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Deaconess Foundation Hospital Speyer

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1 direct mail to all households News from the Deaconess Foundation Hospital Speyer 2014 The hospital has turned what's new? With the relocation of the main entrance to Paul-Egell-Straße, the hospital has practically turned. The central reception and the outpatient departments have also moved to the new main entrance. Read about this from page 2 Contents Page Editorial 2 New building 2 When the cardiologist and the gynecologist 7 Competent cancer therapy for women from a single source 8 I have back problems Can the neurosurgeon help? 10 Tailor-made vascular surgery thanks to high-tech hybrid OR 11 Neonatology Dr. Bosk is one of the best in Germany 12 Today I am a researcher 12 Mobile app all about childbirth 13 Awarded by satisfied patients 13 EndoProsthetic Center certified 14 ECMO can save lives: New lung support in the Deaconess Foundation Hospital Speyer 15 A little piece of luck 16

2 Editorial The hospital has turned what's new? Wolfgang Walter (Managing Director), Brigitte Schneider (Nursing Director), PD Dr. med. Dirk Jentschura (Medical Director), Werner Vogelsang (Managing Director) from left Dear Readers, The first construction phase to merge our two hospital locations has been completed and we have relocated the main entrance to Paul-Egell-Straße, where we also have a parking garage with 260 Have built places. We will inform you about the changes and innovations after the move in this issue of our clinic magazine. In April, ambulances, functional areas and offices packed their bags to move into the new rooms on Paul-Egell-Straße. On April 26th the time had come: the main entrance opened on Paul-Egell-Strasse. There is also the new multi-storey car park with 260 parking spaces. But even more has happened: In another construction project, we expanded our operating wing and set up a state-of-the-art hybrid operating room with which we are improving the care of vascular patients. The other clinics also have new examination and treatment methods as well as accompanying offers for large and small patients, which we present to you in this issue of News from the Deaconess Foundation Hospital. We hope you enjoy reading it and hope that it will find interesting topics for you too. Patients and visitors can reach all areas of the hospital from the spacious entrance hall. Background: mirpic / fotolia.com; Building: Deaconess Foundation Hospital

3 With the relocation of the main entrance of the Deaconess Foundation Hospital to Paul-Egell-Strasse, the hospital has practically turned. The central reception and the outpatient departments have also moved to the new main entrance. Deaconess Foundation Hospital Ground floor mother house / park Medical center Operating theater center Intensive care unit 1 1 former foyer Hilgardstr. Stairway Elevator Staircase Cardiological functional diagnostics Elevator Reception Radiological center Pediatric outpatient department Admission surgeon. Gynecologist outpatient clinic Ambulance, stairwell, patient approach (ambulance) Central reception Main entrance Paul-Egell-Str. Reception 3

4 NEW: The angiography system in the cardiology area In December, the cardiological function area started operations with a new cardiac catheter laboratory and a new, ultra-modern angiography system. This further improves the care of heart patients from Speyer and the surrounding area. NEW: The spacious cafeteria with terrace 4 At the end of January, the kitchen and cafeteria in the new building went into operation. 150 guests can be seated on 500 m², and meals are prepared daily in the m² kitchen. In the new rooms, the offer has also been expanded to include theme days and show cooking. In the new bistro area with vending machines, patients and visitors will also find a cozy lounge area outside of opening hours. The new terrace will be ready just in time for summer. Background: mirpic / fotolia.com; Building: Deaconess Foundation Hospital

5 The bright and friendly reception in the geriatric day clinic At the beginning of 2014, the geriatric day clinic was the first area to move from Spitalgasse to the new building. Eight bright, friendly treatment and therapy rooms, two relaxation rooms and function rooms have found a new home on a total of 750 m². The 200 m² therapy garden with terrace can be used from summer onwards. The day clinic has its own entrance on Martin-Greif-Straße. Diakonissenstrasse Dormitory Mother House Entrance P3 Mother House P3 Rulandstrasse Youth Welfare Medical Center 2 Pharmacy Hilgardstrasse Entrance P2 Medical Centers Pharmacy Zeppelinstrasse Educational Center Medical Center 1 P2 St.-German-Strasse Else-Krieg-Str. Entrance P4 Rulandstrasse Haus am Germansberg P4 Werkhof Main entrance Hospital Weiherstrasse. Deaconess Foundation Hospital Speyer Fuchs- Martin-Greif-Straße Lying sick person access Lindenstraße Multi-storey car park Radiotherapy P1 Paul-Egell-Straße B39 Entrance P1 Hospital 5

6 NEW: Multi-storey car park at the new main entrance Now only patients who are brought in the ambulance can reach the hospital via Hilgardstrasse: The new patient approach is located next to the former entrance. There is a logistical masterpiece behind all the relocations and commissioning: All connections for medical devices, telephones and computers have to work with pinpoint accuracy. Since we were building and moving during ongoing operations, we do not have much time between switching off at the old location 6 NEW: Helicopter landing pad on the new five-story extension and commissioning in the new rooms to ensure the medical care of the patients, explains Andreas Müller, Head of the construction department. He emphasizes that in addition to the visible moves, a lot of work is going on in secret and that numerous conversions and modernizations are being carried out that patients and visitors do not notice, for example in the laboratory or in the pharmacy. Background: mirpic / fotolia.com; Building: Deaconess Foundation Hospital

7 Diagnosis & Therapy When the cardiologist talks to the gynecologist Myomas are the most common changes in the uterus and occur in over 20 percent of all women over 30 years of age. These tumors consist of muscle cells and connective tissue and are benign tumors that often do not even cause symptoms. The smallest beads are injected into the fibroid. The tumors gradually shrink. About two thirds of the affected patients suffer from bleeding disorders, severe abdominal pain, anemia or fertility disorders, for example, explains Dr. Uwe Eissler, chief physician at the Clinic for Gynecology and Obstetrics at the Deaconess Foundation Hospital. Sometimes the bladder or rectum dysfunction. If the patient complains about such complaints, the gynecologist first carries out a gynecological examination. If one or more fibroids are suspected, an ultrasound or even an MRI scan is also performed, explains Dr. Eissler. Only then will it be decided whether, for example, drug therapy is sufficient or whether further treatment in the hospital is necessary. There an operation to remove the tumor is possible, in some cases a hysterectomy is necessary, i.e. the removal of the entire uterus. The Deaconess Foundation Hospital offers a new procedure, the so-called uterine fibroid embolization. The vessels that supply the fibroids are closed, says Dr. Harald Schwacke, chief physician at the Clinic for Internal Medicine and Cardiology, who carries out the treatment in the in-house cardiac catheter laboratory, in a nutshell. In this procedure, similar to cardiac treatments, we insert a very thin tube into the artery via the groin, explains cardiologist Dr. Schwacke. Before the treatment, the patient is given epidural anesthesia, i.e. local anesthesia close to the spinal cord, which prevents her from feeling anything or being in pain. Under X-ray control, we bring the catheter up to the uterus, where the finest beads are injected into the fibroids so that the blood supply is interrupted and the fibroids die, says Schwacke: It's like causing an artificial infarction in the tumors. However, these do not suddenly die off. Because they are no longer fed, they gradually shrink, says Dr. Eissler. Since this can initially cause pain, the patient usually remains on the gynecological ward for three to five days for observation after the catheter operation, explains Dr. Eissler. After a maximum of six months, an MRI examination is carried out to determine whether the embolization was successful. When deciding whether to use the procedure, the advantages and disadvantages are weighed against each other. A decisive advantage is of course that the patient is spared an operation. However, there is little radiation exposure during the catheter procedure and the fibroid is not completely removed, says Eissler. When deciding for or against uterine fibroid embolization, the principle is that each patient is perceived with their individual disease and that the doctor works with her to choose the best possible therapy. 7th

8 Diagnosis & Therapy New Head of Orthopedics and Joint Surgery Section Cancer Therapy for Women Competently from a Single Source Since last year, a team of various specialists and other specialists has been looking after malignant diseases of the ovaries, the uterus, the cervix, the vagina and the external in the gynecological cancer center Genitals. The center was recognized as one of the first in Rhineland-Palatinate by the German Cancer Society. Christian Kreukler is the new head of the Orthopedics and Joint Surgery Section at the Deaconess Foundation Hospital. Together with Prof. Dr. Christian Heisel, the specialist in trauma surgery and orthopedics, looks after patients in the Orthopedics Kurpfalz with locations in Speyer and Mannheim and operates in both hospitals of the deaconesses Speyer-Mannheim. The 45 year old's focus is on knee and shoulder treatments. En specializes in cruciate ligament and meniscus surgery, patellar dislocations as well as joint interventions and cartilage replacement therapies in the knee. In addition, it covers the entire spectrum of arthroscopic shoulder surgery. Most recently, the native of Karlsruhe, who grew up in Mannheim and calls himself a weekend Palatinate because of numerous vacation stays, worked as a senior physician at the Theresienkrankenhaus Mannheim. Before that, after studying at the University of Heidelberg at the Marienkrankenhaus Ludwigshafen and at the Neustadter Hetzelstift, he specialized in his field. Christian Kreukler sees the new job as a challenge due to the different locations and teams, which he is very much looking forward to. The special thing about a center for the treatment of cancer is that we care for the patients and their relatives medically, personally and psychologically during the entire duration of the treatment, says senior physician Dr. Cordula Müller, who heads the center. A patient diagnosed with cancer who turns to the Gynecological Cancer Center Speyer no longer has to deal with coordinating the treatment. Various departments of the Deaconess Foundation Hospital, the Speyer Radiological Center, the Oncological Practice, Radiation Therapy and the Institute for Applied Pathology work together in the center, so that diagnosis and therapy for the patient come from a single source, explains gynecologist Dr. Müller. Heidrun H. also experienced this. She came to the Deaconess Foundation Hospital by ambulance rather untypically as an emergency when she was not feeling well one Friday afternoon in September. But since a scraping there led to the diagnosis of cancer, the cogs at the center have meshed with the 75-year-old. We first removed the uterus in a laparoscopic operation, explains chief physician Dr. Uwe Eissler. In the process, abnormalities were discovered on the ovary that required clarification, but have since turned out to be non-malignant. Another intervention was necessary to complete the operation and, for example, to remove lymph nodes before an interdisciplinary decision in the gynecological cancer center was made about the best possible further treatment for the patient, i.e. whether, for example, radiation is still necessary. This interdisciplinary collaboration is what makes the cancer center special: once a week, all the specialists involved in the care meet to discuss the course of the disease and the success of the therapy and, if necessary, to reconsider and adjust the treatment concept. In this way, everyone involved is always up to date and can tailor cancer treatment to the needs and needs of each patient. Dr. Cordula Müller explains another important factor of the center, the time factor: If a patient is referred to the Gynecological Cancer Center, all important examinations are carried out according to the latest state of science and technology within a very short time. For this, the patient does not necessarily have to be admitted to the hospital as an inpatient: suspected cancer can be clarified on an outpatient basis in the oncological or dyplasia consultation hour. Fortunately, suspicions are not always confirmed, says Dr. Müller. However, if the suspicion of cancer is confirmed, the doctors agree on the best individual treatment method 8

9 Diagnosis & Therapy, for example whether an operation makes sense or whether radiation or chemotherapy offer better options. Then they decide together with the patient which treatment is to be carried out. The course of treatment will again be discussed in our weekly conference. If it turns out that something needs to be adjusted in the treatment, all the specialists involved can contribute their expertise. For example, depending on the disease, an operation can be at an early or late stage or not at all, the same applies to radiation and chemotherapy, explains gynecologist Dr. Müller Another advantage of the Gynecological Cancer Center is that the gynecologists, surgeons, radiologists, oncologists and radiation therapists have additional specialist qualifications and extensive experience in the field of cancer therapy. In the Clinic for Gynecology and Obstetrics of the Deaconess Foundation Hospital, for example, special surgical procedures are carried out for the treatment of uterine or cervical cancer. With the help of keyhole operations, for example, complex interventions can be carried out without the patient being burdened by a large abdominal incision, explains chief physician Dr. Eissler, in whose clinic also other gentle procedures such as B. find the sentinel lymph node procedure in labia cancer application. But the cancer patients are not only in good medical care at the center: oncological nurses, a psycho-oncologist, social services and pastoral care are available to advise them if required. The staff of the so-called accompanying services always have an open ear for the patients and their relatives, but also offer practical help, for example in the coordination of further treatment, mediation of offers of assistance, care services or advice centers as well as applications for health and long-term care insurance. Senior physician Anette Ligl-Löhner in the dysplasia consultation hour If possible, minimally invasive operations are carried out. Senior Physician Dr. Cordula Müller (left) advises a patient. 9

10 Diagnosis & Therapy I have back problems Can the neurosurgeon help? Back pain can have many causes and surgery is only necessary in a few cases. If so, the neurosurgeon can help. Most adults experience back pain at least once in a lifetime, explains Dr. Frank Rommel, specialist in neurosurgery. Most of the time, they appear suddenly, caused for example by tension or incorrect movement. And they usually go away after a simple treatment such as heat, painkillers or exercise. However, if the pain is unchanged after two weeks, a doctor should be seen, says Dr. Rommel. This is especially true if other symptoms arise, such as paralysis or numbness in the arms or legs. Then even a visit to the neurosurgeon may be advisable. Dr. Frank Rommel and Dr. Markus von Haken are neurosurgeons. You run the Neurosurgical Spine Center in Speyer and head the Spine Surgery Section at the Deaconess Foundation Hospital. With us, patients are treated individually by a doctor, from diagnosis to therapy and follow-up care, emphasizes neurosurgeon Dr. of hooks. The patients usually come with neck or back pain, which often radiated into the arms or legs. This can be due to a herniated disc, a broken bone, a slipping vertebra or a spinal canal stenosis, i.e. a narrowing of the nerve canal, counts Dr. possible causes by hook. In order to find out the reason for the pain, the neurosurgeons carry out extensive examinations, including numerous options for imaging diagnostics. If the reason is found, Neurosurgical Spine Center Dr. by Haken & Dr.Rommel Medical Center 2 at the Diakonissen-Stiftungs-Krankenhaus Speyer Hilgardstraße Speyer Tel discussed in detail with the patient whether conservative treatment with physiotherapy, pain therapy or exercise therapy is to be initiated or whether an operation is necessary. It is important to us that the patients with their individual clinical pictures are informed about the various options and are involved in the decision, emphasizes Dr. Frank Rommel. If the decision is made to have an operation, the heads of the spinal surgery section at the Deaconess Foundation Hospital can offer all surgical procedures for spinal treatment. All procedures are not only established and state-of-the-art, says Dr. Rommel: Our treatment is based on international guidelines and quality standards. He and his colleague Dr. von Haken are experts in their field: while Dr. Rommel Dr. Frank Rommel Dr. Markus von Haken collected several years of practice as a senior physician at the Neurosurgical Clinic of the University Medical Center Düsseldorf, Dr. von Haken gathered scientific and practical experience at home and abroad and was a senior physician in neurosurgery at the Ludwigsburg Clinic before setting up his branch. Since 2010, the two specialists in Speyer have been looking after patients who are usually treated as inpatients for around three days after a back operation. This is followed by further outpatient treatment in the practice and possibly rehab. The development after an operation is individually dependent on the patient, say Dr. von Haken and Dr. Rommel, but give courage: Basically, a quick reintegration into everyday life is possible after a spinal surgery. 10

11 Diagnosis & Therapy The new hybrid operating theater is a quantum leap in terms of both medical options and safety, said vascular surgeon Professor Dr. Gerhard Rümenapf on the occasion of the presentation of the new high-tech system in the Deaconess Foundation Hospital Speyer in March. Tailor-made vascular surgery thanks to high-tech hybrid operating room The extra-large operating room, which houses the impressive high-end angiography system, extends over 80 m². The floor-mounted C-arm system is moved with high speed and precision by an industrial robot. In the new operating room, both interventional procedures such. B. dilatation of arteries as well as open surgical procedures such as bypass operations can be performed. Interventional procedures offer numerous advantages, such as fewer wound healing disorders and shorter hospital stays. As a result, the number of bypass operations has decreased and that of dilation has increased in recent years, explains chief physician Professor Dr. Gerhard Rümenapf. However, surgeons are increasingly using a combination of interventional procedures and open surgery in order to enable patients with so-called hybrid procedures to receive tailor-made treatment. With such a combined procedure, we can treat several vascular levels in one and the same session, emphasizes Professor Rümenapf: This also means less stress for the patient due to fewer procedures. The system also provides relief for patients and surgeons in the field of radiation protection: the much more powerful X-ray tube produces aaa ultrasound of the carotid artery, one of the tasks is sharper images in a shorter time and with significantly less soft and scattered radiation, says a Speyer vascular assistant. Vascular surgeon. The precise imaging is one of the main advantages of the new device: The spatial representation and the fine resolution allow the smallest details to be recognized and thus increase the spectrum and the safety of the treatments. Hospital manager Wolfgang Walter describes the investment of a total of 5 million euros from own funds for the renovation and expansion of the operating theater wing as a milestone for our house. Increasing numbers of operating rooms would have made it necessary to expand operating room capacities, and a new sterile aisle should help to optimize processes in the operating room. The share of costs for medical technology would be around 1.5 million euros, and it would be sensible and necessary in view of the interventions in the year that are expected in the hybrid operating room. A hybrid operating theater is now a must in large centers, adds Professor Rümenapf, who runs the Speyer-Mannheim Vascular Center with a total of 91 beds, one of the largest vascular surgery facilities in Germany. 11

12 messages Today I am a researcher. Distraction and fun through science is that possible? That's fine. In the children's clinic of the Deaconess Foundation Hospital. Neonatology Dr. Bosk is one of the best in Germany. Wunderfitze (Baden for the curious) come to the children's clinic once a month. Nora Kelm and Sandra Fischer from the Science & Technologie association playfully introduce children of different age groups to scientific phenomena during their inpatient hospital stay. And what about the children? You can hardly stop being amazed when a human circuit lights up the eyes of doll Willi or when tornadoes arise in bottles with enigmatic, colorful liquids. For a while, the little patients and their parents are so focused and fun that they almost forget about their illness. We want to get the children out of their daily hospital routine and distract them, says cultural scientist Nora Kelm. In addition, it is about that they have little sense of achievement. In some cases, children can pass on what they have learned at home after their hospital stay, which makes them proud after they have not been able to participate in everyday school life and circle of friends for a while, adds geographer Sandra Fischer. Science & Technologie has endeavored to promote natural sciences and technology since 1998, Wunderfitze is the most recent project of the association. Since the spring of 2013, employees have been visiting children's hospitals in Rhineland-Palatinate, Saarland and Baden-Wuerttemberg, after assignments at the University Children's Hospital in Freiburg delighted and enriched the children. The missions are financed by Herzenssache e.v., the children's aid campaign by SWR, SR and Sparda-Bank. More information under Wunderfitze supplements the care offers of the Deaconess Foundation Hospital especially for small patients: For the past three years, clowns have been visiting the wards of the children's clinic once a week. Dr. Axel Bosk, head physician at the Clinic for Pediatric and Adolescent Medicine at the Diakonissen-Stiftungs-Krankenhaus was selected in 2013 in the Focus list of Germany's top doctors in the neonatology category. According to vascular surgeon Professor Dr. Gerhard Rümenapf is Dr. Bosk is the second chief physician at the Deaconess Foundation Hospital to make it into the directory of top medical professionals in Germany. 12th

13 Messages Mobile app for everything to do with childbirth Since the beginning of 2013, the Diakonissen-Stiftungs-Krankenhaus Speyer has been offering a very special service for everything to do with pregnancy and childbirth: the birth app My Baby and I combines all kinds of useful and entertaining things. After just a few days, over 400 cell phone users had downloaded the free app onto their iphone or Android cell phone, and now it's almost, says hospital managing director Wolfgang Walter. He sees this as confirmation that there is a need for interactive information on the subject of pregnancy via smartphone or tablet PC. When the user has entered the calculated due date, the baby grows with the mobile phone, explains chief physician Dr. Uwe Eissler. The expectant mother can follow the development of her baby on the app. For example, she learns whether the baby can already move or what impressions it is experiencing in the womb. In addition, the obstetrics team has created a catalog of frequently asked questions, says Eissler. For example, it provides answers to questions about nutrition, travel and other activities during pregnancy, as well as common complaints. The fact that we compiled the answers ourselves resulted in a comprehensive overview based on our experience with expectant mothers and their questions in the clinic, says senior physician Dr. Katja Wutkewicz on the benefits of the app. In addition to medical questions, the Diakonissen-Stiftungs-Krankenhaus Speyer birth app also contains an overview of paediatricians and midwives as well as a selection of baptismal sayings and suggested names that can be saved in a personal hit list. There is also the opportunity to get to know the delivery rooms of the Speyer Clinic on photos or in films. A special service is the link to the Parents School Speyer website. In this way, pregnant women and young mothers can find out about current offers or book courses at any time, even when they are out and about. The Diakonissen-Stiftungs-Krankenhaus Speyer developed the app together with the Stuttgart agency Amedick & Sommer, whose managing director Sevko Delibajric is enthusiastic about the mix of entertainment and information that the medium offers: The app is exciting and imaginative and a real support for Pregnant women and young families. A great result for which everyone involved worked very well together. The birth app can be downloaded free of charge from the Apple Store or the Google Play Store. Award from satisfied patients The Techniker-Krankenkasse has awarded the Diakonissen-Stiftungs-Krankenhaus Speyer for excellent results in the TK patient survey 2013/2014. The Deaconess Foundation Hospital achieved very high scores in the quality dimensions of satisfaction with the hospital, with the treatment result, with medical and nursing care, with information and communication, as well as organization and accommodation. For almost all questions, patient satisfaction was higher than the average of all the hospitals surveyed. The fact that the patients are very satisfied in almost all areas shows us that we are on the right track, says Medical Director PD Dr. Dirk Jentschura on the result: At the same time, of course, the results also give us clues as to where we can improve our work even further. 13th

14 reports EndoProthetikZentrum certified Around artificial hip and knee joints are used in Germany every year. For its particularly high level of competence in this area, the Diakonissen-Stiftungs Krankenhaus Speyer, in conjunction with Orthopädie Kurpfalz, has now been awarded the EndoCert seal of quality as one of the first EndoProsthetic Centers (EPZ) in Rhineland-Palatinate and the Rhine-Neckar metropolitan region. Prof. Dr. Christian Heisel The seal is awarded by the German Society for Orthopedics and Orthopedic Surgery (DGOOC) and certifies the hospital with its Orthopedics and Joint Surgery Section and the practice of the Section Head Prof. Dr. Christian Heisel that they meet particularly high requirements and quality criteria in the field of endoprosthetic care for hip and knee implants. The implantation of an endoprosthesis is a decisive event for the patient, explains Professor Heisel. In order to guarantee the greatest possible safety and to give patients back their full mobility and quality of life after the operation, guideline-compliant therapy at the highest level is of great importance, according to the joint surgeon. In order to receive and keep the seal of quality, the hospital and practice must meet numerous criteria. The prerequisite is that the main surgeons have many years of experience in the field of hip and knee endoprosthetics as well as interchangeable endoprosthetics. They have to prove their competence by performing at least 50 hip or knee replacement surgeries each year. The specialist auditors also check, for example, the procedures and treatment results of the clinic as well as the transparency of the treatment processes. Compliance with the quality criteria is checked annually. However, the external, uniform framework conditions must not hide the fact that we find the best individual therapy for each of our patients, which is specially tailored to their needs, emphasizes Professor Heisel. He also points out a special feature of the Speyer center: patients with concomitant diseases such as dialysis patients, patients with tumor diseases or coronary heart diseases are also looked after in collaboration with other specialists at the hospital. Since the establishment of the Orthopedics and Joint Surgery Section around two years ago, the number of endoprosthetics patients who undergo surgery in the Deaconess Foundation Hospital has risen considerably. A great vote of confidence in our team, says Professor Heisel, who runs the orthopedic practice Orthokur in Speyer together with colleagues. The fact that the service has now been officially confirmed with certification is additional proof of our good work. Certification not only guarantees patients treatment at a level set by independent experts. The DGOOC certificates are also intended to create greater transparency and improve the quality of operations for joint implants nationwide. The EPZ at the Deaconess Foundation Hospital Speyer is now one of the first in the region to be part of this quality offensive. 14th

15 reports ECMO can save lives: New lung support in the Deaconess Foundation Hospital Speyer When pneumonia became life-threatening in a 46-year-old Kaiserslautern, the patient at the Deaconess Foundation Hospital was saved by a system that the Speyer Clinic has been using for about a year and a half can. ECMO is called the extracorporeal support procedure for short: The device takes over the lung function for a while, explains senior physician Dr. Oliver Niederer: The first patient treated with it in Speyer had to be artificially ventilated because of pneumonia in order to secure his oxygen supply. But his condition worsened and acute lung failure occurred. In the past, the man in Speyer could hardly have been helped, but since 2012 the Deaconess Foundation Hospital has had what is known as the extracorporeal lung support procedure. We are pleased that we, as a regional house of the population in and around Speyer, can offer this treatment that is otherwise often only carried out by university clinics, says senior physician Dr. Jürgen Majolk. This makes an important contribution to the treatment of the population close to their home. In the event of acute lung failure, which can be triggered by sepsis, for example, the device can take over the work of the lungs until it has recovered. In the case of the 46-year-old, that was two weeks that the patient spent in the intensive care unit in an artificial coma connected to the device. During this time, his blood was practically diverted: From the inguinal vein it is fed into the device, which then takes over the main task of the lungs, namely the oxygen-carbon dioxide exchange. The blood then returns to the body via a jugular vein. Since the tubes are led into the vessels, a clinic that works with ECMO must have vascular surgery that can intervene in an emergency, explains senior physician Dr. Jürgen Majolk. He was together with colleague Dr. Niederer was there from the start when the Kaiserslautern resident was treated with the new procedure. This is a very differentiated technique that requires special knowledge, emphasizes Dr. Oliver Niederer. The treatment with the external lung is not a routine treatment that can be used lightly, say the two senior physicians who are familiar with the procedure so far. But they all agree: the new technology has probably saved the lives of the patients we have treated with it so far. So far, the extracorporeal lung support procedure has been used in eight patients in Speyer. Te r m i n n i n e s s: Wednesday, June 25th until continence evening Festsaal in the mother house, Hilgardstrasse 26, Speyer In lectures and presentations we inform about the latest developments in the diagnosis and treatment of bladder and fecal incontinence. The Speyer Continence Center and other experts present their offerings at information stands. The senior physicians Dr. Oliver Niederer and Dr. Jürgen Majolk check the settings on the device that does the work of the lungs. 15th

16 Messages A little piece of luck A hospital stay is usually a stressful situation for patients. To make their time easier, the Green Ladies are available as contact persons. The 38 women who volunteer in the Deaconess Foundation Hospital can be recognized by their green coats. Most of the time the patients meet us when they are admitted to the hospital, explains Heide Dienst, who has been the Green Lady herself for over 30 years and has coordinated the work. The volunteer helpers accompany patients from their admission to their rooms and, if desired, help them with everyday questions during their stay. We are available to talk to and have an open ear for concerns and wishes, says Heide Dienst. This is particularly important for patients who are not mobile or who have few visitors: The Green Women not only have time for a conversation, but also get daily newspapers or other small items from the kiosk, for example. They are also responsible for the patient library and come to the bedside with a selection of books.Normally, the ladies' activities are limited to the hospital, but sometimes unusual situations require unusual exceptions, for example Heide Dienst and her colleagues remember a patient in transit: He came to us after an accident and had nothing with him or any relatives or friends nearby who could provide him with essentials. The volunteers say that you have to worry about little things. The idea of ​​the Green Ladies, who complement the work of doctors, nurses and accompanying services, came to Germany from the USA in the 1960s, where more than 1,000 people are now involved in Christian hospital aid in this way. At the Deaconesses Speyer-Mannheim, most of the Green Women work in the Deaconess Foundation Hospital, some are also involved in the Haus am Germansberg senior citizen center. It is important to us that we have been able to offer this special service to people in our Christian home for over 30 years, says Dr. Werner Schwartz, Head of the Deaconesses Speyer-Mannheim, on the voluntary commitment. But the Green Women, whose work is very much valued by patients and which makes everyday hospital life much easier for them, have concerns about the next generation and are happy about people who are interested in volunteering and helping patients to find themselves in the unfamiliar Finding your way around the environment: Anyone can become a green lady, emphasizes Brigitte Schneider, director of care. Although no medical or psychological knowledge is required, the service in the hospital requires a certain physical and psychological resilience, says Schneider, who acts as the contact person for the helpers. The service is performed on working days in the mornings and the time required is manageable at around three to four hours per week. Anyone who wants to take part receives a comprehensive introduction and is insured against accidents and liability and can take part in group meetings and training courses for the Speyer-Mannheim deaconesses. Incidentally, this honorary position is not reserved for women; Green men are also increasingly active in the hospital. If you are interested in becoming a Green Lady or Green Gentleman, contact the secretariat of the superior of the deaconesses Speyer-Mannheim: Tel or secretariat. IMPRINT Publisher Diakonissen Foundation Hospital Speyer Academic Teaching Hospital of the Medical Faculty Mannheim of the University of Heidelberg Paul-Egell-Strasse Speyer Tel Edition: Diakonissen Speyer-Mannheim Press and Public Relations Dr. Katja Jewski Hilgardstr Speyer Tel Fax Photos: Deaconesses Speyer- Mannheim Landry, Venus; Fotolia.com Layout Ralf Prötzel News from the Deaconess Foundation Hospital Speyer is the magazine of the Deaconess Foundation Hospital Speyer. The content of the articles does not always reflect the publisher's opinion. Reprinting and electronic distribution only with the consent of the publisher. No guarantee for unsolicited manuscripts and printing materials. All rights reserved. 16