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Parkinson’s
Disease COVER STORY

It couldn’t be Parkinson’s. At 43, Ron Rutkowski was
sure he was too young for that neurological disease,
and as an outdoorsman and home builder, he was
more fit than most men his age. Yet when he reached
for a screw while hanging a door, his left hand froze;
he could not make his fingers do what they had done
thousands of times before.

“Everything’s getting
back to normal, and
that’s all I wanted.”
- RON RUTKOWSKI

Over the coming months, he crossed the state, seeing
several doctors, all offering the same diagnosis: his
trembling limbs, freezing muscles and shuffling gate
suggested he was in the early stages of Parkinson’s
ABOVE: A month after undergoing deep brain stimulation surgery, Parkinson’s patient
disease. Most offered little hope. Ron Rutkowski lifted his granddaughter, Ava, something he previously could do only
with great difficulty.
Closer to his West Michigan home, he found hope in
FRONT COVER: His head draped with a plastic sheet and clamped to the operating room
Saint Mary’s neuroscience program. Dr. Leslie Neu- table, Parkinson’s patient Ron Rutkowski undergoes deep brain stimulation surgery per-
man, a neurologist specializing in treating Parkinson’s, formed by Dr. Steve Klafeta, a neurosurgeon specialized in the procedure.
suggested he consider deep brain stimulation. Under Hoyt E. Carrier II | Copyright 2009 The Grand Rapids Press. All rights reserved. Used with permission.
the procedure, a surgeon drills two holes in a patient’s For more information about Rutkowski’s case, visit www.mlive.com and type “Ron
skull and inserts electrodes attached to a pacemaker- Rutkowski” in the search bar for a Grand Rapids Press story and audio slide show.
like generator implanted in the chest.

“Nobody’s drilling holes in my head,” Rutkowski said. brain, and two weeks later, Neuman turned on the gener-
ator, sending a low-voltage impulse, interfering with the
As his symptoms worsened, he reconsidered. In an abnormal electrical discharges that occur as dopamine
area of his brain called the substantia nigra, cells that declines.
produce dopamine, a neurotransmitter, were dy-
ing. Without enough dopamine, his brain could not In the months since then, Rutkowski’s life has returned to
smoothly coordinate his muscle movements. Only normal. He knows deep brain stimulation is not a cure,
about five percent of Parkinson’s patients – those but it helps buy time, setting back the disease maybe five
who are young, otherwise healthy, free of dementia years. By then, he hopes researchers discover other treat-
and respond well to medication – are candidates for ments, maybe a cure.
the surgery. Rutkowski was one.
“I can’t say enough about that whole hospital,” he said.
Saint Mary’s is one of the top deep brain stimulation “They’re just wonderful, wonderful people. All I can say is
centers in the Midwest, performing more of those everything’s getting back to normal, and that’s all I want-
procedures than most others. Dr. Steve Klafeta, a neu- ed. You forget what normal’s like until you lose it, and
rosurgeon, implanted the electrodes in Rutkowski’s then you regain it.”

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Saint Mary’s Parkinson’s Clinic offers
patients a variety of services while Leslie Neuman, MD
Neurologist
participating in research to find bet- Medical Director, Parkinson’s Clinic
Education:
ter treatments. Services offered in the • University of Missouri School of Medicine
• Neurology residency, University of Iowa
new Hauenstein Center include neurol- During his first seven years in Grand Rapids, Dr.
Neuman practiced general neurology, then
ogy, geriatrics, psychiatry, nutrition, social began seeing more Parkinson’s patients who
needed specialized care. As their numbers
services and complementary therapies, as grew, the patients formed a support group, in-
vited Neuman to speak and asked him to serve
well as physical, occupational and speech on the Parkinson’s Association of West Michi-
gan board. Neuman was meeting a growing

therapy. Since 2004, Saint Mary’s has been need that continues today. In 2002, Saint
Mary’s opened the area’s only Parkinson’s
clinic, and Neuman, the area’s only physician
the area’s only hospital offering deep specialized in Parkinson’s, became its medi-
cal director. Treating Parkinson’s patients
brain stimulation, a type of surgery that takes a lot of time, he said, but he gives
each whatever time it takes. “I get a lot of
has fewer risks than traditional surgery. satisfaction,” he said, “because I can make a
difference in their lives.”

Steve Klafeta, MD
Neurosurgeon
Education:
• Loyola-Stritch School of Medicine
• Neurological surgery residency,
Loyola
Dr. Klafeta is the only surgeon in West
Michigan performing deep brain stimula-
tion surgery on Parkinson’s disease patients.
The procedure uses electrodes implanted
in the brain to alleviate tremors and muscle
freezing for many Parkinson’s patients, set-
ting back the disease five or more years.
Since joining Saint Mary’s in 2004, Klafeta
has performed more than 100 such surgeries
and also specializes in spinal reconstruction
surgery. In his third year of medical school,
he assisted in removing a blood clot from a
trauma victim’s brain. “I came home, woke
up my wife and said, ‘This is what I’m going
to do,’” he recalled. “People are coming in, and
LEFT: Dr. Leslie Neuman examines Parkinson’s patient they’re on death’s door, and you’re able to do
Barbara Schaible, two months after she underwent deep something about it. What drives me more now
brain stimulation surgery to relieve her symptoms. “Oh, is being able to help people who are in pain or
it’s been fantastic,” she said. “I love how I feel.” are debilitated.”
RIGHT: Dr. Steve Klafeta is the only neurosurgeon in West
Michigan who performs deep brain stimulation surgery
on Parkinson’s patients.

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• General neurology all in the hospital’s new Hauenstein Center. • Amyotrophic lateral sclerosis eases. • Parkinson’s disease and sicians and other staff members for consulta. • Stroke 4 . physician assistants. support staff and physicians. • Neurosurgery and it promotes easy interaction among phy. movement disorders tions. nurse practitioners. case memory disorders managers. Team members include nurses. social workers. • Epilepsy administrators. pharmacists. Programs include: plinary approach in treating neurological dis. • Multiple sclerosis The one-stop approach is more convenient for • Neuro-ophthalmology patients who need to see multiple specialists. • Alzheimer’s disease and other pists.Saint Mary’s Health Care relies on an interdisci. Saint Mary’s offers the latest advances in • Sleep disorders treating neurological disorders while retaining • Spinal disease and injury the trademark personal touch. thera.

“This has provided a level of neuroscience knowledge for our nurses. has helped nurses to identify subtle changes in our patients.” 5 . The Hauenstein Center promotes an interdisciplinary approach centralizing all neurological services in one place. Doctors.” Clinical Services Director Leanna Krukowski said. “By recognizing subtle changes. we are able to act quicker and with more evidence when planning the best care for patients. As shifts change. Saint Mary’s staff follows a detailed plan to coordinate the care of each patient and significantly reduce the chance for medical errors. nurses and other staff members can quickly share information. Fewer transfers improve patient safety and care by minimizing the risk of miscommunication. and patients don’t have to wait long periods or travel to see different medical providers.Saint Mary’s Model of Care From admission to discharge.” so patients aren’t transferred to other units as their conditions change. All inpatient rooms are “acuity adaptable. Saint Mary’s employs 18 certified neuroscience nurses who undergo in-depth training in caring for patients with neurological disorders. which. the staff conducts bedside reports in the patients’ presence to assure no information is lost during the handoff. in turn.

Saint Mary’s plans to begin performing that type of invasive moni- toring in Grand Rapids. monitoring unit. He sat next to his son. in some case.Epilepsy Saint Mary’s offers West Michigan’s only multidisciplinary epilepsy program.” telling doctors precisely where in the brain the electrical disturbances originate. He wrote the Textbook of Epilepsy Surgery studied by neurologists all over the world. “Oh. In the three years since Saint Mary’s Dr. Saint Mary’s physicians and other specialists meet frequently Dr. eliminate seizures caused by epilepsy. 82 percent of its patients who un. neuro-monitoring technicians and two epileptologists (neurologists specialized in treating epilepsy) and a Cleveland Clinic-trained neurosurgeon. It is staffed epileptic seizures. Later this year. Hans Lüders. Half the remaining 30 percent are candidates for surgery. Periodically. Dr. he travels from Cleveland. be originating. Muhammad Some patients will be scheduled for surgery at Saint Mary’s. including an inpatient monitoring unit. “It’s like a navigation chart. to review cases with the Saint Mary’s physicians. by nurses. surgically placed directly on the brain. it’s an excellent program. an internation- ally recognized epilepsy expert. said. said Dr. Hans Lüders points began its epilepsy center. Adriana Tanner exam- to decide which epilepsy patients are candidates for a type of ines patient Rita Sarade in Saint Mary’s epilepsy brain surgery that in most cases eliminates their seizures. Jürgen Lüders. 6 . where he is director of the epilepsy program at the Case Western Reserve School of Medicine. in many cases. eliminate surgery to alleviate and. Seventy percent of epilepsy patients can control their seizures with medication. the Saint Mary’s neu- rosurgeon who performs the operations on epilepsy patients.” Dr. Jürgen Lüders is range of medical and surgical treatments the only neurosurgeon in West Michigan specializing in a type of to alleviate and. Al-Kaylani discusses Those who need further study will be sent to Cleveland for a patient with other Saint Mary’s epilepsy a more precise type of monitoring in which electrodes are specialists. Adri- ana Tanner. to an area of a patient’s brain where epilepsy derwent the surgery were free of disabling seizures – better seizures are believed to than the national average of 70 percent. The program offers a Dr. medical director for Saint Mary’s epilepsy pro- gram. Dr.

a neurolo. afraid a sei. Al-Kaylani’s greatest satisfaction is in seeing a pa- He called them “pre. unaware treatment is available. He is a senior and resident advisor new epilepsy center. “A lot of patients. Dr. Some of them went years with seizures before they found zures stopped.” monitoring unit. get jobs. marked by violent shaking.” he said. he also tions without success. Af. Chief of Neurosurgery turned. the Saint Mary’s neuroscience team. Epileptologist For most of his 21 years. Tanner suggested he consider surgery. someone who could stop their seizures. Saint Mary’s interdisciplinary of his senior year.” Most patients who “Now the cloud is gone. • Neurophysiology and epilepsy residency.” she Nancy. and come to the epilepsy center are able to control their seizures with medication. Epilepsy Center recorded his brain activity.” he suffered a grand mal seizure. Adriana Tanner. When she came to Saint Mary’s in 2006. • Universidad Militar Nueva Granada Escuela Dr. he pressed a button. and they’ve had epilepsy for 20 years. Columbia prayer. While his classmates got driv.” she said. “They can’t drive. School of Medicine ers’ licenses and dated. which She chose to become an epileptologist – a neurologist he frequently climbs himself. They ing medication. Kaylani said. Tanner welcomed the challenge of heading the hospital’s drives and makes friends easily. and the sei.” Epilepsy is “a he avoided before the surgery. isolating the source of the seizures in scar tissue Education: in the right temporal lobe. University of Kentucky Chandler Medical Center only neuro surgeon in West Michigan specializing in that procedure. Wiersma • Neurosurgery residency. Dr. but men. “To be able to do it all in one place Dr.” is the best option. tient whose life was ruled by epilepsy leave the hospi- tend tummy aches. Jürden Lüders.” he underwent the surgery. alerting the Adriana Tanner. Lüders said. “That’s what I love about it. Bogota. It’s wonderful. When he sensed a seizure starting. In tenth grade. They began after he suffered a • Neurology residency. mitted to Saint Mary’s epilepsy “It takes a lot to build a program like this. Vanderbilt University ers at the age of 3 ½. MD Neurologist. • Epilepsy fellowship. They can’t who walked around with a black cloud over his head.” Al- In third grade. Cleveland Clinic Since then. eliminate epilep- conscious about it. specialized in treating epilepsy – because “I realized it was a field where I can do quite a lot for my patients. the only one in West Michigan. he began tak. Muhammad Majid Al-Kaylani. He couldn’t drive. “After a lot of thought and Militar de Medicina. in most cases. MD ter that. Paul Wiersma’s life was ruled by Education: epilepsy. Lüders is the only neurosurgeon in West people. Michigan who performs a type of surgery to control and. where Al-Kaylani isolates the source of their seizures. he was ad. For others with intractable epilepsy.” Tanner said. It was really tic seizures. epilepsy Send them to me. “I feel happy for my patients. University of Iowa closed-head injury Hospitals & Clinics in a fall from bleach. a source of worry for his mother. Wiersma has been seizure free. In the past. “For some. MD Neurologist. often recent advances in medication and surgery have leaving his right side numb.” she said.” tal seizure-free. epilepsy patients had few options. “It’s sad for me to look at patients. He is more outgoing. Cleveland Clinic “I knew I was different from other Dr.” patient Paul Wiersma would not have dared climb the rock wall he manages at Davenport University. then spread. sometimes three or four a Education: • University of Chicago. approach attracted him here. “I was very self. Unfortunately. the difference is enormous. rode the bus and stayed home. surgery he’s embracing life. Since medication couldn’t stop the seizures. “Don’t wait. and he’s got a smile on his face. performed by Dr. where he met he said. appreciate what we’re doing. the milder seizures re. • Kufa University College of Medicine. their lives are hard going through high school. The end performs several other kinds of spinal and brain surgeries. Jürgen Lüders. PHOTOS ABOVE: Before undergoing brain surgery at Saint Mary’s. But she knows it is one way her son is enjoying a world said.” gist and epileptologist. and ended up in the hospital.” he said. became withdrawn. Electrodes on his scalp Medical Director.” turned around. 7 . greatly improved outcomes. Patients with intractable epilepsy are an intense feeling that admitted to Saint Mary’s epilepsy monitoring unit would begin in his abdo. some patients suffer in silence. Epileptologist staff. makes it so much easier. at his college and manages the university’s climbing wall. Pritzker day. the • Neurology residency. Iraq zure would embarrass him. “I find epilepsy is one of the most treatable neurological conditions. “He used to be the kind of kid very lonely condition.” As a key member of His doctors prescribed medica. They lose their independence.

ALS is a progressive degenerative disease that attacks nerve cells in the brain and spinal cord. San Francisco When she left the California Pacific Medical Center treating ALS. her younger sister suffered a stroke. including physicians. leaving her para- Association. Deborah Gelinas with ALS patient Al Garcia. ALS Clinic of Human Medicine. occupational therapists. Dr.” Dr. 8 . While there is no cure. dietitians and respiratory therapists. nurses. has written numerous arti- cles and two books about it. “We’re recre- ating that here. Gelinas said. Letterman Army dedicated to diagnosing and Medical Center.” The clinic is the only one in West the 38th in the country certified Michigan dedicated to treating amyotrophic lateral sclerosis patients. debilitating East Lansing.Amyotrophic Lateral Sclerosis (ALS) Saint Mary’s Health Care. operates and Clinical Neuroscience Research Education: a comprehensive center • New York Medical College. That in- fluenced me in working with chronic. “When that experience hap- clinic on the MSU campus in pens to you. the center offers treatments improving the quality of patients’ lives. in partnership with Mary Free Bed Rehabilitation Hospital and the Michigan State University College Deborah Gelinas. a nationally recognized by the Muscular Dystrophy expert on the disease. speech and language pathologists. The center is treat ALS patients. Valhalla. Gelinas. the center offers a diseases. NY • Neurology residency.” team of professionals.” Gelinas said. With an affiliated lyzed on the right side. “I thought I was leaving the best place in the whole world to Gehrig’s disease. “She is an incredible human being. I’m really committed to resiliency in the face of neurological disease. MD Neurologist Medical Director. When she was 10. all you can do is be resilient. also known as Lou in San Francisco to join Saint Mary’s.

” Cooper said. “I really bring a holistic view – which is kind of the old-time medical view – to a Gelinas and the rest of the staff encourage their patients specialty clinic. said Dr. “but. I’ve got a lot relentless progression of the disease” could improve the to live for. is you’re stable.” she said. Saint Mary’s Health Care. That’s great. and you get to know these “I have a lot of hope. “It’s a privilege Across the hall. who heads the clinic. baby grown up.” . Lynn Cooper. I’m asking for at least 18 more years to get my quality and extend the lives of ALS patients.” Gelinas said. a former high school science teacher and now an I’ve got a lot to live for. I can offer hope. After he was diagnosed with amyotrophic lateral sclerosis.” she said. Like most neurological Al Garcia drove 2 ½ hours to the nearest clinic specialized diseases.” orah Gelinas. “slowing down the this clinic. a 37-year-old mother of four. “these are incredible people.” Garcia. “I have a lot of hope. Then two years diagnosis based on a collection of symptoms. whose paralysis is believed to be caused by ALS. No doubt about it. Deborah Gelinas listens to Lynn Cooper. sitting in an exam room. While ge- ago.LYNN COOPER adjunct professor of anatomy and physiology. netics may play a part.LEFT: Dr. knows ALS (also known as Lou Gehrig’s disease) is incurable. RIGHT: Gelinas tests ALS patient Al Garcia’s reflexes. “This was a Godsend. despite the grim prognosis.” as part of a team. to care for them. There is no cure. It’s a clinical in treating the neurodegenerative disease. although “I don’t know what people with ALS would do without research is promising. She finished examining Garcia and said. “The good thing “As an individual. there is no definitive test for ALS. “I’d be foolish to drive 2 ½ hours. Michigan’s only ALS clinic 20 minutes from his home. Deb.” As for the patients.” 9 . That’s important. to have hope. people more personally. was hoping for similar good news. the majority of ALS patients have tion Hospital and Michigan State University opened West no family history of the disease. Mary Free Bed Rehabilita.” he said. Short of a cure. I could offer very little.

while her mother. Neuro-Ophthalmology Education: no signs of neurofibromatosis. her daughter showed Medical Director.” Glisson said. he assured her mother. contrary to a pediatrician’s Christopher C. • Neuro-Ophthalmology fellowship. Christopher Glisson. Dr. “Can you follow him with your eyes?” he asked. hypertension. but it was an essential tool in examining Lillyanna Marrero Brander’s eyes.Neuro-Ophthalmology A finger puppet is not the most high-tech device Dr. Glisson returned to his West trained to diagnose a variety of Michigan roots after completing his Ivy League training at the University of Pennsylvania. Christopher Glisson uses in his practice. a neuro-ophthalmologist. a • Michigan State University College of Osteopathic Medicine disease characterized by tumors • Neurology residency. Glisson is a practitioner of an unusual sub- specialty – neuro-ophthalmology – that uses a As the area’s only neuro. “We can interpret what we see to tell us what’s going on elsewhere. diabetes neuro-ophthalmologists nationwide. and tumors – by examining a patient’s eyes. DO concern.” In 2007. Glisson. 10 .” he told her. University of Pennsylvania Dr. Glisson is see a piece of the brain. holds her. and the 2-year- old obliged. Jaclyn Brander. that. After the exam. Jaclyn Brander. “You are doing a great job. “We can look through the eye and ophthalmologist. He is diseases – including multiple the only neuro-ophthalmologist practicing in West Michigan and among only 400 academic sclerosis. examines the eyes of 2-year-old Lilly- anna Marrero Brander. patient’s eyes as windows to illnesses through- out the body. Michigan State University and neurological disorders.

” 11 .” . Glisson walked down the hall and con. that I’d had brain surgery. a neuro-ophthalmol. the intersection of the optic that have the medical knowledge to eye. Lüders removed it. the tumor was pressing on the optic home. im. The tumor also appeared to be do that. Chris. normal. and that could be fatal. then spreading rapidly to his right chiasm. Neither could a glauco. it was in his brain. His eye doctor confirmed the nar. up. nerves. Most people wouldn’t even think at the front of Key’s brain was causing out. I feel normal. narrowing his peripheral vi. There’s not a whole lot of places sion. Key’s vision immediately returned to have saved his life. surgeon. “It was incredible.” Key said.” rowing field of vision. An MRI confirmed “The biggest thing is it was so close to his left eye. nor a retina specialist. nothing wrong with the high school Glisson is among only seven neuro- senior’s eyes. Jürgen Lüders. ophthalmologists in Michigan and the ma specialist. but might Key’s eyes. It began in the failing eyesight. sulted with Dr.” said Key. but could find bleeding. “It was amazing how it all lined ogist at Saint Mary’s Health Care. now a college freshman. that I was able to have the surgery “It was incredible. only restored his vision. only one practicing in West Michigan.BRIAN KEY Grand Valley State University student Brian Key’s vision was restored after Saint Mary’s doctors removed a pituitary tumor. Less than 24 hours after the For Brian Key. Glisson’s training not That’s because the problem wasn’t in tumor was found. topher Glisson. Brian Key was going blind. Dr. a neuro. “I feel nor- mediately suspected a pituitary tumor within 24 hours after they found it mal.

” 12 . referral to Program at Saint Mary’s six years ago. Its services include diagnosis. “Nobody else was doing it. “I wasn’t making enough of an impact. and I was taking worker. the only one in West Education: • Medical College of Virginia Michigan. “I looked at what I was doing at Saint Mary’s. offers a holistic approach to • Internal Medicine residency. addressing each patient’s physical and • Geriatric medicine fellowship. Saint Mary’s Alzheimer’s Disease and Memory Disorders Program Disorders Clinic. pharmacist and other specialists. “It was a huge need. and research.Alzheimer’s Disease and Memory Disorders Saint Mary’s Alzheimer’s Disease and Memory Kevin Foley. more urgent.” he said.” he said. MD Medical Director. Foley hopes to inspire medical students to join geriatrician. As division head of geriatrics (at MSUCHM). neuropsychologist. social the battle against memory disorders. Foley had a good reason for opening an Alzheimer’s Disease and Memory Disorders patient and family counseling. University of Michigan Hospitals care. the need will become greater and the search for better treatments and behavior management. His recent faculty appointment at the Michigan State University College of Human Medicine opened the door for collaboration The multi-disciplinary team includes a between the medical school and Saint Mary’s. Dr. University of Michigan Hospitals emotional needs. nurse. I will be able to teach what I know.” other agencies and support groups. care of a landslide of people. mood As the population ages.

Dr. “What would you like to be able to do that you don’t do now?” Foley asked another patient. not as the pa- tient. He urged her to take up the hobby. medical director for Saint Mary’s Alzheim- er’s Disease and Memory Disorders Clinic. Helen Ruth Wilson. stealing the essence of a patient Nancy Crowley and her daugh- ter. James Crowley. afflicts not just the patient. Janice. on her left. person. “She still has a sense of herself. the number of patients is expected to rise as the baby boom generation ages. Nancy Crowley. Janice Gwasdacus.” Not so her father. disease. “She still participates in family celebrations. her father.” Gwas- dacus said.” Foley said. “We have every service you’d find at Mayo (Clinic) or the University of Michigan. seemingly oblivious to his surroundings. the number of patients has grown exponentially. On her right was her mother. Since the clinic’s first year.DR. like other neurological dis- eases. then asked a series of questions to assess her cognitive abilities. He dozed in his wheelchair. Alzheimer’s. “This is pretty typical of him. Because Alzheimer’s generally is a dis.” Gwasdacus told Foley. Nancy. “Unfortunately. “I like crafts.” he said. entered and grasped Nancy Crowley’s hands.” Foley said. “You’re doing great. at the quality of life for the patient and the family” since whose wife. Kevin Foley. years could reduce its incidence by half. Until that drug is found. tested her strength and reflexes. a drug that delayed onset even five between them. but the caregiver. KEVIN FOLEY ders clinic six years ago. it’s a growth industry. Kevin Foley opened Saint Mary’s Alzheimer’s Disease and Memory Disor- . “We’re looking OPPOSITE PAGE: Foley examines Al- zheimer’s patient James Crowley.” she said. sits ease of the elderly.” TOP: Dr. “You need to get involved. but the entire family. “We do not attempt to bring Dad to family celebrations anymore. Their daughter. “Ultimately what we want to find is a disease-modifying drug that puts it in remission.” “We’re looking at the quality of life for the patient and the family. in the advanced stages of the same disease.” he said. he takes his time with each patient. BOTTOM: Foley meets with Alzheimer Alzheimer’s is a cruel disease. Still. in the early stages of Alzheimer’s. Foley said. suffers the same there is no cure.” 13 .Janice Gwasdacus sat in an exam room.

also perform deep brain stimulation surgery for Parkinson’s patients and temporal lobe surgery for epilepsy patients. Jürgen Lüders more quickly. Scott Russo and neurosurgeons Dr. New treatment options permit minimally inva- sive spine surgery to repair fractures and treat TOP: Dr. disc injury and mis- aligned vertebrae. Carrier II | Copyright 2009 The Grand Rapids Press. Scott Russo. Steve Klafeta and Dr. including orthopedic surgeon Dr. both tops in their fields. Used with permission. procedures available nowhere else in the area. other physicians. frequently operate on patients at Saint Mary’s. OPPOSITE PAGE: Hoyt E. 14 . The hospital’s two neurosurgeons. Advances in computers and electronics provide the surgeons more-precise images of the brain. an orthopedic surgeon. (left) and Dr. Steve Klafeta meets with a patient about to undergo surgery to repair a spinal cord compression caused by a cyst. Jürgen Lüders per- form most of the neurosurgery. All rights reserved. degenerative disc disease. Lynn Hedeman. While Dr. spinal and brain procedures. Robert Seledotis and Dr.Neurosurgery Saint Mary’s comprehensive neurosurgery program encompasses a range of nerve. allowing patients to recover BOTTOM: Dr. discuss a case during a weekly spine conference.

15 .

Sinai Hospital. RIGHT: Nurse practitioner Teri Holw- erda prepares to review the file of a patient suffering severe back pain. patient get better over time. The Outpa- someone with extreme pain.” she said. or- “It’s an open forum where I can ask. The approach always is to the spine center. Spine Center Education: • Wayne State University School of Medicine • Physical medicine & rehabilitation residency. physicians from seven specialties neurologists. 16 . such as arthri- Teri Holwerda Nurse Practitioner. “Some patients have sat around for months with this pain by the time they come in. ‘Am I miss- ing something?’” That interdisciplinary approach thopedic surgeons. Michigan matic conditions. Grand Valley degenerative disc disease. and you get them back to no pain. which allows faster recov- ery. Grand Rapids • Doctoral candidate in nursing. A neurologist Saint Mary’s also collaborates with rehabilitation specialists at can refer a Parkinson’s patient suffering back pain Mary Free Bed Rehabilitation Hospital. If she needs cine specialists. “I love the intellectual challenge of figuring conservative and the goal to find the least invasive treatment out what’s going wrong. “I love my patients. slipped vertebrae and Education: • Master’s degree in nursing. Spine Center tis. Freimark’s goal is to alleviate her patients’ pain and help them lead a normal life.” tient Spine Clinic evaluates and treats degenerative conditions.Shelley Freimark. social workers and psychologists try to alleviate or eliminate the pain with medication and and a host of other medical profession- physical therapy. spine conferences to discuss cases. Freimark and a team of physical therapists. pain specialists. In each case. she walks down the hall. Shelley Freimark is a physiat- rist specialized in treating spinal dis- ease and injuries. radiologists. such as spinal fractures. to consult with a neurologist. State University Holwerda and other specialists regularly hold dislocations and herniated discs. internal medi- continues outside the conferences. Saint Mary’s Spine Service relies on spinal stenosis or other degenerative conditions. psychologists. Others have arthritis.” Holwerda said. as well as trau- State University. with surgery recommended only when necessary. “You take als to deliver the best care. “It’s this re- markable thing where all these providers come together and talk about spine cases. LEFT: Dr. spinal stenosis. less post-operative pain and shorter hospital stays. orthopedic surgeons.” she said. The team includes physiatrists. pain management specialists. MD Spine Service Physiatrist.” minimally invasive spine surgery. It’s very satisfying to know you got someone back on their feet and Saint Mary’s is the leading West Michigan hospital offering functioning again. neurologists. Detroit Dr. herniated disks. And I love watching a possible.” she said. Some have been injured in auto accidents or on the job. nurses and nurse practitioners. “Our goal is to avoid surgery and determine when it is necessary. That hallway goes both ways. neurosurgeons.

That was one month before a stroke left her paralyzed on the left side. “we’re able to move things along much quicker. swiveling her hips. assisted by physical therapist Judy Overmyer.” she said. she drove in a demolition derby.” said James Hartlein. “Anything dangerous I love. BOTTOM: Stroke patient Betty Vreeman. She helped Vreeman rise. Vreeman. With several specialists all in one place. we’ve got to do some fun stuff today. TOP: Kerwin Koetje exercises the muscles in his right arm and shoulder.” “You did very well. weakened from disuse due to a pinched nerve in his neck. “The multi-disciplinary model is an awesome experience for the patient. Her neu- rologist. “I was very physically fit.Neuro-Rehabilitation She was an athlete. 17 . step onto a small plat- form and face a large. Nearby. “OK. with a doctorate in leader- ship. stroke and Alzheimer’s. back and neck pain. helping her improve her balance and twirl a virtual hula hoop. At the age of 58. For the next several minutes. Leslie Neuman. Occupa- tional therapists also are available to help patients re- learn basic life skills. flat-panel television. “Hopefully. work- ing with clients all over the world. Speech therapist Kimberley Paszkowski helps patients who are having trouble with speaking and swallowing. plays a Nintendo Wii game to help regain her balance. swam three miles a day. help- ing them regain skills most of us take for granted. multiple sclero- sis. Vreeman played a Nintendo Wii game. I’ll be able to work again. Dr. other therapists worked with patients.” he said. Before her stroke. Patients include those with Parkinson’s.” she said.” Overmyer said. “This is great.” Overmyer assured her.” Betty Vreeman said. was a community development consultant. a physical therapist and manager of rehabilitation services.” Her challenge these days is in learn- ing to walk or rise from a chair without falling. a physical therapist whose office is just down the hall from his in the Saint Mary’s neuroscience program. water skied and could dive 100 feet down without breathing equip- ment. recommended she work on those skills with Judy Overmyer. I’m excited. “I was a champion.

Joseph Krainin studied a computer screen show- ing a polysomnogram. Combined. Joseph Krainin reviews a patient’s sleep study. In a monitoring room at the sleep disorders center Dr. another Saint Mary’s neurologist specialized in treating sleep disorders. Oth- er sensors monitored the patient’s blood oxygen content. and a video camera recorded movement. but a Saint Mary’s hospital unit with 10 rooms equipped to diagnose a variety of sleep disorders. a void Saint Mary’s is filling. narcolepsy.DR. such as sleep apnea. rest- less legs syndrome. The screen showed several physiological changes that occurred during the patient’s stay. JOSEPH KRAININ “Sleep fundamentally is a neurological process. afflicting some 30 million Americans and exacting a heavy toll on patients and a drag on the economy due to lost produc- tivity. This is not a hotel. Neurologic Sleep Disorders They come in hoping for a good night’s sleep. a continuous positive airway pressure (CPAP) machine and lifestyle changes.” Dr. A microphone picked up snoring. the more we study this. the more we realize this is problematic. I hope I can bring more awareness of it to the Grand Rapids community. and circadian rhythm disorder.” he said. sleep talking. and essential for overall health. “The more we learn. respiration and heart rate. Squiggly lines traced the brain wave activity. “It’s such a young field – it’s really just coming into its own.” Krainin said. Mu- hammad Al-Kaylani. a sleep study for a patient who had spent a night in one of the rooms across the hall. sleep walking. A doctor can prescribe a range of treatments. “It’s such a young field – it’s really just coming into its own. Sleep disorders are exceedingly common. Yet it has not always received the attention given to other neurological disorders.” . including medication. said Dr. 18 . Many patients are unaware their daytime fatigue is caused by sleep disorders. those changes would help Krainin diagnose the precise disorder disrupting the patient’s sleep.

As a new member of the Saint Mary’s staff. Muhammad Al-Kaylani.” he said. “is a very cerebral field – no pun intended. Dr. It is very demanding.” And very re- warding when he can help patients suffering a variety of sleep disorders. 19 . so he was surprised when he saw the vibrant city with its growing medical com- munity. Dr. particularly the new Hauenstein Cen- ter at Saint Mary’s Health Care. University of Michigan Hospitals Growing up in the Boston area. specialized in treating epilepsy and sleep disorders. he practices general neurol- ogy and specializes in sleep disorders. “At that point.” he said.” he said. • Neurology residency. MD Neurologist Education: • Tufts University School of Medicine. “I really pictured some declining Michigan industrial town. I realized I had fallen in love with Grand Rapids and the hospital and the people running the hospital. Kaiser Los Angeles Medical Center • Sleep disorders fellowship. discusses a case with colleagues. Joseph Krainin. “Neurol- ogy. Krainin was only vaguely aware of Grand Rapids when he accepted a job at Saint Mary’s.

in the same place. Varda tests the coordination of patient Dorothy Grigsby. Pakistan • Neurology residency. emergency department in the same “The problem is getting people here TOP: Dr. Sparrow University of Iowa Hospital Hospital. If a United States. Stroke remains the physicians. “They get a tingly hand. after heart attack and CT scan shows a patient is having an ischemic stroke – the most com. MD Vascular Neurologist Neurologist Education: Education: • Punjab Medical College • University of Iowa Faisalabad. Having the hours after the onset of symptoms. The Joint Commission on Accreditation of Healthcare Organizations has designated Saint Mary’s a Primary Stroke Center in recognition of its efforts to improve outcomes for stroke patients. watches from a nearby chair. MIDDLE: Dr. talks with Mirian Mejias. within that window. Emergency and Critical Care Saint Mary’s offers a variety of services to tackle stroke. Michigan State University Dr.Stroke. who stein Center: all these specialists are window of opportunity. cancer. making sure patients leading cause of disability and the arriving with stroke symptoms are third leading cause of death in the quickly diagnosed and treated. Dawn Griffin. and they de. Muhammad Farooq. mother of patient Pedro Mejias. the nation’s third leading cause of death behind cardiac disease and cancer.” he said. medical director of the critical care This is the unique thing in the Hauen. in the morning. • Neurology residency. building as the neuroscience pro. The interdisciplinary approach emphasizes speed.” Farooq said. As a member of the Saint Mary’s “There’s a lot of technology that stroke team. MD Darryl Varda. while her daughter.” was injured in an accident. Farooq works closely can give us answers we never had with the emergency department before.” Varda said. Lansing and Clinics • Stroke fellowship.” 20 . Emily Gualtieri. cide to go to bed and see how it is BOTTOM: Dr. grams “is very helpful. Saint Mary’s is participating in mon type in which a vessel in the a study into the benefits of educat- brain is block by a blood clot – a drug ing emergency physicians to admin- promptly is administered to dissolve ister clot-busting drugs within 4 ½ it and minimize damage. Varda has seen a lot of progress in treating strokes in recent years. promote rehabilitation and avoid a recurrence. efficiency and the latest technology to minimize damage. Farooq checks stroke patient Sandy Drent’s coordination. “We can be there in a few minutes. which is outside the unit. Dr.

states asking. Dr. If admitted. said Michelle Pena. Olgren. Dr. unit. Darryl Varda (right). their conditions change. ‘How termining if it is an ischemic stroke. a clock began ticking. de- other states asking. 21 providing around-the-clock care for inpatients. Michael Olgren. a hospitalist. cal services director.The neurology team meets with patient Evelyn Holst during morning rounds. Fewer moves means fewer ing a possible stroke. If the stroke is caused by a clot. a drug immediately is administered to dissolve it. stroke team only a few hours to confirm a blood clot is causing the stroke and administer a drug to dissolve it. confers with Podgorica. medi. said ing as soon as possible. large enough to accommodate families. giving the more comforting for patients. ‘How did you pull this off?’” she said. and Dr. . clinical services director for Dr.” allowing them to ask “We’ve done as much as we can to get this process go. Hospitalists key member of the hospital’s stroke team.” said Dr.” so patients are not moved as Mary’s emergency and trauma department suffer. clini- rological unit are close by in the Hauenstein Center. Zamir and trauma department. The emergency doctor consults with a neurolo- gist one floor above the ER. a neurologist. All 32 patient It improves patient care from the moment they arrive rooms in critical care and the 30 rooms in the neu. medical director for the critical care cal director of the emergency and trauma department. in which a clot is blocking blood flow to the did you pull this off?’” . the patient won’t have far to go from the emergency and trauma department. Dr. trauma and critical care. A radiologist reads the scan. At the moment the patient felt chances for miscommunications and errors. Emily Gualtieri. A patient arrives in Saint and “acuity adaptable. the most common type. discuss a case. are important members of the Saint Mary’s team. That kind of coordination was central to the de- sign of the Hauenstein Center. This is when speed matters. The patient is rushed to the CT scanner in Saint Mary’s “I get calls from people in new emergency and trauma department inside the Hauenstein Center. until they are discharged. and is the first symptoms. “I get calls from people in other All are private.MICHELLE PENA brain. As medical director for Saint Mary’s emergency Michelle Pena. Michael Olgren is a emergency. “I think the biggest improvement is having families present during bedside rounds. questions and become acquainted with the staff.

they expected 35 MS patients might attend. announcing the new clinic. Deborah Gelinas proposed highly experienced in diagnosing creating the clinic. Sei- zures are not typical symptoms of MS.Multiple Sclerosis At first he thought little about the tingling and The letters went out last fall invit- numbness in his feet. it a try.” he said. He ists and get necessary tests in visited an MS clinic in Detroit 150 miles away. Veltema received a letter announcing Saint Mary’s was opening a clinic for MS patients and decided to give clinic. It is not fatal. patients to an open house an- Dave Veltema won- dered: could this be nouncing a new service at Saint multiple sclerosis? His younger brother had Mary’s Health Care. offers an interdisci- in the brain and spinal cord. it might have a genetic com- ponent. Instead.” and Dr. Christopher Glisson. who helps her run it. one place and in one visit. following the of balance. over or as far away as Detroit to MS generally is not regarded as hereditary. allowing MS disabling. The Last fall. numbness. model of its other neuroscience MS is believed to be an auto-immune disease in which the body attacks myelin. after Veltema suffered a sei. both That was the idea when Dr. “If I come in and have an issue with my eyes or my balance. said Dr. although. although somewhere ing the area’s multiple sclerosis in the back of his mind. more than 100 showed up. patients to see various special- “It was scary. When he and Gelinas hosted an open house and treating MS. loss sclerosis clinic. from diagnosis to treatment to managing the symptoms that affect their quality of life. Deborah Gelinas over town. slurred speech. like get the comprehensive care many neurological diseases. “I was impressed.” Veltema recalled. I don’t have to drive all is led by Dr. making it difficult to diagnose. In the spring of 2005. a neurologist diagnosed him with probable MS. tingling. tremors and stiffness. “That’s the benefit of that multi-disciplinary approach. a leader in West Michigan. experience at Saint Mary’s during a routine visit. but can be plinary approach.” 22 . PHOTO: Patient David Veltema talks about his “I think the greatest value for the patient is the opportu. particularly because he had seen how rapidly it had progressed in his brother. necessary to keep their disease zure. Symptoms often include fatigue. nity to come to a facility that addresses every aspect of their disease. the insulation protecting nerves programs. No longer been diagnosed with MS years earlier and eventu- would they have to drive all ally used a wheelchair. Saint Mary’s multiple and progress vary widely. Christopher Glisson. The fact that it’s all here makes it easier.” Glisson said. but its indications in check.

was impressed with the team approach. to have that team work- tients.” he said. ology. “I think that’s morrow’s physicians who will care for tomorrow’s pa. 23 . “I’m medicine. so important for the patients. which is what drew me to neurology and physi- was a very enjoyable expe. particularly as make a difference. Deborah who also is on the school’s faculty. make a paycheck. I choose not to spend my life worrying about it. So is the related field of physiology.” he said. but “the morning. “It proach.” Michigan State University’s College of Human Medicine in 2010 will move from its temporary building in Grand Rapids (foreground) to its new headquarters a block away.” At Saint Mary’s. but neurology is proach. said Dr. rience.” he said. her philosophy of high on his list. The money will Christopher Glisson. I don’t want to work in an office and MSU prepares to open its new medical school head. “I want a job where I can University College of Human Medicine. That’s why I’m happy to be in medi- quarters in Grand Rapids. has some insight on her ap- plenty of time to choose a specialty. cal school. “I was able to gain Holowecky.” specialty. very eye opening. he saw a well-organized clinic. one of the hospital’s neurologists. he said. and he That’s a major part of Saint Mary’s mission: training to. in his second year of medical school. Saint Mary’s partnership with the Michigan State ing on their side.Education After following Dr. Not only does Saint Gelinas on her rounds one Mary’s help educate new doctors. medical student benefit to the community of Grand Rapids is we have Brian Holowecky decided the opportunity to access and utilize the resources of a to consider neurology as a huge university. her compassion very interested in long-term health and the holistic ap- with patients. to have a skill to help others. come. is mutually beneficial.

said Jack Lipton. said James Resau. scientists an. PhD. PhD. PhD. clearly for special programs at the Van Andel Institute. Jeff MacKeigan. the Van Andel scientists to analyze. due in 2010 to open its new invested in the neurosciences” College of Human Medicine building across the street . If not for the Van Andel Institute’s labs and Saint RN. Mary’s Director of Clinical alyze blood samples from Parkinson’s patients. but it’s going to pay off eventually. 24 . in many clinical trials in the search for better treatments. discusses his Parkinson’s search and innovation. PharmD. “We could be doing at least help patients outlive it. the Van Andel Institute and Michigan State University. provides blood samples for who oversees clinical research for Saint Mary’s neurosci. a member of the team. It’s an extremely difficult world-class research here. we can most other research facilities lack. looking Neuroscience Research. oversees the hospital’s participation into other neurological diseases.” would not be coming. the institute’s deputy director for special programs. deputy director “Saint Mary’s is really. tients. a Van Andel and amyotrophic lateral sclerosis (also known as Lou scientific inves- Gehrig’s disease).” Saint Mary’s doctors and Van Andel Institute scientists Jack Lipton. the researchers and their grant likely “One institution alone can’t do it. for genetic clues that might help unravel the degenera- tive disease. “If we can’t cure their disease. Dr. are bringing a $6. grant. “That’s the point of medical research: tigator.” said search for better treatments of neurological diseases. said James Resau. stroke PhD. multiple sclerosis. Deborah Gelinas is Saint A few blocks from Saint Mary’s Health Care. Leslie Neuman. The institute will be ence programs. cluding Alzheimer’s.Research Dr. Michigan State University. research with Saint Mary’s doctors and administrators. a professor in the Michigan State Univer.JACK LIPTON from the Van Andel Institute. the repository for blood and tissue samples from Saint Mary’s patients. The research is a partnership of Saint Mary’s.2 million National Institutes of Health gether to accomplish this. specializing in Parkinson’s. which could hold clues to other neuro- logical diseases. epilepsy. PhD. PhD.” he said. Saint Mary’s director of re- plan to expand their joint research beyond Parkinson’s sity College of Human Medicine. in. a Saint Mary’s neurologist to find something better. but without access to pa. “We all work to. we could not impact hu- It is one of several studies Saint Mary’s has joined in the man health.” said Susan Hoppough. They treatments for Saint Mary’s patients. Saint Mary’s director of research and innovation. RN. is joining the partner- ship by moving an elite team of Parkinson’s researchers The research could produce more clinical trials and new from the University of Cincinnati to Grand Rapids. Susan Hoppough. clearly invested in the neuro- Saint Mary’s has something the Van Andel Institute and sciences. Mary’s patients. “Saint Mary’s is really. area to work in.” said Brian Berryhill.

Gelinas. Dr. Muhammad Farooq are par- ticipating in a study of whether the drug teriflunomide can reduce the risk of pa- tients who display early symptoms of multiple sclerosis from developing clini- cally confirmed MS. Michael Olgren and Dr. Adriana Tanner is helping conduct a study of the effectiveness and safety of the drug brivaracetam in controlling epileptic seizures. perhaps. Brian Berryhill. Glisson. Gelinas. Kaufman and Farooq also are participating in a study of whether the same drug can reduce re- lapses in patients diagnosed with MS. Glisson also is helping conduct a study of whether men who took the drug PDE5 inhibitor for erectile dysfunction had an increased risk of developing non-arte- ritic anterior ischemic optic neuropathy. Kevin Foley is participating in a study of whether the drug PF 04494700 can slow the decline in patients with mild to moderate Al- zheimer’s disease. sometimes called a “stroke of the optic nerve. David Kaufman and Dr. PharmD. 25 .Saint Mary’s physicians are collaborating with re- searchers at other institutions in the search for bet- ter treatments and. Deborah Gelinas is participating in a study. oversees research for Saint Mary’s neuroscience program. Leslie Neuman is helping conduct a study of the drug Preladenant (SCH 420814) in controlling dyskinesia. based at Massachusetts General Hospital. Glisson. Darryl Varda are participating in a University of Michigan study into the benefits of educating emergency physicians to administer clot-busting drugs within 4 ½ hours after the onset of stroke symptoms. Dr. Dr. Christopher Glisson is participating in a study to learn whether early treatment with the drug glatiramer acetate can reduce the risk of patients with optic neuritis from developing multiple sclerosis.” which can result in vision loss. to determine whether the drug ceftriaxone can protect motor neurons in the brains and spinal cords of patients with amyotrophic lateral scle- rosis (also known as Lou Gehrig’s disease). Dr. a side effect caused by other drugs in patients with moderate to severe Parkinson’s disease. cures for several neu- rological diseases. Dr. Dr. Dr.

PHOTOS: Dr. Skrtic prepares a patient for an MRI (second photo from bottom). the technology has grown by leaps and bounds the last few years. Com- bined. CT and PET-CT machines. 26 . An increase might be due to cancer. a radiologist. Radiologist Dr. the two images help the radiologists identify areas of increased or decreased metabolic activity in patients’ brains. The PET looks at the metabolic activity of cells. A decrease could indicate Alzheimer’s. The CT uses X-rays to create a three-dimensional image.” Dr. examining images of a patient’s brain on two large monitors. an interventional radi- ologist. said. Technologist Joel Bakos operates the hospital’s new PET-CT scanner (middle photo). The hospital’s new PET-CT combines two types of imaging – computed tomography and positron emission tomogra- phy – to create highly detailed pictures of patients’ brains. That’s why the staff relies on a team of highly trained radiolo- gists to interpret the detailed images created with the most advanced MRI. Zdravko Skrtic. meets with epilepsy specialists to discuss candidates for neurosurgery (top photo). Bakos readies the PET-CT scanner for the next patient (bottom photo). “Oh. much of what happens in the Saint Mary’s neuroscience program would not be possible. Christopher Massin. Zdravko Skrtic examines a patient’s brain scans (second photo from top). Neuro-Radiology Without advanced imaging.

tingling or weakness in the arms and legs. helping doctors diagnose the cause of seizures he has suffered the past few years. • Evoked potentials tests to measure the electri- cal activity produced by stimuli.Neuro-Diagnosis After an initial examination by Tests include: one of the staff neurologists. • Nerve conduction studies to evaluate numb- many patients are referred to ness. 27 . their neurological disorders. The electrodes attached to Brad Thornton’s head produce an electroenceph- alogram. • Electromyography to check the health of mus- Saint Mary’s neuro-diagnostic cles and the nerves that control them. lab for a battery of tests to • Electroencephalography to record the electrical identify the precise nature of activity of neurons in the brain. such as light flashes and sound clicks.

“Is there any- among the specialists. Hauenstein offered to help McCorkle raise money for a “There are very few places like this Parkinson’s clinic in an existing of- that are dedicated to the neurosci. for our community. DAVID KAUFMAN from that casual conversation.” in World War II. Hauenstein made a substan- specializing in treating Parkinson’s. to ask if his accommo. disorders. sleep project. “You opened in February 2009.” she said. stroke. between a Big Ten university and a As it happened. all over town.” could envision what would grow director for . intelligence for the U. Army’s grams. multiple sclerosis. but Hauenstein turned the tables. neurologists. “It’s the natural relationship thing I can do for you?” he asked. psychologists and others son. more potential I see. ambulatory neuroscience “Our goals are very lofty. vice president of medical affairs. “I wanted to share manager. McCorkle was medical director for Saint Mary’s surprised by Hauenstein’s reaction: neuroscience program and chair “Phil. it’s irrelevant. The center’s inter- stein. he was intimately involved in planning for D-Day Even before construction began. As a colonel and chief of the people that propel the pro. can do all the bricks and mortar specialty neuroscience center in a you want. spinal million toward the $60 million injuries. Saint Mary’s the fruits of what my country had coordinator.DR. a multi.” 28 . amyotrophic lateral sclerosis. The building will allow us European Theater of Operations to attract the people. headache. Raising money for a neuroscience geons. Saint Mary’s recruited neurosur. Seven years roscience clinics under one roof ago. contribution.” dinator.” the Hauenstein Center. given me. munication dations were OK. said Leanna Krukowski. business office David Baumgartner. fice building at Saint Mary’s. It’s always ing big.Administration It’s not a question he normally For patients. “If it’s not all new building at Saint Mary’s called intertwined. Alzheimer’s and other McCorkle called it “a great asset memory disorders. and Pamela Villarreah. It the neuroscience program. Initially. a Grand Rapids businessman disciplinary philosophy promotes undergoing treatment for chronic better com- bronchitis. having all those neu- hears from a patient. the only such facility in West Michigan.” said Dr. the pleased with it. and other key military operations. therapists. but neither McCorkle nor Hauenstein clinical services sophisticated medical community. business office coor- “The more I’m involved in this. David Kaufman. tial donation and helped raise $15 epilepsy.” Hauenstein was typically modest about his TOP: Michael Yee. center would be easy by compari- nurses. When ences.S. it opened in 2003.” said Dr. this thing is way too small.” of neurology and ophthalmology at Michigan State University. “It’s Hauenstein had a history of think- never just a building. “I’m extremely BOTTOM: Wesley Gruno. there was. Saint Mary’s Health Care CEO means quicker diagnosis and treat- Phil McCorkle stepped into the ment and fewer trips to specialists hospital room of Ralph Hauen.” he said.

Krukowski and Massachusetts General Hospital colleague Michelle Pena were responsible for integrating those ser- • Clinical fellow.” Kru- was the lead author of the practice parameters for treating optic neuritis for Neurology. Saginaw Valley State University Education: • Master’s of science in nursing. the partnership between Saint Mary’s and Michigan State makes per. David Kaufman. Dr. they usually are not transferred to another unit. MSU when he was approached about heading Saint Mary’s neuroscience programs encouraging physicians and other providers in different specialties in 2008. Philadelphia Before the Hauenstein Center opened. College of Osteopathic Education: Medicine and College of Human Medicine. It all plays into the best care. The patients’ rooms. MSN Neurologist. and it allows Saint Mary’s physicians to all private. He already was busy teaching and directing the neurology education at we set ourselves up.” The Hauenstein Center promotes collegiality.” he said. works closely with Leanna Krukowski. DO Leanna Krukowski. • Harvard research fellowship in neuro-ophthalmology. so as patients’ conditions expand their research through collaboration. Medical Director. are “acuity adaptable.” she said. searchers access to a large patient population. Neuroscience Programs Clinical Services Director Chairman. ary. Kaufman. He has conducted countless studies of MS and patient at the forefront – that’s something that’s pervasive. “Putting the cused on stroke and multiple sclerosis. Michigan State University • Bachelor of science in nursing.” the official journal of the American Academy of Neurology. kowski said. 2009. That’s the hallmark of how fect sense. “Some hospitals say they are multi-disciplin- To Dr. Massachusetts General Hospital vices under one roof. The partnership gives MSU’s medical students and re. Saint Mary’s Health Care al- • Neurology residency. medical director for Saint Mary’s neuroscience programs. change. Kaufman’s own research has fo. ing better communication and coordination. he said. David Kaufman. “It’s the natural relationship between a Big Ten university and a sophisticated to work together. University of Wisconsin ready offered many neuroscience services – just not all in one place. RN. Wayne State University • College of Osteopathic Medicine. That approach improves patient care by promot- medical community. 29 .” she said. “We are interdisciplinary. the department’s clinical services director. “It’s palpable. Department of Neurology and Ophthalmology. So when the new center opened in February.

A letter from Ralph Hauenstein What a year it has been since the opening of the Hauen- stein Center at Saint Mary’s Health Care. a multi- specialty medical facility Ralph Hauenstein born in a casual conversation between the two. particularly as the population ages and diseases such as Parkinson’s and Alzheimer’s become more common. I was more than happy to help raise money for it. Mary’s CEO Phil McCorkle stand in the lobby of the new Sincerely. but epilepsy. Jay Van Andel. In the year since the grand opening. neu- roopthalmology and memory disorders. Grace. Nationally there is a critical need for such neuroscience programs. impressive in itself. stroke. No longer will West Michigan patients have to travel to Chicago or elsewhere to get treatment for these neurological disorders. is only the structure allowing us to bring together highly trained specialists of- fering a variety of neuroscience services. including Alzheim- er’s. brain tumors. it is a tribute to two men who had a great deal of impact on my life: my close friend. including the Van Andel Institute. amyotrophic lateral sclerosis. because my dear wife. The latter is important to me personally. which also includes a first- rate critical care unit and a state-of-the-art emergency and trauma department. The brick and mortar building. I saw both men struggle with and eventually suc- cumb to Parkinson’s disease. and it has engaged in research with other organizations. The critical care and emergency physicians work closely with the neuroscience specialists in treating not only Parkinson’s. the center has contin- ued growing. That clinic was the seed for the comprehensive neuroscience program now housed in the Hauenstein Center. Hauenstein Center. and my father. The Hauenstein Center is a testament to the generosity of the West Michigan com- munity and proof of Saint Mary’s commitment to providing health care services unavailable Philanthropist Ralph elsewhere in the area. so when Saint Mary’s CEO Phil McCorkle mentioned the need for a Parkinson’s clinic. spinal disorders. including many previously unavailable in West Michigan. died of Alzheimer’s in December. multiple sclerosis. found- ed by Jay Van Andel. attracting more top-notch specialists and more patients. 2007. For me. sleep disorders. 30 . I am pleased to have Hauenstein (left) and Saint played a part in it.

but Ralph’s efforts were the After only one year of operation.It was his tious project ever undertaken by Saint Mary’s vision and dedication to the idea that world- in our nearly 120-year history. neurologists and sub spe- and nurtured the project. and his tireless efforts to make research capacity. and the beautiful facility at- the vision a reality are the foundation of the tract physicians to this healing place. but it was Ralph’s generosity that sparked creasing frequency. with its support- our community for its generosity during the ing critical care and trauma services. people of West Michigan. the growth heart and soul of the project. already fund raising campaign for the Hauenstein Cen. Phil McCorkle President and CEO. grateful to our community. stroke. The Hauenstein Center was the most ambi. of the neuroscience program has far exceeded our expectations. Hauenstein Center. has developed a national reputation. With in- ter.” he often calls joining the program. rological disorders should be available to the cause the center carries on the tradition of ex. the collegiality of the staff. epilepsy. Mary’s hallmark. Saint Mary’s Health Care Philanthropist Ralph Hauenstein in the lobby of his namesake building with Saint Mary's CEO Phil McCorkle. indeed. His desire to see a cialists from around the country inquire about world-class center (“our center. so close to the site of the first Saint Mary’s Alzheimer’s. We are. and other neu- Hospital building is particularly significant.A letter from Phil McCorkle Ralph Hauenstein often expresses gratitude to The neuroscience program. cellent medical treatment. but especially to Ralph Hauenstein. model. 31 . and its presence class care for those suffering from Parkinson’s. be. The interdisciplinary care it) for the diagnosis and treatment of neurolog. the growing ical disorders. that has always been Saint Sincerely. delivered with care and compassion. thanks to the efforts of many.

org 32 . MI 49503 (616) 685-5000 | www. The Hauenstein Center at Saint Mary’s 220 Cherry Street SE | Grand Rapids.smhealthcare.