North Texas is blessed with three Level 1 trauma centers for adults (Baylor University Medical Center, Methodist Dallas Medical Center and Parkland Memorial Hospital) plus a children’s facility at Children’s Medical Center. On Tuesday, September 12, the Baylor Health Care System Foundation Board luncheon was filled to the brim on the 10th floor of the Sammons Center to hear “The First Three Hours: What Everyone Needs To Know About An Emergency Department.”
While the new members of the board like Ann Barbier-Mueller, Tricia Rippey Besing, Bradley Brookshire, Lauren Combest, Carol Dalton, Janelle Davis, Robert Dobrient, Tom Dunning, Tucker Enthoven, Jeremy Ford, Bruce Hunt, Jason Kulas, Zelig Lieberman, Scott Luttrell, Matthew Rubel, Thomas Sabin Jr., Charles Shufeldt, Connie Sigel, Theresa Simoni, John Tolleson and Christi Urschel attended orientation, the vets filled the dining room.
On each of the tables were salads, beverages and small cakes. The dessert was specially selected because, unbeknownst to most, it was Baylor Health Care System Foundation President Robin Robinson’s favorite and it was his birthday. But the staffers warned that Robin wasn’t making a big deal of it.
It was also the debut of Norm Bagwell as chair of the Foundation. Norm welcomed the group including Marti Carlin, Gregg Kirkland, Jill Smith, Paul Stoffel, Dr. John Garrett, Lindalyn Adams and Peggy Riggs and provided the invocation.
During lunch, the talk was about Norm’s wife, Robin Bagwell, not listening to doctor’s order to stay off her feet. Instead she went on hikes and trips. The results? Crutches…. Former Baylor Health Care System Foundation Vice President Clare Graca is back in North Texas after serving as Managing Director of Development for Harvard Business School. Her goal had been to haul in $1 billion in five years. Clare did it in three. What brought her back? Her new role as chief business development officer for Integrative Emergency Services…Kristen Hinton was spending time in New Mexico while the Hinton kids were completing school and Dallas for events like the day’s luncheon…. Lisa Troutt’s being back in Dallas after attending Ray Washburne’s swearing in as Overseas Private Investment Corp. CEO by Vice-President Mike Pence.
Following lunch, Foundation Development VP Susan McSherry provided fundraising plans for the year to come and admitted that the week of October 23 was going to be a busy one with Grand Rounds Golf Tournament on October 23, Celebrating Women Luncheon on October 26 and Healthy Harvest on October 28.
As for the year past, Robin reported that the Foundation crew had closed the fiscal year surpassing its $30M goal by raising $30.2M with major gifts totaling $10M in major gifts. Since its “inception in 1978, the Foundation has raised more than $611.6 million for Baylor Scott and White Health – North Texas.”
He then was joined by Integrative Emergency Services Founder/CEO Nick Zenarosa (aka Dr. Z) to discuss the world of emergency services. When the room was polled on how many had sought ER services for themselves and/or family and friends, more than half the room raised their hands.
While some folks may not have realized, Nick explained how ER facilities at main healthcare centers are operated by companies, like Integrative Emergency Services, that specialize in emergency services. In tipping his hat to Dr. Leonard Riggs, he told how Leonard had pioneered the establishment of the unique services. In fact, Baylor Dallas’ ER is named the Riggs Emergency Department.
At one point, Leonard addressed the group recalling how, back in the 1970s, one would go to an ER with a specific trauma and the healthcare provider might be an ophthalmologist one day and an orthopedic specialist the next.
Nick was asked if the ER was like what was seen on TV shows like “ER” and “Chicago Fire.” Nick admitted that it wasn’t so dramatic. Apparently, such traumatic situations as car accidents, heart attacks and shootings only make up “3% of the total volume.”
Other highlights of the conversation included:
- The five most common reason for visiting an ER (stomach and abdominal pain, chest pain, fever, headache and cough) make up 23.4% of the visits.
- ERs have 136M visits in the U.S.
- There is a definite burnout rate for ER specialists.
- They see everything from coughs to human trafficking victims with bar code tattoos.
- At Baylor’s ER, there are three entry areas: ambulance entrance, walk-up and doctor referral.
- The busiest days tend to be Mondays and Tuesdays.
- Sepsis is proving to be one of the major challenges facing the healthcare community, with 1.5M American affected and 250K dying annually.
- Another great challenge facing ERs is the blood clot. 900K Americans suffer clots annually. The damages created by a clot can greatly be reduced thanks to immediate attention and action.
He described the various types of emergency services — telemedicine, retail “Minute Clinic,” doctor’s office, urgent care, freestanding and emergency department.
An ER doctor tends to be a unique personality, Nick claimed. He described them as tending to eat a 1,000 calorie meal in 30 seconds.
When asked about unique cases, Nick hesitated, but he told of the man who had been bitten on the finger by his pet rattlesnake. Instead of calling it a day, the man held the snake up to his face. The rattler bit his tongue swelling it up and prevented him from breathing.
Following the exchange between Robin and Nick, Baylor Scott And White Health CEO Jim Hinton told of a Dallas policeman who had suffered a heart attack on the Katy Trail. Despite others fearing he had died, the ER team kept him alive and he recovered, thanks to a unique department especially geared for such people as first responders.
With a twinkle in his eye, Jim then suggested to Nick that if Chicago had “Chicago Fire,” North Texas could have “Dallas Clot.” Needless to say, Jim knows how to end a meeting with a laugh and a smile.