April 13, 2012
MEDICAL UNIVERSITY of SOUTH CAROLINA
Vol. 30, No. 33
Inside MUSC sheds light on autism HaPPy WHEEls
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brings joy
A cart full of toys and books makes its way through the Children’s Hospital every Thursday.
Vision carE
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New director, Dr. George O. Waring IV, envisions hightech eye care.
2 Strategic Plan 5 Meet Will 11 Classifieds
t H E c ata ly s t onlinE http://www. musc.edu/ catalyst
T
he North Tower at MUSC glowed blue April 2 as the campus joined Autism Speaks’ worldwide initiative to “Light It Up Blue” to raise awareness about autism. The symbolic act, done in sync with iconic landmarks around the world such as the Empire State Building, came just as the Centers for Disease Control and Prevention released a new study that estimates that 1 in 88 children in the United States has been identified as having an autism spectrum disorder (ASD). Autism spectrum disorders are almost five
times more common among boys than girls – with 1 in 54 boys identified. The data comes from 14 communities across the United States and includes monitoring work being done in South Carolina by MUSC. Jane Charles, M.D., Department of Pediatrics, and Joyce Nicholas, Ph.D., Biostatistics and Epidemiology, oversee MUSC’s Autism and Developmental Disabilities Monitoring Network (ADDM) study. Walter Jenner, information officer for the SC ADDM project said,
See Autism on page 8
Early DEtEction PrimEr The most important thing for parents to do is to act quickly whenever there is a concern about a child’s development. CDC offers these tips: q Talk to your child’s doctor about your concerns. q Call your local early intervention program or school system for an assessment. q Remember you do not need a diagnosis to access services for your child. For more information about this study, visit http://www.cdc.gov/autism. For information on CDC’s tools to help families track their child’s development, visit http://www.cdc.gov/actearly. To learn more about MUSC autism work: visit MUSC’s Project Rex at http://www. projectrex.org and MUSC’s Developmental - Behavioral Pediatrics at http:// clinicaldepartments.musc.edu/pediatrics/ divisions/developmentalpeds/index.htm.
MUSC’s North Tower lights up blue April 2 for autism awareness.
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MUSC Health leadership presents strategic plan
Stuart Smith, vice president for clinical operations and executive director, MUSC Medical Center, and Jack Feussner, M.D., executive senior associate dean, College of Medicine, shared details about the MUHA, the College of Medicine and MUSC Physicians’ MUSC Health Strategic Plan. Smith gave a historical review of the plan’s development since 2000 while Feussner spoke about progress with current activity. Smith described the medical center in 2000 to be a place of constant change with multiple strategic issues including new leadership, evolving priorities, new financial position and off-campus development. It also was a period when the institution shifted support from research to a clinical focus. The medical center evolved to become the Medical University Hospital Authority. Driving some of the changes at MUSC, and at other medical institutions across the country, were results from an Institute of Medicine report about medical errors. As a result MUSC re-focused its commitment to patient safety initiatives. It also was during this time that plans were approved for a new hospital design. From 2000 to 2003 the hospital’s tactical plan focused on reducing cost of care, enhancing management effectiveness and other priorities. In 2004 HUD funding was approved for Phase 1 construction, which would become Ashley River Tower in 2007. In early 2006, the medical
Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723 Editor: Kim Draughn catalyst@musc.edu Catalyst staff: Cindy Abole, aboleca@musc.edu Dawn Brazell, brazell@musc.edu
center launched MUSC Excellence. In 2007, the medical center invested in information technology improvements and implemented its service line concept for care. At the same time, MUSC Physicians, formerly known as UMA, supported hospital expansion with the opening of Ashley River Tower and other off-campus development, in addition to making improvements to the Faculty Practice Management structure. From 2010 to 2011, reviews were made on the hospital cost structure, quality and transparency, recruitments, expansion in the market and improvements to MUSC Excellence. During this period, the COM welcomed a new dean, recruited a new chief medical information officer in addition to numerous other activities. To summarize, the institution’s past has positioned the hospital to take this next step, Mission 2015 and MUSC’s goal to achieve national recognition as a top 25 academic medical center for reputation, quality, service efficiency and financial performance by 2015. Feussner reminded managers that as an academic medical center, MUSC’s mission is to conduct research, focus on discovery, provide quality patient care and educate future health care workers. To do this, he said, MUSC must operate as an integrated health system that’s cooperative in achieving common goals with unified decision-making. Feussner reviewed the MUSC Health Strategic The Catalyst is published once a week. Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: sales@moultrienews.com.
Plan – Mission 2015. In 2011, 51 percent of physicians in the country were employed physicians. Nationally, the competitive pressures locally, regionally and nationally challenged private practices as well as hospitals and academic medical centers. Changes in consumer expectations, systems, processes and a decrease in reimbursements continued to be challenging. The updated strategic plan is being led by the MUHA, the College of Medicine and MUSC Physicians leadership, collectively known as MUSC Health. It also involves a comprehensive look at performance, market strengths and opportunities. In addition to leadership involvement in its development, many additional stakeholders were interviewed, including department administrators, chairmen and MUSC board of trustee members. The plan was presented to the board of trustees in December 2011. On Feb. 3, more than 125 MUSC physicians, clinical leaders and administrative staff gathered for a planning retreat and discussion about MUSC Health’s commitment to the new plan. College of Medicine Dean Etta D. Pisano, M.D., vice president for medical affairs, and other leadership kicked off the planning and work event. The strategic plan features seven driving strategies with action-oriented tactics. Each driving strategy and tactic has leadership to guide its progress: q Unify and align the clinical
enterprise to facilitate decision making, enhance coordination of care, build accountability and drive down costs (Strategy leaders: Jack Feussner, M.D., and Stuart Smith). q Expand awareness, preference and market leadership for the MUSC Brand (Phil Costello, M.D., and Stuart Smith) q Strategically expand access and capacity (Peter Zwerner, M.D., and Pat Cawley, M.D.) q Aggressively grow primary care and outpatient services (Jack Feussner, M.D., and Peter Zwerner, M.D.) q Establish statewide partnership to provide the right care in the right place at the right time (Phil Saul, M.D., and Mark Lyles, M.D.) q Build human and financial capital to grow expertise, learning, discovery and reputation (Steve Valerio and Lisa Montgomery) q Intensify investment in information and communications systems to leverage MUSC’s expertise and access (Bob Warren, M.D., and Mike Balassone) MUSC’s progress with this plan will not only improve patient care, quality and inpatient growth but will provide increased benefits for the people of South Carolina, the Lowcountry community, students, staff and faculty. MUSC Health employees are invited to contribute to the plan”s implementation. Feedback is welcome. For information, visit http://www.musc. edu/com/clinicalaffairs/StrategicPlan or email Clinstrategic@musc.edu.
Rheumatology to sponsor annual Pie Day, April 20 The Tenth Annual Rheumatology Pie Day will be held from noon to 2 p.m. April 20 in Room 912E, Clinical Sciences Building (Rheumatology conference room). Everyone is welcome to attend. You do not need to be a member of the Division of Rheumatology to participate, just bring a pie. You may also bring a friend, since a pie can get two people in (maybe even three, if it's really good). Pies can be either sweet or savory and
can come in a variety of styles. Put some sort of filling in some sort of pastry shell, whether you call it a pie, quiche, tart, pizza, börek, varéniki, samosa, torte, pierogi, pot sticker, pasty, calzone, or even a kroppkakor, and join in on the best Pie Day ever. There is no sign-up sheet — it's pure pot luck. Bring your own drink, but cups, plates and forks will be provided. For more information, email Michael Bonner at bonnerjm@musc.edu.
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Happy Wheels celebrates 12 years of bringing joy By hollen DoDDs Public Relations
For the children at the Children’s Hospital, Thursday can be the best day of the week. It’s the day they wait excitedly for the Happy Wheels cart to make its rounds with new books and toys. Happy Wheels is a volunteer dependant program that offers gifts to sick children that they can keep. The program made its debut at the Children’s Hospital in 2000 and is still going strong 12 years later. Larissa Allison of Murrells Inlet founded Happy Wheels. She wanted to give back to the hospital and bring joy to children during their stay. The program also has been brought to hospitals in Greenville and Columbia. The cart visits as many as 80 rooms each week. Its three shelves are divided into age groups to accommodate children of all ages. The non-profit program thrives on community support coming from church organizations and small businesses to larger corporations, such as Barnes and Noble. Some children even contribute to Happy Wheels by requesting that donations be made to the program instead of birthday presents for themselves. Harper Drolet, an 11-year-old cancer patient who passed away in 2011, was passionate about the program. In 2010, she teamed up with Wonder Works owner Christine
Donations: Mail checks (payable to Happy Wheels) to — Happy Wheels, 171 Ashley Ave., Room EH101 MSC332, Charleston, SC 29425-3320
The Happy Wheels cart, stuffed with books and toys, makes its rounds every Thursday at the Children’s Hospital. To watch the video, visit http://bit.ly/MUSCHappyWheels. Osborne to create a Facebook fundraiser for Happy Wheels known as the Week of Wonder. For every person who “liked” the business’ Facebook page, the company donated a toy to Happy Wheels. As a result, 7,000 new toys were donated to the cart selection. Happy Wheels director Jackie Shealy looks forward to seeing the children’s smiling faces every week. She began volunteering after her only child left to go to
college. “I wanted to get involved in something for me, but I had no idea the rewards I would get in return. We make a huge difference here,” she said. Shealy does most of the buying for the cart and organizes the books and toys at her home in Mount Pleasant. The rooms on the seventh and eighth floors of the Children’s Hospital are temporary homes to many critically ill and injured children. Some are there for months at a time, so the books and toys from Happy Wheels make their days a little more enjoyable. Assistant director Kelly Richey is grateful that she can be a part of the program. “It’s very rewarding to know that we are a bright spot in their life, even if it’s just for a minute encounter,” she said. Shealy and Richey see children, who are typically too sick to leave their beds, roaming the halls with their IV poles in tow looking for the cart. “We once visited a room where a child left a note on her bedside table that read ‘Dear cart lady, wake me up when you come.’ It’s amazing,” Richey said. “They don’t want to miss us.” To volunteer, email happywheelsmusc@gmail.com.
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Speaker shares tools for succeeding in workplace
By CinDy ABole Public Relations
Empowering women to work effectively in academia, research and the health sciences to support themselves and be mentors to each other were just some of the messages shared by former CNN executive vice president, author and speaker Gail Evans. Evans, a motivational speaker and New York Times best–selling author, was in Charleston March 26-27 as the premier speaker in a multi-day MUSC Women Scholars Initiative (WSI) workshop event. Her visit also was supported by the College of Medicine Dean’s Office and Provost’s Office. The workshop’s goal was to promote discussion between women faculty and staff and inspire others to move the institution forward in achieving its goals for a diverse faculty and achieving inclusive excellence. Evans told MUSC audiences that although women make up about 50 percent of today’s workforce in the U.S., their absence in top leadership positions and parity in corporate board rooms continue to be challenging. According to Evans, gender equity, race and ethnicity are common issues faced in most workplaces including health care, law, retail and manufacturing. Evans spoke about
Former CNN executive and speaker Gail Evans, left, meets with faculty and staff following her March 27 keynote address. See the video at http:// bit.ly/Gail_Evans. differences in how men and women approach business and its overall effect in the workplace. She also spoke about the need for better representation of women in leadership, recruitment and retention, mentoring, networking and ideas for the advancement of women faculty in academic medicine. The author of the books, “She Wins, You Win” and bestseller “Play Like A
camPaign KicKs off
The kick off of the 2012 YES (Yearly Employee Support) Campaign got off to a great start April 3 at Ashley River Tower’s portico. The MUSC leadership, YES Campaign Committee and several dozen members of the campaign’s consecutive donors (five years or more) helped celebrate the kick off. Participants were greeted by MUSC President Dr. Ray Greenberg and campaign chairman Dr. Philip Hall, SC College of Pharmacy MUSC campus dean, and leadership chair Dr. Etta Pisano, College of Medicine dean. The campaign continues until June 30. To give, visit https://giving.musc.edu/yes/.
Man, Win Like A Woman,” Evans was able to break through her own barriers becoming CNN’s first female executive vice president in 1996. Prior to that, she enjoyed a successful political career in Washington working with several congressional staffs and at the White House under President Lyndon B. Johnson. At MUSC, Evans addressed female
post–doctoral, and graduate students, residents and women faculty during various seminars and workshops. She told audiences that women must learn to work together and not against each other. According to Evans, women have a natural capacity for relationship building and should take advantage of that. Women also need to feel comfortable promoting their own strengths and abilities and work smarter. These advantages will guide women to make change happen, she said. “It’s important that women learn how to play on the same team and support each other. They need to understand that every woman’s success is their success. To truly succeed in business, women need to evolve from the ‘I can do it’ to ‘We can do it’ attitude,” Evans said. Ashli J. Sheidow, Ph.D., WSI Steering Committee vice chair, said Evans’ message was inspirational. Evans presented six seminars, workshops and a keynote speech. “Ms. Evans used a down-to-earth style and straightforward manner to accomplish these goals. Faculty who attended her talks walked away with concrete, immediate action steps and a motivation to make real changes.” For more information about the scholars initiative, visit http://www. musc.edu/womenscholars.
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Meet Will
William Farrior III Department Public Relations How long at MUSC I have been an intern for 3 months. I am a student at the College of Charleston. Hometown Brooklyn, New York Favorite sport College basketball Favorite food Chicken tortellini Favorite college subject English. I like to write. Future goals I would like to work for a university. Preferably Winthrop or University of Georgia Favorite music R & B and Neo soul Favorite thing about the internship I get to meet a variety of people. Involvement The REACH (Realizing Educational and Career Hopes) Program at the College of Charleston.
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New director sets sights on high-tech vision care
WHat’s nEW? BlADeless teChnology
MUSC will be acquiring a femtosecond laser for cataract surgery that has ultrashort pulses lasting just 50 to 1,000 femtoseconds or quadrillionths of a second which offers extreme precision in cutting. The vision center will use the laser for bladeless cataract and cornea surgery and the newest generation excimer lasers for vision correction of the cornea. George O. Waring IV, M.D., said the lasers coupled with premiums lens implants becoming available will revolutionize treatment options.
“We’re supplanting blades with bladeless technology. It’s terribly exciting. It’s going to revolutionize cataract surgery, which is the most common surgical procedure not only in the United States but also the world.”
BiomeChAniCs An area of advance is the ability to measure and treat the biomechanical properties of the cornea. Physicians will be able to measure the strength of the cornea and better determine if someone is a good candidate for laser refractive surgery.
neuroADAptAtion Vision is not only in the eye, it’s also in the brain. There now are ways to take the cortical processing part of the brain and retrain and optimize it to help patients find new pathways to see in a part of the brain that they haven’t used before. It compares to someone getting physical therapy after hip surgery. It speeds and enhances recovery. “When you talk about coupling this technology with a new lens like the telescope and using a part of the brain that hasn’t seen before, it’s just really exciting.”
Bye-Bye Reading Glasses? MUSC will be one of the first centers to offer a new technology, pending FDA approval, to treat presbyopia that truly will revolutionize eye care in a way that affects just about everyone, said George O. Waring IV, M.D., the new director of Magill Vision Center. “You lose the ability to read up close as you age. This happens to 100 percent of people at some point in their life – typically in the mid 50s.” Most people resort to bifocals, but soon there will be another option. There are KAMRA corneal inlays by AcuFocus Inc., that slip into the front of the eye and are minimally invasive. Waring, who serves as the International Surgical Monitor for AcuFocus Inc., has played a key role in advancing this novel technology. “It’s a small aperture inlay – a pinhole that’s microscopically small. It’s 5 microns thick – the same thickness of two red blood cells stacked together.” Results from the FDA trail are promising, he said of the technology that has been 10 years in the making. On average patients see well at distance, intermediate and up close ranges without glasses. The implant also is easy to take out if for any reason the person prefers not to have it. “It’s tremendous new technology — a new paradigm in corneal refractive surgery. You’ll be hearing a whole lot more about it in the near future. It’s an opportunity to help potentially everyone at some point to reduce their dependence on reading glasses and bifocals.” The optical principals of this inlay are novel. It doesn’t refract light at all but uses a small aperture. Waring compares it to how an f-stop works in a camera. By decreasing the size, you increase the depth of focus or the range in which all objects are clear. “We’ve taken that principle and manufactured it into a microscopic disc that we implant in a small pocket or a LASIK flap at the same time we do LASIK. It’s done in only one eye, and the brain can’t tell the difference and it gives a full range of vision. It allows a person to focus on what they need to.”
The Catalyst, April 13, 2012 7
Waring blends love of clinical and research talents “My work allows me A s the new medical director of Magill Vision Center, George O. Waring IV, M.D., envisions promising advances. Waring, who also is director of refractive surgery and assistant professor of ophthalmology at Storm Eye Institute (SEI), said he sees tremendous opportunity being part of the strong faculty at SEI. “In addition to bringing the latest technology and techniques in laser vision correction, lens implant and cataract surgery, my areas of interest are to develop and expand the surgical treatment of presbyopia and keratoconus. Clinical research also is a top priority for me and the area of my focus will include ocular biomechanics.” Waring, who received his medical degree at the Emory University School of Medicine, specializes in cornea refractive, cataract and lens implant surgery. He served as administrative chief resident of ophthalmology at the State University of New York (SUNY). He completed his sub-specialty fellowship training in cornea and refractive surgery under the mentorship of Daniel S. Durrie, M.D., in Overland Park, Kan. He has more than 90 scientific publications, abstracts and presentations to his credit on corneal, refractive and lens surgery and was the recipient of the
to be creative and innovative, while helping people see better. There are few opportunities where you can combine all that.”
Dr. George O. Waring IV National Rabb-Venable Award for excellence in ophthalmic research. Waring has taught ophthalmic surgeons worldwide advanced techniques in the surgical correction of presbyopia. He serves on multiple advisory boards, and chairs the scientific advisory board of the current FDA clinical trial on collagen crosslinking for the treatment of keratoconus. Lucian V. Del Priore, M.D., Ph.D., director of Storm Eye Institute, recruited Waring, who represents the new generation of eye surgeons integrating new technology to offer a higher tier of service. “Dr. Waring’s arrival marks an
Dr. George O. Waring IV, looks forward to an exciting new era at Magill Vision Center. important step in Storm Eye’s evolution Loving the field of ophthalmology, into a premier clinical and research eye Waring grew up in a family of eye institute offering world-class surgical surgeons. “My work allows me to be options and cutting-edge technologies to creative and innovative while helping meet the visual needs of the region.” people see better. There are few Waring, who arrived in January, opportunities where you can combine said he’s thrilled to be here, especially all that. since MUSC is undergoing a major “I’m very interested in innovation restructuring with innovative initiatives. and helping push the industry – helping “There’s a wonderful infrastructure it to grow. To be able to do that while in place. To be able to bring these surgically helping people to see better technologies to an institution that has is very rewarding. It can make a large difference in people’s lives.” this infrastructure is great.”
WHat’s nEW? help for mACulAr DegenerAtion Crosslinking Cure offers hope for kerAtoConus
Photo Courtesy of VisionCare Ophthalmic
Drs. Charlene Grice and Waring will be offering a new telescopic lens for patients with macular degeneration. This is a large patient population that up to now has had few good treatment options. The implantable miniature telescope sits behind the cornea and projects an enlarged image of the patient’s central visual field onto the retina. Waring said the special lens is tinier than a size of a pea. “It’s a very reasonable surgery and the results thus far have been very encouraging. It’s very exciting to help a group of people who haven’t had many options.”
In patients with (vitamin B2) to the keratoconus, corneal cornea and activating it tissue weakens, with ultraviolet light. causing the cornea “Combined, to bulge, become they change the conical and lose structure of the A patient receives corneal tissue, which some of its refractive treatment with ability. Patients with actually strengthens collagen crossthis condition often it and makes it more have to have a cornea linking. stiff. It takes this transplant. One of Waring’s biomechanically weak tissue that speciality research areas involves bulged, and it strengthens it. Not corneal collagen crosslinking only does it stabilize and keep it which strengthens corneal tissue. from progressing, it also reverses This involves applying riboflavin progression in many cases.”
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Autism Continued from Page One
the numbers have almost doubled since we started monitoring ASD in 2000 which has surprised him. He expected it to level off. “It’s five times as common in boys. That’s kind of scary. It’s certainly on people’s minds now.” Study results from the 2008 surveillance year show 11.3 per 1,000 8-year-old children have been identified as having an ASD. This marks a 23 percent increase since the last report in 2009. Some of this increase is due to the way children are identified, diagnosed and served in their communities, although exactly how much is due to these factors is unknown Coleen Boyle, Ph.D., director of CDC’s National Center on Birth Defects and Developmental Disabilities, said to understand more, health professionals need to keep accelerating research into risk factors and causes of autism spectrum disorders. The study also shows more children are being diagnosed by age 3, an increase from 12 percent for children born in 1994 to 18 percent for children born in 2000. “Unfortunately, 40 percent of
2011 yEar in rEViEW rEacH oPEn HousE
Friday, April 20 9 a..m - 3:30 p.m. College of Charleston will host an informational session about its REACH (Realizing Educational and Career Hopes) program. It is a four-year inclusive program for students with mild to moderate intellectual disabilities. Register at http:// reach.cofc.edu/visit/ index.php
Members of the ADDM team show their “blue” spirit for Autism Speaks’ Light It Up Blue autism awareness day.
the children in this study aren’t getting a diagnosis until after age 4. We are working hard to change that,” said Boyle. MUSC autism experts hope to change that as well. Jenner, an advocate for early
assessment of children, is the ADDM ambassador of the Learn the Signs Act Early program, which educates people on the importance of early diagnosis and prevention. “Because autism is assessed based on developmental behaviors, it can
be diagnosed in children as young as 18 months old. If children are diagnosed at a young age, they can be treated to help improve symptoms earlier,” he said. Although there is no medical detection or cure, there are several research initiatives that are being conducted to find what exactly causes autism. Understanding the characteristics and number of children on the autism spectrum is essential to promoting the awareness of the condition, helping educators to plan special services, and identifying important signs for further research. Jenner said that prevalence studies such as these point out the need for more research, especially given that almost every scientist now agrees that there are environmental triggers involved as well as genetic factors in causing ASD. In the meantime, the study can be used to inform service providers how much to gear up much needed community support for the people affected by ASD. “More attention will bring more resources to discover what’s really going on. Down the road maybe it will mean finding a cure. That’s what we all hope for.”
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eMployee Wellness MUSC Employee Wellness has partnered with two local community supported agriculture programs to provide a convenient way for MUSC employees and students to have direct access to high quality, fresh produce grown by local farmers. Both are accepting orders for the spring season, which begins the third week in April and runs through late July. Our Local Foods offers a membersonly delivery service of locally sourced food items for healthy at-home meals to MUSC employees. Gruber Family Farms also is offering weekly shares of healthy produce. Visit http://www.musc.edu/ catalyst/archive/2012/co3-23crop.html for more information on both of these programs and for information on signing up for the spring CSA season. q MUSC’s Pitch the Pack: Free smoking cessation programs offered to employees and students. Classes, counseling and a one-month supply of medications are available to eligible participants. Receive a complementary success kit
with enrollment filled with gifts. Enroll at http://ceii.muschealth.com/SCP/ SCPRegistration.aspx. q MUSC Urban Farm: Work & Learn — Learn through working with the soil and seeds in the MUSC Urban Farm from noon – 1 p.m., and from 4:30 – 6 p.m., April 18. Family workday is from 9 – 11 a.m., April 14. Email musc-empwell@musc.edu for more information and to register. q MUSC Employee Fitness Series: Join Katie Blaylock for a free circuit training class from 4:15 – 4:45 p.m., April 18 in the MUSC Wellness Center. For information and to register, email muscempwell@musc.edu. q Mobile mammograms: The Hollings Cancer Center Mobile Van will be conducting mammograms from 9 a.m. – 6 p.m., April 18 behind the Clyburn Research Building. To schedule an appointment, call 792-0878. Email Susan Johnson, Ph.D., at johnsusa@musc.edu to become involved in employee wellness.
family cuP fun
Above, tennis player Venus Williams heads onto court during Family Circle Cup April 3, which was MUSC Day. At right, Heather Morrill, (pictured center), with her son Will, does the coin toss to start the match. Morrill is a stroke survivor and MUSC patient. MUSC, an event sponsor, provided stretching sessions and hosted a health education tent.
tEcHnology fair Greg Tavares, co-founder of Theatre 99, uses improv humor and volunteers at the Technology Fair keynote to illustrate that while technology is important, it never surpasses the power of making human connections.
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CLASSIFIED P AGE • Household Personal Items for MUSC employees are free.
All other classifieds are charged at rate below. Ads considered venture-making ads (puppy breeder, coffee business, home for sale, etc.) will be charged as PAID ADS •• PROOF OF ELIGIBILITY REQUIRED * NO MORE THAN 3 LINES * FREE ADS RUN 2 WEEKS ONLY!
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