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Methodist Women's Hospital addsdoctors Oarhe, Connealy, Dahlke

The Neonatal Intensive Care Unit atMethodist Women's Hospital has addedDr. Chinyere Oarhe,M.D., to its staff. Inaddition, the hospi-tal's Perinatal Centerteam has hired Dr.Brendan Connealy,M.D., and Dr. JoshuaDahlke, M.D.

Oarhe joins Neo-natal Care, PC. AtMethodist Women'sHospital, they part-ner with a team of

specialists, nurses and neonatal nurse prac-titioners. Completing her medical educationat the University of Benin in Nigeria, Oarhecompleted a pediatric residency at the NewYork Medical College at Metropolitan Hos-pital Center. She recently served as a fellowin neonatal-perinatal medicine at MichiganState University/Sparrow Health System inLansing, Mich.

Prior to her time in the states, Oarhe wasa medical officer at the Government CentralHospital in Delta State, Nigeria; an internalmedicine physician at the University of BeninTeaching Hospital in Edo State, Nigeria; ahospitalist in the NICU at the Port of SpainHospital in Trinidad and Tobago and a med-ical officer in the emergency departmentat Sangre Grande Hospital in Trinidad andTobago.

Connealy, a native of Nebraska, re-cently completed his fellowship in ma-ternal-fetal medicine at the University ofTexas-Houston Health Science Center. His08-GYN residency training took place atthe University of Nebraska Medical Centerupon the completion of his medical degreefrom the University of Nebraska Collegeof Medicine.

Dahlke, also a University of NebraskaCollege of Medicine graduate, completedhis 08-GYN internship at the Naval MedicalCenter in San Diego. This was followed byyear in Okinawa, Japan, as a general medicalofficer. From there his residency trainingtook him back to the Naval Medical Center.

He recently completed his maternal-fetalmedicine fellowship at Women and InfantsHospital/Brown University in Providence,Rhode Island.

SPIRIT OFCOURAGE

FACE OF THE DAYCarol Reeder

Carol Reeder is a Spiritof Courage recipient, andcontinues to share herstory as part of the Spiritof Courage Weekend.

During her annualmammogram in Janu-ary 2008, the radiologistbecame suspicious ofan area and scheduleda biopsy. The resultsrevealed cancer in the ductand it was invasive. Carol’sgrandmother had breastcancer in her 70s and hermother had breast cancerat 59 and then ovariancancer at 69.

“I knew that one of uswould have breast cancer,but I didn’t expect it to beme! I joke with my sistersthat I am ‘taking one forthe team.’

“The great comfort toworking and being treatedat Jennie Edmundson is

that you know all the doc-tors and nurses. I felt likemy family was taking careof care. The disadvantageis knowing the terminologyand the statistics.

“Keeping it to yourselfis scary, but if I can talkabout it, it’s not so scary.”

Carol’s life is much thesame now as before thediagnosis, only she doesn’tsweat the small stuff.

“Life is short, don’twaste it worrying.”

Carol will be joined bythe 2014 Spirit of Couragerecipients Kara Dunphy,Dr. Lori Platt, Dolores Silk-worth, and Marilyn Weber,Lifetime AchievementAward, and recognizedon Aug. 16 at the annualSpirit of Courage Banquet.

For more informationabout the Spirit of CourageCelebrity Weekend, call the

Volunteer Office at 396-6040 or visit SpiritOfCour-age.org.

SPIRIT OFCOURAGE FACE

OF THE DAY

Jeremy Noel, CouncilBluffs Public Works Streetsand Sewers Manager earneda new title this past June -

Celebrity Jailbird. Jeremyalong with Justin James,Don Gross, and Ted Robertswere housed at the historic

Jeremy Noel, CouncilBluffs Public Works Streetsand Sewers Mana ger ea rneda new title this past June –Celebrity Jailbird. Jeremya long with Justin Ja mes,Don Gross, and Ted Robertswere housed at the historic

While the accommoda-tions may have been lessthan ideal, the cause waskept front of mind. As ajailbird, Jeremy spent "hardtime" in support of MethodistJennie Edmundson CancerCenter and local cancerpatients who are facing oneof the hardest times in theirlives. All of the money raisedgoes to the Spirit of Cour-

Squirrel Cage Jail for close to48 hours as part of the Baldand the Br ave Ch a llenge48 hr Lock-Up Fundr a iser.The group was ch a llenged tora ise $1 per minute over thecourse of their“ st ay” fromMay 30th to June 1st.

While the a ccommoda-tions may have been lessthan ideal, the cause waskept front of mind. As aja ilbird, Jeremy spent“hardtime” in support of MethodistJennie Edmundson Ca ncerCenter and loc al ca ncerpa tients who are fa cing oneof the ha rdest times in theirlives. All of the money ra isedgoes to the Spirit of Cour-

age Ch arit a ble Pa tient CareFund which helps cancerpa tients pay for medic a tions,procedures and co-p ays andea ses the burden of ongoingexpenses like rent, utilities,food and tr a nsport a tionwhere a bre a dwinner isundergoing tre a tments.

The ja il-birds werea llowed visiting hours, andwelcomed hundreds of com-munity members who cameto visit and offer their sup-port as well as the opportu-nity check out the equipmentthe city of Council Bluffsuses on a daily ba sis.

When a sked a bout theevent Jeremy said,“ Public

OUR VIEW

Deservedrecognitionfor Jennie

OurPosition:Hospital’s efforts

a further boost toregion’s quality of life

T here was good newsthis week for residentsof Council Bluffs andthe surrounding com-

munities: The Iowa HealthcareCollaborative and Partnershipfor Patients have recognizedMethodist Jennie Edmund-son’s Birth Services as a lead-ing hospital in assuring safecare for mothers and babies.

The Council Bluffs hospitalreceived the recognition byeliminating medically unneces-sary early inductions.

Medical researchers havefound that babies deliveredprior to 39 weeks have moremedical complications andrequire more days in the Neo-natal Intensive Care Unit,which adds significantly to thecost of care. Care for babiesthat must be placed in NICUscan amount to as much as$ 15,000 per day.

Dr. Toby Marshall, FACOGat Methodist Physicians Clinicand chairman of Jennie’sMaternal Child Committee,noted that babies delivered at38 weeks are more likely tobe born with immature lungs,bleeding on the brain or othercomplications. Unfortunately,

that translates to, at best,costly NICU care, and, at theworst, an increased risk thatthe baby might not survive.

Marshall said that much ofthe baby’s development occursbetween 36 and 39 weeks,development that includes a30 percent increase in brainsize.

While there remain medi-cally sound reasons that mightjustify an early delivery, muchof the focus at Jennie has beenon what Marshall refers to as“today’s world of immediacy.”

“We were receiving moreand more requests for earlyinductions when it was notmedically necessary,” Marshallnoted. “As a team of women’shealth care professionals, wefelt we needed to do even moreto protect the safety of bothmom and baby. Enhanced edu-cation to expecting parents onthe importance of getting pastthat 39-week mark is what wefocused on. Although we knewit wouldn’t be easy, we alsofelt it was both invaluable andattainable.”

As part of its goal to elimi-nate, as much as possible, theproblems associated with pre-

term deliveries, Jennie hasa clear policy on early induc-tions.

“If someone wants toschedule an early delivery,we do what we call a ‘hardstop,’” Marshall said. “We doa review, and if there’s not amedical indication for an earlydelivery, we won’t schedule it.”

Recognizing the importanceof babies going full term andworking toward that goal, Jen-nie’s Obstetrics Departmentand physicians reached a goalof zero early inductions in2013.

“As proud as I am of ourstaff and physicians for achiev-ing a zero rate, I am equallyproud of the many expectantfamilies who listened to ourmessage and heeded the warn-ings of inducing too early,”Sandy Bertelsen, Jennie’sdirector of birth services, said.“We developed a clear, consis-tent message that every pro-vider could talk about. Thatway, every patient receivedthe same information.”

It’s a goal – and an accom-plishment – that everyone inthe region should be proud of.

To treat,but alsoprevent,violence

Creighton s new traumachief thinks youths needto see what bullets do

By Bob GlissmannWORLD-HERALD STAFF WRITER

Giving gang members agraphic view of the bloodywounds caused by shootings andstabbings can help steer themaway from that lifestyle, saysthe doctor who now leads one ofOmaha's trauma centers.

Dr. Juan Asensio, the newtrauma medical director atCreighton University MedicalCenter, has given presentationsto thousands of gang members,inmates and at-risk youths toshow them what happens whenbullets rip through the humanbody.

Asensio's efforts have beenchronicled in newspaper arti-cles, on "60 Minutes" and oncable television programs thatcalled him "the crusader" and"medical maverick." The workthat began when he was chief oftrauma surgery at Los AngelesCounty/University of SouthernCalifornia Medical Center hascontinued at subsequent posts,and Asensio intends to start asimilar trauma outreach andprevention program in Omaha.

See Trauma: Page 2

Trauma: His brothers violentdeath motivated Asensio

"A university is a little morevibrant than a set of buildings,"he said Tuesday. "It should in-teract with the community thatit serves."

Asensio, 61, arrived atCreighton just in time to over-see the hospital's transition to24/7 trauma care. On Friday,Creighton will start handlingtrauma cases all day, every day,as will the city's other traumacenter at Nebraska MedicalCenter. Previously, the twoalternated days.

"We are very fortunate tohave a physician of Dr. Asen-sio's stature, talent and passionlead our regional trauma teamas we move to 24/7 traumacare," said Kevin Nokels, theCreighton hospital's president.

Asensio is the co-author ofthe textbook "Current Ther-apy of Trauma and SurgicalCritical Care." A native ofHavana, Asensio is licensed ineight states and has receivedsurgical fellowships in morethan 80 countries. He is doubleboard certified in surgery andsurgical critical care and is afellow of the American Collegeof Surgeons. His salary wasnot disclosed by the privatenonprofit health system.

Asensio, who described him-self as a professor of surgery,an academic surgeon, a mentorand researcher, said havingtwo strong trauma centers inOmaha benefits everyone.

"There are enough traumapatients, both in the city and thesurrounding areas," he told TheWorld-Herald. Two 24/7 trauma

centers "will provide an oppor-tunity for the citizens of this

city as well as the surroundingareas to be able to access top-notch trauma care."

In March, Nebraska MedicalCenter officials announced thatthey would end the long-stand-ing shared trauma system byAugust and staff their own trau-ma center 24/7. Within hours,Alegent Creighton Health offi-cials said that Creighton, too,would keep its trauma centerfully staffed seven days a week.

Officials at both institutionssaid they would pursue theAmerican College of Surgeons'Level I trauma designation, adesignation not available unlessa trauma center is open all ofthe time.

Starting Friday, areaemergency responders plan tocontinue to designate one orthe other hospital as the traumacenter of the day. Adults withsevere traumatic injuries whoaren't in stable condition wouldbe transported to NebraskaMedical Center on odd-num-bered days and to Creighton oneven-numbered days. Patientsin stable condition may chooseeither hospital.

Asensio said he expects thatphysicians at the NebraskaMedical Center are eager towork with their Creighton coun-terparts to improve the lives ofmembers of the community.

"At times, people seek to po-liticize the sanctity of medicineand, in my case, trauma sur-gery," he said. "There's no roomfor that. There is only room forcooperation, for science, for theproduction of better outcomesin our investigation."

Asensio said he grew up

poor in Cuba, but after therevolution, he was taken fromhis parents and given an eliteeducation — until he rebelledagainst Communist Party teach-ings. An uncle who was part ofFidel Castro's regime got himand other relatives out of Cuba.The family settled in Chicago.

His motivation to prevent vi-olence, he said, arose from theslaying of his younger brother,who was shot to death as ayoung man during an attemptedcarjacking. "The very diseaseI was trained to deal with hadtaken my brother away," hesaid.

Now in Omaha but still un-packing boxes, Asensio alreadyis building his team, welcomingthe addition of trauma surgeonDr. Robert Bertellotti on Friday.

Asensio said he also intendsto start an international visitingscholar program for Creightonmedical students and developcooperative agreements withuniversities around the worldwhere the students could go tostudy.

World leaders, he said, alsocould learn something from thesights, sounds and smells theywould experience in a traumacenter.

"I would dare say that if youbrought many political leadersfrom all over the world and youput them in this trauma bayor you put them in a combathospital and they got to see theproducts of their actions," hesaid, wars "would come to ascreaming halt."Contact the writer: bob.glissmann8owh.com402-444-1109, twitter.com/bobglissmann