VOLUME V ISSUE 1
HouseCall
Robotics Revolution In Women’s Health Care OB-GYN surgeons Shannon H. McGranahan, M.D., and Stephanie S. Brown, M.D.
inside
Heart Vest Saves Lives I Breast Care Center Offers 3D Mammography Renovations To First Floor Entrance And Lobby Complete I Ask The Doctor
PATIENT PROFILE
ADVANCED TECHNOLOGIES Are Minimizing Incisions And Speeding Recovery For OB-GYN Surgery JUDITH GILLIAM, DEBRA CARSE AND AUDREY SMITH, ALL SOUTH HILLS RESIDENTS, HAVE NEVER MET EACH OTHER, BUT THEY HAVE SEVERAL THINGS IN COMMON. THEY ARE WOMEN WHO HAVE THE SHARED EXPERIENCE OF HAVING UNDERGONE HYSTERECTOMY. THEY ARE ALSO MEDICAL PIONEERS.
T
he women are among the first patients at
control. The system cannot operate on its own. The
St. Clair Hospital to have gynecologic surgery
da Vinci represents a dramatic advance in surgical
utilizing a breakthrough robotic technology
science, making it possible for surgeons to perform
that is transforming the way that many
complex and delicate laparoscopic operations in the
surgical procedures are performed.
safest and least invasive way possible. Robotic-assisted
The da Vinci Robotic Surgical System uses robotics and
surgery has numerous potential advantages for both the
computer technology to translate the real-time movements
surgeon and the patient, and is producing outstanding
of a surgeon’s hands into precise, micro-movements of
clinical outcomes. At St. Clair, the system has been
surgical instruments through tiny incisions. While the
in use since April 2011 for urologic surgery, and the
da Vinci system uses robotics, it is not a robot. A robot
Hospital has gradually expanded its robotic-assisted
operates automatically, based on pre-set instructions.
surgery program to include other surgical specialties,
With the da Vinci system, the surgeons are always in
including colorectal, general, thoracic and gynecologic. Continued on page 4
Stephanie Brown, M.D. (left) and Shannon McGranahan, M.D. are using robotics technology in gynecologic procedures at St. Clair Hospital.
2 I HouseCall I Volume V Issue 1
Volume V Issue 1 I HouseCall I 3
PAtient Profile
ADVANCED TECHNOLOGIES Are Minimizing Incisions And Speeding Recovery For OB-GYN Surgery Judith Gilliam, debra Carse and audrey smith, all south hills residents, have never met eaCh other, but they have several thinGs in Common. they are women who have the shared experienCe of havinG underGone hystereCtomy. they are also mediCal pioneers.
T
he women are among the first patients at
control. The system cannot operate on its own. The
St. Clair Hospital to have gynecologic surgery
da Vinci represents a dramatic advance in surgical
utilizing a breakthrough robotic technology
science, making it possible for surgeons to perform
that is transforming the way that many
complex and delicate laparoscopic operations in the
surgical procedures are performed.
safest and least invasive way possible. Robotic-assisted
The da Vinci Robotic Surgical System uses robotics and
surgery has numerous potential advantages for both the
computer technology to translate the real-time movements
surgeon and the patient, and is producing outstanding
of a surgeon’s hands into precise, micro-movements of
clinical outcomes. At St. Clair, the system has been
surgical instruments through tiny incisions. While the
in use since April 2011 for urologic surgery, and the
da Vinci system uses robotics, it is not a robot. A robot
Hospital has gradually expanded its robotic-assisted
operates automatically, based on pre-set instructions.
surgery program to include other surgical specialties,
With the da Vinci system, the surgeons are always in
including colorectal, general, thoracic and gynecologic. Continued on page 4
Stephanie Brown, M.D. (left) and Shannon McGranahan, M.D. are using robotics technology in gynecologic procedures at St Clair Hospital.
2 I HouseCall I Volume V Issue 1
Volume V Issue 1 I HouseCall I 3
PAtient Profile Continued from page 3
the Doctors The application of da Vinci technology to gynecologic procedures represents a clinical advancement that may dramatically change the way that women experience hysterectomies and other surgeries. And, according to the three St. Clair OB-GYNs — Stephanie Brown, M.D., Shannon McGranahan, M.D., and Sandor Mecs, M.D. — who perform robotic-assisted gynecologic surgery, it can even be said that da Vinci technology may revolutionize women’s health care. Stephanie Brown, M.D., is an obstetrician-gynecologist who performs robotic-assisted gynecologic surgery at St. Clair. She describes the da Vinci system as a form of minimally invasive surgery that improves upon conventional laparoscopy. The surgeon, she explains, sits at a console that is in the operating room but several feet away from the patient. Using hand and foot controls, she manipulates a machine with four robotic arms that are positioned over the patient. Three of the arms hold miniaturized surgical instruments, such as a grasper or scissors, and one holds an endoscopic camera. At the console, the surgeon looks through
The biggest advantage “ is that the da Vinci system
enables the surgeon to see so well. … With the robotic-assisted system, you are not in direct physical contact with the patient, but what you gain in visualization compensates. It’s amazing.
”
An overhead view of the state-of-the-art da Vinci robotic surgical system. the system provides surgeons with extraordinary visualization and depth perception of the patient.
Interchangeable instruments with EndoWrist™ technology simultaneously follow surgeon’s hand and wrist movements
Anesthesiologist
–Stephanie Brown, M.D.
lenses that give her a three-dimensional image and the capability of magnification up to 10 times. “The biggest advantage is that the da Vinci system enables the
Video screen
surgeon to see so well,” Dr. Brown says. “You have extraordinary visualization; you can zoom in and the three-dimensional camera
Assistant
provides great depth perception. You can magnify and see the anatomy so closely. The wristed instruments can get at angles in the pelvis that you can’t otherwise achieve and the instruments move just like your
Nurse
hands. It’s amazing.” In addition to superior visualization, the da Vinci system provides the surgeon with enhanced dexterity and increased precision. Surgeon uses open-surgery hand movements, which are precisely replicated in the operative field by the instruments
Nevertheless, Dr. Brown acknowledges some initial skepticism. “I was a skeptic at first. I didn’t like the idea of my hands not feeling that tissue. As a surgeon, you feel it, respect it and know it. Especially with tough cases, I felt that I had to be in there physically, feeling Surgeon at operative console
the organs and arteries. With the robotic-assisted system, you are not in direct physical contact with the patient, but what you gain in visualization compensates.” Dr. Brown says that some patients believe their surgery will be performed by a robot. “When patients are first approached, some are taken aback. I tell patients that I do the procedure with the assistance of this instrument — it’s still laparoscopic surgery.” Dr. Brown completed her comprehensive da Vinci training program at an “epicenter” in Houston, Texas. An epicenter is a hospital where there is a well-established da Vinci program with experienced surgeons
4 I HouseCall I Volume V Issue 1
The surgeon uses hand controls on the da Vinci console to manipulate the surgical instruments inside the patient.
who offer their expertise to help other surgeons and surgical teams
and sophisticated equipment. Shannon McGranahan, M.D., Dr. Brown’s
master the technology. St. Clair has a special robotics surgical team,
partner in the OB-GYN group of Dr. Patricia Bulseco, M.D., PC, also
which Dr. Brown calls “a well-oiled machine,” in a state-of-the-art
has completed da Vinci training at the Houston epicenter and the
operating room that features wide-screen, high-definition monitors
two surgeons often operate together.
Continued on page 6
Volume V Issue 1 I HouseCall I 5
PAtient Profile Continued from page 3
the Doctors The application of da Vinci technology to gynecologic procedures represents a clinical advancement that may dramatically change the way that women experience hysterectomies and other surgeries. And, according to the three St. Clair OB-GYNs — Stephanie Brown, M.D., Shannon McGranahan, M.D., and Sandor Mecs, M.D. — who perform robotic-assisted gynecologic surgery, it can even be said that da Vinci technology may revolutionize women’s health care. Stephanie Brown, M.D., is an obstetrician-gynecologist who performs robotic-assisted gynecologic surgery at St. Clair. She describes the da Vinci system as a form of minimally invasive surgery that improves upon conventional laparoscopy. The surgeon, she explains, sits at a console that is in the operating room but several feet away from the patient. Using hand and foot controls, she manipulates a machine with four robotic arms that are positioned over the patient. Three of the arms hold miniaturized surgical instruments, such as a grasper or scissors, and one holds an endoscopic camera. At the console, the surgeon looks through
The biggest advantage “ is that the da Vinci system
enables the surgeon to see so well. … With the robotic-assisted system, you are not in direct physical contact with the patient, but what you gain in visualization compensates. It’s amazing.
”
An overhead view of the state-of-the-art da Vinci robotic surgical system. the system provides surgeons with extraordinary visualization and depth perception of the patient.
Interchangeable instruments with EndoWrist™ technology simultaneously follow surgeon’s hand and wrist movements
Anesthesiologist
–Stephanie Brown, M.D.
lenses that give her a three-dimensional image and the capability of magnification up to 10 times. “The biggest advantage is that the da Vinci system enables the
Video screen
surgeon to see so well,” Dr. Brown says. “You have extraordinary visualization; you can zoom in and the three-dimensional camera
Assistant
provides great depth perception. You can magnify and see the anatomy so closely. The wristed instruments can get at angles in the pelvis that you can’t otherwise achieve and the instruments move just like your
Nurse
hands. It’s amazing.” In addition to superior visualization, the da Vinci system provides the surgeon with enhanced dexterity and increased precision. Surgeon uses open-surgery hand movements, which are precisely replicated in the operative field by the instruments
Nevertheless, Dr. Brown acknowledges some initial skepticism. “I was a skeptic at first. I didn’t like the idea of my hands not feeling that tissue. As a surgeon, you feel it, respect it and know it. Especially with tough cases, I felt that I had to be in there physically, feeling Surgeon at operative console
the organs and arteries. With the robotic-assisted system, you are not in direct physical contact with the patient, but what you gain in visualization compensates.” Dr. Brown says that some patients believe their surgery will be performed by a robot. “When patients are first approached, some are taken aback. I tell patients that I do the procedure with the assistance of this instrument — it’s still laparoscopic surgery.” Dr. Brown completed her comprehensive da Vinci training program at an “epicenter” in Houston, Texas. An epicenter is a hospital where there is a well-established da Vinci program with experienced surgeons
4 I HouseCall I Volume V Issue 1
The surgeon uses hand controls on the da Vinci console to manipulate the surgical instruments inside the patient.
who offer their expertise to help other surgeons and surgical teams
and sophisticated equipment. Shannon McGranahan, M.D., Dr. Brown’s
master the technology. St. Clair has a special robotics surgical team,
partner in the OB-GYN group of Dr. Patricia Bulseco, M.D., PC, also
which Dr. Brown calls “a well-oiled machine,” in a state-of-the-art
has completed da Vinci training at the Houston epicenter and the
operating room that features wide-screen, high-definition monitors
two surgeons often operate together.
Continued on page 6
Volume V Issue 1 I HouseCall I 5
PAtient Profile Continued from page 5
the PAtients For Canonsburg resident Judy Gilliam, having
in the world in her. She’s a good doctor and the
“I was surprised by how good I felt,” she says.
a hysterectomy was a matter of trust. The
nicest person. She said we could do it the ‘old
“Nothing hurt! Dr. Brown took such good care
68-year old retiree, wife and grandmother had
way’ if I wanted, but that I was a good candidate
of me and made me feel special. She even
known for several years that she might eventually
for the robotic-assisted surgery because I had
admitted me to the Family Birth Center after
need the operation, due to an ovarian cyst and
no scar tissue. I felt that if Dr. Brown said this
the operation, so that she could watch me more
uterine fibroids. Gilliam wasn’t worried — she
was safe and effective, then that was that. She
closely. There I was, among all the mothers
knew that hysterectomy was a common surgical
explained it all and prepared me for it.” My
and babies. I went home the next day, and did
procedure. Still, she was surprised when
need for surgery wasn’t urgent, so I waited for
not take a single pain medication after I was
Dr. Brown made a request: was she open to
her to finish her training. When she was ready,
discharged. I had no bleeding and no other
undergoing robotic-assisted hysterectomy?
I was ready.”
problems at all. I was able to resume my
Indeed she was. Judy never hesitated. “Dr. Brown is my doctor and I have all the faith
Judy had a hysterectomy, followed by an
normal activities quickly.”
uneventful and nearly pain-free recovery. Continued on page 8
“
I was surprIsed by how good I felt. NothINg hurt! … I was able to resume my Normal actIvItIes quIckly. I weNt home the Next day, aNd dId Not take a sINgle paIN medIcatIoN after I was dIscharged.
”
JUDY GILLIAM
da Vinci surgical patient Judy Gilliam had an uneventful and nearly pain-free recovery.
6 I HouseCall I Volume V Issue 1
Volume V Issue 1 I HouseCall I 7
PAtient Profile Continued from page 5
the PAtients For Canonsburg resident Judy Gilliam, having
in the world in her. She’s a good doctor and the
“I was surprised by how good I felt,” she says.
a hysterectomy was a matter of trust. The
nicest person. She said we could do it the ‘old
“Nothing hurt! Dr. Brown took such good care
68-year old retiree, wife and grandmother had
way’ if I wanted, but that I was a good candidate
of me and made me feel special. She even
known for several years that she might eventually
for the robotic-assisted surgery because I had
admitted me to the Family Birth Center after
need the operation, due to an ovarian cyst and
no scar tissue. I felt that if Dr. Brown said this
the operation, so that she could watch me more
uterine fibroids. Gilliam wasn’t worried — she
was safe and effective, then that was that. She
closely. There I was, among all the mothers
knew that hysterectomy was a common surgical
explained it all and prepared me for it.” My
and babies. I went home the next day, and did
procedure. Still, she was surprised when
need for surgery wasn’t urgent, so I waited for
not take a single pain medication after I was
Dr. Brown made a request: was she open to
her to finish her training. When she was ready,
discharged. I had no bleeding and no other
undergoing robotic-assisted hysterectomy?
I was ready.”
problems at all. I was able to resume my
Indeed she was. Judy never hesitated. “Dr. Brown is my doctor and I have all the faith
Judy had a hysterectomy, followed by an
normal activities quickly.”
uneventful and nearly pain-free recovery. Continued on page 8
“
I was surprIsed by how good I felt. NothINg hurt! … I was able to resume my Normal actIvItIes quIckly. I weNt home the Next day, aNd dId Not take a sINgle paIN medIcatIoN after I was dIscharged.
”
JUDY GILLIAM
da Vinci surgical patient Judy Gilliam had an uneventful and nearly pain-free recovery.
6 I HouseCall I Volume V Issue 1
Volume V Issue 1 I HouseCall I 7
PAtient Profile Continued from page 7
Debra Carse, 47, of Upper St. Clair, is a married mother of two and a registered nurse. As a nurse, she was aware of robotic-assisted surgery and knew that St. Clair Hospital was using a da Vinci system. She also knew Dr. McGranahan well, as a colleague and as her gynecologist. When Dr. McGranahan suggested that she have a robotic-assisted, hysterectomy to treat abnormal uterine bleeding that had persisted for two years, Debra had no doubt that this was the right option for her. “Dr. McGranahan was excited about
Pioneering technology
“
the most dIffIcult aspect of thIs surgery Is that you feel so good, you forget that you had surgery.
Art, Science and Science Fiction Merge in the da Vinci Surgical System
”
DEBRA CARSE
Robotic-assisted surgery is associated with a lower rate of complications and reduced
robotic-assisted surgery for gynecology,
length of stay. Patients have less post operative
and everything went exactly as she told me
pain, and subsequently less need for narcotic
it would. Dr. Brown assisted her, so I had
pain medication, and they experience far less
the benefit of having both of them there.
bleeding. They require minimal post-operative
Post-op, I had some discomfort from bloating,
nursing care. Instead of 6- to 12-inch abdominal
computer era, with a bit of science fiction
but my pain was so minimal that I only took
incisions and scarring, they have five tiny
in the mix, too.
Motrin.” Debra has exceptional appreciation
incisions that are more like punctures. Without
he da Vinci Robotic Surgical System
T
used primarily to mobilize hazardous
on the robotic technologies. The goal was
is the result of a convergence of
materials in unsafe environments, much
to take these innovative concepts and turn
powerful forces: the science of medicine,
like the bomb-detecting robots that police
them into a marketable medical device that
the art of surgery and the technology of the
use today.
allowed surgeons to operate intuitively.
In the 1980s, advances in electronics
In conventional laparoscopic surgery, the
and computer technology further propelled
surgeon moves the instrument handles in
the development of robotics. At the same
the direction that is opposite the way she
large wounds, patients are less likely to develop
device originates in the Italian Renaissance,
time, surgeons were developing minimally
or he actually wishes to go — an approach
an infection. Robotic-assisted surgery means
in the innovative mind of Leonardo da Vinci.
invasive surgery techniques and in 1987,
that surgeons describe as counter-intuitive.
robotic-assisted laparoscopy.
a shorter hospital admission ― usually one
da Vinci was undeniably a genius: a painter,
French surgeon Phillippe Mouret performed
Within four years, in 1999, the first
“Without an abdominal incision,
night as opposed to three or four following
sculptor, musician, architect, engineer,
the first laparoscopic gall bladder removal.
da Vinci system was introduced and cleared
you’re able to move easily —
open abdominal surgery ― and a faster,
inventor and mathematician. He created
Following that, there was explosive growth
by the FDA for laparoscopic surgery.
arguably the most finely detailed and
in laparoscopic technology and methods
easier recovery. For patients, that’s the real
anatomically accurate drawings of the
for simple surgical procedures.
miracle of robotic-assisted surgery.
human body ever produced. da Vinci also
The prototype for the da Vinci robotic
for the dramatic contrast between recovery from open abdominal surgery and
to stand and sit, to get in and out of bed, to shower and
The story of this breakthrough surgical
Intuitive Surgical, which is now the global leader in robotic-assisted, minimally invasive surgical technology, chose to call the
even to breathe normally.
For Audrey Smith, a mother of three and
loved machines and mechanics. He loved
surgical system was created in the late 80s
robotic surgical system the “da Vinci” in
All you have are five little
management consultant who lives in Mount
to study and improve existing machines,
in an effort to improve military surgical
honor of the artist who created the first robot.
‘poke holes,’ where the
Lebanon, the decision to have robotic-assisted
and designed everything from harmonicas
capabilities for the U.S. Army. The Defense
With his apparently limitless capabilities
instruments were inserted.
surgery was more complicated. Smith was
to military tanks. In 1495, he developed
Advanced Research Projects Agency
and creativity, da Vinci blended art and
planning a business trip to China when
the world’s first robot, a medieval knight
(DARPA) funded research to test the
science in a singular way. His legacy has
Dr. McGranahan, her OB-GYN, informed her that
in armor that could sit, stand, walk and
feasibility of a remote surgery program for
endured for centuries and he continues to
she had large fibroid tumors that necessitated
turn its head.
use in the front lines of battle. The idea was
inspire futuristic thinkers, including those
to substitute robots for human medics and
who developed the robotic surgical system
another creative thinker, Robert Heinlein,
surgeons, to keep them out of harm’s way.
that is transforming many surgical specialties.
wrote a science fiction novel called Waldo,
The robotic medic concept never flourished,
about a man too physically weak to care for
but the DARPA research advanced the
himself. He gained some independence by
development of surgical robotics. Another
Because there is so much less manipulation of the internal organs, you experience less pain
a hysterectomy. “I was quite anxious,” Smith
and swelling. The most
recalls. “I had had previous abdominal surgeries
difficult aspect of this
and I knew what was involved; I was laid up for
More than four centuries later, in 1942,
surgery is that you feel
six weeks with those surgeries and had a lot of
so good, you forget that you had
pain. I had this trip to China scheduled for four
using a device that enabled him to manipulate
influence was the NASA-funded work of
surgery. When I lifted things, I felt
weeks after the surgery, which could not be
a mechanical arm. Inspired by the book,
scientists at the Jet Propulsion Laboratory
a pulling sensation that was like a
canceled. I was worried; would I be recovered
inventors began designing remote
in Pasadena, Calif.
reminder — ‘oh, yeah, I just had a
enough to go? Plus, I was dealing with a lot of
manipulators, called Waldoes, and by 1950,
hysterectomy, better slow down.’”
emotions about having a hysterectomy.”
these early robots were a reality. They were
Intuitive Surgical was founded in 1995 in Sunnyvale, Calif. and secured licenses
Continued on page 10 Debra Carse 8 I HouseCall I Volume V Issue 1
Volume V Issue 1 I HouseCall I 9
PAtient Profile Continued from page 7
Debra Carse, 47, of Upper St. Clair, is a married mother of two and a registered nurse. As a nurse, she was aware of robotic-assisted surgery and knew that St. Clair Hospital was using a da Vinci system. She also knew Dr. McGranahan well, as a colleague and as her gynecologist. When Dr. McGranahan suggested that she have a robotic-assisted, hysterectomy to treat abnormal uterine bleeding that had persisted for two years, Debra had no doubt that this was the right option for her. “Dr. McGranahan was excited about
Pioneering technology
“
the most dIffIcult aspect of thIs surgery Is that you feel so good, you forget that you had surgery.
Art, Science and Science Fiction Merge in the da Vinci Surgical System
”
DEBRA CARSE
Robotic-assisted surgery is associated with a lower rate of complications and reduced
robotic-assisted surgery for gynecology,
length of stay. Patients have less post operative
and everything went exactly as she told me
pain, and subsequently less need for narcotic
it would. Dr. Brown assisted her, so I had
pain medication, and they experience far less
the benefit of having both of them there.
bleeding. They require minimal post-operative
Post-op, I had some discomfort from bloating,
nursing care. Instead of 6- to 12-inch abdominal
computer era, with a bit of science fiction
but my pain was so minimal that I only took
incisions and scarring, they have five tiny
in the mix, too.
Motrin.” Debra has exceptional appreciation
incisions that are more like punctures. Without
he da Vinci Robotic Surgical System
T
used primarily to mobilize hazardous
on the robotic technologies. The goal was
is the result of a convergence of
materials in unsafe environments, much
to take these innovative concepts and turn
powerful forces: the science of medicine,
like the bomb-detecting robots that police
them into a marketable medical device that
the art of surgery and the technology of the
use today.
allowed surgeons to operate intuitively.
In the 1980s, advances in electronics
In conventional laparoscopic surgery, the
and computer technology further propelled
surgeon moves the instrument handles in
the development of robotics. At the same
the direction that is opposite the way she
large wounds, patients are less likely to develop
device originates in the Italian Renaissance,
time, surgeons were developing minimally
or he actually wishes to go — an approach
an infection. Robotic-assisted surgery means
in the innovative mind of Leonardo da Vinci.
invasive surgery techniques and in 1987,
that surgeons describe as counter-intuitive.
robotic-assisted laparoscopy.
a shorter hospital admission ― usually one
da Vinci was undeniably a genius: a painter,
French surgeon Phillippe Mouret performed
Within four years, in 1999, the first
“Without an abdominal incision,
night as opposed to three or four following
sculptor, musician, architect, engineer,
the first laparoscopic gall bladder removal.
da Vinci system was introduced and cleared
you’re able to move easily —
open abdominal surgery ― and a faster,
inventor and mathematician. He created
Following that, there was explosive growth
by the FDA for laparoscopic surgery.
arguably the most finely detailed and
in laparoscopic technology and methods
easier recovery. For patients, that’s the real
anatomically accurate drawings of the
for simple surgical procedures.
miracle of robotic-assisted surgery.
human body ever produced. da Vinci also
The prototype for the da Vinci robotic
for the dramatic contrast between recovery from open abdominal surgery and
to stand and sit, to get in and out of bed, to shower and
The story of this breakthrough surgical
Intuitive Surgical, which is now the global leader in robotic-assisted, minimally invasive surgical technology, chose to call the
even to breathe normally.
For Audrey Smith, a mother of three and
loved machines and mechanics. He loved
surgical system was created in the late 80s
robotic surgical system the “da Vinci” in
All you have are five little
management consultant who lives in Mount
to study and improve existing machines,
in an effort to improve military surgical
honor of the artist who created the first robot.
‘poke holes,’ where the
Lebanon, the decision to have robotic-assisted
and designed everything from harmonicas
capabilities for the U.S. Army. The Defense
With his apparently limitless capabilities
instruments were inserted.
surgery was more complicated. Smith was
to military tanks. In 1495, he developed
Advanced Research Projects Agency
and creativity, da Vinci blended art and
planning a business trip to China when
the world’s first robot, a medieval knight
(DARPA) funded research to test the
science in a singular way. His legacy has
Dr. McGranahan, her OB-GYN, informed her that
in armor that could sit, stand, walk and
feasibility of a remote surgery program for
endured for centuries and he continues to
she had large fibroid tumors that necessitated
turn its head.
use in the front lines of battle. The idea was
inspire futuristic thinkers, including those
to substitute robots for human medics and
who developed the robotic surgical system
another creative thinker, Robert Heinlein,
surgeons, to keep them out of harm’s way.
that is transforming many surgical specialties.
wrote a science fiction novel called Waldo,
The robotic medic concept never flourished,
about a man too physically weak to care for
but the DARPA research advanced the
himself. He gained some independence by
development of surgical robotics. Another
Because there is so much less manipulation of the internal organs, you experience less pain
a hysterectomy. “I was quite anxious,” Smith
and swelling. The most
recalls. “I had had previous abdominal surgeries
difficult aspect of this
and I knew what was involved; I was laid up for
More than four centuries later, in 1942,
surgery is that you feel
six weeks with those surgeries and had a lot of
so good, you forget that you had
pain. I had this trip to China scheduled for four
using a device that enabled him to manipulate
influence was the NASA-funded work of
surgery. When I lifted things, I felt
weeks after the surgery, which could not be
a mechanical arm. Inspired by the book,
scientists at the Jet Propulsion Laboratory
a pulling sensation that was like a
canceled. I was worried; would I be recovered
inventors began designing remote
in Pasadena, Calif.
reminder — ‘oh, yeah, I just had a
enough to go? Plus, I was dealing with a lot of
manipulators, called Waldoes, and by 1950,
hysterectomy, better slow down.’”
emotions about having a hysterectomy.”
these early robots were a reality. They were
Intuitive Surgical was founded in 1995 in Sunnyvale, Calif. and secured licenses
Continued on page 10 Debra Carse 8 I HouseCall I Volume V Issue 1
Volume V Issue 1 I HouseCall I 9
PAtient Profile Continued from page 8
are significant. Following the far more invasive
she explains. “The da Vinci system is an extension
she says. “I’m happy to wake up in the morning
assisted hysterectomy, and Smith says that
open abdominal procedure, recovery is
of the surgeon. It’s like doing an open procedure,
and go to work.”
her doctor’s confidence convinced her.
challenging and many women experience
but through five very small incisions.”
“Dr. McGranahan is fantastic. I went in feeling
significant pain, bleeding and fatigue. A woman
so good about having this done, and it turned
is unable to drive, shop, do housework, lift
since childhood that she wanted to become a
standard for hysterectomy, while abdominal
out to be a great experience.” Smith echoes
things or return to work for six to eight weeks.
doctor and work at St. Clair Hospital. She
surgery becomes the exception. “We need to
made her dream come true by graduating
endeavor to reverse those figures, so that
from Denison University and then the University
80 percent of women have minimally invasive,
Dr. McGranahan proposed having a robotic-
Debra Carse and Judy Gilliam regarding her recovery experience. “I was out of anesthesia at 6 p.m. and up and walking at 8 p.m. That first night I was sore, but able to get out of bed by myself. I had the surgery on Thursday, went home Friday and went to the movies on Sunday. I was back at work one week later. My recovery was so smooth.” That smooth, rapid recovery is a bit of a mixed blessing, says Dr. McGranahan. “Patients rave about how quickly they rebound, but I have
“
I had the surgery oN thursday, weNt home frIday aNd weNt to the movIes oN suNday.
”
AUDREY SMITH
Still, some women need open abdominal
A native of Upper St. Clair, Dr. Brown knew
Dr. McGranahan envisions a future in which robotic-assisted surgery becomes the
of Louisville School of Medicine. She has two
robotic-assisted surgery. It should not be the
children, ages 12 and 9, and enjoys the family-
case in 2013 that the majority of women are
friendly environment within the Patricia J.
having the traditional open surgery. Our
Bulseco, M.D., PC, group. “With six doctors
mothers and grandmothers were having
in our group, we each get a day off during the
hysterectomies done that way in their mid-40s,
week, every week. I love OB GYN; I feel a special
mostly for heavy bleeding. Today we have
connection with female patients, I love surgery,
many other options for treating heavy bleeding,
and I love to deliver babies. Every time, it’s
so hysterectomy is not the automatic approach
the miracle of birth.”
to that. Still, women need hysterectomies for other reasons, and as women become educated
learned to advise them to take it easy. Too much
surgery because of the size of their organs or
activity can create complications; they can
medical complications such as obesity. Open
University of Pennsylvania who attended medical
about this, they will ask for this type of surgery.”
strain or even separate the internal incisions.
procedures, says Dr. McGranahan, do have the
school at Hahnemann University in Philadelphia
Dr. Brown agrees. “Robotic-assisted surgery
Even though this approach has tremendous
advantage of giving a surgeon the entire range
and completed her residency at West Penn
will eventually become the routine for GYN surgery.
advantages for patients, it is still surgery.
of dexterity, but the da Vinci duplicates that.
Hospital. She practiced there for seven years
Any case you’d normally do open, you should
You have to rest and let your body heal.”
“With the da Vinci, it’s like doing an open
before moving to her present position with the
consider doing robotically, unless the uterus is too
procedure, in the sense that I have the same
Bulseco OB-GYN group four years ago. She is
big. Robotic surgery allows for more dissection
and all has gone well. “I feel like I got myself
wristed mobility, the same 3D visualization,
married and the mother of two sons, ages 12
than you’d be comfortable doing laparoscopically,
back, so fast. The physical healing helped my
the same ability to make fine motor movements,”
and 10, and lives in Sewickley. “I love what I do,”
because you can see where the scars are.”
Audrey Smith went to China as planned,
Dr. McGranahan is a graduate of the
positive development; I believe that when you know you have this option, you’re more likely
Benefits of Robotic-Assisted Gynecologic Surgery
when compared to the conventional surgery. It felt like a miracle to me.” In the United States, 600,000 women undergo hysterectomy every year, for a variety
STEPHANIE S. BROWN, M.D.
time and the quality of the recovery experience
personal level for each woman, but even on a
Dr. Brown specializes in obstetrics and gynecology. She earned her medical degree at the University of Louisville School of Medicine and completed her residency at the Medical College of Ohio Hospital. Dr. Brown is board-certified by the American Board of Obstetrics and Gynecology. She practices with the Patricia J. Bulseco, M.D., PC, group.
broad social and economic level. Women are a
To contact Dr. Brown, please call 412.561.5666.
mean that women get back to their normal
• 5 tiny poke holes versus a 6- to 12-inch incision with scarring • Less pain and swelling
major presence in the workforce and their lives are full. Judy Gilliam, Debra Carse and Audrey Smith, as well as Drs. Brown and McGranahan,
uterine fibroids; prolapsed uterus; and heavy
• 1-2 weeks versus 6 weeks to resume normal activity post-op
marriages, families, jobs, elder care and other
bleeding. There are four approaches to removing
• 1 night versus a 3-4 night hospital stay
responsibilities. As Dr. McGranahan says,
the uterus: via a large open abdominal incision;
• Less post-operative pain
“So much depends on women. Getting them
of reasons: gynecologic cancer; endometriosis;
a vaginal incision; conventional laparoscopy;
are like most American women, juggling homes,
healthy and back to normal is a matter of
or with robotics. Currently, 60 percent of
• Less need for narcotic pain medications
concern that extends beyond the individual
women who have hysterectomies have the
• Reduced opportunity for infection
woman. The da Vinci technology is revolutionizing
traditional open abdominal procedure, rather than a minimally invasive one. The differences
–Shannon McGranahan, M.D.
”
tremendous. The greatly reduced recovery
lives more quickly. This matters, not only on a
to decide to have the surgery you need, rather than delay it. It’s just awesome, especially
is a matter of concern that extends beyond the individual woman. Women’s health is critically important to families and the entire community.
The implications for women’s health are
emotional healing, and I’m glad that I did it. Having this available to women is such a
So much depends on women. “ Getting them healthy and back to normal
• Low rate of complications
women’s health care. And it should — women’s
SHANNON H. McGRANAHAN, M.D. Dr. McGranahan specializes in obstetrics and gynecology. She earned her medical degree at Hahnemann University in Philadelphia and completed her residency at The Western Pennsylvania Hospital in Bloomfield. Dr. McGranahan is board-certified by the American Board of Obstetrics and Gynecology. She practices with the Patricia J. Bulseco, M.D., PC, group. To contact Dr. McGranahan, please call 412.561.5666.
health is critically important to families and the community.” ■
10 I HouseCall I Volume V Issue 1
Volume V Issue 1 I HouseCall I 11
PAtient Profile Continued from page 8
are significant. Following the far more invasive
she explains. “The da Vinci system is an extension
she says. “I’m happy to wake up in the morning
assisted hysterectomy, and Smith says that
open abdominal procedure, recovery is
of the surgeon. It’s like doing an open procedure,
and go to work.”
her doctor’s confidence convinced her.
challenging and many women experience
but through five very small incisions.”
“Dr. McGranahan is fantastic. I went in feeling
significant pain, bleeding and fatigue. A woman
so good about having this done, and it turned
is unable to drive, shop, do housework, lift
since childhood that she wanted to become a
standard for hysterectomy, while abdominal
out to be a great experience.” Smith echoes
things or return to work for six to eight weeks.
doctor and work at St. Clair Hospital. She
surgery becomes the exception. “We need to
made her dream come true by graduating
endeavor to reverse those figures, so that
from Denison University and then the University
80 percent of women have minimally invasive,
Dr. McGranahan proposed having a robotic-
Debra Carse and Judy Gilliam regarding her recovery experience. “I was out of anesthesia at 6 p.m. and up and walking at 8 p.m. That first night I was sore, but able to get out of bed by myself. I had the surgery on Thursday, went home Friday and went to the movies on Sunday. I was back at work one week later. My recovery was so smooth.” That smooth, rapid recovery is a bit of a mixed blessing, says Dr. McGranahan. “Patients rave about how quickly they rebound, but I have
“
I had the surgery oN thursday, weNt home frIday aNd weNt to the movIes oN suNday.
”
AUDREY SMITH
Still, some women need open abdominal
A native of Upper St. Clair, Dr. Brown knew
Dr. McGranahan envisions a future in which robotic-assisted surgery becomes the
of Louisville School of Medicine. She has two
robotic-assisted surgery. It should not be the
children, ages 12 and 9, and enjoys the family-
case in 2013 that the majority of women are
friendly environment within the Patricia J.
having the traditional open surgery. Our
Bulseco, M.D., PC, group. “With six doctors
mothers and grandmothers were having
in our group, we each get a day off during the
hysterectomies done that way in their mid-40s,
week, every week. I love OB GYN; I feel a special
mostly for heavy bleeding. Today we have
connection with female patients, I love surgery,
many other options for treating heavy bleeding,
and I love to deliver babies. Every time, it’s
so hysterectomy is not the automatic approach
the miracle of birth.”
to that. Still, women need hysterectomies for other reasons, and as women become educated
learned to advise them to take it easy. Too much
surgery because of the size of their organs or
activity can create complications; they can
medical complications such as obesity. Open
University of Pennsylvania who attended medical
about this, they will ask for this type of surgery.”
strain or even separate the internal incisions.
procedures, says Dr. McGranahan, do have the
school at Hahnemann University in Philadelphia
Dr. Brown agrees. “Robotic-assisted surgery
Even though this approach has tremendous
advantage of giving a surgeon the entire range
and completed her residency at West Penn
will eventually become the routine for GYN surgery.
advantages for patients, it is still surgery.
of dexterity, but the da Vinci duplicates that.
Hospital. She practiced there for seven years
Any case you’d normally do open, you should
You have to rest and let your body heal.”
“With the da Vinci, it’s like doing an open
before moving to her present position with the
consider doing robotically, unless the uterus is too
procedure, in the sense that I have the same
Bulseco OB-GYN group four years ago. She is
big. Robotic surgery allows for more dissection
and all has gone well. “I feel like I got myself
wristed mobility, the same 3D visualization,
married and the mother of two sons, ages 12
than you’d be comfortable doing laparoscopically,
back, so fast. The physical healing helped my
the same ability to make fine motor movements,”
and 10, and lives in Sewickley. “I love what I do,”
because you can see where the scars are.”
Audrey Smith went to China as planned,
Dr. McGranahan is a graduate of the
positive development; I believe that when you know you have this option, you’re more likely
Benefits of Robotic-Assisted Gynecologic Surgery
when compared to the conventional surgery. It felt like a miracle to me.” In the United States, 600,000 women undergo hysterectomy every year, for a variety
STEPHANIE S. BROWN, M.D.
time and the quality of the recovery experience
personal level for each woman, but even on a
Dr. Brown specializes in obstetrics and gynecology. She earned her medical degree at the University of Louisville School of Medicine and completed her residency at the Medical College of Ohio Hospital. Dr. Brown is board-certified by the American Board of Obstetrics and Gynecology. She practices with the Patricia J. Bulseco, M.D., PC, group.
broad social and economic level. Women are a
To contact Dr. Brown, please call 412.561.5666.
mean that women get back to their normal
• 5 tiny poke holes versus a 6- to 12-inch incision with scarring • Less pain and swelling
major presence in the workforce and their lives are full. Judy Gilliam, Debra Carse and Audrey Smith, as well as Drs. Brown and McGranahan,
uterine fibroids; prolapsed uterus; and heavy
• 1-2 weeks versus 6 weeks to resume normal activity post-op
marriages, families, jobs, elder care and other
bleeding. There are four approaches to removing
• 1 night versus a 3-4 night hospital stay
responsibilities. As Dr. McGranahan says,
the uterus: via a large open abdominal incision;
• Less post-operative pain
“So much depends on women. Getting them
of reasons: gynecologic cancer; endometriosis;
a vaginal incision; conventional laparoscopy;
are like most American women, juggling homes,
healthy and back to normal is a matter of
or with robotics. Currently, 60 percent of
• Less need for narcotic pain medications
concern that extends beyond the individual
women who have hysterectomies have the
• Reduced opportunity for infection
woman. The da Vinci technology is revolutionizing
traditional open abdominal procedure, rather than a minimally invasive one. The differences
–Shannon McGranahan, M.D.
”
tremendous. The greatly reduced recovery
lives more quickly. This matters, not only on a
to decide to have the surgery you need, rather than delay it. It’s just awesome, especially
is a matter of concern that extends beyond the individual woman. Women’s health is critically important to families and the entire community.
The implications for women’s health are
emotional healing, and I’m glad that I did it. Having this available to women is such a
So much depends on women. “ Getting them healthy and back to normal
• Low rate of complications
women’s health care. And it should — women’s
SHANNON H. McGRANAHAN, M.D. Dr. McGranahan specializes in obstetrics and gynecology. She earned her medical degree at Hahnemann University in Philadelphia and completed her residency at The Western Pennsylvania Hospital in Bloomfield. Dr. McGranahan is board-certified by the American Board of Obstetrics and Gynecology. She practices with the Patricia J. Bulseco, M.D., PC, group. To contact Dr. McGranahan, please call 412.561.5666.
health is critically important to families and the community.” ■
10 I HouseCall I Volume V Issue 1
Volume V Issue 1 I HouseCall I 11
Life-saving technoLogy
Life Saver Portable LifeVest can help save lives
T
hanks to a “vest,” two St. Clair Hospital patients who
Following rehabilitation, Andrew's heart began to beat out of
were about to experience life-threatening heart attacks
rhythm while he was at home. His LifeVest detected the life-
were able to spend the recent holidays with their families.
threatening arrhythmia and delivered a treatment shock.
But this was more than just an ordinary vest; it was the
LifeVest — the first wearable defibrillator manufactured by
had Andrew not been wearing the LifeVest, he probably would
Zoll Medical Corporation in Pittsburgh. Unlike a cardioverter
not have survived that day.
defibrillator, the LifeVest is worn outside the body rather than implanted in the chest. It requires no bystander intervention. Pittsburgh patient, Andrew Tichon, 61, was prescribed
Dry, non-adhesive sensing electrodes continuously monitor patient’s heart.
His electrophysiologist, Puvalai M. Vijaykumar, M.D. said
Bridgeville resident Frank Ptaszynski, 59, another patient of Dr. Vijaykumar, was also prescribed the LifeVest following balloon angioplasty and stent insertion. While visiting St. Clair
the LifeVest following a diagnosis of ischemic and dilated
Hospital for another unrelated medical condition, Frank passed
cardiomyopathy. After Andrew had been wearing the LifeVest
out after his heart lost its life-sustaining rhythm. As with Andrew,
for about six months, he went to St. Clair Hospital to have open
the LifeVest delivered a treatment shock and helped Frank regain
heart surgery. Following his surgery, he continued to wear the
consciousness. Moments later, his heart was restored to a
LifeVest during his recovery at an area rehabilitation facility.
normal rhythm. In both of these cases, the LifeVest came to the rescue. Once fitted, the LifeVest continuously monitors a patient’s heart and, if a life-threatening heart rhythm is detected, the device delivers a treatment shock to restore normal heart rhythm. The device alerts the patient prior to delivering a treatment shock by sounding an alarm and releasing a conductive gel over the patient's chest. According to Dr. Vijaykumar, the LifeVest is used for a wide range of patient conditions, including following a heart attack, before or after bypass surgery or stent placement, as well as cardiomyopathy or congestive heart failure. “We recommend the LifeVest to a patient who is at risk for sudden cardiac arrest or who recently had a heart attack,” he says. “Typically, we wait for 40 days following a myocardial infarction (heart attack) before we can place an implantable cardioverter defibrillator. Some patients may need to wait for 90 days. These are people who have a dilated cardiomyopathy, patients who had a recent balloon angioplasty or a stent placed, and people who had coronary artery bypass surgery. During this waiting period, the patient has to be protected from sudden cardiac arrest — and the LifeVest protects them.”
Comfortable, lightweight garment is washable and can be worn all day, except when bathing and showering.
If a life-threatening arrhythmia is detected, this alarm module alerts the patient with audible, visual and tactile alarms. A conscious patient can prevent a shock by simultaneously pressing two response buttons.
In the event of a life-threatening arrhythmia, these dry therapeutic electrodes will automatically deploy conductive gel prior to delivering a shock.
12 I HouseCall I Volume V Issue 1
This monitor is worn in a holster around the waist and from the sensing electrodes collects ECG data that can be sent to a doctor via modem.
Electrophysiology THE FASTEST GROWING CARDIOVASCULAR DISCIPLINE As an electrophysiologist, Puvalai Vijaykumar, M.D. can help determine whether a patient is at high risk for sudden cardiac arrest or cardiovascular disease. According to the Heart Rhythm Foundation, electrophysiology, a subspecialty of cardiology, is now the fastest growing of all the cardiovascular disciplines. Electrophysiologists, like Dr. Vijaykumar, are cardiologists who have additional training in the diagnosis and treatment of abnormal heart rhythms. Dr. Vijaykumar and his staff evaluate and treat patients who have a variety of cardiac arrhythmias and abnormal heart rhythms. Your heart sends out electrical signals throughout the muscle, thereby acting as a natural pacemaker. These signals will cause each of your heart’s four chambers to relax and contract in a rhythmic pattern. If your heart could not send out a signal, it would be a motionless pump. “People can have a slow heart beat or a rapid heart beat,” David DeCarlucci, MS, CES, Supervisor, Cardiac/Pulmonary Rehabilitation at St. Clair Hospital, demonstrates the LifeVest while exercising.
notes Dr. Vijaykumar. "As electrophysiologists, we evaluate their abnormal heart rhythm and prescribe the appropriate treatment. In some cases, we may need to insert a pacemaker or an implantable cardioverter defibrillator; and in other cases, they
on average, Lifevest is saving one life a day.
The LifeVest also allows physicians like Dr. Vijaykumar time to assess patients' long-term arrhythmic risk and make appropriate plans. Once
may need a procedure called a radio-frequency ablation.” Dr. Vijaykumar and his staff routinely handle heart rhythm
a patient gets shocked from a LifeVest, the patient
problems in patients of all ages. They often work closely with
immediately receives an implanted defibrillator.
other cardiologists and specialists to achieve the best outcomes
That waiting period goes away — they do not have
for these complex cases. ■
to wait for 40 or 90 days. Since the LifeVest is lightweight and easy to wear, Dr. Vijaykumar says it allows patients to
return to their normal activities of daily living, while having the peace of mind that they are protected from sudden cardiac arrest. “It’s like any vest you may wear with adjustable straps,” says Dr. Vijaykumar. The LifeVest is non-invasive and consists of two main components ― a garment and a monitor. The garment, worn under the clothing, detects arrhythmias and delivers treatment shocks. The monitor is worn around the waist or from a shoulder strap and continuously monitors the patient’s heart. To date, the LifeVest has been prescribed to more than 75,000 patients nationwide. ■
PUVALAI M. VIJAYKUMAR, M.D. Dr. Vijaykumar specializes in electrophysiology and cardiology at St. Clair Hospital. He earned his medical degree at Stanley Medical College and completed his medical training at Madras Medical College, both in India. He completed an internship at Cabrini Medical Center in Manhattan, and fellowships at Coney Island Hospital in Brooklyn and Deborah Heart and Lung Center in Browns Mills, New Jersey. Dr. Vijaykumar is board-certified in cardiology and electrophysiology. He practices with Pittsburgh Cardiac Electrophysiology Associates, P.C. To contact Dr. Vijaykumar, please call 412.687.8838. Volume V Issue 1 I HouseCall I 13
asK the DoctoR
Ask the Doctor Q A
BrIDGET K. BEIEr, D.O.
Is there a relationship between diabetes and heart disease?
There is strong link between diabetes and heart disease. People with both Type I and Type II diabetes are at increased risk of developing and dying from heart disease. If you have diabetes, you are twice as likely as someone without diabetes to suffer a heart attack or stroke. According to the National Institutes of Health, about 65 percent of people with diabetes die of a heart attack or stroke. Even at the time of diabetes diagnosis, many diabetics already have overt heart disease (past heart attack, peripheral vascular disease, or EKG changes). Many patients with diabetes have multiple risk factors for heart disease, including high blood pressure, cholesterol abnormalities, and obesity. The pathogenesis of heart disease in diabetics is complex. In simple terms, high blood sugar levels over time can lead to the buildup of fatty materials on the insides of blood vessel walls. This in turn can cause abnormal blood flow, leading to increased chance of clogging and hardening of blood vessels. Chronic inflammation may also play a role.
The good news is, there are many ways for diabetics to reduce their risk of heart disease. Good blood sugar control is important. The goal HgA1c (this test provides an average of your blood sugars over the preceding 2- to 3-month period) for most patients with diabetes is less than 7 percent. Aggressive control of high blood pressure and high cholesterol are also vitally important. A goal blood pressure for most people with diabetes is less than 130/80. In regards to cholesterol, the LDL (“bad cholesterol”) should be less than 100 in diabetics without known heart disease. The target LDL in diabetics who have already been diagnosed with heart disease is less than 70. Fortunately, there are safe and effective medications available to help people meet their blood pressure and cholesterol targets. Smoking cessation lowers cardiovascular risk substantially. Additionally, a low dose daily aspirin may be beneficial in diabetics at high risk for heart disease, but is no longer recommended for low risk individuals. Finally, lifestyle modifications can greatly reduce the risk of heart disease in diabetics. Diet, exercise and weight loss can make a big impact. Try to get at least 30 to 60 minutes of exercise most days of the week and follow a diet that is low in saturated fats and salt. ■
BRIDGET K. BEIER, D.O. Dr. Beier specializes in endocrinology. She earned her medical degree at Lake Erie College of Osteopathic Medicine and completed her residency at the University of Connecticut Health Care Center and a fellowship at Virginia Commonwealth University Health System. She is board-certified in internal medicine and endocrinology. She practices with Associates in Endocrinology, P.C. To contact Dr. Beier, please call 412.942.2140.
14 I HouseCall I Volume V Issue 1
Diagnostic aDvances
Advanced Technologies at St. Clair Hospital’s New Breast Care Center Enhance Mammography Screening
S
t. Clair Hospital’s new Breast Care Center in Bethel Park is quickly gaining a stellar reputation among patients for a spa-like ambience that offers them an environment exuding comfort, convenience and beauty. But patients are also praising the center’s advanced diagnostic imaging technology, particularly a new technology called 3D breast tomosynthesis. A recent study involving 3D breast tomosynthesis found a significant increase in cancer detection rates, particularly for invasive cancers, and a simultaneous decrease in false-positive rates with use of mammography, plus 3D tomosynthesis, when compared with mammography alone. At the St. Clair Hospital Breast Care Center, 3D breast tomosynthesis, which is FDA-approved, is often used in conjunction with traditional digital mammography as part of a woman’s annual screening mammogram to capture more breast images.
WHAT IS 3D BREAST TOMOSYNTHESIS? 3D breast tomosynthesis uses high-powered computing to convert digital breast images into a stack of very thin layers or “slices” ― building what is essentially a “3-dimensional mammogram.” The 3D images allow doctors to examine breast tissue one layer at a time. Very low X-ray energy is used during the screening examination ― which takes about 10 seconds to acquire ― so a patient’s radiation exposure is safely below the American College of Radiology (ACR) guidelines.
“
3D tomosynthesis has proven particularly beneficial in women with Dense breast tissue anD has reDuceD the number of unnecessary invasive Diagnostic proceDures.
”
With 3D images, St. Clair Hospital diagnostic radiologists can see tissue detail in a way never before possible. Instead of viewing all of the complexities of a woman’s breast tissue in a flat 2D image, a radiologist can examine the tissue a millimeter at a time. Fine details are more clearly visible, no longer hidden by the tissue above and below. When used together, 3D breast tomosynthesis and digital mammography have been proven to reduce “call-backs,” scenarios in which patients are asked to return for follow-up examinations to rule out any suspicious areas. The use of 3D tomosynthesis has proven particularly beneficial in women with dense breast tissue and has reduced the number of unnecessary invasive diagnostic procedures. ■ The St. Clair Hospital Breast Care Center is on the Third Floor of the St. Clair Hospital Outpatient Center–Village Square, 2000 Oxford Drive, Bethel Park. To contact the center, please call 412.942.3177.
Volume V Issue 1 I HouseCall I 15
St.Clair Hospital 1000 Bower Hill Road Pittsburgh, PA 15243 www.stclair.org
General & Patient Information 412.942.4000
HouseCall
Physician Referral Service 412.942.6560
Outpatient Center–Village Square 412.942.7100
is a publication of St. Clair Hospital. Articles are for informational purposes and are not intended to serve as medical advice. Please consult your personal physician.
Medical Imaging Scheduling 412.942.8150
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AuxiliAry lobby
Renovations Enhance Patient and Visitor Experience
I
n November, St. Clair Hospital formally
throughout the decades. In its honor, the First
original paintings and photography of local
dedicated its newly renovated First Floor
Floor Lobby was renamed the “Auxiliary Lobby.”
artists for sale. Just past the art gallery is a
Lobby and entryway to the Professional Office
Building, enhancements that have transformed
And while the lobby’s facelift has enhanced
new Information Desk, where patients and
the aesthetics, it also has greatly improved how
visitors can talk with a friendly customer
one of the most trafficked areas of the Hospital
patients and visitors navigate the building. The
service representative or volunteer before
from ordinary to extraordinary.
entrance features a new covered, wide entryway
stepping onto nearby elevators or relaxing
with automatic doors for patient drop-off or valet
on the brightly lit lobby’s many new couches
a generous gift from the Hospital’s Auxiliary,
service. Once inside, a new 45-inch electronic
and chairs.
which closed out its 67-year history at the
touch-screen Directory makes finding a physician’s
Hospital with a $500,000 donation to the St. Clair
office, Patient Registration, or even Café 4,
Office Building through the Auxiliary Lobby,
Hospital Foundation. Instrumental in the
a simple, speedy process.
patients and visitors have their choice of two
Much of the renovation was paid for through
Hospital’s founding in the early 1950s, the Auxiliary donated more than $6 million to St. Clair
A short walk through the sun-drenched glass atrium leads to a new art gallery featuring
When exiting the Hospital or the Professional
convenient Pay Stations for the Parking Garage’s new ticket-based system. ■