Barrow growing...Neurological facility's 7-story tower at St. Joe's to double capacity, add high-tech procedures
(Arizona Republic-July 8)

"It's where Saudi royalty came for intricate back surgery.

It helped treat Pvt. Jessica Lynch's war injuries.

It's where patients are chilled almost to death so their brain surgeries can go more smoothly.

And now it's getting bigger.

The new Barrow Neurosciences Tower at St. Joseph's Hospital and Medical Center in central Phoenix will open to patients next week. The $160 million, seven-story tower will double the surgical capacity at world-renowned Barrow.

Barrow now will have the largest number of operating rooms of its type in the world, said Dr. Robert Spetzler, director of the Barrow Neurological Institute.

"There are few, if any, neuroscience centers like this in the world," he said. "It's incredible to have a building this size, with this many surgical suites and this many patient beds solely dedicated to neuroscience care."

For Barrow, the expansion means a chance to add technology as well as beds.

Among the new features is an extremely powerful magnetic resonance imaging machine that can provide immediate brain scans during operations.

That will let doctors check during surgery to make sure the entire brain tumor has been removed. Now, patients have to be sewn up, sent for the scans and then sent back for surgery again....First of its type

The MRI machine, a 3-Tesla Intraoperative Magnetic, is the first of its type to be installed at any hospital. Other MRI machines are typically 1.5-Tesla, which means Barrow's new MRI provides even more detailed scans.

"It's the difference between regular television and high-definition television," Spetzler said......Because the magnet is so powerful - it can pull a gun out of a holster - patients are loaded into the machine on special iron-free equipment.

Another gee-whiz feature of the tower is its "supercool" operating room, where the temperature can be reduced to 55 degrees from 68 to 70 degrees in just three minutes.

The chilling is key for a special technique Spetzler developed to bring a patient to the brink of death to lower the risk of complications during brain surgery.

In "cardiac standstill," doctors chill the patient's body so that the heart and blood flow are stopped. That makes it easier for a surgeon to go in and clip a brain aneurysm. Spetzler has done the procedure 107 times. The Discovery Health Channel broadcast one of the operations recently.

The neuroscience tower also contains:
• Eleven surgical suites dedicated to neurosurgery. Each suite has a microscope connected to a computer that allows surgeons to see on a computer screen an extremely magnified image of what they are operating on.

• All of the suites will have video-conferencing capabilities that will allow physicians and medical students around the world to view what is happening in the operating rooms.

• Sixty-four intensive-care beds and 80 acute-care beds devoted to neurological and neurosurgical care. That's more than double what the hospital has now.

Barrow also has the largest neurosurgery residency-training program in the nation and more certified neuroscience registered nurses than any other hospital in the United States."