Pat Johnson shows a lot of heart … again

On Sunday the 27th November, Pat Johnson hosted her Baird Institute Fundraising Christmas Ball at the Gulgong Bowling Club.

Pat is one of our most hardworking supporters and has worked tirelessly to raise funds for the Baird Institute.  Her goal is to raise $40,000 and she has almost reached that milestone.

Since having heart surgery 10 years ago, Pat is well and very active and has been hosting monthly old time dances  at Gulgong in order to raise funds for us. Pat has dancers that come locally from Gulgong and Mudgee and also from as far away as Dubbo, Wellington and Scone. The majority of the dancers that attend would be over the age of 70 and certainly left our recent Baird Institute attendees (Lisa Turner, Lorna Beattie, Andrea Scholes and Anita Law) looking a little unfit and slightly breathless!!  As well as being a great way to keep fit, the dancers also have a lot of fun, with varied types of old time dances including the progressive barn dance which all levels of dancers can join in (including the non-dancing youngsters from the Baird Institute!). Pat also organises raffles, lucky door prizes and a lovely afternoon tea on the day. Lisa, Lorna and the team look forward to heading back out to Gulgong to attend Pat’s fundraising balls again in 2017.

Blackmore’s Sydney Running Festival 2016

Blackmore’s Bridge Run – Part of the Sydney Running Festival 2016

Our regular readers may remember when we wrote some years ago about Steve Suttor and his amazing determination to walk the Kokoda Track in PNG for The Baird Institute. Steve achieved his goal back in June 2011 – he walked the Track and raised almost $10,000 for the Baird Institute! Not only do we appreciate Steve’s generosity and willingness to do this for us but we were also very grateful to his wife Sam, who willingly let him go, despite the fact that their second child was due to be born only a few days after his scheduled return date home!

Recently, Steve achieved another inspiring personal goal – He competed in the 9 kilometre Blackmore’s Bridge Run, as part of the Sydney Running Festival 2016. He completed the run in just over 50 minutes (50.30) in the 40-49 age group! This is an amazing achievement considering that In 1989, when Steve was only 15, he was diagnosed with a spontaneous pneumothorax. The operation to deal with this condition – a pleurodesis – causes the membranes around the lung to stick together and prevents the build-up of fluid in the space between the membranes. The operation was conducted at St George Hospital. He had further surgery in 1991 at Strathfield Hospital where they inserted liquid into his lung cavity. This was intended to make the lung stick to the side, therefore preventing it from collapsing. So his lungs are now permanently stuck together at the top on both sides.   Many people have expressed their amazement at Steve’s willingness to take on such an enormous challenge as the Kokoda Trek. When we asked Steve about why he was prepared to do this, this is his response:

“I was only 15 when I got sick. I owe my life to the cardiothoracic doctors, surgeons and nurses who worked to save my life. For me, the choice to support The Baird Institute and to help them fundraise for their research work is obvious. I would never want others to experience what I experienced. I want to help others in the same situation – perhaps even through the money I raise to help save someone else’s life. I really want to give something back – to support those who helped to save my life.”

Our most sincere thanks go to Steve and to Sam for supporting us in this amazing way – for being prepared to disrupt their lives to help us raise money for our surgical research and training – you have both been amazing!

Tony Cincotta’s Charity Variety Show – Raises Over $9,000 for The Baird Institute

My name is Tony Cincotta. Many years ago I was diagnosed with HOCM (Hypertrophic Cardiomyopathy, a form of heart disease). This was controlled for a time with medication, however unfortunately, the time came for me to have a major heart operation. I was referred to Prof. Paul Bannon (Chairman of The Baird Institute), by my cardiologist Dr. T. Chung. When I met Paul, he explained the whole procedure to me. I knew there would be risks involved with the operation, but I also knew that I would be in good hands. Without hesitation, I told him to “book me in”.

Two months after the operation, I went to see Professor Bannon for my post-operation check-up and was told that it was a success. I will never be 100%, but I have been given a second chance at life. I was so grateful and as a result I offered to organise a variety charity concert with all funds raised going to The Baird Institute. Prof. Paul Bannon informed me that The Baird Institute does not receive any funding from the Government for their research into heart and lung diseases and this amazed me. I immediately contacted many of my friends in the entertainment business who donated their time to appear in the concert. I also approached Burwood RSL Club and they waived all the costs for the use of the room for the event. The concert was held on the 17 July, 2016. I also approached local businesses to sponsor us in some way and managed to gain some sponsorship from Club Five Dock RSL and the Canada Bay Club.

On the night, we had a successful raffle and the total money raised from the sale of tickets and the raffle was over $9,000. A cheque was handed over to the representatives of The Baird Institute for this amount.

I am so thankful to the doctors and staff of The Baird Institute for giving me this second chance at life.

Tony Cincotta

Morning Tea at Vaucluse House

Over 80 of our generous donors joined Professor Paul Bannon and The Baird Institute Team for morning tea at Vaucluse House

Our Donor Morning Tea was held at Vaucluse House Tea Rooms on Thursday, 12 May 2016. Over 80 guests attended – most of whom have supported The Baird Institute for many years. It was a wonderful opportunity to meet fellow donors and enjoy a delicious morning tea at one of Sydney’s most beautiful historic homes.

Guests were joined by Professor Paul Bannon (our Chairman), who provided an update on The Baird Institute’s latest research. It was also a chance for The Baird Institute’s team to thank some of the many people who help make our important work possible.

After the presentation, guests enjoyed a tour of Vaucluse House and a walk around the beautiful surrounding gardens.

Inaugural Cardiac Nurses Education Conference

Inaugural Cardiac Nurses Education Conference

The Baird Institute’s first Cardiac Nurses Education Day focused upon the surgical care of patients requiring cardiac intervention with four rotating workshops to enable small group learning in conjunction with patient-centred care. The day was designed to provide practical and informative updates on the management and care of patients in the perioperative and post-operative period.

The event was held on Saturday 28th November 2015 through the support of The Baird Institute and Strathfield Private Hospital. Nurses from Strathfield Private and Royal Prince Alfred Hospitals participated in the event. Major sponsors for this occasion were Strathfield Private Hospital and St Jude Medical.

The Baird Institute wishes to extend its thanks to Ms. Cassandra Broad who helped organise the day and to the key speakers who made the day such an exciting and informative event. These experts included The Baird Chairman and Board members speaking from their cardiothoracic and research expertise, The Baird Institute doctoral fellows and Registered Nurses with expertise in patient care, management and critical problem-solving.

Guest speakers from The Royal Prince Alfred Hospital, Concord Repatriation General Hospital and from St Jude Medical helped make the day a successful and productive event.

Presentations discussed major surgical procedures, complications from cardiac and lung disease encountered during the perioperative and post-operative period and current treatment modalities.

Subject matter ranged from the latest in robotic surgery, use of innovative materials to improve surgical outcomes and advances in technology that improve cardiac surgical techniques.

Four workshops were presented for all attendees to experience smaller group discussion and to have input from radiology, surgery, nursing and trade company specialists. A wet lab was held for pig heart dissection and anatomy and physiology review, as well as chest x-ray interpretation, management of emergent chest re-opening in critical care and the use of intra-aortic balloon pump for patient survival.

The patient voice was heard with a discussion of unanticipated psychological effects of surgery, including the management of depression despite a successful surgical outcome. Mr. Phillip Koperberg spoke about his own personal experiences after cardiac surgery – a discussion which resonated with operating theatre, intensive care and cardiac ward nurses.

Sixty-three delegates were registered for the event from Perioperative Nursing, Critical Care and Cardiothoracic Surgical departments. This presented a challenge for the organisers to ensure that the sessions appealed to the three different areas of expertise in cardiac nursing. Forty-three survey responses were received at the conclusion of the day; a response rate of 73%.

Continuing Professional Development certification (CPD) was obtained through the Australian College of Nursing, providing a professional and documented approach to acknowledging the content delivered to participants. Overall the Cardiac Nurses’ Education day was deemed a success by both participants and organisers. It is anticipated that a biennial event will be held and that it will be open to perioperative, intensive care and ward-based nurses.

The Baird Institute & Indigenous Communities

Cardiovascular disease (CVD) is an overarching term used to describe a group of diseases that affect both the heart and blood vessels. The most common forms affecting Australians is coronary artery disease (which includes angina and heart attack), stroke, and high blood pressure. High blood pressure will also result in kidney disease. Factors that affect the heart and blood vessels and cause disease include smoking (both smoking and exposure to second hand smoke), high cholesterol, being over-weight, a lack of exercise, poor nutrition and diabetes.

Many Aboriginal and Torres Strait Islanders either have CVD or are affected by CVD. The statistics for CVD show a rate of disease that is multifactorial in development, and is complicated by the need for advanced care to often remotely living Australians. One in twenty indigenous people have reported having high blood pressure and one in 25 have had heart, stroke or vascular disease or a combination of these (Australian Aboriginal and Torres Strait Islander health survey 2012-2013). These heart and related conditions occurred 1.2 times more often for Indigenous peoples than for non-Indigenous people. Indigenous people are more likely to die from CVD when they’re young or in middle age than non-Indigenous people.

In 2009-2010 in NSW, Qld, WA, SA and the NT, the death rates for all coronary heart disease (the leading cause of CVD-related deaths) were seven to thirteen times higher for Indigenous people in the 25-39 and 40-54 years age-groups than the rates for their non-Indigenous counterparts.

Sydney LHD, Royal Prince Alfred Hospital and medical professionals from The Baird Institute are involved in addressing cardiovascular and cardiothoracic needs of Aboriginal and Torres Strait Islanders as a direct health care approach for indigenous people accessing Sydney LHD healthcare or through resources developed by the Australian Department of Health and through individual philanthropic work.

Some key developments that have taken place in the area of Indigenous Australian cardiovascular health include the

  • National chronic disease strategy for all Australians and recognises the need to value cultural differences of Indigenous Australians and barriers to accessing health care.
  • Rheumatic fever strategy – preventing and treating oral and bacterial causes of the disease which results in heart valve failure
  • Cardiac geographic information system – a project that provides primary care services with further knowledge of cardiac rehabilitation against areas of cardiac disease prevalence.
  • Medical specialist outreach assistance program – funded by the Australian Department of Health to improve Indigenous peoples’ access to specialist medical services when living in rural and remote regions of Australia.
  • Indigenous chronic disease fund aims to target three areas of priority to prevent and reduce the disease burden of CVD, including tackling risk factors, identifying services that can deliver results and fixing the gaps and improving the person’s journey through the health care system.

Click to enlarge images (Graphs courtesy of the ABS):

Launch of the Kenyan Fellowship

The Kenyan Cardiothoracic Surgical Trainee Fellowship was launched at the Royal Prince Alfred Hospital Reunion Week, 2-4 September 2015.hin Nairobi and Kenya.

The fellowship aims to raise funds for an ongoing rolling fellowship to support a 2 year registrar placement at The Royal Prince Alfred Hospital. The Baird Institute and the University of Nairobi are working together in this venture to help support cardiothoracic surgery capability within Kenya.

Kenya lies between Somalia to the East, Ethiopia to the North, Sudan to the northwest, Uganda to the West and Tanzania to the South. The economy of Kenya, at present, depends mainly on agriculture (tea, coffee, dairy produce, meat, sisal, pyrethrum) and tourism. Kenya’s population is about 38 million with a concentration in the central and western parts of the country. The northern and north eastern parts of the country have sparse population due to the semi desert climatic conditions prevalent there.

There has been an exponential rise in cardiovascular disease in Kenya and it is soon to become the nation’s largest health problem in the next decade – placing a significant strain on the health care system, as well as the Kenyan economy as a whole. Ideally, the ratio of cardiothoracic surgeons to the population is said to be around 1: 160 000 – in Kenya it is a staggering 1: 5, 000, 000 (perhaps 78 cardiothoracic surgeons for the nation)

Kenya commenced a cardiovascular and thoracic surgical training program in 2012 and successful trainees from this program are awarded a Master of Medicine in Thoracic and Cardiovascular Surgery.

However, in a developing country there are some gaps in exposure to critical aspects of cardiothoracic practice which underpin the development of an effective and sustainable Kenyan cardiothoracic surgical service.

The Fellowship will allow trainees who have completed their local training, to come to Australia – with the first trainee expected in January 2017. The Baird has launched the Kenyan Fellowship Campaign in order to provide a sustained approach to funding trainees to study this exacting form of surgery and to further the training programs clinically within Nairobi and Kenya.

The 8th Annual Cardiothoracic Seminar

The 8th Annual Cardiothoracic Seminar

JOHN HUNTER HOSPITAL, NEWCASTLE, 19 AUGUST 2016

The topic addressed was:

Cardiac surgery complications

The Baird institute is committed to the education of doctors and nurses in the field of cardiothoracic medicine and as such, recently funded six nurses to attend the 8th Annual Cardiothoracic seminar in Newcastle. The conference was aimed specifically at nurses and allied health professionals.

One of the sponsored attendees at the conference – Francesca Rowshanzadeh, Clinical Nurse Educator at Royal Price Alfred Hospital – commented that the seminar discussed common and lesser known post-surgical complications which she felt better prepared her to support the patient and to educate clinicians in the ward environment.  See below her feedback on the seminar:

“I am the Clinical Nurse Educator of ward 6E2, the cardiovascular ward at RPAH, and I was extremely impressed with the quality of this seminar as the content was extremely applicable to the care we provide to our patients on a day to day basis.  Education in nursing care is very often reactive in nature, waiting for a complication to occur for an opportunity to educate on the management & treatment. I feel this seminar provided my nurses and I with the knowledge to be adequately prepared for any complications post-operatively which would directly  impact on our patient’s journey. The presentation regarding sternal wound dehiscence is extremely applicable to my role on the ward, and is an area I have a special interest in. It was extremely beneficial to follow the patient journey post pec flap advancement surgery and see the wound’s journey via photographs. The topic of tamponade was also extremely valuable as it is a complication which occurs to our patients every so often and which requires preparation and  knowledge of the signs and symptoms, as well as the treatment options, to manage adequately. Finally, the presentation on post-operative  arrhythmias was perhaps the most pertinent topic as it is managed by myself and my nurses on a daily basis. I believe it reinforced our prior knowledge whilst also adding to it. All up, it was an excellent opportunity for my staff and I and I really appreciate the opportunity that the Baird Institute gave each of us to attend.”

One of the presentations at the seminar was  “Prolonged Bypass – Myocardial Protection” by Perfusionist, John Dittmer. Below is a summary of John’s presentation.

“Cardiac surgery remains unique in that most procedures require Cardiopulmonary Bypass (CPB) to allow the surgeon to operate on a motionless and relatively bloodless heart. Cardiopulmonary Bypass is the most invasive procedure performed on the human body and unfortunately it is not without its consequences. Each time the blood passes through the bypass circuit it passes over between 2 and 3 square meters of non-endothelial surfaces. As the blood traverses the circuit, it is subject to rapidly changing pressures, sheer forces and comes in contact with foreign surfaces and with air. The blood is therefore subject to various stresses not normally experienced within the body. The longer the patient is on CPB there is an increased likelihood that its effect on the blood and the inflammatory response will cause coagulopathies and increased vascular permeability. Reducing the effects of CPB will bring about better outcomes for our patients. This requires a team effort. Already this year there are positive results from changes in our practice. Firstly, using the results of anaemia screening, patients have a higher pre op Hb. This has reduced the volume of hemodilution during bypass. Secondly there has been a reduction of the use of blood product used intraoperatively. This has been done by determining which products are needed by analysing the patients clotting profile, using the TEG monitor. During cardiac procedure, the heart is stopped by giving Cardioplegia directly into the coronary arteries and or coronary sinus. There are several techniques involved in preserving the heart for longer cases. We have been using three different types of Cardioplegia and are undertaking a small study to look at the efficacy of each formula.”

Stay in the loop

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Honour a Loved One

  • Fundraise in memory of someone special to you.

Challenge Yourself

  • Run a marathon
  • Do a long bike ride
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Organise a community event

  • Have a backyard sausage sizzle
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Seek sponsorship to help you quit those bad habits

  • Give up smoking
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