Medicine In Blue and White – Episode 1 – Penn State Hershey Medical Center


>>Just ahead you’re going to meet a woman
on her way to learn more about her heart’s desire–a retired nurse awaiting the news
that will change her life. A researcher at work to find ways of easing the fear of a
disease that affects some 246 million people and an old soul masquerading as an 11-year
old boy. They are connected by a special place and its people–Penn State Milton S. Hershey
Medical Center. Founded in 1963, committed to enhancing the quality of life, educating
future generations and discovering what lies ahead. It is a place where you will find the
full spectrum of emotions, dreams and hopes, anxieties and tears, doctors, nurses and researchers
where time honored values meet the latest in breakthrough technologies with the biggest
goals always in mind to heal the sick, ease the suffering and make life a little better
when you can. It is medicine in blue and white. [ Sound effects ] [ Music ]>>Krista Lazlo and her husband have tried
for some six years on their own to have a baby. Something somewhere is wrong. But what
and where? Her first exam at Penn State Hershey Women’s Health gave her some answers she was
looking for. She was immediately referred to Dr. Richard Legro, Professor of Obstetrics
and Gynecology.>>When Dr. Legro gave me the formal diagnosis
and said here this is how we can work with this. That was one of the best days ever.>>The diagnosis, PCOS, or Polycystic Ovary
Syndrome, a somewhat silent disorder that affects up to 10% of women generally between
the ages of 12 and 45. It’s a key contributor to infertility and while the symptoms are
similar among women who have it, there is no one quick fix or cure.>>Once I was diagnosed he totally laid out
a plan for me. He was like all right, here’s our goal, this is the way we’re going to work
it and see what works for you. Our first attack will be we’ll try a pill to see if we can
get you to ovulate. It that doesn’t work then we can talk in vitro fertilization.>>So this is actually an ovary of a normal
woman and one thing you’ll notice is overall it’s much smaller.>>The problem is that what works for one
person may not work for another. Exactly what causes PCOS and specifically what to do about
it remain a mystery.>>A polycystic ovary traditionally has a
lot of stroma to it. And then what we see along the outside are these small arrested
follicles so clearly a polycystic ovary.>>PCOS was first diagnosed in the 1920’s.
At it’s simplest; it is a syndrome where a female’s hormones are out of whack. One of
the results being that while the ovaries start the process of producing follicles each month,
those follicles never turn into the eggs needed for pregnancy. The why has been the question
through the ongoing decades. Where is the mistake being made? Is it the brain, the ovary
or is obesity a cause, genetics, diabetes, too many male hormones. The studies and research
continue.>>Every generation thinks they have an answer
and so the first generation thought it was the brain; the second generation thought it
was the ovary; the third generation thought it was insulin resistance. I guess I’m the
fourth generation–I’m not sure it’s any of those. So I’m looking for the answer.>>And Krista Lazlo is helping him find it.
She’s one of his patients in an ongoing study here to test the effectiveness of certain
drugs in helping ovaries produce healthy eggs. She knows one thing for sure–from the very
bottom of her heart she has never been more ready to become a mom.>>It’s hard because you never know if you’re
going to become pregnant. And I think the hardest part is like you see your friends
having babies, your family has babies, you just see all these random pregnant people
in the world and you’re always wondering is that going to be. And it’s very frustrating,
it’s very depressing, it’s very anxiety provoking that you have no idea whether you’re able
to have a baby or not. [ Music ]>>Jane Gallaher retired from nursing about
five months ago. She’s familiar with just about everything that goes on in a hospital
with the exception of what’s just about to happen to her. She’s come to Penn State Hershey
Heart and Vascular Institute this morning to have her heart check with a thin tube called
a catheter. Dye will be passed through it in order to see the heart’s blood vessels.>>So the heart catheterization will allow
us to take a look at the blood vessels of the heart and to see if you have any blockages.>>It’s a common enough procedure but with
a twist. Instead of going up through the groin’s femoral artery to get there, this team would
use the artery in a wrist called the radial approach. Only 1 to 2% of hospitals in the
country perform the procedure this way and that’s welcome news for Jane who had the femoral
approach procedure some 21 years ago.>>When I had it through the femoral artery
I had to lay with sandbags on for so many hours. I don’t really recall how many but
it was too long. It was very uncomfortable to have to lay still that long. So I think
this is great.>>To the patient certainly it’s comfort.
They don’t have to lay in bed for hours to recover. There’s a hemoband that compresses
the artery when we’re done and they actually can sit up and eat and be very comfortable.
There are also some benefits that we see as far as reducing the risk of bleeding and complications.
The artery is easily accessible and it’s easily compressible and so if there is any problem
it’s quickly identified.>>I’m just going to tape your arm to the
board. It’s going to be where the doctor is doing the procedure.>>Jane will be in the catheterization lab
for less than 30 minutes. Then she will learn just what’s going on with her old ticker,
her words. [ Music ]>>Chances are if it’s snowing this is the
place where you’ll find 11-year old Nathan Murphy. He loves to shovel among a lot of
other things.>>He does love to be outdoors. He loves to
be able to build forts or just go hiking or different things so he’s a very outgoing child
and just very friendly and very happy. He’s a very happy child. [ Music ]>>When Nathan was only four months old he
was diagnosed with neurofibromatosis, a condition where non-cancerous tumors form along the
nerve pathways in his brain. Pediatric neurosurgeon, Mark Diaz, first met Nathan about eight years
ago. After Nathan’s diagnosis, a disorder that affects one in 3,000 at birth, the team
decided that being proactive was the best course of action. Every six months Rodney
or Stephanie Murphy would drive their son to Penn State Hershey Children’s Hospital
for an MRI so doctors could see what was going on inside his brain. In some patients with
the disease, nerve pathways will continue to look pretty normal for a long time. Nathan
wasn’t as lucky. This past year they found the tumor.>>I had a headache a lot; very bad ones too.>>There were times when he was in pain. There
were times when his father had to pick him up and carry him up the steps because he couldn’t.
He was just in excruciating pain and that’s so painful and so hard to see him struggling
that way and yet feeling so helpless that there was nothing we could do.>>Nathan’s tumor was sizeable–a bit smaller
than a golf ball.>>In Nathan’s case we wanted to remove the
top part of the golf ball and whittle it down but we certainly couldn’t get to the lower
part of the golf ball because there’s a lot of critical structures down there including
the i nerves, that you don’t want it removed.>>To whittle away at Nathan’s tumor, Dr.
Diaz used one of the newest technologies available. It’s called the Myriad and it allows neurosurgeons
to enter the brain through a very small opening. The device basically grinds, chews and sucks
up tissue as it’s guided by the surgeon’s hands. Dr. Diaz has taken as much of the tumor
away as he can for now. Whether or not it continues to grow is a question of time.>>For me it’s one of the hardest things I
ever had to do is to watch my son suffering and knowing I couldn’t do anything about it,
because I’m daddy and I should be able to do something about it but I couldn’t.>>Following his surgery Nathan stays at Penn
State Hershey Children’s hospital under close supervision for the next 5 and one-half weeks. [ Music ]>>When Jane Gallaher, a newly retired nurse,
noticed some irregularities in her heartbeat she knew her best bet was to come to Penn
State Hershey Heart and Vascular Institute.>>Just a really good reputation, excellent
physicians, excellent nursing care. I can’t speak highly enough about the nursing care.
My husband was in for three weeks and he had the best–the best and the brightest.>>Today the best and brightest are at work
looking at her heart.>>This is a picture of the patient’s right
coronary artery with her catheter coming down into the artery here. The artery comes down
here and at this point it’s completely blocked–100% blocked off.>>But even though her right coronary artery
is blocked 100%, definitely not good news. What Jane’s other heart blood vessels have
done over the years is to sort of bypass that blockage and build their own support system
to keep the heart going. There’s clear evidence on the screen that at some point even though
she never realized it, Jane did have an actual heart attack but her own body came to her
rescue. The verdict–while she will need to take medication, she won’t need surgery. Good
news. [ Music ]>>Heather Stuckey wants to help people. She
had thought about it for years. So one day she gave up her HR job, headed back to school
for her doctoral degree and is now a clinical researcher at Penn State Hershey Medical Center.
Right now she’s studying the use of social media and how it might help patients both
at home and around the world. The subject at hand–diabetes. One she knows all too well.
Heather Stuckey has diabetes herself. She and her team have set up a website that not
only gives patients information but encourages them to share their own experiences. For people
with diabetes especially, she says the time is now to use every tool at hand.>>My hypothesis is that people who are able
to get support from people will have less emotional distress. Because having diabetes
is a tough disease. It’s not just one thing, it affects emotions, it affects of course
the medical side; but my assumption is that diabetes is so difficult for people and I
think that this site will help not only with that social support and saying here’s what
I’ve done, but also help other people to problem solve and see what others have done to be
able to help them.>>Kendra Durdock is a diabetes nurse case
manager. She says she has seen the benefits of being able to go online to share both daily
experiences and practical tips to keep sugar levels in line. And she knows too of what
she speaks. She was diagnosed with diabetes in 1971.>>Diabetes can be a really lonely disease
sometimes and really no one truly understands what you go through except other diabetics.
And it used to be that you have to go to a support group at a hospital or look up an
area support group which probably only meets once a month if that. And now with the social
media things that are out there you can get immediate connection with people.>>Ending funding. Dr. Stuckey’s research
is said to go global–bringing together people of many ages, races and cultures online to
help one another. This look into social media is an example of one of the many basic science
and clinical research studies being done at Penn State Hershey to treat and cure major
diseases. Each year the research is supported by 100 million dollars in funding from government
agencies, businesses and individuals. [ Music ]>>Ask Krista Lazlo what she wants most in
the world and the answer is one word–baby. After years of trying to conceive she finally
find out why she was having trouble. Newly diagnosed with polycystic ovary syndrome,
she entered Dr. Richard Legro’s latest trial at Penn State Hershey in which patients were
given one of two drugs. And that’s when Krista and her husband heard what they had been wanting
to hear for so long.>>I was on a double blind study, which it
was 50-50 chance I would be on Clomid or on a new medication called Letrozole. The study
was supposed to be a five-cycle study through five periods and by cycle two I was pregnant.
I still to this day do not know what medication I took. I found out I was pregnant in early
February and I had a baby girl named Zoey on October 16th. She’s a very healthy, no
complications around my pregnancy. The baby’s perfect, she weighed 6 pounds, 11 ounces and
was 22 and one half inches long.>>Today is visiting day. Back to Penn State
Hershey Women’s Health to check in with nurse Jamie Ober, special projects coordinator for
PCOS trials here. Baby Zoey Rose will be tracked as part of the study for the next three years.>>Jamie is awesome. I mean she’s been so
helpful. She’s been with me throughout the entire study I was on.>>It’s such a rewarding thing to know that
you can take something that someone wants so badly and be a benefit and contribute to
that success. And when you first see that baby, little egg and little sac on the screen
and the parents have worked so hard to get there, and then obviously when you have baby
Zoeys come in here or there, nice and healthy and it can’t get any better than that. Oh
my cold hands, I’m sorry. Hi beautiful; hi gorgeous.>>Dr. Richard Legro’s various clinical studies
are continuing, as is his quest to dig deeper into the syndrome. And it is one that is growing.
Polycystic ovaries syndrome is now epidemic in India and China. No one really knows why.
Today South Korea is experiencing the lowest birth rate of any developed country in the
world. The leading cause of infertility there–you guessed it PCOS. His work is not only intriguing
but vital as well.>>There’s nothing more satisfying in life
than giving birth and raising children, and I think it’s the most important medical mission
and again I’m biased because if we don’t reproduce we’re gone in a generation. We can cure cancer
but that doesn’t maintain us on the planet. So anything that affects reproduction is ultimately
of the most importance to us as a species. [ Music ]>>After extensive brain surgery to lessen
a golf ball-sized tumor and five and one-half weeks in the hospital, 11-year old Nathan
Murphy is back at home. He’s just begun going back to school. He’s on monthly chemo treatments
to continue to shrink his tumor. He’s not all that sure about liking math but he’s very
certain about one Dr. Mark Diaz.>>He’s the best doctor I’ve ever had I think.>>No parent wants to hear that their child
has a brain tumor; and no parent wants to see the brain surgeon. On the other hand you
develop an incredibly close relationship with the.>>We’ve always had a sense that we’re supposed
to be there and they know that and they want us there and they feel like they can do the
best for our son. So that’s a lot of peace of mind right there. The confidence that they
portray gives us confidence to keep going back.>>Dr. Mark Diaz will tell you he feels gratified
and humbled to do the work he does. It is he says a life of big wins and big losses.
And one where you find the best the human spirit has to offer each and every day.>>The children are very uplifting. It’s a
very positive enriching experience and they teach me a lot about how to live life in the
face of adversity because they just keep going.

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