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Pacesetter Online Additional Articles December 2013:

Congratulations to these Heroes of the Month

Each month, Kadlec’s Hero of the Month program honors children between the ages of 3 and 18 who have faced and overcome difficult circumstances, often enduring a great deal of pain and stress. Their courage and spirit serve as an inspiration.

Kadlec is one of numerous hospitals and child care facilities throughout the country that participate in the program, which is sponsored by the Kids Wish Network.

November 2013 Hero: Jacob Monson

Jacob is a very happy, funny, understanding 12-year-old that came to Kadlec Regional Medical Center’s Emergency Department (ED) with stomach pain, nausea and vomiting.

Upon arrival to the ED Jacob had an IV placed, labs drawn, and a CT scan. Through the CT scan and labs the doctors discovered Jacob had colitis and an E. coli infection.

He was admitted to the pediatric floor under the care of a pediatric hospitalist. Upon arrival on the pediatric floor, Jacob had more labs drawn, and was started on IV fluids since he wasn’t able to keep any liquids down.

The next day, Jacob continued to have severe pain, his labs continued to be poor and he was hypertensive. Jacob had also developed swelling in his feet and arms. Over the next two days Jacob’s condition continued to decline with him having poor urine output, poor lab results, decrease in oral intake and severe pain. After being on the pediatric floor for four days, and with his condition continuing to decline, Jacob was transferred to Seattle Children’s Hospital. He spent a total of two weeks in Seattle where he was seen by several specialists.

Many of the nurses shared that despite everything Jacob went through, he was still able to keep telling funny jokes, had a positive attitude and was a joy to work with. That is why he has been nominated as our November 2013 Hero of the Month!

Rocio Garcia

Rocio has received several scholarships through Kadlec Foundation’s health care scholarship program.

“I feel very blessed and thankful to be working for Kadlec. I love being a nurse, and most of all, I love working in the cardiac unit. I knew I wanted to work in this unit since last year when I had the opportunity to work as an extern there. Kadlec has been very good to me, not just with the scholarships, but also for believing in me and allowing me to work as an extern.”

What is PET/CT?

PET/CT is an imaging tool that combines two scan techniques in one exam - a PET scan and a CT scan. PET/CT is mainly used for diagnosis, staging or restaging malignant disease and metastases and evaluation of treatment response. The two procedures together provide information about the location, nature of and the extent of the lesion. In other words, it answers questions like: Where is the tumor, how big is it, is it malignant, benign or due to inflammatory change, and has the cancer spread?

How does PET/CT work?

PET/CT combines or merges a PET scan and a CT scan into one set of images.

How does CT work?

CT stands for Computerized Tomography (sometimes known as a CAT scan). During the CT scan, the scanner emits X-rays, which go through the patient to detectors. The computer uses this information to generate cross-sectional images of anatomical structures. Each cross-sectional picture or slice gives detailed anatomic location and changes in the anatomy. The use of oral and IV contrast agents can enhance the details by highlighting the gastrointestinal tract (filled by oral contrast) and other organs and blood vessels (filled with IV contrast).

How does PET work?

PET stands for Positron Emission Tomography. PET scans measure metabolic activity and molecular function; it creates pictures of organs and tissues inside the body. A small amount of a radioactive substance is injected into a vein. This substance is absorbed mainly by organs and tissues that use the most energy. Because cancer cells tend to use more energy than healthy cells, they absorb more of the radioactive substance. A scanner then detects this substance to produce images of the inside of the body. A computer generates three-dimensional images of tissue function or cell activity in the tissues of the body. These functional images can detect disease earlier than the anatomic information gained from CT alone. There are no side effects from this injection and procedure.

All cells use glucose as an energy source. However, cancer cells grow faster than normal healthy cells and they use glucose at much higher rate than normal cells. This is the basis of imaging.