For many of us, family planning includes a host of questions. For some, that list of questions also includes: Are there health limitations that might prevent us from having a family—and if so, what help is available to help us achieve our goal? And for those who face life-changing health events, the need to answer such questions may come sooner rather than later—if they want to preserve the option of having biological children in the future.

Although its importance is often unappreciated, the liver has far-reaching effects on almost every organ system in the body. And its singular ability to regenerate makes living-donor transplantation a life-altering option for those in whom this vital organ is failing. With 10,000 people waiting on the transplant list at any point during a given year, there are more people waiting than the number of donor livers available.

Pelvic organ prolapse – which occurs when the uterus, bowel, bladder or top of the vagina “drops” or bulges into the vagina – affects one in four women in their 40s and half of all women in their 80s, according to the American College of Obstetricians and Gynecologists. The condition can cause serious discomfort and affect everything from a woman’s ability to work, exercise and control her bowel and bladder function. When treated, it can result in the resolution or minimization of symptoms.

Robotic technology is being used in the operating room as a tool during surgery. The technology gives transplant surgeons additional flexibility, dexterity, articulation, visualization and stability, all of which are used to retrieve kidneys from living donors and transplant them into people in need of a new kidney. Pulmonologists rely on those same robotic qualities to perform biopsies of small tumors located deep inside the lungs.

For the past six years, the Anesthesiology Control Tower (ACT) has provided a watchful eye over 60 operating rooms at Barnes-Jewish Hospital, serving nearly 1,000 patients per week. Like the air traffic control tower, the ACT provides additional sets of eyes to help anesthesia clinicians head off and troubleshoot rare but potentially life-threatening perioperative events that can occur unpredictably.

Once considered a disease that primarily affected older adults, colorectal cancer no longer fits that description. Over the past two decades, the number of new cases of colorectal cancer in adults under the age of 50 in the United States and worldwide has increased dramatically. The National Cancer Institute now projects that by 2030 it will be the leading cause of cancer deaths in Americans between the ages of 20 and 49. Oncologists across the country are alarmed by this fairly recent trend—and they want you to take notice, too.

Every day, nearly 1,000 Americans die from sudden cardiac arrest, a catastrophic event in which the heart suddenly stops functioning. The most common cause of sudden cardiac arrest is a sustained, super-fast heart rhythm called ventricular tachycardia, commonly called V-tach. Among heart specialists, this condition is known as VT.

Worldwide, some 50 million people live with epilepsy. They face increased risks of falls, car accidents, burns and more, potentially leading to significant injury or even death. Work being done at Washington University School of Medicine and Barnes-Jewish Hospital, and at other academic health-care systems across the U.S., is now giving people with epilepsy many options for decreasing the frequency or severity of their seizures, or even removing them from their lives altogether.

The marketing messages hit you from all directions. There are apps for weight loss and websites and books and online programs. It’s big business, and the quantity of often conflicting information can be overwhelming. Could it be true that there simply is no magic bullet?

Hypertrophic cardiomyopathy – a heart condition also known as HCM is the most common cause of sudden cardiac death in young people, often going undetected. Thankfully a new drug could mean a brighter future for people suffering from HCM.

Quitting smoking seems like an impossible task, but the first step is understanding what you’re up against.

The Fetal Care Center is one of the only centers in the Midwest that offers prenatal surgery to treat spina bifida. Specialists have now seen positive results with an innovative, less invasive treatment called Fetoscopic surgery. With modern technology, spina bifida can be corrected before the baby is born, allowing spina bifida patients to lead happy, healthy lives.

In the fall of 2021, Curiosus writer and Barnes-Jewish Hospital administrative fellow Emily Dovolis Thomson, MHA, talked with Muhammad Faraz Masood, MD, Washington University cardiothoracic surgeon, and other members of a specialized team about a life-saving procedure called ECMO, or extracorporeal membrane oxygenation. Often used to treat the sickest of the sick, ECMO sustains life when the body no longer can. During the days of the SARS-coV-2 pandemic, ECMO, which performs the functions the heart and lungs can no longer manage, has become a valuable tool in saving lives.

This photo essay suggests the level of expertise required to care for patients undergoing ECMO, an intervention with many moving parts. It takes a dedicated team to manage the complexities.

BY Connie Mitchell

“It was a lonely experience.” That’s how Dave Barylski remembers the long hours at his babies’ bedsides. Twins, the girls were born in April 2019 weighing just more than 1 pound each after birth at 22 weeks of gestation. Barylski and his partner, Bethany Watkins, practically lived in the newborn intensive care unit (NICU) at St. Louis Children’s Hospital for seven months—and he was often the only father in the unit. “I was lucky that my job offered paternity leave and extended family leave so I could be there, but being a dad in that situation, I had to piggyback off the services that are usually focused on moms,” he says. “I was the only father there during lunches and in the support groups that were clearly aimed at moms’ needs.