October 27,1999
Page A2
J h? ^ortlani» ®baeruer
Healthy sleep habits require planning and practice
W O M E N ’S
HEALTH
FOCUS
Program drawssurgeons worldwide
Cardiac Fellowship at
Providence St. Vincent
educates doctors from
around the globe
W here do prom ising young surgeons
go to gam experience in cardiac care ?
If you ask H annan Chaugle,
M B BS.M S.M C h. FRCs, and Chen
Haiquan, M. D Ph. D ., it’s Providence
St. V incent M edical Center.
“Providence St. V incent is a good
place.” says C haugle, 33, a fully-
qualified cardiac surgeon from India,
who joined the hospital in M ay as a
two-yearcardiac fellow. “ I’m learning
new and different techniques that 1
will incorporate into my w ork w hen 1
go back to m y county.” Teaching
young cardiac surgeons advanced
surgical techniques is the m ajor goal
o f the 3 5 -y ea r-o ld In tern atio n al
Cardiac Surgery Fellow ship program
at the Providence H eart Institute.
Cardiac fellows daily observe and
a s s is t six s e n io r s u r g e o n s at
Providence St. Vincent with lifesaving
heart procedures, as w ell as develop
a philosophy and understanding o f
quality postoperative patient care.
T hey attend reg u lar teaching at
conferences, lectures, and grand
ro unds h eld at P ro v id en ce, and
conduct clinical research. Since 1964,
about 250 cardiac fellows from 25
countries have trained at Providence
St.V incent. Currently, there are 14
cardiac fellowsatthehospital. Cardiac
fellows are carefully screened and
selected by an adm inistrative team o f
A nthony F um ary, M .D., Pam Lowe,
and Lisa Nyberg. Fellow s receive a
limited license from the State ofOregon
and assistance w ith visa and passport
issues. U pon arrival at Providence
St. Vincent, they are trained and given
their assignm ents. O ne o f the reasons
fellows say they w ant to w ork at
P ro v id e n c e S t.V in c e n t is th e
opportunity to w ork u. der world-
renow ned cardiothoracic surgeon,
A lbert Starr, M .D ”Dr. starr is the
m ost m ost popular cardiac surgeon
internationally,” says Chaugle. “W e
read about him and we use the artific ial
v alv e he co- in v e n te d .”H aiq u en
oncurs. “He
neisius.cuiciviiviiavuv,,c«ui
concurs.
is like the Michael Jordan
ÜT"
1
* ”
Jennifer Hays, Ph.D.
Baylor College of Medicine
Houston, Texas
I*
If you doze o ff during a m eeting or
church service, it’s easy to write the
speaker o ff as boring or dull. But
chances are, your spontaneous siesta
has more to do with you.
Falling asleep during the day is a
sign that y o u 're sleep-deprived, re­
gardless o f how boring som eone or
som ething might be to you. Just as
you would change your eating habits
if a deficient diet w ere causing health
problem s, you should change your
sleep habits if your body is telling you
that it lacks sufficient rest.
Most people need as least seven to
nine hours o f sleep every night, but
most o f us get far less. Women with
children are esp ec ially p rone to a
Providence Heart Institute cardiac fellow Dr. Hannan Chaugle, from
india, harvests an artery in preparation for a patients coronary artery
bypass surgery at Providence St. Vincent Medical Center. Observing
his technique is Dr. Typhoon Gurbuz, from Turkey
ofheart surgery in our country,” says
H aiquen, 36 who will soon return to
C h in a w here he has a p o sitio n
reserved at Changzheng Hospital in
Shanghai. Inl960,S tarrandengineer
Lowell Edw ards collaborated to invent
and successfully implant surgically
the w orld’s first artificial mitral valve.
Starr also is acclaimed for his expertise
in pediatric heart surgery, mimmally-
invasive heart surgery, and bloodless
surgery. Last M ay, he was the only
U.S. surgeon to help perform in Paris
th e firs t s u c c e s s fu l c o m p u te r-
assisted open heart surgery with a
robot.
Thanks to their training under Starr
and P rovidence’s other w orld-class
senior surgeons with large practices
at United States hospital known for
its cardiac care, both Chaugle and
H aiquan ex p ert to en joy strong
reputation in their hom e countries.
G a in in g in te n s iv e , h a n d s -o n
experience in coronary artery bypass
grafting (CABG) has been especially
useful, they say, because in India and
China the focus remains prim arily on
heart valve replacement. In 1998 alone,
m ore than 1,000 C A B G ’s w ere
preform ed at Providence St. Vincent.
In India, despite an estim ated 20
m illion people w ith heart disease,
card iac surg ery rem ain ed in its
infancy,
j , says
- j - Chaugle. A dvanced
c a rd ia c s u r g ic a l tr a in in g i s n ’t
available from the government sector,
he says, and the private sector isn ’t
w illing to step in because w ell-
established surgeons
d o n ’t w an t a d d e d c o m p e titio n .
Haiguan notes that while heart disease
in highly- populated China rem ains
low, m ore Chinese have adopted
A m erican diets and the incidence o f
coronary disease is expected to rise.
In addition to their cardiac surgery
training, both m en have learned how
A m erican m edicine is organized and
w ill return to their hom e countries
w ith so m e v ita l p riv a te s e c to r
business concepts
“ I think w orking at Providence St.
V incent is really going to give m e an
edge w hen I go back to India,”
says Chaugle, W ho is living in C edar
H ills while in the United States. “I ’m
very grateful for the experience.” For
m ore inform ation or apply to the
p ro g ra m , in te rn a tio n a l c a rd ia c
s u rg e o n s s h o u ld c h e c k o u t
www.starrwood.com.
The site is available in E nglish and
C h in e s e .I n 1 9 9 9 , P ro v id e n c e
St.V incent was nam ed one o f the
nation’s 100 topH ospitals for cardiac
b y p a s s s u rg e ry b y H C IA In c.
Providence St. V incent w as the only
hospital in O regon to receive the
B reast m ilk
proves b est
for preem ies
CONTRIBUTED STOR>____________ _____________________
for T he
honor.
Bottled water not always the
safest for contact lens care
CONTRIBl TED STORY
FOR
________________ ________________________ ____________
T he P ortland O bserver
A new study show s bottled w ater is not a safe alternative
for rinsing and storing contact lenses.
R esearchers at B aylor C ollege o f M edicine in Houston
found low levels o f bacteria and other germs
In several sam ples o f bacteria at H ouston-area grocery
stores results o f the study w ere published in a recent issue
o f “O phth alm o lo g y ,” the Journal o f the A m erican
A cadem y o f ophthalm ology.
U n d e r c rite ria p ro p o se d by th e F ood an d D rug
A dm inistration (FD A ) and the Environmental
Protection A gency, the Baylor study found that 20 percent
ofbottled-w ater sam ples exceeded acceptable sanitation
limits. A nother 17 percent o f the samples consisted o f
low er levels o f m icrobes.U sing contam inated bottled
w ater to rinse contact lenses passes the bacteria to the
surface o f the lens.
“This study show s that bottled w ater is not always
sterile,” said D r.K irk W ilhelm us, a professor o f
ophthalm ology at B aylors's cullen Eye Institute and
director o f the study. “ Bottled w ater should not be
be used as a substitute for sterile solutions used in
contact-lens care.
C ontact-lens w earers must follow a strict disinfection
regim en to avoid serious eye infection .”
According to the international Bottled W ater Association,
sales o f bottled w ater exceed $3 billion a y e a r .
Since it is perceived to be o f better quality than tap water,
bottled w ater is sometim e used as a substitute for rinsing
and storing contact lenses.
“ Incidents o f infections due to bottled w ater have not
been widely reported, although som e groups are
calling for widely reported, although some groups are
calling for stricter criteria for regulating the product,"
W ilhelm us said m old.am oebas and algae. M any o f these
have the potential to infect the eye.”
The Baylor study, which tested 23 brands ofbottled water,
was funded by the national eye Institute, Sid Richardson
Foundation, and Research to prevent Blindness.
P ortland O bserver
Prem ature infants fed breast m ilk
fortified with extra nutrients fare better
than those receiving special preterm
formulas, according to results o f a
large-scale study from the U SD A /
ARS C hildren’s N utrition Research
Center. “O f all the feeding strategies
tested, the factor that influenced
prem ature infant health the
Most was fortified hum an m ilk,” said
D r.Ricards Schanler, a professor o f
p ed iatric s at B a y lo r C o lleg e o f
M edicine in H ouston. In study, 108
infants bom between 1 land 13 w eeks
prem ature, and w eighing less than
two and o ne-half pounds each, w ere
fed eitheraspecial preterm formula or
fortified breast m ilk, depending on
parental wishes. W ithin each group,
milk feedings were initiated at different
tim es and the tube- feeding m ethod
was varied to determ ine an optim al
feeding regimen.
A lthough differences w ere expected,
research ers w ere im p ressed th at
feeding fortified hum an m ilk was the
hands-dow n w inner— regarding o f
fe e d in g m e th o d . A c c o rd in g to
Schanlers, the infants w ho received
fortified human milk “graduated " from
intravenous to m ilk feeding faster an
had few er o f the co m p lic atio n s
com m on in prem ature infants. They
experienced less sepsis, or infections
in the blood, and had few er cases o f
necrotizing enterocolitis, an intestinal
inflam m ation th at o ften req u ires
su rg ery . T h ey also n eed ed less
m edication to control spitting up and
w ere discharged from the hospital an
average o f tw o w eeks sooner than
th e ir fo rm u la- fed co u n terp arts.
“ B reast m ilk contains antibodies and
o th e r im p o rta n t su b stan ce s th a t
en co u rag e the grow th o f ‘g o o d ’
bacteria in an in fan t’s intestinal tract
and also inhibit the growth ofharm ful
ones that can invade an in fan t’s
system and cause problem .” Schanler
sleep shortage because w e seldom
get a chance to have tim e alone for
o u rselv es d u rin g the day. C o n se­
quently, once the kids are asleep, we
stay up later than we should, doing
things we co u ld n 't squeeze into the
d a y ’s sch ed u le. In ad d itio n to the
personal things that are vital to our
sanity, such as reading a book or talk­
ing to a friend on the pho n e, this
might be the only time we have to pay
bills or straighten up the house.
T he sleep dilem m a is often a tim e-
m anagem ent issue. You need to de­
velop a list o f priorities to ensure that
you get enough sleep and enough
tim e for yourself. Figure out how
many hours o f sleep your body needs
by m onitoring the tim e you wake up
w ithout an alarm . Then set a goal to
go to bed around the sam e tim e each
night that will allow you to sleep the
required num ber o f hours. This might
warrant shifting some responsibilities
around the house and reorganizing
the d ay ’s activ ities so you can ac­
com m odate your needs a n d those o f
your family.
Try these strateg ies to help you
sleep better:
• G radually cut dow n on caffeine
until y o u ’ve “decaffeinated” your­
self.
• Avoid eating a heavy meal or drink­
ing alcohol right before bedtime. A
full stom ach can give you heart­
burn, which can disrupt sleep, and
alcohol can affect deep sleep, al­
lo w in g y o u to be a w a k e n e d
throughout the night more easily.
• Avoid intense exercise right before
bedtime.
• Keep a pad o f paper by your bed to
jo t dow n ideas that com e to you
when y o u 're lying in bed w orrying
about work or other responsibilities;
you can relax after y o u ’ve w ritten
them down because you don’t have
to w orry about forgetting them.
If y o u ’re starting to nod o ff as you
read this, please d o n ’t autom atically
blame the content or the author. C on­
sider the possibility that your body is
trying to tell you something.
Sweet dreams!
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said.
Something’s brewing in your neighborhood.
Join us for our Community Open House and watch a little bit of history in the
making as local Portland artist Adriene Cruz creates a special hand-painted
mural to celebrate our newest location at NE 15th and Fremont.
Saturday, October 30th, 1999
3507 NE 15th Avenue
6:00am - 8:30pm
• Our first 500 guests will receive a complimentary gift from Starbucks.
• Meet Portland Trail Blazer Guard Greg Anthony between 2-3 p.m.
• Enjoy live music by Sheila Wilcoxson from 3-5 p.m.
So stop by and see all the good things brewing in your neighborhood!
C 1 99 9 S U rtiu ck ,C tillM C a *11 right» r iw r w d