coordinating patient care,

therapy, surgery, research, education and

community outreach.

In 2009, the center’s namesake,

Muhammad Ali, who suffers from

Parkinson’s, and his wife, Lonnie,

helped dedicate Barrow’s Muhammad

Ali Parkinson Center, a 10,000-square-

foot, cutting-edge facility. Less than two

years later, the center is expanding once

again to better accommodate a rapidly

growing number of patients.

Last year, Muhammad Ali Parkinson

Center physicians treated more than

1,500 new patients. More than 2,500

people attended one of the center’s

classes, support groups or other

activities. The facility also treats

individuals with other movement

disorders, such as Huntington’s disease

and essential tremor.

“We have had remarkable growth

in this facility,” said Dr. Abraham

Lieberman, director of the center.

“We have increased the number of

patients we are seeing dramatically,

as well as the number of people

who come to the center for our

education and social programs. We

have also increased our ability to

develop new drugs and treatments

for Parkinson’s disease.”

The expanded center will feature a

speech lab, additional physical therapy

rooms and rooms for innovative

treatments for walking and balance.

The center is primarily funded by

contributions from Celebrity Fight

Night, an annual charity event that

began 17 years ago. The 2012 event,

held March 24, raised $9.1 million

for Barrow and other charities.

Phoenix dadbeats the oddsBarrow doctors and researchersset course for medicine’s futureBY: PAULA HUBBS COHEN PHOTO BY: RICK DELIA

02 MAY 11, 2012 WWW.THEBARROW.ORG 1-877-602-4111

Erik Humphrey plays with his children Bennett, 18 months, left, Anna, 5, andCharlie, 18 months, right. Humphrey is living brain tumor free nearly 8 yearsafter given a 3-year-to-live diagnosis.

General Manager: CAMI KAISER

Manager Creative Development:ISAAC MOYA

Editor: JIM WILLIAMS

Managing Art Director:TRACEY PHALEN

Art Director: LISA QUIRIN

Editorial Intern: JESSICA RUSH

A division of The Arizona Republic

200 E. Van Buren St.,Phoenix AZ 85004

Advertising:BRIENNE CHANCE,602-444-6865

RyanWestmorelandBoston Red Sox player RyanWestmoreland underwentlifesaving surgery at Barrow toremove a deadly malformationin the part of the brain thatcontrols all vital life functions.Following treatment at Barrow,Westmoreland is back on thebaseball diamond. To seeWestmoreland’s video, visitbarrow50.org and click on the50 Years, 50 Faces icon.Get a behind-the scenes look at how

magicians trick us, what magic tells us aboutthe brain and why it matters.

Proceeds benefit Barrow Neurological Institute.

Tickets go on sale June 2012.Tickets: $75, $100 and $150

($150 includes VIP reception before the show)For more information, call 602-406-3041.

Magic and the BrainSept. 17, 2012 | 6 p.m.

Phoenix Theatre

FeaturingMac King and the Amazing Randi

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

R1

Page 3: St. Joseph's Barrow Neurological Institute

Nurse Shayna Laub assesses a patient at St. Joseph’s BarrowNeurological Institute®. Laub is among the Institute’s team of certifiedneuroscience registered nurses, the largest team in the nation.

A difference in careBY: SARAH PADILLA

Patients recovering from brain

surgery have different needs than

patients recovering from other

conditions, so it makes sense that the

nurses tending these patients should

also have different training.

In the past several years, Barrow

Neurological Institute® at St. Joseph’s

Hospital and Medical Center has

seen an increase in the number of

nurses pursuing advanced degrees and

certifications in neuroscience nursing.

Barrow has more certified

neuroscience registered nurses

(CNRNs) – more than 100 – than

any other facility in the United States.

To become a CNRN, applicants must

pass a national certification exam.

Barrow helps prepare its nurses for

the exam by hosting 12-week review

sessions that cover all aspects of

neuroscience nursing, from physiology

to family issues.

Dr. Virginia Prendergast, manager

of Barrow’s advanced practice nurses,

encourages her peers to become CNRNs

to be better equipped to respond to

their patients’ needs.

“I want nurses to have a strong

foundation in clinical brain anatomy,”

says Prendergast who has a doctorate

in Health Sciences. “If they don’t

understand where a lesion is or what the

disease process is, then they are not as

able to anticipate or treat problems.”

Barrow’s nursing staff also includes

14 nurses with a master’s degree in

neuroscience nursing and one with

a doctorate in nursing.

These men and women incorporate

the latest research into bedside practice,

and continually educate their peers

about the newest treatment methods.

Many of these nurses have initiated

their own complex research projects.

For instance, while obtaining her

doctorate, Michele Grigaitis completed

a project to teach nurses to identify

delirium, which can be reversible if

addressed early, in elderly brain surgery

patients. Prendergast completed

research that has led to improvements

in oral health among ventilated patients.

“Nurses who have education in

research methodology, coupled with a

strong clinical background, have the

ability to recommend changes that

will ultimately improve outcomes and

quality of life for our patients,” says

Prendergast.

As a 5-year-old boy in his native

Germany, there was one thing Dr.

Robert Spetzler knew for certain:

he wanted to become a neurosurgeon.

Sixty years later, as director of Barrow

Neurological Institute® at St. Joseph’s

Hospital and Medical Center, Spetzler

has performed thousands of brain

surgeries, and earned recognition as one

of the top neurosurgeons in the world.

He was recently named one of the most

influential people in Phoenix’s history.

Spetzler grew interested in the

medical field when, as a young child,

he was injured and became one of

the first individuals to receive a new

miracle drug – penicillin – for a usually

fatal disease, tetanus. After months

in the hospital and the subject of

much medical attention, Spetzler was

convinced that he wanted to help save

the lives of others.

A forward thinker, Spetzler was

drawn to Barrow in 1983, by its

potential to raise the bar in the

neurosciences, not just in patient

care, but also in research and medical

education. One of his proudest

accomplishments, he says, is teaching

the next generation of neurosurgeons

through Barrow’s brain surgery

residency program, the largest in

the nation.

And Spetzler has a lot to teach. He has

pioneered multiple surgical techniques

and tools now used around the world,

and he has performed more brain

aneurysm procedures, approaching

6,000, than any other neurosurgeon.

“I have been a surgeon for more than

30 years and my job is either agony

or ecstasy. As a brain surgeon, I never

forget the miracles who shake my hand

and walk out of here,” says Spetzler.

“But, there are other times when the

heartbreak is very real for everyone

involved, including the medical team.”

Spetzler’s drive isn’t limited to

medicine. He’s an extreme skier, a

swimmer and a marathoner. He’s

completed a 206-mile bike race from

Utah to Wyoming, taking pride in

beating some of his residents and

winning his age group. And each year,

he leads a group of colleagues across

the Grand Canyon; his 29th crossing

will be this year. Additionally, he

heads the annual rugged hike down

the North Fork of Oak Creek Canyon,

affectionately known at Barrow as the

“Hike from Hell.”

The married father of two says it’s all

about balance. “I believe there are two

blessings in life: to be happy at home

and to be happy at work. I have been

incredibly blessed on both counts. In

large part, it is your attitude that paves

your road to happiness.”

Dr. Robert Spetzler, director ofSt. Joseph’s Barrow NeurologicalInstitute®, balances his time as aneurosurgeon with physical fitness.The renowned surgeon encouragescamaraderie both inside and outsidethe operating room by often leadinghis team on bike rides and hiking trips.

Spetzler sets thestandard for Barrowand entire professionBY: SARAH PADILLA

1-877-602-4111 WWW.THEBARROW.ORG MAY 11, 2012 03

For more information contact:Mike Finnegan 602.264.6835 [email protected] N. Central Ave., Ste. 300 Phoenix, AZ 85012

©Cop

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2012.CBIZ,Inc

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Hoffm

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As companies that believe in giving back to thecommunity, we are very proud to have the opportunityto support Barrow Neurological Institute’s high-qualityhealthcare and innovative research. The care offeredby Barrow and St. Joseph’s provides hope and healing

to our community locally and around the world.

CBIZ provides high quality accounting, tax and consulting services, while MayerHoffman McCann P.C. (MHM) offers an equal level of professional audit and

attest services. Our strategic association allows us to work seamlessly with Not-for-Profit organizations, closely-held businesses and high net worth individuals

throughout Arizona.

CBIZ and Mayer Hoffman McCann P.C. are associated through an alternative practice structure.

CBIZ and MAYER HOFFMAN McCANN P.C.

Congratulate

St. Joseph’s BarrowNeurological Institute

on 50 Yearsof Extraordinary Service

AR-0007749746-01

CONGRATULATIONS TO

ST. JOSEPH’SBARROW

NEUROLOGICALINSTITUTE

ON ITS

50TH ANNIVERSARY

Gammage & Burnham is proudto serve as legal counsel to

St. Joseph’s Hospital & Medical Center,Chandler Regional Medical Center, and

Mercy Gilbert Medical Center

GAMMAGE & BURNHAMwww.gblaw.com * (602) 256-0566

World Class Counsel.Arizona Roots.

AR-0007749772-01

Page 4: St. Joseph's Barrow Neurological Institute

AR-0007749751-01

CONGRATULATIONSON 50 INCREDIBLE YEARS!!THANK YOU FOR EVERYTHING YOU DO THATMAKES A DIFFERENCE FOR OUR FRIENDS,

FAMILIES AND COMMUNITY!WE ARE LUCKY TO HAVE YOU IN ARIZONA.HERE IS TO ANOTHER GREAT 50 YEARS!!

FROMALL OF US AT:

American Valet congratulatesSt. Joseph’s Barrow Neurological Institute for

50 successful years!Thank you for a wonderful 8 year relationship.

8902 N. Central Ave., Phoenix, AZ 85020800-419-2975 Toll Free

Since 1980, American Valethas served the southwestern

United States providingparking and transportationservices. We are proud to

work with St. Joseph’s Hospitaland Medical Center.

AR-000

7749

780-01

CONGRATULATIONSFROM ONE 50-YEAR-OLD TO ANOTHER.

E.B. Lane is proud to recognize BarrowNeurological Institute’s golden anniversaryas we celebrate ours as well. As far as we’reconcerned, 1962 is a year to remember.

eblane.com | @eblane | E.B. Lane

AR-0007749785-01

When Valley restaurateur Kelly

Sample sustained a brain

injury in a 2008 car accident,

he figured he’d be back to work in

no time. It wasn’t until he started

outpatient therapy at Barrow’s Center

for Transitional NeuroRehabilitation

(CTN) that he came to terms with the

significance of his injury. Although the

surgeons had saved his life, Sample says,

it was his 16 months at Barrow’s CTN

that allowed him to start living again.

Sample is one of approximately

800 patients who have turned to CTN

to regain the cognitive, language,

physical and functional skills needed to

transition back to a productive life. The

program is one of only a few of its kind

in the nation.

“Our emphasis is on community

reintegration, so interaction with other

patients and family support are integral

to our patients moving forward in a

holistic and purpose-driven way,” says

Dr. Pamela Klonoff, clinical director

of CTN.

CTN is just one step in a continuum

of brain injury programs at Barrow.

Barrow Connection, for example,

helps patients connect with post-rehab

activities including recreational outings

and driving lessons.

Barrow’s Deborah and Bruce Downey

Neuro Rehabilitation Center provides

highly specialized inpatient physical,

occupational and speech therapy. It is

not uncommon to witness the miracle

of a patient learning to walk or talk

again at the center. “Barrow’s Neuro

Rehab Center puts patients one step

closer to reclaiming the lives they

had before their injury,” said medical

director Dr. Christina Kwasnica.

For mildly or moderately brain-

injured patients, Barrow introduced

the B.R.A.I.N.S program to treat

conditions including concussion. “Until

2009 when we established this program,

those with less severe injury had almost

nowhere to go for treatment,” says

Dr. Javier Cárdenas, medical director

of B.R.A.I.N.S.

Barrow also aims to prevent injuries

such as concussion. Last year, the

Institute developed Barrow Brainbook,

the nation’s first mandatory concussion

education and test for student athletes.

Barrow offers braininjured patients anew chance at lifeBY: DEBRA GELBART AND SARAH PADILLA

Jose Villela Vizcaya works with physical therapist Brianna Murphy at Barrow’sNeuro Rehabilitation Center. Vizcaya, a doctor from Mexico City, traveled toBarrow for care.

“Barrow’s NeuroRehab Centerputs patientsone step closerto reclaimingthe lives theyhad beforetheir injury.”

Barrow Neurological Institute® at

St. Joseph’s Hospital and Medical

Center is the first hospital

in Arizona to open an emergency

department dedicated solely to treating

patients suffering from brain and spine

emergencies.

The new Barrow Emergency

Department opened in April and is

staffed around the clock with some of

the world’s leading brain surgeons and

neurologists.

Located inside St. Joseph’s Emergency

Department and Trauma Center in

central Phoenix, the Barrow Emergency

Department provides 16 beds

dedicated to patients with neurological

emergencies such as strokes, concussions,

paralysis, aneurysms or seizures.

“If a patient who comes to St. Joseph’s

Emergency Department has symptoms

that suggest a neurological condition, a

team of neurological specialists rapidly

evaluates the problem and initiates

treatment,” said Barrow chief operating

officer Tom Bour. “We know that the

quicker we can treat someone with a

neurological problem, the better the

outcome for the patient.”

Bour points out that patients who

suffer serious neurological trauma

– from an accident or a violent

encounter, for example – will continue

to receive care in St. Joseph’s Level I

Trauma Center. The center treats more

neurological trauma than any other

hospital in the Valley.

“When it comes to the health of your

brain and nervous system, nothing is

trivial,” said Bour. “If you or someone

you know experiences a sudden

change from what is normal — such

as an especially painful headache or

suddenly not being able to see out of one

eye — don’t ignore the problem. Seek

emergency care at Barrow right away.”

Specializedemergency careBarrow first in Arizona with neuro ERBY: DEBRA GELBART

04 MAY 11, 2012 WWW.THEBARROW.ORG 1-877-602-4111

Abigail BattlesAlabama toddler, Abigail Battles,traveled to Phoenix for care atBarrow after she and her familywere told by other hospitals thather brain lesion was too risky toremove. Abigail not only survivedthe surgery, but went on to makea recovery that even doctors havecalled remarkable. To see hervideo, visit barrow50.org and clickon the 50 Years, 50 Faces icon.

Giving to BarrowTo learn about giving opportunities at Barrow, please contact

Barrow Neurological Foundation by calling 602-406-3041

or visiting us online at www.supportbarrow.org

“We know thatthe quickerwe can treatsomeone witha neurologicalproblem, thebetter theoutcome forthe patient.”

R1

Page 5: St. Joseph's Barrow Neurological Institute

Congratulationsto Barrow Neurological Institutefor 50 years of extraordinaryservice to our community.

AR-0007749761-01

CONGRATULATEBARROW NEUROLOGICAL

INSTITUTE

THE ARIZONA DIAMONDBACKS

TETULARACONG

ON 50 YEARS OF EXCELLENCE AND ACHIEVEMENT

Magic andthe brainHow ‘sleight of hand’becomes ‘sleight of mind’BY: ALISON STANTON

When a magician saws a lady

in half, pulls a rabbit out of a

hat or correctly guesses which

card someone is holding, he is doing

more than entertaining an audience.

Wittingly or not, the magician is also

manipulating the audience’s attention,

vision and perception. He is playing

with your mind.

Dr. Stephen Macknik and Dr.

Susana Martinez-Conde from Barrow

Neurological Institute® at St. Joseph’s

Hospital and Medical Center have

used the art of magic to help the

medical world understand the brain.

As Harvard-trained neuro-vision

researchers, they have spent much of

their careers exploring the link between

what we see and what we actually

comprehend.

The two have appeared on NOVA,

the Discovery Channel and CBS Sunday

Morning speaking about their research

on magic. They also co-authored the

book “Sleights of Mind: What the

Neuroscience of Magic Reveals About

Our Everyday Deceptions.”

As part of this “neuro-magic”

research, a number of top magicians

from around the world have traveled to

Barrow’s research laboratories to help.

Additionally, Macknik and Martinez-

Conde travel to Las Vegas regularly to

meet with some of the world’s greatest

illusionists including Penn and Teller.

The study of magic not only pertains

to how and why people are fooled

during magic shows, Martinez-Conde

says, but also has applications in

neurological treatments.

“We are excited about how this

research can help treat patients with

cognitive decline and in the field

of education, students with special

needs.” she said. “If we can learn how

to manipulate cognition and take

advantage of the attention and cognitive

abilities that people still have, we can

improve their quality of life.”

As Macknik noted, while most

magicians realize that they are fooling

their audiences, many probably have no

idea what their work specifically reveals

about the brain.

“Magic tricks basically came from the

field of crime,” he said. “All magic tricks

have to do with manipulating attention

and perception so that people don’t

notice things.”

On Sept. 17, Macknik and Martinez-

Conde will be part of an event called

Magic and the Brain—an Evening of

Science and Illusion, which will be held

at the Phoenix Theater.

The event, which will raise money

for Barrow Neurological Foundation,

will feature top Las Vegas magicians,

including Mac King and The Amazing

Randi who will demonstrate a variety

of tricks while the two scientists explain

to the audience how the brain is being

tricked. The event is open to the public.

For information about tickets, please

call Phoenix Theater or visit

www.supportbarrow.org.

Magic and the Brain—anEvening of Science and IllusionSept. 17

1-877-602-4111 WWW.THEBARROW.ORG MAY 11, 2012 05

World-class people,World-class careBY: SARAH PADILLA

Minnesota baseball coach Kasey Gray has returned to coaching followinglifesaving brain surgery at St. Joseph’s Barrow Neurological Institute®. Gray isamong the many individuals who travel to Phoenix for medical care at Barrow.

Joe GaragiolaBaseball legend and broadcastpersonality Joe Garagiolaunderwent surgery at Barrow toremove a large tumor behind hisleft eye. Since his treatment,Garagiola has gone on to makea complete recovery. To seeGaragiola’s video, visitbarrow50.org and click on the50 Years, 50 Faces icon.

TOP 10 fascinating factsSt. Joseph’s Barrow Neurological Institute® is celebrating its 50thanniversary with a year-long series of activities and announcements.To get the celebration started, here are 10 fascinating Barrow facts.

1More brain surgeries are performed each year at Barrowthan any other hospital in the United States.

2Patients across the U.S. and from more than 50 countries aroundthe world have come to Phoenix for specialized treatment at Barrow.

3First Lady Nancy Reagan’s father was interim director of Barrowin 1965 and 1966.

4Barrow patients have included royalty, like a Saudi Arabian queenand rock stars, like Bret Michaels.

5Top Las Vegas magicians, like Penn and Teller, are partneringwith Barrow to help researchers study vision and the brain.

6When Barrow opened, it was one of only three neuroscienceinstitutes in the U.S. Dr. John Green, Arizona’s first neurosurgeon,brought his own surgical equipment with him from Chicago. Today,Barrow trains more neurosurgeons than any hospital in the nation.

7A nurse in a Barrow operating room often walks seven miles a dayassisting surgeries.

8More than 550 surgical scrubs are used in one week in Barrow ORs.That is about 28,000 a year, enough to dress everyone in Kingman!

9Barrow became home of the Muhammad Ali Parkinson Centerin 1997. “The Greatest” regularly visits Barrow.

10The average brain or spine surgery at Barrow takes 247 minutesand includes a 10 person operating team.

Each year, thousands of people

travel to Arizona to visit the

Grand Canyon. But others come

for something much more serious –

life-saving medical treatment at Barrow

Neurological Institute® at St. Joseph’s

Hospital and Medical Center.

An estimated 1,500 patients from

outside Arizona visit Barrow each

year. To date, the Institute has treated

patients from more than 50 countries

and all 50 states. Many of these

individuals have previously been told

their conditions were untreatable.

Ilya Morch was just 15 when she

came to Barrow from Denmark in 2009.

Morch had already undergone five

brain surgeries to treat a rare condition

in which abnormal clusters of blood

vessels are embedded in normal

brain tissue.

“After Ilya lost movement in her left

eye, we consulted with her physicians in

Denmark and determined that surgery

was the best option,” says Karin Morch,

Ilya’s mother. “We wanted to find the

best place in the world and that’s when

we found Barrow.”

Dr. Robert Spetzler successfully

removed Morch’s golf ball-sized malfor-

mation using a surgical approach both

researched and developed at Barrow.

Around the same time, a teenager

in the United Kingdom began

experiencing a range of odd symptoms.

Isobel Malloch-Brown would eventually

be diagnosed with a structural defect

in the cerebellum, the part of the

brain that controls balance. She, too,

ended up at Barrow, where Dr. Curtis

Dickman repositioned her skull and

part of her spine. Within months, nearly

all of Malloch-Brown’s symptoms

had vanished.

In 2010, Jose Villela Vizcaya was

paralyzed from the neck down when

a garbage truck fell on top of his car in

Mexico City. After months in a hospital

in Mexico, the medical student came

to Barrow for neuro rehabilitation,

where he was able to regain some

function in his arms and hands.

“I first heard of Barrow the day after

my accident and immediately planned

to go there for rehab,” says Vizcaya.

“If in Mexico they could offer me 99

percent, I wanted to go for 100 percent.”

A long list of public figures, including

rock star Bret Michaels, baseball

great Joe Garagiola, Cindy McCain,

a Saudi Arabian queen and a host of

professional athletes, have also been

treated at the hospital.

Phil Pomeroy, vice president of

Barrow, attributes the Institute’s affinity

for complex cases to a number of

factors. “We offer our patients not only

the best team of medical experts, but

also a variety of innovative treatment

options, many of which were developed

at Barrow, in order to deliver the best

possible outcomes.”

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