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CC News: September 1996

In This Issue

New Guest House offers patient families a way to stay together

New deputy director named

Medicine for the Public series begins Oct. 1

Training program for nurse researchers

briefs:

Pumpkin Chase set for October
Office moves
Classes offered
Events mark fire prevention
NICHD study seeks volunteers
Seminar set
Fire Drill!
Recent grads

Harvard oncologist to direct CC bioethics department

Foundation offers new resource for clinical research

Summer program a front-row seat to science

Roving chaplains complement spiritual ministry team

CC nurse dies in traffic accident

Clinical Center News, Building 10, Room 1C255, National Institutes of Health, Bethesda, Maryland 20892. (301) 496-2563. Fax: 402-2984. Published monthly for CC employees by the Office of Clinical Center Communications, Colleen Henrichsen, chief. News, articles ideas, calendar events, letters, and photographs are welcome. Deadline for submission is the second Monday of each month.
Editor: Sara Byars. Staff Writers: Laura Bradbard, Sue Kendall


New Guest House offers patient families a way to stay together

A ribbon cutting to open the NIH Guest House, which will provide overnight accommodations for Clinical Center patients and their families, is scheduled for Sept. 27 at 1 p.m.

Temporarily quartered in Building 20 (the apartment building across Center Drive from the CC), the NIH Guest House will provide short-term lodging. The facility is a pilot initiative testing the feasibility of offering such housing on campus. If the pilot is a success, a permanent site will be found. The guest house has seven rooms: six efficiencies and one one-bedroom apartment.

Like the Children's Inn, the Guest House is based on the idea that clinical care is enhanced when families stay together. The purpose of the NIH Guest House is to keep families whole while adults undergo outpatient treatment.

"Patient volunteers make unique sacrifices when they come here. We're hoping this facility will make it easier to participate in clinical research," said Dr. John I. Gallin, Clinical Center director. "For caregivers at the CC, the Guest House will be a more efficient way to keep their patients close by and comfortable during scheduled visits. Facilitating family support is an essential part of providing excellent clinical care."

The 44-year-old apartments received a face-lift and now look like standard hotel rooms. Each room will also have a refrigerator and a microwave.

In addition to outpatients and their families, the Guest House will accommodate clinical research volunteers, and occasionally guest lecturers and consultants.

The CC Social Work Department will coordinate registration, booking on the basis of need using a computerized reservation system and specific admission criteria. The Clinical Center Housekeeping and Fabric Care Department will handle housekeeping duties.

Guests will receive keys to their rooms, just as they would in a hotel. A booklet outlining NIH Guest House policies will be given to guests as they register.

"This is an ambitious and innovative project for the Clinical Center," commented Kathryn L. Montgomery, CC associate director for nursing and director of the project. "We will evaluate the service regularly to make sure it meets the needs of our guests and the institutes."

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New deputy director named

Michael I. Goldrich has been named deputy director of the Clinical Center. Dr. John I. Gallin, CC director, announced his appointment in a letter to employees on Aug. 12.

"I am very excited about this opportunity to join the Clinical Center staff and offer my skills and experiences to a great management team and an exceptional group of employees," Goldrich said.

Goldrich will function as the CC's chief operating officer, Dr. Gallin said. He comes from NIAID where he had served as director for management and operations since 1984 and most recently as deputy director. Responsibilities there included operations support to an in-house research program; administrative oversight for a $1 billion grant and contract program; and supervision of more than 250 staff supporting the institute's business and research infrastructure activities.

During his tenure, the NIAID was recognized as a leader at NIH for its outstanding administrative systems; planning efforts; technology transfer activities; information technology; and procurement and material acquisition programs.

Goldrich holds a baccalaureate from the University of Maryland and earned a MBA summa cum laude from Loyola University. He came to NIH as a financial management trainee in 1971 and worked as a grants specialist, financial management analyst, and senior administrative officer at NCI before joining NIAID.

Goldrich will "help me coordinate the activities led by Dr. David Henderson and Mr. Walter Jones, our deputy directors for clinical care and management and operations, respectively," Dr. Gallin added. "We are especially fortunate that in this incredibly exciting period of revitalization of the Clinical Center that we will have the talents of Mr. Goldrich on our team."

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Medicine for the Public series begins Oct. 1

Drug-resistant bacteria, nicotine addiction, and aging are among topics that will be covered in the Clinical Center's Medicine for the Public lecture series, which begins Oct. 1.

The lectures, which are free and open to the public, are held at 7 p.m. on Tuesdays in Masur Auditorium.

The Medicine for the Public lecture series, now in its 20th year, features physician-scientists working at the forefront of medical research at NIH.

This year's schedule:

  • Oct. 1, Drug Abuse: A Preventable Behavior; Drug Addiction: A Treatable Disease. Dr. Alan Leshner, director of the National Institute on Drug Abuse, will review drugs and the brain, drug addiction, who is at risk, prevention and treatment, and current advances.

  • Oct. 8, Heart Attacks and Cardiovascular Risks in Men and Women. Heart disease, the leading cause of death in America, also severely impairs the lives of those who live with this condition. Often considered a disease of the affluent, heart disease is not inevitable. Dr. Jeffrey Hoeg, chief of the Cell Biology Section at the National Heart, Lung and Blood Institute, will talk about prevention, the effort to improve what we know about heart disease in women, and the latest research findings.

  • Oct. 15, Nicotine Addiction: Science, Medicine, and Public Policy. Cigarettes kill more Americans each year than AIDS, alcohol, car accidents, murders, suicides, illegal drugs, and fires combined. Currently more than 3 million children and adolescents smoke cigarettes along with 45.8 million adults. Why is it so difficult to stop? Can we prevent our children from becoming the next generation of nicotine addicts? Dr. Jack Henningfield, chief of the Clinical Pharmacology Research Branch, National Institute on Drug Abuse, will address these issues in his lecture.

  • Oct. 22, Drug-Resistant Bacteria: Old Foes with New Faces. Hailed as a miracle drug after its introduction in the 1940s, penicillin changed the way medicine treated bacterial infections. Over the decades, however, bacteria have become resistant to medicine's arsenal of antibiotics, paving the way for outbreaks of diseases once thought to be under control, such as tuberculosis. Dr. David Henderson, CC deputy director for clinical care, will discuss how bacteria become drug-resistant and what we can do to control this growing public health problem.

  • Oct. 29, Colorectal Cancer Therapy Now and into the Next Millennium. Cancer of the colon and rectum, collectively known as colorectal cancer, is second only to lung cancer as the leading cause of cancer deaths in the U.S. Early detection and treatment are crucial to its cure. Dr. Carmen Allegra, chief of the National Cancer Institute-Navy Medical Oncology Branch, will cover advances in the traditional treatments--surgery, chemotherapy, and radiation--that have improved survival rates for patients and investigations into innovative therapies that hold promise.

  • Nov. 12, Aging: Genes, Cells, and Selves. Dr. Richard Hodes, director of the National Institute on Aging, will answer some probing questions on aging. What is aging? Each of us ages; and some of us appear to do so more successfully than others, living longer or in better health. Is this determined by the genes that we have inherited? Is it the result of how we live? Something we do or do not do? Eat or do not eat? Studies of single cells, molecules, individuals, and whole populations have shown us that heredity, environment, and lifestyle all influence the aging process.
For more information on specific topics or speakers, call Clinical Center Communications at
496-2563.

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Nurse researchers

The CC Nursing Department and NINR sponsored a training program on research that drew nurse researchers from across the nation here this summer. The program included NIH resources for nurse scientists, grant writing, ethical issues, and how to disseminate research findings. Pictured during the program are (from left) Dr. Carol Romano, chief of clinical informatics services, CC Nursing Department; Dr. Patricia Grady, NINR director; Dr. Christine Grady, assistant director for clinical science, division of intramural research, NINR; Ann Knebel, nurse consultant, CC clinical informatics services; and Dr. Cynthia Johnson, seminar participant from California State University at Dominguez Hills.

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briefs:



Pumpkin Chase set for October

The 5th annual Great Pumpkin Chase set for Sunday, Oct. 27, will benefit the Friends of the Clinical Center (FOCC). The 5K run and one-mile walk will be sponsored by the NIH Federal Credit Union and radio station WKYS. Individuals and teams can sign up for the races.

There'll be t-shirts for participants, prizes in several categories, and refreshments. For more information on the Pumpkin Chase, call Wendy Ladas at 230-4817. To sign up as an FOCC volunteer to help with the event, call Pat Turner at 496-9271.

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Office moves

The Clinical Research Volunteer Program office has moved to quarters 15D2, 4 West Drive. There's parking for volunteers and transportation via the Children's Inn shuttle. The phone's the same, 496-4763.

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Classes offered

The CC's education and training section Office of Human Resources Management, offers these classes in October:
  • Writing Effective KSAs, Oct. 4, 9 a.m.-noon, 6100 Executive Blvd.
  • Partnering with Problem People, Oct. 7 or 8, 9 a.m.-noon, 6100 Executive Blvd. This class is presented by Mark Gorkin, the "Stress Doc," social worker, psychotherapist, author, and humorist. Gorkin is a nationally noted expert on stress, organizational transtion, anger, conflict resolution, team building, humor, and creativity.
To register, call 496-1618.

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Events mark fire prevention

Stop by the area outside the B1 cafeteria Oct. 8 between 10 a.m. and 2 p.m. for a look at displays and demonstrations commemorating Fire Prevention Week, which runs Oct. 6-12.

It's sponsored by the emergency management branch, Division of Public Safety, NIH Office of Research Services.

Highlights will include a med-evac helicopter; a robot for handling explosives; an air boat used for water rescues; and a 28-foot, mobile fire safety house designed to teach children how to react in fire emergencies.

Hot dogs, chips, and soft drinks will be on sale during the event with proceeds going to NIH charities.

Sponsors also are conducting a contest for adults and children to come up with a slogan to feature on next year's Fire Prevention Week posters. Deadline to enter is Sept. 30. Call 496-0487 for contest details.

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NICHD study seeks volunteers

NICHD needs healthy women with normal menstrual cycles to participate in a study. Volunteers will be compensated. The studies will include an endometrial biopsy or an inpatient evaluation of an investigational drug. Call 402-1481 for details.

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Seminar set

NINR will sponsor the symposium "Advancing Health Through Science: The Human Dimension," Sept. 19 in Masur Auditorium. Call 907-3844 to register.

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Recent grads

July graduates of Nutrition Department's dietetic internship program were (from left) Christine Fisher, Virginia Tech; Dale Braithwaite, University of D.C. and a CC health technician for seven years; Guilianna D'Alessandro, Pennsylvania State; and Trudy Fedora, Immaculata College.

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Dr. Ezekiel J. Emanuel will take over as director of the CC's Department of Clinical Bioethics.

Harvard oncologist to direct CC bioethics department

An oncologist who serves on the President's National Bioethics Advisory Commission is new director of the CC's Department of Clinical Bioethics.

Dr. Ezekiel J. Emanuel comes to the CC from the Dana-Farber Cancer Institute at Harvard where he has served as assistant professor of medicine and associate professor of social medicine and of clinical epidemiology.

"Dr. Emanuel is a medical clinician with extensive experience in medical ethics. Under his leadership, our bioethics program will expand and become a model department for the study and practice of clinical bioethics," said Dr. John I. Gallin, CC director.

Dr. Emanuel was recently named to the President's advisory body on bioethics. The commission has what Dr. Emanuel describes as an open-ended mandate. "Specific items we will address include the issues of human subjects and the patenting of human genes," he explained, "but anything else relating to bioethics is fair game."

Major ethical issues surrounding health care today include, he notes, the doctor-patient relationship, end-of-life care, allocation of funds for health care, and confidentiality.

But ethical issues are not a new concern for the medical community. "Ethics has been a part of medicine since the beginning. The Hippocratic Oath includes a whole series of ethical issues," he says.

"I hope to establish a major research and educational presence in bioethics as part of the Clinical Center's program," he continued. "I'm interested in moving forward research in ethics and in seeing how we can fruitfully address bioethical questions, how to advance the field, and find creative solutions to the continuing problems."

Dr. Emanuel edits the Journal of Clinical Oncology's "Ethics Rounds," and is associate editor of the Journal of Clinical Ethics. Dr. Emanuel serves on the American Association of Bioethics board of directors and was a member of President Clinton's Health Care Task Force's ethics group. He is a diplomate in medical oncology and in internal medicine, American Board of Internal Medicine.

Among his numerous publications is a book, "The Ends of Human Life: Medical Ethics in a Liberal Polity."

Dr. Emanuel earned a B.A. in chemistry at Amherst and a master of science in biochemistry at Oxford University. He holds a Ph.D. in political philosophy from Harvard University and his M.D. from Harvard Medical School.

He interned and took residency training at Boston's Beth Israel Hospital. His postdoctoral training included a fellowship in medical oncology at Dana-Farber and in medicine at Harvard Medical School.

Dr. Emanuel initially will serve part-time as a senior consultant for clinical bioethics. He will take over the program full-time in 1997.

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Foundation offers new resource for clinical research

Clinical research here has a new benefactor.

It's the recently incorporated National Foundation for Biomedical Research. "It's fair to say that the Clinical Center will be one of the greatest beneficiaries of the foundation," says Dr. George Galasso, former NIH associate director for extramural affairs and the foundation's executive director.

"The foundation offers us an important resource to help put into place programs that will move forward clinical research programs and education," said Dr. John I. Gallin, CC director. "It's a resource we need and one that we welcome."

"The foundation provides an opportunity for private citizens, private-sector institutes, and foundations to enhance the current public investment in biomedical research," said Nobel Laureate Dr. Paul Berg of Stanford University School of Medicine, acting chairman of the foundation's board.

"We are very pleased that the foundation is now up and running," said Dr. Harold Varmus, NIH director. "Public support of medical research has been generous, but the foundation will allow us to undertake some important projects and activities that we are not currently funding."

Those projects include research training activities, public education, and fostering collaborations with academic institutes and industry.

The foundation will raise money from private sources to fund important activities that fall within the mission of NIH, which is to support and conduct medical research and medical research training and to disseminate the results of the research.

The foundation is headquartered at 1 Cloister Court in Bethesda. A search is under way for a permanent chairman of the eight-member board.

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Arvin Yang, a senior at Rutgers, was among the more than 100 students working at the Clinical Center during summer.

Summer program a front-row seat to science

Arvin Yang likes to solve problems.

As a summer research student, he's found plenty of opportunity for that here at the Clinical Center. Yang and more than 100 other students spent their summer vacations looking for solutions to science questions.

A senior at Rutgers College, 20-year-old Yang plans a career in biomedicine and hopes someday to be a clinical researcher--maybe even here at the Clinical Center.

He credits his 23-year-old sister, a molecular biology Ph.D. student at Mt. Sinai Hospital, with inspiring him to pursue research.

"I came here because I knew the reputation of NIH. I knew this was the largest research hospital," Yang explained. "But I'm amazed by the amount of information here. And by the productivity."

From June through August, Yang, whose home is in New Jersey, worked in Clinical Pathology's chemistry section. He devoted his summer to extracting enzymes from cells and amplifying the DNA to locate cancer. In his spare time he plays tennis, skates, and tangos.

"We're trying to create a way to see a single cancer cell-long before the disease would be identified."

Yang incorporates his hobby as a shutterbug into his research by photographing DNA captured in a gel.

And the work is so simple. Here's what you do: take cells from tissue, extract a certain enzyme from the cells, combine the enzyme and some DNA, and let the DNA grow. Then, using a technique called PCR (polymerase chain reaction) amplify this resulting product, separate the components of the product by electrophoresis (a method for separating out subcellular-sized particles) and look for the product of a single cancer cell. Got it?

OK, let's tango.

(by Laura Bradbard)

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Debbie Fair (left) and Grace Hollis interned in the Spiritual Ministry Department as roving chaplains.

Roving chaplains complement spiritual ministry team

Debbie Fair and Grace Hollis spent their summer vacation wandering through the outpatient waiting areas looking for someone to talk to.

As interns in the Clinical Center Spiritual Ministry Department, they served as roving chaplains offering smiles and support to patients waiting for treatment, waiting for results, waiting to go home.

Offering spiritual guidance to strangers who aren't necessarily of the same faith, or of any faith at all, can be a challenge.

"My main focus is to walk with people through their crisis," explains Hollis, a third-year seminarian in Atlanta and an ordained elder in the AME church. "I make myself available for spiritual support."

Fair, a Methodist minister and master's degree student from Centreville, Va., spent most of her time in the 10 West day hospital and the 12th floor clinic where patients struggle with the ramifications of cancer and HIV.

"My role is to add to the spiritual and emotional wellness of the patient," says Fair. "We meet and move together. So often, illness is a catharsis that opens people spiritually."

But, Fair is quick to note, CC chaplains do not proselytize. "We offer care by listening." Hollis agrees. "First, I pray. Then I introduce myself and find out if we're in tune. You can tell if someone wants you there."

And if the chaplains approach someone who clearly doesn't want to talk to them?

"Maybe they don't want to share what they're going through at the moment I approach, but I'm planting a seed," explains Fair. "Someone else will come along and lead them to their spiritual wholeness. I've at least created an opening."

According to Fair, many people coming here are isolated from their communities. They often have no one with them while they seek treatment. "It's important for patients to stay connected to someone who will listen. We are that connection for many people."

"We can't fathom how hurt people are," Hollis adds. "A lot of tears are shed. Spirituality is part of being a human being. It's a blessing that the Clinical Center doesn't ignore it. The soul needs to be healed."

Hollis and Fair returned to their own congregations last month taking with them what they learned from CC patients. Both women agree that in a crowded hospital waiting room, you can make a difference in someone's life. Sometimes, all it takes is a smile.

(by Laura Bradbard)

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Clinical Center nurse dies in July traffic accident

Mary Anne (Berry) Hannaman, a Clinical Center nurse on the 3B North, an alcoholism research unit, was killed in an early morning traffic accident on July 21.

Hannaman had worked on the unit for more than eight years. She was also a regular blood donor here during that time. "She donated platelets 21 times," recalled Sandy Bangham of the platelet center, "coming in for two and a half hours each time to give white cells."

She recalls Hannaman as "very dedicated, coming in to donate after working all night. She really enjoyed her trip to England earlier this year and was talking about it while she was here last time."

Hannaman had also recently received a letter of appreciation from the NIH Fire Department. While working a night shift, she'd noticed an apparent fire in another area of Building 10.

"She did exactly what she was supposed to do," said one fire fighter, "and we wanted to recognize her quick action." Sadly, when the fire-safety officials went to the unit to deliver the letter, they instead received news of Hannaman's death the previous day.

A memorial service was held in the 14th floor Chapel on July 31. Her friends and coworkers have chosen to remember her with donations to the CC patient library. To make a contribution, contact the library or Sue Squires, 3B North head nurse.

(by Tom Lionetti, Nursing Department)

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Fire
Drill!

Nurses on 11 West recently ran through a fire safety drill, an exercise mandated quarterly on all shifts in clinical areas throughout the hospital by the Joint Commission on the Accreditation of Hospitals. Fire prevention specialists from the NIH Department of Public Safety's emergency management branch oversee the training. When thinking fire safety, think RACE, says Dr. Michele Evans, the CC's safety officer. It stands for the critical steps in responding to a fire: Rescue anyone in danger; Activate the fire alarm; Confine the fire; and Extinguish or evacuate. Rescue anyone in danger (Right). That's the first step in responding to a fire. NIH fire safety specialist Paul Davis shows 11 West nurse Anne Lewis how to safely approach a room on fire. Stay low, feel for heat, and use caution.

Gini Kwitkowski and Anne Lewis use a doll to practice how to quickly rescue a patient in danger (Left).
Confine and evacuate. Dirk Darnell, Linda Coe, and Iris Nash confine the fire by closing doors and moving equipment from the hallway. The final step is to extinguish the fire or, if necessary, evacuate the area (Right).

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Last modified 9/19/96


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