Notable programs and research in children's and women's ...
Notable programs and research in children’s and women’s health careNewborns, children and pregnant women come to the U-M from around Michigan, and manyother states and countries, for some of the most advanced care offered anywhere. Althoughthe U-M strives for excellence in every aspect of our women’s and children’s care, there aresome programs and centers that truly set us apart from other medical centers.• The success rate of patients treated in C.S. Mott Childrens Hospitals Michigan Congenital Heart Center is virtually unmatched by any other institution in the United States. More than 20,000 children with heart-related birth defects and conditions have been treated by U-M pediatric cardiologists and cardiac surgeons since 1978, making this program one of the most experienced in the country and among the five busiest surgical and medical pediatric cardiac services in the U.S. U-M surgeons were among the first in the nation to perform open heart surgery on children, and they continue to pioneer surgical procedures to correct congenital heart defects, procedures performed by few others in the world. Today, the center is pushing the cutting edge of pediatric heart care, with minimally invasive techniques including catheter-based procedures and robot-assisted surgery, highly coordinated medical and surgical care, and prenatal diagnosis.• In cooperation with the U-M Comprehensive Cancer Center, Mott Hospital treats many children using cutting-edge therapies through its Pediatric Cancer and Hematology programs These include the Pediatric Oncology program for children with all forms of cancer, the Pediatric Blood and Marrow Transplantation Program, programs for children with sickle cell anemia and clotting disorders, and the Pediatric Long-Term Follow-Up Clinic, which monitors cancer recurrence and long-term treatment effects in former pediatric cancer patients as they grow from childhood to adolescence and beyond. The U-M is one of few places in the nation certified to train tomorrow’s pediatric cancer specialists, and has one of the most active clinical research programs in the country, offering promising new treatment regimens and therapies.• U-M Pediatric Surgeons offer the latest advances in surgical techniques, including and minimally invasive surgery and operations assisted by a precision-enhancing robot. Mott Hospital’s eight operating rooms are constantly busy with both outpatient surgery and advanced operations performed in few other children’s hospitals. General pediatric surgeons, neurosurgeons, orthopaedic surgeons, craniofacial plastic surgeons, urologists, trauma surgeons, head & neck specialists and cardiovascular surgeons all operate at Mott. Patients from Michigan and around the world come to Mott for repair of complex internal defects, removal of cancers such as neuroblastoma and brain tumors, and reconstructive surgery for injuries and birth defects. Teams of surgeons, specialized nurses, anesthesiologists, nurse anesthetists and life-support professionals work together to help patients get the best result and the quickest recovery, and to train the next generation of pediatric surgical specialists.• More than 520 children have received the “gift of life” at Mott in the last two decades, through the comprehensive Pediatric Organ Transplant Program. The program dates back to 1964, when a U-M surgical team performed the first kidney transplant in the state, and one of the first few dozen in the nation, on a teenaged girl who received a kidney from her sister. Twenty years later, Mott Hospitals first successful pediatric heart 1
transplant took place, followed two years later by the first liver transplant. The hospital now offers kidney, heart, liver and lung transplants, plus comprehensive pre- and post- transplant care. The Pediatric Liver Transplant Program is the only such program in Michigan, and one of few in the nation, and offers advanced living-donor procedures that allow an adult to donate part of his or her liver to save a dying child’s life.• The Women’s Health Program coordinates direct care, education and research programs in womens health. Designated as one of only 21 Women’s Health Centers of Excellence by the federal Department of Health and Human Services, the program provides a comprehensive range of services and resources to serve the interests of women, while enhancing the research and education missions of the U-M. The program includes the Women’s Health Resource Center, offering educational materials and programs to all women, many women’s health research programs, and the Women’s Health Registry, which encourages participation in gender-based research studies.• The Perinatal Assessment Center, part of the Department of Obstetrics and Gynecology, offers high-tech diagnostic, supportive pregnancy help and birth preparation for pregnant women who have special risks or whose fetuses show signs of potential problems. A team of perinatologists, imaging and testing professionals, specialized nurses and genetic counselors offer a range of services not found at many hospitals in the nation. More than 40 percent of all births at the U-M Birth Center are considered high-risk, but with the help of the PAC’s advanced testing and counseling services, all women can have a good chance of a healthy pregnancy and successful delivery.• In 1975, a team led by U-Ms Robert Bartlett, M.D., saved the life of the first baby ever to be treated with extracorporeal membrane oxygenation, or ECMO. A life support system now used in critically ill infants, children and adults, ECMO oxygenates blood outside the body, allowing underdeveloped or ailing lungs to rest and grow stronger. It also provides crucial blood pumping functions to aid failing hearts. The U-M Survival Flight service’s ambulance and helicopter unit are specially equipped with ECMO to keep critically ill newborns and children alive while they’re transported to Mott. The hospitals pediatric and neonatal intensive care units also routinely use ECMO to help patients survive crucial periods in their illness. Now, new life support technologies are being tested and developed at Mott through the Extracorporeal Life Support program.• Mott Hospital has a Level I Pediatric Trauma Program, one of only 13 such units in the United States certified by the American College of Surgeons based on a rigorous review. The designation means Mott is capable of caring for the most severely injured pediatric patients, and serves as a comprehensive resource to all regional hospitals caring for injured children. Mott offers specialized care, services, equipment and staff who are trained to treat serious trauma injuries, and has 24-hour in-house coverage by pediatric general surgeons, and prompt availability of care in specialties such as orthopaedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine and critical care. The U-M Pediatric Emergency Department sees nearly 20,000 patients a year, and has specially trained children’s emergency physicians and staff who quickly triage them for appropriate care. Young burn patients also receive top- notch care at the U-M Trauma Burn Center, certified by the American Burn Association. 2
And the U-M is leading the way in studies of children’s emergency care as a regional center for the federal Emergency Medical Services for Children program.• Mott Hospitals Holden Neonatal Intensive Care Unit offers premature and critically ill babies the best of what modern medicine has to offer to improve outcomes and survival. U-M neonatologists recently completed two clinical trials: One international clinical trial found that a treatment that cools the brains of babies who are severely deprived of oxygen at birth can prevent brain injury, while a second national clinical trial showed that a new treatment for meconium aspiration syndrome, a condition that can cause significant lung damage for newborns, can improve a newborn’s lung function. In addition to offering the latest in technology and research, the NICU staff always emphasizes to families the importance of touch and family involvement in the care of critically ill newborns.• The U-Ms Craniofacial Anomalies Program began as the Cleft Palate Center more than 70 years ago and has become one of the largest programs in the country. Specialists have pioneered new treatments for children with cleft lips and palates, and other craniofacial disorders including mis-formed jaws, skulls and ears, and positional head deformity. A unique team-based approach, involving 47 members in 22 medical and dental specialties, ensures the best communication between experts and the highest quality patient care.• Mott Hospitals Child Life department, created in 1922, was the first of its kind in the nation. Now, more than 80 years later, it is still considered one of the best. It offers in- hospital education to help children keep up with schoolwork, as well as a back-to-school transition program to help ease reintroduction to the classroom. Art and music therapy help children express themselves, while visits from trained dogs and their volunteer owners, bring smiles to their faces. Child Life also offers medical play, a way for children to learn about their illnesses and upcoming treatments through play.• The Division of Pediatric Nephrology treats more than 4,000 children per year with kidney disorders. An extensive Pediatric Dialysis Program was established in 1998 and is one of only a handful in the world designed specifically to serve the smallest kidney failure patients.• Mott’s Pediatric and Adolescent Home Ventilator Program is one of the leading programs in the U.S. for babies, children and teens who rely on ventilators and tracheostomies to help them breathe due to motor vehicle accidents, complications of premature birth, spinal cord injury or other causes. These patients also have the chance to attend the Trail’s Edge camp, held each summer in mid-Michigan as one of only four camps in the nation for ventilator-dependent children. Trails Edge added a tree house last summer, the first of its kind in the country to be specially-designed to meet the medical needs of its ventilator-dependant campers.• Mott Hospital had the first hospital-based inpatient Child and Adolescent Mental Health service in the United States. Today, children and adolescents with severe psychiatric disorders are treated at the Child and Adolescent Psychiatry unit. The U-Ms child and adolescent mental health program, including inpatient and outpatient services, is one of the countrys most extensive. Pediatric and adolescent depression is a major 3
focus at the U-M Depression Center, where suicide-prevention research and studies of the basic underpinnings of depressive disorders are underway.• Genetics is changing everything about how we live, and at Mott, Pediatric Genetics is working to find the answers to best treat and prevent birth defects, structural abnormalities, inherited diseases, chromosomal abnormalities and mental retardation. Though its extensive research and clinical program, Pediatric Genetics uses the latest in medical innovations to identify genetic diseases through prenatal diagnosis, help parents-to-be through genetic counseling, and care for children with biochemical genetic disorders, inborn errors of metabolism, and metabolic defects. The program’s specialists regularly travel to three locations in northern Michigan to offer specialty diagnostic and treatment services not otherwise available in rural areas.• The U-M is home to one of the nations most comprehensive Childhood Hearing Programs to detect, evaluate and treat hearing loss in infants and children. All babies born at the U-M Birth Center or transferred to the U-M are screened for hearing loss, and a unique follow-up program ensures that those with early indications of deficits or risk factors for late-onset deafness get the services they need. U-Ms cochlear implant program, one of the oldest and largest in the country, has given the gift of hearing to hundreds of children as young as one year, through the use of implanted hearing- assisting technology. The U-M Department of Otolaryngology also studies hearing issues in children, and the outcomes of screening and treatment programs.• Overweight and obesity are quickly becoming common conditions for children. Exactly how children become overweight or obese can be a complex issue ranging from lifestyle, genetic factors or medical reasons. To help tackle this problem head-on before it leads to the early onset of health problems such as diabetes and heart disease, Mott has established a new Weight Assessment Clinic within its Division of Pediatric Endocrinology. The clinic’s team assesses patients to determine if there is a medical reason for their weight problem or whether they have developed medical problems as a result of their weight. Based on their findings, the clinic then refers patients to a variety of treatment programs to help them improve their health through weight control.• Food allergies are becoming more and more common among America’s children, and families, schools and day care centers are having to cope with the special sensitivities to foods and ingredients. The U-M Food Allergy Service offers comprehensive diagnostic, treatment and nutritional care to children and adults. Its specialists also and perform important community outreach to help educate the public about the importance of helping protect allergic children and adults.• Mott researchers have joined in the national push to improve patient safety and avoid preventable problems by leading studies of Patient Safety and Quality in children’s hospitals. For instance, one recently published study evaluated patient safety measures from about 1.92 million childrens hospital stays over four years and found that that childrens hospitals could do a better job in areas such as preventing hospital-acquired infections, clots in intravenous lines and bedsores. Another study of Mott data led to improvements in the way asthma and pneumonia care is delivered here at around the country. Mott is now working with a collaborative team to continue to improve the safety and quality of children’s hospital care throughout the U.S., and prevent future problems. 4