Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
At Sunrise Children's Hospital. Their compassionate team offers comprehensive NICKU services,
including everything from cardiac surgery, neurosurgical procedures, high frequency ventilation,
and so much more. They work around the clock to
meet your newborn's needs. Now, I was fortunate enough to
(00:20):
tour Sunrise Children's Hospital not too long ago and soll
the incredible care offered throughout the entire hospital, but specifically
within their NICKU. So joining us right now with doctor Socolo.
Doctor Soccolo works very closely with patients at Sunrise Children's Hospital.
Thank you, doctor Ciccolo for joining me today. For those
(00:40):
who don't know you, please introduce yourself and tell us
more about your background.
Speaker 2 (00:46):
My name's Mike Sicolo. I'm a congenital heart surgeon, which
is a heart surgeon that specializes in defects that you're
born with. And I have been in Nevada for twenty
five years, even though it seems like just yesterday. In
those twenty five years, we have built a very respectable
congenital heart program. And I was in Los Angeles in
(01:10):
a big program at Children's Hospital of Los Angeles when
the cardiologists from Nevada came out and asked me if
I wanted to move to Nevada, And after a lot
of consideration and looking at other places, I did. And
I chose Nevada because it was exploding and they just
(01:31):
didn't have these services, and they were sending all these
patients to Los Angeles to be treated at the facility
that I worked at, and so I already had relations
with a lot of the cardiologists that were sending patients
to us, trusting us with people that they cared about.
And then after I came here, a lot of the
(01:53):
cardiologists that I worked with in Los Angeles came out also,
so we really had a just a huge exodus of people.
We all jumped in our used toyotas basically and drove
from Los Angeles to Nevada and began to work here.
And we found that we had an environment that was
(02:15):
not as sophisticated as what we were used to, and
so we spent the last twenty five years basically recreating that.
You know, we're a big program because we cover one
percent of America. We get all of Nevada, and we
get the boundaries. Kingman comes north, and you know, Kingman
comes north. We get the boundaries. We get stuff into
(02:37):
the California side. Sometimes sometimes we get people from Boise,
sometimes we get people from Klamath Falls. You know, it
all depends. But I would say we cover close to
three and a half million lives, which America is three
hundred and fifty million people. So there's your one percent
and that makes for a very busy practice.
Speaker 1 (02:57):
Talk to us about the NIKKI at Sunrise Children Hospital
and what makes it different compared to any other facility
in the state.
Speaker 2 (03:05):
Well, most people would call that a level for NICKU,
but in the state of Nevada they don't have that
classification system. But a level for NICKU is really a
NIICU that handles the most complicated babies, the super small babies.
It typically is associated with a congenital heart program. It
has access to sophisticated services like Ekmo, and it is
(03:29):
on twenty four to seven between the pediatric surgeons and
the congenital heart surgeons and cardiologists. We have our parents
deliver there because nowadays, so often the diagnoses are made prenatally,
so you've got to have a safe place to bring
very complicated patients that are in utero in the womb
(03:50):
to be delivered.
Speaker 1 (03:51):
Doctor Ciccolo, please talk to us more about the congenital
heart program at Sunrise Children's Hospital.
Speaker 2 (03:58):
When you build a congenital heart program, you have to
have cardiologists that want to work with surgeons, and we
had that, but you also have to have another axis,
which is anesthesiologists and intensivists. And since so many of
the procedures that we do, and there's an invasive type
of cardiologist called an interventional cardiologists, and they do procedures nowadays.
(04:21):
They put valves in and do different things. They close
holes in the heart, and they do it all up
through the blood vessels. But all of that needs anesthesia,
and then you need an ICU to put them in.
And a lot of times it might be the nick
you if they're small, it might be another very specialized
ICU which Sunrise has, which is called the cardiac ICU.
(04:44):
And I would say our cardiac ICU is about five
years old, and that's usually the last thing to develop.
And it's fourteen beds. It's really twenty, so we got
an overflow area, but it's fourteen plus six and and
it's very busy and very intense, and you have to
(05:04):
have doctors there twenty four to seven and they have
to know all this stuff and be able to take
care of it, and that way I can go home.
But I'm available, my partner's available if there's concerns. And
so really that ICU, the nick you and the CICU
and sometimes the pediatric ICU. Those three ICUs are really
(05:30):
what sets Sunrise apart from all the other hospitals. There's
no other c ICU in Nevada. There's maybe one in Arizona.
Maybe there's two, but I think there's one. I got
to think in Los Angeles there's probably two, maybe three.
So it's a very specialized area. Our Ped's ICU is
(05:52):
very large. It's twenty four beds, you know. The nick
u' is also very large. It's probably somewhere between sixty
and seventy beds. So all that stuff is what you know,
provides all the care. All these teams and skilled individuals
and everybody's got sort of their skill set, right.
Speaker 1 (06:11):
And please talk to us a little bit more about transfers.
If a family has an emergency and their baby needs
to go to Sunrise Children's Hospital, do all hospitals, no
matter the affiliation, transfer to Sunrise And if so why.
Speaker 2 (06:25):
Is that, Well, they do for cardiac conditions because we're
a responsible monopoly. And so therefore the cardiologists, who a
lot of times met these children when they were born
and have these lifelong relationships with the families, the families
have tremendous trust in them, and if the cardiologists say
(06:46):
you're going here, they go. And so Sunrise takes every
insurance there's usually not an issue. And so so it
just comes just comes in. It could come down from
you know, it can come up from Kingmen, it can
come in through emergency rooms, it can come from out
(07:07):
of state because a lot of times these people have
very strong relationships with the system, and then when they leave,
they're not as comfortable and they might come back because
it's all about trust. We had a family from Tijuana
who's there's wealthy people in Tijuana, and she lived in
(07:29):
Boston and she's now probably thirty, and she left Boston
to come to Las Vegas to have a procedure done,
which I did because of her relationship with the cardiologist.
And when we were done, and understand that Boston is
really considered, if not the most sophisticated healthcare city, one
(07:52):
of the most sophisticated healthcare cities in America, so it's
almost hard to understand why people would leave Boston and
come to Las Vegas. At least it was for me. Okay,
And her husband was an IT guy, and he was
a tech guy, and you know, her parents lived in Newport,
so they obviously had resources. And it was a pretty
(08:14):
simple procedure. And after we were done, we recommended that
she follow up with the electrophysiology team, which is a
cardiologist who specializes in pacemakers and the fibrillators in Boston.
And her dad said, no, we want to come here.
And the person that was doing the talking was one
of the electrophysiologists, and he said, when my daughter was born,
(08:35):
they gave her she was born in San Diego, they
gave her a zero percent chance of survival. And doctor Rothman,
who was the cardiologist who treated her, treated her. And
now she grew up with no problems. Right, She's intellectually normal,
she's socializing, she's married, she's doing very well. We don't
(08:58):
we want to come to wear Doctor to Rothman says,
we should go.
Speaker 1 (09:02):
Let's talk more about the system of care with four
hospitals and six freestanding emergency rooms. The community has multiple
access points for care within the Sunrise Health system. How
important is that for our community?
Speaker 2 (09:17):
It's important. I think that, you know, it all funnels
into our system, right because we're a responsible monopoly. And
I just think that HCA and Sunrise have resources and
they have a system that for us works very well.
And it shows in the outcomes data actually that we
(09:38):
have through the Society of Thoracic Surgery Congenital Database, we
have historically been one of the top performers in outcomes
you see. And I'm like why. I think because we
got a lot of older people. I mean, quite honestly,
it's the older people probably doing more work than they
(09:59):
will want to. And when you have a lot of experience,
a lot of times it's a little bit easier to
make decisions right and make good decisions.
Speaker 1 (10:09):
And doctor Sikolo, what sets Sunrise Children's Hospital apart from
any other hospital in town? I know you are an
expert on this matter.
Speaker 2 (10:17):
Well, in Nevada, it's really your tertiary referral center, and
I think that's their long term goal, you know. Having
recently had dinner with the CEO of the hospital and
asking him what his ten year goal is it's really
to become that tertiary referral center, co ordinary referral center
that Nevada needs, by the way, needs so people don't
(10:39):
have to travel out of state and you know, can
get excellent care. I think nationally, what sets our program
apart is some of those things I've touched on in that,
you know, these cardiologists are so serious, like I'm just
telling you, okay, and they are going to tell those families,
I am going to send you exactly where I'm going
(11:02):
to send your child, exactly where I would send my
own child. And that's it. And so we're living up
to that. We're not a closed system. We're an open system.
They can refer away from me if they want to,
and they don't, you see. And I think that between
our outcomes and our relationships and our resources, there's just
(11:24):
nothing else like it in the state.
Speaker 1 (11:26):
At Sunrise Children's Hospital, they understand how emotional it can
be when your child has health issues, and they are
here to support you and your entire family when your
baby requires that extra care. To learn more about the
incredible services offered at Sunrise Children's Hospital, just check out
sunrisehealthinfo dot com. And from there you can click through
(11:49):
to Sunrise Children's Hospital
At Sunrise Children's Hospital. Their compassionate team offers comprehensive NICKU services,
including everything from cardiac surgery, neurosurgical procedures, high frequency ventilation,
and so much more. They work around the clock to
meet your newborn's needs. Now, I was fortunate enough to
(00:20):
tour Sunrise Children's Hospital not too long ago and soll
the incredible care offered throughout the entire hospital, but specifically
within their NICKU. So joining us right now with doctor Socolo.
Doctor Soccolo works very closely with patients at Sunrise Children's Hospital.
Thank you, doctor Ciccolo for joining me today. For those
(00:40):
who don't know you, please introduce yourself and tell us
more about your background.
Speaker 2 (00:46):
My name's Mike Sicolo. I'm a congenital heart surgeon, which
is a heart surgeon that specializes in defects that you're
born with. And I have been in Nevada for twenty
five years, even though it seems like just yesterday. In
those twenty five years, we have built a very respectable
congenital heart program. And I was in Los Angeles in
(01:10):
a big program at Children's Hospital of Los Angeles when
the cardiologists from Nevada came out and asked me if
I wanted to move to Nevada, And after a lot
of consideration and looking at other places, I did. And
I chose Nevada because it was exploding and they just
(01:31):
didn't have these services, and they were sending all these
patients to Los Angeles to be treated at the facility
that I worked at, and so I already had relations
with a lot of the cardiologists that were sending patients
to us, trusting us with people that they cared about.
And then after I came here, a lot of the
(01:53):
cardiologists that I worked with in Los Angeles came out also,
so we really had a just a huge exodus of people.
We all jumped in our used toyotas basically and drove
from Los Angeles to Nevada and began to work here.
And we found that we had an environment that was
(02:15):
not as sophisticated as what we were used to, and
so we spent the last twenty five years basically recreating that.
You know, we're a big program because we cover one
percent of America. We get all of Nevada, and we
get the boundaries. Kingman comes north, and you know, Kingman
comes north. We get the boundaries. We get stuff into
(02:37):
the California side. Sometimes sometimes we get people from Boise,
sometimes we get people from Klamath Falls. You know, it
all depends. But I would say we cover close to
three and a half million lives, which America is three
hundred and fifty million people. So there's your one percent
and that makes for a very busy practice.
Speaker 1 (02:57):
Talk to us about the NIKKI at Sunrise Children Hospital
and what makes it different compared to any other facility
in the state.
Speaker 2 (03:05):
Well, most people would call that a level for NICKU,
but in the state of Nevada they don't have that
classification system. But a level for NICKU is really a
NIICU that handles the most complicated babies, the super small babies.
It typically is associated with a congenital heart program. It
has access to sophisticated services like Ekmo, and it is
(03:29):
on twenty four to seven between the pediatric surgeons and
the congenital heart surgeons and cardiologists. We have our parents
deliver there because nowadays, so often the diagnoses are made prenatally,
so you've got to have a safe place to bring
very complicated patients that are in utero in the womb
(03:50):
to be delivered.
Speaker 1 (03:51):
Doctor Ciccolo, please talk to us more about the congenital
heart program at Sunrise Children's Hospital.
Speaker 2 (03:58):
When you build a congenital heart program, you have to
have cardiologists that want to work with surgeons, and we
had that, but you also have to have another axis,
which is anesthesiologists and intensivists. And since so many of
the procedures that we do, and there's an invasive type
of cardiologist called an interventional cardiologists, and they do procedures nowadays.
(04:21):
They put valves in and do different things. They close
holes in the heart, and they do it all up
through the blood vessels. But all of that needs anesthesia,
and then you need an ICU to put them in.
And a lot of times it might be the nick
you if they're small, it might be another very specialized
ICU which Sunrise has, which is called the cardiac ICU.
(04:44):
And I would say our cardiac ICU is about five
years old, and that's usually the last thing to develop.
And it's fourteen beds. It's really twenty, so we got
an overflow area, but it's fourteen plus six and and
it's very busy and very intense, and you have to
(05:04):
have doctors there twenty four to seven and they have
to know all this stuff and be able to take
care of it, and that way I can go home.
But I'm available, my partner's available if there's concerns. And
so really that ICU, the nick you and the CICU
and sometimes the pediatric ICU. Those three ICUs are really
(05:30):
what sets Sunrise apart from all the other hospitals. There's
no other c ICU in Nevada. There's maybe one in Arizona.
Maybe there's two, but I think there's one. I got
to think in Los Angeles there's probably two, maybe three.
So it's a very specialized area. Our Ped's ICU is
(05:52):
very large. It's twenty four beds, you know. The nick
u' is also very large. It's probably somewhere between sixty
and seventy beds. So all that stuff is what you know,
provides all the care. All these teams and skilled individuals
and everybody's got sort of their skill set, right.
Speaker 1 (06:11):
And please talk to us a little bit more about transfers.
If a family has an emergency and their baby needs
to go to Sunrise Children's Hospital, do all hospitals, no
matter the affiliation, transfer to Sunrise And if so why.
Speaker 2 (06:25):
Is that, Well, they do for cardiac conditions because we're
a responsible monopoly. And so therefore the cardiologists, who a
lot of times met these children when they were born
and have these lifelong relationships with the families, the families
have tremendous trust in them, and if the cardiologists say
(06:46):
you're going here, they go. And so Sunrise takes every
insurance there's usually not an issue. And so so it
just comes just comes in. It could come down from
you know, it can come up from Kingmen, it can
come in through emergency rooms, it can come from out
(07:07):
of state because a lot of times these people have
very strong relationships with the system, and then when they leave,
they're not as comfortable and they might come back because
it's all about trust. We had a family from Tijuana
who's there's wealthy people in Tijuana, and she lived in
(07:29):
Boston and she's now probably thirty, and she left Boston
to come to Las Vegas to have a procedure done,
which I did because of her relationship with the cardiologist.
And when we were done, and understand that Boston is
really considered, if not the most sophisticated healthcare city, one
(07:52):
of the most sophisticated healthcare cities in America, so it's
almost hard to understand why people would leave Boston and
come to Las Vegas. At least it was for me. Okay,
And her husband was an IT guy, and he was
a tech guy, and you know, her parents lived in Newport,
so they obviously had resources. And it was a pretty
(08:14):
simple procedure. And after we were done, we recommended that
she follow up with the electrophysiology team, which is a
cardiologist who specializes in pacemakers and the fibrillators in Boston.
And her dad said, no, we want to come here.
And the person that was doing the talking was one
of the electrophysiologists, and he said, when my daughter was born,
(08:35):
they gave her she was born in San Diego, they
gave her a zero percent chance of survival. And doctor Rothman,
who was the cardiologist who treated her, treated her. And
now she grew up with no problems. Right, She's intellectually normal,
she's socializing, she's married, she's doing very well. We don't
(08:58):
we want to come to wear Doctor to Rothman says,
we should go.
Speaker 1 (09:02):
Let's talk more about the system of care with four
hospitals and six freestanding emergency rooms. The community has multiple
access points for care within the Sunrise Health system. How
important is that for our community?
Speaker 2 (09:17):
It's important. I think that, you know, it all funnels
into our system, right because we're a responsible monopoly. And
I just think that HCA and Sunrise have resources and
they have a system that for us works very well.
And it shows in the outcomes data actually that we
(09:38):
have through the Society of Thoracic Surgery Congenital Database, we
have historically been one of the top performers in outcomes
you see. And I'm like why. I think because we
got a lot of older people. I mean, quite honestly,
it's the older people probably doing more work than they
(09:59):
will want to. And when you have a lot of experience,
a lot of times it's a little bit easier to
make decisions right and make good decisions.
Speaker 1 (10:09):
And doctor Sikolo, what sets Sunrise Children's Hospital apart from
any other hospital in town? I know you are an
expert on this matter.
Speaker 2 (10:17):
Well, in Nevada, it's really your tertiary referral center, and
I think that's their long term goal, you know. Having
recently had dinner with the CEO of the hospital and
asking him what his ten year goal is it's really
to become that tertiary referral center, co ordinary referral center
that Nevada needs, by the way, needs so people don't
(10:39):
have to travel out of state and you know, can
get excellent care. I think nationally, what sets our program
apart is some of those things I've touched on in that,
you know, these cardiologists are so serious, like I'm just
telling you, okay, and they are going to tell those families,
I am going to send you exactly where I'm going
(11:02):
to send your child, exactly where I would send my
own child. And that's it. And so we're living up
to that. We're not a closed system. We're an open system.
They can refer away from me if they want to,
and they don't, you see. And I think that between
our outcomes and our relationships and our resources, there's just
(11:24):
nothing else like it in the state.
Speaker 1 (11:26):
At Sunrise Children's Hospital, they understand how emotional it can
be when your child has health issues, and they are
here to support you and your entire family when your
baby requires that extra care. To learn more about the
incredible services offered at Sunrise Children's Hospital, just check out
sunrisehealthinfo dot com. And from there you can click through
(11:49):
to Sunrise Children's Hospital
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