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TIRR Memorial Hermann Journal

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Winter 2018 Edition


Kothari DOCAdvancing Best Practices in the Treatment of Patients with Disorders of Consciousness

Studies have shown that 35 percent to 40 percent of patients diagnosed as being in a vegetative state are in fact conscious when evaluated by formal clinical examinations. More recent evidence suggests that there may be an additional 15 percent whose consciousness cannot be detected even by the best clinical examination.

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2016 Spring Gerard Francisco

Message from the CMO

Two years ago, the department of Physical Medicine and Rehabilitation at UTHealth was No. 29 in the country in National Institutes of Health funding for research. Today, we’re No. 11 among all departments of PM&R in the U.S. I give credit for this giant leap forward to Carl Josehart.

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A Multiple-limb Amputee Benefits From TIRR Memorial Hermann’s Strong Continuum of Care

For patients who face amputations, the road to recovery is a long one, filled with physical, emotional and social challenges. For those like Yvonne Thiem-Hester, who undergo multiple-limb amputations, the impact of limb loss is magnified.

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Carl Josehart Retires as CEO of TIRR Memorial Hermann, Is Succeeded by Jerry Ashworth

Carl Josehart has retired as chief executive officer of TIRR Memorial Hermann, a position he held for 11 years with a long list of accomplishments. Stepping into the role is Jerry Ashworth, FACHE, who assumed the position of interim CEO on Nov. 1, 2017.

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Dr. Richard Huang on the Value of an Administrative Fellowship at TIRR Memorial Hermann

From 2011-2012, Richard Huang, M.D., participated in a one-year administrative fellowship in brain injury rehabilitation at TIRR Memorial Hermann. The fellowship is highly competitive among physicians; the rehabilitation hospital is a Traumatic Brain Injury Model System sponsored by the National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR) and serves as the training ground for residents from two prominent medical schools: Baylor College of Medicine and McGovern Medical School at UTHealth.

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On-Call in Hurricane Harvey: The Good, the Bad, and the Ugly

I was one of two on-call attending physicians the weekend of August 26–27, 2017: the same weekend the worst hurricane to make landfall in the past decade two-stepped its way to the doorsteps of Southeast Texas, the Texas Medical Center and TIRR Memorial Hermann. This inpatient rehabilitation hospital was named the No. 2 rehabilitation hospital in the country in the prestigious U.S. News & World Report rankings. If there were a ranking for support and heart, this 134-bed rehabilitation facility would be No. 1.

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Opening the Door on Unspoken Issues: Creating a Comprehensive Website for Women With Disabilities

With a $300,000, three-year grant from the National Institutes of Health’s National Library of Medicine (NLM), Margaret A. Nosek, Ph.D., is developing a website that will house comprehensive information for women with mobility disabilities across the entire spectrum of participation limitations.

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On Leading a Rehabilitation Unit Within an Acute Care Hospital: Q&A with Dr. Brian Brendel

Physiatrist Brian Brendel Jr., M.D., is in his fifth year as medical director of the 14-bed inpatient rehabilitation unit at Memorial Hermann Southeast Hospital. He received his undergraduate degree cum laude at Texas A&M University in College Station and completed medical school at The University of Texas Medical Branch at Galveston.

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Home Neuromodulation of the Neurogenic Bladder in Chronic Spinal Cord Injury With Transcutaneous Tibial Nerve Stimulation

At the TIRR Memorial Hermann/UTHealth Spinal Cord Injury and Disability Research Center, Argyrios Stampas, M.D., and his team are investigating the potential for home use of transcutaneous tibial nerve stimulation (TTNS) in patients with spinal cord injury. The research is funded by a TIRR Memorial Hermann Rehabilitation Innovations Award.

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Toward a System That Ensures Quality Care for Patients With Spinal Cord Injuries

With a financial penalty from the Centers for Medicare and Medicaid Services (CMS) associated with an above-average rate of catheter-associated urinary tract infections (CAUTIs), hospitals around the country have focused their attention on reductions in this core measure, one of many created by the Centers for Disease Control and Prevention and the National Quality Forum – and enforced by CMS.

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TIRR Memorial Hermann Launches a Formal Neurobehavioral Program

One of the primary principles of caring for people with neurobehavioral issues is maintaining a calm and controlled environment. TIRR Memorial Hermann’s new Neurobehavioral Program houses these patients in a dedicated area of an established brain injury unit, where they are cared for by a highly trained group of clinicians.

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A research and clinical leader in the field of physical medicine and rehabilitation, Gerard E. Francisco, M.D., has been elected to the prestigious National Academy of Medicine (NAM). Dr. Francisco, chief medical officer at TIRR Memorial Hermann and professor and chair of the department of Physical Medicine and Rehabilitation at McGovern Medical School at UTHealth, is one of 80 professionals elected to the academy for outstanding professional achievement and one of only 17 PM&R specialists in the world elected to the 2,127-member academy since its inception in 1970.

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Jerry Ashworth

Message from the CEO

At TIRR Memorial Hermann, we change lives by rewriting stories. Our therapists, nurses, affiliated physicians and other healthcare professionals work daily to improve outcomes, offer hope and maximize independence for people whose lives have been affected by disabling illness and injury.

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