From the chairman - Department of Neurology and Psychiatry
Transcription
From the chairman - Department of Neurology and Psychiatry
Department of Neurology & Psychiatry, Saint Louis University School of Medicine Spring 2010 From the chairman Part of the broad mission of the Department of Neurology & Psychiatry is to provide collaborative care for patients with neurological and psychiatric disorders. We recognize that, for a patient to truly heal, not only the physical, but also the emotional consequences of the disease must be treated. This holds true across multiple diseases, whether the disease is depression or multiple sclerosis or Alzheimer’s disease. Across the nation there has been a call for neurology and psychiatry to come closer because of the basic neuroscience that underpins both disciplines. Given the structure of our department, it should be no surprise that Saint Louis University supports this ini- Saint Louis University School of Medicine tiative. At the same time, we are not interested in producing a hybrid trainee “neuropsychiatrist.” Rather we wish to take the best of each approach to enhance patient care. Our mission will not be actualized soon, in part because of challenges to the multidisciplinary model that we face from reimbursement for clinical care. We are, however, making progress. Didactic sessions in neurology and psychiatry for our residents and medical students are partially shared, so that both perspectives are apparent for trainees. We are making attempts to enhance the care of patients with multiple sclerosis by collaborative care plans by our faculty. Ani Acharya, a neurologist who specializes in rehabilitation, has studied post-stroke depression extensively and works collaboratively with John Chibnall to further this research. Our mission is also fulfilled through the Clinical Research Unit. Staffing combines the experiences of research coordinators who had previously been dedicated only to neurologic or psychiatric trials. They now pool resources to exploit their expertise to the benefit of the entire research effort of the Department. Similarly, Abhilash Desai, a geriatric psychiatrist, is collaborating with the DePaul Medical Center neurologists to establish his Healthy Brain Aging program, leveraging the expertise of both psychiatry and neurology in the pursuit of enhanced patient care. As a Department we continue to grow. We now have two accredited stroke programs, one at SLU Hospital and the other at SSM DePaul Medical Center. Soon, we will extend neurological services to SSM St. Clare. Further, we continue to welcome new faculty members and build new programs, as you will see on subsequent pages. As is the case for all academic medical centers, we are challenged by the reduction of research funding opportunities, reimbursement for clinical activity, and philanthropic support. We would welcome your help to get us through these tough times. I extend my thanks to a wonderful faculty and staff that make my job easier in these challenging, but rewarding, times. I look forward to another great year for the DNP. Henry J. Kaminski, M.D. Chair, Department of Neurology & Psychiatry Saint Louis University School of Medicine Neurotransmitter Spring 2010 Welcome to New Faculty! Amer AlShekhlee, MD, Associate Professor of Neurology, joined our faculty in January 2010. Amer received his MD at the University of Baghdad College of Medicine and completed neuromuscular fellowship and residency at Case Western Reserve University. He obtained a masters degree in clinical research, while an assistant professor at Case Western. Amer is nationally known for his work in neuromuscular disease and stroke. He has mined national hospital data bases to assess trends in patient outcomes and costs, which in the future may be applied to comparative effectiveness assessments. Francisco Gondim, MD, MSc, PhD, joined our faculty in March 2010. Dr. Gondim completed his MD at the Universidade Federal do Ceara, Brazil, where he also completed a MSc and PhD in Pharmacology. He trained in neurology at SLU and completed fellowship training in critical care at Washington University, where he also served as Clinical Instructor in neurological critical care. He then moved to Cornell University, where he completed clinical neurophysiology training. In 2004, he returned to Brazil to work as Professor Adjunto at Universidade Federal do Ceara, where he served as neurology residency director and an advisor for MS/PhD programs. He also received several Deepa Arun, MD, grants to support work in the study of joined our faculty in the pathogenesis of neuropathy. July 2009. Deepa Francisco has achieved international trained in pediatrics recognition for his work in autonomic at the University of and peripheral nervous system disorMedicine and Den- ders. tistry in New Jersey and in child neurology at Washington Lauren R. University in St. Louis. She is board Schwarz, PhD, is a certified in Pediatrics and Neurology clinical neuropsywith Special Qualification in Child chologist who reNeurology. Deepa’s clinical focus is cently joined the in general child neurology, with spefaculty as an assiscial interest in neonatal neurology, tant professor and cerebral palsy, and headache. Her is the Director of research interests include therapeutic the Neuropsychology Division. Lauinterventions and co-morbidities of ren earned her doctorate in clinical headache disorders. psychology from Saint Louis University. She completed her internship training at the University of Alabama at Birmingham and a fellowship at the University of Illinois at Chicago. Dr. Schwarz’s clinical interests are in the Page 2 provision of neuropsychological services to adults with a diverse range of presenting concerns including cognitive sequelae of neurologic conditions (such as, stroke, epilepsy, brain tumor, Parkinson’s disease, multiple sclerosis), suspected memory problems or dementia, traumatic brain injury, medical conditions affecting central nervous system functioning (e.g., liver disease, HIV infection, or cardiac disorders), psychiatric conditions, attentional disorders, and learning disorders. Her research interests include cognitive functioning in adults with Moyamoya disease; visual memory and executive functioning in traumatic brain injury; and the assessment of feigned and exaggerated neurocognitive dysfunction. William Maurice Redden, MD, joined our faculty in August 2009. William completed geriatric psychiatry training at Saint. Louis University and prior to that trained in adult psychiatry at Wake Forest University School of Medicine. He has a joint appointment at the St. Louis VA Medical Center, where he works on the geriatric behavioral unit. His interests include dementia care in minority populations, aging successfully and mental health issues in pa- tients with HIV/AIDS. http://neuroandpsych.slu.edu Department of Neurology & Psychiatry Program Spotlights Child Neurology primed for expansion Under the leadership of David Walsh, Child Neurology expands with the addition of Deepa Arun (see new Faculty page) and the anticipated arrival of Sean Goretzke. Sean, a graduate of ours, is completing his military service to the US Navy and will join the faculty this summer. The Division will continue its expansion with a focus on building a nationally recognized epilepsy program. After leading the residency program to reaccreditation, Tom Geller will step down as director and allow Alpa Vashist, to take on this critical role for the Department. Tom will focus his time on pursuit of his research interests in neurofibormatosis and oncology. The Division has added a clinical nurse, Tawni Collins, who has greatly increased both the volume and efficiency of clinical services, in particular patientphysician communications. The program continues a tradition of outstanding educational contributions. David and Tom will direct a breakfast seminar at the AAN Annual Meeting in Toronto entitled: Blink and You Live: Coma Prognosis in Child Neurology. Anu Nayak and Otto Aldahondo, child neurology fellows presented well received Interventional Neurology In 2009, a new partnership was established by the Department with SSM Health Care. An Interventional Neurology and Stroke Service at the DePaul Health Center was initiated, as part of an 8 million dollar in- From left to right: Drs. Arun, Vashist, Walsh, Geller papers at the Fourth Annual Missouri Valley Child Neurology Colloquium in Lake of the Ozarks. The Division of Child Neurology reluctantly reports the departure of Glen Fenton, who will be moving to the University of New Mexico in Albuquerque. Glen has served SLU for nearly 20 years and his contributions cannot be underestimated. He will be missed. vestment in the SSM Neurosciences Institute. The service is led by Randall Edgell and Nirav Vora, both trained in vascular neurology as well as neurointervention. The interventional neurology service’s main campus at Saint Louis University Hospital treats patients with aneurysms, acute stroke, intracranial stenosis, carotid stenosis, and arteriovenous malformations. The combined campuses are on track to perform over 600 diagnostic and 150 interventional procedures a year. The interventional neurology service supports a fellowship program and participates in several national trials of neurointerventional devices and procedures. In the coming year, interventional neurology will add a third faculty member, Charlie Callison, a former SLU neurology resident, who will help the service to expand coverage to the John Cochran Veteran’s Affairs Medical Center and part-time coverage of SSM St. Clare Medical Center Dr. Edgell performing a case at SLU Hospital Page 3 Neurotransmitter Spring 2010 Program Spotlights Forensic Psychiatry Over the past year Alan Felthous, Tracy Gunter, Hilary Klein, and Lauren Schwarz have conducted pretrial and agency evaluations in a variety of psycholegal consultations including personal injury, testa- From left to right: Drs. Klein, Gunter, Schwarz, Felthous mentary capacity, decisional capacity, guardianship, medical malpractice risk exposure, and criminal matters such as competence to stand trial and criminal responsibility. The goal for the forensic service is to ensure prompt responses to requests for forensic consultation from the time of initial contact, through the evaluation process and production of the forensic report, through to the conclusion of case needs. SLU residents in psychiatry, together with Drs. Gunter and Felthous, provide psychiatric services at the Saint Louis County Jail. Working together with a skilled, multidisciplinary mental health team, they have brought about critical improvements in the quality of mental health services at the jail. An important initiative has been the more selective, judicious use of medications in a population prone to misdiagnosis and abuse of mind altering substances. The chief and most desired goal has been improvement in the quality, safety and effectiveness of psychopharmacotherapy, but more methodical prescribing practices have also resulted in reduction in jail formulary costs by tens of thousands of dollars. The problem, solution and outcome will be presented by a multidisciplinary team at the annual meeting of the National Commission on Correctional Health Care in April. Dr. Gunter continues, in collaboration with her research collaborators in Iowa, to pursue the study of geneticenvironment interactions that contribute to substance use, antisocial personality, and psychopathy. She has presented and published findings from these and other studies at national and international meeting and journals, most recently having completed an updated literature review on the genetics of psychopathy that will soon be published in Behavioral Sciences and the Law. Dr. Klein has a weekly psychiatric clinic at the Juvenile Detention Center. There she evaluates any new detainees already on psychotropic medication, detainees whom staff feel may be suicidal or homicidal, and those detainees whose complexity of presentation calls for in-depth psychiatric evaluation or psychological testing. Neuropsychology Service Established The Department of Neurology & Psychiatry has opened a clinical and educational Neuropsychology Service directed by Lauren Schwarz. The service provides evaluations of cognitive difficulties that are tailored to meet the individual needs of patients and physicians. Evaluations include the assessment of higher cognitive abilities with the goal of assisting with differential diagnosis; prognosis and dispositional planning; defining strengths and weaknesses; rehabilitation issues; ability to return to work; and tracking of changes in functioning over time. Academically, the neuropsychology service will provide training opportunities for residents and medical students. Ultimately, a goal of the service is to establish a neuropsychology training program at the pre-doctoral and post-doctoral levels. Another goal is to aid other faculty members with the neuropsychological/cognitive aspects of their research investigations. The neuropsychology service has developed a clinical database in order to facilitate independent research projects and provide an opportunity for Saint Louis University students to obtain access to clinical populations for research purposes. Page 4 http://neuroandpsych.slu.edu Department of Neurology & Psychiatry Program Spotlights Strong partnership with St. Louis VA Psychiatry The St. Louis VA Medical Center is proud to offer comprehensive mental health services to veterans with a staff of over 25 psychiatrists working in collaboration with psychologists, social workers, nurses, advanced nurse practitioners, and numerous ancillary staff. The Division of Psychiatry is also a proud partner with the Department of Neurology & Psychiatry, fostering a rich educational experience for SLU medical students and resident physicians in psychiatry. The St. Louis VA Psychiatry Service, under the leadership of James W. Cannon, has four inpatient units, including one dedicated to geriatric psychiatry. There is also a substance abuse residential rehabilitation treatment program and a domiciliary for homeless veterans. In the outpatient clinics, integrated teams provide general mental health services as well as specialized services for geriatric veterans, posttraumatic stress disorder, and psychiatric problems cooccurring with substance abuse. A highly specialized team cares for a growing population of veterans with posttraumatic stress disorder from the wars in Iraq and Sleep Medicine Program continues to grow The sleep medicine program continues to grow and establish itself as one of the leading sleep medicine centers in the region. Both the SLUCare Sleep Disorders Center, led by Joseph Espiritu and Raman Malhotra, and the Pediatric Sleep and Research Center at Cardinal Glennon Childrens Medical Center, led by Shalini Paruthi , have been accredited by the American Academy of Sleep Medicine (AASM) in the last year. The SLU sleep program is one of the few academic centers in the region, and the only in St. Louis, that has adult and pediatric sleep centers that meet the high standards of the AASM, which ensures proficiency in areas such as testing procedures and policies, patient safety, and physician and staff training. Saint Louis University and Cardinal Glennon Children’s Afghanistan. There is a dedicated psychiatrist who works closely with outpatient primary care teams and a team of psychiatrists to provide consultation and liaison service to medical and surgical inpatients and the emergency room. The VA also has an opioid addiction treatment program in which psychiatrists provide medication management along with intense group psychotherapy. Hospital are proud to be a site for the Childhood Adenotonsillectomy Study, a NIH funded trial which will be the first randomized, controlled study of behavioral, neurocognitive, and physiologic changes in children who undergo adenotonsillectomy for mild-moderate sleep apnea. Plans are ongoing for uniting sleep and fatigue researchers and clinicians from across the university and city to assist collaborations in research and education. The SLU Sleep Medicine Program hosted educational programs for the community during the National Sleep Awareness Week (March 7-13, 2010) and the first ever “Sleep Medicine for Primary Care Providers” CME Course will take place on May 22, 2010, at the Busch Student Center. Page 5 Neurotransmitter Spring 2010 Program Spotlights Neurorehabilitation Service News Since 2005, the Department has been in partnership with SSM Rehab creating the Neurorehabilitation Center of excellence at Saint Mary’s Health Center. The mission of the service is to maximize neurological recovery after brain injury using a multidisciplinary team approach. The center is committed to developing new and innovative therapies to enhance neurological recovery and improve quality of life. Projects include improving neurological recovery, post-stroke depression, and the effects of brain injury on cognition. Aninda Acharya is the director of the Neurorehabilitation service and is supported by other faculty members, including Amy Rauchway, Laurence Kinsella, and John Selhorst. Since the inception, the center has cared for 300-400 patients per year and received referrals from many regional hospitals including Saint Louis University Hospital, DePaul Medical Center, St. Clare Medical Center and Barnes Jewish Hospital. Two neurology residents and one to four medical students rotate on the neurorehabilitation service monthly. The rotation provides trainees the opportunity to collaborate closely with a multi-disciplinary team of nurses, neuropsychologists as well as physical, occupational and speech therapists. Under the supervision of the attending, trainees evaluate and manage patients who are recovering from stroke and other neurological disorders. Residents develop their skills St. Louis VA Spinal Cord Injury/Dysfunction Service - update The St. Louis VA Spinal Cord Injury/Dysfunction (SCI) Service has entered into partnership with Ameristar Casinos and the CH Neilsen Foundation which match the donations of Casino employees to enhance financial support for the care of patients. As a result, the VA has enhanced care provided and improved equipment for veterans with SCI. In addition, the VA Research Office has extended its ongoing multi-center vocational rehabilitation study by five years and expanded funding, which has lead to provision of a full-time vocational counselor. Also at the VA, the Pain Rehabilitation Service is now fully functional. Adam Bank, PhD, Jackie Caskanett, RN, Carey Keys, DPT, Nancy Little, pharmacist, James Toombs, MD, and Pamela WakePage 6 From right to left: Drs. Acharya and Rauchway with medical students and a resident at SSM Rehab as effective health care team leaders through active participation in the rehabilitation process. Recently, Select Medical Corporation developed a joint venture with SSM Rehab. The partnership will build on the existing base of state-of-art care and develop a new free standing rehabilitation hospital in the coming years. The vendor provides exciting possibilities, including affiliations with many of the best rehabilitation hospitals in the country. field, DC, with assistance from Florian Thomas provide multidisciplinary care to veterans with chronic pain using psychological techniques, a three room chiropractic suite, and a C arm for interventional treatments. Movement Disorders Program- update The program directed by Pratap Chand has evolved into an active specialty service which provides state-ofthe-art management including chemodenervation therapy. In collaboration with Neurosurgery, the team offers deep brain stimulation therapy utilizing intraoperative microelectrode recording and a unique frameless technique for surgical management of patients with advanced Parkinson's disease, refractory dystonia and essential tremor. http://neuroandpsych.slu.edu Department of Neurology & Psychiatry Faculty honors Laurence Kinsella James Willmore Congratulations to Laurence Kinsella, for being awarded the U.S. Psychiatric and Mental Health Congress 2009 Teacher of the Year, a first for a non-psychiatrist. The Congress is the largest independent mental health meeting in the United States, with 2500 attendees. Laurence provides lectures dedicated to drug interactions, chronic daily headache, and dizziness and imbalance. He has recently developed a multidisciplinary clinic with Otolaryngology at St John's establishing the SLUCare Autonomic, Dizziness and Imbalance Center. Currently, SLUCare has the only autonomic laboratory in St. Louis. The laboratory evaluates patients with chronic dizziness, syncope, and postural tachycardia. Laurence's research interests include autonomic dysfunction, autonomic testing, neuromuscular disease, and P450 drug interactions. Dr. Kinsella is co-Chair of the American Academy of Neurology's Government Relations Committee, and the president of the Missouri State Neurologic Association, which had its inaugural meeting at the Renaissance Airport Hotel March 26, 2010. Congratulations to L. James Willmore, for being named to receive the American Epilepsy Society's (AES) 2009 Service Award. The award honors Dr. Willmore for his extraordinary service in the field of epilepsy and long record of service to AES and its members. The award was presented during the December AES annual meeting in Boston. Dr. Wilmore is professor of neurology, pharmacology & physiology and associate dean of admissions at the Saint Louis University School of Medicine. Prior to his current appointment, Jim served as the founding director of the Texas Comprehensive Epilepsy Program at the University of Texas. There he trained a host of young physicians and scientists in epilepsy. His career in clinical and basic research has been devoted to the development of new antiepileptic drugs and studies to reveal the action and molecular mechanisms by which antiepileptic drugs control seizures. Congratulations to Salvador Cruz-Flores, for selection as the 2010 Hugh McCulloch Award winner. The award is named in honor of one of St. Louis’s most revered cardiologists. Hugh McCulloch was one of the founding fathers of the American Heart Association. The award is the Midwest affiliates most prestigious tribute to a medical volunteer in the St. Louis area. Dr. Cruz is the Director of the Souers Stroke Institute and holds the Sydney W. Souers endowed Chair. Salvador Cruz-Flores Congratulations to Anjan Bhattacharyya, Abhilash Desai, Eli Feen, Joao Ramos, and Yi Pan for receiving “The Caring Physician Award 2009” from Saint Louis University Hospital. Annually, attending physicians, fellows and residents are nominated by their colleagues to receive the award. The criteria for the nominations are taken from the Hospital Mission and Values Statement and Target 100 which are based on the highest ethical standards for a medical professional. Standards include partnership and collaboration with staff as well as the practice of holistic, innovative and spiritual care. 2009 Aninda B. Acharya Wegdan Andrews Salvador Cruz-Flores Abhilash K. Desai Eliahu S. Feen Alan R. Felthous Miggie L. Greenberg George T. Grossberg Tracy D. Gunter Ghazala Hayat Henry J. Kaminski, Laurence J. Kinsella Hilary K. Klein Jothika Manepalli Mirela D. Marcu Francis A. Mithen John B. Selhorst Florian P. Thomas L. James Willmore Page 7 Neurotransmitter Spring 2010 Clinical Research Unit– Summary The Clinical Research Unit (CRU) continues its commitment to provide high quality research support in a wide range of neurological and psychiatric disorders. In its effort to also increase community awareness of research opportunities, several studies have been featured in local newspapers, posted on local websites and referenced in radio news segments. With studies ranging from gene-phenotype correlation to medical devices and investigational medications, the CRU reflects the department’s goal to promote research and contribute to the advancement of medical knowledge. The following studies represent some of the newest areas of investigation: Genome Wide Association Study in Myasthenia Gravis Study The goal of the study is to determine the relationship between inherited factors and myasthenia gravis (MG) pathogenesis. The study will analyze the genes of people with MG and compare the results with unaffected controls. The study may lead to a greater understanding of the causes of MG and may help to define novel targets for treatment of myasthenia. PI: Henry Kaminski, MD and Uladzimir Luchanok, MD, PhD Sponsor: Myasthenia Gravis Foundation of America CLEAR III CLEAR III assesses whether a clot dissolving study drug called recombinant tissue plasminogen activator (rt-PA), is effective in improving the outcome for patients who experience intracerebral hemorrhage. PI: Salvador Cruz-Flores, MD Sponsor: NIH/NINDS TVP1012/ANDANTE The Parkinson’s disease trial compares the study drug rasagiline, a MAO inhibitor, to standard dopamine agonist medication therapy. The study evaluates whether combination therapy will enhance the release of dopamine and more fully control ParkinSAM 531 sonian symptoms. The study assesses the safety and effectiveness of PI: Pratap Chand, MD one of three dosage levels of SAM 531 compared to Sponsor: Teva placebo or FDA-approved donepezil. By impacting neurotransmitter processes in the brain, it is hoped CN156-018 that SAM-531 can improve cognitive functioning in The study for prodromal Alzheimer’s disease inpatients with mild to moderate Alzheimer’s disease. volves the investigation drug BMS-708163. The PI: George Grossberg, MD study determines whether the drug impacts bioSponsor: Wyeth Pharmaceuticals Inc. markers in the cerebral spinal fluid and assesses the predictive value of these biomarkers on progression to dementia. PI: George Grossberg, MD Sponsor: Bristol-Myers Squibb For more information, please contact the CLINICAL RESEARCH UNIT at 314-977-4900 Page 8 http://neuroandpsych.slu.edu Department of Neurology & Psychiatry Resident and Fellowship Programs Scholar Program to increase academic activity The Scholar Program has been developed in order to better fulfill the educational, clinical, and research missions of the University and the Department of Neurology & Psychiatry. The Program, led by Laurence Kinsella and Simona Kacso, seeks to increase scholarly activity among residents, students, fellows and faculty. The design is centered upon a faculty mentor-scholar relationship from conception, execution, presentation and publication of the work. The goal of the program is not only to provide residents with an opportunity to employ their unique skills and talents to pursue projects of their choosing under the mentorship of a faculty expert, but also to foster development of analytical thinking skills, rational decision making, communication and writing skills. There are monthly sessions which residents and their mentors have the opportunity to present their research proposals and obtain feedback from the audience. Topics have included Assessment of Weight Loss in the Demented Elderly, Vertebrobasilar Ischemia, Parkinson's Disease in Nursing Homes at Risk for Falls, and Delayed Orthostatic Hypotension. Awards/Publications/Presentations Congratulations to Iyavut Thaipisuttikul, MD for receiving a 2010 AAN Annual Meeting Resident Scholarship. He will present “What is the Optimal Duration of a Tilt Table Test?” Congratulations to Moses Tabe Ambilichu, MD for being appointed the Members-In-Training Committee Chair of the Eastern Missouri Psychiatry Association. Child Neurology Drs. Chrusciel, Nayak, and Aldahonda participated in the research project “The study of Neuropathic pain prevalence in Children and Adolescents with Neurofibromatosis-1”. The study will be presented by Dr. Geller at the International Conference on Neuropathic Pain, Athens, Greece in May 2010. Dr. Anuranjita Nayak will present “The use of Transcranial Doppler to screen for intracranial Vasculopathy in patients with NF-1” at the Annual Children's Tumor Foundation meeting in Baltimore in June 2010. VA offers additional position for neurology resident VA Central Office has funded a position for an additional neurology resident, starting July 2010. Once fully implemented residents will engage in a monthly rotation that focuses on multiple sclerosis, chronic pain and spinal cord injury. Training sites include the National MS Society Multiple Sclerosis Center at the VA John Cochran Division as well as the Pain Rehabilitation Center and the Spinal Cord Injury/Dysfunction Service at the Jefferson Barracks Division. Congratulations to residents who move on to fellowship programs: Richa Bhatia, MD – Child Psychiatry, Children's Medical Center in Washington, D.C. Aalamgeer Ibrahim, MD - Child Psychiatry, University of Texas, Southwestern Medical School Sameea Husain, DO - Movement disorders, Barrow Neurological Institute, St. Joseph's Hospital James Koch, MD - Neuromuscular, Barnes-Jewish Hospital Vikas Kumar, MD - Neurophysiology, Saint Louis University Hospital Weeraworn Nakarawat, MD - Neurophysiology, Emory University Priyanka Patel, MD -psychotherapy training program at the Psychoanalytic Institute, St. Louis Kishore Sriram, MD - Child Psychiatry, University of Arizona. Iyavut Thaipisuttikul, MD - Neuro-oncology, Memorial Sloan Kettering Hospital Page 9 Neurotransmitter Spring 2010 Administrative Staff spotlights Thank you to our dedicated staff in the Department who work diligently to accomplish our mission and goals. We would like to highlight three of our staff members (randomly chosen) from clinical, administrative, and billing areas. One thing that most people do not know about you: “I am a proud aunt of over 50 nieces and nephews”. Hobbies: reading, decorating, traveling, art. What do you like most about working within our department and at SLU: “I like the community environment at SLU and I am thoroughly impressed with the talent of the CRU team and the great leadership of Eve Holzemer”. Favorite thing to do on a day off that is fun: exploring different areas of St Louis and surrounding towns. Favorite actor: Paul Newman and Tom Hanks. Most important issue in the news recently: Home foreclosures. Jewell Carter, RN Clinical Research Nurse One thing that most people do not know about you: “I worked at the Saint Louis Zoo while in high school and college”. Hobbies: writing, photography, astrology and playing with her dogs. What do you like most about working within our department and at SLU: “The people. It is so much nicer when you can look forward to coming to work because of the people you work with.” Favorite thing to do on a day off that is fun: spend time with her husband, Chris and son, Zachary. Favorite actor: Al Pacino and Meryl Streep. An issue of great importance to Rebecca: Autism. She is involved in raising funds Rebecca Grubb Educational Program Coordinator for Autism Speaks and participates in the yearly Walk for Autism in Forest Park with her team, Zach’s Ninjas. One thing that most people do not know about you: “ I have a degree in Interior Design/Event planning and I am a huge football fan and I only buy clearance items”. Hobbies: volunteering at Mathews Dickey boys and girls club, being an advocate for children, planning parties, designing furniture, painting, visiting the art museums. What do you like most about working within our department and at SLU: “Working with some of the best medical professionals in the country; but the true bonus is working with a fabulous team of supportive co-workers, and working for an awesome practice manager.” Favorite thing to do on a day off that is fun: “Watch football or go to a football game; after I have explored a few garage sales”. Felicia Powell Billing Representative Favorite actor: Will Smith & Jada Pickett-Smith; Queen Latifah, Christopher Meloni. Most important issue in the news recently: health care bill and how it will affect some and benefit most. Page 10 http://neuroandpsych.slu.edu Department of Neurology & Psychiatry SUPPORT EDUCATION AND RESEARCH - MAKE A DONATION! In the coming year, our Department must work within the constraints imposed upon us and the whole University community by the current economic crisis. Endowment levels have fallen and with that, the ability to support non-income generating activities like education and research is compromised. I would like to ask you to consider making a donation to certain strategic initiatives in the Department to support education, research, and the enhancement of clinical care. You can read about these initiatives on our website, http://neuroandpsych.slu.edu, and I encourage you to do so. The combined efforts of all who care about the mission of the Department can make its continued success a reality. Henry J. Kaminski Saint Louis University School of Medicine Department of Neurology & Psychiatry For more information about the wide variety of programs and services offered by Saint Louis University’s Department of Neurology & Psychiatry, or to make a referral, please call: Neurology Central Scheduling General Neurology (314) 977-4440 or (314) 977-6082 (866) 977-4440 Geriatric Psychiatry Psychiatry Central Scheduling (314) 977-4829 (314) 977-4850 Geriatric Psychiatry Inpatient Autonomic Laboratory Unit (314) 768-3216 (314) 577-8744 Center for Healthy Brain Aging (314) 977-4884 Child Neurology (314) 577-5338 Clinical Research Unit (314) 977-4900 Epilepsy Center (314) 977-6082 Forensic Psychiatry (314) 977-4825 Interventional Neurology (314) 977-6082 Multiple Sclerosis Center (314) 977-6082 Movement Disorders Center (314) 977-6082 Neuro Ophthalmology (314) 256-3220 Neuropsychology (314) 977-4861 Neurorehabilitation (314) 768-5205 Sleep Disorders Center (314) 977-5337 Souers Stroke Institute (314) 977-6082 For hospital referrals: (314) 577-8012 or (866) 491-0858 SSM DePaul Neuroscience Center (314) 344-7968 Central Scheduling: (636) 949-9600 Neurophysiology (314) 577-8044 Page 11 Non-profit Org. U.S. Postage PAID St. Louis, MO Permit No. 134 The Neurotransmitter is a publication of: Department of Neurology & Psychiatry Saint Louis University School of Medicine 1438 South Grand Blvd. St. Louis, Missouri 63104 Phone: (314) 977-4800 Fax: (314) 977-4876 http://neuroandpsych.slu.edu