SINAI HOSPITAL THE DEEDS OF OUR PAST ARE THE SEEDS OF OUR FUTURE. SINAI SALUTES 40 YEARS OF MEDICAL BREAKTHROUGHS. 1992 — Laparoscopic Implantation of Automatic Implantable Cardiac Defibrillator (AICD) — Sinai physicians become the first in the United States to use a laparoscope to implant an AICD, a device which monitors the heart and provides a small electri- cal shock if the heart beats abnormally. This new procedure does not require a large incision or opening the chest and virtually eliminates many of the problems associated with other heart surgery procedures. 1992 — Botulinum Toxin Treatment of Spasmodic Dysphonia — Sinai ear, nose and throat physicians inject botulinum toxin into the vocal cords of patients suffering from spasmodic dysphonia, a disease causing impaired speech. The treatment results in a normal speaking voice within three weeks. 1991 — Treatment for Vulvodynia Utilizing a Pulsed Dye Carbon Dioxide Laser — A Sinai gynecologist develops a highly effective treatment for vulvodynia, a painful condition characterized by persistent inflam- mation of the major vestibular glands and surface blood vessels around the entrance to the vagina. A pulsed dye carbon dioxide laser is utilized to vaporize the inflamed glands and blood vessels. 1991 — Ablation of the Endometrium by Electrocoagulation — Sinai becomes one of the first hospitals in the state to perform this procedure, also known as "rollerball," which is an important alternative for women who face hysterectomies for significant uterine bleeding. 1991 — In-utero Blood Transfusion through Cordocentesis — Sinai's Department of Obstetrics and Gynecology conducts the hospi- tal's first such in-utero blood transfusion on a fetus whose blood does not match the mother's. 1987 — Community Reintegration Program — Sinai initiates one of the most extensive psychiatric programs of its kind in the state. Inpatients can take trips to shopping malls, banks, concerts, etc., with rehabilitation specialists, to enhance their psychological adjust- ment and self-confidence. 1986 — SKIP-R (Sinai Kids Information Program - Rehabilitation) — Children are aided in making emotional adjustments and learn about their parent's rehabilitation through Sinai SKIP-R — the first comprehensive program of its kind in the nation. 1986 — Lipid Analysis Laboratory The Center for Disease Control in Atlanta selects Sinai's Lipid Analysis Laboratory as the first in Michigan to be standardized. The lab analyzes blood fats which affect patients' risks for coronary heart disease. 1986 — Safety in Surgery — Sinai is one of the first hospitals in Michigan to use the Mass Spectrometer as a safety feature in surgery to monitor amounts of oxygen, carbon dioxide and anesthetic agents in the patient's bloodstream. 1986 — Lupus Research and Treatment Sinai is one of a few hospitals in the nation with a program devoted solely to Lupus research and clinical treatment 1985 — Obstetrical Data Base — A com- puterized data base, integrated into all of Sinai's obstetrical programs, tracks rates of complications, caesarean sections, etc., and helps to evaluate our quality of care and reduce risk. 1985 — Pre-term Labor Prevention Program — The incidence of and problems associated with premature births in Michigan are addressed through this new program at Sinai, one of the few hospitals in the state to offer such assistance. 1978 — Laser Ablation of the Endometrium — Sinai physicians devise a procedure to destroy the endometrium with a laser. The technique prevents menstruation and helps patienis who suffer very heavy, prolonged menses which cannot be controlled by medication. This has been used as an alternative to hysterectomies. 1977 — Cardiac Rehabilitation Program Sinai physicians develop the first rehab program of its kind in Michigan and it serves as a model for other hospitals around the country. 1976 — Analyzing Electrical Potentials of the Heart — Sinai is the first institution in the world to record the electrical activity of the sinus node from the surface of the chest. The evolution of the technique helps to determine if a patient has potential for sudden death. 1975 — Hysteroscopy — This technique is used for the first time at Sinai, one of the first institutions in the country to utilize the hysteroscope to gain a better view of the uterus, often eliminating the need for a dilation and curettage. 1973 — Mechanical Heart — Sinai physi- cians are the first in the world to develop and implant a partial mechanical heart. 1973 — Dual Chamber Pacemaker Sinai is among the first hospitals in the country to test and implant a pacemaker to separately stimulate the heart atrium and ventricle, providing a normal and effective heart rhythm. 1973 — Laser Surgery — Sinai physicians are among the first nationally to use laser for the treatment of certain genital tract diseases. The recent addition of the pulsed dye laser allows them to continue on the leading edge of laser applications. 1991 — Catheter Atherectomy — This proce- dure, utilizing a newly specially designed catheter, is conducted for the first time at Sinai offering patients who suffer from diabetes, hardening of the arteries or gangrene an alternative to bypass surgery or amputation. 1984 — Diabetes Pregnancy Program A comprehensive program of counseling and treatment is launched at Sinai, one of few hospitals in the state with such a program. 1972 — Laparoscopy — Laparoscopy is performed for the first time in the city by Sinai physicians. The procedure involves using an endoscopic instrument to look inside the abdomen for diagnostic and therapeutic purposes. 1990 — Argon Laser Trabeculoplasty Sinai takes part in the national Glaucoma Laser Trial which shows that argon laser trabeculoplasty may be a safe and effective alternative to eye drops as a first treatment for newly diagnosed glaucoma patients. 1981 — Balloon Angioplasty (PICA) Sinai is one of the first hospitals in Michigan to introduce this procedure which inflates a balloon in a blocked artery found while the patient is undergoing catheterization, thus avoiding coronary artery bypass surgery. 1971 — Surgical Preparation — Sinai establishes a pre-operative holding area where patients are prepared for surgery, ranking Sinai among the first hospitals nationally to improve safety and efficiency through development of such an area. Sinai Hospital • 6767 W. Outer Drive • Detroit, Michigan 48235 1970 — Heart Catheter Monitoring Sinai is among the first U.S. hospitals to measure heart pressures in critically ill patients using a catheter in an intensive care unit 1970 — Crisis Clinic — Both acute psychiatric and emergency medical care are offered at Sinai — one of few hospitals in southeast Michigan to provide both. 1970 — Intra-Aortic Balloon Pump Sinai physicians develop and clinically prove the usefulness of a device which, when placed in the aorta, temporarily assists a failing heart. A permanent device is still under development at Sinai. 1969 — Pain Management — Techniques to control both acute pain after surgery and the chronic pain of cancer and other conditions are pioneered by Sinai physicians. 1967 — Mandibular Staple — A revolutionary dental device which permits the permanent fixa- tion of dentures is developed by Sinai physicians. The device contributes to the nutritional well- being and appearance of people throughout the country. 1955 — Cleft Palate Research — Sinai physicians develop new methods for treating open clefts in the palate. Our Cleft Palate Clinic's multi-disciplinary approach allows oral and plastic surgeons to cooperatively provide patient care. RA 7- /4, 0 B 0 w rn D IC sinal